Senior Clinical Fellow in Paediatrics

Job responsibilities

ACUTE GENERAL PAEDIATRICS:

All tier 2 (middle grade) paediatric doctors on the general paediatric ward are responsible for the care of babies, children, and young people (CYP) (up to the age of 18 years) admitted to the ward and assessing patients referred by the Emergency Department and GPs and for seeing CYP in outpatient clinics. They are responsible for ward work, keeping thorough, legible notes and discharge summaries as well as participating in the weekly training half days.

Experience will be gained in acute and general paediatrics and in the management of patients with sickle cell disease, shared care oncology patients as well as child protection work.

The clinical fellow would be expected to both lead and accompany the attending consultant on the regular daily ward round in co-operation with nursing staff and junior trainees. To get to know the patients on the wards and to identify those families with social or psychological problems to be discussed at the weekly paediatric multidisciplinary liaison meeting.

In the Emergency Department, clinical fellows are expected to hold the paediatric on call bleep, manage unwell patients, lead paediatric resuscitation calls, supervise junior trainees and work in close liaison with the emergency care nurses and doctors.

Duties include:

Liaison with nursing staff, parents, medical and support services

Liaison with the attending general paediatric consultant

Liaison with tertiary units for shared care patients

Supervision of ward work and record keeping

SBAR handover of patients and their problems to fellow registrars at shift changes

Participation in general paediatric clinics

Attendance and participation with joint medical meetings and training

Medical student and junior trainee teaching

NEONATAL UNIT:

In the neonatal unit, the clinical fellow would be responsible for the care of babies in the neonatal intensive care unit, special care baby unit, on the postnatal wards and in the labour ward. They are expected to lead neonatal resuscitation calls, lead and participate in ward rounds, neonatal-obstetric meetings, paediatric training meetings, and the weekly neonatal multidisciplinary liaison meeting. They are responsible for completing neonatal discharge summaries.

Experience will be gained in advanced neonatal resuscitation, neonatal intensive care and neonatal developmental follow-up in a multi-disciplinary team. Doctors are expected to become proficient in technical skills including umbilical and percutaneous venous lines and cranial ultrasound imaging

Clinical duties include:

Participation in the consultant ward rounds and leading wards rounds alone.

Participation in daily record keeping, updating of results, supervision of junior trainee discharge summaries and completion of complex summaries. Assistance to junior trainees on labour ward and postnatal wards. Liaison with tertiary referring units, community midwives and nurses and social services.

Communication with parents of infants on the neonatal unit and postnatal ward

Presentation of cases at the neonatal unit multi-disciplinary psychosocial meeting.

Acquisition of skills while on the neonatal unit:

• Cranial ultrasound examination and interpretation, basic cardiac ultrasound.
• Teaching and supervision of junior trainees
• Supervision of SHO practical procedures, fluid prescriptions, ventilator management and general care of neonates on the Unit.
• Record keeping
• Shared responsibility for Neonatal Unit data sets and Neonatal Statistics

COMMUNITY PAEDIATRICS:

During this post you will work within either the Camden or Islington community paediatric team with out of hours work at the Whittington hospital. The community teams provide assessment and intervention for children with a wide range of special needs and disabilities.

The post-holder will be expected to work within the multidisciplinary team of community paediatricians and allied health professionals to provide a comprehensive community child health service to the paediatric population. The post holder will be supervised by identified leads for all aspects of community paediatrics including Children Looked After, Safeguarding, Neurodevelopment, Neurodisability, SEND and Autism.

Clinical duties include:

1. Neurodevelopmental Clinic - includes neurodevelopmental assessment, medical assessment as part of Education Health and Care Plan needs assessment. We do joint assessment with therapists when children have complex needs.

2. Autism Clinic includes medical assessment of children who are undergoing diagnostic assessment for autism.

3. Special School Clinics - clinics held at the special schools in Camden and Islington with support from the special needs school nurse. This will include medical assessment and management of children with complex medical and developmental needs.

4. Safeguarding: includes contributing to the child protection rota as part of the Community paediatric team. This involves being the on-call clinician for safeguarding from 9.00 am to 5.00 pm. The clinician will take part in strategy discussions with Social Care and child protection medical assessments. The post holder will be supervised by a senior member based on their experience.

5. Children in Care Clinics The post holder will do initial and review health assessments for Looked After Children.

Teaching:

To attend all timetabled teaching sessions To contribute to departmental teaching programme To contribute to teaching of students particularly in relation to community child health services

Audit, Quality Improvement and Service Improvement:To engage in departmental projects and initiatives to improve services, clinical practice and guidelines.

Qualifications

Essential

• MBBS or equivalent
• MRCPCH Written
• MRCPCH Clinical
• NLS or equivalent
• APLS or equivalent

Desirable

• Higher qualification (certificate/diploma/masters)

Registration

Essential

• Limited or Full GMC registration

Career Progression

Essential

• Provision of complete details of employment history

Eligibility

Essential

• Delivery of good acute clinical care
• Maintaining good medical practice
• Good relationships and communication with patients
• Good working relationships with colleagues.
• Professional behaviour and probity

Clinical Experience

Essential

• Minimum 2.5 years' experience in acute paediatrics including Paediatric ED and at least 6 months in Level 3 neonatal medicine
• At least 6 months experience working within the NHS

Desirable

• Previous experience on middle grade rota

Fitness to practise

Essential

• Up to date
• Meets professional health requirements (in line with GMC standards/Good Medical Practice)

Language Skills

Essential

• Applicant to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues

Personal skills

Essential

• Capacity to communicate effectively at different levels, e.g. young people and their families
• Capacity to work cooperatively with others in a multidisciplinary group.
• Capacity to bring a range of approaches to solving problems.
• Capacity to manage acute situations under pressure.
• Demonstrates initiative & resilience to cope with changing circumstances.
• Organisation ability to achieve a balance between urgent and important demands

Probity

Essential

• Takes responsibility for own actions. Displays honesty, integrity & awareness of ethical issues. Understands importance of advocacy, children's rights, safety, confidentiality & consent.

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.

Certificate of Sponsorship

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).