The Royal Children’s Hospital Paediatric Intensive Care International Fellowship: for trainees from low-to-middle income countries
The Paediatric Intensive Care Unit (PICU) at The Royal Children’s Hospital (RCH) Melbourne is seeking application from doctors in low to middle income countries (LMICs) for training in PICU. With the growth of paediatric intensive care globally, yet with limited opportunities to undergo training in many low-income countries, these positions will allow the successful candidates to progress through either a 1 year (Clinical Paediatric Intensive Care Traineeship) or a 2 year (Clinical Paediatric Intensive Care Fellowship) training in Paediatric Intensive Care Medicine.
The Royal Children’s Hospital, Melbourne
RCH provides specialist paediatric healthcare to the children in the states of Victoria, Tasmania, southern New South Wales and parts of South Australia; and is the referral centre for many conditions including trauma, complex cardiac surgery, organ transplantation, and cancer therapies.
Paediatric Intensive Care Unit at RCH
The PICU provides intensive care services to critically ill infants, children and young people throughout Victoria and has more than 1800 admissions per year. Patients include children with (1) common illnesses such as severe acute lower respiratory infection and sepsis, (2) post cardiac surgery care, (3) cardiac, liver and renal transplantation, (3) care for children with chronic, rare or complex illness who are receiving specialist services such as oncology, or are dependent on ICU technology, and (4) children needing extra-corporeal life support (ECLS) including ECMO (extra-corporeal membrane oxygenation) for cardiorespiratory failure, and VAD (ventricular assist devices) for heart failure.
The ICU also provides care and support outside the PICU such as (1) a medical emergency team (MET), (2) a PICU Outreach Service for review of patients following discharge from PICU, and any patient experiencing serious clinical deterioration, and (3) Paediatric transport services for the state of Victoria (The Paediatric, Infants and Perinatal Emergency Retrieval: PIPER Service).
The aim of the training program is to allow paediatric doctors to become competent in all aspects of intensive care medicine. The trainee will participate in a structured training programme under the mentorship of a consultant. Assessment will be based on work performance, communication skills, knowledge and procedural skills, clinical judgement and basic sciences related to critical illness. Trainees will maintain a log book of cases seen and procedures; additional non-clinical involvement will include publication of research, involvement in PICU education / simulation, morbidity and mortality meetings, and completion of a formal quality improvement or research project.
Applicants will be practising or currently undergoing training in paediatric critical care in their country. To be successful they will need to be supported by their local supervisors, hospital and / or ministry of health to undergo training in Australia, and on completion of traineeship/fellowship, they will commit to contribute to their hospital or country. Applicants will have a minimum of 18 months working in critical care for children and have a postgraduate qualification (paediatrics or anaesthesia); experience in anaesthesia is desirable.
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