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At least 19 recordsLinked to original sources
PubMed1977

Paediatric option of MRCP examination: a survey into the results of candidates electing to take the paediatrics option in MCRP (UK) Part II.

Five surveys on the performance of candidates in the paediatric option of MCRP(UK) Part II examination show the paediatric candidates to be at a disadvantage in the written part. The paediatric candidate is later in his career to obtain his MRCP (UK), as the mean interval from qualification to success at Part II is 41-7 months compared with 34 months for non-paediatric candidates (P = 0-0026). Lower marks were scored by paediatric candidates in the written section on the whole (P = 0-055), slide identification (P = 0-015), data interpretation (P = 0-065) and non-paediatric case histories P = 0-023) as seen in those candidates who passed each part at first attempt, the discrepancy being wider in those having more attempts to pass. In the oral examination the paediatric candidate scored higher (P = 0-07) but no significant difference in the clinical marks. Although it appears that few paediatricians have been severely penalized by the present system, it does require the paediatric candidate to orientate his preparation for Part II towards his books rather than towards his clinical practice, which is contrary to the aim of the Part II examination of the MRCP(UK). Plans have been announced by the Presidents of the three Royal Colleges of Physicians of the United Kingdom for an entirely paediatric Part II.

Education, Medical, Graduate↗
PubMed1979

Quality of care: a tracer diagnosis study of acute otitis media, comparing a district paediatric service with paediatric and otolaryngology emergency departments.

Acute otitis media was used as a tracer condition for comparing patient care as regards patient satisfaction, compliance and medical outcome in a district paediatric office, an otolaryngological and a paediatric hospital emergency department. The initial work-up of the 216 patients studied at the three units was in good agreement with predefined standards. However, while the district paediatrician arranged a follow-up for all patients, the hospitals did so only in 10--30% of the visits. Parent satisfaction was significantly higher at the district office when the time spent waiting and the time the patient was with the doctor were kept constant. Urinary penicillin was not detected in 1/17 of district paediatric and in 6/19 of otological patients. Compliance with follow-up was also much higher at the district paediatrician. Medical outcome did not differ between the units. The majority of the parents expressed preference for the type of care given in a neighbourhood service. It is suggested that the criteria for adequate treatment of acute otitis media adapted for emergency departments may be revised in case easy access is provided to a medical centre offering continuity of care and proper follow-up. Studies of the quality of care have so far not managed to demonstrate a definite and positive relationship between the process of care, patient satisfaction and final medical results.

Adult↗
PubMed1990

A radiopharmaceuticals schedule for imaging in paediatrics. Paediatric Task Group European Association Nuclear Medicine.

There is no standard schedule for the amounts of radiopharmaceutical administered to children at present. Various alternative methods are currently in practice, all with some support from the literature. Optimization of the amount of radiopharmaceutical to be administered is discussed in relation to the radiation burden of such an examination. The Paediatric Task Group of the European Association of Nuclear Medicine has investigated the current situation and now suggests a method for standardization of administered amounts of radiopharmaceutical in paediatrics. The fraction of the adult amount of radiopharmaceutical to be administered should be calculated from the child's body weight according to the accompanying table. In small infants, the minimum amount of a radiopharmaceutical is discussed and suggested amounts to be administered are presented.

Body Weight↗
PubMed1976

The paediatric training required by the general practitioner. A report by a Joint Working Party of the British Paediatric Association and the Royal College of General Practitioners.

This report has been written because special programmes of training for general practice are being developed in many parts of the country and there are questions about the paediatric component of training which need to be discussed nationally.An important part of this report is devoted to listing educational objectives which should be attained in paediatrics by the general practitioner at the end of his training.

Education, Medical↗
PubMed1991

Jubilee Lecture of the Scottish Paediatric Society. Do we really need community paediatricians? A summary of the lecture given at the Triennial Meeting of the Scottish Paediatric Society.

To summarise, I have supported the development of a specialty of "child development and rehabilitation" as an independent branch of paediatrics separate from neurology; emphasised the importance of expertise in child abuse for all paediatricians and not just those working in "the community"; described the changing role of specialist paediatric doctors in pre-school surveillance and the school health service; and suggested that we may need community paediatricians with a public health orientation. It is important to determine what community paediatricians should do and to ensure that the training they receive is relevant to the tasks required of them.

Community Medicine↗
PubMed1976

Hypglycaemia in paediatric anaesthesia: The influence of metoclopramide and oral maltose in paediatric surgical patients.

A safe and effective way to prevent the development of hypoglycaemia in young children during general anaesthesia is to give drinks sweetened with maltose 2 hours before operation. Metoclopramide (Maxolon) is injected intramuscularly to hasten absorption. The postoperative blood sugar in the maltose-treated group (28 patients) was 100+/-22-21 mg/ml (5-5+/-1-232 mmol/litre) and significantly higher ( P less than 0-0005) than in the starved group (22 patients).

Anesthesia, General↗