Senior Clinical Fellow in Skull Base

3 weeks ago

Bristol, United Kingdom North Bristol NHS Trust Full time

The successful applicant will be exposed to the full spectrum of endoscopic endonasal surgery with an emphasis on the expanded techniques. This will include relevant work in the sagittal and the coronal skull base with comprehensive exposure to expanded sellar and suprasellar approaches as well as the transpterygoid approaches. The surgical pathologies being treated using the expanded endoscopic endonasal and complementary open skull base approaches when applicable, will include pituitary (functional and non-functional adenomas) with an emphasis on complex adenomas; craniopharyngiomas; skull base meningiomas with a particular emphasis on tuberculum sella and planum meningiomas; chordoma and chondrosarcomas; sinonasal pathologies including esthesioneuroblastomas and adenocystic carcinomas; trigeminal schwannomas; other posterior fossa meningiomas and anterior cranio-cervical pathology. The fellow will also be exposed to complementary open anterolateral and posterior skull base approaches during the treatment of skull base and vascular pathologies

A large majority of the surgical procedures are undertaken in conjunction with the ENT skull base surgeons and the fellow will therefore, acquire an understanding of the reconstruction paradigm in endoscopic endonasal skull base surgery ranging from free grafts to pedicled nasoseptal flap and other advanced reconstruction techniques.

The fellow will provide assistance in theatre gradually assuming increasing responsibility under supervision; undertake a daily ward round and liaise with the team regarding management decisions. They will attend outpatients and the clinical meetings.

**Specific to the skull base/ pituitary service there will be**: complex endoscopic endonasal clinic (once/ month); open skull base/ vascular clinic (once/ month); joint pituitary clinic (twice/ month); post-operative sinonasal clinic (twice/ month) and fortnightly skull base/ pituitary MDT. These clinics will highlight our paradigm pertinent to the preoperative work up and postoperative care of the patients.

In addition to above, there is a daily 7.30 a.m. combined clinical and radiology meeting; a weekly general Neuro-oncology tumour MDT, weekly epilepsy and movement disorders MDT, regular journal clubs and an academic teaching program.

North Bristol NHS Trust is a progressive and ambitious teaching and research organisation, and a specialist regional centre for major trauma, neurosciences, plastics and burns, orthopaedics and renal services. With a turnover of £550m and 8,000 staff, our clinical teams have built a strong reputation for exceptional healthcare, personally delivered. Our acute services moved into the brand new, £430 million state of the art Brunel Building in May 2014 enabling us to work together to create the environment for exceptional healthcare. This 800 bed hospital at the Southmead site offers some patients single rooms with en-suite facilities, greatly improving privacy and dignity and helping to control the spread of infections but most importantly of all, enabling each patient to be treated as a person. At the heart of what we do is a caring and compassionate workforce. We treat some of the most difficult medical conditions, in an increasingly complex patient population. Our vision is to be the provider of choice for patients needing our specialist care. We want to deliver innovative services with excellent clinical outcomes in the most appropriate setting for our patients. We are committed to maintaining a culture of openness, transparency and candour in all we do and especially in the way we communicate with our patients and their families

A large majority of the surgical procedures are undertaken in conjunction with the ENT skull base surgeons and the fellow will therefore, acquire an understanding of the reconstruction paradigm in endoscopic endonasal skull base surgery ranging from free grafts to pedicled nasoseptal flap and other advanced reconstruction techniques.

The fellow will provide assistance in theatre gradually assuming increasing responsibility under supervision; undertake a daily ward round and liaise with the team regarding management decisions. They will attend outpatients and the clinical meetings.

**Specific to the skull base/ pituitary service there will be**: complex endoscopic endonasal clinic (once/ month); open skull base/ vascular clinic (once/ month); joint pituitary clinic (twice/ month); post-operative sinonasal clinic (twice/ month) and fortnightly skull base/ pituitary MDT. These clinics will highlight our paradigm pertinent to the preoperative work up and postoperative care of the patients.

In addition to above, there is a daily 7.30 a.m. combined clinical and radiology meeting; a weekly general Neuro-oncology tumour MDT, weekly epilepsy and movement disorders MDT, regular journal clubs and an academic teaching program.

The successful applicant will have the opportunity to participate in departmental teaching and would

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