This one-year Fellowship has been accredited by the Royal College of Surgeons as one of their National Surgical Fellowships. It is designed to provide skills and competencies above and beyond that currently required to obtain a CCT in Orthopaedics and Trauma. It affords an excellent training opportunity in the whole spectrum of modern hip surgery. We see young adult patients with impingement and labral pathology, and are actively involved in the FASHIoN trial and the Non Arthroplasty Hip Register. We manage complex primary arthroplasties and revisions, and have a dedicated periprosthetic fracture service. Our previous fellows have all gone on to consultant appointment.
The programme has been designed to include a supervised new patient hip clinic, and operating theatre sessions with exposure to open and arthroscopic surgery. It is supported by educational meetings and relevant research. The timetable is predominantly supervised, but there is also opportunity for regular independent operating.
The position affords excellent training opportunities in the whole spectrum of Hip Surgery. The timetable has been prepared to ensure maximum exposure to Outpatient and Operating Theatre Sessions. There is also scope for research.
To gain experience in the management of elective and emergency orthopaedic hip cases.
To develop skills in all aspects of modern hip surgery - young adult hip surgery (including open and arthroscopic impingement surgery) and revision hip surgery.
To develop knowledge, leadership qualities, attitudes and communication skills relating to the multidisciplinary management of hip conditions.
The training plan and curriculum have been developed to build on the skills learnt to achieve the Certificate of Completion of Training, to develop the skills necessary to confidently take up a consultant hip surgeon appointment and drive the service changes necessary in a rapidly changing health service.
The content of training builds on that already achieved at Completion of Core Training. There is a combination of direct supervision and independent work under weekly review. The work load would encompass regular theatre session and clinics, and weekly meetings to review cases. There is ample opportunity for research and projects to improve both clinical care and service delivery.
Generic "core" training goals include professional development, management of common clinical presentations, and clinical research. Multiple training formats include supervised clinical experience, case presentations at weekly arthroplasty meetings, weekly ward rounds, monthly clinical case conferences, participation in collaborative research projects, and teaching/supervising of more junior trainees. Fellows receive more specialized training and function in a more independent capacity than specialist registrars. The training focus includes preparation for supervision and teaching, project development and leadership skills, and consolidation and application of skills gained during specialist registrar training.
Clinical instruction occurs through individual supervision with three clinical trainers, clinics, conferences, and day-to-day collaboration with senior staff members. Supervision is provided on-site at the Frimley Park Hospital and community clinics. The supervisor has professional responsibility for all services provided to patients. All supervision is aimed at simultaneously helping the Fellow develop high levels of specialty skills and knowledge while providing patients with excellent clinical service.
Didactics include weekly case presentations. Teaching experience is available through lectures to the extended orthopaedic team.
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