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Senior Breast Microsurgical Reconstruction Fellow

Manylion swydd
Dyddiad hysbysebu: 01 Gorffennaf 2024
Cyflog: £63,152.00 bob blwyddyn
Gwybodaeth ychwanegol am y cyflog: £63152.00 a year
Oriau: Llawn Amser
Dyddiad cau: 22 Gorffennaf 2024
Lleoliad: Wakefield, WF1 4DG
Cwmni: NHS Jobs
Math o swydd: Cytundeb
Cyfeirnod swydd: C9377-24-0057

Crynodeb

An introduction to the post The fellow will have an opportunity to work within our plastic surgery department which offers implant, local and distant flap breast reconstructions. There will also be scope to work with our breast surgeons who perform a range of oncological, pre-pectoral and oncoplastic procedures. We have a microsurgical service that fulfils almost all the GIRFT criteria and has a well-established enhanced recovery pathway and as a result our post-operative length of stay is one of the shortest in the country. We are a tertiary referral centre for autologous reconstruction and in particular, bilateral risk reducing surgery. We have 2-3 all day breast reconstruction lists every week, of which upto 2 are DIEP lists. Our service benefits from having our own full-time breast reconstruction nurse. The fellow will have access to weekly oncology breast MDT and bimonthly oncoplastic MDT. new and follow-up breast clinics, operating lists (both supervisor scrubbed and supervisor unscrubbed), as well as opportunity to help with service development. Newest developments include acquisition of an ICG machine and recent purchase of a 3d Kinevo Microscope. We are a recognised TIG Centre alongside Doncaster and Bassetlaw Trust. Our current Breast TIG fellow can be contacted for further information. We have a high-fidelity simulation hub with a Zeiss microscope and microsurgery instruments. We encourage our trainees to practice independently and also provide 1:1 consultant microsurgery teaching sessions. An Introduction to the Specialty The department of Burns and Plastic Surgery at Pinderfields Hospital, Wakefield, provides a wide range of elective and 24-hour emergency services to a population of approximately 500,000, drawn from Wakefield, Dewsbury, Pontefract and surrounding areas. The Plastic surgery department, regional burns centre for adults and paediatric burns unit are situated on the Pinderfields site with outpatient and day-case services at Pontefract General Hospital and Dewsbury District Hospital. We also have dedicated hand therapy services at all three hospital sites and plastic surgery dressings clinic at Pinderfields Hospital. Our adult burns, general plastic surgery ward, hand therapy unit and plastic surgery dressings clinic are all co-located on the same floor. Currently we have a team of 14 full-time consultants and 1 part-time consultant. Our junior staff include: 3 FY2, 1 CT, 6 trust grade CTs, 5 NTN, 2 clinical academic research fellows, 2 trust grade registrars and one TIG oncoplastic breast fellow. Over the last few years, we have trained post CCT hand, burns and breast fellows. We also have dedicated extended role hand therapists, breast and dermatology nurse specialists. Our particular spheres of interest include hand surgery, breast reconstruction, skin cancer, paediatric plastic surgery, perineal reconstruction and acute and reconstructive surgery for burns. We treat all the elective and acute hand pathology in Mid-Yorkshire, and probably have the largest hand fracture practice of any Plastic Surgery unit in the country. We have approximately 10 dedicated weekly consultant delivered hand trauma lists providing an excellent opportunity for trainees to receive the highest quality of clinic-based and operative hand surgery training. We have managed to continue to deliver several weekly elective hand surgery lists, which we hope to increase in the coming months. We hold a hand surgery MDT every six weeks, which is attended by all therapy staff, hand consultants and trainees. We have 4 breast reconstructive surgeons who work closely with the breast care team. They provide a full range of reconstructive options to our patients including implant based reconstructions with or without ADM / Latissimus Dorsi flaps and free tissue reconstruction. We also provide a range of other breast procedures including treatment for gynaecomastia, breast reduction, mastopexy, capsulotomies, nipple reconstruction and post burns breast reconstruction. We have up to 4 consultant led breast clinics per week. We also provide an outpatient nipple tattoo service. We actively participate in a Breast and oncoplastics breast MDT. Our burns service serves a population of approximately 5 million people across Yorkshire, Humber and North Lincolnshire. Our service is accessed by 19 emergency departments, in an area of around 3,000 square miles. We treat over 180 adult and 200 paediatric in-patients burns injuries every year. In addition, we provide out-patient and outreach services to over 1000 patients annually. We have a team of burns specialist staff including surgeons, anaesthetists, microbiologists, dieticians, adult and paediatric psychologists, outreach sisters, play, occupational and physiotherapists. Our MDT scar clinics take place at Pinderfields Hospital, St Lukes Hospital in Bradford and Goole Hospital. We are now the only plastic surgery department in the region to provide burns centre care for adults. We are also responsible for providing our regional NTN specialist registrars with the required level of burns experience and training. We have 3 dedicated burns list per week and have access to daily lists if and when necessary. We have an LDI machine and are keen to develop is use as a research tool. We held the 2nd Annual National Nexobrid conference attended by representatives from 21 of the 22 national burns centres, just before the pandemic. Over the last few years we have developed protocols on the application of Nexobrid on resuscitation level burn injuries and presented our work nationally and internationally. Members of our department, including doctors and allied staff presented over 35 posters and oral presentations at the 2019 BBA and a similar number at the ISBI 2021 meeting. We won the best poster and oral presentation awards for 2019. We are passionate about teaching and training. We have a weekly departmental teaching programme consisting of in-house presentations and invited external speakers. We have Burns MDT meetings every Monday morning and a teaching ward round and burns MDT every Friday morning. We provide core trainees from other trusts the opportunity for clinical attachments with us, to give them exposure to burns care. Our departmental CEPOD meetings take place once a month. We are also keen to develop our burn surgery research interests. The Trust has established strong links with Leeds Medical School, therefore during term time we can have 2 to 4 medical students attached to our department at any one time. In addition, we regularly have sixth form students on work experience placements with us. We encourage all trainees to teach, attend courses and undertake audit and research projects, with the goal of presenting and publishing their work both nationally and internationally. A number of our consultants are conveners and faculty members for local and national courses. We regularly undertake clinical and viva practice for FRCS (Plast) candidates and run simulation workshops for our trainees, such as suturing, skin grafting, tendon repair and fracture fixation. We encourage our trainees to actively participate, and be involved in the organisation of, multiple courses aimed at sixth formers all the way up to senior trainees. This provides an excellent opportunity for trainees to develop the teaching and training components of their portfolios. Our department is strongly invested in tailoring training to individual needs, regardless of whether the individual is a specialist or who wishes to top up their training in their senior years. We are proud to have a research collaboration with the University of Bradford . We have strong links with Huddersfield University and so far have registered 3 Masters of Research fellows. We hope to encourage more trainees to undertake a period of supervised research. Our departmental ethos is to promote high quality, patient centred care in burns and plastic surgery through education, training and research in an environment that is supportive, inclusive, and forward thinking. The Service Role The post is equivalent in duties and responsibilities to a Specialty Registrar. From a clinical perspective these posts will participate in the senior trainee rota. The senior trainee rota is compliant with the 2016 junior doctor contract averaging 48 hours per week. On-call arrangements are 1:8 or 1:9 tbc with prospective cover for annual and study leave. Senior fellows may be asked to support more junior registrars on the on-call rota by mirroring the on calls (working on the same on call rota line). Duties will be based primarily on our Pinderfields Hospital site although all our medical staff are involved in delivering care to patients on all our sites.