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Good Quality Training in Community Child Health

Good Quality Training in Community Child Health. Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain , CSAC Chair BACCH Meeting October 2012. Content. What should training consist of? Support Assessment Quality www.communitychildhealth.org.uk

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Good Quality Training in Community Child Health

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  1. Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October 2012

  2. Content • What should training consist of? • Support • Assessment • Quality • www.communitychildhealth.org.uk • Question/Answer session

  3. Training in CCH: basics • Three year programme • Structure • 2 years in CCH • 1 year more flexible • Curriculum • Competency-based • (except old-style SpR)

  4. Allied subspecialties • Paediatric neurodisability • Child mental health • Audiovestibular Medicine

  5. CCH curriculum (specific areas) • Child public health • Behavioural paediatrics • Safeguarding • Neurodisability http://www.rcpch.ac.uk/training-examinations-professional-development/quality-training/curriculum/curriculum

  6. What is a relevant specialty? • Paediatric neurology • Paediatric audiology • Palliative care • DGH neuro/epilepsy (perhaps 3/12) • Enteral/parenteral feeding (perhaps 3/12) • Long term ventilation (perhaps 3/12) • General paediatrics?? (depends on content)

  7. Remember • CCT in Paediatrics (CCH) • MUST be competent in • General paediatrics • Neonatal paediatrics • Community Child Health • Not just CCH

  8. But… • Feedback from trainees: • general/neonatal service commitments interfering with CCH training • General/neonatal should be • no more than 1/3 of 48 hours • try to preserve daytime clinical commitments

  9. Supporting training • Curriculum and assessment guidance • Resource pack of ideas www.communitychildhealth.co.uk • Guidance on preparing CV • Guidance on CESR requirements • Deanery leads for CCH (all deaneries) • Specialty Training Advisor (STA) for individual advice on CCT/CESR http://www.bacch.org.uk/training/trainees.php

  10. Assessment • WPBA • Annual ARCP including trainer’s report • START • CCT application (assessed by STA) http://www.rcpch.ac.uk/training-examinations-professional-development/quality-training/quality-training

  11. Ensuring quality • Deanery questionnaire (should differentiate CCH) • GMC questionnaire (should differentiate CCH) • New consultant questionnaire • BACCH AGM trainees meeting • Trainee rep on CSAC

  12. Issues with quality assurance • No grid • Unable to identify trainees • Unable to monitor trainees • The solution • Work with Heads of School • Deanery leads for CCH • RCPCH database of all CCH trainees

  13. How many trainees are there?e-portfolio figs; exclSpRs; Currently in London figs RCPCH Education & Training Support Workforce Dept

  14. Who encourages CCH trainees? RCPCH Education & Training Support

  15. Should we have a Grid? Positive Risks Lack of mobility might put off trainees with family commitments A lot of time and effort for same result (past experience!) • National profile • Like everyone else • Competition • National standard for recruitment • More control of appointment and numbers • Even out numbers

  16. Remember • Still subspecialty trainees – not GRID • Expect 32/48 hours in the subspecialty • Training needs should be met • Quality of training should be paramount • College (CSAC) role is to ensure quality

  17. Suggestions for HoS • Establish expected workforce needs (next 5 years) • Re-evaluate CCH training programme • Demand for places • Quality checklist • Trainee feedback • Review of fitness for purpose

  18. Do we need CCH replacements? RCPCH census 2009

  19. Quality of training BACCH survey 2012 H Brewer & T Woodbridge

  20. Certificate of Eligibility for the Specialist Register • CESR (Combined programme) • CESR in CCT specialty: Paediatrics (CCH) • Training/qualifications/experience equivalent to CCT • CESR in non-CCT specialty (CCH) • http://www.rcpch.ac.uk/training-examinations-professional-development/certification/certificate-eligibility-specialist-register

  21. Website Demonstration

  22. Summary • Content • Support • Assessments • CCT/CESR • Quality

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