Job summary
We are pleased to invite applications for a 12-month advanced fellowship in luminal resectional endoscopy (upper GI and lower GI). This post offers a focused, high-volume training experience in luminal therapeutic endoscopy based at the Royal hospital site of the University Hospital Liverpool Group` (UHLG)- regional tertiary referral centre for complex luminal resections. The fellowship is designed to support experienced endoscopists in developing subspecialist resection skills under the supervision of nationally recognised experts. The role is based in a state-of-the-art endoscopy unit within the wider directorate of Gastroenterology and Hepatology and Mersey School of Endoscopy, a National Endoscopy Training Centre
The Post
The job plan is structured to provide intensive hands-on tertiary level training in a wide range of luminal endoscopy, including:
- Level 3 polypectomy with the expectation of achieving independent practice
- Level 4 polypectomy under direct supervision
- Barrett's oesophagus therapy including HALO RFA
- Advanced imaging for Barrett's oesophagus
- Chromoendoscopy for IBD surveillance and complex lesion assessmentESD exposure (primarily observational, with potential hands-on lower rectal or gastric work depending on progress
Main duties of the job
The above would be tailored to the successful applicant's skillset. They will work under the supervision of Consultant Endoscopists specialising in lower GI endoscopy (Dr Sanchoy Sarkar, Dr Edmund Derbyshire, Dr Douglas Penman) and upper GI endoscopy (Dr Andrew Moore, Dr Thomas Skouras), supported by training leads (Dr Penman and Dr Joseph Fiske).
The post requires participation in general luminal gastroenterology clinic and service endoscopy lists, together with active participation in audit and research. The post is ideally suited for a post-CCT gastroenterologist or a senior registrar aiming to consolidate advanced therapeutic endoscopy skills.
About us
Liverpool University Hospitals NHS Foundation Trust comprises Aintree University Hospital, Broadgreen Hospital & Royal Liverpool University Hospital.
We are part of NHS University Hospitals of Liverpool Group, formed on 1 Nov 2024 from the coming together of LUHFT and Liverpool Women's NHS Foundation Trust. The Group was born from a shared aim to improve the care we provide our patients.
UHLG is one of the largest employers in the region, with over 16,800 colleagues dedicated to caring for our communities - from birth and beyond.
For the 630,000 people across Merseyside, we are their local NHS. We provide general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West.
Aintree University Hospital is the single receiving site for adult major trauma patients in Cheshire and Merseyside and hosts a number of regional services including an award-winning stroke facility. Broadgreen Hospital is home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation. Liverpool Women's Hospital specialises in the health of women and babies, delivering over 7,200 babies in the UK's largest single site maternity hospital each year. The Royal Liverpool University Hospital is the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services.
For roles at Liverpool Women's, visit their careers page.
Job description
Job responsibilities
On Call Commitments
The successful candidate will be on the gastroenterology registrar on call rota, providing out-of-hour advice and emergency endoscopy provision. At a tertiary center, this
includes receiving referrals from external hospitals for transfer for intervention inclusive of interventional radiology involvement. Emergency out-of-hours endoscopy is undertaken in theatre.
Weekends and Bank Holidays on call will involve inpatient ward rounds for hepatology and luminal gastroenterology patients and seeing routine referrals.
On calls are supported by an on-call Consultant 24/7, and the weekend/bank holiday are supported by a ward consultant on call in addition
Job description
Job responsibilities
On Call Commitments
The successful candidate will be on the gastroenterology registrar on call rota, providing out-of-hour advice and emergency endoscopy provision. At a tertiary center, this
includes receiving referrals from external hospitals for transfer for intervention inclusive of interventional radiology involvement. Emergency out-of-hours endoscopy is undertaken in theatre.
Weekends and Bank Holidays on call will involve inpatient ward rounds for hepatology and luminal gastroenterology patients and seeing routine referrals.
On calls are supported by an on-call Consultant 24/7, and the weekend/bank holiday are supported by a ward consultant on call in addition
Person Specification
Person Specification
Essential
- Primary Medical Qualification (MBBS or equivalent)
- Full registration with GMC
- MRCP (UK) or equivalent
- Post-CCT or nearing completion of training
- Independent in OGD and Colonoscopy (JAG Criteria)
- Lifetime total of >=500 OGDs and >=500 colonoscopies, with satisfactory KPIs over the previous 12 months - Caecal intubation rate >=90% - Adenoma detection rate >=20%
- Completion of minimum of 100 EMRs with documented evidence of Level 2 polypectomy competence, indluding - Lesion assessment - Submucosal lifting - Safe and effective resection - Recognition and documentation of complications
- Independent in endoscopic management of Upper GI bleeds and basic therapeutic endoscopy
- Understanding of principles of Research and Audit
Desirable
- Exposure to Barrett's therapies (e.g. RFA)
- Familiarity with advanced imaging modalities (e.g. NBI, Ascetic acid)
- Basic knowledge of chromoendoscopy
- Observational or hands-on exposure to ESD (live or model)
- Completion of JAG Basic Skiils and/or Train the Trainer (TET) courses
- Evidence of audit in relevant field
- Evidence of presentations in relevant field
- Evidence of publications in relevant field
Person Specification
Person Specification
Essential
- Primary Medical Qualification (MBBS or equivalent)
- Full registration with GMC
- MRCP (UK) or equivalent
- Post-CCT or nearing completion of training
- Independent in OGD and Colonoscopy (JAG Criteria)
- Lifetime total of >=500 OGDs and >=500 colonoscopies, with satisfactory KPIs over the previous 12 months - Caecal intubation rate >=90% - Adenoma detection rate >=20%
- Completion of minimum of 100 EMRs with documented evidence of Level 2 polypectomy competence, indluding - Lesion assessment - Submucosal lifting - Safe and effective resection - Recognition and documentation of complications
- Independent in endoscopic management of Upper GI bleeds and basic therapeutic endoscopy
- Understanding of principles of Research and Audit
Desirable
- Exposure to Barrett's therapies (e.g. RFA)
- Familiarity with advanced imaging modalities (e.g. NBI, Ascetic acid)
- Basic knowledge of chromoendoscopy
- Observational or hands-on exposure to ESD (live or model)
- Completion of JAG Basic Skiils and/or Train the Trainer (TET) courses
- Evidence of audit in relevant field
- Evidence of presentations in relevant field
- Evidence of publications in relevant field
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.
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).
Additional information
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.
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).
