PAEDIATRIC SURGERY
Global Objective and Learning Agreement Template
ST7/ST8
Global Objective
Programme Director’s Selected Topics
Topics to be selected from the Syllabus
Programme Director’s Supporting Statement
You should appraise yourself fully with the paediatric surgery curriculum as set out on the ISCP website
and achieve the targets as set out in that document. In addition to the Paediatric Surgery (2010)
curriculum, you should be aware of your requirements in terms of the generic professional skills and
behaviour section.
You should closely follow the 7 pillars of practice as set out in the GMC’s ‘Good medical practice’.
You are particularly encouraged to develop skills in leadership, management and medical education.
1. Liaise with your Assigned Educational Supervisor (AES) at the beginning of each placement within 2
weeks of starting. Ensure you receive an appropriate induction from the outset.
2. Start assessments immediately. Identify mini-PAT raters early (in ST7) and get them to register. By
the interim mid-term ARCP assessment you should have completed a mini-PAT (in ST7 only), at least 3
CBDs, at least 2 mini-CEXs and 6 PBAs. Your elogbook should be up-to-date and validated. It is critical
you complete the minimum number of assessments as above.
3. By the formal ARCP each year, within the placement you should have completed 6 CBDs, 6 miniCEX, and at least 12 PBAs. You should have completed your yearly audit project and have contributed
to your research portfolio. All ARCP paperwork and ISCP documentation must be fully completed or you
may fail the assessment.
4. Ensure that all Deanery paper work is up-to-date including Form R. The SAC must be aware of your
training position and you should join/ continue to be a member of BAPS.
5. By CCT, you will be expected to develop skills in audit and research appraisal /interpretation. At least
one structure/ process or outcome audit should be completed each year. By CCT you should have a
completed research portfolio: This must include evidence of regular critical appraisal of the paediatric
surgical literature (e.g. journal club) & presentations at regional and national level together with
publications in peer review journals, and may include a higher degree of original work.
6. You should aim to attend national training days and national international meetings arranging this
fairly with colleagues and ensuring that NHS work is cancelled/rearranged in advance.
7. All study leave must be approved by your educational supervisor and the Programme Director.
8. Educational support should be with your educational supervisor in the first instance but feel free to
contact the Programme Director if there are any problems with your training.
Learning Agreement
Objective Setting
Part 1: Topics to focus on during this placement
Please refer to the curriculum - Topics to be selected from the Syllabus
As a guide:
Before ST7
You should have achieved all the competencies as set out in ST5 & ST6 educational plan from
previous years. Check if there are gaps.





In ST7/ST8: Aim to consolidate experience in core paediatric surgery with an emphasis on
making an effective treatment plan.
You should concentrate on becoming familiar with less common paediatric surgical elective
and emergency problems their investigation/ management including: General Surgery of
Childhood, Gastro-intestinal, Neonatal Surgery, Oncology, Thoracic Surgery and Urology.
Be pro-active in organising regular appraisals with your AES.
Keep an updated educational portfolio containing CV, evidence of achievements and reflective
practice
By the end of ST7/ST8: You should be able to carry out surgical procedures in the following
groups (depending on placements) under supervision or independently
Laporoscopy
Fundoplicatio
n
Remove gall
bladder
Nephrectomy
GSC
Laparotomy
for Trauma
Laparotomy
for
adhesions
GI
Fundoplicatio
n
Right hemicolectomy
Subtotal
hemicolectomy
Small bowel
resection for
Crohns
disease
Pull through
for
Hirschsprung
Disease
PSARP
Neonatal
Closure of
gastroschisis/
exomphalos
Diaphragmatic
hernia repair
Correction of
malrotation,
Laparotomy for
NEC
Laparotomy for
simple/comple
x meconium
ileus
Duodenoduodenodtomy
Repair TOF
Thoracic
Resection of
CCAM
Decortication
of empyema
Resection of
mediastinal
mass
Oncology
Resection
of
neuroblast
oma
Urology
Cystoscopy
Nephrectomy
Heminephrectomy
Pyeloplasty
Vesicostomy
formation/
closure
Repair prox
hypospadias
Bladder
augmentation
By the end of ST7/ST8:
 Complete & present at least 1 audit (1 per year)
 Contribute to your research portfolio
 Perform the required minimum number of validated WBA (as above)
 Be able to manage a ward round and clinic consultations effectively
 Have passed the FRCS Paed and to be consolidating your factual base with regular
appropriate reading.
 Achieved expected operative competency (see table above)
Part 2: Actions required to meet Learning Objectives
Assessments


Over the 12-month attachment we will aim to do at least 6 CBD and 12 PBA’s.
You should aim to carry out PBAs for the same procedure on several occasions to
demonstrate progress
Resources Required

Scheduled appraisals

Attendance at local/regional Teaching Programme

Time set aside for WBA’s with Educational Supervisor
Learning Opportunities



Insert timetable, emphasising the best opportunities incl clinics, theatres, WR, admin and
MDT’s.
A typical WTE weekly timetable may include:
Daily morning WR, some with consultant supervision
3 theatre sessions,
at least 1 general clinic,
1 admin session,
1 study/ teaching session,
Other sessions dependent on training requirements
Regional audit/ research meetings
Exams
FRCS Paeds – note change in regulations from 2010
Courses
See study guidelines above. Limited funding
Useful courses by ST5/6: see TRIPS web site
Basic Sciences in Paediatric Surgery
BAPS Oncology course
Oxford Neonatal surgery course
Laparoscopy course
Hands-on BSPGHAN Paediatric Basic Ileo-Colonoscopy Course
Cambridge Urology course
Contact paediatric@rcseng.ac.uk
Audits/Research/Projects
Part 3: Comments & Sign Off