Job summary
Applications are invited for Clinical Fellow posts in Paediatric Cardiorespiratory Intensive Care and High dependency Unit with start dates available in June 2023, September 2023 and March 2024. This post is for 6 months in the first instance, with a possible extension for up to a maximum of 23 months, by mutual consent. This post is suitable for anaesthetists, paediatricians, paediatric cardiologists, or trainees with adult intensive care background wishing to gain further experience in the management of critically ill children with cardiorespiratory problems. Applicants for the Clinical Fellow post are expected to have at least 1 years' experience in Paediatric/adult intensive care and full MRCPCH or equivalent. Applications from Medical Training Initiative (MTI) applicants are welcome.
Start date is to be arranged with suitable candidates. This is a rolling process with at least for one post to commence in June 2023.
Main duties of the job
Working closely with other members of the clinical team (surgeons / cardiologists / respirologists / anaesthetists), the applicant will be expected to provide clinical care for all patients receiving intensive / high-dependency care at Royal Brompton Hospital. They will be fully involved with the investigation of patients by both invasive and non-invasive techniques. There will be opportunities for instruction and experience in paediatric intensive care, appropriate to the clinical fellow's prior experience The Clinical Fellows are responsible for the supervision and teaching of the SHO's in their duties. They will normally be required to attend weekly meetings (see Timetable and Education for details).
Two consultant-led ward rounds are held daily and the Fellow shares the responsibilities for these business and teaching rounds.
About us
Our Clinical Group
Evelina London is part of Guy's and St Thomas' NHS Foundation Trust and we are responsible for providing services for women and children. With over 3,000 dedicated staff, and led by an Executive Team and Board, we have significant devolved autonomy to focus operationally and strategically upon the needs of our patients. We also benefit from being part of a large and successful NHS foundation trust, whose values we share. We have an ambitious strategic development programme, with backing from Guy's and St Thomas'.
Every year, the number of children and young people Evelina London cares for, in hospital and in the community, continues to grow. We provide comprehensive health services from pre-conception, before birth, throughout childhood and into adult life for children, young people and for women from London, South East England, and - for some rare conditions - around the UK and the world.
As the only NHS Trust in London with women's and specialist children's services on one site we have unique opportunities to provide excellent, high-quality, integrated care for mothers, babies and children. We operate through four clinical directorates: Neonatology and Medical Specialties, Surgical Services, Theatres and Paediatric Intensive Care, Children's Community Services and Women's Services.
Find out more www.evelinalondon.nhs.uk
Watch our short film to see inside our children's hospital.
Job description
Job responsibilities
Managerial Responsibility and On Call
The Clinical Fellow shares the managerial responsibility for their own rotas. The post is a full-shift working system which is European Working Time Directive compliant. The post attracts banding payment 1a which makes allowances for additional hours worked in the on call commitment as well as covering for colleagues in their absence.
Education and Training
There is an strong consultant led PICU teaching programme that fellows are actively encouraged to contribute to, as well as opportunities throughout the rest of the week for discussion of cases and subsequent management. All the PICU consultants have an active interest in teaching which is an integral part of their posts. PICU Fellows are expected to actively engage in the teaching process including preparing topics for presentation and leading review sessions of journal articles. Mentors will be assigned at the start of the post to guide specific education and training needs for the individual trainee.
The National Heart and Lung Institute has excellent facilities for studying and an extensive library with all the current journals and textbooks. The National Heart and Lung Institute is developing links with Imperial College, which will enhance the facilities available for studying and research.
Numerous postgraduate courses are held in the National Heart and Lung Institute and the Paediatric Department takes an active part. Postgraduate students are attached to the Department and receive tutorials and ward rounds from members of the Department.
Study leave funding is available and trainees are entitled to five days per six months subject to operational constraints and approval. Study leave may be granted to the maximum consistent with maintaining essential services. It may therefore not be available if it is inconsistent with patient care. PICU Fellows must always discuss this with the Educational Supervisor for PICU well in advance of considering the possibility of study leave. Study leave will not be granted if mandatory training has not been completed.
Teaching
The Clinical Fellow will be actively involved in the many teaching courses organised at Royal Brompton Hospital. In addition, they may be expected to teach SHOs and students attending the Royal Brompton Hospital or National Heart and Lung Institute either from abroad (elective students) or other NHS hospitals.
Audit
The Hospital is wholly committed to the ideals of continuous clinical audit as a means of identifying any weaknesses of care as early as possible, as a method of providing purchasers and others with accurate quantitive descriptions of the care we provide, and as an important element of modern medical education. In particular we are interested in the development of the patient-based measures of outcome that are appropriate to heart and lung medicine. For all these reasons we require all junior staff to commit themselves to these ideals of evidence-based medicine and to accept our audit needs as an essential element of their time here. As part of this remit, PICU Fellows are expected to maintain the PICU PICANET Database, a national and local dataset of all patients undergoing care in PICU. Additionally, there is a monthly academic half-day to cover clinical governance issues, morbidity and mortality for the directorate. PICU Fellows are actively encouraged to pursue and present audit projects during their post. There is additional junior doctor teaching in the afternoon segment of these half-days.
Research
Royal Brompton Hospital is a postgraduate teaching hospital which is closely associated with the National Heart and Lung Institute Division of Imperial College School of Medicine. The successful applicant will be strongly encouraged to undertake projects in conjunction with medical staff and it is anticipated that any established research interests of the appointee will be continued and developed.
Job description
Job responsibilities
Managerial Responsibility and On Call
The Clinical Fellow shares the managerial responsibility for their own rotas. The post is a full-shift working system which is European Working Time Directive compliant. The post attracts banding payment 1a which makes allowances for additional hours worked in the on call commitment as well as covering for colleagues in their absence.
Education and Training
There is an strong consultant led PICU teaching programme that fellows are actively encouraged to contribute to, as well as opportunities throughout the rest of the week for discussion of cases and subsequent management. All the PICU consultants have an active interest in teaching which is an integral part of their posts. PICU Fellows are expected to actively engage in the teaching process including preparing topics for presentation and leading review sessions of journal articles. Mentors will be assigned at the start of the post to guide specific education and training needs for the individual trainee.
The National Heart and Lung Institute has excellent facilities for studying and an extensive library with all the current journals and textbooks. The National Heart and Lung Institute is developing links with Imperial College, which will enhance the facilities available for studying and research.
Numerous postgraduate courses are held in the National Heart and Lung Institute and the Paediatric Department takes an active part. Postgraduate students are attached to the Department and receive tutorials and ward rounds from members of the Department.
Study leave funding is available and trainees are entitled to five days per six months subject to operational constraints and approval. Study leave may be granted to the maximum consistent with maintaining essential services. It may therefore not be available if it is inconsistent with patient care. PICU Fellows must always discuss this with the Educational Supervisor for PICU well in advance of considering the possibility of study leave. Study leave will not be granted if mandatory training has not been completed.
Teaching
The Clinical Fellow will be actively involved in the many teaching courses organised at Royal Brompton Hospital. In addition, they may be expected to teach SHOs and students attending the Royal Brompton Hospital or National Heart and Lung Institute either from abroad (elective students) or other NHS hospitals.
Audit
The Hospital is wholly committed to the ideals of continuous clinical audit as a means of identifying any weaknesses of care as early as possible, as a method of providing purchasers and others with accurate quantitive descriptions of the care we provide, and as an important element of modern medical education. In particular we are interested in the development of the patient-based measures of outcome that are appropriate to heart and lung medicine. For all these reasons we require all junior staff to commit themselves to these ideals of evidence-based medicine and to accept our audit needs as an essential element of their time here. As part of this remit, PICU Fellows are expected to maintain the PICU PICANET Database, a national and local dataset of all patients undergoing care in PICU. Additionally, there is a monthly academic half-day to cover clinical governance issues, morbidity and mortality for the directorate. PICU Fellows are actively encouraged to pursue and present audit projects during their post. There is additional junior doctor teaching in the afternoon segment of these half-days.
Research
Royal Brompton Hospital is a postgraduate teaching hospital which is closely associated with the National Heart and Lung Institute Division of Imperial College School of Medicine. The successful applicant will be strongly encouraged to undertake projects in conjunction with medical staff and it is anticipated that any established research interests of the appointee will be continued and developed.
Person Specification
Qualifications
Essential
Desirable
Experience
Essential
Desirable
Skills, Knowledge, Abilities
Essential
Desirable
Other
Essential
Desirable
Person Specification
Qualifications
Essential
Desirable
Experience
Essential
Desirable
Skills, Knowledge, Abilities
Essential
Desirable
Other
Essential
Desirable
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
