Clinical Fellow in Neonatal & Paediatric Critical Care

Job summary

Start date: Between March and September 2025

The paediatric critical care departments at Great Ormond Street Hospital (GOSH), London, UK, invite applications for a training fellowship in intensive care medicine.

This post offers the opportunity for either experience of a single intensive care specialty at Great Ormond Street Hospital, be it in the Neonatal Intensive Care (NICU), Paediatric Intensive Care (PICU), Cardiac Intensive Care (CICU) or the Children's Acute Transport Service (CATS), or the potential for rotation around a combination of these clinical intensive care environments.

If clinical experience and competence allows, this supports successful candidates in developing clinical knowledge and skills across a range of neonatal and paediatric intensive care environments.

We are able offer bespoke paediatric and neonatal critical care placements for anaesthetists, paediatricians, cardiologists, paediatric emergency physicians or other relevant specialists wishing to gain paediatric intensive care medicine (PICM) experience. This could be a 6-24-months NICU/PICU/CICU/CATS placement, or alternatively, a two-year fellowship (including PICU, CICU and CATS) for those wishing to train as paediatric intensivists.

Experienced PICM applicants approaching consultant level may wish to spend time on the 'PICU senior tier' - a pre-consultant leadership role with the opportunity to lead ward rounds and run the shop floor.

Main duties of the job

As a tertiary/quaternary referral hospital many of the patients seen here are extremely complex and encompass many specialities. The consultant intensivists are fully committed to intensive care with no other clinical responsibilities, so all care is consultant led.

The department provides facilities for complex monitoring and treatment procedures, including different techniques for mechanical ventilatory support, intracranial pressure monitoring and continuous veno-venous haemofiltration. Advanced cardiovascular support includes ECMO and VAD which is carried out in the CICU.

There is separate consultant cover for PICU, NICU, CICU and CATS with two consultant led ward rounds on each unit every day. Formalised unit teaching activities are arranged around weekly teaching days and one monthly teaching day involving fellows from other North London PICUs. Bedside and ward-based teaching is provided within each unit. There is a hospital Grand Round at lunchtime on Wednesday.

The appointees will be required to take a share in all activities of the unit. This will include partaking in "on call" duties, which are an integral part of the full shift as outlined. Although an agreed duty rota is carefully followed, occasional emergency cover may be required. Unit and hospital protocols exist, and the post-holder is expected to adopt management which takes note of these.

About us

GOSH is committed to recruiting the best person for the job, based solely on their ability and individual merit as measured against the criteria for the role; through a process that is fair, open, consistent and free from bias and discrimination.

We are committed to being a diverse and inclusive employer and foster a culture where all staff are valued, respected and acknowledged. All applicants will receive consideration for employment without regard to race, colour, national origin, religion, sexual orientation, gender, gender identity, age, disability status or length of time spent unemployed.

We particularly welcome applications from BAME communities, people with disabilities and/or long-term health conditions and LGBT+ community members.

We have policies and procedures in place to ensure that all applicants and employees are treated fairly and consistently. We are proud to be accredited as a Disability Confident Employer, a member of Business Disability Forum and a Stonewall Diversity Champion.

We have active and Executive supported BAME, LGBT+ and Allies, Disability and Long-Term Health Conditions and Women's staff networks. Staff networks are employee-led groups formed around interests, issues and a common bond or background. Staff network members create a positive and inclusive work environment at Great Ormond Street Hospital by actively contributing to the Trust's mission, values and efforts specific to inclusion. All of our staff networks are open to any employee.