The Advanced Training Skills Module (ATSM) Fellow in Colonoscopy will undertake a 12‑month, full‑time Medical & Dental training post within the Gastroenterology Directorate at The Royal Wolverhampton NHS Trust. This nationally funded fellowship provides structured, high‑quality training in advanced colonoscopy, polypectomy and large polyp management, supporting the development of future Bowel Cancer Screening Programme (BCSP) colonoscopists.

The postholder will work across New Cross Hospital and Cannock Chase Hospital within a high‑performing, JAG‑accredited Endoscopy Unit. The role combines supervised training, independent clinical activity, MDT involvement, service improvement, research opportunities and participation in governance. The Fellow will be supported by a named Educational Supervisor and Clinical Supervisor and will work closely with the Clinical Director, Endoscopy Leads, Midlands Endoscopy Training Academy (META), and the wider multidisciplinary team.

Clinical Responsibilities

• Undertake five colonoscopy lists per week, consisting of:
  • Two supervised training lists focused on development and consolidation of advanced polypectomy skills
  • Three independent colonoscopy lists, delivering high‑quality diagnostic and therapeutic procedures
• Provide safe, effective and timely care for patients undergoing colonoscopy in accordance with JAG standards and Trust policies.
• Demonstrate professional responsibility for patient assessment, consent, procedural performance, and post‑procedure communication.
• Contribute to inpatient gastroenterology reviews or specialist clinics, where appropriate to the individual’s skills and development plan.

MDT, Pathway and Collaborative Responsibilities

• Lead and coordinate the Polyp MDT, ensuring effective liaison with administrative teams, referrers, pre‑assessment services and clinical colleagues.
• Attend the Colorectal Cancer MDT, contributing to case discussion and pathway progression.
• Support optimisation of the large polyp pathway, contributing to timely patient flow and high‑quality decision‑making.
• Engage with META and regional partners to support educational events, training courses and endoscopy workforce development.

Governance, Quality and Research Responsibilities

• Undertake a bi‑annual audit of the large polyp service, presenting results at departmental or divisional governance meetings.
• Participate in clinical audits, quality improvement projects, and service evaluations, meeting ATSM and Trust requirements.
• Contribute to endoscopy governance, ensuring adherence to safety standards, incident reporting, learning and continuous improvement.
• Participate in research activity related to endoscopy or colorectal disease, where opportunities arise.

Education and Training Responsibilities

• Work with a named Educational Supervisor to meet the learning outcomes of the ATSM in Colonoscopy, maintaining an up‑to‑date portfolio and evidence log.
• Participate in formal and informal teaching of junior medical staff, nurses, and trainees.
• Support delivery of local and regional teaching sessions, simulation training or META workshops, depending on experience and interest.

Professional Responsibilities

• Maintain full GMC registration with a licence to practise.
• Demonstrate high‑level communication skills, professionalism and adherence to Trust values and behaviours.
• Ensure compliance with infection prevention and control, safeguarding, health and safety, data protection and all statutory training.
• Participate in annual appraisal, job plan review, mandatory training and other professional development activities.
• Contribute to a positive, collaborative and supportive working environment within the Endoscopy team and wider Gastroenterology Directorate.