This position offers excellent training in all aspects of breast disease management in a multidisciplinary environment. It involves working closely with four specialist breast surgeons in a high volume public hospital unit as well as providing great research opportunities and assistance at the private hospital (same campus) and to be involved in Breast Screen assessment clinics.
The operative experience will include a full range of breast surgical procedures for benign and malignant disease, including skin and nipple sparing mastectomies, skin reducing mastectomies with immediate implant based reconstruction and insertion of tissue expanders as well as pedicled myo-cutaneous flaps. A majority of patients with cancer are offered breast conserving treatment, including therapeutic mammoplasty and other breast re-shaping (so called oncoplastic) procedures. Extensive experience can be gained in sentinel node biopsy including internal mammary node dissection, as well as axillary dissection. All breast reconstructions are carried out by the Breast Surgeons except for micro-vascular tissue flaps performed by the Plastics Service at the Canberra Hospital and the trainee has ample opportunity to attend these.
In addition, fellows will have an opportunity to maintain skills in thyroid and parathyroid surgery. The Fellow would be first on call for general surgery no more than one night per week and weekend cover on 1:4 basis along with other Fellows (Upper GI, Colorectal and Acute Surgery) based at the Canberra Hospital. This will involve assessing, admitting, operating on and managing acute General Surgical as well as Trauma admissions. This component requires the fellow to work at the Canberra Hospital and during their on-call shifts they are supervised by the on-call General Surgeon. The position assumes experience, skill set and ability to execute these at the level of a junior Consultant surgeon at the Australasian ‘post-fellowship (FRACS)’ level in General Surgery or its equivalent.
A typical week would involve 3 days of operating and 1-2 busy outpatient clinics seeing newly diagnosed breast and General Surgical patients as well as follow ups. There are weekly Breast meetings, MDT meetings alternating with Breast Cancer Treatment Group of ACT meetings and surgical grand rounds. In addition there are weekly Surgical Audit meetings where all teams take in turn to present and discuss their morbidities and mortalities.
We offer an active research program in many areas of patient care and an extensive database available for clinical research activities. The successful candidate would be provided with protected time and experienced support for research purposes, with a realistic expectation that this would result in a publication and/or a presentation at a major breast meeting.
|Hospital culture is one of respect and professionalism||Yes|
|A published and accessible complaint management process||Yes|
|Computer facilities / IT Support||Yes|
|Private Study Areas||Yes|
|General hospital educational activities||Yes|
|Regular supervision, assessment, and feedback||Yes|
|Safe hours practised||Yes|
|Access to external education activities for Fellow||Yes|
|Credentialed and specialist surgical staff committed to assist surgical training of BreastSurgANZ Fellow||Yes|
Unit: Breast Surgery and General Surgery
Breast Surgery: the full range of breast surgery is offered: Oncoplastic (levels 1 & 2) techniques; Reduction Mammaplasties; Immediate reconstruction (direct to implant or two stage); Delayed reconstruction as well as opportunity to attend autologous free flaps
Breast Oncoplastic Surgery:
Breast Reconstruction Surgery:
General and Other Surgery:
Whole range of general surgery with special emphasis on thyroid, melanoma, sarcoma and laparoscopic general surgery as well as trauma and acute surgery
Breakdown of hours:
Average of 2 - 3 clinics per week; 4 - 5 operating sessions a week; on-call commitment 1:5 with other subspecialty
Once a week MDM discussion, two hours duration (excluding public holidays)
Academic & Research:
Fellows on the unit are expected to complete a project under supervision of one of the mentors. They are encouraged to ask and address a research/audit question to be completed by the end of their 12 months of training
1 year FTE role commencing early February 2022
will be Full time salary equivalent to Senior Registrar salary (or greater) and minimum salary package and requirements and conditions as required by law in the Hospital jurisdiction will apply