Job responsibilities
LEEDS
TEACHING HOSPITAL NHS TRUST
JOB
DESCRIPTION
JOB
DETAILS
Job
Title: Senior Fellow in Inflammatory Bowel Disease
Specialty/Department:
Gastroenterology
Location:
SJUH (base hospital), LGI
INTRODUCTION
We
have developed this fellowship to offer a one year period of advanced
training in Inflammatory Bowel Disease (IBD) and related endoscopic
techniques, to a candidate in the final stages of specialty training, or who
has already attained a CCT in gastroenterology, and wishes to enhance their
skills and pursue a career in luminal gastroenterology. This post will be
supervised by Dr Christian Selinger, the clinical lead for IBD.
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 our local population in excess of
800,000 and receive regional and national referrals into our subspecialty
services.
We
offer the expertise and enthusiasm to provide advanced training and
experience in managing patients with complex inflammatory bowel disease. The
Leeds IBD Service looks after approximately 4000 local patients and regional
referrals. The IBD team includes 9 consultants, 7 IBD Nurses, an administrator
and MDT coordinator. We have great support from an experienced dietitian,
pharmacist, GI radiologists, histopathologists and nutrition team. We have close links with colorectal surgery
and 4 IBD surgeons who contribute to the IBD MDT and combined clinics.
We
run 2 large IBD clinics each week, combined clinics with colorectal surgery
(on alternate weeks) and also with obstetrics, paediatrics and rheumatology.
In addition we hold a weekly MDT to discuss complex patient. The IBD nurses
run five dedicated phone clinics per week for stable patients and provide a
helpline service. We have close links with the local CCUK group and have run
a very active patient panel for eight years.
We
operate up to 10 endoscopy rooms across Leeds, the majority have recently
being upgraded to the latest generation of Olympus equipment. We provide a
wide range of diagnostic and therapeutic procedures, including bowel cancer
screening, advanced EMR/ESD, double balloon and spiral enteroscopy, advanced
pancreaticobiliary endoscopy techniques and of particular relevance to this
post pouchoscopy and surveillance chromoendoscopy.
There
is a strong research background to the unit through our four academic
consultants. The research unit is based in the Leeds Institute of Molecular
Medicine (LIMM) on SJUH site. There are existing research programmes in the
molecular biology of colorectal cancer and IBD and current clinical research
projects in IBD and endoscopy. The Department hosts a large portfolio of
clinical research studies, including several randomised trials, which are
adopted to the Clinical Research Network. The Clinical Research team includes
5 Research Nurses.
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 (IBD and PB medicine), 2 research
fellows, 2 endoscopy fellows, 2 junior fellows, 6 NTN HSTs 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.
DUTIES
OF THE POST
The
post holder will contribute to 3 clinics per week (2 IBD clinics, 1 joint
surgical IBD clinic with general gastroenterology on alternate weeks). The
remaining 7 sessions include preparation for and participation in the IBD
MDT, working with the IBD nurses on urgent queries, supernumerary attendance
at other specialist IBD clinics eg. the pregnancy clinic, time to undertake
project work and/or training in endoscopic techniques such as
chromoendoscopy, pouchoscopy and EMR; this will depend on the requirements
and experience of the post-holder. There may also be the opportunity to
undertake additional evening endoscopy lists. In addition, there will be a
requirement to provide inpatient ward cover for GIM. These duties will involve
daily morning ward round duties for 7 consecutive days in a 1:7 rotational
basis. There will be no additional out of hours on call commitment, and these
duties will attract consultant rates of pay.
The
post includes a commitment contributing to work on CRN Portfolio trials and
observational studies; one of these sessions takes place within the IBD
clinic. The post holder will join our enthusiastic and successful Clinical
Research Network (CRN) team under the supervision of IBD consultants. The role
will be an excellent opportunity to experience and learn management and
conduct of clinical trials, including GCP accreditation, taking on the role
of Sub-Investigator for one or more studies and optionally networking in the
CRN. The post holder will always work closely with the CRN team, particularly
the Research Nurses, to carry out clinical trials duties. At the end of the
Fellowship, the post holder will be in an excellent position to take on a
clinical research role in his/her future career.
The
requirements of the service may change during the year and the job plan may
be adapted to include evening or weekend endoscopy lists.
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 in managing medical aspects
of IBD including a sound knowledge of biological therapy use and
complications and nutritional aspects of IBD care
2. Understand the role of surgery in IBD
management and involve surgical colleagues appropriately
3. Competent and independent in
chromoendoscopy and pouchoscopy
4. Have completed a research, audit or
quality improvement project
5. Understand the role of clinical
trials in IBD care and have contributed to patient recruitment
6. Understand the importance of patient
involvement in IBD and contribute to the patient panel and CCUK meetings
LEVELS
OF RESPONSIBILITY
The
post-holder may be expected to provide urgent general endoscopy list cover in
addition to the job plan (for example to cover unexpected illness absence).
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. 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
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 at the time of application.
For
More Please see attached JD
