Background The correct treatment of very ill and injured children is critical, yet little is known about the competencies of South African (SA) junior doctors in managing these children. Methods This survey documents SA junior doctors’ reported resuscitation training opportunities, experience, skills and knowledge. Results A total of 118 doctors (interns, medical officers and registrars) from paediatric departments affiliated with 7 medical schools, participated. Resuscitations were not rare events with 71% (84/118) reporting participation in >10 resuscitations during the preceding 2 years. Yet a third of doctors have not attended an accredited resuscitation training course within the last 2 years; 34% (12/35) medical officers and 29% (18/63) registrars, respectively, with 42% (49/118) of all participants never receiving any formal resuscitation training during employment. Feedback on performance is not standard practice with only 8% (10/118) reporting consistent debriefing after a resuscitation. Although 72% (85/118) reported their resuscitation knowledge as adequate, 56% (66/118) passed the knowledge test. Conclusion This study recognized missed learning opportunities in junior doctors’ training, assessment, debriefing and knowledge which may adversely affect the quality of care in managing paediatric emergencies. This has implications for departmental and post-graduate training programmes.

中文翻译：

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初级医生在治疗重病和受伤儿童方面的能力：是时候重新思考我们当前的培训方法了？

背景 对重病和受伤儿童的正确治疗至关重要，但人们对南非 (SA) 初级医生治疗这些儿童的能力知之甚少。方法 这项调查记录了南澳初级医生报告的复苏培训机会、经验、技能和知识。结果 共有来自 7 所医学院附属儿科的 118 名医生（实习生、医务人员和注册员）参加。复苏并非罕见事件，71% (84/118) 报告在过去 2 年内参与了 10 次以上的复苏。然而，三分之一的医生在过去两年内没有参加过认可的复苏培训课程；分别有 34% (12/35) 的医务人员和 29% (18/63) 的登记员，其中 42% (49/118) 的参与者在工作期间从未接受过任何正式的复苏培训。对表现的反馈并不是标准做法，只有 8% (10/118) 的受访者表示在复苏后进行了一致的汇报。尽管 72% (85/118) 的受访者表示他们的复苏知识足够，但 56% (66/118) 通过了知识测试。结论 这项研究认识到在初级医生培训、评估、汇报和知识方面错过了学习机会，这可能会对管理儿科急诊的护理质量产生不利影响。这对院系和研究生培训计划都有影响。