Practitioner Development UK
Provides ongoing (because healthcare professionals never stop learning) continued professional development for advanced nurse practitioners, GPs, junior doctors, practice nurses, health visitors, school nurses, district nurses, radiologists, paramedics, pharmacists and other healthcare providers.
Being good at your job isn’t good enough. You need to prove you’re committed to developing your competence as a healthcare professional and set goals for further advancement. Our training courses help you address your continuing development needs and build your CPD portfolio.

Access all areas
Ready to become more proficient today? Start now by completing one of our innovative online eLearning courses. It only takes two hours to whiz through the questions, move forward in your career and enhance your standards of patient care. We offer a wide range of online courses, including:

The first steps in recognising the acutely ill child – a free taster 

Immunisation update

An introduction to the assessment of minor head injuries

An introduction to paediatric minor injuries

Essential ophthalmic assessment in primary care

An introduction to skin infections

Dementia – understanding and dealing with challenging behaviour

Asthma in childhood- The essentials  NEW

Immunisation update for healthcare assistants NEW

Minor injuries for pharmacists  NEW

Emergency contraception update NEW


For further information visit https://www.pduk.net  

Bespoke training for your staff
All healthcare practitioners can benefit from PDUK’s in-house programmes

PDUK’s in-house events set the CPD bar high by providing a tailor-made and cost-effective way to train your team. Our expert tutors will help your workforce keep abreast of current practice and fill any gaps in their knowledge and skills.

Following their training, besides deriving a sense of fulfilment from the course, staff will feel empowered in their ability to deliver the best healthcare service they possibly can to patients. Programmes include:

Personal resilience strategies for NHS staff
Verification of expected patient death
Chronic heart failure: assessment and management in primary care
Best practice in catheterisation and catheter care
Ear care in the community: irrigation training essentials for nurses
Immunisation training for community pharmacists
Paediatric same day consultation
Leg ulcers: essential care guide
Child protection & imaging for radiographers and allied health professionals
Safer pharmacology for the elderly patient

And more


PDUK’scheduled courses for Autumn 2018/Winter 2019

Hone skills and make high standards standard practice with our tried-and-tested scheduled courses:

Five-day patient assessment skills workshop CPD SO Accredited

Minor injury essentials  RCN Accredited

Minor surgical procedures

Minor ailments essentials  RCN Accredited

Minor illness triage essentials

Urgent care consultation for community pharmacists

Understanding head injuries

Minor injuries in children (from 1 to 18 years of age)

Sports injuries in 8-18-year olds

X-ray interpretation of minor injuries (includes Red Dot) CPD SO Accredited

Blood results: an introduction to basic haematology and biochemistry investigations

Recognising and managing acute skin conditions in primary care

Guide to complex wound care CPD SO Accredited

Ophthalmic practice in primary care

ENT “top 10” – How to treat & manage, what to refer and when CPD SO Accredited

Contraception and sexual health workshop for the primary care practitioner
CPD SO Accredited

Gynae core skills for first contact practitioners

Diabetes care in general practice

Helping the elderly live well for longer

NMP essentials for common long-term conditions CPD SO Accredited

Annual NMP V300 update course

Paediatric minor illness  RCN Accredited

Practical skills for assessing the ill child

Paediatric asthma essentials

Six-to-eight-week baby check CPD SO Accredited

IH79 Examination of the new born  RCN Accredited

Under the microscope:

Top news:

Sports injuries and the importance of imaging

Faster, stronger, fitter: elite athletes’ medal-winning performances are the result of tough training and extreme physical endurance. In this rarified environment, injuries need speedy evaluation and treatment.

That’s where imaging comes in. A new study published in the journal Radiology documents the use of imaging services to evaluate injuries sustained by athletes during the 2016 Rio de Janeiro Olympics.

More than 11,000 athletes participated in the Games, and a total of 1,015 radiologic examinations were performed, in 718 (6.4 per cent) of competing athletes.

Limb injuries
Scientists studied data from the imaging examinations according to gender, age, participating country, type of sport and body part. The most common location of imaging-depicted injuries was the leg, followed by the arm. Gymnastics (artistic) was the sport with the highest percentage of athletes who underwent imaging: 30 out of 194 (15.5 per cent).
The researchers documented the usage of imaging with X-ray, ultrasound and MRI. Of the 1,015 imaging exams performed, 304 (30 per cent) were X-ray; 104 (10.2 per cent) were ultrasound; and 607 (59.8 per cent) were MRI.

MRI takes the lead
‘Imaging is paramount for determining whether or not an injured athlete is able to return to competition,’ said the study’s lead author, Dr Ali Guermazi, MD, PhD, professor and vice chair in the Department of Radiology at Boston University School of Medicine. 
‘The relevance of imaging is stressed by the fact that a large number of advanced imaging exams were requested, with MRI comprising nearly 60 per cent of all imaging performed for diagnosis of sports-related injuries.’

Ali Guermazi, MD, PhD et al. Sports Injuries at the Rio de Janeiro 2016 Summer Olympics: Use of Diagnostic Imaging Services.

On the case:

Bouncing back
Twenty-month-old Max presents at the urgent treatment centre with his mother, Sara. She tells me they had been on a trampoline when he fell off; he now refuses to walk on his right leg. The accident happened two hours ago. Sara gave him calpol shortly after the fall but he still refuses to walk. There is very little swelling.

How do you decide whether to X-ray or not?
There are well published and validated decision-making guidelines, known as the Ottawa Ankle Rules, but these are not suitable for children aged under two (RANZCR, 2015). Therefore, a child that refuses to walk post injury should be taken seriously and an X-ray would be indicated.

What can you see on the image below?

Xray

The X-ray demonstrates a classic ‘toddler’s fracture’, which, although spiral, is generally not associated with non-accidental injury.

  1. Undisplaced spiral # to the distal 1/3 of tibia;
  2. Typically seen in children aged one to three years;
  3. The main symptoms are pain, limping or refusing to walk;
  4. Heals fast and is treated clinically in plaster of paris (pop) and follow up.

In brief…

Want to get better at your role?
The best way to develop your expertise while boosting your continuous professional development is to complete one (or more) of Practitioner Development UK’s continuing professional development (CPD) courses.

Whether you want to gain specialist knowledge of a particular subject, improve your clinical skills or work on your personal attributes, we can help.

Our new brochure offers myriad opportunities for meaningful CPD, including:

1 Scheduled events: centrally located workshops where you can build on your knowledge and engage with likeminded contemporaries;

2 eLearning courses: a super-convenient resource that enables you to learn online, whenever and wherever you like;

3 In-house programmes: the flexible option, these are tailored for your staff’s needs and run by us at a location of your choice.

Try our hands-on X-ray interpretation of minor injuries scheduled event. Or take advantage of a quiet hour or two to whiz through our NEW online Minor injuries for pharmacist course.

• PDUK. We help everyone get better.

Ask PDUK:

Dorthe Swaby- Larsen answers your questions.

Q What is the classification used to describe paediatric fractures involving the growth plate?

A The classification system used is the Salter-Harris (SH). The most common paediatric fracture is SH2, which also has a good recovery. The higher the number, the worse the prognosis, which at the worst can arrest growth. Familiarity with the classification and treatment is essential when interpreting children’s X-rays. SH3, 4 and 5 need same day orthopaedic referral.

• Find out more about the Salter-Harris classifications.

Q What are some of the main differences between adult and paediatric fractures?

A The joint space in a child is twice as wide and the cartilage layer is thicker in juvenile bone, which has the effect of forming a protective layer around the bone.

The growth plate may bear the brunt of the injury and the Salter-Harris classification should be used.

The periosteum in young children is very strong and protects the bone from fracture or can limit displacement if it does fracture; fractures in children are often incomplete.

Q Does a red dot on a X-ray indicate there is a fracture?

No, the Red Dot is an informal system merely indicating that the radiographer suspects that there may be an abnormality on the film. This could be any abnormality (for example a cyst), not just a fracture.

The absence of a Red Dot does not imply that the radiographer considers that there is no suspicion of abnormality on the film. The radiographer might not have had time to look at the image in any detail; or he or she may not have had any Red Dot training (Cheyne et al, 1987).

If you see a Red Dot but can’t identify an abnormality, you are advised NOT to disregard it but to ask the radiographer: they can probably see something you can’t.

References
• Cheyne, N; Field-Boden, Q; Wilson, I and Hall, Rl (1987) The radiographer and the frontline diagnosis. Radiography. 1987 May-Jun;53(609):114.

• Davies, F; Bruce, C & Taylor-Robinson, KJ (2017) Emergency Care of Minor Trauma in Children. 3rd ed. CRC Press, London.

• Larsen, D; Morris, P (2006) Limb X-ray interpretation. Wiley-Blackwell, London.
• The Royal Australian and New Zealand College of Radiologists (RANZCR) (2015) Paediatric Ankle Trauma. Education Modules for Appropriate Imaging Referrals. https://www.ranzcr.com/documents/3837-print-version-paediatric-ankle-trauma/file.

 About our expert Dorthe Swaby-Larsen has worked as an emergency nurse practitioner (ENP) in urgent care settings for more than 25 years, including a decade as a nurse consultant. She has an extensive background in education and is a visiting lecturer/trainer in various organisations across England while still maintaining clinical workload as an ENP. She is also employed one day a week by Greenbrook Healthcare as the south east region development and training lead. She is the co-author of Limb X-ray Interpretation.