Supporting Information
Evidence (1 of 2)
1. PAEDIATRIC EXPERIENCE
Please clearly list these posts in your employment history
Do you have at least 12 months’ experience of working in Paediatrics; this must include at least 6 months in Neonatology at the point of application and 6 months in General Paediatrics (not including Foundation modules) at point of application? (Yes | No)
2. MRCPCH QUALIFICATIONS
To be considered for ST3 you must demonstrate having achieved success in two of the three theory exams (Foundation of Practice (FOP), Theory and Science (TAS), Applied Knowledge in Practice (AKP)) by time of application and within the last 7 years.
Have you achieved success in the Foundation of Practice (FOP) theory exam?: (Yes | No)
Have you achieved success in the Theory and Science (TAS) theory exam?: (Yes | No)
Have you achieved success in the Applied Knowledge in Practice (AKP) theory exam?: (Yes | No)
Have you achieved success in the Clinical exam?: (Yes | No)
3. PAEDIATRIC LIFE SUPPORT COURSE
Have you successfully completed a Paediatric Life Support course e.g. PLS, APLS, EPLS or equivalent? Please note this is not mandatory for application (Yes | No)
4. NEWBORN LIFE SUPPORT COURSE
Have you successfully completed a Newborn Life Support (NLS) or equivalent? Please note this is not mandatory for application (Yes | No)
5. LEVEL 2 SAFEGUARDING CHILDREN
Do you have a valid Level 2 Safeguarding Children: Recognition and Response in Child Protection (or equivalent) certification? Please note this is not mandatory for application (Yes | No)
Supporting (2 of 2)
1. Additional qualifications
Please state your highest achieving qualification in line with the scoring framework
What is your additional qualification? (Words allowed: 20)
Which of the following best describes your qualification?
- No qualification
- Postgraduate diploma
- Postgraduate certificate
- Postgraduate (University awarded) MA
- Postgraduate (University awarded) MSc
- Research MD (University award – not training award)
- PhD (University award – not training award)
- Other
Full description of qualification if required (‘Other’) (Words allowed: 50)
2. Clinical skills
List up to 5 examples of specific paediatric clinical skills that demonstrate that your abilities are level with the requirements for ST3 entry. At least one of these must be based in neonatal medicine, general paediatrics and safeguarding.
For each example:
Description of skill and explanation of relevance to paediatrics, neonatal medicine, general paediatrics and/or safeguarding (Words allowed: 50)
How does the gaining of this skill demonstrate your ability to work at ST3 level in UK paediatric training (Words allowed: 50)
3. Clinical experience and reflection
List up to 5 examples of specific experiences in paediatrics with reflection, that demonstrate that your abilities are level with the requirements for ST3 entry. At least one of these must be based in neonatal medicine, general paediatrics and safeguarding.
For each example:
Description of experience and explanation of relevance to paediatrics, neonatal medicine, general paediatrics and/or safeguarding (Words allowed: 50)
What is your reflection on the experience and how does it demonstrate your ability to work at ST3 level in UK paediatric training (Words allowed: 50)
4. Quality Improvement Project (QIP)/Audit relevant to application level and experience of applicant
Describe up to 2 projects that demonstrate your involvement in audit/QI and your learning from this.
Marks will be awarded for the best example – i.e. the one that scores the highest according to the criteria.
For each QIP/Audit:
Which of the following best describes your QI/Audit project?
- Audit
- QI project
- QI project with multiple cycles
What was your involvement in the audit/QIP?
- Some involvement in the audit/QIP but did not lead it
- Designed the audit/QIP
- Lead the audit/QIP
- Lead the audit/QIP and presented the findings
Briefly describe exactly what your role involved in the audit/QIP project entailed. (e.g. recruiting participants, data collection, etc) (Words allowed: 50)
Briefly describe how/where you presented the audit/QIP and any change in practice that happened as a result (Words allowed: 50)
5. Leadership/management relevant to application level and experience of applicant
Describe clearly the most significant leadership or managerial role you have held in your professional life (undergraduate or postgraduate). This may include roles outside or within your work environment, but importantly, should not be a clinical leadership role, where you led a clinical situation/team.
Give a brief description of the example of leadership/management role (Words allowed: 50)
Which of the following apply to the example leadership/management you have chosen?
- No leadership/management experience (outside of clinical situations)
- Rota organiser
- Shift coordinator
- Lead role as undergraduate/junior doctor
- Role within university, medical school/department
- Local
- Regional
- National
Briefly describe what the significance of the role has been; include any evidence of the delivery/impact you had and any evidence of personal and/or professional development (Words allowed: 50)
6. Research and academic achievements relevant to application level and experience of applicant
Provide a list of 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:
Give a brief description of the example of research/academic achievement (Words allowed: 50)
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
- Presented at regional meeting
- National presentation
- Co-author publication
- International presentation
- Significant contribution to recruitment
- Significant contribution to data collection
- Significant contribution to data analysis
Briefly describe the nature of your research project/academic work, your role and what your role involved (Words allowed: 50)
7. Teaching relevant to application level and experience of applicant
Describe up to 2 of the most significant/relevant examples of activities and learning related to teaching and education that you have helped 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:
Briefly describe your example of being involved in teaching (Words allowed: 50)
Which of the following describe your personal level of involvement in your example of teaching?
- No experience of delivering or organising teaching
- Some participation in delivery of teaching
- Significant contribution to delivery of teaching
- Designed teaching
- Led teaching
- Evaluated
Briefly describe the exact nature of your involvement, including the actions and any evaluation that you carried out (Words allowed: 50)