Gastroenterology

Gastroenterology

Overview

The Royal Surrey County Hospital occupies a distinctive position as a District general Hospital providing a comprehensive service for local residents, specialist regional hepatology services for Surrey, and cancer services for Surrey and Sussex incorporating the Regional Oesophagogastric and Hepatobilaiary Cancer Units.

The Department of Gastroenterology includes four Consultants (two of whom have an interest in Hepatology). There are two SPRs in Gastroenterology, an Acute Medicine SPR (6 month rotational appointment), a speciality doctor (SPR level) a clinical assistant, one CMT trainee, one FY2 and one FY1. Additional support is provided by a Hepatology CNS, IBD CNS, two nutrition sisters, two non medical endoscopists five site specific cancer CNSs and a dedicated team of dieticians.

Training Programme

There are ample training opportunities within the department including specialist Hepatology, and Hepatobiliary Medicine (RSCH is one of two centres in KSS recognised for Hepatology training).  The RSCH has recently been designated as one of the fifteen UK hepatology centres (jointly with Frimley Park hospital) in the NHS England Early Access programme for HCV. There is a dedicated Liver clinic incorporating the West Surrey Viral Hepatitis Service, a dedicated IBD clinic, and general gastroenterology clinics. Inpatient medicine is speciality based, with the inpatient Gastroenterology beds located on Millbridge Ward. The trainee will be exposed to a wide range of specialist inpatient gastroenterology including acute hepatology, acute GI bleeding, IBD and complex nutritional problems. There is an excellent 16 bedded ITU, and 10 bedded Acute Dependency Unit (Level 1), with additional support from a Consultant led ITU outreach team.

The RSCH posts also provide the opportunity to complete the mandatory nutrition training required in the SPR syllabus. Each of the two SPRs will spend six months working in the nutrition service attending NICE compliant nutrition ward rounds, MDTs and there are ample opportunities to gain experience in the endoscopic placement of all types of enteral feeding tubes. Unique to the RSCH is the training opportunity provided by exposure to the weekly regional Cancer multidisciplinary meetings for Hepatobiliary and Oesophagogastric Cancer where the SPR will be expected to present the cases under the care of the Gastroenterology Consultants.

The Endoscopy service is located in a new state of the art four room endoscopy unit which opened in the autumn of 2012. Endoscopy provides the full range of diagnostic and therapeutic endoscopy including ERCP and EUS, and the unit is one of two centres in Surrey providing the Surrey Bowel Cancer Screening Service.

Acute medicine is provided by specialist physicians in rotation supported by a network Cardiology rota for Surrey, and network stroke thrombolysis rota, with the full complement of unselected medical admissions being referred to the Trust. Speciality trainees are supported by the existing physicians who deliver twice daily MAU ward rounds for acute admissions.

A transformation project is underway for the provision of acute medicine with the appointment of three dedicated acute physicians to support the existing acute and general physicians and OPAL Geriatricians who are based in the emergency assessment unit. This will improve the existing excellent Consultant support for acute medicine and supervision of junior doctors providing the acute take.

 

Post Detail

  • Grade: ST3+
  • Location: The trainee will be based at Royal Surrey County Hospital Guildford, but may undertake supervised outpatient training at one of the linked community hospitals in Haslemere, Cranleigh or Cobham.
  • Type of Work: Inpatient Gastroenterology & Hepatology; Outpatient Gastroenterology & Hepatology; Endoscopy; Acute Medicine
  • Qualifications: MB BS MRCP (PACES) Full GMC Registration

 

Click here for an example timetable

 

Educational Supervisors

Dr Kalliopi Alexandropoulou

Dr Michelle Gallagher

Dr Charmian Banks

 

Clinical Lead

Dr Michelle Gallagher Michellegallagher@nhs.net

CCT/CESR/CP/Core

CCT Gastroenterology / GIM

Outcome

Maintenance of Core competencies in General medicine.
Progress towards CCT in Gastroenterology and General Internal Medicine including JAG accreditation for diagnostic and therapeutic upper GI endoscopy and colonoscopy.

 

Salary Scale

All payscales can be found on the NHS Employers website

 

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