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Aims: 
•    To provide a holistic, patient centred, all-encompassing experience in managing patients with urological conditions linked to ‘Endourology’.
•    To develop surgical skills. In a senior trainee who has completed their Certificate of Completion of Training (CCT) or equivalent, to enable the fellowship post holder to apply for Consultant Urological Surgeon posts with a sub-specialty in Endourology.
•    To develop non-surgical clinical, organisational, inter-personal and teaching skills whilst working within a cohesive, busy endourology unit, appropriate to the level of a Consultant Urological Surgeon. 
•    To enable the involvement in local, regional and national research and audit projects whilst providing opportunities for publishing and presenting departmental work. 
•    To provide flexibility within the fellowship post so that the trainee can focus the aims above onto specific areas of interest in accordance with their PDP. 

Clinical:
•    Regular sessions within the dedicated endourology/stone theatre with consultant trainers
•    Active involvement in Stone MDT meetings. Also opportunity to attend other MDT/meetings depending on trainees PDP.
•    Exposure to ESWL and training in delivery if desired
•    Involvement in managing stone patients in an outpatient setting. The aim is to develop skills to enable a fellow run independent clinic, depending on the experience of the trainee. 
•    Small amount of service requirement (likely general urology theatre lists). 
•    Depending on the aims of the trainees PDP there are also opportunities within the department for training in bladder outflow surgery and minimal invasive upper tract surgery.  

Administrative:
•    Administrative work will be limited to enable maximal opportunities for clinical training  
•    There are opportunities for service development projects including; writing patient information leaflets, decision making aids and reviewing ureteric stone pathways. 
•    The fellowship is accredited by the Royal College of Surgeons and therefore the post-holder will part of the RCS fellowship programme, which requires interaction with the programs outputs e.g. uploading logbook data.   

Research:
 The Urology unit at Freeman hospital has a big, active research and audit portfolio. It has been a key recruiter to a number of national trials (e.g. SUSPEND) and collaborated widely on Endourology projects. Opportunities include: 

•    Leadership and supervision of local audit projects
•    Clinical research projects in collaboration with Nephrology with a focus on stone biochemistry
•    Projects on complex endourology and within renal transplantation 
•    Surgical and ESWL outcomes data review
•    Involvement in national collaborative BAUS projects and audits 
•    Assistance in grant application writing for potential stone related trials. 
•    Presenting work at regional, national and international meetings (excellent departmental record of abstracts accepted to recent BAUS national congress).
•    Publication of suitable work to support fellows portfolio and career progression. 

Teaching:
There will be opportunities for teaching and training outside of the clinical environment:  
•    Regional FRCS teaching taught course sessions (if desired by the fellow).
•    Courses in the Cadaveric Newcastle Surgical Training Centre (e.g. Ureteroscopy, PCNL access)
•    National courses, BAUS congress and International courses/conferences.  
•    Non-surgical skills simulation training

It is expected that the fellow will undertake teaching, as befits a post within a large teaching hospital: 
•    Operative teaching of junior registrars in theatre in endourology procedures
•    Teaching of Foundation and Core trainees in departmental teaching
•    Taking part in undergraduate teaching as appropriate 
•    Teaching sessions to GP’s and community care workers