Head and Neck Surgical Oncology

Sub-Specialty Training Posts Advanced Training Posts 7

Back to list Apply now

Recruitment Timetable

Closing date 20 April 2012
Invitations to interview expected 4 May 2012
Interview dates 18 May 2012.

The Severn Deanery supports the Training Interface Group in Head and Neck Surgical Oncology  in the recruitment to advanced training fellowships.

We are currently recruiting 7 fellows that will have the opportunity to undertake 12 months in one of the following centres:

  • University Hospital Birmingham NHS Foundation Trust; Queen Elizabeth Hospital; Selly Oak Hospital
  • Glasgow Royal Infirmary & Southern General Hospital
  • Hull and East Yorkshire Hospitals NHS Trust; Hull Royal Infirmary; East Yorkshire Hospitals NHS Trust; Castle Hill Hospital
  • Queen Victoria Hospital NHS Foundation Trust
  • Aintree University Hospitals NHS Foundation Trust
  • Guy's and St Thomas' NHS Foundation Trust, London
  • Central Manchester University Hospitals NHS Foundation Trust; Manchester Royal Infirmary; Christie Head & Neck Cancer Centre
  • Penine Acute Hospitals NHS Trust (Manchester & Penine)
  • The Newcastle Hospitals NHS Foundation Trust; Freeman Hospital; Newcastle/Sunderland Royal Hospital
  • Oxford Radcliffe Hospitals NHS Trust; John Radcliffe Hospital
  • Sheffield Teaching Hospitals NHS Foundation Trust

Please refer to the person specification, to check the eligibility criteria, prior to submitting an application.

The interviews are scheduled for the 18th of May 2012. 

If you require assistance with your application please send us a message via the contact panel on the left side of the page or telephone the candidate support line 01454 252610.

 

Please see below for job descriptions for posts at the following locations.

Head and Neck Fellowship at the University Hospital Birmingham 

The Pan Birmingham Cancer network serves a population of over 1.8 million. The designated cancer centre for the network is University Hospital Birmingham.

There are 2 Maxillofacial Surgeons with an interest in Head and Cancer and Reconstruction and 2 further posts to be advertised soon. There are 2 Otolaryngology Consultants with an interest in Head and Neck Cancer at UHB and a further surgeon at City Hospital. There is one Otolaryngologist, whose main interest is thyroid surgery. There are two Otolaryngologists with an interest in skull base surgery. There is a skull base MDT held every two weeks, in addition to the weekly Head and Neck MDT. The Thyroid MDT is held within the weekly Head and Neck MDT.

  • There are 3 full time Oncologists with an interest in Head and Neck Cancer. They are providing IMRT.
  • There are 3 Radiologists with an interest in Head and Neck imaging. PET imaging is available on site.
  • There are 2 Restorative dental consultants who carry out clinics on site.

The Maxillofacial Laboratory is world-renowned and has 7 full time Maxillofacial Prosthetists and the trust has one of Europes largest extra oral implant programmes.

Weekly pre-treatment clinics are held by the SALT, Dietetic, Head and Neck specialist Nurses and Head and Neck counsellors. The aim is that every patient undergoing cancer treatment will be assessed at these clinics.

All surgical patients are looked after in a designated Head and Neck ward shared between ENT, Maxillofacial and Plastic surgical teams.

The programme for the Fellow can be tailored to the successful applicants needs. However, in principle it consists of 3 monthly rotations between Maxillofacial or ENT. Within each rotation, there is scope for regular training in thyroid surgery. Each rotation will have regular operating sessions and clinics. All aspects of Head and Neck Cancer are treated at UHB.

There will be opportunity and fellows will be encouraged to attend oncology, pre–treatment, and SALT clinics. Fellows will also spend some time in planning Radiotherapy and Chemotherapy.

The fellowship at UHB in Birmingham will provide candidates training in all surgical treatments for Head and Neck Cancer including complex reconstructions. It will also give them training in all aspects of care for this complex group of patients

If you have any questions, please contact Mr Sat Parmar, Consultant Oral and Maxillofacial Surgeon on 07808 777595 

Glasgow Royal Infirmary and Southern General Hospital 

The interface fellow is expected to attend all sessions in the timetable (see below) with other tim es for private study/audit and research. Depending on their level of training and needs, the fellow is expected to take a primary active role, during theatre. This will be as primary surgeon or 1st assistant in most instances, with senior surgeon supervision. During clinic, the fellow is encouraged to assess and work-up head and neck oncology patients, with the use of diagnostics (ie endoscopy) and local anaesthetic biopsies where indicated. Follow-up patients and management in the MDT environment will also allow experience in allied health care specialities as well as non-surgical treatment regimes and indications.

The year, in Glasgow, is divided into blocks to incorporate the work of the two main units in the north and south of the city and for the purposes of continuity in patient care. This also allows for exposure to of all aspects of head and neck surgical oncology in the time allocated.

North Glasgow (Glasgow Royal Infirmary)

Monday

MDT meeting/MDT clinic (am)

Tuesday

Plastic Surgery Theatres (all day)/ENT clinic (am) alternate

Wednesday

ENT Theatres (am)/Audit/Research (pm)

Thursday

Plastic surgery Theatres (all day)

Friday

MDT meeting/clinic (am Southern General Hospital)

South Glasgow (Southern General Hospital)

Monday

Maxillo-facial Theatres (all day)

Tuesday

Maxillo-facial Theatre(pm)

Wednesday

ENT clinic (am)/Head & neck clinic pm

Thursday

Maxillo-facial Thetares (all day)

Friday

MDT meeting/clinic (am)

The last few months of the fellowship time are flexible depending on the remaining training needs of the fellow.

Interface Head & Neck Surgical Oncology Fellowship - Based at Hull Royal Infirmary 

Supervisor:

  • Prof. Nicholas Stafford - Consultant ENT, Head & Neck surgery

Faculty:

  • Mr. Paolo Matteucci - Consultant Plastic & Reconstructive surgery
  • Mr. Jemy Jose - Consultant ENT, Head & Neck surgery
  • Mr. Stephen Crank - Consultant Oral &Maxillofacial surgery
  • Mr. Martin Cope - Consultant Oral & Maxillofacial surgery
  • Mr. James England - Consultant ENT, Head & Neck surgery

Timetable:

 

AM

PM

Monday

Plastics theatre

Plastics theatre

Tuesday

ENT theatre

ENT theatre

Wednseday

Flexible Session*

Head & neck MDT/combined clinic

Thursday

Oral & maxillofacial theatre

Oral & maxillofacial theatre

Friday

 ENT theatre (Thyroid/Parathyroid surgery)

ENT theatre (Thyroid/Parathyroid surgery)

 *Session may be used for Research or clinical Training

Sample - Logbook of Procedures of Fellowship

August 2008 – August 2009

 

P 

SU

SS

A 

T

TOTAL

Tracheostomy

2

 

 

1

8

11

Neck node biopsies

1

 

 

1

7

9

Parotidectomy

6

 

3

2

4

15

Neck Dissection

37

 

7

5

7

56

Total Laryngectomy

6

 

6

2

2

16

Glossectomy

 

 

1

4

 

5

Mandibulectomy

 

 

1

5

 

6

Pedicled Flap repair

 

 

5

3

 

8

Radial forearm

 

2

3

 

 

5

Free Fibula flap

 

 

1

5

 

6

Pharyn. Pouch surgery

2

 

 

 

2

4

Thyroid surgery

 

 

14

11

 

25

Parathyroid surgery

 

 

 

6

 

6

Carotid body surgery

 

 

 

4

 

4

Past Fellows Report 1.

I have started my fellowship by the 3rd August 2008 at Hull Royal Infirmary. I had a well structured timetable when I started even though this was the first time for HULL to organise such fellowship. The timetable is well balanced as shown between the 3 specialties of ENT/PLASTICS/MaxFax surgery. I also had few visits organized for me to attend clinical sessions with Clinical Oncology department based in Castle Hill hospital.

I had NO on call commitments in ENT, and this posed some financial difficulties initially but I was offered few sessions of after hours waiting list initiative clinics or theatre sessions which compensated for the on call financial deficit very well. Meanwhile, lack of on-call had the benefit of extreme flexibility of my timetable allowing the opportunity to spend un-spoilt quality time in theatre during the long hour cases with no interruption. I also managed to better control and organize my time for my laboratory research or endoscopy lists.

Although I have been in touch with the deanery very shortly after being appointed in April 2008,nearly 3 months before starting. I had difficulty at the beginning when I started, due to apparent delay and confusion of the paper work between London deanery and Yorkshire deanery, and my position remained a vague entity for lots of various people and accordingly I had no pay for the first 2 months !! until things were eventually sorted.

Achievements during fellowship:

  1. Clinically, the fellowship has provided ample opportunity of surgical operating, with high quality training and excellent workload of head and neck pathology.
  2. I had conducted and led a clinical research that resulted in an accepted oral presentation in Royal Society of Medicine (RSM) in March 2009, looking at acid reflux in Laryngectomy patients.
  3. I have finished my training in Upper GI endoscopy and PEG placement ,certified by their national training body JAG (Joint Advisory group of Gastroenterology)
  4. I have led a laboratory research between HULL university and Dundee university after national ethical approval under the care of Prof. Stafford and Dr. John Greenman, measuring “Interleukins” in head and neck cancer vs. precancerous patients(Dysplasia)

Finally, I have enjoyed my time in HULL thoroughly, and would recommend this fellowship to any colleague who would have interest in getting high quality training in both academic and clinical head and neck surgical oncology.

Sample - Logbook of Procedures of Fellowship 2

January 2010 - January 2011

 

P

SU

SS

A

T

TOTAL

Tracheostomy

3

4

5

 

 

12

Neck Dissection

9

1

17

17

1

45

Major Head and Neck Resection

1

5

38

 

 

44

Parotidectomy

7

4

9

 

5

25

Free Flap

2

 

34

 

 

36

Regional Flap

5

 

2

2

 

9

Past Fellows Report 2

I began my fellowship in January 2010. I was the second fellow in Hull and found the fellowship to be well set up and ran very smoothly. I was able to take advantage of excellent training from ENT, Maxillofacial and Plastic surgery with 3 or 4 lists available each week. There were no on call commitments to detract from time spent on the fellowship. This had a serious impact on my income but I was able to supplement this with waiting list initiative lists arranged locally. I was able to become an integral part of the Head and Neck team and follow the patients through from initial consultation through to completion of treatment and follow up. The exposure to the whole range of Head and Neck surgery was excellent including the treatment of skull base tumours with the neurosurgeons. I had dedicated sessions with both the clinical oncologists and radiologists. There was sufficient flexibility within the fellowship to adapt it to target areas of interest. There is support to conduct research within the unit and I was able to complete a clinical research project although support is available to conduct laboratory research. I would not hesitate to recommend the fellowship in Hull.

Head and Neck Fellow - KSS - The Queen Victoria Hospital 

Post: Head and Neck. The postholder may be part of the SpR on-call Rota commencing September 2012.

Grade: MN37

Base: The Queen Victoria Hospital, East Grinstead with some travel to offsite clinics

Qualifications: Applicants must have full General Medical Council registration and a valid UK driving licence. Maxillofacial trainees must also have a registerable degree with the General Dental Council.

Appointment

This is a ‘hub and spoke’ post and the postholder will be based at the Queen Victoria Hospital but with some clinical sessions duties at offsite clinics in Medway/Dartford/Maidstone. It is essential that the postholder has their own mode of transport and a full clean driving licence in order to attend these clinical sessions. Duties include both theatre and outpatient sessions in the relevant subspecialty as well as a weekly minor operations outpatient session. The successful applicants can partake in second on call rota (1:6) alongside our Specialist Registrars. This is a non resident duty and will also provide support to the ‘Hospital at Night’ team. The full range of Oral and Maxillofacial Surgery is practised and there is ample opportunity to learn from allied specialties.

General Information

The Queen Victoria Hospital was built as a community hospital in the 1930s and developed as a specialist unit during World War II. It is a highly successful hospital with an international reputation for providing specialist reconstructive services. The Trust also provides high quality community healthcare services to the local population in East Grinstead and the surrounding area.

The Hospital is a comparatively small NHS hospital with just over 900 staff and a turnover of £51.4m. There are 111 beds serving a population of over four million. The Hospital has a world-class clinical reputation and is the Regional Centre for Burns, reconstructive Plastic and Maxillofacial Surgery, Orthodontics and Corneo Plastic Surgery.

The Minor Injuries Unit is led by emergency nurse practitioners and is supported by nurses and plaster technicians.

There are 18 consultant plastic surgeons, 8 consultant maxillofacial surgeons, 3 consultant ophthalmic surgeons and 18 consultant anaesthetists. The sub-specialities which generate the most work are head and neck, breast and hand surgery in adults; also surgery in the acutely burned patient and burns-related plastic and reconstructive surgery in adults and children. Specialised trauma, referred from accident and emergency units in the region, constitutes a significant proportion of the overall surgical load.

In addition to the surgeons based at the Queen Victoria Hospital, consultants from hospitals in the surrounding area use this facility to perform day-care surgical procedures in a variety of specialties: General Surgery, Gynaecology, Dermatology, ENT, General Medicine (Cardiology/Chest), Head and Neck Oncology, Orthopaedics, Paediatrics, Rheumatology, Urology and Vascular Surgery, as a service to the local community. The Trust has developed proposals to expand day surgery on site in the near future. There are also treatment rooms for minor plastic and oral surgery procedures.

Department Information

The Queen Victoria Hospital serves a population of around 3.5 million people. It is the designated Head and Neck surgical centre for the Kent and Medway Cancer Network. It also has links with the Sussex Cancer Network (Brighton) and the Surrey, West Sussex and Hampshire Cancer Network (Guildford).

There are four Maxillofacial Surgeons, three Otolaryngology Surgeons and one Plastic Surgeon with interests in Head and Neck Surgical Oncology and Reconstruction. In addition there are two Maxillofacial and two Plastic Surgery Consultants with specialist interests in the management of skin malignancy.

There are weekly Head and Neck MDTs held in Maidstone and Brighton with a weekly Skin MDT held at QVH. Attendance at the Guildford Head and Neck MDT is as required via a telemedicine link.

There are three full time Head and Neck Oncologist across the MDTs. There are specialist Radiologists for head and neck imaging and there is a visiting Restorative Dentist available to provide dental care for our patients.

The Maxillofacial Laboratory is one of the busiest in Europe and offers a high quality service regarding the provision of maxillofacial prostheses.

The team is supported by two Clinical Nurse Specialists in Head and Neck, plus SALT and dietetic support.

The Fellow will be able essentially to draft their own timetable to fulfil their requirements. This timetable will be based on previous experience and background specialty training. We will be very keen to establish a research component to the timetable of the Fellow. In addition to head and neck oncology surgery, there is also a large practice in benign thyroid and salivary gland surgery.

All head and neck patients are treated surgically at the Queen Victoria Hospital. Patients undergoing benign thyroid surgery are treated at QVH, Medway Maritime Hospital and Maidstone and Tunbridge Wells Trust additionally.

Finally a vast number of patients undergo microvascular surgery at QVH. If a Fellow requires particular experience microvascular surgery, a sub-fellowship could be facilitated.

For further information please contact Loz Newman on 01342 414313 or email laurence.newman@nhs.net

Head and Neck Surgeons

OMFS 

  • Mr K Lavery
  • Mr L Newman
  • Mr P Norris
  • Mr J Tighe

ENT

  • Dr C Barbaccia
  • Mr J Davis
  • Mr J Shotton

Plastics

  • Mr R Smith

Operating Facilities

The Queen Victoria Hospital has nine theatres; five main theatres, two day surgery theatres, one minor ops theatre and a Burns Unit theatre.

Major Head and Neck surgery takes place at East Grinstead on all day theatre lists every Monday, Wednesday and Friday.

In addition benign thyroid surgery happens during all day lists on Mondays and Thursdays at Medway Maritime Hospital.

Skin malignancy surgery occurs throughout the week at all sites.

Rota Commitment

Currently the hours of duty are the base working week of 40 hours plus a supplement for on call duties. Hours of duty may be varied prior to commencement of post according to the needs of the service. Any variation will be in line with junior doctor hours and will be notified on appointment or in the Contract of Employment.

The rota commitment is 1:6 non-resident on call which includes for prospective cover for colleagues study/annual leave. This is subject to change in order to comply with European Working Time Directive requirements.

Annual and Study Leave

Medical staff are expected to discuss plans for leave with members of their Department well in advance of any proposed leave.

Annual leave entitlement is six weeks for a full year from mid point of salary scale onwards including off duty days, to be taken within the contract period subject to the approval of the Consultant concerned and the exigencies of the service. Leave dates must be notified in writing and agreed with the Rota Co-ordinator at least six weeks prior to requested leave dates.

Study leave may be granted in accordance with the Deanery guidelines. The Clinical Tutor for the Trust is Dr Steve Squires, Consultant Anaesthetist who is supported by specialty Tutors in each of the disciplines. Applications are considered by Dr Squires and, when approved, will carry reasonable expenses, subsistence and course fee reimbursement. Study leave entitlement is currently 30 days per annum, including off duty days. Applications supported by the Consultant should be submitted to the Postgraduate Centre no later than six weeks prior to the dates of the leave proposed. Employees will be informed accordingly via the Postgraduate Centre. Applications will not be considered retrospectively.

Teaching

Consultant led formal clinical teaching in Maxillofacial, Hand Surgery and Burns Surgery are held weekly at the Queen Victoria Hospital.

In addition to the departmental facilities, the Hospital has its own library which is staffed by a professional librarian and two part-time assistants. In all, there are over 3000 books and 60 current journals. The Library has several PCs connected to the n3 network. Access is available to registered users twenty four hours a day.

There are opportunities for IT training and a broad range of opportunities for other types of learning in the Staff Development Centre, which is in close proximity to the Anaesthetic Department.

There is an excellent Medical Photography department with a slide library housing over 60,000 catalogued slides illustrating surgical, anaesthetic and historical aspects of the hospital. These are available on loan for educational purposes. There are slide-making and video facilities. The Department has recently embraced digital photographic technology, allowing access to many images via the Queen Victoria Hospital Intranet.

The Hospital Medical Director is Mr Ken Lavery.

Research and Development

The Blond McIndoe Centre for Medical Research was founded in 1961 to pursue research relevant to the Queen Victoria Hospital. The centre is now run a consortium charity, made up of interests from the Queen Victoria Hospital itself, Brighton University, the University Medical School in Brighton and Northwick Park.

At the NHS South East Coast 2008 Best of Health and Health and Social Care Awards, two awards were presented to QVH staff. The ‘Leadership for Improvement' award went to QVH's consultant corneo plastic and ophthalmic surgeon Sheraz Daya for pioneering developments within the QVH corneo plastic unit and eye bank attracting international recognition. The second award recognised the success of QVH’s Telemedicine system which is being used for both diagnosis and treatment of patients in outlying Accident and Emergency departments, minor injuries units and walk-in centres. It enables referring hospitals to instantly send images and clinical information securely to experts at QVH and is also used internally by surgeons to review cases elsewhere in the hospital.

Our Research and Development (RandD) strategy has recently been widened to include a new avenue of research exploring the psychosocial aspects of both trauma and elective surgery. This new emphasis draws on the work of many of the Trust's renowned surgical specialties, and builds on the experience gained in previous successful projects on telemedicine and ‘Returns to Work Following Burns'.

Mr Roger Smith, Consultant Plastic Surgeon, is in charge of Clinical Research.

Audit

There is an active audit programme in which all junior doctors are expected to actively participate.

Local Facilities

East Grinstead is a pleasant, small country town, in an attractive rural area of the Sussex

Weald near Ashdown Forest, within one hour's travel of both London and the South Coast. There are excellent facilities locally for tennis, squash, golf, riding and other sporting activities. An indoor swimming pool and sports centre is nearby in the town, as well as a tennis court in the hospital grounds. The Hospital Social Club arranges regular events and the Surgeon's Mess Committee runs an informal Club which is open to professional staff and their guests on week-day evenings.

Staff Benefits

  • Family friendly policies
  • Flexible working hours
  • Secure cycle racks
  • Free on-site Car Parking (deposit of £10, refundable when you leave)
  • Subsidised Staff Canteen
  • Staff Counselling service
  • On-site Occupational Therapy and Physiotherapy service
  • Free Internet access for all staff, outside working hours
  • All weather Tennis Court / Five a Side pitch
  • On-site Cash Dispenser
  • Regular in-house Newsletters
  • Specially negotiated discounts for QVH staff, including gym membership, entertainment and private healthcare discounts
  • Discounts for NHS staff at NHS Discounts

Terms and Conditions of Service

The appointment will be made under the published NHS Terms and Conditions of Service (England and Wales) and General Whitley Council Conditions of Service.

This appointment is subject to Pre-Employment checks including verification of references, GMC Fitness to Practice updates, criminal records bureau disclosure, occupational health clearance and immigration status checks.

It has been agreed between the professions and the Department that while juniors accept that they will perform such duties, the Secretary of State stresses that additional commitments arising under this sub-section are exceptional and in particular that juniors should not be required to undertake work of this kind for prolonged periods or on a regular basis.

Occupational Health

Evidence must be provided which is acceptable to the Occupational Health Department, that you are not a carrier of Hepatitis B or Hepatitis C. This would normally be a pathology report from a laboratory in the UK or alternatively a report from another NHS Occupational Health Department within the UK. It will not be possible to confirm this appointment unless this condition is met. Before starting work you may therefore need to attend the Occupational Health Department for assessment. If this is not possible, then you must attend on the day you start work.

Sick Leave

All absences on sick leave must be reported to the Medical Personnel Department. Full details of the sick leave allowances and the conditions governing the allowances are set out in the Terms and Conditions of Service.

Infection Control

All clinicians are expected to set aside sufficient time to proactively manage and control the potential spread of infection and the successful postholder will be expected to comply with Trust Infection Control Guidelines and therefore must attend mandatory Infection Control training and demonstrate good understanding and practice of hand hygiene. Demonstrate good antimicrobial prescribing practice in line with Trust Prescribing Guidelines.

Criminal Records Bureau Disclosure

It is Trust policy that in accordance with the appropriate legislation, pre-employment Disclosure Checks are undertaken on all newly appointed Doctors and Dentists. Any person who is conditionally offered this post will be required to undertake a criminal records check in this respect. The successful applicant will be required to complete a CRB Disclosure Check application form and to provide the appropriate documentation. The Criminal Records Bureau is authorised to disclose in confidence to the Trust details of any criminal record including unspent and spent convictions, cautions, reprimands and final warnings. Any information disclosed will be treated in the strictest confidence and all circumstances will be taken into account before any decision is reached.

Applicants should be aware that a refusal to comply with this procedure may prevent further consideration for the post. The Trust undertakes to discuss any matter revealed in a Disclosure with the subject of that Disclosure before withdrawing a conditional offer of employment. Having a criminal record will not necessarily bar an applicant from working with the Trust. This will depend on the nature of the position or circumstances and background of the offence.

Note: Failure by an applicant to provide accurate and truthful information is considered to be a serious matter. Where it is found that a person has recklessly provided inaccurate information or withheld information relevant to his/her position, this may disqualify him/her from appointment. It may also result in dismissal or disciplinary action and referral to the appropriate professional registration body.

Remuneration

The salary scale for the post is as per national (MN37) salary scales. The notice period for this post is three months.

Relocation and travel expenses are not paid.

The post is pensionable unless the appointee opts out of the scheme or is ineligible to join. Remuneration will be subject to deduction of pension contributions in accordance with the Department of Health regulations.

General

Candidates unable for personal reasons to work full-time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis, in consultation with the Clinical Director.

  • Where the post holder is required to travel as necessary between hospitals / clinics expenses will be paid. A planned and cost effective approach is expected.
  • The post holder is required to comply with the appropriate Health and Safety Policies as may be in force.
  • The person appointed will be indemnified by the Trust for all NHS work undertaken as part of the Contract of Employment.
  • The person appointed will be encouraged to take out adequate defence cover as appropriate, to provide cover for any work which does not fall within the scope of the indemnity scheme (Contract of Employment).
  • The person appointed will be a medical practitioner properly registered with the General Medical Council.

The nature of the work of this post is exempt from the provisions of Section 4 (2) of the Rehabilitation of the Offenders Act 1974 (Exemption Order 1975). Applicants are, therefore, not entitled to withhold information about convictions under the Act and, in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the Order applies.

Visiting

This can be arranged with Mrs Avis Warburton Pullen, Service Manager Oral and Maxillofacial Surgery, Queen Victoria Hospital NHS Foundation Trust, Holtye Road, East Grinstead, West Sussex, RH19 3DZ. Telephone 01342 414301.

Mersey Head and Neck Fellowship  

The Liverpool Head and Neck Oncology Centre is located at the University Hospital Aintree Foundation Trust (UHA). All new Head and Neck Cancer cases are discussed at the Multidisciplinary (MDT) meeting each Wednesday morning. There is also a thyroid and an adult skull-base MDT which runs along side the main meeting. This is probably the largest MDT in the country with about 450-500 new cases discussed per year. The clinicians attending the MDT can provide all aspects of modern treatment both surgical and oncological.

The Unit serves a population of about 2.4 million and the area has a higher than average number of cases developing Head and Neck Cancer. The multidisciplinary team consists of the following:

  • 5 Otorhinolaryngologists Head and Neck Surgeons (ORL)
  • 4 Maxillofacial Head and Neck and Reconstructive Surgeons (OMFS)
  • 3 Radiation Oncologists
  • 2 Neurosurgeons
  • 1 Ophthalmologist
  • 1 Restorative Dentist with a special interest in oral and Head and neck rehabilitation.

Excellent supporting specialists including Speech and Language, Dieticians Nurse Liaison and Physiotherapy

In surgical terms there is considerable expertise in laser surgery for the larynx, reconstructive laryngeal surgery, endoscopic techniques, microvascular reconstructive options including iliac crest fibula scapula and perforator flap options.

The Academic status of the unit is now enhanced with a Professor in ORL and a Reader in OMFS. We are the principal investigators for the HOPON trial (Hyperbaric Oxygen as prophylaxis to prevent osteoradionecrosis following dental extractions in the irradiated mandible). We are also actively involved in the SEND trial (Neck or no neck for small T1-2 oral cancer) the PETNECK trial (Neck dissection of no neck dissection in oropharyngeal cancer treated by chemoradiotherapy). Other research interests include the Epigenetics of Oral cancer and their role in the prediction of cancer progression from pre-malignancy

The fellow is the senior trainee and is treated as such with the privilege of working where the training is most needed or desired. This may depend on the principal specialty of the trainee but the unit will accommodate a timetable which reflects those training requirements.

There are 4 OMFS and 4 ORL lists per week and skull-base cases are usually done on a Thursday at the Walton Neurosurgery Centre (Aintree site). The MDT is on Wednesday morning followed by the multidisciplinary clinics.

 

Head and Neck Interface Fellow Timetable - Guy's and St Thomas' NHS Foundation Trust, London  

Oral and Maxillofacial and ENT/Head and Neck Surgery Ward Round

  • Joint ward round 8 to 9 am daily
  • Monday – Andrew Lyons
  • Tuesday – JP Jeannon
  • Wednesday – Karim Hussain
  • Thursday – Ricard Simo
  • Friday – Professor Mark McGurk

Oral and Maxillofacial

  • Monday am – Theatre Prof Mcgurk
  • Monday pm – Theatre Prof Mcgurk
  • Tuesday am – Theatre Mr Andrew Lyons
  • Tuesday pm – Theatre Mr Andrew Lyons
  • Wednesday am – Theatre Mr Karim Hussain
  • Wednesday pm – Theatre Mr Karim Hussain
  • Thursday am - STAR
  • Thursday pm – Research, Audit, Speech and Swallowing Evaluation and Rehabilitation
  • Friday am – Head and Neck Clinic
  • Friday pm – Head and Neck MDM

ENT Head and Neck Surgery

  • Monday am – Theatre Mr JP Jeannon/Mr Ricard Simo
  • Monday pm- Theatre Mr JP Jeannon
  • Tuesday am- Theatre Mr Ricard Simo/ Mr Richard Oakley
  • Tuesday pm – Theatre Mr Ricard Simo/ Mr Richard Oakley
  • Wednesday am – Research and Audit
  • Wednesday pm – Theatre Mr JP Jeannon/Mr Richard Oakley/ Thyroid Oncology Clinic Mr Ricard Simo
  • Thursday am – Head and Neck/Thyroid Clinic Mr Ricard Simo
  • Thursday pm – Thyroid Oncology MDM
  • Thursday pm – Head and Neck Clinic Mr JP Jeannon/ Mr Richard Oakley
  • Friday am – Head and Neck Clinic Mr JP Jeannon/ Mr Richard Oakley/Mr Ricard Simo
  • Friday pm – STAR

On-Call

On-call is optional and negotiable depending on trainees needs – At present Head and Neck Fellow does 1/12 with ENT

Central Manchester University Hospitals NHS Foundation Trust 

Manchester Royal Infirmary/Christie Head and Neck Cancer Centre

Coordinating Surgeon:

  • Mr Brian Musgrove, Consultant OMFS

Surgeons:

  • Mr Jarrod Homer, Consultant ORL-HNS
  • Mr Sean Loughran, Consultant ORL-HNS
  • Mr Tim Blackburn, Consultant OMFS

General description of service

This multidisciplinary team (MDT) treats all patients with Head and Neck cancer from Central Manchester, East Manchester/Tameside, and the North-West sector of Salford, Wigan and Bolton (1.2M); and selected patients from the entire network and beyond.

The weekly MDT meeting and clinics take place at Christie Hospital. All new patients are seen at Christie before treatment.

All oncologic resection/reconstructive surgery takes place at Manchester Royal Infirmary. Radiotherapy and chemotherapy takes place at Christie Hospital.

The team covers UADT (upper aerodigestive tract) and Salivary Gland malignancies and forms an essential part of the Network Thyroid MDT (hosted at Christie Foundation Trust). The Network Skull base cancer MDT is under the umbrella of the MRI/Christie MDT (details follow).

The core consultant clinicians who form the team are:

Consultant

Specialty

Hospital Base

Mr JJ Homer

Otolaryngology Head Neck and Surgery

MRI/Christie

Mr S Loughran

Otolaryngology Head Neck and Surgery

MRI/Hope

Mr B M Musgrove

Oral Maxillo Facial Surgery

MRI

Mr T Blackburn

Oral Maxillo Facial Surgery

MRI/Wigan

Mr G Ross

Plastic Surgery

Christie

Dr N Slevin

Clinical Oncology

Christie

Dr B Yap

Clinical Oncology 

Christie

Dr J Gillespie

Radiology

MRI/Hope

Dr S Mak

Radiology

Christie

Dr S Bonnington

Radiology

Christie

Dr J Lawrence

Radiology

Christie

Prof N Thakker

Pathology

MRI

Dr G Hall

Pathology

MRI

Dr C Barclay

Restorative Dentistry

MRI/Dental Hospital

 

Non-medical clinicians

Name

Specialty

Hospital base

Ms C Silva

Clinical nurse specialist (CNS)

MRI

Ms B Faramond

Clinical nurse specialist (CNS)

MRI

Mrs D Elliot

CNS

Christie

Ms K Mais

Nurse clinician (non-surgical)

Christie

Mrs K Graves

CNS

Bolton

Ms C Cameron

CNS

Wigan

Vacant

CNS

Hope

Ms Heptonstall

CNS

Tameside

Mrs F Ascott

Speech therapy

MRI

Mrs H Smith

Speech therapy

MRI

Mrs H Rust

Speech therapy

Christie

Ms J Jones

Speech therapy

Christie

Ms H Taylor

Speech therapy

Bolton

There is an active research program in biomarker discovery and validation and other translational and clinical research based both at Christie/Patterson and MRI.

Skull Base Oncology

Within the team is the Network/supranetwork team for skull base cancers. All patients requiring surgery for skull base cancers in the network population (3.5M) come to this team and a number of patients from beyond the network (e.g. N Wales, W Yorkshire, Lancashire). These cancers are generally:

  • Sinonasal cancers near to or involving anterior skull base
  • Cancers with high infratemporal fossa involvement (eg from pharynx or parapharyngeal space)
  • Cancers involving temporal bone.
  • Advanced skin cancers with skull base involvement

Skull base cancer team core members:

Name

Specialty

Hospital Base

King

Neurosurgery

Hope

Rutherford

Neurosurgery

Hope

Homer

ENT (Head and Neck)

MRI/Hope

Lloyd

ENT (neuro-otology)

MRI/Hope

Musgrove

MaxFac

MRI

Blackburn

MaxFac

MRI

Ross

Plastic surgery

Christie

Leatherbrow

Oculoplastics

MRI

Atuallah

Oculoplastics

MRI

Herwadkar

Radiology

Hope

Gillespie

Radiology

Hope/MRI

Laitt

Radiology

Hope/MRI

New cases are discussed at the MRI/Christie MDT meeting. There is then further discussion and clinic appointments depending on exact case requirements (i.e. which specialties are involved).

Intradural surgery takes place at Hope Hospital. Extradural surgery (e.g. sinonasal cancers away from skull base and temporal bone resections) takes place at MRI.

Interface Fellow: Basic Timetable

 

Monday

Tuesday

Wednesday

Thursday

Friday

AM

Theatre Loughran All day

Neck lump/diagnostic clinics ENT or OMFS

Theatre Musgrove/ Blackburn all day (2 parallel lists) All day

 

MDT meeting and H&N clinics Christie

Theatre Homer All day

 

PM

    

 The basic timetable is as above.  It can be tailored to individual's requirements.

Manchester Royal Infirmary/Christie Hospital Head and Neck Cancer Centre: 2007 Surgical Figures for Cancer Resections

All operations at MRI or Christie (except intradural skull base at Hope). Benign tumour surgery excluded. Each operation counted once only (no dual classification) except composite figures for total numbers of flaps and neck dissections. Primary Operators; Homer/Musgrove/Loughran (H&N cancer); Homer/Loughran/Parrott/Augustine (Thyroid)

Head and Neck Cancer Surgical Resection Codes - Primary Tumour

 

 

 

Number

A

 

Oral Cavity Resections

46

 

A1

Transoral resections (incl partial (inferior) maxillectomy)

22

 

A2

Resections requiring mandibulotomy/tongue drop and soft tissue reconstruction

18

 

A3

Resections requiring segmental mandibulectomy and bone reconstruction

6

B

 

Oropharynx

15

 

B1

Transoral resections

3

 

B2

Resections requiring mandibulotomy and soft tissue reconstruction

9

 

B3

Resections requiring segmental mandibulectomy

3

 

B4

Resections via transcervical approach and soft tissue reconstruction

0

C

 

Larynx/hypopharynx

30

 

C1

Total laryngectomy

4

 

C2

Transoral laser partial laryngectomy

15

 

C3

Open partial laryngectomies

1

 

C4

Pharyngolaryngectomy with flap reconstruction

6

 

C5

Pharyngo-oesophago-laryngectomy with gastric transposition

2

 

C6

Open partial pharyngectomy

1

 

C7

Transoral laser partial pharyngectomy

1

D

 

Sinonasal/anterior skull base

8

 

D1

Medial maxillectomy

1

 

D2

Total/subtotal maxillectomy 

3

 

D3

Craniofacial resection (Anterior or anterolateral skull base)

4

E

 

Other Skull base

4

 

E1

Temporal bone resections/infratemporal fossa resection

4

F

 

Salivary Gland

10

 

F1

Parotidectomy

9

 

F2

Submandibular gland excision

1

G

 

Thyroid

49

 

G1

Total thyroidectomy (incl completion)

38

 

G2

Hemithyroidectomy

3

 

G3

Re-exploration for recurrent cancer

8

Composite Surgical Figures: 2007

Neck Dissection

120

Microvascular Free Tissue Transfer Reconstruction

49

Pedicled Flap Reconstruction

11

 

Head & Neck Fellowship Job Description for Pennine Acute Hospitals Trust 

Pennine Acute NHS Trust formed in 2002 from the merger of 4 separate trusts to make one of the biggest trusts in the UK serving a large population across the North Eastern sector of the Greater Manchester conurbation. Additionally, our service provides Head and Neck oncology in-patient care to a neighbouring trust in Tameside. This summates to head and neck cancer care to a population of more than 1.2 million people from an area representing very high health care needs.

The main in-patient base is North Manchester General Hospital, which is also the site of the MDT meeting and the MDT clinic. All radiotherapy and chemotherapy is at Christie Hospital, although Dr Lee does attend for a weekly clinic during our MDT clinic. The team is supported by 2 Macmillan Clinical Nurse Specialists and a full palliative care team led by one consultant based within the trust.

We have 3 SpRs in OMFS and 1 SpR in ENT, but there is such a volume of oncology work within Pennine Acute that the presence of an Interface Fellow will not in any significant way dilute the training available to existing trainees or the Fellow. The same applies to the placement with Mr Ross (Consultant Plastic Surgeon) at Christie Hospital, a placement that is flexible depending on the training needs of the H&N Fellow. There are currently about 300 new cases discussed at our H&N MDT, with 180 neck dissections, 150 resections, 20 laryngectomies, 30 thyroidectomies, and about 60 microvascular free flap reconstructions. In addition, a considerable volume of salivary gland surgery is undertaken. We perform all types of reconstruction (with a wide variety of microvascular free flaps) and have a have a Consultant in Restorative Dentistry to help with planning implant rehabilitation of many of the patients.

We had an Interface Fellow in post for 12 months (April 2010 – March 2011). He had a very successful year and has been appointed to a Head & Neck Oncology (ENT) consultant post. We are confident that we can continue to provide an exceptional training to trainees from any relevant discipline.

Current Timetable

  • Monday Theatre all day (Mr Baldwin, Mr Katre or Mr Zarod)
  • Tuesday Theatre all day (Prof. Woodwards, Mr Katre or Mr Ross)
  • Wednesday Theatre all day (Mr Thomson, Mr Katre or Mr Murthy)
  • Thursday AM – MDT meeting followed by MDT oncology clinic
  • PM – Diagnostics/Admin/flexible
  • Friday Study/research/audit

In addition to the above timetable, there is the opportunity to spend time with our oncologist (Dr Lee) is his clinics and to observe the planning of radiotherapy treatment at Christie Hospital. We hold a weekly specialist valve clinic which is run by our Speech and Language team. The post holder would have exposure to Maxillofacial, ENT and Plastics. There is total flexibility in the timetable which can be amended to fit the Fellow’s individual needs.

Members of Head and Neck MDT

  • Mr A Baldwin Consultant Maxillofacial Surgeon
  • Prof. R Woodwards Consultant Maxillofacial Surgeon
  • Mr E Thomson Consultant Maxillofacial Surgeon
  • Mr C Katre Consultant Maxillofacial Surgeon
  • Mr A Zarod Consultant ENT Surgeon
  • Mr P Murthy Consultant ENT Surgeon
  • Dr L Lee Consultant Clinical Oncologist
  • Dr N Desai Consultant Radiologist
  • Dr P Janousek Consultant Radiologist
  • Mr H Nasry Consultant Restorative Dentist
  • Dr I Lawrie Consultant in Palliative Medicine
  • Dr R Hall Consultant Histopathologist
  • Dr B Benatar Consultant Histopathologist
  • Mrs S McCormick Speech & Language Therapist
  • Mrs J Lang Speech & Language Therapist
  • Miss C Hamer Dietician
  • Mrs E Riley MacMillan Oral Health Practitioner

Pennine Acute Hospitals Trust is presently the highest recruiting trust in Manchester into research trials. The H&N MDT lead the way in Head & Neck trial recruitment across Greater Manchester and Cheshire. We are currently involved in SEND trial, PETNECK study, QoL questionnaire study, plus others.

For any further details or discussion, please contact Mr Andrew Baldwin (Consultant Maxillofacial Surgeon, and Lead Clinician for Head & Neck MDT) on 0161 720 2657

Report from Past Fellow:

RE: Training Interface Group of the Joint Committee on Surgical Training (TIG-JCST) fellowship in advanced Head and Neck surgical oncology at North Manchester General Hospital (NMGH) and the Christie Hospital. April 2010-April 2011

I have completed the Training Interface Group of the Joint Committee on Surgical Training (TIG-JCST) fellowship in advanced Head and Neck surgical oncology at North Manchester General Hospital (NMGH) and the Christie Hospital, April 2010- April 2011. During this period, I have been provided with every opportunity to gain further knowledge, skills and training in the fields of surgical and clinical work, clinical audit, teaching, clinical governance, management activities and administration.

My post involved assisting with the provision of high quality clinical services for head and neck cancer patients. I actively participated in the weekly head and neck cancer MDT meetings at North Manchester General Hospital and the Thyroid MDT meeting at the Christie which is held every two weeks. I presented cases and was actively involved in the decision making discussions. The Head and Neck department at NMGH is a busy unit covering over a million population of North Manchester and the Pennines, with around 250 new cases of head and neck cancer per annum. The post provides ample opportunity of surgical operating, with high quality training and excellent workload of Head and Neck pathology.

My weekly commitments include 6-8 theatre sessions per week (including 1-2 days with three sessions per day on many weeks), weekly head and neck MDT meeting, Head and neck oncology clinic, and daily ward rounds.

My training in Head and Neck has been considerably enhanced by my role as a fellow at North Manchester and the Christie Hospitals for twelve months. I was always treated as a senior trainee with the privilege of working where my training is most needed or desired, in an environment with considerable expertise in open and reconstructive techniques. During the fellowship I have received excellent advice and guidance from my trainers on many areas including advanced surgical techniques, dealing with challenging clinical situations, the effective running of the MDT, and career advice which I am now finding very useful in my current role as a consultant Head and Neck Surgeon. I was constantly encouraged to make full use of my time in the fellowship, which I did, with no pressures to be involved in any departmental service commitments.

The post is heavily theatre based, and provides a wide exposure to complex head and neck resection and (micro-vascular) reconstruction procedures, and the daily management of the patients afterwards. Regular and active participation in specialised head and neck MDT meetings and clinics involving ENT, OMFS and plastic surgeons, oncologists, pathologist, radiologists and other professionals provided me with valuable experience in dealing with difficult management issues in H&N cancer.

I have been a clinical resource and a primary contact point for the allied health professionals and MDT coordinator helping to supervise, assist, advice, and facilitate and manage problems as they arise, and I have learned so much from my contact with all those other professionals. The chemo-radiotherapy treatment is administered at the Christie Hospital, where I attended to gain a deeper knowledge and understanding of the current non-surgical aspects of H&N cancer in all aspects, including chemotherapy regimes, radiotherapy planning, especially IMRT, and the latest H&N related research trials. I also took part in weekly theatre sessions with the Plastic Surgeons at the Christie hospital where I practiced many new resection and reconstruction techniques, especially in relation to skin cancer in the head and neck region and facial reanimation surgery.

Ala Jebreel MSc (Sheff), FRCSED (Orl-hns) DOHNS MBBS

The Newcastle Hospitals NHS Foundation Trust - Freeman Hospital, Newcastle upon Tyne/Sunderland Royal Hospital 

Coordinating Surgeon:

  • Mr David Meikle - Consultant Otolaryngologist/Head and Neck Surgeon, Freeman Hospital

General description of service

The post is heavily theatre based and provides a wide exposure to a large number of extirpative and reconstructive procedures for benign and malignant conditions of the upper aerodigestive tract and thyroid.

At the Freeman Hospital training opportunities are provided by Otolaryngology/Head and Neck Surgery, Maxillofacial Surgery, and Plastic and Reconstructive Surgery Departments. At Sunderland Royal there is no on-site Plastic Surgery Department. The Newcastle and Sunderland Head and Neck Units work closely in partnership with Radiotherapy and Oncology at the Northern Centre for Cancer Care which is housed in a new, up to date facility at the Freeman Hospital. Head and Neck cancer care for Cumbria at the Cumberland Infirmary in Carlisle is part of the Newcastle Multidisciplinary Team and included in the weekly meetings via videoconference link.

It is acknowledged that the Fellow has sufficient flexibility to attend whichever operating sessions and clinics that are appropriate to further their training. There is considerable flexibility possible relating to base speciality requirements.

The Fellow is expected to assist in managing in-patients whom they have been involved with and also to have an overall view of all the head & neck patients in the unit. There is a weekly MDT at which the Fellow is expected to present cases and be involved with decision making discussions. Also, it is expected that the Fellow supports the Allied Healthcare Professionals and the Head & Neck Co-ordinator to help facilitate management of problems as they arise.

At the Freeman Hospital there is a weekly Head and Neck MDT and in addition a fortnightly Thyroid MDT. The Fellow is also expected to participate in Head and Neck CWT Clinics at least once a week. There are no additional clinic commitments at Sunderland Royal.

During a calendar year, 9 months is spent at the Freeman Hospital and 3 months at Sunderland Royal. Both units are well run, busy, modern head and neck departments fully equipped to a high standard and aided by excellent support services such as Radiology, Histopathology, Restorative Dentistry, MacMillan Clinical Nurse Specialists, Speech & Language Therapy, Dietetics and Clinical Psychology.

Fellows are actively encouraged to not only develop their own skills but also to supervise junior trainees when appropriate. This is essential to further their own teaching and training skills, which we consider a vital quality in Head and Neck Surgeons. An interest in research, clinical trials and audit is expected.

High quality mentoring and support is continuously available.

 

Oxford Radcliffe Hospitals NHS Trust - Clinical Fellow in Interface Head & Neck  

Coordinating Surgeon:

  • Mr Graham Cox Consultant ENT/Head and Neck Surgeon

Base Hospital

  • John Radcliffe

Aims and responsibilities of the post:

To gain competency in resection and reconstruction for cancer of the Head and Neck and the holistic care programme for the Head and Neck programme.

Clinical:

To be involved in the daily management of Head and Neck patients, attendance at outpatient clinics and theatre and MDT meetings.

Weekly Timetable (Flexible)

 

Monday

Tuesday

Wednesday

Thursday

Friday

AM

Ward round, clinic ENT GC 3J4J, clinic OMFS SB, clinic
oncology/radiotherapy planning

Ward round, Theatre ENT, clinic OMFS

Ward round, Theatre ENT/Plast, Theatre CAM/Plast, Theatre
OMFS, clinic oncology/radiotherapy planning, clinic CAM skull base 1

Ward round, clinic ENT RC 2RA, 3RA, 4J

Ward round, Theatre Plast, Theatre OMFS

PM

Preoperative ward round, study, clinic oncology/radiotherapy planning

Theatre ENT/Plast

Theatre ENT/Plast, Theatre CAM/Plast, Theatre OMFS, clinic
oncology/radiotherapy planning

MDT/study

Theatre OMFS

EVENING

 

Theatre ENT/Plast

 

 

  

 Facilities for Study and Training

Good library facilities are available at The John Radcliffe and at other libraries in the Central Oxford Hospitals.

Teaching, Audit and Research

The fellow may be expected to participate in teaching of the specialist registrars and occasionally other medical and non-medical personnel. Participation in audit is required. There should be some opportunities for research during the appointment.

Sheffield Teaching Hospitals (STH) - Head and Neck Surgical Oncology Interface Fellowship  

The North Trent cancer network covers a population of 1.8 million. Sheffield Teaching Hospitals (STH) NHS foundation Trust is the major designated Head and Neck cancer surgical centre for the Network. STH manages five hospitals in Sheffield (Northern General Hospital, Royal Hallamshire Hospital (RHH), Jessop Wing, Weston Park Hospital (WPH) and Charles Clifford Dental Hospital(CCDH)).

Head and Neck Surgery is undertaken at the Royal Hallamshire Hospital, a major acute teaching hospital and is the home for the Head and Neck / Skull Base / Thyroid MDT’s. It is the surgical site for Head and Neck, skull base, ENT, OMFS, major plastic surgery, Thyroid surgery, neurosurgery as well as ophthalmology in Sheffield.

There are three Maxillofacial Surgeons with an interest in head and neck cancer and reconstruction, three ENT Consultants with an interest in head and neck cancer and two Plastic Surgeons with an interest in head and neck reconstruction.

Non-surgical reconstruction is provided by the maxillofacial laboratory with two full time Anaplastologists based at the Northern General Hospital. Restorative dental work is carried out at Charles Clifford Dental Hospital by dedicated Restorative Dental Consultants who are also part of the MDT.

Weston Park Hospital is one of only three dedicated cancer hospitals in the UK. The hospital provides a full range of cancer services including IMRT. There are four full time Oncologists with an interest in head and neck cancer. RHH, WPH, CCDH are three hospitals based closely together on a single campus to the west of the city centre.

STH hosts weekly Head and Neck cancer MDT’s with videoconferencing to the regional hospitals and covers the whole of the network area. STH also hosts a Skull Base MDT every two weeks and the Skull Base team comprises two Occuloplastic surgeons, one ENT surgeon with an interest in lateral skull base surgery, one ENT surgeon with an interest in endoscopic anterior skull base surgery, two Stereotactic Radio-surgeons, in addition to the above mentioned Head and Neck consultants. STH hosts the National Centre for Stereotactic Radiosurgery- Gamma knife.

Consultants providing head and neck surgery at STH include (in alphabetical order):

  • Mr Tom Carroll, Neurosurgeon/ Craniofacial Surgeon
  • Mr Luke Durham, ENT Surgeon ((Educational Supervisor, Lead H&N clinician for STH)
  • Mr Aiden Fitzgerald, Plastic Surgeon
  • Mr Ala Jebreel, ENT Surgeon
  • Mr David Lam, Plastic Surgeon
  • Mr Alisdair Mckechnie, OMFS Surgeon
  • Mr Showkat Mirza, ENT/endoscopic anterior skull base Surgeon
  • Mr Andrew Parker, ENT Surgeon
  • Mr Austen Smith, OMFS Surgeon
  • Mr Thomas Westin, ENT Surgeon
  • Mr Afshin Yousefpour, OMFS Surgeon (MDT Lead)

The above are nominated liaison consultants but it should be noted that all other consultant colleagues are prepared to contribute to the success of this Interface Fellowship.

Facilities for studying and training

As a teaching trust all of the hospitals have close links to the University of Sheffield, home to Sheffield Medical School and Sheffield Hallam University. STH is a major teaching centre for health professionals, with good library facilities available at the Royal Hallamshire Hospital and all other sites.

Job Description

  • Take an active role in all aspects of head and neck surgery. To work closely with all members of the head and neck team with the management of patients undergoing all forms of head and neck oncology surgery.
  • Interface Fellow is expected to develop operative, outpatient, communication and team working skills.
  • Provide an on-call service for any patients where they have had direct involvement in any procedure undertaken.
  • Participate in audit and continue with medical education.

The interface Fellowship at Sheffield Teaching Hospitals offers training in a nationally recognised Head and Neck surgery unit. The job plan and training programme will be tailored to the need of the successful applicant to give them the most appropriate training opportunity and will include theatre sessions and outpatient clinics. The successful applicant will be encouraged to participate in research and teaching programmes. The Sheffield Interface Fellowship offers sub specialist training in all aspects of resective and reconstructive Head and Neck oncology surgery in an inter speciality setting.

Timetable

This is to be developed with consideration of the trainee’s needs, a draft example for an interface fellow includes;

  • Monday: Am H&N MDT meeting. Pm H&N MDT clinic
  • Tuesday: all day theatre (ENT/OMFS)
  • Wednesday: all day theatre (ENT, anterior skull base, plastics, occuloplastics)
  • Thursday: all day theatre (OMFS/plastics/occuloplastics)
  • Friday: all day theatre (ENT/plastics)

For further information please contact Mr Durham’s secretary on 0114 271 2784.

Type Title Description Link
Application Info
Applicant Guide Full details of the recruitment process View
Person Specification View
Schools and Colleges
Joint Committee on Surgical Training Information on the Training interface Groups. View
Interview Info
Interview Details Full information including directions, documentation required and structure of the interviews View
Feedback View

© copyright Health Education South West 2013 | Site by Aab Web