Education and Training

Information for Healthcare Professionals

Paediatric Cardiology Training

Paediatric Cardiology higher specialty training is an indicative five-year programme that begins at ST4. Trainees enter following completion of the Core Paediatric Level 1 curriculum, having obtained MRCPCH, and are not required to do any additional training prior to entry. At present, the majority of trainees will enter Paediatric Cardiology from Paediatric training. However, entry is also possible following completion of 2 years of the Internal Medicine stage 1 curriculum having obtained MRCP. Internal Medicine Trainees will have to demonstrate additional core paediatric and neonatal capabilities (nominal 1 year) prior to commencing the ST4-8 Paediatric Cardiology curriculum. Please note that this paediatric training will be organised by the employing deanery following appointment to the post, rather than being expected of the trainee at the time of appointment.

Main entry pathway

Alternative entry pathway

Core Training (ST4-6)

Core training introduces trainees to all areas of congenital and Paediatric Cardiology as there is very little exposure to this in either Level 1 Paediatrics or Stage 1 IMT. Most trainees therefore commence their formal training in the specialty with little or no previous relevant experience on which to build. This is particularly relevant as Paediatric Cardiology can only be practised in highly specialised Congenital Cardiac Centres (in the UK and Ireland) of which there are 12 Level 1 (surgical and cardiology) and 4 Level 2 (Cardiology only) centres. Given the lack of previous experience, there is therefore the indicative requirement in this curriculum for a nominal total of 4 years equivalent in-program training experience in general Paediatric Cardiology, to achieve Level 4 capability (independent practice) in this fundamental area.

Generally, there are 5 national training days a year. For ST4-6 trainees, these training days are mandatory and a minimum of 80% attendance is required for ARCP. There will also be simulation and research national training days on alternative years.

Acceleration of training is possible and guidance is readily available from the GMC/RCP/JRCPTB website. Paediatric Cardiology specialty training is capability-based training with levels of entrustment rather than solely time-based, but it should be borne in mind that time is also needed to gain adequate exposure to a wider spectrum of cases. Acceleration will be considered on a case-by-case basis. However, this will be as an exception and not as a general rule. It can be considered at ST5 ARCP if ST6 competencies are met, but not earlier (i.e. not at ST4 ARCP).
Speak to your TPD first if you are considering this.

Higher Training (ST7-8)

The fourth and final indicative year of general experience are split across 2 years to allow timely acquisition of special interest skills to Level 3/4 capability (with an expected general/special interest training time split of 50:50). Many of the necessary training opportunities occur relatively infrequently but are of high complexity, hence the need for special interest skill acquisition over two years. It is expected that trainees will require five years indicative training in order to satisfy curriculum requirements, although it is recognised some trainees may achieve competence and be assessed as being capable of independent practice earlier than this indicative timescale (and some may take longer).

Key documents can be found on the JRCPTB website:

https://www.thefederation.uk/training/specialties/paediatric-cardiology

The Paediatric Cardiology training curriculum (updated in 2021)

ARCP decision aid is an excellent tool to assess if you have met all the requirements for ARCP.

Key documents

UK OOP Opportunities

Academic – for academic opportunities please contact Dr Marietta Charakida (marietta.charakida@kcl.ac.ukcharakidadoc@gmail.com) who is the National Academic Lead.

Fetal –Yearly fetal fellowships for ST6+ trainees wanting to specialise in fetal are available at Evelina Childrens (contact Dr Trisha Vigneswaran) and Great Ormond Street (contact Dr Victoria Jowett)

Inherited Cardiac Conditions – Great Ormond Street Hospital regularly advertises for Inherited Cardiovascular Disease Fellowship every year (contact Dr Luke Starling/Professor Juan Pablo Kaski if interested)

Relevant educational websites/courses

Academic – for academic opportunities please contact Dr Marietta Charakida (marietta.charakida@kcl.ac.ukcharakidadoc@gmail.com) who is the National Academic Lead.

Fetal –Yearly fetal fellowships for ST6+ trainees wanting to specialise in fetal are available at Evelina Childrens (contact Dr Trisha Vigneswaran) and Great Ormond Street (contact Dr Victoria Jowett)

Inherited Cardiac Conditions – Great Ormond Street Hospital regularly advertises for Inherited Cardiovascular Disease Fellowship every year (contact Dr Luke Starling/Professor Juan Pablo Kaski if interested)

Key contacts

National trainee rep – Zhia Lim (zhia.lim@nhs.net)

Deputy national trainee rep – Huzeifa Elhedai (huzeifa.elhedai@uhl-tr.nhs.uk)

 Updated Dr Zhia Lim Nov 2024