Clinical Fellow in Endoscopy

Fulfil your potential in hospitals that make history:

Charing Cross, Hammersmith, St Mary's, Queen Charlotte's & Chelsea and Western Eye.

With five world-renowned hospitals, Imperial College Healthcare NHS Trust is full of opportunity if you are looking to develop your healthcare career.

We are an NHS Trust of approximately 14,000 people, providing care for over a million and a half patients from north west London and beyond every year.

We have a rich heritage and an ambitious vision for the future of our patients and local communities.

With our partners, Imperial College London, and The Royal Marsden NHS Foundation Trust, we form Imperial College Academic Health Science Centre, one of 6 academic health science centres in the UK, working to ensure the rapid translation of research for better patient care and excellence in education.

We are proud of our heritage in innovation and we are early adopters of new insights in technologies, techniques and treatments for improving health.

Job overview

Candidates are invited to apply for a Fellowship in advanced endoscopy. The successful candidate will gain exposure to and receive training in a number of advanced luminal endoscopy techniques including UGI EMR and Barrett's radio-frequency ablation, colonic EMR and advanced polypectomy, balloon enteroscopy and capsule endoscopy. There will be a minimum of two training lists per week. There is also the opportunity to gain experience in GI physiology and enhance their experience in IBD and nutrition as desired. They will also gain experience in unit management and governance and will have the opportunity to participate in research. It is hoped the candidate will also develop their teaching and training skills during the placement and will be encouraged to complete train the trainers course as appropriate.

The duties of these posts include a service commitment of 5 lists per week of mixed endoscopy with flexible working to cover consultant leave and ward commitments. The candidate will be encouraged to train more junior endoscopists. Applicants should be at or near the end of their specialist training, with full JAG sign off for upper GI endoscopy and be approaching or having completed full JAG sign off for colonoscopy, with audit data satisfying standard JAG auditable outcomes.

Candidates will also take part in the on call GI bleeding rota with associated banding.

Candidates must have full MRCP or equivalent.

Main duties of the job

The duties of these posts include a service commitment of 5 lists per week of mixed endoscopy with flexible working to cover consultant leave and ward commitments. There will be the opportunity to attend 2 training lists per week in order to obtain experience in complex procedures e.g. UGI EUS, Barrett's RFA, Colorectal and UGI EMR and balloon enteroscopy. Candidates will also take part in the on call GI bleeding rota with associated banding supplement.

You must have appropriate UK professional registration.

Applicants must have demonstrable skills in listening, reading, writing and speaking in English that enable effective communication about medical topics with patients and colleagues, as set out in the GMC's Good Medical Practice (2013).

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

The Terms and Conditions of Service for Clinical Fellows are subject to change in accordance with transition timetable provided by NHS Employers as part of the implementation of the new junior doctor's contract. The Terms and Conditions of Service for Clinical Fellows will remain locally agreed and will be confirmed to candidates on appointment as soon as these are finalised.

Working for our organisation

At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.

We encourage staff to have the Covid vaccination to protect themselves, patients, other colleagues as well as the wider community. Please note it is an operational requirement to comply with infection prevention and control procedures within the Trust such as lateral flow testing, handwashing and the wearing of masks, according to the procedures in place at any time or location.

As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.

We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share. Please talk to us at interview.

Detailed job description and main responsibilities

Key areas of responsibilities

1. The post holder will work closely with other members of the team to ensure high quality endoscopy and gastroenterology services within the strategic framework agreed by the team. They will work closely with the appropriate clinical management teams.
2. The post holder will perform 5-6 endoscopy sessions per week, mostly backfilling available slots in the endoscopy schedule.
3. 2 teaching lists per week can be attended in order to obtain experience in complex procedures e.g. UGI EUS, Barrett's RFA, Colorectal and UGI EMR and balloon enteroscopy.
4. Attend the UGI and LGI MDT.
5. Contribute to service development initiatives.
6. Contribute to service governance and the clinical management of endoscopy.
7. Participate in the teaching and training of undergraduates and junior medical staff.
8. Participate in ongoing research within the department.
9. Commitment to the out-of-hours endoscopy service at either SpR or Consultant level dependent on the seniority of the postholder.
10. Support the junior clinical team and nurses with decision making.
11. Clinical efficiency e.g. length of stay reductions, reducing cancelled procedures and DNA rates.
12. Quality outcomes e.g. infection control targets, reducing re-admission rates.
13. Financial management e.g. identification, implementation and achievement of cost improvement programmes; participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
14. Operational efficiency e.g. day case rates, waiting list activity and demand management.
15. Participate in clinical audit, incident reporting and analysis and ensure resulting actions are implemented.
16. Work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Divisional management team.
17. Ensure NICE clinical requirements are reviewed, implemented and monitored.
18. Ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.

Person specification

Qualifications

Essential criteria

• GMC registered Medical Practitioner
• GMC specialist registration or within 6 months of being admitted to the GMC's specialist register
• Appropriate Royal College Membership

Desirable criteria

• M.Sc
• Higher research degree

Knowledge/Skills (Clinical expertise in specialty/sub specialty)

Essential criteria

• SpR in Gastroenterology or gastrointestinal surgery
• Independent practice in luminal endoscopy (including therapies) by JAG criteria
• Experience in ERCP and EUS
• IT Skills and computer literacy

Desirable criteria

• CCT in Gastroenterology

Academic achievements including research/publications

Essential criteria

• Demonstrable interest in clinical research

Audit

Essential criteria

• Understanding of principles of clinical audit
• Experience of leading audits

Teaching & Training

Essential criteria

• Experience of teaching and training undergraduates / postgraduates and junior medical staff

Leadership/Management skills

Essential criteria

• Able to take responsibility, show leadership, make decisions, exert appropriate authority
• Have proven skills in leading, motivating, developing and managing the performance of colleagues

Language

Essential criteria

• Are able to speak and write English to the appropriate standard necessary to fulfill the job requirements

Please ensure you check your emails regularly as this is how we will communicate with you throughout the recruitment process. If you are shortlisted you will be contacted by email and text message (if you provide a mobile contact number).