Clinical Fellow with interest in Endometriosis

Job responsibilities

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questionsCandidates will be encouraged to register and complete pelvic pain SITM.

Main Duties Of The Job

The above post is suitable for doctors wishing to gain clinical experience at a ST3+ level in Obstetrics and Gynaecology. The post offers the successful candidate a wide range of experience in all areas of the specialty. Whilst this post is not recognised for training, the appointee will be supported by a Clinical Supervisor to meet their career and educational goals.

There will be opportunities to develop special interests in the following areas:

Endometriosis:

Clinical Fellow in Endometriosis (ST3+ / ST6+ Equivalent)

BSGE-Accredited Endometriosis Centre Leeds Teaching Hospitals NHS Trust

This post is for a Clinical Fellow in Endometriosis, suitable for doctors working at ST35 or ST67 equivalent level, depending on prior experience and demonstrated competencies.

The successful applicant will work within a British Society for Gynaecological Endoscopy (BSGE)accredited Endometriosis Centre, gaining advanced experience in the multidisciplinary management of complex endometriosis, including surgical, medical, research, and service-development aspects of care.

The post carries a 60% time allocation with the Endometriosis Team, in addition to participation in:

Full on-call commitments at LGI or St Jamess University Hospital (SJUH)

One Antenatal Clinic (ANC) session per week

This post is ideal for candidates wishing to develop expertise in endometriosis and progress towards subspecialist practice, advanced fellowship training, or consultant-level roles within endometriosis services.

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Clinical Commitments and Responsibilities

Endometriosis Service (60% allocation)

The fellow will be fully embedded within the Endometriosis MDT and will participate in:

Specialist Endometriosis Clinics

o New and follow-up consultations

o Complex counselling regarding medical and surgical management

o Shared decision-making for advanced disease

o Wil time the postholder will be encouraged to perform independent clinics

Endometriosis Theatres

o Exposure to advanced laparoscopic endometriosis surgery

o Progressive operative responsibility according to experience and competence

o Involvement in peri-operative planning and post-operative follow-up

Multidisciplinary Management

o Participation in Endometriosis MDT meetings: complex endometriosis, pelvic pain and functional urology.

o Collaboration with colorectal surgery, urology, pain specialists, radiology, fertility services, and specialist nurses

Thoracic Endometriosis Pathway

o Opportunities for involvement in the regional thoracic endometriosis service, including MDT discussion, diagnosticpathways, and coordinated care

Research, Audit, and Service Development

The post offers strong academic and quality-improvement exposure, including:

Research opportunities

o Involvement in ongoing endometriosis research projects

o Support for audit, service evaluation, and presentation at regional or national meetings

o Opportunity to contribute to publications where appropriate

Audit and Quality Improvement

o Endometriosis-focused audit and QI work aligned with BSGE standards

o Opportunities to lead or co-lead service development initiatives

The post holder will also be encouraged to take part in departmental teaching and quality improvement work.

Working For Our Organisation

The gynaecology service is predominantly based at St James University Hospital (Chancellor Wing) and includes general, urogynaecological, recurrent miscarriage, endometrial ablation, fertility control, complex contraception, menopause (based at a nearby GP practice), perineal and ambulatory gynaecology clinics such as hysteroscopy (including outpatient resection), vulval and colposcopy. Gynaecology theatres and the gynaecology acute treatment unit which includes an ultrasound scan service and outpatient acute gynaecological procedures, are also located here. Some elective gynaecology work including clinics, day case and overnight theatre and hysteroscopy also takes place at Wharfdale hospital.

The fertility service is based at Seacroft Hospital.

The maternity service is based at St James University Hospital (approximately 4,500 deliveries per year) and Leeds General Infirmary (approximately 5,200 deliveries per year). Each site has an antenatal day care unit, tertiary level fetal medicine unit, fetal assessment unit, obstetric ultrasound department and maternity assessment centre. Antenatal clinics include general high risk clinics as well as specialist ones including cardiac, diabetes, substance misuse, endocrine, epilepsy, teenage pregnancy, prematurity, obstetric haematology, placenta accrete spectrum and rheumatology clinic.

Key Duties and Responsibilities

The post holder will work on the second on call (ST3+) rota, and as such will take on the responsibilities associated with this role. The post holder will be supervised by a Consultant during clinical duties whether elective or on call and will be expected to work as part of a multidisciplinary team, demonstrating good communication skills with all members of the team.

The weekly timetable will vary from week to week. It will include sessions in antenatal clinic, delivery suite, gynaecology outpatients, gynaecology theatre and the emergency gynaecology assessment unit. These sessions are aimed to diversify the post holders clinical experience, to provide a service and to accommodate the rolling on call rota of long days and night shifts on labour ward and the gynaecology acute treatment unit. On call frequency is 1 in 9.

Antenatal clinic The post holder will be expected to:

- Conduct the initial antenatal assessment of women, identify risk factors in the booking history, and consult or refer appropriately under the supervision of a senior registrar or consultant.

- Counsel women adequately about the investigations offered during pregnancy, interpret the results, communicate the significance of abnormal results to the patient and arrange further management if needed.

- Detect and manage commonly occurring disorders in pregnancy, recognising their limitations, and referring to other colleagues in the team when necessary

- Recognise the roles of the multidisciplinary team

- Demonstrate good communication with patients and staff

Labour Ward The post holder will work under the supervision of a Consultant Obstetrician on call or on hotweek and:

- Work in conjunction with the senior Midwife

- Be aware of the wishes and concerns of women in labour, and maintain their dignity, autonomy, physical and psychological comfort

- Help in monitoring of fetal condition in labour

- Assess and manage abnormal progress in labour

- Have a chance to perform instrumental and operative deliveries.

- Assist in the management of third stage complications

- Assist in the management of maternal collapse and neonatal resuscitation

Gynaecology Outpatients The post holder will be allocated to attend specific Gynaecology clinics, but are also encouraged to attend a variety of the more specialised clinics which provide valuable learning opportunities when possible. The post holder will:

- be able to take a gynaecological history and perform an appropriate examination with respect for the womans dignity and autonomy

- initiate investigation and management of common gynaecological problems such as disorders of menstruation, infertility, incontinence, menopausal symptoms, psychosexual problems and genital tract infections.understand cervical screening, the management of pre invasive and invasive disease and treatment follow up

- Demonstrate good communication with patients and staff

Gynaecology Acute Treatment Unit The post holder will work under the supervision of the Consultant Gynaecologist on call or on hotweek and:

- Take referrals from general practitioners, emergency department and other specialities concerning women with early pregnancy or acute gynaecological conditions

- Assess and initiate management and / or treat common early pregnancy and acute gynaecological conditions

- Participate in acute gynaecology procedures including surgical management of miscarriage, manual vacuum aspiration in office setting, Word catheter insertion for Bartholins and laparoscopic surgery.

- Review women after elective gynaecology surgery.

Gynaecology Theatre The post-holder will observe, assist or undertake procedures in theatre with an appropriate level of supervision.

On-call-

The post-holder will always be resident in the hospital when on duty.

The Consultant Obstetrician will be resident between 08.30-22.00 on weekdays and 08.30 and 17.00 on weekends. The Consultant Gynaecologist will be resident between 08.30 and 17.00 on weekdays and will conduct a resident ward round on weekends. They will remain resident beyond these times if required but will otherwise be on call from home.

The post complies with the New Deal requirements and the European Working Time Directive.

Experience

Essential

• 12 months experience after full GMC registration or equivalent, and evidence of achievement of foundation competences, in line with GMC standards / Good Medical Practice
• Evidence of achievement of ST3 competencies in Obstetrics & Gynaecology (as defined by the RCOG curricula relating to Obstetrics and Gynaecology Training)
• At least 1 year experience working at middle grade (ST3+) in UK by the time of intended start date
• Evidence that present achievement andperformance is commensurate with totality of their period of training
• Evidence that career progression is consistent with personal circumstances
• Ability to provide complete details of employment history

Eligibility, Fitness to practice, and Language Skills

Essential

• Be registered with, and hold a current licence to practise from, the GMC at time of application
• Eligibility to work in the UK.
• Advanced Life Support Certificate from the Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date
• Have completed their post-graduate training at least to a level of an ST3 specialty doctor or equivalent in obstetrics and gynaecology
• Is up to date and fit to practise safely and is aware of own training needs.
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues

Desirable

• Register and complete pelvic pain SITM

Clinical, Academic, and Personal Skills

Essential

• Ability to apply sound clinical knowledge and judgement to problems
• Recognition of, and ability to undertake the initial management of, an acutely ill patient
• Ability to perform lower segment Caesarean Section
• Ability to perform non-rotation operative delivery (e.g. forceps/ventouse delivery)
• Demonstrates understanding of research, including awareness of ethical issues
• Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
• Demonstrates knowledge of evidence-informed practice

Desirable

• Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements.
• Evidence of interest in, and experience of, teaching
• Evidence of feedback for teaching
• Instructor status (or a recommendation for instructor status) in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course

Qualifications

Essential

• MBBS or equivalent medical qualification
• Completion of Foundation competencies or equivalent
• Basic Adult Life Support training within past 12/12
• MRCOG Part 1

Desirable

• MRCOG part 2 exam
• MRCOG part 3 exam
• Prizes / Distinctions
• Research / Additional academic publications

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).