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Neonatology


1 Year Diploma

Masters' Programme

DEPARTMENTAL STAFF

Head:
M C Harrison, MBChB Cape Town MRCP FRCPCH UK

Emeritus Associate Professors:
V C Harrison, MBChB Cape Town MRCP FRCPCH UK
A F Malan, MBChB MMed MD Cape Town DipO&G SA
D L Woods, MBChB MD Cape Town FRCP DCH RCP&S UK

Senior Lecturers Full-time:
A Horn, MBChB Cape Town FCPaed DCH CertNeon SA MRCP(Paed) UK
Y Joolay, MBChB Stell FCPaed SA, Cert. Neon
S M Kroon, MBChB Cape Town FCPaed SA DTM&H London MRCP UK
L Linley, MBChB Cape Town FCPaed SA
N R Rhoda. MBChB, FCPaed, Cert Neon
L Tooke, MBChB Cape Town FCPaed MMed (Paed), Cert. Neon, DipObst DipPEC SA
A M van Niekerk, MBBCh Witwatersrand DCH FCPPaed CertPaedCardiol SA

Lecturers Part-time:
D
 H Greenfield, MBChB MPhil MCH Cape Town DCH DPH DTM&H Witwatersrand
M C Thompson, MBChB DCH SA MD Cape Town

Contact: Secretary Mrs Abass
Email:  Gabeba.abass@uct.ac.za

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

LOCATION:  
Training in Neonatology is based mainly at Groote Schuur Hospital nursery which is the tertiary referral hospital for the western half of Cape Town. Mowbray Maternity Hospital and  New Somerset Hospital are also part of the neonatal platform. There are 75 beds at Groote Schuur which service both inborn and outborn babies. Over 500 very low birth weight babies pass through the unit per year. 

AREA OF TRAINING:
Almost all aspects of neonatal care will be encountered. This includes ventilation with CPAP, high-flow oxygen, conventional ventilation and oscillation. Nitric oxide is also available. Body cooling for HIE is also performed. Intubation, the insertion of lines and ultrasound examination of the head will also be taught. 

ONSITE EXPECTATIONS:
Trainees participate as full members of the clinical team. They are given responsibilities appropriate to their level of expertise and competence so that no trainee is out of their depth. After hour work is compulsory as this is often when the most competence is obtained. This is limited to 4 after hours calls per month. Again, the level of  after hour work is dictated by the skill level of the trainee. 

ADDITIONAL ACTIVITIES:
All trainees have access to the neurodevelopmental follow-up clinic. Research projects are encouraged to obtain an MPhil in Neonatology. Conferences and training programmes are also encouraged. 

TRAINING OPTIONS:
The encouraged rotation is the 2 years Master’s program, trainees complete with an accredited exit examination  (College of Medicine Neonatolgy exam) and the Master’s. 

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MASTERS PROGRAMME


MPHIL SUBSPECIALISATION IN NEONATOLOGY

Convener: Assoc Prof M C Harrison (Department of Paediatrics & Child Health)

Duration of training
FMC33 
Two years of clinical training and completion of the dissertation.

Curriculum outline
FMC34 The curriculum outline is as follows:                                

   NQFcredits  HEQSFlevel
PED7010W  -   MPhil Neonatology Part 1    120  9
PED7020W  -   Neonatology 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 Neonatology:

PED7010W MPHIL NEONATOLOGY PART 1
NQF credits: 120 at HEQSF level 9
Convener: Assoc Prof M C Harrison
Course entry requirements: Qualification as a specialist paediatrician (see FMD1; MPhil programmes in subspeciality disciplines).
Course outline:  This training programme forms part of the credentialling process of specialist paediatricians to become subspecialists in neonatology. Students follow the relevant curriculum of the College of Paediatricians of South Africa and, on successful completion of the Certificate in Neonatology examination of the College, are granted credit towards PED7010W. Training includes guidance in obtaining theoretical knowledge, technical and procedural skills, the application of knowledge and skills in daily practise, organisational aspects of neonatology, quality assurance and a perinatal audit, and ethical implications and clinical research. Candidates obtain knowledge of a range of basic science and related disciplines that underpin the clinical practice of neonatology,including physiology, anatomy, embryology and pharmacology, microbiology, virology and immunology, as well as genetics and nutrition. Candidates are taught to recognise, assess and treat a range of problems, including those that are cardiovascular, neural, renal, gastro-intestinal, haematological and respiratory. In addition, clinical problems in endocrinology and dermatology and a range of acute and chronic infections of the foetus and new-born are covered. Training also includes guidance in obtaining knowledge of neonatal pathology associated with a range of obstetric conditions and methods of resuscitation at birth. Finally, candidates are exposed to research method study design and biostatistical analysis.

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

DP requirements:
At least 18 months as a subspeciality trainee in an accredited subspeciality unit; a written report from the head of the institution/programme indicating adequate clinical progress and competency; a completed logbook; 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 been accepted for publication of an original first-author or co-authored manuscript in a peer-reviewed journal.
Assessment:
Candidates undergo the relevant subspecialist examinations of the College of Paediatricians of South Africa. The examinations include a written and an oral component. Each of the two components contributes 50% to the overall mark. A subminimum pass mark of 50% is required in each of the two components of the examination.

PED7020W NEONATOLOGY MINOR DISSERTATION
NQF credits: 60 at HEQSF level 9
Convener: Assoc Prof M C Harrison
Course entry requirements: Qualification as specialist paediatrician (see FMD1; MPhil programmes in subspeciality disciplines).
Course outline: The minor dissertation, prepared under supervision, is a requirement for those senior registrars who wish to graduate with the MPhil degree. Those with a South African specialist paediatric qualification who are South African Citizens, and who choose not to complete a dissertation, may still register with the HPCSA as subspecialists after successful completion of the Certificate of Neonatology examination of the College of Paediatricians of South Africa. The dissertation may be submitted in “publication-ready format” including a publication-ready manuscript of not more than 3 000 words and a separate introduction, or it may be submitted as a standard monograph, usually between 15 000 and 20 000 words in length, and must be on a topic in neonatology. It must be based, moreover, on a study the work for which was commenced while the candidate was registered as a postgraduate student. The findings of the dissertation should contribute to the scientific understanding of the topic. Students are trained in statistics, in research methods, in conducting literature reviews, in designing a research proposal, and in writing a dissertation. The candidate may also be required to present the work at a congress and submit the research for publication.
DP requirements: Approval of the research proposal by the head of the relevant departmental research committee, the supervisor(s), the Health Sciences Human Research Ethics Committee, and the chair of the relevant master’s committee.
Assessment: External examination of the minor dissertation.

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ONE YEAR POSTGRADUATE DIPLOMA

POSTGRADUATE DIPLOMA IN NEONATOLOGY
[Qualification code: MG030. Plan code: MG030PED03. Subject to accreditation by the HEQC.]

The Diploma aims to provide training for postgraduate students from within South Africa and countries across Africa. The goal of the Diploma is to enhance the capacity of health professionals to manage and deliver neonatal services and programmes at the primary levels of care. This is important as it will reduce the pressure on the very limited tertiary beds available in neonatology within the countries across the region and ultimately have a significant impact on neonatal mortality.

Conveners: Assoc Prof M C Harrison (Division of Neonatal Medicine, Department of Paediatrics, University of Cape Town) and Dr N Rhoda

Admission requirements
FPW1.1 
To be eligible for consideration for admission, a candidate shall
(a) have an approved MBChB degree from an accredited national or international institution with at least two years’ work experience in neonates, and be registered as an independent practitioner with the relevant professional body (e.g. HPCSA);
(b) have a written undertaking from the relevant referring institute that the candidate will receive adequate support for the implementation of the neonatal programme, also granting the candidate study leave for the weeks requiring block attendance;
(c) have proven proficiency in written and spoken English (at FET exit level, as demonstrated by a Matric, National Senior Certificate or equivalent level of English). Fluency in English may be tested if necessary; and
(d) have an acceptable level of computer literacy, and access to a computer and the internet.

FPW1.2 
Preference shall be given to candidates who are currently working in a neonatal unit which provides adequate neonatal care. Those who are not working in such settings will be required to provide evidence of their relevant neonatal experience. Candidates from Africa will be screened via the African Paediatric Fellowship Programme (APFP) and must be referred from a tertiary African centre allied to the programme. Funding will be covered between APFP and the referring centre. One to two trainees will be admitted per year.

FPW1.3 
Candidates must have two years’ neonatal experience, and must have been involved in neonatal care for the past five years.

FPW1.4 
Applicants may be asked to attend an interview or to take part in a telephonic or Skype interview.

Duration of programme
FPW2 
The Diploma will be completed over one year of full-time study.

Curriculum
FPW3 The curriculum outline is as follows:   

   NQFcredits  HEQSFlevel
PED4033W:           Clinical Management in Neonatology    90  8
PED4032W Essay: Transition and Translation of Knowledge     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.]

FPW4.1 
Students are assessed by means of formal assessments undertaken at four-monthly intervals and a final written examination. Assessments may be of a practical and/or oral nature. Students are also required to complete a logbook of at least 50 procedures including blood-taking, intubation, management of CPAP and basic ventilator settings, chest drain insertion, intravenous access etc.

FPW4.2 
Students are required to attend at least 70% of lectures and group supervision sessions.

FPW4.3 
A student who does not achieve a coursework assessment mark of at least 45% will not qualify to write the final examination for that course, except at the programme convener’s discretion.

FPW4.4 
Students are required to submit all supervisors’ assessment reports, as well as the logbook, before the student may proceed to write the examination in PED4033W.

FPW4.5 
Students who obtain 45% – 49% in an examination may be reassessed before the final mark is submitted for approval of the Faculty Examinations Committee, and/or may be granted a supplementary examination at the discretion of the Faculty Examinations Committee.

FPW4.6 
Students may be permitted to repeat a course they have failed, at the convener’s discretion. Where a candidate fails the course twice, a recommendation will be made to the Faculty Examinations Committee to refuse readmission.

FPW4.7 
Where a supplementary examination is granted, the mark obtained in the supplementary examination constitutes the final mark for the course.

Distinction
FPW5 
The Diploma may be awarded with distinction if a student obtains an average of 75% – 100% in all courses with no less than 70% for an individual course, all passed at first attempt.

Courses for Postgraduate Diploma in Neonatology:

PED4033W CLINICAL MANAGEMENT IN NEONATOLOGY
NQF credits: 90 at HEQSF level 8
Conveners: Assoc Prof M C Harrison and Dr N Rhoda
Course entry requirements: None
Course outline: This course provides students with foundation skills in clinical neonatology, and to ensure safe practice they learn basic principles in management of neonates. The student will undertake a combination of dedicated clinical exposure with the neonatal staff and the clinical service (the logbook will record the number of patients, the range of conditions, and will be signed by the clinical supervisor). The student should gain insight into the current recommended international guidelines relevant to practice in the field of neonatology. The student should be confident with the definition, diagnosis, epidemiology, and classification of diseases which affect neonates. The student should gain competency in procedures relevant to the care of sick neonates. The student should be able to demonstrate the ability to translate knowledge, introduce those skills acquired and implement them across all levels of healthcare – primary to tertiary.
DP requirements: Students are required to attend at least 70% of lectures and group supervision sessions. Attendance is monitored through signing of attendance registers. A student who does not achieve a formal assessment mark of at least 45% will not qualify to write the final examination for that course, except at the programme convener’s discretion. Students are required to submit all supervisors’ assessment reports, as well as the logbook, before the final examination may be written.
Assessment: Students are assessed by means of formal assessments undertaken at 4-monthly intervals and a final written examination. Assessments may be part of a practical and/or oral nature.

PED4032W ESSAY: TRANSITION AND TRANSLATION OF KNOWLEDGE
NQF credits: 30 at HEQSF level 8
Conveners: Assoc Prof L Reynolds, Dr N Rhoda and Prof David Woods
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.