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FROM HERE, HEALTH i
Emergency Surgery in the 21st CenturyPROGRAMME OF EVENTS
FROM HERE, HEALTH
21 March 2014
PRESIDENT’S MEETING AND AUDIT SYMPOSIUM 2014In collaboration with the Surgical Specialty Associations
Contents
President’s Welcome 1
Chairman’s Welcome 3
Programme 4
Speakers’ Biographies 6
Surgical Specialty Associations 12
Oral Presentations 14
Campus Map 21
WITH THANKS TO OUR SPONSOR
MEDICAL COMPANIES
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President’s Welcome
MR IAN RITCHIEPresident, The Royal College of Surgeons of Edinburgh
It is a great pleasure to welcome you to this year’s President’s Meeting. The subject of
emergency surgery is one which surely interests every surgeon because, at some point
in our careers, dealing with emergencies has formed an integral part of our work. The
focus on emergency surgery is particularly sharp these days with the publication last
year of the Shape of Training report by Professor David Greenaway.
One of the fundamental drivers for his report was a concern that, in the medical
profession generally, the focus on specialism was happening to the detriment of the
care of the majority of patients who will have common, but often, life-threatening or
debilitating conditions which are best treated by surgery. It is also well known that the
mortality from emergency surgery is considerably greater than that from elective surgery.
Taking all these points into consideration, it is very timely that we discuss the general
topic of emergency surgery within the surgical profession because ultimately our goal as
surgeons is to treat patients safely and effectively, especially in emergency conditions.
The work of the organising committee has been tireless and I am grateful to them for
putting on an interesting and stimulating programme. I look forward to meeting you as
we explore this very relevant topic.
Welcome to Edinburgh.
The President and Council of The Royal College of Surgeons of Edinburgh welcome all delegates of the President’s Meeting to join them for a drinks reception in the Fellows’ Library following the conference at 5.15pm.
The RCSEd Fellows’ Library is a well-resourced medical and surgical library,
with all the latest in texts, journals and electronic resources, as well as a wealth
of fascinating historical stock dating from the 15th century to the present. The
Fellows’ Library is regularly visited by not only RCSEd Fellows, but also medical
historians, researchers, students and members of the public, wishing to develop
an increased understanding of the history of medicine and surgery.
The Fellows’ Library Friday 21 March 2014 ♦ 5.15pm
Conference Drinks Reception
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Chairman’s Welcome
PROFESSOR ROWAN PARKSRCSEd Member of Council
On behalf of the RCSEd President’s Meeting Planning Committee I am delighted to
add my welcome to that of the President’s. I am indebted to the support of Professor
Bob Steele as Co-Convenor and to those who have been part of the Committee. This
has included the President and Office Bearers, Chief Executive, and the hardworking
and committed College staff who have put a significant effort into ensuring another
outstanding meeting.
The overall theme of the meeting on emergency surgery recognises the significant
importance of this topic, and will be an opportunity to debate and discuss the challenges
of organisation and delivery of emergency surgery throughout the United Kingdom,
and in training clinicians to be competent to provide this service in both urban and rural
settings. We have an excellent range of keynote speakers and I am particularly grateful
for the significant contributions from the Surgical Specialty Associations.
The number and quality of abstract submissions for this meeting has been exceptionally
high. I am extremely grateful to Mr David Smith, Director of Education and Mrs Lorraine
Judge who have co-ordinated the logistics of abstract scoring and communicating
with abstract authors. A special mention should go to the team of markers who scored
over 180 abstracts, the best of which have been selected for the prestigious RCSEd
‘Surgeon in Training Medal’. There will also be a further oral short paper sessions and
a final adjudication for the Lister Legacy Prize Medal. This will be awarded for the best
presentation (delivered either orally or as a poster) relating to the work of Lord Lister
on ‘Sepsis and Infection Control’. This prize has been kindly sponsored by Johnson
and Johnson Medical Companies and will maintain a theme from the successful Lister
Centenary meeting in 2012. In addition, there will be further awards for the best poster
presentations.
I am also extremely grateful to Sarah Allen, Director of Membership and
Communications, who has led the publicity and promotion, and Alice Brown who
has made everything possible by her tremendous administrative support. I do hope
the 2014 President’s Meeting will be a memorable occasion for all who attend.
EMERGENCY SURGERY IN THE 21ST CENTURY
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Programme
08.00 Coffee and Registration
09.00 Welcome
Mr Ian Ritchie, President of The Royal College of Surgeons of Edinburgh
09.00 PLENARY SESSION
Wolfson HallChair
Professor John MacFie
09.05 Current Practice of Emergency Surgery in the UK
Mr Iain Anderson
09.25 Debate: Emergency Surgery as a Defined Specialty – Pro
Mr Richard Ward
09.35 Debate: Emergency Surgery as a Defined Specialty – Con
Mr Simon Paterson-Brown
09.45 The Acute Care Surgeon
Dr Ernest Moore
10.05 Panel Discussion
10.30 Coffee
11.00 SPECIALTY ASSOCIATION SYMPOSIA AND AUDIT SYMPOSIA
SYMPOSIUM 1Wolfson HallChairs Mr Robert Jeffrey and Mr Richard Montgomery
BOA Clinical Issues Relating to Emergency Surgery in Orthopaedics Mr John Keating
SCTS The Management of Cardiothoracic Trauma in the 21st Century Mr Richard Steyn
Vascular Society Emergencies in an Emerging Specialty Mr Paul Blair
SYMPOSIUM 2King KhalidChairs Mr John Duncan and Dr Judy Evans
BAUS Who Provides Emergency Urological Surgery: The Apple of Discord? Mr Mark Speakman
BAPS Emergency Surgery in Children: Where does the Buck Stop Mr Bruce Okoye
BAPRAS Severe Limb Trauma Mr Umraz Khan
AUDIT SYMPOSIUMQuincentenary Building(see pages 14-15)GB Ong RoomTausend RoomWadsworth Room
PRESIDENT’S MEETING & AUDIT SYMPOSIUM 2014
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12.15 Lunch
13.15 Chair
Mr Mike Lavelle-Jones
McKeown Lecture – Abdominal Catastrophe: The Salvage of Surgical Disaster
Professor Gordon Carlson
13.45 SPECIALTY ASSOCIATION SYMPOSIA AND AUDIT SYMPOSIA
SYMPOSIUM 3Wolfson HallChair Professor Michael Griffin and Professor Robert Steele
ASGBI Emergency Surgery and the Shape of Training Professor John Primrose
ACP Improving the Outcomes in Emergency Colon and Rectal Surgery Mr John Hartley
AUGIS The Development and Impact of a Sub-Specialist HPB Emergency Admissions System Mr Ian Beckingham
SYMPOSIUM 4King KhalidChair Mr Roger Currie and Ms Cate Scally
ENT UK Maintaining ENT Emergency Skills in a Changing Clinical Environment Professor B. Nirmal Kumar
BAOMS The Role of the OMF Surgeon in the Emergency Situation: Has Anything Changed in the Last 20 Years? Mr Roger Currie
SBNS Emergency Neurosurgery: How Should Smaller Specialties Integrate Emergency and Elective Care? Mr Richard Nelson
AUDIT SYMPOSIUMQuincentenary Building(see pages 15-16)GB Ong RoomTausend RoomWadsworth Room
15.00 Coffee
15.30 PLENARY SESSION
Wolfson HallChair
Professor Jimmy Hutchison
Faculty of Pre-Hospital Care – Delivering the Patient Alive
Professor Sir Keith Porter
15.50 Radiology in the Assessment and Management of the Acutely Ill or Injured Surgical Patient
Dr Ian Zealley
16.10 Minimal Access Surgery in the Emergency Situation
Mr Peter Sedman
16.30 Lister Legacy Lecture – Controversies in Post-injury Haemostasis
Sponsored by Johnson and Johnson Medical Companies
Dr Ernest Moore
16.55–17.00 Presentation of Prizes and Concluding Remarks
Mr Ian Ritchie, President of The Royal College of Surgeons of Edinburgh
17.15 Conference Drinks Reception
EMERGENCY SURGERY IN THE 21ST CENTURY
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DR ERNEST E MOORE
LISTER LEGACY LECTURE
Ernest Moore M.D. is currently Editor of the ‘Journal of Trauma and Acute Care Surgery’ and has been
the Chief of Trauma at the Denver General Hospital for the past 35 years, and Chief of Surgery for the
past 26 years. He continues to serve as Vice Chairman for Research and Professor of Surgery at the
University of Colorado, Denver, and was the Bruce M. Rockwell Distinguished Chair in Trauma Surgery.
Under Dr Moore’s leadership, the Rocky Mountain Regional Trauma Center at Denver General became
internationally recognised for innovative care of the injured patient, and its trauma research laboratory
has been funded by the NIH for 25 consecutive years. Dr Moore has served as president of nine academic
societies, including the Society of University Surgeons, American Association for the Surgery of Trauma,
International Association for the Surgery of Trauma, and the World Society of Emergency Surgery.
PROFESSOR GORDON CARLSON
MCKEOWN LECTURE
Professor Gordon Carlson has been Consultant Surgeon at Salford Royal Hospital, Manchester, since 1997.
He is a senior surgeon at the Intestinal Failure Unit, a national centre specialising in the management of
intestinal fistulae, sepsis and other complications of abdominal surgery. He has published over 100 peer
reviewed papers and book chapters and was appointed Honorary Professor of Surgery at the University
of Manchester in 2005 and Honorary Professor of Biomedical Science at the University of Salford in 2006.
He is a Consultant Advisor to the National Institute of Health and Clinical Excellence, as well as the
Department of Health. He has gained numerous national and international awards for his clinical and
academic work on intestinal failure, nutritional support in critical illness and gut barrier dysfunction and has
been visiting professor at numerous North American medical schools and was awarded an ad hominem
fellowship of The Royal College of Surgeons of Edinburgh in 2013.
MR IAIN D ANDERSON (ASGBI)
Mr Iain Anderson has been Consultant Surgeon at Salford Royal Hospital, Manchester, since 1995.
He is a senior surgeon at the Intestinal Failure Unit, a national unit specialising in the treatment of intestinal
fistulae and other complications after abdominal surgery to which patients are referred from around the UK.
He practices colorectal and emergency surgery and has a specialist interest in Crohn’s disease. From 1994
to 2007, he was Tutor in Surgical Critical Care at the Royal College of Surgeons of England, where he
developed and established the Care of the Critically Ill Surgical Patient (CCrISP) Course, which teaches
trainees how to care for their sickest patients and is now seen as an international standard of care. Since
2009, Mr Anderson has been a Member of the Executive of the Association of Surgeons of Great Britain
and Ireland and is Director of Emergency Surgery, contributing to the development of national standards
and audit in emergency general surgery.
Speakers’ Biographies
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MR IAN BECKINGHAM (AUGIS)
Mr Ian Beckingham is Lead Clinician for the Trent HPB Surgical Unit, Chairman of the Mid Trent HPB Cancer
Centre and lead for the Minimal Access Training Organization (MAeSTRO). He is President Elect of the
Association of Upper GI Surgeons, Council Member of the Association of Laparoscopic Surgeons and
BOMSS, and a Royal College of Surgeons Laparoscopic Trainer. Research includes a BMedSci degree,
an MD, a Hunterian Professorship and over 150 abstracts and publications, mainly in laparoscopic and
HPB surgery. He is a regular speaker on general surgery, laparoscopic and HPB topics at national meetings
and has written leading articles, book chapters and the ABC of diseases of the liver, pancreas and
gallbladder. His clinical interests include emergency surgery, laparoscopic HPB, benign upper GI surgery
and hernia surgery.
MR PAUL BLAIR (VASCULAR SOCIETY)
Mr Paul Blair is a Vascular Surgeon in Belfast and Vice-President Elect of the Vascular Society of Great Britain
and Ireland (2014). He developed an interest in trauma and critical care culminating in MD thesis on Selective
Gut Decontamination in ICU Patients and UKICU Travelling Fellowship. He is a Vascular Fellow of Providence
Medical Centre, Seattle USA and he was appointed Consultant Vascular Surgeon/Director of Trauma, RVH
Belfast 1995. He is Clinical Lead for the Northern Ireland AAA Screening Programme and Clinical Director of
the recently merged Belfast Regional Vascular Service. His main clinical interests are carotid body tumour
surgery; EVAR; and distal bypass surgery.
MR ROGER CURRIE (BAOMS)
Mr Roger Currie is a Consultant Oral and Maxillofacial Surgeon in Ayrshire with sessions at the Southern
General Hospital in Glasgow. He was elected to the Council of The Royal College of Surgeons of Edinburgh
in 2010 and has responsibility for the College’s Regional Surgical Adviser Network. At present, he is the
Chairman of the Scottish Oral and Maxillofacial Society.
MR JOHN HARTLEY (ACP)
Mr John Hartley is Regional Specialty Professional Advisor for General Surgery for the Yorkshire Region
and Council Member of the Association of Surgeons of Great Britain and Ireland. His elective surgical practice
is concerned almost exclusively with the treatment of colorectal disease. From 2007 to 2010, he served as
Specialty Tutor in Coloproctology in the Raven Department of Surgical Education at the Royal College of
Surgeons of England. He is a former member of the National Executive of the Association of Coloproctology
of Great Britain and Ireland and served as Chairman of the Education and Training Committee (2010-2013).
MR JOHN KEATING (BOA)
Mr John Keating is a Consultant Orthopaedic Surgeon at the Royal Infirmary of Edinburgh and is
Clinical Director for Musculoskeletal Services in Lothian. He was appointed as a consultant in 1994 with
a subspecialist interest in the field of orthopaedic trauma. Within this area his clinical practice is mainly
devoted to lower limb reconstruction, with an expertise in pelvic and acetabular fractures and complex
knee injuries. His main research interest is in orthopaedic trauma and he has published widely in this field.
He is the Co-chairman of the annual Edinburgh International Trauma Symposium which has been run
successfully by the Edinburgh Orthopaedic Trauma Unit for over 20 years. More recently, he was Chairman
of the RCSEd Short Life Working Group on the management of multiple trauma in Scotland and has been
a member of the National Planning Forum Sub-committee on Trauma Management in Scotland.
EMERGENCY SURGERY IN THE 21ST CENTURY
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MR UMRAZ KHAN (BAPRAS)
Mr Umraz Khan is a Consultant in Reconstructive Plastic Surgery at Frenchay Hospital, Bristol. Mr Khan has
a specialist interest in limb reconstruction, especially following trauma. He co-authored the BOA/BAPRAS
National Standards of Care for Open Lower Limb Fractures and has written over 50 papers in peer reviewed
journals; 25 of which relate to limb injuries. He runs a national fellowship in microvascular surgery in Bristol,
is an AO UK tutor, as well as an SAC member and Chair of Education in BAPRAS and a member of the
Clinical Reference Group on Specialist Orthopaedic Surgery. He runs an annual course in microsurgery
in Pakistan and has been given the honour of Visiting Professor to the Alam Iqbal University, Lahore. He is
a Fellow of the Royal College of Surgeons of England and has been awarded an Honorary Fellowship of
the College of Physicians and Surgeons (Pakistan) in recognition of his work mentoring a specialist hospital
in Lahore, Pakistan.
PROFESSOR B. NIRMAL KUMAR (ENT UK)
Professor Nirmal Kumar is Consultant ENT Surgeon at WWL NHS Foundation Trust where he is Director
of Medical Education, leading a simulation centre for medical training and is Clinical Director for Surgery.
Regionally, he leads the NW UK Training Programme for ENT and is Honorary Professor at Edge Hill University
where he leads an MCh degree in Otolaryngology. Nationally, he is Honorary Assistant Secretary for ENT UK
and is on the Specialist Advisory Committee for Otolaryngology.
MR RICHARD J NELSON (SBNS)
Mr Nelson is President of the Society of British Neurological Surgeons. He became Consultant in the
Neurosurgical Department at Frenchay Hospital, Bristol, in 1990 after training at the Wessex Neurological
Centre in Southampton. As Chairman of the Specialist Advisory Committee and Vice President of the Society
of British Neurological Surgeons, he has been closely involved in the development of the neurosurgical
curriculum, neurosurgical training programmes and selection for post-graduate training in the United
Kingdom. He specialises in vascular, skull base and spinal surgery.
MR BRUCE OKOYE (BAPS)
Mr Bruce Okoye is a Consultant Paediatric, Adolescent and Neonatal Surgeon at St Georges Hospital
NHS Trust, London, and an Honorary Consultant Paediatric Surgeon at the Royal Marsden Hospital, London.
He trained at the Alder Hey Children’s Hospital, Liverpool, Bristol Royal Children’s Hospital, Diana Princess
of Wales Children’s Hospital, Birmingham, and the Children’s Hospital of Philadelphia. He specialises in
paediatric surgical oncology and is the current Chairman of the Trauma Committee of the British Association
of Paediatric Surgeons.
MR SIMON PATERSON-BROWN
Mr Simon Paterson-Brown is a Consultant General and Upper Gastrointestinal Surgeon and Honorary
Senior Lecturer at the Royal Infirmary of Edinburgh since 1994. He has published widely both in textbooks
and journals on emergency surgery, laparoscopic surgery, upper gastro-intestinal surgery and the role of
non-technical skills in surgery. His other interests include surgical training and assessment. He was previously
Clinical Director of Surgical Services in Lothian and President of the Association of Upper GI Surgeons of
Great Britain and Ireland. He is currently a Member of Council of The Royal College of Surgeons of Edinburgh,
as well as Chairman of the College’s Patient Safety Board.
PRESIDENT’S MEETING & AUDIT SYMPOSIUM 2014
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PROFESSOR SIR KEITH PORTER
Professor Sir Keith Porter is a Consultant Trauma Surgeon and Trauma Clinical Director at Queen Elizabeth
Hospital Birmingham, which has been a major trauma centre since March 2012. Since 2000, he has been
the Civilian Clinical Lead for the care of injured soldiers returning to the UK from both Iraq and Afghanistan.
For 20 years he was Medical Director of the West Midlands Central Accident Resuscitation (CARE) team and
actively involved in advancing both the delivery of pre-hospital care and education within the region. He has
been the regional representative of both BASICS and the Faculty of Pre-hospital Care and is past Chairman
of RCSEd’s Faculty of Pre-hospital Care. He is also the past Chairman of the Intercollegiate Board for Training
in Pre-hospital Emergency Medicine and recently Co-Chaired the DoH Review on Major Trauma, in relation
to its pre-hospital care and transport sub-group. He is Chairman of Trauma Care, an educational charity, and
co-editor of its journal ‘Trauma’. For services to the military he was made a Knight of the British Empire in the
2010 New Year Honours List.
PROFESSOR JOHN PRIMROSE (ASGBI)
Professor John Primrose is President of the Association of Surgeons of Great Britain and Ireland
and Professor of Surgery at the University of Southampton. He is also Chair of the National Cancer
Research Institute Upper GI Clinical Studies Group and Director of the NIHR Hampshire and Isle of Wight
Comprehensive Local Research Network. In that role he is committed to promoting a research-led NHS.
He has served on a large number of national bodies particularly Cancer Research UK funding committees.
He has served the Association of Surgeons of Great Britain and Ireland as Director of Education where he
developed the surgical education agenda and later served as Director of Education, Training and Research
at the Association of Upper GI Surgeons. He took up the presidency of ASGBI in 2013.
MR PETER SEDMAN (ALSGBI)
Mr Peter Sedman is an Upper GI and Laparoscopic Surgeon in Hull where he has been Consultant for the
last 16 years. For the last seven of these he has focused on surgery for benign disease and expanded the
bariatric service which now accounts for approximately 50% of his clinical workload with hiatal surgery and
advanced laparoscopy being the majority of the remainder. He has formerly held the role of Minimal Access
Tutor for the Royal College of Surgeons of England and is the current Education Director of the Association
of Laparoscopic Surgeons of Great Britain and Ireland.
MR MARK SPEAKMAN (BAUS)
Mr Mark J Speakman was appointed Consultant Urologist in Taunton in 1990 and has developed a busy
practice in the management of benign and malignant prostate disease, incontinence and andrology. He has
undertaken research and published papers on smooth muscle physiology; the treatment of prostate and
bladder diseases; alternatives to prostatectomy and research into quality of life assessment and evidence-
based medicine in urology. Mr Speakman has been a member of the Council of the British Association of
Urological Surgeons (BAUS) on two occasions and was Honorary Treasurer of the Association (2003-2005)
and was recently elected as President-Elect of BAUS. He has served on the Editorial Board of European
Urology and is currently on the Editorial Board of the British Journal of Urology. He has been the Director
of Research and Development on two occasions within the Hospital Trust. He is a Specialist Advisor to the
UK National Institute for Clinical Health and Excellence.
EMERGENCY SURGERY IN THE 21ST CENTURY – SPEAKERS’ BYOGRAPHIES
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MR RICHARD STEYN (SCTS)
Mr Richard Steyn is a Consultant Thoracic Surgeon and Associate Medical Director of Surgery at Birmingham
Heartlands Hospital. Mr Steyn’s interest in trauma extends back prior to his surgical training when, as a rural
general practitioner, he would be called to the scene and then follow the patient through their care back to
rehabilitation into the community. This trauma interest has extended through his surgical training in Aberdeen,
Liverpool, Manchester and Birmingham and into his consultant practice. He continues to actively support the
ambulance service providing care on scene and during transit and is also the immediate Past Chairman of the
British Association for Immediate Care. After appointment as Consultant, he was heavily involved in promoting
better management of chest injuries, not only in his own hospital but also the surrounding hospitals through
the development of protocols, educational courses and lectures and the provision of outreach input into hot
cases. Mr Steyn was involved in the DoH working groups on trauma that led to the development of Major
Trauma Networks. He remains committed to the teaching and education in trauma for future generations of
surgeons and other clinicians.
MR RICHARD WARD
Mr Richard Ward is a Consultant Vascular Surgeon at Aintree University Hospital, Liverpool. In 2010, he
became Consultant at the Emergency General Surgery Unit, Aintree which has now developed into a three
consultant team. He founded the Aintree Major Trauma Ward as part of the Cheshire and Merseyside Trauma
Collaborative in 2012, which continues to provide consultant cover to both areas. Mr Ward is former Chair of
Mersey Basic Surgical Training Committee and currently Head of School of Surgery at the Mersey Deanery.
He was President of the Liverpool and North-West Society of Surgeons 2010. He has a career-long interest
in surgical education.
DR IAN ZEALLEY
Dr Ian Zealley is an Interventional Radiologist working at Ninewells Hospital Dundee, and previously worked
at the McMaster University Medical Centre, Ontario. Dr Zealley is interested in the application of radiology to
both diagnostic evaluation and therapeutic intervention in trauma. He initiated and executed an analysis of
provision of out-of-hours interventional radiology haemorrhage-control services in Scotland, leading to the
development of guidelines for service delivery, resulting in improved access. Dr Zeally is currently co-opted
onto the Scottish Trauma Audit Group for the on-going evaluation of trauma care in Scotland.
PRESIDENT’S MEETING & AUDIT SYMPOSIUM 2014
Our Surgeons’ Hall Museum is changing…
THE LISTER PROJECT
Originally developed as a teaching museum for
students of medicine, Surgeons’ Hall Museum has
been open to the general public since 1832, making
it Scotland’s oldest medical museum.
The Lister Project – named after notable Fellow of
the College, Joseph Lister, who radically improved
the safety of surgery by promoting the use of
antiseptic technique – will transform Surgeons’ Hall
Museum into a modern, public museum using its
internationally-important collections, amassed since
the 15th century, to tell the history of medicine. This
project will transform the experience and acess for
our 30,000 international visitors each year.
TO FIND OUT MORE ABOUT THIS EXCITING PROJECT, VISIT WWW.RCSED.AC.UK/HERITAGESOCIETY
The UK’s largest and most historic collection of surgical pathology artefacts, RCSEd’s Surgeons’ Hall
Museum is to be given a new lease of life thanks to a £2.7m grant from the Heritage Lottery Fund.
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PRESIDENT’S MEETING & AUDIT SYMPOSIUM 2014
Surgical Specialty Associations
ASSOCIATION OF SURGEONS OF GREAT BRITAIN AND IRELAND (ASGBI)The Association of Surgeons of Great Britain and Ireland is an association representing general surgery and all its related specialities throughout the UK and Ireland. Founded in 1920 by a group of leading surgeons of the day, it currently has 1,900 members. The founding objectives of the Association were two-fold - the advancement of the science and art of surgery and the promotion of friendship amongst surgeons; these objectives remain the same today. www.asgbi.org.uk
BRITISH ASSOCIATION OF PAEDIATRIC SURGEONS (BAPS)The British Association of Paediatric Surgeons was founded in 1953 to support surgeons in what was then a new specialty. It currently has 150 consultant members across the UK and Ireland. However, from their early days they were a fully international organisation and now have members in 73 countries around the world. www.baps.org.uk
BRITISH ASSOCIATION OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC SURGEONS (BAPRAS)The British Association of Plastic, Reconstructive and Aesthetic Surgeons is the voice of plastic surgery in the UK. It aims to increase the understanding of the professional specialty and scope of plastic surgery, promoting innovation in teaching, learning and research. Founded in 1946 (originally as the British Association of Plastic Surgeons), today BAPRAS has over 800 members and is the professional representative body for reconstructive and aesthetic plastic surgeons providing services to patients on the NHS and privately in the UK. www.bapras.org.uk
BRITISH ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS (BAOMS)Oral and Maxillofacial Surgeons specialise in the diagnosis and treatment of diseases affecting the mouth, jaws, face and neck. The British Association of Oral and Maxillofacial Surgeons (BAOMS) was established as an Association back in 1962 and celebrated its 50th Anniversary in 2012. OMF surgery is unique in requiring a dual qualification in medicine and dentistry, and is often seen as the bridge between medicine and dentistry. www.baoms.org.uk
BRITISH ASSOCIATION OF UROLOGICAL SURGEONS (BAUS)The British Association of Urological Surgeons was founded in 1945 and exists to promote the highest standards of practice in urology, for the benefit of patients, by fostering education, research and clinical excellence. BAUS is a registered charity and qualified medical practitioners practising in the field of urological surgery are eligible to apply for membership. BAUS has just over 1,700 members and 95% of consultant urological surgeons in the UK are BAUS members. www.baus.org.uk
BRITISH ORTHOPAEDIC ASSOCIATION (BOA)The British Orthopaedic Association is the surgical specialty association for trauma and orthopaedics in the UK. It was founded in 1918 with twelve founding members and now has over 4000 members worldwide.
They provide national leadership, a unifying focus, and charitable endeavour by caring for patients and
supporting surgeons. As a membership organisation they care for patients and support surgeons by
focusing on excellence in: professional practice; training and education; and research. www.boa.ac.uk
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ENT-UKFormed in 2008, the objectives of ENT UK are the advancement for the public benefit of education, training and research in the fields of otorhinolaryngology - head and neck surgery; the relief of patients suffering from diseases of the ear, nose and throat and related areas. Today, ENT UK represents over 1,300 medical practitioners including surgeons, trainees and audiologists. entuk.org
SOCIETY OF BRITISH NEUROLOGICAL SURGEONS (SBNS)The Society of British Neurological Surgeons was founded in 1926 and is one of the world’s oldest national neurosurgical societies. With currently 645 members, the purpose of the Society is the study and advancement of neurosurgery. This is achieved through the scientific meetings, publications, fostering professional relationships with neurosurgeons, other related organisations and engagement with the public. The Society is also involved in the education and the examination of neurosurgeons. www.sbns.org.uk
SOCIETY FOR CARDIOTHORACIC SURGERY (SCTS)The Society for Cardiothoracic Surgery was set up by the profession to enhance the quality of care delivered to patients. It is now a multi-professional organisation with about 650 members comprised of patients, nurses and doctors committed to improving patient care. SCTS has pioneered collection and public release of clinical outcomes demonstrating a 30% reduction in mortality for adult cardiac surgery over the past decade. www.scts.org
THE VASCULAR SOCIETY OF GREAT BRITAIN AND IRELANDThe Vascular Society of Great Britain and Ireland is the pre-eminent organisation in the country promoting vascular health by supporting and furthering excellence in education, training and scientific research. Founded in 1966 by Professor Sol Cohen, the Society represents and provides professional support for over 700 members, including consultant vascular surgeons and trainees, vascular radiologists and others involved in independent vascular practices in Great Britain and Ireland. It achieved separate surgical specialty status in March 2012. www.vascularsociety.org.uk
THE ASSOCIATION OF LAPAROSCOPIC SURGEONS OF GREAT BRITAIN AND IRELAND (ALSGBI)The Association of Laparoscopic Surgeons was formed in 1994 by the amalgamation of the Society of Minimally Invasive General Surgeons (SMIGS) and the British Surgical Stapling Group (BSSG). The ALS is the main voice for laparoscopic surgeons in Great Britain & Ireland. The ALS’ principal aims are to foster innovation and research in laparoscopic surgery, to promote public education, the raising and maintenance of clinical standards, and the provision of training courses to both experienced surgeons and those in training. www.alsgbi.org
ASSOCIATION OF COLOPROCTOLOGY (ACPGBI)The Association of Coloproctology of Great Britain and Ireland consists of over 1,000 surgeons, nurses, and allied professionals who advance the knowledge and treatment of bowel diseases in Britain and Ireland. Founded in 1990, the growth of the Association reflects the importance of coloproctology within the field of gastroenterology. Coloproctology is not just practiced by surgeons; it is a specialty of physicians, oncologists, pathologists and radiologists with specialist nurse support essential to the management of patients. www.acpgbi.org.uk
ASSOCIATION OF UPPER GASTROINTESTINAL SURGEONS OF GREAT BRITAIN AND IRELAND (AUGIS)The Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland has almost 900 members including surgeons, trainees and allied healthcare professionals. AUGIS’ aim is to improve the care and outcomes for patients with surgical conditions of the upper gastrointestinal tract. This aim is pursued through advising nationally on the provision of upper GI surgical services supported by comprehensive clinical audits. Audits are established in oesophago-gastric and HPB cancers and bariatric surgery. www.augis.org
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Oral Presentations
Morning sessions
11.00 LISTER LEGACY PRIZE SESSION
Sponsored by Johnson and Johnson Medical Companies
Tausend Room, Quincentenary Building
Chairs
Mr Roger Currie and Professor Bob Steele
NICHOLAS GILL Using Clinical Audit to Improve Sepsis Rates Post-TRUS Biopsy
JONATHAN WHITTON Closing the Loop: Does BIOPATCH Reduce Emergency Central Line Infections in a Paediatric Population?
JOHN CREWCrew-NovaBay Minimally Invasive Surgery for Necrotizing Fasciitis
KIRSTY TOMS Basing Antibiotic Prophylaxis on the Evidence Available for a Vascular Population
ANTONELLA MARIA ARDOLINO Intra-operative Bacterial Colonisation Beneath Plastic Adhesive Drapes: A Pilot Study
GARETH STEPHEN TURNBULLManagement of Infected Cases on Orthopaedic Wards: A Fourth Cycle Audit
RAJEEV ADVANI Small Changes: Better Outcomes – Mission to Reduce Infection following Middle Ear Surgery
11.00 SPECIALTIES AND COMMON INTEREST SESSION
Wadsworth Room, Quincentenary Building
Chairs
Ms Elaine Griffiths and Mr Omar Hilmi
RAJEEV ADVANI‘Safe Handover Saves Lives’: An Audit of an Electronic System to Improve Surgical Handover
RIAZ AHMED AGHAVenous Thromboembolism Risk Assessment Compliance in Plastic Surgery
RAJEEV ADVANIAirway Before All Else: The Tracheostomy and Laryngectomy Safety Project
KATHRYN LIGHTBODYMicroscope-assisted Marking of Skin Margins to Improve Excision Rates in Head and Neck Skin Cancers: a Completed Closed-loop Audit
DAVID EDWARD JAMES BALLImproving the Quality of Documentation on the Surgical Post-take Ward Round using a Proforma Based on Royal College of Surgeons Guidelines: A Completion of the Audit Loop
NEIL DAVID KILLICKTrainee Experience of using the Voxel-Man TempoSurg Temporal Bone Simulator in the North Western Deanery Otolaryngology Training Programme
SHUEH YIANG LIMIs There Still a Role for Open Neck Biopsy for the Diagnosis Of Lymphoma in 2013?
PRESIDENT’S MEETING & AUDIT SYMPOSIUM 2014
FROM HERE, HEALTH 15
11.00 TRAUMA AND ORTHOPAEDIC SESSION
GB Ong Room, Quincentenary Building
Chairs
Prof Jimmy Hutchison and Mr Aly Mehdi
NEIL CHOTAIScrubbing Times in Trauma and Orthopaedics
NGWE PHYOBlood Transfusion Rates in Primary Total Knee Arthroplasty after Introduction of Tranexamic Acid
OMER TOUFEEQ SALARUncemented Unipolar Hemiarthroplasty for Hip Fractures. What Happens Next?
SOUMEN RUDRAIs Absence of Evidence, Evidence of Absence?
OMER TOUFEEQ SALARAnxiety and Depression Predicts Poor Outcomes in Arthroscopic Subacromial Decompression
KIM BOYD FERGUSONThe Success Rate of Image Guided Needle Biopsy for Musculoskeletal Tumours
MUHAMMAD ADEEL AKHTARAn Audit of Audits: Why Audits are Abandoned?
13.45 SURGEONS IN TRAINING MEDAL SESSION
GB Ong Room, Quincentenary Building
Chairs
Mr John Duncan and Mr David Smith
STACEY LOUISE THOMSONA Review of Red Flag GP Referrals to the Orthopaedic Spinal Service in Northern Ireland
MATILDA POWELL-BOWNSGynaecological History (GH) and β-hCG: An Audit of their Documentation in the Acute Surgical Receiving Unit (ASRU)
KASUN MANIGASOORIYAThe Critical Role of Leadership in Clinical Audit
JOHN ROCKEAudit of Venous Thromboembolism Prophylaxis Prescribing in Women of Childbearing Age in a Trauma Unit
ROHIT SINGHA Closed Loop Audit of Informed Consent In Elective Orthopaedic Practice. 13 Year Follow-up Study
NISHA RANGANasogastric Tube Management: Are We Following NICE and NPSA Guidance?
EIMEAR MCKENNAUrethral Catheter Care Documentation: Are We Doing It Right?
EMERGENCY SURGERY IN THE 21ST CENTURY
Afternoon sessions
FROM HERE, HEALTH16
13.45 TRAUMA AND ORTHOPAEDICS SESSION
Tausend Room, Quincentenary Building
Chairs
Mr Donald Campbell and Mr David Finlayson
GARETH STEPHEN TURNBULLThe Relationship of Perioperative Blood Loss and BMI to Recovery Following Total Knee and Hip Arthroplasty
SARFRAZ AHMADA Service Evaluation of Wasted Theatre Stock in a Specialist Orthopaedic Hospital
GARETH STEPHEN TURNBULL
Survivorship of 1023 Primary Knee Arthroplasties at Minimum 10 Year Follow Up
OLIVER CHAN
Concordance Between the Trainer/Trainee’s Logbook Supervision Codes
JONATHAN MACDONALD
Two Consultant Operating: The Perceived Benefits
FRASER JOHN GOULD
Improving the Early Application of Mechanical Thromboprophylaxis for Patients with Fractured Neck of Femur:
Closure of an Audit Loop
STACEY LOUISE THOMSON
Out of Hours Acute Cauda Equina Syndrome: Imaging and Outcomes
13.45 GENERAL SURGERY SESSION
Wadsworth Room, Quincentenary Building
Chairs
Mr Charlie Auld and Mr Pala Rajesh
DUNCAN STEPHEN GEORGE SCRIMGEOURAcute Pancreatitis: How Do We Compare to UK Standards? A Closed Loop Audit
CAROLINE MARGARET ATHERTONThe Emergency General Surgical Unit: The Clinical and Economic Benefits of the Centralisation of Emergency General Surgery
MUHAMMAD ISHTIAQ AHMED
Streamlining Electronic Operation Notes: a Team Based Improvement Project
IBRAHIM IBRAHIM
Day of the Week has no Correlation with Mortality in Patients aged 70 or over Admitted to Emergency General
Surgery
MICHAEL CHAN
A Re-audit of IV Fluid Prescribing at the University Hospital of North Durham against GIFTASUP Guidelines
CHARLOTTE BRIERLEY
Audit: Management of Warfarin Reversal in Acute Surgical Admissions
PHILIP BROADBENT
To Establish the Effect of the Introduction of a Standardised Proforma on the Documentation of Post-Take Ward
Round Notes
PRESIDENT’S MEETING & AUDIT SYMPOSIUM 2014
For the first time in The royal College of Surgeons of Edinburgh’s 500-year history, the College is pleased to be opening a base outside Edinburgh – in Colmore row, Birmingham.
rCSEd is strongly committed to providing the best services, facilities and support possible to everyone who has chosen to be part of our College, wherever they are based. This move is in recognition that 80% of our UK membership is based in England and Wales – more than 11,000 professionals in total.
The College hopes that many of our Fellows, Members and Affiliates will be able to take part in the meetings, lectures, courses and other events which will be held in
the new Colmore row facility from the opening week in late March/early April; as well as our colleagues and partners in healthcare.
Those in our membership who are Trainees or SAS grade may be interested in two bookable events which will be taking place in the opening week itself. In addition, we will be holding a PBA (procedure-based assessment) course at the centre within the same period. Fellows and Members local to Birmingham are also invited to attend an opening drinks reception on Thursday 3 April.
Places at all events are limited so please register to attend through the website.
RCSEd’S BiRmingham BaSE to opEn thiS monthCentre of operations will launch with a series of exciting activities and events
FoR FuRthER inFoRmation aBout ouR nEw BiRmingham oFFiCE and EvEntS viSit www.RCSEd.aC.uk
Birmingham
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Comfortable city centre hotel accommodation in Edinburgh can be found with us. With an excellent standard of room facilities throughout our 77 ensuite executive and skyline bedrooms, your stay be it short or extended, will leave you well rested. We are located a short distance from Edinburgh’s thriving visitor experience and part of the dramatic event and conference venue, Surgeons' Hall. Visit our website to find out more about us, our festive packages and our theatre breaks.
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WHO MAKES THE CUT? Assessment in Surgical Training
All in the surgical community are welcome to attend
the Faculty of Surgical Trainers Annual Meeting which
will take place at The Royal College of Surgeons of
Edinburgh on Wednesday 22 October 2014.
FROM HERE, HEALTH
The Faculty of Surgical
Trainers is a venture set
up by The Royal College
of Surgeons of Edinburgh
to promote and enhance
the role of the surgical
trainer. The Faculty is the
first of its kind in the UK
and its purpose is to help
support and develop
surgeons in their role as
surgical trainers.
It works to increase the
profile and recognition of
surgical education and
training and disseminate
the message that
excellent surgical training
means excellent and
safe patient care. It also
champions and promotes
training in non-technical
skills, as well as traditional
technical skills, to further
enhance patient safety;
and provide a framework
for the training and
education of surgical
trainers.
The Faculty will also play
an important role as the
landscape of surgical
training changes in the
future. As such it is already
highly active in preparing
for the GMC’s plan to
approve trainers by 2016.
The Faculty is open to all
those who have an active
interest or involvement in
surgical training in the UK
and internationally.
www.rcsed.ac.uk/fst
22 October 2014
FROM HERE, HEALTH 21
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King Khalid Building
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Surgeons’Hall
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■ Playfair Main Hall■ Fellows’ Library■ Quincentenary Building■ Wolfson Hall■ Quin Hall – GB Ong Room – Tausend Room – Wadsworth Room■ Surgical Skills Laboratory
EMERGENCY SURGERY IN THE 21ST CENTURY
SAVE THE DATE
20 March 2015PRESIDENT’S MEETING 2015 SURGICAL ONCOLOGY
Advances in surgical technique and in the organisation
and delivery of care have contributed significantly to
improved outcomes for patients with cancer. The focus
of the 2015 President’s Meeting will provide updates in
recent developments across the surgical specialties.
FROM HERE, HEALTH
www. presmeeting.rcsed.ac.uk
Email: presidentsmeeting@rcsed.ac.uk
Phone: 0131 668 9209
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