Job responsibilities
Introduction
Mid Yorkshire Teaching NHS Trust is pleased to offer an opportunity
to a motivated individual to join our plastic surgery and burns service. The post will be a combination of training, service
delivery, research and educational input within the specialty. This is a 6
month fixed term post from
August 2025. The post holder may be offered an extension provided satisfactory
progress based on consultant feedback and documented progress on ISCP
portfolio.
Although this post is not a recognised UK
training post, MYDoc doctors will have a named supervisor and will be expected to
undertake educational opportunities to consolidate and support career
progression. The
department offers a supportive environment in which to develop academic and
clinical interests.
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 13 full-time
consultants and 2 part-time consultants. We have appointed 2 more full time
consultants who will join the trust this year. Our resident staff include: 3
FY2, 1 CT, 6 trust grade CT, 5 NTN, 1 trust grade registrar and 2 trust grade
research registrars and 1 post FRCS hand fellow. We 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 elective and acute hand
pathology in Mid-Yorkshire, and probably have the largest hand fracture
practices of any Plastic Surgery unit in the region.
We have 10-11 dedicated consultant
delivered hand trauma lists a week. We also have a day-time trauma consultant
of the week who supports a full resident trauma on call team. We have a
separate weekday, daytime burns on call team.
We have elective hand surgery lists in Dewsbury
and Wakefield throughout the week and 1-3 complex hand clinics per week,
providing an excellent opportunity for trainees to receive the highest quality
of clinic-based and operative hand surgery training. 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 have
sate of the art operating microscopes and use the ICG machine for all our
immediate DIEP cases. 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 dedicated
breast reconstruction lists and 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.
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 also have 1 consultant who has a
specialist interest in perineal reconstruction. He has published his modified
technique of perineal reconstruction in JPRAS.
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 and ad hoc at St Lukes Hospital in Bradford and Goole
Hospital. We provide face to face and telemedicine clinics for our patients.
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. 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 the best poster and oral presentation awards at BBA.
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 and Friday mornings. We provide core trainees from other
trusts the opportunity for clinical attachments with us, to give them exposure
to burns care.
Our half day departmental CEPOD meetings
take place once a month. Trainees are encouraged to present their audits and
QIPs at these meetings. We use these meetings to learn from each other and
discuss clinical cases.
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 residents 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 residents, such as suturing, skin grafting, tendon
repair and fracture fixation. We
encourage our residents to actively participate and be involved in the
organisation of these courses. 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 MYDoc trainee or someone who wishes to top up their training
in their senior years.
We are proud to have a research
collaboration with the University of Bradford with a MPhil fellow who has
recently been appointed as our new breast reconstruction consultant. We have
strong links with Huddersfield University and have had several trainees
complete their
Masters of Research degrees. 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 resident doctor
contract averaging 48 hours per week.
On call arrangements are 1:8 with prospective cover
for annual and study leave.
It is expected that the post holder will in
conjunction with their assigned educational supervisor undertake a clinical audit
/ research project. The project must be completed, and data prepared for
submission for presentation and publication.
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 resident medical staff and other clinicians as appropriate
Active
involvement in audit and clinical governance including service improvement
activities
The
above list is not intended to be exhaustive, and it is likely duties may be
altered from time to time in the light of changing circumstances and after
discussion with the post holder.
Terms & Conditions and Tenure
Employment will be as a MYDoc-Registrar on Trust Terms and Conditions of
Service.
Appointment to the post offered on a fixed term
contract for 6 months.
Pay Scale
These roles are equivalent to a doctor on specialty training programmes
and will be paid on the equivalent pay scale.
The salary scale commences at £61,825
per annum.
Please apply early to
avoid disappointment as if we receive sufficient suitable applications the
vacancy may close earlier than advertised.
