Clinical Fellow in Paediatric Intensive Care Medicine

Imperial College Healthcare NHS Trust
Depending on experience £33790 - £53132 per annum plus London Weighting
Closing date
7 Jun 2023

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The clinical fellow post in Paediatric Intensive Care Medicine provides training in all aspects of Paediatric Intensive Care Medicine. The PICU at St. Mary's Hospital is recognised for training for Year 1 of the two year Grid training programme in Paediatric Intensive Care Medicine.

The PICU at St. Mary's has established itself as a major referral centre for children with life threatening medical illnesses. The Department of Paediatrics is developing, as its major clinical and research area, the field of Infectious Diseases. The unit has been designated the Regional Referral Centre for HIV infected children and is also a referral centre for infectious diseases including those requiring intensive care. It is also one of the four paediatric major trauma centres in London and is a UK HCID centre.

A collaboration between St. Mary's PICU and GOSH (Great Ormond Street Hospital) PICU has developed into the independent retrieval service of PICU patients to the North Thames PICUs this is CATS, the Children's Acute Transport Service and is based at GOSH.

Applicants for this post who wish to complete a 2 year fellowship, or who wish to apply for MTIp scheme can undertake a 2 year rotational fellowship with rotation in to retrieval medicine and cardiac intensive care at Royal Brompton Hospital. Opportunities also exist for the post to be a combined clinical and research post if the successful applicant has an interest in research.

Main duties of the job

The fellow will be involved in the day to day running of the PICU/HDU at St Mary's. While on duty, the fellow will at all times be expected to take responsibility for every aspect of intensive care, including airway and ventilation, vascular access and general management of newly admitted and existing patients on the PICU/HDU. The fellow will always remain under the supervision of one of the Consultant Intensivists. The Fellow will work closely with all members of the multi-professional PICU team. The fellow is expected to play a lead role in the PICU audit, including involvement in morbidity and mortality meetings, and other clinically based projects. The fellow will be expected to participate in the development and updating of PICU/HDU protocols.

There is an active teaching programme on the PICU including simulation and POCUS training, the opportunity to attend theatre lists and adult ICU days, and a core PICU curriculum training programme. Attendance and participation in postgraduate courses will be expected.

Fellows are expected to take part in Work-Place Based Assessments including Case Based Discussions, as in-line with the PICU Core Curriculum through the Intercollegiate Training Committee in Paediatric Intensive Care Medicine (ICTPICM).

The PICU timetable is divided into early shifts, long day shifts, and night shifts. There are two consultant ward rounds each day commencing at 08.30 and 16.30.

About us

At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.

The statutory requirement to be fully Covid-19 vaccinated as a condition of employment from April 2022 is subject to legislative review. At Imperial College Healthcare NHS Trust, we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19. The successful applicant may have contact with patients and service users and as part of our pre-employment checks and risk assessments, we will ask all candidates to confirm whether or not they have been fully vaccinated or have a medical exemption.

As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.

We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share. Please talk to us at interview.

Job description

Job responsibilities

General responsibilities

When working a long day or a night shift, Fellows are expected to focus on the management of the patients on the PICU. When working on an early shift, Fellows are expected to work with the long day team, when necessary. There are education weeks, where Fellows will be able to attend meetings, prepare presentations for PICU meetings, attend operating theatre lists and augment their training appropriate to their training needs which will be discussed with their educational supervisors.

Regular meetings :

There are other meetings which PICU trainees can attend in addition to these.

Monday 1300 Paediatric Grand Round

Tuesday 14.00 Paediatric ID Academic Ward Round

Wednesday All day PICU teaching

Thursday 12.45-13.45 Major Trauma Meeting

Friday 15.00-16.00 PICU Safety and morbidity meeting

Last Wednesday Every month North Thames core curriculum training in PICM all day meetings

Person Specification

Education/ qualifications


  • On GMC registered/ licensed Medical Practitioner
  • MRCPCH or equivalent


  • Higher degree such as MD, PhD, Masters degree in a relevant field.



  • Good communication skills essential
  • Experience of communicating with parents of unwell children


  • Formal communication skills training

Relevant experience in specialty/Sub specialty


  • At least 4 years of post-graduate medical training to include at least 2 years of training in paediatrics, critical care or anaesthesia.
  • Experience must include at least 6 months of training in a critical care area, either adult, paediatric or neonatal intensive care


  • Experience of paediatric intensive care medicine, paediatric anaesthesia and paediatric intensive care retrieval medicine.

Clinical skills


  • Paediatric intravenous cannulation
  • Lumbar puncture
  • Basic airway skills including bag valve mask ventilation


  • Advanced airway management
  • Chest drain insertion
  • Central venous line insertion

Academic achievements including research/publications


  • An active interest in research and evidence-based medicine can be demonstrated


  • Presentations of research at National Meetings
  • Evidence of relevant publications in peer reviewed journals



  • oGood spoken and written English is essential
  • oMust have the required grade in an occupational English test if required for GMC registration



  • oExperience and enthusiasm for clinical governance, quality improvement and risk management at a local level with evidence of projects completed


  • oEvidence of large scale, regional or national projects completed with findings presented.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Imperial College Healthcare NHS Trust


St. Mary's Hospital


W2 1NY

Any attachments will be accessible after you click to apply.


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