Paediatric Guidance Checklist
These standards were derived to assist in the assessment of the
paediatric training standards of in your deanery
Specialty:
Neonatology
The Programme (which may consist of several posts) should
provide:
1. Supervision
1.1 An educational supervisor that is a Consultant Neonatologist, or
consultant in an allied speciality for appropriate modules e.g.
neurodevelopment, trained in assessment and appraisal
1.2 An educational supervisor who provides 1PA per 4 trainees of
educational supervision
1.3 Evidence that the assessment strategy is being delivered
1.4 Evidence that Trainers receive regular and appropriate training on the
delivery of the assessment strategy
1.5
2. Other Personnel
2.1 Sufficient numbers of consultants in Neonatology to support and
supervise
2.2 Expect at least 8 persons at St4-8 providing separate (from other
children’s service) 24 hours cover to the neonatal service. A minimum of
2 ST4-8 to be available during the daytime hours.
2.3 Access to the full multidisciplinary team for training e.g. for
neurodevelopment and developmental care
3. Service requirements and facilities
3.1 Specialty specific requirements of subspecialty department:
Level 3 neonatal unit
3.2 Specialty specific requirements of related clinical departments
that are involved in delivery of the curriculum:
Access to tertiary level fetal medicine, access to neonatal surgery, access
to neurodevelopmental follow up, neonatal cardiology, clinical genetics at
some point in the training programme.
3.3 Specialty specific requirements of service departments
relevant to delivery of curriculum (e.g. investigation departments
,PAMs departments, surgery or anaesthesia):
Paediatric radiology, pathology laboratories able to deal with neonatal
conditions, social services, chaplaincy, pharmacy
3.4 Specialty specific requirements of clinical networks:
Functioning perinatal network.
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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):
The programme (which may be made up of more than one unit)
must be able to provide exposure to all the elements of the
curriculum and meet the standards
Deliveries – at least 3,000/year
<27week gestation admissions (20/year
Ventilator/nCPAP days (1500/year)
Follow up clinics –(at least 1 per week)
4.2 Specialty specific requirements for structured training
opportunities to include courses:
Formal allocated time in fetal medicine and where necessary neonatal
surgical unit (i.e. in those units where neonatal surgical patients are
managed separate from medical)
Safeguarding training to meet standards for HST in paediatrics
4.3 Specialty specific requirements for other experiential
learning(excluding clinics and ward rounds):
Perinatal meetings
Governance/risk management meetings
Management meetings and activities
5. Working patterns
5.1 Safe cover arrangements for paediatric department out of
hours in line with RCPCH guidance
No cross cover with general paediatric service
Single site cover
At least 3 tiers of cover
Consultant immediately available for advice
Consultant available to attend within limits set by Trust (normally 30
minutes)
5.2 Evidence of compliance with existing employment rules to
working time
Evidence of Rota compliance for EWTD 2009 and Monitoring compliance
against standards
5.3 Working intensity and pattern that is appropriate for learning
Exposure to patients is critical to meet the curriculum standards. Meeting
EWTD standards would be appropriate and minimise work intensity.
For sub-specialties
6. Specific Programme requirements
6.1 24 months clinical neonatal training in accredited centres to
meet the syllabus and competences
Minimum of 24 months recognised neonatal training in the UK healthcare
system (or abroad in approved post). In a 3 year programme a maximum
of 1 year in contributory specialty is allowed
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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:
The baby requiring cardiorespiratory interventions at birth
Extreme prematurity
Surgical conditions
Encephalopathy
Congenital anomalies and syndromes
Bereavement
Safeguarding concerns
Neonatal abstinence syndrome
Assessment of the unexpectedly unwell term neonate
7.2 Specialty specific skills/procedures trainee needs to complete:
Assessment and stabilisation of the baby requiring basic and advanced
resuscitation
Practical procedures (peripheral venous lines, arterial lines, central
venous lines, chest drain insertion, lumbar puncture, ventricular tap)
Cranial US
Neurodevelopmental assessment
Transport competencies
Counselling parents and families
Able to lead the team
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:
Neonatal follow up – 20 clinics/year (to include neurodevelopment, infant
feeding, and chronic lung disease management)
8.2 Specialty specific combined clinics expected to attend:
As in 8.1
8.3 Specialty specific ward rounds consultant led and independent
per week:
Neonatal unit weekly independent, with discussion with consultant.
Weekly consultant led teaching
Postnatal ward rounds, daily independent when covering the area
Neonatal surgery and cardiology, if not on unit
8.4 Specialty specific involvement in transitional care:
Supervision of care of babies on postnatal ward and transitional care
8.5 Attendance with home care nurses
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9. Meetings
9.1 Specialty specific number and types of MDT meetings
expected to be exposed to:
Psychosocial
Fetal medicine and high risk obstetric planning
Perinatal morbidity/mortality
Safeguarding
Network
Management/business planning
X-Ray meetings
9.2 Specialty specific multi-professional meetings expected to be
exposed to:
Same as 9.1
9.3 Speciality specific other meetings:
Unit teaching
10. Clinical governance
10.1 Evidence of trainees participation in clinical governance (at least 1
full audit/year and attendance at critical incident meetings). Take lead
under supervision in 1 patient safety incident review/year
10.2 Evidence of trainees participation in clinical guideline development.
Lead development of at least 1 guideline/year
10.3 Contribute to CEMACH returns
10.3 Participate in child death notification processes
11. Teaching appraising and assessing
11.1 Opportunities for formal and informal teaching
Evidence of clear programme of teaching, some of which is protected.
Evidence of access to study leave
11.2 For senior trainees: opportunities for involvement of
assessment of others
Assign as senior mentor to more junior doctor
11.3 For senior trainees: opportunity to be involved in the
appraisal of others
Involvement in appraisal of more junior doctors through their assessment
process (e-portfolio)
11.4 Teaching multidisciplinary team
11.5 Presentation and teaching in wider field e.g. hospital grand rounds
12. Research
12.1 Provide formal teaching on research ethics and research
methodology
12.2 Provide opportunities to be involved in clinical research
Even if not directly involved, training will include knowledge of portfolio of
research on the unit, and its impact. Academic staff will contribute to
formal and informal teaching programme
12.3 provide formal teaching on the taking of consent for research
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13. Management
13.1 Opportunities to be involved in management e.g. participation in
management meetings and projects
13.2 Attend Network meeting
13.3 Evidence of opportunity to attend departmental management
meeting
Xref
Comments
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