Junior Clinical Fellow in Paediatrics (ST1-3) in London

This post provides an excellent opportunity to gain ST1-3 level experience in paediatrics, including paediatric subspecialties, at a busy tertiary paediatric centre. It would suit someone looking to expand their paediatric experience in the UK prior to applying for training including FY3 experience. The post offers experience with a wide range of complex and interesting patients and an excellent teaching programme.

The post will be part of the general paediatric ST1-3 on call rota and will provide cover for different areas of paediatric medicine, including inpatient wards, our ambulatory unit and our children's emergency department. The post is a full shift pattern including daytime and out of hours working including night shifts. Only candidates with relevant experience of paediatrics in the UK will be shortlisted for interview.

Main duties of the job

The post will be part of the general paediatric ST1-3 on call rota and will provide cover for different areas of paediatric medicine, including inpatient wards, our ambulatory unit and our children's emergency department. The post is a full shift pattern including daytime and out of hours working including night shifts.

About us

St. George's Hospital is a large multi-specialty facility based in Southwest London, offering a wide range of adult, paediatric and neonatal services. It is co-located with a medical school - St. George's, University of London. Children managed at SGH are either local, or regional tertiary patients. There has been a steady increase in the number of paediatric attendees in the Emergency department, in inpatient emergency admissions and outpatient referrals for local children. This reflects the increasing young population in SW Thames.

Tertiary children's services at SGH include endocrinology, gastroenterology, infectious diseases, neurology, oncology, allergy, paediatric surgery, PICU, trauma and respiratory medicine. The hospital is the second Trust in London with a helipad. The department has its own outpatient's department, the Dragon Centre, a child development centre and 5 wards with 57 inpatient beds, a 10 bed PICU/HDU and 36 cot NICU. There are 35 paediatric consultants across all specialties and a fully staffed EWTD compliant middle grade and SHO rota, composed of grid trainees, regional trainees, fellows and F1 doctors.

Job responsibilities

• General Paediatrics: This post will suit those wishing to gain substantial experience in a large, well supervised unit with a mixed general and subspecialist patient group. Duties will involve daily assessment of the children, planning of treatment, organising and arranging investigations, and liaison with other departments and teams.
• Paediatric Infectious Diseases/Oncology: You will be part of the ward team caring for all patients on Pinckney ward, the paediatric infectious diseases and oncology ward. Children admitted to Pinckney ward have a variety of infectious conditions such as tuberculosis, meningitis and HIV. You will also be involved in caring for patients with an oncological diagnosis who are admitted either for chemotherapy or febrile illness. You will have the opportunity to attend infectious diseases meetings and attend specialty clinics.
• Paediatric Surgery: St Georges is the regional referral centre for children requiring paediatric surgery. Children are admitted electively for a range of procedures, many of these with co-morbid medical conditions and complex needs. Acutely children are also referred for emergency surgery from regional hospitals.
• Paediatric Neurosciences: St Georges is also a regional neurosurgical centre and hosts regional tertiary paediatric neurology. The teams work closely in the care of children with complex needs and provide a number of specialist treatments. St Georges is also a major trauma centre and provides care for children with the sequelae of major trauma. Duties will involve daily assessment of the children, participating in neurosurgical and neurology consultant led ward rounds, and working with the specialists to arrange investigations and treatment.
• Paediatric Community Services: The paediatric neurodevelopmental, neurodisability and epilepsy service is well established and offers a child-centred, consultant led service. It is part of the integrated child health department of St Georges Hospital and offers a comprehensive service for a wide range of neurodevelopmental problems (including ADHD and ASD), complex neurodisability, Downs Syndrome, Cerebral Palsy and Epilepsy. The ADHD Service is a specialist Attention Deficit Hyperactivity Disorder (ADHD) service within the developmental paediatric team. The service supports parents and children through the assessment, diagnosis and management of ADHD. We take referrals of children under the age of 11 years old who are registered with a GP in the Borough of Wandsworth. We provide follow up care for children who are under our service, until they are old enough to transition to adult services.

Person Specification

• Education: Full registration with GMC with licence to practice, APLS/EPALS/NLS, MRCP or MRCPCH or equivalent.
• Experience: Completion of F1 and F2 level posts or equivalent, ability to assess patients with a comprehensive history and physical examination, paediatric SHO level experience in the UK, experience looking after inpatient infants and children, experience of assessment of infants and children in ED, experience in a UK tertiary hospital.
• Knowledge: Basic knowledge of general paediatrics and the assessment of children, recognition of seriously ill child, principles of management of children, basic child safeguarding training, willingness to learn, higher knowledge in paediatrics, level 3 child safeguarding training.
• Skills: Venous cannulation, venepuncture, lumbar puncture, interpretation of paediatric investigations, good IT skills and experience with electronic medical records, enthusiasm to teach others.
• Personal: Ability to work in a multi-disciplinary team, good interpersonal skills, commitment to continuing medical education, flexible approach, ability to self motivate and motivate others, supportive nature.

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.