What makes a specialist in paediatric allergy, immunology and infectious diseases?
A paediatric allergy, immunology and infectious diseases (PAIID) specialist is a clinician who works across all paediatric age groups to investigate, diagnose and manage infectious, immunological and allergic disorders. They work in both inpatient and outpatient settings, with acute and chronic presentations of disease, and provide specialist regional advice in a model of shared care with local hospitals. Most specialists will have one primary area of interest (allergy, immunology or infection), but will have core training in all three areas. PAIID paediatricians usually practice in multidisciplinary teams (MDTs) in centres with co-located specialty disciplines, including paediatric intensive care units (PICU) and adult allergy, immunology and infectious disease (AIID) specialists, and supporting services eg immunology, microbiology and virology laboratories.
At the tertiary level, PAIID paediatricians have developed detailed knowledge of the developing immune system and its role in infection and allergic disease in children. Furthermore, they are knowledgeable about interpreting microbiological and immunological investigations and have had laboratory experience in a tertiary centre. They are involved in treating primary and secondary immunodeficiency, human immunodeficiency virus (HIV) infection and infection in the immunocompromised host, as well as administering allergen-specific immunotherapy.
RCPCH Progress curriculum
As of 1 August 2018, sub-specialty trainees use the RCPCH Progress Level 3 Generic syllabus alongside the RCPCH Progress Paediatric Allergy, Immunology and Infectious Diseases Syllabus. Both can be downloaded below.
Sub-specialty learning outcomes
In addition to the generic learning outcomes for level 3, paediatric allergy, immunology and infectious diseases trainees must fulfil the below requirements.
- Demonstrates ability to expertly investigate, diagnose and manage conditions within paediatric allergy, immunology and infectious diseases.
- Competently manages children and young people with infectious diseases (including the diagnosis and management of common, specific scenarios) and appropriately uses diagnostics, therapeutics, vaccines and infection-control measures.
- Competently manages all aspects of paediatric immunology (including the diagnosis of common and rare, primary and secondary immunodeficiencies) and understands the appropriate referral for, management of and complications associated with definitive treatments (including bone marrow transplant and gene therapy).
- Competently manages children and young people with allergies (including the diagnosis and management of common and rare allergic conditions) and applies diagnostic procedures and new or complex therapies to optimise clinical care.
- Ensures up-to-date knowledge and understanding of new developments in relevant specialty strands and utilises this knowledge to develop and update specialised protocols and guidelines to inform clinical practice and develop initiatives nationally and internationally.
PAIID subspecialty training is indicatively three years in length to provide adequate time for the experience required for the subspecialty. Some experience prior to joining the training programme may enable a trainee to demonstrate capabilities more quickly. The PAIID CSAC reviews this once a trainee has joined a programme and advises the next ARCP panel on recommendations.
To be eligible for subspecialty training (for example if already ST6), we may accept training within a recognised subspecialty training post in the UK. This does require approval from the PAIID CSAC prior to applications to the subspecialty training programme.
We cannot guarantee any reduced training time unless capabilities are appropriately met and regular reviews are undertaken via the CSAC. Please seek early help, or approval, for any training posts intending to count.
For overseas training, we request a link with a UK PAIID supervisor with ongoing annual review.
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