MS Oncoplastic Breast Surgery

Join UEA's award-winning online Specialist Clinical Mastership in Oncoplastic Breast Surgery - Europe's highest qualification lead by the UK's leading Oncoplastic Consultants.

Overview

Join UEA's award-winning online Specialist Clinical Mastership in Oncoplastic Breast Surgery - Europe's highest qualification lead by the UK's leading Oncoplastic Consultants.

WHY CHOOSE THIS COURSE?

  • Developed with support from the Royal College of Surgeons (England), ABS, BAPRAS and an active 150-strong specialist faculty, we offer a unique solution to the training problems facing surgeons looking to progress in Oncoplastic Breast Surgery

  • Using an innovative online delivery, developed in-house over five years by a specialist team at Norwich Medical School, you’ll experience a challenging and rewarding educational experience

  • The Specialist Clinical Masterships (SCM) course is highly flexible and tailored specifically around the working lives of busy surgical practitioners 

  • Most teaching and learning is via our dedicated Virtual Learning Environment (VLE) which hosts a thriving online community of specialists from all over the world

  • Our focus on assessment of surgical skills combined with the rapid development of consultant-level critical thinking and communication earned us the Gold award in 2013 for ‘Best Online Distance Learning Programme’

YOUR ONLINE LEARNING EXPERIENCE

  • As an SCM student you’ll engage fully online, in discussions on realistic cases, supported by continual assessments of your surgical knowledge, critical thinking and decision-making

  • All participation is asynchronous so you will never need to log on at set times

  • Each tutor-mediated forum discussion takes on a life of its own, fuelled by the growth of shared reading, personal experience and tutor guidance, all contributed at convenient times

  • Each topic brings new expertise and insights that are directly applicable to your own cases

  • In addition to online learning, if you are an EU or UK student you’ll attend face to face training days with tutors every 16 weeks. All training days are recorded and made available to our international students online.

WHAT EXPERIENCE DO I NEED?

The course is highly rigorous, but incredibly rewarding for a motivated candidate wishing to progress quickly in this specialist field. We accept trainees from ST5 and above in breast or plastic surgery from the UK and worldwide. If you are a surgeon with relevant experience who is not on a formal training programme we would also welcome your application which will be considered on merit.

STUDENT SUCCESSES

Past students have cited a swift progression to more senior positions from having undertaken the Masters course. In particular, students report greater confidence in MDTs and their communication with peers and senior colleagues. You can expect to be able to apply knowledge and skills gained on the course directly to cases within weeks of starting.

ASSESSMENT

We take assessment very seriously. There is a formal exam (2 papers) during each of the first two years for all Diploma and Masters students. Our international students sit the exam in their home countries. We also hold an OSCE exam, hosted in the UK for all Masters students to demonstrate their (non-surgical) procedural knowledge in planning and decision-making. All Masters students are monitored, through log-book evaluation, to ensure they have the necessary index surgical procedures required to qualify for the MS.

The deadline for applications for the 2017 course is 30th November 2016.

Course Modules

Students must study the following modules for 40 credits:

Name Code Credits

APPLIED BASIC SCIENCES AND BENIGN BREAST DISEASE

At the end of this module, the Master in Oncoplastic Breast Surgery candidate should be able to: 1.Describe the anatomy of the breast and chest wall including embryological development and use these to explain the rationale for various oncoplastic operative procedures for the management of both benign and malignant breast disorders. 2.Describe the anatomy of the axilla and related lymphatic drainage and explain the anatomical bases for various diagnostic and therapeautic procedures for the staging and surgical management of the axilla. 3.Explain the physiological changes in the breast from puberty to menopause and to describe the effect of these on any benign or malignant change. 4.Describe the basic pathology of benign breast diseases including relevant cell and molecular biology and explain how to use this information for cancer risk assessment, diagnosis, treatment and prognostication. 5.Discuss the pathophysiology and management of breast infections 6.Interpret results and images from various breast imaging modalities and to use these to come to a diagnosis and management decision 7.Discuss the role of breast screening in view of current evidence, and identify its limitations 8.Describe the common genetic abberrations relating to breast cancer risk, and understand their impact on management of high risk cases 9.Identify and discuss psychosocial, medicolegal and ethical issues as they relate to the diagnosis and management of breast diseases Use evidence based arguments to support decision making at various stages in the management of breast diseases. 10.Describe the anatomy of the breast and chest wall including embryological development and use these to explain the rationale for various oncoplastic operative procedures for the management of both benign and malignant breast disorders. 11.Describe the anatomy of the axilla and related lymphatic drainage and explain the anatomical bases for various diagnostic and therapeautic procedures for the staging and surgical management of the axilla. 12.Explain the physiological changes in the breast from puberty to menopause and to describe the effect of these on any benign or malignant change. 13.Describe the basic pathology of benign breast diseases including relevant cell and molecular biology and explain how to use this information for cancer risk assessment, diagnosis, treatment and prognostication. 14.Discuss the pathophysiology and management of breast infections 15.Interpret results and images from various breast imaging modalities and to use these to come to a diagnosis and management decision 16.Discuss the role of breast screening in view of current evidence, and identify its limitations 17.Describe the common genetic abberrations relating to breast cancer risk, and understand their impact on management of high risk cases 18.Identify and discuss psychosocial, medicolegal and ethical issues as they relate to the diagnosis and management of breast diseases 19.Use evidence based arguments to support decision making at various stages in the management of breast diseases.

MED-7048E

20

MANAGEMENT OF MALIGNANT BREAST DISEASE

1. Apply a detailed knowledge of the pathophysiology of breast pain (cyclical and non-cyclical) to evaluating the management options. 2. Apply a detailed knowledge of the epidemiological basis of proliferative benign breast disease to explain how this may affect the risk of developing breast cancer. 3. Evaluate the current understanding of the genetic basis of breast cancer, and assess current trials and guidelines for the management of family history patients. 4. Evaluate the principles and practice of the NHS breast screening programme, including the current quality assurance protocols and critically discuss the management of B3 lesions. 5. Apply a detailed knowledge of the pathophysiology of breast infections to evaluate the current understanding of treatment and prognosis. 6. Apply an in-depth knowledge of the epidemiological basis of gynaecomastia, benign and pre-malignant breast conditions, and explain the rationale for various treatment options. 7. Critically analyse and discuss psychosocial, medicolegal and ethical issues relating to diagnosis and management of breast disease. 8. Demonstrate competence in performing the RCS index operations for benign breast disease

MED-7026F

20

Students must study the following modules for 60 credits:

Name Code Credits

ONCOPLASTIC SURGERY - PART 1

ONCOPLASTIC BREAST CONSERVING SURGERY Learning Outcomes At the end of this module, the Masters in Oncoplastic Breast Surgery candidate should be able to: 1. Utilise advanced communication skills in offering choice and ensuring patient involvement in decision making. 2. Critically discuss oncoplastic principles in relation to case selection. 3. Formulate an acceptable pre-operative plan and demonstrate appropriate Patient Mark Up. 4. Apply a detailed knowledge of the anatomy of the chest wall and flaps to explain the procedures of oncoplastic breast reconstruction. 5. Apply detailed knowledge to the critical discussion of therapeutic mammoplasty procedures. 6. Critically discuss the principles pertaining to skin/nipple sparing mastectomy. 7. Analyse and critically discuss the implications, principles and techniques of implant based reconstruction. 8. Critically discuss the indications for reconstructive surgery using flaps with implants. 9. Critically discuss the indications for and approaches to autologous reconstruction. 10. Critically discuss the principles of symmetrisation surgery. Debate the evidence base for newer techniques - Liposculpture/STRATTICE. 11. Critically analyse the main issues regarding consent, medicolegal issues and the role of medical illustrations in oncoplastic breast surgery. 12. Recognise and critically discuss the various complications and the principles underlying re-operative surgery. 13. Demonstrate competence in performing the RCS index operations for implant and pedicled flap surgery.

MED-7027E

20

ONCOPLASTIC SURGERY - PART 2

At the end of the module the student will be able to 1. Critically discuss the role of autologous tissue based breast reconstruction in particular compared to implant based breast reconstruction. 2. Apply detailed knowledge of the basic microsurgical techniques and harvesting techniques of the free flaps for breast reconstruction in relation to surgical timing and indication to evaluate and explain the role of Microsurgery in Breast Reconstruction 3. Critically discuss the anatomy and physiology of perforator flaps and apply their knowledge to preoperative planning and counselling of the patient candidates for breast reconstruction with free perforator flaps. 4. Critically discuss possible intra-operative and postoperative complications in microsurgical Breast Reconstruction and evaluate approaches to reducing the risk and treating these complications, showing evidence of knowledge of free flap salvage strategy. 5. Evaluate the available options for breast reconstruction in slim patients. 6. Evaluate the available options for breast reconstruction in elderly patients. 7. Evaluate the available options for breast reconstruction in patients with multiple scars from previous surgery or trauma. 8. Evaluate the available options for breast reconstruction in irradiated mastectomy patients or candidates to mastectomy and radiotherapy. 9. Compare the available techniques for advanced contra lateral surgery and symmetrisation. 10. Analyse and discuss the role of secondary breast reconstruction. 11. Identify and discuss the treatment of patients with failed free flap breast reconstruction. 12. Evaluate the use of combined techniques in breast reconstruction. 13. Apply evidence-based arguments to support decision making at various stages in the management of patients candidates to mastectomy and breast reconstruction with free flaps. 14. Demonstrate competence in performing the RCS index operations for free flap surgery.

MED-7029F

20

RESEARCH, AUDIT AND SERVICE EVALUATION

This is a CORE module on the MS, it is an optional module for the Postgraduate Diploma.

MED-7031D

20

Students must study the following modules for 80 credits:

Name Code Credits

MANAGEMENT AND SERVICE DELIVERY

At the end of this module, student should be able to: 1. Critically discuss the inter personal skills required to manage conflict resolution drawing on examples in their working environment 2. Critically discuss the skills of innovation in developing creative solutions to problems arising within a team 3. Evaluate the processes required to develop a team to achieve new goals. 4. Summarise and evaluate the principles of service re-design 5. Analyse examples of coaching skills used to develop a team member to introduce single steps of change in a service re-design programme 6. Develop a business case to support the introduction of new technology to enhance onco-plastic breast surgery within their local health economy 7. Evaluate the key challenges for their clinical team within the latest government policies and financial constraints. Lead the team in formulating appropriate strategies to maintain highest standards of service within these constraints.

MED-7033D

20

RESEARCH DISSERTATION

At the end of this module the student will have: (a) planned a research project (b) critically evaluated the literature relating to their chosen topic (c) demonstrated an understanding of the research methods appropriate to their topic (d) presented a clear summary of the findings of their research (e) critically analysed their findings and discussed the implications of their findings for theory and/or practice

MED-7025X

60

Disclaimer

Whilst the University will make every effort to offer the modules listed, changes may sometimes be made arising from the annual monitoring, review and update of modules and regular (five-yearly) review of course programmes. Where this activity leads to significant (but not minor) changes to programmes and their constituent modules, there will normally be prior consultation of students and others. It is also possible that the University may not be able to offer a module for reasons outside of its control, such as the illness of a member of staff or sabbatical leave. Where this is the case, the University will endeavour to inform students.

Entry Requirements

  • Degree Subject MBBS or overseas equivalent
  • Degree Classification Pass, merit or equivalent
  • Special Entry Requirements ST 5 or above, Associate Specialist (2 years in breast surgery), GMC registered and MRCS or equivalent.

Students for whom English is a Foreign language

We welcome applications from students whose first language is not English or those whose degree was not taught in English. To ensure such students benefit fully from postgraduate study, we require evidence of proficiency in English. We also will require a certain standard to be achieved on the written element of the test. Our usual entry requirements are as follows:

  • IELTS: 7.0 (minimum 7.0 in all component)
  • PTE: 68 (minimum 68 in all components)

All scores must be less than two years old.

Intakes

The next intake starts on 30th January 2017. There is no September intake to this course.

The deadline for applications is 30th November 2016.

Assessment

In the first two years, you will be required to attend a module study day each 16 weeks and to sit an exam after 32 weeks.  These events will be held either at UEA or other publicised venues; details will follow shortly.

Fees and Funding

The fee for the full course for the academic year 2016/17 is:

  • UK/EU Students: £7,150
  • International Students: £14,500

Part-time students can pay per module studied. However, module fees may be subject to an annual increase.

How to Apply

Applications for Postgraduate Taught programmes at the University of East Anglia should be made directly to the University.

You can apply online, or by downloading the application form.

Further Information

To request further information & to be kept up to date with news & events please use our online enquiry form.

If you would like to discuss your individual circumstances prior to applying please do contact us:

Postgraduate Admissions Office
Tel: +44 (0)1603 591515
Email: admissions@uea.ac.uk

International candidates are also encouraged to access the International Students section of our website.

    Next Steps

    Need to know more? Take a look at these pages to discover more about Postgraduate opportunities at UEA…

    We can’t wait to hear from you. Just pop any questions about this course into the form below and our enquiries team will answer as soon as they can.

    Admissions enquiries:
    admissions@uea.ac.uk or
    telephone +44 (0)1603 591515