We are looking to recruit a higher specialist paediatric trainee to join the team from October 2024 for a period of 6 months with possible further extension depending on performance. On call duties will be on the specialty paediatric HST rota. This is an excellent opportunity for those interested in specialist training in paediatric hepatology. Please note this post is not suitable for those wishing to undertake a medical training initiative (MTI) training programme.

The successful applicant will join a multidisciplinary team involved in running a supra-regional Paediatric Hepatology, Hepatobiliary surgery and Liver Transplant service. Leeds is one of only 3 paediatric hepatology units within the UK. The ward has 16 beds shared between hepatology and the regional renal and renal transplant service. PICU and all other paediatric specialities are on site. There are subspecialty clinics in metabolic liver disease, viral hepatitis, fatty liver disease and adolescent and transitional care. Outreach clinics are held throughout the North of England and Scotland.

The team is led by five consultant paediatric hepatologists together with paediatric hepatobiliary and transplant surgeons. There are also two ST 6-8 doctors on the team, and in addition doctors at ST2 or ST3 level support the ward. The department also consist of a multi-disciplinary team with specialist nurses, pharmacy and deictic support.

Main duties of the job

This role is suitable for applicants at ST6+ or Post CCT candidates with experience in paediatric hepatology. It is ideally suited to candidates wishing to work in a large teaching hospital which provides many specialist services and is ideal for anyone wishing to pursue a career in paediatrics.

The daytime role will be primarily based on the paediatric hepatology ward (L50). The post holder will be involved in the day to day management of inpatients and take part in outpatient clinics. There will be opportunities to further their training in practical procedures such as therapeutic endoscopy and liver biopsy. This will include gaining experience in management of patients with acute liver failure, and those undergoing liver transplantation. The weekly ward timetable includes close supervision by consultants and several opportunities for clinical teaching. The post-holder will have the opportunity to participate in medical audit and local/multi-centre research projects

About us

The Paediatric Hepatology Department in Leeds is a National Specialist Service for the assessment, diagnosis, treatment and follow-up of children who have a wide range of acute and chronic liver disease, portal hypertension, or intrahepatic lesions. The department is one of three national centres for Paediatric Liver Transplant and has a close relationship with other specialties at Leeds Children's Hospital including gastroenterology, cardiology, nephrology, haematology and oncology and rheumatology, for joint management of multisystem disorders.

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job description
Job responsibilities

DUTIES OF THE POST

This role is suitable for applicants at ST6+ or Post CCT candidates with experience in paediatric hepatology. It is ideally suited to candidates wishing to work in a large teaching hospital which provides many specialist services and is ideal for anyone wishing to pursue a career in paediatrics.

The daytime role will be primarily based on the paediatric hepatology ward (L50). The post holder will be involved in the day to day management of inpatients and take part in outpatient clinics. There will be opportunities to further their training in practical procedures such as therapeutic endoscopy and liver biopsy. This will include gaining experience in management of patients with acute liver failure, and those undergoing liver transplantation. The weekly ward timetable includes close supervision by consultants and several opportunities for clinical teaching. The post-holder will have the opportunity to participate in medical audit and local/multi-centre research projects.

LEVELS OF RESPONSIBILITY

The post holder may participate in the middle grade on call rota equivalent to ST3+ (middle grade). When on-call you will be expected to carry the crash bleep and attend to calls.

TEACHING AND RESEARCH/STUDY AND TRAINING

The post holder should have at least 3 years post-graduate experience of general paediatrics/paediatric specialities. We have a very robust teaching programme that involves radiology meetings, grand rounds, junior doctor seminar, paediatric MDT, safeguarding peer review, and journal clubs on a weekly basis. We also have simulation programmes, governance meetings monthly. The successful candidate will be encouraged to attend these meetings.

We also have year 4 medical student teaching sessions, when they are posted in Paediatrics.

The successful candidate will have a comprehensive induction programme and will be assigned a supervisor to support them during their post.

PAEDIATRIC LIVER SERVICE

WEEKLY TIMETABLE

Mon AM - Grand Ward Round / Radiology meeting / Transplant meeting

Mon PM - Hepatology clinic

Tues AM - Annual post transplant assessments

Tues PM - Psychosocial Multidisciplinary meeting / Histology MDT or Audit / Research meeting

Weds AM - Registrar ward round / research patients

Weds PM -

Thurs AM - GA list / Transplant clinic

Thurs PM - Clinic meeting

Fri AM - Transition NAFLD / Virology / OP clinics

Fri PM - Ward teaching / Journal club

There will be a consultant led ward round every morning and evening, except Wednesday morning. The ward and clinic service commitment will be shared between the Registrars and Clinical Fellow so that each will have flexible sessions for admin/private study/research.

Person Specification
Additional Requirements
Essential

• Communication Skills: Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Able to build rapport, listen, persuade & negotiate
• Problem Solving & Decision Making: Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach
• Empathy & Sensitivity: Capacity to take in others perspectives and treat others with understanding sees patients as people
• Demonstrates respect for all

Eligibility, Fitness to practice, and Language Skills
Essential

• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues
• applicants have undertaken undergraduate medical training in English or have achieved score 7 in the academic International English Language Testing System (IELTS) in a single sitting
• If applicants believe they have adequate communication skills but do not fit into one of these examples they must provide supporting evidence.

Qualifications
Essential

• Existing full registration with the GMC at time of application and hold a current licence to practice
• Eligibility to work in the UK.

Desirable

• Evidence of at least 36 months experience in Paediatric Medicine
• Part 2 written MRCPCH and considering applying for clinical or equivalent post-graduation degree (MD, etc)
• Evidence of exposure to Safeguarding cases, and level 2 safeguarding training. Ability to perform a safeguarding medical, level 3 safeguarding training
• Demonstrates awareness of the basics of managing paediatric conditions, including emergencies.
• Evidence of paediatric training to ST3 competencies or above Full MRCPCH, Previous experience working at a Registrar level

Experience
Essential

• Evidence of at least 36 months experience in Paediatric Medicine
• Evidence of exposure to Safeguarding cases, and level 2 safeguarding training
• Previous experience working at a Registrar level
• Ability to perform a safeguarding medical, level 3 safeguarding training

Desirable

• Part 2 written MRCPCH and considering applying for clinical or equivalent post-graduation degree (MD, etc)
• Evidence of paediatric training to ST3 competencies or above

Clinical, Academic, and Personal Skills
Essential

• Communication Skills: Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Able to build rapport, listen, persuade & negotiate Problem Solving & Decision Making
• Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach
• Empathy & Sensitivity: Capacity to take in others perspectives and treat others with understanding sees patients as people
• Demonstrates respect for all Managing Others & Team Involvement: Application form Interview / Selection centre References
• Able to work in multi-professional teams & supervise junior medical staff
• Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement Projects
• Capacity to work effectively with others Organisation & Planning: Capacity to manage/prioritise time and information effectively
• Capacity to prioritise own workload & organise ward rounds
• Evidence of thoroughness (is well prepared, shows self discipline/ commitment, is punctual and meets deadlines)

Desirable

• Vigilance & Situational Awareness: Capacity to monitor developing situations and anticipate issues
• Coping with Pressure and managing uncertainty: Capacity to operate under pressure Demonstrates initiative & resilience to cope with changing circumstances
• Is able to deliver good clinical care in the face of uncertainty
• MRCPCH

C9298-MED-598