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Paediatric Training Routes What, Why and How? September 2016 Philippa PrenBce ST5 Trainee [email protected]

Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

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Page 1: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Paediatric  Training  Routes  -­‐  What,  Why  and  How?  

September  2016    Philippa  PrenBce  ST5  Trainee  

                         [email protected]  

Page 2: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Outline  

•  Possible  training  routes  – Subspecialty  training:  GRID  /  SPIN  – Academic  training  – Less  than  full  Bme  training  

•  Out  of  programme  &  possible  fellowships  •  Other  possible  things  to  do  •  WriBng/abstracts  &  conferences  •  Where  &  how  to  get  help  if  you  need  it  

Page 3: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Why  I  am  doing  this?  

•  Thought  about  different  training  routes  •  Been  around  a  while  /  know  lots  of  other  trainees  •  Wanted  to  summarise  &  share  informaBon  not  always  easy  to  find  

•  Found  ways  to  get  support  didn’t  know  about  •  Been  involved  in  various  things  –  trainee  commiYee,  research,  UCL  teaching,  mentee,  wriBng  &  ediBng  

•  Good  Bme  of  year  to  think  about…  

Page 4: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Things  to  think  about  at  any  level  

•  Life/work  balance  •  Need  to  enjoy  life  &  work  •  What  interests  you?    •  Where  do  you  want  to  end  up?  •  CV  

•  Don’t  have  to  do  everything  as  a  trainee  

Page 5: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Curriculum  Competencies  

•  Show  a  commitment  to  conBnuing  professional  development  which  would  involve  not  only  seeking  appropriate  training  opportuniBes….  

•  Recognise  their  own  working  preference  and  how  these  may  impact  on  team  working  

•  EffecBve  skills  in  ensuring  their  own  responsible  approach  to  personal  health,  stress  and  well  being  and  that  of  others  

Page 6: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Possible  training  routes  

•  Clinical  training  ST1-­‐8  •  Subspecialty  training  –  GRID  /  SPIN  •  Academic  training  •  Less  than  full  Bme  training  

Page 7: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)
Page 8: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Subspecialty  training  

GRID  /  SPIN  /  posts  in  subspecialty  

Page 9: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

GRID  •  Level  3  training  •  NaBonal  applicaBon  in  September  •  Lasts  2-­‐3  years  •  Apply  in  ST  5/6  •  2-­‐3  opportuniBes  to  apply  •  Can  apply  for  more  than  one  specialty  •  Can  be  deemed  appointable  but  no  post/don’t  accept  post  

•  In  2016,  259  applicaBons  from  238  applicants,  183  invited  to  interview,  134  appointable,  115  appointed  

Page 10: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

GRID:  specialBes  •  2016  GRID  (no  applied,  no  posts,  no  appointed)  

–  Allergy  (5,  2,  2)          -­‐  Community  Child  Health  (38,  35,  22)  

–  Clinical  Pharmacology  (0,  1,  0)    -­‐  Diabetes  &  Endocrinology  (10,  4,  4)  

–  Emergency  Medicine  (33,  12,  11)    -­‐  Immunology  &  InfecBous  Diseases  (7,  3,  3)  

–  Neonatology  (74,  38,  25)      -­‐  Nephrology  (8,  4,  4)  

–  Neurodisability  (10,  11,  4)      -­‐  Neurology  (12,  10,  5)    

–  Oncology  (13,  6,  8)        -­‐  PalliaBve  Medicine  (2,  2,  2)  

–  Paediatric  Gastroenterology,  Hepatology  &  NutriBon  (8,  12,  5)  

–  Paediatric  Intensive  Care  Medicine  (18,  17,  10)    

–  Respiratory  (15,  10,  5)        -­‐  Rheumatology  (5,  6,  4)    

 Metabolic  &  Child  Mental  Health  –  no  2016  posts  

Page 11: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Special  Interest  (SPIN)  Modules  

•  Trainee  SPIN  modules  –  in  level  3  training  •  Post  CCT/Paediatrician  SPIN  module  (for  consultant/SAS  doctor)  

•  AddiBonal  training/experience  –  can  be  local  lead/part  of  the  clinical  network  for  specialist  paediatric  care  

•  Equivalent  to  12  months  full  Bme  training  •  SPIN  module  competency  checklist  to  eporjolio  account  

Page 12: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Current  SPIN  modules  

– Allergy              -­‐    Neonatal  Paediatrics  –  Cardiology            -­‐  Nephrology  –  Paediatric  Dermatology    -­‐  Neurodisability  – Diabetes              -­‐  Oncology  –  Epilepsy            -­‐  PalliaBve  Medicine  – Gastroenterology        -­‐  Respiratory  – HDU                -­‐  Rheumatology  –  InfecBous  diseases  &  Immunology  –  Safeguarding          -­‐  Young  People’s  Health  

Page 13: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Academic  Training  Route  

Page 14: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Academic  Training:    Paediatric  Academic  Clinical  Fellow  

(ACF)  •  ST  1-­‐4  recruitment  (October)  •  9  months  protected  academic  Bme  during  3  years  –  counts  as  training  Bme  

•  Aim  to  secure  funding  for  PhD/MD  •  Good  introducBon  to  research  •  Diverse  –  oncology,  epidemiology,  medical  educaBon  

•  London:  Imperial,  UCL,  KCH,  QMUL  •  Need  project  by  interview  –  potenBal  supervisors  

Page 15: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Academic  training:  Research  Fellowships  

•  Doctoral  –  MRC/NIHR  –  Wellcome  Trust  –  ChariBes  e.g.  CRUK  –  Linked  to  university  e.g.  UCL  (clinical  fellow/lecturer)  

•  Post-­‐doctoral  –  NIHR  –  Wellcome  Trust  –  University  clinical  lecturer  

•  Other  funding  e.g.  1  yr  project  –  Ask  supervisors  –  onen  have  money  –  ChariBes  e.g.  SPARKS  –  SocieBes  e.g.  BSPED,  ESPGHAN  

Always  think  about  the  place,  person  and  supervisor  

Page 16: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Academic  projects  www.projectmatch.org  

Page 17: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

LTFT  

•  Category  1  – Disability/ill  health  –  Responsibility  for  caring  for  children  –  Primary  carer  for  ill/disabled  partner,  relaBve,  other  

•  Category  2  – Unique  opportuniBes  for  own  personal/professional  development  

–  Religious  commitment  – Non-­‐medical  professional  development  – Other  well-­‐founded  reasons  

 

Page 18: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

               Where  to  get  informaBon  

•  Ask  other  trainees  /  consultants  •  Ask  london  school  •  InformaBon  on  websites  e.g.  LTFT  training  london  deanery,  london  school  academic  guide,  gold  guide  

•  InformaBon  days  –  GRID,  Return  to  Acute  Clinical  PracBce  course  

•  Leads  –  e.g.  academic  leads,  TPD  

Page 19: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Out  of  programme,  other  fellowships  &  possible  things  to  do  

along  the  way  

Page 20: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Out  of  programme-­‐  why  

•  Extra  experience  –  clinical,  research,  leadership,  management  

•  ‘Get  off  the  conveyer  belt’  •  Career  break  e.g.  unwell  relaBve  

Page 21: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Different  types  of  OOP  

•  Apply  early  (more  than  6  months  ahead)  including  if  applying  for  something  e.g.  fellowship  

•  Advocate  for  yourself  •  OOPE  –  experience,  does  not  count  towards  CCT  •  OOPT  –  training,  with  prospecBve  approval  of  GMC  

•  OOPR  -­‐  research  •  OOPC  –  career  break,  does  not  count  towards  CCT  

Page 22: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Fellowships  •  RCPCH/VSO  fellowship  –  Ethiopia  (OOPE)  •  Other  overseas  opportuniBes  –  Global  Links  •  Fellow  in  Medical  EducaBon  (School  of  Paediatrics)  •  Darzi  fellow  in  Clinical  Leadership  

-­‐  Leadership  Development  Programme  &  project  •  Faculty  of  Medical  Leadership  &  Management  fellowship  

•  SimulaBon  fellow  (e.g.  UCL  Partners)  •  Clinical  Entrepreneur  Fellowship  Training  Scheme  (NHS  England  &  Health  EducaBon  England)  

•  HEE  Workforce  TransformaBon  project  

Page 23: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Extra  things  to  do:  Why  

•  ParBcular  interest  •  Learn  something  new  •  Meet  other  people  •  Different  perspecBve  •  CV  ‘points’  

Page 24: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Extra  things  to  do  -­‐  ‘CV  points’  

•  Clinical  Skills  •  Management  Skills  •  Audit  Skills  •  Teaching  Skills  •  Academic  Achievements  •  Research/PublicaBons  •  Transferable  Skills  •  Interpersonal  &  communicaBon  skills  

Page 25: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Extra  things  to  do  London  School  OpportuniBes  

•  Trainee  CommiYee  •  Trust  Rep  •  RSM  level  2  teaching  –  help  to  organise  •  Help  with  courses    

Make  sure  signed  up  to  bulleBn  

Page 26: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Extra  things  to  do  London  School  Trainee  commiYee  

•  ObjecBves:  –  Trainee  representaBon  –  Support  design  &  delivery  of  training  innovaBons  –  Personal  &  leadership  development  of  members  

 Leadership  Days  &  Bi-­‐monthly  meeBngs  •  Working  subgroups  &  Vice  Chairs  

–  InformaBon  Technology  &  CommunicaBons  –  Assessment  –  Curriculum  development  –  Recruitment  &  Workforce  Planning  –  SupporBng  Trainees  –  Quality  Assurance  –  Academic    Yearly  recruitment  

Page 27: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Extra  things  to  do  RCPCH  involvement  

•  RCPCH  trainee  commiYee  •  RCPCH  GRID/SPIN  CSAC  trainee  representaBve  •  RCPCH  exam  quesBon  wriBng  groups  •  E-­‐learning  modules  

Page 28: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Extra  things  to  do  Degrees  

•  Diploma  or  MSc  in  paediatrics  &  child  health  (UCL)  – Advanced  Paediatrics  (Specialist  Paediatric  modules)  –  Community  Child  Health  (Epidemiology  for  Child  Health)  

– Global  Child  Health  – Molecular  &  Genomic  Paediatrics  MSc  includes  research  dissertaBon    CerBficate  –  less  modules  

Page 29: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

•  Diploma/MSc  at  Imperial  –  Paediatric  allergy,  InfecBous  diseases  &  host  defence,  Pediatric  venBlaBon,  Serious  infecBon  &  criBcal  care,  Paediatric  high  dependency  care,  Child  public  health  &  social  paediatrics,  Adolescent  health  

 

•  King’s  College  –  paediatric  criBcal  care,  neonatology,  respiratory  &  allergy,  cardiology,  hepatology,  renal  &  gastroenterology,  child  mental  health  

Page 30: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Online  /  other  courses  

•  Postgraduate  Diploma  in  Paediatric  InfecBous  diseases,  Oxford  

•  Warwick  Paediatric  Diabetes  Diploma/MSc  •  Edinburgh  Paediatric  Emergency  Medicine  

•  Diploma  in  Tropical  Medicine  &  Hygiene,  LSHTM  

Page 31: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Extra  things  to  do  Other  ideas  

•  Teaching  •  Teach  the  Teacher/Training  to  Teach  Courses  •  UCL  exams  /  exam  revision  course  /  UCL  intercalated  BSc  

•  NLS/APLS/CPRR  instructor/teaching  •  Courses  &  study  days  – UniversiBes/hospitals  – RCPCH  

Page 32: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

WriBng  &  Conferences  

Page 33: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

WriBng  –  what  to  write  

•  Abstracts  – Poster  /  oral  presentaBon  

•  Papers  – LeYer  /  review  /  original  research  (don’t  waste  Bme  with  case  reports)  

•  Book  chapter  

Page 34: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Abstracts  at  conferences  

•  Summary  of  work  done  using  specific  format  given  (150-­‐300  words)  – Audit  /  QI  project  /  research  project  /  interesBng  case(s)  

•  Poster  /  oral  presentaBon  

Page 35: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Upcoming  Conferences  •  Pan-­‐London  school  conference  

–  Empowering  Unheard  Voices:  SupporBng  a  joined  up  approach  to  children’s  and  young  people’s  health  

–  16th  November  2016  –  Abstract  deadline  15th  September  

•  PEDSIG  Winter  meeBng  –  ‘Technology  &  EducaBon’  29th  November  2016  –  200  word  abstract  deadline  –  30th  September  

•  RCPCH  college  conference  –  Healthy  child,  healthy  future:  the  developmental  origins  of  health  and  disease  

–  May  24-­‐26th  2017  

Page 36: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

WriBng  papers  –  why  write  

•  Enjoy  wriBng  •  Asked  to  write  •  Want  to  tell  people  about  something  •  Want  to  get  published  

Page 37: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

WriBng  papers  -­‐  how  

•  Find  a  senior  author  •  Read  similar  previous  arBcles  from  a  journal    •  Remember  people  read  in  an  emergency  /  on  the  bus  /  in  compeBBon  with  leisure  Bme  

•  Needs  to  be  succinct,  interesBng,  fun  to  read  •  Things  always  take  longer  than  you  think  

Page 38: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Do  you  want  to  write?  EducaBon  &  PracBce    

•  Best  pracBce  (15  min  consultaBon)  •  InterpretaBons  •  Pharmacy  Update  •  Guideline  Review  •  Problem  solving  in  clinical  pracBce  •  Research  in  pracBce  •  Picket  -­‐  Structured  abstracts  of  senBnel  arBcles    •  IlluminaBons  •  Epilogue  •  Learning  and  teaching  •  Dermatophile  •  Quality  Improvement  •  Picket  

Page 39: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

When  to  do  these  things?  •  Never  really  too  early  or  too  late  •  Think  about  training  level  •  Look  at  specificaBons  for  what  you  want  to  do  ahead  of  Bme  

•  Find  the  right  people  •  Need  to  prioriBse  •  Learn  to  say  no  •  Remember  s(ll  have  career  development/paths  a4er  CCT  –  don’t  need  a  clear  plan  at  the  beginning  

Page 40: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

How  &  where  to  get  support?  

Page 41: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Where  to  get  support:  careers  advice  London  School  of  Paediatrics  

•  Locally  •  London  School  of  Paediatrics,  Peer  Mentoring  Programme  

•  ST1  Buddies/Parents  •  Ask  –  other  trainees/supervisors/other  consultants/TPDs/Head  of  School/Academic  advisors  

Page 42: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Where  to  get  support:  careers  advice  London  Deanery  

•  London  Deanery’s  Coaching  and  Mentoring  Service  

•  Career’s  Unit  

….  find  mentors  along  the  way  

Page 43: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Where  to  get  support:  health  

•  PracBBoners  Health  Programme  –  addicBon/mental  health  –  can  self  refer  

•  Individual  support  team  at  the  deanery  •  BMA  counselling  service  (24  hrs)  •  OccupaBonal  health/GP  •  Royal  Medical  Benevolent  Fund  •  Support4Doctors  •  DocHealth  •  ‘Tea  &  Empathy’  on  facebook  

Page 44: Paediatric Training presentation September 2016 · Outline) • Possible)training)routes) – Subspecialty)training:)GRID)/)SPIN) – Academic)training) – Less)than)full)Bme)training)

Resources  

•  www.londonpaediatrics.co.uk  •  hYp://www.lpmde.ac.uk/  •  hYp://www.rcpch.ac.uk/  •  The  Gold  Guide  


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