Senior Clinical Fellow Pancreatobiliary Medicine

Job summary

Applications are invited for 2 posts of Senior Clinical Fellow in Pancreatiobiliary Medicine within the Royal Free Hospital Liver Unit, a liver transplant and tertiary HPB surgical referral centre with a large pancreatobiliary endoscopy service.

The successful candidates will contribute to the clinical care of patients with a wide range of hepatobiliary disorders through the triage and co-ordination of pancreatobiliary endoscopy referrals, including pre and post procedure management. The post-holders will work closely alongside HPB surgery and hepatology teams, as well as liaise with external referrers. There is the opportunity to attend up to 11 pancreatobiliary training endoscopy lists per week, performing ERCP and EUS under consultant supervision. The posts also offers experience in a range of other fluoroscopy-guided interventional endoscopy procedures, including enteral and colonic stent placement and jejunal feeding tube insertion. The appointees will be responsible for co-ordination of the weekly benign joint Royal Free/UCLH HPB multi-disciplinary team meeting. Depending upon their training needs and interests, there is the opportunity to gain further experience through attendance at weekly MDTs in liver transplantation, hepatobiliary malignancies and hepatology radiology and pathology meetings.

Main duties of the job

There is no formal inpatient commitment other than review of patients referred for endoscopic interventions. Attendance at weekly specialist clinics in pancreatobiliary medicine and autoimmune liver diseases is encouraged. The posts includes a contribution to the out-of-hours rota for hepatology and liver transplantation. The Unit has an excellent research reputation and an interest in research is desirable with suitable projects available depending on the candidate's interest.

The Pancreatobiliary Medicine service complements the HPB surgical and liver transplant practices. The unit has recently expanded to a total of 11 regular pancreatobiliary endoscopy lists per week (five with anaesthetic support) and currently undertakes more than 700 ERCP and 600 EUS procedures annually, providing excellent opportunities for clinical training. We have an established cholangioscopy service as well as offering interventional EUS procedures including pancreatic cyst and biliary/gallbladder drainage procedures, Endoscopic ultrasound-directed transgastric ERCP (EDGE) as well as EUS guided gastro jejunostomy

About us

Hepatology and Hepatobiliary Medicine at the Royal Free Hospital

The Royal Free provides a wide range of secondary and tertiary Hepatology and HPB services. There is excellent access to ITU, a 24 hour TIPS rota and 24-hour consultant led GI bleeding rota. The liver transplant service has been established for 25 years and the number of transplants performed has recently increased recently, currently standing at approximately 125 per year. We have a live donor program and are seeking to expand this activity. We are a tertiary centre for patients with hepatobiliary and pancreatic malignancy and the full range of surgical, locoregional and oncological treatments is provided for these patients. Dedicated clinics are established for viral hepatitis, liver metabolic disease, primary hepatocellular malignancy, autoimmune liver disease, PBC, PSC, NAFLD, Vascular liver disease as well as clinics for general hepatology and liver transplantation.