Upper GI and Hepatobiliary at Royal Marsden

6 month post (extendable to 12 months)

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The trainee would be expected to have one to two days per week spent in upper GI and hepatobiliary theatre lists, time spent in upper GI and hepatobiliary MDT meetings, and pre-assessment, with one day a week of clinical service commitment to theatres, and an additional on-call commitment based in Chelsea or Sutton.
Some time would be dedicated to academic activities to pursue relevant projects. This equates to approximately 80% clinical commitment and 20% academic commitment, and would add up to an average 48-hour week.

The trainee would also have the opportunity to be involved in recruitment and consent to all ongoing multi-centre trials, including 'Preoperative intravenous iron to treat anaemia in major surgery' (PREVENTT), 'Prevention of Insufficiency after Surgical Management' (PRISM), the BALANCED anaesthesia study and the Perioperative Quality Improvement Programme (PQIP).
The post-holder will be encouraged to pursue a Diploma in Perioperative Medicine (University College London), should they so wish. Financial support will be available.

Educational opportunities:
Opportunity to undertake a Diploma in Perioperative Medicine (partially funded)
Opportunity to be involved in, facilitate, and teach on weekly registrar teaching
Fully funded Good Clinical Practice training course (international ethical, scientific and practical standard to which all clinical research training is conducted)
Opportunity to be part of the development of the new international multi-centre education programme in Anaesthesia for Oncology between Houston, Melbourne and London
Opportunity to teach and run courses including Basic Assessment and Support in Intensive Care course and Critical Care Transfer course
Opportunities to be involved in education for preassessment, theatres and ICU nursing staff, and ODP training

Research /Audit:
To be involved in ethics proposals, data collection, abstract writing, presentation and publication
Recruit and consent upper GI/hepatobiliary patients to ongoing multi-centre trials

Anaesthesia & management:
Anaesthesia for major gastrointestinal and hepatic resection surgery
Preassessment including use of CPET as a risk assessment tool
Assisting with the Patient Blood Management programme
Opportunity to have hands-on experience of a large number of TIVA anaesthesia cases
Attend and participate in appropriate board and hospital meetings
Attend upper GI/hepatobiliary MDT meetings where possible


Supervisors: Dr Matthew Hacking & Dr Rao Baikady Ravishankar

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Contact: Dr Susanna Walker
Email: fellowships@rmh.nhs.uk

Further information: https://www.royalmarsden.nhs.uk/working-royal-marsden/fellowships/upper-gi-and-hepatobiliary-fellowship