Applicable Excerpts from: RCPSC Objectives of Training and Specialty
Training Requirements in Pediatrics
From: “Essential Roles and Key Competencies of Pediatricians:”
1.10. Technical Skills
The resident must demonstrate knowledge and skills required for the safe and
efficient practice of the following procedures.
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intravenous access and blood-drawing
umbilical venous and umbilical arterial catheterization
arterial puncture
suture of a one layer laceration, simple wound closure
cardiopulmonary resuscitation (newborn and child)
tracheal intubation (newborn and child)
lumbar puncture
bladder catheterization and/or suprapubic aspiration
gastric tube placement (oro or nasogastric)
intraosseous insertion, chest tube placement and thoracentesis as
demonstrated in either a patient or model
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From: “APPENDIX: Systems-Based Educational Objectives In the Core
Program in Pediatrics”
(NB: These objectives are based on the major systems and classifications of
pediatric illness. They are not subspecialty-based objectives.)
1. ACUTE CARE (Critical Care / Emergency Pediatrics)
1.1. KNOWLEDGE
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pathophysiology of altered consciousness, shock, respiratory failure
and principles of mechanical ventilation
pathophysiology of cardiorespiratory arrest
role of nutrition and fluid management in the critically ill patient
principles, techniques and limitations of invasive and non-invasive
cardiorespiratory monitoring
principles, role, and logistics of inter-hospital transport of critically ill
infants and children
determination of brain death and principles of organ donation
management of the child with special needs / technology dependence
1.2. SKILLS
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recognition of the critically ill child and stabilization and / or transfer of
the critically ill child
airway management and cardiorespiratory resuscitation
access and care for indwelling catheters
manage a child with a tracheotomy tube including replacement of the
tube
management of unexpected death
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The following technical procedures, in addition to those listed in Essential
Roles 1.10.:
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foreign body removal - eye / nose
perform and interpret oximetry
assess the traumatized eye
c-spine immobilization
immobilization of acute injury including fractures
gastric lavage
eye irrigation, and the use of dilating drops, topical fluorescein, topical
anesthetics
1.3. PROBLEMS
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cardiorespiratory arrest
foreign body
shock
acute vomiting
respiratory failure
acute dehydration
status epilepticus
sepsis
coma
electrolyte imbalance
multiple trauma
burn management
head injury
near drowning
apparent life-threatening events (ALTEs)
poisonings and drug overdoses
child abuse
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PCCU Objectives – McMaster Children’s Hospital
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Altered level of consciousness
Airway Management
Principles of mechanical ventilation
Electrolyte and fluid disorder
Shock
Sepsis
Status Epilepticus
Head injury
Acute life threatening events
Renal failure
Status Asthmaticus
Hepatic failure
DKA and metabolic disorder
Brain death and principles of organ donation
Transport medicine
Trauma management
Burn Management
Approach to the cyanotic infant
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