CURRICULUM VITAE
Name:
xxxxxxxxxxxxxxxxxxxxxx
Date of birth:
xxxxxxxxxxxxxxxxx
Nationality:
British
Marital Status:
Married with x children
Home Address:
xxxxxxxxxxxxx,
xxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxx.
Tel: - xxxxxxxxxxxx
GMC Registration:
xxxxxxx
NTN:
xxxxxxxxxxxx
MDU Membership:
xxxxxxx
Medical Qualifications:
MB.ChB (with Honours)
July 1993 xxxxxxx University School of
Medicine
Distinctions:
Surgery
Clinical Pathology
Public Health
Distinction Vivas:
Paediatrics
Scholarships and Prizes:
xxxxxxxxx Scholarship for overall results in
final year written examinations.
xxxxxxxx Scholarship for results in medicine,
surgery and obstetrics and gynaecology.
xxxxx Surgery Prize.
Postgraduate Qualifications:
MRCP Paediatrics
June 1996
-1Date
Previous Appointments:Pre membership appointments
1/8/93-31/1/94
Surgical PRHO
1/2/94-31/7/94
Medical PRHO
1/8/94-31/1/95
6 months
Full time
On-call 1:5
SHO
Neonatology
xxxxxxxxxxxxxxxxxx xxxx
xxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxx,
xxxxxxxx
xxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxx
Covering a tertiary neonatal unit, labour ward and post natal wards. Post included daily consultant lead
ward rounds and weekly supervised teaching sessions.
Consultants – xxxxxxxxxxxx,
1/2/95 –
31/7/95
6 months
Full time
On call 1:4
SHO
General Paediatrics and Neonatology
xxxxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxxxxxx.
4 months General Paediatrics covering the General Paediatric Wards covering both emergency and
planned admissions, including surgical cases, Daily consultant led ward rounds, opportunity to sit in
clinics including Specialist Diabetes and Neurology clinics. 2 months in neonatal unit covering labour
ward and postnatal wards.
Consultants – xxxxxxxxxxxxxxxxxxxxxx
1/7/95-31/1/96
6 months
Full time
On call 1:4
1/2/96-30/4/96
3 months
Full time
On call 1:5
Senior SHO
General Paediatrics and Neonatology
xxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxx.
A middle Grade post in paediatrics. Out of hours covered the general paediatric wards, tertiary
neonatal unit, children’s renal unit and a 3-bedded children’s intensive care unit giving extremely wide
experience in a very busy job. Daily consultant led ward rounds of new patients. 2 X General
Paediatric clinics per week.
Consultants – xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
SHO
xxxxxxxxxxxxxxxxxxxxxx,
Paediatric Neurology
xxxxxxxxxxxxxxxxxx.
3-month post in tertiary Paediatric neurology, including investigation and management of children
with complex epilepsy. Regular opportunity to sit in Neurology and Paediatric Genetics Outpatient
clinics. Regular consultant led ward rounds and Teaching program. On call covering acute paediatric
admissions and Children’s A&E.
Consultant – xxxxxxxxxxxxx
1/5/96-31/7/96
3 months
Full time
On call 1:5
SHO
Paediatric Oncology
xxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxxx.
Post working in tertiary paediatric oncology in a unit covering the (Region). Involved in-patient care
and providing cover to day bed unit for investigation and treatment of children. Regular Consultant led
ward rounds and multi-disciplinary team meetings. On call covering xxxxxxxx Hospital Inpatients –
oncology, cardiology and endocrinology patients and acute surgical admissions.
Consultants – Prof xxxxxxxxxxxxxxxxxxxx
-2Date
Post Membership Appointments:
14/10/96-30/4/97
6.5 months
Specialist Registrar (LATS)
Neonatology
xxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxx.
Full time
On call 1:5
Post covering tertiary neonatal unit with 30 beds. Covered NICU, postnatal wards and twice-weekly
clinics for neonatal follow-ups. Experience included resuscitation, transfer and retrieval sick
neonates, ventilation including oscillation and advanced techniques for supporting extremely
premature infants. Regular liason and discharge planning meetings. Daily consultant led ward
rounds and regular SpR led ward rounds. On call covering acute paediatric wards and tertiary renal
unit as well as neonatal unit.
Consultants – xxxxxxxxxxxxxxxxxxxxxxx.
1/5/97-15/12/97
7.5 months
Specialist Registrar
General Paediatrics
Full time
Working in General Paediatric unit. 2 X weekly general paediatric clinics, diabetic clinic plus
regular opportunity to sit in on Specialist Clinics including Neurology and Endocrine. Out reach
clinics in community hospitals. Regular consultant and SpR led ward rounds. On call covered small
neonatal ward as well as acute paediatric admissions.
On call 1:5
xxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxxx.
Consultants – xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx.
16/12/97 –
31/8/98
1/9/98-31/7/99
Part time
Maternity Leave
11 months@
5 sessions = 5.5
months
7 months - General Paediatric job covering paediatric in patients, surgery and Paediatric oncology
unit. Regular once weekly consultant supervised general paediatric clinic. Consultant and SpR led
ward rounds.
4 months – based on busy neonatal unit including covering labour ward and the postnatal wards.
Transfer of sick neonates. Regular weekly general paediatric and neonatal follow-up clinics.
On call commitment covering both general paediatrics and neonates.
On call 50% 1:4
(1:8)
Flexible Trainee SpR
General Paediatrics/Neonates
xxxxxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxxx.
Consultants – xxxxxxxxxxxxxxxxxxxxxxxxxxxx.
1/8/99-27/10/99
Part time
Flexible Trainee SpR
Community Paediatrics
3 months @
5 sessions = 1.5
months
Community post including regular locality clinics within schools and Child Health Surveillance.
Experience in Child Protection Cases and attendance at case conferences. On call commitment at
xxxxxxxxxxxxxxxx covering general paediatrics and neonates.
On call 50% 1:4
(1:8)
Consultant – xxxxxxxxxxxx
28/10/99-31/8/00
Maternity Leave
xxxxxxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxxxxxxxxxxxx
-3Date
1/9/00-28/1/02
Part time
17 months @
6 sessions = 10.2
months
On call 60% 1:5
(1:8.5)
Flexible Trainee SpR
Community Paediatrics
Community Child Health,
xxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxx.
Community Paediatric post. Covered own locality providing weekly clinics in community clinic.
Also weekly neuro-disability clinic. Regular daytime on call commitment for child protection
strategies and for assessment of children with child protection concerns. Regular clinics in school
for Children with severe physical disabilities. Regular audit and clinical governance sessions.
On call commitment on General Paediatric wards at xxxxxxxxx hospital with Consultant and Spr
led post take ward rounds.
Consultants – xxxxxxxxxxxxxxxxxxxxxxxx
29/1/02-31/12/02
1/1/03-2/3/04
Part time
14 months@
6 sessions = 8.4
months
On call: 60% 1
in 8 full shift.
(1in13 full shift)
Maternity Leave
Flexible Trainee SpR
Community Paediatrics
xxxxxxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxx ,
xxxxxxxxxxxxxxxx.
Tertiary community post working in xxxxxxxxxxxxxxxxxxxx. Regular community and general
paediatric clinics and within a School for children with moderate to severe learning difficulties.
Training clinics in examination children with historical sexual abuse including the use of a
colposcope. Attachment to Designated Doctor for child protection including attendance at ACPC
meetings and development meetings. Regular on day time rota for Child protection concerns and
experience in providing reports for Social Services and the Police. On call commitment on General
Paediatric Wards at xxxxxxxxx Hospital.
Consultant – xxxxxxxxxxxx
2/3/04-1/3/05
Part time
12 months @
6 sessions = 7.2
months
On call: 60% 1
in 8 full shift.
(1in13 full shift)
Flexible Trainee SpR
Paediatric Rheumatology/ Chronic pain
Acute Paediatrics
xxxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxx.
A tertiary paediatric rheumatology post providing cover for the (region). Weekly rheumatology
clinics. In-patient beds for management and investigation of patients.
One day per week spent in Adolescent Pain Management Team in xxxx providing a national service
for assessment and in-patient program for children with chronic pain and pain associated disability.
Regular commitment to general paediatric wards covering ambulatory paediatric admissions unit,
GP referrals and A&E admissions. Consultant led and SpR led ward rounds. On call commitment
covering General Paediatrics.
Consultant –xxxxxxxxxxxx
2/3/05- 5/9/06
Part time
6 months @
6 sessions= 3.6
months
On call: 60% 1
in 8 full shift.
(1in13 full shift)
Flexible Trainee SpR
Community Paediatrics
xxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxx.
A tertiary community paediatric post. Regular weekly community clinic. Twice monthly clinic in
school for children with Complex Learning Difficulties.
Attachment to Child and Adolescence Mental Health Services with supervised clinics and Family
Therapy Sessions. Monthly clinic for assessment of children who have been sexually abused.
Further Child Protection experience gained with membership of ACPC Training Sub-committee and
attendance at ACPC committee meetings.
Regular General Paediatric ward rounds post on call, Consultant and SpR led.
On call commitment covering General Paediatrics.
Consultants – xxxxxxxxxxxxxxxxxxxxxxxx.
-4Date
6/9/06 – 5/6/06
Part time
9 months @
6 sessions = 5.4
months
On Call: 1 in 4
weekends Child
Protection On
call
Flexible Trainee SpR
Community Paediatrics
Community Child Health,
xxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxx.
Continuing Community Training as in previous post with regular weekly community clinic twice
monthly clinic in school for children with Complex Learning Difficulties and monthly Clinic for
assessment of children who have been sexually abused.
6 month attachment in monthly Specialist Immunisation Clinic.
Continuing Child Protection Training with membership of Training Sub committee and regular
commitment to providing multi-agency child protection training. Out of hours Child Protection on
call with consultant Supervision.
On call rota = 1in 4 weekends non-resident Child Protection On Call
Consultants – xxxxxxxxxxxxxxxxxxxxxxxxxx.
6/6/06 – 6/8/06
Part time
2 months @ 6
sessions = 1.2
months
On call: 60% of
1 in 10 rota for
Child Protection
Locum Consultant
Community Paediatrics
xxxxxxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxx.
Acting locum Consultant Community Paediatrician in xxxxxxxxxxxx. Weekly locality clinic,
monthly clinic for assessment of children who have been sexually abused. Twice monthly clinic in
School for children with Complex Learning Difficulties. Weekly Child Protection session in
xxxxxxxxxxxxxxxxxxxxx working with the Designated Doctor and providing multi-agency
training. Membership of xxxxxxxxxxxxxxxxxx Child Protection Training Sub-committee. CAMHS
liason clinic and school sessions.
Regular daytime and out of hours child protection on call.
On call rota = 60% 1 in 10 Child Protection on call
Educational Supervisor – xxxxxxxxxxxx
Clinical Experience:
Community Child Health :
My career intentions are to work as a Consultant in Community Paediatrics with a
Special Interest in Child Protection. I am applying for sub-speciality recognition in
community child health on the Specialist Register.
I have currently over 24 months full time equivalent in tertiary Community
Paediatrics and have worked in a number of localities in xxxxxxx,
xxxxxxxxxxxxxxxxxxxxx and xxxxxxxxxxxxxxx. I have worked directly with a
number of different Consultants allowing me to gain experience of different practices
and areas of expertise.
I followed the syllabus set by the British Association of Community Child Health and
have achieved the competencies set. I have developed skills in a wide range of
paediatrics as follows:
-5Date
Social Paediatrics:
Child Protection:
I have gained excellent experience in Child Protection at both clinical and Strategic
levels.
Physical Abuse and Neglect:
I have been involved in the regular child protection rota for strategy discussions and
can discuss and manage complex Child Protection cases with multi-agency
colleagues. I am competent in completing medical examinations and written reports
for child protection cases, including court reports. I have 6 months experience
working on the Consultant out of hours Child Protection Rota. I have attended court to
give evidence in child protection cases. I have participated in case conferences and
have also been part of a core group. I have been able to follow a case from initial
referral to completion of the assessment.
Child Sexual Abuse:
I have completed a 3-month training period in the Medical Examination of Children
with Historical Sexual Abuse clinic. I have attended a Forensic Medical Examination
course. I am trained in the use of a colposcope and am confident in my ability to
examine these children. I am competent in the necessary screening techniques and
treatment of suspected Sexually Transmitted Infections. Working jointly with the
Forensic Medical Examiners I have performed forensic examinations of children who
have been acutely sexually assaulted. I have provided written reports regarding cases
for both Social Services and the Police and appeared in Court as a Witness in a Case
of possible Sexual Abuse.
Currently I have my own monthly clinic slot in the xxxxx clinic during which I am
actively involved in teaching trainees and supervising their reports.
I have developed an Audit tool to assess the administrative processes and clinical
workload of the xxxxx clinic. I have completed an audit cycle to assess the effect of
introducing a proforma, which resulted in a significant improvement in the targets
achieved.
Teaching and Training:
I am the Health Representative on xxxxxxxxx ACPC Training Sub-Committee so am
directly involved in the planning and development of multi-agency training in child
protection. I have been involved in the development of new training materials and the
expansion of courses on offer to professionals.
I am a member of the ACPC Training Pool, having completed a Teaching the Trainers
Course specifically designed for Child Protection Trainers. I regularly provide child
protection training to different professionals, including medical staff, General Practice
Staff, Social Services and Teachers. I independently supervise the Medical Student
Child Protection Case studies and have developed this area of their curriculum to
improve their overall understanding and provide clearer training objectives.
-6Date
Strategic Child Protection & Audit:
At the strategic level I completed a 6-month attachment with the Designated
Paediatrician for Child Protection in xxxxxxxxxxxxxxxxxxxxx. I have observed
ACPC meetings in both xxxxxxxxxxxxxxxxxxxxx and xxxxxxx. I have also attended
ACPC Advisory Groups looking at the development of child protection procedures
and reviewing complaints across xxxxxxx, xxxxxxxxxxx, xxxxxxxxxxxx.
I have completed an audit reviewing professionals’ views on Information Sharing and
presented its findings to the ACPC Quality Subcommittee. Following the Victoria
Climbie Enquiry, I gained experience by attending meetings in both the acute hospital
trusts and in the community regarding their response to the report, training
implications and implications for multi-agency working.
Disadvantaged Children:
I have developed the necessary skills and experience to advocate for children in need
and disadvantaged groups.
I have worked regularly in a locality with significant levels of poverty and
unemployment and developed an understanding of the effects this has on children and
their families. I have had regular clinics in a Social Services Day Nursery, attended
multi-disciplinary meetings and discussed children directly with education regarding
specific educational requirements.
I have provided specialist advisory reports for Educational Special Needs
assessments, Social Services and Housing, Disability Living Allowance and Mobility
Allowance and Respite Care. I have also referred families to Voluntary Services for
assessment regarding further support available.
I have worked with the Specialist Health Visitor for Traveller Families providing an
out-reach service, visiting travelling families in their homes across xxxxxxx
addressing general health issues and also the more specific problems these families
face.
Adoption and Fostering:
I have completed a 6month attachment with the Medical Advisor for Adoption in
xxxxxxxxxxxxxxxxxxxxx.
Adoption:
I have seen and assessed children being placed for Adoption and have provided
reports on these complex children, which I have presented at the Local Adoption
panel. This has given me experience in the implications of genetic conditions and the
effects of early parenting on a child’s long-term development. I have seen potential
adoptive families prior to placement of a child to discuss health issues. I have also
seen families post adoption in the context of post adoption support. I am familiar with
the BAAF guidelines.
-7Date
Looked After Children:
I have seen children for their initial looked after medicals and continuing follow up
whilst in care. This has given me experience in specific issues for these children. I
have provided health promotion to them and advice regarding General and Sexual
health issues. I have liaised with the Designated Nurses for Looked After Children
and the LAC Psychology team regarding support and services for specific children.
Development and Disability:
I have experience working within a multidisciplinary team assessing and managing
children with neuro-disability.
Child Development Service
I have had an active role in the Child Development Teams in both xxxxxxxxxx and
xxxxxxxxxxxxxxxxx and been involved in multi-agency assessment of children with
disability. I have had supervised lists in a tertiary neuro-disability clinic and initiated
investigations and referral if necessary and provided continuing care to review the
children and evaluate their continuing needs. I have chaired case discussions, family
support meetings and helped develop health care plans for children.
Special Schools:
I have been school doctor for 2 special schools - xxxxxxxxxxxx School for children
with severe learning difficulties including an autistic unit and xxxxxxxxxx school for
Moderate Learning Difficulties. I worked closely with the school nurse in both the
assessment and continuing support of the children and their families. I have also had
regular supervised sessions at xxxxxxxxxxxxxxxx for children with Physical
Disability. This has given me experience in the assessment and long-term
management of children with a range of disabilities including autism, cerebral palsy,
developmental delay and epilepsy. I have had the opportunity to sit in with members
of the multi-disciplinary team to gain experience in their different fields and regularly
liase with them regarding management of children. Working within the Special
School environment has highlighted educational issues for these children and has
allowed me to work closely with professionals from other agencies.
Specialist Clinics:
I have attended a number of specialist clinics including Feeding Clinic, Genetic
Clinics and Paediatric vision clinic. I have visited a resource Centre for Children with
Visual Impairment and also a School for Hearing Impaired Children. I have
completed a two day training course in Children’s Audiology.
Behavioural Paediatrics:
I have managed children with a range of behavioural issues including Attention
Deficit Hyperactivity Disorder (ADHD), Autistic Spectrum Disorder (ASD) and
-8Date
children with challenging behaviour. I have completed an attachment with the Child
and Adolescent Mental Health Services working directly with the Child Psychiatry
and Family Therapy Team assessing and working with families.
ADHD:
I have undertaken many assessments of children with possible ADHD. I have liased
closely with other professionals and feel confident in diagnosing children and the use
of medication as part of the management programme. I have also gained experience in
working with the Child and Adolescent Mental Health Service regarding complex
cases and for children with significant co-morbidity.
I have presented a joint Audit project with the CAMHS Service, reviewing our current
practice against National Guidelines leading to change in practice.
Autistic Spectrum Disorder:
I provided input as part of a multi-disciplinary team in the assessment of ASD. I have
had regular clinics in a School with an ASD unit so have experience in the longer
term management and educational issues for these children.
Challenging Behaviour:
I have seen a large number of children who demonstrated challenging behaviour and
have been involved in providing families with advice and support. I have referred
families for CAMHS and Social Services Assessment and liased with Education
regarding psychology input and Support at School. I have attended a Webster Stratton
Parenting Course as an observer, giving me training in possible management
strategies.
Community Child Health:
I have worked regularly at locality level in xxxxxxxxxxxxxxxxxxxx and previously
provided cover for my own area in xxxxxxxxxxxx. I work closely with the locality
multidisciplinary teams and have regular community clinics were I assess and follow
up children referred from schools, health visitors and GPs.
Population Paediatrics:
Screening and Surveillance:
I have had formal training in and understand the principles of screening and
surveillance. I have taught medical students on the Child Health Promotion program
produced in the National Services Framework and the detailed screening and
surveillance program that all children should receive.
I was involved in the introduction of the universal neonatal hearing screening and
have observed both the Community Based Health visitor led programme and the
hospital based systems in practice. I have attended a presentation of a critical
evaluation of the Community Based Service. I was involved in an audit of specific
-9Date
screening for children with Down’s syndrome which was used to develop clear
departmental guidelines. I am aware of the value of the Parent Held Child Health
Record and regularly use this in my consultations to obtain reliable information and
also to document any interventions or advice given.
Immunisation:
I am competent in the assessment and management of complex immunisation
histories/reactions. I have worked in Tertiary Hospital based immunisation clinic for a
6 month period allowing me to develop skills in discussing immunisation practices
with parents and providing families with the Evidence Base Information surrounding
this area.
I have attended a National Immunisation Co-ordinators Meeting reviewing the
implications for changes in BCG vaccination policies and feedback information to the
local teams.
Health Protection/ Promotion/Education:
I am aware of the principles of health promotion. I have had an attachment with a
health promotion department working on a local community project in xxxxxxxxxx,
providing information around safety in the home and injury prevention for families
with young children. I have worked with the school nurse in a Secondary School on
projects relating to teenage smoking and diet. I am aware of the National heath
promotion initiatives developed in the National Service Framework and Every Child
Matters and the expectations on the different agencies in supporting these.
Epidemiology and Public Health Needs Assessment:
I have been trained in the principles of study design and have knowledge of the
strengths and weaknesses of different types of study. I have undertaken a course in
Critical Appraisal skills and have provided review of papers submitted to the journal
‘Child Abuse Review’. I have also attended courses on statistical analysis.
I have been involved in a mapping exercise looking at population needs compared to
the Community Paediatric Services provided in different areas of xxxxxxx and xxxx
xxxxxxxxxxxxxxx which was used to address inequalities in provision. I have
received training in developing a business plan and have undertaken a management
training day where the group submitted a plan for development of a new service,
including demonstration of need and a cost analysis.
Other Community Paediatric Experience:
I attend the regular Community Paediatric Evidence based training sessions and
Audit. I also have attended the monthly community trainees teaching sessions, which
have covered a wide range of topics from the BACCH syllabus.
- 10 Date
Chronic Pain:
I have completed a year working as part of the xxxxxxxxxxxxxxx Chronic Pain
Service. This year provided me with a unique experience in working within a highly
skilled and specialised team, based in the xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxx, providing a National Service for the assessment and management of
Children with Chronic Pain and Pain associated Disability. They offer a 3 week
residential program for the adolescents and their carer including education, physical
rehabilitation and Cognitive Behavioural Therapy.
During my year I undertook the initial assessment of families jointly with a
Consultant Clinical Psychologist. This required me to develop skills in not only the
medical assessment of children with chronic pain but also in undertaking an
assessment of the wider impact on the child and their family. Working with the
Psychologist allowed me to broaden my interview skills whist working with complex
and often distressing cases. I also provided some of the medical education sessions for
the adolescents and their parents whilst on the program. This involved running interactive group sessions on a variety of topics including the mechanisms of pain and
dealing with Medical Professionals.
Much of this work can be extended to working with children with any chronic
condition and is especially relevant to children with chronic fatigue.
General Paediatrics:
I have been involved in the management of acute and chronic paediatric conditions in
both an inpatient and outpatient setting. I am confident in the resuscitation and
continuing management of acutely unwell children. I have had experience in specialist
neurology, respiratory and diabetic clinics and have been involved with the multidisciplinary management of these children. I have had a regular general paediatric
resident on call commitment through my SpR training, giving me exposure to a wide
range of paediatric emergencies and have undertaken both consultant and registrar led
ward rounds. During my time in xxxxxxxxx I have also covered the Children’s Renal
Unit whilst on call, giving me experience in the management of children on dialysis
and post transplant. In my community and rheumatology posts I have continued to
have a regular on-call commitment on the general paediatric wards and attend posttake consultant teaching rounds. I also see some general paediatric cases in my
community clinics.
I have worked on a Paediatric Assessment Unit giving me experience in Ambulatory
Paediatrics and increasing my confidence in managing acute conditions as an
outpatient.
I am APLS trained and have completed the APLS Instructor Candidate Training
Course.
- 11 Date
Paediatric Rheumatology:
I have completed a one year (7.2months FTE) in paediatric rheumatology. This
involved working in a tertiary multi-disciplinary team, based in xxxxxxx, providing a
service covering the whole of the xxxxxxxxxx Region.
During this year I have gained experience working with children with a wide range of
inflammatory and non-inflammatory rheumatological conditions including Juvenile
Idiopathic Arthritis, Dermatomyositis, Sarcoidosis and children with vasculitis. I
developed skills in the examination, diagnosis and management of children with these
conditions and their longer term pharmacological management and follow-up. I also
extended my practical skills to include joint injections.
This training gave me excellent experience in working with children with complex
chronic disease within a skilled multi-disciplinary team. I extended my knowledge
about not only the physical but psychological and behavioural effects on the children
and their family and the importance a co-ordinated team approach in their
management.
Neonatology :
I have had experience in neonatal intensive care in district general hospitals and as a
Specialist Registrar in a busy tertiary centre. I have been involved in the management
of babies with extreme prematurity, post natal problems and those requiring surgical
treatment. I have experience in a Neonatal Retrieval Service transferring babies
between hospitals. I have gained experience in neonatal resuscitation and different
methods of ventilation including high frequency oscillation.
I have followed up children in outpatients after discharge and been involved in regular
multi-disciplinary psycho-social meetings looking at the wide range of difficulties
these families face.
Courses and further training:
During my training I have attended a large number of courses covering a wide range
of topics in Community Paediatrics, General Paediatrics, Generic Skills and
Management Training. These include:
Child Protection Courses:
Level 1:
Feb 1999:
Level 2:
July 1999:
Level 3:
Feb 2003:
Feb 2004:
Forensic Course:
March 2001:
Child Protection course Part 1,
xxxxxxxxxxxxxxx SS
Child Protection course Part 2,
xxxxxxxxxxxxxxx SS
Update Child Protection
Child Protection Special Interest
Group, Cardiff.
Paediatric Clinical Forensic
Medicine.
xxxxxxxxxxxxxxxxx Constabulary
- 12 Date
Advance Paediatric Life Support:
July 2004:
Nov 2002:
APLS Instructor Course, xxxxxxx
APLS, xxxxxxx.
Management:
Management in Action – Modular Course,
xxxxxxxxxx Region
2003- 2004:
.
Teaching and Training:
Sept 2005:
July 2003:
Training for Trainers 2 Day Course
Teaching the Teachers Course
ECDL:
Feb 2005
Audit :
I have had formal audit training in the development and processes involved in clinical
audit. I have also attended regular monthly audit sessions in the department of
Community Child Health. I believe audit is essential in reviewing our practice and
developing and improving services.
I have undertaken and presented the following audit projects:
Nov 2005:
Completed Audit Cycle for the Clinic for the Medical
Examination of Children with Historical Sexual Abuse.
I have completed an audit cycle that has lead to changes in both the administration
and clinical practice within this clinic.
I performed an initial audit in October 2003 reviewing all case notes of children seen
in March 2002-2003, to review both the administrative process and clinical outcomes
of children seen in this clinic. This compared our current practice with published
Guidelines for the Examination of Children with Suspected Sexual Abuse and the
Guidelines for the Investigation of Sexually Transmitted Infections in Children.
Highlighted areas of concern from this audit were the number of Strategy Discussions
prior to the children being seen, documentation of consent and screening for Sexually
Transmitted Infections. I presented the audits findings and developed a proforma to be
completed in the clinic to standardise practice. I re-audited the clinic for cases in
March 2004-March 2005 and demonstrated significant improvements in all targets set
excluding screening for infection. There is a plan to again re-audit in a year’s time to
ensure improvements are maintained and all targets are achieved.
Dec 2003:
Audit of Information Sharing in xxxxxxxxxxxxxxxxxxxxx.
A multi-agency audit project undertaken for xxxxxxxxxxxxxxxxxxxxx Area Child
Protection Committee looking at current practices regarding information sharing in
child protection cases. This audit highlighted differences between different agencies
response to child protection concerns and resulted in ACPC addressing the need for a
Domestic Violence Protocol.
- 13 Date
Nov 2001:
Audit of the use of methylphenidate in children diagnosed
with ADHD in xxxxxx compared with the NICE guidelines.
This was a major initial audit project across all xxxxxxx Trusts and working with
CAMHS to document different practices between areas and specialities and ensure
adherence to the NICE Guidelines. The audit highlighted issues of communication
with schools and different practices in monitoring. The audit was presented to all the
teams concerned and a consensus was reached regarding specific alterations in
practice.
Sept 1999:
Audit of children admitted with non–accidental injury to
xxxxxxxxxxxxxxxxxxxxxxxxx between Jan 1997-Dec 1998.
April 1997:
Audit of the use of the Crib score in xxxxxxxxxxxxxxxxxx’s
NICU, for the assessment of initial neonatal risk and to
compare our performance with other units.
Jan 1995:
Audit of the outcome of infants of diabetic mothers born
between Jan 1994 – Jan 1995 at xxxxxxxxx Hospital.
Teaching :
I have gained considerable experience in teaching, both the undergraduate and
postgraduate levels and also in multi-agency settings. I have had formal training
having completed a Teaching the Teachers Course, the APLS Instructor Course and a
Training for Trainers in Child Protection course. I am skilled in the use of different
teaching techniques and in selecting the best method for different situations and
audiences. I am keen to continue to develop my teaching skills and to continue my
involvement to training as a consultant.
I am the Health Representative on xxxxxxx ACPC Training Sub-committee so am
involved in the development and provision of multi-agency child protection across the
city. I am a member of the Training Pool so regularly provide training to a range of
professionals in different settings. I have also been actively involved in multi-agency
Child Protection training in xxxxxxxxxxxxxxxxxxxxx. I am also involved in the
organisation and program development for the annual xxxxxxx ACPC Child
Protection Conference.
I am actively involved in the day to day training of junior medical staff on the ward
and in Clinics. I have lectured medical students in their Community Paediatric
program on child development and am involved in the teaching programs for medical
students in general paediatrics and previously in the tutorial program for xxxxxxx
University undergraduates in neonatal medicine. I have also provided teaching session
to Clinical Psychology Students regarding medical aspects of ADHD.
I have previously organised the monthly xxxxxxx Community Trainees afternoon and
developed a program of lectures and visits covering a wide range of related
disciplines. I also take an active role in preparing and teaching at the monthly teaching
sessions for community trainees covering the BACCH syllabus.
- 14 Date
Management:
Throughout my training I have experience of a broad range of managerial situations
that has allowed me to develop skills that I feel are essential for a consultant working
in the community.
I have completed the xxxxxxxxxx management course Management in Action This
course provides modules in a broad range of management issues including
recruitment, NHS modernisation and re-structuring and leadership skills.
I have regularly attended locality and multi-disciplinary children’s disability team
meetings looking at the funding and organisation of community paediatric services
within the multi-disciplinary team. Whilst working in the xxxxxxxxxxxxx Trust there
has been a major re-organisation of community services, which has given me the
opportunity to be involved with a resource mapping exercise and also an awareness of
different problems that need to be addressed.
I have attended multidisciplinary team away days in both Community Paediatric and
Paediatric Rheumatology Services, looking at the organisation of our service and
trying to improve multi-agency working.
Within the field of Child Protection I have observed ACPC meetings looking at
Strategic issues and specifically following the Climbie Enquiry have experienced how
the Trusts are responding to the new legislation. I have also sat on ACPC Quality
Sub-committee which addresses complaints within the Child Protection arena and
audits current practice. I am a member of the ACPC Training Sub-Committee and am
directly involved in the development of child protection training and the implications
of organisational and funding issues surrounding this.
Whilst working within Paediatric Rheumatology I undertook an audit project
reviewing whether changes made to system for clinic bookings had reduced waiting
times. A new consultant post was created and appointed during my attachment
allowing me to gain some experience in this process, including the importance of a
fully developed induction program.
For a year I wrote and administrated the Acute Paediatric Middle Grade rota at
xxxxxxxxx Hospital. This included the transition period from an on call to full shift
service and I was directly involved in the development of the time tabling of this
program to ensure a workable and compliant system.
Research:
I have worked in the xxxx Chronic Pain Department which has a very active research
department working directly with xxxx University. I attended the unit’s research
meetings reviewing projects and developing new proposals. I have also worked
directly with research fellows recruiting subjects for the development of research
questionnaires.
I have undertaken literature reviews of the evidence in a number of fields including
clinical findings in Alleged Child Sexual Abuse, which I presented at a Departmental
Evidence Based Practice Session and the evidence for the Ageing of Bruises. I have
- 15 Date
also participated in a monthly Community Paediatric Evidence Based Medicine
Session reviewing the evidence across a number of specialities.
I have attended a weekly paediatric journal club, which has allowed group discussion
and appraisal of recent publications. I have also attended a Critical Appraisal Study
Day, which has helped me to read publications with a more structured approach I have
developed an understanding of research methodology and am confident in the critical
appraisal of a paper allowing me to develop my own clinical practice.
Whilst working as a neonatal SpR I was involved in the recruitment and data
collection for a study looking at using once daily netilmicin in neonates. This gave me
experience in the issues involved in running such a study and some of the practical
and ethical difficulties that can occur.
Presentations :
National Meetings
Aug 2004 :
BACCH Annual Scientific Meeting
(Title of presentation) xxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxx.
Regional Meetings:
November 2005:
(Regional) Paediatric Club
October 2003:
Case Presentation : Reflex Sympathetic Dystrophy.
How Complex can Complex Regional Pain Syndrome
be?
(Regional) Paediatric Club
Presented An Audit of the Clinical Findings in
Historical Child Sexual Abuse.
IT Skills:
I have completed my ECDL level 1 and am currently working towards level 2.
I am competent in the use of the Internet and Medline for undertaking Literature
Searches and the use of PowerPoint in Presentations.
- 16 Date
Interests:
Most of my free time is spent with my family being a normal mum, so I am an expert
in time management, mentoring and managing challenging behaviour in the home
environment – including provision of a regular taxi service! As a family we are all
keen cyclists. I am a member of the School Fund raising committee, so have been
involved in the organisation and planning of school events including discos and
bonfire night.
Career Aims:
I intend to become a Consultant in Community Paediatrics with a Special Interest in
Child Protection. I believe I have the necessary skills to undertake this role and will
bring enthusiasm and commitment to the job. I work well within a team but also have
the confidence to make difficult decisions. I am keen to undertake an active role in
developing services whilst ensuring that effective current practice is recognised and
supported.
Having trained flexibly I believe this has allowed me time to develop not only the
clinical experience but also the emotional skills both at work and in my own home life
which are essential in working in Community Paediatrics.
Referees:
xxxxxxxxxxxxxxxxx,
Professor of Child Health,
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxxx.
xxxxxxxxxxxx,
Consultant Community Paediatrician,
xxxxxxxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxx.
xxxxxxxxxxx,
Consultant Paediatric Rheumatologist,
xxxxxxxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxx,
xxxxxxxxxxxxxxxxx.
- 17 Date