Taster in Paediatrics / Neonates

Supervisors: Dr Ana Del Rio Dr Chi-Ning Mo Dr Sheran Perera

Example timetable (may vary dependent on leave and supervisor availability)

AM (0900-1230) PM (1400-1700) Notes Monday Welcome to Department Children’s Paediatric Clinic, Children’s Observation and Outpatients, RBH Assessment Unit Dr Del Rio RBH

Shadow middle grade Tuesday White Ash School Clinic Diabetes Clinic Holly House Children’s RBH Centre Dr Del Rio & Dr Dr Perera Gardner

Wednesday Ward Round Children’s Children’s Unit Unit RBH RBH Shadow Trainee Dr Robertson & Dr Gardner Thursday Ward Round Neonatal Unit Neonatal Unit Lancashire Women and Lancashire Women Newborn’s Centre and Newborn’s BGH Centre

Dr Lama Shadow Trainee

Friday Paediatric Neurology Clinic Paediatric Teaching Shadsworth Children’s Centre Feedback

Dr Perera & Dr DeGoede

of 3 Learning Objectives for Taster Week:

1. To meet the Paediatric and Neonatal Teams and understand the diversity of the Specialty (1.4, 7.9)

2. Experience a General Paediatric clinic and learn about the types of problems referred from Primary Care.

· Understand the process of a 3 way consultation involving child/young person, carer and doctor (2.2,

· Observe skills required to communicate with children of different ages (2.2, 2.3

· Understand importance of clear written communication with primary care (7.8, 7.9)

3. Experience a multidisciplinary clinic and follow patient journey through multi-professional team (1.4,

· Understand impact of a chronic disease on child/young person and family (10.1)

· Gain insight into the challenges of managing a chronic condition requiring daily intensive treatment and monitoring for different age groups (10.1)

· Understand how social challenges can impact on management of a chronic condition (10.1)

· Understand role of Paediatric Diabetes Dietitian and Paediatric Diabetes Specialist Nurse (1.4, 10.1)

· Understand psychological aspects relevant to chronic conditions (10.1)

4. Understand role of the Community Paediatric Team (1.4

 Recognise normal childhood development and how problems can arise within different fields of development (7.2)

 Attend a Special School clinic to see how children with special developmental needs are supported in Education (10.1)

 Understand the process of multi-professional assessments leading to production of a Statement of Special Educational Needs (1.4)

 Understand how severe neurodisability is managed and the role of various members of Child Development Team including Physiotherapy, Occupational Therapy, Speech and Language Therapy (1.4, 8.3, 10.1

 Understand other community based services with roles in monitoring and supporting Child Development including Health Visitors, Portage workers (1.4)

5. Gain experience of Acute In-patient Paediatrics

of 3 · Join the Consultant Ward Round on the Children’s Unit and see children who have been admitted acutely to hospital (7.2,7.3, 7.4)

· Observe acute stabilisation and management of children presenting to hospital with critical illness (7.2, 7.3, 7.4, 8.1)

· Spend time on the Children’s Observation and Assessment Unit and see types of problems referred acutely to Paediatrics from GPs and Emergency Department (7.2, 7.3, 7.4)

· Gain some understanding of Child Protection and importance of safeguarding children (4.2, 7.1)

6. Gain experience in Neonatal Medicine

· Attend Neonatal Intensive Care Unit Ward Round and see how premature babies are managed in this setting, including babies requiring ventilator support (7.2,7.3, 7.4)

· Understand the specific thermoregulatory, fluid and nutritional requirements of premature babies (8.2

· Understand impact on families of admission of their baby to NICU

· Attend high risk deliveries to observe resuscitation and stabilisation of a new-born baby (8.1, 8.2, 9.1)

· Gain understanding of normal new-born physiology and anatomy by observing first day newborn examinations on the postnatal wards (7.2)