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Position:
Breast & Endocrine Surgical Fellow
Level:
Second Year
Location:
Royal Adelaide Hospital, Port Road, Adelaide;
The Queen Elizabeth Hospital, Woodville Road, Adelaide
Contact:
Dr Janne Bingham
Contact:
The Royal Adelaide Hospital Breast / Endocrine Unit is one of Australia’s most established oncoplastic breast units and the RAH Breast Fellowship is recognised nationally and internationally as a high-quality experience that will prepare surgeons for a career in oncoplastic breast and endocrine surgery.
The unit deals with approximately 250-300 newly diagnosed breast cancers per year, thus providing the Fellow ample opportunity to gain extensive experience in the management of both benign and malignant breast disease over the 12 month period.
The Unit is serviced by 5 breast surgeons , all with experience in level I and level II oncoplastic breast surgery (including skin and nipple-sparing mastectomy, DTI reconstruction (pre- and sub-pectoral implant placement), 2-stage breast reconstruction, Latissimus Dorsi flap reconstruction, therapeutic mammoplasty, perforator flap partial breast reconstruction etc.).
Unit Consultants
Dr Melissa Bochner, Head of Unit
Dr Robert Whitfield, Staff Specialist
Dr Janne Bingham, Staff Specialist
Dr Leong Tiong, Staff Specialist
Dr Arnie Nathan, Staff Specialist
Dr David Walters, Staff Specialist
| 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
|
Breast Oncoplastic Surgery:
Approx. 60 cases per annum. Wide range of oncoplastic surgery procedures offered including round block, V-mammoplasty, perforator flap partial breast reconstruction and therapeutic mammaplasty.
Breast Reconstruction Surgery:
Nipple and skin sparing mastectomy techniques offered. Implant & autologous reconstruction offered. Implant : immediate and delayed reconstruction offered. Immediate : DTI reconstruction (Pre- & sub-pectoral positioning) and 2 stage. Delayed : 2 stage sub-pectoral reconstruction offered. Autologous : LD flap reconstruction offered by breast surgeons, DIEP / TRAM service provided by plastic surgical unit.
General and Other Surgery:
The RAH breast & endocrine unit will have an ANZES fellow in 2026, therefore the majority of the endocrine surgery caseload (clinic and theatre) will be undertaken by this fellow. There will be opportunity and expectation for the BreastSurgANZ to be involved in endocrine cases when needed and when covering periods of leave. The RAH breast & endocrine unit contributes to the General Surgical on-call roster. The BreastSurgANZ fellow will be expected to contribute to this roster. The current commitment is 2 Wednesday overnight cover, and one Friday / Saturday 24hr cover per month. The BreastSurgANZ and ANZES fellows are expected to cover each others on-call commitments during periods of leave. Dr Whitfield has surgical oncology clinic each fortnight. If interested, there is scope for the BreastSurgANZ fellow to be involved with this clinic.
Breakdown of hours:
1 full day and 2 half day operating lists per week 3 outpatient clinics per week. 1 breast reconstruction clinic per month. 1 high risk clinic for gene carriers every 2 months (combined clinic with gynae oncology). Breast Screen SA clinic (1 per month). On call - 2 Wednesday nights per month, one Friday night / all day Saturday per month.
Private Consulting:
There is no expectation for the fellow to attend the surgeons private rooms or private operating lists, however all consultants are happy to have the BreastSurgANZ fellow attend their private theatre lists if there is a particular case of interes
MDT:
Weekly breast MDM on Friday 12.30-1.30pm Thyroid MDM alternate Tuesday mornings 8.30-9.30am Melanoma MDM and Sarcoma MDM (alternate weeks) if of interest to the BreastSurgANZ fellow.
Academic & Research:
RAH breast & endocrine participates in clinical trials, registries (TAD, BQA, breast device, thyroid cancer). There is ample opportunity for research for interested fellows. Monthly academic meeting (Friday am).
Funded:
1 year FTE role commencing early February 2026
Salary:
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:
Part-time research officer employed by the unit to facilitate enrolment in clinical trials and database entry. The BreastSurgANZ fellow is expected to attend theatre lists with surgical consultants (one full day and 2 half day operating lists per week). The Fellow will conduct daily ward rounds with junior staff, be involved with teaching of junior staff and conduct research with the aims of publication in peer-reviewed journals and presenting papers at national/international meetings. The Fellow will attend weekly outpatient clinics in general breast, a monthly breast reconstruction clinic and a 2-monthly high risk breast / gynae clinic. Multidisciplinary meetings for both breast (weekly) and endocrine (alternate weeks) surgery are compulsory. The Fellow is encouraged to attend multidisciplinary clinics at BreastScreen SA and attend private surgical operating theatre lists to gain experience in other areas such as aesthetic breast surgery (breast augmentation, breast reduction and mastopexy). An on-call commitment for general surgery is expected, currently 2 Wednesday nights per month and one Friday/Saturday 24 hour on-call periods per month.
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