Cardiff and Vale University Health Board
Senior Endoscopy Fellow -Advanced Diagnostic & Therapeutic Colonoscopy

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Job Description
The post is embedded within the Advanced Complex Polyp Service in Cardiff, which supports both the local symptomatic service and the national bowel screening programme. Cardiff is a tertiary centre for the management of complex polyps within the Bowel Screening Wales programme and hosts the National Referral Centre for complex polyp management. The service has a well-established and longstanding structured complex polyp multidisciplinary team (MDT), supporting both locally referred symptomatic cases and nationally referred screening-related complex polyps.
This post is aimed at senior gastroenterology trainees (ST5+ or equivalent) or post-CCT clinicians who are independently accredited (JAG certified or equivalent) in diagnostic colonoscopy and practising independently. This fellowship is suitable for trainees undertaking an out of programme experience (OOPE) and may contribute to recognised elements of higher specialty training, subject to approval by the relevant training programme director. Applicants should demonstrate competence in standard colonoscopic polypectomy, a clear interest in advanced lesion assessment and complex polyp management and would suit individuals interested in achieving future accreditation for bowel cancer screening.
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The role combines defined service delivery with structured mentoring and supervised exposure to advanced therapeutic endoscopy within a high-volume tertiary unit.
- The successful candidate will undertake a minimum of three service endoscopy lists per week, with an additional list every alternate week (equivalent to 3.5 service lists weekly on average).
- In addition, the Fellow will participate in dedicated mentored endoscopy sessions and support the Endotherapy MDT for symptomatic complex polyp cases, contributing to structured lesion assessment and case discussion and experience significant learning opportunities related to complex decision making in these settings.
- Alternate-week outpatient clinics will be timetabled, providing exposure to complex polyp assessment, multidisciplinary decision-making and management planning.
- Two programmed sessions per week will be protected for audit, research and quality improvement activity. The postholder will be expected to complete at least one project during the placement and to submit work for presentation at a national meeting and publication where appropriate.


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Cardiff and Vale University Health Board is one of the largest Integrated Health Boards in the UK, employing over 17,000 staff, providing over 100 specialist services. Working across 6 hospital sites, we have a diverse range of career opportunities to offer. Serving over 500,000 people living in Cardiff and the Vale, we are focussed on the health and care needs of our local population whilst working with our partners to develop regional services. Together we are committed to improving health outcomes for everyone, delivering excellent care and support.
Our mission is “Living Well, Caring Well, Working Together”, and our vision is that every person’s chance of leading a healthy life should be equal. Our 10-year transformation and improvement strategy, Shaping Our Future Wellbeing, is our chance to work collaboratively with the public and our workforce to make our health board more sustainable for the future.
For further details / informal visits contact:
- Name: Dr Rajeswari Ramaraj
- Job title: Consultant Gastroenterologist
- Email address: Rajeswari.Ramaraj@wales.nhs.uk
Dr Philip Harborne
Consultant Gastroenterologist
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