Paediatric Standards Checklist
These standards were derived to assist in the assessment of the
paediatric training standards of in your deanery
Specialty:
Respiratory
The Programme (which may consist of several posts) should
provide:
1. Supervision
/
1.1 An educational supervisor that is a Consultant in Respiratory
Paediatrics trained in assessment and appraisal
1.2 An educational supervisor who provides 1PA per 4 trainees per week
of educational supervision
1.3 Evidence that the assessment strategy is being delivered
1.4 Trainers receive appropriate training on the delivery of the assessment
strategy
1.5 Clinical supervision ensures Patient Safety
2. Other Personnel
2.1 A minimum of 2 consultants in respiratory to support and supervise
2.2 More than one ST4 -8 in the children’s department
2.3 2 trainers in respiratory paediatrics for example a paediatric
radiologist and allied health care worker to contribute to appraisal of
competence
2.4 Paediatric health care professionals and services as follows:
Clinical nurse specialists caring for children with respiratory disease
Respiratory physiologists/technicians trained in measuring lung function in
children
Dietetic service for children with respiratory disease, providing both inpatient and out-patient services
Physiotherapy services for children with respiratory disorders
3. Service requirements and facilities
3.1 Specialty specific requirements of subspecialty department:
Adequate throughput to provide in-patient and out-patient training:
High-dependency and intensive care units where trainees are part of
multi-professional teams and learn how to provide treatment and advice
for children with respiratory disease in these units, a paediatric lung
function laboratory, a paediatric sleep service
3.2 Specialty specific requirements of related clinical departments
that are involved in delivery of the curriculum:
ENT service with nominated ENT surgeon for children
radiologist competent in imaging and procedures such as chest aspiration
3.3 Specialty specific requirements of service departments
relevant to delivery of curriculum (e.g. investigation departments, PAMs
departments, surgery or anaesthesia):
On site/nominated referral unit for paediatric surgery and paediatric
thoracic surgery
3.4 Specialty specific requirements of clinical networks:
Nominated trusts where outreach services are provided e.g. cystic fibrosis
clinics
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4. Educational activities and training
4.1 Specialty specific clinical exposure required to provide
sufficient learning opportunities(NB if giving workload data ensure it is explicit
whether this is number per annum or number trainee would be expected to be exposed to over entire
programme):
1. Acute and chronic chest infections. To record a total of ≥50 cases
2. Asthma and other wheezing disorders. To record 20 cases of difficult and chronic
wheezing seen in out-patients
3. Cystic fibrosis. The unit should care for at least 50 cases.
4. Allergy. uncomplicated hay fever and eczema.
5. Congenital malformations. familiar with imaging techniques, bronchoscopy and
microlaryngoscopy
6. Chronic lung disease of prematurity.
7. Tuberculosis. Including contact tracing, performing and interpreting at least 10 tuberculin
tests and 5 BCGs.
8. Technology dependent children.
9. Paediatric sleep disorders. To include simple sleep studies and polysomnography.
4.2 Specialty specific requirements for structured training
opportunities to include courses:
Paediatric bronchoscopy. Respiratory physiology. Lung development, normal and
abnormal. Diagnostic accuracy and repeatability of investigations. Epidemiology of
respiratory disorders. Infectivity of respiratory infections. The unit should provide
training in non-invasive and home ventilation via tracheostomy.
4.3 Specialty specific requirements for other experiential
learning(excluding clinics and ward rounds):
To include visiting the homes of at least 2 children who require oxygen.
5. Working patterns
5.1 Safe cover arrangements for paediatric department out of hours in line with
RCPCH guidance
5.2 Evidence of compliance with existing employment rules to working time
5.3 Working intensity and pattern that is appropriate for learning
5.4 It is unlikely that sufficient access to sub-specialty will be given if more than
1/3 of hours is outside the specialty
5.5 This post forms part of a complete paediatric training programme which
provides a minimum of 5 years of acute clinical experience, including out of hours
duties
6. Specific Post requirements
6.1 For specialty training the programme should provide a minimum of 2 years
direct clinical training (18 months of cystic fibrosis). In a 3 year programme 12
months maybe spent in an appropriate clinical or research setting.
7. Enabled to learn new skills, necessary skills and curriculum
coverage (speciality specific)
This section can be used to highlight marker conditions to which trainee should be exposed or the numbers of cases/procedures that
trainee will be expected to see/do. Ensure that it is clear whether any numbers are for whole training programme or per annum
7.1 Specialty specific marker conditions trainee should be exposed
to:At least 2 respiratory clinics per week
7.2 Specialty specific skills/procedures trainee needs to complete:
Measurement of lung function. timetabled attendance at laboratory, supervision by
1.
lung function technician and skills in interpretation and reporting of results.
Bronchoscopy. trainee should witness 50 and be able to undertake at least 25 bronchoscopies.
2. Imaging.
Supervision by a radiologist trained in paediatrics of interpretation and reporting of chest
radiographs, CT scans of the chest, MRI of the mediastinum and ultrasound
Aerosol therapy
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8. Access to clinics and ward rounds and long term care of patients
8.1 Specialty specific numbers and types of clinics expected to
attend (including outreach clinics):
2 respiratory clinics a week. Outreach clinics for CF and other respiratory
disorders. .
8.2 Specialty specific combined clinics expected to attend:
TB clinics. Allergy and immunology clinics. ENT clinics in the management
of CG malformations of the respiratory system including upper airway
malformations
8.3 Specialty specific ward rounds consultant led and independent
per week:
Daily ward rounds when undertaking inpatient module. At least 2
consultant rounds per week.
8.4 Specialty specific involvement in transitional care:
Opportunity to attend transitional care and/or adolescent clinics.
9. Meetings
9.1 Specialty specific number and types of MDT meetings
expected to be exposed to:
At least one per week to address difficult cases, psychosocial issues,
investigation results etc. The trainee should attend weekly radiology
meetings.
9.2 Specialty specific multi-professional meetings expected to be
exposed to:
Weekly journal club Weekly teaching.
9.3 Speciality specific other meetings:
Study leave funding to attend national meetings and courses.
10. Clinical audit
10.1 Evidence of trainees participation in clinical governance (at least 1
full audit/year and attendance at critical incident meetings)
10.2 Evidence of trainees participation in clinical guideline development
10.3 Participation in national asthma audit and CF database
11. Teaching appraising and assessing
11.1 Opportunities for formal and informal teaching
11.2 For senior trainees: opportunities for involvement of assessment of
others
11.3 For senior trainees: opportunity to be involved in the appraisal of
others
11.4 To keep a personal reference database
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12. Research
12.1 Provide formal teaching on research ethics and research
methodology
12.2 Provide opportunities to be involved in clinical research
12.3 Provide supervision in applying to undertake research in respiratory
paediatrics leading to a higher degree.
13. Management
13.1 Opportunities to be involved in management e.g. participation in
management meetings and projects
13.2 Opportunities to learn how to set up care pathways for children with
respiratory disease. The importance of clinical trail networks.
Xref
Comments
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