Lower Limb Reconstructive Microsurgery Fellow - Swansea, United Kingdom - Swansea Bay University Health Board

Tom O´Connor

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We are looking for a Lower limb Reconstructive Microsurgery Fellow to join a dynamic team of specialist plastic surgeons, delivering high quality orthoplastic care for extremity trauma part of the South Wales Trauma Network.


This is a fixed term post for 6 or 12 months starting from August 202- Supporting the current orthoplastic service across the SWTN in attaining BOAST 4 compliance.


  • Heavily involved in the MDT management of open lower limb trauma including management decisions as part of the MDT, complex surgical planning of the primary and definitive procedures, carrying out the primary and definitive surgeries with members of the orthoplastic team.
  • Attend regular orthoplastic MDT clinics and MDT's for the management and follow up of acute and chronic lower limb conditions.
  • The post holder will be encouraged to partake in departmental research and teaching during their time in the department.


The post holder will be expected to work flexibly between the Major Trauma Centre in Cardiff and The WCBPS in Swansea, depending on where the training experiences are available, and will be fully supported by the current Orthoplastic team.


Swansea Bay University Health Board has responsibility for the health of around 390,000 people in the Neath Port Talbot and Swansea areas, with a budget of around £1 billion and employing 12,500 people.

We are a University Health Board working in partnership with Swansea University, Swansea School of Medicine, the School of Health Science and the Institute of Life Science.

The HB has three major hospitals providing a range of services:
Morriston and Singleton hospitals in Swansea and Neath Port Talbot hospital in Baglan, Port Talbot.


The Health Board is part of A Regional Collaboration for Health (ARCH), which is a partnership with Hywel Dda UHB and Swansea University.

Aimed at improving the wellbeing and wealth of South West Wales.

Swansea is Wales' second-largest city, and sits on the five-mile sweep of Swansea Bay. An ideal base for exploring South-West Wales, there is also much on offer for visitors in Swansea itself.

Swansea has a range of shops, cozy cafes, great restaurants, art galleries as well as being able to offer good outdoor lifestyle with its beautiful coastline and beaches on the Gower Peninsula.

Swansea also has excellent sporting facilities including the Wales National pool and liberty stadium home to the Ospreys and Swansea City football club.


The limb Reconstructive Fellow post is a fixed term post of either 6 or 12 months providing sub-specialist focused post-FRCS Plast (or equivalent) training in the management of Major Trauma and Limb reconstruction.

The aim is to equip fellows with the skills to deliver Traumatic and lower limb reconstruction at consultant level.

This post does not partake in the regular SPR on-call in Morriston, but will include 'on-calls' for lower limb cases across both sites during working hours and there will be opportunities for the fellow to cover on-call commitments to cover staff absences/leave etc if desired.

The department of plastic surgery offers a wide range of services and it may be possible to make local arrangements to gain exposure to other aspects of the service.

You will provide advice to clinicians in hospital and primary care, originating either from telephone calls, MDT discussions or ward referrals.

Ability to travel between hospital/Clinic sites will be required to undertake this post.


KEY RESPONSIBILITIES AND OBJECTIVES OF THE POST


Detailed weekly commitments will be agreed at the beginning of the post and may be negotiated locally depending on training needs.

This will include a number of Orthoplastic Trauma MDTs, outpatient clinics and theatre sessions.


Fellows will function as an integral part of the team (as dictated by skill and experience) liaising with other members of the MDT, clinicians and patients.

We would expect fellows to be involved in the majority of patient management discussions throughout the patient journey, supported by senior clinicians.

By the end of the post we would want fellows to have a highly developed understanding of:

  • MDT management of Major and Lower Limb Trauma (to include attendance in OPD of other disciplines such as orthopaedics, physiotherapy/OT and rehabilitative medicine)
  • MDT Orthoplastic OPD assessment of posttraumatic patients.
  • MDT Orthoplastic assessment/management of fracture related infection and osteomyelitis.
  • Development of a management plan appropriate to the type of trauma sustained, patient function and goals.
  • Understanding the indications for limb salvage or amputation, with Consultant supervision.
  • Trauma Surgery: Patient resuscitation according to the principles of ATLS and ETC, Damage control surgery, traumatic wound debridement, advanced reconstructive techniques (inc free tissue transfer)
  • Primary Lower Limb Surgery: Understanding how to revascularise the traumatised limb, Orthoplastic excision of devitalised tissue, g

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