Dear Colleagues
As promised there has been considerable ongoing negotiation whilst the SAC in Plastic Surgery withdrew its support for the Breast Interface Group as a result of well documented grievances.
Today I met along with the following:-
Davinder Sandhu - Lead Postgraduate Dean for TIG fellowships
Graeme Perks - President BAPRAS
Kieran Horgan - President ABS
Sallie Nicholas - Lead for JCST
Anne Tansley - current Chair Breast TIG group
Chris Caddy - past Chair Breast TIG group
Gareth Griffiths - Chair General Surgery SAC
I am delighted to say that there was an extremely helpful and constructive dialogue.
To summarise:-
1) The recruitment round for the Breast fellowships will go ahead in 2014.
2) Three slots will be reserved for Plastic Surgery trainees, 3 slots for General Surgery trainees and 3 slots for those based on merit from either specialty in 2014.
3) BAPRAS and ABS will meet early in 2014 to discuss exactly what the NHS requires in terms of a Breast Surgeon and a Breast Surgery Unit. My line in the sand is that any Plastic Surgery trainee who does one of these fellowships must be eligible for any Oncoplastic Consultant post if not involving General Surgery on-call.
4) Once the above in (3) has been decided myself and Gareth Griffiths will set about getting a joint curriculum to be approved by the GMC
5) There will be much tighter entry and exit criteria for the fellowships that will be individualised to either specialty. PLASTA members must not think of this fellowship as a microsurgical finishing school as it most definitely will not be for that as it will be expected Plastic Surgery trainees will concentrate on ablative techniques/clinics. If you wish to bring your microsurgery skills to an expert level then you will need to do another fellowship for that.
6) To ease planning of fellowships from 2015 onwards there will be proleptic appointments at least a year in advance. The current system is designed for trainees to sit the exam at the start of ST7 to allow you 2 years to concentrate on whatever sub-specialty you seek to follow. There is then sufficient time for you to do a TIG fellowship, a further fellowship in microsurgery whether that be in the UK or abroad and still get all your CCT indicative logbook numbers. Please remember the TIG fellowship as long as you start it even one day before your CCT will then automatically put your CCT back to the end of your TIG fellowship i.e. you can effectively extend your training by one year.
7) There will be a portfolio station to take into account your achievements in Breast Surgery from 2014 onwards
8) There will be longlisting from 2014 onwards so as to ensure no-one slips through the net
9) There will be equality of questions between ablation and reconstruction from 2014 onwards - I personally will have a final say on the questions used to ensure fair play.
10) BAPRAS and ABS will set up early in 2014 a joint meeting for members of PLASTA and the Mammary Fold at which it will be discussed what is expected for these fellowships in terms of papers, presentations, research etc How the interview process will run and what is expected of you in the fellowships. Anyone considering applying in 2014 or even in the future must attend so as to get the best careers advice available.
The rest as they say is up to you as the trainees. The trainers have worked hard to get to this stage on your behalf.
I was ably assisted today by Chris Caddy, Steve McCulley, Iain MacKay, Joe O'Donoghue and Simon Wood for which I am most grateful. I am obviously not a Breast Surgeon but in the first instance I suggest any career advice as regards Breast Surgery should go through these 5 Consultants as they are intimately involved in the Breast TIG process and they are keen to assist.
I would be delighted to discuss at the BAPRAS meeting in Dublin if there was a need to do so but I cannot reiterate enough it is now time for Plastic Surgery trainees in the UK to step up to the plate and apply for these fellowships if they are to be taken seriously as Breast Surgeons of the future and indeed for Plastic Surgery to be even involved in the sub-specialty - in essence I am looking for the next generation of leaders within our specialty to ensure Plastic Surgery maintains a foothold in this fascinating sub-specialty.
For those of you more interested in Head & Neck no planned date for a meeting has yet been set but it is likely to be Jan/Feb 14 and I fully expect to have a similar positive outcome.
Regards
Aidan Fitzgerald