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African Paediatric Fellowship Programme

Development Paediatrics


Short-term attachment


1 Year Diploma

Masters' Programme

DEPARTMENTAL STAFF

Developmental Paediatrics Head:
K Donald, MBChB PhD, MPhil (PaedNeurol) Cape Town DCH FCPaed CertPaedNeuro SA MRCPCH UK

Senior Lecturer Full-time:
R Petersen, MBChB Cape Town DCH FCPaed CertDevPaed SA

Senior Lecturers Part-time:
M Richards, MBChB Cape Town DCH FCPaed CertDevPaed SA
C Thompson, MBChB Cape Town MD SA
V Ramanjam, MBChB Cape Town DCH FCPaed CertDevPaed SA

Lecturers Part-time:
M Wessels, MBChB Cape Town DCH FCPaed SA
S C van Bever Donker, ARTS Lieben DCH SA
W van der Meulen, MBChB
S Warner, MBChB Cape Town DCH SA
A Kloppers, MBChB

Contact: Assoc Prof Kirsty Donald
E-mail: Kirsty.donald@uct.ac.za

See more detail at: http://www.paediatrics.uct.ac.za/scah/clinicalservices/medical/neurodevelopmental

LOCATION:
Training in clinical developmental paediatrics is based at Red Cross War Memorial Children’s Hospital in the paediatric Neurodevelopmental outpatient clinic, as well as the patients who are managed on the "general wards" on a referral / advisory basis. The department is dedicated to paediatrics and cares for multisystemic disorders and developmental conditions from primary to quaternary level needs. This department is also directed towards building and expanding capacity to manage neglected diseases of poverty from vulnerable populations. This service is currently one of two centres in South Africa with a dedicated child development/ paediatric neurodevelopment training post. This unit is the largest such unit in Southern Africa. 

AREA OF TRAINING:
The service operates in the region of 60 clinics a month. The department sees a wide range of both common and rare, complex multisystemic disorders such as Autism, genetic syndromes with associated developmental problems, cerebral palsy etc. The vision and mission of the service is directed specifically towards the impact from diseases of poverty, which dominate the service load, such as. tuberculosis, human immunodeficiency virus type 1, perinatal injury and disorders of antenatal toxin exposure (e.g. FAS, Methamphetamin exposure).The training is weighted towards clinical exposure and much of the training is through involvement in patient assessment and care.

ONSITE EXPECTATIONS:
Trainees participate as full members of the clinical team. Out of hours attendance is optional, but daytime attendance (08.30-17.00) isessential to attain adequate teaching and clinical exposure time. Only trainees registered for 1 or 2 year attachments will be eligible to be part of active patient care, shorter attachments will be eligible for observation only (see short attachment, 2 year and 1 year training period below).     

ADDITIONAL ACTIVITIES:
All trainees have access to the outpatient paediatric neurodevelopmental clinic which has specific training modules that can be completed (see PG Diploma below).  Research projects are encouraged and the supervisors will facilitate this. Trainees are encouraged to become involved in the under and postgraduate teaching program providing their own tutorials and teaching sessions for junior doctors, students and other health practitioners.      

TRAINING OPTIONS: 
The encouraged rotation is the 2 years Master’s program, trainees complete with an accredited exit examination and dissertation. This entails two years of clinical training, one year of research and completion of the dissertation. For specific focused training needs there is a 1 year PG Diploma in clinical developmental paediatrics and short-term observational attachments can be supported but these must have a specific and clear outcome in mind to be beneficial.

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MASTERS PROGRAMME

MPHIL SUBSPECIALISATION IN CLINICAL DEVELOPMENTAL PAEDIATRICS
Convener: A/Professor K Donald (Department of Paediatrics and Child Health)

Duration of training
FMC19  Two years of clinical training, one year of research and completion of the dissertation.

Curriculum outline
FMC20  The curriculum outline is as follows:

   NQFcredits  HEQSFlevel
PED7029W -  MPhil Developmental Paediatrics Part 1      120  9
PED7030W -  Developmental Paediatrics minor dissertation         60  9
                                                                                                 Total NQF credits:  180  

NQF credits and HEQSF course levels: 
All South African tertiary institutions are required to align their qualifications with the prescriptions of the Higher Education Qualifications Subframework (that forms part of the National Qualifications Framework). Each qualification has an exit level that relates to the skills that may be expected of candidates who have completed a qualification or course at that HEQSF level. Each qualification also has a minimum number of NQF credits at that HEQSF level. One credit equals 10 notional hours of learning.

The NQF requires the following minimum credits per qualification:

  • Postgraduate Diploma (exit level 8): Minimum total credits: 120. Minimum credits at HEQSF level 8: 120.
  • Master’s degree (exit level 9): Minimum total credits: 180. Minimum credits at HEQSF level 9: 120; maximum credits at HEQSF level 8: 60 (a full dissertation master’s will be 180 credits at HEQSF level 9). A Professional Master’s degree may have a reduced research component of at least 45 credits.

COURSES FOR MPHIL SUBSPECIALISATION IN DEVELOPMENTAL PAEDIATRICS:

PED7029W MPHIL DEVELOPMENTAL PAEDIATRICS PART 1
NQF credits: 120 at HEQSF level 9
Convener: Dr K Donald
Course entry requirements: None.
Course outline:  This training programme forms part of the credentialling process of specialist paediatricians as subspecialists in developmental paediatrics. Students follow the relevant curriculum of the College of Paediatricians of South Africa and, on successful completion of the Part 1 examination of the College, are granted credit towards PED7029W. The course encompasses the study, assessment and management of variations in normative development and behaviour from the new-born period to adolescence. Students acquire expertise in physical growth, maturation and development, psychosocial development, psychometric testing, screening and early intervention, common behavioural disorders, cognitive developmental disabilities, educational issues, and rehabilitation and the management of social problems such as child abuse. The paediatric heritage therefore has to be superimposed on psychiatry, psychology, neurology, education, social work, the communication sciences, occupational and physical therapy and many more. On completion of training, the candidate must be able to manage children with special needs, whether at risk of, or with established, neuro-developmental disabilities. The candidate must have a comprehensive knowledge of the neuro-scientific bases underlying child development and specific health conditions affecting development as well as normal and abnormal development of the child, including physical, psychological, cognitive, social and educational development. The candidate must be able to identify, assess and manage children with developmental disability and behaviour problems, and manage a wide variety of clinical problems and conditions commonly encountered in developmental paediatrics.

Document Links:
Cert Dev Paed (SA) Paed Portfolio    
Cert Dev Paed (SA) Paed Regulations   

DP requirements:  Completion of at least 18 months as a subspeciality trainee in an accredited subspeciality unit; written report from the head of the institution indicating satisfactory completion of all training requirements; submission of portfolio; must have presented or been accepted to present an original first-author research poster or paper at a local or international congress, or submitted or had accepted for publication of an original first-author or co-authored manuscript in a peer-reviewed journal. The detailed curriculum is available in the regulations of the College of Paediatricians at www.collegemedsa.ac.za.
Assessment: Candidates write the relevant final examination of the College of Paediatricians of South Africa. The examination comprises a written component and oral/OSCE/OSPE/clinical component. Each contributes 50% to the overall mark. A subminimum pass mark of 50% is required in each of the two (written and the oral/OSCE/clinical) components of the examination.

PED7030W DEVELOPMENTAL PAEDIATRICS MINOR DISSERTATION
NQF credits: 60 at HEQSF level 9
Convener: Dr K Donald
Course entry requirements: None.
Course outline:  The minor dissertation, prepared under supervision, is a requirement for those senior registrars who wish to graduate with the MPhil degree. Those who choose not to complete a dissertation may register with the HPCSA as subspecialists after successful completion of the relevant College of Medicine Part 1 examination. The dissertation must be between 15 000 and 20 000 words in length, and must be on a topic in developmental paediatrics. It must also be based, moreover, on a study the work for which was commenced while the candidate was registered as a postgraduate student. The dissertation should generally be on a clinical topic and of a standard publishable in a peer-reviewed medical journal. Students are trained in statistics, in research methods, in conducting literature reviews, and in designing a research proposal. Having obtained formal ethics approval, where necessary, they analyse the results of their research and write up the dissertation. The candidate may also be required to present the work at a congress and submit the research for publication.
DP requirements: Not applicable.
Assessment: External examination of the minor dissertation

Duration of training
FMC19  Two years of clinical training, one year of research and completion of the dissertation.

Convener: Dr K Donald (Department of Child & Adolescent Health)

Admission requirements
FPB1.1 
To be eligible for consideration for admission, a candidate shall

  • have an approved Bachelor of Medicine and Bachelor of Surgery (MBChB) or an equivalent qualification as a medical doctor, experience working in paediatrics, and be registerable with the Health Professions Council of South Africa;
  • have submitted a letter of support from his/her employer granting the applicant study leave for the weeks requiring block attendance, and undertaking to provide support to enable the applicant to complete assigned tasks and assignments within the work context;
  • have proven proficiency in written and spoken English (this may be tested if necessary); and
  • have an acceptable level of computer literacy, and access to a computer and the internet.

FPB1.2
Preference shall be given to the candidates who are currently working in the field of developmental paediatrics and have demonstrated a need for this training to the benefit of their home setting.

FPB1.3 
Applicants may be asked to attend an interview or to take part in a telephonic or Skype interview.

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ONE YEAR POSTGRADUATE DIPLOMA

POSTGRADUATE DIPLOMA IN CLINICAL DEVELOPMENTAL PAEDIATRICS

Duration of programme
FPB2 
The Diploma may be completed over one year full-time or two years part-time. It consists of blocks which total 12 months of contact time for the entire Diploma. Additional time should be set aside for self-study, practical work and the completion of assignments. Written examinations are scheduled for the end-of-year.

Structure and duration of Diploma
FPB3 
The Diploma is offered over 12 months on-site (full-time) or 24 months (part-time).

Curriculum

Curriculum outline
FMB4     The curriculum outline is as follows:

   NQFcredits  HEQSFlevel
PED4039W -  Clinical Management in Developmental Paediatrics                90  8
PED7019W -  Paediatric Nephrology minor dissertation      30  8
                                                                                                 Total NQF credits:  120  


      
NQF credits and HEQSF course levels: 
All South African tertiary institutions are required to align their qualifications with the prescriptions of the Higher Education Qualifications Subframework (that forms part of the National Qualifications Framework). Each qualification has an exit level that relates to the skills that may be expected of candidates who have completed a qualification or course at that HEQSF level. Each qualification also has a minimum number of NQF credits at that HEQSF level. One credit equals 10 notional hours of learning.

The NQF requires the following minimum credits per qualification:

  • Postgraduate Diploma (exit level 8): Minimum total credits: 120. Minimum credits at HEQSF level 8: 120.
  • Master’s degree (exit level 9): Minimum total credits: 180. Minimum credits at HEQSF level 9: 120; maximum credits at HEQSF level 8: 60 (a full dissertation master’s will be 180 credits at HEQSF level 9). A Professional Master’s degree may have a reduced research component of at least 45 credits.

Assessment, progression and readmission
[Note: These rules must be read in conjunction with the General Rules in the front section of the UCT Handbook.]

FPB5.1 
Submission of completed logbook of clinical cases by the due date, failing which the student shall not be permitted to write the final
examination for PED4039W.

FBD5.2 
Students may be permitted to repeat a course they have failed, at the convener’s discretion. No course may be repeated more than once. Where a candidate fails any course twice, or fails more than one course, a recommendation may be made to the Faculty Examinations Committee to refuse readmission.

FBD5.3 
Where a supplementary examination is granted, the mark obtained in the supplementary examination constitutes the final mark for the course.

Distinction
FPB6 
The Diploma may be awarded with distinction if the student obtains 75% – 100% for all courses with not less than 70% for any individual course. All courses must be passed at first attempt.

COURSES FOR POSTGRADUATE DIPLOMA IN CLINICAL DEVELOPMENTAL PAEDIATRICS:

PED4039W CLINICAL MANAGEMENT IN DEVELOPMENTAL PAEDIATRICS
NQF credits: 90 at HEQSF level 8
Convener: Dr K Donald
Course entry requirements: None
Course outline: The purpose of this course is to allow practising doctors to develop foundation skills in developmental disorders and neurodisability to ensure safe practice. The trainees require skills in the assessment and multidisciplinary management of children with developmental disorders and neurodisability. This enables and empowers these working professionals to undertake advanced reflection and development in this sub-area of their practice by means of training which is targeted at current thinking, practice and research methods in the area of developmental disorders and neurodisability, and allows these skilled workers to use their knowledge gained to lobby for improving child health. The course is designed as an apprenticeship, based on a close trainer-to-trainee ratio and hands-on experience. The student will acquire skills in the management of children with developmental disorders and neurodisability. This includes knowledge of and an approach to the common conditions such as cerebral palsy, autism, and global developmental delay seen in childhood. On successful completion of the course, the student should have skills in the ability to assess the developmental level of a young child and make recommendations for further diagnostic and management pathways as
appropriate.
DP requirements: Full attendance and completion of all coursework requirements by the due dates.
Assessment: The marks for the individual modules are aggregated to become the course mark. A student failing to obtain 50% for each of the individual components will have one opportunity to rewrite this component. If the student obtains an overall score of more than 40% but less than 50%, the student may be eligible to undergo an additional test before the final mark is submitted. If a reassessment was done, the maximum pass mark shall be 50%.

PED4032W ESSAY: TRANSITION AND TRANSLATION OF KNOWLEDGE
NQF credits: 30 at HEQSF level 8
Conveners: Prof J Wilmshurst, Prof David Woods, Dr V Kander, Dr A Ndondo
Course entry requirements: None
Course outline: This course equips students to apply the knowledge and insights gained during their training to their home settings. Students will analyse the epidemiology of the centres at which they practise healthcare and will analyse the healthcare needs of the region, then plan ways in which to apply the knowledge they have gained in the diploma programme to such settings.
DP requirements: Full attendance and completion of all coursework requirements by the due dates.
Assessment: Completion of an essay (100%). This is preceded by ongoing assessment of performance through regular clinical supervision/tutorial sessions and coursework tasks. A pass mark of 50% is required for the long essay, failing which the student will be required to make the necessary corrections or improvements and submit the assignment for reassessment. The terms of resubmission of the assignment will be at the discretion of the convener.

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SHORT-TERM ATTACHMENTS

Duration of training: variable
Convener: A/Professor K Donald

Short term attachments are accepted in the department but require careful planning. Examples are trainees who wish to have exposure to a very specialised area such as observing cases and assessments with children with Autism, Cerebral Palsy, Neurocutaneous disorders or perinatal injury and disorders of antenatal toxin exposure (e.g. FAS, Methamphetamin exposure). Trainees have gained from periods of observation when they are deciding how to structure a more formal training program (1 or 2 years). Other trainees attend for short attachments to gain insight into how the service is structured to assess which models could be duplicated in their home setting. HPCSA registration is not attained for short attachments and as such observation only is possible.