Paediatric Guidance Checklist
These standards were derived to assist in the assessment of the
paediatric training standards of in your deanery
Specialty:
LEVEL 1
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 Supervision at all times for ST1 and ST2 trainees by those who have
at least Level 1 competences/guidance on safe cover arrangements for
paediatric out of hours
3. Service requirements and facilities
3.1 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)
3.2 Specialty specific requirements of service departments
relevant to delivery of curriculum (e.g. investigation departments,
PAMs departments): Access to a radiologist with paediatric interest, a
paediatric dietician, paediatric SALT, Paediatric physiotherapy and
occupational therapy. Access to play specialists and CAMHS.
3.3 Specialty specific requirements of clinical networks: Department
participates in available clinical networks e.g. neonatology, diabetes
3.4 Clinical Standards and Guidelines
Each department runs an appropriate induction and utilises up to date
guidelines and protocols
3.5 Phlebotomy:Junior doctors should not be used to provide a routine
phlebotomy service for the outpatient department or General Practitioners.
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):
Paediatric Guidance Checklist
These standards were derived to assist in the assessment of the
paediatric training standards of in your deanery
Level 1 programme consisting of a series of posts which allow adequate
opportunity to cover the range of level 1 competences
St1-2 should be predominantly acute general paediatrics with 6 months of
neonatal intensive care and some training in sub-specialty paediatrics
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 awareness to include formal education and
training courses which cover the Level 1 (ST1-3) safeguarding
competences
Relevant resuscitation training for example APLS/EPLS and NLS
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): Level 1 training should
include awareness of child health provision outside the hospital setting e.g.
schools, community based clinics, primary care, and opportunities to
experience and to witness multidisciplinary team working where possible
4.4 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.
4.5 Newborn Examinations: Junior doctors should not be routinely
expected to perform examinations of well newborn infants during evening
and night shifts, unless this is clinically indicated.
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
5.6 Working patterns which allow trainees to regularly attend at least
60% of regional training days
5.7 inappropriate attendance to the Delivery Suite
Clear local 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 of in your deanery
6. Specific Post requirements
6.1 ST1 - 3 neonatal training must be provided in units that undertake
Level 2 and 3 neonatal intensive care
6.2 General training based in acute settings must include emergency
duties, inpatients and outpatients
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:
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:
Bag, valve mask ventilation, blood sampling (capillary and venous) lumbar
puncture, intravenous lines, tracheal intubation, umbilical vein
catheterisation, prescribing, interosseous needle insertion
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):
10 clinics per 6 months
5 clinics when in neonatal post
8.2 Specialty specific ward rounds consultant led and independent
per week:
Regular attendance at daily consultant led ward rounds
9. Meetings
9.1 Specialty specific number and types of MDT/multi-professional
meetings expected to be exposed to:
1 MDT meeting per 6 months at level 1 (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
Paediatric Guidance Checklist
These standards were derived to assist in the assessment of the
paediatric training standards of in your deanery
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)
11.3 Opportunity to receive training in work-place based assessment
12. Research
12.1 Provide opportunity to acquire level 1 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 for communication with colleagues e.g. Handover and
discharge letter writing
13.3 Administrative duties including preparation of notes, finding
equipment, filing of results within patient notes and locating and retrieving
patient medical records following admission should not routinely be the
responsibility of junior doctors. Trainees should assist with these tasks
when appropriate but sufficient clerical support should exist within the
department.
AND MUST BE WILLING TO HOST THE MRCPCH
CLINICAL EXAM
Xref
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