King's College Hospital, London

Senior Clinical Fellow in HPB medicine
Duration
12 Months
The Liver Transplant programme, Adult and Paediatric is the largest (>175 cases p.a.) and most prestigious in the country offering groundbreaking techniques such as split liver, the use of auxiliary livers and the pioneering living-related transplantation programme. Complimenting the transplant programme is an expanding service in hepatobiliary surgery (HPB).

The Liver ITU provides the most comprehensive service for the management of critically ill patients with liver disease (acute liver failure, decompensate chronic liver disease, hepatobilary surgery and trauma and liver transplantation) and has a reputation for innovative research into novel clinical treatments such as extra corporeal liver support. The ITU facilities housed in 15 bed area in close proximity to the liver wards, theatres and laboratories.

The ward services have recently expanded to provide in patient beds for 58 patients with all aspects of liver disease. Patients are admitted as local, regional, supra-regional or international referrals. There is supporting the ward based service a dedicated outpatient service, providing daily clinics to all our patient groups.

Endoscopic services also feature as part of the total package of care with over 2000 endoscopies and 700 ERCPs performed annually on local and nationally referred patients. Endoscopic ultrasound is also offered.

There are close links with other specialist services such as liver radiology with regular multidisciplinary meetings. In house post graduate education programmes, audit and morbidity and mortality meetings in addition to journal clubs are all undertaken regularly.

The focus of this post is ERCP and EUS. The successful candidate will also undertake a specialist HPB clinics a week. All ERCP at Denmark Hill is performed under general anaesthetic. The focus of this fellowship is HPB medicine and provides a thorough, holistic approach to patient care. Involvement in research projects is encouraged as well as participation in audit. Attendance of UK meetings (BSG) and international meetings (UEGW, DDW etc etc) can also be supported and again is encouraged.

Although there is no regular service provision, the post holder will also need to provide occasional ward cover during the day when required to cover study leave. There will be an element of administrative duties and the post holder will be expected to participate in the GI bleed on call rota as a 1 in 7 with prospective cover.
 
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Fellowship type
Endoscopy

Training Lists:
6

On-call Commitment
Yes

Lists Per Week:
6

Service Lists:
1

Yearly Procedures:
400

Endoscopy
Hepatology
HPB Endoscopy