Deanery Profiles: East Midlands

Where?

What hospitals are involved in paediatric training in your deanery?

Tertiary Units:

  • University Hospitals of Leicester
  • Nottingham University Hospitals

District General Hospitals

  • Pilgrim Hospital Boston
  • Kettering General Hospital
  • Northampton General Hospital
  • Peterborough City Hospital
  • Burton Hospital
  • Royal Derby Hospital
  • Chesterfield Royal Hospital
  • Kingsmill Hospital, Mansfield
  • Lincoln County Hospital

Does your deanery divide into smaller geographical areas?

The East Midlands School of Paediatrics runs 2 separate carousels. The North carousel centres around Nottingham and rotates out to Chesterfield, Derby & Burton, Mansfield and Lincoln. The South carousel centres around Leicester and rotates out to Boston, Kettering, Northampton and Peterborough. Once appointed to a rotation in the North or South all future placements will be in the same carousel unless there are specific training requirements . This means that trainees can generally live in the same place throughout training with manageable commutes. North trainees often live in the Nottingham area, while Leicester or the market town of Market Harborough are popular places for south trainees to live. The placements in Lincolnshire do represent a longer commute, but both can be reached in 1- 1 ½ hours.

What would a typical ST1-3 look like in your deanery?

Details of the first 24m of training (ST1 and ST2) will be available to preference at the time of recruitment. This will involve 6-12m general paediatrics and neonates in a DGH setting, 6-12m of specialty paediatrics in a tertiary setting and 6m of tertiary neonates.

During your ST2 year you will meet with the TPDs to discuss career plans and setting for ST3 training. This might involve more tertiary neonates, specialty paediatrics or a DGH setting. There are a small number of level 1 community posts and the opportunity to spend time during ST1-3 in a research or teaching facing post.

We are beginning to put into place the principles of ‘The Paediatrician of the Future” with community or CAMHS facing training experiences. There is an innovative new ST1 post at Pilgrim Hospital Boston which will involve ring fenced training time with CAMHS, community paediatrics and allied health professionals which will become the model for future ST1-3 training.

What would ST4-5 consist of in your deanery?

All trainees spend 6m in a community paediatric post and a neonatal post (usually but not always) in a tertiary neonatal unit. The remainder of the ST4 and 5 time is spent in general and specialty paediatrics in a mix of DGH and tertiary settings.

This will be subject to revision as the Shape of Training changes are embedded.

What subspecialities are on offer in your deanery?

Across the Deanery there are GRID posts in the following specialties.

  • Neonatology
  • Paediatric Intensive Care
  • Paediatric Emergency Medicine
  • Nephrology
  • Rheumatology
  • Gastroenterology
  • Diabetes and Endocrinology
  • Neurology
  • Community Child Health
  • Neurodisability
  • Pharmacology
  • Oncology
  • Respiratory

We encourage and support SPIN training (special interest modules) and currently have trainees completing SPIN in:

  • Neonatology
  • Diabetes
  • Epilepsy
  • Oncology
  • Gastroenterology
  • Respiratory
  • HDU
  • Cardiology
  • Neurodisability
  • Rheumatology
  • Allergy

Experience in these subspecialties is available to non GRID or SPIN trainees and all trainees will have the opportunity for posts across the range of subspecialties during all levels of training.

We have one of the busiest ECMO centres in the country offering respiratory and cardiac ECMO to all ages.

Are there any unique opportunities available in your deanery such as scholarships or OOPE?

There is a longstanding exchange arrangement with The Royal Childrens’ Hospital, Melbourne , Australia which is available to 1-2 trainees per year, usually at ST4  level. This is appointed by a competitive application process and is taken as OOPT, counting towards Level 2 capabilities.

There is a strong educational interest across the school area with several OOP opportunities as an educational fellow based at Derby, Leicester or Nottingham

The school is supportive of OOP applications.

Are there any negatives to training in your deanery?

Every training region has its less popular rotations. In the East Midlands, the Lincolnshire units involve a longer commute from the areas where trainees usually live. We have worked with the units to provide excellent and innovative training and the feedback is good.

In recognition of the geographical challenges, trainees are not places in these units for longer than 6m at a time unless they request it. They will also be prioritised for their first choice placements at other times.

Having said this, the distances are less than many deanery areas and overall, the commuting ease is a positive of the school.

Why should prospective trainees want to train in your deanery?

The East Midlands is a modern and vibrant region with superb road, air and rail links to the rest of the UK and beyond. Rich in history, it also boasts acres of beautiful countryside and some of the UK’s most popular cities.

Nottingham has vibrant arts and retail centre, Leicester is one of the UKs most multicultural cities and Derby is the gateway to the Peak District, the UK’s first National Park.  At the south end of the area Northampton is just an hour from the centre of London. There are several good-sized market towns and villages and countryside every bit as beautiful as the Cotswolds but less busy and expensive!

With the average house price around a third of what it is in London – yet the capital a maximum of 90 minutes away by train – the East Midlands is an ideal region to live and work in.

You will find many colleagues who came to the East Midlands, maybe not even knowing exactly where it was but stay for life.

7 reasons to train in paediatrics in the East Midlands:

  • The East Midlands School of Paediatrics prides itself on being a friendly school. There are around 250 trainees, but running 2 fairly distinct rotation carousels you will find that you are definitely not just a number. The TPDs and trainers know the trainees well and there is good trainee/trainer contact.
  • We are a school who listens to its trainees. There are active trainees committees who are valuable members of the school board.
  • We are can-do in our attitude, we like to support trainees to develop as individuals and will be as flexible as possible with placements, LTFT training and OOP opportunities, including OOPP.
  • There are many management opportunities, including the trainees committees, organising regional teaching and the trainee led school newsletter ‘The Babble’
  • There are strong medical education links throughout the area with the opportunity to develop your teaching skills.
  • Training is centred around renowned Childrens Hospitals in Leicester and Nottingham, with 3 medical schools in Leicester, Nottingham and Lincoln. We have particularly good, large DGHs, which provide excellent training and supportive environments.
  • There are research opportunities and support for academic and research projects from EM-PAN (the East Midlands Paediatric Academic Network).  

Where can prospective trainees find more information about training in your deanery?

https://www.eastmidlandsdeanery.nhs.uk/paediatrics/paediatrics