OXFORD RADCLIFFE HOSPITALS NHS TRUST - JOB DESCRIPTION
TITLE OF POST:
Specialist Registrar in Hepatology
GRADE:
Specialist Registrar
SPECIALTY:
Hepatology (12 months)
SUPERVISING CONSULTANT:
Dr R W Chapman, Dr J Collier
EDUCATIONAL SUPERVISOR:
Dr J Collier
FULL-TIME/PART-TIME:
Full Time
BASE HOSPITAL:
The John Radcliffe Hospital
WORK PATTERN:
On-call
AVERAGE NUMBER OF HOURS PER WEEK:
INCLUDES PROSPECTIVE COVER:
YES
ANNUAL AND STUDY LEAVE ARRANGEMENTS:
Duties include cover for colleagues absence on annual or study leave. Leave must be planned in
advance and must be agreed with your supervising consultant. Annual leave entitlement will
be 5 or 6 weeks dependent on point of salary. In the event of sickness, you must inform your
consultant within one hour of your period. Please also contact Mrs Chris Shields, Medical
Staffing on 01865 222671.
ACCOMMODATION:
This post is not compulsorily resident. If accommodation is required a charge will be made.
ACCOMMODATION OFFICER:
Mrs Elaine Foster Tel: 01865 220735/6
Job No:
Educational Approval No:
1.
DUTIES OF THE POST
a)
Principal Responsibilities:
Hepatology (Oxford)
The post is for 12 months and based at the John Radcliffe Hospital.
Experience is available in a wide range of hepatobiliary conditions in a busy unit. Dr
Chapman has a particular interest in primary sclerosing cholangitis and hepatobiliary
diseases. Dr Colliers interests are viral hepatitis, alcoholic liver disease and
hepatocellular carcinoma. Although liver transplantation is not performed by the unit
Dr Collier attends liver transplant clinics in Cambridge and there is a cohort of
patients under joint follow-up between the transplant center (Birmingham or
Cambridge) and Oxford.
There is also close collaboration between radiologists, liver pathologists and
surgeons and several multidisciplinary meetings weekly to discuss patient
management.
The interventional radiologists perform trans-jugular liver biopsies, plugged liver
biopsies as well as percutaneous biliary procedures, endoscopic ultrasound as well
as TIPPS stenting.
Extensive opportunities are available in performing percutaneous liver biopsies and
paracentesis if needed by the applicant
He/She will be expected to supervise hepatology in-patients in a dedicated ward
environment under the care of Dr Chapman and Dr Collier and assessing referrals
from other firms in the hospital
He/she will be involved in two liver clinics /week (general hepatobiliary disease and
hepatitis clinic). There is also the opportunity to take part in joint specialist clinics
such as HIV/HCV and cystic fibrosis liver clinics.
There will be a regular endoscopy session, and the Specialist Registrar is also
expected to participate in an emergency endoscopy rota There are two ERCP
lists/week and opportunity to learn therapeutic ERCP as well as oesophageal banding
and endoscopic management of gastric varices.
Attendance is required at a weekly journal club, liver histopathology and radiology
meeting .
Opportunity to take part in clinical research during the attachment
b)
Daily Commitment:
Day
Morning
Afternoon
Monday
Hepatitis Clinic
Admin
Tuesday
Ward Round
ERCP/Consultant Ward Round
Wednesday
Admin
ConsultantWR / Endoscopy
Radiology Meeting
Thursday
Endoscopy (alt weeks)
CME/Teaching/Liver
Histology
Friday
Liver Clinic
Journal Club
ERCP (alt weeks)
c)
Description of Working Pattern (include rota sheet)
1:5 on-call rota with prospective cover covering Gastroenterology and endoscopy.
1: 28 spR Hospital Medical Cover (Hospital at night team)
d)
Teaching
The Specialist Registrar will be expected to participate in the supervision of students
for clerking patients, and performing clinical procedures. You will be responsible
for organising firm meetings and take part in hepatology teaching of clinical
students, nurses and MRCP candidates
e)
Administration/Management
Organisation of emergency rotas in conjunction with the Consultants. Supervision
of patients notes, and responsibility for discharge summaries. Organisation of
waiting lists. General supervision of junior staff.
2.
TRAINING AND RESEARCH:
a)
Training Scheme:
The post will consist of one year in Oxford.
b)
Research:
You will be encouraged to take part in clinical research projects in hepatology
c)
Facilities for Study and Training:
Good Library facilities are available at the John Radcliffe Hospital and at other
libraries in the Central Oxford Hospitals.
(1) This is recognised for higher medical training in hepatology
(2) There is a weekly Staff Round for clinical presentation and discussion. In
addition, especially in Oxford, there are numerous postgraduate lectures,
seminars and meetings.
(3) Post-holders are encouraged to attend National / International Liver Meetings
3.
SPECIALTY:
Description of Specialty Services Provided
The Liver service is run by Dr R Chapman and Dr J Collier . A parallel luminal
Gastroenterology service is run by Dr S Travis. Hepatobilary surgical support is given by
Mr Z Soonawalla and Professor P Friend. The Unit runs an endoscopy service for the
hospital which offers a full range of diagnostic and therapeutic procedures. There are 600
ERCPs/year performed on 2 weekly lists.
The interventional radiology is performed by Dr J Phillips-Hughes and Dr P Boardman.
There is a weekly liver biopsy review meeting with Dr K Fleming and Dr J Piris and
radiology meeting with Dr H Bungay
Department Members
Medical Staff - consultants (Gastroenterology)
Dr S Travis
Dr R W G Chapman
Dr J Collier
Visiting Dr A Ellis
Dr J Marshall
Medical Staff - others
Specialist Registrars
Senior House Officers
Hepatology Clinical Nurse Specialists
4 (including this post)
3
1.5
A basic phlebotomy round will be undertaken throughout the Trust every morning by
the laboratory service.