Level 1

Level 2

Gastroenterology

know the causes of upper and lower gastro-intestinal bleeding

understand the potentially life-threatening nature of his presentation

be able to assess the severity of the condition

be able to institute appropriate emergency treatment

be familiar with the causes of acute liver failure

know the management of paracetamol poisoning

know the causes of malnutrition including organic and non-organic causes 

be familiar with the consequences of malnutrition

be able to assess nutritional status

be able to initiate investigations to establish the diagnosis and to detect nutritional deficiencies

 recognise features in the presentation which suggest serious pathology

 know the causes of acute liver failure

be able to assess the severity and complications of this condition

be able to initiate appropriate resuscitation and liaise early with the paediatric liver unit

be able to assess the fitness of the baby and the need to transfer to a specialist centre  

Genetics

understand the basics of molecular genetics

know the basis of prenatal screening and diagnosis, the conditions for which they are used and the ethical dilemmas they pose

have an awareness of the use and non-directive nature of genetic counselling

have an understanding of the ethical dilemmas and the implications of pre-symptomatic or carrier testing in children

have experience of how geneticists work with fetal medicine specialists, neonatologists and paediatric surgeons

begin to participate in establishing and presenting the diagnosis to parents

be able to follow local and national protocols for the management of genetic disorders*

Haematology/ Oncology

be familiar with the indications and complications of bone marrow transplantation

be able to explain screening for the thalassaemia or sickle cell trait

be able to recognise and initiate management of sickle cell crisis

be able to recognise and treat haemarthrosis in a patient with haemophilia

be aware of the different types of leukaemia and of their prognoses

recognise and understand the clinical manifestations of leukaemia

be able to recognise the immediate dangers of leukemia to the newly presenting child

be aware of national trials and protocols

know the clinical features of Hodgkin's disease and non-Hodgkin's lymphoma

 be aware of staging and protocols for treatment*

know about the clinical presentation, treatment and prognosis of nephroblastoma and neuroblastoma

be aware of the clinical features and investigation findings of other solid tumours

be aware of staging and protocols for treatment

be able to recognise the presenting features  of these tumours

know the short- and long-term side-effects of chemotherapy and radiotherapy and be able to explain the common ones

know about local policies for intrathecal cytotoxic therapy

be able to manage sickle cell crisis, including safe administration of fluid and analgesia

 be able to manage acute bleeding in haemophilia and von Willebrand's disease

be able to recogniseand treat haemarthrosis in a patient with haemophilia and be aware of the need to treat urgently, with appropriate advice

Know the different types of leukaemia and their prognoses

be able to recognise and initiate investigations to diagnose leukaemia

be able to follow local and national protocols in treating leukaemia and associated infections

know the features which suggest lymphadenopathy may be malignant and how it might be investigated