Job responsibilities
Please apply early to avoid disappointment as if we receive
sufficient suitable applications the vacancy may close
earlier than advertised
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.
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