Core surgical training (HEKSS)

Our plastic surgery team is one of the largest in the country and generates a significant part of the surgical activity within the trust.

We have particular expertise in:

  • Breast surgery
  • Burns
  • Hand surgery, including rheumatoid and osteoarthritis, nerve compression and Dupuytren’s contracture.
  • Lower limb and general plastics – Lower limb surgery involves both elective and post traumatic limb reconstruction.  We look after a range of patients with lower limb injuries across the Kent, Surrey and Sussex region including elderly patients with pretibial skin loss, open lower limb fractures, patients with infected or exposed joint prostheses and amputees requiring stump adjustments and revisions.  A wide variety of reconstructive techniques are employed in treating these problems from simple wound debridements to free tissue transfers.  A joint orthopaedic and plastic surgery clinic is run monthly for complex cases.
  • Skin cancer
  • Trauma – QVH accepts referrals for plastic surgery trauma (facial, hand, lower limb, burns) from across the Kent, Surrey and Sussex region.  We have a daily trauma clinic and an extensively used telemedicine service to evaluate and accept referrals.  QVH also has daily CEPOD lists, a dedicated hand trauma list daily Monday to Friday and a dedicated trauma outreach service and operating list for elderly patients with lower limb trauma.

Head and neck surgery is no longer part of the plastic surgery rota as the majority of head and neck surgery is undertaken by the Oral and Maxillofacial surgery Department.   However, there are opportunities for trainees to liaise with the maxillofacial consultants to gain experience in this area and for teaching.  The same opportunities exist with regard to maxillofacial trauma.

Grade:  CT2

Type of Work: The successful applicant will be exposed to elective and emergency plastic surgery patients and will gain experience in how to approach clinical situations in plastic surgery starting from the initial consultant, making the diagnosis, to clerking and preparing the patients for theatre, post-operative management and short, medium and long term follow-up in outpatient clinics.

Name of the position and work needing to be done: Experience will be gained in handling of tissue and managing wounds as well as performing basic plastic surgical procedures particularly in wound debridement and coverage and in hand trauma.  There will be exposure to the team approach within the specialty as well as on multi-disciplinary teams.  This will include attending specialist clinics, assisting in theatre and liaising with other specialities.

Qualifications and professional registration required:

  • MBBS or equivalent medical degree
  • Level 2 or above at trainee/CT equivalent training
  • GMC registration

Anticipated duration of programme: In blocks of six or 12 months. Commencement dates February and August Standard rotation details. The rota is EWTD compliant with registrar support at all times

Clinical lead: Mr Mark Pickford

Outcome of trainee programme i.e. core competencies

Trainees are required to have satisfactorily completed the curriculum requirements as assessed by the annual review of competence progression panel (ARCP).