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[Editorial] The subspecialty of Paediatric Virology: A ‘mosaic tile’ in future Paediatrics

  • Authors:
    • Ioannis N. Mammas
    • Demetrios A. Spandidos
  • View Affiliations / Copyright

    Affiliations: Department of Clinical Virology, School of Medicine, University of Crete, Heraklion 71003, Greece
    Copyright: © Mammas et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 539-540
    |
    Published online on: June 3, 2016
       https://doi.org/10.3892/etm.2016.3421
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Abstract

Paediatrics [<παῖς (pais=child) + ‘ἰάομαι/ἰῶμαι’ (iaome/iome=healing)] is the science and the art of treating infants, children and adolescents, supporting their health, growth and development and ensuring their opportunity to achieve full potential in adulthood (1). As a stimulating, diverse and hugely rewarding medical specialty, it manages a wide range of medical conditions, diseases and disorders, which affect the paediatric population. For this reason, Paediatrics is a broad‑based specialty, allowing paediatric health professionals to be either based in the community ‑ evaluating, monitoring and coordinating paediatric patients and their parents ‑ or to become subspecialised in certain areas of interest (2). Paediatric subspecialties, including Paediatric Infectious Diseases, constitute a modern trend in Paediatrics. The medical school settings, as well as the tertiary hospitals, have been specified as the main employment sites of paediatric subspecialists (3). Factors influencing subspecialty choice by paediatric trainees include what is valued by them and excessively vary in certain subspecialties (4). Since our proposal on Saturday the 10th of October, 2015 (5), Paediatric Virology has attracted the critical interest of several worldwide experts in the scientific fields of Neonatology, Paediatrics, Paediatric Infectious Diseases and Virology (Fig. 1). These experts have been asked by members of the Paediatric Virology Study Group (PVSG) and have enthusiastically offered their valuable input on the debate of the potential role of Paediatric Virology as a new paediatric subspecialty. Although this debate has already tagged difficulties, challenges and limitations on this proposal, the potential value of Paediatric Virology subspecialists has undoubtedly been accepted. Nevertheless, our purpose is not to cause a destructive revolution on the existing educational platforms and training programmes on Paediatric Infectious Diseases (6), but to create and add a tiny ‘mosaic tile’ in future Paediatrics. Mosaic [see Fig. 1 in Mammas and Spandidos (7)] is an artwork technique of creating images with tiny pieces of coloured tiles made of rock, wood, glass or other, usually colourful materials. The ancient Greek origin of mosaic, ‘ψηφιδωτό’ (psefidoto), comes from the ancient Greek noun ‘ψηφίς’ (psefis), meaning the tiny ‘mosaic tile’. Interestingly, the final picture in a mosaic is tried ‑ and in most cases is achieved ‑ to be superior to its ‘tile’ components. Similarly, the Paediatric Virology ‘tile’ should definitely aim to enhance and highlight the wonderful ‘mosaic’ of Paediatrics, enriching Paediatrics with newly acquired knowledge from Virology, Epidemiology, Molecular Medicine, Evidence‑based Medicine, Clinical Governance, Quality Improvement, Pharmacology and Immunology (8). Our efforts have to be interpreted as an attempt to find the incentives to enhance and promote the workforce of this subspecialty. These incentives are what will be valued in the future by our little patients and their parents.

Paediatrics [<παῖς (pais=child) + ‘ἰάομαι/ἰῶμαι’ (iaome/iome=healing)] is the science and the art of treating infants, children and adolescents, supporting their health, growth and development and ensuring their opportunity to achieve full potential in adulthood (1). As a stimulating, diverse and hugely rewarding medical specialty, it manages a wide range of medical conditions, diseases and disorders, which affect the paediatric population. For this reason, Paediatrics is a broad-based specialty, allowing paediatric health professionals to be either based in the community - evaluating, monitoring and coordinating paediatric patients and their parents - or to become subspecialised in certain areas of interest (2). Paediatric subspecialties, including Paediatric Infectious Diseases, constitute a modern trend in Paediatrics. The medical school settings, as well as the tertiary hospitals, have been specified as the main employment sites of paediatric subspecialists (3). Factors influencing subspecialty choice by paediatric trainees include what is valued by them and excessively vary in certain subspecialties (4).

Since our proposal on Saturday the 10th of October, 2015 (5), Paediatric Virology has attracted the critical interest of several worldwide experts in the scientific fields of Neonatology, Paediatrics, Paediatric Infectious Diseases and Virology (Fig. 1). These experts have been asked by members of the Paediatric Virology Study Group (PVSG) and have enthusiastically offered their valuable input on the debate of the potential role of Paediatric Virology as a new paediatric subspecialty. Although this debate has already tagged difficulties, challenges and limitations on this proposal, the potential value of Paediatric Virology subspecialists has undoubtedly been accepted. Nevertheless, our purpose is not to cause a destructive revolution on the existing educational platforms and training programmes on Paediatric Infectious Diseases (6), but to create and add a tiny ‘mosaic tile’ in future Paediatrics.

Figure 1.

Opinions by 7 worldwide experts on Neonatology, Paediatrics, Paediatric Infectious Diseases and Virology, on the debate ‘Paediatric Virology as a new paediatric subspecialty’, recorded by the Paediatric Virology Study Group (PVSG).

Mosaic [see Fig. 1 in Mammas and Spandidos (7)] is an artwork technique of creating images with tiny pieces of coloured tiles made of rock, wood, glass or other, usually colourful materials. The ancient Greek origin of mosaic, ‘ψηφιδωτό’ (psefidoto), comes from the ancient Greek noun ‘ψηφίς’ (psefis), meaning the tiny ‘mosaic tile’. Interestingly, the final picture in a mosaic is tried - and in most cases is achieved - to be superior to its ‘tile’ components. Similarly, the Paediatric Virology ‘tile’ should definitely aim to enhance and highlight the wonderful ‘mosaic’ of Paediatrics, enriching Paediatrics with newly acquired knowledge from Virology, Epidemiology, Molecular Medicine, Evidence-based Medicine, Clinical Governance, Quality Improvement, Pharmacology and Immunology (8). Our efforts have to be interpreted as an attempt to find the incentives to enhance and promote the workforce of this subspecialty. These incentives are what will be valued in the future by our little patients and their parents.

References

1 

Stanton BF and Behrman RE: The field of Pediatrics. Nelson Textbook of Pediatrics. Kliegman RM, Behrman RE, Jenson HB and Stanton BF: (18th). Saunders Elsevier. (Philadelphia, PA). 2007.

2 

Royal College of Paediatrics and Child Health (RCPCH): What is paediatrics? http://www.rcpch.ac.uk/training-examinations-professional-development/paediatric-careers-and-recruitment/careers/what-paediAccessed. February 18–2016

3 

Stoddard JJ, Cull WL, Jewett EA, Brotherton SE, Mulvey HJ and Alden ER: AAP Committee on Pediatric Workforce Subcommittee on Subspecialty Workforce: Providing pediatric subspecialty care: A workforce analysis. Pediatrics. 106:1325–1333. 2000. View Article : Google Scholar : PubMed/NCBI

4 

Takeda Y, Morio K, Snell L, Otaki J, Takahashi M and Kai I: Characteristic profiles among students and junior doctors with specific career preferences. BMC Med Educ. 13:1252013. View Article : Google Scholar : PubMed/NCBI

5 

Mammas IN, Greenough A, Theodoridou M and Spandidos DA: Paediatric Virology: A new paediatric subspecialty? A proposal at the Workshop on Paediatric Virology, Athens, October 10, 2015. Exp Ther Med. 11:3–5. 2016.PubMed/NCBI

6 

European Society for Paediatric Infectious Diseases (ESPID): PID Training Programme (Syllabus). http://www.espid.org/content.aspx?Group=education&Page=pid_trainingAccessed. September 10–2003

7 

Mammas IN and Spandidos DA: Paediatric Virology in the Hippocratic Corpus. Exp Ther Med. (In press).

8 

Mammas IN, Greenough A, Theodoridou M, Kramvis A, Christaki I, Koutsaftiki C, Koutsaki M, Portaliou DM, Kostagianni G, Panagopoulou P, et al: Current views and advances on Paediatric Virology: An update for paediatric trainees. Exp Ther Med. 11:6–14. 2016.PubMed/NCBI

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Copy and paste a formatted citation
Spandidos Publications style
Mammas IN and Spandidos DA: [Editorial] The subspecialty of Paediatric Virology: A ‘mosaic tile’ in future Paediatrics. Exp Ther Med 12: 539-540, 2016.
APA
Mammas, I.N., & Spandidos, D.A. (2016). [Editorial] The subspecialty of Paediatric Virology: A ‘mosaic tile’ in future Paediatrics. Experimental and Therapeutic Medicine, 12, 539-540. https://doi.org/10.3892/etm.2016.3421
MLA
Mammas, I. N., Spandidos, D. A."[Editorial] The subspecialty of Paediatric Virology: A ‘mosaic tile’ in future Paediatrics". Experimental and Therapeutic Medicine 12.2 (2016): 539-540.
Chicago
Mammas, I. N., Spandidos, D. A."[Editorial] The subspecialty of Paediatric Virology: A ‘mosaic tile’ in future Paediatrics". Experimental and Therapeutic Medicine 12, no. 2 (2016): 539-540. https://doi.org/10.3892/etm.2016.3421
Copy and paste a formatted citation
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Spandidos Publications style
Mammas IN and Spandidos DA: [Editorial] The subspecialty of Paediatric Virology: A ‘mosaic tile’ in future Paediatrics. Exp Ther Med 12: 539-540, 2016.
APA
Mammas, I.N., & Spandidos, D.A. (2016). [Editorial] The subspecialty of Paediatric Virology: A ‘mosaic tile’ in future Paediatrics. Experimental and Therapeutic Medicine, 12, 539-540. https://doi.org/10.3892/etm.2016.3421
MLA
Mammas, I. N., Spandidos, D. A."[Editorial] The subspecialty of Paediatric Virology: A ‘mosaic tile’ in future Paediatrics". Experimental and Therapeutic Medicine 12.2 (2016): 539-540.
Chicago
Mammas, I. N., Spandidos, D. A."[Editorial] The subspecialty of Paediatric Virology: A ‘mosaic tile’ in future Paediatrics". Experimental and Therapeutic Medicine 12, no. 2 (2016): 539-540. https://doi.org/10.3892/etm.2016.3421
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