MSF-Skills List for Paediatricians Name: Paediatrics Training ReceivedDuration of TrainingCollege/Hospital- Date: 1. How many months of hospital paediatric experience do you have? 2. Do you have any experience in paediatric (PICU) or neonatal intensive (NICU) care? (If NO, proceed to question no. 5) 3. How many months of NICU experience do you have? 4. How many months of PICU experience do you have? 5. What fields of paediatrics (inpatient and outpatient) have you worked in? Please specify your role and duration in each position. PAEDIATRIC FIELD DURATION ROLE HOSPITAL Please write “Yes” in the relevant column for each skill below. Mention comments (if any) QUESTION (all for paediatric patients) Neonatal care (routine care in delivery room) Care of sick newborn on a ward (fluid/feeding/treatment of complications, etc) Care of premature babies Newborn resuscitation Care of severely ill child (ward) Basic fluid management Paediatric TRIAGE Acute/ER paediatric care Management of ABC (Airway/Breathing /Circulation) in critically ill child Critical neurological management (convulsions, coma) IV line in newborn IV lines in young child IO line in newborns IO line in young child LP in newborn LP in young child Nasogastric tube insertion and orogastric tube insertion Pleural tap Pneumothorax chest tube Wound management Nerve blocking (femoral, digital...) Urinary catheter in infants Supra-pubic aspiration Interpretation of x rays Paediatric ultrasound Paediatric pain management Growth and development assessment: No experience Training but little experience Theoretical +practical experience/confident to carry out Confident and able to teach others Comments When was the last time you worked on a paediatric ward (month and year)? Have you done the APLS or PALS course? If yes, when was the last course you did? Other Specific Paediatric Skills: (Mention Yes/No) Management of paediatric burns: Management of paediatric trauma: Management of child abuse: Adolescent health: Child psychiatry: Please specify experience in any other Paediatric or Neonatal specialty (If any) in the space below- LANGUAGES – (Understand/Read/Write) English: French: Others: 1. 2. 3. TECHNICAL REFERENCES (2) 1. Name: Position: E-mail: Phone: 2. Name: Position: E-mail: Phone: