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The magazine of the Royal College of Paediatrics and Child Health SLEEP IN A AUTUMN 2021 AUTUMN TIME OF COVID Open to all Soft Landing Bronchiolitis Women at work Accessibility and The scheme to help How we can be best A woman’s experience inclusion in health IMGs find their feet prepared for a surge in paediatrics INSIDE Page 11 Page 12 Page 14 Page 16 Contact We’d love to hear from you – get in touch at milestones@ Contents rcpch.ac.uk Autumn 2021 Welcome It gives me great pleasure to welcome you to the autumn edition of Milestones. It’s been another crazy year when it comes to holiday planning and if you’re like me and plan holidays months in advance – I share your pain but I trust you got some relaxation and family time over the summer. 14 There was a time when paediatricians looked to the summer for an opportunity THIS ISSUE to catch up on CPD, invest in team building 16 12 Soft Landing 20 COVID-19 in the well- activities and enjoy a few months of slightly A programme designed to trodden path of Ebola less frantic working. 2021 will not be one of welcome newcomers to the UK How Liberia has coped with those years. Many colleagues have been COVID-19 soon after its Ebola heard to say, “Winter started in June – what 14 Bronchiolitis outbreak will November/December/January be like?”. The rise in cases and how we can It has been a very unusual few months but prepare for the next few months 21 A shielding trainee I am really proud of how everyone has risen How creative thinking kept one to the occasion and worked with colleagues 16 Experience as a woman trainee busy and involved in primary care to do their very best to in paediatrics Addressing some of the issues support our patients and their parents with facing women in our profession EVERY ISSUE the very large number of viral infections. 4 Update T his bodes well for the winter months when 18 Simply the breast? we doubtless will need to dig deep into our RCPCH news, training Three doctors share their opportunities, and more reserves of goodwill. breastfeeding experiences My best wishes – and take care. 11 RCPCH &Us Camilla 19 The Synapse Centre for A three-point plan to improve RCPCH President Neurodevelopment inclusivity and accessibility @CamillaKingdon A new centre for research 22 Members News and views from members EDITOR'S PICKS Myself and the rest of the editorial team really hope you enjoy our latest 27 International offering! Thank you, as always, to all that have contributed. Diffi cult to pick Working in the UAE my highlights this edition as there are many! As well as our usual features (and suspects) we have a timely article from Sanjay Patel sharing some 28 Wellbeing thoughtful refl ections on the impending RSV surge, wise Demi from The importance of sleep RCPCH &Us gives us three simple tips to use when thinking about accessibility and the brilliant Mike Farquhar discusses some of the factors that have impacted on the sleep/wellbeing of paediatricians. On that note, stay well and look after each other! 30 A Day in the Life Dr Hannah Baynes Dr Stephanie McCallion on the paediatrician who inspired her Copyright of the Royal College of Paediatrics and Child Health. All rights reserved; no part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form by any means – electronic, mechanical, photocopying, recording, or otherwise – without prior permission of the publishers. The views, opinions and policies expressed in Milestones do not necessarily reflect those of the College. While all reasonable efforts have been made to ensure the accuracy of the contents of this publication, no responsibility can be accepted for any error, inconsistency or omission. Products and services advertised in Milestones are also not recommended or endorsed by the College. Readers should exercise their own discretion and, where necessary, obtain appropriate independent advice about their suitability. Royal College of Paediatrics and Child Health is a registered charity in England and Wales (1057744) and in Scotland (SC038299). Registered address: 5-11 Theobalds Road, Holborn, London WC1X 8SH. Head of Design: Simon Goddard Project manager: Lizzie Hufton Publisher: James Houston. Milestones is published four times per year on behalf of the Royal College of Paediatrics and Child Health by James Pembroke Media, 90 Walcot Street, Bath, BA1 5BG. T: 01225 337777. Advertising: Alex Brown, Head of Corporate Partnerships [email protected] EDITORIAL Managing editor: Aisling Beecher @AislingBeecher Editorial board: Dr Seb Gray @SebJGray Dr Hannah Baynes @HLB27 Dr James Dearden @drjamesdearden Dr Dita Aswani @DrDita Dr Maddy Fogarty Hover @I_am_spottacus KEEP IN TOUCH @RCPCHTweets @RCPCH @RCPCH [email protected] Milestones AUTUMN 2021 03 KEEP IN TOUCH We’d love to hear from you, get in touch through our channels Twitter @RCPCHTweets Facebook @RCPCH Instagram @RCPCH The latest news and views [email protected] DIVERSITY One year on from Putting Ladders Down IT HAS BEEN a year are committed to listening and learning as us to do better. A particular highlight since the release of practice evolves. for me has been working with Segn the RCPCH Equality, Working with colleagues on EDI has Nedd, our EDI representative on the Diversity and Inclusion been a pleasure. Camilla Kingdon as Trainees’ Committee on plans for Dr Bhanu (EDI) Report Putting President and Rob Okunnu as senior reciprocal mentoring – a scheme where Williams Ladders Down. staff lead have both provided energy more junior members of our College Consultant Paediatrician Our One Year On and wisdom to our endeavours and from traditionally under-represented London North West report examines our Natasha Neill (Chief of Staff) and backgrounds, work with senior officers Hospitals NHS Trust progress against our Carlota Navarro Esperse (EDI lead) to share experiences and improve @BhanuWilliams initial findings and have worked tremendously hard to engagement. As ever, the young people we recommendations. drive our progress forward. work with lead the way in educating us; Putting Ladders Down was commissioned I am delighted with the member I found the CYP session on experiences to focus on EDI with regards to our engagement with the EDI work, both of trans teenagers seeking healthcare at member involvement in voluntary roles within the member reference group and the Annual Conference to be very thought and the One Year On report focuses on more widely. The conversations have provoking and it has impacted positively progress around this issue. We have always been interesting, educational on my practice. made good progress in terms of data and full of constructive challenges for I’ll end with two requests to my collection, embedding EDI at the heart colleagues. Please fill in the n ew diversity of the College and communicating with monitoring form, available on the website. our members, made roles more accessible “The conversations And please continue to be in dialogue with by removing the requirement to be a us on all areas of EDI that impact on your fellow from many roles and invested in [about EDI] have always working lives and on the health outcomes IT to allow appropriate evolution of ways been interesting, of the children and young people for of working. There has been a continual educational and full of whom we care. focus on best practice in use of language in sensitive areas of EDI. We recognise constructive challenges For more information on the College’s we won’t always get things right, but we for us to do better” EDI work www.rcpch.ac.uk/edi 04 AUTUMN 2021 Milestones UPDATE Rest is best Dr Mike Farquhar on the importance of good quality sleep (see his quick sleep tips through these pages) P28 DIVERSITY FACTS Staff SCREENING Spotlight 2030 E VALUATION OF BY 2030 VOLUNTEERS SCREENING FOR ACROSS THE COLLEGE WILL SEVERE COMBINED REFLECT THE DIVERSITY OF OUR IMMUNODEFICIENCY MEMBERSHIP IN SEPTEMBER 2021, it is planned to start an evaluation of newborn screening for Severe Combined Immunodefi ciency (SCID). This will cover approximately two thirds of babies born in England. Each year, approximately 14 babies are born in England with SCID. There is now a substantial body of evidence that early detection, by 64% newborn screening, and timely treatment, OF OUR MEMBERS before babies contract infection, makes ARE WOMEN Carlota Navarro a substantial difference to mortality and Esperse morbidity, such that most patients lead a normal life, free of medication. Equality Diversity and Inclusion (EDI) Project Officer 32% In the UK, the blood spot, collected at fi ve OF OUR MEMBERS days old, is used to detect nine conditions, I JOINED THE COLLEGE in February this ARE UNDER 35 including sickle cell disorders, cystic year. My role is to support the development of fi brosis, congenital hypothyroidism and six the EDI work at the College by working very metabolic disorders. From 6 September closely with Natasha Neill (Chief of Staff), as this year all initial bloodspot samples well as liaising with the EDI Staff Working received in laboratories covering about Group, the Oversight Group and the EDI two thirds of births in England will be Member Reference Group. tested for SCID. Any babies with abnormal I am very passionate about the work I results will be referred urgently to their do as I believe EDI is essential towards 1 % local immunology specialist for diagnostic achieving a more equitable society, by creating UNDER 1% OF assessment and management. The MEMBERS DISCLOSED advancements and programmes to ensure that A DISABILITY OF ANY evaluation will run for two years, after which everyone has access to equal opportunities.