Please enter both an email address and a password.

Account login

Need to reset your password?  Enter the email address which you used to register on this site (or your membership/contact number) and we'll email you a link to reset it. You must complete the process within 2hrs of receiving the link.

We've sent you an email

An email has been sent to Simply follow the link provided in the email to reset your password. If you can't find the email please check your junk or spam folder and add no-reply@rcseng.ac.uk to your address book.

General Surgery Fellowships

RCS Senior Clinical Fellowships in General Surgery 

This page includes a list of General Surgery Fellowship programmes which have been approved under the RCS Senior Clinical Fellowship Scheme, and a gallery of recent general surgery fellows.

Applying to be a fellow

If you would like to be an RCS Senior Clinical Fellow, you will need to contact the supervisor/lead consultant of the fellowship programme you are interested in. Ask the supervisor/lead consultant if or when there is a vacancy for a fellow. They will tell you how to apply, if appropriate. Please go to the appropriate fellowship programme listed below for more information.

Fellows appointed to RCS Senior Clinical Fellowships will be expected to be ambassadors for the RCS England and meet the requirements of the GMC’s Good Medical Practice.

Bariatric Fellowships

Chichester St Richard's Bariatric Fellowship

Based at: Western Sussex Hospitals NHS Foundation Trust

Surgical Specialty Association approving: BOMSS

Approval period: Initially approved April 2016; reapproved October 2019 - December 2022

Supervisor / Lead Consultant: Mr Will Hawkins, Consultant Surgeon, with Mr Guy Slater, Prof Chris Pring and Mr Richard Newton, Consultant Surgeons

Fellowship duration: 12 months

The Supervisor says: "We only have one fellowship which runs from October each year for 12 months. The post is advertised through NHS Jobs and applications will only be considered if made through that website (https://www.jobs.nhs.uk/). We usually run our appointment process at the beginning of the year with interviews held in February. We reserve the right to appoint two fellows for consecutive years during one interview process if two appointable candidates are interviewed. Applications will not be considered outside of the formal appointment process."

Stated learning outcomes:

  • Demonstrate an understanding of whole patient care of patients with morbid obesity, including the management of their co-morbidities and how this may impact on their suitability for surgical intervention.
  • Demonstrate an understanding of the therapeutic options for morbid obesity, how they work, the indications for each option (including knowledge of current guidelines on commissioning and choice) and their potential pitfalls/complications.
  • Demonstrate an understanding of the long term management of patients following bariatric surgery, including complications, revisional surgery and dietary aspects, including guidelines on the use of dietary supplements and monitoring of nutritional status.
  • Demonstrate competence and independence in laparoscopic bariatric surgery (as laid out in the curriculum document) with an understanding of the management of intra-operative complications and when it may be necessary to convert to open surgery.
  • Competence in endoscopic evaluation and intervention (including balloon dilatation) following bariatric surgery.
  • Demonstrate the ability to counsel patients regarding therapeutic options for the management of morbid obesity as above.
  • Engage with the multi-disciplinary team to develop management plans for patients referred for bariatric surgery and those that present with complications or problems post-operatively.

Clinical competencies to be achieved:

  • Demonstrate competence and independence in laparoscopic bariatric surgery (as laid out in the curriculum document) with an understanding of the management of intra-operative complications and when it may be necessary to convert to open surgery.
  • Competence in endoscopic evaluation and intervention (including balloon dilatation) following bariatric surgery.

Number of main operations the fellow could expect to be involved in:

Target Logbook per annum

The unit offers a range of bariatric operations, but about 85% of primary procedures are primary Laparoscopic Roux-en-Y Gastric Bypass and this will be reflected in the logbook of the fellow.

  • Total number of weight loss operations (primary surgeon in >51%) 150;
  • Minimum stapling/anastomotic operations 100;
  • Minimum revisional 20.

Fellows awarded Fellowship Certificate (dates of Fellowship): 

  • Waleed Al-Khyatt (Oct 16 - Oct 17);
  • Sumanta Dutta (Oct 17 - Sept 18);
  • Richard Newton (Oct 18 - Oct 19).

Fellows' feedback

A summary of final feedback from the four most recent completing fellows providing full feedback:

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |  x  x  x
Strongly agree |  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |
More training than service |  x  x
Mostly training |  x  x

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4  x
5  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x
No |

East Midlands Bariatric & Metabolic Institute (EMBMI) Senior Bariatric and Metabolic Surgery Fellowship, Derby

Based at: Derby Teaching Hospitals Foundation NHS Trust 

Surgical Specialty Association approving: BOMSS

Approval period: July 2018 - June 2022

Supervisor / Lead Consultant: Mr Sherif Awad, Consultant Upper GI and Bariatric Surgeon, with Mr Waleed Al-Khyatt, Consultant Upper GI & Bariatric Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Assessment and management of the morbidly obese patient.
  • Knowledge of the therapeutic options for morbid obesity and revisional metabolic surgery.
  • Long term management of post-operative bariatric patients.
  • The management of complications and emergency presentation of patients following metabolic surgery.
  • Operative skills:
    • Laparoscopic access & suturing.
    • Roux en-Y Gastric Bypass and one-anastomosis gastric bypass.
    • Sleeve gastrectomy.
    • Removal of and management of gastric band.
    • Operative and non-operative management of bariatric emergencies.
    • Revisional surgery for morbid obesity.

Clinical competencies to be achieved: see learning outcomes above

Number of main operations the fellow could expect to be involved in:

  • Main Surgeon/supervised (MS) in 30 bypasses, and 15 as independent operator (IO)
  • Sleeves: MS 20, IO 10
  • Band insertions/removals: MS 10, IO 5

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Biborka Bereczky (Mar 18 - Mar 19)
  • Sylvia Krivan (May 19 - Sept 20)

Imperial College Bariatric Surgery Fellowship, London

Based at: Imperial College Healthcare NHS Trust, London

Surgical Specialty Association approving: BOMSS

Approval period: Initially approved February 2013; reapproved December 2016; reapproved March 2020 - May 2023

Supervisor / Lead Consultant: Mr Ahmed Ahmed, Consultant Upper GI and Bariatric Surgeon, with Mr Krishna Moorthy, Consultant Obesity Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Perform primary bariatric procedures independently. Minimum - 50 gastric bypasses, 25 sleeve gastrectomies and 25 bands.
  • Can perform pre-operative patient seminars, assessment and counselling independently.
  • Accurately recognise and manage post-operative complications.
  • Accurately recognise and optimise pre-operative co-morbidities.
  • Patient selection and guiding patients through the various surgical procedures.
  • Patient safety and development and adherence to peri-operative protocols.
  • At least 3 audit projects and contribute to 2 research projects.

Clinical competencies to be achieved:

  • Independent competent performance of primary bariatric procedures.
  • Supervised performance of emergency and revision bariatric procedures.
  • Case selection and optimisation of patients in the pre-operative period.

Number of main operations the fellow could expect to be involved in: see learning outcomes.

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Naim Fakih Gomez (Oct 15 - Oct 16)
  • Haris Markakis (Oct 16 - Nov 17)
  • James Clark (Oct 17 - Oct 18)
  • Sami Mansour (Oct 18 - Oct 19)

Fellows' feedback

A summary of final feedback from the four most recent completing fellows providing full feedback:

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |  x
Strongly agree |  x  x  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |
More training than service |  x  x  x
Mostly training |  x

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4  x
5  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x
No |

Luton Bariatric and Metabolic Surgery Fellowship

Based at: Luton & Dunstable University Hospital NHSFT

Surgical Specialty Association approving: BOMSS

Approval period: First approved February 2013; reapproved September 2019 – November 2022

Supervisor / Lead Consultant: Mr Omer Al-Taan, Consultant Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • The fellow will be expected to assess a new bariatric patient referred for surgery so as to be able to lay out a suitable management pathway for the individual and anticipate difficulties.
  • The fellow will be able to independently perform straightforward Gastric Sleeve and Gastric Bypass (Roux en Y and single anastomosis) operations.
  • The fellow will be able to manage postoperative bariatric patients and be able to recognise complications and have a plan to deal with these with help from senior colleagues.
  • The fellow will be able to analyse the roles of various members of MDT in relationship to an individual patient.
  • The fellow will be able to critically analyse and appraise relevant literature in the field of bariatric surgery.

Clinical competencies:

  • To safely perform all steps of operation independently in a Gastric Bypass and recognise and deal with post-operative complications
  • To safely perform all steps of operation independently in a Sleeve Gastrectomy and recognise and deal with post-operative complications
  • To be able to recognise and manage with post-operative complications
  • To be able to assess patients for Bariatric surgery before surgery and during follow up
  • To understand the role of each member of MDT in Bariatric Surgery

Number of main operations the fellow could expect to be involved in:

Target Logbook per annum

The number expected for the fellows in our unit are (per year):

  • Total number of cases to be involved in: 100 to 125
  • Gastric bypass as the main operator: 30 to 50
  • Sleeve gastrectomy as the main operator: 30 to 40
  • Revisional surgery as the main operator: 10 to 20
  • Band insertion/ removal as the main operator: 10 to 20

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Md Tanveer Adil (Jul 18 - Aug 19)

Musgrove Park Post-CCT Fellowship in Bariatric and Benign UGI Surgery

Based at: Taunton & Somerset NHS Foundation Trust

Surgical Specialty Association approving: BOMSS

Approval period: Initially approved February 2013; reapproved April 2017; reapproved February 2021 - January 2024

Supervisor / Lead Consultant: Mr Richard Welbourn, Consultant UGI and Bariatric Surgeon, with Mr Hamish Noble, Lead Clinician UGI & Bariatrics

Fellowship duration: 12 months

Stated learning outcomes:

  • Management of the patient who is morbidly obese and an understanding of the surgical treatment of morbid obesity including early and late complications.
  • Knowledge of the different patterns of presentations of complications.
  • To gain experience in at least two bariatric procedures and receive mentorship through the learning curve.
  • Produce work of scientific value in the field of bariatric surgery.
  • Engage in teaching of junior medical staff and allied healthcare professionals.

Clinical competencies to be achieved: Please see the knowledge, clinical skills, technical skills and attributes sections of the curriculum (available from supervisor)

Number of main operations the fellow could expect to be involved in:

TARGET LOGBOOK (per 12 months):

  • Total number of weight loss operations (primary surgeon in >51%) 100
  • Minimum stapling/anastomotic operations: 50 as principal operator
  • Minimum banding: 10 as principal operator
  • Minimum revisional (level 2): 5 as principal operator

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Hazem Al-Momani (Oct 14 - Oct 15)
  • James Hopkins (Oct 15 - Apr 16)
  • Omer Al-Taan (Apr 16 - Oct 16)
  • Dimitrios Pournaras (Oct 16 - Sept 17)
  • Peter Mekhail (Oct 17 - Oct 18)
  • Andrew Robertson (Oct 18 - Sept 19)
  • Thomas Wiggins (Oct 19 - Sept 20)

Fellows' feedback

A summary of final feedback from the three most recent completing fellows providing full feedback:

1. Learning outcomes

“I achieved all of the learning outcomes as specified in my learning agreement.”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |  x
Strongly agree |  x  x  x  x

2. Service : Training balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |  x
More training than service |
Mostly training |  x  x  x  x

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4
5  x  x  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x  x
No |

North Bristol Bariatric Surgery Fellowship 

Based at: North Bristol NHS Trust

Surgical Specialty Association approving: BOMSS

Approval period: July 2018 - September 2021

Supervisor / Lead Consultant: Mr James Hewes, Consultant and Lead Bariatric Surgery, with Mr Alan Osborne, Consultant UGI and Bariatric Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • History taking, examination, appropriate investigations to identify patients who benefit from bariatric surgery.
  • Present the case and discuss in bariatric MDT and select appropriate bariatric procedure.
  • Patient counselling, consent and preoperative preparation.
  • Perform laparoscopic gastric band insertion competency ¾.
  • Perform Laparoscopic sleeve gastrectomy competency ¾.
  • Perform Laparoscopic roux-en-y gastric bypass competency ¾.
  • Identify early and delayed postoperative complication, arrange appropriate investigations and management.
  • Out patient follow up and assessment.
  • Deflating, filling, laparoscopic adjustment and removal of gastric band.
  • Communicate and liaise with specialist nurse, dietician and psychologist.

Clinical competencies to be achieved:

  • Able to assess morbidly obese patients for treatment
  • Recommend most suitable treatment and discuss this in MDT meeting
  • Counselling patients and consenting
  • Postoperative assessment and follow up
  • Management of complications

Number of main operations the fellow could expect to be involved in:

Supervisor: “The aim is to provide opportunity for the fellow to perform at least 30 laparoscopic roux en y gastric bypass, 20 laparoscopic sleeve gastrectomy and 15 gastric band related procedures in one year. Assessments from ISCP are used to rate competency. Where a candidate has longer learning curve, more time and number of procedures will be considered at appraisal.”

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Samer Zino (Oct 19 - Mar 20)

Royal Cornwall Laparoscopic Anti-Reflux and Bariatric Surgical Fellowship

Based at: Royal Cornwall Hospital NHS Trust

Surgical Specialty Association approving: BOMSS

Approval period: February 2021 - January 2024

Supervisor / Lead Consultant: Mr James Clark, Consultant Upper GI and Bariatric Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Perform primary bariatric procedures independently. Minimum - 30 gastric bypasses, 20 sleeve gastrectomies and 5 bands
  • Perform Hiatal hernia / antireflux surgery independently. Minimum – 20
  • Perform Elective and Emergency Laparoscopic Bile Duct exploration with competency in using Laparoscopic Ultrasound On-table Cholangiogram
  • Can perform pre-operative patient seminars, assessment and counselling independently
  • Accurately recognise and manage post-operative Bariatric / Hiatal and Biliary complications
  • Accurately recognise and optimise pre-operative co-morbidities
  • Patient selection and guiding patients through the various surgical procedures
  • Patient safety and development and adherence to peri-operative protocols.

Clinical competencies to be achieved:

Operative Outcomes as independent primary surgeon / total cases experienced:

  • Roux en Y Gastric Bypass 30 / 100
  • Sleeve Gastrectomy 20 / 50
  • Laparoscopic Gastric Band 10 / 20
  • Laparoscopic Primary Hiatus hernia repair 20 / 40
  • Laparoscopic Giant Paraoesophageal hernias 5/15
  • Laparoscopic Bile Duct Exp. 15 / 30

Number of main operations the fellow could expect to be involved in:

see above

 

Shrewsbury Bariatric Fellowship

Based at: Shrewsbury and Telford Hospital NHS Trust

Surgical Specialty Association approving: BOMSS

Approval period: May 2020 - April 2024

Supervisor / Lead Consultant: Mr Manel Riera, Consultant Upper GI and Bariatric Surgeon, with Mr Rajesh Jain, Consultant Upper GI and Bariatric Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • To manage patients within a multidisciplinary environment.
  • To become competent at the common bariatric operations, particularly sleeve gastrectomy and gastric bypass.

Clinical competencies to be achieved:

  • History and examination of the obese patient.
  • Interpretation of Investigations in the obese patient.
  • Decision making processes within the multidisciplinary team.
  • Assessment of the post-operative bariatric patient.
  • Assessment and management early and late complications of morbid obesity, as well as common bariatric emergencies.

Number of main operations the fellow could expect to be involved in:

  • Laparoscopic gastric bypass: Total: 35; Performed: 15
  • Laparoscopic sleeve gastrectomy: Total: 35; Performed: 15
  • Laparoscopic gastric band removal: Total: 20; Performed: 5
  • Endoscopic gastric balloon placement/removal: Total: 15; Performed: 10
  • Bariatric emergencies: Total: 20; Performed: 5

Sunderland Bariatric Fellowship

Based at: City Hospitals Sunderland NHS Foundation Trust

Surgical Specialty Association approving: BOMSS

Approval period: Initially approved September 2012; reapproved February 2016; reapproved June 2019 - August 2022

Supervisor / Lead Consultant: Mr William Carr, Consultant General Surgeon, with Mr Peter Small, Consultant General Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • To medically and surgically assess patients presenting for weight loss surgery.
  • To obtain appropriate opinions on associated medical, psychological and psychiatric conditions likely to affect surgical outcome.
  • To learn and practice surgical skills required to perform bariatric surgery.
  • To monitor patient progress through their surgical journey and respond appropriately to deviation from expected path.
  • To identify problems in the longer term and investigate appropriately.

Clinical competencies to be achieved:

  • To assess patients presenting for bariatric surgery
  • To recognise and appropriately refer patients for ongoing assessment as part of a multi-disciplinary team
  • To gain surgical skills for the more common bariatric procedures
  • To identify and appropriately manage complications associated with bariatric surgery

Number of main operations the fellow could expect to be involved in:

Involvement in over 100 primary bariatric cases and 15 revisions with performance of over 50 over 12 months depending on progression.

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Jamie Young (Oct 12 - Apr 13)
  • Chiragkumar Parikh (Apr 13 - Oct 13)
  • John Bennett (Oct 14 - Sept 15)
  • Brijesh Madhok (Oct 15 - Oct 16)
  • Alastair Reid (Oct 17 - Sept 18)
  • Nehemiah Samuel (Oct 18 - Oct 19)
  • Tarek Katbeh (Sept 19 - Mar 20)

Fellows' feedback

A summary of final feedback from the five most recent completing fellows providing full feedback:

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement.”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |  x  x
Strongly agree |  x  x  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |  x  x  x
More training than service |  x
Mostly training |  x

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4  x  x
5  x  x  x 

Would you recommend this post to a colleague?

Yes |  x  x  x  x  x
No |

UCL Bariatric and Metabolic Fellowship, London

Based at: University College London Hospitals NHS Foundation Trust

Surgical Specialty Association approving: BOMSS

Approval period: Initially approved November 2012; reapproved March 2019 - May 2022

Supervisor / Lead Consultant: Mr Marco Adamo, Consultant General Surgeon, with Mr Mohamed Elkalaawy, Bariatric Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • 50 elective bariatric operations every six months and to have a primary role in at least 20% of those.
  • Assess at least 25 new bariatric patients, 50 follow up patients and to prepare 100 patients for discussion at the multidisciplinary meeting.

Clinical competencies to be achieved:

  • clinical management of the bariatric patients;
  • technical proficiency in most laparoscopic bariatric procedures.

Number of main operations the fellow could expect to be involved in:

See Learning Outcomes.

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Richard Thompson (Oct 14 - Oct 15)
  • Jihène El Kafsi (Oct 16 - Oct 17)
  • Andrei Ilczyszyn (Oct 18 - Oct 19)

Fellows' feedback

A summary of final feedback from the four most recent completing fellows providing full feedback:

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |  x  x  x
Strongly agree |  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |  x
More training than service |  x  x
Mostly training |  x

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4  x
5  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x
No |

Colorectal Fellowships

Chichester St Richard’s Fellowship in Laparoscopic Colorectal Surgery

Based at: Western Sussex Hospitals NHS Foundation Trust

Surgical Specialty Association approving: ACPGBI

Approval period: January 2018 - March 2021

Supervisor / Lead Consultant: Mr Guy Harris, Consultant General, Colorectal and Laparoscopic Surgeon, with Miss A.J. Skull, Consultant General, Colorectal and Laparoscopic Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • PBA assessment level 4 throughout all index operative scenarios
  • Audit projects completed
  • Research publication completed
  • Reaching objectives reached

Clinical competencies to be achieved:

  • PBA assessment level 4 throughout all index operative scenarios
  • Operative logbook to have achieved a minimum of 40 right and left sided resections

Number of main operations the fellow could expect to be involved in:

The unit offers a range of colorectal operations and this will be reflected in the logbook of the fellow.

  • Total number of laparoscopic resections anticipated: 130.
  • Minimum stapling/anastomotic operations anticipated: 110.
  • Minimum revisional colorectal operations anticipated: 20.

Expected number as primary operator - assisted at times by the trainer:

  • Anterior Resection: 30
  • Right Hemicolectomy: 25
  • Low Anterior Resection: 15
  • Reversal of Hartmann's: 10
  • Left Hemicolectomy: 5
  • Extended Right Hemicolectomy: 5
  • Total Colectomy and IRA: 5

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Mohammad Hassan Mobasheri (Apr 18 - Oct 18)
  • Adam Kimble (Oct 18 - Mar 19)
  • Eimear Monaghan (May 19 - Mar 20)

Fellows' feedback

A summary of final feedback from the three most recent completing Fellows

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |
Strongly agree |  x  x  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |
More training than service |
Mostly training |  x  x  x

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4
5  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x
No |

Christie Fellowship in Advanced Pelvic Malignancy

Based at: The Christie NHS Foundation Trust, Manchester

Surgical Specialty Association approving: ACPGBI - This Senior Clinical Fellowship programme has been chosen and supported by The Association of Coloproctology of Great Britain and Ireland, following a competitive selection process, as meeting the specific Fellowship training criteria of the Association, for approval under a joint partnership with the RCS England Senior Clinical Fellowship Scheme.

Approval period: March 2020 – May 2023

Supervisor / Lead Consultant: Professor Sarah O’Dwyer, Clinical Professor of Surgery and Consultant Colorectal and Peritoneal Surgeon, with Mr Hamish Clouston, Colorectal and Peritoneal Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

The Supervisor states:

“By the end of the fellowship the fellow will have the knowledge, clinical and technical skills in the management of Advanced Pelvic Malignancy. This is to a level to allow them to work as a consultant within a multi-disciplinary team undertaking surgery for advanced pelvic malignancy.

The fellow is expected to understand the surgical and non-surgical management of advanced pelvic malignancy, including the indications for neoadjuvant treatments. A detailed understanding of the anatomy of the pelvic area is expected and significance of this anatomy in extended surgical resections.

The fellow is expected to have acquired a high level of clinical skills, both in the management planning but also in the communication with patients and their relatives when discussing the indications and consequences of surgery for advanced pelvic malignancy. The clinical knowledge extends to understanding the impact of patient safety when undertaking pelvic procedures. The fellow is expected to be able to partake in a MDT process to identify patients who are suitable for pelvic surgery, including recognising the need for additional expertise / clinical specialties.

Targeted outcomes in parallel with objectives: evaluation of progress through the 12 month programme at 3 monthly intervals to assure final outcomes are on target.”

Clinical competencies to be achieved:

  • Advanced communication skills.
  • Treatment pathway selection for patients with advanced colorectal cancer.
  • Multispecialty operating as part of a pelvic oncology team.
  • Multivisceral pelvic resection.
  • Radical abdominoperineal resection with reconstruction.
  • Cytoreduction and HIPEC.

Number of main operations the Fellow could expect to be involved in:

The Supervisor states:

“From activity figures over 350 complex and major surgical procedures are undertaken each year. The unit hosts five fellows with equal opportunities to engage with the unit activities. A realistic expectation would be for the fellow to engage with 50-70 complex and major cases as first assistant / supervised surgeon.”

Colchester Laparoscopic Colorectal Fellowship

Based at: East Suffolk and North Essex NHS Foundation Trust

Surgical Specialty Association approving: ACPGBI

Approval period: Initially approved September 2012; reapproved April 2017 - March 2020

Supervisor / Lead Consultant: Mr Tan Arulampalam, Consultant Colorectal Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Independent Laparoscopic Right Hemicolectomy.
  • Independent Laparoscopic Sigmoid Colectomy.

Clinical competencies to be achieved:

  • Independent Laparoscopic Right Hemicolectomy.
  • Independent Laparoscopic Sigmoid Colectomy.
  • Exposure to Laparoscopic Rectal resection.
  • Exposure to more advanced laparoscopic colorectal procedures e.g. subtotal colectomy, combined cases with gynaecologists for endometriosis.

Number of main operations the fellow could expect to be involved in:

  • At least 20 independent colorectal resections (over 12 months).

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Christopher Wright (Apr 13 - Oct 13)
  • Nadeem Ashraf (Oct 13 - Apr 14)
  • Tobias Hammond (Oct 13 - Apr 14)
  • Robert Bethune (Apr - Oct 14)
  • James Hollinghead (Apr 15 - Oct 15)
  • David Messenger (Oct 15 - Apr 16)
  • Rohin Mittal (Mar 15 - Jul 16)
  • Rebecca Seton (Mar 18 - Feb 19)
  • Jonathan Chua (Mar 19 - Feb 20)

Fellows' feedback

A summary of final feedback from the four most recent completing fellows providing full feedback:

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement”

Strongly disagree |
Disagree |  x
Neither agree nor disagree |
Agree |  x
Strongly agree |  x  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |  x  x
About equal |  x  x
More training than service |
Mostly training |

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4  x  x  x
5  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x
No |

Frimley Park Laparoscopic Colorectal Fellowship

Based at: Frimley Park Hospitals NHS Trust

Surgical Specialty Association approving: ACPGBI

Approval period: Initially approved September 2014; reapproved March 2019 - May 2022

Supervisor / Lead Consultant: Mr Henry Tilney, Consultant Laparoscopic and Robotic Colorectal Surgeon, and Mr A Shiyam Nizar, Consultant Laparoscopic and Robotic Colorectal Surgeon

Fellowship duration: 6 months

Stated learning outcomes:

  • Practical based learning and continual assessment using GAS forms. It is expected the trainee will be able to perform right hemicolectomy, high anterior resection and splenic flexure mobilisation without direct supervision by the end of the Fellowship. TME and pouch surgery have a long learning curve - the trainee will be in a position to develop those skills, operate independently on the more straightforward cases but also be in a position to improve skills further with joint consultant operating.
  • Exposure to Robotic Colorectal Surgery and Transanal Endoscopic surgery is also available.
  • Support will be given to obtain JAG Colonoscopy accreditation by the end of the Fellowship.
  • To have developed the necessary practical, personal, professional and communication skills for independent practice.

Clinical competencies to be achieved:

  • Demonstrate excellent communication skills with patients, relatives and colleagues.
  • Demonstrate high quality patient selection and preoperative preparation. Have a full understanding of the enhanced recovery programme and be alert to potential postoperative complications
  • Learning Objectives ¨ Develop experience in advanced laparoscopic colorectal surgery. It is anticipated that at the end of the 6 month period the appointee will have performed or assisted with approximately 75 major laparoscopic procedures. It is expected that by the end of the period they will be capable of independent Consultant practice in this area". Develop experience in the training of less experienced surgeons in basic laparoscopic colorectal procedures.

Number of main operations the fellow could expect to be involved in:

It is anticipated that at the end of the 6 month period the appointee will have performed or assisted with approximately 75 major laparoscopic procedures, and will be capable of independent Consultant practice in this area. Fellows are also expected to develop experience in the training of less experienced surgeons in basic laparoscopic colorectal procedures.

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Christopher Nicolay (April - October 2019)
  • Nicholas Battersby (Oct 2019 - Mar 2020)

Glasgow Advanced Colorectal and Pelvic Surgical Oncology Fellowship

Based at: NHS Greater Glasgow and Clyde, Glasgow Royal Infirmary

Surgical Specialty Association approving: ACPGBI - This Senior Clinical Fellowship programme has been chosen and supported by The Association of Coloproctology of Great Britain and Ireland, following a competitive selection process, as meeting the specific Fellowship training criteria of the Association, for approval under a joint partnership with the RCS England Senior Clinical Fellowship Scheme.

Approval period: May 2020 - August 2023

Supervisor / Lead Consultant: Mr Peter Chong, Consultant Colorectal and Sarcoma Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • To develop operative skills in advanced pelvic oncology with a focus on resectional and reconstructive techniques and development of consultant level intra-operative decision making.
  • To develop decision making skills in the pre-surgical selection of patients suitable for beyond TME/ exenterative surgery.
  • To develop multi-disciplinary/ cross-speciality team working skills essential for complex pelvic oncology clinical case management including an awareness of adjuvant therapies and interventions provided by other disciplines.
  • To gain experience and understanding of the complexities in the preoperative and perioperative care required by patients with complex pelvic malignancies .
  • To appreciate the importance of clinical audit and quality improvement projects applicable to complex pelvic surgical oncology.
  • To participate in at least one clinical research project resulting in national level presentation and/ or publication.
  • To participate in department’s programme of undergraduate and postgraduate teaching.
  • To contribute to the Monday educational meeting and the surgical grand rounds.

Clinical competencies to be achieved:

  • To develop operative skills in advanced pelvic oncology with a focus on resectional and reconstructive techniques and development of consultant level intra-operative decision making.
  • To develop decision making skills in the pre-surgical selection of patients suitable for beyond TME/ exenterative surgery.
  • To develop multi-disciplinary/ cross-speciality team working skills essential for complex pelvic oncology clinical case management including an awareness of adjuvant therapies and interventions provided by other disciplines.
  • To gain experience and understanding of the complexities in the preoperative and perioperative care required by patients with complex pelvic malignancies.

Number of main operations the fellow could expect to be involved in:

  • Multivisceral pelvic resections / exenterations: Total: 50; Performed: 15
  • Laparoscopic Colorectal Resections: Total 30; Performed: 20
  • Gyn Oncology combined colon / rectal resections: Total: 30; Performed: 15
  • Emergency Laparotomy: Total: 40-50; Performed: 30

Newcastle Senior Clinical Fellowship in Advanced Laparoscopic Colorectal Surgery

Based at: Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust

Surgical Specialty Association approving: ACPGBI

Approval period: October 2019 – December 2022

Supervisor / Lead Consultant: Prof Alan Horgan, Consultant Colorectal Surgeon

Fellowship duration: 6 - 12 months

Stated learning outcomes:

  • The Primary Outcome is to develop the clinical, personal, professional and communication skills necessary for independent practice as a consultant.
  • Understanding the spectrum of presentation of Colorectal diseases, their workup and management.
  • Understanding correct patient selection for the appropriate procedure.
  • Understanding importance of positioning and correct use of energy and stapling technology.
  • Understanding how to solve problems and overcome common challenges safely in the Operating Theatre.
  • Understanding the importance of MDT meetings and ability to formulate treatment plans in that setting, utilising guidelines and best evidence.
  • Understanding and familiarising oneself with the principles and applications of Robotic platforms in surgery.
  • To participate in at least one research project, leading to presentation or publication.

    Clinical competencies to be achieved:

    • Ability to perform Segmental Resections including splenic flexure mobilisation independently. (Level 4b)
    • Ability to perform average difficulty TME independently. (Level 4b)
    • Ability to assess and manage Complications.
    • Ability to lead, support, effectively communicate with and involve other team members in daily work and decision making.
    • Support will be given to achieve JAG Colonoscopy accreditation, if required, by the end of the fellowship.
    • Ability to assist (Robot docking and bedside) and perform certain steps in Robotic resections using a modular approach, subject to completing the necessary learning modules.

    Number of main operations the Fellow could expect to be involved in:

    Over 6 months:

    • Laparoscopic Segmental Colectomy (Right/Left): Total: 20; Perform: 17
    • Laparoscopic Anterior Resection (TME): Total: 15; Perform: 12
    • Laparoscopic Sub-Total Colectomy: Total: 5; Perform: 4
    • Abdomino-Perineal Excision: Total: 5; Perform: 4
    • Ileo-Anal Pouch: Total: 2 - 5; Perform: 2
    • Multi-visceral Resections: Total: 5; Perform: 2
    • Robotic Anterior Resection (TME): Total: 15; Perform: 5
    • Parastomal Hernia Repair (Laparoscopic/open): Total: 5 - 10; Perform: 5 - 10
    • Laparoscopic Inguinal and Ventral Hernia Repair: Total: 20; Perform: 17
    • Day Case Lower GI procedures: Perform: 30 - 40
    • Colonoscopy: Perform: 30 - 40

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Haseeb Khokhar (Nov 19 - May 20)

      North Bristol Colorectal Fellowship

      Based at: North Bristol NHS Trust

      Surgical Specialty Association approving: ACPGBI

      Approval period: First approved April 2016; reapproved November 2020 - October 2023

      Supervisor / Lead Consultant: Ms Caroline Burt, Colorectal Consultant, with Ms Ann Lyons, Consultant Colorectal Surgeon and Lead for Colorectal Cancer

      Fellowship duration: 12 months

      Stated learning outcomes:

      • In depth knowledge/ ability to manage colorectal patients.
      • Ability to perform independent colorectal operations (but supported as needed during post).
      • Ability to perform therapeutic colonoscopy independently.

      Clinical competencies to be achieved:

      • 50 laparoscopic colorectal cases in 12 months.
      • 100 colonoscopies in 12 months.
      • 25.8.15 organiser added: “The cases indicated under ‘Clinical Competency to be achieved’ in the application form do not comprise the whole anticipated caseload for the Fellow … we have not given specific numbers for the fellow to perform procedures such as ventral mesh rectopexies, ileo-anal pouches, extra-levator abdomino-perineal resections as we anticipate biasing the successful applicant’s operative exposure depending on whether they are pursuing a pelvic floor, rectal cancer or IBD sub-specialty interest. Please see ‘caseload’ attachment to give an indication of numbers of such procedures performed by the department. We anticipate the fellow would perform the majority of sub-speciality complex procedures as a supervised operator with the trainer scrubbed and teaching – but an appropriately experienced and senior fellow might proceed to having his or her trainer unscrubbed in theatre, and then teaching more junior trainees, in preparation for their next step to a consultant post.”

      Number of main operations the fellow could expect to be involved in:

      • Anterior resection - 20
      • ELAPE - 2
      • Laparoscopic colonic resections - 14
      • Ileo-anal pouch procedure - 4
      • Procedures for prolapse - 8
      • Colonoscopies - 50

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Isileli Tonga (Nov 2017 - Oct 2018)
      • Roel Bolckmans (Oct 2018 - Oct 2019)
      • Sandeep Singh (Oct 19 - Oct 20)

      Fellows' feedback

      A summary of final feedback from the four most recent completing Fellows providing full feedback.

      1. Learning Outcomes

      “I achieved all of the learning outcomes as specified in my learning agreement.”

      Strongly disagree |
      Disagree |  x
      Neither agree nor disagree |
      Agree |  x  x  x
      Strongly agree |

      2. Service: Training Balance

      Please indicate the balance between service and training in your clinical activities:

      Mostly service |
      More service than training |
      About equal |  x  x  x  x
      More training than service |
      Mostly training |

      3. Overall rating

      How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

      1
      2
      3
      4  x  x  x  x
      5

      Would you recommend this post to a colleague?

      Yes |  x  x  x  x
      No |

      North Middlesex Senior Colorectal Fellowship, London

      Based at: North Middlesex University Hospital NHS Trust, London

      Surgical Specialty Association approving: ACPGBI

      Approval period: Initially approved June 2013; reapproved April 2016; reapproved September 2019 - November 2023

      Supervisor / Lead Consultant: Mr Lee Dvorkin, Consultant Colorectal Surgeon & Clinical Director for Surgery, with Mr Romesh Navaratnam, Consultant Colorectal Surgeon

      Fellowship duration: 12 months

      Stated learning outcomes:

      • Proficiency in Laparoscopic colorectal surgery to enable the candidate to practice at Consultant level.
      • To develop an in-depth understanding of, and the ability to manage, standard and advanced colorectal cases.
      • Proficiency in the management of faecal incontinence and competency in neuromodulation techniques.
      • Proficiency in the management of patients with fistula-in-ano.

      Clinical competencies to be achieved:

      • To learn asSafe and reproducible technique for laparoscopic colon and rectal mobilisation and anastamosis.
      • Independent proficiency in tibial and sacral nerve stimulation.
      • An advanced understanding of fistula in ano surgery including; seton surgery, the LIFT procedure, advancement flaps and laying open techniques.

      Number of main operations the fellow could expect to be involved in:

      • Fistula Surgery: Total: 40; Performed: 15
      • Right hemicolectomy / ileocaecal resection: Total: 20; Performed: 15
      • Left sided and rectal resection: Total: 15; Performed: 10
      • TAMIS: Total: 10; Performed: 3
      • Colonoscopy/OGD: Total: 100; Performed: 60
      • Other proctological procedures: Total: 50; Performed: 30
      • Ano-rectal physiology and PTNS also offered
      • Emergency general surgical procedures: numerous

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Manoj Nair (Apr 13 - Apr 14)
      • Aikaterini Leventi (Oct 15 - Oct 16)
      • Alessandra Lazzaro (Oct 17 - Oct 18)
      • Dinesh Balasubramaniam (Nov 18 - Oct 19)

      Fellows' feedback

      A summary of final feedback from the three most recent completing Fellows.

      1. Learning Outcomes

      “I achieved all of the learning outcomes as specified in my learning agreement.”

      Strongly disagree |
      Disagree |
      Neither agree nor disagree |
      Agree |  x
      Strongly agree |  x  x

      2. Service: Training Balance

      Please indicate the balance between service and training in your clinical activities:

      Mostly service |
      More service than training |
      About equal |  x  x
      More training than service |  x
      Mostly training |

      3. Overall rating

      How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

      1
      2
      3
      4
      5  x  x  x

      Would you recommend this post to a colleague?

      Yes |  x  x  x
      No | 

      Peterborough Laparoscopic Colorectal Fellowship

      Based at: North West Anglia NHS Foundation Trust

      Surgical Specialty Association approving: ACPGBI

      Approval period: Initially approved September 2012; reapproved April 2016; reapproved November 2020 - October 2023

      Supervisor / Lead Consultant: Mr Rohit Makhija, Consultant Colorectal Surgeon

      Fellowship duration: 6 months

      Stated learning outcomes:

      • Understanding of place of laparoscopic approach in colorectal surgery.
      • Demonstrate appropriate indication and select the right patients.
      • Selection of suitable equipment, initial theatre set-up.
      • Competence in selection and use of various energy sources and stapling devices.
      • Competence in performing segmental colectomy.
      • Ability to train more junior trainees in principles of laparoscopic colorectal surgery.
      • Competence in colonoscopy and basic polypectomy techniques.

      Clinical competencies to be achieved:

      • Competency at laparoscopic segmental colectomy.
      • Experience of laparoscopic total mesorectal excision.
      • Laparoscopic surgery for inflammatory bowel disease.
      • Laparoscopic right hemicolectomy.
      • Laparoscopic colostomy/ileostomy.

      Number of main operations the fellow could expect to be involved in: Information being requested from Supervisor.

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Rajaraman Durai (Oct 13 - Dec 13)
      • Annamaria Minicozzi (Oct 15 - Apr 16)
      • Aarti Kalyanaraman (Oct 16 - Oct 17)
      • Samer-ul Haque (Oct 17 - Sept 18)
      • Lawrence Toquero (Oct 18 - Aug 19)

      Fellows' feedback

      A summary of final feedback from the five most recent completing fellows providing full feedback:

      1. Learning Outcomes

      “I achieved all of the learning outcomes as specified in my learning agreement.”

      Strongly disagree |
      Disagree |
      Neither agree nor disagree |
      Agree |  x
      Strongly agree |  x  x  x  x

      2. Service: Training Balance

      Please indicate the balance between service and training in your clinical activities:

      Mostly service |
      More service than training |
      About equal |
      More training than service |  x  x  x
      Mostly training |  x  x

      3. Overall rating

      How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

      1
      2
      3
      4  x
      5  x  x  x  x

      Would you recommend this post to a colleague?

      Yes |  x  x  x  x  x
      No |

      Portsmouth Colorectal Robotic Surgery Fellowship

      Based at: Portsmouth Hospitals NHS Trust

      Surgical Specialty Association approving: ACPGBI

      Approval period: September 2020 – August 2023

      Supervisor / Lead Consultant: Mr Jim Khan, Consultant Robotic Colorectal Surgeon, with Mr John Conti, Consultant Colorectal Surgeon, and Mr Gijs van Boxel, Consultant Oesophagogastric Surgeon

      Fellowship duration: 6 - 12 months

      Stated learning outcomes:

      "The primary outcome of the Fellowship is registration of the Fellow as an independent practitioner on the Intuitive Surgical database for robotic colorectal surgery. This will allow the Fellow to progress to a consultant post and able to start independent practice in cancer and benign colorectal surgery upon commencement of the post.

      • Be involved in 15 - 20 TME resections for rectal cancer (1st assistant, supervised operator).
      • Be involved in 10 - 15 colonic resections (1st assistant, supervised operator).
      • Perform colonic mobilisation and lymphadenectomy robotic / laparoscopically under supervision.
      • Perform colorectal anastomosis independently.
      • Join the structured TME training program.
      • Complete mandatory simulation requirements.
      • Basic robotic cadaveric course (Intuitive Surgical) as first assistant.
      • Gain experience at positioning patient and equipment to set up for TME.
      • Basic robotic cadaveric course (Intuitive Surgical) as console surgeon.
      • Procedure specific cadaver lab.
      • Gain experience in performing part of the robotic dissection of the abdominal and pelvic phase of TME on a dual console robot under close supervision."

      Clinical competencies: see Learning Outcomes above

      Number of main operations the Fellow could expect to be involved in:

      For a 12 month period the reasonably expected number of main operations to be independently performed (equating to the ‘P’ Performed eLogbook Supervision codes category) by the Fellow during their Fellowship:

      • Robotic splenic flexure mobilization: 20
      • Robotic colectomy (Right /Left): 20
      • Robotic TME Surgery pelvic dissection: 20 supervised
      • Robotic rectopexy: 5<
      • Robotic Intracorporeal Anastomosis: 10 supervised
      • Laparoscopic TME: 10
      • Laparoscopic Colonic resection: 20
      • Independent day case LGI surgery: 100
      • Emergency/unplanned colorectal surgery: >50

      Royal Shrewsbury Hospital Advanced Laparoscopic Colorectal Fellowship

      Based at: Royal Shrewsbury & Telford NHS Trust

      Surgical Specialty Association approving: ACPGBI

      Approval period: December 2018 - February 2022

      Supervisor / Lead Consultant: Mr Robert Clarke, Consultant Colorectal Surgeon, with Mr Joe McCloud, Consultant Colorectal Surgeon

      Fellowship duration: 12 months

      Stated learning outcomes:

      • To independently assess patients for colorectal cancer surgery- select appropriate investigations and discuss at MDT coming up with treatment plan.
      • To independently perform Laparoscopic right hemicolectomy.
      • To independently perform Laparoscopic Sigmoid colectomy.
      • To independently perform Laparoscopic Anterior resection with Laparoscopic TME for rectal cancer.
      • Assess and select appropriate cases for local excision in Early Rectal cancer.
      • Gain experience in TEMS surgery if desired.

      Clinical competencies to be achieved:

      • Ability to assess patient with complex colorectal pathology and plan surgery and aftercare
      • Exposure to all aspects of complex open colorectal surgery
      • Competent, safe independent laparoscopic colonic resection
      • Competent, safe independent laparoscopic anterior resection and laparoscopic TME for rectal cancer. (We would enable Laparoscopic Fellows to in excess of 30 major cancer resections as a minimum)
      • The ability to perform independent laparoscopic resection would be expected on completion of the Fellowship
      • Opportunity to achieve JAG accreditation in endoscopy would be offered if needed.

      Number of main operations the fellow could expect to be involved in:

      “We would enable Laparoscopic Fellows to in excess of 30 major cancer resections as a minimum”

      Supervisor, 17.12.19:

      "Number Achieved during 6 months Fellowship:

      Total number of major Colorectal resection: 56
      Total laparoscopic Colorectal resection (elective) 26
      Total Right hemicolectomy 13
      Total Left sided resection 11 including lap TME
      Total laparoscopic subtotal colectomy 2"

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Shantanu Rout (May - Nov 2019).

      Sheffield Post-CCT Advanced IBD Surgery Fellowship

      Based at: Sheffield Teaching Hospitals NHS Foundation Trust

      Surgical Specialty Association approving: ACPGBI - This Senior Clinical Fellowship programme has been chosen and supported by The Association of Coloproctology of Great Britain and Ireland, following a competitive selection process, as meeting the specific Fellowship training criteria of the Association, for approval under a joint partnership with the RCS England Senior Clinical Fellowship Scheme.

      Approval period: November 2020 - October 2023

      Supervisor / Lead Consultant: Prof Steven Brown, Consultant Colorectal Surgeon and Honorary Professor of Surgery

      Fellowship duration: 12 months

      Stated learning outcomes:

      • Run outpatient clinics and counsel patients on appropriate management plans.
      • Operative logbook.
      • IBD MDT outcomes.
      • Academic output – manuscripts submitted and presentations in meetings.
      • Contribution as faculty in cadaveric and wet lab courses run by the colorectal department.

      Clinical competencies:

      • Assess patients in clinic and formulate appropriate management plan.
      • Discuss cases in the IBD MDT.
      • Consent patients for procedures.
      • Assist and perform index operations.
      • Post-operative ward rounds to review patients.
      • Prevent and manage complications.

      Number of main operations the fellow could expect to be involved in:

      • Ileoanal pouch – 10
      • Ileocolic resections – 20
      • Total colectomy – 10
      • Proctectomy – 10
      • Perianal CD – 15
      • Stricturoplasty - 5

      Sheffield Post-CCT Advanced Pelvic Floor Surgery Fellowship

      Based at: Sheffield Teaching Hospitals NHS Foundation Trust

      Surgical Specialty Association approving: ACPGBI- This Senior Clinical Fellowship programme has been chosen and supported by The Association of Coloproctology of Great Britain and Ireland, following a competitive selection process, as meeting the specific Fellowship training criteria of the Association, for approval under a joint partnership with the RCS England Senior Clinical Fellowship Scheme.

      Approval period: August 2020 - July 2023

      Supervisor / Lead Consultant: Prof Steven Brown, Consultant Surgeon and Honorary Professor of Surgery

      Fellowship duration: 12 months

      Stated learning outcomes:

      • Run outpatient clinics and counsel patients on appropriate management plans
      • Operative logbook
      • Pelvic floor MDT outcomes
      • Academic output – manuscripts submitted and presentations in meetings
      • Contribution as faculty in cadaveric and wet lab courses run by the colorectal department

      Clinical competencies to be achieved:

      • Assess patients in PF clinic and formulate appropriate management plan
      • Discuss cases in the PF MDT
      • Consent patients for procedures
      • Assist and perform index operations
      • Post-operative ward rounds to review patients
      • Prevent and manage complications

      Number of main operations the fellow could expect to be involved in:

      • SNS - 40
      • LVMR – 10
      • Revisional prolapse surgery - 5
      • Sphincter repair – 4
      • Colporrhaphy – 10
      • MACE – 3
      • Complex anal fistula repair -10
      • Perianal prolapse procedures - 6

      St James’s Laparoscopic Colorectal Fellowship, Leeds

      Based at: St James’s University Hospital, Leeds

      Surgical Specialty Association approving: ACPGBI

      Approval period: First approved September 2012; reapproved March 2019 - May 2022

      Supervisor / Lead Consultant: Prof Peter Sagar, Consultant Colorectal Surgeon and Professor of Surgery

      Fellowship duration: 6 months

      Stated learning outcomes:

      • To be able to practice laparoscopic colorectal surgery esp index operations independently.
      • Identify cases inappropriate for a lap approach.
      • To be able to tackle common intraoperative problems generated with the laparoscope.
      • To recognise the value of a skilled laparoscopic theatre team.
      • To be safe in the pelvis with redo operations.

      Clinical competencies to be achieved:

      • Confident and competent in laparoscopic colorectal resection sufficient to practice independently on leaving the post.
      • Sign off index operations.

      Number of main operations the fellow could expect to be involved in:

      “The Fellowship at Leeds aims to provide 50 laparoscopic resections during the course of the Fellowship that the fellow would complete independently (supervisor present) and this would allow the Fellow to achieve the level of competency expected at the start of a Consultant post.”

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Jonny Epstein (Oct 12 - Apr 13)
      • Peter Mitchell (Apr 13 - Oct 13)
      • Adnan Sheikh (Oct 14 - Apr 15)
      • Chris Mann (Feb - Aug 17)
      • Muneer Junejo (Apr 18 - Oct 18)
      • Haytham Abudeeb (Apr - Sept 19)
      • Jeremy Williamson (Oct 19 - Mar 20)
      • Rebecca Fish (Apr - Oct 20)

      Fellows' feedback

      A summary of final feedback from the six most recent completing fellows providing full feedback:

      1. Learning Outcomes

      “I achieved all of the learning outcomes as specified in my learning agreement”.

      Strongly disagree |
      Disagree |
      Neither agree nor disagree |
      Agree |  x
      Strongly agree |  x  x  x  x  x

      2. Service : Training Balance

      Please indicate the balance between service and training in your clinical activities:

      Mostly service |
      More service than training |
      About equal |
      More training than service |  x
      Mostly training |  x  x  x  x  x

      3. Overall rating

      How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

      1
      2
      3
      4  x
      5  x  x  x  x  x

      Would you recommend this post to a colleague?

      Yes |  x  x  x  x  x  x
      No |

      St Mark's Intestinal Failure & Rehabilitation Fellowship

      Based at: St Mark's Hospital, London North West Healthcare NHS Trust

      Surgical Specialty Association approving: ACPGBI - This Senior Clinical Fellowship programme has been chosen and supported by The Association of Coloproctology of Great Britain and Ireland, following a competitive selection process, as meeting the specific Fellowship training criteria of the Association, for approval under a joint partnership with the RCS England Senior Clinical Fellowship Scheme.

      Approval period: March 2020 - May 2023

      Supervisor / Lead Consultant: Miss C.J. Vaizey, Consultant Colorectal Surgeon, with Mr Akash Mehta, Consultant Colorectal Surgeon

      Fellowship duration: 12 months

      Stated learning outcomes:

      • Proficiency in surgery aimed at restoration of of intestinal continuity and / or repair of enteric fistulae.
      • Proficiency in gaining access to the hostile abdomen.
      • Proficiency in multidisciplinary assessment and management of patients with intestinal failure.
      • Experience in management of complex abdominal desmoid tumours.
      • Experience in complex abdominal wall reconstruction.

      Clinical competencies to be achieved:

      • Understand the multidisciplinary assessment and treatment of intestinal failure and enteric fistulae.
      • Understand the multidisciplinary assessment and treatment of abdominal wall defects.

      Number of main operations the fellow could expect to be involved in:

      At least 55-60 intestinal failure related surgical procedures, with over half involving complex abdominal wall reconstructions. The surgical faculty of this fellowship also perform a wide variety of complex open colorectal procedures which do not necessarily fall under the intestinal failure remit but will contribute to the fellow gaining proficiency in the management of the "hostile abdomen".

      St Mark’s Minimally and Maximally Invasive Colorectal Cancer (MiMICC) Fellowship, London

      Based at: St Mark's Hospital, London North West Healthcare NHS Trust

      Surgical Specialty Association approving: ACPGBI

      Approval period: Initially approved July 2013; reapproved October 2018 - December 2021

      Supervisor / Lead Consultant: Mr Ian Jenkins, Consultant Colorectal Surgeon

      Fellowship duration: 6 months

      Stated learning outcomes:

      • Proficiency in laparoscopic and transanal TME.
      • Proficiency in laparoscopic colonic resection with CME (complete mesocolic excision).
      • Proficiency in laparoscopic APER.
      • Proficiency in total pelvic exenteration.
      • Experience in robotic colorectal resections.
      • Experience in pelvic sidewall excision.
      • Experience in en-bloc sacrectomy and high sacrectomy.
      • Experience in CRS and HIPEC.
      • Proficiency in peri-operative care.
      • Proficiency in advanced colorectal cancer management and decision making.

      Clinical competencies to be achieved:

      • Understand the profile of postoperative recovery after major colorectal cancer and pelvic surgery
      • Independent practice in laparoscopic surgery

      Number of main operations the fellow could expect to be involved in:

      • Proficiency in laparoscopic and transanal TME: 20;
      • Proficiency in laparoscopic colonic resection with CME (complete mesocolic excision): 40;
      • Proficiency in laparoscopic APER: 5;
      • Proficiency in total pelvic exenteration: 15;
      • Experience in robotic colorectal resections: 10;
      • Experience in pelvic sidewall excision: 15;
      • Experience in en-bloc sacrectomy and high sacrectomy: 10;
      • Experience in CRS and HIPEC: 10.

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Amit Patel (Oct 13 - Apr 14)
      • Katrine Emmertsen (April 16 - Oct 16)
      • Chris Hunter (Oct 16 - April 17)
      • Nicola Hodges (Apr - Oct 17)
      • Akash Mehta (Oct 17 - April 18)
      • Jamish Gandhi (Apr 18 - Oct 18)
      • James Read (Jan - Oct 19)
      • Mit Dattani (Oct 19 - Apr 20)
      • Hugh MacKenzie (Oct 19 - Apr 20)

      Fellows' feedback

      A summary of final feedback from the seven most recent completing fellows providing full feedback:

      1. Learning Outcomes

      “I achieved all of the learning outcomes as specified in my learning agreement”

      Strongly disagree |
      Disagree |
      Neither agree nor disagree |
      Agree |  x  x
      Strongly agree |  x  x  x  x  x

      2. Service : Training Balance

      Please indicate the balance between service and training in your clinical activities:

      Mostly service |
      More service than training |
      About equal |  x
      More training than service |  x  x
      Mostly training |  x  x  x  x

      3. Overall rating

      How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

      1
      2
      3
      4  x
      5  x  x  x  x  x  x

      Would you recommend this post to a colleague?

      Yes |  x  x  x  x  x  x  x
      No |

      Swansea Advanced Pelvic Oncology Fellowship

      Based at: Swansea Bay University Healthboard

      Surgical Specialty Association approving: ACPGBI & BAPRAS - This Senior Clinical Fellowship programme has been chosen and supported by The Association of Coloproctology of Great Britain and Ireland, following a competitive selection process, as meeting the specific Fellowship training criteria of the Association, for approval under a joint partnership with the RCS England Senior Clinical Fellowship Scheme.

      Approval period: April 2016 - March 2019; reapproved September 2019 - November 2022

      Supervisor / Lead Consultant: Mr Martyn Evans Consultant Colorectal Surgeon and Associate Professor of Surgery

      Fellowship duration: 6 or 12 months (12 months from 2021)

      Stated learning outcomes:

      • Operative exposure to at least 15 multi-visceral resections and exenterations in a 6 month fellowship. This would include total pelvic exenteration, cystectomy, radical hysterectomy and vulvectomy and sacretomy.
      • Experience of working with a plastic surgeon with an interest in perineal reconstruction following surgery for advanced malignancy / IBD and chronic perineal sinus.
      • Proficiency in laparoscopic and open low rectal cancer surgery.
      • Experience in the assessment, operative planning and perio-operative care patients undergoing surgery beyond the TME plane.
      • Participate in research and audit within the department with an expectation of peer-reviewed pubilication.
      • Operative exposure to at least 20 major gynaecological debulking procedures involving total abdominal hysterectomy and bilateral salpingoophorectomy with or without contiguous organ resection.
      • Contribute to the pelvic oncology MDT.
      • Participate in a busy emergency general surgical on call rota with exposure to a high number of emergency laparotomies.

      Clinical competencies to be achieved:

      • Have performed or assisted with approximately 150 major laparoscopic and open procedures, included approximately 10 total pelvic exenterations.
      • Improve laparoscopic and open operating skills in lower rectal cancer - exposure to at least 25 laparoscopic and 30 open rectal resections
      • Exposure to at least 30 major gynecological debulking procedures involving bilateral salpingoophorectomy and total abdominal hysterectomy in connection with other multivisceral resections
      • Participate in on call rota in a busy unit with over 300 emergency laparotomies performed per annum

      Number of main operations the fellow could expect to be involved in: see Learning Outcomes above.

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Jeffrey Lim (Oct 16 - Mar 17)
      • Gregory Taylor (Oct 16 - Oct 17)
      • Kenneth Keogh (Oct 17 - Jun 18)
      • Matthew Bedford (Oct 19 - Apr 20)

      Fellows' feedback

      A summary of final feedback from the four most recent completing Fellows providing full feedback:

      1. Learning Outcomes

      “I achieved all of the learning outcomes as specified in my learning agreement”

      Strongly disagree |
      Disagree |
      Neither agree nor disagree |
      Agree |  x
      Strongly agree |  x  x  x

      2. Service : Training Balance

      Please indicate the balance between service and training in your clinical activities:

      Mostly service |
      More service than training |
      About equal |  x
      More training than service |  x  x
      Mostly training |  x

      3. Overall rating

      How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

      1
      2
      3
      4  x
      5  x  x  x

      Would you recommend this post to a colleague?

      Yes |  x  x  x  x
      No |

      Yeovil MIS Colorectal Surgery Fellowship

      Based at: Yeovil District Hospital NHS Foundation Trust

      Surgical Specialty Association approving: ACPGBI

      Approval period: October 2018 - December 2021

      Supervisor / Lead Consultant: Prof Nader Francis, Consultant General, Colorectal and Laparoscopic Surgeon, with Mr Jonathan Ockrim, Consultant General Surgeon

      Fellowship duration: 12 months

      Stated learning outcomes:

      • PBA assessment level 4 throughout all index operative scenarios (manifested as level 5 in the GAS forms in the curriculum).
      • Audit projects completed.
      • Research publication completed.

      Clinical competencies to be achieved:

      • PBA assessment level 4 throughout all index operative scenarios.
      • Operative logbook to have achieved a minimum of 40 right and left sided resections and 10 rectal resections. 

      Number of main operations the fellow could expect to be involved in:

      Target Logbook per annum

      The unit offers a range of colorectal operations and this will be reflected in the logbook of the Fellow.

      • Laparoscopic colonic resections: Total: 50; Performed: 15
      • Laparoscopic rectal resections: Total: 30; Performed: 10
      • Laparoscopic hernia surgery (ventral and inguinal): Total: 10; Performed: 5
      • Major abdominal Reconstruction and component separation surgery: Total 10; Performed: 3
      • Diagnostic and therapeutic endoscopy: Total: 150; Performed: depends on the level of the candidate

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Manish Chowdhary (Oct 19 - Dec 20)

      Endocrine Fellowships

      Belfast Endocrine Surgery Fellowship

      *** March 2020: this Fellowship programme is not recruiting Fellows until further notice, because of the current situation in the NHS in Northern Ireland ***

      Based at: Belfast Health and Social Care Trust

      Surgical Specialty Association approving: BAETS

      Approval period: June 2019 – August 2022

      Supervisor / Lead Consultant: Dr Fiona Eatock, Consultant Endocrine Surgeon, with Mr Titus Cvasciuc, Consultant Endocrine Surgeon

      Fellowship duration: 12 months

      Stated learning outcomes:

      • Competency in peri-operative management of adrenal disease.
      • Competency in multidisciplinary management of hereditary endocrine syndromes.
      • Competency in the management of benign and malignant thyroid and parathyroid disease.

      Clinical competencies to be achieved:

      • To gain experience of rare genetic endocrine disease
      • To be capable of independent thyroidectomy and gain experience of cervical lymph node surgery
      • To be capable of independent parathyroidectomy
      • To be capable of independent open adrenalectomy
      • To be capable of independent laparoscopic adrenalectomy

      Number of main operations the fellow could expect to be involved in:

      In a 12-month period:

      • Laparoscopic Adrenalectomy (Performed: 15)
      • Open Adrenalectomy (Performed: 5)
      • Thyroidectomy (Performed: 50)
      • Parathyroidectomy (Performed: 50)

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      HPB Fellowships

      Imperial Robotic HPB Fellowship, London

      Based at: Imperial College and The Royal Marsden Hospital, London

      Surgical Specialty Association approving: AUGIS

      Approval period: January 2019 - March 2022

      Supervisor / Lead Consultant: Professor Long Jiao, Professor of Surgery and Chair in Hepaticopancreaticobiliary Surgery at Imperial College and The Royal Marsden Hospital, London

      Fellowship duration: 12 months

      Stated learning outcomes:

      • Safe understanding of the equipment.
      • Safe and independent Robotic surgeon for primary HPB procedures.
      • Understood and carried out robotic audit research and peer reviewed presentation and publication.
      • Can perform pre-operative patient seminars, assessment and counselling independently.
      • Accurately recognise and manage post-operative complications.
      • Accurately recognise and optimise pre-operative co-morbidities.
      • Patient selection and guiding patients through the various surgical procedures.
      • Patient safety and development and adherence to peri-operative protocols.
      • Can establish and lead a Robotic HPB unit including setting up a multi-disciplinary team, establish pathways and protocols, seek accreditation of unit and other regulatory procedures to establish a centre of excellence in HPB surgery.

      Clinical competencies to be achieved:

      • Independent competent performance of primary HPB procedures
      • Supervised performance of emergency and revision HPB procedures
      • Case selection and optimisation of patients in the pre-operative period

      Number of main operations the fellow could expect to be involved in:

      Level*   |  A    |  PA  |   P

      Level 1  |  2/5  |  2/5  |  10/25

      Level 2  |  5/5  |  5/5  |   2/5

      Level 3  |  5/5  |  5/5  |   1/1

      Level 4  |  5/5  |  5/5  |   1/1

      Level 5  |  5/5  |  5/5  |   0/0

      * liver, pancreas, GB

      A- Assisted

      PA- Performed with Assistance 

      P- Performed 

      Example: Assisted 2/5 = assisted in 2 out of 5 operations involved in

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Tamara MH Gall (Oct 2018 - Oct 2019)

      Oesophago-gastric Fellowships

      Guy's & St Thomas' Oesophago-gastric Cancer Fellowship, London

      Based at: Guy’s and St Thomas’ NHS Foundation Trust

      Surgical Specialty Association approving: AUGIS

      Approval period: July 2017 - September 2020

      Supervisor / Lead Consultant: Mr Andrew Davies, Upper GI Surgeon & Honorary Senior Lecturer, with Mr James Gossage, Ms Cara Baker and Mr Mark Kelly (all Upper GI Surgeons)

      Fellowship duration: 12 months

      Stated learning outcomes:

      • Understanding of clinical issues during work-up, in-hospital and post-discharge care in patients undergoing oesophagogastric resection.
      • Understanding of indications and extent of lymph node dissection for oesophagogastric cancer.
      • Understanding of techniques used for lymphadenectomy in the abdomen and thorax.
      • Appreciating different operative strategies for OG cancer.
      • Endoscopy exposure (including interventional / surgical endoscopy e.g. dilatations).
      • Consultant level decision making in complex upper GI cases.

      Clinical competencies to be achieved:

      • Competency in staging laparoscopy including endoscopy and peritoneal cytology
      • Competency in performing D2 lymphadenectomy for gastric cancer
      • Competency in performing two-field lymphadenectomy for oesophageal cancer
      • Use of laparoscopic surgery
      • Appreciation of different operations for OG cancer

      Number of main operations the fellow could expect to be involved in:

      Supervisor: “For Completion of training the criteria state that the trainee needs to complete 30 major cases (throughout their entire training period) which includes cancer resections but also benign work such as anti-reflux surgery. For JAG accreditation 200 endoscopies is the requirement. The current fellow has performed over 50 cancer resections in the last 12 months (not including other major cases) and performed over 250 endoscopies, meaning that within 1 year they would have 150% of the numbers required for CCT level. Beyond surgical exposure, a strong emphasis is made on reaching consultant level decision-making and utilizing multi-disciplinary expertise.”

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Dan Foley (Apr 18 - Mar 19)
      • Ben Byrne (Apr 19 - Apr 20)

      Portsmouth Robotic Oesophago-gastric Fellowship

      Based at: Portsmouth Hospitals NHS Trust

      Surgical Specialty Association approving: AUGIS

      Approval period: June 2020 – May 2023

      Supervisor / Lead Consultant: Mr Stuart Mercer, Clinical Lead General Surgery and Robotic Oesophago-gastric Surgeon at the Trust, with Mr Gijs van Boxel, Robotic Oesophago-gastric Surgeon

      Fellowship duration: 12 months

      Stated learning outcomes:

      • Be involved in 15-20 gastrectomies (distal/total).
      • Be involved in 20-30 oesophagectomies (1st assistant, supervised operator).
      • Perform gastric mobilisation and lymphadenectomy robotic/laparoscopically under supervision.
      • Perform Roux-en-Y reconstruction under supervision.
      • Develop a structured, step-by-step protocol to train surgeons with no previous experience in robotic surgery in conjunction with UGIRA.
      • Basic robotic cadaveric course (Intuitive Surgical) as first assistant.
      • Gain experience at positioning patient and equipment to set up for RAMIE.
      • Gain competence as first assistant for thoracic phase (by end of Month 4).
      • Basic robotic cadaveric course (Intuitive Surgical) as console surgeon.
      • Gain experience in performing part of the robotic dissection of the abdominal and thoracic phase of RAMIE on a dual console robot under close supervision.
      • Perform neck dissection for cervical join under supervision when required.
      • Robotic/Laparoscopic Benign Surgery.
      • Complete mandatory simulation requirements (by end of Month 2).
      • Gain competence as first assistant for hiatal surgery (by end of Month 3).
      • Modular console training for hiatal surgery in line with developing a structured pathway in conjunction with UGIRA.
      • Help manage the waiting list, perform virtual follow up and manage complications.

      Number of main operations the fellow could expect to be involved in:

      The reasonably expected total number of the Fellowship’s main operations, and those to be independently performed (equating to the ‘P’ Performed eLogbook Supervision codes category) by the Fellow during their 12-month Fellowship:

      • Robotic anti-reflux surgery (RARS): Total: 30; Performed: 15-20
      • Robotic common bile duct explorations: Total: 5; Performed: 2-3
      • Robotic Giant hiatus hernia repair: Total: 10; Performed: 5
      • Robotic Revisional hiatal surgery: Total: 5-10; Performed: 3-6
      • Robotic Gastrectomy (partial/total): Total: 5; Performed: 2-3
      • Minimally invasive oesophagectomy (RAMIE/MIO): Total: 20-30; Performed: 10 in parts
      • Minimally invasive gastrectomy (total/distal) Total: 5; Performed: 2-3 in parts
      • Laparoscopic day case Upper GI surgery: Total: 150; Performed: 100-150
      • Emergency/unplanned OG surgery: Total: >15; Performed: >10

      South Devon Benign Upper GI Surgical Fellowship

      Based at: Torbay and South Devon NHS Foundation Trust

      Surgical Specialty Association approving: AUGIS

      Approval period: October 2019 – December 2022

      Supervisor / Lead Consultant: Mr Stuart Andrews, Consultant Upper GI Surgeon

      Fellowship duration: 12 months

      Stated learning outcomes:

      • documented evidence of service development either through management change or through implementation of research findings;
      • publication/s in peer reviewed journal;
      • presentation in national / international meetings.

      Clinical competencies to be achieved:

      • Achieve Level 4 in Laparoscopic Fundoplication
      • Achieve Level 4 in Laparoscopic Hot Gall bladder Surgery
      • Achieve Level 4 in Laparoscopic CBD exploration
      • Achieve Level 4 in Laparoscopic Herniae repair
      • Achieve JAG accreditation in diagnostic OGD

      Number of main operations the Fellow could expect to be involved in:

      • Laparoscopic Bile Duct Exploration (Performed: 20)
      • Laparoscopic Fundoplication/hiatal hernia repair / Hellers myotomy (Performed: 25)
      • Acute laparoscopic cholecystectomy (Performed: 30)

      St Mary's Post-CCT Upper GI Fellowship, London

      Based at: St Mary's Hospital, London

      Surgical Specialty Association approving: ASGBI

      Approval period: Initially approved August 2015; reapproved December 2019 - February 2023

      Supervisor / Lead Consultant: Mr Krishna Moorthy, Consultant Surgeon and Senior Lecturer, with Prof George Hanna, Consultant Upper Gastrointestinal Surgeon

      Fellowship duration: 12 months

      Stated learning outcomes:

      • To effectively manage patients undergoing upper gastrointestinal resection on the wards, critical care and out-patient settings.
      • To effectively perform radical lymphadenectomy for oesophagogastric cancer resection.
      • Understanding of clinical issues during work-up, in-hospital and post-discharge care in patients undergoing oesophagogastric resection.
      • Understanding of indications and extent of lymph node dissection for oesophagogastric cancer.
      • Understanding of techniques used for lymphadenectomy in the abdomen and thorax.

      Clinical competencies to be achieved:

      • Competency in staging laparoscopy including endoscopy and peritoneal cytology.
      • Competency in performing D2 lymphadenectomy for gastric cancer.
      • Competency in performing two-field lymphadenectomy for oesophageal cancer.
      • Competency in performed benign oesophageal surgery for hiatus hernia, GORD, achalasia

      Number of main operations the fellow could expect to be involved in:

      • Oesophagectomy: number to be independently performed: 15
      • Gastrectomy: number to be independently performed: 15
      • Laparoscopic fundoplication: number to be independently performed: 20

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Mohamed Ibrahim (Mar 17 - Feb 19)

       

      Sarcoma Fellowships

      Birmingham Post-CCT Abdominal and Retroperitoneal Sarcoma Fellowship

      Based at: MARSU, University Hospitals Birmingham NHS Foundation Trust

      Surgical Specialty Association approving: BASO – The Association for Cancer Surgery

      Approval period: Initially approved October 2013; reapproved July 2017 - September 2020

      Supervisor / Lead Consultant: Mr Max Almond, Consultant Surgeon (Sarcoma and General Surgery)

      Fellowship duration: 12 months

      Stated learning outcomes:

      “The Fellowship has been designed to allow the appointee to gain surgical experience in areas not generally covered by conventional specialty training. This will give greater confidence in recognising the type of surgery needed for these patients and ensuring they are referred to an appropriate centre. At a time of increased surgical specialisation, this Sarcoma Fellowship is almost unique in providing a surgical trainee such a wide surgical experience within a single surgical unit.”

      Clinical competencies to be achieved:

      • At the end of 6 months, the Fellow should have seen and gained experience in the management of patients with extremity and abdominal/retroperitoneal sarcomas. The Fellow should be confident in the investigation of these tumours and have been involved in their surgery, though not necessarily competent with resectional surgery.
      • By 12 months the Fellow should have consolidated the above experience and be capable of describing fully developed management plans for the majority of patients including identification of the range of disciplines necessary for optimum management.
      • The Fellow should be expected to have some experience as the primary surgeon and be confident to undertake some multi-visceral resections, all supervised with the consultant as an assistant.

      Number of main operations the fellow could expect to be involved in:

      • Multivisceral resection for retroperitoneal sarcoma: Total: 30; 1st operator: 5 **
      • Small/large bowel resection for NET: Total: 20; 1st operator: 10
      • Small bowel/stomach resection for GIST: Total: 15; 1st operator: 10
      • Resection of recurrent retroperitoneal sarcoma: Total: 15; 1st operator: 5
      • Wide excision for soft tissue sarcoma of the abdominal/extremities: Total: 25; 1st operator: 5
      • Sacrectomy: Total: 5; 1st operator: 1

      **Depending of the level of training, considering the complexity of the procedure.

      Fellows awarded Fellowship Certificate (dates of Fellowship):

      • Sam Ford (Oct 14 - Jan 16)
      • Max Almond (Oct 16 - Oct 17)
      • Vrettos Ierodiakonou (Jul 18 - Sept 19)

      Gallery of RCS Senior Clinical Fellows in General Surgery

      Approved Fellowships and Fellows' Gallery

      The gallery below provides information about General Surgery Fellows under the Scheme.

      Jeremy Williamson

      Leeds St James Laparoscopic Colorectal Fellowship, Leeds Teaching Hospitals NHS Trust, October 2019 - April 2020

      Current post (April 2021): Consultant Colorectal Surgeon, Royal Gwent Hospital, Aneurin Bevan University Health Board

      "The St James Laparoscopic Colorectal Fellowship was an incredible opportunity to develop my knowledge, experience, skills and confidence in a wide range of areas in colorectal surgery. Working in such a dynamic, collegiate and distinguished colorectal unit was inspiring and also great fun! The volume, intensity and breadth of subspecialty practice undertaken during this 6 months was phenomenal. In particular, I was exposed to a multitude of highly complex colorectal problems, and learning how to approach these with an emphasis on multidisciplinary and shared decision-making with patients and development of the technical expertise required, was excellent preparation for independent practice as a consultant colorectal surgeon"

      Ravikrishna Mamidanna

      Luton Bariatric and Metabolic Surgery Fellowship, Bedfordshire Hospitals NHS Foundation Trust, October 2019 - December 2020

      Current post (March 2021): Consultant Upper GI/Bariatric Surgery, Lewisham and Greenwich NHS Trust

      "I undertook this fellowship to gain sub-specialist experience in Bariatric Surgery following my higher surgical training in General/Upper GI Surgery. The Obesity and Metabolic team at Luton and Dunstable Hospital sees a large throughput of patients in both Tier 3 and Tier 4 services. The high volume surgery at this centre along with a complex case-mix provided me with the relevant skills to assess patients, undertake surgery and manage them post-operatively. The services have been setup in a structured manner to ensure smooth patient flow. The surgeons are all keen to train and are patient in their approach to teach not only operative skills but also clinical assessment of patients with complex metabolic syndrome. The allied health professionals in the team are very friendly and helpful and the anaesthetists and theatre staff are well enthusiastic to ensure training needs are met. I was encouraged to undertake research activities and we were successful in submitting abstracts to international meetings of repute. Due to the pandemic and related loss of training time, I was given a three month extension to meet the set targets in terms of operative numbers. The fellowship has given me the skills and confidence to undertake independent practice and I am sure my patients will benefit from the knowledge base and skills that I have acquired during this time. I thoroughly recommend this fellowship to anyone seeking a career in Bariatric and Metabolic Surgery."

       

      Tarek Katbeh

      Sunderland Bariatric Fellowship, South Tyneside and Sunderland NHS Foundation Trust, September 2019 - April 2020

      Current post (December 2020): General, Upper GI and Bariatric Surgeon, University Hospital Monklands - NHS Lanarkshire

      "I had a valuable experience working with globally renowned surgeons during my fellowship at Sunderland Royal Hospital. It has equipped me with all the necessary knowledge and skills to be able to practice as an independent bariatric surgeon, offering patients a variety of bariatric procedures including sleeve gastrectomy, Roux-en-Y and loop gastric bypass. I have achieved the stated learning outcomes and the clinical competencies despite having my fellowship during the COVID-19 pandemic. This would have not been possible without the exceptional quality training and the great commitment and dedication to trainees shown by Mr Peter Small, Mr William Carr and the whole bariatric unit. I would highly recommend this fellowship to any surgeon who is considering a career in bariatric surgery."

      Tom Wiggins

      Musgrove Park Post-CCT Fellowship in Bariatric and Benign UGI Surgery, Somerset NHS Foundation Trust, Taunton, October 2019 - October 2020

      Current post (November 2020): Consultant Bariatric Surgeon, Heartlands Hospital, University Hospitals Birmingham

      "The exceptional quality of training I received during this Fellowship enabled me to become independent in all aspects of bariatric surgical practice. I received well-structured operative training in a wide-range of bariatric procedures, including revisional surgery. I was also trained to an independent level in all other aspects of benign upper gastrointestinal surgery, including laparoscopic biliary ultrasound, CBD exploration and complex hiatal surgery. The unit has an active interest in academic work and I had the opportunity to complete multiple research projects. Overall, this Fellowship has been instrumental in my entering independent practice in bariatric and benign upper gastrointestinal surgery and will facilitate my delivery of the highest standards of clinical care to my future patients. I could not recommend this Fellowship highly enough"

      Sylvia Krivan

      East Midlands Bariatric & Metabolic Institute (EMBMI) Senior Bariatric and Metabolic Surgery Fellowship, University Hospitals of Derby & Burton NHS Foundation NHS Trust, May 2019 - November 2020

      Current post: Maternity leave (October 2020 - October 2021)

      "Bariatrics has always been a special field of interest for me. Becoming a member of the East Midlands Bariatric and Metabolic Institute as a Fellow and establishing excellent working relationships with all my colleagues, including surgeons, anaesthetists, scrub team, dieticians, physicians, bariatric nurses and physiotherapists has been my most important achievement. We have worked closely and in harmony on a daily basis during normal circumstances but most importantly during the Covid-19 pandemic outbreak and unprecedented conditions. I have taken the initiative to establish and organise, as well as run independently the telephone/video consultation clinics for all our bariatric patients that had no access to the hospital or our services due to temporary cessation of our practice and their need to shield due to obesity. This has provided them with the reassurance of continuity of care and access to the services in case of uncertainty or emergency."

      Shantanu Rout

      Royal Shrewsbury Hospital Advanced Laparoscopic Colorectal Fellowship, Shrewsbury & Telford Hospital NHS Trust, May 2019 - November 2019

      Current post (September 2020): Consultant Colorectal Surgeon, Sandwell & West Birmingham Hospitals NHS Trust

      "I enhanced my technique in performing laparoscopic resections particularly with dissection during TME. I also gained experience in managing early rectal cancers by participating in the dedicated MDT and doing TEMS resections. The Fellowship helped me in obtaining a consultant post and improving the standard of care I provide to patients by following a standardised and structured approach during laparoscopic resections."

      Ben Byrne

      Guy's and St Thomas' Oesophago-gastric Cancer Fellowship, Guy's and St Thomas' NHS Foundation Trust, London, April 2019 - April 2020

      Current post (May 2020): Locum Consultant Oesophago-gastric Surgeon

      "This post-CCT fellowship provided excellent clinical experience to help me transition to consultant practice. I gained fantastic operative experience in one of the highest volume oesophago-gastric cancer units in the country. I participated in alternative ways of managing familiar clinical conditions and problems, and picked up technical tips and tricks. Outside the operating theatre, the position provided a well rounded experience, with regular clinics, endoscopy and MDT attendance. I think this is one of the great benefits of this position and its role within the oesophago-gastric team, to prepare the post-holder for the full breadth of consultant practice. I was also involved in governance activities and research, helping further develop my CV and prepare for consultant interview. Reflecting on my year, I am undoubtedly a better clinician as a result of this fellowship, ready to deliver the best possible care to patients in my consultant practice."

      Jonathan Chua Yu Jin

      Colchester Laparoscopic Colorectal Fellowship, The ICENI Centre Colchester Hospital, March 2019 - February 2020

      Current post (May 2020): Locum Consultant in General Surgery, Eastern Health, Melbourne, Australia

      “It was a privilege to work with Prof Arulampalam at Colchester. I received a healthy balance of constructive feedback and autonomy to operate independently in both elective and emergency settings. In addition to my laparoscopic training, I also had the opportunity to observe and perform novel techniques for the treatment of pilonidal sinus and anal fistula. Colchester hospital also runs the ICENI training centre which holds a significant number of workshops and courses for technical and non-technical aspects of surgery. It also helps facilitate workshops for junior doctors, where registrars and fellows are always welcome to be involved. As an overseas fellow, I found living in Colchester very pleasant, and my colleagues at work certainly helped us feel at home right from the beginning."

      Christopher Nicolay

      Frimley Park Laparoscopic Colorectal Fellowship, Frimley Park Hospitals NHS Trust, Surrey, April - October 2019

      Current post (March 2020): Consultant Colorectal Surgeon, Chelsea and Westminster Hospital, London

      "This was a fantastic post-CCT 6-month finishing school in Colorectal surgery with an operating list every day. This provided considerable experience in laparoscopic and open surgery and also exposure to robotic cases and transanal endoscopic operation. There was a superb group of Consultant trainers who created the right environment to learn with the correct balance of observation, supervision and feedback. I performed just under 300 operations including nearly 80 major resections in 6 months and I was also on the Consultant on call rota which gave me valuable experience in Emergency Surgery in a busy but supportive department. This has improved my technical skills particularly in medial-to-lateral splenic flexure mobilisation and also my teaching skills in theatre. It has really given me confidence going forward starting a substantive Consultant post and will greatly benefit the patients I care for in the future."

      Dinesh Balasubramaniam

      North Middlesex Senior Colorectal Fellowship, North Middlesex University Hospital NHS Trust, London, November 2018 - October 2019

      Current post (Dec 2019): Locum Consultant Surgeon, Maidstone and Tunbridge Wells NHS Trust

      "This Fellowship has enabled me to learn and improve skills in laparoscopic colorectal surgery. The apprentice style of teaching and supervision has enabled me to learn clinical and surgical management of complex colorectal cases. There is also excellent exposure to a wide variety of emergency general surgical and colorectal cases. This also has helped me to improve my pelvic floor practice including learning new skills like PTNS. This experience has given me the confidence to practice as a consultant providing excellent quality of patient care."

      Lawrence Toquero

      Peterborough Laparoscopic Colorectal Fellowship, North West Anglia NHS Foundation Trust, October 2018 - August 2019

      Current post (November 2019): Colorectal Consultant Surgeon, Epsom General Hospital

      "This post allowed me to gain confidence in independent colorectal surgery, as well as training senior colorectal registrars in laparoscopic and open colorectal and emergency surgery. I completed 108 laparoscopic and open colonic resections in my 8 months, as well as gaining JAG accreditation as an independent colonoscopist. I benefited from significant experience on the consultant oncall rota. The post allowed me to develop my communication skills with patients as an elective and an emergency surgeon, as well as leading by example for my junior team. My interest in medical education was encouraged, with a high volume of enthusiastic undergraduates and junior doctors."

      Andrew Robertson

      Post-CCT Fellowship in Bariatric and Benign Upper GI Surgery, Musgrove Park Hospital, Taunton, October 2018 to September 2019

      Current post (October 2019): Consultant Upper GI and Bariatric Surgeon, NHS Fife

      "The Post-CCT Fellowship in Bariatric and Benign Upper GI Surgery at Musgrove Park Hospital offered me an excellent opportunity to train in operative and non-operative bariatric surgery within an International Centre of Excellence. I was exposed to a broad range of routine and complex bariatric and benign upper GI surgical procedures. My main achievement during the Fellowship was to progress to independent bariatric practice. I feel the Fellowship year has prepared me for independent practice and I leave feeling confident to start working as a consultant surgeon. This Fellowship benefits patients by providing a safe and supportive environment for future consultants to train. At Musgrove Park, this is under the supervision and mentoring of very experienced surgeons. This allows these skills to then be dispersed to other units in the UK and abroad."

      Vrettos Ierodiakonou

      Birmingham Post-CCT Abdominal and Retroperitoneal Sarcoma Fellowship, University Hospitals Birmingham NHS Foundation Trust, July 2018 - September 2019

      Current post (November 2019): Senior Colorectal Fellow, University Hospitals Coventry & Warwickshire NHS Trust

      "The post-CCT Fellowship in the sarcoma unit gave me the opportunity to participate in the management of patients suffering from sarcoma. I participated in numerous multivisceral resections and I was responsible for the postoperative care of these patients. In addition, I actively participated in the sarcoma MDTs, which gave me the opportunity to understand and contribute to the diagnostic steps during the initial investigation of potential sarcoma patients, as well as the follow up of actual sarcoma patients. As a fellow, my achievement of performing independently a retroperitoneal liposarcoma excision will always be a memorable moment as a future sarcoma surgeon. My view is that undertaking this Fellowship contributes to a safer management of emergency and elective surgical patients, as it provided huge exposure to major laparotomies and complex resections. Especially nowadays, when minimally invasive surgery reduces the exposure of junior trainees in open surgery, this exposure to major laparotomies is certainly beneficial to every surgeon's skills to perform major laparotomies safely."

      Md Tanveer Adil

      Luton Bariatric and Metabolic Surgery Fellowship, Luton & Dunstable Hospital NHS Foundation Trust, July 2018 - August 2019

      Current post (October 2019): Locum Consultant in Upper GI Surgery, Luton and Dunstable University Hospital

      "I found the Luton Bariatric and Metabolic Surgery Fellowship to be an outstanding finishing touch towards independent practice in weight-loss surgery. The obesity team at Luton and Dunstable University Hospital was dynamic and supported by a great multi-disciplinary team that keeps patient safety a priority. There is a large focus on training and teaching along with equal emphasis given to academic work. I was given independence in working up patients for bariatric surgery, follow them up in clinic and lead the bariatric multi-disciplinary team (MDT) meetings. During this 1-year Fellowship, I was encouraged to perform close to 150 bariatric procedures and author 12 publications including a book chapter. I also participated in 2 audits, attended 2 national meetings and authored 5 presentations in national and international meetings. My biggest achievement during this Fellowship was having led the successful introduction of Bariatric Analysis and Reporting Outcome System (BAROS) in the department with special emphasis on the assessment of quality of life (QoL) of patients after bariatric surgery. This Fellowship has indeed enabled me to develop the knowledge and skill set required to perform weight-loss and metabolic surgery as an independent practioner and has instilled the importance of an experienced multidisciplinary team to provide maximum benefit to patients."

      Peter Mekhail

      Musgrove Park Post-CCT Fellowship in Bariatric and Benign UGI Surgery, Taunton & Somerset NHS Foundation Trust, October 2017 - October 2018

      Current post (October 2019): Consultant Bariatric and Upper GI Surgeon, Aberdeen Royal Infirmary Hospital

      "The skills that I have acquired during my Bariatric and Upper GI Fellowship at Musgrove Park Hospital in Taunton make me competent in performing complex laparoscopic procedures at a very advanced level. Those skills are not only helping me performing bariatric surgical procedures in my current practice, they are also transferrable across the spectrum of complex Upper GI and General Surgical procedures. This has surely made me able to look after my patients to the best of my ability and to provide them with better care both at elective and emergency level."

      Rebecca Seton

      Colchester Laparoscopic Colorectal Fellowship, East Suffolk and North Essex NHS Foundation Trust, March 2018 - January 2019

      Current post (April 2019): Resident Surgical Officer, St Mark’s Hospital, London

      "This Fellowship gave me high quality training in a unit where there is a big emphasis on a laparoscopic approach to both elective and emergency colorectal cases. One of the most important aspects of my Fellowship was learning how to plan an operation well, breaking down even the most complex of operations into simple steps - a great framework to give me confidence as in independent practitioner. The colorectal unit at Colchester is dynamic and supported by a great multi-disciplinary team. There is also a large focus on teaching and training, with the assistance of the invaluable educational facility of the ICENI centre on site. Over the course of my Fellowship, I improved my own techniques as well as my ability to bring out the best in more junior trainees. I hope that these skills will enable to me provide the best possible care to my patients in the future."

      James Clark

      Imperial College Bariatric Surgery Fellowship, Imperial College Healthcare NHS Trust, London, October 2017 - October 2018

      Current post (March 2019): Consultant Upper GI and Bariatric Surgeon, Royal Cornwall Hospitals NHS Trust, Cornwall

      "This Fellowship was an outstanding finishing school for bariatric surgery. The collegiate senior team are a group of some of the most truly dynamic bariatric surgeons who I have had the pleasure of learning from and being mentored by. The operations performed at this centre are the Formula 1 of the bariatric circuit, from the most challenging tertiary referral cases both elective and emergency, to the primary procedures. The centre offers the broadest of broad range of bariatric procedural exposure, with academic support and consideration at every turn. A truly fantastic experience! The Fellowship allowed me to experience what the highest performance of centres can offer and has enabled me to have a benchmark to emulate when assisting the drive for change in my own centre. I hope that this experience will, in time, benefit not only my colleagues within my current trust but also the wider regional population who are in desperate need for a greater understanding into the surgical treatment for diabetes."

      Alessandra Lazzaro

      North Middlesex Senior Colorectal Fellow, North Middlesex University Hospital NHS Trust, London, October 2017 - October 2018

      Current post (February 2019): Senior Colorectal Fellow, St. Mary’s Hospital, Imperial College Healthcare NHS Trust, London

      "I was privileged to have the opportunity to complete the Senior Colorectal Fellowship at North Middlesex Hospital. The Fellowship allowed me to improve my technique in laparoscopic colorectal resections. Furthermore I contributed in decision making on complex colorectal cancer and IBD patients. Indeed this Fellowship represented an incomparable experience in my preparation for becoming a Consultant."

      Sumanta Dutta

      Chichester St Richard’s Bariatric Fellowship, Western Sussex Hospitals NHS Foundation Trust, October 2017 - October 2018

      Current post (January 2019): Consultant in Upper GI Surgery, Tata Medical Centre, Kolkata, West Bengal, India

      "I undertook this Fellowship following CCT to gain experience in Bariatric Surgery and to consolidate advanced laparoscopic surgical skills prior to taking up a Consultant position. St Richard’s Bariatric and Metabolic surgery unit is accredited as one of the International Centres of Excellence by International Federation of Obesity Surgery (IFSO). The unit is very well organised for training with dedicated bariatric MDT clinics, ward, and theatres. This Fellowship has provided me with the opportunity to improve and consolidate my knowledge and laparoscopic operating skills in the management of patients with complex bariatric problems. This Fellowship enabled me to progress to become an independent Consultant in Upper GI and Bariatric surgery."

      Greg Taylor

      Pelvic Oncology and Advanced Malignancy Fellowship, ABMU Health Board, Swansea, October 2016 – October 2017

      Current post (September 2018): Consultant Colorectal Surgeon, ABMU Health Board, Swansea

      "The primary focus of the Fellowship was operative experience in advanced colorectal surgery. The majority of work comprised extended resections for locally advanced rectal cancer and pelvic exenterations. There was also extensive opportunity to undertake laparoscopic resections and surgery for inflammatory bowel disease, including ileoanal pouch construction. I was encouraged to work independently and was made to feel like a valued member of the team from day one. The collegiate atmosphere and regular discussion of complex patients and service improvements on a colleague to colleague level was perfect environment to prepare for life as a Consultant. I was appointed to my current Consultant post during the Fellowship. Having had consistent exposure to the extreme end of rectal cancer surgery, I was equipped to deal with cases of increasing complexity but have a strong appreciation of which cases require collaboration and am mindful as to the technical limitations of surgery. All invaluable insights as a newly independent surgeon.

      Chris Hunter

      Minimally and Maximally Invasive Colorectal Cancer (MiMICC) Fellowship, St Mark's Hospital, London, October 2016 - April 2017

      Current post (August 2018): Consultant Colorectal Surgeon, Hull and East Yorkshire Hospitals NHS Trust

      "I was privileged to have the opportunity to complete the Minimally and Maximally Invasive Colorectal (MIMIC) Surgery Fellowship at St Mark's. The Fellowship affords the opportunity to train in laparoscopic CME resection for colon cancers, laparoscopic TME for rectal cancers and open surgery for locally advanced rectal cancers, including pelvic exenteration, high sacrectomy and pelvic sidewall excision. The training provided by Ian Jenkins, Robin Kennedy, and now Danilo Miskovic, is excellent both in theatre and in peri-operative care. Completing the Fellowship leaves you well equipped to develop your own specialist practice as a consultant, and delivery high quality oncological surgery to patients with colorectal cancer."

      Akash Mehta

      Minimally and Maximally Invasive Colorectal Cancer (MiMICC) Fellowship, St Mark's Hospital, London, October 2017 - April 2018

      Current post (July 2018): Resident Surgical Officer, St. Mark’s Hospital, London

      "The St. Mark’s Minimally and Maximally Invasive Colorectal Cancer (MiMICC) Fellowship gave me the unique opportunity to acquire and improve surgical skills along the entire spectrum of colorectal cancer surgery in an internationally recognised centre of excellence. Under the supervision of Mr Ian Jenkins and Mr Danilo Miskovic, I gained vast experience in both minimally invasive colorectal procedures and multivisceral, exenterative techniques. I was also heavily involved in initiating and developing a successful peritoneal malignancy programme at St. Mark’s Hospital, offering cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC) to patients with peritoneal metastases of colorectal cancer. The Fellowship also allowed me to function independently at a consultant level, enabling me to confidently offer specialist treatment to patients with locally advanced, recurrent and metastatic colorectal cancer."

      Katrine Emmertsen

      Minimally and Maximally Invasive Colorectal Cancer (MiMICC) Fellowship, St Mark's Hospital, London, April 2016 - October 2016

      Current post (July 2018): Colorectal fellow, Aarhus University Hospital, Denmark

      "This Fellowship gave me a unique opportunity to improve my technical and clinical surgical skills within the field of colorectal surgery. Under the supervision of Prof. Robin Kennedy and Mr Ian Jenkins, I gained great experience in a variety of laparoscopic colorectal procedures, and complex cases. I also got a chance to get to know something about the health care system in the UK – being a foreigner in London. A fantastic experience providing me with the confidence to proceed to my upcoming position as a Consulting Colorectal Surgeon at a large colorectal centre here in Denmark."

      Aarti Kalyanaraman

      Peterborough Laparoscopic Colorectal Fellowship, North West Anglia NHS Foundation Trust, October 2016 - October 2017

      Current (February 2018) post: Fixed Term Consultant Colorectal Surgeon, Southmead Hospital, Bristol

      "I undertook the Fellowship to evaluate my preparedness for a Consultant appointment as well as acquire/polish the skills required by the same. Peterborough more than exceeded my expectations, with regards to both. Not only did the post give me an honest view of my competence but, rewarded the same by allowing me to function in a consultant role during the course of my Fellowship, which I would count as my most important achievement. Having participated thus in the entirety of the patient pathway, has allowed me to commence my current role in a busy unit with all confidence that I will be able to provide the best possible care to all my patients."

      Waleed Al-Khyatt

      Chichester St Richard's Bariatric Fellowship, Western Sussex Hospitals NHS Foundation Trust, October 2016 - October 2017

      Current (January 2018) post: Consultant Laparoscopic, Bariatric & Upper GI Surgeon, Derby Teaching Hospitals NHS Foundation Trust

      "St Richard’s Bariatric and Metabolic Surgery Unit is a recognized International Centre of Excellence by the International Federation of Obesity Surgery (IFSO) where a minimum of 300 primary and revisional bariatric procedures performed per year. The unit has excellent settings in term of a dedicated bariatric theatres, a bariatric ward with an enhanced recovery programme, dedicated bariatric outpatient clinics, and a multi-disciplinary bariatric MDT clinic run once a week. I believe this Fellowship programme afforded me the opportunity to consolidate my clinical knowledge and operative skills in the management of severe/complex obesity, and to progress towards being independent consultant bariatric and metabolic surgeon in a busy NHS tertiary bariatric referral centre in Derby"

      Rohin Mittal

      Colchester Laparoscopic Colorectal Fellowship, ICENI Centre & Colchester Hospital University NHS Foundation Trust, March 2015 - July 2016

      Current (December 2017) post: Colorectal Fellow at Spectrum Health/Michigan State University, Grand Rapids, USA

      "This Fellowship is extremely well designed and covers all aspects of colorectal practice, including operative skill development, management of complex conditions and complications, as well as research. A stepwise approach to performing complex procedures, with guidance and mentorship at every step, helped me improve my laparoscopic skills and learn new techniques. It also provided me the necessary confidence in managing complex colorectal conditions as well as intra and postoperative complications. I was also able to undertake research into new and emerging technologies and attend many courses and meetings. An interesting aspect of the Fellowship was to learn how to teach, and to transfer skills to junior members of the team. The training I have received will help me provide better and holistic patient care, as well as improve research and training in my practice."

      Samuel Ford

      Birmingham Sarcoma Fellowship, The Midland Abdominal and Retroperitoneal Sarcoma Unit, University Hospitals Birmingham NHS Foundation Trust, October 2014 to October 2015
       
      Current (August 2017) post: Consultant Sarcoma Surgeon, University Hospitals Birmingham
       
      "The Sarcoma Fellowship offers an intensive, highly advanced experience of the surgical management of non-extremity soft tissue sarcoma. The Unit receives over 700 new referrals a year and ranks amongst the largest high volume supra-regional sarcoma centres in the country. The quality of the tutorship provided is first class and offers experience in multi-visceral resection for sarcomas in the abdomen, pelvis, retroperitoneum, chest, neck and limb girdles. My most important achievement as a Fellow was my first complete multi-visceral resection for a very large retroperitoneal liposarcoma. The Fellowship directly benefits patient care by training surgeons dedicated to the management of this rare group of tumours. A high volume of experience enables the formulation of a bespoke operation that optimises oncological clearance with an acceptable morbidity."

      Jeffrey Lim

      jeffrey limSwansea Advanced Pelvic Oncology Fellowship, Abertawe Bro Morgannwg University Healthboard, October 2016 to April 2017
        
      Current (July 2017) post: Consultant Colorectal Surgeon, Great Western Hospitals NHS Foundation Trust, Swindon
        
      "This Post-CCT Fellowship under the supervision of Prof Beynon allowed me to gain skills (both clinical and professional) that greatly facilitated my transition to a Consultant Surgeon. During the Fellowship, I contributed to management decisions and operated on complex colorectal cancer patients – this has given me a solid grounding on which to build my own practice on. To put it succinctly, my Specialty Registrar training gave me competence but this Fellowship gave me confidence to become a Colorectal Consultant Surgeon."

      James Hopkins

      Post-CCT Fellowship in Bariatric and Benign Upper GI Surgery, Musgrove Park Hospital, October 2015 to October 2016

      Current (May 2017) post: Consultant Upper GI and Bariatric Surgeon, North Bristol Centre for Weight Loss, Southmead Hospital, Bristol

      "The Fellowship was an excellent focused Bariatric training post in a Bariatric centre of excellence, to prepare one for independent practice. I would not have gained my current Consultant post or be practising as a UK based Bariatric Surgeon without this Fellowship. It allowed me to achieve nationally accredited operating experience and I had 5 journal articles published during this Fellowship, including one in the BMJ."

       

      Hazem Al-Momani

      Post-CCT Fellowship in Bariatric and Benign Upper GI Surgery, Musgrove Park Hospital, October 2014 to October 2015

      Current (February 2017) post: Consultant Upper GI and Bariatric Surgeon, Morriston Hospital/ABM University Health Board, Swansea

      "This Fellowship proved invaluable in my preparation to becoming a Consultant. I took part in all aspects of the patients' journey before and after their surgery. This Fellowship exposed me to a wide range of routine and complex Bariatric and Benign Upper GI surgical procedures. At the end of the year I felt confident to commence my journey as a Consultant Surgeon."

      Chiragkumar Parikh

      Sunderland Bariatric Fellowship, City Hospitals Sunderland NHS Foundation Trust, April 2013 to October 2013
        
      Current (June 2017) post: Consultant Laparoscopic, GI and Bariatric Surgeon at Devarsh Hospital, Vadodara, Gujarat, India; Honorary Assistant Professor in Surgery at GMERS Medical College, Gotri, Vadodara, Gujarat, India
        
      "It was my pleasure to complete the Fellowship at Sunderland Royal Hospital under Mr Peter Small. I learned in depth about the subject and perioperative care of patients; also learned about making patients aware about obesity and its complications. This made me so confident about handling such kind of complex cases in my professional career. During the last three years I have progressed so well in my career - all credit goes to the Fellowship programme. Unfortunately, due to family constraints, I had to move back to India after pursuing the Fellowship, but it helped me to develop the specialty in my region of India."

      No longer approved Fellowship programmes

      Since the start of the RCS Senior Clinical Fellowship Scheme in 2012, four General Surgery Fellowship programmes have not wished to apply for reapproval after the end of their initial three-year approval period. The Fellows on these programmes who were awarded a Fellowship Certificate are:

      • Barts Colorectal Development Unit Senior Fellowship
      • Newcastle RVI Laparoscopic Colorectal Fellowship: Jonathan Randall (Apr 13 - Oct 13); Sonia Lockwood (Oct 13 - Apr 14)
      • Northumbria North of Tyne Bariatric Fellowship: Hisham Hurreiz (Oct 13 - Apr 14)
      • Nottingham EES UK Laparoscopic Colorectal Fellowship: Mohamed Khalid Mohiuddin (Oct 12 - Apr 13); Amitabh Mishra (Apr 13 - Oct 13); Balamurali Bharathan (Oct 13 - Mar 14)

      Share this page: