Senior Clinical Fellow in Upper GI Surgery (Benign)

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Senior Clinical Fellow in Upper GI Surgery (Benign)

The closing date is 21 December 2025

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.

Main duties of the job

• 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.

About us

Organisational Values:

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:

• 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.

Job responsibilities

The list of duties and responsibilities given above is not an exhaustive list and you may be asked to undertake other duties in line with the overall purpose and nature of the post as may be required from time to time.

This job description reflects core activities of a post at a particular time. The trust expects that all staff will recognise this and adopt a flexible approach to work.

All staff are expected to contribute to the smooth running of their clinical service as required; in particular, to comply with the policies and procedures, Standing Orders and Financial Regulations of the trust.

Person Specification Qualifications and Training

• Full GMC Registration and hold a license to practice
• FRCS or at least working towards FRCS
• Specialty qualification, and/or higher degree (MD/MS/PhD)

Clinical Experience

• Previous Upper GI experience (benign or resectional) Competent General surgeon (or equivalent)

Knowledge and Skills

• Ability to work as an effective member of a multidisciplinary team Good Communication Skills
• Presentations at national Meetings

Research:

• Understanding of the principles and applications of clinical research
• Peer Review publications

Teaching

• Experience of undergraduate Teaching and postgraduate Training
• Teaching qualification

Other

• Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council Evidence of contribution to effective clinical audit and clinical risk management

Managment

• Evidence of understanding of the role of clinical management
• Management training or qualification Evidence of leadership in the development of clinical services

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Guy's and St Thomas' NHS Foundation Trust