Hospital Posts > Community Paediatrics


 

This Post is Designed to give Paediatric Experience to the GP Registrar

Timing: FIRST SIX MONTHS OF YEAR 3 (FINAL YEAR)

This will Allow

Benefits include:

2.1 Learning more about the long term nature of Doctor/Patient relationships.

2.2 Reducing the impact of the "settling in" period and summative
assessment on the education process.

2.3 Gaining more insight into the effects of business and health care
planning within the practice.


The Timetable: This may fluctuate with each placement.

On-call will be with the General Practice.

Educational Responsibility

Overall responsibility is with the GP Trainer.

Dr Barraclough, Consultant Community Paediatrician, is responsible for overseeing the community paediatric attachment.
Dr Pairaudeau, Consultant Paediatrician is responsible for overseeing the acute paediatric attachment.


Contractual Arrangements

The GPR is employed as a registrar by the training practice. This is funded by the Health Authority via the Red Book. These arrangements have been agreed by HA.

The Attachments

Community Child Health

GPR to have training and experience in the following:

1. Child health clinics.
2. Special needs assessment medicals.
3. Social services medicals – examination of children in care.
4. Immunisation clinics.
5. Specialist participation in case conferences.
6. Attendance at some of the following: audiology clinics, orthoptic clinics, child psychiatry department, community dentistry, adoption    
   and fostering work.
7. Visits to special schools.
8. Visits with the school nurse and community specialist nurses.

Objectives:

1. To develop awareness and understanding of the services for the assessment, support and treatment of children with developmental delay.
2. To learn about the educational statementing process.
3. To understand the effects of common paediatric health problems and the relationship between GP and School Health Services.
4. To develop awareness of the services available for a wide range of common paediatric problems.
5. To learn about the Children’s Act and Child Protection Procedures
6. To be competent at development assessment of children.

Acute Paediatrics

GPR to gain training and experience in the following:

1. Morning general paediatric ward round.
2. General ward work
3. Admitting acute patients
4. Out patient work

Objectives;

1. To be able to recognise an ill child
2. To gain an understanding of the relationship between the work of the GP and that of acute hospital paediatric department.
3. To gain an insight into the effects of hospital admission on the child and its parents.

General Practice

Part of the final year in one practice.
The focus might be on particular areas of practice such as minor surgery, role of members of the PHCT, audit, health promotion, health needs assessment etc.

However the GPR will be a part of the PHCT.
He or she should be encouraged to take part in the care of chronic patients.

The GPR will have:

1. At least 2 hours protected teaching time per week.
2. Time to attend Tuesday Half Day Release
3. One night on call per week.

Objectives:

1. To be familiar with the day to day running of the training practice allowing maximal usage of the final 6 months.
2. To complete audit work
3. To encourage the development of special skills eg minor surgery, coil fitting etc.
4. To be able to follow chronic patients over a longer period.
5. Gain insight into the business of running a practice.