Sheffield Children's Hospital
Western Bank, Sheffield, South Yorkshire S10 2TH
0114 271 7000
Paediatric health services in Sheffield are provided for a resident population of approximately 533,000. The majority of acute children's health services are based at the Children's Hospital. Tertiary services cover a population of around 2.7 million.
Sheffield Childrens Hospital supports just over 150 beds. Surgical services provide activity in general, neonatal, orthopaedic, plastic, ENT, dental and neuro-surgery. The paediatric burns service and ophthalmology have recently transferred to the hospital. Medical services include neurology, oncology, haematology including bone marrow transplantation, respiratory, endocrinology, gastroenterology and hepatology, renal, metabolic, metabolic bone disease and immunological paediatrics. Sheffield Children’s Hospital provides secondary paediatrics for the city, which comprises about 20% of the population of Yorkshire and Humber South.
The radiology department comprises 2 general rooms, 3 ultrasound machines (including facilities for cardiac echo), CT scanner, 1.5T MRI, Gamma camera and DEXA.
The Neonatal Unit is based nearby in the Jessop Wing of the Royal Hallamshire Hospital and the radiologists provide support for plain film reporting, ultrasound and echocardiography.
Our "full quota" of SpR's is a 5th year, two 2nd years and a 1st year. We are very happy to receive applications for OOPE and these are usually arranged as 3-month attachments when we don't have a full quota of local trainees. There isn't funding currently for a fellowship (ie our 5th year trainee shares in the general on-call rota)
Dr Ashok Raghavan : Consultant Lead, neuroradiology, body MRI and intervention
Dr Ruth Batty : Neuroradiology (RHH)
Dr Daniel Connolly: Neuroradiology (RHH)
Dr Penny Broadley : MSK
Dr David Hughes : Clinical tutor, Body MRI
Dr Isla Lang : MSK
Dr Amaka Offiah : Skeletal dysplasia and non-accidental injury
Dr Iwan Roberts : Clinical tutor
Dr Alan Sprigg : Non-accidental injury
Dr Thuzar Win : Body MRI, PET-CT
Written October 2012
Dr. Iwan Roberts, Consultant Paediatric Radiologist, SCH
Written by Dr Garan Riley, Consultant Radiologist, North Tees and Hartlepool NHS Foundation Trust,
Experiencing radiology in Sheffield Children’s Hospital (SCH).
December 2011 – June 2012.
Mine was 6 months Out Of Programme Training (OOPT) to compensate for specific limitations in the ‘Paediatric Radiology’ curriculum at that time within my home deanery. Having demonstrated this, my deanery thankfully agreed to pay my OOPT salary. My NHS Trust insisted I continue to fulfil local oncall commitments. Despite this and because of potential long commutes, I rented and lived in Broomhill (5-minute walk from SCH), which was essential to being involved in those worthwhile oncall situations of reducing intussusceptions and performing urgent drainages.
Radiology at SCH is consultant-led with a constant throughput of trainees at different stages. At its heart is the child and their family, and understandably all trainees are initially heavily supervised requiring all works to be checked - from US and radiography to being directly observed in fluoroscopy. Supervision eases depending on individual abilities. Support is masterfully and selflessly implemented by the whole consultant body (with wide-ranging areas of special interest) and incorporates vastly experienced radiographers/sonographers for high impact learning!
As senior trainee, the weekly training rota was my responsibility and, with juniors geared toward oncall preparation, could be engineered to fulfil my specific needs and interests. Shared duties include: duty radiologist, checking all CT/MRI before scan is ended (essential where sedation/GA is used), contrast injections and portable US. The multitude of MDTs is strongly encouraged and a good place to keep in touch with the many interesting cases. Notable specialities of SCH include OI & Skeletal Dysplasias (Offiah), NAI (Sprigg), Neuro-oncology (Connolly) and Antenatal MRI (Whitby).
Other notable assets are the ‘interesting cases’ notice board, as well as regular local registrar teaching and leading national presentations via Webex. Audit and presentations/publications are nurtured, with great generosity of ideas. And dedicated sessions for projects and reflection are encouraged.
I arrived with DGH-style paediatric imaging training and familiarity with the classic textbooks. I departed this privileged position a more rounded radiologist able to tackle complex paediatric imaging with some confidence; I had some national/potentially international projects under my belt; and I had forged connections with some remarkable people many of whom I now consider friends.
And last but not least is the contentment next door that is Starbucks…
Garan Riley, ST5
Written by Dr Shyam Mohan, Radiology registrar, Queens Medical Centre, Nottingham University Hospitals NHS trust, Written November 2012
Paediatric radiology fellowship at Sheffield Children’s Hospital
Dr Shyam Mohan,
I spent three months at SCH towards the end of my Fourth year of radiology training and on the whole found it a very rewarding experience. The radiology department has four full-time and three part-time Paediatric radiology consultants. At any given time, there are around four registrars rotating through the radiology department, usually from the South Yorkshire training scheme. Registrars are generally considered as supernumerary due to nature of the speciality, but depending on you experience and confidence the Consultants are more than happy to let you ‘get on with it’ under indirect supervision.
The day to day functioning of the department centres mainly around the ‘Hot reporting’ area where clinicians bring down requests for urgent scans/reports etc. This was a great way to cut ones teeth in Paediatric radiology as most of the interesting cases were discussed with this team. A Consultant is usually available and takes these acute requests.
Routine ultrasound scans are performed by a team of three excellent sonographers, who were more than willing to share their trade secrets! SCH is unique in that the echocardiograms are done by the radiology department, and it was a good opportunity to understand the basics of performing echocardiograms, although I may never have to do them again!
SCH has an in-house 1.5T MRI scanner. Most studies are under GA unless the patient is old enough to co-operate with the study, and they have very good anaesthetic support for the same. As a result, the imaging quality was invariably very good. Neuro studies are reported on Thursdays with the neuroradiology consultant. Musculoskeletal radiology studies are reviewed at the reporting meeting, which was a great forum for learning. Body MRI reporting was more difficult to get involved with but had dedicated Consultants who were more than happy for the scans to be provisionally reported by the registrars.
There were around two fluoroscopy lists per week, and registrars had the opportunity to perform the studies under direct/indirect supervision depending on the level of seniority. Pre FRCR registrars were normally not involved with screening.
The CT scan requests were mostly form A&E or oncology, and owing to the nature of the specialty, was the least busy modality.
There were lots of lots of multi-disciplinary team meetings and these were generally cordial affairs! Registrars had the opportunity to present at these meetings, with the support of the Consultants.
Structured teaching was excellent at Sheffield, with a dedicated Wednesday morning registrars teaching session. Apart from this, most Consultant were keen to teach and show the registrars interesting cases. A web-based teaching programme has also been running at Sheffield for some time now and seems to be working well.
On the whole, I was able to increase my experience with Paediatric plain film reporting, fluoroscopy and ultrasound scanning. MRI experience was more limited, primarily because of the short time I spent there. The difficult bits were getting to grips with the RIS and PACS systems, which do not talk to each other and everything takes nearly twice as long to do, but I gather this is due for an upgrade. Also, parking around the hospital is a nightmare, so don’t drive!