Senior Clinical Fellow Hepatology

at  Oxford University Hospitals NHS Foundation Trust

Two advanced Hepatology full-time fully-funded Fellowships are available at the Oxford University Hospitals NHS Foundation Trust. They are designed to complement the existing hepatology and gastroenterology service and offer advanced training in hepatology. These posts will involve 12 months as an advanced Hepatology Fellow (including 2-3 hepatology clinics per week, benign hepatology MDT, liver histology, IgG4 MDT, and review of inpatient referrals). The hepatology fellowships are designed to complement each other, such that the Fellows develop a broad range of subspecialist hepatology knowledge and management skills. Typically, the Hepatology SCF will spend 6 months fulfilling each advertised role, such that the SCF will gain advanced knowledge of viral, immune-mediated, and metabolic liver disease, including in advanced liver disease pre- and post-transplant. As with all our SCF posts, the principle is that there are 6 clinical and 4 academic sessions/week, the academic sessions being allocated 1 each to clinical trials, a personal project, teaching and administration. As with all 6 Senior Clinical Fellows in Oxford, one of the endoscopy sessions is flexible and may need to be worked on a Saturday. The John Radcliffe provides an integrated service with Horton General Hospital.
The successful applicant will be expected to contribute to the Hepatology and Gastroenterology out-of-hours cover rota, and to weekday emergency endoscopy and ward referral weeks at ≤1:12 frequency. The latter provides an opportunity to enhance management of hepatology inpatient referrals, and endoscopic management of variceal haemorrhage.
Clinical activity will be under the supervision of Dr Emma Culver (Fellowship Programme Director), and Dr Jeremy Cobbold (Hepatology Lead), or nominated Consultant colleague. Hepatology is one of the particular strengths of the department, with a combination of clinical and basic science expertise whose integration is a singular feature of our translational unit. Drs Collier, Cobbold, Culver and Saffioti run the clinical hepatology department, with clinical and research support from Prof Barnes, Prof Klenerman, and Dr Pavlides. All the consultants contribute to the general hepatology service including a Hepatologist of the Week service supporting inpatient,
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emergency, email consult and the daycase unit. There are a number of subspecialty clinics. Dr Cobbold has an interest in metabolic liver disease, risk stratification of chronic liver disease, and runs pre- and post-liver transplant clinics. Dr Collier runs the regional viral hepatitis service, has an interest in cholestatic liver disease, wilsons disease and post-transplantation. Dr Culver runs the national IgG4-related disease service, and the regional autoimmune liver and cholestatic liver disease service, and the multidisciplinary HCC clinic. Dr Saffioti and Dr Pavlides support the metabolic liver service and general hepatology clinics. As an active research unit they are supported by 5 hepatology research nurses and a trial manager, and there are currently 28 open interventional and academic clinical trials.
The successful applicant will be expected to contribute to the Hepatology and Gastroenterology out-of-hours cover rota, and to weekday emergency endoscopy and ward referral weeks at ≤1:12 frequency. The latter provides an opportunity to enhance management of hepatology inpatient referrals, and endoscopic management of variceal haemorrhage.
One of the significant strengths of our department are the multiple opportunities to attend clinical and research meetings throughout the week. Clinical meetings include liver histopathology, hepatology benign radiology, and clinical multidisciplinary meetings including the viral hepatitis, autoimmune and IgG4 MDT’s. Uniquely our department also has a weekly academic afternoon with a range of clinical and research focussed learning opportunities. There is also a weekly journal club, which once a month makes way for an IgG4 Systemic Disease Regional MDT. The successful applicant will be expected to contribute to departmental research through the management of hepatology clinical trials and other projects or audit, under appropriate guidance. It would suit someone wishing to develop specialist expertise beyond that acquired through general hepatology training before a Consultant post (ie UK year 6 or equivalent). The Unit is well recognised for its international diversity and the posts attract the best trainees from many areas of the world

Please refer the Job description for details