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Neurosurgery Fellowships

This page includes a list of the Neurosurgery Fellowship programmes which have been approved under the RCS Senior Clinical Fellowship Scheme, and a gallery of recent neurosurgery 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.

RCS Senior Clinical Fellowships in Neurosurgery

Epilepsy Fellowships

NHNN Complex Epilepsy Fellowship

Based at: National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust

Surgical Specialty Association approving: SBNS

Approval period: May 2020 - April 2023

Supervisor / Lead Consultant: Ms Anna Miserocchi, Consultant Neurosurgeon, with Mr Andrew McEvoy, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Understanding the relevance of MDT approach and results of different investigations
  • Becoming independent in temporal lobe resections, vagal nerve stimulator implantation, implantation of electrodes, extratemporal resections
  • Becoming independent in safely planning Stereo EEG
  • Being able to set up and perform awake craniotomies
  • Being able to operate in the interventional MRI

Clinical competencies to be achieved:

  • Patient selection for epilepsy surgery
  • Becoming independent in performing the commonest epilesy surgical procedures
  • Becoming independent in performing awake craniotomies and operating in iMRI
  • Perioperative care of patients undergoing epilepsy surgery

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

  • Temporal lobe resection (Performed: 20)
  • Vagal nerve stimulator and maintenance (Performed: 30)
  • Implantation of electrodes (grids/seeg) (Performed: 30)
  • Extratemporal resections (Performed: 10)
  • Awake craniotomies (Performed: 10)

Functional & Epilepsy Fellowships

Walton Functional and Complex Epilepsy Fellowship

Based at: The Walton Centre for Neurology and Neurosurgery NHS Foundation Trust, Liverpool

Surgical Specialty Association approving: SBNS

Approval period: August 2020 - July 2023

Supervisor / Lead Consultant: Mr Jibril Osman-Farah, Consultant and Lead Functional Neurosurgery, with Ms. Deepti Bhargava, Consultant Functional Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

Knowledge and understanding: Understands the anatomic and physiologic substrates of movement disorders, pain, spasticity and epilepsy, science behind Neuromodulation for movement disorders and pain, understands epilepsy networks. Evaluates the benefits and risks of Deep Brain Stimulation, Spinal Cord Stimulation and surgery for epilepsy. Critically appraises relevant literature.

Practical (Clinical and Technical) Skills: Formulates sensible management plan in clinic and wards including patient selection for surgery, troubleshoots any post-operative issues, effectively participates in MDT meetings, plans surgical target using planning software, able to independently carry out the procedure.

Personal and professional skills: Able to critique own and departmental outcomes, participates in research, presents work at scientific meetings.

Clinical competencies to be achieved:

  • Assessment and selection of patients suitable for neuromodulation, spasticity and epilepsy surgery.
  • Assessment and management of patients with facial pain.
  • Be skilled in planning and performing DBS, SCS, PNS, SEEG, resection of tumour/tissue in eloquent areas, VNS and intrathecal drug delivery device placement procedures independently or with minimal supervision.
Number of main operations the fellow could expect to be involved in:

The Supervisor states: “The fellow will be involded in a total of 300/year procedures (assisting, performing under supervision and performing independently) these procedures include; DBS, SCS, pump, MVD for TGN, epilepsy resections, resection in eloquent areas, ablative procedure for pain/movement disorders, neuro-restoration.

“The fellow should be able to independently perform:

  • 30 DBS and 30 SCS cases (excluding maintenance)
  • 20 epilepsy (resections/monitoring) and 10 VNS cases)
  • 20 spasticity cases (pumps and ablative))
  • 15 balloon compression cases and)
  • 10 microvascular decompression procedures"

Functional Neurosurgery Fellowships

North Bristol Functional Neurosurgery Fellowship

Based at: North Bristol NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: March 2019 – May 2023

Supervisor / Lead Consultant: Mr Neil Barua,  Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Competence in appropriate patient selection, surgical planning and operative management of movement disorder patients.
  • Completion of a relevant research project in the field of functional neurosurgery and presentation at a national conference.
  • Familiarity with novel indications for DBS surgery and stereotactic lesioning and use of novel DBS technology such as directional electrodes.

Clinical competencies to be achieved:

  • Competence in patient selection for DBS for movement disorders
  • Competence in stereotactic surgical planning for DBS
  • Competence in performing DBS surgery

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

The fellow would be expected to perform 50-60 primary DBS procedures for Parkinson’s disease, Dystonia, Essential tremor and MS tremor. In addition the fellow would perform approximately 40 DBS generator replacements. In addition the fellow would be involved in a small number of DBS implantations for non-movement disorders such as pain (up to 5 per year) and 5 to 10 robot assisted biopsies.

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Reiko Ashida (Aug 19-Jul 20)

Oxford Functional Neurosurgery Fellowship

Based at: Oxford University Hospitals NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: Initially approved July 2014; reapproved June 2019 - August 2022

Supervisor / Lead Consultant: Mr Alexander Greenhttps://www.ndcn.ox.ac.uk/team/alex-green, Consultant Neurosurgeon, with Mr James FitzGerald, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • To be able to perform DBS and spinal cord stimulation (SCS);
  • To be able to perform Spinal Cord Stimulation;
  • To be able to teach functional surgery at ST level.

Clinical competencies to be achieved:

  • Be able to perform DBS unassisted
  • Be able to perform SCS unassisted
  • Be competent at clinical selection of DBS and SCS patients
  • Understand movement disorders
  • Understand the current patho-physiological theories of pain

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

DBS = 30, SCS = 40

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Devaraj Pancharatnam (Feb 14 - Feb 15)
  • Bilal Mirza (Feb 15 - Feb 16)
  • Andrew Tarnaris (Feb 16 - Jan 17)
  • Andreas Nowacki (Feb 18 - Jan 19)
  • Georgios Zilidis (Feb 19 - Feb 20)
  • Oliver Flouty (Jan - Jun 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
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  x
More training than service |  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 |

Queen Square Functional Neurosurgery Fellowship

Based at: National Hospital for Neurology and Neurosurgery, UCLH Foundation Trust

Surgical Specialty Association approving: SBNS

Approval period: June 2019 – August 2022

Supervisor / Lead Consultant: Prof Ludvic Zrinzo, Professor of Functional Neurosurgery

Fellowship duration: 12 months

Stated learning outcomes:

  • Able to conduct a multidisciplinary clinic for movement disorders and select appropriate patients and procedures
  • Able to perform a functional stereotactic intervention (DBS or ablation)
  • Able to select patients and suitable procedures for facial pain
  • Able to perform percutaneous procedures / DBS for trigeminal neuralgia
  • Working knowledge of neuromodulation and troubleshooting

Clinical competencies to be achieved:

  • Patient selection for functional neurosurgery procedures
  • Perioperative care of patients undergoing functional neurosurgery
  • Stereotactic ablation / DBS procedures
  • Microvascular decompression of cranial nerves

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

  • Deep brain stimulation (Performed: 25)
  • Microvascular decompression (Performed: 15)
  • DBS maintenance procedures (Performed: 40)

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Ali Rajabian (Aug 18 - Aug 20)

Hydrocephalus Fellowships

Queen Square Hydrocephalus Neurosurgery Fellowship

Based at: The National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust

Surgical Specialty Association approving: SBNS

Approval period: November 2019 – January 2021 in the first instance

Supervisor / Lead Consultant: Mr Laurence Watkins, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Able to conduct a complex hydrocephalus clinic
  • Able to perform and interpret intracranial pressure monitoring
  • Able to perform and interpret CSF infusion studies
  • Able to select patients with complex hydrocephalus for surgical intervention
  • Able to perform complex hydrocephalus procedure including neuronavigation

Clinical competencies to be achieved:

  • Patient selection for cICP monitoring
  • Perioperative care of hydrocephalus patients
  • Neuronavigation use in shunt insertion
  • An endoscopic component
  • Foramen magnum decompression

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

  • Axum guided VP shunt insertion (Performed: 30)
  • Complex shunt revision (Performed: 30)
  • ICP insertion / interpretation (Performed: 40)

Neuro-oncology Fellowships

King’s Senior Clinical Fellow in Neuro Surgical Oncology, London

Based at: Neurosciences Department, King's College Hospital, London 

Surgical Specialty Association approving: SBNS

Approval period: July 2018 - September 2021

Supervisor / Lead Consultant: Prof Keyoumars Ashkan, Lead Clinician for Neuro-Oncology, with Mr Ranj Bhangoo, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • The fellow will be expected to perform the majority of the oncology neurosurgical cases after appropriate assessments and investigations using advanced adjuvant tools.
  • The fellow will be expected to attend one or two national / international meetings within a year, present abstracts and submit papers in peer reviewed journals.

Clinical competencies to be achieved:

  • Perform neuro-oncological procedures with navigation, gliolan, U/S, neuro-monitoring and awake craniotomies
  • Assess and investigate appropriately and manage non operatively the neuro-oncological patient

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

  • Neuro-navigation-guided craniotomies – 120
  • Fluorescence-guided procedures – 60
  • Intra-operative monitoring assisted procedures – 48
  • Asleep – awake – asleep procedures – 15
  • Ultrasound-guided procedures – 60
  • Stealth-guided biopsies – 40
  • Trancranial Magnetic Stimualtion guided procedures – 30
  • Endoscopic Third Ventriculostomies – 5
  • Ventriculo-Peritoneal Shunts – 15
  • Supratentorial Craniotomies (Total) – 140
  • Infratentorial Craniotomies (Total) - 30

Leeds Neuro-oncological Surgery Fellowship

Based at: Leeds Teaching Hospitals NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: Initially approved October 2015; reapproved March 2019 - May 2022

Supervisor / Lead Consultant: Mr Simon Thomson, Consultant Neurosurgeon and Clinical Associate Professor, with Mr John Goodden, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Ability to perform image guided brain tumour biopsy and debulking operations with minimal residual disease on scan and minimal complications.
  • Ability to manage patients with brain tumours independently, thus able to take up independent consultant subspeciality practice.
  • Ability to understand neuroncology and gamma knife services and to work within MDT teams.
  • Ability to run clinical trials and / or lab based academic research.

Clinical competencies to be achieved:

  • Competence at brain tumour biopsy (level 4)
  • Competence at brain tumour debulking (level 4)
  • Competence at assessing and managing patients with brain tumours

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

  • craniotomy and debulking of high grade tumour 50;
  • awake craniotomy for low grade glioma 25;
  • excision of metastases or benign tumours 30;
  • stereotactic image guided biopsy 40.

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Oluwafikayo Fayeye (Sept 16 - Aug 17)
  • Sandeep Solanki (Sept 17 - Aug 18)

North Bristol Surgical Neuro-oncology Fellowship

Based at: North Bristol NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: Initially approved July 2015; reapproved March 2019 - May 2022

Supervisor / Lead Consultant: Mr Venkat Iyer, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • To achieve holistic management of the brain tumour patient - both surgical and non-surgical.
  • Competent in performing complex brain tumour surgery using advanced surgical and radiological techniques.

Clinical competencies to be achieved:

  • Competence in image-guided biopsy and craniotomy of neuro-oncological lesions
  • Competence in awake craniotomy for eloquent lesions
  • Competence in use of intraoperative neurophysiology
  • Competence in intra-operative MRI scanning
  • Competence in counselling pre-operative patients on treatment options

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

Supervisor: “I would expect the fellow to perform around 60 - 70 brain tumour operations in 12 months (excluding biopsies)”

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Amr Mohamed (Aug 15 - Aug 16)
  • Angelo Pichierri (Aug 16 - Aug 17)
  • Liviu Nicolae (Aug 17 - Jul 18)
  • Christos Anagnostopoulos  (Aug 18 - Jul 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
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 |  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 |

Salford Royal Neuro-oncology Surgery Fellowship 

Based at: Salford Royal NHS Foundation Trust 

Surgical Specialty Association approving: SBNS

Approval period: July 2018 - September 2021

Supervisor / Lead Consultant: Miss Konstantina Karabatsou, Consultant Neurosurgeon & Clinical Lead for Neuro-oncology, with Mr Pietro D’Urso, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Attendance at Neurooncology MDTs and Clinics- should have at least 67 percent attendance at the MDTs.
  • Should have completed two (at least one) departmental audits on neurooncology conditions.
  • Should present at National & International meetings projects/research undertaken during his/her Fellowship.
  • Should be able to carry independently craniotomies with intraoperative mapping in tumours within eloquent areas.
  • Should be able to carry out independently a fluoresceine -guided resection in a patient with a high grade glioma.

Clinical competencies to be achieved:

  • Decision making in neurooncology surgery
  • Competence in mapping techniques during tumour surgery
  • Enhance microsurgical & Endoscopic skills
  • Maximize the use of Neuronavigation & Ultrasound during tumour surgery

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

Logbook – Should have been involved in at least 80-100 CNS tumour cases by the end of the Fellowship. The successful candidate should be able to consolidate their operative experience in CNS tumour surgery and in particular to more advance procedures, with an indicative list stated below:

  • Craniotomy for intrinsic brain tumour with intraoperative monitoring
  • Awake craniotomy techniques in tumours within eloquent areas
  • Craniotomy for high grade glioma with fluoresceine guidance
  • Endoscopic biopsy of intrinsic brain tumour
  • Stereotactic biopsy  of intrinsic brain tumour
  • Approaches to 4th ventricular tumour
  • Pineal surgery approaches: Infratentorial supracerebellar approach, Supratentorial, suboccipital approach
  • Interhemispheric approach to midline tumours
  • Excision / debulking of intramedullary spinal cord lesion with intraoperative monitoring

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Alex Leggate (Aug 17 - Aug 18)
  • Isaac Phang (Aug 18 - Aug 19)

Wessex Neuro-oncological Surgery Fellowship, Southampton

Based at: University Hospital Southampton NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: Initially approved in July 2012; reapproved October 2015; reapproved June 2019 - August 2022

Supervisor / Lead Consultant: Mr Paul Grundy, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

By the end of the Fellowship the student will have the ability to:

  • Run an independent neuro-oncology surgical operating list for all common conditions.
  • Manage a comprehensive range of neuro-oncology patients in the in-patient and out-patient settings.
  • Run a neuro-oncology MDT meeting and work effectively with the team.
  • Communicate effectively with staff, patients and relatives.
  • Have acquired the skills required to deliver shared decision-making.

Clinical competencies to be achieved:

See learning outcomes

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

  • Vitually no assisted (single figures)
  • Almost all performed, 75% supervised, 25% unsupervised
  • Image-guided burr hole biopsy for tumour 75
  • Craniotomy for resection intrinsic tumour 100
  • Craniotomy for meningioma 50
  • Awake craniotomy 40

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Constantinos Charalambides (Feb 13 - Feb 14)
  • Vasileios Apostolopoulos (Jun 14 - Jun 15)
  • Victoria Wykes (Nov 15 - Nov 16)
  • Julian Cahill (Jan 17 - Dec 17)
  • Anna Solth (May 18 - Mar 19)
  • Kathrin J Whitehouse (May - Dec 2019)

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
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 |
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
5  x  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x
No |

Neurosurgery Spine Fellowships

King's Complex Spine Fellowship

Based at: King’s College Hospital NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: October 2019 – December 2022

Supervisor / Lead Consultant: Mr Gordan Grahovac

Fellowship duration: 12 months

Stated learning outcomes:

  • To perform independently index procedures relevant for the spinal fellowship.
  • Reviewing clinical decision for conservative and surgical management in outpatient clinics.
  • Reviewing clinical decision during MDT's, coordination of theatre lists and discharges.

Clinical competencies to be achieved:

  • Ability to do MDT administration and delivery for tertiary referrals
  • Knowledge of surgical multidisciplinary procedures
  • Ability to prioritise clinical need
  • Ability to maximise safety and minimise risk
  • Completion of relevant skills course

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

  • Cervical, thoracic and lumbar decompressive laminectomy (Performed: 50)
  • Open Cervical, thoracic and lumbar fixation (Performed: 50)
  • MIS thoracic and lumbar fixation (Performed: 30)
  • Intradural spinal tumour resection (Performed: 10)
  • Open and minimal invasive interbody fixation (Performed: 20)

Salford Royal Neurosurgery Spine Fellowship

Based at: Salford Royal NHS Foundation Trust      

Surgical Specialty Association approving: BASS & SBNS

Approval period: Initially approved November 2015; reapproved June 2019 - August 2022

Supervisor / Lead Consultant: Mr Kuriakose Joshi George, Consultant Neurosurgeon and Clinical Lead for Neurosurgery; with Mr John Leach, Consultant Neurosurgeon and Clinical Lead for Spinal Neurosurgery

Fellowship duration: 12 months

Stated learning outcomes:

  • Attendance at MDTs. Morbidity Mortality meetings and Clinics - should have at least 60 percent attendance at the MDTs.
  • Submitted for publication at least one paper in a peer reviewed journal, work done in the Fellowship.
  • Logbook – Should have at least 70 instrumented spinal cases by the end of the fellowship.
  • Should have performed independently lumbar fusion, thoracic spinal instrumentation and posterior cervical instrumentation.
  • Exposure to all major spinal pathology, complex reconstructive spinal surgery, minimally invasive spine surgery and anterior as well as posterior spine approaches.
  • Should have completed one departmental audit on spine related conditions.

Clinical competencies to be achieved:

  • Independently perform posterior lumbar thoracic and cervical instrumented fusion
  • Perform under supervision minimally invasive spine surgery
  • Decision making in complex spine surgery

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

(see Learning Outcomes above)

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Ankur Saxena (Oct 15 - Oct 16)
  • Deb Roy (Oct 16 - Jul 17)
  • Mazhar Iqbal (Aug 17 - Jul 18)

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
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  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  x  x
5  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x
No |

Sir Hugh Cairns Complex Spine Fellowship

Based at: Barts Health NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: August 2020 - July 2023

Supervisor / Lead Consultant: Mr Jonathan Bull, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Competent to independently manage full range of spinal trauma admissions seen at a world-class Level 1 Trauma Centre
  • Appreciation and development of subspecialty interests within spinal surgery to include, infection, MSCC, deformity, paediatric
  • Development of, and towards independent practice for readiness for appointment

Clinical competencies to be achieved:

  • Manage a spinal operating list at the level expected of a day one consultant
  • Manage a spinal outpatient clinic at the level expected of a day one consultant
  • Manage a spinal MDT at the level expected of a day one consultant
  • Manage the unselected emergency spinal take at the level expected of a day one consultant
  • Manage the ward rounds and ongoing care of spinal inpatients at the level expected of a day one consultant

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

  • Anterior cervical discectomy with fusion or disc replacement including corpectomy and anterior cervical plating (Performed: 40)
  • Posterior cervical, thoracic and lumbar decompression (Performed: 60)
  • Posterior cervical, thoracic and lumbar fixation including antlantoaxial fusion (Performed: 40)
  • Intradural tumour resection (Performed: 5)
  • Deformity correction (Performed: 5)

Neurotrauma Fellowships

Barts Neurotrauma Fellowship

Based at: The Barts Health NHS Trust, London

Surgical Specialty Association approving: SBNS

Approval period: March 2020 – May 2023

Supervisor / Lead Consultant: Mr Chris Uff, Consultant Neurosurgeon and Head of Departmen, with Miss Grainne McKenna, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • The post-holder is competent in decision making regarding the acute managment of severe TBI including liaison with allied acute specialties including Pre-Hospital Medicine, Emergency Medicine, Trauma Surgery, ITU and Anaesthetics.
  • The post-holder is competent in decision making regarding the ITU management of severe TBI including liaison with allied acute specialties including Trauma Surgery, ENT, Maxillo-Facial Surgery, Plastic Surgery ITU and Anaesthetics.
  • The post-holder develops outstanding communication skills

Clinical competencies to be achieved:

  • Competence in the clinical assessment, investigation and treatment of severe head injury.
  • Management of the sequelae of subarachnoid haemorrhage including cranioplasty hydrocephalus.
  • Management of complex craniofacial injuries in partnership with allied specialties (Max-Fax, Plastics, ENT).
  • Competence in the management of severe head injury in the context of poly-trauma.
  • Management of the sequelae of head-injury in the outpatient setting in association with therapy and psychology services

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

  • Trauma craniotomy (including bifrontal decompressive craniectomy and contusionectomy): Adult and paediatric (Performed: 50)
  • Cranioplasty includign complex cranio-facial reconstruction (Performed: 25)
  • V-P shunt for complex post traumatic hydrocephalus (navigated) (Performed: 25)Anterior skull base reconstruction (open and endoscopic) (Performed: 10)

Neurovascular Fellowships

King's Neurovascular Fellowship, London

Based at: King's College Hospital NHS Foundation Trust

Surgical Specialty Association approving: SBNS

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

Supervisor / Lead Consultant: Mr Christos Tolias, Consultant Neurosurgeon , with Mr Daniel Walsh, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Competence in the clinical assessment, investigation and treatment of ruptured intracranial aneurysms.
  • Management of the sequelae of subarachnoid haemorrhage including delayed cerebral ischaemia and hydrocephalus.
  • Counselling of patients with unruptured intracranial aneurysms and vascular malformations.
  • Complete a laboratory microvascular anastomosis course.
  • Supervise a more junior trainee carrying out a pterional craniotomy to approach an aneurysm.
  • Competent to expose the carotid vessels for access and/or for carotid endarterectomy.
  • SDOPS- Competency level 3: Orbitozygomatic craniotomy.
  • SDOPS- Competency level 3: Far lateral posterior fossa craniotomy.

Clinical competencies to be achieved:

  • Procedural Based Assessment-Competency level 4: Anterior Circulation Aneurysm
  • Procedural Based Assessment-Competency level 3: Posterior Circulation Aneurysm
  • Procedural Based Assessment-Competency level 4: Supratentorial / Posterior fossa arteriovenous malformation
  • Procedural Based Assessment-Competency level 4: Image guided resection of cavernoma
  • Procedural Based Assessment-Competency level 2: Superficial temporal artery to MCA bypass

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

Technical competence will be sought according to the current ISCP syllabus ST8 training in Neurovascular surgery and will require approximately, but is not limited to (Level of competence 1-4):

  • 4 pterional approaches
  • 3 interhemispheric approaches
  • 3 tempero-zygomatic and related approaches
  • 2 exposures of the basilar termination
  • 2 Exposure of the vertebral artery and PICA
  • 3 Clipping of anterior circulation aneurysms
  • 2 Clipping of complex anterior circulation aneurysms
  • 3 saphenous vein/radial artery harvests
  • 4 evacuation of AVM associated haematomas
  • 3 Microsurgical resection of a superficial cortical AVM
  • 2 Microsurgical resections of posterior fossa or paraventricular AVMs
  • 2 exploration and closure of supratentorial dural arteriovenous fistulae
  • 2 extracranial vascular Anastomosis
  • 1 intracranial Anastomosis

Please note that all our recent fellows have consistently (depending on ability) clipped between 20-30 aneurysms / year

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Christopher Uff (Nov 12 - Nov 13)
  • Catia Gradil (Feb 15 - Jan 16)
  • Ian Anderson (Feb 17 - Jan 18)
  • Ahilan Kailaya-Vasan (Aug 18 - Jul 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 |  x
Neither agree nor disagree |
Agree |
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 |
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

Would you recommend this post to a colleague?

Yes |  x  x  x
No |

Leeds Neurovascular Fellowship

Based at: Leeds Teaching Hospitals NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: October 2018 - December 2021

Supervisor / Lead Consultant: Mr Kenan Deniz, Consultant Neurosurgeon, with Mr Ian Anderson, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Perform craniotomy and clipping of anterior circulation aneurysm as lead surgeon without need for senior intervention.
  • Perform craniotomy and extirpation of AVM.
  • Present neurovascular anatomy talk at local teaching meeting to demonstrate knowledge of the subject.
  • Publish on neurovascular surgery.
  • Presentation of work at National or International Conference.
  • Achieve full competency in the day-to-day management of elective and acute Neurovascular ward patients.
  • Gain full understanding of and participation in MDT working in order to optimise patient outcomes.

Clinical competencies to be achieved:

  • Level one: Intracranial microvascular anastomosis.
  • Level two: Exposure of basilar termination; Exposure of the vertebral artery and PICA; Clipping of complex anterior circulation aneurysm; Microsurgical resection of paraventricular and posterior fossa AVM; Exploration and closure of supratentorial dAVF; Carotid endarterectomy; Extracranial vascular anastomosis.
  • Level three: Interhemispheric approaches; Temporo-zygomatic and related approaches; Clipping of saccular anterior circulation aneurysm; Harvest of saphenous vein and radial artery grafts; Microsurgical resection of superficial cortical AVM
.
  • Level four: Pterional approach; Evacuation of intracerebral haematoma associated with an AVM
.

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

  • 30-40 clippings in the year
  • 10 cranial AVMs
  • 6 spinal vascular cases

Plus assisting in a handful of bypasses

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Mihai Danciut (Jan 18 - Jan 19)
  • Jinendra Ekanayake (Feb 19 - Feb 20)

Queen Square Neurovascular Fellowship

Based at: The National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust

Surgical Specialty Association approving: SBNS

Approval period: December 2019 - February 2021 in the first instance

Supervisor / Lead Consultant: Miss Mary Murphy, Clinical Director of Neurosurgery, with Mr Ahmed Toma, Consultant Neurosurgeon

Fellowship duration: 18 months

Stated learning outcomes:

  • Able to adequately interpret relevant imaging studies
  • Able to discuss treatment modality indications and plans with referring physicians
  • Able to identify the relatives risks and benefits of different treatment modalities for neurovascular disorders
  • Able to establish a treatment plan for neurovascular conditions commonly encountered in clinical practice
  • Able to understand the relevant neurovascular anatomy to perform neurovascular surgery safely
  • Able to perform the most common neurovascular procedures safely and effectively
  • Able to identify and manage the most common complications in neurovascular surgery
  • Able to identify and treat delayed cerebral ischaemia and hydrocephalus
  • Able to conduct a vascular neurosurgery clinic
  • Able to provide patients and their relatives with clear and honest information about diseases and treatments, and obtain informed consent in an informative, ethical, and respectful way

Clinical competencies:

  • Competence in the clinical assessment, diagnosis and management of ruptured intracranial aneurysms
  • Competence to establish a treatment plan for neurovascular conditions commonly encountered in clinical practice
  • Identification and management of subarachnoid haemorrhage related delayed cerebral ischaemia and hydrocephalus
  • Competence in the clinical management of the most common complications in neurovascular surgery
  • Counselling of patients with unruptured intracranial aneurysms and vascular malformations

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

  • Clipping of Brain Aneurysm (Performed: 25)
  • Microsurgical Resection of Brain AVM (Performed: 15)
  • Resection of Supra and Infratentorial Cavernomas (Performed: 5)
  • Exploration and Disconnection of Cranial and Spinal Dural Arteriovenous Fistulae (Performed: 5)

Paediatric Neurosurgery Fellowships

Yorkshire Paediatric Neurosurgery Fellowship, Leeds

Based at: Leeds Teaching Hospitals NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: October 2018 - December 2021

Supervisor / Lead Consultant: Mr John Goodden, Consultant Paediatric Neurosurgeon, with Mr Atul Tyagi, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • At the end of the fellowship, the Fellow should have the ability to provide independent surgical neuro-oncology care for the broad range of brain and spinal tumours presenting in Childhood.
  • The fellow will be expected to attend and present at International Neuro-Oncology conferences.
  • Able to understand the endoscopic management of complex hydrocephalus and arachnoid cysts, and related anatomy.
  • Understand the MDT management of patients with spinal dysraphic conditions including closure of spina bifida and management of tethering from spinal lipoma.
  • Understand the MDT management of patients with craniofacial disease.
  • Understand the MDT management of patients with spasticity and other movement disorders, including the role of Selective Dorsal Rhizotomy and intrathecal baclofen.
  • Have knowledge of the breadth and extent of endoscopic surgery for complex hydrocephalus and arachnoid cysts.
  • Have knowledge of the management choices for patients with complex hydrocephalus.

Clinical competencies to be achieved:

  • To provide a safe, comprehensive management plan for the investigation, operative management, non-operative management of patients with the full range of paediatric neurosurgery conditions.
  • To have a thorough understanding of the possible postoperative paediatric neurosurgery emergencies and their management.
  • To have a thorough understanding of the range of interventions available for paediatric neurosurgery - including paediatric neuro-oncology, spinal dysraphism, spasticity surgery, hydrocephalus and craniofacial conditions.

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

Supervisor 2018: “Much of our paediatric neurosurgery operating involves 2 consultants because it is very super-specialist operating. The emphasis would be on the fellow taking a lead role in the surgery, the pre-operative preparation (consent etc) and the post-operative management for these cases … We would expect the fellow to be present for the majority of the paediatric operating cases, with a minimum presence for 2/3 cases - translating to at least 200 paediatric neurosurgery cases during their Fellowship year. Their involvement in surgery would increase throughout the Fellowship with involvement in more complex cases once they have demonstrated suitable levels of competence. By the end of the Fellowship, we would expect the fellow to have been Lead surgeon for an absolute minimum of:

  • 10 tumours, including at least 3 posterior fossa tumours;
  • 5 Endoscopic Third Ventriculostomy; 
  • 15 neonatal shunt insertion;
  • 5 neonatal repair of meningomyelocoele.

Pituitary Fellowships

NHNN Pituitary Fellowship

Based at: National Hospital for Neurology and Neurosurgery, UCLH Foundation Trust

Surgical Specialty Association approving: SBNS

Approval period: June 2019 – August 2022

Supervisor / Lead Consultant: Mr Neil L Dorward, Consultant Neurosurgeon, with Mr Hani Marcus, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Ability to select patients with pituitary disease for surgery.
  • Appreciation of surgical anatomy related to the transsphenoidal approach.
  • Ability to perform the endoscopic endonasal transsphenoidal approach.
  • Experience with the expanded endoscopic endonasal approach.

Clinical competencies to be achieved:

  • Patient selection for pituitary surgery
  • Surgical anatomy
  • Endoscopic endonasal transsphenoidal excision of pituitary adenoma

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

  • Endoscopic endonasal transsphenoidal excision of pituitary adenoma (Performed: 50)
  • Expanded endoscopic endonasal approach (Performed: 10)
  • Transsphenoidal repair of CSF fistula (Performed: 20)

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Hani Marcus (Aug 18 - Aug 19)

Skull Base Fellowships

Imperial Skull Base Fellowship, London

Based at: Imperial College Healthcare NHS Trust 

Surgical Specialty Association approving: SBNS

Approval period: January 2018 - March 2021

Supervisor / Lead Consultant: Mr Nigel Mendoza, Consultant Neurosurgeon, with Mr Ramesh Nair, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • The Fellowship provides advanced training in the diagnosis and optimal management of patients with cranial base disorders as well as preparation for future leadership in the field of skull base surgery.
  • To give Fellows the opportunity to master skull base surgical approaches, expert evaluation and peri-operative management of patients with skull base disorders.
  • Fellows will acquire an in-depth knowledge of skull base anatomy, lesions, and their management while participating in the evaluation, operation, and follow-up care of all patients in the service.

Clinical competencies to be achieved:

  • Transphenoidal procedures for Pituitary tumour
  • Endocopic approaches to lesions of the anterior skull base
  • Posterior Fossa Craniectomy for Microvascular decompression
  • Surgical treatment of CPA lesions eg Acoustic Neuroma
  • Clinical assessment of patients with skull base pathology in general and specilaised out patient clinics, including the ability to obtain informed consent

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

6 months (with potential to extend to 12 months):

  • Transsphenoidal resection of tumour/cyst – 10 to 20;
  • Expanded endonasal approach (meningioma/chordoma/etc) – 2 to 5;
  • Vestibular schwannoma – 1 to 3;
  • Anterior circulation aneurysm clipping – 1 to 5;
  • Skull base meningioma/tumour – 1 to 5;
  • Microvascular decompression – 1 to 3;
  • Percutaneous trigeminal rhizotomy – 5 to 10;
  • Foramen magnum decompression – 1 to 2.

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Rob Iorga (Feb 18 - Aug 18)
  • Iwan Bennett (Aug 18 - Aug 19)

King's College Hospital Neurosurgical Endoscopic Pituitary and Skull Base Fellowship, London

Based at: King's College Hospital NHS Foundation Trust

Surgical Specialty Association approving: SBNS & ENT UK

Approval period: Initially approved February 2016; reapproved December 2019 - February 2023

Supervisor / Lead Consultant: Mr Sinan Barazi, Consultant Neurosurgeon, with Miss Eleni Maratos, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Demonstrate holistic approach to the management of patients with pituitary and skull base pathologies
  • Effectively work in a MDT setting
  • Evaluate treatment options and communicate these effectively with the patient, including potential outcomes and complications, and documenting these discussions accurately
  • Demonstrate competence in endoscopic and microscopic surgical techniques
  • Demonstrate experience in critical appraisal of articles submitted to peer reviewed journals

Clinical competencies to be achieved:

  • Ability to work within a multidisciplinary setting, and safely and appropriately manage skull base and pituitary pathologies, operatively and non-operatively
  • Ability to safely resect pituitary functioning/non-functioning lesions using the endoscope, as lead surgeon with appropriate assistant
  • Ability to effectively deal with intra-operative / post-operative complications, e.g. CSF rhinorrhoea, diabetes insipidus
  • Ability to safely resect skull base pathologies, e.g. meningiomas, vestibular schwannomas, other less common lesions, and to deal with their potential complications

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

Supervisor 2015: “Our previous fellow performed 78 pituitary operations over 12 months, and our current fellow, with 6 weeks left of the Fellowship, has performed 60.  Since 2008, all of our pituitaries have been performed endoscopically and as this is a two surgeon operation, my registrar is always involved with the operation, at different stages, according to his/her ability.  There is therefore no impact on his/her training. Our current fellow has performed 126 skull base procedures to date (with 6 weeks left), and this includes the 60 pituitaries.  Of the remaining 66 cases, these are composed of a mix of skull base lesions, but more frequently meningiomas, vestibular schwannomas, microvascular decompressions, and less commonly craniopharyngiomas (nearly all of which are also performed endoscopically), epidermoids etc.”

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Konstantinos Barkas (Aug 15 - Aug 16)
  • Jonathan Shapey (Aug 16 - Aug 17)
  • Eleni Maratos (Aug 17 - Mar 18)

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  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  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 |

Leeds Anterior Skull Base Endoscopic Fellowship

Based at: Leeds Teaching Hospitals NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: Initially approved December 2015; reapproved June 2019 - August 2022

Supervisor / Lead Consultant: Mr Nicholas Phillips, Consultant Neurosurgeon

Fellowship duration: 12-24 months

Stated learning outcomes:

  • At the end of the Fellowship ability to endonasally approach the Sella and contents safely, acting independently.
  • Able to understand basic rhinology techniques and rhinological anatomy.
  • Understand the endocrine management of patients with Pituitary dysfunction.
  • Have knowledge of the breadth and extent of endoscopic approaches to the skull base, in anatomical and pathological aspects.
  • Have ability to choose the best intervention from a range for skull base pathology.

Clinical competencies to be achieved:

  • To provide a safe, comprehensive management plan for the investigation, operative management , non-operative management of patients with pituitary disease.
  • To have a thorough understanding of the possible postoperative pituitary endocrine emergencies and their management.
  • To have a thorough understanding of the range of interventions available for pituitary disease.

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

Supervisor: “This is complex surgery in an evolving field, and not high volume surgery. Trainees will have variable exposure to endoscopic surgery and for many of them they will not have done any endoscopic work of this nature throughout their eight years of runthrough training. The speed with which they take up this new technique is very variable across trainees – some take to it like a duck to water, others are only just getting the hang of the endoscope by the end of the year. They will all be exposed and be involved in, and contribute operatively to over 100 cases.(ie every case we do). As regards independent operating we would hope that they could achieve independence at the end of the year but not everyone can. Some will have done 10-20 cases independently. They nonetheless have a very thorough grounding in all aspects of endoscopic surgery including patient assessment and review, dealing with complications, the full breadth of surgical difficulties from simple to very complex.”

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Seyed Alireza Alavi (Aug 16 - Jul 17)
  • Asim Sheikh (Aug 17 - Jul 18)
  • Basel Alromhain (Aug 18 - Aug 19)

Fellows' feedback

A summary of final feedback from the four 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  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  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  x  x
5  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x
No |

North Bristol Skull Base Fellowship

Based at: North Bristol NHS Trust 

Surgical Specialty Association approving: SBNS

Approval period: December 2016 - February 2023

Supervisor / Lead Consultant: Mr David Porter, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Understanding of the holistic management of skull base and pituitary patients - both surgical and non-surgical.
  • The ability to work cohesively within a team comprising neurosurgeons, ENT surgeons, Oncologists and Endocrinologists.

Clinical competencies to be achieved:

  • Competence in endoscopic approaches to the skull base, pituitary and sellar regions
  • Competence in retrosigmoid, pre-sigmoid, translabyrinthine and subtemporal approaches to the skull base
  • Competence in pre- and post-operative assessment and counselling of patients

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

Supervisor 2016: “Annual caseload – approx. 150 cases: pituitary (30-40), acoustic neuroma (10-20), Skull base meningiomata (30-40), other (epidermoid cyst / cholesteatoma / craniopharyngioma / Rathke’s cyst – 10-20), Gamma Knife radiosurgery (20-30), major combined anterior fossa/orbital approaches (10). Annual caseload is expected to increase with the recent appointment of a 3rd Consultant in skull base neurosurgery.”

North East London and Essex Endoscopic and Microsurgical Skull Base Fellowship

Based at: Barking, Havering and Redbridge University Hospitals NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: March 2019 – May 2020 in the first instance, extending to May 2022 subject to monitoring

Supervisor / Lead Consultant: Mr Jonathan Pollock, Consultant Neurosurgeon; Mr Pollock is the named Supervisor for the Queen’s Hospital, Romford, site, and Mr Paraskevopoulos is the named Supervisor for the Barts and the Royal London site.

Fellowship duration: 12 months

Stated learning outcomes:

  • Demonstrate ability to manage both operative and non-operative patients.
  • Demonstrate safe and evidence based selection of patients for surgery.

Clinical competencies to be achieved:

  • To be able to perform safe surgery on common cranial base meningiomas that is olfactory groove, suprasellar meningiomas, tentorial and petrous temporal meningiomas, petroclival meningiomas, pituitary and sellar tumours.
  • The surgical and endocrinological assessment and investigation of patients with skull base and pituitary lesions.
  • To have had an exposure to skull-base and craniofacial surgical access: including standard variations of fronto-basal, fronto- orbital, trans-zygomatic, infratemporal, trans-temporal, far-lateral and transmaxillary approaches.
  • To be confident to plan and able to perform independently the following approaches: Microsurgical and endoscopic transsphenoidal tumours; Pterional, subfrontal, interhemispheric, retrosigmoid and transventricular.

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

By the end of the 12 months the candidate should have performed between 10 – 20 pituitary operations and within the region of at least 100 skull base procedures.

Oxford Pituitary and Anterior Skull Base Senior Clinical Fellowship

Based at: Oxford University Hospitals NHS Trust

Surgical Specialty Association approving: SBNS

Approval period: Initially approved June 2013; reapproved December 2016; reapproved May 2020 - April 2023

Supervisor / Lead Consultant: Mr Simon Cudlip, Consultant Neurosurgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Be able to safely perform the endoscopic transsphenoidal approach and resect a pituitary adenoma without significant assistance.
  • Be able to deal with the complications of endoscopic anterior skullbase surgery including CSF leak repair.
  • Be able to make appropriate decisions regarding the endocrine and radiological investigation of patients with anterior skullbase tumours.
  • Be able to interpret imaging studies and endocrine blood test results and establish an appropriate differential diagnosis.
  • Be able to set up the operating theatre equipment without assistance including endoscopes and neuronavigation.

Clinical competencies to be achieved:

  • Be able to safely perform the endoscopic transsphenoidal approach and resect a pituitary adenoma without significant assistance.
  • Be familiar with the complications and limitations of endoscopic anterior skullbase surgery.
  • Become familiar with the preoperative/ peroperative and postoperative endocrine and radiological investigation of patients with sellar and parasellar/ suprasellar tumours.

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

“Previous fellows have been able to perform 40+ endoscopic transsphenoidal procedures as the primary surgeon using thus model.”

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Rahul Dubey (Aug 13 - Aug 14)
  • Adam Williams (Aug 16 - Aug 17)
  • Jane Halliday (Aug 17 - Jul 18)
  • Amr Mohamed (Aug 18 - Jul 19)
  • Anouk Borg (Aug 19 - Apr 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
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  x
More training than service |  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
5  x  x  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x  x
No |

Gallery of RCS Senior Clinical Fellows in Neurosurgery

The gallery below provides information about neurosurgery fellows under the Scheme.

Ahilan Kailaya-Vasan

King’s Neurovascular Fellowship, King's College Hospital NHS Foundation Trust, London, August 2018 - July 2019

Current post (June 2020): Consultant Neurosurgeon (Neurovascular), King’s College Hospital, London

"The King’s Neurovascular Fellowship provided me with the opportunity to consolidate the complex competencies necessary to function as a neurovascular surgeon – from decision-making to operative management. The unit consistently has one of the highest neurovascular caseloads in the country and as the longest established neurovascular fellowship it is well placed to understand how to precisely match this caseload to needs of a fellow. All the previous fellows have subsequently been appointed consultants with a neurovascular interest. I have gained the most from understanding the set-up outside of the operating theatre - this infrastructure is uniquely evolved in King’s. I am sure I will be able to apply what I have learned to my own practice as a neurovascular consultant."

Anouk Borg

Oxford Pituitary and Anterior Skullbase Senior Clinical Fellowship, Oxford University Hospitals NHS Foundation Trust, August 2019 - April 2020

Current post (May 2020): Oxford Senior Clinical Fellowship in Skull Base and Vascular Neurosurgery

"By completing this prestigious fellowship I have gained the ability to perform endoscopic pituitary surgery independently. By working in a high volume pituitary centre I was exposed to a vast array of sellar and suprasellar pathology and now I feel confident in taking up consultant practice and managing pituitary patients. During the time I spent in post I helped develop the 24 hour discharge protocol thus facilitating the safe early discharge of post op pituitary patients. I also had the opportunity to attend other skull base lists and I attended an endoscopic neurosurgery cadaveric course which was very informative. The fellowship's supervisor is an excellent trainer who sets time aside for training and plans the lists accordingly. He is also very supportive in general. I highly recommend this fellowship."

Kat Whitehouse

Wessex Neuro-oncological Surgery Fellowship, University Hospital Southampton NHS Trust, May 2019 – December 2019

Current post (April 2020): Locum neuro-oncology surgeon, University Hospital Wales

"This is a great fellowship to prepare the fellow for becoming a consultant neuro-oncology surgeon, where the fellow acts as a valued member of the tight-knit neuro-oncology MDT. There is plentiful experience of awake craniotomies, day case surgery and use of 5-ALA in a unit that is used as an example of superlative practice in national reports such as GIRFT. The fellowship supervisor Mr Grundy also has roles within the hospital management structure and national advisory bodies (including BNOS and the SBNS), allowing for an understanding of national practices and managerial experience within the role. I feel well-equipped to translate these skills into my consultant practice and help other units develop an efficient oncology service with the optimal care and range of resources for their patients."

Basel Alromhain

Leeds Anterior Skull Base Endoscopic Fellowship, Leeds Teaching Hospitals NHS Trust, August 2018 - August 2019

Current post (November 2019): Locum Skull Base Consultant, Aberdeen Royal Infirmary

"Leeds Anterior Skull Base Fellowship was a fundamental year in my neurosurgical training. It is a well organized Fellowship focusing on the anterior skull base pathologies and the different endoscopic approaches. During this year - by attending theatre lists, clinics, and the joint pituitary MDTs - I have developed decision-making skills and very good endoscopic surgical skills to perform at a junior consultant level. I also had a good opportunity to participate in research projects and audits to improve the quality of service and patients' outcomes. I was supported by my mentors to attend courses and present at skull base conferences."

Hani Marcus

NHNN Pituitary Fellowship, National Hospital for Neurology and Neurosurgery, UCLH Foundation Trust, London, August 2018 - August 2019

Current post (October 2019): Consultant Neurosurgeon, National Hospital for Neurology and Neurosurgery, London

"The Queen Square Fellowship has been outstanding training. The centre enjoys the busiest pituitary practice in the United Kingdom and is very well organised, with weekly dedicated pituitary MDTs and clinics. I have had the opportunity to perform approximately 150 endoscopic and pituitary surgeries over the last year, including many extended endoscopic approaches, under expert supervision. There has also been ample opportunity for me to be involved in research, and there are many ties with the Queen Square Institute of Neurology. I would thoroughly recommend the Fellowship to anyone with an interest in endoscopic and pituitary surgery, and feel it has been an excellent preparation in all aspects of becoming a safe and successful Consultant."

Amr Mohamed

Oxford Pituitary and Anterior Skullbase Senior Clinical Fellowship, Oxford University Hospitals NHS Foundation Trust, August 2018 - July 2019

Current post (October 2019): Locum Consultant Neurosurgeon, University Hospital of Wales, Cardiff

"The Fellowship has provided me with huge experience in the holistic management of pituitary disorders' both surgical and non-surgical management. During the Fellowship, attending the Endocrine-Neurosurgery joint  pituitary MDTs and clinics and Skull Base MDTs helped significantly to teach me the decision-making process in this complex field. The operative skills taught and mentored were the endoscopic transphenoidal and extended transphenoidal approaches for pituitary and anterior skull base lesions and supraorbital mini-craniotomies for anterior skull base lesions. I was encouraged to participate in research activities and attend and present in subspecialty meetings. The Fellowship teaches you to perform as a junior Consultant. Non-clinical skills are taught as well, such as clinical governance, audits, teaching activities and general NHS policies. I cannot praise this Fellowship highly enough, and I can wholeheartedly say that this Fellowship was instrumental in my career development to be able to provide high-quality safe service for the patients."

Rob Iorga

Imperial Skull Base Fellowship, Imperial College Healthcare NHS Trust, London, February - August 2018

Current post (April 2019): Senior Vascular and Skull Base Fellow, John Radcliffe Hospital, Oxford

"The Imperial Skull Base Fellowship was an extraordinary learning experience and I cannot recommend it highly enough. I have improved my skills in this field significantly and gained confidence in decision-making and operating independently. This experience will greatly benefit the health care quality of my future patients."

Mihai Danciut

Leeds Neurovascular Fellowship, Leeds Teaching Hospitals NHS Trust, January 2018 - January 2019

Current post (April 2019): Locum Consultant in Neurovascular and Skull Base Surgery, Hull University Teaching Hospitals NHS Trust

"This Fellowship provided me with a deep understanding of the micro-neurosurgical techniques and principles of neurovascular surgery. The neurovascular service runs at a first class level, in accordance with the existing evidence and technology in the field. The supervising neurovascular Consultants are truly remarkable in surgical and teaching skills. Apart from performing a large number of neurovascular operations under experienced senior guidance, I was encouraged and supported to get involved and present in subspecialty conferences, and in departmental teaching, audit, research and clinical governance. These enabled me to achieve a comprehensive exposure to all aspects of neurovascular surgery and fulfill the necessary requirements for a Consultant neurosurgeon. The working environment is fantastic and collaboration with the endovascular service is very tight. The experience of this Fellowship has empowered me with knowledge, skills and confidence in dealing with neurovascular patients to the highest standard."

Asim Sheikh

Anterior Skull Base Endoscopic Fellowship, Leeds Teaching Hospitals NHS Trust, August 2017 - August 2018

Current post (October 2018): Locum Consultant Neurosurgeon, Leeds General Infirmary

"This Fellowship, carried out under supervision of Mr Nick Phillips, allowed me to gain valuable experience in all aspects of Anterior Skull base Neurosurgery. I was involved in managing patients from clinic through to their operation and follow up care. I managed to establish next day discharge service for pituitary surgery in our department, developed a patient information leaflet and organised the Leeds Endoscopic Skull base course. The experience gained during this Fellowship enabled me to take up the post of Consultant Neurosurgeon with specialist interest in Skull Base Neurosurgery."

Angelo Pichierri

North Bristol NHS Trust Surgical Neuro-oncology Fellowship, June 2016 - July 2017

Current post (June 2018):Epilepsy Surgery Senior Clinical Fellow, North Bristol NHS Trust

During my fellowship I learned the value of a MDT assessment and discussion; I learned how to master the use of cutting edge surgical technologies (awake, ioMRI, US) which enable surgeons to achieve greater resections with less morbidity; I fine-tuned my microsurgical technique and my confidence in using power instruments such as the ultrasonic aspirator. I contributed keeping information centralised and available to all the members of the team by building a customised internal database, which I have now also adapted and improved for my current position as an epilepsy fellow; I contributed to the imaging and neuropsychological planning of surgeries by building exhaustive 3D segmentation models of specific tumours and nearby structures, and by liaising with the speech and language therapists in the selection of tests to administer to patients with tumours in eloquent areas, according to the tumours’ locations and networks involved. I submitted a paper (under review) about the use of the intraoperative MRI +/- awake surgery in gliomas. Overall, I provided the best care I’m capable of, both from a clinical/humane and technical/surgical viewpoints. The good feedback I received from my patients confirmed to me they felt treated as individuals and each of them received the best and most contemporary treatment possible, according to their needs and expectations."

Ian Anderson

RCS Senior Clinical Fellow, Neurovascular Neurosurgery, King’s College Hospital NHS Foundation Trust, London, February 2017 to February 2018

Current post (April 2018): Consultant Neurosurgeon (Neurovascular and Skull Base), Leeds General Infirmary

"My fellowship at King’s provided me with unparalleled exposure and experience of neurovascular surgery. I was able to build upon my previous experience in the field and to develop an in-depth understanding of the surgical techniques and underlying evidence base for decision-making in neurovascular surgery. The Fellowship has given me the confidence and competence to lead a neurovascular MDT within my own unit and to feel fully prepared to manage all of the patients that I have encountered;  providing them with what I believe to be the highest standard of care."

Konstantinos Barkas

Endoscopic Pituitary and Skull Base Fellowship,King's College Hospital, London, August 2015 - July 2016

Current (January 2018) post: Locum Consultant Neurosurgeon, King’s College Hospital

"The post provides exposure to all aspects of Skull Base Surgery (anterior, lateral and posterior) as well as endoscopic procedures. This is a unique combination in the UK. Both of the trainers are polite, patient, willing to teach and create a strong educational environment to ensure the patients get the best multidisciplinary care. The teams that are associated with the fellowship (namely the Skull Base and the Pituitary) are very well organised, with excellent relationships amongst disciplines and well established databases. This is an intense training opportunity in all aspects of Skull Base surgery, with the opportunity to perform a large number of operations with expert supervision. It is also the best step prior to becoming a consultant. The fellowship improves patients’ care by training surgeons in this demanding subspecialty of neurosurgery, dedicated to the management of this rare group of tumours. Highly recommended."

Seyed Alireza Alavi

Anterior Skull Base Endoscopic Fellowship, Leeds Teaching Hospitals NHS Trust, August 2016 - August 2017

Current (December 2017) post: Consultant Neurosurgeon, Brisbane, Australia

"This was a very comprehensive fellowship covering all aspects of endoscopic anterior skull base neurosurgery, which has prepared me to take on this practice independently. I had the privilege of being supervised and trained by neurosurgery consultants, Mr Phillips and Mr Tyagi, and ENT Consultants, Mr Nix and Mr Wilson, and gained satisfactory experience in this subspecialty. I received full support to design, set up and run on-going research projects and managed to have multiple national and international presentations and publications during my fellowship. In collaboration with Leeds University and with support of neurosurgery and ENT colleagues, I managed to establish a sponsored endoscopic hands-on cadaveric skull base course, which will be run every year at Leeds University. Considering the invaluable clinical skills and academic experience this Fellowship provided, I believe patients will receive benefit from the level of competency I gained during my training in Leeds."

Deb Roy

Salford Royal Neurosurgery Spine Fellowship, Salford Royal Foundation Trust, October 2016 - July 2017
 
Current (October 2017) post: Consultant Spinal Neurosurgeon, Queen Elizabeth Hospital, Birmingham
 
"I found the spinal neurosurgery fellowship extremely helpful in preparing me for independent practice. I was exposed to all aspects of adult spine, which included elective degenerative spinal conditions, trauma, tumours (primary and secondary) including intradural, intramedullary and extramedullary, and infection. I was exposed to both conventional and minimally invasive spinal techniques. I also got exposure to the use of O-arm. I also actively participated in general neurosurgery on call, which helped me keep my skills up to date in dealing with cranial emergencies as a consultant. I would recommend this Fellowship highly to all trainees (Neurosurgery and Orthopaedics) who are thinking of specializing in spine."

Adam Williams

Oxford Endoscopic Pituitary and Skullbase Neurosurgery Fellowship, Oxford University Hospitals NHS Trust, August 2016 to July 2017
 
Current (August 2017) post: Consultant Neurosurgeon, Southmead Hospital Bristol
 
"This fellowship has allowed me to develop all the key skills required of a consultant pituitary neurosurgeon, with comprehensive exposure to both endoscopic transphenoidal surgery and also minimally invasive skull base approaches. Over the course of this year I have been well supported to become a proficient and safe endoscopic surgeon and to run sub-specialty pituitary clinics and multidisciplinary meetings. I have also been afforded opportunities to undertake appropriate research and attend sub-specialty conferences to enhance my learning. More broadly, this fellowship has been an excellent education in all aspects of becoming a successful and safe consultant. I have developed a deeper understanding of Trust governance, key departmental management issues and wider NHS politics. This fellowship provides a complete armamentarium of skills to make the transition to a consultant a comfortable experience, in the knowledge that you an provide first class care for your patients, and I cannot recommend it highly enough."

Ankur Saxena

ankur saxenaSalford Royal Neurosurgery Spine Fellowship, October 2015 - October 2016

Current (February 2017) post: Consultant Neurosurgeon, Manchester Centre for Clinical Neurosciences, Salford Royal Hospital, Manchester

"The Fellowship provided me with excellent exposure to all aspects of spinal surgery. In addition to the operative experience, I was supported to enhance my experience by attending various courses and conferences to get a different perspective on management of spinal disorders by various experts around the world. All this equipped me with the knowledge, skills and confidence to perform as a Consultant spinal neurosurgeon to provide the highest quality care for my patients."


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