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Paediatric Endocrinology


Short-term attachment


1 Year Diploma

Masters' Programme

DEPARTMENTAL STAFF

Head of Department:
S Delport, MBChB MMed (Paed) BSc (Hons)Epidem Cape Town FCP DCH SA

Senior Lecturers Full-time:
A Spitaels, MBChB Cape Town DCH FCPaed SA
M Carrihill, MBChB (Paed) MPhil Cape Town FCPaed CertEndo&Metab SA (PaedEndo)

Contact:
Dr Steve Delport
Email: steve.delport@uct.ac.za

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

LOCATION:
Training in paediatric endocrinology is based at the Groote Schuur Hospital which houses in-patient ward and outpatients department. Clinics take place at the Red Cross War Memorial Children’s Hospital. The service consults on children throughout UCT’s academic hospital complex and children are accepted from, or management is discussed with, referral centres locally and further afield. The department uses a multi-disciplinary approach to address the needs of children and adolescents with endocrine disorders and their families. 

AREA OF TRAINING:
The service cares for the in and outpatient care of children and adolescents with diabetes mellitus, endocrine disease, and some metabolic disease. 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 (08.00-17.00) is essential to attain adequate teaching and clinical exposure time.

ADDITIONAL ACTIVITIES:
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. Trainees are expected to participate in research activities.    

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

MPHIL SUBSPECIALISATION IN PAEDIATRIC ENDOCRINOLOGY

Convener: Dr S Delport  (Department of Paediatrics & Child Health)

Duration of training
FME45 
Two years of clinical training, research and completion of the dissertation.

Curriculum outline
FME46 The curriculum outline is as follows:

   NQFcredits  HEQSFlevel
PED7023W -    MPhil Paediatric Endocrinology  Part 1  120  9
PED7024W -    Paediatric Endocrinology 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 Paediatric Endocrinology:

PED7023W - MPHIL PAEDIATRIC ENDOCRINOLOGY PART 1
NQF credits: 120 at HEQSF level 9
Convener: Dr S Delport
Course entry requirements: None
Course outline: This training programme forms part of the credentialling process of specialist paediatricians to become subspecialists in paediatric endocrinology. Students follow the relevant curriculum of the College of Paediatricians of South Africa and, on successful completion of the relevant Part 1 examination of the College, are granted credit towards PED7023W. The curriculum covers a range of related emergencies (such as hypoglycaemic and diabetes-related comas); the diagnosis and management of Diabetes Mellitus, hypoglycaemia, a range of other pancreatic endocrine pancreatic disorders (gastrinoma etc.); lipid disorders; thyroid disorders; pituitary disorders; adrenal disorders; parathyroid disorders; metabolic bone disease; endocrine hypertension; growth and pubertal disorders; disorders of sexual differentiation; ovarian disorders; testicular disorders; nutritional disorders; endocrine disorders in systemic diseases; multi-endocrine disorders; breast disorders; endocrine oncology and other conditions. For the detailed curriculum, see the regulations of the relevant College of Paediatricians at www.collegemedsa.ac.za.

Document Links:
Cert Medical Endocrinology and Metabolism (SA) Paed Portfolio   
Cert Medical Endocrinology and Metabolism (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; a completed logbook; presentation or acceptance for presentation of an original first-author research poster or paper at a local or international congress, or submission or acceptance for publication of an original first-author or co-authored manuscript in a peer-reviewed journal.
Assessment: Candidates write the relevant examination of the College of Paediatricians of South Africa. The examination comprises a written and an oral/OSCE/OSPE/clinical component. Each of the two components contributes 50% to the overall mark. The pass mark for the overall examination is 50%.

PED7024W - PAEDIATRIC ENDOCRINOLOGY MINOR DISSERTATION 
NQF credits: 60 at HEQSF level 9
Convener:  Dr S Delport
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 paediatric endocrinology. It must 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. In some disciplines they are also required to present the work at a congress and submit the research for publication.
DP requirements: None
Assessment: External examination of the minor dissertation.
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ONE YEAR POSTGRADUATE DIPLOMA

POSTGRADUATE DIPLOMA IN CLINICAL PAEDIATRIC DIABETES 
[MG032PED20][SAQA ID: 94846]

The purpose of this qualification is to allow practising doctors to develop foundation skills in clinical paediatric diabetes management to ensure safe practice.

Convener:  Dr S Delport (Department of Paediatrics and Child Health)

Admission requirements:
FPF1.1
To be eligible for consideration for admission the candidate requires a Bachelor of Medicine and Bachelor of Surgery (MBChB) or equivalent qualification as a medical doctor, experience working in the field of paediatrics, and must be registerable with the Health Professions Council of South Africa.

FPF1.2
Preference will be given to candidates currently working in the field of paediatric diabetes.

Structure and duration of Diploma
FPF2
The Diploma programme requires full-time study over a period of 1 year. The candidate will be required to participate in all activities within the diabetes unit, complete a logbook of cases seen in both outpatient and inpatient settings and complete a portfolio of 25 cases.

Curriculum
FPF3: The curriculum outline is as follows:

   NQF credits HSQSF level
PED4036W   -  Clinical Management of Paediatric Diabetes    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.

FPF4.1
Students are assessed by means of clinical assessment, assignments, a logbook and final examinations. Assessments may be of a practical, written and/or oral nature.

FPF4.2
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.

FPF4.3
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 will be made to the Faculty Examinations Committee to refuse readmission.

FPF4.4
Where a supplementary examination is granted, the mark obtained in the supplementary examination constitutes the final mark for the course.

Distinction
FPF5
The Diploma may be awarded with distinction (75% – 100% average with not less than 70% for any course.) All courses must be passed at first attempt.

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Courses for Postgraduate Diploma in Clinical Paediatric Diabetes:

PED4031W CLINICAL MANAGEMENT IN PAEDIATRIC DIABETES
NQF credits: 90 at HEQSF level 8
Convener:  Dr S Delport
Course entry requirements: None
Course outline:  The purpose of this course is to allow practising doctors to develop foundation skills in the assessment and management of children with paediatric diabetes. Training is designed as an apprenticeship, a close trainer-to-trainee ratio, and hands-on experience. It does not aim to train the candidate to become a specialist, but rather to practice safely and effectively in resource-limited areas without the immediate supervision of a specialist. Content includes the definition, diagnosis, epidemiology and classification of diabetes; the presentation and phases of diabetes; international guidelines relevant to practice in the field; and the essential biochemical screens and interpretation of results. Students learn to become competent in the role and instigation of insulin treatment and the different insulin regimens. This includes the assessment and monitoring of glycaemic control. Students learn key aspects of the management of hypoglycaemia in the diabetic and the management of diabetic ketoacidosis, as well as microvascular and macrovascular complications of diabetes. Associated conditions and other complications are covered, as are ambulatory diabetes care, diabetes education, nutritional management, exercise and diabetes, sick day management, diabetes care and puberty and adolescent care. Students study the psychological issues affecting the child with diabetes, and the management of the diabetic requiring surgery.
DP requirements: need to attend a minimum of 70% of training sessions (including lectures, seminars and tutorials.) All assignments must be submitted. A subminimum of 45% for the coursework is required in order to be granted admission to the final examination. The student will be assessed continuously during the coursework. Each module has specific outcome goals which must be completed. Regular reviews with the supervisors is required. Logbook completion by the due date is obligatory, documenting the required number of cases.
Assessment: Formative assessment (50%) and a final examination, which will consist of a written paper, a clinical examination in an ambulatory setting and a portfolio-based oral examination.


PED4032W ESSAY: TRANSITION AND TRANSLATION OF KNOWLEDGE
NQF credits: 30 at HEQSF level 8
Convener: 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.

SHORT-TERM ATTACHMENTS

{Short term attachments are accepted in the department but require careful planning in consultation with referring supervisors. HPCSA registration is not attained for short attachments and as such observation only is possible.}