that is necessary in this
context
They should undertake trammg in the direct
clinical care of patients with metabolic and other
relevant disorders.
Dynamic and Other Function Tests
All trainees should be familiar with protocols for
common dynamic function tests and other tirned
investigation procedures, and should gain experi–
ence in their interpretation. Medical trainees must
gain sufficient first-hand experience to enable
them to take clinical responsibility for such
procedures.
Direct Patient Care
Medical trainees must spend sufficient time in
direct patient care to obtain the experience
required to take responsibility for the clinical care
of patients at a senior level. How this is achieved
will depend on local circumstances and individual
interests but trainees should assist in out-patient
elinies for at least one of the following:
lipid disorders;
diabetes mellitus;
endocrinology (including gynaecological
endocrinology);
metabolic disorders (e.g. inborn errors of
metabolism);
osteoporosis and other bone/connective tissue
disorders;
rena] calculi;
diagnosing intoxication;
the basis of coagulation disorders and
transfusion medicine;
the basis of diagnosing anemias.
Experience should be obtained in the in-patient
management of parenteral nutrition, electrolyte
disorders and metabolic aspects of intensive care.
Training in direct patient care must be supervised
by a senior Chemical Biopathologist or physician
who is directly responsible for this activity.
RESEARCH AND DEVELOPMENT
Experience in research and development is
important for developing skills in independent
and team-driven problem-solving and the
critical assessment of published work and for
Klinisk Kjemi i Norden 4, 2001
gammg analytical expertise. Therefore the
trainee should independently carry out medical
research, as weil as participale in supervising the
younger doctors, chemists and students in
research.
All trainees should undertake at least one
research project during their training. The pro–
ject should be consistent with the research/deve–
topment programme of the laboratory or hospital
and should be sufficiently novel and timely to be
suitable for presentation at a scientific meeting/–
publication in a peer-reviewed journal. Research
for a higher degree, or for a dissertation may be
initiated during this period.
CLINICAL AUDIT
All trainees must be familiar with audit proce–
dures and participale in regular clinical audit.
This should include projects that cover problems
locally within and between departments at the
interface with primary care and at regionallevel.
CONTINUING STUDY
The trainee should acquire the Iife-long habits of
reading, using literature and other information
database searches, consultation with colleagues,
attendance at scientific meetings, and the presen–
tation of scientific work as part of continuing
education. The present goals for the education
should serve as the basis for the specialist training
and a more detailed individual training plan
should be written by the tutor and the trainee soon
after the start of the training.
A tutor who is an acknowledged specialist in
Chemical Biopathology should guide the specia–
list training. The head of department and the tutor
should plan the education together with the
trainee in such a way that it can be completed
within the stipulated 5-year time, including the
clinical training in interna] medicine and/or
related discipline. By regular contacts with those
responsible for the department of intemal
medicine the tutor should also see to that the
trainee gets the best possible training in the
clinical field.
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