053. The development of post-CCT Special Interest module training in paediatric rheumatology within the Scottish Paediatric and Adolescent Rheumatology Network

Abstract

Background: The Scottish Paediatric and Adolescent Rheumatology Network (SPARN) aims to deliver consistent high quality paediatric rheumatology care via a network of locally based specialist multi-disciplinary teams. Education and training of staff is a core activity of the network. The recognition that Specialist Interest (SPIN) module training could be undertaken post certificate of completion of training (CCT) created the opportunity for established Consultant Paediatricians delivering locally based specialist care to follow an approved training module leading to formal recognition by the RCPCH. Aims: To describe the development and successful implementation of post-CCT SPIN module training in paediatric rheumatology within SPARN. Methods: A review of documentation developed to facilitate post-CCT SPIN module training and of the training undertaken by candidates working within SPARN. Results: 4 Consultant Paediatricians working within SPARN registered with RCPCH to undertake SPIN module training. All were leading care delivery in local network centres of variable size. Two of the four had some previous formal experience of the speciality at registrar level. Documentation currently available to support SPIN module training was inappropriate for use post CCT. Working together with RCPCH College Specialist Advisory Committee (CSAC) appropriate documentation was developed. This included proforma for an initial assessment of the candidate's level of experience and the training opportunities available within their local service; and for annual reviews of progress. Check lists for signing off completed competencies (skills, knowledge and standards) were also developed. All paediatricians working within SPARN liaise with a named Paediatric Rheumatologist who supports network clinics in their centre. It was agreed that this visiting specialist would act as educational supervisor/mentor to the SPIN candidate. Following completion of the initial assessment proforma, learning objectives were identified and a training plan created. Required competencies are based around undertaking 40 supervised clinics. For most candidates this was achieved by combining local network clinics with their supervisor with additional clinic attendances at a tertiary centre. All attended regular SPARN CPD sessions, SPARN and British Society for Paediatrics and Adolescent Rheumatology annual meetings. Candidates accessed a variety of additional training opportunities including the EULAR online Paediatric Rheumatology Diploma; the GOS Paediatric Rheumatology course; the Glasgow Musculoskeletal examination course. Three have undertaken GCP training and are now facilitating local collection of research data. 3 of the 4 applicants have currently completed the SPIN module, achieving formal recognition by the specialty CSAC and RCPCH. Conclusions: The apprenticeship model of training within SPARN, where paediatricians work closely with paediatric rheumatologists, has facilitated paediatricians delivering local specialist care to achieve the necessary competencies for a post-CCT SPIN module. This enhances the individual's knowledge and skills, improves delivery of care and gives formal recognition of their specialist role.