Higher Trainees Paediatrics

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Introduction/Overview of Programme

The post MRCPCH 5 year training programme in paediatrics trains you to CCT.  The training programme involves virtually all hospitals in Greater Manchester and Lancashire and Cumbria. In general terms the first two years provide your core training, which is usually 6 months of general paediatrics and 6 months of level 2 neonatology in one trust, and 6 months of community paediatrics and 6 months of general paediatrics in a different trust. Usually one of these trusts is in Greater Manchester and one is in Lancashire and Cumbria, but there is the flexibility to cope with individual trainee's needs. During years 3 and 4 you will gain speciality experience at the Royal Manchester Children's Hospital (RMCH) and level 3 neonatology experience at St Mary's Hospital or Hope Hospital, and in your final year you will do further general paediatrics to prepare you for your consultant post.

General Description of Rotation

The outline above shows you how the programme would generally run for those trainees wishing to become general paediatricians. There is the flexibility to tailor placements to individual needs, both geographic and training. It is always best to discuss what you would like to do, and where you would like to be, with the Training Programme Director as early as possible. Trainees are placed at Lancaster, Blackpool, Preston, Blackburn and Burnley in Lancashire, and at Wigan, Bolton, Bury, Rochdale, Oldham, Tameside, Stepping Hill, Wythenshawe, Hope, St Mary's and Royal Manchester Children's Hospital in Greater Manchester. Most hospitals are able to offer general paediatrics, level 2 neonates and community paediatrics. Level 3 neonates is provided at Hope and at St Mary's at present. Speciality paediatric training is available at RMCH in PICU, nephrology, neurology, gastroenterology, rheumatology, cardiology, respiratory, immunology and allergy, endocrinology, metabolic paediatrics, genetics and oncology. Neurology training is also provided at Preston, and neurodisability training at Bolton.

Grid training for those who wish to become speciality paediatricians is by national application. In the North West we offer grid training in most of the specialities above. Post core training in community paediatrics is available for those who wish to become community paediatricians, and can be tailored to accommodate an individual's particular interests.  Each post will have a named educational supervisor with whom you will meet at the beginning, middle and end of a 6 month placement. A formal training report will need to be completed by you and your supervisor at the end of each post. Formal annual review by the deanery usually takes place in June.

Educational Opportunities

There is an active and successful regional training programme providing a full day of training every 3rd Wednesday. This is usually, but not always, at RMCH. Attendance at this programme is mandatory unless alternative arrangements have previously been agreed with the training programme director. Dates are widely circulated so that clinical commitments can be cancelled for these days.

All trainees are encouraged to utilise their full study leave allocation to further enhance their education in self-directed routes.  No reasonable request for study leave will be refused.


There is an active academic research programme in paediatrics in the North West. Research is ongoing in immunology, endocrinology, oncology, metabolic paediatrics, nephrology, neonatology, respiratory and PICU. There is a Welcome Clinical Research unit at RMCH, and the Medicines for Children network for the North West is also based at RMCH. The regional academic advisor Dr Peter Arkwright is a good first contact point for those interested in research (peter.arkwright@nhs.net ).

All trainees are expected to complete audit on an annual basis and this will be assessed at your annual review.

All trainees are expected to attend the North Western Deanery training for educational supervision to prepare you for supervising trainees once you have completed your own training. This is provided at ST4. In addition completion of on-line equality and diversity training is strongly encouraged. Trainees that have any involvement in clinical trials will be expected to have completed Good Clinical Practice training. Teaching the teachers and management course are also available locally and completion is strongly encouraged.

Further Links:



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Last updated: 15th August 2014