Fellow in Pancreaticobiliary Medicine

Weare inviting applications for the position of Senior Fellow inPancreaticobiliary Medicine at The Leeds Teaching Hospitals NHS Trust. The postholder will be able to pursue further training in all aspects of benign andmalignant PB medicine and participate in dedicated clinics and regional MDTmeetings. Training in ERCP and / or EUS and advanced pancreaticobiliaryendoscopic techniques will be delivered in at least 5-6 dedicated lists perweek. It is expected that applicants will have commenced training in ERCP butprior EUS is not essential. This post will be supervised by Dr Matthew Huggett,Dr Bharat Paranandi, Dr Simon Everett and Dr Aaron On and is available fromSeptember 2025 until September 2026. Thispost will be offered for a fixed term of one year and is not accredited fortraining. In addition, there will be a requirement to provide inpatient wardcover for G(I)M. These duties will involve daily morning ward round duties for7 consecutive days in a 1 : 7 rotational basis. There will be no additional outof hours on call commitment, and these duties will attract an uplift in salaryto consultant equivalent rates of pay. Candidatesmust be eligible for registration with the General Medical Council. Informal enquiries are welcome. Please contact DrMatthew Huggett (). Main duties of the job Thepost holder will contribute to 1 clinic (pancreatology clinic) and 1 endoscopylist per remaining sessions will include at least 5-6 dedicatedpancreaticobiliary endoscopy lists a week,attendance at the regional benign andcancer pancreatic MDTs and time to undertake project work.Training can betailored to the candidates career plans and experience ,training in ERCPonly or both EUS and fellow will participate in vetting and assessingpatients referred for ERCP / EUS and other advanced endoscopic procedures (toinclude ward reviews before and after procedures). Inaddition, there will be a requirement to provide inpatient ward cover forG(I)M. These duties will involve daily morning ward round duties for 7consecutive days in a 1 : 7 rotational basis. During these weeks, afternoons willremain free for subspecialty training. There will be no additional out of hourson call commitment, and these duties will attract an uplift in salary toequivalent consultant rates of pay. Thepost is offered for a fixed term of one post supervisor will assessachievement of the following objectives mid-way and at the end of the post : Learningoutcomes at the end of the fellowship 1. Competent and fully independent inGrade 1 and 2 ERCPs. 2. Competent in Grade 3 ERCPs largestones, hilar strictures, failed ERCPs, pancreatic endotherapy. 3. Competentand independent in all aspects of diagnostic EUS including fine needleaspiration. Please refer to the JD, Thepost holder will contribute to 1 clinic (pancreatology clinic) and 1 endoscopylist per week. The remaining sessions will include at least 5-6 dedicatedpancreaticobiliary endoscopy lists a week, attendance at the regional benignand cancer pancreatic MDTs and time to undertake project work. Training can betailored to the candidates career plans and experience training in ERCPonly or both EUS and ERCP. The fellow will participate in vetting and assessingpatients referred for ERCP / EUS and other advanced endoscopic procedures (toinclude ward reviews before and after procedures). In addition, there will be arequirement to provide inpatient ward cover for G(I)M. These duties willinvolve daily morning ward round duties for 7 consecutive days in a 1 : 7rotational basis. During these weeks, afternoons will remain free forsubspecialty training. There will be no additional out of hours on callcommitment, and these duties will attract an uplift in salary to equivalentconsultant rates of pay. Thepost is offered for a fixed term of one year. The post supervisor will assessachievement of the following objectives mid-way and at the end of the post : Learningoutcomes at the end of the fellowship 1. Competent and fully independent inGrade 1 and 2 ERCPs., We have a weekly programme of departmental CPDactivity. This includes histopathology and clinical governance meetings,journal article and clinical topic presentations. There are opportunities todevelop teaching skills in ward based or more formal settings, includingsimulation training. Leeds also runs a yearly ERCP course and there are plansto expand the number of courses offered; involvement in the delivery of thesecourses will be encouraged. An annual appraisal (in accordance with GMCrequirements) will be arranged, along with use of the Trusts appraisaltoolkit.

Candidatesshould hold a primary medical qualification, a membership of one of the UKRoyal Colleges of Physicians and hold a CCT (or equivalent) in Gastroenterologyand General (Internal) Medicine. Candidates must be independent (JAG accreditedor equivalent) at diagnostic gastroscopy, flexible sigmoidoscopy andtherapeutic gastroscopy (haemostasis). It is anticipated that candidates willhave had significant experience in ERCP (in excess of 100 procedures) but priorexperience in EUS is not necessarily required. Candidates must be eligible forregistration with the General Medical Council and hold a certificate inAdvanced Life Support from the UK Resuscitation Council, or an equivalent., 2. Competent in Grade 3 ERCPs largestones, hilar strictures, failed ERCPs, pancreatic endotherapy. 3. Competent and independent in allaspects of diagnostic EUS including fine needle aspiration. 4. Supervised dedicated training intherapeutic PB EUS Pancreatic pseudocyst drainage, necrosectomy. 5. Competent in managing the non-endoscopyaspects of benign and malignant PB medicine autoimmune pancreatitis,chronic pancreatitis, familial and acute pancreatitis. 6. Develop and understand the role of HPBsurgeons in the management of these disorders. 7. Experience of working as a Consultantin G(I)M.,

• JAG accreditation (or equivalent) in upper endoscopy and independence at therapeutic gastroscopy for haemostasis
• Current ALS certification or equivalent
• Evidence of competence in management of common gastrointestinal conditions and emergencies
• CCT (or equivalent) in Gastroenterology and General (Internal) Medicine
Experience Essential
• Evidence of competence to work without direct supervision
• Awareness of GMCs Good Research Practice guidance (General Medical Council, 2010)
• Evidence of completion of higher specialty (ST3 and above) competencies in Gastroenterology and General (Internal) Medicine
• Evidence that the candidate has participated in at least 100 ERCPs
• Able to work in multi-professional teams & supervise junior medical staff
Desirable
• Prior training in EUS
Eligibility, Fitness to practice, and Language Skills Essential
• Eligible for full registration with the GMC at time of application and hold a current licence to practice
• Demonstrates clarity in written / spoken communication & capacity to adapt language as appropriate to the situation
• Able to build rapport, listen, persuade & negotiate
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues
Clinical, Academic, and Personal Skills Essential
• Capacity to use logical / lateral thinking to solve problems / make decisions, indicating an analytical / scientific approach
• Capacity to manage / prioritise time and information effectively
• Evidence of thoroughness (is well prepared, shows self discipline / commitment, is punctual and meets deadlines)
• Capacity to operate under pressure
• Demonstrates initiative & resilience to cope with changing circumstances
Desirable
• Ability to show leadership, make decisions, organise, and motivate other team members for the benefit of patients through, for example, audit and quality improvement projects
Additional Requirements Essential
• Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality)
• Capacity to take responsibility for own actions
• Ability to provide complete details of employment history
• Evidence that career progression is consistent with personal circumstances
• Evidence that present achievement and performance is commensurate with totality of period of training
• Demonstrates enthusiasm for pancreaticobiliary medicine and previous commitment to ERCP / EUS training
  
  LeedsTeaching Hospitals NHS Trust is part of the West Yorkshire Association of AcuteTrusts (WYAAT), a collaborative of the NHS hospital trusts from across WestYorkshire and Harrogate working together to provide the best possible care forour patients.
Bybringing together the wide range of skills and expertise across West Yorkshireand Harrogate we are working differently, innovating, and driving forwardchange to deliver the highest quality care.By working for Leeds Teaching Hospitals NHS Trust this is youropportunity to be a part of that change. WYAATis the acute sector arm of the West Yorkshire and Harrogate Health and CarePartnership, one of the largest integrated care systems in the country. ThePartnerships ambition is for everyone to have the best possible health andwellbeing, and the work of WYAAT, and each individual trust, supports thatambition.