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Clinical Fellow in Dermatopathology
| Posting date: | 22 December 2025 |
|---|---|
| Salary: | £65,048.00 to £73,992.00 per year |
| Additional salary information: | £65048.00 - £73992.00 a year |
| Hours: | Full time |
| Closing date: | 12 January 2026 |
| Location: | London, SE1 7EH |
| Company: | NHS Jobs |
| Job type: | Contract |
| Job reference: | C9196-25-1962 |
Summary
The programme is divided into four stages, AD. At all stages of the programme the Clinical Fellows will alternate between routine and referral blocks with a 4-week cycle. Routine: these cases constitute the biopsies & excisions generated from within St Johns, St Thomas and those received from primary care. Cases for Multidisciplinary Meetings (MDMs), Mohs cases and sentinel lymph nodes also fall within this block. Referral: these are those cases sent to a pathologist in the department for a specialist opinion. The precise role of the Fellow in this component of work will differ according to the supervising Consultants practice. Stage A This stage approximates to the first 3 months in the post. Fellows will familiarise themselves with the cut-up manual and procedure; the day-to-day running of the reporting room, of which they will take charge. Fellows will review all cases processed for reporting and write a surgical report. Early in the post those Fellows with a dermatology background should spend one day in the laboratory following the processing of tissue after prosection, and cut a section. They should also observe the technical aspects of immunocytochemistry. Stage B From 3-6 months Fellows should take increasing responsibility for preparing histochemical and immunocytochemical request forms for discussion with the supervising Consultant. Stage C Between 6-12 months Fellows should be developing a detailed understanding of reporting complicated cases, including: lymphomas with associated immunocytochemistry; difficult adnexal tumours; alopecia samples; dermal spindle cell tumours and sarcomas. At this stage Fellows will make arrangements to attend immunfluoresence reporting sessions once per week by arrangement with the IMF department. Fellows will begin to present cases at the MDMs under supervision of the responsible Consultant. Stage D Stage D of training begins after 12 months in the post. At this stage Fellows should be able to write surgical reports for difficult and complex cases, including referral specimens. During this period a Fellow with a dermatology background should be rosted for attachments in General Histopathology, which ideally will include the following: Haematopathology; including systemic lymphoma classification and diagnosis; metastases; large cell and follicular lymphomas; bone marrow interpretation including the typing of leukaemias. Breast pathology; some experience of the common breast malignancies Salivary gland tumours; the more common tumours, which have some resemblance to cutaneous adnexal neoplasms. Gynaecological pathology; particularly CIN and VIN, and the common malignant tumours. Other sub-specialities: gastro-intestinal, urological and respiratory, with particular emphasis on tumour pathology. A short attachment period in the department of Oral Pathology is also required. Subject to satisfactory progress, all Fellows will now have the opportunity to present cases at each of the MDMs in the absence of a Consultant. By the end of Stage D, the trainee should be able to demonstrate a level of knowledge and skill consistent with practise as a consultant in dermatopathology in the National Health Service.