Paediatric Guidance Checklist
These standards were derived to assist in the assessment of the paediatric training
standards in your deanery
Specialty:
LEVEL 2
The Programme (which may consist of several posts) should
provide:
1. Supervision
/
1.1 An educational supervisor that is a Consultant Paediatrician trained in
assessment and appraisal
1.2 An educational supervisor who is available for 0.25 PAs per trainee 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 Sufficient consultant paediatricians trained in educational and clinical
supervision to provide support for all trainees in the department
2.2 More than one ST4 -8 in the children’s department
2.3 Trainers who have the appropriate knowledge and skills
2.4 Junior tier of medical staff or other arrangement to support middle
grade and senior medical staff and minimise inappropriate duties
3. Service requirements and facilities
3.1 Specialty specific requirements of subspecialty department:
Level 2 training requires experience and training in
 level 2 or 3 NICU meeting BAPM standards
 community child health units
 general paediatric inpatient and outpatient units
3.2 Specialty specific requirements of related clinical departments
that are involved in delivery of the curriculum:
Any surgery and anaesthesia undertaken to be consistent with current
best practice advice (e.g. Surgery for Children: Delivering a First Class
Service 2007)
3.3 Specialty specific requirements of service departments
relevant to delivery of curriculum (e.g. investigation departments,
PAMs departments):
HOSPITAL- Access to a radiologist with paediatric expertise, paediatric
dietetics, paediatric SALT, paediatric physiotherapy and occupational
therapy. Access to play specialists, school teachers, CAMHS.
NICU-Access to cranial ultrasound and echocardiography
Community Child Health department- should offer training in a range of
settings(schools, community child health clinics, CAMHS)
3.4 Specialty specific requirements of clinical networks:
Department participates in available clinical networks e.g. neonatology,
diabetes
3.5 Clinical Standards and Guidelines
Each department runs an appropriate induction and utilises up to date
guidelines and protocols
Paediatric Guidance Checklist
These standards were derived to assist in the assessment of the paediatric training
standards in your deanery
3.6 Administration of IV Antibiotics: Trainees should be fully trained in
the preparation and administration of IV antibiotics as this may be
necessary in an emergency situation. E.g. a child with meningococcal
sepsis.
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):
Level 2 programme consisting of a series of posts which allow adequate
opportunity to cover the range of level 2 competences
Appropriate clinical activity
Assessment of 400 acute new presentations per trainee per year of
training
During 6 months neonatal intensive care training opportunity to be present
at 30 deliveries requiring attendance and to admit 20 infants to
NICU/SCBU
4.2 Specialty specific requirements for structured training
opportunities to include courses:
Training in child protection including opportunities to initially assess acute
presentations throughout all Level 2 training (General Paediatrics,
Neonates and Community Child Health)
Relevant resuscitation training and opportunities to lead resuscitation with
support (opportunities to revalidate if needed)
Structured programme of formal teaching and learning opportunities to
complement work-place based training and ensure curriculum coverage
4.3 Specialty specific requirements for other experiential
learning(excluding clinics and ward rounds):
Training opportunities focused around Secondary care provision with in
Community Child Health services
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 Acute general paediatric experience including the out of hours
commitment will provide essential training for this level of training
5.5 provides essential opportunities to train in elective and outpatient
elements of the Level 2 curriculum, including experience of long term care
and Community Child Health
5.6 Working patterns which allow trainees to regularly attend at least
60% of regional training days
5.7 Inappropriate attendance to the Delivery Suite
Clear guidance should be in place to indicate which deliveries Paediatric
staff should attend, minimising presence where there is no proven need.
Guidance should be reviewed on a yearly basis
Paediatric Guidance Checklist
These standards were derived to assist in the assessment of the paediatric training
standards in your deanery
6. Specific Post requirements
6.1 Community Child health- able to deliver BACCH syllabus
6.2 Neonatal Unit Level 2 or 3 that adheres to BAPM standards
6.3 Acute unit accepts emergency admissions and outpatient referrals
7. Enabled to learn new skills, necessary skills and curriculum
coverage (specialty 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:
Community
Problems; looked after children, developmental delay, neurodisability,
chronic disease, child abuse and neglect, faltering growth, speech delay,
hearing and vision impairment, behavioural problems, enuresis, soiling,
special educational needs, immunisation advice
Diagnoses; cerebral palsy, ADHD, ASD, Leaning difficulty, obesity, DCD,
NICU
Prematurity, growth retardation, jaundice, necrotising enterocolitis,
respiratory distress, hypoxic ischaemic encephalopathy, fits, narcotic
abstinence syndrome
General Paediatrics
Problems; Fever, fits, breathing difficulty, diarrhoea, vomiting,
developmental delay, rashes, hypoxia, chronic disease, child abuse and
neglect, prematurity, jaundice, faltering growth, behavioural problems,
common post natal problems, post natal screening, resuscitation and
stabilisation of a sick child
Diagnoses; diabetes, epilepsy, asthma, cerebral palsy, respiratory distress
syndrome, congenital heart disease, nephrotic syndrome, arthritis,
anaemia, head injury, ingestion, infectious diseases, gastroenteritis,
childhood cancer, cystic fibrosis
7.2 Specialty specific skills/procedures trainee needs to complete:
Community - Child abuse examination (if not done in general paediatric
placement)
NICU- mechanical ventilation, UAC, UVC, intubation of premature infant,
surfactant administration, chest drain insertion, some experience of cranial
ultrasound scanning
General paediatrics- lung function test, fundoscopy
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 consultant led clinics per week
1 consultant led clinic per week during neonate post
8.2 Specialty specific ward rounds consultant led and independent
per week:
On average 2 ward rounds per week – 1 consultant led and 1 independent
Paediatric Guidance Checklist
These standards were derived to assist in the assessment of the paediatric training
standards in your deanery
8.3 Specialty specific involvement in transitional care:
Awareness of transitional arrangements for children with special needs
9. Meetings
9.1 Specialty specific number and types of MDT meetings expected
to be exposed to:
1 MDT meeting per month (e.g. Discharge planning, complex care,
safeguarding)
10. Clinical audit
10.1 Evidence of trainees participation in clinical governance (at least 1
full audit/year, preferably completing an audit cycle and attendance at
critical incident meetings)
10.2 Evidence of trainees participation in clinical guideline development
11. Teaching appraising and assessing
11.1 Opportunities to deliver formal and informal teaching (e.g. to medical
students or peers) and receive feedback
11.2 Opportunities for involvement in and contributing to the assessment
of others (e.g. giving feedback)
12. Research
12.1 Provide opportunity to acquire level 2 competences in research
12.2 Provide opportunities to be involved in clinical research
13. Management
13.1 Opportunities to be involved in management e.g. participation in
management meetings and projects
13.2 opportunities to take a leadership role in organising acute ward work
and other day to day organisational duties
AND MUST BE WILLING TO HOST THE
MRCPCH CLINICAL EXAM
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