PEM Fellowship Programme

Updated: 16th May 2018

This programme provides opportunities for training in Paediatric Emergency Medicine. It is suitable for candidates whose medical training was completed outside of UK or those with paediatric or emergency medicine specialty training who desire additional training in PEM. Applicants must hold specialty certification in Paediatrics or Emergency Medicine from their country of training.

This fellowship training is not accredited by Royal College of Paediatrics and Child Health (RCPCH) or Royal College of Emergency Medicine (RCEM); however the training is comparable to that of all Royal College trainees at a similar level in our institution. Certificate of successful completion of training is offered by Leicester Royal Infirmary at the end of the training period.


A limited number of trainees may be offered a second year of training in PEM with additional time in an area of interest:

  • Acute paediatrics:

    • Anaesthetics, PICU

  • Surgical secondments:

    • Orthopaedics, Plastics, ENT, Ophthalmology

  • Research

  • Medical education

  • Simulation

  • Quality improvement


To allow a fully trained paediatrician or emergency physician the opportunity to experience Paediatric Emergency Medicine at a cutting edge academic institution and acquire the skills necessary to function efficiently in a busy paediatric emergency department. The training programme also provides an opportunity to develop the teaching and evaluation skills necessary to facilitate adult learning in trainees.

Clinical Commitment

The clinical commitment is a mix of Day, Evening and Night shifts with direct consultant supervision until 01.00. Approximately two weekend shifts per month are also expected.

Preference is given to those who can provide evidence of support for this additional training from their home institution.


Educational Component Activities

Participation at weekly paediatric emergency medicine higher trainee teaching comprising of case discussions, journal club and radiology rounds is expected. In addition there is a weekly simulation programme with opportunity to hone team leadership skills or become involved in the delivery of our simulation programme.

We also hold regular in-house simulation study days allowing for review and practice of challenging cases. We utilise sedation within our daily activities, as a result fellows will be trained in its use, indications and potential complications. Advanced Paediatric Life Support Training is required for all clinical fellows.

In addition, Leicester are proud innovators in Emergency Medicine Education and are home to the #EM3 team. Fellows will be welcome to utilise our curriculum-mapped PEM FOAMed resources.


Fellow Teaching Responsibilities:

  • Orientation and mentorship of medical students to the ED

  • Teaching and supervision of junior doctors and medical students

  • Clinical teaching in suturing, casting and other skills

  • Participation in simulation programme and Life Support Training

  • Participation in scheduled peer delivered supervised teaching programme

Educational Opportunities Outside of Paediatric Emergency Medicine:

  • Critically Careful Forum, innovative PEM education and governance meeting

  • Hospital Grand Rounds

  • Trauma Rounds

  • Access to senior Paediatric Trainee teaching

  • Access to Emergency Medicine Trainee teaching (see #EM3 courses section for timetables of ACCS, CT3 & Higher Specialist Trainee programmes)



As a department we are committed to research and are actively involved in design and delivery of PERUKI supported research trails. We have close links with PEMLA and University of Leicester.

Fellows keen to undertake their own personal research would be supported in doing so by the department and these groups as suitable.

We are actively involved in quality improvement and would expect our fellows to be also. We are proud of our #GREATix project which is growing and gaining international recognition. This allows us a platform to launch and deliver quality improvement initiatives relevant to our department and wider hospital.


Annual/Study Leave

27 days annual leave are permitted each year. In addition fellows will be invited to apply for up to 30 days of study leave (to include compulsory and in-house courses) and a budget of £500 is available. Additional funds may be available for trainees who are invited to present at prestigious conferences were they will represent our department.


The candidate must have a paediatric or emergency medicine specialty or equivalent training and must meet the qualifications for GMC registration (including IELTS).



Expressions of interest can be sent by email to the Programme Director. Alternatively, forward completed applications to include:

  1. Letter of Intent – explaining your interest in the fellowship programme and your future career goals (max. one page)

  2. Current CV to include 3 referees

  3. Copy of your Medical Degree (and translation if applicable)

  4. Copy of your Specialty Certificate (and translation if applicable)

  5. A test of English proficiency (either the TOEFL or IELTS) will be a requirement

  6. Evidence of anticipated funding if wishing to undertake 2nd year of training


Please send all inquiries for the Paediatric Emergency Medicine Clinical Fellowship at Leicester Royal Infirmary to the Programme Director

Why Choose Leicester?

Leicester is the East Midlands largest city, and one of the most proudly multicultural in the UK, with something going for everyone and loads to see and do. Cultural celebrations occur on an international scale and bring with it fun and laughter outside the workplace. With fantastic places to sample some of the best Indian cuisine the country has to offer, Leicester also boasts fine dining and shopping to match. At the same time; you’re never really more than 15 minutes from the beautiful English countryside, and perfectly positioned for road and rail links to elsewhere.

For those of a sporting disposition, Leicester and the surrounding area offer a wealth of opportunity for the athlete or spectator. The city centre and hospital site are a stone’s throw from Leicester City Football club (winners of the 2016 English Premier League title) and Leicester Tigers (the most successful English Rugby Union club since the introduction of a league in 1987, winning it a record ten times.) Leicester was named the UK’s greatest sporting city in 2016.


Leicester Royal Infirmary offers a fantastic learning environment with the best of both worlds: a large co-located emergency department and a great children’s hospital with regional and supra-regional services under the same roof. The Paediatric Emergency Department sees in excess of 46,000 new patient attendances per year. The paediatric ED operates 24/7 (with consultant presence till 01.00). There is an acute admissions ward in the Children’s Hospital, general paediatrics and many paediatric sub-specialities including surgery, anaesthesia, orthopaedics, radiology, respiratory medicine, haematology, gastroenterology and oncology. There is a PICU on site and a second PICU and ECMO centre at the Glenfield Hospital nearby.

In 2017 the first phase of a £50m redevelopment was finished. This project has seen a new purpose built Paediatric Emergency Department equipped with resuscitation suites, HDU beds, mental health and sensory rooms open its doors. In addition, it incorporates a Children’s Short Stay Unit and an urgent care stream.

11 consultants are sub-speciality trained in PEM, 5 from a paediatric background and 6 from an EM background, with cross-cover of Paediatric ED by all ED consultants. There is 24-hour PEM registrar departmental cover with EM registrars cross-covering Paediatric ED as needed. The department offers sub-speciality PEM training for both paediatric and EM trainees. There are 6 Paediatric Nurse Practitioners. There are 24 WTE children’s trained nurses, with HCAs and Play Specialists.