Reconstructive & Aesthetic Surgery

The Training Interface Group in Reconstructive & Aesthetic 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 the GMC 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 & Aesthetic Surgery Fellowships

Dr Geoffrey Wright 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 originally 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 10 appointments made in January 2009 (5 Plastic Surgery, 4 OMFS and 1 ENT). The fellowships now last for 4 months and the numbers of fellows being recruited each year for each fellowship type will be listed in the advert on the Severn Postgraduate Medical Education website. Job plans are tailored to the educational needs of the trainee.

The Reconstructive & Aesthetic TIG also runs a Therapeutic Use of Lasers Fellowship and is piloting a Management of Skin Cancer fellowship. Further information on these is available in their sections of the site.

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 Postgraduate Medical Education.

Focused 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.

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