Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr...
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![Page 1: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/1.jpg)
Good Quality Training in Community Child Health
Dr Charlotte McAuley, CSAC Trainee Representative
Dr Cliona Ni Bhrolchain, CSAC Chair
BACCH Meeting October 2012
![Page 2: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/2.jpg)
Content
• What should training consist of?• Support• Assessment• Quality• www.communitychildhealth.org.uk• Question/Answer session
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Training in CCH: basics
• Three year programme• Structure– 2 years in CCH– 1 year more flexible
• Curriculum• Competency-based – (except old-style SpR)
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Allied subspecialties
• Paediatric neurodisability
• Child mental health
• Audiovestibular Medicine
![Page 5: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/5.jpg)
CCH curriculum (specific areas)
• Child public health• Behavioural paediatrics• Safeguarding• Neurodisability
http://www.rcpch.ac.uk/training-examinations-professional-development/quality-training/curriculum/curriculum
![Page 6: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/6.jpg)
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)
![Page 7: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/7.jpg)
Remember
• CCT in Paediatrics (CCH)
• MUST be competent in– General paediatrics– Neonatal paediatrics– Community Child Health
• Not just CCH
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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
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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/CESRhttp://www.bacch.org.uk/training/trainees.php
![Page 10: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/10.jpg)
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
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Ensuring quality
• Deanery questionnaire (should differentiate CCH)
• GMC questionnaire (should differentiate CCH)
• New consultant questionnaire
• BACCH AGM trainees meeting
• Trainee rep on CSAC
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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
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How many trainees are there?e-portfolio figs; excl SpRs;
London Deanery
West Midlands Deanery
Scotland (all deaneries)
Wales Deanery
Northern Deanery
Severn Deanery
Northern Ireland
East Midlands Deanery (North)
Kent, Surrey and Sussex Deanery (KSS)
0 5 10 15 20 25
Pop 0-15 (100,000s) Number of trainees
Currently in London figs
RCPCH Education & Training Support Workforce Dept
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Who encourages CCH trainees?
Oxford Deanery
Mersey Deanery
East Midlands Deanery (North)
East Midlands Deanery (South)
Wales Deanery
West Midlands Deanery
East of England Deanery
Yorkshire and Humber Deanery
Wessex Deanery
0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00
Percentage of total trainees training in CCH
RCPCH Education & Training Support
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Should we have a Grid?
Positive• National profile• Like everyone else• Competition• National standard for
recruitment• More control of
appointment and numbers• Even out numbers
Risks• Lack of mobility might put
off trainees with family commitments
• A lot of time and effort for same result (past experience!)
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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
![Page 17: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/17.jpg)
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
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Do we need CCH replacements?
RCPCH census 2009
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Quality of training
General paediatrics
Community Child Health
Neonates In a DGH In a Specialist Hospital
0
2
4
6
8
10
12
14
16
18
20
How well have the following elements of your train-ing prepared you for your current post?
Very well
Well
Satisfactorily
Poorly
Very poorly
BACCH survey 2012 H Brewer & T Woodbridge
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What effect has rotating through posts in dif-ferent hospitals/locations had on your training?
Very positive
Positive
Neutral
Negative
Very negative
![Page 21: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/21.jpg)
What effect has rotating through posts in different hospitals/locations had on your personal life?
Very positive
Positive
Neutral
Negative
Very negative
![Page 22: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/22.jpg)
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
![Page 23: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/23.jpg)
![Page 24: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/24.jpg)
Website Demonstration
![Page 25: Good Quality Training in Community Child Health Dr Charlotte McAuley, CSAC Trainee Representative Dr Cliona Ni Bhrolchain, CSAC Chair BACCH Meeting October.](https://reader035.fdocuments.net/reader035/viewer/2022062322/56649ce25503460f949ae36c/html5/thumbnails/25.jpg)
Summary
• Content• Support• Assessments• CCT/CESR• Quality