This is a ST6+ and above fellowship. At entry to the fellowship, the Fellow will have demonstrated generic competencies in the assessment and peri-operative management of patients with Neurosurgical pathology and will be competent to support the on-call team functioning at the level of senior registrar (senior tier of the rota). Candidates of exceptional aptitude who are at an earlier stage of their career and appropriate for the first tier of the rota may also be considered on a case-by-case basis. Understanding the basics of Skull base and Neurovascular surgery are a requirement for application.
The ability to detect and manage post-operative cerebral swelling, hydrocephalus, intracranial haematomas, and intracranial sepsis, post-operative seizures, and post-operative metabolic & endocrine disorders will be required. You will become confident managing intra-operative complications such as vascular injury and post-operative complications such as tension pneumocephalus, CSF leak, facial palsy, bulbar dysfunction, cerebral venous sinus thrombosis, and brainstem injury. In addition, the fellow will have demonstrated interest and aptitude in Skull Base and Neurovascular Surgery including the multi-disciplinary management of patients with skull base pathology and Neurovascular lesions. The fellowship will provide the opportunity to work with experienced teams who are supportive and happy to share their experience and thoughts on highly complex cases.
The Fellow will participate fully in the multidisciplinary management of Skull Base and Neurovascular patients. The Fellow will develop leadership and communication skills through engagement with mentoring. For appropriately skilled and experienced candidates, there may be opportunities to "act up" as a consultant, including as part of the on-call rota, in a supportive environment. Such experience can be a vital bridge to achieving the skills, experience, and confidence when starting out as a consultant neurosurgeon.
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