Skip to main content

Main menu

  • Home
  • Current issue
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Peer reviewer login
  • Journal club
  • Alerts
  • Subscriptions
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

User menu

  • Log in
  • Subscribe
  • Contact Us
  • My Cart

Search

  • Advanced search
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

Login

European Respiratory Society

Advanced Search

  • Home
  • Current issue
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Peer reviewer login
  • Journal club
  • Alerts
  • Subscriptions

Update of the European paediatric respiratory medicine syllabus

Robert Primhak, Nathalie Tabin, Nicole Beydon, Jayesh Bhatt, Ernst Eber, Jürg Hammer, Antonio Martinez-Gimeno, Fabio Midulla, Raffaella Nenna, James Paton, Robert Ross Russell
Breathe 2019 15: 173-180; DOI: 10.1183/20734735.0188-2019
Robert Primhak
1Assessments Director, European Respiratory Society
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nathalie Tabin
2Education Dept, European Respiratory Society, Lausanne, Switzerland
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: rob.primhak@gmail.com
Nicole Beydon
3Functional Unit of Pulmonary Function and Sleep Testing, Armand Trousseau Hospital, Paris, France
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jayesh Bhatt
4Nottingham Children's Hospital, Nottingham University Hospitals, Nottingham, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Jayesh Bhatt
Ernst Eber
5Division of Paediatric Pulmonology and Allergology, Dept of Paediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jürg Hammer
6Division of Intensive Care and Pulmonology, University Children's Hospital Basel, Basel, Switzerland
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Antonio Martinez-Gimeno
7Dept of Paediatrics, Complejo Hospitalario Universitario de Toledo and Universidad de Castilla La Mancha, Toledo, Spain
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Antonio Martinez-Gimeno
Fabio Midulla
8Dept of Paediatrics and Maternal Health, Sapienza University of Rome, Rome, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Raffaella Nenna
8Dept of Paediatrics and Maternal Health, Sapienza University of Rome, Rome, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Raffaella Nenna
James Paton
9School of Medicine, College of Medical, Veterinary, and Life Sciences, University of Glasgow, Glasgow, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Robert Ross Russell
10Dept of Paediatrics, Cambridge University Hospital, Cambridge, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Figures

  • Tables
  • Figure 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1

    Delphi rounds.

Tables

  • Figures
  • Table 1

    Certification status of respondents in the two Delphi rounds

    Certification statusDelphi 1Delphi 2#
    Trainee38 (10.1%)17 (7.0%)
    Certified <5 years71 (19.1%)52 (21.3%)
    Certified >5 years234 (63.1%)155 (63.5%)
    Other (e.g. no certification, informal recognition)28 (7.5%)20 (8.2%)
    Total371244

    #: Not all Delphi 2 respondents answered this question.

    • Table 2

      Paediatric respiratory medicine syllabus 2019

      Module 1. Structure and function of the respiratory system (mandatory)
      • 1 Anatomy and development

      • 2 Applied respiratory physiology and pathophysiology (including common respiratory symptoms)

      • 3 Immunology and defence mechanisms

      • 4 Environmental determinants of childhood respiratory health and disease

      Module 2. Evaluation of respiratory symptoms and signs (mandatory)
      Evaluation and management of:
      • 1 Acute and chronic cough

      • 2 Stridor, wheezing and other respiratory noises

      • 3 Dyspnoea and breathlessness

      • 4 Respiratory distress and respiratory insufficiency

      • 5 Questionnaires in clinical assessment

      Module 3. Pulmonary function and diagnostic testing (mandatory)
      Measurement, performance and interpretation of:
      • 1 Volume–time and flow–volume curves

      • 2 Static lung volumes

      • 3 Respiratory mechanics

      • 4 Reversibility testing

      • 5 Bronchial provocation testing

      • 6 Cardiopulmonary exercise testing

      • 7 Blood gases and oximetry

      • 8 Lung diffusion

      • 9 Ventilation homogeneity

      • 10 Respiratory muscle function

      • 11 Equipment maintenance, hygiene and infection control during test procedures

      • 12 Definitions of measured indices

      • 13 Choice and appropriate use of reference values

      • 14 Test variability and reproducibility

      • 15 Quality control in paediatric lung function laboratories

      • 16 Health and safety issues in relation to paediatric lung function testing

      • 17 Lung function in non-cooperative children

      Additional diagnostic tests
       Measurement, performance and interpretation of:
      • 1 Exhaled nitric oxide measurements

      • 2 Induced sputum testing

      • 3 Assessing respiratory risk of air travel, altitude and diving

      Module 4. Airway endoscopy (mandatory)
      • 1 Organisation of an endoscopy suite including equipment maintenance and hygiene

      • 2 Indications for, contraindications, performance and interpretation of flexible bronchoscopy and associated procedures

      • 3 Sedation and anaesthesia for paediatric flexible bronchoscopy

      • 4 Indications for and contraindications of interventional bronchoscopy techniques other than foreign body removal

      • 5 Indications for and contraindications of rigid bronchoscopy

      • 6 Evaluation and management of risks and complications of airway endoscopy

      Module 5. Imaging (mandatory)
      • 1 Indications for, interpretation and basic principles of conventional radiography, computed tomography, magnetic resonance imaging, ultrasonography and isotope imaging methods

      • 2 Comparative radiation burden of the different procedures

      • 3 Indications for interventional radiology

      Module 6. Respiratory infections (mandatory)
      Epidemiology, diagnosis, management and complications of:
      • 1 Acute upper respiratory tract infections

      • 2 Acute lower respiratory tract infections

      • 3 Pleural infections

      • 4 Tuberculosis (TB) and non-TB mycobacterial diseases

      • 5 Diagnosis and management of respiratory infections in high-risk situations

      • 6 Diagnosis and management of protracted bacterial bronchitis and non-CF bronchiectasis

      • 7 Lung involvement in the immunocompromised host

      • 8 Microbiology and infectivity

      • 9 Pharmacology of antimicrobial and antiviral drugs

      • 10 Immunisations for respiratory pathogens

      • 11 Accuracy and interpretation of microbiological tests

      Module 7. Asthma and wheezing disorders (mandatory)
      • 1 Different phenotypes and their different pathologies and long-term outcomes (including underlying pathophysiology and basic epidemiology)

      • 2 Environmental factors relevant to asthma and other wheezing disorders

      • 3 Difficulties in diagnosis and differential diagnosis

      • 4 Management of asthma at different ages including age-related pharmacology, and pharmacological and non-pharmacological management

      • 5 Management of difficult and severe asthma

      Module 8. Allergic disorders (mandatory)
      Epidemiology, diagnosis and management of:
      • 1 Anaphylaxis

      • 2 Allergic rhinitis

      • 3 Bronchopulmonary aspergillosis

      • 4 In vivo and in vitro testing for allergic disorders

      • 5 Prevention measures

      • 6 Diagnosis and basic management of associated allergic conditions

      Module 9. Cystic fibrosis (CF) (mandatory)
      • 1 Epidemiology, genetics, pathophysiology and prognosis

      • 2 Screening and diagnosis

      Epidemiology, diagnosis, management and complications of:
      • 3 CF lung disease

      • 4 Extrapulmonary manifestations of CF including nutrition

      • 5 Microbiology relevant to CF, including cross-infection

      Module 10. Congenital malformations (mandatory)
      • 1 Epidemiology, diagnosis and management of congenital malformations affecting the respiratory system

      • 2 Antenatal diagnosis and management

      • 3 Follow-up and long-term outcomes

      Module 11. Bronchopulmonary dysplasia/chronic neonatal lung disease (mandatory)
      • 1 Epidemiology, aetiology, prevention, diagnosis, management and complications

      • 2 Follow-up and long-term outcomes

      Module 12. ENT (ear, nose and throat) and aerodigestive-related respiratory problems (mandatory)
      • 1 Aspiration due to disorders of feeding and swallowing

      • 2 Gastro-oesophageal reflux

      • 3 Laryngeal and tracheal disorders

      • 4 Foreign body inhalation

      Module 13. Respiratory presentation or complications of systemic/extrapulmonary conditions (mandatory)
      • 1 Primary immunodeficiency syndromes

      • 2 Secondary immunodeficiency syndromes/immunosuppression

      • 3 Cardiac disease

      • 4 Gastrointestinal, liver and kidney disease

      • 5 Haematological disease

      • 6 Obesity

      • 7 Connective tissue diseases

      • 8 Musculo-skeletal and neuromuscular diseases

      Module 14. Rare diseases (mandatory)
      Pathophysiology, genetics, aetiology, diagnosis and management of:
      • 1 Primary ciliary dyskinesia

      • 2 Bronchiolitis obliterans

      • 3 Interstitial lung diseases

      • 4 Pulmonary vascular disorders including pulmonary arterial hypertension

      • 5 Pulmonary haemorrhage

      • 6 Pleural diseases including spontaneous pneumothorax

      • 7 Drug- and radiation-induced lung diseases

      • 8 Other rare lung diseases

      Module 15. Respiratory sleep medicine and breathing control 
disorders (mandatory)
      • 1 Physiology and pathophysiology of sleep relevant for paediatric respiratory medicine

      • 2 Indications and interpretation of the results of polysomnography

      Epidemiology, aetiology, diagnosis of, screening for, and complications of:
      • 3 Obstructive sleep apnoea syndromes

      • 4 Central sleep apnoea/hypoventilation

      • 5 Dysfunctional breathing/hyperventilation syndromes

      Module 16. Long-term management of chronic respiratory disorders (mandatory)
      • 1 The multidisciplinary team

      • 2 Health education (preventive medicine)

      • 3 Patient education and self-management

      • 4 Nutritional management

      • 5 Psychological support for children and families

      • 6 Principles of physiotherapy techniques, indications and limitations

      • 7 Sport and exercise therapy

      • 8 Management of end-stage lung disease including palliative care

      • 9 Indications for lung transplantation and non-surgical care of the lung transplant patient

      • 10 Assessment of quality of life

      Module 17. Inhalation therapy (mandatory)
      • 1 Basic science of aerosol production and delivery

      • 2 Indications for inhalation therapy

      • 3 Available techniques and their advantages and limitations

      • 4 Delivery of drugs in children with artificial airways

      Module 18. Technology-dependent children (mandatory)
      Management, monitoring and weaning of:
      • 1 Home oxygen therapy

      • 2 Invasive and noninvasive home ventilatory support

      • 3 Tracheostomy

      • 4 Basic technical understanding of equipment

      • 5 Airway clearance techniques

      • 6 Recognition of associated problems (including neurodevelopmental assessment)

      Module 19. Epidemiology and environmental health (mandatory)
      • 1 Basic understanding of epidemiological principles

      • 2 Impact of indoor and outdoor air pollution on respiratory health

      • 3 Smoking impact, prevention and cessation

      • 4 The burden of paediatric respiratory diseases on healthcare resources

      Module 20. Evidence-based medicine (mandatory)
      • 1 Scientific literature appraisal

      • 2 Understanding and application of the ethical principles of paediatric research

      Module 21. Research (optional)
      • 1 Basic understanding and application of the principles of planning, designing, conducting, analysing and publishing research projects

    PreviousNext
    Back to top
    Vol 15 Issue 3 Table of Contents
    Breathe: 15 (3)
    • Table of Contents
    • Index by author
    Email

    Thank you for your interest in spreading the word on European Respiratory Society .

    NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

    Enter multiple addresses on separate lines or separate them with commas.
    Update of the European paediatric respiratory medicine syllabus
    (Your Name) has sent you a message from European Respiratory Society
    (Your Name) thought you would like to see the European Respiratory Society web site.
    CAPTCHA
    This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
    Print
    Citation Tools
    Update of the European paediatric respiratory medicine syllabus
    Robert Primhak, Nathalie Tabin, Nicole Beydon, Jayesh Bhatt, Ernst Eber, Jürg Hammer, Antonio Martinez-Gimeno, Fabio Midulla, Raffaella Nenna, James Paton, Robert Ross Russell
    Breathe Sep 2019, 15 (3) 173-180; DOI: 10.1183/20734735.0188-2019

    Citation Manager Formats

    • BibTeX
    • Bookends
    • EasyBib
    • EndNote (tagged)
    • EndNote 8 (xml)
    • Medlars
    • Mendeley
    • Papers
    • RefWorks Tagged
    • Ref Manager
    • RIS
    • Zotero

    Share
    Update of the European paediatric respiratory medicine syllabus
    Robert Primhak, Nathalie Tabin, Nicole Beydon, Jayesh Bhatt, Ernst Eber, Jürg Hammer, Antonio Martinez-Gimeno, Fabio Midulla, Raffaella Nenna, James Paton, Robert Ross Russell
    Breathe Sep 2019, 15 (3) 173-180; DOI: 10.1183/20734735.0188-2019
    Reddit logo Technorati logo Twitter logo Connotea logo Facebook logo Mendeley logo
    Full Text (PDF)

    Jump To

    • Article
      • Abstract
      • Abstract
      • Introduction
      • Project rationale
      • Process and methods
      • Results and discussion
      • Discussion
      • Conclusion
      • Footnotes
      • References
    • Figures & Data
    • Info & Metrics
    • PDF

    Subjects

    • Paediatric pulmonology
    • Respiratory clinical practice
    • Tweet Widget
    • Facebook Like
    • Google Plus One

    More in this TOC Section

    • Management of difficult-to-treat asthma in adolescence and young adults
    • Respiratory complications of obesity
    • Diagnosis and management of PH in infants with BPD
    Show more Reviews

    Related Articles

    Navigate

    • Home
    • Current issue
    • Archive

    About Breathe

    • Journal information
    • Editorial board
    • Press
    • Permissions and reprints
    • Advertising

    The European Respiratory Society

    • Society home
    • myERS
    • Privacy policy
    • Accessibility

    ERS publications

    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS books online
    • ERS Bookshop

    Help

    • Feedback

    For authors

    • Intructions for authors
    • Publication ethics and malpractice
    • Submit a manuscript

    For readers

    • Alerts
    • Subjects
    • RSS

    Subscriptions

    • Accessing the ERS publications

    Contact us

    European Respiratory Society
    442 Glossop Road
    Sheffield S10 2PX
    United Kingdom
    Tel: +44 114 2672860
    Email: journals@ersnet.org

    ISSN

    Print ISSN: 1810-6838
    Online ISSN: 2073-4735

    Copyright © 2023 by the European Respiratory Society