Job Description

This post is intended for surgical trainees who wish to obtain experience in and exposure to specialist surgical oncology, specifically surgery for soft tissue sarcoma and advanced melanoma. The successful applicant will work on the Soft Tissue Sarcoma (STS) and malignant melanoma (MM) units at The Royal Marsden Hospital.



Approximately eight hundred new cases of STS are referred to the RMH every year and are treated by a multidisciplinary team. All new cases are reviewed at a weekly multidisciplinary meeting where management is discussed. This provides the Fellow with an unparalleled experience. Surgical management included soft tissue tumours of the limbs and limb girdle, intra- abdominal and trunk. About 5% of these patients will require reconstruction of skin and soft tissue. There will be opportunities for clinical research and the preparation of papers for presentation and publication.



Similarly, there is a multidisciplinary team handling patients with malignant melanoma. There will be ample opportunities to learn techniques of lymph node dissection, isolated limb perfusion and laser vaporisation of in-transit metastatic melanoma.



The successful applicant will be in day to day administrative and clinical charge of the unit working with another senior clinical fellow, a Senior House Officer who is on rotation from a Basic Surgical Training Rotation as well as a shared SHO at the Sutton branch. At any one time there are likely to be about fifteen inpatients in hospital between both sites. The Clinical Fellow is principally responsible for the daily management of all in-patients.



The unit has 3 all day theatre list a week at both sites of the hospital

(Fulham Road and Sutton) as well as a minors list on alternating Mondays at the Sutton branch. The clinical fellow will be expected to attend lists at both sites, and internal arrangements are made between the senior clinical fellows to ensure appropriate and fair exposure to surgical procedures. A typical all day list will involve surgery on about 5-7 cases with about 50% of cases being sarcoma, 30% melanoma and 20% benign cases. Major surgery with a requirement for CCU is undertaken at Fulham Road and

intermediate and minor surgery is undertaken at the Sutton site.



The fellow will be expected to have a lead role in the organization and running of the diagnostic service. This entails triage of referrals, running the diagnostic clinic with the consultant staff, covering the resultant telephone follow-up clinic, and allied major and minor operating lists. There is firm and

institutional support for the for the development and service improvement.



The Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals - one in Chelsea, London, and one in Sutton, Surrey - as well as a Medical Daycare Unit in Kingston Hospital.



At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do.



At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements.



For further information on this role, please see the attached detailed and Person Specification.

For further details please contact the below: