Job summary
The clinical fellow post in Paediatric Intensive Care Medicine provides training in all aspects of Paediatric Intensive Care Medicine. The PICU at St. Mary's Hospital is recognised for training for Year 1/2 year Grid training programme in Paediatric Intensive Care Medicine.The unit has been designated the Regional Referral Centre for HIV infected children and is also a referral centre for infectious diseases including those requiring intensive care.
A collaboration between St. Mary's PICU and GOSH (Great Ormond Street Hospital) PICU has developed into the independent retrieval service of PICU patients to the North Thames PICUs; this is CATS. CATS staffing includes SMH PICU consultants and ten Fellows - two or three of these rotate from SMH - and provides training in all aspects of retrieval medicine. Children are generally retrieved to the four PICUs in the North Thames region, at St. Mary's Hospital, Great Ormond Street Hospital and the Royal Brompton Hospital as well as the Royal London. The unit has 15 PICU beds. There are around 400 admissions to the unit each year, with 80% of these children retrieved by the Children's Acute Transport Service team (CATS). The remaining patients are admitted through the Paediatric Emergency Department, the Paediatric wards, and post-operatively. The majority of patients admitted have medical diagnoses, and the unit has a track record on the management of severe, life-threatening infections.
Main duties of the job
The fellow will be involved in the day to day running of the PICU/HDU at St Mary's. While on duty, the fellow will at all times be expected to take responsibility for every aspect of intensive care, including airway and ventilation, vascular access and general management of newly admitted and existing patients on the PICU/HDU. The fellow will always remain under the supervision of one of the Consultant Intensivists. The fellow is expected to play a lead role in the PICU audit, including involvement in morbidity and mortality meetings, and other clinically based projects. The fellow will be expected to participate in the development and updating of PICU/HDU protocols.
There is an active teaching programme on the PICU including simulation and POCUS training, the opportunity to attend theatre lists and adult ICU days, and a core PICU curriculum training programme.
Fellows are expected to take part in Work-Place Based Assessments including Case Based Discussions, as in-line with the PICU Core Curriculum through the Intercollegiate Training Committee in Paediatric Intensive Care Medicine (ICTPICM).
The PICU timetable is divided into early shifts, long day shifts, and night shifts. There are two consultant ward rounds each day commencing at 08.30 and 16.30.
On call: The rota is a 15 person full shift rota, middle grade and in line with the New Junior Doctor Contract
About us
At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.
The statutory requirement to be fully Covid-19 vaccinated as a condition of employment from April 2022 is subject to legislative review. At Imperial College Healthcare NHS Trust, we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19. The successful applicant may have contact with patients and service users and as part of our pre-employment checks and risk assessments, we will ask all candidates to confirm whether or not they have been fully vaccinated or have a medical exemption.
As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.
We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share. Please talk to us at interview.
Job description
Job responsibilities
General responsibilities
When working a long day or a night shift, Fellows are expected to focus on the management of the patients on the PICU. When working on an early shift, Fellows are expected to work with the long day team, when necessary. There are education weeks, where Fellows will be able to attend meetings, prepare presentations for PICU meetings, attend operating theatre lists and augment their training appropriate to their training needs which will be discussed with their educational supervisors.
Regular meetings:
There are other meetings which PICU trainees can attend in addition to these.
Monday 1300 Paediatric Grand Round
Tuesday 14.00 Paediatric ID Academic Ward Round
Wednesday All day PICU teaching
Thursday 12.45-13.45 Major Trauma Meeting
Friday 15.00-16.00 PICU Safety and morbidity meeting
Last Wednesday Every month North Thames core curriculum training in PICM all day meetings
Job description
Job responsibilities
General responsibilities
When working a long day or a night shift, Fellows are expected to focus on the management of the patients on the PICU. When working on an early shift, Fellows are expected to work with the long day team, when necessary. There are education weeks, where Fellows will be able to attend meetings, prepare presentations for PICU meetings, attend operating theatre lists and augment their training appropriate to their training needs which will be discussed with their educational supervisors.
Regular meetings:
There are other meetings which PICU trainees can attend in addition to these.
Monday 1300 Paediatric Grand Round
Tuesday 14.00 Paediatric ID Academic Ward Round
Wednesday All day PICU teaching
Thursday 12.45-13.45 Major Trauma Meeting
Friday 15.00-16.00 PICU Safety and morbidity meeting
Last Wednesday Every month North Thames core curriculum training in PICM all day meetings
Person Specification
Education/ qualifications
Essential
- On GMC registered/ licensed Medical Practitioner
- MRCPCH or equivalent
Desirable
- Higher degree such as MD, PhD, Masters degree in a relevant field.
Communication
Essential
- Good communication skills essential
- Experience of communicating with parents of unwell children
Desirable
- Formal communication skills training
Relevant experience in specialty/Sub specialty
Essential
- At least 4 years of post-graduate medical training to include at least 2 years of training in paediatrics, critical care or anaesthesia.
- Experience must include at least 6 months of training in a critical care area, either adult, paediatric or neonatal intensive care
Desirable
- Experience of paediatric intensive care medicine, paediatric anaesthesia and paediatric intensive care retrieval medicine.
Clinical skills
Essential
- Paediatric intravenous cannulation
- Lumbar puncture
- Basic airway skills including bag valve mask ventilation
Desirable
- Advanced airway management
- Chest drain insertion
- Central venous line insertion
Academic achievements including research/publications
Essential
- An active interest in research and evidence-based medicine can be demonstrated
Desirable
- Presentations of research at National Meetings
- Evidence of relevant publications in peer reviewed journals
Person Specification
Education/ qualifications
Essential
- On GMC registered/ licensed Medical Practitioner
- MRCPCH or equivalent
Desirable
- Higher degree such as MD, PhD, Masters degree in a relevant field.
Communication
Essential
- Good communication skills essential
- Experience of communicating with parents of unwell children
Desirable
- Formal communication skills training
Relevant experience in specialty/Sub specialty
Essential
- At least 4 years of post-graduate medical training to include at least 2 years of training in paediatrics, critical care or anaesthesia.
- Experience must include at least 6 months of training in a critical care area, either adult, paediatric or neonatal intensive care
Desirable
- Experience of paediatric intensive care medicine, paediatric anaesthesia and paediatric intensive care retrieval medicine.
Clinical skills
Essential
- Paediatric intravenous cannulation
- Lumbar puncture
- Basic airway skills including bag valve mask ventilation
Desirable
- Advanced airway management
- Chest drain insertion
- Central venous line insertion
Academic achievements including research/publications
Essential
- An active interest in research and evidence-based medicine can be demonstrated
Desirable
- Presentations of research at National Meetings
- Evidence of relevant publications in peer reviewed journals
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
