Gastroenterology/Endoscopy Quality Improvement Fellow

apartmentHomerton Healthcare NHS Foundation Trust placeLondon calendar_month 

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Job overview

Applications are invited for this 12 month post of Clinical Fellow in Endoscopy and Quality Improvement. This is an exciting and unique opportunity designed to provide a wide range of change management experience for a higher trainee who wishes to make a commitment to quality improvement and medical leadership as part of their career.

Main duties of the job

The twelve-month post has some degree of flexibility: typically five sessions per week developing and delivering quality improvement projects. These will be focused on the Endoscopy Department with a particular emphasis on the GI cancer pathways.

This will also include time to work towards a postgraduate qualification in Quality Improvement or Medical Leadership.

Working for our organisation

Homerton Healthcare NHS Foundation Trust is an acute hospital located in the east London Borough of Hackney. We are a merged hospital and community service trust. Homerton Healthcare is attached to the St. Bartholomew’s and the Royal London School of Medicine and Dentistry (part of University of London).

Homerton became one of the first ten NHS foundation trusts in the country in April 2004. This allows the Trust to secure certain freedoms to facilitate innovation in the way services are developed and provided.

The Gastroenterology Department at the Homerton Hospital provides a comprehensive service for patients with gastroenterological problems whilst being fully committed to developing, teaching, training and research at all levels. There are specialist weekly IBD, Nutrition, Pancreatobiliary and Liver & Hepatitis clinics with support from nurse specialists and dieticians.

The department includes 7 full time consultants, 1 nurse consultant, 3 specialist nurses, 2 nurse endoscopists, 2 NE Thames Gastroenterology ST3+ registrars, a SIM gastroenterology Fellow, an Acute Medicine ST3+ registrar, a Core medical trainee and 2 foundation doctors.

Detailed job description and main responsibilities

The post-holder will provide fixed and/or flexible cover for endoscopy lists and outpatient clinics. The post will include three flexible service endoscopy/clinic sessions per week. The work intensity will vary depending on the number of lists cancelled by other endoscopists and will likely include some Saturday or evening working.

There may also be a need to cover Gastroenterology outpatient clinics within the service sessions when there is increased demand in the out-patient services. There are no on-call commitments for this post.

The remaining 2 clinical sessions are available to meet the post-holder’s training needs. There will be opportunities to learn specialist endoscopic procedures eg therapeutic colonoscopy, ERCP/EUS or to attend specialist clinics including hepatology, nutrition or IBD.

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.

This will give the Fellow a unique insight into the overall performance of the department and excellent first-hand experience of meeting the demands of JAG quality standards.

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. 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 nursing staff in endoscopy related activities.

The post would typically be taken as an Out of Program Experience (OOPE) from their specialist training program. Prior agreement must be sought with the relevant Specialty Training Committee (STC) and Shared Services

Person specification

Qualifications

Essential criteria
  • MBBS or equivalent
  • Full registration with a licence to practice from the General Medical Council, or eligible for same
  • Completion of core training examinations (where appropriate)
  • Satisfactory progression through gastroenterology training (ST3+) as demonstrated by satisfactory RITA or ARCP outcomes
Desirable criteria
  • Prizes or distinctions.
  • Presentation of work at a national or international meeting.
  • Higher qualification in quality improvement/medical leadership

Knowledge and Expertise

Essential criteria
  • Completion of core training competencies
  • Undergraduate and postgraduate teaching ability
  • Evidence of leadership ability
  • Familiarity with current IT software packages
  • Demonstrated experience in teaching
  • JAG accreditation in Diagnostic Upper GI Endoscopy
Desirable criteria
  • Team building skills
  • Experience of independent endoscopic practice.
  • JAG accreditation in diagnostic colonoscopy

Education & Research

Essential criteria
  • Demonstrated interest in quality improvement and/or medical education
  • Experience of clinical audit
Desirable criteria
  • Publications in peer reviewed journals.
  • JAG Train the Trainers course

Personal Skills

Essential criteria
  • Good organisational skills
  • Good communication skills
  • Ability to develop good working relationships
  • Commitment to continuing personal development

General Guidance for Applicants

Please ensure that you read the "Guidance Notes On Submitting An Application" under "Additional Documentation" before completing your application.

Please note: we reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received.

We are committed to achieving equality and inclusion at Homerton Healthcare NHS Foundation Trust, and we respect and value the diversity and differences of our patients and our people, ensuring everyone is enabled to thrive, feels a sense of belonging, and is able to be their authentic self.

We offer a range of flexible working options that enable you to balance your work and personal life, including part-time, compressed hours, remote working and job-shares.

If you are interested in joining our team, please let us know your preferred working pattern in your application, and we will consider all requests for flexible working and try to accommodate them wherever possible.

Please note that secondment arrangements will be considered for any fixed term positions, with the agreement of the existing line manager.

We are committed to equal opportunities, and have been approved as a Disability Confident Employer.

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