PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 1

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1 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 1 Module A1 In-patient management of acute respiratory illness 1. Record of a total of 50 cases in months to reflect competencies outlined in curriculum Bronchiolitis requiring ventilatory support Noninvasive Competency assessment CBD (number) Mini-CEX (number) Reflective notes (number) Presentation of topic to peers Acute severe asthma Community-acquired pneumonia (CAP) Empyema requiring drainage Stridor Severe upper airway obstruction (UAO) Inhaled foreign body Pneumothorax Invasive Acute Sub-glottic stenosis Tonsillar hypertrophy Other 2. Most recent EB guidelines/reviews down-loaded the trainee is working to. The trinee should store these electronically and index these Bronchiolitis Acute severe asthma CAP Empyema Stridor UAO Inhaled foreign body Pneumothorax Name of EB Not yet Please append trainee s index of references relating to acute respiratory illness 3. How many observed interactions with families of acutely ill children ( 5)? 4. At the end of this year, what else does this trainee need to do to become competent in this module?

2 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 2 Module A2 Outpatient management 1. Record of a total of 50 cases in months to reflect competencies 1 7 outlined in this section of the curriculum. Number of patients Year 1 CBD Mini- CEX Wheezing disorders <1 year 1-5 years 5-10 years Adolescents Problem coughing Recurrent lung infections Cystic fibrosis Chronic & suppurative lung disease Rare chronic lung disease Congenital thoracic malformations Neuromuscular disease Chronic lung disease of prematurity Immunodeficiency TB Tracheostomies OSA Tertiary Shared Non-CF bronchiectasis Chronic aspiration Intrathoracic Thoracic cage Outpatient Seen in home Outpatient Seen in home Assessment Needing CPAP SAIL letters 2. Does the trainee have recent EB guidelines/reviews or an index of references? Presentation to peers of topic Asthma and wheezing disorders Problem coughing Recurrent lung infections Cystic fibrosis Chronic & suppurative lung disease Rare chronic lung disease Congenital thoracic malformations Neuromuscular disease Chronic lung disease of prematurity Immunodeficiency TB Tracheostomy managment OSA Yes Index of references appended? Not yet At the end of this year, what else does this trainee need to do to become competent and in what areas?

3 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 3 Module B1 lung function measurements 1. Has the trainee undertaken tests in an adult lung function laboratory? 2. What progress has been made in learning about and understanding the physiology and accuracy underlying pulmonary function testing? Pulmonary physiology Understanding reference data Understanding repeatability Diagnostic accuracy of tests Please provide an index of relevant publications and learning materials (eg examples of acceptable and unacceptable tests) from the trainee s collection Has the trainee been on any pulmonary function course? 3. Laboratory skills 1. What progress has been made in undertaking lung function testing? 2. Knowledge of reference data 3. Acceptability of tests how many lung function tests has the trainee reported under supervision? 4. Has the trainee learnt to calibrate laboratory equipment? 5. Does the trainee understand risk managemnt issues for the laboratory? Do they have a copy of the relevant guidelines? 6. Do they know how to judge maintenance costs and test costs? 4. At the end of this year, what else does the trainee need to do to become competent in this module at the end of training?

4 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 4 Module B2 Flexible bronchoscopy What evidence of progress is there in the following? Indications, contraindications and complications of bronchoscopy Use of bronchoscope Knowedge of procedures undertaken at bronchoscopy Maintenance of bronchoscope Processing techniques used on tissue in laboratories What written materials are in the trainee s collection to support satisfactory understanding of the background knowledge of bronchoscopy and the procedures undertaken at bronchoscopy? Please attach an index Bronchoscopy skills details of each case undertaken should be in portfolio Observed Age of adult/ child Indication Present when explanation and consent obtained? Attendance from induction to recovery? Outcome Undertaken Are there any notes, images etc in the portfolio which enlarge on any of these? At the end of this year, what else does the trainee need to do to become competent in this module at the end of training?

5 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 5 Module B3 Imaging of the lung 1. Can the trainee fully explain the value of a chest radiograph in common conditions such as chest infection and wheezing disorders? Does the trainee know what the relevant guidelines suggest? 2. Does the trainee know the radiation cost of the different chest imaging procedures? What written material is in the trainee s portfolio to support this? Evaluation of chest radiographs 1. What progress has the trainee made in the evaluation of chest radiographs? 2. Number of patients Identification of lobar and sub-segmental atelectasis Consolidation Airleaks Pleural fluid Mediastinal shift Tuberculosis Mediastinal abnormalities Cardiac failure Congenital abnormalities CBD Mini-Cex Please include an index of images which the trainee has collected 3. How many times has the trainee attended ultrasound examination of the chest? 4. How many lateral neck radiographs has the trainee evaluated? Record of chest scans ordered and evaluated Type of scan Age Indication Name of supervisor of evaluation Radiology diagnosis At the end of Year 1, what else does the trainee need to achieve to be considered competent in this module?

6 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 6 Module B4 Aerosol therapy 1. What progress has the trainee made in the understanding of the science of aerosol delivery and its limitations in children? 2. Does the trainee understand the difference between dry powder treatment, nebuliser treatment and aerosol treatment? Clinical skills Please append an index of the trainee s references and other learning materials 1. How many times have you or a children s respiratory nurse observed the trainee teach patients and their families? a. How to use the treatment properly b. How to care for the delivery system At the end of this year, what else does the trainee need to do to become competent at the end of training?

7 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 7 Module C1. Allergy diagnosis and treatment 1. What progress has been made in items 1-6 in this section? 2. Has the trainee taught the basics of allergy as it is related to respiratory illness to their peers? Please append an index of the trainee s references and other learning materials Clinical skills 1. How many skin prick tests has the trainee undertaken satisfactorily? 2. Does the trainee know the place of specific IgE testing? 3. Do they know the costs of the tests? 4. What evidence does the trainee have reflecting their competence in the management of simple eczema and rhinitis? 5. Does the trainee know current recommendations and controversies in the role of allergen avoidence and immunotherapy? 6. Has the trainer witnessed discussions with the family about treatment including controversial treatments, such as alternative medicine? 7. Has the trainee taught peers about the treatment of allergic disorders? Please append an index of the trainee s references and other learning materials At the end of this year, what else does the trainee need to do to become competent at the end of training?

8 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 8 Module C2 Congenital malformations What evidence does the trainee have that he/she understands the origins and anatomy of the commoner congenital malformations? Do they understand the effect on lung function? Please append an index of the trainee s references and other learning materials Clincial skills Malformations assessed and/or managed (see curriculum) Malformation Age of patient Relevant Investigations Involvement in management Prognosis Please append an index of the trainee s references and other learning materials and reflective notes about cases

9 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 9 Module 9 Asthma and wheezing disorders of childhood 1. What evidence is there of progress in items 1-5 of the curriculum? 2. Has the trainee taught or presented these topic to peers? Clinical skills Please append an index of the trainee s references and learning materials 1. Please document the management of acute severe asthma and wheezing disorders under Module 2. Chronic asthma (Step 3 and above) SAIL letter reviewed CBD with supervisor Mini-CEX Presentation of topic to peers - dates Chronic wheezing in infants Difficult asthma Please append an index of the trainee s references and other learning materials

10 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 10 Module C4 Chronic lung disease of prematurity (CLD) 1. What evidence is there of progress in the understanding of the pathophysiology of CLD? 2. Does the trainee know the strategies used in perinatal and neonatal medicine to minimize the risk of CLD? 3. Has he trainee presented this topic to their peers? Please append an index of the trainee s references and learning materials Clinical skills 1. How many discharge planning meetings for infants with CLD has the trainee run and who has observed these? 2. Has the trainee visited at least 2 babies with CLD on oxygen at home? 3. How many follow-up clinics has the trainee attended and over what period? 4. Has the trainee documented reflective notes about how families mange looking after infants with CLD needing oxygen? Family CBD Mini-CEX Chaired discharge planning meeting? Supervisor in attendance Date of followup clinic and number of patients Please attach a list of the trainees references and learning materials

11 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 11 Module C5 Cystic fibrosis 1. What evidence is there of progress in items 1-3 of the curriculum? 2. Has the trainee made a presentation to peers about the genetics, pathophysiology and complications of CF? 3. Do they understand the pharmacology and side-effects of drugs used in CF Please append an index of the trainee s references and other learning materials Clinical skills Items 1-4 Clinical skills around diagnosis Age of patient SAIL letter CBD Mimi-CEX Presentation of topic to peers Annual review Care of adolescent Respiratory assessment Transplant and terminal care Management of access devices Non-pulmonary complications Cost of care Please append an index of the trainee s references and other learning materials

12 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 12 Module C6 Acute and chronic infection 1. What evidence does the trainee have of knowledge of iem s 1-4 in the curriculum 2. Which topics has the trainee presented to their peers? Please append an index of the trainee s references and other learning materials Clinical skills See competencies listed under section A1 and A2. 1. Performing naso-pharyngeal aspirate and washings 2. Taking a cough and a pernasal swab 3. Performing a diagnostic pleural tap and inserting a chest drain NP aspirate Cough swab Pernasal swab Pleural tap Insertion of pleural drain DOP (date) Signature of observer Please include and index of the trainee s references and teaching materials

13 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 13 Module C7 Tuberculosis What evidence is there that the trainee has the background knowledge listed in this section in the curriculum? Has the trainee taught this to peers? Please include a list of the trainee s references, guidelines and learning materials Tuberculin tests (N=10) BCG (N=5) Home visits with TB nurse DOP (Date) Date Observed by Management of cases CBD Mini CEX Describe case Reflective notes Reflective notes should be in portfolio

14 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 14 Module C8 Management of technology dependent children 1. What evidence is there of progress in Items 1-6 in the curriculum? 2. Have they presented this topic to their peers? Please include a list of the trainee s references and learning materials Clinical skills (see this section of curriculum) Age of patient & problem CBD Mini-CEX Discharge planning Home visit The trainee should be considered competent when the supervisor is content that they can mange the aspects of the care of technologically dependent children outlined in the curriculum. Has the trainee taught this topic to his peers? Please include a list of the trainee s references and learning materials

15 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 15 Module C9 Sleep medicine 1. Is the trainee conversant with sleep physiology as outlined in the curriculum? 2. Does the trainee understand the different methods for undertaking sleep studies? 3. Has the trainee presented these topics to their peers? Please include a list of the trainee s references, guidelines and learning materials Clinical skills Sleep histories Problem CBD Mini-CEX Sleep studies set up and analysed Problem Equipment CBD Please include an index of examples from trainee s portfolio Please include a list of the trainee s references, guidelines and learning materials

16 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 16 Module D1 Management and Leadership Delivery of health care Has the trainee attended a course which covers the competencies in this section? What learning materials and other references does the trainee have in their portfolio? Database competences What evidence is there that the trainee has a) set up a database? b) kept a reference database? c) entered data in the national databases? Competencies in relation to audit a) What audit did the trainee present this year? b) Has the trainee participated in national audits? General competencies a) How many critical incident meetings has the trainee attended? b) Which meetings has the trainee chaired regularly? c) How does the trainee manage conflict? Please include a list of the trainee s references, guidelines and learning materials for each competency

17 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 17 Module D2 Teaching 1. What courses has the trainee attended on medical education? 2. How often has the trainee been observed teaching a. at the bedside? b. In a tutorial? c. In a lecture? 3. Has the trainee been appraised by the learners? Please include a list of the trainee s references, guidelines and learning materials for each competency and copies of the appraisals Teaching experience Date Topic Audience Formal appraisal? Signature Experience in appraisal of others How many junior doctors appraisal has the trainee witnessed? How many have they undertaken?

18 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 18 Module E Research Which course has the trainee attended? What involvement has the trainee taken in research in the last year? Has the trainee any certificates in research governance? Has the trainee presented at a scientific meeting? List papers that indicate that trainee was an author in a peer-reviewed journal? Which non-peer reviewed papers has the trainee been involved with?

19 PAEDIATRIC RESPIRATORY MEDICINE- LOGBOOK 19

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