OXFORD DEANERY ROYAL BERKSHIRE NHS FOUNDATION TRUST DEPARTMENT OF PAEDIATRICS Tel: 01183228027 Fax: 01183228383 SPECIALTY TRAINEE YEAR 4 and 5 IN PAEDIATRICS 1. ESSENTIAL INFORMATION This post forms part of a five-year rotation leading to CCST in paediatrics and is part of the southern axis rotation within the old Oxford Region. The southern axis rotations may involve up to two of the following units: Reading, Wycombe, Stoke Mandeville, and Wexham Park. All posts rotate to Oxford. 2. HOSPITAL INFORMATION The Royal Berkshire NHS Foundation Trust, Paediatric Department covers a large child population of around 125,000. The Neonatal Intensive Care Unit has 22 cots including 4 funded intensive care cots. There is also a transitional care arrangement for convalescing infants. There are two General Acute Paediatric Wards, Lion and Dolphin. Dolphin Ward has 22 beds including a 4 bed High Dependency Unit and Lion Ward 22 beds including two oncology suites with accommodation for parents. The two wards are adjacent to each other and are run together. They take medical, surgical and orthopaedic patients. There is also a Paediatric Day Bed Unit, Kempton, which has 10 beds. All acute referrals are seen in the Paediatric Admissions Unit, which is currently housed adjacent to the two children's wards. 3. THE POST This post is one of ten full time Specialist Registrar Posts in Paediatrics at the Royal Berkshire Hospital. There is a full shift pattern with all ten doctors in the rota. The Pay Band supplement is 1A. Annual leave is at the rate of 5/6 weeks per year. Single accommodation is available at a small charge; married accommodation is subject to rental less abatement for on-call commitments. Terms and conditions of employment are in accordance with the current Whitley Council arrangements for Medical & Dental staff. The post provides core training in general paediatrics, neonatology, neuro-disability and aspects of child development. There are 4 posts on general paediatrics, 3 on neonates and 3 in community ( one core community, one HST community and one based at the Dingley Child Development Centre at the Battle Hospital in Reading, linked to the Wolfson Centre in London providing specialist training in neuro-development and complex disability) 4. A ROTATIONS (internal) NEONATAL PAEDIATRICS Day to day clinical management of neonates on the Neonatal Intensive Care Unit, Delivery Suite and Post-natal Wards of the Royal Berkshire Hospital. Supervision and teaching & training of the 4 neonatal SHO’s / one FY2 / 4 ANNP’s Attendance at neonatal follow-up clinics. Medpers/Jobdesc/Paediatrics/RB0405 Participation in teaching of medical students, midwives and nurses. Develop skills in neonatal cerebral ultrasound. Take part in current audits and research programmes in operation. Acute on-call rota B GENERAL PAEDIATRICS Specific Duties 1. Responsibility for children on the acute children’s wards. 2. Cover for Paediatric assessment Unit / Accident & Emergency 3. Special responsibilities within the Paediatric Oncology Service under the supervision of a Consultant. This registrar to be closely involved in the supervision and treatment of children with cancer and with procedures and treatment protocols. General Responsibilities Day to day clinical management of children on the two acute children’s wards, Dolphin and Lion, including medical aspects of surgical patients and close liaison with doctors involved from other specialties. Cover for paediatric problems on the Paediatric Assessment Unit and Accident & Emergency Unit. Provide cover for all acute paediatric referrals from any source. Supervision and teaching of the 8 paediatric SHO’s on the Acute Children’s Wards and the Paediatric Day Bed Unit. Take part in teaching medical students and all teaching activities in the dept. Attend regular paediatric outpatient clinics. Acute on-call rota. C PAEDIATRICS IN THE COMMUNITY Assessment and management of children with developmental problems and complex disability based at the Dingley Child Development Centre. Outreach clinics in local schools for children with special needs. Regular sessions with the Child Psychiatry team. Work with Child Protection Team including weekly session on the on-call rota. POST IN NEURO-DEVELOPMENTAL PAEDIATRICS (one year post core specialty post) Assessment and management of children with developmental problems and complex disability based on the Child Development Centre. Outreach work in schools for children with special needs. Attendance at the Wolfson Centre, Institute of Child Health, London 2.5 days per week under the supervision of Dr. Catherine De Vile, Consultant Paediatrician. Medpers/Jobdesc/Paediatrics/RB0405 5. MEDICAL TRAINING Consultant Ward Based Practice with daily ward round and ward based teaching. Monthly dedicated Registrar Teaching Programme 2 monthly regional Registrar teaching – soon to be monthly Monthly Academic Half day on paediatric topics. Monthly Child Psychiatry Clinical Presentations. Monthly Audit and Clinical Governance Meetings. Weekly Journal Club. Weekly Paediatric Grand Round. Monthly Peri-natal Meeting. Monthly Paediatric Xray Meeting. Monthly Procedure & Policy Meeting. 6. STUDY LEAVE This is encouraged – but cover must be arranged internally. 7. LIBRARY FACILITIES Fully equipped Trust Education Centre Library has Internet facilities 8. USEFUL NAMES Regional Postgraduate Dean Regional Paediatric adviser Head Of School Programme Director Paediatric Clinical Tutor RBH Director of medical education Medical Personnel Officer (0113227854) Accommodation Officer Medpers/Jobdesc/Paediatrics/RB0405 Dr. Michael Bannon Dr. Alison Shefler & Jo Philpot Dr. Julie Edge Dr. Kate Wheeler Dr. Ravi Kumar (01183228027) Dr. Jonathan Fielden Amanda Griffiths Sue Webster (01183227888)