Brindha Dhandapani BACCH TRAINEES DAY- 20th MAY 2016 START WORKSHOP Brindha Dhandapani BACCH TRAINEES DAY- 20th MAY 2016

Hope to cover… What does START assess? Format & Circuit Scenarios Domains assessed & Marking Scenario- example Trainee experience Feedback

What is START? Specialty Trainee Assessment of Readiness for Tenure -Are you ready to be a consultant? -If not, what can you do to develop your skills? 'Exit' assessment required by GMC FORMATIVE assessment Educational supervisor will guide actions Formative- help inform learning needs, suggest areas for further dev Aresa represent competencies expected of a newly appt cons Trainees ability to meet required standard Trainees performance as newly appointed consultant

What does START assess? Areas that are not assessed in other ways Complex clinical situations Management Service development Ethical dilemmas

What does START assess? Can you hand over to a colleague? Can you take a ward round? Can you lead the team on the ward? Can you safely prescribe? Can you make decisions in a clinical situation where the diagnosis is not clear? Do you understand safeguarding children and the ethics that underpins our practice? Can you read a paper and take away the clinically important messages?

CIRCUIT 4 Stations Preparation 8 minutes 40 minutes There are four minute breaks between each station

FORMAT 12 assessors per circuit 16 trainees per circuit 12 objective assessments per candidate the sequence in which a trainee takes the stations in the circuit will vary the entire circuit taking 188 minutes

SCENARIOS Scenario based discussion Acute Chronic Behavioural problems Neonatal Safe prescribing Safeguarding

SCENARIOS Ward round and handover Logistics and organisation Critical review of literature Ethics, Consent, Law Conflict and Risk Management Teaching

SCENARIO Title (guide to station) Format (way to be run) Task (clear statement for trainee) Information (copy of info to be given to trainee) Key areas to be covered (help for benchmarking) Extension (Further discussion points)

DOMAINS ASSESSED Decision making and prioritising Knowledge Management of complexity Professional approach Safety and quality Communication Skills

MARKING Development needed to achieve competence Meets Competence Above competence Decision making and prioritising Knowledge Management of complexity Professional approach Safety and quality Communication Skills

Scenario- Safeguarding It is accepted practice that the paediatric consultants in your hospital review all orthopaedic and surgical admissions. You are asked to review the notes of Sophie, aged 18 months who had been admitted the previous afternoon with a fractured humerus. The history given at the time was that Sophie had been admitted from home having fallen downstairs. She had recently learnt to climb the stairs and although a stair gate was fitted at the top of the stairs, she had been left downstairs unobserved briefly while her mother went upstairs to attend her 3 year old brother who was calling for her. Her mother saw her all from half way up the uncarpeted stairs as she came back down after seeing to the brother. She bought Sophie straight to hospital. Sophie had had one previous admission with a febrile convulsion at 13 months. There had been on attendance at A&E with a suspicion of paracetamol ingestion but she had not been kept in hospital and no treatment had been required. Sophie’s parents are in a steady relationship. Father is a taxi driver and mother is a part- time shop assistant on maternity leave after the birth of a 3 month old who was born at 35 weeks gestation and needed to stay in hospital for 10 days after birth.

Scenario- areas to be covered On the basis of the information obtained from the hospital notes what would you do next? On the basis of currently available information would you instigate Safeguarding/child protection procedures? What procedures can you put in place to ensure NAI in children attending A&E are not missed?

Extension Discuss other landmark Safeguarding cases with reference to their implication for routine day-to-day practice. Describe key events around the case of Baby P (Peter). What key messages have emerged for paediatricians from this case?

MARKING Development needed to achieve competence Meets Competence Above competence Decision making and prioritising Knowledge Management of complexity Professional approach Safety and quality Communication Skills

Over to Bethan