Senior Clinical Fellow in Hepato-Pancreato-Biliary Surgery

Job overview

We are seeking to appoint a Senior Clinical Fellow to work within King’s Liver Hepato-biliary & Pancreatic and Liver Transplant service to provide and further develop these services for our patients. The post holder will also work on the Hepato-biliary & Pancreatic Surgery on call rota. The post holder is expected to cover all emergency on-call work, usually through the Acute Surgical Unit.

Main duties of the job

Patients with benign and malignant hepato-pancreato-biliary (HPB) disease are managed on a single surgical unit within the Liver and Renal Division at King’s College Hospital. The Unit performs around 200 major HPB surgical cases a year. There are 7 consultant surgeons: Parthi Srinivasan, Krishna Menon, Ameet Patel (HPB only), Parthi Srinivasan, Alessandro Parente, Mohamed Elmasry, and Simon Atkinson (pancreas only - joint appointment with Guy’s/St Thomas’s).  All have a variety of additional interests including transplantation, laparoscopic and general surgery.

A further Liver Transplant Surgeon (Wayel Jassem) provides on call cover.

HPB in-patients are based on Dawson Ward.  There are two full day operating lists five days a week.  HPB out-patient clinics are centred on Wednesday and Thursday mornings within the Liver out-patient department.  There are four HPB/ HCC/ GI NET multi-disciplinary meetings a week plus a separate pathology meeting.

Detailed job description and main responsibilities

The post-holder will receive annual appraisal and feedback from their educational supervisor Mr Parthi Srinivasan.  Progress will be assessed against the competency framework appended to this document.

Two year training programme; one year contract renewable each year for a maximum of two years subject to mutual agreement.

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

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

Surgery outcome/ theatre exposure o 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

• o   Surgery for benign HPB conditions: biliary reconstruction, fenestration, chronic pancreatitis surgery etc
• Expected surgical experience after 2 years:

o  >20 liver resections o >15 pancreatico-duodenectomies

o  >10 distal pancreatectomies

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

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

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

• 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.