A large majority of the surgical procedures are undertaken in conjunction with the ENT skull base surgeons and the fellow will therefore, acquire an understanding of the reconstruction paradigm in endoscopic endonasal skull base surgery ranging from free grafts to pedicled nasoseptal flap and other advanced reconstruction techniques. The fellow will provide assistance in theatre gradually assuming increasing responsibility under supervision; undertake a daily ward round and liaise with the team regarding management decisions. They will attend outpatients and the clinical meetings. Specific to the skull base/ pituitary service there will be: complex endoscopic endonasal clinic (once/ month); open skull base/ vascular clinic (once/ month); joint pituitary clinic (twice/ month); post-operative sinonasal clinic (twice/ month) and fortnightly skull base/ pituitary MDT.
These clinics will highlight our paradigm pertinent to the preoperative work up and postoperative care of the patients. In addition to above, there is a daily 7.30 a.m. combined clinical and radiology meeting; a weekly general Neuro-oncology tumour MDT, weekly epilepsy and movement disorders MDT, regular journal clubs and an academic teaching program. The successful applicant will have the opportunity to participate in departmental teaching and would be expected to participate in clinical governance and research activities and present at national and international academic meetings.
Specifically, there will an emphasis on participating in and producing written manuscripts for peer-reviewed journals covering technical and surgically relevant anatomical aspects as well as clinical outcomes in skull base neurosurgery. There is also a yearly organised 4 day cadaveric skull base course at the Vesalius Clinical Training Unit, University of Bristol where the fellow will be expected to contribute to organization and teaching during the course. The key emphasis of the course is on expanded endoscopic endonasal approaches with additional coverage of transorbital and relevant complex open skull base approaches. The out of hours commitment is a 1 in 15 on a full shift rota

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