Clinical Fellow in Paediatric Intensive Care

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 of the two year Grid training programme in Paediatric Intensive Care Medicine.

The PICU at St. Mary's has established itself as a major referral centre for children with life threatening medical illnesses. The Department of Paediatrics is developing, as its major clinical and research area, the field of Infectious Diseases. 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. It is also one of the four paediatric major trauma centres in London and is a UK HCID centre.

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, the Children’s Acute Transport Service and is based at GOSH.

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 will work closely with all members of the multi-professional PICU team. 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. Attendance and participation in postgraduate courses will be expected.

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.

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.

As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.

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