Royal College Post CCT Fellow in Colorectal/Rectal Cancer Surgery

Job overview

The North Bristol Colorectal Surgery Department delivers emergency, major elective and short stay colorectal surgery, endoscopy and outpatient clinics. Last year the team saw 2049 emergency patients, 1600 outpatients, 190 colorectal cancers, 750 elective procedures and 1900 endoscopy procedures.

The department is recognised by ACPGBI as a Specialist Coloproctology Unit as suitable of training of colorectal SpRs during the latter stages of subspecialist training.

The Colorectal Team compromises of 8 consultants surgeons who have a strong commitment to teaching, audit and research, supported by a team of specialist nurses for cancer, enhanced recovery and stoma care. North Bristol is the regional centre for urology, and we operate on complex pelvic cancers with the urologists including pelvic exenterations. The plastic surgery department is on site if reconstructive flaps are required. The colorectal department manages low rectal cancers and advanced pelvic malignancy. The Trust has three Da Vinci robots and the colorectal team has established robotic colorectal surgery. We participate in bowel screening, offer advanced endoscopy training in EMR, as well as trans-anal resection techniques such as TAMIS. We work closely with the gastroenterologists managing inflammatory bowel disease, including ileo-anal pouches, and a weekly IBD MDT. Intestinal failure patients are managed by a joint Bristol nutritional gastroenterology and surgical team.

Main duties of the job

Job Description – The successful candidate will be the senior of the four colorectal registrars working with 9 colorectal consultant surgeons. This fellowship post is recognised by ACPGBI/ Royal College of Surgeons RCS England Senior Clinical Fellowships in General Surgery — Royal College of Surgeons who review and quality assure the surgical training delivered.

Elective Work:  The Colorectal Fellowship aims to provide post CCT trainees with a stepping stone between being a competent colorectal resident and a highly appointable colorectal consultant who is ready for independent practice.  The post provides an opportunity to focus on a sub-specialty interest in advanced pelvic malignancy, with a high volume of relevant operative cases, including robotic experience, and comprehensive traning in investigation and management of this group of patients.

The successful candidate can expect to gain experience in laparoscopic, open and robotic colorectal surgery by participating in at least one elective colorectal list a week. The team manages colorectal cancer, including advanced pelvic malignancy, inflammatory bowel disease pelvic floor patients, and benign anorectal surgery.  The Da Vinci robot in the colorectal theatre has a dual console and simulator to allow for robotic training.

The post includes inpatient and outpatient management of colorectal patients. Depending on the successful candidates experience and career pathway, access to endoscopy training is available.

Detailed job description and main responsibilities

The team is part of the rota providing 24-hour emergency surgical care at North Bristol NHS Trust. NBT is a major trauma centre and the postholder will manage major trauma cases when on-call for emergency general surgery. It is the regional vascular centre and interventional radiology is available 24 hours a day.

On-call: The post holder will participate in the acute general surgical take including major trauma on an approximately 1 in 14 rota, which involves a ‘post-take’ emergency operating day with consultant supervision.