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PAEDIATRICS Clinical placement at Mid Yorkshire NHS Trust

Welcome to your 4th year clinical placement in Paediatrics, at Mid Yorkshire NHS Trust.

We hope you enjoy your time here and develop your knowledge and practical skills in paediatrics and child

health.

The trust is spread across 3 sites: Pinderfields; Dewsbury; and Pontefract. There is a shuttle bus running

between the 3 sites on the hour and half hour.

You will work alongside the teams on all 3 sites and gain exposure to acute and outpatient paediatrics as

well as neonates.

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There are opportunities to see children in the Emergency department and to observe routine or emergency

surgery.

The consultant coordinating your attachment is Dr Fraser Scott, (01924 542502).

The consultant coordinating your time while in Dewsbury is Dr Vijay Sharma, (01924 816166).

In addition, groups of 2 students will be paired with a middle grade and consultant as their mentor.

First week

After your first 2 days in Leeds, you will come to Pinderfields on Wednesday at 09:00 to start the main

section of your placement. If you come to E floor, gate 46 (as this is the main entrance to the children's

ward), you will be met by Dr Scott. There will be an introduction to the aims of your placement in

paediatrics followed by a tour of the department at Pinderfields and finishing with BLS training. Following

this, there will be some time for you to meet Lee Gilbert, undergraduate secretary, to check all paperwork

and arrangements are correct.

On Thursday, you should go to the CAU at DDH for 08:30 to sit in on morning handover then have

orientation for the DDH site.

Friday is spent at Pinderfields - if you come to the tutorial room for 9am – location specified closer to the

time.

Week 2

This is a community week based in Leeds

Weeks 3-6

You will be split into 3 teams of 2 students for the remainder of your placement and will rotate round the 4

clinical areas. Each week runs from Monday-Thursday with Friday spent together for combined classroom

teaching at Pinderfields.

On your 1st day, you will be given a personalised version of the time table on the next page, specifying

which group you are in as well as the names of your allocated registrar and consultant supervisor and the

location of the classroom teaching on Friday mornings

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Week Dates Everyone Team 1 Team 2 Team 3

1 Mon Introduction in

Leeds

Tues

Wed Pinderfields

Thurs Dewsbury

Fri Pinderfields

morning

Leeds afternoon

2 Mon Community week

in Leeds

Tues

Wed

Thurs

Fri

3 Mon DDH CAU Clinic

Tues

Wed

Thurs

Fri Pinderfields

morning

Leeds afternoon

4 Mon CAU DDH Ward/NNU

Tues

Wed

Thurs

Fri Simulation

morning

CNE afternoon

5 Mon Clinic Ward/NNU DDH

Tues

Wed Draft case report

Thurs

Fri Pinderfields

morning

Leeds afternoon

6 Mon Ward/NNU Clinic CAU

Tues Paperwork

Wed

Thurs

Fri Pinderfields

morning

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Regular sessions (Pinderfields)

Tuesday 13:00 SHO presentation

14:00 Clinical teaching (ward)

Wednesday 13:00 X-ray meeting

Friday 09:00 Classroom teaching

14:00 Departmental teaching

Regular sessions (Dewsbury)

Monday 13:00 X-Ray meeting

14:00 Nurse educator session – 2pm, Oakwell centre

Tuesday 12:30 SHO presentation

Thursday 11:00 Clinical teaching (CAU)

On calls

During your placement, you will be allocated certain days for a "late shift" - staying till 20:30. This gives

greater opportunity to see and assess acutely ill children.

There will be 2 shifts in paediatrics at PGH, 1 in paediatrics at DDH and 1 in neonates at PGH.

In addition, there is the option of attending for day shifts at the weekend (prior arrangement with Dr Scott

& on call consultant) although this is not compulsory.

Leeds assessments

During your placement, you should be filling in 3-5 WPBA’s as well as having competency signed off in

core areas (development; prescribing; BLS) as well as systemic examinations.

You should have completed your 1st draft or your case presentation by 4

th week and emailed it to your

supervisor and arranged a date to sit down to discuss it and go through the case report feedback form.

On the Tuesday afternoon of your final week, Dr Scott will go through your ICU performance review form.

On the Friday morning of your last week, Dr Scott will fill in your in course assessment tutor form

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Details of individual weeks

CAU

The attachment is to the child assessment unit at Pinderfields .Students should join ward round then plan

to take histories and perform examinations as patients are referred.

Time should also be spent in the paediatric ED experiencing the different reasons why children attend the

ED department.

Monday Tuesday Wednesday Thursday Friday

Morning CAU CAU CAU CAU Classroom

teaching

Lunch SHO presentation

X-Ray meeting

Afternoon CAU Ward teaching ED ED Departmental

teaching

Evening 1person late,

CAU

2nd person late,

CAU

DDH

The attachment is to the paediatric unit at Dewsbury hospital. The paediatric assessment unit is next to

ED department; there are daily out patient clinics; as well as an opportunity to spend time on the SCBU.

The session on Monday afternoon is with Kevin Ross, nurse educator, in the Oakwell centre at 2pm.

The Friday morning teaching is held in PGH.

Monday Tuesday Wednesday Thursday Friday

Morning CAU Clinic CAU Clinical teaching Classroom

teaching

Lunch X-Ray meeting SHO

presentation

Afternoon Nurse educator

session (Oakwell

centre)

CAU Clinic CAU Departmental

teaching

Evening 1 person late, DDH CAU

2nd person late,

DDH CAU

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Clinic

The aim is to gain greater understanding of the management of chronic conditions as well as

communicating with families.

There are "new" and "review" clinics running on most days on all 3 sites. In addition, there are "outreach"

clinics from the Leeds specialists on cardiology, genetics, neurology etc.

Our community paediatric colleagues do clinics in hospital on ADHD, autism, enuresis and neuro-

disability.

We also have our own speciality clinics in the following areas:

There are also child protection medicals occurring in PGH on most afternoons.

Monday Tuesday Wednesday Thursday Friday

Morning Clinic Clinic Clinic Clinic Classroom

teaching

Lunch SHO presentation

X-Ray meeting

Afternoon Clinic Ward teaching Clinic Clinic Departmental

teaching

Evening 1 person late, CAU

2nd person late,

CAU

You should confirm which clinics are running on your week and fill in clinic sign-up sheet.

Pontefract Catherine Thorpe extn 7079

Pinderfields Ann Taylor/Bronwyn Dickinson 51421

Dewsbury Joanne Gaines 816166

speciality clinics

Epilepsy

Diabetes

UTI/renal

Gastroenterology

Rheumatology

Asthma

Cardiology

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Ward/NNU

The first 2 days on ward are a further opportunity to practice history taking, examination and

developmental assessment.

There is an opportunity to go to theatre to observe emergency or routine procedures. You should follow a

patient from ward to anaesthetic room, operation, recovery and back to ward.

The next 2 days are spent on NNU, gaining exposure to neonatal intensive care including attending

deliveries with junior doctors as well as postnatal examination of the newborn. 1 student to be paired

each day with delivery/postnatal SHO

Monday Tuesday Wednesday Thursday Friday

Morning Ward Ward Deliveries/baby

checks

Deliveries/baby

checks

Classroom

teaching

Lunch SHO presentation

X-Ray meeting

Afternoon Surgery Ward teaching NNU NNU Departmental

teaching

Evening 1 person late, NNU

2nd person late,

NNU

Assessments

Demonstrate competence and have signed off system examinations

Perform developmental assessment

Correctly complete drug and fluid prescription

Case presentations

Attendance at teaching

Demonstrate level of knowledge re core curriculum

Display appropriate behaviour and communication.

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Essential skills

History taking and presentation

System examinations

Developmental assessment

Drug and fluid prescribing

BLS

Other skills

Baby cares

Inhaler technique

Plotting on centile charts

Other sessions

There will be 3 x 2.5 hr sessions on topics related to child psychiatry, provided by the CAMHS team. These

will be in Leeds on the 1st, 3rd and 5th Friday afternoons of your placement.

On the 4th Friday afternoon of your placement (when you don’t have a CAMHS session in Leeds), there

will be a session on the childrens ward (gate 46) at 2pm with Kevin Ross – reviewing and practicing

history taking and clinical approach to patients.

There will also be a session on paediatric basic life support and clinical scenarios using high fidelity

resuscitation mannequins, provided by the simulation fellows from Leeds. This will be for ~90 mins on the

4th Friday morning of your placement.

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Friday teaching

The 1st Friday topics will be delivered by Dr Scott

The 3rd, 4th and 6th Friday sessions have in total 12 topics – these will be assigned 2 to each student for

them to prepare and deliver a presentation (upto maximum 30 minutes)

The 5th Friday is set aside for scenario based practical teaching which will take place on our HDU area on A

cluster, Gate 46, PGH.

1st Friday Child development

Drug and fluid prescribing

Immunisations

3rd Friday Febrile fits

Limping child

Diabetes

Cystic fibrosis

4th Friday Neonates

CHD & innocent murmurs

UTI’s

Gastroenteritis (including vomiting & GORD)

5th Friday Scenario teaching – A cluster (HDU), Gate 46, PGH

6th Friday Asthma (Acute and chronic)

Delayed development including cerebral palsy

Constipation, soiling and wetting

Bronchiolitis, croup, epiglottitis & pneumonia

Food and drink

At PGH, there is a coffee shop (“In café”) open from 7am to 9 pm and a WH Smith in the foyer as well as a staff

dining room (“Time to eat”).

The opening hours of the dining room are: 8am – 11am & 12 -14:30

There are also vending machines dispensing snack foods at all times. There is no cash machine in the hospital

At DDH, the staff and visitors dining room is open from 8am to 7pm. There are also WRVS coffee shops on site.

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Accommodation

If you need accommodation, contact: Pat Ryan or Diane Firth (01924 543351)

The end

On the Friday of your final week, Dr Scott will go over your handbooks to ensure that all paperwork and

assessments are correct. Feedback about the placement would be greatly appreciated.

Absence

Any absences should be notified to

Leeds medical school

o https://www.medicine.leeds.ac.uk/mydetails/absence/

o R.Shenton@leeds.ac.uk

Midyorks undergraduate secretary (lee.gilbert@midyorks.nhs.uk)

Dr Scott (fraser.scott@midyorks.nhs.uk)

Undergraduate secretary:

PGH Lee Gilbert 01924 543719

DDH Ann-Marie Kemp 01924 816212

https://www.medicine.leeds.ac.uk/mydetails/absence/

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