It is also the best step prior to becoming a consultant. More service than training | Stated learning outcomes: Based at: The Barts Health NHS Trust, London, Supervisor / Lead Consultant: Mr Chris Uff, Consultant Neurosurgeon and Head of Departmen, with Miss Grainne McKenna, Consultant Neurosurgeon, Based at: King's College Hospital NHS Foundation Trust, 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. ", 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. Completion of a relevant research project in the field of functional neurosurgery and presentation at a national conference. Be familiar with the complications and limitations of endoscopic anterior skullbase surgery. 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. Learning Outcomes Ability to understand neuroncology and gamma knife services and to work within MDT teams. SDOPS- Competency level 3: Far lateral posterior fossa craniotomy. It is an excellent preparation for the independent work as a consultant with skull base focus. 3. Supervisor / Lead Consultant: Mr Jibril Osman-Farah, Consultant and Lead Functional Neurosurgery, with Ms. Deepti Bhargava, Consultant Functional Neurosurgeon 2. 12. Craniotomy for low-grade gliomas: Total: 14; Performed: 7 Mostly training |  x Please indicate the balance between service and training in your clinical activities: 7. Ability to safely resect pituitary functioning/non-functioning lesions using the endoscope, as lead surgeon with appropriate assistant. Both tracks are designed to refine surgical skills and clinical judgment involving complex cancer operations, and intellectual skills encompassing all aspects of cancer management (including radiation biology, pharmacology, cancer pathology, clinical immunology and tumor biology). Approval period: March 2019 – May 2023 4. The unit offers research supervision of PhDs, MDs, Masters degrees and BMedSci projects across a range of subject areas as detailed below. More service than training | More training than service |  x  x  x Yes |  x  x  x  x Decision-making about the choice of primary endocrine therapy or surgery in older women is an important challenge for women with breast cancer and is an active research interest of the group. Neither agree nor disagree | 2. Approaches to 4th ventricular tumour: Total: 2; Performed: 1 5  x  x  x  x 3. 2. Competence in awake craniotomy for eloquent lesions. (ie every case we do). Christos Anagnostopoulos  (Aug 18 - Jul 19). To perform independently index procedures relevant for the spinal fellowship. The gallery below provides information about neurosurgery fellows under the Scheme. Assessment and management of patients with facial pain. (1=very poor, 5=very good) The Section of Surgical Oncology is responsible for the care of patients requiring operative intervention for the treatment of cancer. Excision / debulking of intramedullary spinal cord lesion with intraoperative monitoring: Total: 3; Performed: 1. Please enter both an email address and a password. Surgical Specialty Association approving: SBNS Yes |  x  x  x  x  x Fellowship is open to Gynaecological Oncology trainees and subspecialists not holding permanent position, according to criteria as outlined in the ESGO Travelling Fellowship Guidelines. Much of our paediatric neurosurgery operating involves 2 consultants because it is very super-specialist operating. 4. North Bristol Surgical Neuro-Oncology Fellowship, Southmead Hospital, North Bristol NHS Trust, August 2019 - August 2020, Current post (January 2021): Paediatric Fellow in Neurosurgery, Alder Hey Hospital, Liverpool; and Paediatric and Adult Consultant Neurosurgeon, Sheffield Children’s NHS Trust & Sheffield Teaching Hospitals NHS Foundation Trust (from March 2021), "This fellowship provides vast exposure to both cranial and spinal oncological cases, ranging from high grade tumours and the incorporation of 5-ALA, to low grade insular lesions and intrinsic spinal cord tumours. Would you recommend this post to a colleague? To achieve holistic management of the brain tumour patient - both surgical and non-surgical. This will allow me to provide state-of-the-art treatments for my patients. An email has been sent to Simply follow the link provided in the email to reset your password. Demonstrate competence in endoscopic and microscopic surgical techniques. Be able to deal with the complications of endoscopic anterior skullbase surgery including CSF leak repair. Perform clipping of suitable aneurysms through minimally invasive approaches such as supra-orbital mini-craniotomy. 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. Strongly disagree | Competence in patient selection for DBS for movement disorders, Competence in stereotactic surgical planning for DBS, 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, Patient selection for functional neurosurgery procedures, Perioperative care of patients undergoing functional neurosurgery, Microvascular decompression of cranial nerves, Microvascular decompression (Performed: 15), DBS maintenance procedures (Performed: 40), 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, Perioperative care of hydrocephalus patients, Axum guided VP shunt insertion (Performed: 30), ICP insertion / interpretation (Performed: 40). More training than service |  x 3. 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. Have acquired the skills required to deliver shared decision-making. 9. 11. You must complete the process within 2hrs of receiving the link. Counselling of patients with unruptured intracranial aneurysms and vascular malformations. 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. Tumours partially compensate for this by inducing the ingrowth of new blood vessels, angiogenesis. 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, Neuro-navigation-guided craniotomies: Total: 225; Performed: 175, Fluorescence-guided procedures: Total: 115; Performed: 105, Intra-operative monitoring assisted procedures: Total: 85; Performed: 70, Asleep – awake – asleep procedures: Total: 25; Performed: 20, Ultrasound-guided procedures: Total: 75; Performed: 65, Stealth-guided biopsies: Total: 35; Performed: 15, Transcranial Magnetic Stimulation guided procedures: Total: 45; Performed: 30, Endoscopic Third Ventriculostomies: Total: 4; Performed: 2, Ventriculo-Peritoneal Shunts: Total: 20; Performed: 15, Supratentorial Craniotomies: Total: 190; Performed: 150, Infratentorial Craniotomies: Total: 55; Performed: 45. Future Fellows will hopefully be involved with more of these cases as we look to do more in Leeds. Ability to run clinical trials and / or lab based academic research. Assessment and selection of patients suitable for neuromodulation, spasticity and epilepsy 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. 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. To give Fellows the opportunity to master skull base surgical approaches, expert evaluation and peri-operative management of patients with skull base disorders. 1. They will all be exposed and be involved in, and contribute operatively to over 100 cases. This experience will greatly benefit the health care quality of my future patients. Of which the Fellow (dependent on pre-Fellowship experience and ability) expected to be primary operating surgeon for 5-7. Risk prediction tools, development of an integrated care pathway and PPI work with elderly patients undergoing emergency general surgery. “Previous fellows have been able to perform 40+ endoscopic transsphenoidal procedures as the primary surgeon using thus model.”, A summary of final feedback from the five most recent completing fellows providing full feedback: Ability to effectively deal with intra-operative / post-operative complications, e.g. Able to undertake far lateral approach for posterior fossa craniotomy with supervision. My operative experience, performed under expert supervision, in both endoscopic pituitary and skull base procedures was exceptional. “I achieved all of the learning outcomes as specified in my learning agreement” ", 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. 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. Morbidity Mortality meetings and clinics - should have at least 60 percent attendance at the MDTs. Stated learning outcomes: Number of main operations the fellow could expect to be involved in: 2 Highly recommended. 3 Disagree | Yes |  x  x  x  x  x About equal |  x  x  x Please indicate the balance between service and training in your clinical activities: 2. How would you rate the Fellowship post overall, from 1-5? 2 To have a thorough understanding of the range of interventions available for pituitary disease. (1=very poor, 5=very good) 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. 35-43 Lincoln's Inn Fields, London WC2A 3PE Evaluation of parenteral nutrition in the management of small bowel obstruction. Mostly training |  x Strongly disagree | There are also major collaborations with Queen Mary University of London, Birmingham Clinical Trials Unit and Edinburgh University. The centre enjoys the busiest pituitary practice in the United Kingdom and is very well organised, with weekly dedicated pituitary MDTs and clinics. ", Salford Royal Neurosurgery Spine Fellowship, Salford Royal Foundation Trust, October 2016 - July 2017 Learning Outcomes The consultants are very supportive and advocate a patient-centred approach. Mostly training |  x  x Surgical Specialty Association approving: SBNS Enter the email address which you used to register on this site (or your membership/contact number) and we'll email you a link to reset it. 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. Enhanced cohort analysis using an interrupted time series for investigation of treatment of rectal prolapse More training than service | 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. 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): Please note that all our recent fellows have consistently (depending on ability) clipped between 20-30 aneurysms / year, A summary of final feedback from the three most recent completing Fellows Our surgeons and staff are involved with the care of patients at the University of Kentucky Albert B. Chandler Hospital and the UK Markey Cancer Center. Gain full understanding of and participation in MDT working in order to optimise patient outcomes. Agree |  x  x  x  x Both European and non-European citizens can apply. Based at: National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, Surgical Specialty Association approving: SBNS, Supervisor / Lead Consultant: Ms Anna Miserocchi, Consultant Neurosurgeon, with Mr Andrew McEvoy, Consultant Neurosurgeon. Based at: Barts Health NHS Trust 1 Development of decision aid for treatment of large colonic polyps. There's a special joy in empowering someone to a dignified functional independence after years of social avoidance in embarrassment of their debilitating disorder, just by a precise brain-modulating intervention. (1=very poor, 5=very good) (1=very poor, 5=very good) They promote active participation within the Paediatric Network, arranging for me to provide regional MDT training for microbiologists and neonatologists. In addition the fellow would perform approximately 40 DBS generator replacements. Overall rating Please indicate the balance between service and training in your clinical activities: Be able to make appropriate decisions regarding the endocrine and radiological investigation of patients with anterior skullbase tumours. How would you rate the Fellowship post overall, from 1-5? The latter is overseen by the research lead, Professor Steve Brown who has a special interest in perianal disease and inflammatory bowel disease. 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. Surgical Specialty Association approving: SBNS I was well supported, ensuring highest quality in my subspecialty practice. Competence in management of complications of subarachnoid haemorrhage including delayed cerebral ischaemia and hydrocephalus. 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