Junior Clinical Fellow in Gastroenterology

Job overview

This position is suitable for candidates who may wish to pursue a career in Gastroenterology, and who might wish to sample the specialty or to gain experience in order to strengthen their application to a Core Training rotation. Alternatively, they might suit candidates who wish to pursue a complementary specialty in which gastroenterology and general internal medicine experience is required. Previous experience in the speciality is not required.

These positions will be treated in the same manner as our ST1 positions.

The post provides broad exposure to acute and chronic gastrointestinal disease within a busy District General Hospital (DGH) environment.

The post holder will work alongside and in conjunction with the other Residents in Gastroenterology to provide predominantly inpatient and out patient care to gastroenterology, hepatology and general medical patients.

Main duties of the job

To contribute to the delivery of high-quality gastroenterology and general internal medicine services at PAHT while developing the core clinical, procedural, and professional competencies expected of an ST1 trainee. The post provides broad exposure to acute and chronic gastrointestinal disease within a busy District General Hospital (DGH) environment.

The post holder will work alongside and in conjunction with the other Residents in Gastroenterology to provide predominantly inpatient and outpatient care to gastroenterology, hepatology and general medical patients.

Maintenance of the highest clinical standards in the management of patients with gastroenterological and liver disease. The role will allow for exposure to the high-quality endoscopy service.

The Princess Alexandra Hospital NHS Trust (PAHT) is proud to care for the communities of West Essex, delivering safe, compassionate, and high-quality services. We are part of the Neighbourhood Wave - a national programme that’s changing how care is delivered by focusing on prevention, early support, and more joined-up services across health, social care, and the voluntary sector.

This means we’re working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives.

We’re a supportive and inclusive organisation that values its people. We offer development opportunities, flexible working, and a strong focus on wellbeing. As a Disability Confident and equal opportunities employer, we welcome applicants from all backgrounds and experiences.

Join us and help shape the future of care in West Essex.

Detailed job description and main responsibilities

. Inpatient Management

• Provide day-to-day care for gastroenterology inpatients
• Assess, diagnose, and manage conditions including:
• Gastrointestinal bleeding
• Decompensated liver disease
• Inflammatory bowel disease flares
• Pancreatitis and biliary pathology
• Participate in consultant-led ward rounds (2-3 times per week)
• Maintain accurate clinical documentation and management plans
• Liaise with surgical, radiology, and specialist teams

2. Acute Medicine / On-Call Duties

• Participate in the full General Internal Medicine (GIM) rota
• Clerk and manage acute admissions via:
• Acute Medical Unit (AMU)
• Emergency Department
• Recognise and elevate critically unwell patients:
• GI haemorrhage
• Sepsis
• Acute liver failure
• Work under supervision of medical registrars and consultants

3. Outpatient Clinics

• Attend and contribute to gastroenterology clinics including:
• General GI clinics
• IBD clinics
• Hepatology clinics
• Initially observe, progressing to supervised patient review
• Develop outpatient diagnostic and management skills

4. Practical Procedures

Gain competence in:

• Venepuncture and peripheral venous cannulation
• Ascitic aspiration and drain insertion (commonly performed at PAHT)
• Arterial blood gas sampling
• Nasogastric tube insertion

5. Multidisciplinary Teamworking

• Participate in MDT discussions where appropriate:
• GI cancer MDT (network meetings)
• IBD MDT
• Hepatology case discussions
• Work collaboratively with:
• Specialist nurses
• Allied health professional teams’ - pharmacy, nutrition, physiotherapy etc

6. Teaching & Training

• Attend mandatory trust and deanery teaching programmes
• Participate in departmental education sessions
• Teach medical students and junior colleagues
• Engage with workplace-based assessments (WPBAs)

7. Audit and Quality Improvement and Clinical Governance

• Undertake at least one quality improvement project annually
  Examples relevant to PAHT include:
• Adhere to GMC Good Medical Practice guidelines

• Follow PAHT policies and local clinical pathways
• Participate in:
• Incident reporting (DATIX)
• Morbidity and mortality meetings
• Patient safety initiatives

This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and the manager. All duties must be carried out under supervision or within Trust policy and procedure.

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