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PAEDIATRICS Clinical placement at Mid Yorkshire NHS Trust
Welcome to your 4th year clinical placement in Paediatrics, at Mid Yorkshire NHS Trust.
We hope you enjoy your time here and develop your knowledge and practical skills in paediatrics and child
health.
The trust is spread across 3 sites: Pinderfields; Dewsbury; and Pontefract. There is a shuttle bus running
between the 3 sites on the hour and half hour.
You will work alongside the teams on all 3 sites and gain exposure to acute and outpatient paediatrics as
well as neonates.
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There are opportunities to see children in the Emergency department and to observe routine or emergency
surgery.
The consultant coordinating your attachment is Dr Fraser Scott, (01924 542502).
The consultant coordinating your time while in Dewsbury is Dr Vijay Sharma, (01924 816166).
In addition, groups of 2 students will be paired with a middle grade and consultant as their mentor.
First week
After your first 2 days in Leeds, you will come to Pinderfields on Wednesday at 09:00 to start the main
section of your placement. If you come to E floor, gate 46 (as this is the main entrance to the children's
ward), you will be met by Dr Scott. There will be an introduction to the aims of your placement in
paediatrics followed by a tour of the department at Pinderfields and finishing with BLS training. Following
this, there will be some time for you to meet Lee Gilbert, undergraduate secretary, to check all paperwork
and arrangements are correct.
On Thursday, you should go to the CAU at DDH for 08:30 to sit in on morning handover then have
orientation for the DDH site.
Friday is spent at Pinderfields - if you come to the tutorial room for 9am – location specified closer to the
time.
Week 2
This is a community week based in Leeds
Weeks 3-6
You will be split into 3 teams of 2 students for the remainder of your placement and will rotate round the 4
clinical areas. Each week runs from Monday-Thursday with Friday spent together for combined classroom
teaching at Pinderfields.
On your 1st day, you will be given a personalised version of the time table on the next page, specifying
which group you are in as well as the names of your allocated registrar and consultant supervisor and the
location of the classroom teaching on Friday mornings
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Week Dates Everyone Team 1 Team 2 Team 3
1 Mon Introduction in
Leeds
Tues
Wed Pinderfields
Thurs Dewsbury
Fri Pinderfields
morning
Leeds afternoon
2 Mon Community week
in Leeds
Tues
Wed
Thurs
Fri
3 Mon DDH CAU Clinic
Tues
Wed
Thurs
Fri Pinderfields
morning
Leeds afternoon
4 Mon CAU DDH Ward/NNU
Tues
Wed
Thurs
Fri Simulation
morning
CNE afternoon
5 Mon Clinic Ward/NNU DDH
Tues
Wed Draft case report
Thurs
Fri Pinderfields
morning
Leeds afternoon
6 Mon Ward/NNU Clinic CAU
Tues Paperwork
Wed
Thurs
Fri Pinderfields
morning
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Regular sessions (Pinderfields)
Tuesday 13:00 SHO presentation
14:00 Clinical teaching (ward)
Wednesday 13:00 X-ray meeting
Friday 09:00 Classroom teaching
14:00 Departmental teaching
Regular sessions (Dewsbury)
Monday 13:00 X-Ray meeting
14:00 Nurse educator session – 2pm, Oakwell centre
Tuesday 12:30 SHO presentation
Thursday 11:00 Clinical teaching (CAU)
On calls
During your placement, you will be allocated certain days for a "late shift" - staying till 20:30. This gives
greater opportunity to see and assess acutely ill children.
There will be 2 shifts in paediatrics at PGH, 1 in paediatrics at DDH and 1 in neonates at PGH.
In addition, there is the option of attending for day shifts at the weekend (prior arrangement with Dr Scott
& on call consultant) although this is not compulsory.
Leeds assessments
During your placement, you should be filling in 3-5 WPBA’s as well as having competency signed off in
core areas (development; prescribing; BLS) as well as systemic examinations.
You should have completed your 1st draft or your case presentation by 4
th week and emailed it to your
supervisor and arranged a date to sit down to discuss it and go through the case report feedback form.
On the Tuesday afternoon of your final week, Dr Scott will go through your ICU performance review form.
On the Friday morning of your last week, Dr Scott will fill in your in course assessment tutor form
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Details of individual weeks
CAU
The attachment is to the child assessment unit at Pinderfields .Students should join ward round then plan
to take histories and perform examinations as patients are referred.
Time should also be spent in the paediatric ED experiencing the different reasons why children attend the
ED department.
Monday Tuesday Wednesday Thursday Friday
Morning CAU CAU CAU CAU Classroom
teaching
Lunch SHO
presentation
X-Ray meeting
Afternoon CAU Ward teaching ED ED Departmental
teaching
Evening 1person late,
CAU
2nd person late,
CAU
DDH
The attachment is to the paediatric unit at Dewsbury hospital. The paediatric assessment unit is next to
ED department; there are daily out patient clinics; as well as an opportunity to spend time on the SCBU.
The session on Monday afternoon is with Kevin Ross, nurse educator, in the Oakwell centre at 2pm.
The Friday morning teaching is held in PGH.
Monday Tuesday Wednesday Thursday Friday
Morning CAU Clinic CAU Clinical teaching Classroom
teaching
Lunch X-Ray meeting SHO
presentation
Afternoon Nurse educator
session (Oakwell
centre)
CAU Clinic CAU Departmental
teaching
Evening 1 person late,
DDH CAU
2nd person late,
DDH CAU
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Clinic
The aim is to gain greater understanding of the management of chronic conditions as well as
communicating with families.
There are "new" and "review" clinics running on most days on all 3 sites. In addition, there are "outreach"
clinics from the Leeds specialists on cardiology, genetics, neurology etc.
Our community paediatric colleagues do clinics in hospital on ADHD, autism, enuresis and neuro-
disability.
We also have our own speciality clinics in the following areas:
There are also child protection medicals occurring in PGH on most afternoons.
Monday Tuesday Wednesday Thursday Friday
Morning Clinic Clinic Clinic Clinic Classroom
teaching
Lunch SHO
presentation
X-Ray meeting
Afternoon Clinic Ward teaching Clinic Clinic Departmental
teaching
Evening 1 person late,
CAU
2nd person late,
CAU
You should confirm which clinics are running on your week and fill in clinic sign-up sheet.
Pontefract Catherine Thorpe extn 7079
Pinderfields Ann Taylor/Bronwyn Dickinson 51421
Dewsbury Joanne Gaines 816166
speciality clinics
Epilepsy
Diabetes
UTI/renal
Gastroenterology
Rheumatology
Asthma
Cardiology
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Ward/NNU
The first 2 days on ward are a further opportunity to practice history taking, examination and
developmental assessment.
There is an opportunity to go to theatre to observe emergency or routine procedures. You should follow a
patient from ward to anaesthetic room, operation, recovery and back to ward.
The next 2 days are spent on NNU, gaining exposure to neonatal intensive care including attending
deliveries with junior doctors as well as postnatal examination of the newborn. 1 student to be paired
each day with delivery/postnatal SHO
Monday Tuesday Wednesday Thursday Friday
Morning Ward Ward Deliveries/baby
checks
Deliveries/baby
checks
Classroom
teaching
Lunch SHO
presentation
X-Ray meeting
Afternoon Surgery Ward teaching NNU NNU Departmental
teaching
Evening 1 person late,
NNU
2nd person late,
NNU
Assessments
Demonstrate competence and have signed off system examinations
Perform developmental assessment
Correctly complete drug and fluid prescription
Case presentations
Attendance at teaching
Demonstrate level of knowledge re core curriculum
Display appropriate behaviour and communication.
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Essential skills
History taking and presentation
System examinations
Developmental assessment
Drug and fluid prescribing
BLS
Other skills
Baby cares
Inhaler technique
Plotting on centile charts
Other sessions
There will be 3 x 2.5 hr sessions on topics related to child psychiatry, provided by the CAMHS team. These
will be in Leeds on the 1st, 3rd and 5th Friday afternoons of your placement.
On the 4th Friday afternoon of your placement (when you don’t have a CAMHS session in Leeds), there
will be a session on the childrens ward (gate 46) at 2pm with Kevin Ross – reviewing and practicing
history taking and clinical approach to patients.
There will also be a session on paediatric basic life support and clinical scenarios using high fidelity
resuscitation mannequins, provided by the simulation fellows from Leeds. This will be for ~90 mins on the
4th Friday morning of your placement.
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Friday teaching
The 1st Friday topics will be delivered by Dr Scott
The 3rd, 4th and 6th Friday sessions have in total 12 topics – these will be assigned 2 to each student for
them to prepare and deliver a presentation (upto maximum 30 minutes)
The 5th Friday is set aside for scenario based practical teaching which will take place on our HDU area on A
cluster, Gate 46, PGH.
1st Friday Child development
Drug and fluid prescribing
Immunisations
3rd Friday Febrile fits
Limping child
Diabetes
Cystic fibrosis
4th Friday Neonates
CHD & innocent murmurs
UTI’s
Gastroenteritis (including vomiting & GORD)
5th Friday Scenario teaching – A cluster (HDU), Gate 46, PGH
6th Friday Asthma (Acute and chronic)
Delayed development including cerebral palsy
Constipation, soiling and wetting
Bronchiolitis, croup, epiglottitis & pneumonia
Food and drink
At PGH, there is a coffee shop (“In café”) open from 7am to 9 pm and a WH Smith in the foyer as well as a staff
dining room (“Time to eat”).
The opening hours of the dining room are: 8am – 11am & 12 -14:30
There are also vending machines dispensing snack foods at all times. There is no cash machine in the hospital
At DDH, the staff and visitors dining room is open from 8am to 7pm. There are also WRVS coffee shops on site.
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Accommodation
If you need accommodation, contact: Pat Ryan or Diane Firth (01924 543351)
The end
On the Friday of your final week, Dr Scott will go over your handbooks to ensure that all paperwork and
assessments are correct. Feedback about the placement would be greatly appreciated.
Absence
Any absences should be notified to
Leeds medical school
o https://www.medicine.leeds.ac.uk/mydetails/absence/
Midyorks undergraduate secretary ([email protected])
Dr Scott ([email protected])
Undergraduate secretary:
PGH Lee Gilbert 01924 543719
DDH Ann-Marie Kemp 01924 816212
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