clincal-lecturerjobdesc-22 03 10 - London Deanery

BARTS AND THE LONDON NHS TRUST
QUEEN MARY, UNIVERSITY OF LONDON
JOB DESCRIPTION AND TRAINING PROGRAMME FOR NIHR (WALPORT)
CLINICAL LECTURER (ST6/SpR 4 and above Grade) IN GASTROENTEROLOGY
Department: Centre for Digestive Diseases, Blizard Institute of Cell and Molecular
Science, Barts and the The London, Queen Mary’s School of Medicine and
Dentistry, University of London
and
Digestive Diseases Clinical Academic Unit, Regional Services Division,
Barts and The London NHS Trust
Funded by: London Deanery (from Barts and the London NHS Trust and the National
Co-ordinating Centre for Research Capacity Development, Department of
Health)
Responsible to: a) Professor IR Sanderson, Centre Lead in Digestive Diseases
b) Dr R Marley, Director of the Clinical Gastroenterology Service
c) Chosen academic supervisor within Barts and The London, Queen Mary’s
School of Medicine and Dentistry, University of London (see below)
Responsible for: Teaching in academic gastroenterology and part of the
undergraduate programme in general medicine
Pursuing a postdoctoral research/edcuational program that will allow the post
holder to succeed as an academic in the 21 st century.
Part of the Gastroenterology service (see below)
Part of the on-call rota for gastroenterology while undertaking clinical
training
NHS contract: Clinical Lecturer/Specialist Registrar (Barts and the London NHS Trust)
Location:
The post is primarily based at the Royal London Hospital and the Centre for Gastroenterology,
Barts and the London (Adult & Paediatric), Queen Mary’s School of Medicine & Dentistry.
Academic Gastroenterology
Laboratory research is conducted in the Centre for Gastroenterology within the new Medical School
building at the Whitechapel Site, the Institute of Cell and Molecular Science. (For details please
see: http://www.icms.qmul.ac.uk/centres/gastroenterology/index.html). Candidates will be able to
select their research supervisor within the Centre/Medical School, which includes
Neurogastroenterology (Professor Qasim Aziz), GI genetics (Professor David van Heel),
Hepatology (Professor Graham Foster, Dr Patrick Kennedy), Growth factors and repair (Professor
Ray Playford), Epithelial cell molecular biology (Professor Ian Sanderson) Immunology (Professor

Tom MacDonald or Professor Ping Wang), Tropical Gastroenterology/infectious disease (Dr Paul
Kelly or Dr Vincent McDonald) Clinical IBD research (Professor David Rampton and Dr James
Lindsay) and intestinal cell biology (Professor Sir Nicholas Wright). It is expected that the field
selected will develop from the expertise the candidate has developed as a PhD.
Clinical Department of Gastroenterology
This is based at the Royal London Hospital with additional out patients at St Bartholomew’s
Hospital and some emergency endoscopy at the London Chest Hospital and at St Bartholomew’s.
The Digestive Disorders Clinical Group integrates luminal and pancreaticobiliary
gastroenterology, hepatology, IBD and nutrition in three firms as detailed below. An integrated
multi-disciplinary service is run within the department and in conjunction with other clinical
groups, most importantly surgery, pathology and radiology. There are also close links with the
clinical department of paediatric gastroenterology allowing opportunities for extra experience and
training (e.g. in adolescent medicine). There is a high volume of clinical activity within the unit
which sees 8000 out-patients (2500 new), performs ~7000 endoscopic procedures and admits
~500 patients annually. The Clinical service is directed by Dr Richard Marley, Consultant
Gastroenterologist.
The Department offers a wide range of training opportunities with special interests in:
� Clinical Nutrition covers inpatient parenteral and enteral nutrition, and has the third largest UK
home parenteral nutrition service.
� Diagnostic and Therapeutic Endoscopy: ERCP, sphincter of Oddi manometry, colonoscopy,
endoscopic mucosal resection, APC, stenting, endoscopic ultrasound, and wireless capsule
endoscopy. PDT and Nd-YAG laser work should come on-stream this year.
� Gastrointestinal cancer – Upper GI, Lower GI and HPB.
� Inflammatory bowel disease
� Non-transplant hepatology, particularly viral hepatitis
� Physiology: GI motility, 24 hour pH studies, ano-rectal physiology
� Neurogastroenterology and functional bowel disorders
Endoscopy training is provided within a modern 5-roomed unit (opened 1999) with integrated
screening which takes part in the National Endoscopy Programme. We expect to start screening
patients in the National Bowel Cancer Screening Programme in 2007. There is also a GI
investigation/physiology laboratory in the Endoscopy Unit.
All clinical staff are actively involved in the teaching of both under- and post-graduates and
ongoing research, audit and Clinical Governance.
Clinical team structures (current)
1 Hepatology & GM Prof. G. Foster, Drs R. Marley, Dr Patrick Kennedy, Dr Paul
Kooner
2 Clinical Nutrition Dr M. Glynn
3 Inflammatory Bowel Disease, Dr J Lindsay, Prof. D Rampton, Dr Louise Langmead
4 Upper GI, Pancreaticobiliary Dr C Ainley, Dr Sean Preston
Teams also care for general medical admissions. There are currently 3 SHOs and 4 Pre-registration
House Officers (F1 grade), as well as 2 specialist nurses in nutrition, 2 in Gastroenterology and
Hepatology.

Six Specialist Registrars are attached to the unit (including this post and an ACF). Two senior posts
provide opportunities for specialist interest training and also spend some time at Barts. Three junior
posts rotate every 4 months between the 3 teams. The sixth post is a sixth year post exclusively in
Hepatology, and rotates between two London Hepatology Units during the year.
Clinical Governance
There is a monthly Clinical Governance meeting (afternoon of the first Thursday of each month).
SpRs are expected to take a full part, and will be expected to complete and present at least one audit
to the meeting during their tenure.
Weekly programme
The weekly sessions which have a teaching component are:
Tues 08.00 Morning Report G(I)M
08.15 Upper GI MDT
10.00 IBD teaching ward round
10.45 IBD Histology meeting
11.30 IBD Xray meeting
12.30 Grand Round G(I)M
Wed 08.00 Hepatobiliary/Pancreatic cancer MDT
13.00 Hepatology – cases and journal club – fortnightly
Thurs 12.30 Acute Medicine teaching (SpR’s and SHO’s) G(I)M
13.00 Gastro - cases and journal club
16.45 Gastro/Hepatology Research meeting
Fri 13.00 IBD - cases and Journal club
General Internal Medicine
All the SpRs (except the Hepatologist) take part in the medical ‘take’ rota (currently 1:8, either day
or night, however this is subject to change). Admissions average 25 per 24 hour period (range 15-
35). There is a ward-based system of triage to specialties the day after admission.
The firm structure the firm structure and general medical provision will change, in order to have
consultant triage. The exact format is being finalised, but it is likely that the SpR equivalents will
spend a short period of time attached exclusively to an ‘acute medical care firm’, with the majority
of the year being spent exclusively in gastroenterology.
Senior Staff
Prof. Q. Aziz (Academic: Neurogastroenterology)
Dr. C. Ainley (GM/Gastro: Pancreato-biliary medicine)
Dr. E. M. Alstead (Academic: Hepatology - NHS post at Whipps Cross)
Dr L. Das (Community Gastroenterology)
Dr P.D. Fairclough (Gastro/Endoscopy, One PA)
Prof G. R. Foster (Academic: Hepatology)
Dr M. J. Glynn (GM/Gastro/Hepatology: Clinical Nutrition)
Dr M.P. Kelly (Gastro/Academic: Tropical Gastroenterology)
Dr Patrick Kennedy (Academic/Hepatology)
Dr Paul Kooner (Hepatology 50:50 with Queens BHT)
Prof P.J. Kumar (Gastro/Academic: Coeliac disease, education)
Dr L. Langmead (IBD)
Prof. G. Libby (Psychiatry: Functional bowel disease)
Dr J.O. Lindsay (GM, Gastro, IBD, Endoscopy – Training Lead)
Dr. R.T.C Marley (Hepatology/Gastro/GM: Lead Clinician)
Dr S. Preston (Upper GI medicine, Lead for endoscopy)
Prof. D. S. Rampton (Gastro/Academic: IBD / luminal gastroenterology)
Prof. R.Playford (Academic: Deputy Warden of School of Medicine and Dentistry)

Prof. I. R. Sanderson (Head of Academic Centre)
Prof. D. Van Heel (Academic: genetics of IBD / Coeliac)
Main purpose of the post
The post is designed to provide:
• Comprehensive training in academic gastroenterology including research methods.
• The opportunity to complete clinical training in gastroenterology and general medicine to the
completion of the CCST (50% of time will be spent in the clinical service and 50% in academic
postdoctoral training)
• The opportunity to assist in, and contribute to, the development and delivery of the
undergraduate programme in medicine and gastroenterology and postgraduate programme in
gastroenterology including the MSc in Gastroenterology.
• A generic Monday afternoon training programme in academic medicine with clinical lecturers
and academic clinical fellows in other areas of medicine, surgery and dentistry
Main duties of the post
Research
The post provides opportunity for postdoctoral research in both clinical and laboratory aspects of
Gastroenterology in collaboration with the candidate’s chosen supervisor and other investigators in
the Centre of Gastroenterology.
Teaching
The post holder also plays a major role in the organisation and running of the teaching and
assessment within the centre. This department teaches medicine to students from St Bartholomew’s
& The Royal London School of Medicine & Dentistry.
The post holder will also contribute to postgraduate teaching within the speciality of
gastroenterology. (including the MSc in Gastroenterology).
Clinical duties
The post holder will act as an SpR in Gastroenterology for 50% of the time. The time between
academic activities and clinical service will be divided into long blocks in association with a
matched Clinical Lecturer.
Clinical training
Applications must have the MRCP (UK) or equivalent and have completed two higher specialist
training (Calman years 1 & 2) or equivalent in gastroenterology, in addition to having submitted a
doctorate. It is expected that the candidate will remain in this position until completion of CCST.
Equal opportunities
Barts and the London NHS Trust is an equal opportunities employer.
Duration
The position is until completion of CCT, with progress assessed by Professor Sanderson in
association with the London Deanery. Continuation of employment will depend on satisfactory
progress. Suggestions by the lecturer, once in post, for changes that will improve productivity will
be sympathetically considered.