Senior Oncoplastic Breast Clinical Fellow

Job responsibilities

The Breast surgery team offer a full range of breast diagnostic and oncological surgeries; we offer complex breast conservation with multi-site resections, mammoplasty and local perforator flaps.

Whole-breast reconstruction with implant (pre- & sub-pec) and LD-flaps are offered for both therapeutic and Risk-Reducing case. Free-Flap reconstructions are referred to our local plastic surgery unit.

NHS funded cosmetic surgery for asymmetry, macromastia and gynaecomastia are delivered when funding is secured. We offer therapeutic breast surgery to both symptomatic and screening diagnosed patients within Liverpool and the wider Merseyside area. At present we diagnose and treat approximately 900 cancer per year.

The Breast surgery team work closely with the endocrine surgery team and provide cross-cover on occasions, mainly for peri-operative ward care. The units have strong links to the breast radiology team, Plastic Surgery service in the region, the pathology department and Clatterbridge Centre for Oncology.

The post holder will support the elective activity of the unit by assisting in a variety of Diagnostic and Results/Follow-up clinics and Breast theatre lists; independent practice is encouraged once the candidate is appropriately inducted into the unit. Regular participation in Breast Screening & Main Oncology MDT is expected; there is access to a Metastatic Breast MDT for educational purposes as needed.

The candidate will present and manage the oncoplastic breast MDT with the training registrars attached to the unit. The candidate would be expected to attend clinics and theatre sessions on the Royal Liverpool (RLH), Broadgreen(BGH) & Aintree Hospital (AUH) sites; Shuttle bus and parking permits are available to assist in cross-site working.

There is no on-call component to this post, however managing breast complications/emergencies, within standard hours, will be required on occasions.

It is expected the candidate will support the F1/CT1 Doctors and pre-operative nursing team in peri-operative patient care. We would be expecting the post-holder to undertake appropriate administrative activities, audit and assist with medical student teaching during the post. We would facilitate involvement in clinical research, service improvement and provide experience of Management & Leadership within the NHS.

We will encourage time to spend be spent with Breast Radiology and Oncology and will incorporate this into the timetable. An annual appraisal using tools from the ISCP training site and maintaining a logbook will be essential; the candidate will be offered and Assigned Educational Supervision and be assessed with Multi-Consultant Reporting form the clinical supervisors at defined intervals during the job.

Qualifications

Essential

• MBBS or equivalent medical qualification, & MRCS
• FRCS(Gen or Plast) (or international equivalents)

Desirable

• CCT- General Surgery or Plastic Surgery
• Additional degree or post-graduate certificates eg: BSc MD

Eligibility

Essential

• Be eligible for full registration with, and hold current license to practise from GMC
• Eligible to work in the UK

Language Skills

Essential

• Applicant to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues

Clinical Experience

Essential

• 24 Months of Specialist Breast or Plastic Surgery Training at ST5-8 level

Desirable

• Oncoplastic or Microvascular Fellowship
• Academic Surgical experience
• UK NHS medical practice

Clinical Skills

Essential

• Ability to apply sound clinical knowledge and judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Recognition of and ability to undertake the initial management of an acutely ill patient

Desirable

• A specialist Oncoplastic Breast Training course
• A specialist Breast Training course in nonreconstructive breast surgical principles
• Advanced Communications course (& or cancer communications based course)

Fitness to practice

Essential

• Is up to date and fit to practise safely and is aware of own training needs

Academic Skills

Essential

• Demonstrates understanding of research
• Demonstrates understanding of basic principles of audit, clinical risk management, evidence based practice, patient safety and clinical quality improvement initiatives
• Demonstrates knowledge of evidence-informed practice

Desirable

• Evidence of relevant academic and research achievements
• Evidence of involvement in an audit project, a quality improvement project, formal research project or other activity
• Evidence of interest in and/or experience of teaching

Learning and Personal Development

Essential

• Ability to provide complete details of employment history
• Shows initiative/drive/enthusiasm
• Demonstrable interest in and understanding of speciality
• Commitment to personal and professional development
• Evidence of attendance at organised teaching and training programmes
• Evidence of self-reflective practice

Desirable

• Achievements relevant to specialty
• Appropriate courses

Personal Skills

Essential

• Demonstrates clarity in written/spoken communication and capacity to adapt language as appropriate to the situation
• Able to build rapport, listen, persuade and negotiate
• Capacity to take in others' perspectives and treat others with understanding
• Demonstrates respect for all
• Able to work in multi-professional teams and supervise junior medical staff
• Ability to show leadership, make decisions, organise and motivate others team members
• Capacity to work effectively with others
• Capacity to manage/prioritise time and information effectively
• Capacity to manage own workload and organise ward rounds
• Evidence of thoroughness, shows self-discipline, punctual and shows ability to meet deadlines
• Capacity to operate under pressure
• Demonstrates initiative and resilience to cope with changing circumstances
• Understands, respects and demonstrates the values of the NHS Constitution (e.g. everyone counts, improving lives, commitment to quality of care, respect and dignity, working together for patients, compassion)

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).