The Whittington Hospital NHS Trust
Specialist Registrar: Job description 2006
Staffing
Dr Heather Mackinnon
Consultant
Whole time
Dr Edward Broadhurst
Consultant
Whole time
Dr Mervyn Jaswon
Consultant
Maximum Part-Time
Dr Andrew Robins
Consultant
Whole time
Dr Roly Blumberg
Consultant
Whole time
Dr Joseph Raine
Consultant
Whole Time
Dr Wynne Leith
Consultant
Whole time
Dr Neeta Patel
Consultant
Part time
Dr Caroline Fertelman
Consultant
Part time
Dr Wendy D’ Arrigo
Community Consultant Part time
Dr Dellyth Howard
Community Consultant Whole time
Dr Anna Sharma
Community Consultant Whole time
Specialist Registrars
Seven Whole time postholders (including job shares)
One Flexible SpR
One Clinical Fellow SpR grade
Two Community positions participating in the on-call rota
SHO's
6 in Neonatology & 7 in General Paediatrics
8 SHOs rotating between General & Neonatal Paediatrics
Three of these SHOs rotate to GOS for 1 year after the
Whittington. 2 rotate to Royal Free for 1 year
Three SHO, 6 months General Paediatrics only (GPVTS)
One SHO, 6 months Neonatal Paediatrics and Great Ormond
Street medical Specialities
One SHO 6 months Trust grade Neonatal Paediatrics (rotates with
Obstetrics)
Pre Reg. House Officer
Rotating through paediatrics, medicine & surgery every 4 months.
On call 1:5 with SHOs in General Paediatrics, but off duty at 24.00 hrs.
The Department
The children’s ward consists of 23 inpatient beds, (total admissions approximately 2000 per
year, and a 6 bed paediatric day unit (approx. 2400 per year) with a well established system of
ambulatory care
The paediatric out-patient department deals with an attendance of approximately 10 000 per
year, comprising of regular general paediatric clinics and a daily emergency GP referral "10-12"
clinic. Specialised clinics for haematology (the department has a special interest in thalassaemia
and sickle cell disease) asthma, child development, diabetes, endocrinology, cardiology,
dermatology, rheumatology, cystic fibrosis and neurology take place within the Department.
There are close relationships with the Departments of Haematology, Microbiology, Obstetrics
and Child Psychiatry and good links with the Community Child Care services.
The Neonatal Unit currently has 18(+2) cots, 6 of which are equipped for intensive care. The
neonatal unit cares for in-born babies, and accepts both in-utero and ex-utero transfers. There
are over 3,200 deliveries per year in the hospital and approximately 300 admissions to the
neonatal unit in 2001. This resulted in more than 1200 neonatal intensive care days. The local
population is a mixture of many ethnic and social groups and provides many challenging
obstetric and neonatal problems.
Students from the Royal Free & University College Medical School are regularly attached to the
department and the junior staff are expected to participate enthusiastically with their teaching. All
training posts are recognised for the DCH and MRCPCH .
Paediatric training offered at the Whittington
Training in paediatrics is organised and supervised by the college tutor Dr Raoul Blumberg and
unit training director Dr Joseph Raine. Each Registrar, SHO and Trust Grade doctor has a
nominated supervisor (one of the six consultants). The trainee must ensure that he / she makes
an appointment to meet with their nominated supervisor within 2 weeks of commencing the post
to discuss educational aims and opportunities. Thereafter the trainee should make an
appointment to see their nominated supervisor three monthly for formal appraisal and career
guidance.
Induction sessions will be organised by the RCPCH Tutor, and specifically includes training and
revision in paediatric resuscitation as appropriate.
Protected training half-days are held on Wednesday afternoons jointly with The Royal Free
Hospital. Training sessions alternate between the two sites. All specialist registrars except one
covering should attend. Teaching aims to cover the major aspects of the paediatric syllabus on
an annual basis. In addition to set paediatric topics, there presentations on managerial and
research aspects within paediatrics of appeal to middle grade staff in the department.
Staff Support
Key members of the Child and Family psychiatric team have been leading staff support sessions
on the Neonatal unit for many years and this opportunity has recently been re-initiated on the
general paediatric ward.
Training Opportunities
Day
Time
Meeting
Place
Monday
08.30 - 100
Neonatal Unit Grand round
NNU
13.00-14.00
Obstetric/Neonatal liaison meeting
Academic Centre
08.30-10.00
Joint General paediatric ward round
Ifor Seminar Room
16.30-18.00
General Paediatric
Multi-disciplinary Liaison meeting
Ifor Seminar Room
12.30-13.45
Whittington Hospital Staff round
14.00-17.00
Training half-day
Whitt 1st and 3rd weeks
RF 2nd and 4th weeks
Thursday
13.15-14.00
14.00-15.00
Neonatal Business meeting
Neonatal Multi-disciplinary psychoSocial liaison meeting
NICU Seminar Room
NICU Seminar Room
Friday
08.30-09.30
12.30-13.30
13.30-14.00
01.00-02.00
Haem/Microbiology &Paed Meeting
Journal Club
Paediatric X-Ray Meeting
GP Meeting
Ifor Seminar Room
Ifor Seminar Room
XRay Department
Academic Centre
Tuesday
Wednesday
Hospital Training and Audit Half Days
The paediatric department participates in the regular Training and Audit half days and Specialist
Registrars/Middle Grade Fellows are expected to actively participate in audit projects, contribute
to new projects and develop a working understanding of the audit process.
Many other lectures, seminars and workshops take place, including the very popular and
successful short teaching courses at the Centre for Medical Education on the Whittington
campus
Location of the post
The duties of the post are located entirely at the Whittington Hospital.
The Paediatric Specialist Registrars and Middle grade fellows
There are 3 areas where the full time paediatric SpR’s/ Middle Grade Fellows are based; “Ifor”,
the general paediatric ward, “4D”, paediatric outpatient clinic and the Neonatal Unit. A period of
approximately 4 – 6 months is spent in each with flexibility for cross-cover during periods of
leave. Core SpR’s spend 6 months in each area, and Year 3,4,5 SPR’s at least 4 months in
each area. All SpR’s/Middle Grades are assigned a supervising consultant and initial meeting
should take place within the first 2 weeks of beginning the post.
Pattern of work
The specialist registrar currently works partial shift rota to which is EWTD and New deal
compliant. Although this is now banded at 2B it may change depending on available middle
grade within the community and further recruitment.
Academic and Departmental
Participation in Journal club, presentation of cases of interest at joint paediatric teaching
And an audit project
General Paediatric duties
The general paediatric registrar and middle grade fellows are responsible for inpatient general
paediatric care, including assessment of ambulatory care patients, support of the SHO for
paediatric calls from Accident and Emergency during the day and participating in weekly training
half days. The work is varied and experience will be gained in acute and general paediatrics,
the management of patients with sickle cell disease, shared care oncology as well as child
protection work.
The specialist registrar and middle grade fellows would be expected to both lead and
accompany the attending consultant on the regular daily ward round in co-operation with nursing
staff and SHO’s.
Duties include:
Liason with nursing staff, parents, medical and support services
Supervision of ward work and record keeping by SHO’s
Liason with the attending general paediatric consultant
Systematic “handover” of patients and their problems to fellow registrars at shift changes
Participation in general paediatric clinics
Liason with tertiary units for shared care patients
Attendance and participation with joint medical meetings and training
Medical student and SHO teaching
Neonatal Duties
The neonatal registrar and middle grade fellows are expected to acquire the skills to manage the
ill term newborn and premature infant. Duties are broad but well defined and include support
and teaching of junior medical staff, cooperation with nursing staff, liaison with labour ward and
obstetric colleagues and communication with the attending neonatal consultant
Clinical duties include:
Participation in the consultant rounds (Monday, Wednesday and Friday) and leading the ward
round (Tuesdays and Thursdays).
Supervision of and participation in daily record keeping, updating of results supervision of SHO
discharge summaries and completion of complex summaries.
Assistance to SHO’s on labour ward, and postnatal wards and a postnatal ward round on
Tuesday morning.
Liaison with paramedical staff and social services
Assessment of new neonatal referrals in Monday Neonatal Clinic and follow up of specific cases
from the postnatal wards and neonatal unit.
Social and Parental support
Communication with parents of infants on the neonatal unit and presentation of cases at the
neonatal unit multi-disciplinary psychosocial meeting.
Neonatal procedures
Proficiency is expected in the following:
Central venous catheterisation (long line and umbilical venous lines)
Arterial catheterisation (umbilical and peripheral arterial lines)
Acquisition of skills while on the neonatal unit:
Cranial ultrasound examination and interpretation
Basic cardiac ultrasound
Teaching and supervision of Senior House Officers
Participation in the bi-annual induction program for new SHO’s
Neonatal practical procedures
Ventilator management
Supervision of TPN and fluid prescription
Record keeping
Shared responsibility for Neonatal Unit data sets and Neonatal Statistics
Neonatal Weekly Schedule
am
Monday
Tuesday
Wednesday
Thursday
Friday
8.30
Joint Consultant NICU
W/R
& Ward work
8.30
NICU W/R
8.30
Consultant
NICU W/R
& Ward
work
8.30
NICU W/R
& Ward work
8.30
Consultant
NICU W/R
11.00 Postnatal
W/R
pm
13.00
Perinatal Meeting
Obstetricians and
Midwives
14.00
Neonatal Follow-up
clinic
13.00
Staff Support
NICU Seminar
room
Ward work
12.15
Hospital Grand
Rounds
Training
Afternoon
Whittington &
Royal Free
11.00 Consultant
Postnatal W/R
12.30 Journal
Club
13.15 –14.00
Business Meeting
13.30
X-Ray
meeting
14.30
Neonatal
Multidisciplinary
Meeting
Ward work
“CLINIC” Specialist Registrar and Middle Grade Trust doctor duties
The “Clinic Registrar and Clinic Middle grade” spends the majority of his/her time in Childrens
Out Patients (Clinic 4D) but should be aware of what is going on on Ifor Ward and NICU as
he/she is expected to “cover” Ifor Ward or NICU Registrar when they go off post take.
To ensure that the “Clinic registrar and Middle grade” know what is going on he/she should
attend the NICU joint consultant round on Monday at 8.30 a.m. and the Ifor joint consultant
rounds on Tuesdays and Fridays at 8.30 a.m. Attendance at the Obstetric/Neonatal liaison
meeting at 1 p.m. on Mondays is usually possible in addition to Journal Club and X-Ray meeting
at 12.30 and 1.30 p.m. on Fridays.
This position needs to be the most flexible “middle grade” in the department. He/she must be
prepared to cover for absent colleagues (consultants/middle grades) in clinic as well as on Ifor
Ward and NICU. He/she may be required to do extra clinic work at short notice, particularly the
10-12 emergency referral clinic.
The “Clinic Registrar and Clinic Middle grade fellow” should act as a resource for advice and
support to clinic nurses, e.g. they may require advice on management of babies with prolonged
jaundice, or may need skilled help to take blood samples. He/She may be asked to
assess/prioritise GP referrals (generally this task should be done by consultants).
The Clinic Registrar and Clinic Middle grade fellow may be asked to look at pathology results
and to take appropriate action (e.g. recalling child for repeat test, assessment or treatment).
Terms & Conditions:
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 specialist registrar duty hours and middle grade
fellows are equitably shared but there may be occasions where they will be expected to work
flexibly in the interest of the service.
Main Conditions of Service:
1.
2.
3.
4.
The post is covered by the Terms and Conditions of Service for Hospital Medical and
Dental staff.
The specialist registrar posts and the Middle grade fellows are whole-time for one year.
The post is resident on-duty.
Pay scale will be as for SpR with London weighting.
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
e-mail:- raoul.blumberg@whittington.nhs.uk.
Annual leave:
All annual leave should preferably not be taken in a single 4/6 month rotation. 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:
At the discretion of your supervising consultant and leave co-ordinator.
All paediatric SpR and middle grade fellows leave requests are co-ordinated by Dr
Andrew Robins.
Any queries relating to the appointment at the Whittington Hospital, please contact the
The Human Resources Directorate on Tel: 020 7288 5797.