Training Positions

NZ – Tauranga Hospital

Position:

Oncoplastic Breast Fellow

Level:

First Year

Location:

Tauranga Hospital, 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. This is a senior-registrar level appointment and the appointed candidate will be expected to take part in a busy registrar-level on-call roster for acute general 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 three plastic surgeons who share the same junior team members in the Breast/Plastic team. Combined cases are organised 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 specialised 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.

As 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.

Applications are open to 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.

Unit Members:
Dr Peter Chin, Breast Surgeon
Dr Nicola Davis, Breast Surgeon
Dr Barnaby Smith, Breast Surgeon
Dr Brandon Adams, Plastic Surgeon
Dr Adam Bialostocki, Plastic Surgeon
Dr Daniel Butler, Plastic Surgeon

 

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 (high caseloads of breast oncoplastic and reconstructive procedures as described)

General and Other Surgery:

Caseloads include elective general surgical procedures. The Fellow is expected to take part in a busy registrar-level on-call roster for general surgery.

Breakdown of hours:

3 x Outpatient clinics, 2 -3 x Elective Operating lists, 1x Acute operating while on call, 1x acute general surgical weekday call (1600 - 2200) once per week; weekend call (Sat & Sun 0800 - 2200hrs) as per registrar on call roster, once every 4 weeks (approximate), 1x Breast MDT Meeting (wed morning), 1x Surgical dept M&M Meeting once per month

Private Consulting:

Nil

MDT:

Weekly MDT meetings on Wed mornings. Fellow expected to present the cases.

Academic & Research:

Research activity available

Funded:

One (1) year FTE role commencing early February 2023

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:

Opportunity to join surgeons at Grace Private Hospital if there were any interesting Oncoplastic procedures. Please note that this is purely for educational purposes and is not a formal attachment or paid session. 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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