‘JIG’ Job Information Guide
General:
Post Title
General Paeds/A&E
Hospital Details
Name: St Marys Hospital, Paddington
Website: http://www.imperial.nhs.uk/stmarys/
College Tutor: Dr Mehrengise Cooper Mehrengise.cooper@imperial.nhs.uk
Educational lead: Dr Bob Klaber bob.klaber@imperial.nhs.uk
Travel Info
Train/Tube: Paddington Underground. (Bakerloo, Hammersmith & City,
District, or Circle lines.)
Buses: http://www.tfl.gov.uk/tfl/gettingaround/maps/buses/pdf/paddington2201.pdf
Staff Car Park: No
Living/Accommodation
Hospital Accommodation is available over at the Hammersmith Hospital.
Email address: accommodation@imperial.nhs.uk
Phone number: 0203 313 4873
Departmental:
Team
No of General Paediatric Consultants: 8
No of Paediatric Emergency Medicine Consultants: 3
Registrars: 5 (in addition to allergy/A&E registrars that will also work on general and A&E)
SHOs: 2 Gen Paeds, 5 GPVTS , 1 ITP, 2 FY1 , 1 FY2
Rota &
Responsibilities
Your rotation at St Mary’s includes a rolling rota consisting of weeks in paediatric
A&E, general paediatric ward (Great Western Ward/GWW), the paediatric short stay
unit (PSSU), education, and integrated care.
On nights and long days you will cover haematology, infectious diseases, and General
patients. You will be supported by a Registrar (who also covers A&E).
Link to an example rota:
A&E: The paediatric A&E is open 24 hours. The team consists of paediatric STs, resident
medical officers (RMOs), SpRs and consultants. As one of the paediatric trainees in A&E,
you will be seeing new patients and organising initial investigations and acute management.
Registrars and consultants are available for guidance and to review sick patients.
GWW: This ward provides the general paediatric in-patient service plus many subspecialities including allergy, nephrology, neurology, haematology, infectious diseases as
well as surgical specialities (general paediatric surgery, orthopaedics, ENT, and urology)
and links with child psychiatrists.
On the general paediatric ward week, you will attend the daily ward round led by Attending
Consultant and/or registrar with on-going review of inpatients and clerking in new patients.
New patients will include those admitted from A&E, admitted from clinic, transferred from
other hospitals, or even those ‘stepped-down’ from PICU. When a patient is admitted as a
PICU “step-down,” the general paediatric team will introduce themselves to the family and
complete a new drug chart for the patient. Further ward responsibilities include organising
specialist investigations, referring to other specialities, and completing discharge
summaries. On Tuesdays you will present at the paediatric X-ray meeting, You will also be
expected to prepare and present a patient at the Complex Patient Meeting on Thursday
mornings (patient usually identified by Attending Consultant).
PSSU week: PSSU provides short stay and ambulatory care for children referred from A&E
and GWW. There are also nurse led clinics and GP rapid referral clinics and FY1-led
prolonged neonatal jaundice clinics. You will attend the daily ward round of inpatients, clerk
new patients, and review day attenders as well as those attending afternoon reviews. Often,
you will be asked to see patients in Westway (day unit) for review prior to sediation, assist in
cannulation, prescribe immunoglobulin or consent for MRIs.
Education weeks are your opportunity to attend clinics, attend courses, complete projects,
or shadow other specialities. You may be asked to cover the wards for sickness or during
periods of increased inpatient workload.
Integrated care weeks are weeks in which are given autonomy to complete a project in the
community and understand links between the community and the paediatric department.
You are expected to attend the Friday meetings (1230-1400) to plan your project and
discuss progress.
Departmental
strengths
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Training
opportunities
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Very motivated senior staff that are keen to encourage and support
trainees
Emphasis on providing trainees with quality paediatric training rather than
trainees providing a service. This can be seen in that there are allocated
education and integrated care weeks
Teamwork with excellent multidisciplinary colleagues, e.g. SALT, OT, PT,
dieticians
Many consultants have specialist interest or the specialist consultants are
hands-on/in-house themselves when it comes to reviewing and managing
complex patients (e.g. allergy, renal, ID, haem, neuro)
Paediatric A&E is extremely busy with huge and varied caseload, including
trauma
Paediatric A&E consultants and/or registrars are available for guidance
Trainees are encouraged and supported in developing project ideas,
conducting research, service improvement projects etc.
Education weeks. These can be used to attend clinics, do projects, courses
or spend time in other departments (e.g. A&E). You may have to cover for
others on the ward if manpower is down, but this occurs VERY rarely.
Simulation training weekly every Friday morning and twice weekly
IMPACTs training
Teaching
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Top tips
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Weekly Monday afternoon Paediatric Grand Round lunchtime meetings.
Great way to hear about interesting cases from other specialities
Weekly Thursday afternoon teaching 3pm-5pm (see NWL calendar on
http://www.londonpaediatrics.co.uk/ for details)
Weekly ID meeting on Tuesdays 2pm-4pm, with interesting cases
presented by the ID, PICU and general team.
Monthly evening ‘Case Exchange’
http://www.londonpaediatrics.co.uk/wp/wpcontent/uploads/2014/01/Paediatric-NWT-Regional-Teaching.pdf
MRCPCH clinical teaching is organised by SHOs and usually happens
every day at 3pm except Thursdays prior to exams. The Consultants and
Registrars are very motivated and willing to teach.
Familiarise yourself with the local guidelines and have a read through the
Imperial College Paediatric handbook
Check your Imperial email regularly; it is not uncommon to have email
correspondence with consultants/other specialities about complex patients
Take advantage of your rostered weeks in A&E. Some may be rostered for
two weeks rather than 4, so its important to be proactive during those A&E
weeks
Try and do an audit, project (including service/quality improvement) or
guideline. Many of the registrars and all of the consultants are involved in
lots of interesting research and happy to help.
Attend the Integrated Child Health Lab Meetings on Friday afternoons. The
aim of these lab meetings are that they are there to support and stimulate
the integrated child health work that you will get involved with while at St
Mary’s. It is a great opportunity to bounce off ideas and get involved with
(or even lead) interesting projects. Do attend the week before your
integrated care weeks as it will help you prepare for your upcoming weeks
Attend Grand Round on Monday afternoons—it’s a great opportunity to
discuss/refer patients with other specialities at the same time.
Lunch spots:
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Leena Café, 83 Praed St. Amazing salad boxes.
Tesco (Praed Street) and Marks & Spencer (Edgeware Rd)
Sheldon Square has many restaurants, e.g Itsu, as well as a weekly
market
For more information you can contact a current SHO / Trust rep by emailing:
Trust Rep contact details: nikki.gambhir@gmail.com, haris.achilleos@doctors.org.uk