‘JIG’ Job Information Guide

General:

Post Title / General Paeds/A&E
Hospital Details / Name: St Marys Hospital, Paddington
Website: http://www.imperial.nhs.uk/stmarys/
College Tutor: Dr Mehrengise Cooper
Educational lead: Dr Bob Klaber
Travel Info / Train/Tube: Paddington Underground. (Bakerloo, Hammersmith & City, District, or Circle lines.)
Buses: http://www.tfl.gov.uk/tfl/gettingaround/maps/buses/pdf/paddington-2201.pdf
Staff Car Park: No
Living/Accommodation / Hospital Accommodation is available over at the Hammersmith Hospital.
Email address:
Phone number: 0203 313 4873

Departmental:

Team / No of General Paediatric Consultants: 8
No of Paediatric Emergency Medicine Consultants: 3
Registrars: 5 (in addition to allergy/A&E registrars that will also work on general and A&E)
SHOs: 2 Gen Paeds, 5 GPVTS , 1 ITP, 2 FY1 , 1 FY2
Rota & Responsibilities / Your rotation at St Mary’s includes a rolling rota consisting of weeks in paediatric A&E, general paediatric ward (Great Western Ward/GWW), the paediatric short stay unit (PSSU), education, and integrated care.
On nights and long days you will cover haematology, infectious diseases, and General patients. You will be supported by a Registrar (who also covers A&E).
Link to an example rota:
A&E: The paediatric A&E is open 24 hours. The team consists of paediatric STs, resident medical officers (RMOs), SpRs and consultants. As one of the paediatric trainees in A&E, you will be seeing new patients and organising initial investigations and acute management. Registrars and consultants are available for guidance and to review sick patients.
GWW: This ward provides the general paediatric in-patient service plus many sub-specialities including allergy, nephrology, neurology, haematology, infectious diseases as well as surgical specialities (general paediatric surgery, orthopaedics, ENT, and urology) and links with child psychiatrists.
On the general paediatric ward week, you will attend the daily ward round led by Attending Consultant and/or registrar with on-going review of inpatients and clerking in new patients. New patients will include those admitted from A&E, admitted from clinic, transferred from other hospitals, or even those ‘stepped-down’ from PICU. When a patient is admitted as a PICU “step-down,” the general paediatric team will introduce themselves to the family and complete a new drug chart for the patient. Further ward responsibilities include organising specialist investigations, referring to other specialities, and completing discharge summaries. On Tuesdays you will present at the paediatric X-ray meeting, You will also be expected to prepare and present a patient at the Complex Patient Meeting on Thursday mornings (patient usually identified by Attending Consultant).
PSSU week: PSSU provides short stay and ambulatory care for children referred from A&E and GWW. There are also nurse led clinics and GP rapid referral clinics and FY1-led prolonged neonatal jaundice clinics. You will attend the daily ward round of inpatients, clerk new patients, and review day attenders as well as those attending afternoon reviews. Often, you will be asked to see patients in Westway (day unit) for review prior to sediation, assist in cannulation, prescribe immunoglobulin or consent for MRIs.
Education weeks are your opportunity to attend clinics, attend courses, complete projects, or shadow other specialities. You may be asked to cover the wards for sickness or during periods of increased inpatient workload.
Integrated care weeks are weeks in which are given autonomy to complete a project in the community and understand links between the community and the paediatric department. You are expected to attend the Friday meetings (1230-1400) to plan your project and discuss progress.
Departmental strengths / ·  Very motivated senior staff that are keen to encourage and support trainees
·  Emphasis on providing trainees with quality paediatric training rather than trainees providing a service. This can be seen in that there are allocated education and integrated care weeks
·  Teamwork with excellent multidisciplinary colleagues, e.g. SALT, OT, PT, dieticians
·  Many consultants have specialist interest or the specialist consultants are hands-on/in-house themselves when it comes to reviewing and managing complex patients (e.g. allergy, renal, ID, haem, neuro)
·  Paediatric A&E is extremely busy with huge and varied caseload, including trauma
·  Paediatric A&E consultants and/or registrars are available for guidance
·  Trainees are encouraged and supported in developing project ideas, conducting research, service improvement projects etc.
Training opportunities / ·  Education weeks. These can be used to attend clinics, do projects, courses or spend time in other departments (e.g. A&E). You may have to cover for others on the ward if manpower is down, but this occurs VERY rarely.
·  Simulation training weekly every Friday morning and twice weekly IMPACTs training
Teaching / ·  Weekly Monday afternoon Paediatric Grand Round lunchtime meetings. Great way to hear about interesting cases from other specialities
·  Weekly Thursday afternoon teaching 3pm-5pm (see NWL calendar on http://www.londonpaediatrics.co.uk/ for details)
·  Weekly ID meeting on Tuesdays 2pm-4pm, with interesting cases presented by the ID, PICU and general team.
·  Monthly evening ‘Case Exchange’ http://www.londonpaediatrics.co.uk/wp/wp-content/uploads/2014/01/Paediatric-NWT-Regional-Teaching.pdf
·  MRCPCH clinical teaching is organised by SHOs and usually happens every day at 3pm except Thursdays prior to exams. The Consultants and Registrars are very motivated and willing to teach.
Top tips / ·  Familiarise yourself with the local guidelines and have a read through the Imperial College Paediatric handbook
·  Check your Imperial email regularly; it is not uncommon to have email correspondence with consultants/other specialities about complex patients
·  Take advantage of your rostered weeks in A&E. Some may be rostered for two weeks rather than 4, so its important to be proactive during those A&E weeks
·  Try and do an audit, project (including service/quality improvement) or guideline. Many of the registrars and all of the consultants are involved in lots of interesting research and happy to help.
·  Attend the Integrated Child Health Lab Meetings on Friday afternoons. The aim of these lab meetings are that they are there to support and stimulate the integratedchild health work that you will get involved with while at St Mary’s. It is a great opportunity to bounce off ideas and get involved with (or even lead) interesting projects. Do attend the week before your integrated care weeks as it will help you prepare for your upcoming weeks
·  Attend Grand Round on Monday afternoons—it’s a great opportunity to discuss/refer patients with other specialities at the same time.
Lunch spots:
·  Leena Café, 83 Praed St. Amazing salad boxes.
·  Tesco (Praed Street) and Marks & Spencer (Edgeware Rd)
·  Sheldon Square has many restaurants, e.g Itsu, as well as a weekly market
For more information you can contact a current SHO / Trust rep by emailing:
Trust Rep contact details: ,