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African Paediatric Fellowship Programme

Paediatric Pulmonology


Short-term attachment


1 Year Diploma

Masters' Programme

DEPARTMENTAL STAFF

Professor and Head:
H J Zar, MBBCh Witwatersrand FAAP BCPaed American University (Washington) BCPaed Pulmonology PhD Cape Town FCPaed SA

Senior Lecturers Full-time:
A Vanker, MBChB MMed Stell FCPaed CertPulmPaed SA
M Zampoli, MBChB Cape Town DCH FCPPaed CertPulmPaed SA

Contact 
Prof Heather Zar
Email: heather.zar@uct.ac.za

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

LOCATION:
Training in paediatric pulmonology is based at Red Cross War Memorial Children’s Hospital in the paediatric pulmonology department. Clinical activities are centred around a dedicated in-patient ward and specialist clinics which include general pulmonology, cystic fibrosis, difficult asthma, tracheostomy and home ventilation. Children are also assessed in the emergency ward and are accepted from, or management care is discussed with local referral centres and further afield. The department accepts referrals from a large geographical drainage area and consults with affiliated hospitals in the region including neonatal services.

AREA OF TRAINING:
The service is extremely busy caring for a wide range of respiratory disorders in children of all ages. The training is weighted towards clinical exposure and much of the training is through involvement in patient assessment and care.  Trainee –driven self-learning is strongly encouraged with the guidance and assistance of supervising consultants in the department. 

ONSITE EXPECTATIONS: 
Trainees participate as full members of the clinical team and will be expected to contribute to the afterhour’s pulmonology consultation service and ward rounds. Daytime attendance (08.30-17.00) is essential to attain adequate teaching and clinical exposure time. As part of the academic programme, trainees will be encouraged to participate in academic and research activities.

ADDITIONAL ACTIVITIES:
All trainees have access to all specialised services in the paediatric pulmonology unit 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 the Master’s. For specific focused training needs there is a 1 year PG Diploma in “clinical paediatric pulmonology” and short-term 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 PAEDIATRIC PULMONOLOGY
Convener: Prof H Zar (Department of Paediatrics & Child Health)

Duration of training
FMC55  Two years of clinical training, one year of research and completion of the dissertation.

Curriculum outline
FMC56  The curriculum outline is as follows:

   NQFcredits  HEQSFlevel
PED7035W -    MPhil Paediatric Pulmonology Part 1  120  9
PED7036W -    PaediatricPulmonology 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 PULMONOLOGY:

PED7035W MPHIL PAEDIATRIC PULMONOLOGY PART 1
NQF credits: 120 at HEQSF level 9
Convener: Prof H Zar
Course entry requirements: Completion of paediatric specialist training degree; Registration with the HPCSA as a paediatrician or paediatric sub-specialist trainee.
Course outline:  This training programme forms part of the credentialling process of specialist paediatricians to become subspecialists in paediatric pulmonology. 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 PED7035W. Training covers, amongst other things, relevant aspects of anatomy and physiology that will enable the diagnosis and management of a range of clinical diseases, including disorders of the upper airways; infections, congenital disorders of the lower airway, asthma, and bronchiolitis; cystic fibrosis;  interstitial lung disease; pneumonia; disorders of the chest wall, diaphragm, and pleural space; acute lung diseases in the new-born infant; the diagnosis and management of respiratory failure and aspiration/inhalation injuries; bronchopulmonary dysplasia; pulmonary vascular diseases in childhood; adult respiratory distress syndrome (ARDS); pulmonary manifestations of immunosuppression; and clinical management of a range of breathing disorders and miscellaneous lung diseases. Candidates are trained in relevant invasive procedures and imaging, and also in appropriate laboratory diagnostic studies. 

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

DP requirements: At least 18 months as a subspeciality trainee in an accredited pulmonology 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. A subminimum pass mark of 50% is required in each of the two (written and the oral/OSCE/clinical) components of the examination.

PED7036W PAEDIATRIC PULMONOLOGY MINOR DISSERTATION
NQF credits: 60 at HEQSF level 9
Convener: Prof H Zar
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 pulmonology. 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 be on a clinical topic and of a standard publishable in a peer reviewed medical journal. Students are trained in statistics, research methods, conducting literature reviews, and designing a research proposal. Having obtained formal ethics approval, where necessary, they analyse the results of their research and write 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 CLINICALPAEDIATRIC PULMONOLOGY
[Qualification code: MG039. Plan code: MG039PED13]

The key objective of the Diploma is to allow suitable practising doctors to develop foundation skills in clinical paediatric pulmonology to enable effective care in resource-limited areas without the immediate supervision of a paediatric pulmonologist. The qualification aims to produce graduates who are trained in the discipline to strengthen and deepen their knowledge in the field of paediatric pulmonology with a focus on common and priority childhood respiratory illnesses, thereby building capacity to improve child health in Africa. 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 paediatric pulmonology and allows these skilled workers to use their knowledge gained to lobby for improving child health.

Duration: 12 months
Convener: Dr M Zampoli ( Department of Paediatrics and Child Health, (Paediatric Pulmonology)

Admission requirements

FPM1.1 
To be eligible for consideration for admission, a candidate shall
(a) have an approved Bachelor of Medicine and Bachelor of Surgery (MBChB) or equivalent qualification as a medical doctor; experience working in the field of paediatrics; and be registerable with the Health Professions Council of South Africa;
(b) 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;
(c) have proven proficiency in written and spoken English (which may be tested if necessary); and
(d) have an acceptable level of computer literacy, and access to a computer and the internet.

FPM1.2
Preference shall be given to candidates who demonstrate an interest in the field of paediatric pulmonology, and have demonstrated a need for this training to the benefit of their home setting.

FPM1.3
Applicants may be asked to attend an interview or to take part in a telephonic or Skype interview.

Duration of programme
FPM2 
The Diploma may be completed over one year full-time or two years part-time.
Additional time should be set aside for self-study, practical work and the completion of assignments. Oral examinations are scheduled for the end-of-year or a suitable time to coincide with completion of the training period.

Curriculum
FPM3 The curriculum outline is as follows:

   NQF credits HSQSF level
PED4043W   -  Clinical Management in Paediatric Pulmonology      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 .]

FPM4.1
Students are assessed by means of assignments and final examinations. Assessments may be of a practical or oral nature.

FPM4.2
Students are required to attend at least 70% of supervised clinical exposure and clinical meetings. They are required to submit a completed logbook before the final mark for the relevant course will be released. Should this not be done by the due date, the student will fail the course.

FPM4.3
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.

FPM4.4
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, a recommendation will be made to the Faculty Examinations Committee to refuse readmission.

Distinction

FPM5 
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.
 
POSTGRADUATE DIPLOMA IN CLINICAL PAEDIATRIC PULMONOLOGY:

PED4043W CLINICAL MANAGEMENT IN PAEDIATRIC PULMONOLOGY
NQF credits: 90 at HEQSF level 8
Conveners: Dr A Vanker and Dr M Zampoli
Course entry requirements: None
Course outline:  This course provides students with foundation knowledge and skills in clinical paediatric pulmonology. Coursework includes relevant basic sciences (embryology, anatomy and pathophysiology of the respiratory tract); clinical history-taking and elicitation (with interpretation) of the physical signs of the respiratory system; indications and interpretation of routine investigations relevant to pulmonary diseases; a systematic approach and management of common childhood respiratory symptoms and conditions; essential skills and procedures (e.g. spirometry) and optional skills/procedures/exposure will be included. The student will undertake a combination of dedicated clinical exposure with the staff in the paediatric pulmonology division through attendance of departmental clinical and academic activities. The logbook will record the number of patients and the range of conditions, investigations and procedures, and will be signed by the clinical supervisors.
DP requirements: Students need to attend a minimum of 70% of clinical activities and learning opportunities. A subminimum of 45% for the coursework and submission of satisfactory logbook (min 30 cases) is required in order to be granted admission to the final examination.
Assessment: Coursework comprises 50% of the final mark. The final examimation consists of an oral/OSCE examination and will constitute 50% of the final mark.

PED4032W ESSAY: TRANSITION AND TRANSLATION OF KNOWLEDGE
NQF credits: 30 at HEQSF level 8
Conveners: Prof H Zar, Prof David Woods, Dr A Vanker and Dr M Zampoli
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

Duration of training: 1-6 months
Convener:  Dr M Zampoli
Short term attachments are accepted in the department but require careful planning. Examples are trainees who wish exposure to a very specialised area such as the cystic fibrosis, Tuberculosis diagnostics, tracheostomy care,  home ventilation etc. .Clinical attachments may take the form of clinical observer which does not require HPCSA registration. All other attachments require HPCSA registration in appropriate categories.