Adult Neurosurgery Spinal Fellowship

5 months ago

Leeds, United Kingdom Leeds Teaching Hospitals Full time

The Departments of Neurosurgery and the Integrated Spinal Service provide a comprehensive neurosurgical and spinal surgery service to the 2.5 million people of West and North Yorkshire. The Departments are housed within the Jubilee Wing of the General Infirmary at Leeds. The Departments have 68 adult beds in two dedicated wards with an additional 7 bedded dedicated Neuro-intensive Care Unit as well as a 7 bedded dedicated High Dependency Unit. There are four adult operating theatres including one dedicated to emergency surgery 24 hours per day.

There are separate beds, operating theatres, and intensive care facilities for Paediatric Neurosurgery. The integrated spinal service offers all aspects of spinal surgery and is made up of 4 Neurosurgical and 8 Spinal Orthopaedic Consultants. The surgical services within the CSU have close links with the other neuroscience specialties that are all on site including Neuroradiology, Neurology, Neuroanaesthetists and Neurophysiology. The Neuro-pathology department for Yorkshire is now based at St Jamess hospital but continues to provide a full histological and post-mortem service including facilities for inter-operative histopathology.

The Neuro Radiology Department is based at the Leeds General Infirmary and comprises 7 Consultants, three of whom provide Endovascular services. The General Infirmary at Leeds is a level 1 trauma unit (MTC status) and there are close links with other associated surgical specialties including trauma, maxillofacial, plastics, cardiothoracic and ENT surgery. The department's work has continued to increase over the past years. The current caseload is some 3000 inpatients per year and approximately 2000 operative cases per year.

The Centre for Neurosciences in Leeds provides world class adult Neurosurgical and Orthopaedic spinal care. The service is consultant led and delivered through dedicated subspecialty services. The spinal services have very strong links with Neurology, Neuroradiology, Neuropathology, and Leeds University. As would be expected, to support spinal surgery, all the theatres have BrainLAB neuronavigation, CUSA, Sonopet, Zeiss microscopes (including navigated), X-ray support, intra-operative frozen section, and intra-operative ultrasound.

All patients are discussed in a weekly MDT that conforms to the BASS standards and all patients are entered into the National Spinal Database. The Neurosurgical Spine consultants (Mr Pal, Mr Derham, Mr Selvanathan, and Mr Sinha, and Mr Kellet) integrate with the Spinal Orthopaedic consultant team (Mr Gummerson, Mr Rao, Mr Khan, Mr Rudol, Mr Loughenbury, Mr Borse, and Mr Dunsmuir) and run a combined on-call rota. There is a designated specialist Cervical Spine MDT clinic which runs on a weekly basis. All patients undergoing operative intervention are discussed at a weekly Neurosurgical spine and Spinal MDT.

All aspects of Spinal surgery are offered within the department. The department currently supports 3 fellowship posts in spinal surgery including the Stryker Industry Fellowship and the National Spinal Fellowship. This new fellowship post is intended to allow an experienced trainee, from a Neurosurgical background and peri-CCT the opportunity to gain more experience over a one-year period in this sub-specialty within spinal surgery with a specific interest in craniocervical and intramedullary microsurgery. It is expected that sufficient experience will be obtained from this fellowship to allow a successful fellow to offer themselves for appointment to a consultant position involving a substantial commitment to this specialist area of surgery.

It is expected that through the fellowship program, experience is gained in the assessment, investigation and operative management of patients presenting with both acute and elective complex spinal pathology. It is also expected that the Fellow will gain experience in the management of degenerative, neoplastic, infective, and traumatic disorders of the spine. The Fellow will be expected to perform most of the complex spinal cases (depending on their level of experience) and will be trained in techniques including complex cranio-cervical junction and sub-axial spine reconstruction, microsurgical techniques in relation to the spinal cord, mínimally invasive techniques (MIS, Vertebroplasty, XLIF), and spinal fusion techniques. Participation in a weekly Spinal MDT consisting of Neurosurgeons and Spinal Orthopaedic surgeons, Radiologists, and specialist nurses will be expected.

There are very strong links with Leeds University and local brain tumour charities. There is a dedicated Spinal Research Nurse. THE LEEDS WAY VALUES Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work.

**Our five values are**: Patient-centred Collaborative Fair Accountable Empowered All our actions and endeavours

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