PEM Job Plan Examples
If I were to complete my training in PEM, what sort of job plan could I expect to be working when I get a Consultant post?
Trainees from an EM background
Most EM consultants with PEM subspecialty accreditation work in general EDs seeing adults and children. Others work in tertiary Paediatric centres with dedicated PEDs, but often maintain their skills in adult EM by spending part of their job plan in the city's adult ED, including on call commitments. See the example job plans below.
Trainees from a Paediatric background
You may work in a stand-alone Children's Hospital in the ED as a full-time ED consultant or in a large teaching hospital doing the same; In a smaller hospital or DGH setting it is likely you will also have a role on the admissions unit or in critical care or child protection. The following document is useful for describing the role:
The Role of the Consultant Paediatrician with Subspecialty Training in Paediatric Emergency Medicine- August 2008 http://www.rcpch.ac.uk/sites/default/files/Role of the Consultant Paediatrician with Subspecialty Training in PEM.pdf
Sample job plans
Example Job Plan 1. Full time PEM for either EM(PEM) or Paeds(PEM) consultant
| AM | PM | Evening | |
| Mon | Paeds ED | Paeds ED | |
| Tues | Paeds ED Review Clinic | Admin Shift | |
| Weds | Paeds ED | Paeds ED | |
| Thurs | Teaching | Paeds ED | |
| Fri | Paeds ED Review Clinic | Admin Shift | |
| Sat-Sun | Paeds ED 1 in 6 weekends |
Example Job Plan 2. Combined PEM/EM for EM(PEM) consultant
| AM | PM | Evening | |
| Mon | Adult ED | Adult ED | |
| Tues | Paeds ED | Admin Shift | |
| Weds | Paeds ED | Adult ED + on call | |
| Thurs | Admin Shift | Paeds ED | |
| Fri | Audit/meetings | Teaching | |
| Sat-Sun | Working in ED 1 in 6 weekends |
Example Job Plan 3. Combination of PEM and Ambulatory Paediatrics for Paeds(PEM) consultant
| AM | PM | Evening | |
| Mon | Post take ward round 1 in 6 | Paeds ED | |
| Tues | Gen Paeds admissions unit | Admin | |
| Weds | Rapid access clinic | Paeds ED | |
| Thurs | Admin | Paeds ED | |
| Fri | Rapid access clinic | ||
| Sat-Sun | 1/6 on call for Paediatrics |
Example Job Plan 4. Combination of PEM and Paediatric Critical Care (50:50 split) for Paeds(PEM) consultant
| AM | PM | Evening | |
| Mon | PICU | PICU | |
| Tues | Paeds ED | Paeds ED | |
| Weds | Paeds ED | Paeds ED | |
| Thurs | Admin | ||
| Fri | PICU | Admin | |
| Sat-Sun | 1/6 on call for ED |
