Advanced Endoscopy Training Fellowships

Job overview

Full-time Advanced Endoscopy Training Fellow with a responsibility in Endoscopy for Nottingham University Hospitals NHS Trust.

The post will be based across NUH campuses or our partner outsourcing units and is designed to acquire specialist advanced endoscopy training and support the activities of the endoscopy and gastroenterology department. The post-holder will work alongside a variety of consultant gastroenterologists and GI surgeons and will be responsible to the clinical leads in endoscopy and gastroenterology.

This is a one-year post specifically intended for registrars approaching their CCST or immediate post CCST wishing to expand their endoscopy and research experience. Opportunities include training in therapeutic and advanced colonoscopy (e.g. advanced EMR, ESD exposure), enteroscopy, ERCP (including advanced imaging and therapeutics, e.g. cholangioscopy), EUS (including interventional EUS), Barrett’s endotherapy, upper GI endoscopic resection and as such is most suited to those reaching the end of their specialist training in gastroenterology.

Main duties of the job

Clinical & Service Delivery

• Independently perform diagnostic upper and lower GI endoscopy (including clinics)
• Provide flexible cover for endoscopy lists, clinics, and inpatient procedures
• Undertake triage and referral vetting
• Potentially carry out capsule endoscopy reporting (depending on experience)

Multidisciplinary Working

• Attend and present at weekly MDT meetings
• Collaborate with radiology, surgery, pathology, oncology, and palliative care teams

Operational Support

• Work closely with the operations, nursing, and admin teams to ensure smooth daily running
• Support referral management and service coordination

Audit, Governance & Research

• Lead and contribute to clinical audits (JAG/GRS)
• Support clinical governance and quality improvement initiatives
• Develop guidelines and monitor quality indicators (e.g. procedure appropriateness, sedation, patient experience)
• Participate in research activities (with GCP certification)

Training & Teaching

• Provide teaching and training to junior doctors and clinical endoscopists
• Engage in ongoing professional development under an educational supervisor

Administrative & Supporting Duties

• Complete patient/service-related administrative work
• Contribute to audit/research sessions

Detailed job description and main responsibilities

As the candidate will also be conducting service endoscopy sessions (i.e. upper and lower GI endoscopy and clinic) independently they will need to have achieved competency in diagnostic upper and/or lower GI endoscopy. Weekly attendance and presentation at the relevant MDTs will be expected with interaction with colleagues from radiology, surgery, pathology, oncology and palliative care providing excellent exposure to complete patient management as well and upskilling in endoscopy.

Each successful applicant will be allocated an educational supervisor, whose role will be to support the development of a personal learning plan with SMART objectives to be completed within the year. The timetable will be confirmed with the educational supervisor dependent upon the competencies of the individual, timing of specialist sessions and needs of the service. This will involve job planned sessions in the evening and weekends as we look to maximise the use of our estate.

There will be 3 sub-speciality training lists in your chosen area each week. The primary service clinical duties of these posts is to provide flexible cover for endoscopy lists or clinic and to perform inpatient endoscopic procedures as required. The post will therefore include an average of 5 flexible service sessions per week (endosocpy, clinics, triage and referral vetting as required). There will be one session for audit/research and one session for patient or service-related administration work.

Depending on the post holders experience capsule endoscopy reporting may be required. The post-holder will be required to work closely with the operations team for the smooth running of the endoscopy unit on a daily basis that will require regular vetting of referrals and support the administration and nursing team. The work intensity will vary depending on the number of lists cancelled by other endoscopists.

The post-holder will also be committed to initiating, supervising and conducting a program of rolling audits (JAG/GRS audits) within the department as part of clinical governance requirements and to perform other tasks required to fulfil the criteria set by the global rating scale in endoscopy such as the development of guidelines. Examples would include audit of appropriateness of procedures, quality indicators, sedation practice, patient satisfaction etc. There are strong links to academic medicine within the department and the post holder will have the opportunity to participate in research in the endoscopy unit if desired. Candidates would be expected to have obtained the “Good Clinical Practice” (GCP) certification necessary to contribute in research before starting the post.

As well as taking an active role in all activities within the department, the successful candidate will also be expected to have a strong commitment to teaching, including the teaching/training of junior registrars and clinical endoscopists in endoscopy related activities.