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Paediatric training programmes across Europe

Project title: Paediatric training programmes across Europe

Rationale: National paediatric training programmes differ between countries. Useful insights can be gained through comparison of these training programmess, as this may result in the identification of theoretical and practical training modules and assessment methods that could be implemented across borders. Therefore, a comparison is made between national training programs in areas of overall training structure, subspecialty tracks, theoretical and practical training modules, use of e-learnings, and means of assessment.

Aim: To identify best practices in paediatric training and assessment that could be implemented across borders.

Desired outcome: Ultimately, this project will lead to the development of a web-based platform for accredited European courses, training modules and exams for common trunk training in Paediatrics.

Contact person: Ivan Bambir (YEAP-Croatia, Young EAP Vice-Chair)

⊕ Presentation – Paediatric Training in Sweden

EAPS 2018 trainee events

Project title:  EAPS 2018 trainee events

Rationale: The EAPS congress is a bi-annual joint scientific and educational event organized by the EAP, European Society of Paediatric and Neonatal Intensive Care (ESPNIC) and the European Society for Paediatric Research (ESPR). In 2018, the EAPS congress will take place in Paris, from October 30 until November 3. For the first time, this congress will also include a trainee event (October 31st), which will be organized by Young EAP and the ESPNIC trainee representative.

Aim: To foster academic and scientific collaborations amongst future generations of paediatricians and paediatric and neonatal intensive care specialists and aims to nurture academic and scientific development in the societies of the EAP and ESPNIC.

Desired outcome: As good coordination and continuity of care based on an integrated and multi-disciplinary approach, are essential to further improve child health throughout Europe, we hope that this first EAPS trainee event will inspire future joint events involving even more collaborating societies.

Planned events: On October 31st at 3 pm, Young EAP will have a joint young session with ESPNIC about innovation in paediatrics and HF simulation. We also are organising a Young Apero for Young EAP and ESPNIC young members on the night of the 1st of November and a fun run on the quais de la Seine. Save these dates!

Link to website:

Contact person: Norbert Varga (YEAP-Hungary)

Working and training conditions in paediatrics across Europe

Project title: Working and training conditions in paediatrics across Europe

Rationale: Poor working conditions have the potential to jeopardise patient care and lead to shortages in doctors. As outlined by the European Junior Doctors, a high proportion of doctors suffers from stress and burn out, especially in training positions. Therefore, it is essential that all young doctors are provided with a healthy work environment. In 2017, a pilot survey was distributed amongst national representatives within Young EAP. Potential differences in customs and regulations around working shifts during pregnancy, parental leave, working hours, compensation of shifts and extra hours, and planned educational hours within working hours were found. Based on these preliminary findings, a more detailed survey was composed.

Aim: With this study, we aim to get a better understanding of the similarities and differences in working and training conditions for paediatric residents across Europe.

Desired outcome: The results of the final survey will be used to identify areas for improvement in training and working conditions of paediatric residents in order to improve safety and quality of paediatric training and patient care.

Contact person: Renske van Vugt (YEAP-Netherlands)

In addition, every two months Young EAP published a blog about current issues that have an impact on child health or a topic related to the future of paediatrics or child health. Finally, Young EAP collaborates in EAP’s advocacy work in several areas, including vaccine hesitancymigrant child health, and rare diseases. This work is supported by Young EAP Representatives.

High-value, cost-conscious care

Project title: High-value, cost-conscious care

Rationale: Paediatric practice is dynamic and continually changes with evidence and experience. Keeping up with contemporary best practice can be challenging. Out-of-date practices can lead to patients getting inappropriate, unnecessary or even potentially harmful interventions. The identification and reduction of low-value medical practices has the potential to drive safer, high-quality patient care and guide appropriate decisions in resource-limited situations. Therefore, the EAP together with Young EAP has commenced a project similar to “Choosing Wisely Canada” and the Australian “EVOLVE” to help physicians and patients engage in conversations about unnecessary tests, treatments, and procedures.

Aim: As part of this project, a list of “don’t”s will be developed.

Desired outcome: To increase high-value, cost-conscious care and have it implemented in paediatric training.

Contact person: Andreas Trobisch (YEAP-Austria)   In addition, Young EAP regularly organises several educational webinars featuring international guest experts who share innovative ideas that are focused on the future of child health and paediatric training, that can be further developed and implemented by paediatric trainees. Examples can be viewed here.

Centralisation of Paediatric care

Centralisation of low volume, highly specialised health care is a topic of current interest in several European countries. Centralisation of specialised healthcare services aims to improve patient outcomes and efficiency. It is typically characterised by reorganisation of healthcare services into fewer specialised units or a single centre, serving a higher volume of patients. During a recent brainstorming session, Young EAP members discussed current examples of (national) centralisation of care for paediatric cancer, paediatric cardiology and paediatric organ transplantation and compared these among European countries. Potential effects on the organisation of care pathways and the level of exposure to specialised paediatric care during paediatric core training were discussed and will be reported in a paper.

Past Projects

European training in Adolescent Health and Medicine

Project title: European training in Adolescent Health and Medicine (survey)

Background and Aims: Due to recent epidemiological shifts, European paediatricians will increasingly be faced with adolescent patients. The development of Adolescent Health and Medicine as a medical discipline is lagging behind in Europe as compared to other regions of the world. Therefore, data was collected using an e-mail survey conducted among MOCHA correspondents and EAP national and trainee representatives (from Young EAP) from 36 countries. Survey questions were derived from the WHO document “Core competencies in adolescent health and development for primary care providers” and focused on the existence and content of specific adolescent health issues.

Results: At the undergraduate level, five countries report some stand-alone mandatory teaching, while eight countries report optional stand-alone teaching for medical students. In around 20 out of 36 countries, issues critical to adolescents are either covered as stand-alone sessions or embedded in other programs. At the post-graduate level, only half of the countries deliver stand-alone training sessions to paediatricians and cover most of the critical issues. The coverage among family physicians is lower.

Conclusion: The structure and content of training curricula in Adolescent Health and Medicine varies greatly across European countries. Most do not meet published standards. In order to improve appropriate and effective healthcare to adolescents, paediatric associations and institutions should advocate for a better coverage of issues pertaining to Adolescent Health and Medicine during the training of paediatricians and family physicians.

Contact person: Marija Slobodanac (Young EAP-Croatia, Young EAP representative for Adolescent Medicine)

European training in Adolescent Health and Medicine

Project title: European training in Adolescent Health and Medicine (recommendation)

Background and Aims: In many European countries, paediatric junior staff has no formal training in adolescent medicine and is ill-equipped to deal with issues and health problems such as substance use, unprotected sex, eating disorders and transition to adult care. Therefore, the EAP together with Young EAP has proposed a set of competency-based training goals and objectives as well as pedagogic approaches that are expected to improve the capacity of paediatricians to meet the needs of this important segment of the paediatric population.

Results: The content has been developed from available publications and training programmes and mostly covers the generic aspects of adolescent healthcare, such as how to communicate effectively, how to review and address lifestyles, how to perform a respectful and relevant physical examination, how to address common problems of adolescents and how to support adolescents in coping with a chronic condition.

Conclusion: The European Academy of Paediatrics urges national bodies, paediatric associations and paediatric teaching departments to adopt these training objectives and put them into practice, so that paediatricians will be better prepared in the future to meet the challenge of delivering appropriate and effective healthcare to adolescents.

Link to publication:

Contact person: Marija Slobodanac (YEAP-Croatia, Young EAP representative for Adolescent Medicine)

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