Post-internship

• 90% remain interested in pursuing paediatrics.• Of the 10 respondents on the paediatric BST, 100% believed their paediatric internship

assisted their career progression.

OverallExperience

• 80% describe excellent paediatric internship experience.• 65% described the other paediatric NCHDs as excellent mentors• 80% felt well-supported in decision making.• Deficiencies in training included:

i. a lack of responsibility (50%)ii. wanting on-call shifts (100%).

AQUALITATIVEANDQUANTITATIVEASSESSMENTOFTHEPAEDIATRICINTERNSHIPATUNIVERSITYHOSPITALLIMERICKOVER30MONTHS.

Authors:Kavanagh,E.E.1; Ul-Azam,S. 1;O’Reilly,P. 1,MurphyAM1,2,O’Gorman,C.S. 1,21DepartmentofPaediatrics,UniversityHospitalLimerick,Limerick.

2DepartmentofPaediatrics,GraduateEntryMedicalSchool,UniversityofLimerick.

INTRODUCTION

To review the literatureevaluating Irish paediatrictraining programmes. To appraisethe experiences of the paediatricinternship program at UHL.

A systematic review wasconducted to identify studies ofIrish paediatric training. Aretrospective audit of paediatricinternship training at UHL wascompleted. Data collectedincluded overall experience,merits and deficiencies in trainingand research outputs. Thepopulation comprised all doctorswho participated in paediatricinternship training at UHL sinceJuly 2015 (N=20).

RESULTS

This is the first study of its kind in Ireland. To optimise paediatric internshiptraining standards, ongoing quality improvements are required. More paediatricsinternship opportunities at UHL should be explored, due to high demand andexcellent experiences of interns at UHL. It is likely that there are similar positiveexperiences and high demand for Paediatric internships nationally.

80%

10%

10% 0%

OverallExperience

Excdellent

Good

Satisfactory

Unsatisfactory0

15%

20%

65%

0 5 10 15

BelowAverage

Average

AboveAverage

Excellent

Paediatric NCHDsasmentors

80%

20%

Supportinclinicaldecisions

WellSupported

Aqeduatelysupported

Unsupported

10%

40%

50%

0 2 4 6 8 10 12

Alot

Asimilarresponsibility

Notalot

Responsibilitycomparedtootherinternposts

SinceitsadventinJuly2015,20doctorshavecompletedthepaediatricinternshipprogramatUHL.Thequalityofthisinternshipposthasneverformallybeenassessed.Inthisstudy,weaimtoauditpaediatricinternshiptrainingatlocallevelandexploretheneed formorepaediatricsinternshipopportunitiesatUHL.

Research• Mostinternsparticipatedinclinical

audit(60%)orresearch(60%).

6

100%

10

Yes No Paediatricinternshiphelpedsecureaplace

Yes:50%No:50%

Stillinterestedinpursuingpaediatrics

Currentlyonthepaediatric trainingscheme

10%

90%

0 5 10 15 20

No

Yes

Remainedinterestedinpursuingpaediatrics

60% 60%

40% 40%

0

2

4

6

8

10

12

14

Audit OtherResearch

Research

Yes

No

Systematicreview• 283 studies retrieved, predefined exclusion criteria applied and 7 studies were reviewed.• No studies referred to training of paediatric interns in Ireland.• There was a 78% satisfaction rate with the Irish paediatric HST scheme1.• Negative experiences included:

i. failure to protect time for research3,1,ii. excessive clinical serviceiii. poor monitoring of trainers3.

1. ByrneOC,BolandB,NicholsonAJ,WaldronM,O'NeillMB,2005Jan.Trainingandmanpowerissuesforspecialistregistrarsinpaediatrics.Howarewedoingandwherearewegoing?.Ir MedJ.,Volume98(1),pp.13-5.

2. DM,S.,2014Jan.ImpactofEWTDonteachingandtraininginIrishpaediatricmedicine:positiveornegative?.Ir MedJ.,Volume107(1),pp.19-21..

3. Oneill MB,Freyne B,NicholsonAJ.,2013Sep.Higherspecialisttraininginpaediatrics2005-2010,thegraduates'reflections..Ir MedJ.,Volume106(8),pp.248-9.

4. O'NeillMB,KumarA,2012Jul-Aug.Thenonspecialistpaediatrictrainingregistrarinthehealthcaresystem..Ir MedJ.,Volume105(7),pp.247-9..

5. Perrem LM,O'NeillMB,2012Feb.Assessmentofpaediatricclinicalaudit..Ir MedJ.,Volume105(2),pp.55-6.

6. ReeceA,Klaber R,2012Apr.Maximisinglearningonwardrounds..ArchDisChildEduc Pract Ed,Volume97(2),pp.61-7.

7. SmithCP,AndersonJM,2003May.Educationandtraininginthepaediatricseniorhouseofficergrade:analysisofRCPCHhospital/childhealthvisitsreports,1997-2001..ArchDisChild,Volume88(5),pp.450-3.

AIMS

METHOD

REFERENCES

CONCLUSION