CSAC - Useful information for Trainees and Supervisors

CSAC Group Members (information correct as of 13th Febraury 2020)

For full details view https://www.rcpch.ac.uk/membership/committees/paediatric-gastroenterology-hepatology-nutrition-csac

Chair. Professor Mark Beattie (2019 - 2022)  e-mail csac@bspghan.org.uk
Training advisor (Gastroenterology)/Lead for Endoscopy:  Dr Lucy Howarth
Training advisor (Nutrition): Dr Akshay Batra
Training advisor (Hepatology): Dr Vandana Jain
Trainee representative: Dr Rulla Al-Araji
Assessment advisor: Dr Nkem Onyeador
Quality advisor: Dr Jonathan Hind
Lead for endoscopy: Dr Lucy Howarth
General Paediatrician with an interest: Dr Himadri Chakraborty
President of BSPGHAN: Dr Sue Protheroe

College Specialty Advisory Committee (CSAC)

The College Specialty Advisory Committees (CSACs) supervise the development and delivery of subspecialty training and the assessment standards. CSACs are sub-committees of our Education and Training Quality Committee, which helps the College set these standards within a training programme that is recognised by the General Medical Council.

For full details on Paediatric Gastroenterology, Hepatology and Nutrition CSAC please log onto the RCPCH Website https://www.rcpch.ac.uk/membership/committees/paediatric-gastroenterology-hepatology-nutrition-csac

Are you a trainee considering applying for National Grid Training in Paediatric Gastroenterology, Hepatology and Nutrition ? Full details can be viewed at https://www.rcpch.ac.uk/resources/apply-sub-specialty-training-ntn-grid-guidance

What is a paediatric gastroenterologist or hepatologist ?

Paediatric Gastroenterologists and Hepatologists are doctors who provide specialised gastroenterology, hepatology and nutritional support services which focus on the investigation and management of rare disorders or complex cases of more common disorders that affect the gastrointestinal (GI) tract and liver. They work in a multidisciplinary team (MDT) and deliver care as part of a clinical network providing advice and shared care with local clinical services. They are co-located in regional units with key services such as paediatric surgery and intensive care. Hepatologists work in nationally designated centres and manage complex and serious paediatric liver diseases such as acute and chronic liver failure, liver/small bowel transplantation and the complexities of post-transplant patients. Gastroenterologists provide complex nutritional support for patients in their Trust including those with temporary or permanent intestinal failure and manage a service for Home Parenteral Nutrition. They understand the indications, benefits and risks of procedures for diagnostic evaluation and subsequent management and perform gastrointestinal endoscopy and specialised tests such as manometry liver biopsy and gastrointestinal imaging, Paediatric Gastroenterologists, Hepatologists and Nutritionists understand that many of the children they treat have lifelong conditions such as Inflammatory Bowel Disease. They provide the children and families with support through the MDT and voluntary sector to help with long term management and ensure successful transition to adult services.

TraineesPlease see the RCPCH website  Please refer to the RCPCH website  https://www.rcpch.ac.uk/search?keywords=trainees

Potential ApplicantsConfirmation of eligibility forms

The form is available for trainees on the RCPCH website and the website explains who to send it to.  Please check the expenses policy with your deanery in advance of an interview.

For Grid coordinators and grid supervisors

Programme Submission

Identify those posts which will be potentially vacant and which are to be submitted for inclusion in the NTN grid “pool”. These must be approved for higher training, fully funded and vacant from September 2017. Please note that all grid posts should commence from September, unless there is local agreement between the deaneries and the trainee. If your Deanery offers the full sub-specialty training programme by linking posts please ensure that it is clear which posts will be linked together for that programme. If your post needs to be linked to posts in another deanery please identify where those links would be.

All information for the training programme being submitted should be included on the Programme Submission Form.

Use the Job Description Template for each post to supplement the programme submission form. Completing the job descriptions in the standardized template provides consistency in the information provided to trainees on the placements. A job description should be available for every placement on the programme submission form, including any placements that may be in a joint deanery programme.

Programme Directors should email NTN.Grid@rcpch.ac.uk the programme submission forms and accompanying job descriptions for each sub-specialty programme submitted.

Each post submitted should receive approval from the CSAC Chair prior to submission to the grid. This applies to all posts, whether existing sub-specialty posts, additional posts in approved centres or potential new posts. This is so that the CSAC chair has awareness that the post will be submitted. Any new posts should be organized well in advance of the submission deadlines. The posts should be prospectively approved for sub-specialty training by the GMC.

If you have any queries about the process or your application or eligibility, in the first instance, please do check the RCPCH website for guidance.

Sue Protheroe CSAC@BSPGHAN.org.uk

CSAC Chair

CSAC Trainees Update May 2015 (here)

PGHAN Curriculum (2015)

PGHAN Guidance (2015)

START (Specialty Trainee Assessment of Readiness for Tenure)

There is an assessment for paediatric trainees in ST7 approaching completion of training. Most of the general information relating to this is available on the RCPCH website http://www.rcpch.ac.uk/training-examinations-professional-development/qu.... Of particular note, taken directly from one of the attachments off this website: “If you enter level 3 (ST6) on or after 01 January 2011, START will be required for CCT”.


The START for Grid trainees,  (as you will see from the RCPCH site) involves 12 OSCE stations. For PGHAN grid trainees, this will mean 6 “generic” stations, ie stations that all paediatric candidates would be sitting, plus 6 subspecialty-specific stations. These subspecialty stations will be designed to test the candidate’s experience of clinical situations specific to PGHAN, including outpatient scenarios.

It must be noted that the assessors will be trained assessors of the RCPCH, but will not necessarily be paediatric gastroenterologists or Hepatologists, although each assessor will have been prepared to examine their station by a PGHAN subspecialist. A PGHAN CSAC panel has written the stations themselves.

For trainees, it is of particular importance to be aware that there will only be one subspecialty assessment for both Hepatology and gastroenterology grid trainees. The CSAC, in discussion with grid coordinators and therefore local deaneries will be attempting to ensure that trainees get exposure to the minimum 6 month training in their other subspecialty (Hepatology for gastro trainees and vice versa) in their first 18 months of grid training, but this may not always be possible. It is therefore important that trainees who do not feel that they will be adequately prepared for any part of this assessment contact their educational supervisor and/or raises this at their annual specialty review with the deanery, so that additional training opportunities may be sort.

 It must be stressed however that the assessments are designed with the intention of highlighting educational needs while there is still training time available, and also that the assessment is based on real-life situations with the expectation of performance of a junior consultant. Feedback from the pilot has suggested that the scenarios are fair and reasonable. Should trainees have particular concerns regarding this process that they cannot discuss with their educational supervisor, they can always contact the trainee representative on CSAC.

Ed Giles, CSAC Trainee representative

January 2012

Accreditation for Training

Download Accreditation details as a PDF

This statement sets out the policy of the Specialists Training Authority towards counting time spent on clinical duties for the requirements of a CCT as appropriate for Paediatric Gastroenterology, Hepatology and Nutrition. Candidates for a CCT who wish to count time spent in research towards a CCT are advised to read carefully the Paediatric Training Handbook and as guidance on training is always evolving to check the RCPCH website for updates.

Accreditation in Paediatric Gastroenterology, Hepatology and Nutrition is obtained as follows: -

The accreditation is entitled: CCT in general paediatrics with sub-specialization in Gastroenterology, Hepatology and Nutrition.

The training programme consists of a core programme consisting of: -•

6 months of Gastroenterology and 6 months of Hepatology. •

24 months in either Hepatology or Gastroenterology. •

The arrangement to count clinical training time during a period of research must be approved prospectively by the Postgraduate Dean and the CSAC in paediatric gastroenterology, Hepatology and nutrition for the Royal College of Paediatric Child Health.  Trainees appointed to research posts are advised that they should obtain written prospective approval from the Regional Advisor of the proportion that will be accredit able for clinical training