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Plastic & Reconstructive Surgery Fellowships

RCS Senior Clinical Fellowships in Plastic & Reconstructive Surgery

This page includes Plastic and Reconstructive Surgery Fellowship programmes which have been approved under the RCS Senior Clinical Fellowship Scheme, and a gallery of recent Plastic & Reconstructive Surgery Fellows.

Applying to be a Fellow

If you would like to be a 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.

Coventry Microsurgery and Major Trauma Fellowship

Based at: University Hospitals Coventry and Warwickshire NHS Trust

Surgical Specialty Association approving: BAPRAS

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

Supervisor / Lead Consultant: Miss Joanna Skillman, Consultant Plastic Surgeon, with Mr David Wallace, Consultant Plastic Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

  • Completion of assessment in specialised skills in trauma assessment and multidisciplinary management.
  • Supervision and assessment to demonstrate increasing independence and complexity in soft tissue trauma management.
  • Multi source feedback from team.
  • Self - reflective diary of achievements.
  • Completion of an audit cycle.
  • Submission of a project to a peer reviewed journal.

Clinical competencies to be achieved:

  • Assessment, decision making, completion and follow up review of all types of soft tissue trauma.
  • Development of surgical skills in trauma and microsurgery including delivery of emergency surgical care (fasciotomies, debridement), decision making and reconstructive options (local and distant flap reconstruction, amputation).
  • Skills in microsurgical reconstruction in an acute and delayed setting.
  • Communication and working within a multidisciplinary team including with senior and junior colleagues and paramedical staff.

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

Independent, actual numbers from last Fellow (including P (Performed) and STS (Supervised – Trainer Scrubbed):

  • Free flap - 50  (gracilis, scapular, LD, DIEP, ALT)
  • Local flaps - 15
  • Arterial or Venous anastomosis - 82
  • Debridement of lower limb injury - 71

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Joseph Hardwicke (May 16 - Feb 17)
  • Katy Wallis (Aug 17 - Aug 18)
  • Andrew Robinson (Aug 18 - Jul 19)
  • Anne-Marie Kennedy (Feb - Jul 20)
  • Nick Rabey (Aug 20 - Aug 21)

Fellows' feedback

A summary of final feedback from the five 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 |  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
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  x
4  x
5  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x
No |  x

Supervisor's comment:

"I would like to thank the Fellows for their feedback, which allows UHCW to adapt and improve the fellowship. I am disappointed that one recent Fellow was not completely satisfied. Many opportunities were available to meet their objectives during the fellowship. If they had mentioned any concerns during the formal (regular appraisals) or informal (weekly in theatres) discussions, the mainly supernumerary post could have been easily adapted to completely fulfil their needs. Despite their overall comments about the Fellowship, I am delighted this fellow has secured a lower limb trauma and reconstruction consultant post and hope that his experience of 67 free tissue transfers, 174 microanastomoses (92 independently) and 181 lower limb reconstructions including ALT, MSAP, scapular, parascapular LD, Soleus, medial planter, dorsalis pedis and fillet of foot flaps will provide some him with confidence in his new role. This fellow’s logbook shows 733 procedures during the year, which aligns very favourably with the expected number of main operations for the Fellowship. My email address is joanna.skillman@uhcw.nhs.uk if any prospective Fellows would like to discuss the programme with me."

Coventry Peri-CCT Oncoplastic Breast Fellowship

Based at: University Hospitals Coventry & Warwickshire NHS Trust

Surgical Specialty Association approving: BAPRAS

Approval period: March 2020 – May 2023

Supervisor / Lead Consultant: Miss Joanna Skillman, Consultant Plastic Surgeon, with Mrs Katherina McEvoy, Consultant Oncoplastic Breast Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

• Completion of assessment in management and oncoplastic breast surgery;
• Supervision and assessment to demonstrate Increasing independence and complexity in breast management;
• Multi source feedback from team;
• Self - reflective diary of achievements;
• Completion of an audit cycle
• Publication of a research project in a peer reviewed journal

Clinical competencies to be achieved:

• Assessment, decision making, completion and follow up review of all types of breast surgery;
• Skills in therapeutic mammoplasty, WLE, mastectomy implant and microsurgical reconstruction in an immediate and delayed setting;
• Communication and working within a multidisciplinary team.

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

Supervisor states: “Our most recent fellow has exceeded the experience recommended for oncoplastic breast surgery training by the training interface group (100 cases). They performed 247 major cases, which included 46 free flaps with the consultant scrubbed in theatre.

“The expected numbers of oncology procedures that the fellow can expect to undertake during the 12 month fellowship would be 140 (compared to a Training inter-face group recommendation of 100), although this fellow exceeded that number with 163 cases. The expected number of reconstructive cases would be 70, although this fellow exceeded the expected number with 96 cases. The expected number of cosmetic cases is 10, again exceed by this fellow with 14 cases, bringing the total to 247 cases.”

Fellows awarded Fellowship Certificate (dates of Fellowship):

  • Giuseppe Di Taranto (Feb 20 - Jan 21)

HCG Bangalore Breast Oncology Fellowship

Based at: HealthCare Global (HCG) Cancer Centre, Bangalore, India

Surgical Specialty Association approving: BASO

Approval period: March 2022 - February 2025

Supervisor / Lead Consultant: Dr Mahesh B, Senior Consultant, Surgical Oncology

Fellowship duration: 12 months

Stated learning outcomes:

  • Patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
  • Medical knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioural) sciences and the application of this knowledge to patient care.
  • Practice-based learning and improvement that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care.
  • Interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, and other health professionals.
  • Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

Clinical competencies to be achieved:

  • To have a deeper understanding of patho physiology and natural history of breast diseases.
  • To be proficient in the evaluation and diagnosis of patients with breast diseases.
  • To perform and be cognizant of various conservative, ablative and reconstructive surgical procedures for the treatment of breast cancer.

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

The applicant says: “The expected case load a fellow is expected to cover in the time period is following (which will be maintained by a log-book): 3000 Mammograms, 1000 Breast ultrasounds, 150 Interventional procedures, 150 MRI. Brief estimation of surgical work done by breast oncosurgery Fellows:

  • Diagnostic Trucut Biopsies: 90
  • Excision Biopsy: 20
  • Breast Conservative Surgery+- Oncoplasty + Sentinel Lymph Node Biopsies/ Axillary Lymph node Dissection: 70
  • Breast Conservative Surgery+- Regional flaps Eg: Latisimus Dorsi flap)+ Sentinel Lymph Node Biopsies/ Axillary Lymph node Dissection: 20
  • Modified Radical Mastectomies: 25
  • Modified Radical Mastectomies + regional flap Eg: Latisimus Dorsi flap: 5
  • Modified Radical Mastectomies+ Free TRAM Flaps: 10
  • Chemoport Insertion: 40
  • Chemoport Removal: 40
  • Lymph Node Biopsy: 35
  • Skin Sparing Mastectomy with DIEP flap reconstruction: 12
  • Bilateral Skin Sparing Mastectomy with DIEP and TUG Reconstruction: 2
  • Reduction Mammoplasty: 8
  • LICAP, TDAP flaps for replacement oncoplasty: 12

Gallery of RCS Senior Clinical Fellows in Plastic and Reconstructive Surgery

Nicholas Rabey

Coventry Microsurgery and Major Trauma Fellowship, University Hospitals Coventry & Warwickshire NHS Trust, August 2020 - August 2021

Current post (December 2021): Locum Consultant Plastic Surgeon, Addenbrooke’s Hospital, Cambridge

"My fellowship in microsurgery and trauma at Coventry gave me an exceptional opportunity to enhance my technical operative skills and decision-making in complex trauma presentations. Being given senior responsibilities as an integral member of a dedicated and inspirational orthoplastic team, allowed me to make the transition from trainee to consultant in an incredibly well-supported environment. Development of leadership and teamworking skills, as well as regular discussion of cases within the team was also actively encouraged. This provided an invigorating and structured learning environment which remained challenging whilst being highly rewarding. I have since begun my consultant career with the knowledge that I have had the rigorous training and exposure necessary to be confident in providing the very highest standards of care to patients presenting with a broad range of lower and upper limb trauma. I would therefore thoroughly recommend this fellowship to those with an interest in complex trauma reconstruction who seek to refine all the essential aspects of their practice before making the step up to consultant level."

 

Giuseppe Di Taranto

Coventry Peri-CCT Oncoplastic Breast Fellowship, University Hospitals Coventry & Warwickshire NHS Trust, February 2020 - January 2021

Current post (May 2021): Microvascular Fellow, The Royal Marsden NHS Foundation Trust, London

"The fellowship in Oncoplastic Breast Surgery at UHCW is a great opportunity for those interested in breast oncology and breast reconstruction. The trainers are really committed to teaching and there is plenty of learning opportunities and surgical activities. The fellowship faculty is very supportive and inclusive. At the end of this fellowship, I was able to evaluate independently patients presenting with breast concerns, to decide the correct imaging pathway, to plan treatments for patients diagnosed for breast cancer, and design tailored surgical plans, with a special interest in breast conservative surgery with oncoplastic techniques. I also had the chance to significantly improve my microsurgical skills in many autologous reconstructions. I had the opportunity to follow the entire journey of patients with breast cancer from the referral from the GP, through the surgery, diagnosis, reconstruction and postoperative treatments. Patients benefited a lot and were very pleased to have this continuity of care."

Joseph Hardwicke

Coventry Microsurgery and Major Trauma Fellowship, University Hospitals of Coventry and Warwickshire NHS Trust, May 2016 to February 2017

Current (July 2017) post: Consultant Plastic Surgeon, University Hospitals of Coventry and Warwickshire NHS Trust

"As the inaugural Fellow on this programme I was able to carve out a definitive role as a Microsurgeon in a busy Major Trauma Centre, focussing on both emergency and elective microsurgery. The greatest achievement was the attainment of a substantive Consultant post within the host institution. It allowed me to enhance my microsurgical technique, as well as aid my reconstructive algorithm development in a variety of complex major trauma patients. The Fellowship was well supported, both in clinical and academic terms, and I have continued this into my Consultant job plan. I personally feel that the RCS Senior Clinical Fellowship has brought even more cohesion to the Trauma and Orthopaedic and Plastic Surgery departments, and I feel that I really got to make a difference to a large number of patients. I would thoroughly recommend this post to individuals with a microsurgical and general plastic surgery interest."

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