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Paediatrics is split into two programmes; a north Wales / Mersey programme and a south Wales programme. Both programmes provide opportunities to work in both rural and urban settings as well as providing training opportunities across the breadth of paediatric subspecialties.

The north Wales/Mersey programme offers training in general and community paediatrics at all levels, and neonatal training at level one within the north Wales Health Board (Betsi Cadwaladr), with neonatal training at level two and subspecialty training being based in the Mersey region.

The south Wales programme offers training in general, community, neonatal and subspecialty paediatrics in designated training units across five health boards (Hywel Dda, Swansea Bay, Cwm Taf, Cardiff and Vale and Aneurin Bevan). If you choose to live in the area between Cardiff and Swansea, then all your placements for the entire training programme will be within commuting distance of your home.

Opportunities exist for senior trainees to undertake fellowships abroad or in the UK as part of their training programme. Subspecialty training, for those who wish to become tertiary subspecialists, is accessed via the paediatric national grid selection process run by the RCPCH. A number of specialty grid rotations are based in south Wales. There are also many opportunities for research and pursuit of an academic training.

Level one training

Level one (ST1-3) training consists of 12 months general paediatrics, 12 months neonatology, six months community and six month sub-specialty. The exact order of placements will vary and will be confirmed by the Training Programme Director.

Level two training

Level two (ST4-5) training consists of 12 months general paediatrics, six months neonatology and six months community.

Level three training

Level three (ST6-8) training is based on the trainee’s career aims. Both the north Wales/Mersey and south Wales programmes offer rotations based on the trainee's career aims.

The training programme at ST6-8 provides training opportunities to develop:

  • general paediatric consultants - in smaller acute inpatient units with a level two neonatal unit, with community commitments
  • general paediatric consultants - in acute inpatient units
  • community paediatric consultants
  • neonatal consultants- through the national grid process
  • tertiary specialists- through the national grid process.

In addition to general paediatric and community paediatric posts there are posts available in the following subspecialties:

  • Cardiology
  • Emergency Medicine
  • Endocrinology
  • Gastroenterology
  • Neonatology
  • Nephrology
  • Neurodisability
  • Neurology
  • Oncology
  • Paediatric intensive care
  • Palliative care medicine
  • Respiratory

There is also the option of taking time out of programme for research or overseas placements.

Training paths

General paediatric consultants

Trainees aiming to become general paediatric consultants in smaller acute inpatient units with a level two neonatal unit and community commitments will typically do the following placements at level two:

  • one year general paediatrics
  • one year community paediatrics (opportunity to focus on safeguarding)
  • six months paediatric intensive care
  • six months neonatal intensive care.

Trainees aiming to become general paediatric consultants in acute inpatient units will typically do the following placements at level two:

  • Either
    • 18 months general paediatrics (with high dependency care)
    • six months paediatric intensive care
    • six months emergency medicine
    • six months subspecialty (available specialties will depend on which are occupied by grid trainees)
  • Or
    • 18 months general paediatrics
    • six months paediatric intensive care
    • two x six months subspecialty (available specialties will depend on which are occupied by grid trainees)

Community paediatric consultants

Trainees aiming to become community paediatric consultants will typically do the following placements at level two:

  • 24 months community paediatrics (a minimum of 12 months in one geographical location)
  • six months neurodisability or neurology
  • six months tailored to trainee's special interest and may include CAMH training

Neonatal consultants

Trainees aiming to become neonatal consultants will typically do the following placements at level two:

National Grid process - see Royal College of Paediatric and Child Health (RCPCH) website for further information and details on how to apply.

  • 24 months neonatal training (national grid posts)
  • six months neonatal transport
  • six months subspecialty

Tertiary specialist consultants

National Grid process - see the RCPCH website for further information and details on how to apply.

Please note, the rotations above are examples only and exact rotations will be confirmed by the programme director. The order of placements will vary.

The School is fully engaged with the 'Supervising the route to excellence' initiative aimed at professionalising the role of the Educational Supervisor. The School has a robust Quality Assurance process in place working with HEIW's Quality Unit. Trainees experiencing difficulty with regards to their training have access to help from the Performance Lead within the School as well as HEIW's Professional Support Unit.

We have a significant number of less than full time trainees on the programme at all ST levels who are supported by the Less-Than Full Time Lead and the Less Than Full Time (LTFT) training unit. The Paediatric Specialty Training Committee plays an essential role in the management of the training programme and the terms of reference for this group can be found in the Paediatric STC governance (Word, 134Kb) document.

For trainees on the South Wales programme, there is a comprehensive regional teaching programme held in the University Hospital of Wales, Cardiff.

Trainees on the North Wales programme are welcome to access the South Wales regional teaching, but also have access to teaching provided by the Mersey Deanery.

In addition to the regional teaching programme, trainees benefit from high quality local teaching within their units and other ad hoc training sessions. There is also an active Welsh Simulation Group.

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