Job summary
We
are inviting applications for the position of post-CCT Senior Fellow in
advanced luminal endoscopy at The Leeds Teaching Hospitals NHS Trust. This post
is designed to provide training opportunity in submucosal endoscopy (ESD +/-
POEM). Proficiency in advanced diagnostic endoscopy, lesion recognition, EMR
and haemostasis is essential. Although prior submucosal work on ex-vivo models
is desirable, a week of training in wet lab can be arranged locally at request.
Training in ESD/submucosal endoscopy and other advanced endoscopic techniques
will be delivered in ~4 dedicated lists per week. This post will be supervised
by Dr Noor Mohammed. The post holder is expected to run his/her own EMR lists
and contribute towards dedicated clinics and local/regional MDT meetings. This
post is available from September 2024 for a period of 12 months initially. This
post will be offered for a fixed term and is not accredited for training.
Further
training in other aspects of luminal therapeutics if desired can be arranged
under supervision of Drs Rembacken and Sood.
There is GIM ward commitment 1:7 weeks which will be
paid on a consultant scale. Hence it is essential that the candidate has CCT in
GIM. There will be opportunity to contribute to the on-call Gastroenterology
registrar rota if desired. Candidates must be fully registered with the General
Medical Council and hold a licence to practice at the time of application.
Main duties of the job
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.
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 luminal diseases
and the gastroenterology department has close working links with upper and
lower GI surgery, GI physiology, radiology and oncology services. The
post-holder will be training under the supervision of Dr Noor Mohammed.
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
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
9. Competent and fully independent in
assessment of polyps for ESD.
10. Competent in interpreting UGI physiology
11. Competent and independent in all aspects
of basic steps in ESD
12. Competent in resecting rectal and gastric
lesions ~2cms by 6th month
13. Competent in resecting lesions ~2cms in
right colon/Oesophagus and lesion >2cms in left colon by 12th month
14. Competent in all complexities of ESDs in
upper and lower GI tract
15. Competence in techniques of closing
mucosal flap with TTS/OTS clips and endoscopic suturing
16. Experience
of working as a Consultant in G(I)M.
Job description
Job responsibilities
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
9. Competent and fully independent in
assessment of polyps for ESD.
10. Competent in interpreting UGI physiology
11. Competent and independent in all aspects
of basic steps in ESD
12. Competent in resecting rectal and gastric
lesions ~2cms by 6th month
13. Competent in resecting lesions ~2cms in
right colon/Oesophagus and lesion >2cms in left colon by 12th month
14. Competent in all complexities of ESDs in
upper and lower GI tract
15. Competence in techniques of closing
mucosal flap with TTS/OTS clips and endoscopic suturing
16. Experience
of working as a Consultant in G(I)M.
Person Specification
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
Desirable
- Unsupervised EMRs/Polypectomies
- Submucosal work on animal models
Clinical, Academic, and Personal Skills
Essential
- 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
Eligibility, Fitness to practice, and Language Skills
Essential
- Awareness of GMCs Good Research Practice guidance (General Medical Council, 2010)
- Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
- Able to build rapport, listen, persuade & negotiate
- Eligible for full registration with the GMC at time of application and hold a current licence to practice
- Eligibility to work in the UK.
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
Desirable
- CCT in Gastroenterology and GIM
Person Specification
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
Desirable
- Unsupervised EMRs/Polypectomies
- Submucosal work on animal models
Clinical, Academic, and Personal Skills
Essential
- 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
Eligibility, Fitness to practice, and Language Skills
Essential
- Awareness of GMCs Good Research Practice guidance (General Medical Council, 2010)
- Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
- Able to build rapport, listen, persuade & negotiate
- Eligible for full registration with the GMC at time of application and hold a current licence to practice
- Eligibility to work in the UK.
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
Desirable
- CCT in Gastroenterology and GIM
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).
