UNIVERSITY OF SHEFFIELD
CHILD HEALTH
PHASE 3A
CHILD HEALTH COURSE BOOK
2016
Phase 3A
MODULE TITLE: Child Health
DURATION: 7 weeks
KEY CONTACTS:
Director of Study for Phase 3A: Dr J Swann
Phase Administrator: Jacquie Harrison ()
Phase Secretary: Paula Hutchinson ()
Module Academic Lead: Dr David King ()
Head of Academic Unit of Child Health: Professor N J Bishop ()
Module Administrator: Mrs Joanne O’Leary ()
Local Attachment Contacts:
SHEFFIELD CHILDREN’S HOSPITAL, SHEFFIELD
Initial points of contacts are Joanne O’Leary or Dr David King.
Professor of Paediatric Bone Disease and Head of Academic Unit of Child Health Professor N J Bishop
Honorary Professor of Paediatric Haematology Professor A J Vora
Emeritus Professor of Child Health Professor M S Tanner
Reader Dr N Krone
Senior Lecturer Dr A Offiah
Clinical Lecturer Dr D A King
Clinical Lecturer Dr C J Elder
Clinical Research Fellows Dr S Sithambaram, Dr W Daw and Dr S Gopal
Consultant Paediatricians Dr C A Mackenzie, Dr G D Moss, Dr K J Price, Dr M Sharrard, Dr N Wright,
Professor P Dimitri, Professor H Elphick, Dr N Jay
Consultant in Cystic Fibrosis Dr N West
Consultant in Paediatric Metabolic Bone Disease Dr P Arundel
Consultant Paediatric Gastroenterologists Dr M Thomson, Dr D Campbell, Dr S Connolly, Dr P Narula,
Dr P Rao, Dr A Urs
Consultant Neonatal Paediatricians: Dr A T Gibson, Dr R C Coombs, Dr S J Clark, Dr P C Bustani,
Dr V Kirkbride, Dr K A Mackay, Dr H E Dyson and Dr E L Pilling
Consultant Paediatric Surgeons Mr P Godbole, Mr S Marven , Mr J P Roberts, Mr R Shawis, Mr G Murthi,
Mr R Lindley
Consultant Paediatric Neurologists: Dr C D C Rittey, Dr P Baxter, Dr S Mordekar
Consultant Community Paediatricians: Dr S Gentle, Dr J Chaplais, Dr L Alison, Dr M Richards,
Consultant Paediatric Oncologists: Dr D Yeomanson, Dr V Lee
Consultant Paediatric Haematologist Dr J Welch
Consultants in Emergency Department Mr D Burke, Dr A Smith, Dr J Gilchrist, Dr C Fitzsimmons,
Dr S Gibbs, Dr C Rimmer, Dr D O’Donnell
Consultant Paediatric Anaesthetists Dr N R Bennett, Dr N Pereira, Dr I Barker, Dr T Dorman, Dr C Stack,
Dr C Kirton, Dr R John, Dr J Goddard, Dr K Wilson, Dr. A Eissa
Consultant Paediatric Intensivists Dr R Thomas, Dr J Perring, Dr A P Mayer, Dr C Bevan, Dr S Steel
Consultant Paediatric Radiologists: Dr A Sprigg, Dr I Lang, Dr P Broadley, Dr I Roberts, Dr T Win,
Dr A Raghavan
Consultant Child Psychiatrists Dr R Waller, Dr S Hughes, Dr M Evans, Dr J Owens
Consultant Orthopaedic Surgeons Mr M Bell, Mr L Breakwell, Mr M Flowers, Mr D Douglas, Mr A G Davies,
Mr J Fernandes, Mr S Jones, Mr A Cole, Mr S Giles, Mr S Madan, Mr M Ong
Consultant Microbiologist Dr S Thomas
Consultants in Child Protection Dr K Teasdale, Dr E Asumang, Dr L Peers
Consultants in Medical Genetics Dr O Quarrell, Dr J Cook, Dr M Parker, Dr B Lee
Consultant Rheumatologists Dr A MacMahon, Dr D Hawley, Dr M Al-Obaidi
Consultant Immunologists Dr F Shackley, Dr C Waruiru, Dr C Kerrison
Mrs Sarah Massey Librarian
Mrs Gill Kaye, Senior Assistant Librarian
Mrs Kate Nettleship Assistant Librarian
* Consultant with responsibility for students
BARNSLEY
Barnsley District General Hospital, Gawber Road, Barnsley S75 2BR Tel: 01226 730000
Consultant Paediatricians: Dr E Gouta*, Dr D P Kerrin, Dr R Gupta, Dr Tumi, Dr Bhimsaria, Dr Hamden, Dr Perriapuram
Administrator Everild Hindley (e-mail: )
BASSETLAW
Bassetlaw District General Hospital, Blyth Road, Worksop S81 0BD Tel: 01909 500990
Consultant Paediatricians: Dr L M Wong*, Dr B Singh, Dr L Joseph
Administrator Pamela Whitehurst (e-mail: )
CHESTERFIELD
Chesterfield & North Derbyshire Royal Hospital Chesterfield, Derbys S44 5BL Tel: 01246 277271
Consultant Paediatricians: Dr J Crossley, Dr G Collins, Dr P M Preece, Dr P M Field, Dr O K Ayonrinde, Dr R Mathew*, Dr A W Foo, Dr A C Ramsbottom, Dr G S Prasad, Dr A Lakner, Dr E Davies
Administrator Marzena Dudziec (e-mail: )
DONCASTER
Doncaster Royal Infirmary, Armthorpe Road, Doncaster DN2 5LT Tel: 01302 366666
Consultant Paediatricians: Dr M Kurian*, Dr S J Ahmad, Dr V G Desai, Dr M M Madlom, Dr L K Chadha, Dr H Ayyash, Dr A Natarajan, Dr N Brooke
Administrator Elliott Wilson (e-mail: )
GRIMSBY
Diana Princess of Wales Hospital, Scartho Road, Grimsby DN33 2BA Tel: 01472 874111
Consultant Paediatricians: Dr O Wilson*, Dr P Adiotomre, Dr B Etuwewe, Dr B Wobi, Dr H Al-Moasseb, Dr K Tharian
Administrators Emma McMullan/Mandy Derringer/Kathryn Hallam
(e-mail: //)
HALIFAX
Calderdale Royal Hospital, Salterhebble, Halifax HX3 0PW Tel: 01422 224190/224316
Consultant Paediatricians: Dr V Thiyagesh, Dr A H Hamilton, Dr K Schwarz, Dr E Crosbie, Dr J Garside, Dr V K Kumar, Dr A Morris, Dr A A A Muhamed, Dr P Ohadike, Dr G Sharpe, Dr J Sims, Dr L Terrett, Dr S Uka, Dr E Higgs, Dr G Parry, Dr S How-Yaw*
Administrator Debbie Moorhouse (e-mail: )
ROTHERHAM
Rotherham District General Hospital, Moorgate Road, Rotherham S60 2UD Tel: 01709 820000
Consultant Paediatricians: Dr P I Macfarlane, Dr C J Harrison, Dr S I El Refee, Dr S Suri, Dr E Nagmeldin, Dr S Hashmi, Dr I Bashir*
Administrator Sarah Hicks (e-mail: )
SCUNTHORPE
Scunthorpe General Hospital, Cliff Gardens, Scunthorpe DN15 7BH Tel: 01724 282282
Consultant Paediatricians: Dr S Shekhar*, Dr J Devlin, Dr I D Evans, Dr S K Nelapatla, Dr J Gondwe
Administrator Pam Howes (e-mail: )
WAKEFIELD
Pinderfields General Hospital, Aberford Road, Wakefield WF1 4DG Tel: 01924 212518
Consultant Paediatricians: Dr K Shyamanur, Dr M Hassoon, Dr K Stone, Dr F Scott, Dr B Allagoa, Dr S Gakenyi, Dr S Jones, Dr M Pye*, Dr J Glass, Dr I Saad, Dr R Tawfik, Dr N de Vere, Dr S Soman
Administrator Lee Gilbert ()
CHILD HEALTH LEARNING OUTCOMES
· Be able to communicate effectively with children and families.
· Be able to take a full paediatric history.
· Be able to perform a paediatric examination accurately and sensitively.
· Be able to assess symptoms and signs in children & young people to a basic level.
· Be able to assess the development of children to a basic level.
· Be able to show analytical & clinical reasoning skills.
COURSE STRUCTURE
Medical Sciences Teaching:
One day per week in Sheffield for ALL STUDENTS (Monday and Tuesday of Weeks 1, Mondays of Week 3 and 5, and Fridays of weeks 2, 4, 6 and 7).
This means that Day One and Day Two is Medical Sciences Teaching and on Day Three you should report to your clinical placement.
Clinical Attachment:
Every weekday that there is not Medical Sciences Teaching.
INTEGRATED LEARNING ACTIVITIES
There are six themed ILAs in Child Health:
1. Infection, immunity and inflammatory disorders
2. Growth, puberty and endocrinology
3. Respiratory and cardiology
4. Gastroenterology, nutrition and renal medicine
5. Neurology and disability
6. The newborn and genetics
Much of the learning for these should be self-directed. Much of the information required will be contained in the Medical Science Lectures but extra study is required. If done properly the ILAs should help structure your study. There will be a seminar for each ILA. These are not didactic sessions and you are expected to come to these sessions having been through the cases yourself.
GENERAL
1. PLACEMENT-BASED ASSESSMENT
The principal aim of the Child Health Module is to ensure that you have the clinical skills that enable you to take a history and examine a child or adolescent to the standard that we expect of someone at your stage in the course. During Child Health there will be continuous assessment of your attendance and skills. The timings of the formal assessments by which we will guide you and assess whether you have reached the expected standard are outlined below:
Week 3 or 4 Formative Clinical Assessment (timing dependent on confidence and progress) – form on Minerva
Week 6 Summative Clinical Assessments (all three forms on Minerva)
Week 7 Reassessment of failed elements of Summative Clinical Assessments
The three elements that comprise both the Formative and Summative Clinical Assessments are:
A. One Observed Long Case
The purpose of this is to ensure that your clinical skills and reasoning are at the level that we would expect for someone at your stage of the course. You will be required to take a history, do a focussed and case-appropriate examination, integrate the information to obtain a reasonable differential diagnosis, suggest appropriate investigations and have some ideas about strategies for management.
B. Two Observed Examinations
The purpose of these is to ensure that your examination skills of children are at the level that we would expect for someone at your stage of the course. The Formative Clinical Assessment is designed to give you guidance regarding your clinical skills and to highlight areas for development ahead of your summative assessment. In both the Formative and Summative Clinical Assessments the examination of two different systems will be assessed. The systems that you may be required to examine are the same as those detailed in the Child Health Log Book. All of these should have been “signed-off” by the time of the Formative Clinical Assessment. If this has not been achieved then a plan should be discussed at that time with your assessor or local tutor in order to ensure that you achieve competency in the examination of all the systems prior to your Summative Clinical Assessment.
The standard which we will expect you to achieve in each system examination is clearly demonstrated on the DVDs:
The DVD on Clinical Examinations in Child Health is available on Minerva.
https://www.minerva.shef.ac.uk/medfac/minerva/phase3a/child_health_videos/intro
Reassessment
Regardless of which element of your placement based assessments has been failed, the re-assessment will be sat in full (i.e. one Long Case and two Short Cases) in Week 7 by a different assessor but usually in the same hospital. Failure of any element at the point of reassessment will result in a “fail” and you will be unable to take the first sitting of the written exam at the end of the year. A final reassessment will be arranged to take place in the Academic Unit of Child Health during December or January. This will follow a period of remediation at Sheffield Children’s Hospital.
Assessment Paperwork
For each of the three elements of the Summative Clinical Assessment there is a separate form that needs to be completed. In addition, the End of Attachment and Student Self-Assessment Forms need to be completed by both you and either one of your assessors or your local tutor. All these forms must be handed into Joanne O’Leary by the last day of the module at the latest in order to avoid a “fail” being recorded.
Formative Tasks
In addition to the Formative Clinical Assessment there are a number of other tasks in the Child Health Module that, whilst not contributing to your summative assessment, are considered mandatory. These include completion of all the elements in the Child Health Log Book and of a Written Assignment. The latter should be handed in to your local tutor in Week 6 for it to be marked and returned within the module. There is a prize awarded for the best Written Assignment (see end of Course Book).
2. END OF PLACEMENT
Your fully completed assessment paperwork needs to be handed in to Joanne O’Leary, Room C9, C Floor, Stephenson Wing, on the last day of the placement. This should consist of:
· Three Summative Clinical Assessment Forms (typically 3 in total though may be up to 6 if failure(s) at first attempt).
· Child Health Log Book.
· End of Attachment Form (completed by assessor)
· End of Attachment Student Self-Assessment Form
All these forms can be downloaded from Minerva.
Failure to hand in this paperwork may mean that you will not be eligible to sit the end of year examination. It is your responsibility to do this.
3. SPECIFIC LOG-BOOK ISSUES
It is worth noting the point below regarding the current requirements and administration of the Log Book tasks.
Outside Sheffield Children’s Hospital, paediatric surgical clinics are far less frequent. Therefore, at present, the requirement to attend a surgical clinic as one of the seven clinic attendances is optional. You still need to attend a total of seven clinics.
As paediatric surgical procedures (such as ENT operations) do take place with reasonable frequency at hospitals outside Sheffield, it is an absolute requirement for the other tasks related to paediatric surgery to be completed (e.g. to be present at consent and induction of anaesthesia).
4. ATTENDANCE
You are expected to attend every Lecture Day and all formal firm/attachment teaching and should be aware that attendance is a component of your continuous assessment. Please report any absences to Joanne O’Leary (0114 271 7303) or e-mail and the lead consultant on your clinical attachment (if not a Lecture Day). You should arrange with your consultant to make up time missed and complete the ‘Student Self-Certification Form’ which is designed to document student absences.
In the circumstance of a student's attendance being unsatisfactory (less than 80%), they will be required to remediate and take the second sitting of the end of year exam with the resit candidates. Unfortunately, due to the inflexibility of the phase, those with significant absence due to illness will have to do the same, although the attempt will be recorded as a first sit with no penalty. Repeated unaccounted for absence will result in an academic performance review with the Module Lead or Academic Head of Unit and possibly referral on to the Director of Studies for Phase 3A.
5. STUDENT ON-CALL
We expect that you do an average of one on-call per week during your attachment. This can be during the day, into the evening, or at the weekend. We expect that you will stay until at least 10.00 pm; more interesting cases often appear later as parents check their children before going to bed themselves. You should identify yourself to the F2/SHO or SpR on-call and ask them to let you know of expected or acute admissions so that you can clerk them. Ask if your clerkings can go into the medical notes but ensure that a registered doctor countersigns the notes.