Faculty / program leadership: Iain Packham and Rouin Amirfeyz
Profile completeness74%
Well sourced · Missing funding, faculty profile, host profile
✓ Primary programme source linked✓ Dated source review current— Current cycle evidenced— Faculty identity sourced— Institution mark verified
DECISION SUMMARY
What matters before you keep reading.
Eligibility
International route mentioned
Funding
Not published
Deadline
No current dated deadline established from the BESS directory
Duration
6 or 12 months
Hands-on
Unclear — confirm privileges
Last checked
25 Aug 2026
Duration · published6 or 12 months
Clinical exposureSix months of shoulder surgery plus six months of elbow and hand training, including high-volume primary and revision arthroplasty, complex acute upper-limb trauma and late reconstruction at a major trauma centre
Funding · not publishedFinancial terms and NHS employment arrangements are not published in the current BESS directory
DestinationUnited Kingdom
Participation levelClinical participation and hands-on restrictions must be confirmed directly with the host.
INTERNATIONAL APPLICANT CHECK
What the official evidence currently supports
Decision-critical fields are separated into confirmed facts, partial information and points requiring direct confirmation.
≈Partially published
International applicant eligibility
BESS directory inclusion does not establish GMC registration, NHS appointment eligibility, right to work or visa sponsorship. Confirm all clinical-employment requirements with the host.
✓Published by official source
Required training level
Post-CCT orthopaedic surgeon
✓Published by official source
Programme classification
Clinical or combined training pathway; exact duties remain appointment-specific.
?Confirm directly with host
Hands-on restrictions
Hands-on participation and operative restrictions are not explicitly published.
≈Partially published
Medical registration
BESS directory inclusion does not establish GMC registration, NHS appointment eligibility, right to work or visa sponsorship. Confirm all clinical-employment requirements with the host.
?Confirm directly with host
Licensing examinations
Any examination requirement must be confirmed with the relevant regulator and host.
—Not published
Language requirements
No formal language requirement is published by the cited source.
≈Partially published
Visa or work authorisation
BESS directory inclusion does not establish GMC registration, NHS appointment eligibility, right to work or visa sponsorship. Confirm all clinical-employment requirements with the host.
✓Published by official source
Funding availability
Financial terms and NHS employment arrangements are not published in the current BESS directory
DATA QUALITY & AVAILABILITY
48% of core application fields verified
Checked 25 Aug 2026. Next scheduled editorial review: 2027-02-21. Every unresolved field keeps its exact evidence state—unpublished, not yet researched, historical, conflicting, inaccessible or not applicable—so an absence is never converted into a fact.
✓ programme title✓ institution / department✓ city and country✓ programme classification✓ subspecialty✓ duration✓ commencement / intake✓ eligibility✓ application process✓ application portal✓ faculty✓ official source✓ accreditation / organisation source✓ verification date— Current availability unconfirmed · current availability unconfirmed— positions · not published by the cited official source— Funding information not published · not published by the cited official source— benefits · queued for source review— accommodation / relocation · queued for source review— international eligibility · queued for source review— Language requirement not published · queued for source review— Registration information not published · queued for source review— visa / work authorisation · queued for source review— Current deadline not yet published · not published by the cited official source— required documents · queued for source review— official contact · queued for source review— Verified faculty photograph not available · queued for source review— Verified institution logo not available · queued for source review— institutional source · queued for source review
APPLICATION TIMELINE & CONTACT
Plan the application
Application deadlineNo current dated deadline established from the BESS directory
Commencing dateAugust or February
Application route / cycleTrac application and competitive interview when advertised
Deadlines and intake dates can change between cycles. The data-quality ledger above explicitly labels application fields that the cited official source does not publish.
ELIGIBILITY & REQUIREMENTS
Published entry requirements
Clinical / academic eligibility
Post-CCT orthopaedic surgeon
Registration, licence & examinations
BESS directory inclusion does not establish GMC registration, NHS appointment eligibility, right to work or visa sponsorship. Confirm all clinical-employment requirements with the host.
Visa / work authorisation
BESS directory inclusion does not establish GMC registration, NHS appointment eligibility, right to work or visa sponsorship. Confirm all clinical-employment requirements with the host.
Application documents
CV, personal statement, recommendation-letter, transcript and identity-document requirements are not published by the cited official source.
Licensing, visa and document rules depend on the individual programme and application cycle. OrthoFellow does not infer USMLE, AHPRA, ECFMG, recommendation-letter or visa requirements from the country alone.
PROGRAM OVERVIEW
What this program offers
North Bristol Upper Limb Fellowship is one of 18 identities in the current BESS UK planning directory. BESS explicitly states that ordinary directory entries are not formally assessed or affiliated with BESS or RCS England, so current vacancy, employment, registration and visa terms remain confirmation-required unless separately published.
HOST INSTITUTION
About North Bristol NHS Trust / Bristol Royal Infirmary
A detailed institutional profile has not yet been published by OrthoFellow for this listing. Use the official host or program link to review the hospital, university, training sites and facilities directly.
Fellowship supervisor / program leadershipOfficial program roster
Current position
Fellowship supervisor / program leadership
Affiliation
North Bristol NHS Trust / Bristol Royal Infirmary
Clinical focus
Shoulder & Elbow training and clinical practice
Qualifications
Not published on the cited profile
Iain Packham is listed in the cited programme evidence as fellowship supervisor / program leadership for North Bristol Upper Limb Fellowship. The verified individual profile describes a focus in Shoulder & Elbow training and clinical practice. This association does not by itself confirm personal supervision, operative privileges or availability for a future intake.
Iain Packham is listed by the official programme source as fellowship supervisor / program leadership. A separate individual short CV has not yet been verified by OrthoFellow.
RA
Faculty: Rouin Amirfeyz
Teaching faculty / co-leadershipOfficial program roster
Current position
Teaching faculty / co-leadership
Affiliation
North Bristol NHS Trust / Bristol Royal Infirmary
Clinical focus
Shoulder & Elbow training and clinical practice
Qualifications
Not published on the cited profile
Rouin Amirfeyz is listed in the cited programme evidence as teaching faculty / co-leadership for North Bristol Upper Limb Fellowship. The verified individual profile describes a focus in Shoulder & Elbow training and clinical practice. This association does not by itself confirm personal supervision, operative privileges or availability for a future intake.
Rouin Amirfeyz is listed by the official programme source as teaching faculty / co-leadership. A separate individual short CV has not yet been verified by OrthoFellow.
Names and fellowship roles come from the cited programme source. A green “individual profile verified” label means the position, qualifications and biography were also checked against an official personal or institutional profile. OrthoFellow displays a portrait only when it can be tied to an official profile or faculty source; otherwise the host institution brandmark is shown, with initials retained only when neither image is available. Faculty rosters may change.
PROGRAM HISTORY
Published fellowship history
BESS pathway identity checked 2026-08-25.
APPLICANT PROFILE
Senior orthopaedic trainees and post-training surgeons seeking advanced shoulder and elbow practice
◎
INTERNATIONAL APPLICANTS
Published international eligibility information
BESS directory inclusion does not establish GMC registration, NHS appointment eligibility, right to work or visa sponsorship. Confirm all clinical-employment requirements with the host.
This note is shown only when the official source publishes information relevant to overseas applicants. Applicants should confirm licensing and visa eligibility directly with the host.
Host centres selected by fellow, International · Applicant-proposed overseas clinical visit completed before the following BESS annual meetingView program profile →
Host centres selected by fellow, United Kingdom or International · Applicant-proposed clinical visit completed before the following BESS annual meetingView program profile →