Bromley General Practice Training Programme

Job Description

Post Number:	3735, 3739, 6020
Post Title:	GPST post in ST1 in Acute Paediatrics
Placement:	Princess Royal University Hospital and Orpington Hospital
Clinical Director: Dr/Mr/Miss	Dr Andrew Long
Clinical Supervisor: Dr/Mr/Miss	Drs Menaka De Silva, Riaz Ahmed, Sue Hobbins, Shaun Walters.
Educational Supervisor:	This may be a GP Trainer or one of the Programme Directors

Description of Post

This a well established post that is now 4 months during ST1 programme 1,2 or 4 in Acute Paediatrics at the PRUH.

The post will include working in the Childrens Ward, working in Paediatric A&E assessing and admitting children who have been referred, neonatal examinations on the post-natal wards, labour ward and SCBU cover, as well as attendance at approximately 6 paediatric out-patient clinics as an observer during the 4 month post.

The department holds regular teaching sessions, which will sometimes cover areas of the GP curriculum.

Provisional weekly timetable

It is difficult to describe a weekly timetable as it varies according to your rotation and when you do nights.

Opportunities will be given to attend the Wednesday afternoon HDRC but this maybe difficult in some circumstances when your service commitment takes precedence.

European Working Time Directive Banding

The post is funded by the Deanery and the appropriate pay scale is applied.

Special features relating to Rota

None Identified by the department

Clinical Supervision

A named consultant paediatrician who will be allocated at the beginning of your post.

Educational Supervision

Will be a GP – probably a GPST programme director

Learning opportunities (other than informally during clinical work)

The department is well acquainted with the part of the GP curriculum which particularly pertains to ‘Care of Children and Young People’ – section 8.

At the beginning to the post you are expected to look at this curriculum statement and identify your learning needs. Areas you need help or advice to address should be discussed with your clinical supervisor. Areas that are more community orientated will be addressed during your GPR year.

In the past, SHO’s have had various opinions about working in SCBU. Consideration was given to only allocating you to the post-natal wards but it was felt that you would miss a vital opportunity to learn about:

Team-working.
Infant nutrition and hydration.
The ill baby – the recognition of which is vital in General practice.
The stresses the parents experience (see Appendix 6 – ‘Supporting Parents’ in GP curriculum.)

At the end of your post – we will ask you to evaluate your learning opportunities and tell us what you found particularly relevant and useful

Reflections of previous post holders

SHO 1

’The Paediatric component of the Bromley vts is good

my duties are no different to the other SHOs, career or FY2

it's a rolling 7 week rota

we do week blocks of the following:

children's ward

a&e

post-natal ward & labour ward

SCBU

I think some aspects are more relevant to GP than others

putting in venflons and taking blood on SCBU is not so relevant

but everything is definitely relevant: e.g. post-natal baby checks, a&e, discharge summaries on the ward, and perhaps even neonatal resus (we could as GPs be called to a difficult home delivery)

overall I recommend to everyone’

SHO 2:

‘Acute Pediatrics:

1. Recognise and identify a sick child needing hospital input.

2. Ability to manage common presentation such as viral gastroenteritis, asthma, febrile child

3. Conducted independently prolonged jaundice clinic, new born baby checks, neonatal resuscitation in the labour ward.

4. Skills such as cannulation and phlebotomy in a neonate and an older child.

5. Understanding common problems seen in a preterm infant.’

Last updated May 2007