Detailed job description and main responsibilities

Acute General Paediatrics

All tier 2 (middle grade) paediatric doctors on the general paediatric ward are responsible for the care of babies, children, and young people (BYCP) (up to the age of 18 years) admitted to the ward and assessing patients referred by the Emergency Department and GPs and for seeing BCYP in outpatient clinics.  They are responsible for ward work, keeping thorough, legible notes and discharge summaries as well as participating in the weekly training half days. 

Experience will be gained in acute and general paediatrics and in the management of patients with and sickle cell disease, shared care oncology as well as child protection work.

The clinical fellow would be expected to both lead and accompany the attending consultant on the regular daily ward round in co-operation with nursing staff and junior trainees. To get to know the patients on the wards and to identify those families with social or psychological problems to be discussed at the weekly paediatric multidisciplinary liaison meeting. 

Duties include: 

·       Liaison with nursing staff, parents, medical and support services

·         Liaison with the attending general paediatric consultant

·       Liaison with tertiary units for shared care patients

·       Supervision of ward work and record keeping

·         SBAR “handover” of patients and their problems to fellow registrars at shift changes

·       Participation in general paediatric clinics

·       Attendance and participation with joint medical meetings and training

·         Medical student and junior trainee teaching

Neonatal unit:

The neonatal doctors are responsible for the care of babies in the neonatal intensive care unit, on the postnatal wards and in the labour ward.  They are expected to participate in ward rounds, neonatal-obstetric meetings, paediatric training meetings, and the weekly neonatal multidisciplinary liaison meeting.  They are responsible for completing neonatal discharge summaries.

Experience will be gained in neonatal resuscitation, neonatal intensive care and neonatal developmental follow-up in a multi-disciplinary team. Doctors are expected to become proficient in technical skills including intravenous cannulation; insertion of umbilical and percutaneous venous lines and learning the basics of cranial ultrasound is encouraged.

Clinical duties include:

·         Participation in the consultant ward rounds and leading wards rounds alone.

·         Participation in daily record keeping, updating of results, supervision of junior trainee discharge summaries and completion of complex summaries. Assistance to junior trainees on labour ward and postnatal wards. Liaison with tertiary referring units, community midwives and nurses and social services. 

·         Communication with parents of infants on the neonatal unit and postnatal ward

·         Presentation of cases at the neonatal unit multi-disciplinary psychosocial meeting.