Salary: £37,068 - £57,570 a year

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Applications are invited for a senior clinical fellow in Hepatology and Liver Transplantation at the Royal Free Hospital, a tertiary Hepatology and Liver Transplant Centre. The Unit has an excellent reputation for clinical care and research. The post is fully NHS funded and will be most suited to those reaching the end of their specialist training in gastroenterology/ hepatology wishing to gain more extensive experience. As well as liver transplantation, there is opportunity to pursue a sub-specialist interest, for example, in acute-on-chronic liver failure, viral hepatitis, complex portal hypertension and vascular liver diseases, autoimmune liver diseases, hepatocellular carcinoma or non-invasive fibrosis assessment. An interest in research is desirable and suitable projects offered depending on the candidate’s interest.

The appointee will participate in the full range of daytime activities, to include cover of outpatients, exposure to endoscopy lists, the management of ward-based Hepatology and Liver Transplant patients, research, audit and teaching. The appointee will be able to attend weekly MDTs scheduled in transplantation, viral hepatology and hepatobiliary malignancies, radiology and pathology meetings. An individualised programme of clinical sessions, research and audit will be agreed with the successful candidate to meet subspecialist interest and training needs. The post includes a contribution to the out-of-hours rota.

As well as liver transplantation, there is opportunity to pursue a sub-specialist interest, for example, in acute-on-chronic liver failure, viral hepatitis, complex portal hypertension and vascular liver diseases, autoimmune liver diseases, hepatocellular carcinoma or non-invasive fibrosis assessment. An interest in research is desirable and suitable projects offered depending on the candidate’s interest.

The appointee will participate in the full range of daytime activities, to include cover of outpatients, exposure to endoscopy lists, the management of ward-based Hepatology and Liver Transplant patients, research, audit and teaching. The appointee will be able to attend weekly MDTs scheduled in transplantation, viral hepatology and hepatobiliary malignancies, radiology and pathology meetings. An individualised programme of clinical sessions, research and audit will be agreed with the successful candidate to meet subspecialist interest and training needs. The post includes a contribution to the out-of-hours rota.

Hepatobiliary Medicine at the Royal Free Hospital

The Royal Free Hospital has, for a long time been synonymous with research and clinical excellence in the field of hepatology, and with the current near exponential increase in the incidence of liver disease, we aim to remain at the frontier of patient care, research and education.

For further information, please contact:
Dr Aileen Marshall: aileen.marshall@nhs.net Tel: 020 3758 2000 Ext 38325

About us

Our mission is to improve the health of the people we serve by delivering exceptional care, teaching and research every day.

What you’ll love about working here

We are outstanding!The CQC rated the organisation as Outstanding for services being caring and well-led. The Trust was the first in the country to go from Requires Improvement to Outstanding in 2017, and is now the first to do this and then retain this rating. The Trust is currently one of only seven in the country to have been rated Outstanding twice, and one of only three general acute Trusts to achieve this.

A digital exemplar-Being appointed as a Global Digital Exemplar means we can realise this vision by implementing digital technologies that will help us to transform the way we work and how we relate to our colleagues, patients and partner organizations.

Sustainable healthcare- We have joined the international movement to declare a climate emergency, recognising the impact climate change is having on the world. Climate change is labelled as the greatest threat to health in the 21st century, with a range of conditions related to heat, cold, extreme weather and air pollution predicted to rise. To lead the way in healthcare the Trust has set ambitious goals to become carbon neutral by 2030.

Applications are invited for a senior clinical fellow in Hepatology and Liver Transplantation at the Royal Free Hospital, a tertiary Hepatology and Liver Transplant Centre. The Unit has an excellent reputation for clinical care and research. The post is fully NHS funded and will be most suited to those reaching the end of their specialist training in gastroenterology/ hepatology wishing to gain more extensive experience. As well as liver transplantation, there is opportunity to pursue a sub-specialist interest, for example, in acute-on-chronic liver failure, viral hepatitis, complex portal hypertension and vascular liver diseases, autoimmune liver diseases, hepatocellular carcinoma or non-invasive fibrosis assessment. An interest in research is desirable and suitable projects offered depending on the candidate’s interest.

The appointee will participate in the full range of daytime activities, to include cover of outpatients, exposure to endoscopy lists, the management of ward-based Hepatology and Liver Transplant patients, research, audit and teaching. The appointee will be able to attend weekly MDTs scheduled in transplantation, viral hepatology and hepatobiliary malignancies, radiology and pathology meetings. An individualised programme of clinical sessions, research and audit will be agreed with the successful candidate to meet subspecialist interest and training needs. The post includes a contribution to the out-of-hours rota.

Hepatobiliary Medicine at the Royal Free Hospital

The Royal Free Hospital has, for a long time been synonymous with research and clinical excellence in the field of hepatology, and with the current near exponential increase in the incidence of liver disease, we aim to remain at the frontier of patient care, research and education.

The Royal Free provides secondary and tertiary Hepatology services. There is excellent access to ITU, a 24 hour TIPS rota and 24 hour consultant led GI bleeding rota. The liver transplant service at the Royal Free has been established for 30 years. The number of transplants performed has increased recently and currently stands at approximately 140 liver transplants per year. We have a live donor program. We are a tertiary centre for patients with hepatobiliary and pancreatic malignancy and the full range of surgical, locoregional and oncological treatments is provided for these patients. Dedicated clinics are established for viral hepatitis, liver metabolic disease, primary hepatocellular malignancy, autoimmune liver disease, PBC, PSC, NAFLD, Vascular liver disease as well as clinics for general hepatology and liver transplantation. A number of very active clinical research programs run with themes such as clinical and experimental portal hypertension, acute and acute on chronic liver failure, liver support and liver transplantation, non-invasive fibrosis assessment, clinical trials of new anti-viral agents, metabolic studies of hepatic encephalopathy, pruritis pathways and examining the effect of remote ischaemia pre-conditioning on liver graft function.

For further information, please contact:
Dr Aileen Marshall: aileen.marshall@nhs.net Tel: 020 3758 2000 Ext 38325

a transplantation unit.

A training contract and areas of particular interest would be identified prior to commencement of the post but the following areas could be provided at UHBW:
  • Management of complex viral liver disease
  • Decompensated chronic liver disease and alcoholic hepatitis
  • Portal hypertension
  • Liver cancer
  • Long term follow-up of the transplant patient and transplant assessment
  • Acute liver failure
  • Complex biliary and autoimmune liver diseases
  • Other training experience available: ERCP/EUS, research meetings, audit/governance
The trainee would have supervised clinic experience, through between 2 and 3 specialist Hepatology clinics weekly (including independently-run ‘Hot-clinic’ for urgent referrals). Direct consultation with the supervising consultant would be expected at the end of each clinic; a half hour discussion session will be included. The trainee would participate in ward cover of Hepatology patients in conjunction with a consultant Hepatologist (there is always hepatology cover) and share responsibility for daily senior hepatology in-reach to AMU/ED/ITU and additional referrals.

It is expected that the trainee will present regular case summary and literature review (i.e. case-based) on a regular basis at the weekly Friday lunchtime Hepatology meeting. A log of these presentations will be kept and form part of the assessment of completeness of training.
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Deadline: 27-11-2024

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