Senior Clinical Fellow in Upper GI Surgery (Benign)

Guy's and St. Thomas' NHS Foundation Trust; City of Westminster; On-site; GBP 80,000 - 100,000; Full time

Job summary

A leading healthcare provider in the United Kingdom seeks fellows for the Upper GI Unit. The role focuses on providing care for a variety of oesophago-gastric conditions, performing laparoscopic and minimally invasive surgeries, and engaging in complex hernia management. Applicants should be prepared for hands-on experience with emergency presentations and contribute to multidisciplinary meetings. This position emphasizes patient care, teamwork, and innovation in a supportive environment.

Qualifications

• Experience in laparoscopic benign UGI surgery.
• Ability to manage emergency UGI presentations.
• Knowledge in complex hernia and abdominal wall reconstruction surgery.

Responsibilities

• Gain experience in laparoscopic benign UGI surgery and flexible endoscopy.
• Contribute to emergency UGI care.
• Participate in complex hernia surgeries and management.

Job description

The Upper GI Unit provides care for people with a wide range of benign and malignant oesophago-gastric conditions. The unit performs a high volume of benign UGI procedures, including anti-reflux surgery, revisional anti-reflux surgery, large para-oesophageal hernia repair, treatment of achalasia (surgical and POEM) and provides an acute biliary service for people with complications of gallstones. Fellows will also gain exposure to a broad range of emergency UGI presentations such as oesophageal perforation and incarcerated hiatal hernias. The Abdominal Wall Reconstruction (AWR) and Complex Hernia Unit is a well-recognised tertiary referral centre managing a wide spectrum of hernia disease, ranging from primary and recurrent inguinal and ventral hernias to complex tertiary referrals such as loss of domain, infected mesh, giant incisional hernias, parastomal hernias, and multi-specialty joint cases. The unit has significant expertise in both open and minimally invasive techniques, including laparoscopic and hybrid approaches. Fellows will gain exposure to high-volume, complex hernia surgery, joint operating with plastic surgery, and the full pathway of patient management from outpatient referral to advanced operative intervention.

• Gain experience in laparoscopic benign UGI surgery, flexible endoscopy, and day-case surgery.
• Contribute to the care of emergency UGI presentations such as oesophageal perforation and incarcerated hiatal hernia.
• Participate in complex hernia and abdominal wall reconstruction (AWR) surgery, with exposure to the full range of hernia presentations (inguinal, ventral, incisional, parastomal, and diaphragmatic) and complex tertiary referral patients.
• Gain hands-on experience in joint and minimally invasive procedures for AWR.
• Attend and contribute to the benign OG and AWR multidisciplinary meetings (MDMs).
• Attend the bimonthly AWR MDMs and weekly specialised hernia clinics.
• Lead inpatient ward rounds and work with consultants according to the rota.
• Contribute to the Emergency general surgery on-call service providing night-time cover with responsibilities in A&E, wards, and emergency theatres.
• Participate in the day to day management of patients with benign and malignant oesophago-gastric conditions.

Our values help us to define and develop our culture, what we do and how we do it. It is important that you understand and reflect these values throughout your employment with the Trust.

The post holder will:

Organizational Values:

• Caring - we put patients first
• Ambitious - we innovate and strive for excellence
• Inclusive - we respect each other and work collaboratively

Our values and behaviours framework describes what it means for every one of us in the Trust to put our values into action. The framework can be found on our Trust careers pages and GTIntranet.