Applications are welcomed for the Senior Clinical Fellow post in Neuro-Oncology at King's College Hospital NHS Foundation Trust, from February 2021 for 12 months. To have a thorough understanding of the possible postoperative pituitary endocrine emergencies and their management. These fellowships include pediatric neurosurgery, trauma/neurocritical care, functional and stereotactic surgery, surgical neuro- oncology, radiosurgery, neurovascular surgery, skull-base surgery, peripheral nerve and complex spinal surgery. Be able to safely perform the endoscopic transsphenoidal approach and resect a pituitary adenoma without significant assistance. The post-holder is competent in decision making regarding the ITU management of severe TBI including liaison with allied acute specialties including Trauma Surgery, ENT, Maxillo-Facial Surgery, Plastic Surgery ITU and Anaesthetics. 5  x  x Neither agree nor disagree | I contributed keeping information centralised and available to all the members of the team by building a customised internal database, which I have now also adapted and improved for my current position as an epilepsy fellow; I contributed to the imaging and neuropsychological planning of surgeries by building exhaustive 3D segmentation models of specific tumours and nearby structures, and by liaising with the speech and language therapists in the selection of tests to administer to patients with tumours in eloquent areas, according to the tumours’ locations and networks involved. I also got exposure to the use of O-arm. How would you rate the Fellowship post overall, from 1-5? Fellows will acquire an in-depth knowledge of skull base anatomy, lesions, and their management while participating in the evaluation, operation, and follow-up care of all patients in the service. Neurosurgery is a medical discipline specializing in the operative and nonoperative management, prevention, diagnosis, evaluation, treatment, critical care and rehabilitation of disorders that affect the central, peripheral and autonomic nervous systems including their supporting structures and vascular supply and the operative and nonoperative management of pain. ", Endoscopic Pituitary and Skull Base Fellowship,King's College Hospital, London, August 2015 - July 2016, Current (January 2018) post: Locum Consultant Neurosurgeon, King’s College Hospital, "The post provides exposure to all aspects of Skull Base Surgery (anterior, lateral and posterior) as well as endoscopic procedures. Competence in intra-operative MRI scanning. Neurosurgery Residency. This allows JCFs to spend four months each in neurosurgery, trauma surgery, and orthospinal surgery. Our faculty are at the heart of what we do. Ability to work within a multidisciplinary setting, and safely and appropriately manage skull base and pituitary pathologies, operatively and non-operatively. Craniotomy for low-grade gliomas: Total: 14; Performed: 7 Much of our paediatric neurosurgery operating involves 2 consultants because it is very super-specialist operating. 1 Disagree | The Cleveland Clinic Department of Neurosurgery offers a one-year fellowship position in Stereotactic and Functional Neurosurgery. Transsphenoidal resection of tumour/cyst – 10 to 20; Expanded endonasal approach (meningioma/chordoma/etc) – 2 to 5; Anterior circulation aneurysm clipping – 1 to 5; Percutaneous trigeminal rhizotomy – 5 to 10; Understanding of the holistic management of skull base and pituitary patients - both surgical and non-surgical. “Previous fellows have been able to perform 40+ endoscopic transsphenoidal procedures as the primary surgeon using thus model.”, A summary of final feedback from the five most recent completing fellows providing full feedback: “I achieved all of the learning outcomes as specified in my learning agreement” Supervisor / Lead Consultant: Mr Laurence Watkins, Consultant Neurosurgeon 2 The Department of Neurosurgery at Brigham and Women’s Hospital offers four neurosurgical fellowships designed to provide intensive training in image-guided neurosurgery, pituitary disease, skull base disorders and spinal neurosurgery. Since 2008, all of our pituitaries have been performed endoscopically and as this is a two surgeon operation, my registrar is always involved with the operation, at different stages, according to his/her ability. Awake craniotomy techniques in tumours within eloquent areas: Total: 15; Performed: 4 Mostly service | Highly recommended. Able to understand basic rhinology techniques and rhinological anatomy. Learning Outcomes Strongly disagree | I would recommend this Fellowship highly to all trainees (Neurosurgery and Orthopaedics) who are thinking of specializing in spine. Neurosurgical services The UK has 34 neurosurgical units, and most are situated in major cities, so you might be limited in choice if you want to work in a rural environment. Would you recommend this post to a colleague? ", Wessex Neuro-oncological Surgery Fellowship, University Hospital Southampton NHS Trust, May 2019 – December 2019, Current post (April 2020): Locum neuro-oncology surgeon, University Hospital Wales Complete a laboratory microvascular anastomosis course. 1. 1 Oxford Neurosurgery is the only neurosurgery unit in Health Education Thames Valley.Trainees have the huge benefit of stability, and train in one hospital for eight years. Agree |  x  x  x  x The Fellow expected to perform 3-5 of these procedures as primary operating surgeon, dependent on the Fellow’s surgical experience and the location of the cavernoma within the brain. No |, Based at: King’s College Hospital NHS Trust, Approval period: October 2019 – December 2022, Supervisor / Lead Consultant: Mr Gordan Grahovac. KNI is a referral center dedicated to providing comprehensive care to our patients with the most complex neurological conditions. Have knowledge of the breadth and extent of endoscopic approaches to the skull base, in anatomical and pathological aspects. ", Imperial Skull Base Fellowship, Imperial College Healthcare NHS Trust, London, February - August 2018, Current post (April 2019): Senior Vascular and Skull Base Fellow, John Radcliffe Hospital, Oxford, "The Imperial Skull Base Fellowship was an extraordinary learning experience and I cannot recommend it highly enough. The Centre for Spinal Studies and Surgery (CSSS) is the designated regional speciality AOSpine Center for Spinal Surgery offering dedicated 24hr spinal on-call facilities. Competence in the clinical assessment, investigation and treatment of severe head injury. Current (August 2017) post: Consultant Neurosurgeon, Southmead Hospital Bristol Able to conduct neuro-vascular clinics with minimal or no supervision. Achieve full competency in the day-to-day management of elective and acute Neurovascular ward patients. Achieve full understanding of and participation in MDT working aimed at optimising patient outcomes. Mostly service | This is a unique combination in the UK. Endoscopic endonasal surgery for pituitary adenoma, craniopharyngioma and meningioma: Total: 15; Performed: 3, Endoscopic endonasal surgery for Chordoma and chondrosarcoma: Total: 3; Performed: 1, Endoscopic endonasal surgery for css leak, encephalocoele and frontal sinus abnormalities: Total: 5; Performed: 2, Endoscopic endonasal surgery for rarer tumours invading the skull base such as olfactory neuroblastoma: Total: 3; Performed: 0-1, Combined open-endoscopic operations for extensive, invasive tumours: Total: 3; Performed 0-1. Non-clinical skills are taught as well, such as clinical governance, audits, teaching activities and general NHS policies. Counselling of patients harbouring unruptured vascular pathologies – aneurysms, AVMs, cavernous malformations, dural AVFs, and provide information of risks-benefits in an unbiased way. “I achieved all of the learning outcomes as specified in my learning agreement” At present the numbers will be very low and, whilst the Fellow will get to perform part of the procedure, their role will be largely restricted to being the assistant due to the complexity of the case and the very small numbers of these cases the Consultants themselves will be performing. 3. Enter the email address which you used to register on this site (or your membership/contact number) and we'll email you a link to reset it. No |, Based at: Salford Royal NHS Foundation Trust, Supervisor / Lead Consultant: Miss Konstantina Karabatsou, Consultant Neurosurgeon & Clinical Lead for Neuro-oncology, with Mr Pietro D’Urso, Consultant Neurosurgeon, The fellow would be expected to get involved in at least 80-100 CNS tumour cases by the end of the Fellowship to allow him/her to consolidate their operative experience in CNS tumour surgery and in particular to more advance procedures, with an indicative list stated below: I had the privilege of being supervised and trained by neurosurgery consultants, Mr Phillips and Mr Tyagi, and ENT Consultants, Mr Nix and Mr Wilson, and gained satisfactory experience in this subspecialty. The Centre for Spinal Studies and Surgery (CSSS) offers a range of clinical and research spine surgery fellowships. Mostly service | Have knowledge of the breadth and extent of endoscopic surgery for complex hydrocephalus and arachnoid cysts. Patients with skull pathologies directly benefit from the efficient transfer of knowledge and hands-on teaching from highly specialized and experienced supervisors during this fellowship. Supervisor / Lead Consultant: Mr Neil Barua,  Consultant Neurosurgeon Mostly training | The fellowship supervisor Mr Grundy also has roles within the hospital management structure and national advisory bodies (including BNOS and the SBNS), allowing for an understanding of national practices and managerial experience within the role. Perform craniotomy and resection of AVM – unruptured / emobolised previously / previously treated by radiosurgery / or in combination. Strongly agree |  x  x Yes |  x  x  x  x  x They promote active participation within the Paediatric Network, arranging for me to provide regional MDT training for microbiologists and neonatologists. Management of the sequelae of subarachnoid haemorrhage including delayed cerebral ischaemia and hydrocephalus. Be able to make appropriate decisions regarding the endocrine and radiological investigation of patients with anterior skullbase tumours. I also had the opportunity to attend other skull base lists and I attended an endoscopic neurosurgery cadaveric course which was very informative. Able to understand the endoscopic management of complex hydrocephalus and arachnoid cysts, and related anatomy. During the Fellowship, attending the Endocrine-Neurosurgery joint  pituitary MDTs and clinics and Skull Base MDTs helped significantly to teach me the decision-making process in this complex field. How would you rate the Fellowship post overall, from 1-5? “I achieved all of the learning outcomes as specified in my learning agreement” At RCS, we work a diverse range of people, companies and other organisations in delivering the highest standard of surgical education. This Fellowship enabled me to acquire the skills needed to practice as a Consultant and will ensure that I am able to deliver high-quality patient-centred care to my patients. Should have completed two (at least one) departmental audits on neurooncology conditions. All of which are likely to be ‘Open’ procedures. Independently perform posterior lumbar thoracic and cervical instrumented fusion, Perform under supervision minimally invasive spine surgery, Competent to independently manage full range of spinal trauma admissions seen at a world-class Level 1 Trauma Centre, Appreciation and development of subspecialty interests within spinal surgery to include, infection, MSCC, deformity, paediatric, Development of, and towards independent practice for readiness for appointment, Manage a spinal operating list at the level expected of a day one consultant, Manage a spinal outpatient clinic at the level expected of a day one consultant, Manage a spinal MDT at the level expected of a day one consultant, Manage the unselected emergency spinal take at the level expected of a day one consultant, Manage the ward rounds and ongoing care of spinal inpatients at the level expected of a day one consultant, Anterior cervical discectomy with fusion or disc replacement including corpectomy and anterior cervical plating (Performed: 40), Posterior cervical, thoracic and lumbar decompression (Performed: 60), Posterior cervical, thoracic and lumbar fixation including antlantoaxial fusion (Performed: 40), Intradural tumour resection (Performed: 5). 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