Paediatric Intensive Care Unit Senior Fellow

Job overview

The cardiac PICU (CPICU) has around 400- 450 admissions per year including those who are referred for ECMO support (cardiac and respiratory). The intensive care team is an integral part of wider East Midlands Congenital Heart Centre (EMCHC).

The General Children’s Intensive Care Unit (CICU) has around 400 admissions per year. The CICU supports various specialities including paediatric surgery, respiratory, gastroenterology, neurology, hemato-oncology, Paediatric ENT etc. It is a part of Leicester Children’s Hospital.

Leicester is commissioned for offering both respiratory and cardiac ECMO support; it is the only centre providing paediatric and neonatal ECMO transport and is one of the busiest ECMO centres in the country.

The University Hospitals of Leicester NHS Trust hosts the regional transport service CoMET which is based at the Midlands Critical Care Transport Hub at Castle Donnington. This new facility has the state of art simulation centre with an immersive sim suite.

Main duties of the job

• At Leicester we plan to offer a tailor made post CCT fellowship to cater to the training needs of senior fellows. They will have an opportunity to develop special interest in cardiac intensive care & ECMO.
• They will get opportunities to do fellow of the week on general and cardiac intensive care. We would offer opportunity for doing supported on calls on general PICU, Cardiac PICU, and Comet transport.
• Senior trainees will be offered opportunity to take on long term PICU patients with consultant support.
• We have a group of consultants with an interest in POCUS, advanced US guided vascular access with expertise in doing tunnelled PICC lines on the unit.
• Mentorship program with one to one support from senior PICU and ECMO consultants.

Detailed job description and main responsibilities

The paediatric critical care services at Leicester are located at Leicester Royal Infirmary. This includes a 12 bedded cardiac paediatric intensive care unit (CPICU), 7 bedded children’s intensive care unit (CICU) and 12 bedded HDU/ Paediatric respiratory long term ward (ward 12) which is located next to the children’s intensive care unit.

Clinical Responsibilities:

• Senior role in General PICU, Cardiac PICU, and Comet transport, with supported on-call duties.
• Participate in Cardiac MDT meetings and PICU grand rounds.
• Lead ward rounds during fellow weeks, working with the MDT.
• Collaborate with the outreach team and oversee patient flow.

ECMO Focus:

• Work closely with the ECMO team, with protected time to attend paediatric and adult ECMO ward rounds.
• Access ECMO wet-lab simulations and complete bedside preceptorship.
• Teach on the 4-day ECMO course, held twice a year.
• Gain experience in ECMO transport, including intra- and inter-hospital transfers.
• Involved in ECMO referral triaging and equipment familiarisation.

Research & Development:

• Contribute to audit, QI and research projects.
• Funding to attend and present at the ELSO conference.