MYDoc Hand Fellowship

Job responsibilities

Introduction

Mid Yorkshire Teaching NHS Trust is pleased to offer an opportunity to a motivated individual to continue the success of this role within the service. This fixed term 12-month 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 hand surgeon who would like more exposure to acute and elective hand surgery 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 hand fellow post will be relatively flexible to accommodate the fellows needs. The Fellow will be exposed to all aspects of elective and trauma hand surgery. They will be expected to be involved in training more junior trainees with hand trauma as well as coordinating trauma in a more senior capacity. The fellow will be expected to be competent in management if 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 hand referrals. This fellowship is designed to ensure the fellow has exposure to all aspects of practicing as a hand 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 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 15 full-time consultants and 2 part-time consultant. Our resident staff include: 3 FY2, 1 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 have trained one Pre- and 1 post CCT hand and one burns fellow in the recent past. We also have dedicated extended role hand therapists, breast and dermatology nurse specialists and clinical psychologists.

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 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 also deliver national wound care courses for therapists. We have one of the few hand therapy departments in the country providing wound care independent of the plastics dressing clinic.

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 have use of a 3D operating microscope and an ICG machine. 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.

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 in the delivery 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 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 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. This post is likely to be a mirrored post so that the hand fellow is paired with a less experience registrar to cover the

same one call. This provides an excellent opportunity for the fellow to gain acute experience in a more senior role.

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

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.

Qualifications

Essential

• Medical Degree from recognised medical school
• MRCS or recognised equivalent
• Successful completion of post registration training
• FRCS (plast)

Desirable

• ATLS, ALS certification
• Medical School Prizes

Right to work

Essential

• Eligibility to work in the UK

GMC Registration

Essential

• Full GMC Registration with licence to practise
• Please state your full GMC Number

Personal Attributes

Essential

• Possesses good communication skills.
• Flexibility.
• Willingness to provide and learn all aspects of hospitals internal systems and processes and adhere to local policies
• Willingness to participate in further education and audit
• Physically able to carry out the duties as specified in the job description and ability to evidence competencies
• Disclosure + Barring Service (DBS) Clearance

Desirable

• Possess good organisational skills.
• Has personal insight into own strengths and weaknesses.
• Ability to contribute to the development of the Trust, the Unit and its services.

Experience

Essential

• Minimum experience equivalent to ST8 in Plastic Surgery (10 years full-time post-graduate training - or part-time equivalent)
• Proven experience in acute hospital setting
• Sound knowledge and experience in the management of critically ill patients
• At least 6 months recent experience in the NHS
• Evidence of an interest in Audit and Research

Management skills

Essential

• Demonstrates intelligent and analytical approach to problem solving.

Desirable

• Possess good organisational skills.

Personal Attributes

Essential

• Possesses good communication skills.
• Flexibility.
• Willingness to provide and learn all aspects of hospitals internal systems and processes and adhere to local policies
• Willingness to participate in further education and audit
• Physically able to carry out the duties as specified in the job description and ability to evidence competencies
• Disclosure + Barring Service (DBS) Clearance

Desirable

• Possess good organisational skills.
• Has personal insight into own strengths and weaknesses.
• Ability to contribute to the development of the Trust, the Unit and its services.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).