Junior Fellow in Paediatric Critical Care Medicine

Job overview

JOB TITLE:                            Junior Clinical Fellow posts in Paediatric Intensive Care Medicine

GRADE:                                  Equivalent to ST1 / CT1 and above

DEPARTMENT:                     Paediatric Critical Care at OUH

Main duties of the job

Duration: This is a 12 months post in Paediatric Critical Care (PCC) at OUH

This post offers a structured training in Paediatric Critical Care and Retrieval Medicine. It is aimed at Junior trainees who completed the foundation training program and are considering a career in in Paediatrics, Intensive Care Medicine and Anaesthetics or Emergency medicine. They will gain exposure to the management of the acutely unwell child and will develop skills in assessment, stabilisation and management of the critically ill child. Flexible time is included to allow for participation in governance and quality improvement and to cater to the training needs of the individual.

Supervised practical instruction will be given in:

• Airway skills: Basic & Advanced
• Vascular access: Central venous & arterial
• CVP, Arterial, and Intracranial pressure access and interpretation
• Point of Care Ultrasound (POCUS)
• Cerebral function analysis monitoring
• Ventilation - standard techniques, BIPAP pressure and volume controlled modes, pressure release ventilation, high frequency oscillation and Non-invasive techniques.
• Neuro intensive care
• Advanced renal support
• End of life care
• Talking to parents in critical situations
• Stabilisation and transport of sick infants and children

Detailed job description and main responsibilities

The Paediatric Critical Care (PCC) unit provides intensive and high dependency care to the local population and children of Oxfordshire, Berkshire and Buckinghamshire as well as further afield.  It comprises a ten-bedded intensive care area and an adjacent eight-bedded High Dependency ward. OUH is a major trauma centre and supports a number of medical and surgical specialities including Infectious Diseases, Respiratory medicine, Cardiology, Neurology, Endocrinology and Gastroenterology, Paediatric surgery, Neurosurgery, craniofacial surgery and Orthopaedic surgery.

The department is run by the Consultant of the week.  The Consultant is a strong presence on the unit and provides a continuous high level of training and supervision. There are twice daily consultant led ward rounds. The department is staffed with 18 trainees at ST6-7 level with a background in Paediatrics and Neonatology or Anaesthetics and adult Intensive Care Medicine.

The post holder’s principle duties are patient review and monitoring and the implementation of management plans decided upon these ward rounds. They are also responsible for the admission and discharge of children, and liaison with speciality teams, the review and stabilization of deteriorating children on the wards and attending the Emergency Department for critically ill and injured children.

Paediatric Intensive Care retrievals from the Oxford region and the neighbouring District General Hospitals are managed on a 24-hour basis jointly with Southampton General Hospital under the umbrella of the Southampton Oxford Retrieval Team (SORT). SORT provides support to over 15 District General Hospitals in the combined South Central Region. Successful applicants will be have opportunities to join retrievals and outreach educational activities to the district general hospitals as well as engage in an agreed project where clinical duties allow (Research / Education / Quality Improvement).

Once we reach the required number of applications the vacancy will close.