Job summary
Senior Clinical Fellow in Neonatology
Fixed Term - initial duration of 6-12 months (TBC).
Nodal Point - 4Nodal Point - 5
We have positions available starting in March 2025 and September 2025. We operate a rolling rota that complies fully with the European Working Time Directive (EWTD) and the current contract guidelines (42 hours/week, with a maximum of 1:3 weekends). This position is suitable for candidates with previous registrar-level experience in a level three neonatal unit. Senior candidates meeting the criteria outlined in the Job Description and Person Specification will be appointed at a Nodal point 4 or 5 level, depending on the experience demonstrated in their application and interview, as well as their ability to fulfil the specific roles described in this advert.
In accordance with the seniority required for this role, MTI candidates who are in their first experience in the UK will not be considered for appointment.
For further information please contact Dr Anna Milan (anna.milan@gstt.nhs.uk), consultant neonatologist.
Closing Date: 01/12/24 at 23:59
Interview date: week starting 09/12/24, exact date to be confirmed
Interview modality: on line
Start Date: 03/03/2025 or 01/09/2025
Main duties of the job
Registrar-level posts on the Neonatal Unit, with responsibility for the first- and second-line medical care of babies admitted to the Neonatal Unit. Role will be tailored to clinical experience. Seniority level will be assessed based on the candidates' on-line application and interview performance.
Senior Fellow/case loading doctor: equivalent to ST4-5 (Nodal Point 4). Providing direct care to babies in the different areas of the unit (ITU, HDU, SCBU, PNW, labour ward), working as part of the team in the neonatal unit.
Senior Fellow/coordinator: equivalent to ST6-7 or post-CCT (Nodal Point 5). This role includes more expectation of leadership, supervision, teaching, independent working, while still supported by the consultant body. The candidates will need to prove ability in leading resuscitation and stabilisation at birth of complex patients, coordinating intensive care, and managing referrals from other hospitals, providing teaching and supervision for the junior members of the team, offering antenatal counselling and supporting families, taking part in multidisciplinary meetings. The role also includes a high level hands-on activity, especially in the most complicated cases, where full confidence in technical skills will be required.
Ability to fulfil the criteria of case loading doctor or coordinator will be determined by the level of seniority demonstrated during the interview process.
About us
The Neonatal Unit at Guy's & St Thomas' Hospital is the largest in the South Thames Region and one of the largest in the UK, with 20 Intensive Care, 12 High Dependency and 14 Special Care beds. There are over 6,500 yearly births on-site, and the majority are from a high risk, inner city local population. There is an academic Obstetrics and Fetal Medicine Department. A substantial number of antenatal referrals and in-utero transfers occur due to a wide range of Maternal Medicine tertiary services, including Diabetes, Lupus, Cardiology and Renal Medicine. Fetal Medicine and Fetal Cardiology services also account for many of these.
There is a close working relationship with subspecialties including the departments of Fetal and Paediatric Cardiology, Paediatric Cardiothoracic Surgery, Paediatric General Surgery, Paediatric Anaesthesia, Paediatric Neurology, Paediatric Nephrology & Urology, Paediatric Metabolic Medicine, Paediatric ENT, Plastic Surgery (including the Regional Cleft Lip & Palate Service), Orthopaedic Surgery and Genetics.
A 3T MRI scanner is located on the unit as part of the Kings College London academic department of Perinatal Imaging. This large, world-class research team is integrated within the clinical service and we are able to facilitate exceptionally high-quality research and clinical scans.
There is a large throughput of complex tertiary cases on the unit, and this post offers considerable opportunities for education and advanced clinical training.
Job description
Job responsibilities
1. Clinical duties
The post holder will, together with colleagues, be responsible for the provision of services to the Guys & St Thomas NHS Foundation Trust to include:
(a) Diagnosis and treatment of patients of the trust in such hospitals, health centres or clinics or other premises as required.
(b) Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.
Case Loading Doctors: to provide direct clinical care for inpatients in Intensive Care, High Dependency, Special Care, Labour Ward and Postnatal Ward. To work at an appropriate level within a 3-tier junior medical team. To develop knowledge and experience in straightforward and complex neonatal problems, including subspecialty neonatology (particularly in neonatal cardiology and surgery). To develop antenatal and postnatal counselling skills. To develop skills in follow-up assessment in outpatient clinic. To develop practical skills including: neonatal stabilisation and resuscitation, airway management, central lines insertion, POCUS (particularly lung ultrasound, cranial ultrasound and line ultrasound for tip position identification).
Coordinators: all the above, plus provide leadership in the junior doctors team on the clinical floor. To develop, teach and supervise practical skills including: neonatal resuscitation, airway management, line insertion under ultrasound guidance, POCUS, lung ultrasound. To undertake independent antenatal and postnatal counselling for parents. To confidently arrange discharge planning and to liaise with other teams for transfer to and from other units. To develop skills in follow-up assessment in outpatient clinic.
Job description
Job responsibilities
1. Clinical duties
The post holder will, together with colleagues, be responsible for the provision of services to the Guys & St Thomas NHS Foundation Trust to include:
(a) Diagnosis and treatment of patients of the trust in such hospitals, health centres or clinics or other premises as required.
(b) Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.
Case Loading Doctors: to provide direct clinical care for inpatients in Intensive Care, High Dependency, Special Care, Labour Ward and Postnatal Ward. To work at an appropriate level within a 3-tier junior medical team. To develop knowledge and experience in straightforward and complex neonatal problems, including subspecialty neonatology (particularly in neonatal cardiology and surgery). To develop antenatal and postnatal counselling skills. To develop skills in follow-up assessment in outpatient clinic. To develop practical skills including: neonatal stabilisation and resuscitation, airway management, central lines insertion, POCUS (particularly lung ultrasound, cranial ultrasound and line ultrasound for tip position identification).
Coordinators: all the above, plus provide leadership in the junior doctors team on the clinical floor. To develop, teach and supervise practical skills including: neonatal resuscitation, airway management, line insertion under ultrasound guidance, POCUS, lung ultrasound. To undertake independent antenatal and postnatal counselling for parents. To confidently arrange discharge planning and to liaise with other teams for transfer to and from other units. To develop skills in follow-up assessment in outpatient clinic.
Person Specification
Previous experience
Essential
- Clinical training in paediatrics (including general paediatrics, neonatology, paediatric subspecialties)
- Previous experience in tertiary neonatal unit
Desirable
- Clinical training in tertiary level neonatology at senior level
- Previous experience in PICU or transport
- Previous experience in cardiac and/or surgical intensive care
- Previous experience in PICU or transport
Education/Qualifications
Essential
- MBBS or equivalent primary medical qualification
- Progress in Paediatric Training (MRCPCH or equivalent)
- GMC registration
- Newborn Life Support training or equivalent
Desirable
- Child protection training
- Newborn Life Support instructor
- POCUS Ultrasound skills training
Additional Information
Essential
- Understanding and awareness of requirements when working with children and their parents.
- Demonstrates reflective approach to practice and commitment to personal development
- Understanding and awareness of particular requirements when working as part of a multidisciplinary team
Desirable
- Extracurricular activities or achievements relevant to paediatrics
- Extracurricular activities or achievements relevant to working as part of a team
Other Knowledge and Skills
Essential
- Demonstrable skills in written and spoken English adequate to enable effective communication about medical topics
- Demonstrates understanding of importance of audit, quality improvement and risk management
Desirable
- Evidence of interest and experience in teaching
- Evidence of contribution to clinical audits, quality improvement projects or clinical risk management
Research
Essential
- Understanding of the importance, principles and applications of clinical research
Desirable
- Evidence of academic or research achievements - e.g. degrees, prizes, awards, distinctions, publications, Presentations
- GCP training
Person Specification
Previous experience
Essential
- Clinical training in paediatrics (including general paediatrics, neonatology, paediatric subspecialties)
- Previous experience in tertiary neonatal unit
Desirable
- Clinical training in tertiary level neonatology at senior level
- Previous experience in PICU or transport
- Previous experience in cardiac and/or surgical intensive care
- Previous experience in PICU or transport
Education/Qualifications
Essential
- MBBS or equivalent primary medical qualification
- Progress in Paediatric Training (MRCPCH or equivalent)
- GMC registration
- Newborn Life Support training or equivalent
Desirable
- Child protection training
- Newborn Life Support instructor
- POCUS Ultrasound skills training
Additional Information
Essential
- Understanding and awareness of requirements when working with children and their parents.
- Demonstrates reflective approach to practice and commitment to personal development
- Understanding and awareness of particular requirements when working as part of a multidisciplinary team
Desirable
- Extracurricular activities or achievements relevant to paediatrics
- Extracurricular activities or achievements relevant to working as part of a team
Other Knowledge and Skills
Essential
- Demonstrable skills in written and spoken English adequate to enable effective communication about medical topics
- Demonstrates understanding of importance of audit, quality improvement and risk management
Desirable
- Evidence of interest and experience in teaching
- Evidence of contribution to clinical audits, quality improvement projects or clinical risk management
Research
Essential
- Understanding of the importance, principles and applications of clinical research
Desirable
- Evidence of academic or research achievements - e.g. degrees, prizes, awards, distinctions, publications, Presentations
- GCP training
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.
