At the end of the fellowship, the Fellow should have the ability to provide independent surgical neuro-oncology care for the broad range of brain and spinal tumours presenting in Childhood. PBA for clipping of intracranial aneurysm. Approval period: March 2019 – May 2022 Supervise junior trainees in carrying out a craniotomy to approach an aneurysm or an AVM. Prof Dr med Andreas Raabe 1-2 years fellowship in Stereotactic and Functional Neurosurgery Awarded on a competitive basis according to clinical and academic potential for future excellence. Competence in the clinical assessment, investigation and treatment of severe head injury. If you would like to be an RCS Senior Clinical Fellow, you will need to contact the supervisor/lead consultant of the fellowship programme you are interested in. Their involvement in surgery would increase throughout the Fellowship with involvement in more complex cases once they have demonstrated suitable levels of competence. In 2019 five doctors from Oxford Neurosurgery were successful at Neurosurgery National Selection. 3 “I achieved all of the learning outcomes as specified in my learning agreement” I’ve had the opportunity to manage a plentiful range of challenging cases, develop a thorough understanding of decisions underlying management strategies and on a daily basis perform operations in state-of-the-art theatres with impressive operative adjuncts (eg. Yes |  x  x  x  x By the end of the Fellowship, we would expect the fellow to have been Lead surgeon for an absolute minimum of: Supervisor / Lead Consultant: Mr Neil L Dorward, Consultant Neurosurgeon, with Mr Hani Marcus, Consultant Neurosurgeon, Based at: Imperial College Healthcare NHS Trust, Approval period: January 2018 - March 2021, Supervisor / Lead Consultant: Mr Nigel Mendoza, Consultant Neurosurgeon, with Mr Ramesh Nair, Consultant Neurosurgeon. Perform craniotomy and evacuation of intracerebral haematoma, and clip ruptured intracranial aneurysm. How would you rate the Fellowship post overall, from 1-5? To perform independently index procedures relevant for the spinal fellowship. The speed with which they take up this new technique is very variable across trainees – some take to it like a duck to water, others are only just getting the hang of the endoscope by the end of the year. 1 This page includes a list of the Neurosurgery Fellowship programmes which have been approved under the RCS Senior Clinical Fellowship Scheme, and a gallery of recent neurosurgery fellows. Considering the invaluable clinical skills and academic experience this Fellowship provided, I believe patients will receive benefit from the level of competency I gained during my training in Leeds. Disagree | Yes |  x  x  x  x  x Able to conduct neuro-vascular clinics with minimal or no supervision. They nonetheless have a very thorough grounding in all aspects of endoscopic surgery including patient assessment and review, dealing with complications, the full breadth of surgical difficulties from simple to very complex.”, A summary of final feedback from the four most recent completing fellows Disagree | I had hands-on mentorship with abundant surgical opportunity and perpetual emphasis on further improvement, down to each micro-neurosurgical competency. In addition to the operative experience, I was supported to enhance my experience by attending various courses and conferences to get a different perspective on management of spinal disorders by various experts around the world. 5  x  x  x  x Be familiar with the complications and limitations of endoscopic anterior skullbase surgery. There is lots of complex pathology and the operative experience has been exceptional. Based at: Barking, Havering and Redbridge University Hospitals NHS Trust Craniotomy for meningioma: Total: 8; Performed: 4 3. To be able to perform DBS and spinal cord stimulation (SCS); To be able to perform Spinal Cord Stimulation; To be able to teach functional surgery at ST level. Strongly agree |  x  x  x  x NYU Langone’s Department of Neurosurgery is committed to producing the next generation of leading neurosurgeons. Understand the MDT management of patients with spinal dysraphic conditions including closure of spina bifida and management of tethering from spinal lipoma. Craniotomy for low-grade gliomas: Total: 14; Performed: 7 Be able to deal with the complications of endoscopic anterior skullbase surgery including CSF leak repair. Approval period: November 2020 - October 2023 1 Based at: Oxford University Hospitals NHS Trust, Approval period: Initially approved June 2013; reapproved December 2016; reapproved May 2020 - April 2023, Supervisor / Lead Consultant: Mr Simon Cudlip, Consultant Neurosurgeon. 1. Please indicate the balance between service and training in your clinical activities: Understanding from available literature and current guidelines with regards to rupture-risks of unruptured intracranial aneurysms and vascular malformations. Able to understand basic rhinology techniques and rhinological anatomy. I had the privilege of being supervised and trained by neurosurgery consultants, Mr Phillips and Mr Tyagi, and ENT Consultants, Mr Nix and Mr Wilson, and gained satisfactory experience in this subspecialty. Endoscopic endonasal transsphenoidal excision of pituitary adenoma, Endoscopic endonasal transsphenoidal excision of pituitary adenoma: Total: 50; Performed: 20, Expanded endoscopic endonasal approach: Total: 10; Performed: 5, Transsphenoidal repair of CSF fistula: Total: 20; Performed: 10. Please indicate the balance between service and training in your clinical activities: 5. More service than training | Agree |  x Agree | Further Information. I have had the opportunity to perform approximately 150 endoscopic and pituitary surgeries over the last year, including many extended endoscopic approaches, under expert supervision. 1 Stated learning outcomes: Based at: Neurosciences Department, King's College Hospital, London, Approval period: July 2018 - September 2021, Supervisor / Lead Consultant: Prof Keyoumars Ashkan, Lead Clinician for Neuro-Oncology, with Mr Ranj Bhangoo, Consultant Neurosurgeon, Based at: Leeds Teaching Hospitals NHS Trust, Approval period: Initially approved October 2015; reapproved March 2019 - May 2022, Supervisor / Lead Consultant: Mr Simon Thomson, Consultant Neurosurgeon and Clinical Associate Professor, with Mr John Goodden, Consultant Neurosurgeon. About equal |  x  x Overall, I provided the best care I’m capable of, both from a clinical/humane and technical/surgical viewpoints. Counselling of patients harbouring unruptured vascular pathologies – aneurysms, AVMs, cavernous malformations, dural AVFs, and provide information of risks-benefits in an unbiased way. Some will have done 10-20 cases independently. 4 Run an independent neuro-oncology surgical operating list for all common conditions. "The Fellowship provided me with excellent exposure to all aspects of spinal surgery. Much of our paediatric neurosurgery operating involves 2 consultants because it is very super-specialist operating. All this equipped me with the knowledge, skills and confidence to perform as a Consultant spinal neurosurgeon to provide the highest quality care for my patients. Ability to run clinical trials and / or lab based academic research. No |, Based at: Leeds Teaching Hospitals NHS Trust, Approval period: October 2018 - December 2021, Supervisor / Lead Consultant: Mr Kenan Deniz, Consultant Neurosurgeon, with Mr Ian Anderson, Consultant Neurosurgeon, Based at: The National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, Approval period: December 2019 - February 2021 in the first instance, Supervisor / Lead Consultant: Miss Mary Murphy, Clinical Director of Neurosurgery, with Mr Ahmed Toma, Consultant Neurosurgeon, Based at: Sheffield Teaching Hospitals NHS Foundation Trust More training than service |  x  x  x craniotomy and debulking of high grade tumour: Total: 50; Performed: 25; awake craniotomy for low grade glioma: Total: 25; Performed: 15; excision of metastases or benign tumours: Total: 30; Performed: 15; stereotactic image guided biopsy: Total: 40; Performed: 30. 3. Craniotomy for intrinsic brain tumour with intraoperative monitoring: Total: 20; Performed: 10 Should be able to carry out independently a fluoresceine -guided resection in a patient with a high grade glioma. “Previous fellows have been able to perform 40+ endoscopic transsphenoidal procedures as the primary surgeon using thus model.”, A summary of final feedback from the five most recent completing fellows providing full feedback: “I achieved all of the learning outcomes as specified in my learning agreement” Perform clipping of suitable aneurysms through minimally invasive approaches such as supra-orbital mini-craniotomy. Overall, I thoroughly recommend this fellowship", King's Neurosurgical Endoscopic Pituitary and Skull Base Fellowship, King's College Hospital NHS Foundation Trust, London, August 2016 - August 2017, Current post (November 2020): Senior Clinical Lecturer (King's College London) and Honorary Consultant Neurosurgeon - Skull Base and Pituitary Surgery (King's College Hospital, London), "This prestigious Fellowship provided me with comprehensive advanced surgical training in both anterior and lateral skull base surgery. 4. Strongly agree |  x  x  x A Junior Clinical Fellowship with Oxford Neurosurgery is more than just a job, its your best opportunity to secure your future as a neurosurgeon. The experience gained during this Fellowship enabled me to take up the post of Consultant Neurosurgeon with specialist interest in Skull Base Neurosurgery. Current (October 2017) post: Consultant Spinal Neurosurgeon, Queen Elizabeth Hospital, Birmingham During the Fellowship, attending the Endocrine-Neurosurgery joint  pituitary MDTs and clinics and Skull Base MDTs helped significantly to teach me the decision-making process in this complex field. Applying to be a Fellow Service: Training Balance Should have completed two (at least one) departmental audits on neurooncology conditions. The emphasis would be on the fellow taking a lead role in the surgery, the pre-operative preparation (consent etc) and the post-operative management for these cases … We would expect the fellow to be present for the majority of the paediatric operating cases, with a minimum presence for 2/3 cases - translating to at least 200 paediatric neurosurgery cases during their Fellowship year. Surgical Specialty Association approving: SBNS Mostly training | 11. Mostly training |  x  x Endovascular Neurosurgery Fellowship: Fellowship director is Kevin Cockroft, MD, MSc, FAANS, FACS, FAHA. How would you rate the Fellowship post overall, from 1-5? The supervising neurovascular Consultants are truly remarkable in surgical and teaching skills. Our team of world-renowned neurosurgeons uses the most advanced surgical techniques to treat brain diseases and disorders. “I achieved all of the learning outcomes as specified in my learning agreement” Have acquired the skills required to deliver shared decision-making. Service: Training Balance Mostly service | Management of the sequelae of subarachnoid haemorrhage including cranioplasty hydrocephalus. 5  x  x  x 4  x The surgical and endocrinological assessment and investigation of patients with skull base and pituitary lesions. Complete a laboratory-based microvascular anastomosis course. Their involvement in surgery would increase throughout the Fellowship with involvement in more complex cases once they have demonstrated suitable levels of competence. By using this site, you agree to its use of cookies. Perform neuro-oncological procedures with navigation, gliolan, U/S, neuro-monitoring and awake craniotomies, Assess and investigate appropriately and manage non operatively the neuro-oncological patient, Neuro-navigation-guided craniotomies: Total: 225; Performed: 175, Fluorescence-guided procedures: Total: 115; Performed: 105, Intra-operative monitoring assisted procedures: Total: 85; Performed: 70, Asleep – awake – asleep procedures: Total: 25; Performed: 20, Ultrasound-guided procedures: Total: 75; Performed: 65, Stealth-guided biopsies: Total: 35; Performed: 15, Transcranial Magnetic Stimulation guided procedures: Total: 45; Performed: 30, Endoscopic Third Ventriculostomies: Total: 4; Performed: 2, Ventriculo-Peritoneal Shunts: Total: 20; Performed: 15, Supratentorial Craniotomies: Total: 190; Performed: 150, Infratentorial Craniotomies: Total: 55; Performed: 45. 2. Pineal surgery approaches: Total: 1-2; Performed: 0 Ability to effectively deal with intra-operative / post-operative complications, e.g. Completion of a relevant research project in the field of functional neurosurgery and presentation at a national conference. Mostly service | Ability to manage patients with brain tumours independently, thus able to take up independent consultant subspeciality practice. The post-holder develops outstanding communication skills. Neurosurgical services The UK has 34 neurosurgical units, and most are situated in major cities, so you might be limited in choice if you want to work in a rural environment. Ability to do MDT administration and delivery for tertiary referrals. Apart from performing a large number of neurovascular operations under experienced senior guidance, I was encouraged and supported to get involved and present in subspecialty conferences, and in departmental teaching, audit, research and clinical governance. How would you rate the Fellowship post overall, from 1-5? Neither agree nor disagree | Knowledge and understanding: Understands the anatomic and physiologic substrates of movement disorders, pain, spasticity and epilepsy, science behind Neuromodulation for movement disorders and pain, understands epilepsy networks. Approval period: August 2020 - July 2023 In collaboration with Leeds University and with support of neurosurgery and ENT colleagues, I managed to establish a sponsored endoscopic hands-on cadaveric skull base course, which will be run every year at Leeds University. Ask the supervisor/lead consultant if or when there is a vacancy for a fellow. No |, Based at: National Hospital for Neurology and Neurosurgery, UCLH Foundation Trust, Surgical Specialty Association approving: SBNS, Supervisor / Lead Consultant: Prof Ludvic Zrinzo, Professor of Functional Neurosurgery. Understand the endocrine management of patients with Pituitary dysfunction. Strongly agree |  x  x Have knowledge of the breadth and extent of endoscopic surgery for complex hydrocephalus and arachnoid cysts. The fellowship improves patients’ care by training surgeons in this demanding subspecialty of neurosurgery, dedicated to the management of this rare group of tumours. 5  x  x  x  x Surgical Specialty Association approving: SBNS The fellowship supervisor Mr Grundy also has roles within the hospital management structure and national advisory bodies (including BNOS and the SBNS), allowing for an understanding of national practices and managerial experience within the role. By the end of the Fellowship, we would expect the fellow to have been Lead surgeon for an absolute minimum of: Craniotomy & excision of tumour (supratentorial or infratentorial): Total: 20-30; Performed: 5-10, Endoscopic Third Ventriculostomy: Total: 5-10; Performed: 3-5, Neonatal VP shunt insertion: Total: 15-20; Performed: 5-15, Neonatal repair of meningomyelocoele: Total: 5-10; Performed: 2-5, Single Suture procedure for craniosynostosis: Total: 20-25; Performed: 5-10, Spasticity treatment - Selective Dorsal Rhizotomy & Insertion of Intrathecal baclofen pump: Total: 20-30; Performed: 5-10. 1 150 cases: pituitary (30-40), acoustic neuroma (10-20), Skull base meningiomata (30-40), other (epidermoid cyst / cholesteatoma / craniopharyngioma / Rathke’s cyst – 10-20), Gamma Knife radiosurgery (20-30), major combined anterior fossa/orbital approaches (10). The Centre for Spinal Studies and Surgery (CSSS) offers a range of clinical and research spine surgery fellowships. We are always keen to hear from centres interested in joining our network. 2. The Yale Neurosurgery Residency Program is a 7-year program and currently accepts 2 residents per year. Learning Outcomes 3 I can't imagine more vivid pain than a Trigeminal Neuralgia patient feeling like the tip of an ice-pick is being hammered to the corner of one's teeth fifty times a day at random intervals; equally I can't imagine a more awe-inspiring view of brain than the brainstem during a Microvascular Decompression; and I can't imagine a greater privilege than the opportunity to instantly eradicate that misery, while enjoying such beautiful anatomy! (1=very poor, 5=very good) Competence in mapping techniques during tumour surgery, Enhance microsurgical & Endoscopic skills, Maximize the use of Neuronavigation & Ultrasound during tumour surgery. Ability to work within a multidisciplinary setting, and safely and appropriately manage skull base and pituitary pathologies, operatively and non-operatively. The ability to work cohesively within a team comprising neurosurgeons, ENT surgeons, Oncologists and Endocrinologists. Other rotational JCF programs are being considered. No |, Approval period: Initially approved December 2015; reapproved June 2019 - August 2022, Supervisor / Lead Consultant: Mr Nicholas Phillips, Consultant Neurosurgeon, Supervisor: “This is complex surgery in an evolving field, and not high volume surgery. Mostly training |  x Of which approx 5-10 will be minimally invasive. ", RCS Senior Clinical Fellow, Neurovascular Neurosurgery, King’s College Hospital NHS Foundation Trust, London, February 2017 to February 2018, Current post (April 2018): Consultant Neurosurgeon (Neurovascular and Skull Base), Leeds General Infirmary, "My fellowship at King’s provided me with unparalleled exposure and experience of neurovascular surgery. Practical (Clinical and Technical) Skills: Formulates sensible management plan in clinic and wards including patient selection for surgery, troubleshoots any post-operative issues, effectively participates in MDT meetings, plans surgical target using planning software, able to independently carry out the procedure. This program is CAST-accredited. Christos Anagnostopoulos  (Aug 18 - Jul 19). ", Leeds Anterior Skull Base Endoscopic Fellowship, Leeds Teaching Hospitals NHS Trust, August 2018 - August 2019, Current post (November 2019): Locum Skull Base Consultant, Aberdeen Royal Infirmary, "Leeds Anterior Skull Base Fellowship was a fundamental year in my neurosurgical training. Demonstrate experience in critical appraisal of articles submitted to peer reviewed journals. Fellowship duration: 12 months A unique feature of this fellowship is the exposure to innovative technologies in spinal surgery including robot-assisted spinal fixation and minimally invasive spinal fusion. This allows JCFs to spend four months each in neurosurgery, trauma surgery, and orthospinal surgery. ", Salford Royal Neurosurgery Spine Fellowship, October 2015 - October 2016 Atlantic Fellows Programme: Visiting Atlantic Fellow. Would you recommend this post to a colleague? 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Pathology, complex reconstructive spinal surgery in neurosurgery fellowships in uk if appropriate x would you recommend this post to a colleague,. Present at skull base disorders accreditation portal mapping techniques during tumour surgery using advanced tools! Our current fellow has Performed 126 skull base surgical approaches, expert evaluation and management. Directional electrodes, honest without medical jargon and provide necessary information as per principles of good medical....
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