After plastic surgery specialty training at Hannover Medical School, my consultant-track training focused on two sub-specialty areas: microsurgical reconstruction and hand surgery. The microsurgical training was the Perth International Plastic and Reconstructive Fellowship at Sir Charles Gairdner Hospital. The hand surgery training came in the years that followed at Kantonsspital Aarau, in the Department of Plastic and Hand Surgery led by Prof. Jan Plock as Chefarzt — though my day-to-day clinical supervision came from PD Dr. Florian Früh as Leitender Arzt and Head of Hand Surgery, with whom I continue to consult on complex hand cases. The position was formally Oberarzt, but with daily clinical work concentrated almost entirely within the hand surgery team. In Switzerland, Handchirurgie is a sub-specialty separate from plastic surgery, and the Aarau years effectively served as a hand surgery fellowship period. The European Board of Hand Surgery Diploma examination, which requires at least one year of post-specialisation work in a pure hand-surgery scope, followed from that training.
Current clinical practice draws on both sub-specialties. The principal areas of work are hand surgery and the operative care of the upper extremity, and microsurgical reconstruction across the body. Within reconstructive practice, the surgical management of melanoma and complex skin cancer is a current area of clinical work, anchored by my role as Chair of the Melanoma and High-Risk Skin Cancer MDT at Waikato Hospital.