Endocrine Abstracts

Introduction: Following the introduction of best practice tariffs for paediatric diabetes, there are now clear guidelines that paediatric units should be able to provide 24 h medical cover and advice for diabetes children. This is a challenge most paediatric diabetes units are struggling to meet with mainly due to limited availability of consultant and diabetic nurse cover. Currently in most hospitals this responsibility lies with the on call registrars. Previous studies in the UK have shown that trainees lacked confidence in diagnosing, treating and managing complications of diabetes (George et al. 2008).

Method and results: I conducted a survey of paediatric trainees in the Severn deanery to identify their training needs in practical aspects of managing diabetes in children. Questions related mainly to the level of confidence in dealing with children presenting acutely, explaining the condition to parents, knowledge of various diabetes regimes including pumps and advising parents over telephone. 72% of the trainees felt their confidence level was average or below average when it came to knowledge about various insulin regimes and this was even less when it came to knowledge about insulin pumps. 97% of them agreed that there was a need for training in dealing with practical aspects of diabetes management. As part of my post graduate medical education degree (TLHP, module 008- course designing) at University of Bristol, I have designed a half day training program in managing practical aspects of diabetes for senior paediatric trainees integrating principles of constructive alignment and using advanced methods of teaching and assessment.

Conclusion: Enhancing the competence and confidence of paediatric trainees in managing diabetes would not only be desirable but will become necessary as part of our attempt to offer best possible care for children with diabetes in the UK.