MRCPCH AKP

Applied Knowledge in Practice (AKP)

[ACard1] Know the various presentations of congenital heart problems at all ages and be able to assess, diagnose and manage and make appropriate referrals

Applied Knowledge in Practice (AKP)

• [AEndG1] To be able to assess, diagnose and manage disorders of the adrenal, thyroid and parathyroid glands
• [AEndG2] Know the causes and management of pituitary and hypothalamic disorders

Applied Knowledge in Practice (AKP)

• [AEndG1] To be able to assess, diagnose and manage disorders of the adrenal, thyroid and parathyroid glands
• [AEndG2] Know the causes and management of pituitary and hypothalamic disorders

Applied Knowledge in Practice (AKP)

• [ANeph1] To be able to assess, diagnose and manage congenital anomalies of the urogenital system
• [ANeph2] To be able to assess, diagnose and manage nephro-urological disorders, including those with systemic manifestations and make appropriate referral
• [ANeph3] To be able to assess, diagnose and manage urinary tract infection with appropriate referral 
• [ANeph4] To be able to assess, diagnose and manage nephritic and nephrotic syndromes with appropriate referral
• [ANeph5] To be able to assess, diagnose and manage enuresis
• [ANeph6] To be able to select imaging investigations of the urogenital system and interpret the results
• [ANeph7] To be able to assess, diagnose and manage acute and chronic renal failure

Foundation of Practice (FOP)

[FMsk1] Know the normal variations of limb development e.g. bow legs and knock knees, in-toeing, flat feet  

[FMsk2] Know about the assessment, causes, and initial management of joint and limb pain, joint laxity, and swelling

[FMsk3] Be aware of the presentation of muscular disease including the dystrophies

[FMsk4] Know the differential diagnosis of pain on walking and limp and initial management

[FMsk5] Know the causes of back pain and initial management

[FMsk6] Know the causes of acute and chronic arthritis including those with systemic manifestations (e.g. Henoch- Schönlein purpura) and understand the principles of management

[FMsk7] Know how to recognize the various causes of scoliosis and how they present

[FMsk8] Know how to recognize developmental dysplasia of the hip, appropriate referral pathways, and usual management

Theory and Science (TAS)

[TMsk1] Know and understand the anatomy of the musculoskeletal system

[TMsk2] Know the histology and understand the physiology and pathophysiology of muscles and joints in health and disease and understanding how structure relates to function

[TMsk3] Know the science underlying investigations used in the diagnosis of musculoskeletal disorders

[TMsk4] Know the genetic and environmental factors in the aetiology of musculoskeletal disorders

[TMsk5] Understand the pathophysiology underlying disease associations of rheumatological conditions with other conditions including eye disease, and metabolic disorders

[TMsk6] Understand the pharmacology of agents, including monoclonal antibodies, used in the treatment of musculoskeletal disease

Applied Knowledge in Practice (AKP)

• [AMetM1] Know the biochemical features of metabolic diseases and are able to undertake and interpret relevant metabolic investigations
• [AMetM2] To be able to assess, diagnose and manage fluid and
• electrolyte disturbances and disorders of acid-base balance
• [AMetM3] Have a good understanding of the clinical presentation and prognosis of metabolic diseases and to be able to assess, diagnose and initiate management and refer appropriately
• [AMetM4] To be able to assess, diagnose and manage the metabolic bone disease, including rickets
• [AMetM5] Know the screening procedures for inherited metabolic conditions and understand the implications of positive test

Applied Knowledge in Practice (AKP)

• [AGasH1] To be able to assess, diagnose and manage acute abdominal pain and make appropriate referrals
• [AGasH2] To able to assess, diagnose and manage chronic and recurrent abdominal pain
• [AGasH3] To be able to assess, diagnose and manage vomiting/ regurgitation
• [AGasH4] To be able to assess, diagnose and manage acute diarrhoeal illness
• [AGasH5] To be able to assess, diagnose and manage chronic diarrhea and its complications
• [AGasH6] To be able to assess, diagnose and manage food allergies and intolerances and understand the role of the dietician
• [AGasH7] To be able to assess, diagnose and manage constipation and encopresis and their complications
• [AGasH8] To be able to assess, diagnose and manage liver diseases and disorders and make appropriate referrals
• [AGasH9] To be able to assess, diagnose and manage bleeding from the gastrointestinal tract and make appropriate referrals
• [AGasH10] To be able to assess, diagnose and provide initial management of congenital malformations of the gastrointestinal tract and liver
• [AGasH11] To be able to assess and diagnose surgical disorders of the gastrointestinal tract

Applied Knowledge in Practice (AKP)

• [ANutr1] To be able to assess, diagnose and manage malnutrition, obesity, and their complications
• [ANutr2] To be able to assess, diagnose and manage specific vitamin and mineral and micronutrient deficiencies

Applied Knowledge in Practice (AKP)

[ANeuro1] Know the indications for and limitations of neurophysiological studies e.g. EEG, EMG, BAER, otoacoustic emissions and to be able to recognise common abnormal EEG patterns

[ANeuro2] Know the investigation and management of headaches including unusual causes such as raised intracranial pressure

[ANeuro3] To be able to assess, diagnose and manage acute infections of the nervous system

[ANeuro4] To be able to assess, diagnose and understand the principles of management for children with microcephaly, macrocephaly, and hydrocephalus

[ANeuro5] To be able to recognize abnormalities seen in neuroimaging

[ANeuro6] To be able to assess, diagnose and manage seizure disorders and conditions that may mimic them

Applied Knowledge in Practice (AKP)

• [AEmgM1] To be able to assess, diagnose and manage shock and cardiac arrest and able to teach basic life support to a parent  
• [AEmgM2] To be able to manage life-threatening hemorrhage and understand the principles behind different management considerations, such as permissive hypotension, surgical referral, dilution of coagulation factors, early use of platelets and blood products
• [AEmgM3] To be able to assess and provide initial management for children presenting with burns and scalds 
• [AEmgM4] To be able to assess, diagnose and manage children presenting with anaphylaxis including acute life-threatening upper airways obstruction
• [AEmgM5] To be able to assess, diagnose and provide initial management for children presenting with acute seizures
• [AEmgM6] To be able to assess, diagnose and provide initial management for children presenting with acute neurological emergencies e.g. coma and stroke
• [AEmgM7] To be able to manage childhood accidents including trauma and drowning and able to advise parents on how to avoid accidents
• [AEmgM8] To be able to differentiate between life or limb-threatening injuries and injuries that can be managed less urgently
• [AEmgM9] To be able to initiate appropriate management of limb threatening injuries and know when to urgently refer
• [AEmgM10] To be able to interpret basic trauma x-rays
• [AEmgM11] To be able to manage head and spine trauma according to APLS/ ATLS guidelines
• [AEmgM12] To be able to identify causes of poisoning and their presentation, know how to initiate appropriate management and able to anticipate potential complications

Applied Knowledge in Practice (AKP)

• [AHaeO1] To be able to assess, diagnose and manage children with anemia including bone marrow failure and know when to refer 
• [AHaeO2] Understand the risks, benefits, and precautions involved in blood transfusion 
• [AHaeO3] To be able to assess, diagnose and manage coagulation disorders, hypercoagulable states, purpura, and bruising
• [AHaeO4] To be able to assess, diagnose and manage neutropenia
• [AHaeO5] To be able to assess, diagnose and make appropriate referrals of leukemias and lymphoproliferative disorders. To be able to assess, diagnose and make an appropriate referral of solid tumors
• [AHaeO6] To be able to assess, diagnose and make appropriate referral of side-effects of treatment for malignancy e.g. chemotherapy and radiotherapy and understand the risks and benefits of the use of ionizing radiation in investigation and treatment
• [AHaeO7] Understand the disease associations of specific syndromes with propensity to malignancy e.g. hemihypertrophy, Fanconi anaemia
• [AHaeO8] Understand the different roles of individuals and services involved in providing shared care for oncological conditions
• [AHaeO9] Understand the practical application and potential complications associated with bone marrow transplantation and immunosuppressive therapy

Applied Knowledge in Practice (AKP) 

• [ADerm1] To be able to assess and diagnose ectodermal dysplasia and epidermolysis
• [ADerm2] To be able to assess, diagnose and manage skin infections in children
• [ADerm3] To be able to assess and diagnose systemic disorders that involve the skin and know when to refer
• [ADerm4] To be able to assess, diagnose and manage birthmarks, naevi, and neurocutaneous lesions and make appropriate referrals 
• [ADerm5] To be able to assess, diagnose and manage drug eruptions, urticaria and dermatitis
• [ADerm6] Understand the aetiology, presentation and management of eczema

Applied Knowledge in Practice (AKP) 

• [APharm1] To be able to initiate safe prescribing and drug prophylaxis
• [APharm2] Know and understand the adverse effects and interactions of drugs
• [APharm3] To be able to explain to parents the unlicensed and off-label prescription of drugs

Foundation of Practice (FOP)

• [FOphth1] Know the presenting features of visual impairment and the principles of management
• [FOphth2] Know the causes and management of eye infections and inflammatory disorders
• [FOphth3] Know the common causes of an absent red reflex, to able to refer appropriately and be aware of management options
• [FOphth4] Know the common causes of ptosis and proptosis and the principles of management
• [FOphth5] Know the causes and presentations of strabismus and the principles of management

Theory and Science (TAS)

• [TOphth1] Know the anatomy and embryology of the eye and understand how the structure of the eye relates to function
• [TOphth2] Know the genetic and environmental factors in the etiology of eye disorders
• [TOphth3] Understand the normal development of vision and the pathophysiology of visual impairment
• [TOphth4] Know the physiology of the eye and its movement e.g. pupillary reflexes, anisocoria, strabismus, refractive errors, nystagmus
• [TOphth5] Understand the pharmacology of agents commonly used in eye disease including antimicrobials and mydriatics

(ABG -SPIROMETRY- HEARING TESTS- TYPANMETRY- AUDIOMERTY ETC..)

(FUNCTION TESTS- IMAGING AS DMSA-MUCG.ETC…)