Full-time Advanced Endoscopy Training Fellow with a responsibility in Endoscopy for Nottingham University Hospitals NHS Trust.
The post will be based across NUH campuses or our partner outsourcing units and is designed to acquire specialist advanced endoscopy training and support the activities of the endoscopy and gastroenterology department. The post-holder will work alongside a variety of consultant gastroenterologists and GI surgeons and will be responsible to the clinical leads in endoscopy and gastroenterology.
This is a one-year post specifically intended for registrars approaching their CCST or immediate post CCST wishing to expand their endoscopy and research experience. Opportunities include training in therapeutic and advanced colonoscopy (e.g. advanced EMR, ESD exposure), enteroscopy, ERCP (including advanced imaging and therapeutics, e.g. cholangioscopy), EUS (including interventional EUS), Barrett’s endotherapy, upper GI endoscopic resection and as such is most suited to those reaching the end of their specialist training in gastroenterology.
Clinical & Service Delivery
Independently perform diagnostic upper and lower GI endoscopy (including clinics)
Provide flexible cover for endoscopy lists, clinics, and inpatient procedures
Undertake triage and referral vetting
Potentially carry out capsule endoscopy reporting (depending on experience)
Multidisciplinary Working
Attend and present at weekly MDT meetings
Collaborate with radiology, surgery, pathology, oncology, and palliative care teams
Operational Support
Work closely with the operations, nursing, and admin teams to ensure smooth daily running
Support referral management and service coordination
Audit, Governance & Research
Lead and contribute to clinical audits (JAG/GRS)
Support clinical governance and quality improvement initiatives
Develop guidelines and monitor quality indicators (e.g. procedure appropriateness, sedation, patient experience)
Participate in research activities (with GCP certification)
Training & Teaching
Provide teaching and training to junior doctors and clinical endoscopists
Engage in ongoing professional development under an educational supervisor
Administrative & Supporting Duties
Complete patient/service-related administrative work
Contribute to audit/research sessions
With over 19,000 staff, we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.
Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!
We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.
As the candidate will also be conducting service endoscopy sessions (i.e. upper and lower GI endoscopy and clinic) independently they will need to have achieved competency in diagnostic upper and/or lower GI endoscopy. Weekly attendance and presentation at the relevant MDTs will be expected with interaction with colleagues from radiology, surgery, pathology, oncology and palliative care providing excellent exposure to complete patient management as well and upskilling in endoscopy.
Each successful applicant will be allocated an educational supervisor, whose role will be to support the development of a personal learning plan with SMART objectives to be completed within the year. The timetable will be confirmed with the educational supervisor dependent upon the competencies of the individual, timing of specialist sessions and needs of the service. This will involve job planned sessions in the evening and weekends as we look to maximise the use of our estate.
There will be 3 sub-speciality training lists in your chosen area each week. The primary service clinical duties of these posts is to provide flexible cover for endoscopy lists or clinic and to perform inpatient endoscopic procedures as required. The post will therefore include an average of 5 flexible service sessions per week (endosocpy, clinics, triage and referral vetting as required). There will be one session for audit/research and one session for patient or service-related administration work.
Depending on the post holders experience capsule endoscopy reporting may be required. The post-holder will be required to work closely with the operations team for the smooth running of the endoscopy unit on a daily basis that will require regular vetting of referrals and support the administration and nursing team. The work intensity will vary depending on the number of lists cancelled by other endoscopists.
The post-holder will also be committed to initiating, supervising and conducting a program of rolling audits (JAG/GRS audits) within the department as part of clinical governance requirements and to perform other tasks required to fulfil the criteria set by the global rating scale in endoscopy such as the development of guidelines. Examples would include audit of appropriateness of procedures, quality indicators, sedation practice, patient satisfaction etc. There are strong links to academic medicine within the department and the post holder will have the opportunity to participate in research in the endoscopy unit if desired. Candidates would be expected to have obtained the “Good Clinical Practice” (GCP) certification necessary to contribute in research before starting the post.
As well as taking an active role in all activities within the department, the successful candidate will also be expected to have a strong commitment to teaching, including the teaching/training of junior registrars and clinical endoscopists in endoscopy related activities.
