Clinical Fellowship Transplant Hepatology
Specialty/Department: Department of Hepatology
Location: Leeds Liver Unit, St James's University Hospital
Salary: Dependent on Experience
Open to: ST4 - ST8 grades (or equivalent)
Applications are invited for a Clinical Fellowship available from September 2025 for 12 months (subject to satisfactory progression) in the Department of Hepatology at St James's University Hospital, Leeds. This is an exciting opportunity to train in one of the leading UK Hepatology centres and contribute to the Leeds Liver Unit's international reputation for transplantation.
The successful candidate will gain experience in all aspects of Hepatology including the assessment of patients with acute and sub-acute liver failure, assessment of patients for treatments such as liver transplantation and TIPSS, patients with a wide variety of complex general Hepatological conditions and with viral hepatitis. This is a clinical post and the fellow will join the out of hours rota and have the opportunity to undertake audit and contribute to ongoing projects in the department.
The Department is affiliated to the University of Leeds with the MRC funded Centre for Bioinformatics, the Leeds Institute of Data Analysis and the NIHR funded Diagnostic Evaluation Co-operative.
Main duties of the job
The successful candidate will contribute to the out of hours rota (1 in 9 resident) on the same basis as other trainees in the department, at registrar level responsibility. This is a single tier rota and appropriate experience in medical specialty training is highly desirable.
The successful applicant will contribute to the inpatient service delivering care of Liver Transplant and Hepatology patients. They will contribute to the Liver Unit's medical out of hours rota. There will also be the opportunity to participate in specialty clinics such as viral hepatitis, immune hepatology, primary liver cancer, and portal hypertension. The appointee will also contribute to the care of patients in the Intensive Care Unit post liver transplant or because of acute liver failure. The Department is also expanding its Community Hepatology service and the appointee would also contribute to this service.
Other opportunities for learning include a weekly radiology meeting, a weekly pathology case conference, the transplant MDT meeting, and a weekly training meeting with a wide variety of topics covered over the year.
Job responsibilities
MEDICAL STAFF IN THE DEPARTMENT
There are 9 full-time Consultant Hepatologists, 1 part-time Consultant Hepatologist, an Academic Consultant Hepatologist in the University of Leeds, and a Specialty Doctor making up the senior team within the department.
In addition, we have 6 specialist registrars on deanery accredited training schemes, 4 fellows (clinical/clinical-research), and 2 internal medicine trainees. The trainees all participate in a resident on-call rota compliant with the European Working Time Directive and also gain training and experience through outpatient clinics. The consultants operate a consultant of the week on-call system and lead daily ward rounds including at weekends.
There is a formal system for supervision and appraisal.
The Specialist nurse (CNS) teams include the recipient transplant coordinators, hepatology CNSs, substance misuse CNSs, and viral hepatitis CNSs.
DUTIES OF THE POST
The successful candidate will contribute to the out of hours rota (1 in 9 resident) on the same basis as other trainees in the department, at registrar level responsibility. This is a single tier rota and appropriate experience in medical specialty training is highly desirable.
The successful applicant will contribute to the inpatient service delivering care of Liver Transplant and Hepatology patients. They will contribute to the Liver Unit's medical out of hours rota. There will also be the opportunity to participate in specialty clinics such as viral hepatitis, immune hepatology, primary liver cancer, and portal hypertension. The appointee will also contribute to the care of patients in the Intensive Care Unit post liver transplant or because of acute liver failure. The Department is also expanding its Community Hepatology service and the appointee would also contribute to this service.
Other opportunities for learning include a weekly radiology meeting, a weekly pathology case conference, the transplant MDT meeting, and a weekly training meeting with a wide variety of topics covered over the year.
Person Specification
Eligibility, Fitness to practice, and Language Skills
Essential
* Be eligible for full registration with, and hold a current Licence to Practise from, the GMC at intended start date
* MDU/MPS or equivalent
* Is up to date and fit to practise safely and is aware of own training needs.
* All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues
* Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
* Able to build rapport, listen, persuade & negotiate. Professional telephone manner
Qualifications
Essential
* Primary Medical Degree
* Completion of Foundation Training or equivalent
* Advanced Life Support Certificate from the Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date
Desirable
* Holding national training number in gastroenterology looking for (and able to take) out of programme experience.
Clinical, Academic, and Personal Skills
Essential
* Ability to apply sound clinical knowledge and judgement to problems. Ability to prioritise clinical need. Ability to maximise safety and minimise risk
* Recognition of, and ability to undertake the initial management of, an acutely ill patient
* Experience in managing complications of cirrhosis.
* Ability to manage acute GI haemorrhage
* Competent at independent insertion of paracentesis drains.
* Demonstrates understanding of research, including awareness of ethical issues
* Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
* Demonstrates knowledge of evidence-informed practice. Must have evidence of participation in clinical governance and clinical audit.
* Willingness to undertake undergraduate teaching.
* Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach. Capacity to bring a range of approaches to problem solving
Desirable
* Aptitude for practical skills, e.g. manual dexterity
* Successful completion of relevant skills course(s),
* Ability to receive clinical information from telephone referral service
* Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
* Evidence of involvement in an audit project, a quality improvement project, formal research project, or other activity which focuses on patient safety and clinical improvement
* demonstrates an interest in and commitment to the specialty beyond the mandatory curriculum
* Evidence of interest in, and experience of teaching
* Evidence of feedback for teaching
* Instructor status (or a recommendation for instructor status) in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course
Experience
Essential
* 4 years experience after full GMC registration or equivalent, and evidence of achievement of foundation competences, in line with GMC standards / Good Medical Practice
* Evidence of achievement of CT/ST1 competencies in medicine (as defined by the curricula relating to Core Medical training)
* Previous experience in gastroenterology and/or hepatology in core training post.
* At least 4 years experience in medical specialties by the time of intended start date
* Evidence that present achievement and performance is commensurate with the totality of their period of training
* Evidence that career progression is consistent with personal circumstances
* Able to work in multi-professional teams & supervise junior medical staff. Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, f
Desirable
* Higher specialist training in gastroenterology or hepatology (holding national training number or CCT).
* Experience in upper GI endoscopy.
* Experience in working in acute general medicine.
Additional Requirements
Essential
* Capacity to manage/prioritise time and information effectively. Capacity to prioritise own workload & organise ward rounds. Capacity to operate under pressure
* Evidence of thoroughness (is well prepared, shows self-discipline/ commitment, is punctual and meets deadlines)
* Capacity to monitor developing situations and anticipate issues
* Demonstrates initiative & resilience to cope with changing circumstances
* Is able to deliver good clinical care in the face of uncertainty
* Take responsibility for own actions.
* Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality)
* Demonstrates respect for all. Capacity to take in others perspectives and treat others with understanding sees patients as people.
* Demonstrates awareness of ethical principles, safety, confidentiality & consent.
C9298-MED-665
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