clincal-lecturerjobdesc-22 03 10 - London Deanery

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.