Job responsibilities
Please apply early to avoid disappointment as if we receive
sufficientsuitable applications the vacancy may close earlier than
advertised
Introduction to the fellowship
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, 1 trust grade
registrar and a TIG oncoplastic breast fellow. We have trained one post CCT
hand and one burns fellow in the recent past. We also have dedicated extended
role hand therapists breast and dermatology nurse specialists.
Our particular spheres of interest
include elective and trauma 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
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 deliver 10 weekly elective hand surgery lists, which we
hope to increase in the coming months with the development of a new day case
hub in Dewsbury Hospital. We also have weekly hand clinics, injection clinic
and complex trauma clinics. 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
undertake 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
have up to 4 consultant led breast clinics per week. We also provide an
outpatient nipple tattoo service. We actively participate in a weekly 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.
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 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.
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
