Applicants applying for ST4 posts in paediatrics may use this certificate to successful, satisfactory completion of Level 1 paediatric competences, as defined in the RCPCH Level 1 Paediatrics and Child Health curriculum. It is NOT required if you: A) Are currently in a UK approved paediatric training programme and are on track to obtain a satisfactory ARCP outcome (You will be required to provide evidence of this prior to commencing an ST4 post). B) Have completed Level 1 training in an approved UK training programme, within 44 months of August 2018, and have evidence of satisfactory ARCP outcome. 1 If you are provide the above evidence then you will be required to provide a fully completed Certificate of Completion of Paediatric Level 1 Competency. No other form of evidence will be considered. Please note: If you are not currently in a UK approved paediatric training programme you will be required to provide evidence of achievement of Level 1 competences at the time of application. Failure to do so will result in your application being rejected. Instructions to applicants: 1. This certificate can only be signed by a consultant or equivalent 2. 2. Consultants should only sign this certificate if they have worked with you for a minimum of three months whole-time equivalent within 3.5 years prior to the start date of the post you are applying for 3. You will not be eligible to be considered further for ST4 paediatric training in this recruitment round if the form is incomplete, or if the person signing it for you fails to complete fully the section about themselves 4. You must be rated Demonstrated to completion of Level 1 for each and every competence listed on this certificate. If you cannot that you have achieved all your competences in one post, you may submit additional Certificates to the full set of competences. If you cannot each and every competence, you will not be eligible for ST4 paediatric training. 5. Before you pass the form to the signatory, please complete and sign the declaration below 6. It is recommended that you check the form after they have completed it, using the attached checklist 7. You must then scan, upload and attach to your application form on the final page of the application before submission. Applicant declaration: I confirm that I have worked for the consultant (or equivalent) who has completed this certificate for a minimum of three months within 3.5 years (44 months) prior to the start date of the post I am applying for. Applicant Name Applicant GMC No 1 If you have been previous released or removed from a UK approved paediatric training post you will be required to provide a fully completed certificate of Level 1 competency in addition to a letter of support from the postgraduate dean for the deanery/letb from which you were released/removed. 2 For the purposes of the completion of this form, it will also be permissible to obtain confirmation from an Associate Specialist. 1
COURSES: All ST4 applicants must have successfully completed the below courses. If you have yet to undertake the below courses you will be required to evidence of successful completion by August 2018. Please indicate below whether you have obtained the courses, and if so, when. Neonatal Life Support (NLS or equivalent) Advanced Paediatric Life Support (APLS or equivalent) Level 3 Safeguarding (or equivalent) Successfully Completed Successfully Completed Successfully Completed obtained obtained obtained 2
Instructions to those completing and signing the certificate: The person who has asked you to fill in this form has applied for ST4 paediatric training in the United Kingdom. In order to process their application, we need to know that they have achieved the competences listed in this certificate to the standard expected in accordance with completion of Level 1 paediatric training, as detailed in the RCPCH Paediatric Curriculum for postgraduate training. Before filling in this certificate please view the standards expected of ST4 trainees at http://www.rcpch.ac.uk/training-examinations-professionaldevelopment/postgraduate-training/general-paediatrics-training/ge Please note that you must only confirm that the applicant has the competences listed below if you KNOW they are competent, either from your own observations, or from another doctor working at consultant, Associate Specialist, Paediatric Specialty trainees at ST6+/ an Advanced Nurse Practitioner who you know has witnessed the applicant that competence. Please also note that failure to complete the section about yourself fully will render the applicant ineligible to be considered further for specialty training in this recruitment round. Finally, please make sure you sign and date EVERY page of the certificate, in the designated box. About the person signing the certificate: Your name: Professional status : Current post: Address for correspondence: Email address: Your UK GMC Number: If you are not registered with the UK GMC please give: Name of your registering body: Your Registration Number: Web site address where this www. information can be verified: Alternatively, you may attach photocopy evidence of your professional status to this certificate About how you know the applicant and their work: Please give details of the post this applicant held at the time when you observed their work. 3 months (whole time equivalent) of this post MUST have been completed by the time of the application submission deadline and must have been undertaken within the 3.5 years before August 2018. Specialty and level s post held (from : to) Name and address of Hospital Country 3
About the candidate s competencies: Level 1 Paediatric competence 1. Good Clinical Care 1.1 Demonstrates the knowledge, attitudes, behaviours, skills and competences to be take a history and examine patients, prescribe safely and keep an accurate and relevant medical record History, physical examination and clinical decision making i. Be take an accurate and relevant, focused history ii. Be perform a thorough physical examination and assess physical signs accurately iii. Recognise presentations of common disorders iv. Shows ability to formulate appropriate differential diagnoses v. Recognise case histories which suggest serious / unusual pathology 1.2 Safe prescribing i. Know how to prescribe safely for the newborn and for children of all ages ii. Know the approved medications and justification for prescribing drugs in common paediatric problems iii. Be aware of potential side effects iv. Be aware of possible drug interactions when more than one drug is prescribed 1.3 Medical record keeping i. Keep accurate, legible and relevant medical records 1.4 Time management and organisational decision making i. Demonstrates appropriate skills 1.5 Infection control i. Demonstrates the knowledge, skills, attitudes and behaviours to reduce the risk of cross infection. ii. Communicates with Public Health Authority where appropriate. 1.6 Clinical Governance i. Understands the principles of clinical governance, i.e. the process that safeguards high standards of care and facilitates the development of improved clinical services. 1.7 Health promotion i. Demonstrates the knowledge, skills, attitudes and behaviours to be able to educate patients effectively. 4
Level 1 Paediatric competence continued: 1.8 Patient safety i. Always maintains the patient as the focus of care. ii. Makes patient safety a priority in own clinical practice iii. Understands the importance of good team working for patient safety iv. Understands the principles of quality and safety improvement v. Understands the needs of patient who have been subject to the medical harm or errors and their families 1.9 Ethical and legal issues i. Demonstrates the knowledge, skills, and behaviours to cope with ethical and legal issues which occur during the management of patients with neonatal and paediatric problems. ii. Understands the principles of consent, parental responsibility, competency, and the Children s Act and Safeguarding legal aspects iii. Understands the principles of medical ethics and ethical research 2.0 Maintaining good medical practice i. Demonstrates the knowledge, skills, attitudes and behaviours needed to continue self-directed life-long learning. ii. Demonstrates the knowledge, skills, attitudes and behaviours to use evidence and guidelines that will benefit patient care. iii. Demonstrates the knowledge, skills, attitudes and behaviours to use audit and quality improvement to improve patient care. 3.0 Teaching and training i. Demonstrates the knowledge, skills, attitudes and behaviours to understand the teaching and training role to a variety of health professionals. 5
Level 1 Paediatric competence continued: 4.0 Relationships with Patients and Communication i. Have strong communication and interpersonal skills to enable them to work effectively with patients and their families in these circumstances: a. Within a consultation. b. Breaking bad news ii. Dealing with complaints 5.0 Team working Skills i. Able to work well with colleagues in multi-professional and multidisciplinary teams. ii. Able to lead the team when initiating resuscitation and early treatment. (may be d via simulation) iii. Able to support and supervise junior colleagues as appropriate 6.0 Professional behaviour and probity i. Understand the limitations of their competence and know where and when to ask for help, support or supervision. ii. Develops the knowledge, skills, attitudes and behaviours to always act in a professional manner in these situations: a. Doctor-patient/parents relationships b. Doctor-health professional relationships c. In situation of personal stress or ill-health iii. Avoid acting in a discriminatory manner towards patients and colleagues 7.0 Acute Care 7.1 Core skills in relation to acute illness: i. Promptly assess and manage the acutely ill or collapsed patient ii. Effective leadership of the resuscitation team (may via simulation) iii. Re-assess ill patients appropriately after starting treatment iv. Request senior or more experienced help when appropriate 6
Level 1 Paediatric competence continued: Acute care continued 7.1 Core skills in relation to acute illness continued v. Ensures safe continuing care of patients on handover between shifts vi. Considers appropriateness of interventions according to family s wishes, severity of illness, and comorbidities 7.2 Demonstrates the knowledge, skills and behaviours to be recognise and treat: i. critically ill patients ii. cardiac arrest iii. shock including early septic shock iv. anaphylaxis v. unconscious patient 7.3 Demonstrates the knowledge, skills and behaviours to be able safely to manage the following presentations when on call: i. acute asthma ii. acute continuing seizures iii. meningitis/encephalitis iv. acute abdomen v. the collapsed neonate 7.4 Competence to manage acute child protection cases: i. Recognise features in the presentation where child protection may be an issue, for example where there are patterns of injury, delay in presentation, and inconsistencies in the history. ii. Understand the need to initiate a safe response where abuse is suspected, while treating the family with respect and courtesy at all times. 7.5 Demonstrates the knowledge, skills and behaviours to be manage the majority of other important acute presentations. 7
Level 1 Paediatric competence continued: Acute care continued 7.6 Demonstrates the knowledge, skills and behaviours to be plan discharge for patients, starting from the point of admission and taking into account the effects of any chronic disease. 8.0 Neonatal competences: i. Be perform an accurate assessment of the baby at birth ii. Be initiate and lead appropriate resuscitation when required of term and pre-term babies iii. Be able effectively to lead resuscitation at birth iv. Be intubate term babies and have had supervised experience of intubating pre-term babies v. Be perform a sensitive and accurate examination of the newborn baby vi. Have the knowledge and skills to be able to assess and initiate management of neonates presenting with: a. early feeding-related dehydration b. respiratory distress c. early signs of neonatal sepsis d. cardiac problems at birth e. surgical problems of the neonatal abdomen f. identify newborns with HIE and initiate cooling appropriately. vii. Be initiate and appropriately manage respiratory support for babies as required, including ncpap and mechanical ventilation 9.0 Care of patients with other conditions and long term conditions i. Be aware of management in the community setting/palliation and appropriate pathways/multi-disciplinary Team (MDT) working 10.0 Knowledge of the NHS and hospital management Understands the structure of the NHS and the management of local healthcare systems in order to be participate fully in managing healthcare provision 8
Level 1 Paediatric competence continued: 11.0 Procedures i. Know the appropriate indications for practical procedures and investigations ii. Know the contraindications and complications of procedures iii. Know the local and national guidelines for obtaining informed consent, for undertaking investigations or procedures and for providing sedation and pain relief for practical procedures iv. Know the anatomical markers for procedures v. Know and practise scrupulous aseptic techniques vi. Be aware of safety issues for patients and staff in relation to investigations of body fluids and radiation vii. Be use all equipment required to undertake common procedures and investigations viii. Be interpret results and respond appropriately ix. Be use all equipment required to undertake common procedures and investigations 11.1 Be perform the following procedures independently: i. Bag, valve and mask ventilation ii. Cannulation and capillary blood sampling, iii. Lumbar puncture, iv. Peripheral venous cannulation v. Tracheal intubation of newborn babies vi. Supervised or simulated intraosseous needle access, vii. Umbilical venous cannulation 12.0 Courses: Successful completion of the following required (obtained within 44 months/3.5 years prior to August 2018): Has the applicant successfully completed the below courses? If so please complete section 12.0 Yes No Neonatal Life Support (NLS, or equivalent) Advanced Paediatric Life Support (APLS, or equivalent) Level 3 Safeguarding training (or equivalent) 9
DECLARATION: APPLICANTS FULL NAME: A. I confirm I have reviewed the standards expected for completion of Level 1 Paediatric training at http://www.rcpch.ac.uk/trainingexaminations-professional-development/postgraduatetraining/general-paediatrics-training/ge B. I confirm that the doctor named above has worked for me for a minimum of three months (whole time equivalent) in the paediatric post indicated on this declaration form C. I can confirm I have observed the named doctor all of the above competences that I have assessed as or where I have not personally observed them, I have received evidence that I know to be reliable N.B. This form is invalid unless all three boxes above are checked SIGNATURE (of person completing the certificate) PRINT NAME DATE HOSPITAL STAMP (if unavailable please submit a note on compliment slip or letter headed paper) 10