What makes a paediatric neurologist?
A paediatric neurologist needs to have expertise in a wide range of disorders from fetal life to adulthood (16-18 years) including:
- epilepsy and paroxysmal disorders
- neuromuscular disorders
- cerebrovascular disease
- brain and spinal injury
- infections of the brain and spinal cord
- brain and spinal tumours
- neuroinflammatory disorders
- neurogenetic disorders
- movement disorders
- white matter disorders
- inborn errors of metabolism.
In addition, paediatric neurologists have generic expertise in neuroimaging, molecular medicine and neurosurgical disorders. Some will sub-specialise and work largely or exclusively in a particular field.
Paediatric neurologists are usually based in a regional neuroscience centre providing secondary and tertiary-level services, working in outpatient and hospital settings. In the acute setting, they manage a wide spectrum of disorders and provide shared care management of patients on the paediatric intensive care unit (PICU) and the neonatal ICU (NICU) and of patients undergoing neurosurgery.
They provide specialist support to paediatric specialty colleagues, advising on the diagnosis and ongoing management of chronic and complex disease. Paediatric neurologists work particularly closely with neurodisability paediatricians, neurosurgeons, neurophysiologists, neuroradiologists and neurogeneticists.
RCPCH Progress curriculum
Sub-specialty trainees use the RCPCH Progress Level 3 Generic syllabus alongside the RCPCH Progress Paediatric Neurology Syllabus, both of which are available to download below.
Sub-specialty learning outcomes
In addition to the generic learning outcomes for level three, paediatric neurology trainees must fulfil the requirements below:
- Recognises, assesses and manages the full range of paediatric neurological conditions, including acute neurological disorders with common and uncommon presentations, anticipating possible pitfalls and complications, while recognising and managing high-risk situations
- Coordinates urgent and complex clinical management, including the provision of non-acute clinic services and ward-based neurogenetic, neuroradiological or neurophysiological multidisciplinary meetings; completes appropriate onward referrals and discharges; and communicates clearly with colleagues.
- Promotes the neurological and developmental health of a child with a neurological disorder
- Assumes the role of paediatric neurological team leader and takes responsibility for this area of service
- Practises safe child neurology, including when prescribing medication, and initiates and completes a quality improvement project applicable to child neurology
- Keeps up-to-date and engages in, supports and stimulates research in child neurology
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Completing your paediatric Neurology CSAC progression form
Your form is found in your RCPCH ePortfolio in the Supervision and CSAC progression forms section.
We recommend you meet with your supervisor three to four weeks before your scheduled progression review.
Guide to completing your form
Step 1: Review the capabilities you have demonstrated and developed as a GRID trainee in each of the subspecialty learning outcomes. Make full use of the Paediatric Neurology syllabus (download below) and the training guide, which were written by the RCPCH Paediatric Neurology CSAC. You will be assessed against the syllabus and not the training guide, which is there to signpost how to demonstrate the syllabus learning outcomes.
Briefly outline the evidence that supports your progress in each area describing what you have done and learning points. For example: "By attending weekly neuroradiology meetings, I have developed my skills in my skills in interpreting CT / MR findings in acute ischaemia."
Step 2: Your supervisor will then be able to review your evidence and add their comments to the CSAC progression form in their section, describing where they feel you have progressed and what still needs to be achieved for GRID completion. For example: "Has developed key skills in interpreting acute imaging findings and across a range of sub-specialty areas. Needs to demonstrate skills with more specialist imaging techniques in assessing Space Occupying Lesions and White Matter disorders."
Step 3: You should then agree learning objectives for the next GRID year, making use of the PDP and induction form in your ePortfolio. As you progress through training, you are likely to have achieved the learning outcomes in some areas of the syllabus and need more experience in others. This needs to be reflected by your supervisor's comments and your PDP. The training guide is a useful resource in indicating how to demonstrate the full paediatric neurology syllabus against which you will be assessed.