RCS Oncoplastic and Reconstructive Breast Surgery Fellow (Post-CCT)
Gateshead Health NHS Foundation Trust
This job is now closed
This is an exciting opportunity for a motivated individual who is post-CCT or nearing the end of their training to develop their oncoplastic and breast reconstructive techniques in a dynamic, high volume breast surgical unit in preparation for commencing their consultant practice.
The fellowship is part of the Royal College of Surgeons (England) senior clinical fellowship scheme and the role has been specifically approved by the Association of Breast Surgery (ABS) and the British Association of Plastic, Reconstructive and Aesthetic Surgery (BAPRAS).
The successful candidate will join the highly motivated multidisciplinary breast team based at this high-volume breast screening centre, providing a full range of services for symptomatic and breast screening patients. The Unit treats around 750 breast cancers (50% screen detected) each year in the dedicated breast unit facilities. The fellow will work with the 8 consultant oncoplastic breast surgeons in the unit (16 operative sessions per week) gaining experience and training in complex level 1 and 2 oncoplastic breast conservation techniques. The fellow will also gain experience in skin (+/- nipple) sparing mastectomies, immediate implant-based reconstruction (in conjunction with an ADM) and pedicled autologous reconstruction.
There are no on-call commitments for this post.
Main duties of the job
This fellowship will deliver a comprehensive and high-volume exposure to a diverse range of oncoplastic and reconstructive breast surgeries, alongside further developing the non-technical skills of the candidate. The position will have elements of service provision alongside addressing individual learning needs through clinical activities such as one-stop new referral clinics, follow-up clinics, oncoplastic clinics, MDT, oncoplastic MDT and theatre lists.
There are 16 sessions of oncoplastic surgery every week, and surgeons offer the entire range of partial and complete breast reconstruction including complex therapeutic mammoplasties, local perforator flap reconstruction, implant-based reconstruction, autologous LD reconstructions, lipomodelling, symmetrisation surgery, nipple reconstructions and tattooing. We have a referral service for free-flap reconstruction.
The successful candidate will develop a personal development plan with their allocated supervisor at the start of the post and identify their intended learning outcomes. There are numerous opportunities for development in Clinical Education, Clinical Research, Governance, Service & Workforce transformation. There will also be the opportunity to arrange and attend meetings/conferences at local and regional levels.
Fellows will be required to complete mandatory interim and final feedback as per RCS monitoring protocol.
Based in the North East of England we provide a range of hospital and community health services from our leading facilities, including the Queen Elizabeth Hospital, Blaydon urgent care centre and Bensham Hospital, all within Gateshead.
Established in 2005, we were one of the first foundation trusts in the country and since then have consistently achieved the highest levels of care for patients.
We now employ around 4,800 staff and currently provide 444 hospital beds across the Gateshead region.
Our values should be the 'golden thread' which runs through everything we do - they are the core of who we are. Our five values can easily be remembered by the simple acronymICORE; Innovation, Care, Openness, Respect, Engagement.
We have a number of staff networks including the BAME network, D-Ability network, LGBTQ+ Network and the Women's Network, to challenge us and help us to constantly improve. Our armed forces network is one of our emerging networks.
The health and wellbeing of our staff is one of our highest priorities, and we offer a range of support and initiatives as part of our 'Balance' programme balancegateshead.com to cater for our diverse workforce, so that your individual needs can be supported, allowing you a happy and healthy working experience with us.
26 May 2023
Hospital medical and dental staff
Doctor - other
£33,790 to £53,132 a year PER ANNUM
Stated learning outcomes:
- Demonstrate an understanding of comprehensive patient-focused care for those with breast disease, including the management of their co-morbidities and how this may impact on their suitability for surgical intervention.
- Demonstrate an understanding of the therapeutic options for breast disease, the indications for each option (including knowledge of current guidelines on commissioning and choice) and their potential pitfalls/complications.
- Demonstrate an understanding of the long-term management of patients following breast cancer surgery, including complications and revisional surgery.
- Demonstrate competence and independence in oncoplastic breast surgery (as laid out in the curriculum document).
- Demonstrate the ability to counsel patients regarding options for the management of breast cancer.
- Engage with the multi-disciplinary team to develop management plans for patients referred for breast disease and those that present with complications or problems post-operatively.
- Completion of an audit cycle
- Publication of a research project in a peer reviewed journal
Clinical competencies to be achieved:
- Demonstrate competence and independence in assessment, decision-making, and follow-up review of all types of breast surgery
- Demonstrate operative competence and independence in therapeutic mammoplasty, local flap WLE, mastectomy, implant and LD reconstruction in an immediate and delayed setting, lipomodelling
Number of main operations the fellow could expect to be involved in:
As per the 2021 Curriculum indicative procedures (n (% lead surgeon)):
- Breast Cancer Conservation: 100 (80%)
- Mastectomy: 30 (80%)
- Inc. skin sparing: 15 (60-70%)
- Axillary surgery: 100 (80%)
- Reduction mammoplasty: 20 (70%)
- Implant reconstruction: 15 (75%)
- Local flaps: 10 (75%)
The fellow will be in the final stages of their training (ST8/end of ST7 OOPR) or will have recently achieved their CCT. They will be a keen, enthusiastic person who is passionate about providing excellent oncoplastic and reconstructive options to breast cancer patients for their future consultant practice.
- Registered with the GMC
- Fellowship of Royal College of Surgeons or equivalent
- Higher Medical or Surgical Degree
- Possession of CCT/CESR or date within 6 months
- Experience in Breast Surgery in relation to surgical oncology including complex case management
- Evidence of competence (eg Level 3/4) in indicative operative procedure for elective Breast Surgery (as described in 2013 General Surgery Curriculum) OR Reconstruction and Aesthetic Plastic Surgery (as described in 2013 Plastic Surgery Curriculum) for start of Fellowship date.
- Experience in cancer management
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).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Gateshead Health NHS Foundation Trust
For questions about the job, contact:
Consultant Oncoplastic Breast Surgeon
Miss Gwen Bromley
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