Clinical Fellow (ST3+ Level) in Gastroenterology

Job overview

Are you an ambitious Gastroenterology trainee looking to develop your expertise in a supportive, high-performing NHS teaching hospital? This 6 month Specialty Registrar (ST3+ or equivalent) role at Southmead Hospital offers exceptional clinical exposure across Gastroenterology, Hepatology and General Internal Medicine, including tertiary-level liver disease.

You'll take a leading role in managing complex inpatient cases, supervising specialist ward teams, delivering referral services, and developing your endoscopy and outpatient skills through dedicated training opportunities. The post can be tailored to your career ambitions, with additional opportunities in research, quality improvement, medical education and service development.

If you're seeking a role that combines clinical challenge, professional growth, hands-on procedural experience and the chance to make a real difference to patient care, we'd love you to join our team.

Main duties of the job

The successful applicant will join a team of four specialty registrars providing inpatient Gastroenterology and Hepatology services. The role includes supervising the specialist ward team, delivering the inpatient specialty referral service, and participating in outpatient clinics and endoscopy training lists. The post holder will also contribute to the General Internal Medicine on call rota, leading the acute medical take and providing senior support to the out of hours medical team.

The Gastroenterology and Hepatology ward typically cares for 19–24 inpatients with a broad range of complex gastroenterology and hepatology conditions, while also providing specialist input for patients requiring critical care support in the Intensive Care Unit.

The department offers broad exposure to luminal gastroenterology and hepatology, including tertiary level liver disease. The clinical content of the post can be tailored to the educational needs and career aspirations of the successful applicant.

Timetable: On average, 1 outpatient Gastroenterology or Hepatology clinic per week and a dedicated endoscopy training list. Additional endoscopy experience is available through inpatient and ad hoc service lists.

The rest of the post is dedicated to inpatient specialist care and delivery of a comprehensive inpatient referral service across the Trust. There are also opportunities to participate in clinical research, quality improvement, medical education and service development.

Detailed job description and main responsibilities

The successful applicant will gain broad experience across the full spectrum of Gastroenterology, Hepatology and General Internal Medicine. Clinical duties will include:

• Assessment and management of patients on the Gastroenterology and Hepatology inpatient ward, including provision of a Trust-wide inpatient referral service, with exposure to patients in the Intensive Care Unit (ICU) and Same Day Emergency Care (SDEC).
• Participation in the General Internal Medicine registrar on-call rota, leading the acute medical take and providing senior support to the out-of-hours medical team.
• Attendance at one to two dedicated endoscopy training lists per week, with additional opportunities to undertake service endoscopy sessions where appropriate.
• Attendance at, on average, one outpatient Gastroenterology or Hepatology clinic per week (approximately four clinics per month).
• Participation in weekly multidisciplinary team meetings, including Hepatology, HPB and IBD MDTs, together with departmental Journal Club, radiology meetings and Clinical Governance meetings.
• Active involvement in clinical audit, quality improvement and service development projects.
• Opportunities to contribute to, and develop, the department's expanding clinical research portfolio.
• Allocation of a named Educational Supervisor to support professional development, career progression and achievement of individual learning objectives.

Teaching

The post holder will be expected to contribute to the education and supervision of junior medical staff and undergraduate medical students through informal bedside and workplace-based teaching. They will also be encouraged to participate in the department's educational programme, including presenting at Medical Grand Rounds and the departmental Journal Club.

Teaching and Educational Programme

The department has a comprehensive educational programme, including a weekly Gastroenterology radiology meeting, weekly Hepatobiliary (HPB), Inflammatory Bowel Disease (IBD) and Hepatology multidisciplinary team (MDT) meetings, a weekly Gastroenterology Journal Club, and a monthly Clinical Governance meeting. The post holder will be encouraged and expected to participate actively in these educational activities.

Educational Approval

Although this post does not have formal educational approval from NHS England (Severn Deanery), it offers excellent training opportunities within a supportive teaching environment. The successful applicant will have access to the department's established educational programme, regular outpatient clinics, endoscopy training lists and multidisciplinary meetings, and will be expected to participate fully in these activities as part of their professional development.

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.