Senior Advanced Fellow in Endoscopy

Job responsibilities

DUTIES OF THE POST

The post holder will contribute to 1 clinic (Complex luminal clinic) and 1 endoscopy list (service list- EMRs/pre-ESD work up) per week. The remaining sessions will include at least 4 dedicated submucosal endoscopy lists a week, and a research session. Attendance at the complex polyp MDT, regional UGI cancer MDTs and time to undertake research work is expected. Training can be tailored to the candidates career plans and experience i.e. training in ESD only or both ESD and POEM. The fellow will participate in vetting and assessing patients referred for ESD/POEM 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 and extendable to two providing satisfactory progress in first 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 assessment of polyps for ESD.

2. Competent in interpreting UGI physiology

3. Competent and independent in all aspects of basic steps in ESD

4. Competent in resecting rectal and gastric lesions ~2cms by 6th month

5. Competent in resecting lesions ~2cms in right colon/Oesophagus and lesion >2cms in left colon by 12th month

6. Competent in all complexities of ESDs in upper and lower GI tract

7. Competence in techniques of closing mucosal flap with TTS/OTS clips and endoscopic suturing

8. 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 Large/complex polyp development meeting 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.

CONDITIONS OF SERVICE

This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. These documents are available on the Medical Staffing Intranet site.

The post holder is required to be fully registered with the General Medical Council (GMC) and hold a licence to practice.

More information in the attached Job description

Qualifications

Essential

• JAG accreditation (or equivalent) in upper and lower endoscopy and independence at therapeutic gastroscopy for haemostasis
• Current ALS certification or equivalent
• Evidence of competence in management of common gastrointestinal conditions and emergencies
• Evidence of competence to work without direct supervision
• Awareness of GMCs Good Research Practice guidance (General Medical Council, 2010)

Desirable

• CCT in Gastroenterology and GIM

Clinical, Academic, and Personal Skills

Essential

• Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Able to build rapport, listen, persuade & negotiate
• Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach
• Able to work in multi-professional teams & supervise junior medical staff
• Capacity to manage/prioritise time and information effectively
• Evidence of thoroughness (is well prepared, shows self discipline/ commitment, is punctual and meets deadlines)
• Capacity to operate under pressure
• Demonstrates initiative & resilience to cope with changing circumstances

Desirable

• Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement projects

Other

Essential

• Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality)
• Capacity to take responsibility for own actions

Eligibility, Fitness to practice, and Language Skills

Essential

• Eligible for full registration with the GMC at time of application and hold a current licence to practice
• Eligibility to work in the UK.
• Is up to date and fit to practise safely
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues
• Meets professional health requirements (in line with GMC standards/Good Medical Practice)

Experience

Essential

• Evidence of achievement of CT1&2 competencies in medicine (as defined by the curricula relating to Core Medical training)
• Evidence of completion/ near completion of higher specialty (ST3 and above) competencies
• Evidence that the candidate has participated in at least 50 EMRs/polypectomies and possession of haemostatic skills
• Ability to provide complete details of employment history
• Evidence that career progression is consistent with personal circumstances
• Evidence that present achievement and performance is commensurate with totality of period of training
• Demonstrates enthusiasm for advanced endoscopic techniques of diagnosis and management. Commitment to EMR/ESD training

Desirable

• Unsupervised EMRs/Polypectomies
• Submucosal work on animal models

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).