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Community paediatrics and public health: taking stock for the next millennium
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Introduction |
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The Calman reforms have forced us to reconsider what paediatric trainees need to know and do in preparation for their consultant careers. With two or, at most, three years in which to master a speciality, the aims of training and the job content must be clearly defined. This is particularly true of community paediatrics, because it incorporates many different areas of practice, and clinical learning opportunities are not concentrated on one site as they are in hospital medicine or on one list as in primary care.
No two community paediatricians have exactly the same job
description.1 Virtually all assume an element of clinical
service to individual children, but most also include some "public
health" activities designed to improve the care of specified groups
of children or to measure and change the health status of the whole child population. Lennart Kohler defines the tasks of child public health as "placing the
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