Fellowship in Paediatric Anaesthesia & PCCU
(Joint Research with Great Ormond Street Hospital)
The 6 months spent on the paediatric critical care unit allows the fellow to hone skills in central venous & arterial cannulation as well as have an opportunity to take a leadership role in resuscitation and stabilisation of critically ill children. Familiarity with paediatric ICM techniques of sedation and analgesia in children as well as fluid and electrolyte management in medical and surgical emergencies in neonates, infants and children is also gained. It is not uncommon to encounter the collapsed neonate and other common medical emergencies of critically ill children whilst on the PICU, as well as manage severe trauma in children including head injuries with raised intra-cranial pressure. The clinical commitment required covering on-calls on a 1 in 7 rota remunerated at a 1A pay scale (50%). The rota is carefully structured, in that specific days are allocated as night, long, standard or off days. In general 'standard days' can be used for research-related work.
Regarding a research role, a successful experience very much depends on self-motivation, independence and being proactive. There is the choice of basing research projects at Great Ormond Street Hospital (GOSH) or at the Royal London. Fellows are encouraged to present findings through posters and presentations at a national and international level. Previous projects have involved a major role in an international multi-centre trials allowing fellows to learn what core features are important in running a successful research study.
In addition to research experience trainees will also able to attend some (free for GOSH staff) research-related courses including: Validity and Reliability, Introduction to R stats and searching medical databases using PubMed, Endnote, Good Clinical Practice.
Regarding other opportunities for CV development, there are many opportunities for teaching at the Royal London Hospital, where fellows have co-organised primary teaching days, PRAMS courses and assisted on the paediatric post-fellowship teaching day. There are also opportunities for managerial / leadership development at both GOSH (for example in participation in quality improvement projects) and at the Royal London (for example rota co-ordination duties).
For further information please contact Dr Anil Visram.
Royal London Clinical Fellow in Paediatric Anaesthesia and PCCU - Joint Research Post with Great Ormond Street Childrens Hospital
A pre-requisite for this fellowship is to have completed 3 months of paediatric anaesthesia training. Generally there are 2 fellowship slots: one that starts in May and the other in November. Supervision is provided by Dr Anil Visram.
Clinical commitments are based at the Royal London Hospital and is financed by Barts Health NHS Trust. The fellow works for 6 months in the paediatric anaesthesia department and 6 months in the paediatric critical care unit, with highlights including experience in paediatric trauma and neonates. This is a popular post amongst trainees. Of the 12 months, 4 is counted towards training (OOPT) and 8 months are OOPE / OOPR. The paediatric anaesthesia clinical commitments include covering on-calls on a 1 in 9 rota (nights and long days) and is remunerated at a 1B pay scale (40%). Other than these on-call commitments, days are essentially allocated to self directed learning. Annual leave and study leave is left to the fellows discretion.
I have had the opportunity to co-formulate a research question and co-designed a new 50-patient project. After study design I wrote a study protocol, underwent peer review, applied for research ethics approval via the IRAS system, attended an ethics board meeting and subsequently gained ethics approval, then designed consent forms, participant information leaflets, as well as guidance for investigators and data collection sheets. I would suggest that you contact the current fellow a good few months prior to commencing this job in order to establish if there are any ongoing projects that will be handed over"
Aarjan Snoek (Previous Fellow)