Table 2 Frequencies of key terms in UK curricula and competencies in paediatric rheumatology speciality
Target healthcare professional | Document title | Document authors/organisations | Length of document | Objective of the document | Total key terms identified | Weighted percentage of ‘pain’ phrases within document | Pain or pains | Painful | Pain assessment/measurement | Pain communication | Pain control/medications | Pain management/treatment |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Doctors | Generic syllabus level 1. | The Royal College of Paediatrics and Child Health (RCPCH), 2018. | 60 pages | “To train doctors to acquire detailed knowledge and understanding of health and illness in babies, children and young people.” | 10 | 0.56% | 7 | 0 | 0 | 0 | 0 | 3 |
Doctors | Generic syllabus level 2. | The Royal College of Paediatrics and Child Health (RCPCH), 2018. | 54 pages | As above. | 8 | 0.67% | 5 | 0 | 1 | 0 | 0 | 2 |
Doctors | Generic syllabus level 3. | The Royal College of Paediatrics and Child Health (RCPCH), 2018. *To be implemented alongside the document below | 40 pages | As above. | 1 | 0.16% | 0 | 0 | 0 | 0 | 0 | 1 |
Doctors | Paediatric rheumatology syllabus level 3. | The Royal College of Paediatrics and Child Health (RCPCH), 2018. | 22 pages | As above. | 13 | 2.5% | 3 | 1 | 1 | 0 | 1 | 7 |
Doctors | A framework of competences for the special interest module in paediatric rheumatology | The Royal College of Paediatrics and Child Health (RCPCH), 2014. | 14 pages | “It is for doctors at Level 3 in their General Paediatric training who wish to work towards an expertise in Paediatric Rheumatology during Level 3 training or post CCT.” | 8 | 5.41% | 7 | 0 | 0 | 1 | 0 | 0 |
Nurses | A competency framework for rheumatology nurses. | Royal College of Nursing (RCN), 2020. *To be implemented alongside the document below | 37 pages | “This document provides a competency and role development framework for rheumatology practitioners in clinical practice most commonly termed as rheumatology nurse specialists (RNS).” | 5 | 0.46% | 1 | 0 | 1 | 0 | 0 | 3 |
Nurses | Core competencies for paediatric rheumatology clinical nurse specialists and advanced nurse practitioners. Administering disease modifying anti rheumatic drugs (DMARDs) and biologic therapies to children and young people with rheumatological conditions. | The British Society for Paediatric and Adolescent Rheumatology (BSPAR) Section Council Nurse Group, 2014. | 6 pages | “The competency levels set out here will help to identify the range of skill mixes that can be used in providing CYP rheumatology care.” | 4 *Pain used in the context of assessment AND management therefore coded twice | 1.22% | 0 | 1 | 1 | 0 | 1 | 2 |
Nurses | Role of the paediatric rheumatology nurse. | Scottish paediatric and adolescent rheumatology network (SPARN), 2016. | 1 page | Not reported. | 0 | 0% | 0 | 0 | 0 | 0 | 0 | 0 |
Allied Health Professionals | Paediatric rheumatology allied health professional competencies | The British Society for Paediatric and Adolescent Rheumatology (BSPAR),2019. | 5 pages | “The following cover the recommended competencies for therapists (Occupational Therapists and Physiotherapists) involved in the care of children and young people with rheumatology conditions.” | 6 | 2.63% | 5 | 0 | 0 | 0 | 0 | 1 |