Please give up to five personal achievements with reflections, that demonstrate your suitability for a career in paediatrics

Avoid examples already used in question 1.

[For each of 5 examples:]

Description of achievement and explanation of relevance to paediatric application (50 words)

Reflection on how this demonstrates your suitability for a career in paediatrics (50 words)

Describe up to 2 projects that demonstrate your involvement in audit/QI and the impact it has made

Marks will be awarded for the best example – i.e. the one that scores the highest according to the criteria.

For each example:

Which of the following best describes your QI/Audit project?

• Audit
• QI project
• QI project/Audit with multiple cycles

Describe your role in the audit/QIP project. (50 words)

Describe how/where you presented the audit/QIP and any change in practice that happened as a result. (50 words)

Describe up to 2 examples of your research/academic achievements.

Marks will be awarded for the best example – i.e. the one that scores the highest according to the criteria.

For each example:

Description of the research/academic achievement (50 words)

Which of the following apply to the example of research/academic achievement you have chosen?

• Some involvement in a research project/piece of academic work
• Led on a research project/piece of academic work
• Significant contribution to recruitment
• Significant contribution to data collection
• Significant contribution to data analysis
• Presentation at local meeting
• Presentation at regional meeting
• Presentation at national/international meeting
• Publication as co-author
• Publication as first or last author

Describe the nature of your research project/academic work, your role and what your role involved. (50 words)

Describe up to 2 examples of educating/ teaching others, that you have been involved in

Marks will be awarded for the best example – i.e. the one that scores the highest according to the criteria.

For each example:

Describe an example of education/teaching session(s)/programme you have been involved in (50 words)

Describe your involvement, including any evaluation and subsequent modifications that you carried out (50 words)

I confirm I do not exceed 24 months (2 years) whole time equivalent experience in Paediatrics (excluding Foundation modules) at point of application as evidenced in my employment history.

Confirm experience (Tickbox)