Paediatric Guidance Checklist
These standards were derived to assist in the assessment of the
paediatric training standards of in your deanery
Specialty:
Paediatric Oncology
The Programme (which may consist of several posts) should
provide:
1. Supervision
/
1.1 An educational supervisor that is a Consultant paediatric oncologist
trained in assessment and appraisal
1.2 An educational supervisor who provides on 1 PA per 4 trainees 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 appropriate supervision to ensure patient safety
2. Other Personnel
2.1 Evidence within the department/programme of Paediatric oncology
and paediatric haematology consultant expertise with adequate training in
educational supervision.
2.2 More than one “middle grade” staff member in the children’s
department (eg inclusive of clinical fellow, staff grade etc)
2.3 Unit compliant with NICE IOG for children and young people with
cancer
3. Service requirements and facilities
3.1 Specialty specific requirements of subspecialty department:
Paediatric solid tumour oncology, paediatric haematology(malignant and
non-malignant), clinical oncology, paediatric neuro-oncology, adolescent
oncology, palliative care, BMT, late effects
robust models of multi-disciplinary working and inter-agency working,
including regular clinical and service team meetings, whatever the local
configuration and location of the multi-disciplinary team.
3.2 Specialty specific requirements of related clinical departments
that are involved in delivery of the curriculum:
paediatric surgery, paediatric neurosurgery, PICU, paediatric
radiotherapy, pharmacy
There must be clear access routes to investigation facilities, including
haematology, biochemistry, immunology, microbiology and virology,
cytogenetics, molecular genetics, radiology, nuclear medicine, cardiology
for ECG and Echocardiography , audiometry
3.3 Specialty specific requirements of service departments
relevant to delivery of curriculum (eg investigation departments
,PAMs departments, surgery or anaesthesia):
Unit compliance with NICE IOG for children and young people (or
equivalent) and “Children's Surgery - A First Class Service”
3.4 Specialty specific requirements of clinical networks:
Evidence of working partnership with “shared care units” and/or cancer
networks , and the NCRN
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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):
Exposure to units with > 50 new referrals per annum
4.2 Specialty specific requirements for structured training
opportunities to include courses:
Attendance at least 70% of educational opportunities
Access to relevant nationally organised specialty training opportunities
Desirable to attend the Advanced Paediatric Oncology Course (or
equivalent)
4.3 Specialty specific requirements for other experiential
learning(excluding clinics and ward rounds):
Exposure to radiotherapy planning; intrathecal therapy training and
experience; bone marrow aspiration training; chemotherapy prescribing;
GCP training, time spent managing teenagers with cancer
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 It is unlikely that sufficient access to sub-specialty will be given if
more than 1/3 of hours are outside specialty
5.5 the post forms part of a complete paediatric training programme
which provides a minimum of 5 years of acute clinical experience including
out of hours duties.
6. Specific Post requirements
6.1 For specialist registrars programmes should provide a minimum of 3
years paediatric oncology training with a minimum of 2 years direct clinical
contact.
For those in specialty training there is a minimum of 2 years clinical
oncology training, in a 3 year programme. 12 months maybe in an
appropriate clinical or research setting.
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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: opportunities to assess and manage children of all ages presenting
with cancer, non malignant haematology and BMT
7.2 Specialty specific skills/procedures trainee needs to complete:
administer chemotherapy safely by all routes, in particular, how to
perform lumbar punctures and safely administer intrathecal
chemotherapy. (reference DOH guidelines)
jointly responsible for the weekly prescribing of chemotherapy
7.3 Additional skills
regular opportunities to be involved in discussions with families about
radiotherapy treatment and the potential late effects, attend planning,
simulation and treatment of children undergoing radiotherapy treatment.
time spent with other members of the paediatric oncology MDT.
time spent with the palliative care team, including visiting local hospice,
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:
Attendance at least one consultant supervised clinic (paediatric onc and
haematology) each week during direct clinical care attachment (or
equivalent if training occurs in “blocks”)
8.2 Specialty specific combined clinics expected to attend:
Attendance at a minimum of 12 late effects clinics
8.3 Specialty specific ward rounds consultant led and independent
per week:
Attendance at at least 1 consultant led and 1 independent ward round per
week (or equivalent if training occurs in “blocks”)
9. Meetings
9.1 Specialty specific number and types of MDT meetings
expected to be exposed to:
Regular attendance at MDT meetings, documented attendance, evidence
of meeting preparation and administration, presentation of cases at sitespecific (multi-professional) and psychosocial MDTs
10. Clinical audit
10.1 Evidence of trainees participation in clinical governance (at least 1
full audit/year and attendance at critical incident meetings and
morbidity/mortality meetings
10.2 Evidence of trainees participation in clinical guideline development
10.3 regular opportunities to discuss with the child and family consent for
entry to a randomised clinical trial under direct supervision.
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11. Teaching appraising and assessing
11.1 Opportunities for formal and informal teaching
11.2 For senior trainees: opportunities for involvement of assessment of
others
11.3 For senior trainees :opportunity to be involved in the appraisal of
others
12. Research
12.1 Provide formal teaching on research ethics and research
methodology
12.2 Provide opportunities to be involved in clinical research
12.3 Trainees should be a member of one of the CCLG working groups
and supported to attend meetings and actively participate
13. Management
13.1 Opportunities to be involved in management e.g. participation in
management meetings and projects
13.2 Opportunities to be involved in organising departmental teaching
programmes, journal clubs and local meetings
Xref
Comments
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