Level 3 Guidance Checklist 031109

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    Paediatric Guidance ChecklistThese standards were derived to assist in the assessment of the

    paediatric training standards in your deanery

    Specialty: Level 3 General Paediatrics

    The Programme (which may consist of several posts shouldprovide:

    !" Supervision

    #

    !"!An educational supervisor that is a Consultant Paediatriciantrained in

    assessment and appraisal

    !"$An educational supervisor who is available for 0.25 PAs per trainee per

    week of educational supervision

    !"3Evidence that the assessment strategy is being delivered

    !"%rainers receive appropriate training on the delivery of the assessmentstrategy

    !"& Clinical supervision ensures Patient !afety

    $" 'ther Personnel

    $"!!ufficient consultant paediatricians trained in educational and clinicalsupervision to provide support for all trainees in the department

    $"$ "ore than one !# $% in the children&s department

    $"3 'unior tier of medical staff or other arrangement to support middle

    grade and senior medical staff and minimise inappropriate duties

    3" Service reuirements and facilities

    3.1Specialty specific requirements of subspecialty department:

    A comprehensive 2# hour( ) day a week inpatient unit and outpatientdepartment

    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 currentbest practice advice (e.g. Surgery for Children: Delivering a First Class

    Service 2!"

    3.3 Specialty specific requirements of service departments

    relevant to delivery of curriculum (e.g. investigation departments,P!s departments, surgery or anaesthesia":

    *+!P,A-$ Access to a radiologist with paediatric epertise( paediatric

    dietetics( paediatric !A-( paediatric physiotherapy and occupationaltherapy. Access to play specialists( school teachers( CA"*!.

    /,C$Access to cranial ultrasound and echocardiography

    Community Child *ealth department$ should offer training in a range of

    settings1schools( community child health clinics( CA"*!

    3.# Specialty specific requirements of clinical net$or%s:

    rainee attendance at +utreach Clinics with visiting sub$specialists3epartment participates in available clinical networks e.g. neonatology(

    diabetes

    3.& 'linical Standards and uidelines

    Each department runs an appropriate induction and utilises up to dateguidelines and protocols

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    Paediatric Guidance ChecklistThese standards were derived to assist in the assessment of the

    paediatric training standards in your deanery

    %" )ducational activities and training

    %"!Specialty specific clinical e)posure required to provide

    sufficient learning opportunities(#$ if giving workload data ensure it is e%plicitwhether this is nu&ber per annu& or nu&ber trainee would be e%pected to be e%posed to over entire

    progra&&e":

    -evel 4 programme consisting of a series of posts which allow adeuate

    opportunity to cover the range of level 4 competences

    Appropriate clinical activityAssessment of #00 acute new presentations per trainee per year of

    training

    3uring 6 months neonatal intensive care training opportunity to be presentat 40 deliveries reuiring attendance and to admit 20 infants to

    /,C7!C8

    "aintenance of acute skills e.g. lead resuscitation at least # times a year(

    assess safeguarding cases at least # times a year%"$Specialty specific requirements for structured training

    opportunities to include courses:

    +pportunities to attend Child protection training to enhance andconsolidate competences as per -evel 4 curriculum 1e.g. Court !kills

    training-eadership and "anagement training appropriate to the -evel 4 curriculum

    +pportunities to revalidate resuscitation training if needed

    %"3Specialty specific requirements for other e)periential

    learning(e)cluding clinics and $ard rounds":+pportunities to develop leadership skills inmultidisciplinary teamwork

    +pportunities to lead and manage at the interface between hospitalpaediatrics and community child health

    &" *orking patterns

    &"! !afe cover arrangements for paediatric department out of hours inline with 9CPC* guidance

    &"$ Evidence of compliance with eisting employment rules to workingtime

    &"3 :orking intensity and pattern that is appropriate for learning

    &"% Emphasis on providing opportunities for advanced paediatric clinical

    training as per the level 4 curriculum( including care of chronic conditions(

    leadership and management. here should be less need to participate inhigh activity( low compleity work.

    &"& his post forms part of a complete paediatric training programme

    which provides a minimum of 5 years of acute clinical eperience(including out of hours duties

    &"+ :orking patterns which allow trainees to regularly attend at least60; of regional training days

    &", inappropriate attendance to the -elivery SuiteClear local guidance should be in place to indicate which deliveries

    Paediatric staff should attend( minimising presence where there is noproven need.

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