Community Paediatrics

Best Friends
Draft proposed by Dr YK Shiu, Dr Annie Fok
Reviewed by Dr NC Fong

Essential Skills

Domain 5 - Health Promotion & Illness Prevention

Domain 9 - Safeguarding

 

Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises

Basic Training

Care of the well child

Taking care of the general health and well-being from birth to adolescents in the community setting

Childhood Immunisation

Knowledge of “Hong Kong Childhood Immunisation Programme”

Breastfeeding        

Protect, promote and support breastfeeding

Essential knowledge for supporting Baby-Friendly practices

Framework to stop aggressive and inappropriate marketing of breast-milk substitutes e.g., the International Code of Marketing of Breastmilk Substitutes, Hong Kong Code of Marketing of Formula Milk and Related Products, and Food Products for Infants & Young Children​

Growth and Nutrition

Normal growth patterns and nutritional requirement

Promote healthy lifestyle for normal growth and optimal nutrition

Child Protection/Safeguarding

 Recognise vulnerable children and distressed families that need assistance or intervention

Recognise presenting features of children where child protection issue may be a concern.

Apply knowledge and skills to act in cases of suspected child maltreatment

Know the local multidisciplinary procedures for CYP in need of safeguarding support, including adoption and foster care.

Behavioural Paediatrics

Risk and protective factors that may affect a child’s behaviour

Recognise effective parenting practices can be used to prevent or manage common childhood behavioural problems

 

Social Paediatrics

Social and environmental factors affecting health including poverty, children in care, influence of the mass media, health care policies

Be aware of global child health issues including exploitation, child labour, child protection, war and growing up in low-income countries

Recognise United Nations Convention on the Rights of the Child (UNCRC)

Health Promotion

Aware of and make use of local paediatric primary health services

Child Public Health

Key determinants of child health and well-being (including indices of social deprivation)

Levels of disease prevention: primary; secondary; tertiary

Desirable skills

  1. Recognise and outline the management of children in need, including high risk unborn or newborn child

  2. Recognise abnormal demeanor and interaction of child with parents or child carer

  3. Assess feeding adequacy and manage common breastfeeding and feeding problems

Higher Training

Behavioural Paediatrics

Screening for, assess and manage children with risk factors that may affect the behaviour of a child

Know how to prevent and remediate the impact of acute and chronic illnesses (including developmental difficulties) on child behaviour and family functioning

Counsel parents on effective parenting practices to prevent or manage common childhood behaviour problems

Participate in multidisciplinary team in management of the child and adolescent with behavioural problems

Child Protection / Safeguarding

​Adopts a leading role in management of children who are at risk of abuse or are being abused

Handle with sensitivity the disclosure and any need to escalate action regarding case with possible safeguarding issue

Initiate and take part in the multidisciplinary assessment of the developmental, physical and psychological status of CYP who have been possibly maltreated

Know how to take part in multidisciplinary management of CYP who may have been sexually abused

Desirable skills

  1. Collaborate or lead Multi-disciplinary Team (MDT) and Multi-disciplinary Case Conference (MDCC)

  2. How to be a child advocate

  3. Deliver community child health promotion