Appendix
2 - Endocrine component of general specialist training
This information supplements the information outlined in the RCPCH
Syllabus and Training record.
GROWTH
1. Basic Knowledge
- (i) Normal growth and physical development through infancy,
childhood and adolescence: normal variation.
- (ii) Knowledge of the basic endocrinology of growth and puberty
- (iii) The effects of deprivation and social class on growth:
differences between races.
- (iv) Influence of genetic, prenatal and postnatal environmental
factors.
- (v) Understanding principles of growth charts: normal distribution.
- (vi) Normal sequence of puberty: the variation in its timing
in the different sexes.
- (vii) Bone age as a measure of physical maturity.
- (viii) Principles of growth screening.
- (ix) Common and important causes of growth failure: chronic
disease: long term steroid therapy.
- (x) Disproportionate growth.
2. Skills
Clinical Skills
- (i) Use of growth charts: distance and velocity.
- (ii) Assessment of stages of puberty (Tanner); including measurement
of testicular size using an orchidometer.
Technical Skills
(i) Accurate measurement of height, length, weight, head circumference:
knowledge of suitable measuring equipment.
3. Attitudes
- (i) Acceptance that concerns about growth and puberty can
have long-term effects on psychological development and social
relationships.
- (ii) Understanding that most concerns about growth and puberty
do not have a basis In organic disease.
4. Particular Problems
Ability to recognise early, initiate diagnostic tests and outline
the management of concerns about growth including the following:
- (i) failure to grow"
- (ii) emotional deprivation
- (iii) short and tall stature
- (iv) abnormalities of puberty
- (v) obesity
Return to Contents list
|
