Level 2 Training (ST 4&5)
The overall objectives are that trainees will be able, by the end of their two years of level 2 training, to achieve all of the competences listed by the RCPCH. Trainees will be assessed against the Standards which are listed together with the assessment methodologies to be used.
Trainees will need to work for at least 6 months in each of Community Paediatrics, Neonatal Paediatrics and General Paediatrics, with most trainees doing a total of 2 years at this level in order to achieve the relevant competences.
Essentials of the ST 4-5 Teaching Provided
The course will be based on a combination of
Monthly Regional Teaching sessions organised by the Trainees Committee
Safeguarding Training which can usually be accessed locally (see Intercollegiate Document)
Departmental Teaching in the local hospital, this will mostly be 'on the job' clinical teaching in wards or out-patient clinics
Simulation training for various aspects of real-life situations, which may be provided in the local hospital or regionally
Self-Directed Learning, including attendance at relevant Deanery courses, APLS, NLS and diversity training
You should by this stage of training be familiar with the paediatric e-portfolio, which underpins learning from the curriculum and acts as a platform for trainers and trainees to manage various elements of the assessments required.
Trainees need to keep up the entries in their e-portfolio as this will be used by the Educational Supervisors and the School to assess progress. Please note that engagement with the e portfolio will be used as a marker of organisational and non-clinical professional skills, and may be used to judge suitability for training opportunities that arise.
Monthly Regional Teaching Programme
The regional teaching programme is led and organised by the Trainees’ Committee of the School of Paediatrics to provide coverage of the entire curriculum in a 2 year rolling programme.
Further details of the programme can be found each month in the “Regional teaching Programme” on the first page. Lectures will be made available on dropbox so that trainees who are absent are able to browse the content.
There are however gaps in this programme, Some of these are listed here-
APLS and NLS
Practical procedures eg chest drains, skills for transport of the sick child/neonate
Communication skills and team-working (using simulation methods)
Out-patient management especially the running of clinics
APLS and NLS
Don’t forget that throughout your training, you need to keep these certificates up to date. APLS courses can be booked through the ALSG and need to be updated every 4 years, several courses run locally (Oxford / Wexham Park / Stoke Mandeville). NLS courses can be found at the Resuscitation Council, but are also run locally (Reading , Wexham Park, Oxford) and need to be updated every 4 years.
Each Department of Paediatrics in the Deanery has a teaching programme which is carried out within the Department and should aim to supplement the regional programme. Most teaching however will happen 'on the job' in clinics or ward rounds. Each department has been asked to provide at least 1 hour per week of teaching for ST4-5 trainees. These should cover the higher training aspects of general and neonatal paediatric topics. Although every department will have trainees at different stages in training, they will make as much effort as possible to ensure that the training meets the needs of all these trainees. Each teaching session will be expected to include detail relevant both to the most junior trainee and to the most senior. Attendance records will be kept for teaching session, and it is expected that feedback will also be requested at every session.
The management of children with less acute and with long-term conditions is largely carried out through out-patient clinics, and it is therefore essential that trainees learn early in their training, the skills required to manage clinics well.
These skills include
letter-reading and prioritisation of appointments
communication with children and parents/carers simultaneously (three way conversations)
time management and prioritisation within the clinic
letter-writing back to GP and parents/patients
These skills are not listed specifically in the curriculum for level 2, but are very important and will need to be learned by all trainees progressing to higher levels in Paediatrics. Therefore each department will be required to spend some time each month in the regular teaching programme addressing these issues, for example using a selection of GP referral letters, examples of role-playing consultations etc.
In addition, all level 2 trainees will be expected to participate in regular clinic work (approx 1-2 every week on average). In the clinics it is important that the trainees have the opportunity of going through the notes before the clinic, and attending a post-clinic discussion. All of these should be recorded in the e-portfolio as reflective logs linked with the curriculum, so should include a variety of conditions.
Trainees must also be observed in at least 4 clinic consultations, which can either be recorded as mini-CEX or recorded in the development log with learning points.