Training Positions

NZ – Tauranga Hospital

Position:

Oncoplastic Breast Fellow

Level:

First Year

Location:

829 Cameron Road, Tauranga, New Zealand

Position Description

This position is at Senior Registrar level suitable for a 1st year Fellow. The position provides an excellent opportunity to gain high quality experience in advanced Oncoplastic breast surgery.

Tauranga hospital is a 349 bed hospital providing advanced oncoplastic and breast reconstructive surgery to the wider Bay of Plenty region. The Tauranga hospital breast team comprises of Peter Chin (lead surgeon), Nicola Davis and Barnaby Smith as well as a breast physician and two breast care nurses. The whole range of Oncoplastic procedures are performed by the Breast team and includes Therapeutic Mammaplasty, Breast Reduction procedures and liposuction, Chest wall Perforator flaps (LICAP, LTAP, AICAP) and advanced Fat grafting. The range of Breast Reconstructive procedures performed by the breast surgeons include Nipple sparing mastectomy and prepectoral implant reconstruction + Tiloop pocket, subpectoral implants, wise pattern mastectomy and inferior dermal flap + Implant reconstruction as well as Autologous Latissimus Dorsi Flap reconstruction supplemented by fat grafting. Complex revisional implant surgery and second stage procedures are all performed by the breast surgeons.

The breast service has a strong working relationship with two plastic surgeons who share the same junior team members in the Breast/Plastic team. Combined cases are organized with the plastic surgeons who perform immediate and delayed reconstructions with Implants and TRAMs. There will also be opportunities to operate with the plastic surgeons and gain exposure to other plastic procedures such as melanomas, skin flaps, radical neck dissections, groin dissections and fat grafting.

The Breast Unit covers a whole range of benign and malignant breast diseases as well as management of high risk family history cases. Prophylactic mastectomy and reconstructions are performed by the Breast team as well as combined autologous reconstructive cases performed in conjunction with the Plastic surgeons. The Tauranga Hospital breast team manages over 180 new cancer cases each year and provides specialized oncoplastic cover for Whakatane Hospital which deals with an additional 60 cancer cases. The Breast unit has a very collegial and progressive multidisciplinary team of specialists which includes the medical and radiation oncologists, radiologists, pathologists and allied health members. The multidisciplinary team meets weekly to discuss new cases, post-operative results and complex clinical issues.

Please note that this post has a busy acute general surgical component and the successful applicant is expected to participate in the acute general surgical registrar roster which is shared with SET and non-SET registrars. The roster involves being first on-call and include rostered evenings and weekends. The caseload includes a wide range of general surgical conditions and the Fellow will have ample opportunities to maintain his/her general surgical operating skills during the run e.g. laparotomy, bowel resections, thyroidectomy, cholecystectomy etc.. The Fellow is expected to provide leadership and be involved in the educational activities with the registrars, house officers and medical students.

The major advantage of the Fellow position at Tauranga Hospital is the opportunity to learn advance oncoplastic surgery from a highly experienced and progressive breast surgical team. Members of the breast surgical team are at the forefront of oncoplastic breast surgery in Australasia and are passionate about teaching with involvement in workshops and conferences. The Tauranga Oncoplastic Breast Course (TOBC) specifically designed for breast fellows will be held for the first time in July 2021.

Towards the end of training, the successful candidate is expected to be able to perform a wide range of Oncoplastic procedures including Therapeutic Mammaplasty and Implant reconstructions, as well as gain valuable experience in advanced procedures such as perforator flaps and fat grafting.

Tauranga Hospital is a 349 bed hospital that provides health services to the people of the Western Bay of Plenty. Although considered a secondary hospital, it provides tertiary level services in various specialties such as Breast surgery. Tauranga Hospital serves one of the fastest growing populations in the country and the campus has undergone significant development in recent years including new theatres and outpatients department. The Bay of Plenty Clinical School was set up in 2007 to provide clinical training, facilities, resources and support for clinical trials and research projects. Medical students and trainee interns from the University of Auckland are based at the clinical school for the entire year.

Applications are called from FRACS qualified doctors, who are or will be eligible for registration with the New Zealand Medical Council and have completed their advanced training in General surgery.

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

Summary Hospital Information

Breast Oncoplastic Surgery:

>100 per annum

Breast Reconstruction Surgery:

>50 per annum

General and Other Surgery:

Caseloads include elective general surgical procedures. Expected to be on-call for general surgery.

Breakdown of hours:

3 x outpatient clinics, 2 - 3 x elective operating lists; 1 x acute operating whilst on-call; 1 x acute general surgical weekday call (1600 - 2200hrs) once per week; weekend call (Sat & Sun 0600 - 2200hrs) as per registrar on call roster

Private Consulting:

Mondays in consulting rooms

MDT:

1 x breast MDT (Wed. mornings); Fellow is expected to present the cases

Academic & Research:

Research activity available

Funded:

1 year FTE role commencing early February 2022

Salary:

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

Further Information:

Tauranga is the largest city in the Bay of Plenty and the fifth largest in New Zealand. It has an urban population of 150,000 and is blessed with beautiful beaches and the seaside surf resort of Mount Maunganui. It is a highly popular holiday destination for Kiwis and has long stretches of pristine white sandy beaches with various outdoor activities on your doorstep e.g. swimming, surfing, kayaking, fishing, tramping, mountain biking and trail riding. Tauranga is also central to Auckland, Hamilton, Rotorua and the ski fields at the Tongariro National Park.

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