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

Tom O´Connor

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Do you share our Health Board values; Caring for each other; Working together; Always improving? If so we would love for you to come and work for Swansea Bay University HB.


Applications are invited for the post of 'Lower limb reconstructive microsurgery fellow' to join a dynamic team of specialist plastic surgeons, delivering high quality orthoplastic care for extremity trauma as part of the South Wales Trauma Network (SWTN).

Post is fixed term for 6 months from February 2024 to August 2024.

There may be potential for the fellow to participate in other microsurgical cases when available according to learning needs.


The Welsh Centre for Burns & Plastic Surgery (WCBPS) is based at Morriston Hospital, Swansea and provides outreach services to nearly all the acute hospitals in South Wales serving a population of 2.3M people.

Since the establishment of the SWTN and The Welsh Major Trauma Centre (MTC) at the University Hospital of Wales (UHW) Cardiff in September 2020, The WCBPS has been instrumental in providing the 8am to 8pm weekday cover for major and lower limb trauma at the MTC in Cardiff.

The Lower Limb service is a rapidly expanding service that undertakes combined orthoplastic lower limb reconstruction at Morriston Hospital, Swansea following successful transfer of patients who have been stabilised at the initial injury.

Our orthoplastic team manages around open lower limb fractures per year that require soft tissue reconstruction, mostly with free tissue transfer.

The team also provide a bone infection service dealing with fracture related infection/osteomyelitis, and work in a cohesive orthoplastic MDT to provide high quality care for acute and chronic lower limb reconstructive conditions


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.


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 prin

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