PaediatricTrainingRoutes-What,WhyandHow?

September2016PhilippaPrenBceST5Trainee

philippaprenBce@doctors.org.uk

Outline

•  Possibletrainingroutes– Subspecialtytraining:GRID/SPIN– Academictraining– LessthanfullBmetraining

•  Outofprogramme&possiblefellowships•  Otherpossiblethingstodo•  WriBng/abstracts&conferences•  Where&howtogethelpifyouneedit

WhyIamdoingthis?

•  Thoughtaboutdifferenttrainingroutes•  Beenaroundawhile/knowlotsofothertrainees•  Wantedtosummarise&shareinformaBonnotalwayseasytofind

•  Foundwaystogetsupportdidn’tknowabout•  Beeninvolvedinvariousthings–traineecommiYee,research,UCLteaching,mentee,wriBng&ediBng

•  GoodBmeofyeartothinkabout…

Thingstothinkaboutatanylevel

•  Life/workbalance•  Needtoenjoylife&work•  Whatinterestsyou?•  Wheredoyouwanttoendup?•  CV

•  Don’thavetodoeverythingasatrainee

CurriculumCompetencies

•  ShowacommitmenttoconBnuingprofessionaldevelopmentwhichwouldinvolvenotonlyseekingappropriatetrainingopportuniBes….

•  Recognisetheirownworkingpreferenceandhowthesemayimpactonteamworking

•  EffecBveskillsinensuringtheirownresponsibleapproachtopersonalhealth,stressandwellbeingandthatofothers

Possibletrainingroutes

•  ClinicaltrainingST1-8•  Subspecialtytraining–GRID/SPIN•  Academictraining•  LessthanfullBmetraining

Subspecialtytraining

GRID/SPIN/postsinsubspecialty

GRID

•  Level3training•  NaBonalapplicaBoninSeptember•  Lasts2-3years•  ApplyinST5/6•  2-3opportuniBestoapply•  Canapplyformorethanonespecialty•  Canbedeemedappointablebutnopost/don’tacceptpost

•  In2016,259applicaBonsfrom238applicants,183invitedtointerview,134appointable,115appointed

GRID:specialBes•  2016GRID(noapplied,noposts,noappointed)

–  Allergy(5,2,2) -CommunityChildHealth(38,35,22)

–  ClinicalPharmacology(0,1,0) -Diabetes&Endocrinology(10,4,4)

–  EmergencyMedicine(33,12,11) -Immunology&InfecBousDiseases(7,3,3)

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

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

–  Oncology(13,6,8) -PalliaBveMedicine(2,2,2)

–  PaediatricGastroenterology,Hepatology&NutriBon(8,12,5)

–  PaediatricIntensiveCareMedicine(18,17,10)

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

Metabolic&ChildMentalHealth–no2016posts

SpecialInterest(SPIN)Modules

•  TraineeSPINmodules–inlevel3training•  PostCCT/PaediatricianSPINmodule(forconsultant/SASdoctor)

•  AddiBonaltraining/experience–canbelocallead/partoftheclinicalnetworkforspecialistpaediatriccare

•  Equivalentto12monthsfullBmetraining•  SPINmodulecompetencychecklisttoeporjolioaccount

CurrentSPINmodules

– Allergy - NeonatalPaediatrics–  Cardiology - Nephrology–  PaediatricDermatology - Neurodisability– Diabetes - Oncology–  Epilepsy - PalliaBveMedicine– Gastroenterology - Respiratory– HDU - Rheumatology–  InfecBousdiseases&Immunology–  Safeguarding - YoungPeople’sHealth

AcademicTrainingRoute

AcademicTraining:PaediatricAcademicClinicalFellow

(ACF)•  ST1-4recruitment(October)•  9monthsprotectedacademicBmeduring3years–countsastrainingBme

•  AimtosecurefundingforPhD/MD•  GoodintroducBontoresearch•  Diverse–oncology,epidemiology,medicaleducaBon

•  London:Imperial,UCL,KCH,QMUL•  Needprojectbyinterview–potenBalsupervisors

Academictraining:ResearchFellowships

•  Doctoral–  MRC/NIHR–  WellcomeTrust–  ChariBese.g.CRUK–  Linkedtouniversitye.g.UCL(clinicalfellow/lecturer)

•  Post-doctoral–  NIHR–  WellcomeTrust–  Universityclinicallecturer

•  Otherfundinge.g.1yrproject–  Asksupervisors–onenhavemoney–  ChariBese.g.SPARKS–  SocieBese.g.BSPED,ESPGHAN

Alwaysthinkabouttheplace,personandsupervisor

Academicprojectswww.projectmatch.org

LTFT

•  Category1– Disability/illhealth–  Responsibilityforcaringforchildren–  Primarycarerforill/disabledpartner,relaBve,other

•  Category2– UniqueopportuniBesforownpersonal/professionaldevelopment

–  Religiouscommitment– Non-medicalprofessionaldevelopment– Otherwell-foundedreasons

WheretogetinformaBon

•  Askothertrainees/consultants•  Asklondonschool•  InformaBononwebsitese.g.LTFTtraininglondondeanery,londonschoolacademicguide,goldguide

•  InformaBondays–GRID,ReturntoAcuteClinicalPracBcecourse

•  Leads–e.g.academicleads,TPD

Outofprogramme,otherfellowships&possiblethingstodo

alongtheway

Outofprogramme-why

•  Extraexperience–clinical,research,leadership,management

•  ‘Getofftheconveyerbelt’•  Careerbreake.g.unwellrelaBve

DifferenttypesofOOP

•  Applyearly(morethan6monthsahead)includingifapplyingforsomethinge.g.fellowship

•  Advocateforyourself•  OOPE–experience,doesnotcounttowardsCCT•  OOPT–training,withprospecBveapprovalofGMC

•  OOPR-research•  OOPC–careerbreak,doesnotcounttowardsCCT

Fellowships•  RCPCH/VSOfellowship–Ethiopia(OOPE)•  OtheroverseasopportuniBes–GlobalLinks•  FellowinMedicalEducaBon(SchoolofPaediatrics)•  DarzifellowinClinicalLeadership

-LeadershipDevelopmentProgramme&project•  FacultyofMedicalLeadership&Managementfellowship

•  SimulaBonfellow(e.g.UCLPartners)•  ClinicalEntrepreneurFellowshipTrainingScheme(NHSEngland&HealthEducaBonEngland)

•  HEEWorkforceTransformaBonproject

Extrathingstodo:Why

•  ParBcularinterest•  Learnsomethingnew•  Meetotherpeople•  DifferentperspecBve•  CV‘points’

Extrathingstodo-‘CVpoints’

•  ClinicalSkills•  ManagementSkills•  AuditSkills•  TeachingSkills•  AcademicAchievements•  Research/PublicaBons•  TransferableSkills•  Interpersonal&communicaBonskills

ExtrathingstodoLondonSchoolOpportuniBes

•  TraineeCommiYee•  TrustRep•  RSMlevel2teaching–helptoorganise•  Helpwithcourses

MakesuresigneduptobulleBn

ExtrathingstodoLondonSchoolTraineecommiYee

•  ObjecBves:–  TraineerepresentaBon–  Supportdesign&deliveryoftraininginnovaBons–  Personal&leadershipdevelopmentofmembers

LeadershipDays&Bi-monthlymeeBngs•  Workingsubgroups&ViceChairs

–  InformaBonTechnology&CommunicaBons–  Assessment–  Curriculumdevelopment–  Recruitment&WorkforcePlanning–  SupporBngTrainees–  QualityAssurance–  AcademicYearlyrecruitment

ExtrathingstodoRCPCHinvolvement

•  RCPCHtraineecommiYee•  RCPCHGRID/SPINCSACtraineerepresentaBve•  RCPCHexamquesBonwriBnggroups•  E-learningmodules

ExtrathingstodoDegrees

•  DiplomaorMScinpaediatrics&childhealth(UCL)– AdvancedPaediatrics(SpecialistPaediatricmodules)–  CommunityChildHealth(EpidemiologyforChildHealth)

– GlobalChildHealth– Molecular&GenomicPaediatricsMScincludesresearchdissertaBonCerBficate–lessmodules

•  Diploma/MScatImperial–  Paediatricallergy,InfecBousdiseases&hostdefence,PediatricvenBlaBon,SeriousinfecBon&criBcalcare,Paediatrichighdependencycare,Childpublichealth&socialpaediatrics,Adolescenthealth

•  King’sCollege–paediatriccriBcalcare,neonatology,respiratory&allergy,cardiology,hepatology,renal&gastroenterology,childmentalhealth

Online/othercourses

•  PostgraduateDiplomainPaediatricInfecBousdiseases,Oxford

•  WarwickPaediatricDiabetesDiploma/MSc•  EdinburghPaediatricEmergencyMedicine

•  DiplomainTropicalMedicine&Hygiene,LSHTM

ExtrathingstodoOtherideas

•  Teaching•  TeachtheTeacher/TrainingtoTeachCourses•  UCLexams/examrevisioncourse/UCLintercalatedBSc

•  NLS/APLS/CPRRinstructor/teaching•  Courses&studydays– UniversiBes/hospitals– RCPCH

WriBng&Conferences

WriBng–whattowrite

•  Abstracts– Poster/oralpresentaBon

•  Papers– LeYer/review/originalresearch(don’twasteBmewithcasereports)

•  Bookchapter

Abstractsatconferences

•  Summaryofworkdoneusingspecificformatgiven(150-300words)– Audit/QIproject/researchproject/interesBngcase(s)

•  Poster/oralpresentaBon

UpcomingConferences•  Pan-Londonschoolconference

–  EmpoweringUnheardVoices:SupporBngajoinedupapproachtochildren’sandyoungpeople’shealth

–  16thNovember2016–  Abstractdeadline15thSeptember

•  PEDSIGWintermeeBng–  ‘Technology&EducaBon’29thNovember2016–  200wordabstractdeadline–30thSeptember

•  RCPCHcollegeconference–  Healthychild,healthyfuture:thedevelopmentaloriginsofhealthanddisease

–  May24-26th2017

WriBngpapers–whywrite

•  EnjoywriBng•  Askedtowrite•  Wanttotellpeopleaboutsomething•  Wanttogetpublished

WriBngpapers-how

•  Findaseniorauthor•  ReadsimilarpreviousarBclesfromajournal•  Rememberpeoplereadinanemergency/onthebus/incompeBBonwithleisureBme

•  Needstobesuccinct,interesBng,funtoread•  Thingsalwaystakelongerthanyouthink

Doyouwanttowrite?EducaBon&PracBce

•  BestpracBce(15minconsultaBon)•  InterpretaBons•  PharmacyUpdate•  GuidelineReview•  ProblemsolvinginclinicalpracBce•  ResearchinpracBce•  Picket-StructuredabstractsofsenBnelarBcles•  IlluminaBons•  Epilogue•  Learningandteaching•  Dermatophile•  QualityImprovement•  Picket

Whentodothesethings?•  Neverreallytooearlyortoolate•  Thinkabouttraininglevel•  LookatspecificaBonsforwhatyouwanttodoaheadofBme

•  Findtherightpeople•  NeedtoprioriBse•  Learntosayno•  Remembers(llhavecareerdevelopment/pathsa4erCCT–don’tneedaclearplanatthebeginning

How&wheretogetsupport?

Wheretogetsupport:careersadviceLondonSchoolofPaediatrics

•  Locally•  LondonSchoolofPaediatrics,PeerMentoringProgramme

•  ST1Buddies/Parents•  Ask–othertrainees/supervisors/otherconsultants/TPDs/HeadofSchool/Academicadvisors

Wheretogetsupport:careersadviceLondonDeanery

•  LondonDeanery’sCoachingandMentoringService

•  Career’sUnit

….findmentorsalongtheway

Wheretogetsupport:health

•  PracBBonersHealthProgramme–addicBon/mentalhealth–canselfrefer

•  Individualsupportteamatthedeanery•  BMAcounsellingservice(24hrs)•  OccupaBonalhealth/GP•  RoyalMedicalBenevolentFund•  Support4Doctors•  DocHealth•  ‘Tea&Empathy’onfacebook

Resources

•  www.londonpaediatrics.co.uk•  hYp://www.lpmde.ac.uk/•  hYp://www.rcpch.ac.uk/•  TheGoldGuide