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Position:
Breast Surgical Fellowship
Level:
Second Year (x 2 positions)
Location:
Westmead Hospital (WMH), Cnr Hawksbury and Darcy Road, Westmead, NSW;
Mt Druitt Hospital, Railway Street, Mt Druitt;
Lakeview Private Hospital, 17 - 19 Solent Circuit, NorWest
Contact:
Dr James French
Contact:
The position offers excellent training in all aspects of breast disease management in a multidisciplinary environment and involve working closely with four specialist breast oncoplastic surgeons in a high volume public hospital unit as well as providing great research opportunities, assisting in private hospitals and the potential to be involved in Breast Screen assessment clinics. You will work alongside an international fellow and need to be able to work well with the training registrar and junior medical officers.
The BCI across the three teams typically manages upward of 400 new cancer / DCIS patients / year.
The operative experience will include a full range of breast surgical procedures for benign and malignant breast disease, including skin and nipple sparing mastectomies with immediate implant based reconstruction, skin reducing mastectomies with DTI or insertion of tissue expanders and simple mastectomy.
The majority of patients are managed via breast-conserving surgery. There is opportunity to learn skills in breast re-shaping operations such Benelli mammoplasty and therapeutic Wise pattern mammoplasty and volume replacement procedures such as LICAP flaps. Extensive experience will be gained in sentinel node biopsy including internal mammary node dissection, as well as axillary dissection. Other procedures in which the fellows will be able to gain experience in include; lipofilling and NAC reconstruction.
The fellow will have an opportunity to learn clinician lead ultrasound examination, VACB biopsies (if wanted) and to maintain skills in thyroid surgery and some general surgery.
The Fellow will be ‘first on call’ for general surgery typically no more than one night per week and up to 10 weekend days each year.
A standard week would involve 1-2 days of operating and 3 multidisciplinary team meeting clinics as well as 3 busy follow-up clinics and a benign breast disease clinic. There are weekly educational tumour board meetings as well as monthly audit meetings and surgical grand rounds.
The BCI has an active research program in many areas of patient care, and an extensive database is available for clinical research activities. The successful candidate will be provided with protected time for research purposes, with a realistic expectation that this will result in a publication and or a presentation at a major breast meeting.
Unit Consultants
A/Prof James French, Head of Breast Surgery
A/Prof Farid Meybodi
Prof Elisabeth Elder, Head of Research
Dr Jeremy Hsu
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Hospital culture is one of respect and professionalism |
YES |
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A published and accessible complaint management process |
YES |
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Computer facilities / IT support |
YES |
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Private Study Areas |
YES |
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General hospital educational activities |
YES |
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Regular supervision, assessment, and feedback to PFT/s |
YES |
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Safe hours practised |
YES |
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Access to external education activities for PFT/s |
YES |
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Credentialed specialist surgical staff committed to assist surgical training of BreastSurgANZ PFTs |
YES |
Breast Oncoplastic Surgery:
Upward of 100 cases
Breast Reconstruction Surgery:
30 cases
General and Other Surgery:
On call for general surgery 1 day per fortnight.
Breakdown of hours:
2 or 3 operating sessions per week. 3 busy MDT meetings per week. 1/2 of protected research time. 3 follow up clinics / week
Private Consulting:
Nil
MDT:
3 x weekly
Academic & Research:
Opportunity / expectation to produce an academic paper and or meeting presentation
Funded:
1 year FTE role commencing early February 2026
Salary:
Will be a Full Time equivalent to Senior Registrar salary (or greater) and minimum salary package and requirements and conditions as requested by law in the Hospital jurisdiction will apply
Further Information:
Wide of simple breast conserving surgery + level I + level II procedures. Volume replacement surgery, perforator flaps + immediate and delayed fat grafting. Nipple and skin sparing mastectomy with immediate reconstruction with both implants and DIEP flaps done in conjunction with plastic surgeons. The position requires a highly motivated, hard working fellow who is keen to learn advanced oncoplastic breast surgery, who works well in a multi-disciplinary setting.
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