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Paediatric
Emergency Medicine
Components
of Training
Core Training
- The training program in PEM must provide you with adequate opportunity
to participate in the clinical assessment, investigation and management
of acute illness and injury in children.
- You must obtain experience in the diagnosis and management of acute
paediatric disorders affecting the cardiovascular, respiratory, neurological,
haematological, metabolic, endocrine, renal, skin and gastrointestinal
systems. Further you must obtain experience in the diagnosis and management
of acute paediatric surgical, ENT, orthopaedic and neurosurgical conditions.
- You must gain special competence in the management of the critically
ill or injured child, including techniques of resuscitation, airway
management including endotracheal intubation, haemodynamic support
and continuous monitoring. This includes completion of the APLS and
EMST courses.
- Your training must include experience in injury surveillance and
in the formulation and evaluation of injury control programs.
- You must obtain experience in the recognition and management of
child physical and sexual abuse and an understanding of community
child protection services.
- There must be opportunities for you to be involved in the teaching
of junior medical staff, nursing staff, medical students and allied
health personnel (including community-based) in various aspects of
acute and non-acute childhood illness and injury.
- You are required to obtain experience and training in acute crisis
counselling and in the psychological aspects of the child in the emergency
department.
- You must learn about research techniques, participate in clinical
and/or laboratory research in the field of PEM, and make critical
analyses of research results. These experiences must be supervised
by a teacher with appropriate skills and experience in research.
- Your program must include regular learning sessions such as reviews
of morbidity, mortality, case conferences, current literature discussion
groups and research meetings.
- You must gain an understanding of disaster management, and the organisation
of ambulance services including pre-hospital care of the paediatric
patient.
- You should gain experience in working in a multi-disciplinary team,
coordinating the approach to management of multi-system problems and
communicating with team members and referring practitioners.
- You must gain knowledge and experience in the administrative and
management aspects of the emergency department, including quality
assurance, risk management, and personnel management.
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