scholarly journals The changing UK paediatric consultant workforce: report from the Royal College of Paediatrics and Child Health

2016 ◽  
Vol 102 (2) ◽  
pp. 170-173 ◽  
Author(s):  
Martin McColgan ◽  
Rachel Winch ◽  
Simon J Clark ◽  
Carol Ewing ◽  
Neena Modi ◽  
...  

ObjectivesTo determine if there had been changes in the size of the UK paediatric workforce and working patterns between 1999 and 2013.DesignAnalysis of prospectively collected datasets.SettingUK consultant paediatricians.InterventionsData from the Royal College of Paediatrics and Child Health's workforce census from 1999 to 2013 and the annual surveys of new paediatric Certificate of Completion of Training (CCT) and Certificate of Equivalence of Specialist Registration (CESR) holders between 2010 and 2013.Main outcome measuresPaediatric consultant numbers, programmed activities (PAs) and resident shift working.ResultsThe UK paediatric consultant workforce grew from 1933 in 1999 to 3718 in 2013. Over the same time period, there was a decline in the number of consultants with a primary academic contract from 210 to 143. There was an increase in the proportion of consultants who were female (40% in 1999 to 50% in 2013, p<0.01). The median number of PAs declined from 11 in 2009 to 10 in 2013 (p<0.001) as did the median number of PAs for supporting professional activities (2.5–2.3, p<0.001). In 2013, 38% of new consultants in general paediatrics or neonatology were working resident shifts. Between 2009 and 2013, the proportion of less than full-time working consultants rose from 18% to 22%, which was more common among female consultants (35% vs 9%).ConclusionThe paediatric consultant workforce has doubled since 1999, but more are working less than full time. The decline in those with a primary academic contract is of concern.

Author(s):  
Richard D.W. Hain ◽  
Satbir Singh Jassal

Paediatric palliative medicine was recognized in the UK as a subspecialty of paediatrics in 2009. Unusually amongst paediatric subspecialties, paediatric palliative medicine is defined by the needs of individual patients, rather than by their diagnosis or diseased organ system (which may indeed not be known), and competencies in paediatric palliative medicine often overlap with those in other paediatric specialties, as well as with adult palliative medicine and palliative care. This chapter describes the four levels of competence currently recognized in palliative medicine, as well as provides information on the small, but growing, number of curriculums in paediatric palliative medicine. This includes the competencies required by the Royal College of Paediatrics and Child Health and the Association for Paediatric Palliative Medicine.


2020 ◽  
Vol 16 (3) ◽  
pp. 295-300
Author(s):  
Agnieszka Pawłowska-Kamieniak ◽  
◽  
Milena Wronecka ◽  
Natalia Panasiuk ◽  
Karolina Kasiak ◽  
...  

In December 2019, China reported cases of infections caused by a new zoonotic coronavirus, which gradually developed into a pandemic. The disease was initially believed to be mild in children. In April 2020, a possible relationship between a new paediatric multisystem inflammatory syndrome and SARS-CoV-2 was found. In May, the Royal College of Paediatrics and Child Health published the criteria for the diagnosis of this new disease. We present a case of a 6-year-old boy retrospectively diagnosed with SARS-CoV-2-related multisystem inflammatory syndrome based on medical history, physical examination, laboratory and imaging findings, as well as the available literature.


2010 ◽  
Vol 34 (7) ◽  
pp. 270-273 ◽  
Author(s):  
Jackie Gordon ◽  
Sonia Wolf

Aims and methodTo investigate liaison psychiatry services across 38 acute trusts in the south of England. We used a telephone survey and compared the results to service structure and function as recommended by the Royal College of Physicians and the Royal College of Psychiatrists.ResultsApproximately two-thirds of trusts surveyed had a dedicated liaison service and this was not significantly related to hospital size. Most liaison teams were understaffed in all disciplines and only a third had a full-time consultant. Services for specialist patient groups were generally well provided for; 37% of teams had been created in the past 5 years and 33% were planning to increase their staffing levels in future.Clinical implicationsLiaison services in the south of England are similar to those in other parts of the UK that have been surveyed. Although the services did not meet the Colleges' recommendations, our study shows some recent growth and development in this specialty.


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