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Clinical Fellow in Paediatric Critical Care

4 months ago


London, United Kingdom Great Ormond Street Hospital Full time
Job overview

The paediatric critical care departments at Great Ormond Street Hospital (GOSH), London, UK, invite applications for a training fellowship in paediatric intensive care medicine. Rotations can include time on the Neonatal Intensive Care Unit (NICU), Paediatric Intensive Care Unit (PICU), Cardiac Intensive Care Unit (CICU), and the Children’s Acute Transport Service (CATS).

We are able offer bespoke paediatric and neonatal critical care placements for an anaesthetist, paediatrician, cardiologist, paediatric emergency physician or other relevant specialty wishing to gain paediatric intensive care medicine (PICM) experience. This could be a 6-24 month NICU/PICU/CICU/CATS placement, or alternatively, a two-year fellowship (including PICU, CICU and CATS) for those wishing to train as paediatric intensivists.

In addition, we offer time on the NICU for any applicant, or stand-alone 6-24 month NICU posts. The NICU is a tertiary/quaternary referral centre looking after a wide range of complex neonates. Cases include: neonatal surgery, ENT and airway, oncology, severe respiratory failure, and small babies with congenital heart disease. We welcome applications from registrars from a range of backgrounds with a range of experience, and can discuss individual training needs

Main duties of the job

As a tertiary/quaternary referral hospital many of the patients seen here are extremely complex and encompass all 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 support includes ECMO/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. 

Working for our organisation

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.

Detailed job description and main responsibilities

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents please view the attachments.

Based in central London, GOSH offers flexible working, help with childcare and travel, excellent training and development opportunities and assistance with finding somewhere to live.

We encourage applications from all sections of the community.

We conduct full criminal record checks on all successful candidates. 

Person specificationGosh Culture and ValuesEssential criteria
  • Always welcoming – open, positive, polite, prompt, thoughtful
  • Always helpful – respectful, caring, supportive, patient, flexible
  • Always expert – role model, vigilant, striving for quality, proactive
  • Always one team – informative, mindful, appreciative, open, honest
  • Knowledge and understanding of diverse backgrounds and perspectives
  • Understanding of Diversity and Inclusion challenges in the workplace
  • Demonstrable contribution to advancing Equality, Diversity and Inclusion in the Workplace
Academic/Professional qualification/TrainingEssential criteria
  • Primary medical qualification - MBBS or equivalent
  • Full GMC registration (obtained when application submitted)
  • MRCP, MRCPCH or equivalent
  • Academic IELTS examination (obtained when application submitted)
Desirable criteria
  • Higher degree – MSc, MPhil related discipline
Skills/AbilitiesEssential criteria
  • Excellent written and oral communication skills
  • Ability to organise and prioritise own workload
  • Ability to work under pressure in a multi-disciplinary environment
  • Ability to prioritise clinical needs
Experience/KnowledgeEssential criteria
  • At least 2 years’ experience in paediatric intensive care medicine at ST6+ level
  • At least 6 months experience in extracorporeal life support
  • Experience of teaching and presenting
  • Experience of audit activities
  • Current level 3 safeguarding training
  • Understanding of principles of clinical governance
Desirable criteria
  • Clinical experience in related paediatric specialties
  • Published research in peer reviewed journals