Advanced Colonoscopy Fellow (ATSM Fellow)

Job overview

This is an excellent opportunity for a motivated doctor to join The Royal Wolverhampton NHS Trust as an ATSM Fellow in Colonoscopy (Senior Clinical Fellow – ST6/7 equivalent). The post forms part of the national Advanced Training Skills Module (ATSM) programme and is designed to support clinicians who are progressing toward advanced colonoscopy and polypectomy practice, with a long‑term aim of becoming an accredited BCSP Colonoscopist.

The successful applicant will work within our high‑performing Endoscopy Unit at New Cross Hospital, with additional activity at Cannock Chase Hospital. The role provides five colonoscopy sessions per week, including two supervised advanced training lists and three independent lists, allowing consolidation of complex polypectomy skills. The Fellow will also play a key role in coordinating the polyp MDT, contributing to colorectal cancer pathways, and supporting governance, audit and service development work within the department.

This is a full‑time 12‑month fixed‑term Medical & Dental training fellowship, funded nationally. Applicants must hold full GMC registration, possess (or be close to achieving) JAG certification for independent colonoscopy, and demonstrate a clear commitment to a future career within advanced endoscopy and the NHS. Higher specialty trainees (ST6+), post‑CCT clinicians, and experienced specialty doctors with the required skill level are welcome to apply.

Main duties of the job

Undertake five colonoscopy lists per week, including:

• Two supervised ATSM training lists focused on advanced polypectomy
• Three independent colonoscopy lists

Lead and coordinate the Polyp MDT, working with administrative, pre‑assessment and referring teams to ensure timely and safe progression of patients through the pathway.

Attend and contribute to the Colorectal Cancer MDT.

Complete a bi‑annual audit of the large polyp service and present findings at relevant departmental or divisional meetings.

Participate in clinical governance, audit, service improvement and research activities in line with departmental and ATSM requirements.

Undertake additional clinical duties appropriate to the postholder’s skill set, which may include:

• Capsule endoscopy
• Specialist clinics
• Inpatient gastroenterology reviews
• Involvement in Midlands Endoscopy Training Academy (META) teaching and workshops

Work to JAG endoscopy standards, Trust policies, and all regulatory requirements.

Contribute to education and training within the Endoscopy Department, including supporting junior medical staff where appropriate.

Maintain high standards of patient care, communication, documentation, and professionalism consistent with Trust values and GMC guidance.

Detailed job description and main responsibilities

The Advanced Training Skills Module (ATSM) Fellow in Colonoscopy will undertake a 12‑month, full‑time Medical & Dental training post within the Gastroenterology Directorate at The Royal Wolverhampton NHS Trust. This nationally funded fellowship provides structured, high‑quality training in advanced colonoscopy, polypectomy and large polyp management, supporting the development of future Bowel Cancer Screening Programme (BCSP) colonoscopists.

The postholder will work across New Cross Hospital and Cannock Chase Hospital within a high‑performing, JAG‑accredited Endoscopy Unit. The role combines supervised training, independent clinical activity, MDT involvement, service improvement, research opportunities and participation in governance. The Fellow will be supported by a named Educational Supervisor and Clinical Supervisor and will work closely with the Clinical Director, Endoscopy Leads, Midlands Endoscopy Training Academy (META), and the wider multidisciplinary team.

• Undertake five colonoscopy lists per week, consisting of: Two supervised training lists focused on development and consolidation of advanced polypectomy skills Three independent colonoscopy lists, delivering high‑quality diagnostic and therapeutic procedures
• Two supervised training lists focused on development and consolidation of advanced polypectomy skills
• Three independent colonoscopy lists, delivering high‑quality diagnostic and therapeutic procedures
• Provide safe, effective and timely care for patients undergoing colonoscopy in accordance with JAG standards and Trust policies.
• Demonstrate professional responsibility for patient assessment, consent, procedural performance, and post‑procedure communication.
• Contribute to inpatient gastroenterology reviews or specialist clinics, where appropriate to the individual’s skills and development plan.

• Lead and coordinate the Polyp MDT, ensuring effective liaison with administrative teams, referrers, pre‑assessment services and clinical colleagues.
• Attend the Colorectal Cancer MDT, contributing to case discussion and pathway progression.
• Support optimisation of the large polyp pathway, contributing to timely patient flow and high‑quality decision‑making.
• Engage with META and regional partners to support educational events, training courses and endoscopy workforce development.

• Undertake a bi‑annual audit of the large polyp service, presenting results at departmental or divisional governance meetings.
• Participate in clinical audits, quality improvement projects, and service evaluations, meeting ATSM and Trust requirements.
• Contribute to endoscopy governance, ensuring adherence to safety standards, incident reporting, learning and continuous improvement.
• Participate in research activity related to endoscopy or colorectal disease, where opportunities arise.

• Work with a named Educational Supervisor to meet the learning outcomes of the ATSM in Colonoscopy, maintaining an up‑to‑date portfolio and evidence log.
• Participate in formal and informal teaching of junior medical staff, nurses, and trainees.
• Support delivery of local and regional teaching sessions, simulation training or META workshops, depending on experience and interest.

• Maintain full GMC registration with a licence to practise.
• Demonstrate high‑level communication skills, professionalism and adherence to Trust values and behaviours.
• Ensure compliance with infection prevention and control, safeguarding, health and safety, data protection and all statutory training.
• Participate in annual appraisal, job plan review, mandatory training and other professional development activities.
• Contribute to a positive, collaborative and supportive working environment within the Endoscopy team and wider Gastroenterology Directorate.