Higher OMFS training (HEKSS)

QVH head and neck services are recognised, regionally and nationally, for the specialist expertise offered by our large consultant body. We are recognised by the Royal College of Surgeons as a training centre for head and neck surgical fellows.

QVH also has the largest maxillofacial and general prosthetics laboratory in the country which provides a wide range of support to orthodontists and to maxillofacial and plastic surgeons.

Grade: Higher specialist training (CT2-ST6)

Type of work

In this programme we adopt a variety of learning approaches. These include ward based clinical teaching, exposure to outpatients and theatres at the appropriate identified level, group learning, private study (maxillofacial StRs are timetabled for two flexible learning sessions per week), courses, reflective practice, audit projects, regular teaching specific to year and specialty, but also multi-specialty if appropriate.  Attendance at KSS STC regional teaching is also considered mandatory.   If the educational supervisor has any concerns about a trainee’s development / progress this will be raised in the first instance with the trainee and subsequently, if necessary with the Training programme Director (TPD), Mr Jeremy Collyer and the Local Faculty Group (LFG) Mr Paul Norris and then through the Local Academic Board (LAB) to the Deanery. This is to ensure that the appropriate support is provided at an early stage, as it is common for trainees to experience difficulties .Specific exam teaching and training (FRCS Maxfax) is also undertaken.

Rotation

We have five maxillofacial specialty registrars at higher level – two working with head and neck oncology, two working with facial deformity and one allocated to trauma.

Head and neck oncology

Four full time consultants with three all day lists  per week.  Opportunity to attend head and neck MDT clinic in Maidstone.  Case load approximately 50 head and neck free flaps per year.

Facial deformity

Four full time consultants with four all day lists per week. Opportunity to attend orthognathic clinic, as well as multi disciplinary facial anomalies clinic and skin MDT.  Case load approximately 80 orthognathic cases per year.   Dentoalveolar:  All consultants support dentoalveolar surgery service.  There is plenty of opportunity in clinic and theatre for training in this area.

Trauma

We run a trauma week rota for consultants, StRs are allocated to trauma in blocks to allow for fully supervised training in trauma, both in clinic and in theatre.  While allocated to the trauma block the StR still has opportunity to obtain additional exposure to deformity and head and neck oncology if trauma is quiet.

On Call: Maxillofacial StRs run a non resident on call rota – working 1:5 on call, offsite, 2nd oncall to the hospital at night team (matron, anaesthetic StR, surgical CT2).  Offsite on call is easier for StRs, less disruptive for home life and avoids undue pressure on training time.

Clinical lead: Mr John Tighe