Bridging the Gap: Opportunities in Paediatrics for Foundation Year Doctors
The Foundation Programme is a crucial period for aspiring paediatricians to gain experience and skills, but the absence of a Paediatric rotation creates notable challenges. Addressing this gap requires a proactive approach from foundation doctors and enhanced support from organisations such as the Royal College of Paediatrics and Child Health (RCPCH).
Challenges Without Paediatric Foundation Posts
Many foundation trainees cannot secure a Paediatric rotation, even if they prioritise it. Without it, they may struggle to gain exposure to the specialty, including communicating with children and families, managing Paediatric emergencies, and understanding growth and developmental milestones. This lack of experience can make them feel less confident and competitive when applying for training. Furthermore, limited opportunities to work within Paediatric MDTs may limit understanding of the breadth of the specialty.
Expanding Paediatric Exposure
Foundation doctors can take several steps to bridge this gap. Firstly, organising taster or shadowing opportunities, which provide valuable insight into the specialty and help build networks. Secondly, participating in courses (e.g. APLS), meetings/conferences, and joining extra-curricular groups (e.g. PEdSIG, ICHG) shows commitment while enhancing clinical and organisational skills. Engaging in Paediatric QIPs, even remotely, demonstrates initiative and interest.
Additionally, many hospitals offer locum shifts in Paediatrics, which increase clinical exposure and enable trainees to interact with children and Paediatric teams. There may, however, be hesitance to do this without experience in Paediatrics. Outside of clinical settings, volunteering to teach (e.g. medical students), further consolidates Paediatric knowledge.
Many of these opportunities are achievable but not always advertised in workplaces. The RCPCH could have a bigger role in producing, reviewing and publishing this advice to make it accessible to all trainees.
Current Support for Aspiring Paediatricians
Several resources are already available to foundation doctors interested in Paediatrics. The RCPCH offers career support through webinars and career advice workshops. Local Paediatric societies often host events and provide opportunities to connect with Paediatricians. Some deaneries facilitate taster weeks and encourage participation in Paediatric courses.
Moreover, groups such as London School of Paediatrics provide resources tailored to Paediatric applications. These avenues create a sense of community among aspiring paediatricians and provide valuable guidance on portfolio development.
Recommendations for Future Support
To better support aspiring paediatricians, the RCPCH and partner organisations should implement structured initiatives. Introducing standardised national mentoring programmes, pairing foundation doctors with Paediatric trainees or consultants, would offer personalised career advice and support. Expanding access to Paediatric tasters, particularly in underrepresented regions, could ensure equitable exposure.
The RCPCH could also advocate for integrated Paediatric teaching within the Foundation Programme, ensuring that all doctors, regardless of rotation, receive training in Paediatrics. Moreover, offering financial support for Paediatric courses and meetings would improve access. Finally, creating centralised platforms for Paediatric opportunities, including audits, research and committees, would streamline access.
Conclusion
While the lack of Paediatric foundation posts poses challenges, proactive steps by trainees and enhanced organisational support can bridge the gap. By increasing exposure to Paediatrics and expanding mentorship opportunities, the next generation of paediatricians can be better prepared to embrace the specialty.
