Job responsibilities
LEEDS
TEACHING HOSPITAL NHS TRUST
JOB
DESCRIPTION
JOB
DETAILS
Job
Title: Senior Fellow in Pancreaticobiliary Medicine
Specialty/Department:
Gastroenterology
Location:
SJUH (base hospital), LGI
INTRODUCTION
This
fellowship offers a one year period of sub-specialised training in
pancreaticobiliary medicine and endoscopy (ERCP and EUS).
INFORMATION
ABOUT THE DEPARTMENT
The Leeds Gastroenterology Institute is based at St
Jamess University Hospital. We also provide outpatient services at Leeds
General Infirmary and Wharfedale General Hospital. We are a large yet cohesive
department. We provide care for all aspects of gastrointestinal disease to a
large local population and have 2 inpatient wards in the modern Bexley wing at
St Jamess. The hospital provides a regional and supra-regional service for
benign and malignant pancreatic and liver disease and the gastroenterology department
has close working links with pancreatic and hepatobiliary surgery, hepatology,
radiology and oncology services. The post-holder will be training under the
supervision of Dr Matthew Huggett, Dr Bharat Paranandi, Dr Simon Everett, Dr
Vinod Hegade and Dr Aaron On.
We
have a modern high specification endoscopy unit which has recently been
upgraded with the latest generation of Olympus equipment as well as enhanced
EUS processors to allow for elastography and contrast EUS. We provide a wide
range of diagnostic and therapeutic procedures. Advanced pancreaticobiliary
endoscopy techniques include management of hilar strictures, post-transplant
ERCP, SpyGlass DS cholangioscopy, interventional EUS including drainage of
pancreatic fluid collections, EUS-guided biliary drainage, EDGE/ EDGI and
EUS-gastro-jejunostomy. The unit performs approximately 800 ERCPs a year and
600 EUS.
There
is a strong research background to the unit through our four academic
consultants. The research unit is based in the Leeds Institute of Medical Research
at St Jamess. There is an active and developing research programme and
participation in relevant clinical trials will be encouraged.
The
Leeds Teaching Hospitals NHS Trust is one of the largest trusts in the UK. The
Trust has a values-led strategy known as The Leeds Way and is committed to
high quality patient-centred care and academic and educational excellence.
Leeds
is a vibrant city with stylish shopping arcades, a range of theatres, museums
and sporting events, excellent transport links and within easy reach of the
Yorkshire Dales which provide a base for lots of outdoor activities such as
cycling and walking.
MEDICAL
STAFF IN THE DEPARTMENT
There
are 19 consultant gastroenterologists, 1 specialty doctor with an interest in
nutrition, 2 senior fellowship posts in PB medicine and IBD, 2 research
fellows, 2 endoscopy fellows, 2 junior fellows, 6 NTN HST and 10 FY1/CT level
doctors.
The
consultants operate a consultant of the week on-call system and look after
inpatients in 2 week blocks.
Consultant
gastroenterologists
Dr
Chris Black
Dr
Clare Donnellan (nutrition lead)
Dr
Simon Everett (HPB medicine)
Professor
Alex Ford (academic)
Dr
David Gracie (clinical lead)
Dr
John Hamlin
Dr
Noor Mohammed (endoscopy lead)
Dr
Matthew Huggett (HPB medicine)
Professor
Mark Hull (academic)
Dr
Jason Jennings (small bowel lead)
Dr
Peter Mooney
Dr
Aaron On (HPB medicine)
Dr
Bharat Paranandi (HPB medicine)
Dr
Helen Rafferty (training lead)
Dr
Bjorn Rembacken (consultant endoscopist)
Dr
Anita Sainsbury
Dr
Christian Selinger (IBD lead)
Dr
Ruchit Sood
Dr
Venkat Subramanian (academic)
KNOWLEDGE,
SKILLS AND EXPERIENCE REQUIRED
Candidates
should hold a primary medical qualification, a membership of one of the UK
Royal Colleges of Physicians and hold a CCT (or equivalent) in Gastroenterology
and General (Internal) Medicine. Candidates must be independent (JAG accredited
or equivalent) at diagnostic gastroscopy, flexible sigmoidoscopy and
therapeutic gastroscopy (haemostasis). It is anticipated that candidates will
have had significant experience in ERCP (in excess of 100 procedures) but prior
experience in EUS is not necessarily required. Candidates must be eligible for
registration with the General Medical Council and hold a certificate in
Advanced Life Support from the UK Resuscitation Council, or an equivalent.
DUTIES
OF THE POST
The
post holder will contribute to 1 clinic (pancreatology clinic) and 1 endoscopy
list per week. The remaining sessions will include at least 5-6 dedicated
pancreaticobiliary endoscopy lists a week, attendance at the regional benign
and cancer pancreatic MDTs and time to undertake project work. Training can be
tailored to the candidates career plans and experience i.e. training in ERCP
only or both EUS and ERCP. The fellow will participate in vetting and assessing
patients referred for ERCP/EUS and other advanced endoscopic procedures (to
include ward reviews before and after procedures). In addition, there will be a
requirement to provide inpatient ward cover for G(I)M. These duties will
involve daily morning ward round duties for 7 consecutive days in a 1:7
rotational basis. During these weeks, afternoons will remain free for
subspecialty training. There will be no
additional out of hours on call commitment, and these duties will attract an
uplift in salary to equivalent consultant rates of pay.
The
post is offered for a fixed term of one year. The post supervisor will assess
achievement of the following objectives mid-way and at the end of the post:
Learning
outcomes at the end of the fellowship
1. Competent and fully independent in
Grade 1 and 2 ERCPs.
2. Competent in Grade 3 ERCPs i.e. large
stones, hilar strictures, failed ERCPs, pancreatic endotherapy.
3. Competent and independent in all
aspects of diagnostic EUS including fine needle aspiration.
4. Supervised dedicated training in
therapeutic PB EUS Pancreatic pseudocyst drainage, necrosectomy.
5. Competent in managing the non-endoscopy
aspects of benign and malignant PB medicine e.g. autoimmune pancreatitis, chronic
pancreatitis, familial and acute pancreatitis.
6. Develop and understand the role of HPB
surgeons in the management of these disorders.
7. Experience of working as a Consultant
in G(I)M.
TEACHING
AND RESEARCH/STUDY AND TRAINING
We
have a weekly programme of departmental CPD activity. This includes
histopathology and clinical governance meetings, journal article and clinical
topic presentations. There are opportunities to develop teaching skills in ward
based or more formal settings, including simulation training. Leeds also runs a
yearly ERCP course and there are plans to expand the number of courses offered;
involvement in the delivery of these courses will be encouraged. An annual
appraisal (in accordance with GMC requirements) will be arranged, along with
use of the Trusts appraisal toolkit.
THE
LEEDS WAY VALUES
Our
values are part of what make us different from other trusts, so we see this as
a strength, as well as a responsibility. They have been developed by our staff
and set out what they see as important to how we work. Our five values are:
Patient-centred
Collaborative
Fair
Accountable
Empowered
All
our actions and endeavours will be guided and evaluated through these values
Additionally,
the following are core values which relate specifically to this post:
The
beliefs and attitudes that underpin effective performance within the job
role. Emphasis should be on the
requirements of the role not the individual when completing this section. Examples might include: quality focus,
mistakes are used as a continual learning experience, honesty, integrity etc.
Leeds
Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute
Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West
Yorkshire and Harrogate working together to provide the best possible care for
our patients.
By
bringing together the wide range of skills and expertise across West Yorkshire
and Harrogate we are working differently, innovating and driving forward change
to deliver the highest quality care. By
working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a
part of that change.
WYAAT
is the acute sector arm of the West Yorkshire and Harrogate Health and Care
Partnership, one of the largest integrated care systems in the country. The
Partnerships ambition is for everyone to have the best possible health and
wellbeing, and the work of WYAAT, and each individual trust, supports that
ambition.
For more details please see Attached Job description
