Paediatric Cardiology ST4

You must hold a Bachelor of Medicine, Bachelor of Surgery (BMBS, MBBS) degree or other equivalent medical qualification.

You must:

• Be eligible to work in the UK
• Hold full registration with the General Medical Council (GMC) at the time of application, and hold a current licence to practise on the date your post commences
• Meet the standards set out in Good Medical Practice, and not be subject to fitness to practise conditions which would prevent you taking up the post or performing fully within it

You must not

• Hold, nor be eligible to hold, a Certificate of Completion of Training (CCT), nor
• Already be eligible for the specialist register for this specialty, including through the Portfolio Pathway.

You must be able to provide complete details of your employment history, including any gaps.

• You must complete all sections of the application form fully and truthfully, in accordance with written guidelines
• You must disclose in your application if you are subject to any ongoing fitness to practise proceedings or are subject to any fitness to practise conditions
• If you are currently in specialty training and applying to continue training in the same specialty in another region, you must obtain a Support for Application to another region form signed by the Training Programme Director/Head of School of your current Specialty Training Programme. This must confirm satisfactory progress and be submitted with your application
• If you have previously resigned, or been removed from a training programme in any specialty, you must obtain a Support for Reapplication to Specialty Training form signed by the Training Programme Director/Head of School and Postgraduate Dean from the region you previously undertook training in. This must be submitted with your application

Capability/Competences

You must have evidence of achievement of paediatric capabilities commensurate with a trainee who has completed ST3 as defined by the Paediatric RCPCH Progress+ curriculum. This can be evidenced using one of the following methods:

• Current employment in a UK paediatric training programme which leads to achievement of ST3 capabilities by the advertised start date for the vacancy.
• Successful completion of ST3 capabilities in a UK paediatric training programme, evidenced by satisfactory ARCP. This must be submitted with your application.
• A completed Certificate of Completion of Progress+ Paediatric ST3 Capabilities. This must be submitted with your application.

Experience

You must have at least 24 months’ whole time equivalent experience including at least 6 months in Neonatology and 6 months whole time equivalent in General Paediatrics (not including Foundation modules) by the advertised post start date for the vacancy.

If you wish to be considered for Locum Appointment for Training posts (where available): you must have no more than 24 months experience in LAT posts in this specialty by the advertised post start date for the vacancy.

Professional examinations

You must hold full Membership of the Royal College of Paediatrics and Child Health (MRCPCH) by offer date.

Capability/Competences

Applicants from a physician background must be able to demonstrate ST1 competences in paediatrics by time of commencement of the ST4 paediatric cardiology training programme, in addition to the medicine capability requirements detailed below.

You must have evidence of achievement of the capabilities required by completion of year 2 of the Internal Medicine Stage 1 curriculum. This can be evidenced using one of the following methods:

• Current employment in one of the following programmes which leads to successful completion of year 2 of Internal Medicine Stage 1 Training by the advertised post start date for the vacancy: 
  • UK Internal Medicine Stage 1 Training.
  • UK ACCS (Internal Medicine).
  • UK Broad Based Training (medicine route).
  • UK core medical training or ACCS (acute Medicine).
  • A JRCPTB internationally level 3 accredited equivalent Internal Medicine Stage 1 Training programme.
• Successful completion of one of the programmes listed above at the time of application, evidenced by satisfactory ARCP. This must be submitted with your application.
• An acceptable version and satisfactorily completed Alternative Certificate to Enter Group 2 Higher Physician Specialty Training. This must be submitted with your application.

Experience

You must have sufficient whole time equivalent experience working in medical specialties (not including foundation level experience) by the advertised post start date for the vacancy. This can be via by:

• Completing training in one of the following programmes:
  • The first two years of UK Internal Medicine Stage 1 Training
  • The first three years UK ACCS (Internal Medicine)
  • UK Core Medical Training or UK ACCS (Acute Medicine)
  • The first three years of UK Broad Based Training (medicine route) 
  •  JRCPTB internationally level 3 accredited equivalent Internal Medicine Stage 1 Training programme or
• Having at least 24 months’ whole time equivalent experience in medical specialties (of which at least 12 months must include the care of acute medical in-patients). Experience in certain acute care common stem specialties can be counted towards the 24 months in some circumstances.

Applicants from a physician background will need to complete additional core paediatric and neonatal capabilities (nominal 1 year) prior to commencing the ST4-8 Paediatric Cardiology curriculum. This paediatric training will be organised by the employing deanery following appointment to the post, rather than being expected of the trainee at the time of appointment.

If you wish to be considered for Locum Appointment for Training posts (where available): you must have no more than 24 months experience in LAT posts in this specialty by the advertised post start date for the vacancy.

Professional examinations

You must have any of the following:

• MRCP(UK) Part 1 at time of application and MRCP(UK) full diploma by offer date.
• Eligibility for the specialist register in general internal medicine, approved by the GMC, at the time of application.
• Completion of Irish Basic Specialty Training in medicine and Membership of the Royal College of Physicians of Ireland (MRCPI) full diploma by offer date.

You must have demonstrably up to date competences in advanced life support and safeguarding.

Eligibility

• You meet all criteria specified in the Eligibility to Apply section above

Clinical knowledge

• Interest in, and understanding of, the training programme

Workplace skills

• Ability to work in multi-professional teams and supervise colleagues
• Ability to lead, make decisions, organise and motivate other team members
• Ability to manage/prioritise own and others’ time effectively, including administrative tasks.
• Ability to work safely under pressure and deliver good clinical care in the face of uncertainty
• Ability to monitor developing situations and anticipate issues
• Good basic IT skills, including Microsoft 365, email, and ability to learn new systems

Academic knowledge

• Understanding of research, including awareness of ethical issues
• Understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
• Knowledge of evidence-informed practice

Personal skills

• Commitment to personal and professional development
• Ability to work on own initiative, demonstrating professional curiosity
• Strong attention to detail, preparation and planning
• Ability to communicate messages effectively to a range of audiences
• Ability to negotiate and build positive professional relationships
• Strong problem-solving skills, with a scientific approach to problem solving
• Ability to reflect on personal and professional skills and behaviours

Values

• Understands, respects, and demonstrates the values of the NHS

Knowledge and Experience

• Understanding of NHS management and resources
• Experience of management and leadership
• Experience of research
• Experience of audit and quality improvement
• Experience of teaching

Clinical Skills – Clinical Knowledge & Expertise

• Appropriate knowledge base and ability to apply sound clinical judgement to problems.
• Awareness of the basics of managing patients with cardiovascular disease.
• Able to demonstrate proficiency in a range of medical procedures as an indication of manual dexterity and hand-eye coordination.
• Evidence of competence in management of medical emergencies and in-patients through continuous work-based assessments, portfolio evidence, including log book documentation, if applicable.
• Evidence of competence to work without direct supervision, where appropriate.

Career Progression

• Higher degrees including MSc, PhD or MD (not including intercalated BSc or ‘Honorary’ MA).

Clinical Skills – Experience

• Experience at ST1, ST2 or ST3 level of managing patients (adult and/or paediatric) with cardiac disease, including emergencies, by time of commencement of ST4 training.

Clinical Skills – Clinical Knowledge & Expertise

• Demonstrates awareness of the basics of managing paediatric cardiac disease and managing emergencies.
• Evidence of some competences in the specialty as defined by the relevant curricula. Evidence can include portfolio, logbook, ARCP, or equivalent. Where relevant/applicable, workplace-based assessments (eg CbD, mini-CEX, ACAT, DOPS, MSF, or equivalent) may also be used to demonstrate achievement of competences.
• Evidence of skills in the management of acute medical referrals.

Personal Skills – Other

• Evidence of achievement outside medicine.
• Evidence of altruistic behaviour e.g. voluntary work.