Position:
Breast & Endocrine Surgery Fellowship
Level:
First Year
Location:
41 Victoria Parade, Fitzroy, 3065
Contact:
Miss Christina Foley
Contact:
St Vincent’s Hospital, Melbourne Breast and Endocrine Surgery Fellowship
Our fellowship provides training in all aspects of Breast and Endocrine Surgery within a collaborative, multidisciplinary environment. Fellows gain operative and clinical exposure across both the Breast Surgery Unit (4 Surgeons) and the Endocrine Surgery Unit (5 Surgeons), with 7–9 theatre sessions per week.
The Breast Surgery Unit manages approximately 180 new breast cancer cases annually within a multidisciplinary setting. Our fellow acquires experience in the management of both neoplastic and non-neoplastic breast disease through active participation in the weekly Breast Multidisciplinary Team (MDT) Meeting, our multidisciplinary Breast Outpatient Clinic, and regular sessions at St Vincent’s BreastScreen.
The unit is performing an increasing volume of Level I and Level II Oncoplastic procedures. We collaborate closely with our Plastic Surgery Unit and have regular combined operating lists dedicated to facilitating both therapeutic reconstruction for cancer patients as well as prophylactic surgery in the management of high-risk/BRCA-positive patients undergoing bilateral prophylactic mastectomy with reconstruction.
Fellows also contribute to and benefit from ongoing education through our monthly Breast Unit education sessions and attend the Victorian Breast Journal Club meetings.
The Endocrine Surgery Unit provides broad exposure to the full spectrum of endocrine surgical practice, including the management of thyroid, parathyroid and adrenal conditions. Our fellow gains hands-on experience in procedures such as thyroidectomy, parathyroidectomy and adrenalectomy, including laparoscopic and robotic surgery techniques. The unit also manages complex endocrine disorders, including insulinomas and inherited endocrine tumour syndromes, such as Multiple Endocrine Neoplasia (MEN) and paraganglioma syndromes. Fellows participate in the weekly Multidisciplinary Endocrine Clinic, run in collaboration with the Endocrinology team, and attend the monthly Endocrine Multidisciplinary Team (MDT) Meeting.
Our fellow obtains training in surgeon-performed breast and endocrine ultrasound in both diagnostic and intraoperative settings. Fellows will continue to build their general surgery experience by attending a weekly General Surgery Outpatient Clinic and taking part in the acute general surgery on-call roster in a junior consultant role. Fellows are also involved in the teaching and supervision of SET and Pre-SET trainees and medical students.
Fellows are expected to actively participate in the ongoing research activities of the unit. In addition, each fellow is required to undertake an individual research project during the fellowship year. Research activities are well supported by our research assistant.
Given the volume of Endocrine Surgery performed by the unit it would be appropriate for a trainee who has a future interest in both Breast and Endocrine surgical practice.
Unit Consultants
Associate Professor Caroline Baker, Head of Breast Surgery, Breast Surgeon
Dr Jocelyn Lippey, Breast & General Surgeon
Dr Leah Marley, Breast & General Surgeon
Miss Christina Foley, Breast, Endocrine & General Surgeon (Current training Supervisor)
Dr Stephen Farrell, Head of Endocrine Surgery, Endocrine and General Surgeon
Dr Jane Harding, Endocrine & General Surgeon
Mr Jason Tan, Endocrine & General Surgeon
Dr Tracey Lam, Endocrine & General Surgeon
Breast Oncoplastic Surgery:
Level 1 Oncoplastic Breast rearrangement, Direct Excision/Racquet Techniques, Wise Patter/Complex reduction techniques, Perforator Flap/Volume Replacement
Breast Reconstruction Surgery:
Implant Autologous DIEP, Autologous other - TUG, Lat Dorsi, Gracilis (all reconstructions combined with plastics)
General and Other Surgery:
Per annum: Endocrine, General, minimal Sarcoma, Nil Melanoma
Breakdown of hours:
General Surgery oncall 1:3 rotor e.g. every Thursday & every 3rd Monday and every 3rd Friday/Saturday/Sunday
Private Consulting:
Not applicable
MDT:
Weekly Breast MDM (Fellow presents cases & scribes); Monthly Endocrine MDM (Fellow presents cases & scribes)
Academic & Research:
Our Fellow participates in existing research activities as well as being encouraged to undertake further projects during their year. Dr Jocelyn Lippey is the Breast Unit Research Lead & Dr Tracey Lam is the Endocrine Surgery Research lead.
Funded:
1 year Full Time Equivalent role commencing on start date early February 2027. This role is publicly funded.
Salary:
HM25-30 according to the current Victorian Doctors-in-Training EBA. Base salary includes minimum 43 hours per week. Allowances and Loadings paid according to Victorian DIT EBA.
Further Information:
The unit is affiliated with the University of Melbourne, several consultants on the team have formal teaching appointments. The unit provides opportunities for the fellow to attend BreastScreen on a monthly basis. This is solely for educational purposes. The unit has 1 GSET registrar and 1 - 2 unaccredited registrars on the unit.