2. Fellowships The Department of Neurological Surgery offers fellowship training in a number of subspecialty services. More service than training | Competent in performing complex brain tumour surgery using advanced surgical and radiological techniques. Meet our current residents. The consultants are very supportive and advocate a patient-centred approach. Perform craniotomy and extirpation of AVM. Stated learning outcomes: Number of main operations the fellow could expect to be involved in: 8. The Yale Neurosurgery Residency Program is a 7-year program and currently accepts 2 residents per year. We advertise annually around January (the same time as national selection interviews). 1. In addition the fellow would be involved in a small number of DBS implantations for non-movement disorders such as pain (up to 5 per year) and 5 to 10 robot assisted biopsies. The pediatric neurosurgery fellowship is a 12-month post-residency program during which fellows gain experience in pediatric neurosurgery clinical activities. Disagree | 1 Yes | x x x x Agree | x x 1. Should present at National & International meetings projects/research undertaken during his/her Fellowship. 4 Mostly training | Transphenoidal procedures for Pituitary tumour, Endocopic approaches to lesions of the anterior skull base, Posterior Fossa Craniectomy for Microvascular decompression, Surgical treatment of CPA lesions eg Acoustic Neuroma, Clinical assessment of patients with skull base pathology in general and specilaised out patient clinics, including the ability to obtain informed consent. 3. 1. Surgical Specialty Association approving: SBNS Competence in the clinical assessment, investigation and treatment of ruptured intracranial aneurysms. Craniotomy for high grade glioma with fluoresceine guidance: Total: 30; Performed: 15 Fellows will acquire an in-depth knowledge of skull base anatomy, lesions, and their management while participating in the evaluation, operation, and follow-up care of all patients in the service. Disagree | Understanding from available literature and current guidelines with regards to rupture-risks of unruptured intracranial aneurysms and vascular malformations. Applications are welcomed for the Senior Clinical Fellow post in Neuro-Oncology at King's College Hospital NHS Foundation Trust, from February 2021 for 12 months. Management of the sequelae of head-injury in the outpatient setting in association with therapy and psychology services, Trauma craniotomy (including bifrontal decompressive craniectomy and contusionectomy): Adult and paediatric (Performed: 50), Cranioplasty includign complex cranio-facial reconstruction (Performed: 25), V-P shunt for complex post traumatic hydrocephalus (navigated) (Performed: 25)Anterior skull base reconstruction (open and endoscopic) (Performed: 10). Endoscopic third ventriculostomy: Total: 3; Performed: 2 Submitted for publication at least one paper in a peer reviewed journal, work done in the fellowship. Understand the endocrine management of patients with Pituitary dysfunction. By the end of the Fellowship the student will have the ability to: A summary of final feedback from the four most recent completing fellows providing full feedback: ", RCS Senior Clinical Fellow, Neurovascular Neurosurgery, King’s College Hospital NHS Foundation Trust, London, February 2017 to February 2018, Current post (April 2018): Consultant Neurosurgeon (Neurovascular and Skull Base), Leeds General Infirmary, "My fellowship at King’s provided me with unparalleled exposure and experience of neurovascular surgery. Learning Outcomes Presentation of work at National or International Conference. 3 5 x x Be familiar with the complications and limitations of endoscopic anterior skullbase surgery. 4 More service than training | Neurosurgery Residency. Yes | x x x x x Be competent at clinical selection of DBS and SCS patients, Understand the current patho-physiological theories of pain, SCS: Total 40; Performed 20 (this could be divided into 50% percuataneous and 50% open paddle electrodes), Dorsal Root Ganglion Stimulation (DRG): Total 20; Performed 5-10, National Hospital for Neurology and Neurosurgery, UCLH Foundation Trust, Prof Ludvic Zrinzo, Professor of Functional Neurosurgery, , with Mr Atul Tyagi, Consultant Neurosurgeon. (1=very poor, 5=very good) 2. Stated learning outcomes: Current (October 2017) post: Consultant Spinal Neurosurgeon, Queen Elizabeth Hospital, Birmingham (1=very poor, 5=very good) Counselling of patients harbouring unruptured vascular pathologies – aneurysms, AVMs, cavernous malformations, dural AVFs, and provide information of risks-benefits in an unbiased way. 4 x Mostly service | “Previous fellows have been able to perform 40+ endoscopic transsphenoidal procedures as the primary surgeon using thus model.”, A summary of final feedback from the five most recent completing fellows providing full feedback: Ability to select patients with pituitary disease for surgery. 3. The Dartmouth-Hitchcock neurosurgical residency has been an approved training program since its inception in 1947 by Dr. Henry Heyl, later the editor of the Journal of Neurosurgery. Attendance at MDTs. Tel: +44 (0)20 7405 3474 This very busy unit treats an extensive range of paediatric pathologies (including neurovascular, neuro-oncology, skull-base, dysraphism, functional, epilepsy, craniofacial and hydrocephalus). Along with our one year neurosurgery program, we also run a rotational JCF program. More service than training | UK Neurosurgery provides diagnosis and management of a wide range of conditions involving the brain, spine and nervous system. I highly recommend this Fellowship", King's Neurosurgical Endoscopic Pituitary and Skull Base Fellowship, King's College Hospital NHS Foundation Trust, London, May - December 2019, Current post (November 2020): Consultant Neurosurgeon (Skull Base Focus), University Hospital of Zurich, Switzerland, "After my neurosurgical training in Switzerland, the outstanding fellowship supervisors of the King’s Skull Base Team allowed me to consolidate my microsurgical skills through exposure to a wide range of 360° skull base pathologies. Competence in endoscopic approaches to the skull base, pituitary and sellar regions, Competence in retrosigmoid, pre-sigmoid, translabyrinthine and subtemporal approaches to the skull base, Competence in pre- and post-operative assessment and counselling of patients, Plastic & Reconstructive Surgery Fellowships, Trauma and Orthopaedic Surgery Fellowships, Mr John Goodden, Consultant Paediatric Neurosurgeon, Mr Jonathan Pollock, Consultant Neurosurgeon, Become an Approved Regional or International Centre, Understanding the relevance of MDT approach and results of different investigations, Becoming independent in temporal lobe resections, vagal nerve stimulator implantation, implantation of electrodes, extratemporal resections, Becoming independent in safely planning Stereo EEG, Being able to set up and perform awake craniotomies, Being able to operate in the interventional MRI, Becoming independent in performing the commonest epilesy surgical procedures, Becoming independent in performing awake craniotomies and operating in iMRI, Perioperative care of patients undergoing epilepsy surgery, Vagal nerve stimulator and maintenance (Performed: 30), Implantation of electrodes (grids/seeg) (Performed: 30). 3 Fellowship duration: 12 months By the end of the 12 months the candidate should have performed between 10 – 20 pituitary operations and within the region of at least 100 skull base procedures. Information on pediatric neurosurgery fellowships may be obtained through: Phillip B. 4 x x To be able to perform safe surgery on common cranial base meningiomas that is olfactory groove, suprasellar meningiomas, tentorial and petrous temporal meningiomas, petroclival meningiomas, pituitary and sellar tumours. Based at: Oxford University Hospitals NHS Trust, Approval period: Initially approved June 2013; reapproved December 2016; reapproved May 2020 - April 2023, Supervisor / Lead Consultant: Mr Simon Cudlip, Consultant Neurosurgeon. Mostly training | x Would you recommend this post to a colleague? Over the next 20 years, the Atlantic Fellows … 5 x x With 2219 faculty members and 16430 students getting benefited, … ", NHNN Pituitary Fellowship, National Hospital for Neurology and Neurosurgery, UCLH Foundation Trust, London, August 2018 - August 2019, Current post (October 2019): Consultant Neurosurgeon, National Hospital for Neurology and Neurosurgery, London, "The Queen Square Fellowship has been outstanding training. Stated learning outcomes: Based at: Neurosciences Department, King's College Hospital, London, Approval period: July 2018 - September 2021, Supervisor / Lead Consultant: Prof Keyoumars Ashkan, Lead Clinician for Neuro-Oncology, with Mr Ranj Bhangoo, Consultant Neurosurgeon, Based at: Leeds Teaching Hospitals NHS Trust, Approval period: Initially approved October 2015; reapproved March 2019 - May 2022, Supervisor / Lead Consultant: Mr Simon Thomson, Consultant Neurosurgeon and Clinical Associate Professor, with Mr John Goodden, Consultant Neurosurgeon. Perform craniotomy and resection of AVM – unruptured / emobolised previously / previously treated by radiosurgery / or in combination. Agree | x x These posts have SAC approval for training. Pineal surgery approaches: Total: 1-2; Performed: 0 Ability to perform the endoscopic endonasal transsphenoidal approach. The surgical and endocrinological assessment and investigation of patients with skull base and pituitary lesions. Knowledge of surgical multidisciplinary procedures. Demonstrate ability to manage both operative and non-operative patients. Learning Outcomes Stanford University, Stanford, CA. "This fellowship has allowed me to develop all the key skills required of a consultant pituitary neurosurgeon, with comprehensive exposure to both endoscopic transphenoidal surgery and also minimally invasive skull base approaches. SDOPS- Competency level 3: Orbitozygomatic craniotomy. A Junior Clinical Fellowship with Oxford Neurosurgery is more than just a job, its your best opportunity to secure your future as a neurosurgeon. 4 x The fellow would be expected to perform 50-60 primary DBS procedures for Parkinson’s disease, Dystonia, Essential tremor and MS tremor. 1. Surgical Specialty Association approving: SBNS Transsphenoidal resection of tumour/cyst – 10 to 20; Expanded endonasal approach (meningioma/chordoma/etc) – 2 to 5; Anterior circulation aneurysm clipping – 1 to 5; Percutaneous trigeminal rhizotomy – 5 to 10; Understanding of the holistic management of skull base and pituitary patients - both surgical and non-surgical. Of which approx 5-10 will be minimally invasive. Agree | x x Service: Training Balance 1. The post, under Professor Keyoumars Ashkan, is an approved Royal College of Surgeons Fellowship and is at the King's Denmark Hill site in London. More service than training | Overall, I thoroughly recommend this fellowship", King's Neurosurgical Endoscopic Pituitary and Skull Base Fellowship, King's College Hospital NHS Foundation Trust, London, August 2016 - August 2017, Current post (November 2020): Senior Clinical Lecturer (King's College London) and Honorary Consultant Neurosurgeon - Skull Base and Pituitary Surgery (King's College Hospital, London), "This prestigious Fellowship provided me with comprehensive advanced surgical training in both anterior and lateral skull base surgery. Annual caseload is expected to increase with the recent appointment of a 3rd Consultant in skull base neurosurgery.”. 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