"The Department of Surgery at Medway NHS Foundation Trust has a strong reputation for teaching and training. Our specialties include General & Vascular Surgery, Paediatric Surgery, Urology, Otolaryngology, and Trauma & Orthopaedic Surgery. Most surgeons have a subspecialty interest, such as robotic surgery in Urology and Colorectal surgery. We are a Trauma Centre and therefore run daily emergency (CEPOD) and trauma lists. These are organised as training lists, and provide ample opportunity to gain experience in surgery.
"Medway is part of the Kent, Surrey & Sussex Deanery, and we are therefore closely involved with the regional teaching programmes. Each department also conducts a local teaching programme. Many of our Surgeons are involved with training at the Royal College of Surgeons, either as members of the Court of Examiners, or with the Specialty Advisory Committees (SAC). We also run a Masters course in Surgery at Canterbury Christchurch University. Our Postgraduate Department and Library are modern, well-funded and supportive of learning. For example, this year we have installed a cutting-edge simulation suite for
arthroscopy. Our Department has a long tradition of undergraduate medical education. We therefore enjoy close links with Kings College London, and the Kent & Medway Medical School."
Mr Abhijit Dey
Surgical College Tutor, Consultant in Trauma & Orthopaedic Surgery
GENERAL SURGERY INDUCTION
UROLOGY, T&O AND ENT INDUCTION
Trauma & Orthopaedic Surgery
The Department of Trauma & Orthopaedic Surgery at Medway NHS Foundation Trust consists of eleven Consultants, six Higher Surgical Trainees, six Trust Grade registrars, eight ‘SHO’ grade doctors, two Trauma Co-ordinators and a Physician Associate. We are supported by a dedicated Orthogeriatric team consisting of two Consultants, a Registrar, three Foundation Year trainees, and a Trust Grade ‘SHO’.
We cover the entire spectrum of Trauma & Orthopaedic Surgery, with a strong emphasis on training. Several of our Consultants are members of the Court of Examiners for the Royal College of Surgeons. We hold daily trauma meetings, trauma lists, inpatient elective lists and day-case lists, as well as clinics. There is a weekly teaching programme for our Registrars and a separate programme for our ‘SHO’ grade doctors. We hold monthly meetings to discuss clinical scenarios, recent papers, and newer techniques. We have recently equipped our Postgraduate department with a state-of-the-art arthroscopy simulation suite. We also conduct regular revision courses for the FRCS (Tr&Orth), and run a Masters degree at Canterbury Christchurch University.
Our Department is also closely involved with undergraduate education. We teach medical students from Kings College London, and will be teaching students from the Kent & Medway Medical School.
Consultants, special interests and other rolesMr Howard Cottam (Upper limb)
General, Colorectal and Vascular Surgery
There is a wide range of General and Vascular Surgery, including paediatric surgery, breast and oncoplastics and a very well established colorectal and laparoscopic unit. One of the first things you will notice is the friendliness of the department and the Trust.
Much of your learning will occur in an informal manner on ward rounds, in clinics and theatre and particularly when you are working alongside your consultant. Our consultants are strongly committed to training. You will also have the opportunity to be part of the learning of the junior doctors and medical students attached to our service. There are timetabled teaching sessions during the week and attendance at regional training days is supported.
We have a dedicated Surgical Assessment Unit and our on calls are busy, but well supported by specialty trainees and consultants who have no other commitments during these times. As a result, opportunities to operate under direct supervision are plentiful.
We have a well-established Colorectal unit with experience in minimally invasive surgery (laparoscopic, robotic and trans-anal). Specialist interests within our unit include colorectal malignancies, inflammatory bowel disease, screening and therapeutic endoscopy and pelvic floor disorders. We perform TATME and TAMIS procedures.
The Vascular unit is at present undergoing reconfiguration with the East Kent unit. Ultimately all inpatient services will be located at Kent & Canterbury Hospital although the time frame has not been as yet established. As a first transfer of services no emergency or elective aortic aneurysm surgery is now performed on the Medway site. All other conditions (carotid disease, peripheral arterial disease, thoracic outlet syndrome, diabetic foot conditions and varicose veins) are still treated at Medway either by open or endovascular surgery. The Vascular Unit has three spoke clinics (Maidstone, Gravesend and Sheppey) and accept vascular emergencies (other than aortic aneurysms) from Maidstone Hospital.
Consultants, special interests and other rolesMr Ibrahim Ahmed - General and Breast Surgery & Lead Clinician for General Surgery
Ear, Nose and Throat (ENT)
Department of Urology Medway Hospital
This is a vibrant urology department consisting of eight consultants at Medway Hospital. It is also a West Kent cancer centre with the availability of Robotic surgery. Three urology consultants from Maidstone and two from Darent Valley hospital also operate on their cancer patients at Medway Urology cancer centre. One specialist registrar from KSS deanery, seven middle grade registrars, four FY2, one FY1 doctor and six urology nurse specialists support this team.
Most of the urology subspecialties are covered including cancer, benign prostate surgery, stones, urinary incontinence and andrology. Every Friday morning is dedicated to the education, starting with the paper ward round which includes discussion about readmissions and complications over the week, journal club, x-ray meeting and cancer MDT. Once a month there is mortality and morbidity meeting where all the complications and deaths are discussed.
There are ample opportunities for the junior doctor teaching and training. Urology junior doctors are encouraged to take part in clinical audits, writing case reports and papers for journals. We also provide teaching for the junior doctors, medical students and nurses.