Position on appointment: Academic Clinical Fellow in Paediatric Emergency Medicine
Leicester Royal Infirmary
On appointment Damian Roland was a fifth-year paediatric specialist registrar based at the Leicester Royal Infirmary, undertaking subspecialty training in Paediatric Emergency Medicine. Damian was also an ACF (Academic Clinical Fellow) with protected academic time to design a thesis proposal. Damian's research interests are based around developing clinical and education strategies to assist illness recognition in children. He is also an active trainee representative and Chair of the Royal College of Paediatrics and Child Health Trainees' Committee.
The NICE Feverish Illness in Children guideline contains a visually appealing traffic light system of key signs and symptoms to guide appropriate management. It also provides clear guidelines on providing effective "safety net" advice for those children felt to be appropriate to discharge. An audit of his department showed variation in the quality of junior doctor's record keeping in respect of managing risk in a child with fever. It was also noted that the documented rate of providing safety net advice fell from 70.9% to 55.9% between doctors in July and August respectively, despite a thorough induction programme for all new starting doctors in August. The objective of Damian's study was to improve the documentation and provision of safety net advice by doctors assessing children with a fever who are new to an emergency department. The work aimed to improve local performance and also to produce a manual for other departments to use to improve their induction programmes.
Where are they now?
Dr. Roland presented the findings of his scholarship at the 2011 NICE conference having been nominated for a shared learning award. His work demonstrated that a bespoke but brief induction package significantly increased safety net advice given to parents by junior doctors. As part of his PhD, this work is being taken forward to examine metrics of performance that can be used to identify junior doctors who may be demonstrating risk taking or risk adverse behaviour in their management of patients. In conjunction with this, a specific e-learning intervention for the NICE feverish Guideline has been designed and will be utilised in a multi centre trial starting in August 2012. Dr. Roland continues to work with NICE on improving awareness of NHS clinical evidence in medical students and also on developing mobile technologies to improve access to key clinical guidelines. He has been appointed to the GDG for the feverish illness guideline update.
This page was last updated: 03 January 2013