This study shows that medical residents enjoy supervision from collaborative, understanding and patient attending doctors. Medical residents prefer to be treated as adult learners and enjoy feedback that is constructive, measured and adapted to their professional needs.

ObjectivePMU, Emma Children's Hospital, AMC Amsterdam, tertiary referral centre for children with invalidating functional complaints (at least two present):impact on their social/family life'sgiven up their hobbiesschool absenteeismComplaints; long-lasting (> 3 months) and therapy resistantPMU-approach:integrated approach starting at intake by paediatrician and psychiatrist/psychotherapist; → Explanation; body and mind belong togetherValidation of complaints by full history and thorough physical examination → Complaints are real, no doubt.Explanation of complaints by models (stress model, brain-gut axis, sensitisation model)Individual treatment (rehabilitation, graded exercise, cognitive behavioural therapy etc.)Methods:Retrospective observational study (charts) in children with abdominal pain (ap) and headache as primary complaintMeasuring persistence of complaints/ invalidation levelResults66 pt evaluated (42 pt with ap, 24 pt with headache), 43 girls (65.2%) Age at first visit; mean 13.5 yr (range 6-17): 34 pt finished treatment19 pt in treatment6 pt one consult planned5 pt no follow-up after intake2 pt no complaints at moment of intakeDuration complaints: >2 yrs in 31 pt (47.0%), school absenteeism ≥ 20% in 46 pt (69.7%), 33,3% visited > 5 care providers for complaints.16 pt (47.1%) treatment < 6 months25 pt (73,5%) lost/minimized complaints, 22 pt (64.7%) no school absenteeism.ConclusionPMU-approach; good results for this serious invalidated patient group with therapy resistant functional complaints. Note; relative small group, not yet long term follow-up.

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