MYDoc Senior Burns Fellowship

Posting date:	02 May 2025
Salary:	£70,425.00 per year
Additional salary information:	£70425.00 a year
Hours:	Full time
Closing date:	15 May 2025
Location:	Wakefield, WF1 4DG
Company:	NHS Jobs
Job type:	Contract
Job reference:	C9377-25-0121

Summary

Mid Yorkshire Teaching NHS Trust is pleased to offer this fixed term fellowship is aimed at a senior plastic surgery trainee who is nearing completion of training or has completed their training. We aim to provide an additional period of experience to a surgeon who would like more exposure to acute and elective burn injury management before starting their consultant career. The post will be a combination of training, educational input within the specialty, research and service delivery. Although this post is not a recognised UK training post, MYDoc doctor will have a named supervisor and will be expected to undertake educational opportunities in order to consolidate and support career progression. The department offers a supportive environment in which to develop academic and clinical interests. Introduction to the fellowship Our burns fellow post will be relatively flexible to accommodate the fellows needs. The fellow will be exposed to all aspects of adult and paediatric burn injury management. They will be expected to be involved in training more junior trainees as well as coordinating acute burns in a more senior capacity. The fellow will be expected to be competent in management of common plastics and burns emergencies. The fellow will have weekly supervised clinics and operating lists. They will also undertake some independent operating lists. Attendance to clinics will be mandatory in order to hone clinical diagnostic skills and learn to assess and treat more complex chronic burn injured patients. This fellowship is designed to ensure the fellow has exposure to all aspects of practicing as a burns surgeon and will be given opportunities to refine existing surgical skills, acquire new skills and build confidence to run an independent practice. We will provide support, advise and training to develop the fellow. An Introduction to the Department of Plastics, Burns and Reconstructive Surgery 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 15 full-time consultants and 2 part-time consultants. Our resident staff include: 3 deanery FY2, 1 deanery CT, 6 trust grade CTs, 5 NTN, 2 clinical academic research fellows, 1 trust grade registrar, 1 hand fellow and a TIG oncoplastic breast fellow. We also have dedicated extended role hand therapists, breast and dermatology nurse specialists. More recently we have appointed a plastics surgery trainee ACP. Our spheres of interest include elective and trauma hand surgery, breast reconstruction, skin cancer, paediatric plastic surgery, perineal reconstruction, lower limb reconstruction and acute and reconstructive surgery for burns. We have elective hand surgery lists in Dewsbury and Wakefield throughout the week and 1-3 complex hand clinics per week. We also have several consultant-led injection clinics and dressing clinics per week. 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 DIEP flap reconstruction and implant-based reconstructions with or without ADM / Latissimus Dorsi flap. We currently perform 1-2 DIEP flaps a week. 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 also provide an outpatient nipple tattoo service. We actively participate in a weekly Breast MDT. We have 6 consultants with an interest in skin cancer. They are part of the Skin MDT and undertake 6-10 operating lists and 6-8 out-patient clinics a week. We are passionate about teaching and training. We have a weekly departmental teaching programme consisting of in-house presentations and invited external speakers. 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. We are proud to have a research collaboration with the University of Bradford. We hope to encourage more trainees to undertake a period of supervised research. Several 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 FRCS viva courses. 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. 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. An Introduction to the Burns Service 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 will have a separate burn on call consultant rota from September 2025. 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. We have twice weekly acute burns MDT and daily consultant led burns ward rounds. We have an LDI machine for use on both adult and paediatric burn injured patients. We arrange training for new staff. Our weekly MDT scar clinics are a hybrid of face to face and telemedicine appointments. We have 3 dedicated burns list per week and have access to daily lists if and when necessary. We offer a wide range of burns reconstructive procedures including breast reconstruction, tattoos, expanders, local, regional and free flaps. In the coming months, we hope to increase our day case scar management surgical services including laser within our trusts new surgical hub in Dewsbury Hospital. In addition to our monthly departmental CEPOD meetings, we have dedicated burns CEPOD and participate in the northern network burns meetings. We also actively participate in national burns network meetings. We have 5 EMSB instructors in our department and are due to run the first Pinderfields EMSB course in October 2025. Members of our department, including doctors and allied staff regularly present posters and oral presentations at BBA and ISBI. We hosted the BBA in 2023. We have won best poster and oral presentation awards at BBA. We held the 2nd Annual National Nexobrid conference attended by representatives from 21 of the 22 national burns centres, just before the pandemic. We have developed protocols on the application of Nexobrid on resuscitation level burn injuries and presented our work nationally and internationally. We have published over 30 papers on the last few years and more recently have had a trainee complete their MD in Machine learning in Burns assessment. We are now the only plastic surgery department in the region to provide burns centre care for adults and are responsible for providing our regional NTN specialist registrars with the required level of burns experience and training. We also provide core trainees from other trusts the opportunity for clinical attachments with us, to give them exposure to burns care. Our department is strongly invested in tailoring clinical and academic training to individual needs. The Service Role The post is equivalent in duties and responsibilities to a Specialty Registrar. From a clinical perspective the post holder will participate in daytime activity. Senior fellows may be asked to support more junior registrars on the on-call rota by mirroring the on calls. This would come with additional renumeration based on hours worked. 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. The main duties of the post will include: Provision of care with responsibility for the management of patients with acute and chronic conditions including complex cases. Referral of patients to other specialities as appropriate Out-patient activities/clinics Involvement in specialty and cross-specialty multi-disciplinary teams and meetings Involvement in relevant administration duties Teaching and supervision of junior medical staff and other clinicians as appropriate Active involvement in audit and clinical governance including service improvement activities