Senior Fellow in Paed Critical Care and Retrieval Medicine

Job overview

The Paediatric Critical Care (PCC) department at Oxford University Hospital (OUH), Oxford, UK, invites applications for Paediatric Critical Care and Retrieval Fellow posts.

One Clinical Fellow (ST5-ST8) posts in Paediatric Intensive Care and Paediatric Retrieval Medicine (Southampton Oxford retrieval team (SORT -Oxford))

Fixed Term for 12 months

This post would be suitable for an enthusiastic candidate from a Paediatric, Intensive Care, Adult Intensive Care, Anaesthetic, or Emergency Medicine background, interested in training in Paediatric Intensive Care in accordance with the standards of the Intercollegiate Training Committee in Paediatric Intensive Care Medicine (ICTPICM). The appointee will work full-time within Paediatric Critical Care (PCC) Services at the John Radcliffe Hospital in Oxford. The main responsibility would be to the PCC and SORT retrieval service. Duties would be undertaken within the Paediatric Intensive Care Unit, the High Dependency service, and the retrieval service.

Main duties of the job

This role is fixed term for 12 months with the first month spent on OUH PCC before rotating with SORT Oxford.

This post offers a structured training in Paediatric Critical Care and Retrieval Medicine. It is aimed at senior trainees in Paediatrics, Intensive Care Medicine, Anaesthetics, or Emergency Medicine who wish to improve their skills in the assessment, stabilisation, and management of the critically ill child.

Supervised practical instruction will be given in:

• Airway skills: Basic & Advanced
• Vascular access: Central venous & arterial
• CVP, Arterial, and Intracranial pressure access and interpretation
• 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
• Application of Brain Death Criteria
• 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 an eight-bedded Intensive Care Area and an adjacent nine-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 10 trainees at ST6-7 level with a background in Paediatrics and Neonatology or Anaesthetics and adult Intensive Care Medicine.

The post holder’s principal duties are patient review and monitoring, and the implementation of management plans decided upon during these ward rounds. They are also responsible for the admission and discharge of children, liaison with speciality teams, the review and stabilisation 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 expected to be available for 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).

Southampton Oxford Retrieval Team (SORT) - Oxford

The paediatric retrieval service Southampton Oxford Retrieval Service (SORT - Oxford) is a joint collaboration between 2 paediatric intensive care units – John Radcliffe Hospital Oxford with University Hospitals Southampton - to provide specialist retrieval for critically ill children from birth to 16 years of age in the South Central region of England. The posts are ideally suited to doctors with backgrounds in Paediatrics, Anaesthesia, Critical Care, or Emergency Medicine who wish to consolidate and broaden their experience in Paediatric Critical Care Medicine.

SORT OUH provides a comprehensive retrieval service to our five local district general hospitals, but may also transport children further across the region as needed. The retrieval service is consultant-led and delivered by a team of clinical fellows, senior nurses, and an advanced nurse practitioner, with the retrieval consultant present if warranted.

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.