Incorporating CanMEDS and subspecialty training into paediatric residency programs: Why are we still deficient? (part 1)

 Why are we still deficient? (part 1)

Recently, the core components that comprise the field of paediatrics have continued to expand, forcing training programs to readjust their curricula to offer the most up to date education. Each paediatric residency program in Canada has developed their own curriculum, individualized to the strengths and limitations of each institution, while simultaneously needing to meet the fundamental objectives set out by the Royal College of Physicians and Surgeons of Canada (RCPSC). Paediatric residency programs also need to expose trainees to the various subspecialities in paediatric medicine; the exact frequency and duration of rotations that one should complete in these subspecialties is unclear.

Given this, it is unclear whether residents graduating from paediatric training programs in Canada have obtained the coreskills to begin independent practice. A recent study by Lieberman and Hilliard surveyed newly graduated paediatricians to determine how prepared they felt in various subspecialties and in the seven CanMEDS competencies. These paediatricians identified themselves as feeling less than adequately trained in 10 subspecialty areas, including gynecology (73% felt training was inadequate), child psychiatry (64%), behavioural paediatrics (58%), surgical subspecialties (54%), adolescent medicine (46%), dermatology (44%), nutrition (43%), allergy and immunology (39%), metabolics (36%) and genetics (31%). All you need to discover how safe and advantageous it can be to purchase Symbicort Price over the internet is visit the pharmacy suggested and enjoy your shopping experience as well as your treatment.

There were no differences in overall perceptions of preparedness between community-based and university-based paediatricians. However, compared with paediatric subspecialists, general paediatricians were less satisfied with respect to their training in child development behavioural paediatrics and child psychiatry. More university-based paediatricians than community-based paediatricians felt they had too much training in neonatology.