Paediatric specialists manage the illness of infants and young people. A candidate applying to train as a paediatrician will be looking to join one of the largest and most-popular specialities.
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Entry Route into Paediatrics
Applicants can apply for paediatric training during the second year of the Foundation Programme. Run-through training takes eight years, and is split between general paediatrics, neonatology, and placements in the community. Paediatric cardiology applicants apply to enter Core Medical Training through the Acute Care Common Stem (ACCS) pathway, or Paediatrics training upon completion of the Foundation Programme.
Job Progression for Paediatric Specialists
Entry into ST3 training requires the applicant to have completed part 1a and 1b examinations for membership of the Royal College of Paediatrics and Child Health. In addition to this, ST4 entry also requires the full MRCPCH.
The training pathway consist of three levels. All trainees complete levels one and two of the general paediatric curriculum, but at level three trainees decide whether to continue training in general paediatrics, or to complete training in a subspeciality.
- ST1-3: two to three years, during which trainees complete acute general, neonatal, and community paediatric placements – obtaining the full MRCPCH to move to level two training,
- ST4-5: one to two years, during which training mainly occurs in district general hospitals, and
- ST6-8: two to three years, during which trainees can continue in general paediatric training or enter subspeciality training at ST6 or ST7 depending on the course – in the latter case, applying to the National Training Grid in one of 17 subspecialties.
Competition for Paediatrics Posts
In 2017, the competition ratio at ST3 was 1.52, with 41 applications for 27 posts. The competition ratio at ST4 was 1.4, with 98 applications for 70 posts. The competition ratio at CT1/ST1 for Paediatrics was 1.33, with 580 applications for 437.
In December 2017, there were
- 3,203 consultants,
- 149 associate specialists,
- 385 speciality doctors,
- 12 staff grades,
- 3,556 speciality registrars,
- 221 core trainees,
- 319 F2 trainees, and
- 183 F1 trainees.
Salaries in Paediatrics
The salary for NHS consultants ranges from £76,000 to £102, 500, and for speciality doctors from £37,500 to £70,000. The salary for doctors in training ranges from £26,350 to £45,750.
The Role of Paediatric Specialists
Daily clinical work includes ward rounds, assessing patients in emergency departments, running outpatient clinics, and providing advice to social services. A paediatrician will work mainly in the community, although some take part in the significant amount of on-call work.