9th Yorkshire and the Humber School of

Paediatrics

Annual Meeting 2018

The AESSEAL New York Stadium, Rotherham

https://www.yorksandhumberdeanery.nhs.uk/paediatrics

Contents

Introduction 3

Aims of the Meeting 4

Programme 5

Keynote Speakers 7

Panel Discussion 9

Oral Presentation Abstracts 11

Workshop Information 15

Poster Presentations 17

PAFTA Awards 21

Committee 22

Registration - Upon arrival please sign in at the welcome desk.

Lunch will be served at 12:00.

Wi-Fi is available free of charge to delegates.

Car Parking: Free Car Parking is available on site.

Welcome to the 9th Annual Yorkshire and the Humber

School of Paediatrics Meeting

9th November 2018

Dear Colleagues,

On behalf of the organising committee, we are thrilled to welcome you all to the 9th

Yorkshire and the Humber School of Paediatrics Annual Meeting, in the AESSEAL New

York Stadium, Rotherham.

This annual meeting provides a fantastic opportunity for paediatric trainees from across

the region to gather to learn about the most up to date research, learn new skills and be

inspired to improve the health of the children within our region, and beyond.

The theme of this year’s meeting is breakthroughs in paediatrics, where we will be looking

at breakthroughs and triumphs from the past and present, as well as looking forward to

the exciting breakthroughs on the horizon.

This packed meeting will provide you with great learning opportunities, with nationally re-

nowned guest speakers, informative workshops and inspirational talks.

Many trainees and supervisors have been nominated for a Paediatric Award For Training

Achievements (PAFTA) by their peers, because they have gone the extra mile to look after

their patients, as well as their colleagues.

We are honoured to be able to announce the Yorkshire and the Humber PAFTA nominees

and winners at the meeting.

Working flexibly and training less than full time is becoming more and more popular. We

recognised that many trainees would struggle to attend the meeting due to childcare re-

sponsibilities and this year we are very excited to be pioneering a baby-friendly room!

As always, this meeting has been funded by Health Education England and the School of

Paediatrics. However, all of the organisation and planning has been done by a team of vol-

unteer trainees. Without the help and dedication from our committee members this event

would not have been possible.

We express our utmost gratitude to all our speakers at the meeting, for taking time out of

their busy schedules to educate and inspire, without whom we wouldn’t have a meeting!

We would also like to thank all of the paediatric con-

sultants that marked your excellent abstracts for

presentation.

Finally, we would like to thank you for your participa-

tion and sincerely hope you enjoy the meeting!

Dr Claire Wastakaran and Dr Yousef Gargani

Co-Chairs of the SoPAM 2018 Organising Committee

Aims of the Yorkshire and the Humber School of

Paediatrics Annual Meeting 2018

Create a forum for trainees to develop their academic skills and improve clinical knowledge

To share interesting clinical information and management related issues across the re-gion, thereby creating a forum for debate in the form of lectures and workshops

Provide education, training and feedback on the academic abstract submission pro-cess for postgraduate trainee paediatricians

Provide a safe and friendly environment for trainees and consultants alike to become more involved in academic paediatrics, at every level

Allow an opportunity for trainees to develop their oral and poster presentations skills

Offer a showcase of postgraduate research and management of complex clinical cases

Provide a regional platform on an annual basis for the paediatric specialties to dissem-inate knowledge and enhance education across various paediatric disciplines

Recognise and appraise the success of research and good clinical care achieved re-gionally

Engage and value the contributions of the entire paediatric academic community

Programme 08:30 Registration and coffee

09:00—09:15 Welcome and

Introduction

Dr. Karin Schwarz,

Head of School of Paediatrics for Health Education England York-

shire and the Humber, HEEYH

Dr. Yousef Gargani & Dr. Claire Wastakaran, Committee chairs

09:15—10:00 “Thriving, not just

surviving, in

Paediatrics : a new

approach to career

Planning”

Dr. Camilla Kingdon,

Vice President for Education and Professional Development for

RCPCH, Head of School of Paediatrics, London, and Consultant Neo-

natologist, Evelina Children’s Hospital. .

10:00– 10:45 “Child Health

Technology – Exciting

opportunities ahead”

Professor Paul Dimitri,

Consultant Paediatric Endocrinology, Director of Research & Inno-

vation , Sheffield Children’s Hospital

10:45– 11:10 Coffee Break & Poster Viewing

11:10-12:00 Oral Presentations

12:00—13:00 Lunch & Poster Viewing

13:00—13:45 Workshop Sessions - 1

GRID/SPIN

Marketplace

Dr. Kay Tyerman, Dr Khurram Mustafa, Dr Jess Morgan

End of Life Care in

Paediatrics

Suzanne Dickins and the palliative care team from Forget

Me Not Hospice

Surviving and thriving

in Paediatrics

Dr. Sanjay Suri, Dr Jess Morgan

The Bradford ACE

Team Dr. Matt Mathai

Educational Supervi-

sion Update

Dr. Karin Schwarz

Programme 13:45-14:30 Workshop Sessions – 2

Family First; award

winning MDT working

in Spina Bifida

Dr. Kate Wildig

Breaking down

communication

barriers

Jo Sandiford

OOPE Breakthroughs Dr. Lucy Hinds, Dr Caroline Fraser

Research from the

region; success stories

from the Master’s

Course

Dr. Tim Lee , Dr Amelia Shaw, Dr Umberto Piaggio

14:30-15:00 Coffee Break & Poster Viewing

15:00-15:45 “CAR T cells: What’s all

the hype about?”

Dr. Sujith Samarasinghe,

Consultant Paediatric Haematologist, Great Ormond Street

Hospital

15:45-16:30 Panel Discussion

“Breakthroughs in

Research”

Chaired by :

Dr. Jess Morgan, Paediatric Oncology GRID trainee, and NIHR

Clinical Lecturer

Panel:

Dr. Meena Balasubramanian, Consultant Clinical Geneticist,

Sheffield Children’s Hospital

Dr. Tim Lee, Paediatric Respiratory consultant, Leeds Teaching

Hospitals

Dr. Sam Oddie, Consultant Neonatologist, Bradford Teaching

Hospital, Clinical Lead for the National Neonatal Audit Pro-

gramme

Dr. Bob Phillips, Consultant in Paediatric and Teenage and

Young Adult Oncology, Leeds Teaching Hospital, NIHR Research

Fellow

16:30-17:00 Summary, Remarks,

Awards

Dr. Karin Schwarz, Head of School of Paediatrics for Health

Education England Yorkshire and the Humber

Close

Introducing the Head of School and Key Note

Speakers Dr Karin Schwarz:

Originally born and raised in Germany, I have been working in the UK since I graduated from medical school

in 1991. Love and the opportunity to do Paediatrics kept me in Yorkshire and I have in the past worked in

many of the hospitals in the East and West (but sadly not the South) of the area.

Since 2001 I have been working as a Consultant Paediatrician at Huddersfield and Halifax and locally I share

the lead role for neonates.

I have always had close involvement with trainees and training as rota organiser, clinical tutor and supervisor.

During my time as TPD between 2009 and 2015 I have developed the ARCP process and have established ex-

ams related courses in the region. I have been lucky enough to be appointed Head of

School of Paediatrics in June 2015 and I greatly enjoy this role. It is a pleasure to

work with all the trainees, TPDs, HEE team and trainers in Yorkshire and nationally.

Outside work I spend time with my husband and 4 children, act as the children’s taxi

driver, stand at the side of football pitches and drag everybody out of the house for

long walks, which are most enjoyed by myself and the dog . I also try to keep fit by

running (not very far) and playing tennis (unfortunately not very well).

Dr Camilla Kingdon:

Dr Camilla Kingdon is a consultant neonatologist at Guy’s and St Thomas’ Hospital, London (Evelina London

Children’s Hospital) and since July 2018 is the Royal College of Paediatrics and Child Health Vice President for

Education and Professional Development.

She graduated at the University of Cape Town and worked in South Africa before moving to the UK. She un-

dertook her Paediatric training in London and has been a consultant since 2000. She completed an MA in

Managing Medical Careers at the University of Brighton in 2013.

Dr Kingdon has several educational roles and is currently the Head of the London

School of Paediatrics and Child Health.

She has a particular interest in medical careers – both in terms of offering one-to-one

careers support, but also in setting up structures to support careers development.

She is Co-Careers Lead for the RCPCH and has been instrumental in setting up a net-

work of careers advisors within the RCPCH to support career-grade doctors.

Professor Paul Dimitri :

Professor Paul Dimitri is the NIHR Clinical Research Network National Children’s Specialty Lead providing

strategic direction and leadership for 15 regional clinical research networks for children, the Divisional

Lead for the NIHR Yorkshire & Humber Clinical Research Network, the Director of the NIHR Children &

Young People MedTech Co-operative, and the Clinical Director for the National Technology Innovation

Transforming Child Health (TITCH) Network. Paul has led on the development and implementation of

national technology networks that specifically focus on the development and adoption of technology for

paediatrics and child health through private and public sector collaboration, to ensure children and

young people receive the best and most advanced healthcare and to drive long-term sustainable change

in the health sector. Paul currently works at Sheffield Children’s NHS Foundation Trust as a Professor of

Child Health, Consultant in Paediatric Endocrinology and Director of Research & Innovation.

Paul was previously the Deputy Director for the Medicines for Children’s Re-

search Network (East) and has previously held national positions on com-

mittees at the Royal College of Paediatrics and Child Health and the Academy

of the Medical Royal Colleges. Paul was awarded a PhD in Medicine by the

University of Sheffield for his work in paediatric endocrinology, has received

awards for his work from the RCPCH and the British Society of Paediatric En-

docrinology & Diabetes and is internationally recognised in his field of re-

search.

Dr Sujith Samarasinghe :

Dr Sujith Samarasinghe ( BSc. MBBS, MRCPCH, FRCPath, PhD) completed his medical training in Imperial

School of Medicine, London in 1998.

He did his paediatric haematology training in Great Ormond Street Hospital and University College Hos-

pital, London. He was awarded a PhD in 2010 from University College London in the field of immunother-

apy for leukaemia.

In 2011, he was appointed as a consultant haematologist in Newcastle but re-

turned to Great Ormond Street Hospital in 2014. His areas of expertise in-

clude childhood leukaemia and aplastic anaemia.

He is a clinical trial coordinator for the national UK Acute lympho-

blastic leukaemia trial, UKALL 2011, the national lead for childhood

aplastic anaemia and supportive care and a coinvestigator on two CAR

T-cell studies in childhood leukaemia.

Dr Tim Lee is Lead Clinician and Consultant at the Leeds Regional Paediatric Cystic Fibrosis Centre. He has

been involved in the clinical care of children and young people with cystic fibrosis since 1995.

He has a PhD focussed on improving the effectiveness of gene therapy, and is Principal Investigator on a

number of current clinical trials. Leeds is part of the European Cystic Fibrosis Society Clinical Trial Network,

which comprises 43 large and experienced CF Centres across 15 European countries, caring for a total of

17,500 people with CF. The aim of the ECFS-CTN is to increase the quality and quantity of CF clinical research

by having a co-ordinated approach to realizing efficient and high quality clinical trials addressing the most

important priorities for people with CF.

He also represents ECFS-CTN on the co-ordinating group of Enpr-EMA, the network

of paediatric research networks at the European Medicines Agency. He also is Head

of Studies for Postgraduate Programmes in Child Health at the University of Leeds,

and NIHR Children’s Theme Specialty Lead for Yorkshire and Humber, working to sup-

port children and young people throughout Yorkshire and Humber having appropri-

ate opportunities to access clinical trials, wherever they live.

Tim works closely with children’s research nurses and children’s research clinical

leads across all hospital Trusts in Yorkshire and Humber.

Dr Sam Oddie is a reformed Southerner. He was trained by wise paediatricians in the North East, but after a

couple of sojourns abroad, and a very educational stint in Edinburgh, he achieved his hearts desire.

Rather to his mothers surprise this proved to be a job in Bradford. The neonatal unit is

busy, and has a positive culture which fosters and engages with research.

The city itself is thriving on research, with the 13000 baby cohort study 'Born in Brad-

ford' delivering results that are starting to change the way we work.

He leads the National Neonatal Audit Programme, has research interests and leads the

local childrens research team. When not at work he grows vegetables, badly, and likes

to be outside.

Panel Discussion—”Breakthroughs in Research” Our specialties podium discussion will involve speakers from 4 different paediatric

specialties who will present previous breakthroughs, current triumphs and what’s on the

horizon within their specialty. This podium discussion will end the meeting, and we hope

that it will inspire the delegates about the exciting future of paediatrics and help to en-

gage them in research and innovation going forward.

Dr Bob Phillips is a Senior Clinical Academic at CRD, and an Honorary Consultant in Paediatric / Teenage-

Young Adult Oncology at Leeds Children's Hospital. His main areas of work are in the development of indi-

vidual participant data (IPD) meta-analysis, supportive care management, and the development of skills in

appraisal and translation of clinical research in practice. He is the lead of the PICNICC collaboration,

“Predicting Infectious Complications in Children with Cancer”.

Bob has worked extensively to promote and teach evidence-based practice with the Centre for Evidence-

based Medicine in Oxford, UK, and the Centre for Evidence-based Child Health

(Institute of Child Health, London, UK). He edits the evidence-based practice sec-

tions of the Archives of Diseases in Childhood, and is an associate editor of the jour-

nal. He has lectured in the UK, Europe, North America, Australia and the Nordic

Countries about evidence-based practice.

Bob was the Clinical Lead for the NICE Guideline (CG151) on the management of

neutropenic sepsis. In addition to the work in febrile neutropenia, he has undertak-

en many systematic reviews assessing the quality of evidences.

Dr Meena Balasubramanian completed her Paediatric training before undertaking specialist training in Clini-

cal Genetics at Wessex and Sheffield Clinical Genetics Services. Her MD is on atypical presentation of Osteo-

genesis Imperfecta (OI) obtained from the University of Sheffield in 2012. She has been a Consultant in Clini-

cal Genetics with a specialist bone genetics interest at Sheffield Children’s Hospital since 2012, and provides

genetics input to the national OI service. She has led several projects focused on genetics of rare bone disor-

ders and currently pursuing research projects focussed on identifying novel genomic approaches to rare

bone disorders and exploring newer targets for therapy for these conditions.

Dr Balasubramanian’s research interests include in-depth phenotyping of rare bone diseases through skin

and bone tissue analyses (funded by NIHR RD-TRC) combined with detailed clinical

phenotyping and molecular genotyping. Advances in genomic medicine has led to

increased use of next generation sequencing to identify new candidate genes and

explore their phenotypic associations. Dr Balasubramanian’s is the Bone fragility

lead for Genomic Clinical Interpretation Partnership (GeCIP), part of the 100,000

Genomes project initiative to establish genetic causes of rare diseases in UK. She is

also the Diagnostic Working Group Co-lead for BOND-ERN (Rare Bone Disease- Eu-

ropean Reference Network). She works across faculties in Sheffield, including pro-

jects with INSIGNEO on digital disease phenotyping; basic science research with

Cracking the Code of the Neonatal Unit

Camilla Varney, Lucinda Perkins and Carol Sullivan

FY1, Neonatal Trainee and Consultant Neonatologist, Singleton Hospital, Swansea

Aim

Swansea Medical and Physician Associate students spend one week attached to the neonatal intensive care

unit (NICU). The considerable terminology unique to neonatology, with the associated acronyms, means many

students struggle to follow ward round discussions or interpret case notes. Our aim was to produce a resource

to assist understanding of neonatal terms, enabling students to gain maximum benefit from the placement.

Method

We produced a single sheet double-sided A5 handout containing an alphabetical list of the 50 main acronyms

with their interpretation (expansion). Students received this with their placement timetable and laminated

versions were available on the ward (enabling cleaning to comply with infection control). This initiative was

evaluated by a 5-point scale questionnaire, with a free text section.

Results

20 students completed the feedback. 95% (19/20) rated the resource useful (5 agreed, 14 strongly agreed),

the remaining 1 student neither agreeing nor disagreeing. All students agreed (40%) or strongly agreed (60%)

it was clear and easy to use, with similar results for ease of following the ward round and notes.

Two additional acronyms were encountered and several students suggested including brief explanations or an

introductory document about the NICU.

In addition, several nurses and parents requested copies, parents being involved on ward rounds as part of the

Family integrated Care initiative.

Conclusions

The acronym resource successfully increased student understanding of the NICU placement, especially ward

rounds and interpretation of notes, optimising the educational value. Students agreed it was useful, clear and

easy to use. The list has continued to be used with some additional acronyms included. This resource could be

extended to qualified staff, parents and other hospitals, and has been shared with the baby charity Bliss for

their parent information leaflets. A complementary neonatal introduction booklet is being devised.

Oral Presentations

Evaluating and Improving locally the Identification, Health and Educational Support in Primary Schools of

Children Born Preterm

Fiona Payne1, Kirsty Sayer2, Angela Oliver3

1 ST6 Community Paediatrics Sheffield Children’s Hospital NHS Foundation Trust

2 Clinical Leadership Fellow Sheffield Teaching Hospital NHS Foundation Trust

3 Consultant Community Paediatrician Barnsley Hospital NHS Foundation Trust (supervising consultant)

Aims

Children born prematurely are more likely to experience health, educational and social difficulties compared to

matched term peers. Research reports educational professionals lack knowledge in the impact of being preterm

for learning and feel unprepared to support these children.

This project aims to evaluate local Special Educational Needs Co-ordinators (SENCOs) knowledge of the potential

problems associated with prematurity and to improve education and health collaborative working.

Method

A survey was developed and sent out via Local Authority email to all 77 local primary schools SENCOs. Data was

input into an Excel spreadsheet for quantitative and qualitative analysis.

Results

27% (22/77) of SENCOs completed the survey.

Of these in regards to prematurity:

86% reported little/no previous training.

86% reported limited/no knowledge of the potential education and social effects.

67% of schools had no process for routinely identifying ex-preterms.

100% were not aware of hospital protocols for ex-preterm children.

Qualitative data, in response to:

• ‘personal professional experience’: learning difficulties, ASD and ‘health issues’ were the most frequent re-

sponses.

‘improving health and education working’:

12/33 responses requested ‘training about prematurity effects’ (95% requesting training felt face

to face and/or written format would be beneficial).

9/33 responses wanted ‘schools informing of children born prematurely’.

Conclusion and Ongoing Work

Our findings of SENCOs previous training and knowledge of prematurity are similar to national research1 and

demonstrated a local training need. Therefore face to face and written training is being provided by the commu-

nity team with educational psychology. A follow-up survey to assess training effectiveness will be undertaken

(September 2018).

It’s Time To Talk

Jess Morgan ST5

Aims:

To raise awareness of mental health and well-being in doctors.

Background:

Over recent years, public awareness of mental health problems in doctors has increased significantly. Cam-

paigns such as Heads Together and Time to Change have paved the way for this movement. But despite the

efforts of charities such as the Doctors’ Support Network, we have not yet successfully destigmatised mental

illness in doctors. Tragically, suicide rates are higher amongst doctors than they are in other professional

groups, often due to difficulties in admitting vulnerability and fear of professional consequences (1). The GMC

survey 2018 revealed 1 in 4 trainees and 1 in 5 trainers described themselves as feeling burnt out (2). Evidence

suggests that 10-20% of doctors experience depression during their career and that symptoms of PTSD are

common in paediatric trainees (3,4).

Experience:

I am a paediatric trainee but I am also a patient; a mental health patient. Through my story I explore barriers

to seeking help and ways we can work together to overcome these. There are a multitude of agencies and

support systems available to doctors with mental health problems but often, as in my case, a crisis point is

reached before we become aware of them. Whilst there are no quick fixes for perpetual rota gaps, or the pres-

sures of a broken NHS, we can all learn to prioritise our emotional well being and health. Prevention of burn-

out and mental illness is fundamental to patient safety and the long term sustainability of our services. Ideas

include:

Raising awareness amongst supervisors

Recognising early warning signs and early intervention

Tackling systems issues using junior doctors forums

Developing self-care – 5 ways to well-being – Surviving and thriving days

Mindfulness

Schwarz and CONNECT rounds

Debriefing sessions

Learning and teaching about feedback

Supporting doctors involved in serious incidents

Conclusion:

Start a conversation in your department. Prioritise morale and well-being. It’s time to talk.

References:

Gerada C, For doctors with mental illness ‘help me’ can be the hardest words, The Guardian https://www.theguardian.com/

commentisfree/2018/jun/06/doctors-mental-health-problems-taboo

National trainee survey 2018, GMC, accessed via https://www.gmc-uk.org/-/media/documents/dc11391-nts-2018-initial-findings-

report_pdf-75268532.pdf

Gerada C, Jones R, Surgeons and Mental illness: A hidden problem? BMJ 2014;348:2764

“PODCAST” Patient Information- The future

Dr Shravanthi Chigullapalli (Specialty Paediatric Trainee year 6)

Dr Venkat Thiyagesh (Paediatric Consultant)

Calderdale Royal Hospital, Halifax

Aim: We aim to evaluate podcast (hosting web programmes) as a means of delivering information to patients

and their families.

Background: Health literacy is the single best predictor of individual’s health status. Patients want more infor-

mation about their health care.

The reading age of the general population in UK, has been estimated to be an average of 9years of age

(equivalent to year 4 at school), but most of the available information is aimed at population to an average

15years old ability or higher. There is a considerable age gap, between the availability and need. It’s important

to customize health information to the level of reading skills of population.

From the parent’s perspective, the current education of their medical problem consists of an overwhelming

amount of new information which often is presented on one occasion. They prefer education to be continuous

process that is reproducible as needed i.e., the principles of adult learning.

Method: It is a prospective qualitative, pilot project.

STEP 1- pilot user survey to understand the patient/ carer preference of using the information provided as

‘PODCAST’ and whether there is basis for expanding the use of this medium.

From survey of convenience sample of 29 carer’s, 28 of them preferred to use podcast in comparison to pa-

tient information leaflet.

STEP 2- ‘Podcast on Bronchiolitis’ created.

Convenience sample of 50 carer’s on the ward,

provied them with patient information leaflet and

podcast. Followed by an Evaluation questionnaire.

Results: 50 evaluation questionnaires over 2 months

period.

Conclusion: Podcast was widely accepted as a medi-

um of Health information provision, due to its ease of

use and accessibility. Caters to the varied learning styles of the population.

References

1) Sameer Badarudeen MD, Sanjeev Sabharwal MD (2010). Assessing Readability of Patient Education Materials. Clin Orthop Relat

Res(2010) 468:2572-2580

2)Rob Wilson, Tim Kenny, Jill Clark, Dave-Moseley, Lynn Newton, Doug Newton and Ian Purves (1997). Ensuring the Readability and

Understandability and Efficacy of Patient Information Leaflets. PILS project Summary Report, PRODIGY publication no:30.

3)Marie Leiner, Gilbert Handal and Darryl Williams. Patient Communication: a multidisciplinary approach using animated cartoons.

Health Education Research vol.19 no.5 2004 pages 591-595.

4) Richard S. Safeer, M.D. Jann Keenan, ED.S. Health Literacy: The Gap Between Physicians and Patients. Am Fam Physi-

cian. 2005 Aug 1;72(3):463-468.

5) T Kenny, RG Wilson, IN Purves, J Clark, LD Newton, DP Newton and DV Moseley. A PIL for every ill? Patient information leaflets

(PILs) : a review of past, present and future use. Family Practice 1998; vol 15, no.5, 471-479

Workshops

A2) GRID/SPIN Marketplace

Dr Kay Tyerman, Dr Khurram Mustafa, Dr Jess Morgan

The session will include an overview of GRID and SPIN training, taking trainees through application proce-

dure and top-tips on preparing for GRID. Current GRID and Academic trainees will also give their insight

into different routes into Speciality training and how to maximise chances of success.

A3) End of Life Care in Paediatrics

Suzanne Dickins and the palliative care team from Forget me not Hospice ( Huddersfield)

The workshop should allow delegates to have more information to give the whole family more choice

within the antenatal and neonatal period of palliative care and to be able to answer the question ‘why

get a hospice involved and how can they support the family’?

A1) Surviving and thriving in Paediatrics

Dr Sanjay Suri , Dr Jess Morgan

“Surviving and thriving in Paediatrics” workshop aims is to raise awareness of trainee wellbeing and resil-

ience and to encourage and enhance self-care. We will talk about trainee stress and burnout and the im-

pact of this in the workplace and in your life. We will discuss the many individual and system related fac-

tors that contribute to stress and burn-out.

This is a real workshop where we will be using “5 ways to wellbeing” through some fun interactive activi-

ties to learn about how to navigate your way through life and not only remain intact but also flourish.

Don’t miss out on your 5 today! Please note that if you feel you are already struggling and experiencing

burnout, you may need additional support. Please speak to the TPD facilitating the workshop afterwards.

A4) The Bradford ACE Team - Innovative Approach to Ambulatory Care

Dr Matt Mathai

1) Description of current number pressures in paediatric emergency care

2) A discussion of different solutions in the UK

3) A Bradford based potential solution

4) Plan for a regional network in ambulatory care

5) How doctors in training can get involved in these developments.

A5) Educational Supervision update

Dr Karin Schwarz

Dr Schwarz will update consultants and senior trainees about educa-

tional supervision including support and processes at HEE working

across Yorkshire and the Humber.

B1) Family First; award winning MDT working in Spina Bifida—Dr Kate Wildig

This workshop is about how we can support children with spina bifida and their families. It will focus on

the important features of management across their lifespan.

Neonates – main clinical issues in the neonatal period including investigations, surgical procedures and

important factors for a successful discharge

Childhood – essential points for follow up and monitoring, and supporting the family

Teenage and beyond – trouble shooting problem areas and transition to adult services

We will discuss the Multidisciplinary team model and how this works in Bradford, and share the local

clinic proforma. We will consider a local survey of patient feedback on the multidisciplinary clinic and

possible areas for improvement.

B2) OOPE Breakthroughs—Dr Chris Jackson, Dr Caroline Fraser and Dr Lucy Hinds

It is often far too easy to carry on from one training year to the next, without taking the opportunity to

broaden ones horizons or seek experiences elsewhere. Taking time out of training can take many differ-

ent forms. This workshop will look at the different types of breaks in training and how.

We will talk about the Diploma in Tropical Medicine including scholarship opportunities available for

Yorkshire paediatric trainees, and some practicalities about applying for the scholarship and the course.

Then we will talk about opportunities to volunteer in low and middle income countries, with some rec-

ommended organisations to contact and a bit about application processes.

B3) Research from the Region—Success stories from the Masters Course

Dr Tim Lee, Dr Amerlia Shaw, Dr Umberto Piaggio

This workshop will focus on two trainee’s real life experiences of research on the University of Leeds MSc

Child Health Programme, which is an option for ST6 trainees who complete the PG Dip Child Health. We

will cover the highs; the lows; and the benefits. We will reflect on what it is like undertaking a part time

research project during clinical training. What is it really like trying to get ethical approval? What support

do you get? What is a dissertation viva like? How does it feel having a completed project and being able

to present it at a national or international conference? Has it helped my professional development as a

paediatrician? Would we recommend this opportunity to undertake research to other trainees? What

are the top tips for success?

B4) Breaking down communication Barriers—Jo Sandiford

What could be more powerful, rewarding and exhilarating than enabling children to communicate and

interact successfully? This workshop will focus on working with children with severe and complex com-

munication needs, including autism. We will experience, discuss and explore strategies to support dele-

gates to:

• interact with children who are hard to reach and who may prefer objects to people

• help children to who are struggling to understand language

enable communication in children who are non-verbal, using signs

1.Title: Tuberculosis in a Victim of Human Trafficking-A Missed Opportunity

Author: Morven Dockery, Janani Devaraja, Matthew Kurian

2.Title: Unusual Neck Swelling-A Case Report

Author: Shravanthi Chigullapalli

3.Title: Pilot of an innovative ambulatory care project at a local teaching hospital: should all children be

treated in hospital?

Author: Anne Pinches, Matthew Mathai

4.Title: Child Protection Medical Report Analysis

Author: Monica Negoita, Nikki Pelech, Yasmin Rejaei, Matthew Pie

5. Title: Using gonad shields in paediatric Xrays

Author: Fadi Maghrabia Louise Hattingh

6. Title: Borderline peak plasma cortisol following Synacthen stimulation

Author: Sarah Burn Charlotte Elder, Neil Wright

7. Title: Neonatal Suprarenal Mass-Beware antenatal diagnosis

Author:Jennifer Salvanos, Rebecca Wallis,Hazel Clargo, Anand sharma

8. Title: Prevention Of Term Admissions With Respiratory Symptoms After Elective Caesarean Section In A

Tertiary Neonatal Unit

Author: Amelia Shaw

Poster Presentations

9. Title: Paediatric Stroke Management; a case presentation and discussion

Author: Demetria Demetriou, Claire Breidenbach-Roe, Dr Helen McCullagh, Dr Rajib Lodh

10. Title: Don't Forget Congenital Vocal Cord Palsy

Author: Maria Callaby,Jennifer Salvanos,Simone Schaefer

11.Title: Streamlining Paediatric Neurology Headache Services

Author: Stephen Proctor,V Arumugam, S Ramdas

12.Title: Patient and Public Involvement in Research

Author: Jess Morgan Bob Phillips

13.Title: Invisible Children: Child Trafficking within the UK for purpose of sexual exploitation

Author: Claire Enevoldson

14.Title: Neonatal brain Imaging indications and outcomes – 7 year retrospective data study in a secondary care

centre.

Author: Baljit Karda, Venkatraman Thiyagesh, Shalini Nandish

15.Title: Assessing the Prognostic Values of UK WHO against customised growth charts in SGA infants using AU-

ROC

Author: Umberto Piaggio, Shameel Mattara

16.Title: The Truth is out there:

Author: Umberto Piaggio, James Burnell

17.Title: Quality Improvement Project in Ambulatory Care in Step Up Model

Author: Chern Tan, U Jegathasan, M Mathai

18.Title: Knot What We Expected

Author: Melody Redman David Campbell

19.Title: Why is my patient turning blue?

Author: Charlotte Burleigh, Amanda Newnham

20.Title: Experiences of Paediatric Trainees in Yorkshire and Humber

Author: Melody Redman, Fiona Payna Angela Oliver

21. Title: Levetiracetam in Neonatal seizures- 5year experience

Author: Vijay Harikrishnan, Dr Miall

22. Title: Can a Paired Learning Programme (PLP) Improve Manager-Doctor Relationships?

Author: James Houston, Jess Morgan

23.Title: A Diagnosis That is Difficult to Swallow

Author: Lesley Clarkson, M Barraclough

24.Title: Congenital Lobar Emphysema: To Drain or Not to Drain

Author: Andrew Brookes, Vijay Harikrishnan, Anita Solanki,Prashant Mani, David Crabbe

25.Title: What Doctors Do

Author: Brenda Van Beek, Hazel Clargo,Simon Clark

26. Title: Feasibilty of quantitative ultrasonography for the detection of metabolic bone disease in preterm in-

fants-systematic review

Author: Liting Tong, Amaka Offiah

27. Title: Childhood Obesity: When lifestyle isnt the only contributing factor

Author: Katherine Halford, Sanjay Gupta

28. Title: Institutionalized Children in Romania

Author: Monica Negoita

29. Title: Evaluating the Teaching of BLS and Management of Choking to Community Groups over a 1 Year

Period

Author: Fiona Payne, E Comarty, N Jena, N Pawley

30. Title: Constipation: Tip of the Iceberg

Author: Geetanjali Arora, Dr Allagoa

Non-Trainee Abstracts selected for Poster Presentation

1.Title: Medical Elective on Likoma Island

Author: Alexander Noah and Hannah Jeffery

2.Title: Are beta blockers effective in children with Congestive Heart Failure?

Author: A Sabouni, Y Bdaiwi, S Alabed

3. Title: 'Spectrum of neurological disorders in a paediatric neurology outpatient clinic in Khartoum, Sudan

Author: Malak Mohamed

4. Title: Morbidity Report on Mercy Malaysia Primary HealthCare Service in Cox's Bazar, Bangladesh

Author: Syed Muhammad Abdul Hadi Arief, Norzila Mohamedd Zainudin

PAFTA Awards

The Paediatric Awards for Training Achievements (PAFTA) for the Yorkshire and Hum-

ber deanery 2018

The PAFTA awards were established in 2016 by the Royal College of Paediatrics and Child Health

(RCPCH) Trainees’ Committee, to acknowledge hard work and achievements by Paediatric junior doc-

tors in the UK.

Every year a PAFTA is awarded to one outstanding Junior trainee (ST1-3), Senior trainee (ST4-8+)

and Educational Supervisor (Consultant). These regional PAFTA winners have been nominated by their

peers because they have gone the extra mile to look after their patients as well as their colleagues. All

Yorkshire PAFTA nominees and winners will be announced at the Yorkshire and Humber School of Pae-

diatrics Annual Meeting.

The Yorkshire PAFTA winners will then be nominated for the National PAFTA. This will be presented at

the RCPCH annual meeting in Birmingham in May 2019.

It was to our delight that our very own Yorkshire Senior trainee PAFTA winner Dr Harriet Barraclough

(South Yorkshire) won the National PAFTA in March 2018, which was presented at the RCPCH Confer-

ence in Glasgow. We are hoping that more exemplary Yorkshire trainees are highlighted nationally in

this way!

Congratulations to all PAFTA 2018 winners and nominees:

You are an asset to paediatric care and training in Yorkshire and Humber,

and we salute you!

Jess Wan

Thank You

With thanks to this year’s Organising Committee, for all of their hard work!

Abstract Team

Janani Devaraja

Nicola Seneviratne

Gayathri Karthikeyan

Poster Team

Rebecca Schoner

Andy Brookes

Claire Breidenbach-Roe

Swaroop Arghode

Workshop Team

Mark Winton

Emily Roberts

Mehry Qureshi

Monica Negoita

Conference Pack Team

Eman Hassanin

Amy Henderson

Advertising Team

Shambhavi Sinha

Aisha Tabassum

Olivia Parker

Medical Student Team

Meena Handi

Reyhaneh Henderson

Stand Team

Manorama Gadde

Emad Armanious

Shabnum Yasmin

Shravanthi Kummara-

ganti

Co-Chairs of the 2018

Committee

Dr Claire Wastakaran

Dr Yousef Gargani

We would like to thank Embrace for generously

allowing us to use their facility for our com-

mittee meetings and conference preparation.