Fellowship in Breast Surgery deals principally, with early diagnosis and management of breast diseases specially Breast Cancer, presenting as identifiable primary or metastatic disease.
Breast disease in general requires study and treatment of benign as well as malignant disorders encountered in adolescent, reproductive, and post menopausal age groups.
It works in close collaboration with Medical and Radiation Oncology, Radiology and Pathology utilising Minimally Invasive Techniques for diagnostic as well as Therapeutic intervention.
Incorporated as part of General Surgery, Breast Diseases Management gradually evolved from introduction of screening programme in 1988.In 2012 Section of Breast Diseases was established within Department of Surgery as a separate section, offering training at postgraduate level for quality patient care. Programme thus intends to provide training in higher level of knowledge attainment and patient care in breast diseases. The stress is on producing academically qualified clinicians endowed with current practices in management of breast disorders. This requires close collaboration with medical and radiation oncology in addition to Plastic and Reconstructive Surgery in offering reconstructive breast surgery for therapeutic ablative procedures required in treating breast cancer.
Regular meetings to acquire knowledge of imaging principles as well as collaborative diagnostic Image Guided Surgical procedures with radiology are undertaken.
All efforts are made to provide protected time to promote research activity as well as creative presentation and publication.
With limited opportunities available in the country for comprehensive training in Breast Disease Management, the programme is perhaps only of its kind in Pakistan. With emphasis on early detection and diagnosis as well as management of early non-invasive cancers has led to state-of-the-art practices in diagnostics and therapeutics. As such candidates after successful completion of the fellowship programme would stand to compete at international level to participate and offer higher standards of breast disease management.
The objective of the programme is to produce competent and skilled general surgeons with additional expertise towards managing breast diseases. The graduates of this programme will demonstrate patient advocacy, provide academic leadership in this specialty, and will contribute towards preventive and curative management of breast and other diseases in the country.
Duration of Training
The programme offers dedicated training in the principles and practice of Breast Diseases over a period of two years. During the 2 year period , additional rotation in sections of Medical Oncology Pathology, Diagnostic Radiology and Radiation oncology is included.
• MBBS or equivalent degree approved by PM&DC;
• One year of internship with six months in Medicine and allied and six months in Surgery and allied disciplines;
• FCPS Part I or equivalent examination. FCPS Part II or equivalent in General Surgery is preferred ;
• Minimum of five years of training in General Surgery in an accredited and reputable programme.
The positions are advertised nationally and short-listed candidates are interviewed by thefaculty Division of Breast Surgery e and relevant AKU faculty. References are obtained via confidential telephone calls and letters from those considered knowledgeable about the candidate.
Scope and Content
a. Clinical Training and Didactic Teaching:
The programme will employ didactic teaching as well as clinical and operative experience under appropriate supervision to assist the fellow in acquiring the requisite knowledge, skills, and judgment to manage common general surgical conditions, inclusive of emergency and elective diseases. In addition, there will be exposure to breast-related problems including screening and benign and malignant diseases of breast. Increasing responsibilities over the years under appropriate supervision will be offered in all aspects of management, from indications for surgery, to total patient management. Integrated management with Oncology/Radiology is organised and offered.
The fellow will also assume responsibilities towards educating and training General Surgery residents, interns, medical students and medical officers during this period.
The fellow’s progress in knowledge, clinical and operative skills, and ethical management of patients will be evaluated on a continuous basis by the faculty involved in training. Formal evaluation of the fellow’s progress will be undertaken every six months. The fellow will be debriefed following each session by the Coordinator of the programme.
One fellow is appointed every two years.
The faculty includes one Professor, and two Assistant Professors. Coordinator of this Fellowship Programme is Dr Shaista Khan, Professor, Department of Surgery.