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Perspective on the paper by Pushparajah et al (see page 892)
The inability of the limited workforce of paediatric cardiologists to cope with an ever increasing workload and the need for more paediatricians with some expertise in cardiology to address this problem has been highlighted in this issue by Pushparajah and colleagues.1 Paediatricians undertaking such a role, whether in district general hospitals or teaching hospitals are likely to be undertaking most of their cardiology practice on their own, potentially placing themselves in a vulnerable position. There is a need to establish clearly the potential roles of these posts for the protection of both doctors and patients. Level of expertise will inevitably vary according to the training and aspirations of individual consultants, but this should not prevent all those involved adhering to certain common standards. The British Congenital Cardiac Association (BCCA) and the Royal College of Paediatrics and Child …
Competing interests: None declared.
This document was unanimously supported at the Yorkshire, Humberside and Northern Trent paediatric cardiac network meeting held in York in March 2005. It was supported and adopted on a National basis by the British Congenital Cardiac Association Council in May 2005 and by the Royal College of Paediatrics and Child Health Executive Committee in April 2006.