Sir Charles Gairdner Hospital is a tertiary teaching hospital housing state cancer services. The Breast Centre manages around 1300 new breast cases which include 450+ new breast cancers per year. There are five surgeons in the unit who work closely with the Department of Plastic Surgery. There is exposure to high volume breast surgery where trainees can run independent operating lists. Prosthesis based reconstruction with in-cooperation of fat graft and contour remodelling is also performed. Oncoplastic exposure include therapeutic mammoplasty and contralateral symmetrising procedures. i.e. mastopexy/lift or reduction mammoplasties. The flap based reconstructions are performed in association with the Plastic Surgical unit.
The unit provides comprehensive multidisciplinary care with weekly multidisciplinary meetings and fortnightly combined breast pathology, radiology and surgery meetings. There are two high risk clinics and an excellent radiology service providing MRI, PET, ROLL in addition to wire localisation. The Breast Centre is also attached to Breast Screen WA with assessment clinics managing over 1500 cases per year. We actively participate in research and clinical trials in association with our multidisciplinary team.
There is a general surgery on-call commitment, once a week and one in four weekends, with the participation of the Fellow being that of a junior consultant.
There are a total of ten clinics and 4-5 theatre lists in an average week. The Fellow is expected to conduct daily ward rounds with junior staff (including advanced trainees in General Surgery) and be involved with designated teaching. A completed research with the aim of publication in peer-reviewed journals and presenting papers at national/international meetings is highly recommended. The fellow will also have the opportunity to be actively involved in the state-wide based journal club which meets four times a year.
The positions is a fully funded public position at Senior Registrar level.
|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:
Yes (about 120 - not stratified to Level 1 &. 2)
Breast Reconstruction Surgery:
Yes (50 - 80)
General and Other Surgery:
Yes (average 100 including Laparotomy, Colectomy, small bowel resection, Cholecystectomy, Appendectomy, Hernias)
Breakdown of hours:
10 outpatient clinics a week; 25 theatre lists a month; On Call: every Thursday, Monday once per month; one weekend every 4 months
Yes (every week on Fridays except on public holidays)
Academic & Research:
Yes (Trainees have opportunities for grants, research/audits and are expected a minimum of one publication; statistician available)
1 year FTE role commencing February 2023
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
- Designated junior teaching commitments are present - Presentations at the Breast Journal Club of WA four times a year(encompassing all breast surgeons and post graduate breast trainees of WA) - Breast MDTJournal Club presentation every fortnight at SCGH (rotated between radiology, pathology, oncology, surgery) - Responsible for the oversight of weekly Breast MDT Candidates should be committed to a high case load, both clinic and theatre. The breast team participates in the General Surgery roster and are expected to carry out general surgery work with tertiary sub-specialty units available for advice and taking over of complex cases. ** The hospital does not provide leave cover for the Breast Unit as we are the only unit in the hospital with two fellows. As such, any kind of leave at the same time is not encouraged where possible; entire clinic and theatre workload re-arrangement at short notice is difficult to be accommodated. ** Candidates are given the opportunity to plan their appropriate leaves upfront in the beginning of the term so that appropriate unit workload can be managed.