Recruitment

Selection Criteria

Examples of Evidence

1

The post should have educational approval for interface training by the SAC in General Surgery and the SAC in Plastic Surgery.

Confirmation of educational approval from both SAC’s.

2

There should be four or more whole-time specialist breast surgeons including at least one whole-time plastic surgeon.  A fully integrated multidisciplinary team should meet at least once weekly.

List each consultant and their specific area of expertise.  Provide evidence of MDT attendance by representative consultants over the previous 12 months.

 3

The unit should treat a total of >300 new symptomatic and screen detected breast cancers per year and manage >1500 new breast disease referrals per year.  It should perform >50 breast reconstructions per year (including immediate and delayed procedures).

Third annual report of the National Mastectomy and Breast Reconstruction Audit detailing Unit-specific returns.  Combined NHS BSP and BCCOM audit data submitted by the unit. Verified HES and/or hospital data of surgical procedures.

 4

The unit should provide a full range of outpatient clinics including new patient, results, follow-up, combined or parallel reconstruction, combined or parallel oncology, and family history assessment.

12 month outpatient data recorded in the most recent specialty trainee’s or oncoplastic fellow’s lntercollegiate Surgical Curriculum (ISC) logbook. Hospital outpatient activity data.

 5

The workload and case mix on the unit should be sufficient to provide training in the operative management of benign breast disease, symptomatic and screen detected malignancy to a level defined in the ISC for general surgeons with a subspecialty interest in breast surgery.

12 month data from the ISC logbook of the most recent specialty trainee or oncoplastic fellow. Hospital activity by procedure.

 6

The workload and case mix on the unit should be sufficient to provide training in the full range of oncoplastic procedures listed in the oncoplastic and reconstructive section of the ISC in general surgery for subspecialty breast trainees in their final years of training.  It should also be sufficient to provide equivalent training for trainees from a background in plastic surgery at a similar level, as defined in the ISC for plastic surgery.

12 month data from the ISC logbook of the most recent specialty trainee or oncoplastic fellow. Hospital activity by procedure.

 7

The timetable should be flexible and tailored to the educational needs of the trainee.  It should be based around 10 sessions including 4 theatre, 2 outpatient, 2 special interest, and 2 flexible sessions. An on-call commitment is not expected.

 Enclose timetable.

 8

There should be adequate opportunities for data collection, audit and clinical trials. There should be an established research programme supported by an educational supervisor, and the unit should be contributing to national audits and trials.

Trial recruitment with patient numbers in past 5years. Documented evidence of national audit participation.  List of publications by the unit in past 5 years.

 9

Named clinical educational supervisors in both breast and plastic surgery, with confirmation of appropriate training.  A learning agreement and structured assessment is expected for every trainee.

Names of supervisors. Examples of learning agreements and end of year assessments.

10

The trainee will be expected to attend ABS and BAPRAS training and educational courses appropriate to their level of experience, as recommended in the ABS/BAPRAS Oncoplastic Guidelines.  The trainee will be expected to contribute to departmental audit and research, leading to presentations and at least one publication for submission to a peer-reviewed journal

A list of abstracts and papers published by trainees over previous 5 years.

11

Units which are selected will be subject to annual review.  This will be carried out by nominated representatives of the ABS/BAPRAS training interface group, and based on reports from the trainees, regional training committees, and on evidence of sustained workload, case mix, and national data submission.

Reports of the Specialty Training Committees (STCs), and trainee’s evaluations, where available.

NHSBSP and BCCOM data.

Hospital activity data.