TY - JOUR T1 - Tips for GP trainees working in paediatrics JF - British Journal of General Practice JO - Br J Gen Pract SP - 68 LP - 69 DO - 10.3399/bjgp11X549108 VL - 61 IS - 582 AU - Matthew Burkes AU - Alexander Goodman Y1 - 2011/01/01 UR - http://bjgp.org/content/61/582/68.abstract N2 - One of the most useful rotations that a GP registrar can undertake is a stint in paediatrics. This is particularly true if you do not have your own children, or much experience interacting with children. It is a rare day in general practice that doesn't involve some paediatrics so its good to gain experience in an environment where there is senior help at hand, as well as experienced nursing staff to offer advice and support. It is fair to say that many registrars start this rotation with some sense of foreboding and fear, worried that they will have to take responsibility for the health of acutely sick children without help. It is the author's experience that this is not the norm. Paediatric departments do not expect their new SHOs to have much knowledge of the area. They do, though, expect you to assess children thoroughly, safely and sensitively, ideally without getting the parents offside, and then to discuss patients with a senior if you have any questions or doubts. It's probably sensible to discuss all patients you see, at least initially. Access to consultants is usually good compared to other specialties, so make the most of this learning environment while you are there.The following list, while not exhaustive, may help to allay some of the fears of the GP registrar as they approach the job. The list is unapologetically based on the author's experience of the paediatric rotation rather than guidelines or policy.Before the start of the placement revise the management of common presentations in children (abdominal pain, urinary tract infection, constipation, rash, pyrexia, croup, chest infection, asthma, and seizures).When clerking in a child always … ER -