EDUCATION

  • PEM Regional Training Days

    About

    Programmes

    2022/2023 Cohort

    Date
    Location
    ​Programme
    15th September 2022
    20th October 2022
    17th November 2022
    ​15th December 2022
    ​19th January 2023
    Value
    ​16th February 2023
    ​16th March 2023
    ​20th April 2023
    ​18th May 2023
    ​15th June 2023
    ​20th July 2023
    ​17th August 2023

    Feedback

    Training in Portsmouth is fantastic! Not only do we have a large dynamic consultant team (PEM/paeds/consultant practitioners) we also have a growing team of qualified credentialled paediatric ACPs. Of our team of 8 ACPs four are qualified, 2 have just began their training, and the remaining 2 tACPs (including me) are 18 months from qualification. There are also 2 further dual field qualified ACPs who complete shifts within paeds as part of their regular rota. My Masters in Advanced practice has been fully funded by the trust and I have been well supported throughout by my line manager, who is a consultant practitioner with a wealth of experience, and my clinical supervisor who is a PEM consultant. Having so much experience around me has helped shape my journey and for me to get the best out of the programme. Being mentored by ACPs who have been through the process is invaluable, especially in the points of training when imposer syndrome takes hold, or you get portfolio fatigue. My journey began in 2019 with my history taking module, I transitioned through the history taking programme and the WECC ENP programme before joining the RCEM programme in September 2021. Now as a dedicated part of the ACP team we have monthly dedicated supervision and journal club. We have weekly Thursday teaching and the ability to attend multiple clinics, training sessions, and simulations. We have a progressive culture here in Portsmouth and are running several research programmes that we are passionate about. Conference attendance, QI, audit and self-development are all actively encouraged. Working within Wessex as a network opens lots of further opportunities. Portsmouth is not just my place of work, the people here are my family, my role is highly valued, and I my clinical input is respected. I could not think of a more beneficial place to train or to work.

    ​    Carly Marie Snowdon, tACP2, Paediatric Emergency Department, PHUT
    ​
    Secondment Ideas

    Links to the Google Sheet

    Regional Courses
    RCEM Specific
    RCPCH Specific
    Wessex Deanery offers fantastic RCPCH Paediatric Emergency Medicine training with a huge variety of clinical opportunities as well as those in education, research, improvement and management. The regional training programme is designed to help you meet curriculum needs in supportive environments while ensuring you are part of a thriving and growing collaborative regional PEM community. 

    The RCPCH PEM training programme consists of a 2 year programme that includes 18 months of Paediatric Emergency Medicine and 6 months of Paediatric Intensive Care Training. The Paediatric Emergency Medicine clinical placements are split between the Children’s Emergency Departments at University Hospital Southampton and Queen Alexandra Hospital in Portsmouth.  
    ​
    Day time activity during the Emergency Medicine placements will be split between working in CED and undertaking secondment time in relevant surgical and orthopaedic departments to meet competencies as set out in the RCPCH PEM Progress Curriculum. The rotas on both sites are built to ensure an excellent split between acute clinical care learning opportunities and time for secondment learning that can be tailored to the individual’s training needs.
    University Hospital Southampton Children's Emergency Department
    University Hospital Southampton CED is a large busy department which sees around 30000 children a year. Since September 2019 it has been a single front door department seeing those who self present as well as GP referrals and open access patients. It is the regional Paediatric Major Trauma Centre for the South Coast for both Adult and Paediatric patients. Southampton is the region’s tertiary referral centre so trainees will have opportunities to manage complex tertiary patient who present through the single front door of the hospital. We have a Paediatric Short Stay Unit within the CED footprint which is jointly managed by the CED and General Paediatric teams. 

    The department has a dedicated Paediatric Emergency Department team consisting of RCPCH and RCEM PEM Consultants ensuring an excellent and well supported training experience. The CED team also work very closely with the co-located Adult Emergency Department team and the General Paediatric Team as well.
    Queen Alexandra Hospital Children's Emergency Department
    The Paediatric Emergency Department at Queen Alexandra sees around 25,000 children annually, up to the age of 18 years. The unit is co-located with the adult ED and is open 24/7. It is a very busy Trauma Unit with strong military links and the team are well supported by a full range of surgical specialties all of whom see children. These include surgery, urology, orthopaedics, ENT, MaxFax, gynaecology and ophthalmology. 

    The hospital also has a busy Children’s Assessment Unit which is the main entry route for GP referrals and non-trauma ambulance admissions. As such a large proportion of the CED workload is minor and major trauma, providing an ideal training opportunity. 

    The department has a dedicated Paediatric Emergency Department team consisting of RCPCH and RCEM PEM Consultants who also work closely with the Adult Emergency Medicine and General Paediatric teams for invaluable training. The department has a strong Advanced Clinical Practitioner team who are central to the training and delivery of care in the department.
    ​
    Paediatric Intensive Care Unit, Southampton
    The Paediatric Intensive Care Unit covers the Wessex Region and Thames Valley for cardiac cases and retrieval. The Department is run by PICU Consultants with additional consultant input provided by the sub-specialist teams within the hospital. Middle grade cover is provided by trainees who are from an anesthetic or pediatric background. PEM trainees will have opportunities to attend Resus calls as part of the Crash Call system, will be supported gaining retrieval experience and be encouraged to improve practical procedure skills during this post. 

    Our Paediatric Intensive Care placement for Grid Training is designed to specifically recognise and support the training needs of our PEM trainees from an RCPCH and RCEM background, to ensure all necessary competencies and curriculum items are addressed.
    General Information
    PEM Grid trainees will be expected to maintain their portfolio, mapped to PEM competencies. They will be supported in this by regular meetings with their educational supervisor. They will have opportunities to supervise junior members of medical and nursing staff and medical students. They will have exposure to all aspects of paediatric emergency care from major trauma and illness, interesting advances in PEM such as procedural sedation and Point of Care Ultrasound through to minor wound care and minor illness.

    Trainees will have exposure to a wide range of ED presentations including both major and minor trauma and illness. We treat patients up to their 18th birthday which provides the opportunity to manage adolescent mental health, recreational drug use and early pregnancy presentations also. There are opportunities to work alongside the CAMHS in-reach liaison services based within our Children’s Emergency Departments as well as alongside the No Limits charity Youth Workers who also work alongside the teams, giving an excellent opportunity to develop Adolescent Emergency Medicine skills. 
    Chief Fellow Role
    Trainees will have the opportunity to act up as Chief Fellow towards the end of the training, taking on the role of running the shop floor, attending departmental meetings and huddles, managing flow within Children’s Emergency Departments, as well as taking responsibility for checking results, running handovers and managing staffing and resources, while supported by a Consultant. 
    Departmental Education
    The departments all run very active teaching timetables. Our trainees are expected to fully engage with this programme both as learners but also to be an active part of the teaching faculty. Education on offer includes regular simulation training, journal clubs, Mortality and Morbidity meetings, Xray meetings and Grand Rounds. The range of educational opportunities is varied, plentiful and aims to cover PEM curriculum items throughout placements. ​
    Regional Training
    In addition to strong and regular departmental teaching across the three areas we also run monthly regional bespoke PEM training for our RCPCH and RCEM PEM trainees and our regional PEM ACP trainees. These days are built into rotas to ensure trainees can attend. The training days are a rolling 2 year programme covering the PEM curriculum as well as higher level leadership and management skills specifically aimed at our senior PEM trainees, to help in preparation for Consultant roles. 

    There are also additional regional training opportunities with region. Trainees are also able to attend the regional paediatric training programme (PREP) and the regional Emergency Medicine teaching programme (WREMTA) during their study leave. 
    Improvement Work
    Trainees will be expected to participate in an audit or quality improvement project and will have personal development time built in to their rotas for this. There is scope for the development of local and regional guidelines and pathways, giving trainees the opportunity to lead on collaborative cross-site work, improving the care we provide across the region.
    Management Opportunities
    Trainees will have the opportunity to have their own leadership and management roles within the departments, gaining experience with complaint management, education, and governance opportunities as well as being able to attend departmental management meetings, working closely with consultant support. 
    Research
    Trainees will be given the opportunity to actively recruit into trials running within the departments. All three areas work closely with their Research departments and there are excellent opportunities to get involved with current projects and trials.  ​

    Link to PREP on PIER

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