This post is intended for surgical trainees who wish to obtain experience in and exposure to specialist surgical oncology, specifically surgery for soft tissue sarcoma and advanced melanoma. The successful applicant will work on the Soft Tissue Sarcoma (STS) and malignant melanoma (MM) units at The Royal Marsden Hospital.
Approximately eight hundred new cases of STS are referred to the RMH every year and are treated by a multidisciplinary team. All new cases are reviewed at a weekly multidisciplinary meeting where management is discussed. This provides the Fellow with an unparalleled experience. Surgical management includes soft tissue tumours of the limbs and limb girdle, intra-abdominal and trunk. About 5% of these patients will require reconstruction of skin and soft tissue. There will be opportunities for clinical research and the preparation of papers for presentation and publication.
Similarly, there is a multidisciplinary team handling patients with malignant melanoma. There will be ample opportunities to learn techniques of lymph node dissection, isolated limb perfusion and laser vapourisation of in-transit metastatic melanoma.
Main duties of the job
The successful applicant will be in day-to-day administrative and clinical charge of the unit working with another senior clinical fellow, a Senior House Officer on rotation from a Basic Surgical Training Rotation, and a shared SHO at the Sutton branch. At any one time there are likely to be about fifteen inpatients between both sites. The Clinical Fellow is principally responsible for the daily management of all in-patients.
The unit has three all-day theatre lists a week at both sites of the hospital (Fulham Road and Sutton) as well as a minor list on alternating Mondays at the Sutton branch. The clinical fellow will be expected to attend lists at both sites, and internal arrangements are made between the senior clinical fellows to ensure appropriate and fair exposure to surgical procedures. A typical all-day list will involve surgery on about 5–7 cases with about 50% of cases being sarcoma, 30% melanoma and 20% benign cases. Major surgery requiring postoperative care in CCU is undertaken at Fulham Road and intermediate and minor surgery at the Sutton site.
The fellow will be expected to have a lead role in the organization and running of the diagnostic service. This entails triage of referrals, running the diagnostic clinic with the consultant staff, covering the resultant telephone follow-up clinic, and attending allied major and minor operating lists. There is firm and institutional support for the development and service improvement.
Qualifications
* Eligible for Registration with the GMC
* BSc or other related degrees/qualifications
* MRCS/FRCS or equivalent
Experience
* Completed ST5+ or equivalent
* Surgical experience in sarcoma and melanoma
Skills
* Competent to work without direct supervision where appropriate
* Clear logical thinking, showing an analytical approach
* Appropriate level of clinical and scientific knowledge
* Shows awareness of own limitations
* Demonstrates breadth of experience and awareness in and outside of the specialty
Other Requirements
* Ability to organise oneself and own work
* Interpersonal skills
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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