Job responsibilities
Mid Yorkshire Teaching NHS Trust is
pleased to offer this fixed term fellowship is aimed at
a senior plastic surgery trainee who is nearing completion of training or has
completed their training. We aim to provide an additional period of experience
to a surgeon who would like more exposure to acute and elective burn injury
management before starting their consultant career. The post will be a combination of training, educational
input within the specialty, research and service delivery.
Although this post is not a recognised UK
training post, MYDoc doctor will have a named supervisor and will be expected to
undertake educational opportunities in order to consolidate and support career
progression. The
department offers a supportive environment in which to develop academic and
clinical interests.
Introduction to the fellowship
Our burns fellow post will be
relatively flexible to accommodate the fellows needs. The fellow will be exposed to all aspects of adult
and paediatric burn injury management. They will be expected to be involved in
training more junior trainees as well as coordinating acute burns in a more
senior capacity. The fellow will be expected to be competent in management of
common plastics and burns emergencies.
The fellow will have weekly supervised
clinics and operating lists. They will also undertake some independent
operating lists. Attendance to clinics will be mandatory in order to hone
clinical diagnostic skills and learn to assess and treat more complex chronic
burn injured patients. This fellowship is designed to ensure the fellow has
exposure to all aspects of practicing as a burns surgeon and will be given
opportunities to refine existing surgical skills, acquire new skills and build
confidence to run an independent practice. We will provide support, advise and
training to develop the fellow.
An Introduction to the Department of Plastics, Burns
and Reconstructive Surgery
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 15 full-time
consultants and 2 part-time consultants. Our resident staff include: 3 deanery FY2,
1 deanery CT, 6 trust grade CTs, 5 NTN, 2 clinical academic research fellows, 1
trust grade registrar, 1 hand fellow and a TIG oncoplastic breast fellow. We
also have dedicated extended role hand therapists, breast and dermatology
nurse specialists. More recently we have appointed a plastics surgery trainee
ACP.
Our spheres of interest include elective
and trauma hand surgery, breast reconstruction, skin cancer, paediatric plastic
surgery, perineal reconstruction, lower limb reconstruction and acute and
reconstructive surgery for burns.
We have elective hand surgery lists in
Dewsbury and Wakefield throughout the week and 1-3 complex hand clinics per
week. 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 also provide a range of other
breast procedures including treatment for gynaecomastia, breast reduction,
mastopexy, capsulotomies, nipple reconstruction and post burns breast
reconstruction. 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 are passionate about teaching and
training. We have a weekly departmental teaching programme consisting of
in-house presentations and invited external speakers.
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.
We are proud to have a research
collaboration with the University of Bradford. We hope to encourage more
trainees to undertake a period of supervised research.
Several 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.
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.
An Introduction to the Burns Service
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 will have a separate
burn on call consultant rota from September 2025.
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.
We have twice weekly acute burns MDT and
daily consultant led burns ward rounds. We have an LDI machine for use on both
adult and paediatric burn injured patients.
We arrange training for new staff.
Our weekly MDT scar clinics are a hybrid of face to face and
telemedicine appointments.
We have 3 dedicated burns list per week
and have access to daily lists if and when necessary. We offer a wide range of
burns reconstructive procedures including breast reconstruction, tattoos,
expanders, local, regional and free flaps. In the coming months, we hope to
increase our day case scar management surgical services including laser within
our trusts new surgical hub in Dewsbury Hospital.
In addition to our monthly departmental
CEPOD meetings, we have dedicated burns CEPOD and participate in the northern
network burns meetings. We also actively
participate in national burns network meetings.
We have 5 EMSB instructors in our
department and are due to run the first Pinderfields EMSB course in October
2025.
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 best poster and oral
presentation awards at BBA. We held the
2nd Annual National Nexobrid conference attended by representatives from 21 of
the 22 national burns centres, just before the pandemic. We have developed
protocols on the application of Nexobrid on resuscitation level burn injuries
and presented our work nationally and internationally. We have published over
30 papers on the last few years and more recently have had a trainee complete
their MD in Machine learning in Burns assessment.
We are now the only plastic surgery
department in the region to provide burns centre care for adults and are
responsible for providing our regional NTN specialist registrars with the
required level of burns experience and training. We also provide core trainees
from other trusts the opportunity for clinical attachments with us, to give
them exposure to burns care.
Our department is strongly invested in
tailoring clinical and academic training to individual needs.
The Service Role
The post is
equivalent in duties and responsibilities to a Specialty Registrar.
From a clinical
perspective the post holder will participate in daytime activity.
Senior fellows may be
asked to support more junior registrars on the on-call rota by mirroring the on
calls. This would come with additional renumeration based on hours worked.
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
