ROYAL BROMPTON & HAREFIELD NHS FOUNDATION TRUST
Royal Brompton Hospital
JOB DESCRIPTION FOR THE POST OF
CLINICAL FELLOW IN PAEDIATRIC INTENSIVE CARE
Royal Brompton Hospital is the largest postgraduate specialist heart and lung centre in the United
Kingdom.
A fundamental strength of the hospital is close collaboration between the various clinical specialities
which cover all aspects of heart and lung disease and collaboration on basic science research with the
National Heart and Lung Institute. The hospital enjoys first rate diagnostic and clinical support
service, and services are organised into a clinical directorate structure, with each directorate led by a
clinical director.
Department of Paediatrics
Present Medical Staff:
a.
Clinical Director
b.
Consultants:
Dr D Macrae (Consultant Paediatric Intensivist & Director of Paediatrics)
Paediatric Intensive Care
Paediatric Cardiology
Paediatric Respiratory Medicine
Dr
Dr
Dr
Dr
Dr
Dr
Dr M Rigby
Dr R Franklin
Dr A Magee
Dr Z Slavik
Dr P Daubeney
Dr A Seale
Prof A Bush
Dr M Rosenthal
Dr I Balfour-Lynn
Dr J Davies
Dr C Hogg
Dr S Saglani
D Macrae
M Burmester
A Desai
A Furck
N Pathan
N Shastri
Paediatric Cardiac Surgery
Mr D Shore, Mr B Sethia, Mr H Uemura, Mr O Ghez
Dr J Till (Paediatric Electrophysiology)
Dr H Gardiner (Perinatal Cardiology)
Dr J Carvalho (Fetal Cardiology)
c.
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9
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Junior Medical Staff:
Specialist Registrars Specialist Registrars Fellows Senior House Officers
Paediatric Respiratory Medicine
Paediatric Cardiology
PICU
The Paediatric Unit is recognised by the Department of Health as one of the three major centres in
the South of England for the treatment of infants with congenital heart disease. The Paediatric
Department comprises four divisions:
1.
2.
3.
4.
Paediatric Intensive Care
Clinical Cardiology
Cardiac Morphology
Respiratory Medicine
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Paediatric Directorate Facilities
Paediatric Intensive Care Unit
High dependency Unit
Children's Ward
(10 beds)
(4 beds)
(28 beds/cots, 4 bedded High Dependancy Unit and 5
bedded Day Care Unit)
Duties of the Post
Timetable*
MON.
07:30:Surgical
rnd
TUES.
07:30:Surgical
rnd
WED.
07:30: Surgical
rnd
THURS.
07:30:Surgical
rnd
FRI.
07:30:Surgical
rnd
0800:Cardiac
Catheter
Meeting
Chelsea wing
0800: Cardiac
ECHO Meeting
Chelsea wing
0800:
Respiratory
meeting
Chelsea Wing
0830: PICU
Journal club
0900:
PICU Rnd
0940:
anticipated
care
0900:
PICU Rnd
0940:
anticipated
care
0900:
PICU Rnd
0940:
anticipated
care
0800:
Combined
Medical/Surgic
al Cardiology
Meeting
Chelsea wing
0900:
Rnd PICU
0940:
anticipated
care
0900:
PICU Rnd
0940:
anticipated
care
SAT. / SUN.
0900:
PICU Rnd
15:00:
Resuscitation
Scenarios
1700: Wd.Rnd 1700: Wd.Rnd 1700: Wd.Rnd 1700: Wd.Rnd 1700: Wd.Rnd
* this timetable is subject to change according to service need
Working closely with other members of the clinical team (surgeons / cardiologists / respirologists /
anaesthetists), the applicant will be expected to provide clinical care for all patients receiving
intensive / high-dependency care at Royal Brompton Hospital. They will be fully involved with the
investigation of patients by both invasive and non invasive techniques. There will be opportunities for
instruction and experience in paediatric intensive care, appropriate to the clinical fellow’s prior
experience The Clinical Fellows are responsible for the supervision and teaching of the SHO's in their
duties. He/she will normally be required to attend weekly meetings (see Timetable and Education for
details).
Two consultant-led ward rounds are held daily and the Fellow shares the responsibilities for these
business and teaching rounds.
Managerial Responsibility and On Call
The Clinical Fellow shares the managerial responsibility for their own rotas. The post is a full-shift
working system which is European Working Time Directive compliant. The post attracts banding
payment 1a which makes allowances for additional hours worked in the on call commitment as well
as covering for colleagues in their absence.
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Education and Training
There is an strong consultant led PICU teaching programme that fellows are actively encouraged to
contribute to, as well as opportunities throughout the rest of the week for discussion of cases and
subsequent management. All the PICU consultants have an active interest in teaching which is an
integral part of their posts. PICU Fellows are expected to actively engage in the teaching process
including preparing topics for presentation and leading review sessions of journal articles. Mentors
will be assigned at the start of the post to guide specific education and training needs for the
individual trainee.
Weekly Paediatric Teaching Activities at the Royal Brompton Site
Mon 8.00-9.00
Mon 15.00-17.00
Mon 17.15-18.30
Tue 8.00-9.00
Tue 12.15-1.15
Wed 8.00-9.00
Wed
Wed
Wed
Thu
Thu
8.00-9.00
9.30-12.00
12.30-1.30
8.00-9.00
1.15-2.15
Fri 8.00-9.00
Fri 8.30-9.00
Paediatric Cardiac Catheter Meeting
Resuscitation Scenarios
Respiratory research meeting (2nd & 4th weeks)
Paediatric Echocardiography meeting
Paediatric cardiac morphology seminar
Respiratory Seminars incl. Monthly Journal Club (Arch Dis Child to be
reviewed by SHOs), clinical governance
Cardiology Grand Round
Respiratory Consultant teaching ward round
Respiratory Radiology Meeting
Combined medical-surgical cardiology meeting
Respiratory teaching Seminar for SHO’s
(run by SpR’s)
Hospital Pulmonary Round
Journal Club
The National Heart and Lung Institute has excellent facilities for studying and an extensive library
with all the current journals and textbooks. The National Heart and Lung Institute is developing links
with Imperial College, which will enhance the facilities available for studying and research.
Numerous postgraduate courses are held in the National Heart and Lung Institute and the Paediatric
Department takes an active part. Postgraduate students are attached to the Department and receive
tutorials and ward rounds from members of the Department.
Study leave funding is available and trainees are entitled to five days per six months subject to
operational constraints and approval. Study leave may be granted to the maximum consistent with
maintaining essential services. It may therefore not be available if it is inconsistent with patient care.
PICU Fellows must always discuss this with the Educational Supervisor for PICU well in advance of
considering the possibility of study leave. Study leave will not be granted if mandatory training has
not been completed.
Teaching
The Clinical Fellow will be actively involved in the many teaching courses organised at Royal
Brompton Hospital. In addition he/she will may be expected to teach SHOs and students attending
the Royal Brompton Hospital or National Heart and Lung Institute either from abroad (elective
students) or other NHS hospitals.
Audit
The Hospital is wholly committed to the ideals of continuous clinical audit as a means of identifying
any weaknesses of care as early as possible, as a method of providing purchasers and others with
accurate quantitive descriptions of the care we provide, and as an important element of modern
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medical education. In particular we are interested in the development of the patient-based measures
of outcome that are appropriate to heart and lung medicine. For all these reasons we require all
junior staff to commit themselves to these ideals of ‘evidence-based medicine’ and to accept our
audit needs as an essential element of their time here. As part of this remit, PICU Fellows are
expected to maintain the PICU PICANET Database, a national and local dataset of all patients
undergoing care in PICU. Additionally, there is a monthly academic half-day to cover clinical
governance issues, morbidity and mortality for the directorate. PICU Fellows are actively encouraged
to pursue and present audit projects during their post. There is additional junior doctor teaching in
the afternoon segment of these half-days.
Research
Royal Brompton Hospital is a postgraduate teaching hospital which is closely associated with the
National Heart and Lung Institute Division of Imperial College School of Medicine. The successful
applicant will be strongly encouraged to undertake projects in conjunction with medical staff and it is
anticipated that any established research interests of the appointee will be continued and developed.
Conditions of Service
The post is covered by the Terms and Conditions of Service for Hospital Medical & Dental Staff
(England & Wales) and General Whitley Council conditions of service. The Contract of Employment
will be held with Royal Brompton & Harefield NHS Trust.
Full registration of the General Medical Council will be required.
This job description sets out the key tasks and responsibilities of the post. It is essential that it be
regarded with a degree of flexibility, so that changing needs of the service can be met.
Trust mission
To be the leading national and international centre for the diagnosis, treatment
and care of patients with heart and lung disease, creating and disseminating
knowledge through research and education
Patient care
To serve our patients by working with them to determine their needs, viewing
the quality of care as being of paramount importance
Research
To translate the outcomes of research into improved patient care by evaluating
new ideas and being innovative in how they are applied
Education
To provide education and training for our staff, while encouraging teamwork
and valuing each member of the team for their involvement and specialist
expertise
Core behaviours for all Trust staff
All staff will commit to:
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Act with honesty and integrity at all times
Demonstrate respect for others and value diversity
Focus on the patient and internal and external customer at all times
Make an active contribution to developing the service
Learn from and share experience and knowledge
Keep others informed of issues of importance and relevance
Consciously review mistakes and successes to improve performance
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Act as ambassadors for their directorate and the Trust
Be aware of the impact of their own behaviour on others
Be discreet and aware of issues requiring confidentiality
In addition, all managers and supervisors will:
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Value and recognise the ideas and contributions of all team members
Coach individuals and teams to perform to the best of their ability
Delegate work to develop individuals in their roles and realise their potential
Give ongoing feedback on performance, and effectively manage poor performance
Provide support and guidance to all team members
Encourage their team to achieve work/personal life balance
Actively listen to comments/challenges and respond constructively
Lead by example, setting high standards
Ensure that there are sufficient resources for their team and rebalance priorities
accordingly
Providing a safe working environment
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PERSON SPECIFICATION
Requirements
Qualifications
Clinical
Experience
ESSENTIAL


MB BS or equivalent
MRCP/MRCPCH/FRCA or
Equivalent

Paediatric Intensive Care
and resusitation
Paediatric Anaesthetics,
Respiratory medicine,
cardiology or Paediatric
Intensive Care

Clinical
Skills, Knowledge &
Ability
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Technical and clinical skills
required for paediatric
intensive care
Teaching skills
Shows an approach based
on critical enquiry and
evidence based medicine
Ability to organise self and
others
Research
 Actively encourages juniors
in research
 Ability to initiate or supervise
research
Personal Skills
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Other Requirements

Builds a strong and effective
relationship with patients,
their parents and families
and colleagues and gain in
their confidence and trust
Is able to cope with
considerable pressure as
well as adapt to constant
change and new demands
Demonstrates honesty,
commitment, and integrity
Registration with GMC
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DESIRABLE

ALS/PALS/APLS
instructor

Published research