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Lower limb Reconstructive Microsurgery Fellow

Swansea Bay University Health Board
Negotiable £33,883 to £53,276 per annum
Closing date
27 May 2022

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Hospital, Plastic surgery
Career Level
Contract Type
Fixed Contract
Full Time
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The post is joining a dynamic team of specialist plastic surgeons, delivering high quality orthoplastic care for extremity trauma part of the South Wales Trauma Network . Candidates to assist delivery of high quality orthoplastic service. The post aims to provide post FRCS Plast (or equivalent) specialist training & experience in lower limb reconstruction and plastic major trauma. The Welsh Centre for Burns & Plastic Surgery based at Morriston Hospital, provides outreach services to nearly all acute hospitals in South Wales serving a population of 2.3M. Since establishment of the SWTN and The Welsh Major Trauma Centre at the University Hospital of Wales in September 2020, the WCBPS is instrumental in providing the 8am to 8pm weekday cover for major and lower limb trauma at the MTC in Cardiff. Lower Limb service is a rapidly expanding service undertaking combined orthoplastic lower limb reconstruction at Morriston Hospital following transfer of stabilised patients. Our orthoplastic team manages circa 120 open lower limb fractures per year requiring soft tissue reconstruction, mostly with free tissue transfer. We 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. There is potential for the fellow to participate in other microsurgical cases when available according to learning needs.

Main duties of the job

  • Supporting the current orthoplastic service across the SWTN in attaining BOAST 4 compliance.
  • Heavily involved in the MDT management of open lower limb trauma - including management decisions as part of the MDT, complex surgical planning of the primary and definitive procedures, carrying out the primary and definitive surgeries with members of the orthoplastic team.
  • Attend regular orthoplastic MDT clinics and MDT's for the management and follow up of acute and chronic lower limb conditions.
  • The candidate will work in a multi-disciplinary team approach alongside medical staff, nurse practitioners, and allied health professionals.
  • The post holder will be encouraged to partake in departmental research and teaching during their time in the department.

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.

About us

We believe staff are our best asset and we want you to be happy and confident about starting your career here in Swansea Bay University Health Board. As one of the biggest healthcare groups in the UK we can offer a wealth of professional training and development opportunities in an innovative, forward-thinking organisation.

You might be a nurse or doctor, maybe you specialise in a health science/therapy or can offer skills in one of our support services - we have a job for you. There are also apprenticeships, work placements and volunteering roles available.

We are an inclusive employer and welcome applications from everyone whatever their sex; religion or belief; race; age; sexual orientation; gender identity or, whether they are pregnant or have recently been on maternity leave, married or are in a civil partnership; or, whether they are disabled.

Our values - Caring For Each Other, Working Together and Always Improving, show that our commitment to equality is at the heart of everything we do. If you want excellent career and training opportunities while living on the doorstep of some of Europe's most spectacular scenery, with all the benefits of a thriving and cosmopolitan city - look no further.

Job description
Job responsibilities

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.


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 post-traumatic 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 principles of ATLS and ETC, Damage control surgery, traumatic wound debridement, advanced reconstructive techniques (inc free tissue transfer)

- Primary Lower Limb Surgery: Understanding how to revascularise the traumatised limb, Ortho-plastic excision of devitalised tissue, grading of the open fractures, temporary stabilisation of bone injury, temporary management of the wound, primary amputation, advanced reconstructive techniques (including free tissue transfer); when indicated in primary surgery.

- Secondary Lower Limb Surgery: Ortho-plastic wound management, definitive fixation and soft tissue coverage using advanced reconstructive techniques (including free tissue transfer), the staged management of fracture related infection and osteomyelitis after MDT discussions, revision of lower limb reconstructions.

You will actively participate in the training and supervision of junior doctors and medical students through formal and informal teaching and training opportunities.

You will be expected to participate in the management, development and modernisation of the service and to support colleagues in meeting training obligations.

Person Specification

  • MRCS or equivalent
  • Relevant experience
  • Intention of Career Path in Plastic Surgery


  • Higher Professional Qualification (or part)
  • Relevant Experience in Plastic Surgery at SpR level


  • commitment to continuation education and development


  • publication in relevant journal

BMJRef: BMJ-77785/130-20491947-0522


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