University Hospitals of Derby and Burton NHS Foundation Trust

General Information

Name of Hospital / Institute / Cancer Centre: University Hospitals of Derby and Burton NHS Foundation Trust

Name of Unit: Breast Care Department

Address: Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE (UK)

Country: UK


Responsible person/tutor for the fellowship

Name: Mr Emanuele Garreffa

Position: Consultant Oncoplastic Breast Surgeon


Key contact

Contact name: Mrs Sheila Chambers

Position: Administration



Description of the training programme: The BRESO training programme will consist of a “core” breast surgical oncology rotation, including attendance to surgical theatres, triple assessment clinics for symptomatic patients, pre- and post-operative results clinics, oncoplastic/reconstruction clinics, breast cancer follow-up clinics and MDT meetings. In addition to the above, the trainee will be able to choose between optional modules such as primary endocrine treatment, advanced breast cancer and familial cancer according to his interests/training needs. The following non-surgical rotations will also from part of the training programme:

  • Radiology: breast imaging and interventional procedures (biopsies, mammotomes, etc.)
  • Pathology: specimen preparation and dissection; case discussion/sign-off
  • Oncology: new patient and follow-up clinics; metastatic cancer, radiotherapy
  • Research: participation in the Unit’s research activity

Position held by the fellow during the traineeship: A position between resident and consultant

The training consist of: See above

Legal requirements: Appropriate UK visa and GMC full registration with license to practice

Maximum number of fellows in the Unit: 1

Optimal duration of the fellowship: 1-3 months or 6-12 months

Open to both national and international candidates

Ideal candidate: The ideal candidate will have already completed his speciality training in General Surgery or be within the last 2 years of training (4-5 years of surgical experience). We welcome candidates with a strong research interest.


The fellow will participate in:

  • Operations with the tutor: YES
  • Outpatient clinics with the tutor: YES
  • The hospital continuing medical education programme: YES


Continuing medical education in the Unit: YES


Frequency: Twice a week

Research facilities 

Participation to research activities in the hospital: Yes


Accessible library: Yes


Available accommodation: Hospital accomodation

Distance from the Institute/Center: Walking distance from the Royal Derby Hospital, 10 miles (16 km) from Queen’s Hospital Burton

Public transport: Yes

Internet facilities: Yes

Financial support

Financial support: No but to cover part of their expenses, trainees will have the option to participate in the general surgery on-call rota.

Information about the Institution/Department

Name: Breast Unit, University Hospitals of Derby and Burton

Head of Department: Mr. Amit Goyal (Assistant Clinical Director)

Number of Senior Consultants: 9 (including 2 Clinical Academics)

Number of Consultants: (<5 years’ experience at Consultant level) 1

Number of Residents: 5 (2 Registrars, 2 Speciality Doctors and 1 FY2 Doctor) 

Number of beds: N/A

Number of wards: N/A

Number of operation rooms: 2

Number of operations per day: 4-5

Number of operations per year: >1000

Percentage of surgical oncology in the department per year: 85 %

Breast cancer operations per week: 15 - 20

Other: >100 bening/diagnostic breast operations; 20-30 delayed reconstructions; 30-50 symmetrisazation procedures, lipofilling, etc.


BRESO programme director: Mr. Emanuele Garreffa, Consultant Oncoplastic Surgeon