This Junior Clinical Fellow (ST1-3) post is a six month position initially with a view to extension. Previous paediatric experience is desirable but the post is also suitable for obstetricians or anaesthetists in training.
Homerton University Hospital is one of three designated perinatal centres for the North Central and East London Neonatal Operational Delivery Network (NCEL-ODN) . The other two are The Royal London Hospital and University College Hospital, London.
The successful candidates will join the multidisciplinary neonatal team, with a reputation in excellent care, education and research. Successful candidates will be encouraged to contribute to high quality service development.
Successful applicants will benefit from the Unit’s extensive teaching programme and the excellent clinical experience on offer.
All candidates must be eligible for full GMC registration.
The Neonatal Department’s long-standing designation as a Level 3 NICU service was endorsed by the Thames Regional Perinatal Group (TRPG) appraisal of the Perinatal Network and the London Neonatal ODN, and is one of the busiest Level 3 units in London. The Homerton Obstetric unit has a particularly high throughput of extremely preterm births, and the Neonatal Unit admits approximately 150 neonates per annum who are
The Homerton provides a total of 46 cots: 16 intensive and 8 high dependency cots and 22 special care cots. The Delivery Suite has 17 Delivery Rooms and 2 Obstetric Theatres. There are around 6000 births per year and 900 neonatal admissions, 18-20% of whom weigh
The Obstetric department provides a referral service to the Network for Fetal Diagnostic and Materno-Fetal medicine and has an established reputation in the early identification and management of high-risk pregnancies.
Intensive Care – ST1 – 3 trainees are directly supervised by the middle grade doctors and consultants. Practical procedures are taught. Routine blood samples are obtained by a phlebotomy service on SCBU. The extended role of the nurses is under consideration.
Post-natal and labour wards - ST1 -3 trainees are responsible for new born examinations (NIPE) and care of infants on the transitional care ward under the supervision of middle grade doctors. They will be accompanied to the delivery suite for all high risk deliveries until competent at resuscitation. There are also Midwives trained in NIPE who assist with the newborn checks.
Out-Patients – ST1-3 trainees attend as observers the weekly general follow up clinic and fortnightly development assessment clinic. A visiting paediatric cardiologist holds a regular clinic at which the trainee can attend.
Training offered - the training is focused to Part II of the MRCPCH but will be designed to suit the individual needs of candidates who are pursuing other careers. Candidates will get wide ranging experience of neonatal medicine and get a good understanding of mechanical ventilation of neonates. Candidates will also develop their practical skills by performing various procedures under supervision. Training covers all aspects of neonatology with additional emphasis on research topics and audit. There is a daily ward round led by the attending consultant, but candidates are encouraged to formulate management plans for the babies on the unit.
Clinical Audit
Homerton Hospital has a quality team for clinical audit. The post holder will be expected to participate in the Directorate’s clinical audit, and in the bi-monthly unit medical and nursing audit meeting.
Research
ST1 - 3 Trainees are encouraged to pursue research consistent with the interests of the Neonatal Unit.
Teaching
The post holder will be expected to take part in the post-graduate teaching programme.
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