Job Description

LEEDS TEACHING HOSPITAL NHS TRUST JOB DESCRIPTION JOB DETAILS Job Title: Senior Clinical Fellow Specialty/Department: Upper GI Location: St Jamess University Hospital INFORMATION ABOUT THE DEPARTMENT This is a 12-month fixed-term post for a Senior Clinical Fellow working within the Upper Gastrointestinal Surgery Department based at St Jamess University Hospital. The unit is a tertiary centre for referrals for oesophago-gastric cancer surgery as well as providing upper gastrointestinal and bariatric surgery services to Leeds. This post will be suitable for a trainee who is taking or who has just taken the UK CCST exams or international equivalent and will be for 12 months. Previous experience in Upper GI surgery is essential.



Given the tertiary nature of much of the unit's work, a post-CCT or an experienced senior surgical trainee are likely to get the most benefit from the Fellowship. The unit comprises six surgeons. All six surgeons undertake oesophago-gastric cancer resections, bariatric surgery, anti-reflux surgery and general surgery (e.g laparoscopic cholecystectomy and hernia surgery). There is training in laparoscopic and open oesophagectomy and gastrectomy.



Cancer training is supplemented by broad training in Upper Gastrointestinal Surgery including bariatrics, anti-reflux and hiatal surgery. There is a JAG accredited endoscopy unit and training can be provided to the candidate depending on their level of experience and interests. The Upper GI Department commenced a robotic surgery programme in 2022, and now offers robotic surgery using the DaVinci Xi dual console platform for major UGI cancer resections, bariatrics, anti-reflux and hiatal surgery. The robotic theatre suite benefits from two simulation consoles which trainees and fellows are encouraged to access.



MEDICAL STAFF IN THE DEPARTMENT The post-holder along with 2 other Speciality registrars will have access to 4.5 full day operating sessions per week in main theatre and day surgery lists, specialist multidisciplinary meetings, outpatient clinics and endoscopy lists. This post will be allocated to the Department of Upper Gastrointestinal and Minimally Invasive Surgery led by 5 Consultants. The unit has expertise in the management of oesophagogastric cancer, complex benign upper GI disease, minimally invasive surgery and obesity surgery. KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED Please see Person Specification DUTIES OF THE POST 1.



Work with 2 other speciality registrars to provide clinical care for acute, elective and outpatients under supervision of the Upper GI Surgical Unit consultants. 2. Participate in the general surgical out of hours senior registrar rota providing emergency care for acute surgical admissions and referrals, patients on the general surgical wards, the surgical high dependency unit and the intensive care unit. Appointees on the senior registrar rota cover a 24 hour on call and support more junior registrars who are on site overnight.



3. Support general and specialist outpatient clinics, theatre sessions, endoscopy sessions and day-case surgery. Obtain experience in the surgical management of upper cancer, complex upper GI disease, minimally invasive and bariatric surgery. 4.



Contribute to weekly departmental and specialist multidisciplinary meetings and monthly audit meetings. 5. Participate in any on-going clinical trials to facilitate the collection and analysis of clinical data. Collaborate in clinical research and submit for presentation or publication where possible.



6. Participate in the teaching of medical students and clinical supervision of juniors. This post does not have Postgraduate Deans approval. However study leave expenses may be available to the post holder for appropriate purposes.



LEVELS OF RESPONSIBILITY TEACHING AND RESEARCH/STUDY AND TRAINING The appointee will be expected to participate in teaching. The unit accepts medical students from Leeds Medical School at regular intervals. In addition there will be opportunities for the appointee to participate in Clinical Research.