MEDICAL WOMEN’S FEDERATION Tavistock House North, Tavistock Square, London WC1H 9HX Tel: 020 7387 7765 email: admin.mwf@btconnect.com www.medicalwomensfederation.org.uk @medicalwomenuk www.facebook.com/MedWomen Name Lucy Simmonds Email Project title Anterior Skull Base Surgery Location of your Elective Royal Hallamshire Hospital, Sheffield Contact details for your elective (eg. Website address or email address of your project coordinator) What did you achieve? University of Sheffield Medical School https://www.sheffield.ac.uk/medicine/electives Would you recommend this location / project to others? Yes, if you are prepared to long hours and be very organised about making the most of the opportunities available. Sheffield also offer electives in other specialities. Further comments (eg. Travel advice, tips for organising an elective similar to this etc.) The elective was very easy to organise via the University’s website, although there were a few minor administrative problems on the first day, so it is worth bringing copies of occupation health records, university ID etc. What was less straightforward was attempting to get funding for it, and an elective in the UK is not necessarily a cheaper option unless you are staying close to home. The MWF was one of the few organisations that had bursaries available for students not travelling abroad. Yes without email address Would you be happy for you feedback form to be available on our website? Further comments (eg. A review of your trip) max. 500 words. I spent 5 weeks at the Royal Hallamshire Hospital and 2 weeks at the Sheffield Children’s Hospital, mainly doing neurosurgery, but also some anterior skull base surgery and ENT. Most days started at 7am with a ward round and a radiology meeting. Following this, I made sure I saw any patients who had come in for surgery that day and familiarised myself with their history etc. I was able to organise my time myself which allowed me to see a wide variety of operations including pituitary tumours, skull base, vascular, functional, paediatric and spinal surgery. Although neurosurgical patients are sometimes in hospital for quite a considerable amount of time post-op, I found it was a good chance to get to know them very well and I enjoyed following them up every day, in particular when they returned from ITU to the ward and eventually were discharged. The converse was also true and there were some difficult conversations between doctors and patients and their families when the prognosis was not good, or operations had not gone as well as hoped for. The surgeons were very generous with their time and often let me scrub and assist in theatre. The registrars in particular did a lot of teaching and let me shadow them whilst they were on-call which MEDICAL WOMEN’S FEDERATION Tavistock House North, Tavistock Square, London WC1H 9HX Tel: 020 7387 7765 email: admin.mwf@btconnect.com www.medicalwomensfederation.org.uk @medicalwomenuk www.facebook.com/MedWomen allowed me to learn about managing neurosurgical emergencies and also to practice examining patients and coming up with a diagnosis. There was also the opportunity to sit in on both adult and paediatric clinics and to observe lumbar punctures on the daycase unit. I am hoping to write up a case report based on a patient I saw and the consultants were very keen to help with any projects I wanted to do. The elective was in fact supervised by an ENT surgeon which was a useful opportunity to refresh my knowledge of this speciality before starting as an FY1, and also see how the ENT and neurosurgeons worked together on the pituitary cases.