Clinical Fellow Hepato-Bilial Surgery

Job overview

The Liver service is probably the largest comprehensive clinical liver programme in the world.  It provides an integrated investigation and treatment service for all types of acute and chronic liver diseases as well as research into pathogenesis and future patient management.  Routine and emergency cases are accepted from District HA and Supra-regional contracts as appropriate to the core services of liver transplantation, hepato-pancreato-biliary surgery, liver intensive care and general hepatology. There is also close co-operation with the Paediatric Liver Services.

The HPB service currently performs around 600 major resections each year.

Main duties of the job

The adult liver service is comprised of 4 core services – hepatology, liver intensive care, liver transplantation and hepatobiliary medicine/surgery.  These services closely inter-digitate offering seamless patient care.  The services are supported by CPA approved laboratory services in histopathology, viral hepatitis testing and immunosuppressive monitoring. There are also close links with 3 dedicated liver radiologists.

The liver service combines with Renal and Surgery to form a division with a managerial structure under the Divisional Manager for Liver, Renal and Surgery.  The adult Liver Service also combines with paediatric liver services and academics to form the Institute of Liver Studies.

The Clinical Director for Liver is supported by a number of lead clinicians: HPB, Hepatology, Liver Transplantation Surgery, Liver Laboratories, Gastroenterology.

Detailed job description and main responsibilities

The expectation is that the postholder will experience and achieve the following within two years:

Outpatient and Ward

• Participation in outpatient clinics o Participation in MDMs o Lead ward daily ward rounds
• Communicate with and advise external referrals

Surgery outcome/ theatre exposure Pancreatic resection (open and laparoscopic) o Liver resection (open and laparoscopic) o Surgery for neuroendocrine tumours o Complex renal and caval surgery o Laparoscopic/ open cholecystectomy

• Surgery for benign HPB conditions: biliary reconstruction, fenestration, chronic pancreatitis surgery etc
• Expected surgical experience after 2 years:
• >20 liver resections o >15 pancreatico-duodenectomies
• >10 distal pancreatectomies

If the candidate is interested in liver transplant experience, then please discuss this with your supervisor.

• Academic Outcome                                                                                                   Clinical research (database, prospective projects, retrospective analysis)
• >3 peer reviewed papers

The role is designed to cultivate future consultant attributes and leadership.

Management/ administration:

• Participation in M&Ms
• Participation in team meetings
• Supervision and teaching of junior team members
• The principal administrative duty of the post-holder will be prompt communication about, and careful follow-up of patients seen in the outpatient clinic.
• In addition, the post-holder shares responsibility for writing the discharge summaries for patients.
• The post-holder will accept referrals from within and without the Trust by telephone and via the electronic referrals system.

On-call rota - 1:5

Weekends – on-call from home and ward rounds on Saturday and Sunday mornings. Evenings – on-call from home.

General

• You have a general duty of care for the health, safety and well-being of yourself, work colleagues, visitors and patients within the hospital in addition to any specific risk management or clinical governance accountabilities associated with this post.
• The post holder has an important responsibility for and contribution to make to infection control and must be familiar with the infection control and hygiene requirements of this role. These requirements are set out in the National Code of Practice on Infection Control and in local policies and procedures which will be made clear during your induction and subsequent refresher training.  These standards must be strictly complied with at all times.
• To observe the rules, policies, procedures and standards of King's College Hospital NHS Trust together with all relevant statutory and professional obligations.
• To observe and maintain strict confidentiality of personal information relating to patients and staff.
• To be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues.
• All employees must hold an 'nhs.net' email account which will be the Trust's formal route for email communication.  You are therefore required to check this regularly and to deal with such communication promptly.