THE LEEDS TEACHING HOSPITALS NHS TRUST

Senior Fellow in Pancreaticobiliary Medicine in the Department of Gastroenterology

We are inviting applications for the position of Senior Fellow in Pancreaticobiliary Medicine at The Leeds Teaching Hospitals NHS Trust. The post holder will be able to pursue further training in all aspects of benign and malignant PB medicine and participate in dedicated clinics and regional MDT meetings. Training in ERCP and/or EUS and advanced pancreaticobiliary endoscopic techniques will be delivered in at least 5-6 dedicated lists per week. It is expected that applicants will have commenced training in ERCP but prior EUS is not essential. This post will be supervised by Dr Matthew Huggett, Dr Bharat Paranandi, Dr Simon Everett, Dr Vinod Hegade and Dr Aaron On and is available from September 2023 until September 2024.

Main duties of the job

This post will be offered for a fixed term of one year and is not accredited for training. 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. There will be no additional out of hours on call commitment, and these duties will attract an uplift in salary to consultant equivalent rates of pay.

Candidates must be eligible for registration with the General Medical Council

Informal enquiries are welcome. Please contact

Dr Matthew Huggett (matthewhuggett@nhs.net).

About us

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.

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.

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 questions.

Job description
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

Person Specification
Experience
Essential

• Evidence of completion of higher specialty (ST3 and above) competencies in Gastroenterology and General (Internal) Medicine
• Evidence that the candidate has participated in at least 100 ERCPs
• Demonstrates enthusiasm for pancreaticobiliary medicine and previous commitment to ERCP/EUS training
• Evidence that present achievement and performance is commensurate with totality of period of training

Clinical, Academic, and Personal Skills
Essential

• Awareness of GMCs Good Research Practice guidance (General Medical Council, 2010)
• Evidence of competence to work without direct supervision
• Evidence of competence in management of common gastrointestinal conditions and emergencies

Qualifications
Essential

• CCT (or equivalent) in Gastroenterology and General (Internal) Medicine
• Current ALS certification or equivalent
• Eligible for full registration with the GMC at time of application
• JAG accreditation (or equivalent) in upper endoscopy and independence at therapeutic gastroscopy for haemostasis

Eligibility, Fitness to practice, and Language Skills
Essential

• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication a

BMJRef: BMJ-102160/298-C9298-MED-078