The Royal Hospital for Sick Children, Glasgow is the largest paediatric hospital in Scotland and one of the largest in the United Kingdom with a complement of approximately 300 beds. The Children’s Hospital accepts acute admissions from the Greater Glasgow Health Board area, tertiary referrals from the West of Scotland, national referrals for ECMO and the management of chronic renal failure, bone marrow transplantation and paediatric cardiac surgery and interventional procedures. There is also paediatric radiology support to the neonatal units at Princess Royal Maternity and Southern General Hospitals (incorporating the relocated Queen Mother’s Maternity Unit).
The Directorate of Diagnostic Imaging and Clinical Physics provides a 24-hour service involving all aspects of paediatric radiology. Approximately 50,000 examinations were performed in 2012.
There are currently 7 consultant paediatric radiologists.
Dr A. Watt (Clinical Lead) Full time RHSC
- Interests: MRI (including fetal MRI), Nuclear medicine, GI, Oncology, PACS
Dr G. Irwin Full time RHSC
- Interests: ENT, Musculoskeletal, Nuclear medicine
Dr H. Kaur Full time RHSC
- Interests: GI, Chest, Oncology, Neuroimaging, Nuclear medicine
Dr R. Allen RHSC and SGH Neonatal Unit (Educational Supervisor)
- Interests: General Paediatrics, Neonatal Imaging, Skeletal Dysplasias, Cardiac Radiology, Transcranial Doppler (for sickle cell disease), Videofluoroscopy
Dr E. Stenhouse Full time RHSC
- Interests: Fetal MRI, Neonatal Imaging, GU
Dr S. Butler RHSC and PRMH
- Interests: Bone Dysplasias, Neonatal Imaging, Neuroimaging, General Paediatrics
Dr S Goodwin Full time RHSC
- Interests will include paediatric intervention and vascular imaging/vascular malformations.
Dr K Forbes, Consultant Neuroradiologist at the INS.
Dr J Bhattacharya, Consultant Neuroradiologists at the INS
Dr Edwards, Consultant Interventional Radiologist
Dr Chandramohan, Consultant Interventional Radiologist
Dr Kasthuri, Consultant Interventional Radiologist
The radiology department at Yorkhill Hospital provides higher training required to achieve either Level 1 or Level 2 competencies depending on the needs and prospective career plans of the trainee.
Level 1 Competency
Intended for radiologists who wish to have paediatric radiology as one of their specialist interests.
The trainee will gain further experience in diagnosing common and uncommon paediatric conditions as per the training curriculum. This will require an attachment of 3- 6 months depending on the level of expertise required. The attachment will incorporate basic all-round training in paediatric radiology with particular emphasis on x-ray reporting, screening procedures and ultrasound examinations. There is also training in paediatric CT, MRI and nuclear medicine. There will be opportunities to assist in interventional procedures. The trainee will gain the following experience –
- Medical, surgical, orthopaedic, accident and emergency, ITU, neonatal films.
- Perform barium swallows and meals, barium follow through examinations, barium enemas and micturating cystograms.
- Perform under supervision: retrograde pyelograms, air enemas for reduction of intussusception, contrast enemas for meconium ileus.
- Perform renal, abdominal, cranial and hip ultrasounds.
- Supervise and report head, chest and abdominal scanning. Be aware of the applications of MDCT and techniques of dose reduction in children.
- Carry out supervised reporting of static and dynamic renal scans, bone scans and other scans as they occur, e.g. Meckel’s scan, biliary atresia, lung, thyroid and MIBG scans.
- Assist in drainage procedures, nephrostomies, balloon dilatation of the oesophagus, vascular procedures, and biopsies as per workload.
- Supervise and report head, abdominal and musculoskeletal scanning and observe more specialised techniques such as MRA, cardiac MRI & fetal MRI.
- Be aware of the applications of MRI and techniques for imaging children.
- The trainee will have the following supervised sessions:
- Reporting sessions including Nuclear Medicine
- Cross sectional imaging sessions (CT/ MRI)
- 2 Ultrasound sessions
- 1 Screening session
- 2 Study sessions
- Session teaching, paediatric research or audit
The trainee will be expected to attend the weekly departmental meetings in Oncology, Respiratory Medicine, Neurology, and Surgery. There is opportunity to attend the GI, ITU, ENT, Rheumatology and Skeletal Dysplasia meetings also. The trainee will give weekly 1-hour tutorials to medical students.
The trainee will participate in the on-call rota. A consultant paediatric radiologist will always cover the trainee. The rota is compliant with present guidelines.
Level 2 Competency
Intended for trainees who wish to become dedicated paediatric radiologists.
This will be a one year attachment in order to allow the trainee to complete level 2 competencies as per the curriculum.
The trainee will undertake all aspects of paediatric radiology as outlined above but to a higher level. Research projects will be undertaken for presentation at paediatric radiology meetings and for subsequent publication. Audit projects will also be carried out.
The weekly programme and on-call are the same as outlined above. As the trainee becomes more confident, there will be opportunities to lead clinico-radiological meetings.
For further information please contact Dr R Allen, Consultant Paediatric Radiologist.