Essential information for all Specialty Trainees in paediatrics

1. Essential information for all Specialty Trainees in paediatrics Further details are available on West Midlands Deanery website

2. To access deanery website • Open - http://www.westmidlandsdeanery.nhs.uk • Click - SpecialtySchools/PostgraduateSchoolofPaediatrics • Download: ImportantDownloads.aspx • Most of the necessary details are available on website –spend time to go through it

3. Key people – PG School / Deanery • Dr Helen Goodyear, Head of the School of Paediatrics: Helen.Goodyear@westmidlands.nhs.uk • Ms Andrea Alleyne, Deanery Manager for the School of Paediatrics: Andrea.Alleyne@westmidlands.nhs.uk • Dr Sanjeev Deshpande, Programme Director (ST4+/SpR's) sanjeev.deshpande@sath.nhs.uk • Dr Niten Makwana, Programme Director (ST1-ST3) nmakwana@nhs.net • Dr Rosie Rayner, RCPCH Regional advisor rosie.rayner@nhs.net • Dr Gyan Sinha, RCPCH Regional advisor gyan.sinha@walsallhospitals.nhs.uk • Dr Bridget Wilson. RCPCH, Flexible training advisor West Midlands Bridget.Wilson@bch.nhs.uk • Ms Kanza Ali, Quality Assurnace and Education Development Manager (Deanery): Kanza.Ali@westmidlands.nhs.uk

4. Download necessary pdf document – see job descriptions of different units

5. Leave • Study leave – discuss with your rota manager • Sick leave – inform both your team and update portfolio • Maternity leave – discuss well in advance in pregnancy with your supervisor and inform deanery manager Andrea.Alleyne@westmidlands.nhs.uk • LTFT – discuss any issues with Flexible training advisor West Midlands Bridget.Wilson@bch.nhs.uk

6. Your ePortfolio

7. Which Curricula should I complete?

8. Personal Development Plan (PDP) • ARCP Panel look at your PDP for the posts during the Training Year • assess their completion • it is not always possible to achieve all the proposed PDP. • Write each objective as a separate entry • allows you to indicate those that have been achieved • those that remain in progress at the end of the post. • Those remaining in progress or unachieved should transfer to the PDP of your next post. • If you write your PDP as a single paragraph, this opportunity to assess and comment on each objective is lost. • Please use the Tips on writing under the Learning objectives box to understand how to write SMARTER PDP. • Read ADC journal – education and debate – article on e-portfolio

9. Workplace-based Assessments • Trainees need to complete the mandatory number of WBAs required for their level of training. • remember that the numbers required are minimum • should not stop you from doing more of them to enhance your learning.

13. Who are WBA Assessors? • CbD Consultant if this is not possible, an Associate Specialist, who is trained in WBA is also acceptable for community trainees, although a consultant should be the first choice • MiniCEX Consultants or an experienced higher level trainee; at least half should be with a Consultant • DOPS These should be with Consultants, trainees at a senior level (e.g. at least level 2 or 3 trainee assessor for a level 1 trainee), experienced ANNPs/PNPs, Senior nurses.

14. Multisource feedback • ePaedMSF: A satisfactory one needs to be completed once during the training Year • TAB (Team Assessment of Behaviour) multisource feedback should be completed during the 6 month post when an ePaedMSF is not being entered into • A summary of TAB should be filed in the Personal library – label it as TAB (duration of post e.g. March-Sept 2012)

15. SAIL • Level 2/3 trainees – need SAIL assessment of at least 5 letters per training year by a Consultant or senior level trainee. • They (the Paper SAIL assessment forms, not the letters) must be scanned and uploaded in the Personal Library (preferably under a folder labelled SAIL) • Your Trainer needs to mention in the Trainer’s Report that you have satisfactorily completed such an assessment.

16. Ward Round Assessment of Performance (WRAP) • The purpose of this assessment form is to assess abilities in leading a ward round. • Download appropriate form from website • You need to do 2 in each placement for ST4 and above

17. START (Specialty Trainee Assessment of Readiness for Tenure, formerly ST7) • Mandatory assessment for Level 3 trainees. • assesses your abilities in relation to clinical decision making as to what a new consultant is expected to be able to do and helps you to address any gaps that you may have. • Essential for all run-through trainees (ST) who entered ST6 on or after the 01/08/2011 • You are eligible to undertake the assessment in any session after you have become an ST6. It is advised to undertake the assessment during your ST7 year. This allows for at least 6 months for any follow up actions to be completed • START assessment 9-10 November 2012 with the second date being the 14th – 15th March 2013. • START will cost £250 on application for run-through trainees, £850 for non run-through trainees

18. Mandatory training – UPLOAD CERTIFICATE in e-portfolio under separate folder • PLS, PiLS: At the start of posting Paediatric life support or Paediatric Immediate life support is a mandatory requirement • NLS: For those involved in neonatal care – should get certified in Neonatal Life support which is mandatory • APLS: Advanced Paediatric Life support course – should be certified at the earliest possible opportunity • Child Protection: At the first posting should complete level 1 as part of induction and in training should complete all three levels

19. What do you load in Developmental Log • Presentations • Clinics attended - Reflective log – at least 2-3 high quality reflections per year • Teaching with feedback evidence – this is teaching that you did; for senior trainees • Educationalmeetings/CPD – teaching attended • Clinical governance – at least one full audit per year, but preferably one every 6 months • Guidelines - level 2 and 3 trainees, evidence of participation in guideline development • Research - all trainees should have training in Good Clinical Practice (GCP) by the time of their CCT, but preferably earlier during level 2/3 training • Management –attendance at relevant courses, MDT meetings (complex care management, safeguarding), departmental business and budget meetings etc. • Certified courses – APLS/NLS/ Child protection • Safeguarding – this is the day to day cases seen in general Paediatrics eg child with unexplained skull fracture and neonatal Paediatrics eg infant of a drug dependent mother. • It is the evaluation of your teaching/presentation and your reflection on it rather than the PowerPoint presentation of your teaching that is of interest to the ARCP Panel. • As the space on ePortfolio is finite, (you have 100MB) please store your presentation on your computer’s hard disc rather than within the ePortfolio.

20. Clinic attendance and teaching • Log all clinic attendances – produce reflection rather an attendance • Teaching: upload all attendance certificate • It is mandatory at least 50-70% of regional teaching • Don’t upload a big PowerPoint slides - As the space on ePortfolio is limited • document your departmental presentations • West Midlands Paediatric Society meetings – held twice a year – June (Audit programme for junior doctors) and November (paediatric update)

21. Trainer’s report • Cornerstone of the evidence for the ARCP. We recommend that the Trainer’s Report be filled in with the trainee in the same meeting • Apart from yourself, no one knows your strengths and developmental needs - your readiness for progression better than your Educational Supervisor and the local trainers. • The Education Supervisor for the March-September - complete the Trainer’s Report for the entire training Year (September –June) taking into consideration the End of post Report by your Educational Supervisor for the September-March post. This must be complete by the end of June 201x. • If your ES arranges a meeting and you do not turn up and you have not got a very good reason for cancellation - report will be done without your presence. • The Trainer’s Report is an open document and there is a space for the trainee to comment on their Trainer’s Report. You should enter your comments there but this needs to be done before the Trainer submits it as a final version..

22. GMC and JEST Surveys • Participation in the GMC Trainees Survey and Deanery’s JEST Survey are essential for achieving satisfactory ARCP outcome unless you were Out Of Programme or on maternity or sick leave during the entire duration of the Survey. • Please file the receipts of participation in these Surveys (or paste the survey participation code on a word document), and label it as GMC Survey 2012 (or JEST Survey 2012) and store it within your Personal Library, preferably in a folder labelled GMCJEST Survey Receipts. • If you did not complete these surveys then you will have an outcome 2 • If you are at CCT, then you will need to liaise with Dr Goodyear as HoS to produce an in-depth training report so that this can be submitted to the Postgraduate Dean as consideration of evidence that you have evaluated your posts. This is not to be recommended as it carries with it a high risk of having to complete at least 6 months extra training.

23. JEST Survey • JEST (Job Evaluation Survey Tool) • PAEDIATRIC JEST Opens February - March Results Distributed March • Trainees please note the month of your JEST Questionnaire. Completion is now compulsory for successful ARCP. If you do not receive a request according to the timetable or you have changed your Deanery e mail address please contact us via mmcteam@westmidlands.nhs.uk • If you report poor training (“needs attention” or ”unsatisfactory” ) please add a constructive comment • GMC survey

24. Your ARCP

25. What is the ARCP and why is it important? • From 2012, ARCPs will be the way by which trainees are revalidated by the GMC. • A satisfactory outcome at the ARCP each year is essential for seamless progression through the run-through training programme. • ARCPs will be held in July each year. • ARCP is an electronic review of e-Portfolio and the evidence it contains. There is a panel which looks at the trainee’s ePortfolio. • The Panel usually consists of 3 or more members and is led by a School of Paediatrics Board member and may include a lay member. • There will be additional evidence to include in the trainer’s report including absences, complaints and involvement in patient safety incidents.

26. ARCP outcome

27. Summary checklist for ARCPs /F2F • All documents must be uploaded to e Portfolio and no paper evidence will be considered. All entries should be as appropriate to the stage of training – see RCPCH curriculum 2010. The following evidence is essential to obtain an outcome 1. • Induction, midpoint supervision meeting and end of post trainers reports • Annual trainers report for each 12 month period • All Workplace assessments (mini-Cex, DOPs, CbDs, SAIL) done – see attached appendix • Two multisource feedbacks – one TAB and one e Paed MSF • MRCPCH examination status clearly stated on e Portfolio • Evidence of ST7A (when appropriate) • Completed PDP – each item in a PDP must have a separate entry • Sick leave and maternity/paternity leave recorded • Developmental log - Clinics attended , Reflective log, Teaching with feedback evidence, Educational meetings , Clinical governance – one audit per 6 months Research, Presentations, Management • Certified courses – APLS/NLS/ Child protection • Skills log • Curriculum completed with evidence for appropriate level of training • Health and Probity • Evidence of JEST and GMC surveys being completed

28. Additional focussed support

29. Doctors requiring professional support

30. Confidential Psychology and Counselling & Support Service • Confidential Psychology and Counselling & Support Service • With effect from 01/12/2011, the professional support provided to doctors in training, the West Midlands Deanery offers a Confidential Counselling service provided by Clinical Psychology Associates (CPA). • CPA is a national organisation and will provide Counselling and Clinical Psychology service(s).They are registered with the Health Professionals Council/The British Psychological Society. • If you are a Doctor in Training you can access the confidential counselling/ psychology service – CPA Limited, through several media: • Telephone: 0161 834 4662Email: enquiries@cpa-ltd.co.ukWebsite: www.cpa-ltd.co.uk - link also on West Midlands Deanery Website