CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY 2016 V1.0
Applicants applying for ST4 posts in paediatrics may use this certificate to demonstrate successful,
satisfactory completion of Level 1 paediatric competences, as defined in the RCPCH Level 1 Paediatrics and
Child Health curriculum.
It is NOT required if you:
A) Are currently in a UK approved paediatric training programme and are on track to obtain a
satisfactory ARCP outcome (You will be required to provide evidence of this prior to commencing an
ST4 post).
B) Have completed Level 1 training in an approved UK training programme, within 36 months of August
2016, and have evidence of satisfactory ARCP outcome. 1
If you are unable to provide the above evidence then you will be required to provide a fully completed
Certificate of Completion of Paediatric Level 1 Competency. No other form of evidence will be considered.
Please note: If you are not currently in a UK approved paediatric training programme you will be required to
provide evidence of achievement of Level 1 competences at the time of application. Failure to do so will
result in your application being rejected.
Instructions to applicants:
1. This certificate can only be signed by a consultant or equivalent 2.
2. Consultants should only sign this certificate if they have worked with you for a minimum of three months
whole-time equivalent within 3 years prior to the start date of the post you are applying for
3. You will not be eligible to be considered further for ST4 paediatric training in this recruitment round if the
form is incomplete, or if the person signing it for you fails to complete fully the section about themselves
4. You must be rated “Demonstrated to completion of Level 1” for each and every competence listed on this
certificate. If you cannot demonstrate that you have achieved all your competences in one post, you may
submit additional Certificates to demonstrate the full set of competences. If you cannot demonstrate
each and every competence, you will not be eligible for ST4 paediatric training.
5. Before you pass the form to the signatory, please complete and sign the declaration below
6. It is recommended that you check the form after they have completed it, using the attached checklist
7. You must then scan, upload and attach to your application form on the final page of the application
before submission.
Applicant declaration:
I confirm that I have worked for the consultant (or equivalent) who has completed this certificate for a
minimum of three months within 3 years prior to the start date of the post I am applying for.
Applicant Name
Applicant GMC No
Signature
COURSES: All ST4 applicants must have successfully completed the below courses. If you have yet to
undertake the below courses you will required to demonstrate evidence of successful completion by August
2016. Please indicate below whether you have obtained the courses, and if so, when.
Neonatal Life Support (NLS
Advanced Paediatric Life Support (APLS
Level 3 Safeguarding (or
or equivalent)
or equivalent)
equivalent)
Successfully
Completed
Successfully
Completed
Successfully
Completed
1
If you have been previous released or removed from a UK approved paediatric training post you will be required to provide a fully
completed certificate of Level 1 competency in addition to a letter of support from the postgraduate dean for the deanery/LETB from
which you were released/removed.
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For the purposes of the completion of this form, it will also be permissible to obtain confirmation from an Associate Specialist.
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CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY 2016 V1.0
Date obtained
Date obtained
Date obtained
Instructions to those completing and signing the certificate:
The person who has asked you to fill in this form has applied for ST4 paediatric training in the United
Kingdom. In order to process their application, we need to know that they have achieved the competences
listed in this certificate to the standard expected in accordance with completion of Level 1 paediatric training,
as detailed in the RCPCH Paediatric Curriculum for postgraduate training. Before filling in this certificate
please view the standards expected of ST4 trainees at http://www.rcpch.ac.uk/training-examinationsprofessional-development/postgraduate-training/general-paediatrics-training/ge
Please note that you must only confirm that the applicant has the competences listed below if you KNOW
they are competent, either from your own observations, or from another doctor working at consultant,
Associate Specialist, Paediatric Specialty trainees at ST6+/ an Advanced Nurse Practitioner who you know
has witnessed the applicant demonstrate that competence.
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CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY 2016 V1.0
Please also note that failure to complete the section about yourself fully will render the applicant ineligible to
be considered further for specialty training in this recruitment round.
Finally, please make sure you sign and date EVERY page of the certificate, in the designated box.
About the person signing the certificate:
Your name:
Professional status :
Current post:
Address for correspondence:
Email address:
Your UK GMC Number:
If you are not registered with the UK GMC please give:
Name of your registering body:
Your Registration Number:
Web site address where this
www.
information can be verified:
Alternatively, you may attach photocopy evidence of your professional status to this certificate
About how you know the applicant and their work: Please give details of the post this applicant held
at the time when you observed their work. 3 months (whole time equivalent) of this post MUST have been
completed by the time of the application submission deadline and must have been undertaken within the
3 years before August 2016.
Specialty and level
Dates post held (from : to)
Name and address of Hospital
Country
About the candidate’s competencies:
Level 1 Paediatric competence
1)
able to
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1. Good Clinical Care
1.1 Demonstrates the knowledge, attitudes, behaviours, skills and competences to be able to
take a history and examine patients, prescribe safely and keep an accurate and relevant
medical record
History, physical examination and clinical decision making
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Be able to take an accurate and relevant ,
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focused history
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Be able to perform a thorough physical
examination and assess physical signs
accurately
Recognise presentations of common
disorders
Shows ability to formulate appropriate
differential diagnoses
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CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY 2016 V1.0
v.
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Recognise case histories which suggest
serious / unusual pathology
1.2 Safe prescribing
i.
Know how to prescribe safely for the
newborn and for children of all ages
ii.
Know the approved medications and
justification for prescribing drugs in
common paediatric problems
iii.
Be aware of potential side effects
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Be aware of possible drug interactions
when more than one drug is prescribed
1.3 Medical record keeping
i.
Keep accurate, legible and relevant
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medical records
1.4 Time management and organisational decision making
i.
Demonstrates appropriate skills
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1.5 Infection control
i.
Demonstrates the knowledge, skills,
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attitudes and behaviours to reduce the
risk of cross infection.
ii.
Communicates with Public Health
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Authority where appropriate.
1.6 Clinical Governance
i.
Understands the principles of clinical
governance, i.e. the process that
safeguards high standards of care and
facilitates the development of improved
clinical services.
1.7 Health promotion
i.
Demonstrates the knowledge, skills,
attitudes and behaviours to be able to
educate patients effectively.
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Level 1 Paediatric competence continued:
1.8 Patient safety
i.
Always maintains the patient as the focus
of care.
ii.
Makes patient safety a priority in own
clinical practice
iii.
Understands the importance of good
team working for patient safety
iv.
Understands the principles of quality and
safety improvement
v.
Understands the needs of patient who
have been subject to the medical harm or
errors and their families
1.9 Ethical and legal issues
i.
Demonstrates the knowledge, skills, and
behaviours to cope with ethical and legal
issues which occur during the
management of patients with neonatal
and paediatric problems.
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CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY 2016 V1.0
ii.
Understands the principles of consent,
parental responsibility, competency, and
the Children’s’ Act and Safeguarding
legal aspects
iii.
Understands the principles of medical
ethics and ethical research
2.0 Maintaining good medical practice
i.
Demonstrates the knowledge, skills,
attitudes and behaviours needed to
continue self-directed life-long learning.
ii.
Demonstrates the knowledge, skills,
attitudes and behaviours to use evidence
and guidelines that will benefit patient
care.
iii.
Demonstrates the knowledge, skills,
attitudes and behaviours to use audit and
quality improvement to improve patient
care.
3.0 Teaching and training
i.
Demonstrates the knowledge, skills,
attitudes and behaviours to understand
the teaching and training role to a variety
of health professionals.
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Level 1 Paediatric competence continued:
able to
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4.0 Relationships with Patients and Communication
i.
Have strong communication and
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interpersonal skills to enable them to
work effectively with patients and their
families in these circumstances:
a. Within a consultation.
b. Breaking bad news
ii.
Dealing with complaints
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5.0 Team working Skills
i.
Able to work well with colleagues in multiprofessional and multi-disciplinary teams.
ii.
Able to lead the team when initiating
resuscitation and early treatment. (may
be demonstrated via simulation)
iii.
Able to support and supervise junior
colleagues as appropriate
6.0 Professional behaviour and probity
i.
Understand the limitations of their
competence and know where and when
to ask for help, support or supervision.
ii.
Develops the knowledge, skills, attitudes
and behaviours to always act in a
professional manner in these situations:
a. Doctor-patient/parents
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CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY 2016 V1.0
relationships
b. Doctor-health professional
relationships
c. In situation of personal stress or
ill-health
iii.
Avoid acting in a discriminatory manner
towards patients and colleagues
7.0 Acute Care
7.1 Core skills in relation to acute illness:
i.
Promptly assess and manage the acutely
ill or collapsed patient
Effective leadership of the resuscitation
team (may demonstrate via simulation)
Re-assess ill patients appropriately after
starting treatment
Request senior or more experienced help
when appropriate
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Level 1 Paediatric competence continued:
able to
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Acute care continued
7.1 Core skills in relation to acute illness continued
v.
Ensures safe continuing care of patients
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on handover between shifts
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Considers appropriateness of
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interventions according to family’s
wishes, severity of illness, and comorbidities
7.2 Demonstrates the knowledge, skills and behaviours to be able to recognise and treat:
cardiac arrest
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shock including early septic shock
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anaphylaxis
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unconscious patient
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critically ill patients
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7.3 Demonstrates the knowledge, skills and behaviours to be able safely to manage the
following presentations when on call:
i.
acute asthma
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acute continuing seizures
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meningitis/encephalitis
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acute abdomen
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the collapsed neonate
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7.4 Competence to manage acute child protection cases:
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CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY 2016 V1.0
i.
ii.
Recognise features in the
presentation where child protection
may be an issue, for example where
there are patterns of injury, delay in
presentation, and inconsistencies in
the history.
Understand the need to initiate a safe
response where abuse is suspected,
while treating the family with respect
and courtesy at all times.
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7.5 Demonstrates the knowledge, skills and behaviours to be able to manage the majority of
other important acute presentations.
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Level 1 Paediatric competence continued:
able to
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Acute care continued
7.6 Demonstrates the knowledge, skills and behaviours to be able to plan discharge for
patients, starting from the point of admission and taking into account the effects of any chronic
disease.
8.0 Neonatal competences:
i. Be able to perform an accurate assessment
of the baby at birth
ii. Be able to initiate and lead appropriate
resuscitation when required of term and preterm babies
iii. Be able effectively to lead resuscitation at
birth
iv. Be able to intubate term babies and have had
supervised experience of intubating pre-term
babies
v. Be able to perform a sensitive and accurate
examination of the newborn baby
vi. Have the knowledge and skills to be able to
assess and initiate management of neonates
presenting with:
a. early feeding-related dehydration
b. respiratory distress
c. early signs of neonatal sepsis
d. cardiac problems at birth
e. surgical problems of the neonatal
abdomen
f. identify newborns with HIE and
initiate cooling appropriately.
vii. Be able to initiate and appropriately manage
respiratory support for babies as required,
including nCPAP and mechanical ventilation
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9.0 Care of patients with other conditions and long term conditions
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CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY 2016 V1.0
i.
Be aware of management in the community
setting/palliation and appropriate
pathways/Multi-Disciplinary Team (MDT)
working
10.0 Knowledge of the NHS and hospital management
Understands the structure of the NHS and the
management of local healthcare systems in order
to be able to participate fully in managing
healthcare provision
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Level 1 Paediatric competence continued:
able to
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11.0 Procedures
i.
Know the appropriate indications for
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practical procedures and investigations
ii.
Know the contraindications and
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complications of procedures
iii.
Know the local and national guidelines for
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obtaining informed consent, for
undertaking investigations or procedures
and for providing sedation and pain relief
for practical procedures
iv.
Know the anatomical markers for
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procedures
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Know and practise scrupulous aseptic
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techniques
vi.
Be aware of safety issues for patients and
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staff in relation to investigations of body
fluids and radiation
vii.
Be able to use all equipment required to
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undertake common procedures and
investigations
viii.
Be able to interpret results and respond
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appropriately
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Be able to use all equipment required to
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undertake common procedures and
investigations
11.1 Be able to perform the following procedures independently:
i.
Bag, valve and mask ventilation
ii.
Cannulation and capillary blood sampling,
iii.
Lumbar puncture,
iv.
Peripheral venous cannulation
v.
Tracheal intubation of newborn babies
vi.
Supervised or simulated intraosseous
needle access,
Umbilical venous cannulation
vii.
12.0 Courses: Successful completion of the following required (obtained within 36 months prior
to August 2016:
Has the applicant successfully completed the
Yes ☐
No ☐
below courses? If so please complete section
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CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY 2016 V1.0
12.0
Neonatal Life Support (NLS, or equivalent)
Advanced Paediatric Life Support (APLS, or
equivalent)
Level 3 Safeguarding training (or equivalent)
Signature
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Date
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a date.
DECLARATION:
APPLICANTS’ FULL NAME:
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A. I confirm I have reviewed the standards expected for completion of Level 1
Paediatric training at http://www.rcpch.ac.uk/training-examinationsprofessional-development/postgraduate-training/general-paediatricstraining/ge
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B. I confirm that the doctor named above has worked for me for a minimum of
three months (whole time equivalent) in the paediatric post indicated on this
declaration form
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C. I can confirm I have observed the named doctor demonstrate all of the above
competences that I have assessed as “able to demonstrate” – or where I
have not personally observed them, I have received evidence that I know to
be reliable
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N.B. This form is invalid unless all three boxes above are checked
SIGNATURE (of person completing the
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certificate)
PRINT NAME
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DATE
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HOSPITAL STAMP
(if unavailable please submit a note on
compliment slip or letter headed paper)
FOR RCPCH OFFICE USE ONLY
Level 1 Paediatric competence assessment
A. Sufficient evidence of completion of Level 1 paediatric competence
demonstrated to permit continued assessment via the selection process
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B. Insufficient evidence has been submitted & re-submission requested (Attach
detail of requested evidence)
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C. Insufficient evidence has been submitted for continued progression in the
current recruitment round (give details below)
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RCPCH Clinical Assessor signature
(signed on behalf of the ST4 assessment panel)
PRINT NAME
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CERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY 2016 V1.0
DATE
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