Explores several important issues associated with continuing professional development (CPD). Notes the importance of ensuring that CPD is driven by the needs of the business, and also considers the issue of whether CPD should be compulsory or voluntary. Presents the results of a survey targeted at human resource professionals in South Wales. The survey explored the attitude of respondents to a variety of CPD issues and found that, although most organizations had business plans, such plans were frequently silent on human resource activities which could enhance general business direction. Respondents, while remaining over‐whelmingly opposed to compulsory CPD, were in favour of some certification and recognition for CPD activities.

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The differential in growth is apparent between lobes within the lung as well as between the two lungs. Any catch-up has clearly not corrected the hypoplasia present at birth. In addition, the small size and distorted shape as well as the abnormal proportions between the trachea and between the two main bronchi point to further functional irregularities based on structural distortion.

Spinal muscular atrophy (SMA) or Werdnig‐Hoffmann disease is the second most common neuromuscular disease, with 25% of cases presenting in infancy. Deletions in the survival motor neuron gene are believed responsible for autosomal‐recessive SMA. SMA affects about 1 in 10,000 births. Symptomatic newborns have severe hypotonia, may have respiratory distress, may be unable to feed, and rapidly progress to death early in infancy. This paper describes another early pulmonary manifestation of SMA, i.e., migrating or rotating atelectasis, in 2 patients with infantile SMA. Migrating or rotating atelectasis may suggest the diagnosis of SMA. Pediatr Pulmonol. 1999;28:149–153. © 1999 Wiley‐Liss, Inc.

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