Reconstructive Cosmetic Surgery
The Training Interface Group in Reconstructive Cosmetic Surgery was established to oversee and set standards for training in the interface specialties.
Aims:
- To protect the population by the ‘normalisation’ of cosmetic surgery – i.e. its practice to the same standards of governance as mainstream NHS or Private Practice;
- To inform the majority of surgeons in non cosmetic practice and enable cosmetic surgery to become a recognised part of mainstream surgical practice;
Mission Statement
To enable trainees in the interface specialties to gain the core knowledge and practical abilities in diagnosis and planning of care to meet an appropriate standard for that trainee to conduct safe and competent consultant practice in Cosmetic and Reconstructive Surgery relevant to their parent specialty within the United Kingdom and Ireland.
Responsibilities
- Setting the standards required for interface training;
- Defining the required training for each specialty committee;
- The interface training syllabus, i.e. the optional part of the curriculum;
- Undertaking with PMETB to have some recognition for these curricula and advising on the specific nature of formative and summative assessments;
- Advising and involvement with the deaneries in the quality control of training opportunities;
- To have responsibilities within the appointment of fellows, RITA and QA process.
Syllabus
The Group is in constructive discussion regarding the development of an integrated syllabus from those of all the involved specialties
Reconstructive Cosmetic Surgery Fellowships
Professor Davinder Sandhu as Lead Postgraduate Dean has been highly effective in securing recurrent funding for Reconstructive Cosmetic Surgery Training Fellowships from the Department of Health.
Concerns regarding popular perceptions of Cosmetic Surgery and its place in NHS training have been addressed. The relevance of this training to reconstructive surgery and the correction of congenital and acquired deformity must be readily apparent in each Fellowship. Although most cosmetic procedures are undertaken in the private sector, training opportunities in the NHS setting are fully utilised.
14 centres were identified offering exposure to all the relevant surgical specialties; i.e. Plastic Surgery, Otorhinolaryngology, Oral and Maxillofacial Surgery, Ophthalmology and Breast surgery. 12 three month Fellowships were established and 11 appointments made in January 2009 (5 Plastic Surgery, 4 OMF and 2 ENT). It has now been agreed that for the current group the Fellowships may be extended up to 6 months in total if this can be accommodated within the 6 month period of grace post date of CCT and if supported by the relevant SAC and Training Programme Director. Job plans are tailored to the educational needs of the trainee and the Fellowships are being undertaken during the 12 months commencing 1st April 2009. Location of Fellowships is as follows:
Birmingham
Cambridge/ Stevenage
Guildford
Leeds
Liverpool
London(2)
Nottingham(2)
Salisbury/ Portsmouth
Sheffield
PMETB approval and confirmation of NHS indemnity for duties at all locations both in the NHS and Private sectors has been confirmed for these posts.
Base Trusts continue the Trainee’s contract and pay basic salary with the Trust being reimbursed at top scale SpR salary. The purpose of this funding is to enable the Trust to backfill the Fellow’s post.
On-call commitments are limited to those patients in whose care trainees are directly involved or as otherwise negotiated. Trainees travel as necessary to gain appropriate experience with expenses reimbursed in accordance with NHS rules through Severn Deanery.
Focussed training is being developed to cover non-surgical aspects of cosmetic practice including the use of lasers, fillers and the psychological assessment, counselling and consent of patients contemplating cosmetic surgery.
A detailed audit of the Fellowships is being developed to identify and develop best practice and to evolve the appointment process.
Page last updated: 26 January 2010
