JIG Job Information Guide

‘ JIG’ Job Information Guide General:

Post Title Paediatric Infectious diseases and Haematology Coding No Haem/ID St Marys (Feb 2014) Hospital Details Name: St Marys Hospital, Paddington Website: http://www.imperial.nhs.uk/stmarys/ College Tutor: Dr Mehrengise Cooper [email protected] Educational lead: Dr Leena Karnik [email protected] Travel Info Train/Tube: Paddington Underground. (Bakerloo, Hammersmith & City, District, or Circle lines.) Buses: http://www.tfl.gov.uk/tfl/gettingaround/maps/buses/pdf/paddington- 2201.pdf Staff Car Park: No Living/Accommodation Hospital Accommodation is available over at the Hammersmith Hospital. Email address: [email protected] Phone number: 0203 313 4873

Departmental:

Team Infectious diseases: No of Consultants: 8 Registrars: 5 (6 SHOs between Haem & ID) Haematology: No of Consultants: 3 & 2 Registrars: 3 Rota & Link to an example rota: Responsibilitie s ID Week: Daily ward round. Review of ward attenders. Organising specialist tests, and discharge summaries. On Tuesdays you will present at the ID/PICU grand round, which is a fantastic educational meeting. Journal club is on Wednesdays and you will be asked present once during the 6 months. You will be exposed to patients with common and unusual infections (e.g. HIV, Lyme, Rheumatic fever) and managing patients with Kawasaki disease. Haem week: There is generally one or two Registrars on the ward. You will see patients independently with Registrar support and the Consultants will do an afternoon ward round. The exceptions are Mondays and Fridays when you present at a Grand Round at 11am and the Consultants often do teaching after this then come straight to the ward. You will also attend the Bone Marrow Transplant (BMT) meeting on Wednesday at midday, There are also education weeks, nights and split weeks on the rota, where you alternate between the Haem & ID teams depending on the caseload. On nights and long days you will cover Haem, ID and General patients. You are supported by a Registrar (who also covers A&E). Departmental  The Paediatric Infectious Diseases team has an international reputation for strengths improving the survival of children with meningococcal and other forms of sepsis.  The Paediatric Haematology team specialises in haemoglobinopathies, bone marrow failure syndromes, red cell disorders and BMT. It is the largest unit for non-malignant stem cell transplant in the UK. International patients are regularly managed. Training  Education weeks. These can be used to attend clinics, do projects, courses opportunities or spend time in other departments (e.g. A&E). Attend Int Care lab meeting  Simulation training weekly every Friday morning on IMPACTs. Teaching  Weekly Thursday afternoon teaching 3pm-5pm (see NWL calendar on http://www.londonpaediatrics.co.uk/ for details)  Monthly evening ‘Case Exchange’ http://www.londonpaediatrics.co.uk/wp/wp- content/uploads/2014/01/Paediatric-NWT-Regional-Teaching.pdf  MRCPCH clinical teaching is organised by SHOs and usually happens every day at 3pm except Thursdays prior to exams. The Consultants and Registrars are very motivated and willing to teach. Top tips ID: -Write investigation lists for complex patients, including laboratory phone numbers -Try and do an audit, project or guideline. All of the consultants are involved in lots of interesting research and happy help. -Imperial do day or week long courses relevant to Paeds ID. A previous SHO recommended these and said it was brilliant to do alongside the job. Haem: -Haematology may initially seem a bit scarier as unfamiliar, however don’t worry! Everyone is very supportive. You will learn a lot about how to have a structured approach to complex high dependency patients, caring for an immunocompromised host, pain management, drug interactions and fluid balance. -Read the BMT (JACIE) guidelines, ideally before starting the job. Key areas would be Febrile Neutropaenia and Veno-occlusive disease (VOD) Also familiarise yourself with how to write up IV electrolyte infusions and fluid balance. -Go through one patient’s BMT protocol in the first week. At the back they have what days each investigation needs doing including drug levels, virology and screening XR’s. - Dr Helen New is a Lab/Clinic based Haematologist who is happy to do some great teaching on clotting disorders, anticoagulation. Email her to get some dates in the dairy. - Try and go some of the morphology sessions in the Lab. The Consultants and outpatient Registrars go every week. They are very interesting and the Consultants are very happy to teach. Other: -The General Paeds teams are also keen for you to get involved in some of their really interesting projects: E.g. Integrated Care/Quality Improvement/Patient Experience. Contact Dr Bob Klaber or Dr Mando Watson if you want to get involved. -Lunch spots: Leena Café, 83 Praed St. Amazing Salad boxes. Itsu, Unit 9, Sheldon square. For more information you can contact current SHO on [email protected]