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Vocational Training
General
Paediatrics - New Zealand
Supervising
Committee
Specialist Advisory Committee (SAC) in General Paediatrics
(New Zealand).
You must specifically register your wish to train in General
Paediatrics with the College if this is your choice as opposed to training without
SAC guidance.
Definition
of Specialty
General Paediatricians have a breadth and depth of knowledge
and experience which makes them ideally suited to provide high quality specialist
services across a spectrum of health and illness which is not limited by the boundaries
of medical subspecialties. These capacities place general paediatricians in an
important and responsible position as both clinicians, teachers and researchers
particularly where problems are undifferentiated and complex, where there are
issues which do not fall within the range of one subspecialty and where the integration
of interdisciplinary expertise may be required.
General Principles
- Advanced training
in General Paediatrics will be for three years following satisfactory completion
of Basic Training and the Examination in Paediatrics and Child Health.
-
At least two years must consist of structured supervised clinical training (i.e.
no more than one year of research is accredited during the three years of Advanced
Training).
- Trainees are strongly encouraged to work in more than one institution
or community environment, and in a variety of settings.
- Trainees must
develop an increasingly sophisticated understanding of the philosophy and knowledge
unique to a broad perspective of child health and skills in inpatient care. Understanding
of Maori and Pacific Island health is important in the New Zealand context.
- During
your Advanced Training there should be particular empahsis on:
- consultative
skills
- communication and counselling skills
- continuity of care
and care planning
- preventative strategies for child health
- ethics
and resource planning
- critical appraisal
- child advocacy
- autonomous
functioning and leadership
- teaching
- continuing medical education
- acute
care general paediatrics
- resuscitation and acute care of the newborn
- ambulatory
and community paediatrics
- development, learning and behaviour
- quality
assurance (including audit).
- Advanced Training allows flexibility
and diversity of opportunity. It is expected that when you apply to enter Advanced
Training, you and your supervisor, under the guidance of the Director of Paediatric
Physician Training (DPPT) will review your previous training and plan your subsequent
training according to your individual long term goals. Community and child health
requirements for training should be noted at this stage.
- As a trainee,
you will be working towards achieving competencies of the Consultant Paediatrician.
The desired competencies listed below are based on The Royal College of Paediatricians
and Surgeons of Canada: Specialty Training Requirements in Paediatrics, 1998.
Medical
Expertise- demonstrate diagnostic and therapeutic knowledge and skills
for ethical and effective patient care
- access and apply information relevant
to clinical practice
- demonstrate effective consultation services
Communication- establish
therapeutic relationships with patients and their families
- obtain and
synthesise relevant history from patients, families and communities
- listen
effectively
- discuss appropriate information with patients, families and
health-care team members
Teacher and Scholar- develop, implement
and monitor a personal continuing education strategy
- critically appraise
sources of medical information
- facilitate learning of patients, trainee
medical officers, students and other health professionals
- contribute to
the development of new knowledge
Collaborator- consult effectively
with other paediatricians and health care professionals
- contribute to
interdisciplinary team activities
Management - use resources
to balance patient-care, learning needs and personal needs
- allocate finite
health care resources appropriately
- work effectively and efficiently
- use
information technology to optimise patient care and continuing education
Health
Advocacy- identify the important determinants affecting patients
- contribute
to improved health of patients and communities
Professional Behaviour- deliver
the highest quality care with integrity, honesty and compassion
- exhibit
appropriate personal and interpersonal professional behaviours
- practice
the ethical obligations of a paediatrician (see Ethics:
A Manual for Consultant Physicians, RACP, Sydney 1992).
-
The CPPT should be consulted in the first year of Advanced Training to determine
whether any changes to the program are permitted and to prospectively approve
elective experience.
- Advanced training supervisors are responsible for
maintaining training standards and it is recommended that a least one training
supervisor is always a general paediatrician who has appropriate training as an
advanced trainee supervisor.
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