Senior Clinical Fellow in Gastroenterology

2 days ago


Oxford, United Kingdom Oxford University Hospitals NHS Foundation Trust Full time

AnUpper GI and Endoscopyfull-time fully-funded Fellowship is available at the Oxford University Hospitals NHS Foundation Trust. This fellowship is designed to complement the existing gastroenterology service and offer advanced training in the diagnosis and management of Upper GI disease and endoscopy. The post is available fromFebruary 2024and will involve 12 months as Senior Clinical Fellow (SCF). The work will Include 4 endoscopy sessions and 2 clinics/week and the rest of the time will be devoted to research/specialist activities/administration. OUH fellowships are designed to complement the clinical service while receiving advanced training with appropriate support. As with all our SCF posts, the principle is that there are 6 clinical and 4 academic sessions/week, the academic sessions include appropriate time for clinical research, a personal project, teaching and administration. One of the endoscopy sessions is flexible and may need to be worked on a Saturday. The John Radcliffe provides an integrated service with Horton General Hospital, Banbury. All clinical activity will be under the supervision ofDr Emma Culver(Fellowship Programme Director) andDr Jan Bornschein(Upper GI Specialist). The successful applicant will be expected to contribute to the Gastroenterology out-of-hours cover rota, and to weekday emergency endoscopy and ward referral weeks at ≤1:12 frequency.

The unit delivers a comprehensive service that is well linked with the Department of Upper GI Surgery and the Upper GI Physiology Unit. There is a fortnightly upper GI benign MDT in which complex patients are discussed as well as a weekly Upper GI Cancer MDT. We have a broad and productive endoscopic research programme, with subspecialist interest in polyp development and detection, Barrett’s and gastric surveillance, IBD surveillance, and the pathogenesis of GI malignancy. This is fully integrated with the University's basic science research programmes. More broadly, we have a GI biobank research and ethical framework that facilitates all research projects that require endoscopically-derived tissue samples.

A significant strength of our department is the opportunity to attend clinical and research meetings throughout the week. Clinical meetings include luminal histopathology, luminal radiology, clinical multidisciplinary meetings including the upper and lower GI cancer MDT, the upper GI benign MDT and the IBD MDT. Uniquely, our department also has a weekly academic afternoon with a range of clinical and research focussed learning opportunities, in addition to which there is a weekly journal club. The Unit is well recognised for its international diversity and the posts attract the best trainees from many areas of the world.

The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.

There are six SCFs in total, and these are experienced trainees, often attracted from abroad to complete advanced GI and Endoscopy Training pending a consultant appointment. The other fellowships are focussed
on endoscopy, nutrition, and small bowel transplant, advanced IBD, hepatology, and hepatobiliary intervention. Together the SCFs provide first class service delivery whilst allowing time to support the clinical
research of the department. Inpatient luminal and hepatology sides have three CMT (Core Medical Trainee) posts and a FY (Foundation Year) 1 post, which often attract academic trainees. At the Horton General Hospital (HGH), there are two Gastroenterology StRs.
Great emphasis is placed on multidisciplinary care, with close cooperation with colorectal and upper gastrointestinal surgeons, hepatobiliary surgeons, intestinal transplant surgeons, gastrointestinal histopathology, and radiology. Patients with inflammatory bowel disease or intestinal failure are jointly managed between surgical and medical teams. Five IBD specialist nurses, two Gastroenterology Dietitians and a Consultant Gastroenterology Pharmacist are attached to the team. There is close liaison with Paediatric Gastroenterology, especially for adolescent IBD. The Nutrition and Intestinal failure teams that include separate specialist nurses (vascular access, parenteral and enteral nutrition), dietitians, pharmacists are closely integrated with the unit.



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