Training half day programme

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The Whittington Hospital NHS Trust

Department and Job description

Senior House Officer - Paediatrics and Neonates

Commencing February 2005

Staffing

Dr Heather Mackinnon

Dr Edward Broadhurst

Dr Mervyn Jaswon

Dr Andrew Robins

Consultant Whole time

Consultant Whole time

Consultant Maximum Part-Time

Consultant Whole time

Dr Roly Blumberg

Dr Joseph Raine

Dr Wynne Leith

Dr Justin Richardson

Dr Helen Bantock

Dr Delyth Howard

Specialist Registrars

SHO's

Consultant Whole time

Consultant Whole Time

Consultant Whole time

Locum Consultant Whole time

Community Consultant Whole time

Community Consultant Part time

Six Whole time postholders (including job shares)

One Flexible SpR

Two Clinical Fellows, SpR grade

Two Community Sp R’s positions participating in the on-call rota

6 in Neonatology & 7 in General Paediatrics

8 SHO’s rotating between General & Neonatal Paediatrics

Three of these SHOs rotate to GOS for 1 year after the Whittington.

Three S HO’s, 6 months General Paediatrics only (GPVTS post holders)

One SHO, 6 months Neonatal Paediatrics only

One SHO 6 months Trust grade Neonatal Paediatrics (rotates with Obstetrics)

PRHO Rotating through paediatrics, medicine & surgery every 4 months. On call 1:5 with SHOs in General Paediatrics, but off duty at 24.00 hrs.

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The Department

The Paediatric Department consists of a children’s ward with 29 beds, 6 of which are used for the paediatric day unit and 2 for the high dependency unit. There is a dedicated paediatric out-patient department and ongoing development of an established ambulatory services.

The Children's ward accept acute paediatric admissions, planned admissions for investigations and surgical cases (both acute and elective work). The Department has approximately 3565 predominantly medical admissions; the Day Unit saw 2196 children in 2003 and there are over

10,000 outpatient attendees a year. About 14,000 children attend the emergency department each year.

The neo-natal unit currently has 16 cots, of which 6 are equipped for intensive care. The unit accepts in-born babies, in-utero and ex-utero transfers. In 2003 there were over 3453 deliveries and approximately 275 admissions. This resulted in over 1500 neonatal intensive care days. The local population is a mixture of all ethnic and social groups and provides many challenging obstetric and neonatal problems.

There are regular general paediatric clinics and there is a daily emergency referral "10-12" clinic.

Specialised clinics for haematology (the department has a special interest in thalassaemia and sickle cell disease) asthma, development, diabetes, endocrinology, cardiology, dermatology, rheumatology, cystic fibrosis and neurology take place within the Department. There are close relationships with the Departments of Haematology, Obstetrics and Child Psychiatry and good links with the Community child care services.

Students from the RF&UCL Medical School are regularly attached to the department and the junior staff are expected to participate enthusiastically with their curriculum. All training posts are recognised for DCH and general professional training for MRCP/MRCPCH

Paediatric training offered at the Whittington

Training for paediatric / neonatal SHOs is organised and supervised. Each SHO has a nominated consultant supervisor. The trainee must ensure that he / she makes an appointment to see the nominated supervisor within 2 weeks of commencing in post to discuss educational aims and opportunities. Thereafter the trainee should make an appointment to see their nominated supervisor not less frequently than three monthly for formal appraisal and career guidance.

Induction sessions are scheduled at the start of the training period and will specifically include training in paediatric resuscitation as appropriate. At induction each SHO will be given a list of suitable reading material, textbooks etc.

Management Guidelines are kept in the doctor's office on the Children’s ward, Neonatal Unit and registrar’s office in outpatients. They are regularly updated.

Protected training half-days are held on Wednesday afternoons jointly with The Royal Free

Hospital. Training sessions alternate between the two sites. All SHO's except the on call Paediatric

SHO and Neonatal Intensive Care SHO should attend.

Those appointed to one or two year posts are expected to attempt MRCPCH Examinations

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Training half day programme

14.00-15.00 Basic Paediatrics, including X-Ray meeting

15.00-15.30 Case presentation

15.00-16.00 Tea

16.00-17.00 Guest lecture (once a month)

or Recent literature review (once a month)

or Audit (once a term)

Further Training Opportunities

Day

Monday

Tuesday

Time

11.00-12.00

16.30-18.00

Meeting

13.00-14.00 Obstetric/neonatal liaison meeting

Paediatric Business Meeting

General Paed Multi-disciplinary

Liaison meeting

Wednesday 12.30-13.45

14.00-17.00

Thursday 13.15-14.00

14.00-15.00

Hospital staff round

Training half-day

Neonatal Business meeting

Neonatal Multi-disciplinary psycho-social liaison meeting

Friday 08.30-09.30

12.45-13.30

13.30-14.00

01.00-02.00

Haem/Microbiology &Paeds

Meeting

Journal Club

Paediatric Xray Meeting

GP Meeting

Place

Academic Centre

Ifor Seminar Room

Ifor Seminar Room

Whitt/RFH alt. weeks

NICU Seminar Room

NICU Seminar Room

Ifor Seminar Room

Ifor Seminar Room

Xray Department

Academic Centre

Hospital Training and Audit Half Days

The paediatric department participates in the regular Training and Audit half days and SHOs are expected to actively participate in the ongoing audit projects and contribute to new projects and develop a working understanding of the audit process.

MRCP Courses

Part I courses for paediatrics are at a number of central London centres. The Whittington

Academic Centre runs general medicine Part I & II courses and surgical courses only.

Paediatric Part II courses are run at a number of central London centres including Great Ormond

Street / Institute of Child Health and Guy’s, King’s & St Thomas’.

Many other lectures seminars workshop etc. take place in the Academic centre. Please check their notice boards for details. (Other relevant London courses & lectures are advertised in the Doctor’s offices on the wards and neonatal unit).

Location of the post

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The duties of the post are located entirely at the Whittington Hospital.

General Paediatrics

Duties of the post:

The Paediatric Senior House Officers are responsible for the care of babies and children admitted to the children’s wards and assessing patients referred by the Casualty Department, Paediatric

Ambulatory Care and seeing outpatients. They are responsible for ward work, keeping thorough, legible notes and discharge summaries as well as participating in the weekly training half days.

The Senior House Officer is expected to get to know the patients on the wards and to identify those families with social or psychological problems to be discussed at the weekly paediatric multidisciplinary liaison meeting. Experience will be gained in acute and general paediatrics and in the management of patients with and sickle cell disease, shared care oncology as well as child protection work.

Neonatal Paediatrics

Duties of the post:

The neonatal SHO’s will be responsible for the care of babies in the neonatal intensive care unit, on the post natal wards and in the labour ward. They will be expected to participate in ward rounds, neonatal/ obstetric meetings, paediatric training meetings, and the weekly neonatal multidisciplinary liaison meeting. SHO’s are responsible for completing neonatal discharge summaries and maintaining routine data collection.

Experience will be gained in neonatal resuscitation and transport, neonatal intensive care and neonatal developmental follow-up in a multi-disciplinary team.

Pattern of Work:

The Neonatal and General paediatrics SHOs work a partial-shift system. Within neonatal paediatrics it is required that those on duty for the NICU, Labour Ward and postnatal wards should participate in formal, systematic hand-over periods at the beginning and end of each shift. In general paediatrics formal handover takes place between SHO’s on long days and night duty

SHO’s

To ensure that the partial shift system works smoothly SHOs should always be punctual and must make frequent, detailed and legible clinical notes.

The partial shifts will consist of long days (13 hours), standard days (8 hours) and night shifts (13 hours). The SHOs will be working a 53 1 /

2 hour week. The SHOs’ will have 3 weeks annual leave and 1 week of study leave is usually covered internally.

Arrangements for taking annual leave and study leave will be co-ordinated by Dr Blumberg on the

Neonatal Unit and Dr Robins on the general paediatric ward.

Terms & Conditions:

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The Terms and Conditions of Service as amended from time to time will apply to and govern this statement. The post holders are required to work with the Trust and the Task Force to ensure that the posts remain compliant

It is accepted that the holder of the post will also perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate consultant. Such additional commitments arising under this subsection will be exceptional and in particular the doctor should not be required to undertake work of this kind for prolonged periods or on a regular basis.

Every effort will be made to ensure that the SHOs duty hours are equitably shared but there may be occasions where SHOs will be expected to work flexibly in the interest of the service.

Main Conditions of Service:

1. The post is covered by the Terms and Conditions of Service for Hospital Medical and Dental staff.

2. The posts are whole-time for, six months, one year or two years.

3. The salary scale is from £24,587 - £31,180 plus £2,098 London Weighting.

4. The post is resident on-duty.

Conditions of Appointment:

1. A medical clearance is required prior to commencement of appointment.

2. The appointee will be required to demonstrate appropriate training in the Core of knowledge required in the Schedule to the Ionising Radiation (Protection of Persons

Undergoing Medical Examination or Treatment). Regulations 1988, or prepared to under take such training.

3. Rehabilitation of Offenders Act, requires appointees to disclose any previous criminal record because of involvement in child protection work.

Further details of post : For informal details, contact Dr Raoul Blumberg on 020 7288

5616, or Dr Andrew Robins on 020 7288 5188. Or e-mail Dr Raoul Blumberg:raoul.blumberg@whittington.nhs.uk

Annual leave:

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All annual leave accrued during each stage of the rotation must be taken before the commencement of the next rotation appointment. Bank Holidays and Annual Leave days in lieu are internally covered. Locum cover for weekdays requires the standard minimum of 6 weeks notice.

Study leave:

It is the responsibility of the trainees to ensure that any application for study leave which runs into the next stage of the rotational appointment, must be submitted to the subsequent employing authority at the same time for consideration. Normally 6 weeks notice preceding the leave period is required.

All general paediatric SHO leave requests are co-ordinated by Dr Andrew Robins

All Neonatal SHO leave requests are co-ordinated by Dr Roly Blumberg

Any queries relating to the appointment at the Whittington Hospital, please contact the

The Human Resources Directorate on Tel: 020 7288 5797 .

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