Paediatrics and public health
GP trainees have the opportunity to undertake positions in paediatrics and public health at St Mary’s, Hammersmith and Queen Charlotte’s and Chelsea Hospitals (Imperial College Healthcare NHS Trust). During the rotation post holders gain a broad spectrum of experience from general paediatric clinical duties to taking part in key leadership initiatives.
Post holders will be required to treat young patients who’ve been referred to the ambulatory care unit at Hammersmith Hospital. Patients are normally referred by their GP, midwife or health visitor, but the unit can also receive walk-in patients from the local community. Post holders will also help to treat patients who attend the unit’s outpatient clinics; these include general paediatrics, endocrine problems (excluding diabetes) and infectious diseases.
Post holders also spend time at the 24hr paediatric emergency department at St Mary’s Hospital where they can learn about appropriate triage of children with acute health presentations.
Further experience can be gained at the paediatric short stay unit. The unit promotes ‘hospital at home’ care so that young patients can return back to home as quickly as possible. Post holders will be required to educate families so that they can manage health conditions at home.
There are other opportunities for post holders, depending on their interests, in the following areas:
- Allergy pathways
- Audiology and ENT
- Child development
- Community child health
- Delivery suite, postnatal wards, and neonatology at the Winnicott baby unit
- Haematology and bone marrow transplantation
- Intensive care
- Infectious diseases
- Mental health
- Neurodisability and safeguarding children
- Oncology shared care service with Great Ormond Street Hospital
- Sickle service
- Tertiary referral service for paediatric surgery.
Post holders who wish to gain experience in the management of patient pathways, can join discussions between GP’s and the secondary care paediatric team who are working on a number of initiatives around service development. These initiatives have been set to improve integration between hospital and primary care services.
The Imperial College Healthcare paediatrics department works closely with commissioners and the director of public health to support initiatives around health promotion, nutrition, adolescent wellbeing and other public health priorities. Subsequently post holders are able to gain experience in public health, the challenges of commissioning and the use of joint strategic need assessments. Trainees can shadow public health staff to get a direct view of commissioning and community-wide health initiatives.
Duties of the post
- Responsibility for the prevention, diagnosis and treatment of illness and the smooth running of the department, alongside consultants and other medical and nursing colleagues
- With supervision from middle grade and consultant paediatricians, examine babies and children presenting in the various units, draw up a differential diagnosis and propose management plans
- Discuss treatment and investigation options with the patient and their family or carer
- Discuss discharge and follow up plans with the family as well as feedback the their GP, health visitor or school health advisor where appropriate
- Participate in teaching and development activities on the unit, including reviewing of guidelines and audits which are relevant to their future practice.
Rota and scheduling
The rotation operates day time and on-call shifts.
Post holders must attend numerous mandatory meetings including:
- Paediatric grand rounds on Mondays, 12.30
- Paediatric radiology meeting on Tuesdays, 08.30
- Paediatrics senior house officer talks on Wednesdays, 08.30
- Paediatric resuscitation scenarios on Thursdays, 08.30
- Paediatrics teaching ward round on Thursdays, 11,30
- Paediatrics lectures on Fridays, 08.30
A strong paediatric simulation-based training programme is also made available.