Training in general paediatrics: is it time for change?

Journal of Paediatrics and Child Health
H Gunasekera, A Buckmaster

Abstract

To determine current Australian general paediatrician's perceptions regarding the adequacy of their training particularly in the new morbidity (NM) area (developmental, behavioural and psychosocial). To ascertain if there is a perceived need to change training in this area, the level of support for change and to canvass opinion on how to achieve change. Australian general paediatricians were surveyed by mail in April 2002. The data obtained from those trained before and after the 1992 changes to training were compared by chi(2) analysis. The response rate was 76%. More than one in five new referrals were for NM problems according to 62% of the respondents. The majority (67%) of respondents reported that they were poorly or very poorly trained for NM work in contrast to a majority (82%) who rated that they were well or very well trained for general paediatric work (P < 0.001). Respondents believed that they were poorly or very poorly trained in the use of stimulants (74%), selective serotonin reuptake inhibitors (SSRIs) (93%), tricyclic antidepressants (TCAs) (79%) and clonidine (86%), despite a third of scripts being for one of these medications. The majority of all general paediatricians (90%) want changes to advanced training...Continue Reading

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Citations

Aug 17, 2005·Journal of Paediatrics and Child Health·Sean BeggsCarl Orkin
Apr 9, 2005·Journal of Paediatrics and Child Health·Patrick S Patradoon-Ho
Aug 24, 2006·Journal of Paediatrics and Child Health·David Isaacs
Feb 24, 2007·Journal of Paediatrics and Child Health·Patrick S Patradoon-Ho, Hasantha Gunasekera
May 25, 2012·Journal of Paediatrics and Child Health·Gehan RobertsFrank Oberklaid
Nov 7, 2012·Journal of Paediatrics and Child Health·Joanne MorrisKatrina Williams
May 17, 2007·BMC Medical Education·Peter Jones, Mal Donald
Sep 16, 2004·Journal of Paediatrics and Child Health·P D Jones
Nov 19, 2010·Child: Care, Health and Development·K OrenB Porter
May 30, 2013·Journal of Paediatrics and Child Health·Mick O'Keeffe
Jan 15, 2015·Journal of Paediatrics and Child Health·Hasantha Gunasekera, Henry Kilham
Jan 15, 2015·Journal of Paediatrics and Child Health·Michael McDowell
Oct 9, 2018·Journal of Paediatrics and Child Health·Michael McDowell, Gehan Roberts
Jun 10, 2011·Journal of Developmental and Behavioral Pediatrics : JDBP·Gehan RobertsMelissa Wake

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