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Career in PRM

Welcome to the GRID in Paediatric Respiratory Medicine (PRM). You have 2-3 years to complete your training, and be ready to take your place as a consultant ready for tertiary practice in the specialty. This document gives you some guidance as to what is expected and how it will be monitored.

Curriculum and log book

The RCPCH curriculum in PRM is split into 3 learning outcomes:

Learning outcome 1 – Demonstrates proficiency in providing holistic care to manage respiratory health and ill-health in infants, children and young people, including the promotion of respiratory health.

Learning outcome 2 – Demonstrates tertiary level specialist skills to manage complex acute and chronic conditions, including difficult-to-treat asthma, cystic fibrosis (CF) and rare lung disease.

Learning outcome 3 – Demonstrates expertise in technical skills, including flexible bronchoscopy and the care of technology-dependent children.

The PRM logbook is how you can keep a record of your accumulated evidence. It would be sensible to keep this up to date as you go, rather than frantically trying to put it together a week before the annual review!

The curriculum and logbook modules are available for download here:

Curriculum

Logbook

As a level 3 trainee, you will be required to complete both the generic and respiratory curriculum.

Supervision and Annual CSAC Review

You should have an identified supervisor for each part of your training. This may be the same person, or vary from year to year, depending on site. You should meet with your supervisor at formally every 2-3 months as a minimum, to review progress. It is your responsibility to ensure that this happens.

Each year in early spring, you will receive an invite to attend a review with the CSAC. You will meet with two members of the CSAC to review your training progress so far, discuss any issues you have and help you plan your remaining training time.  Although this is a formative assessment, the aim of this is to be a supportive encounter. The CSAC will sign off the annual progression form which is mandatory for your ARCP. These reviews will take place at RCPCH in London.  In preparation for the CSAC review, you should prepare the following documents:

  • Trainee led CSAC progression form. This is generated by the trainee on your Kaizen eportfolio. Please complete as much as possible with your Educational Supervisor ahead of your review. The CSAC members conducting your review will complete the remainder on the day.
  • Educational Supervisors report. We would advise meeting with your Educational Supervisor a few weeks before your review to complete these documents.
  • We would strongly recommend using the PRM GRID logbook in the link above.
  • An up-to-date eportfolio. This should include mandatory assessments in keeping with the Progress Curriculum, such as a recent multi-source feedback and evidence of reflective practice.

Knowledge based presentations (KBP)

You are required to complete 4 KBPs during your GRID training (please see list in the link below). These involve preparing three 10-minute presentations on a subject area (e.g. Respiratory Physiology) from which one presentation will be chosen by your assessors at the time of presentation. Most of these presentations will take place at regional training days although there are also some opportunities at national and local meetings. Alternatively, if you choose to do the ERS HERMES exam and pass, you will only be required to do 2 KBPs.

The full list of KBP presentations can be downloaded here:

List of KBP presentations

The mark scheme for the KBP assessors can be downloaded here:

Mark scheme for KBP assessors

Training days and meetings

There are training days in PRM throughout the country which you are encouraged to attend. The following includes a list of regular training days. Unless otherwise indicated, there are usually opportunities for KBPs at these meetings.

  • Lung In Childhood, London. These occur quarterly (usually September, December, March and June). This meeting usually occurs at the Institute of Child Health. There are usually only opportunities for KBPs once a year in the spring.
  • Northern Paediatric Respiratory Forum. These occur twice a year.
  • East Midlands Paediatric Respiratory Meeting. This occurs annually, usually in January.
  • King’s John Price Paediatric Respiratory Conference. This is an excellent annual conference held in April in London. There are opportunities for trainees to submit abstracts and cases for presentation. This is a great learning opportunity and you are strongly encouraged to consider submitting abstracts.

There may be additional educational events that may be of interest. These will be communicated by email from the BPRS Secretary and Trainee Representative.

Research

You are training to be a tertiary specialist in PRM, and will be expected to be active in fostering research during your consultant career. This may already have happened prior to grid entry, but if you do not currently have any research experience you should consider how you will achieve this aspect of training. A period out of programme for research (OOPR) is possible during GRID training but you must convince your supervisors, including the Regional Advisor and Regional Academic Advisor that it is a suitable project, with defined training objectives for you, and with a likelihood of a higher degree resulting from it.

Completion of training

You will need to get a form from the College 3-6 months prior to completion of training. This needs to be signed by your Regional Adviser, but also by the CSAC. It should be sent to the CSAC chair in the first instance, who will forward it to one of the Specialty Training Advisors with all relevant information about your training.

Questions

Bushra Ahmed is the current British Paediatric Respiratory Society Trainee Rep and is co-opted onto the CSAC. She can bring your views to the Committee and canvasses opinion from time to time. Please feel free to email her any concerns. If you are a recently appointed GRID trainee, please email her so she can add you to the GRID trainee email distribution list: b.ahmed@doctors.org.uk 

Please also feel free to contact the CSAC chair if you have any concerns or queries.

Currently this is Dr Neil Gibson, Consultant in Paediatric Respiratory Medicine, Royal Hospital for Children, Glasgow. Email: neil.gibson@ggc.scot.nhs.uk

Further information on CSAC:  https://www.rcpch.ac.uk/membership/committees/paediatric-respiratory-medicine-csac