S. Yeung1, G. Rennie1, J. Turnbull2

1Sheffield Children's Hospital, UK

2Barnsley District General Hospital, UK


Prior to the 2021 Curriculum change, the South Yorkshire Deanery did not provide specific, tertiary led, paediatric focused training and education to CT1 - CT3 level anaesthetic trainees. CT1 - CT3 anaesthetic trainees received local education on paediatric anaesthesia but this was inconsistent. On discussion with trainees, it was decided that CT1 - CT3 trainees would benefit from a paediatric education event similar to the already held CART (Core Anaesthetic Regional training) events. From this, a paediatric CART session was developed.


A paediatric CART session was developed using expertise from Sheffield Children’s Hospital, as well as DGH consultants. It is held at Barnsley Hospital, using their state of the art simulation suite. This event started in December 2021 and runs yearly. Verbal and written feedback were used to inform content for future sessions. Verbal feedback was collected at time of event and written feedback was obtained in the form of a graded questionnaire.


Feedback from trainees has been overwhelmingly positive. Written feedback, collected from the 2022 and 2023 sessions, shows that 100% of participants felt that learning objectives were met and that the knowledge and skills gained were appropriate for the stage of training. Over 90% in the 2022 cohort, and 100% in the 2023, found the simulation sessions enjoyable and well organised. Individual comments acknowledged the blend of lecture based teaching, the relaxed atmosphere that allowed discussion and simulation with knowledgeable tutors. Trainees appreciated the range of experience from both DGH and tertiary paediatric anaesthetists.


The feedback from trainees confirm they are receptive to have specific tertiary led, paediatric focused anaesthetic training embedded within their CT1-CT3 years. The faculty has directed the teaching and simulation sessions to cover common, emergency presentations, including bronchiolitis, sepsis, and intubation of the child under five. Following feedback and discussion with trainees, the organisers want to involve ODP (Operating Department Practitioners) and student ODPs. This would allow a multidisciplinary approach by ensuring realistic scenarios for simulation where people can perform their own role. Another team that has been invited into the day is Embrace, the local paediatric retrieval team. This would consolidate the knowledge and skills necessary for paediatric retrieval in DGHs. Ultimately, this will result in a smooth and safe transfer to a tertiary hospital.


The paediatric CART session has been highly popular and beneficial to trainees. Now in its fourth year, it has been restructured to continue to be an informative and enjoyable learning event. We would like to see this course develop further, becoming embedded as a permanent part of anaesthetic teaching within South Yorkshire. From our results we would encourage other deaneries to start similar paediatric education days.

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