Paediatric Critical Care Airway and ECMO fellow

Overview

Go back Guy's and St Thomas' NHS Foundation Trust

Paediatric Critical Care Airway and ECMO fellow

The closing date is 22 September 2025

This job would suit senior trainees nearing the end of their training or post CCT. There are two posts and the appointed fellows are expected to work together as a team to participate fully in all aspects of the Paediatric critical care, ECMO and airway services. There will be opportunities to participate in the delivery of PCC and retrieval service as well. There will be two start dates available, with one post with a start date of March 2nd 2026, and another post with a start date of September 7th 2026.

Main duties of the job

The ECMO service The Evelina ECMO service is expanding with approximately 20 ECMO runs annually accounting for 160 calendar days of ECMO. Originally set up to support cardiac surgery, the majority of ECMO cases are now respiratory and our team are pushing boundaries by supporting children as small as 2kg with venovenous ECMO. The service is co-located with the largest NICU in the UK and the largest adult respiratory ECMO service in Europe (GSTT).

As our PICU has general and cardiac patients, our ethos is to manage all ECMO referrals within Evelina so that those severe respiratory failure patients who ultimately don't require ECMO are still managed under our care. We are fully integrated within the PICU and the ECMO fellow assists the airway fellow in investigation and management of patients with airway issues and respiratory failure and vice versa.

The Airway Service The paediatric critical care airway service is based within the PICU and has arisen from the need for airway interventions in a cohort of patients admitted to PICU. The majority of these have an underlying cardiac/vascular diagnosis. The team provide a bronchoscopy service to the following patients: o PICU bronchoscopies - 150/year o Vascular airway bronchoscopies - 50/year (cardiac theatre) o Airway stents - (Cath lab) in collaboration with paediatric IR o Elective airway lists for bronchoscopy usually combined with CT scan of lungs and airways.

About us

The post will be based at the Evelina Children's Hospital. However, it is a requirement of your employment that you be prepared to work at any additional or different location owned or served by the trust, either on an on-going or temporary basis according to the demands of the service. There will be opportunity to observe the adult ECMO service based on site at St Thomas' and collaborate with the RBH paediatric ECMO team. As RBH PICU is merged with the Evelina PICU, there may be opportunity or occasion to deliver bronchoscopy at RBH as well.

The Paediatric Critical Care (PCC) has 30 beds with over 1,200 admissions annually each year. The South Thames Retrieval Service operates from within the PCC and receives over 1,750 requests each year and retrieves about 900 of these patients. The unit is accredited to undertake both Year 1 and Year 2 PICM training. Candidates, who have completed their training, in their parent specialty, may wish to seek employment for 12 months.

Job responsibilities

Please refer to the Job description for Detailed job description and main responsibilities for PAEDIATRIC CRITICAL CARE AIRWAY and ECMO FELLOW

Person Specification Qualifications

• MB BS or equivalent.
• MRCP, FRCA or equivalent.
• Registration with the GMC
• Additional e.g. BSc.
• Courses: APLS, or PALS.

Experience

• Proven record of experience and training in parent speciality with paediatric intensive care experience.
• 7 complete years of postgraduate clinical experience - ST6 level at minimum or equivalent if overseas or Post CCT
• Previous ECMO experience Attendance on a recognised ECMO course.
• Previous airway and bronchoscopy experience.

Ability

• Level of MRCP, FRCA or equivalent.
• Able to perform CPR, intubation, arterial/ central lines, chest drains.
• Able to make good medical notes.
• Good IT skills - experience with data capture and reporting
• Proficient in use of bedside ultrasound.

Motivation

• Commitment to speciality
• Commitment to learning.
• Punctuality
• Initiative
• Ability to organise own learning and time.
• Maintenance of Intensive Care Training and Anaesthetic log book.

Personality

• Copes with stressful situations and undertake responsibility
• Ability to work as part of a multidisciplinary team.
• Demonstrates leadership qualities and uses initiative to refine process and pathways.
• Able to develop and follow clinical guidelines
• Initiative to refine process and pathways

Audit

• Understand principles and evidence of participation
• Evidence of participation in audit

Research

• Understands principles.t.
• Publications from research work undertaken previously.
• Evidence of interest in research

Management ability

• Shows interest and demonstrates ability.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Guy's and St Thomas' NHS Foundation Trust