7

Are you interested in evidence-based practice?

Apply to join the RCPCH Consultation Panel

Do you wish you had the chance to inform the content of guidelines before being asked to implement them?
Do you want to contribute to College responsesto consultation documents?
Would you like to represent the College at external meetings that relate
to your area of expertise?

The College is looking for members who can commit to a maximum of three days a year to help comment on documents on behalf of the College, or represent the College at external meetings or events.

The documents could be anything from a draft scope of a guideline to a draft guideline report from organisations such as NICE, SIGN and other Royal Colleges. Comments are sought, for example, on whether guidelines contain any controversial or challenging recommendations, or whether the relevant population groups are covered.

Please note that it is a requirement for you to be a member of the RCPCH
Members and fellows may wish to note that confirmation that they are participating in revalidation and CPD to the level required by the GMC is one of the criteria for being in Good Standing with the College.

You will be making a valuable contribution, and may wish to record the learning from your involvement in your CPD Diary or training portfolio.

Please complete the form on the next page, and return it to:

Email:

Post: Clinical Standards Team, 5-11 Theobalds Rd, London WC1X 8SH

We will contact you when we receive a request for help in your area(s) of interest.

RCPCH Consultation Panel - Application Form

ABOUT YOU

Name:

Postal address:

Telephone number:

Email address:

Position:

RCPCH membership number:

GMC reference number:

Please confirm if you are compliant with the IGS requirements (delete as appropriate): Yes / No

If you are not fully compliant, please enter any relevant declarations:

List membership in RCPCH-affiliated Specialty Groups, Special Interest Groups and/or College Speciality Advisory Committees (CSAC):

How did you hear about the Consultation Panel?

College e-bulletin

College meeting (please note which)

Word of mouth (please explain)

Other (pleaseexplain)

Please tick all subspecialties and areas of interest on which you wish to receive consultations:

PAEDIATRIC SUBSPECIALTIES

Allergy, Immunology Infectious Disease

Child Mental Health

Community Child Health

Diabetes Endocrinology

Emergency Medicine

Gastroenterology, Hepatology & Nutrition

General Paediatrics

Inherited Metabolic Medicine

Intensive Care Medicine
Neonatology

Nephrology

Neurodisability

Neurology

Oncology

Palliative Care Medicine

Pharmacology

Respiratory Medicine

Rheumatology

AREAS OF INTEREST

Ambulatory Care

Audiology

Cardiology

Dermatology

Child Protection

Disability

Haematology

Nutrition/Obesity

Psychiatry

Public Health

Surgery

Young People’s Health

Other (please explain)

Please return this complete form to:
Post: Clinical Standards Team, 5-11 Theobalds Rd, London WC1X 8SH
Email: