Junior Clinical Fellow in Paediatric Emergency Medicine

Job overview

5 Junior Clinical Fellow posts (ST1-3 level) in the Paediatric Emergency Department for 6-12 months starting September 2026.

We are looking for doctors who have an interest in either Paediatrics or Emergency Medicine, and who want to gain experience in the assessment and management of acutely unwell and injured children. We have a very strong track record of fellows obtaining training posts in their chosen specialty. Candidates are expected to complete QI projects and to engage with the tailored education program, with dedicated education shifts.

St Mary’s Hospital is a Major Trauma Centre in London, and has a range of paediatric medical and surgical specialities, including PID, Haematology, Neurology, Allergy, Renal and PICU. It is one of the key trusts in the North London Paediatric Specialist Network, and works closely with West London Children's Hospital.

It has an active and internationally respected academic and research unit, with current recruitment to several national significant research projects.

The department is staffed by dedicated paediatric nurses and led by a team of PEM consultants. Trainees come from both paediatric and emergency medicine backgrounds on a 2-tier rota, and a senior decision maker in the department 24/7.

Candidates MUST have completed their foundation training, and worked in the UK NHS for at least 12 months.

Main duties of the job

• The posts are based entirely within the Paediatric Emergency Department. Doctors will provide the initial assessment and management of unwell and injured children who present to the Emergency Department, or who are referred by a primary care team. The post will also include exposure to critically ill children and emergency ambulance conveyances. Post-holders will hone both their clinical reasoning skills and their practical procedures, as well as their skills in verbal and written communication and patient notes. They will be supported by registrars and consultants based in the PED, and the nursing and therapy staff. The post includes out of hours shifts, including late and night shifts, on a 9 person rota. There are medical and surgical specialties on site (including PICU), as well as the major trauma service (24/7 consultant led). There is a 4 bedded, co-located Clinical Decision Unit that helps flow through the department, and the team manage these patients as well as those in the main department. There is dedicated education shifts within the rota, and a weekly teaching rota including in situ simulation, journal club, lightning learning, and formal teaching sessions. As a large teaching hospital, there are regular placements for medical students, and frequent opportunities to teach.

Detailed job description and main responsibilities

Clinical Duties:

• To provide safe and effective clinical care to children in the department, under the supervision of the Paediatric Emergency Medicine Consultant, in accordance with departmental and trust clinical guidelines and evidence.
• To help provide on-going care for children on CDU, who are likely to go home within the next few hours, and to help treat and escalate if these children become more unwell.
• To help with the resuscitation and stabilisation of significantly injured or sick children.
• To help perform procedures including minor orthopaedic procedures, suturing etc
• To be responsible for good safety netting and signposting on discharge, and ensuring the safety of children on discharge from the department.
• To provide good communication with nursing staff and colleagues, and work cohesively as part of the team.
• To liaise effectively with colleagues from different specialties, and with HCP in the community (GP, midwife, school nurses etc).
• To effectively use the computerised system for patient records, ordering, results and communication (discharge letters).
• To ensure all safeguarding concerns are addressed and communicated.

Administration/ Managerial Responsibilities

• To develop and hone the skills in working an Emergency Department – prioritisation, safety, flow and efficient working.
• To comply with trust and department rules and professional behaviours.
• To complete a Quality improvement project or audit
• To ensure outstanding results and actions are completed.