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RCSI DEVELOPING HEALTHCARE LEADERS WHO MAKE A DIFFERENCE WORLDWIDE

CHARTER DAY MEETING

CPD ACCREDITATIONTUESDAYIn Conversation With = 1 credit

WEDNESDAYNOCA = 6 credits

THURSDAY NCPS = 6 credits

Videosurgery Meeting = 3 credits

FRIDAY Charter Day = 6 credits

SATURDAYISTG Meeting = 4 credits

TUESDAY 30th JANUARY – SATURDAY 3rd FEBRUARY 2018

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RCSI CHARTER DAY 2018

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Programme

CHARTER DAY MEETING Tuesday 30th January – Saturday 3rd February 2018

THE RCSI ROYAL CHARTER

In 1765 Sylvester O’Halloran, a surgeon from Limerick, had proposed a College of Surgeons in Ireland along the lines of the College de St. Cosme in Paris, which had been regulating French surgery since its creation by royal charter by Louis IX in 1255. O’Halloran called for a college of surgery to be founded in Dublin to train, educate and examine persons in the art of surgery. This lead to a group of Dublin surgeons joining together and forming the Dublin Society of Surgeons in 1780. The main goals of the society were to separate surgeons from the Barber Surgeons Guild and provide surgical training, education and regulation in Ireland. They lobbied for a royal charter in 1781 and presented the Lord Lieutenant with their petition. The Lord Lieutenant presented the petition to King George III who saw it fit to grant a royal charter on 11 February 1784 establishing the Royal College of Surgeons in Ireland. The first President was Samuel Croker-King (1728-1817) and the first Professor of Surgery was William Dease (1752-1798).

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PRESIDENTS MESSAGE

MESSAGE OF WELCOME CHARTER DAY 2018

It gives me great pleasure to welcome everybody to our Annual Charter Day meeting.

The Annual Commemoration of the granting of our Charter by King George III in 1784 remains a reminder to us of our responsibilities. The original Charter charged us with the provision of Surgical Education and the control of Surgical Practice.

RCSI has changed immensely since then such that now we are an independent not-for-profit focussed Health Sciences Institution with degree awarding status with an extremely broad – both National and International – perspective and activity.

We still however continue to strive to deliver our surgical remit.

This year’s committee of Ken Mealy, Sean Tierney, Kieran Ryan, Louise Loughran, Cara McVeigh, Aoife Mahon, Claire Phelan, and Kate Smith have put together a programme which we hope will be stimulating and relevant for you.

Tuesday evening 30th January sees Pat Kenny, Irish Radio & TV Broadcaster, “In Conversation with…….Floating Doctors” – chatting to two RCSI Alumni who are on a mission to improve healthcare access for those living in the worlds most isolated communities.

We begin Wednesday 31st January with the National Office of Clinical Audit (NOCA) meeting and on Thursday 1st February the National Clinical Programme in Surgery will update us. Later that evening we have the 28th Annual Videosurgery meeting presented once again by Professor Tom Walsh.

On Friday 2nd February – the morning meeting is of parallel sessions from the different surgical specialties.

The Johnson & Johnson lecture will be delivered by Professor Shafi Ahmed, Consultant Surgeon & Co-founder, Virtual Medics & Medical Realities.

This is followed by my Presidents Address to update the Fellows & Members in the areas of College activity, surgical training, education and practice.

The Plenary Session is on Medico Legal matters and Risk Management.

The 94th Colles Lecture will be delivered by Dr David Ansell of Rush University of Chicago and is entitled “How Inequality Kills”.

On Saturday 3rd February, the Irish Surgical Training Group host their Annual Meeting and Bosco O’Mahony lecture. On Saturday there will be an Honorary Fellowship Conferring on Dr Michael Collins – Massachusetts; Professor John Nicholls - London and Professor Jatin Shah – New York followed by our annual Charter Day Dinner.

I trust you will enjoy the scientific and social interactions over the few days of the meeting.

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Professor John HylandPresident

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CONTENTS

Please ensure you sign in each day to receive all CPD credits for the meeting.CPD credits cannot be awarded without a signature.

PLEASE NOTE: You will be required to sign in on two occasions on Thursday, 1st February for both the NCPS Meeting and the Videosurgery meeting to receive CPD credits for both meetings.

6 Programme at a Glance

TUESDAY 30th January

9 Pat Kenny In Conversation With… Floating Doctors

WEDNESDAY 31st JANUARY

10 NOCA National Conference

13 12th Annual Intercollegiate Case Presentations

THURSDAY 1st FEBRUARY

14 National Clinical Programme in Surgery:

Provision of High Quality Surgical Care – by Quality Improvement

18 National Clinical Programme in Surgery: Our Speakers

23 28th Annual Videosurgery Meeting

FRIDAY 2nd FEBRUARY

24 Kindly sponsored by…..

25 Centralisation of Cancer Services – The Impact of the National Cancer Strategy

26 Parallel Session: Cardiothoracic Surgery

27 Parallel Session: Emergency Medicine

28 Parallel Session: General Surgery

29 Parallel Session: Neurosurgery

30 Parallel Session: Oral and Maxillofacial Surgery

31 Parallel Session: Joint Session - Otolaryngology Head & Neck Surgery and Plastic Surgery

33 Parallel Session: Trauma & Orthopaedic Surgery

35 Parallel Session: Urology

36 Parallel Session: Vascular Surgery

38 Johnson & Johnson Lecture

Presidential Address

39 Plenary Session: Medico Legal Practice – Lessons to be Taught and Learned

94th Abraham Colles Lecture

40 Abraham Colles (1773 – 1843)

42 Charter Day Guest Speakers

SATURDAY 3rd FEBRUARY

45 Irish Surgical Training Group Meeting (ISTG)

including the Bosco O’Mahony Lecture

48 Honorary Fellowship Conferring

49 Save the Date

50 Court of Examiners

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PROGRAMME AT A GLANCE

Wednesday 31st January 2018

Time Title Venue

National Office of Clinical Audit (NOCA)in conjunction with Charter Week

O’Flanagan LT

08.00 – 09.00 Registration

09.00 – 16.00 NOCA National Conference

19.00 – 22.00 12th Annual Intercollegiate Case Presentations College Hall

Tuesday 30th January 2018

Time Title Venue

18.00 Registration Front Hall, St Stephen’s Green

18.45 Pat Kenny in Conversation with…... Floating Doctors Albert LT

Thursday 1st February 2018

Time Title Venue

National Clinical Programme in Surgery Meeting in conjunction with Charter Week

Front Hall, York St.


09.00 – 15.30 Provision of High Quality Surgical Care – by Quality Improvement

O’Flanagan LT

15.30 – 16.00

28th Annual Videosurgery Meeting

Registration Front Hall, York St.

16.00 – 19.00 28th Annual Videosurgery Meeting Cheyne LT

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Friday 2nd February 2018

Time Title Venue

07.45 – 09.00 Registration Front Hall, York St.

08.00 – 09.00 Short Life Working Group: Research & Training Presidents Meeting Room

09.00 – 09.50 Centralisation of Cancer ServicesThe Impact of the National Cancer Strategy

O’Flanagan LT

09.50 – 10.00 Breakout for Parallel Sessions

10.00 – 13.00 Parallel Sessions

Cardiothoracic Surgery Emergency Medicine General SurgeryNeurosurgery Oral & Maxillofacial Surgery Joint Session: Otolaryngology Head & Neck Surgery and

Plastic SurgeryTrauma & Orthopaedic SurgeryUrologyVascular Surgery

Tutorial Room 2 3 Tutorial Room 4Cheyne LTTutorial Room 8Tutorial Room 1

Albert LTHouston LTNightingaleCollege Hall

*11.00 – 11.30* Exhibition & Refreshments Exam Hall

13.00 – 14.15 Lunch & Exhibition Exam Hall

14.15 – 14.45 Johnson & Johnson Lecture O’Flanagan LT

14.45 – 15.15 Presidential Address including Presentations

O’Flanagan LT

15.15 – 17.00 Plenary Session Medico Legal Practice –Lessons To Be Taught And Learned

O’Flanagan LT

17.30 – 18.15 94th Abraham Colles Lecture College Hall

18.15 – 19.00 Reception

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Saturday 3rd February 2018

Time Title Venue

08.15 – 09.00 Registration Front Hall, York St.

09.00 – 13.00 Irish Surgical Training Group Meeting (ISTG)including the Bosco O’Mahony Lecture

Cheyne LT

18.45 Honorary Fellowship ConferringDr Michael Collins Professor John Nicholls Professor Jatin Shah

Charter Day DinnerDress code: Black Tie, Orders & Decorations

College Hall

Exam Hall

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TUESDAY 30th JANUARY 2018

18.00 – 18.45 Registration Front Hall, St Stephen’s Green

PAT KENNY IN CONVERSATION WITH... FLOATING DOCTORSfollowed by a Drinks Reception

Half of the world’s population do not have access to the most basic health services - WHO*“It might be a remote village cut off from any other type of aid, there doesn’t have to be a dock

or a port - there just has to be a coast, and wherever that coast is… we’ll get there.” – Floating Doctors

With Irish Radio and TV Broadcaster, Pat Kenny at the helm, you will hear from two alumni who are on a mission to improve healthcare access for those living in the world’s most isolated communities.

From earthquake-struck Haiti to the jungles of Panama, Dr Benjamin La Brot, Class of 2006, and Dr Ryan McCormick, Class of 2014, captain ‘Floating Doctors’; a fleet of year-round voluntary crew boats which travel by sea to provide free acute primary care, teach preventative healthcare education and deliver critical medical supplies.

Listen to Ben and Ryan share with Pat Kenny their challenges and triumphs aboard ‘Floating Doctors’, and learn about the role that they, and the College, continue to play in addressing the disparity in global healthcare provision. * Reported by the World Health Organization (WHO) on 13th December 2017

18.45 - 19.45 Albert LT

INTRODUCING: Dr Benjamin La Brot, Class of 2006Dr Benjamin La Brot is a native Southern Californian with a long association with the ocean. From childhood, he worked on commercial fishing and research vessels and spent countless hours on (or under) the water off the coast of Southern California.

After graduation from RCSI in 2006, Dr La Brot worked in the Irish Health Care System, eventually helping to set up and then run a long-term care elderly facility that also provided acute hospital services.

Travel and private medical mission work in developing countries led Dr La Brot to combine his love of the sea and medicine to bring more help to remote rural communities, founding the Floating Doctors in 2009. In 2010, he led the first Floating Doctors mission to Haiti and has been continuing ever since.

Dr La Brot married the love of his life and fellow crewmate, Karine in 2013 and they have recently welcomed their first child, a daughter.

Dr Ryan McCormick, Class of 2014Dr Ryan McCormick grew up in Los Angeles, and was actually a high school student of Dr La Brot’s many years ago. Over the years, they developed a close friendship and together founded Floating Doctors.

After working for a year rebuilding their first boat, Southern Wind, he worked in the clinics in Haiti and Honduras before making the decision to study medicine at RCSI.

Whilst in RCSI, Dr McCormick took the lessons he learned in providing patient care and expanded on them completing additional education in Emergency Medicine, Wilderness Emergency Medicine, and Trauma Management.

After graduating in 2014, he returned home to Los Angeles where he is currently completing his Medical License Exams and working as a Clinical Research Coordinator for the Neurological Emergency Treatment Trials at the University of California San Francisco. Dr McCormick plans to apply to start a residency in Emergency Medicine in July 2018.

Find out more at floatingdoctors.com

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WEDNESDAY 31st January 2018

NATIONAL OFFICE OF CLINICAL AUDIT (NOCA)

NOCA - Excellent healthcare for Ireland shaped by good information

NOCA was established in 2012 to create sustainable clinical audit programmes at national level. NOCA is funded by the Health Service Executive (HSE) Quality Improvement Division, governed by an independent voluntary board and operationally supported by the Royal College of Surgeons in Ireland. Working with the HSE and the Department of Health (DoH), through its National Clinical Effectiveness Committee (NCEC), NOCA designs, establishes and supports a portfolio of national clinical audits based on national priorities that include burden of care, variation of care, availability of clinical standards and economic benefit.

NOCA enables the Irish healthcare system to continually improve by maintaining a portfolio of prioritised national clinical audits, measuring care against national and international standards.By making reliable data available to those who use, manage and deliver healthcare, clinical audits help to refine Irish healthcare, improve patient outcomes, and achieve change at local and national level.

NOCA advocates for change at a national level, arising from key findings in our audits. We do this by working with senior decision makers at both policy and operational levels within the Irish healthcare system. NOCA promotes transparent reporting and publishes national annual reports for each of its audits as well as providing regular reports to hospitals. National clinical audit, while still relatively new in Ireland, is recognised by those who deliver and manage healthcare as a key component to improve healthcare through the systematic collection and analysis of data that assesses if the level of care provided meets the required standards.

NOCA’s current audit portfolio includes:• Irish Hip Fracture Database (IHFD)• Irish National ICU Audit• Irish National Orthopaedic Register (INOR)• Major Trauma Audit (MTA)• National Audit of Hospital Mortality (NAHM)• The National Perinatal Epidemiology Centre (NPEC)

- Perinatal mortality in Ireland- Planned Home Births in Ireland- Severe maternal morbidity in Ireland- Very Low Birth Weight Infants in the Republic of Ireland

O’Flanagan LT

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NOCA NATIONAL CONFERENCETransparency & Transformation

09.00 – 09.10 Welcome Address Mr Kenneth Mealy Vice-President, RCSI & Clinical Director, NOCA

SESSION I: TRANSPARENCY

Chair Professor Conor O’Keane Chair, NOCA Governance Board

09.10 – 09.20 Creating a Quality Improvement Culture Dr Philip Crowley National Director, HSE Quality Improvement Division

09.20 – 09.45 KEYNOTE The National Emergency Laparotomy Audit (NELA) Dr Sarah Hare National Clinical Lead, National Emergency Laparotomy Audit

09.45 – 10.05 National Audit of Hospital Mortality (NAHM) Annual Report 2016 Mr Brian Creedon Clinical Lead, NAHM

10.05 – 10.20 An audit of respiratory related mortality - Statistics or lies? Dr Brian McCullagh Consultant Respiratory and General Physician, Mater Misericordiae University Hospital, Dublin

10.20 – 10.35 Letting the Light In: The Value of Public Reporting and Transparency Ms Susan Mitchell Health Editor, Sunday Business Post

10.35 – 10.50 Population: One; Sample size: One – The Patient Perspective Mr Peter Clarke Patient Advocate

10.50 – 11.05 Discussion

11.05 – 11.30 Refreshments

O’Flanagan LT

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SESSION II: USING AUDIT DATA

Chair Ms Collette Tully Executive Director, NOCA

11.30 – 11.50 KEYNOTE The Improvers Best Friend …….. Data Ms Jo Matthews Head of Improvement and Safety, Improvement Hub (ihub),

Healthcare Improvement Scotland

11.50 – 12.10 Major Trauma Audit (MTA) National Report 2016 Dr Conor Deasy Clinical Lead, Major Trauma Audit

12.10 – 12.25 It’s not just the bricks that will make the difference Ms Eilísh Hardiman Group CEO, Children’s Hospital Group

12.25 – 12.35 ICU Bed Information System Dr Rory Dwyer Clinical Lead, National ICU Audit

12.35 – 12.45 Three years of ICU Audit Dr Brian Marsh Clinical Director - Directorate of Critical Care, Anaesthesia, Elective Surgery &

Theatres, Mater Misericordiae University Hospital, Dublin


13.00 – 13.20 Quality Improvement Champions 3 x Top submissions

13.20 – 14.20 Lunch

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19.00 – 22.00 12th Annual Intercollegiate Case Presentations Hosted by the RCSI Surgical Society including the presentation of the Professor David Bouchier-Hayes Medal.

12th ANNUAL INTERCOLLEGIATE CASE PRESENTATIONS

The Intercollegiate Case Competition is an annual event which sees an individual student from each of the 6 Irish medical schools compete against one another through presentation of a surgical case, to a 3 person judging panel of well-respected surgeons. The winning student, as selected by the judges, takes home not only the bragging rights for their medical school, but is also awarded the Bouchier-Hayes Medal. The Bouchier-Hayes Medal is named in honour of Professor David Bouchier-Hayes who performed Irelands first laparoscopic cholecystectomy.

College Hall

SESSION III: TRANSFORMATION

Chair Dr Geraldine McMahon Consultant in Emergency Medicine, St James’s Hospital, Dublin

14.20 – 14.45 KEYNOTE: Leadership and Information: The keys to success for improving care at Queen Elizabeth Hospital, Kings Lynn

Ms Dorothy Hosein Former CEO, The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust

14.45 – 15.00 Call of Duty: Clinical Audit Professor Sean Tierney Dean of Professional Development and Practice, RCSI

15.00 – 15.15 Transforming hip and knee surgery Mr James Cashman Co-Clinical Lead, Irish National Orthopaedic Register

15.15 – 15.30 The Romans had it right Dr Peter McKenna Clinical Director, National Women and Infant’s Health Programme

15.30 – 15.50 Panel Discussion

15.50 Close & Presentation of the ‘NOCA Quality Improvement Champion’ Award Ms Collette Tully Executive Director, NOCA

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THURSDAY 1st FEBRUARY 2018

NATIONAL CLINICAL PROGRAMME IN SURGERY

The National Clinical Programmes represent a strategic initiative between the Health Service Executive’s (HSE) Quality and Clinical Care Directorate and the various post-graduate training bodies. The programmes aim to design and implement change initiatives to improve and standardise the quality of care and access for all patients in a cost effective manner. The Programmes are structured with broad cross functional input and with clinical leadership beingprovided by the training bodies to ensure that the patient remains at the centre of any change recommendation. The National Clinical programmes all share three core objectives:• To improve the quality of patient care delivered to all HSE patients• To improve access to appropriate services• To Improve cost effectiveness

The aim of the National Clinical Programme in Surgery is to provide a framework for the delivery of safer, more timely and accessible, more cost effective and efficient care for the surgical patient. The NCPS works closely with the other Clinical Programmes, notably the Programme in Anaesthesia, Acute and Emergency Medicine, Older Persons and Critical Care. It also works with other Clinical Programmes, when appropriate, as well as the Special Delivery Unit (SDU), patient advocacy groups and all relevant stakeholders across the health system.

The National Surgery programme reports directly into RCSI Committee for Surgical Affairs (CSA). It also reports to the Director of Clinical Strategy and Programmes Directorate in the HSE. While the national programme set out to be generic at the outset it now includes other surgical programmes such as Trauma and Orthopaedics and includes sub-specialty programmes who are General Surgery, Urology and Otolaryngology, other subspecialties will, in time have their own programme co-ordinated through the National Office.

O’Flanagan LT

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08.00 – 09.00 Registration York Street, RCSI

09.00 – 09.05 Welcome & Overview Mr Kenneth Mealy Vice-President, RCSI; Joint Lead, National Clinical Programme in Surgery & Wexford General Hospital, Wexford

09.05 – 09.20 Introduction - HSE Operations Mr John Connaghan HSE Deputy Director General Operations 09.20 – 09.40 National Clinical Programmes in Surgery (NCPS) Vision Professor Deborah McNamara Joint Lead, National Clinical Programme in Surgery & Beaumont Hospital, Dublin

SESSION I: INNOVATION IN OUTPATIENT REDESIGN

Co-Chairs Mr Martin Feely Vascular Clinical Advisor to the National Clinical Programmes in Surgery, Clinical

Director DML HG

Mr Ollie Plunkett HSE National Lead Scheduled Care - Day Case and Outpatient Programme

09.40 – 09.55 Vision for Outpatient Services Ms Ita Hegarty OSPIP Executive

09.55 – 10.10 Trauma Assessment Clinic, working smarter in the fracture clinic Mr Eoin Sheehan Orthopaedic Surgeon, Tullamore Hospital, DMLHG Regional Lead, DMLHG, Clinical Care Programme T&O

10.10 – 10.25 Urology Outpatient Wait List Revalidation Mr Eamonn Rogers Urology Clinical Advisor to National Clinical Programme in Surgery University Hospital Galway & Saolta Hospital Group

10.25 – 10.40 Minor Surgery in the Community: What Can GPs Contribute? Dr Niall Maguire Primary Care Surgical Association

10.40 – 10.55 Musculoskeletal Physiotherapy Triage for Trauma and Orthopaedic Patients


11.10 – 11.30 Refreshments

PROVISION OF HIGH QUALITY SURGICAL CARE – BY QUALITY IMPROVEMENT

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SESSION II: LEADING CHANGE Co-Chairs Professor Michael Walsh Otolaryngology Clinical Advisor to the National Clinical Programmes in Surgery &

Blackrock Clinic, Dublin

Professor Paul Ridgway General Surgery Clinical Advisor to the National Clinical Programmes in Surgery &

Tallaght Hospital, Dublin

11.30 – 11.35 Launch of the NCPS Minimum Standards for Acute Surgical Assessment Units (ASAU) in Ireland (http://www.rcsi.ie/ncps_asaus)

11.35 - 11.50 Consideration of the future provision of Surgical Services in Ireland Mr Dean Sullivan HSE Deputy Director General – Strategy

11.50 - 12.05 Emergency Surgery – Alternative pathways and capacity remodelling “6 months of Service Improvement” National Patient Flow Improvement Programme UHG Professor Ray McLaughlin University Hospital Galway, Galway

12.05 - 12.20 Redesigning on call: a ‘Hot Week’ in Crumlin Mr David Moore Joint Lead, National Clinical Programme in Trauma & Orthopaedic Surgery, Tallaght DMLHG and Our Lady’s Children’s Hospital Crumlin

12.20 – 12.35 Ophthalmology Cataracts only theatre Professor Billy Power Lead, National Clinical Programme in Ophthalmology Royal Victoria Eye & Ear Hospital IEHG

12.35 – 12.50 Providing Irish surgical care in teams - “there is no ‘I’ in Team, but there is a ‘me’” Professor Paul Ridgway General Surgery Clinical Advisor to National Clinical Programme in Surgery, Tallaght Hospital DMLHG


13.10 – 14.00 Lunch

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SESSION III: QUALITY IMPROVEMENT

Co-Chair Mr David Moore Joint Lead, National Clinical Programme in Trauma & Orthopaedic Surgery, Tallaght and Our Lady’s Children’s Hospital Crumlin DMLHG

Mr Eamonn Rogers Urology Clinical Advisor to National Clinical Programme in Surgery University Hospital Galway & Saolta Hospital Group

14.00 – 14.15 The value of the Irish Hip Fracture Database in measuring performance of orthopaedic services Mr Paddy Kenny Joint Lead, National Clinical Programme in Trauma & Orthopaedic Surgery, Connolly and Cappagh National Orthopaedic Hospital RCSIHG

14.15 – 14.25 Theatre Quality Improvement Programme (TQIP) Mr Kieran Tangney Executive Director, RCSI Quality & Process Improvement Centre

14.25 – 14.45 Theatre Quality Improvement Programme University Hospital Kerry “Fake News a Reality”

TQIP Team University Hospital Kerry Mr Fearghal Grimes General Manager UHK, Mr Brian Waldron TQIP Surgery Lead UHK, Ms Mary Fitzgerald ADON TQIP Nurse Lead

14.45 – 15.00 Urology Lower Urinary Track Symptoms Nurse Led Clinic (LUTS) Mr Sean Diver Advanced Nurse Practitioner Candidate Urology Department, Letterkenny University Hospital

15.00 – 15.15 Endoscopy Mr Fiachra Cooke University Hospital Waterford

15.15 – 15.30 National Quality Assurance Improvement System (NQAIS) – Self Reflective Audit

Professor Sean Tierney Dean of Professional Development and Practice, RCSI

Ms Eilish Croke Programme Manager National Quality Assurance Improvement System


15.50 CLOSE

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Mr Kenneth MealyMr Kenneth Mealy, Vice-President, RCSI; Joint Lead, National Clinical Programme in Surgery & Wexford General Hospital, Wexford Mr Mealy (FRCSI 1985) undertook his clinical and academic training in Ireland, the UK, Harvard Medical School, Boston and the University of Edinburgh, Scotland. He was appointed a consultant gastrointestinal surgeon attached to Wexford General Hospital in 1998. With a long interest in surgical training as Chair of the Dublin Region Basic Surgical Training Committee and then as the Chair of the National Basic Surgical Training Programme, he was elected to the Council of RCSI in 2008. Since then he has chaired the Finance Committee, the Committee for Surgical Affairs and the Irish Surgical Postgraduate Training Committee. He has been Joint Lead for the National Clinical Programme in Surgery since 2010 and Medical Director of the National Office of Clinical Audit (NOCA) since 2012. He was elected as Vice-President of RCSI in June 2016.

Mr John Connaghan As the Chief Operations Officer he is responsible for the overall operational performance management of the service delivery system within the health services including Acute Hospitals, Community Care, National Ambulance Services, Primary Care Reimbursement Services (PCRS) and the Special Delivery Unit (SDU).

John has over 30 years’ experience of both the private and public sector. He spent the early part of his career in the printing and publishing industry with responsibility for manufacturing plants in Scotland and the USA, introducing the concept of quality circles and “lean” in a factory environment. During his NHS career in Scotland, John held three different Chief Executive positions with responsibility for some of the largest teaching hospitals in Scotland.

John joined the Scottish Government in 2006 as Director of NHS Delivery - with the remit to improve overall NHS performance. He achieved demonstrable improvements and results over a ten year period in both elective and unscheduled care waiting times. John is leaving the Scottish

Government as NHS Chief Operating Officer having spent some time as interim Director General and Chief Executive of the NHS with accountable officer status for £12.5bn and 156,000 staff. John’s experience in the NHS has included formulating acute services strategy at local and national level and chairing National Boards for efficiency, productivity , e-health and the modernisation of outpatient services . John’s current interests extend to ‘Flow Process’ across the whole health system, shifting the balance of care from acute services to the community – demonstrating how transformational leadership can be used to support staff and patient interests in times of change.

Outside the work environment John was one of the founding directors for the Maggies centres (cancer charity) now one of the UK’s biggest cancer charities. He served on the Board of the charity for a period of ten years as a non-executive director. John has over 50 caps at Masters level playing hockey for Scotland and was part of the squad representing Scotland at the WGMA World Cup in Sydney in 2016. In 2015, Queen Elizabeth awarded John the CBE (Commander of the British Empire) for services to health. John has deep Irish connections with both parents originally from Donegal and specifically from Arranmore Island .

Professor Deborah McNamara Deborah McNamara MD FRCSI (Gen Surg) is a Consultant General & Colorectal Surgeon at Beaumont Hospital, Dublin, Honorary Clinical Associate Professor at the Royal College of Surgeons in Ireland and Co-Lead of the National Clinical Programme for Surgery. She is formerly a Clinical Director for Surgery at Beaumont Hospital (2014-2017), Secretary of the Irish Association of Coloproctology (2005-11), Programme Director for General Surgery (2010-13) and Secretary (2007-10) & Chairman (2010–13) of the General Surgery Sub-Committee at RCSI. She represents RCSI on the National Endoscopy QA Programme and the SAC

NATIONAL CLINICAL PROGRAMME IN SURGERY: OUR SPEAKERS

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in General Surgery and chaired the RCSI Short-Life Working Group on Gender diversity in Surgery. A former Council Member of ACPGBI (2009-2014), she chairs the NCCP Rectal Cancer Lead Clinician Group. Her interests include colorectal cancer, surgical education & training and healthcare quality improvement.

Ms Ita Hegarty Ita worked in the HSE for 18 years in research, analytics, performance measurement and improvement. Primary background in health psychology but changed focus by entering public health and epidemiology-focussed research. Developed an interest in acute hospitals and moved into the broader health management environment providing analytic support to senior management. Moved into OP performance measurement/monitoring and thereafter, the broader change management agenda in acute hospitals outpatient service provision. Recently became PRINCE 2 practitioner.

Primary interests lie in healthcare information, definitions, measurement and broader systems development.

Mr Eoin SheehanEoin Sheehan: Orthopaedic Surgeon HSE Tullamore Hospital. Trained on Irish Orthopaedics Training programme. Completed fellowships in Sports Surgery Santry and Thomas Jefferson Philadelphia. University affiliations RCSI, University of Limerick, Athlone Institute Technology. Clinical Lead DMLHG T&O. Assistant Director National Training Programme T&O. Affiliated Professional bodies, American Academy, American Hip and Knee Society, Irish Institute T&O. Committee Surgical Training RCSI. Clinical Lead on Trauma Assessment Clinic.

Mr Eamonn RogersMr Eamonn Rogers M.Ch., M. Med. Sci., F.R.C.S.I., F.R.C.S. (Urol), Dip. Urol. (Baylor). Consultant Urologist with special interest in Urological Oncology, University College Hospital Galway; President of Irish Society of Urology; Clinical Lead

in Urology for Saolta Healthcare Group; National Clinical Advisor in Urology to the National Clinical Programme in Surgery and HSE.

A member of Irish Society of Urology, British Association of Urological Surgeons and European Association of Urology. Throughout his career, he was responsible for formal and informal tuition of both undergraduates and fellow postgraduates at University College Hospital Galway, Royal Collegeof Surgeons in Ireland, Baylor College of Medicine and University of Dublin, Trinity College.

Dr Niall Maguire Niall Maguire MICGP FRCGP is a General Practitioner at Navan. He trained at UCD (1988) and the Dublin Regional GP Training Programme (1991) He has been a Quality Assurance & Research Fellow at the ICGP, Assistant Programme Director for the Dublin NE GP Training Programme and Chair of the Primary Care Surgical Association. He has a special interest in procedural work in family practice.

Mr Dean Sullivan Dean Sullivan joined the Health Service Executive in August 2017, taking up the role of Deputy Director General - Strategy. In this role Dean leads the HSE’s planning and reform process across the health and social care system.

Dean brings to the Deputy Director General - Strategy role a wealth of experience in strategic and operational planning and service delivery in health and social care. He has worked at a senior level for a number of years in different roles taking forward reform in the Northern Ireland health and social care system. In his previous role as Director of Commissioning in the Northern Ireland Health and Social Care Board, Dean personally oversaw a number of high profile regional service developments including the introduction of the new radiotherapy service in Derry.

Dean trained as an accountant with the National Audit Office in London, and has 30 years’ experience in the public and private sectors.

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Professor Ray McLaughlin Consultant General Surgeon and Clinical Lead for Emergency Surgery, at University College Hospital Galway. Honorary Professor of Surgery at National University of Ireland Galway.

Ray McLaughlin is Consultant General Surgeon at Galway University Hospital and the Galway Clinic; Lead Surgeon for the Symptomatic Breast Service at Galway University Hospital; and clinical lecturer at the National University of Ireland, Galway.

Ray studied medicine at NUI, Galway and graduated in 1993.

Specialising in surgery, he completed postgraduate studies for the Fellowship of the Royal College of Surgeons in Ireland three years later in 1996.

In 1999 he was awarded the degree of Master of Surgery by his alma mater. Following further postgraduate study, he achieved the Intercollegiate Fellowship in General Surgery at the Royal College of Surgeons in Ireland in 2002.

From 2003-2004, he worked at the NHS’ Western Infirmary in Glasgow. He was appointed to his current position at Galway University Hospital in 2004. His current post workload and interests span all facets of general surgery in emergency and elective settings, and includes a significant elective practice in breast cancer and oncoplastic breast reconstruction (a mix of breast cancer surgery and plastic surgery), particularly in the use of extended latissimus dorsi tissue reconstuction (a technique for replacing breast volume without the use of an implant).

Mr David Moore David P Moore is a Consultant Trauma & Orthopaedic surgeon in Crumlin, Tallaght and the Blackrock Clinic. His clinical interests are limb reconstruction in children and adults, and spinal deformity surgery.

He was President of the Irish Institute of Trauma & Orthopaedic surgery from 2007-2013. He is the Joint Lead in The TOP programme since its inception. He is a member of Council in the Royal College of Surgeons in Ireland.

Professor Billy PowerProfessor Power graduated from Trinity College Medical School in 1984. He obtained his membership of the Royal College of Physicians in Ireland 1996. He then commenced training in ophthalmology completing his residency and specialist registrar training in the Royal Victoria Eye and Ear Hospital. He was awarded fellowships of the Royal College in Surgeons, Glasgow and the Royal College of Ophthalmologists in 1989. He completed his postgraduate thesis and was awarded the degree of Masters in Surgery (TCD) in 1993.

In 1993 he travelled to the Massachusetts Eye and Ear Infirmary (MEEI), Harvard Medical School, Boston and completed a fellowship in cornea and laser refractive eye surgery. He was appointed assistant Professor of Ophthalmology, Harvard Medical School and consultant eye surgeon in the MEEI in 1995. He was appointed Chief of Ophthalmology, Brigham and Women’s Hospital, Boston in 1996.

In 1998 he returned to Dublin and took up the post of consultant ophthalmologist in the Royal Victoria Eye and Ear Hospital, St. Vincent’s University Hospital and the Blackrock Clinic. He was President of the Irish College of Ophthalmologists from 2015 to 2017 and in currently Clinical Lead, National Clinical Programme in Ophthalmology.

Professor Paul RidgwayProfessor Paul Ridgway, Tallaght Hospital, Dublin Paul is an Academic Consultant General Surgeon at Tallaght Hospital with honorary appointments to Our Lady’s Hospital for Sick Children, Crumlin and St Vincent’s Hospital. Qualified from RCSI in 1996, Paul trained in Ireland, London (England) and Toronto (Canada). He has held elected positions on the councils of the Society of Academic and Research Surgery (SARS; 2005-9) and the Network of Accredited Skills Centres in Europe (NASCE; 2014-present). He was president of the Biological Society of TCD 2013/14 and is a co-founding member of the Irish Sarcoma Group. In 2016, he was appointed the National Clinical Advisor for General Surgery to the Clinical Programmes, a HSE initiative. He has research interests in the patient-technology interface as it pertains to training and

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practice. His doctorate (Imperial College, London; 2002) was centred on how tumours interact with the technology used to remove them. His recent eHealth projects include the development of a Virtual Reality Outpatients (2009) and the use of a telepresence robot “LUCY” to deliver acute surgical assessment at Tallaght Hospital (2015). He has over 80 Peer reviewed publications, book chapters and numerous invited lectures. He represented Ireland as an International Cricketer at University level.

Mr Paddy Kenny Mr Paddy Kenny, Connolly Hospital & Cappagh National Orthopaedic Hospital, Dublin Mr Paddy Kenny specialises in trauma and orthopaedic surgery with a special interest in revision hip surgery and impaction bone grafting techniques. He is Joint National Clinical Lead of the Trauma and Orthopaedic Clinical Programme. Paddy is Chairman of the Irish National Orthopaedic Register (INOR) and the Irish Hip Fracture Database (IHFD). He is also chairman of the Reconstruction and Ongoing Care Subgroup of the National Trauma Steering Committee. He was President of the Irish Institute of Trauma and Orthopaedic Surgery from 2014-2016 and Honorary Secretary of the IITOS from 2003 – 2011, 2013. He is also a member of the National Office of Clinical Audit (NOCA) Governance Board and member of the Royal College of Surgeon’s Committee for Surgical Affairs.

Mr Kieran Tangney Mr Kieran Tangney, Executive Director, Quality & Process Improvement Centre, RCSI Kieran is director of RCSI’s newly established Quality and Process Improvement Centre (QPIC). Before joining RCSI in 2010, Kieran led quality and process improvement programmes for some of the world’s largest medical device companies. He has also worked in senior process engineering and operations management roles with those organisations both internationally and in Ireland. On joining RCSI, Kieran worked initially as a programme manager supporting the design of the national clinical programmes in Surgery, Emergency Medicine, Radiology and Critical Care. In his subsequent role as Head of Operations in Surgical Affairs, he directly oversaw

the operational management of the national surgical and emergency medicine training programmes and has been instrumental in supporting the redesign and quality enhancement of those programmes.

Mr Fearghal GrimesFearghal took up position as General Manager University Hospital Kerry in Sept 2017. Prior to that he was Chief Executive of St. John’s Hospital Limerick for approx. 7 years. Initially trained as a physiotherapist, he has over 30 years healthcare experience in Ireland, the UK and USA. He formerly held positions as Chairman of the Association of Hospital Chief Executives and President of ISQSH.

Mr Brian WaldronMr. Brian Waldron is Consultant General and Colorectal Surgeon at University Hospital Kerry, appointed in 2001. He graduated from University College Galway in 1982, obtained FRCS in December 1986 and an MCh from University Hospital Galway in 1994. He completed his higher surgical training at Ninewells Hospital & Medical School, Dundee, Scotland under the direction of Professor Cuschieri. Ninewells hospital was an innovative unit in laparoscopic surgery and this training provided experience in complex laparoscopic surgery. He has a special interest in theatre efficiency and is presently clinical lead representing surgery at University Hospital Kerry in the TQIP & theatre development programme.

Ms Mary FitzgeraldMary Fitzgerald has been nursing for the past 29 years. She has worked in the UK and Ireland in a variety of settings and across different specialities including Oncology, Breast Care ,Cardio Thoracic Surgery and Orthopaedics. She has been the Project Lead for a number initiatives including the setting up of a JAG accredited Endoscopy unit in University Hospital Kerry ,and upgrading the Theatre Complex in UHK . She was central to establishing the Bowel Screening Service in Kerry. She was a member of the inaugural NCSS/UCD National Steering group for ANP Gastroenterology and has remained on in advisory capacity.

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Mary worked for number of years in Oncology and Haematology and is currently the representative for Oncology Satellite Units in Ireland on the Oncology Day Ward Facilities National Working Group.

Presently Mary is Assistant Director of Nursing in University Hospital Kerry with responsibility for Peri operative services. She is currently the Nurse Lead for TQIP in University Hospital Kerry following their selection as the Pilot site for the programme. Mary is passionate about providing a quality service for patients and is a firm believer that there needs to be clear and defined pathway for surgical patients from Emergency Department/ Outpatients to discharge.

Mr Sean Diver As a Urology Clinical Nurse Specialist, established a Nurse-led Urology Assessment Clinic at Letterkenny University Hospital (LUH). The aim was to provide a fast tract one-stop assessment clinic for men with lower urinary tract symptoms. The objective was to improve the quality of care and efficiency of services provided to this cohort of patients. The process involved the development of shared care with a multi-disciplinary team approach involving the General Practitioner, the Urology Nurse Specialist and the Consultant Urologist.

More recently has completed a masters in Advanced Nursing Practice in NUI Galway, and is currently undertaking site preparation as an Advanced Nurse Practitioner candidate.

Mr Fiachra CookeMD FRCSI (Gen-Surg)Honorary Clinical Senior LecturerConsultant General and Colorectal SurgeonLead Clinician for Rectal Cancer, South East Cancer Centre. Lead Clinician and Training Lead for GI Endoscopy, UHW. National Faculty for Train the Colonoscopy Trainer Course, RCSI/RCPI Joint Committee on GI Endoscopy ATLS Instructor, RCSI ATLS Programme. National Faculty for RCSI Post Graduate Surgical Clinical Skills at BST/HST level

Professor Sean Tierney FRCSIProfessor Tierney trained as a vascular surgeon in Ireland, the UK and the United States. In 2000, he was appointed a Consultant Vascular Surgeon in Tallaght University Hospital, Dublin. In 2008, RCSI appointed him Professor of Surgical Informatics and in 2011 he became the first RCSI Dean of Professional Development and Practice. He is the clinical lead on the RCSI Professional Competence Scheme, chairs the Forum of Irish Training Bodies sub-committee on Professional Competence and is former chairman of NOCA.

Ms Eilish CrokeEilish was formerly Director of Nursing and Midwifery Planning and Development in the Midlands and Programme Manager for the National Acute Medicine Programme (Irl).

She trained as a general nurse at the Mater Misercordiae University Hospital, Dublin, completed a Bachelor in Nursing Studies (BNS) at Dublin City University and Masters in Business Administration at A.I.T. She has experience in many areas of clinical practice, education and management. She joined the Nursing and Midwifery Planning and Development Unit as workforce planner in 2003, and was subsequently appointed Director of the unit. Having a keen interest in patient safety and quality of care, she led and contributed to, a number of National Clinical Guidelines, quality assured by the National Clinical Effectiveness Committee (NCEC) in the Department of Health. She led the development and implementation of the National Early Warning Score and COMPASS education programme – a work stream of the National Acute Medicine Programme - and joined the International Crisis Checklist Collaborative for responding to patient deterioration in 2014. She previously contributed to the work of the National Quality Assurance Intelligence System (NQAIS) Medicine.

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28th ANNUAL VIDEOSURGERY Connolly Hospital Blanchardstown presents Videosurgery in conjunction with RCSI


16.00 – 19.00 Videosurgery Meeting

Guest Speakers include:

Jatin P Shah Memorial Sloan Kettering Cancer Centre, New York

Richard van Hillegersberg UMC Utrecht Cancer Center, Netherlands

Cheyne LT

THURSDAY 1st FEBRUARY 2018

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FRIDAY 2nd FEBRUARY 2018

RCSI CHARTER DAY MEETING PROGRAMMEKINDLY SPONSORED BY...

Please show your support to our sponsors by visiting their exhibition stand during the refreshment break, 11.00 – 11.30am and lunch, 13.00 – 14.15

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FRIDAY 2nd FEBRUARY 2018

MORNING SESSION

08.00 Registration. York Street, RCSI

09.00 Presidents Welcome Professor John Hyland, President RCSI

Co-Chairs Professor Michael Kerin Council Member, RCSI & University College Hospital Galway, Galway

Mr Brian Mehigan St James’s Hospital, Dublin

09.10 – 09.20 Surgical Centralisation an aspect of the National Cancer Strategy; Progress, Contributions, and Next Steps!

Mr Patrick Cafferty Head of Planning, Performance, and Programme Management, National Cancer Control Programme

09.20 – 09.30 Centralisation of Cancer Services: learning from the past, planning for the future

Professor Deborah McNamara Co-Lead, National Clinical Programme for Surgery, RCSI, Consultant General Surgeon, Beaumont Hospital, Dublin & Council Member, RCSI

09.30 – 09.40 Surgical Centralisation of Cancer Services: How prepared are we? Mr Eamonn Rogers Clinical Advisor for Urology, RCSI, Consultant Urologist, University Hospital Galway


*09.50 – 10.00* breakout for parallel sessions

CENTRALISATION OF CANCER SERVICES The Impact of the National Cancer Strategy

O’Flanagan LT


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Convenors: Mr John Hinchion Consultant Cardiothoracic Surgeon, Cork University Hospital, Cork

Mr Vincent Young Director of Training of Cardiothoracic Surgery in Ireland Consultant Cardiothoracic Surgeon, St James Hospital, Dublin

09.55 – 10.00 Introduction Mr John Hinchion Consultant Cardiothoracic Surgeon, Cork University Hospital, Cork

Co-Chairs Mr Hossein Javadpour Mater Misericordiae Hospital, Dublin

Professor Karen Redmond Mater Misericordiae Hospital, Dublin

10.00 – 10.20 The Optimal Conduit for CABG in 2018 Professor Mark Da Costa Galway University Hospital, Galway

10.20 – 10.40 Minimally Invasive Aortic Valve Replacement- Indications, Techniques and Tips Mr Zeb Chughtai Mater Misericordiae Hospital, Dublin

10.40 – 11.00 Chest Drains- What every Trainee should know Mr Paul Cullen St James’s Hospital, Dublin

11.00 – 11.30 Exhibition & Refreshments

Co-Chairs Mr Alan Soo Consultant Cardiothoracic Surgeon, Galway University Hospital, Galway

Professor Mark Redmond Consultant Cardiothoracic Surgeon at OLHSC and Misercordiae University Hospital, Dublin

11.30 – 12.00 Mitral Valve Repair Professor Jim McCarthy Mater Misericordiae University Hospital, Dublin

12.00 – 12.30 Complex Aortic Surgery Mr Saleem Jahangeer Senior Visiting Fellow, Barts Heart Centre, St Bartholomew’s Hospital, London

12.30 – 13.00 An Update and Review of Training in Cardiothoracic Surgery in Ireland Mr Vincent Young St James’s Hospital, Dublin

13.00 – 14.15 Exhibition & Lunch

MORNING SESSION

PARALLEL SESSION: CARDIOTHORACIC SURGERY

Tutorial Room 2 3

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PARALLEL SESSION: EMERGENCY MEDICINE Tutorial Room 4

MORNING SESSION

Chair Dr Emily O’ConorConsultant in Emergency Medicine, Connolly Hospital, Dublin

MAJOR TRAUMA 10.00 – 10.20 NTARN Update

Dr Conor DeasyConsultant in Emergency Medicine, Cork University Hospital &Deputy Medical Director, National Ambulance Service

10.20 – 10.40 ATLS 10th EditionMr Fergal HickeyConsultant in Consultant in Emergency Medicine, Sligo University Hospital National Director, ATLS Ireland



11.30 – 11.50 Major Trauma Network for IrelandMr Gerry McCarthyConsultant in Emergency Medicine, Cork University Hospital National Clinical Lead, Emergency Medicine Programme

11.50 – 12.10 PEM, where do we fit and how do we get there?Dr Carol BlackburnConsultant in Paediatric Emergency Medicine, Our Lady’s Children’s Hospital, Crumlin Paediatric Lead, Emergency Medicine Programme



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PARALLEL SESSION: GENERAL SURGERY Cheyne LT

MORNING SESSION

Co-Chairs Mr Emir HotiSt Vincent’s University Hospital, Dublin

Mr Gerry McEnteeMater Misericordiae University Hospital, Dublin

10.00 – 10.40 Mid-Gut CarcinoidsMr Criostóir O’SuilleabháinConsultant Upper GI & Hepatobiliary Pancreatic SurgeonMercy University Hospital, Cork



11.30 – 12.00 Pancreatic CancerMr Tom GallagherConsultant Hepatobiliary Pancreatic and Transplant SurgeonSt Vincent’s University Hospital, Dublin

12.00 – 12.30 Modern Management of Colorectal Liver MetastasesMr John ConneelyConsultant Hepatobiliary Pancreatic SurgeonMater Misericordiae University Hospital, Dublin



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PARALLEL SESSION: NEUROSURGERY Tutorial Room 8

MORNING SESSION

Co-Chairs Mr Daniel RawlukConsultant Neurosurgeon, Beaumont Hospital, Dublin

Mr Donncha O’BrienConsultant Neurosurgeon, Beaumont Hospital, Dublin

10.00 – 10.20 Thrombolysis in Stroke and implications for neurosurgeryProfessor David WilliamsConsultant Stroke Physician, Beaumont Hospital, Dublin

10.20 – 10.40 Endovascular embolectomy in the modern management of strokeDr Paul BrennanConsultant Interventional Neuroradiologist, Beaumont Hospital, Dublin

10.40 – 11.00 The role of cerebrovascular bypass surgery in strokeMr Mohsen JavadpourConsultant Neurosurgeon, Beaumont Hospital, Dublin


Co-Chairs Mr Chris LimConsultant Neurosurgeon, Cork University Hospital, Cork

Mr John CairdConsultant Paediatric Neurosurgeon Temple Street & Beaumont Hospitals, Dublin

11.30 – 11.55 The role of lumbar drains in operative neurosurgeryMr George KaarConsultant Neurosurgeon, Cork University Hospital, Cork

11.55 – 12.25 Spina Bifida in Ireland; a ten-year seriesMr Darach CrimminsConsultant Paediatric Neurosurgeon, Temple Street and Beaumont Hospitals, Dublin

12.25 – 12.45 Minimal Invasive Spine SurgeryMr Nikolay PeevConsultant Neurosurgeon, Royal Victoria Hospital, Belfast

12.45 – 13.00 Neuronocology: update on international immunotherapy trials and ongoing trials in IrelandMr Stephen MacNally Consultant Neurosurgeon, Beaumont Hospital, Dublin


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PARALLEL SESSION: ORAL & MAXILLOFACIAL SURGERY

Tutorial Room 1

MORNING SESSION

Co-Chairs Mr Michael GilbrideUniversity Hospital Limerick, Limerick

Mr John HanrattyAltnagelvin Hospital, Derry

10.00 – 10.30 Microvascular Reconstruction of the Head and Neck after ablative cancer surgeryMr Conor BarryConsultant Oral and Maxillofacial Surgeon / Head and Neck SurgeonSt James’s University Hospital / Dublin Dental School and Hospital, Dublin

10.30 – 11.00 OMFS - The Liverpool ExperienceSome Lessons to Share - with an Irish and European perspectiveMr Patrick MagennisConsultant OMFS Surgeon, Chair British Association of OMFSPresident OMFS Section UEMS, Aintree University Hospital, Liverpool


Co-Chairs Mr Chris CotterCork University Hospital, Cork

Mr Dermot PierseUlster Independent Clinic, Belfast

11.30 – 12.10 What Makes a Difficult OrbitMr Mike PerryConsultant Oral and Maxillofacial Surgeon / Trauma SurgeonNorthwick Park Hospital /St Marys Hospital, Paddington, London

12.10 – 12.45 Oral and maxillofacial Surgery in Ireland, the old and the new, but where to now?Professor Leo StassenConsultant Oral and Maxillofacial Surgery, St James’s Hospital / Dublin Dental School Hospital, Dublin

12.45 – 12.50 Audit of Lymph Node Yield in Neck DissectionMr Akinsola OgunbowaleStR Oral and Maxillofacial Surgery, St James’s Hospital / Dublin Dental School and Hospital, Dublin

12.50 – 13.00 A Review of Non-melanomatous Skin Cancers resected in a Regional Oral and Maxillofacial UnitMr Paul Sexton StR Oral and Maxillofacial Surgery, Cork University Hospital / South Infirmary University Hospital, Cork

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MORNING SESSION

Co-Chairs Professor John FentonUniversity Hospital Limerick, Limerick

Mr Alan HusseyUniversity Hospital Galway, Galway

09.55 WelcomeProfessor Laura VianiBeaumont Hospital, Dublin & Council Member, RCSI

10.00 – 10.15 High Risk Cutaneous Squamous Cell Carcinoma Mr Tom MoranMater Misericordiae University Hospital, Dublin

10.15 – 10.30 Reconstruction Post Excision of Cutaneous Lesions Ms Shirley Potter University Hospital Galway, Galway

10.30 – 10.45 Management of Advanced Laryngeal Cancer Mr John KinsellaSt James’s Hospital, Dublin

10.45 – 11.00 Pharyngeal ReconstructionMr Chris Theopold St James’s Hospital, Dublin


Co-Chairs Mr Gerry O’LearySouth Infirmary Victoria University Hospital, Cork

Professor Sean CarrollSt Vincent’s University Hospital, Dublin

11.30 – 11.45 The Evolution of a Reconstructive Surgeon in Head and Neck CancerMr Simon WoodCharing Cross Hospital, UK

11.45 – 12.00 Prognosticators in Oral Cavity Squamous Cell CarcinomaProfessor Patrick SheahanSouth Infirmary Victoria University Hospital & University College Cork, Cork

PARALLEL SESSION: OTOLARYNGOLOGY HEAD & NECK SURGERY AND PLASTIC SURGERY Surgical Oncology and Reconstruction of the Head, Neck and Skull Base

Albert LT

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12.00 – 12.15 Reconstruction of Intra-Oral and Mandibular Defects Mr Sean T. O’Sullivan Cork University Hospital, Cork

12.15 – 12.30 Paranasal Sinus and Skull BaseProfessor James Paul O’Neill Beaumont Hospital, Dublin

12.30 – 12.45 Reconstruction of Cranial and Skull Base DefectsMr Barry O’SullivanBeaumont Hospital, Dublin

12.45 – 13.00 Risk Adapted Strategies for Cancer of the Thyroid GlandProfessor Jatin ShahMemorial Sloan Kettering Cancer Centre, New York


MORNING SESSION

PARALLEL SESSION: OTOLARYNGOLOGY HEAD & NECK SURGERY AND PLASTIC SURGERY Surgical Oncology and Reconstruction of the Head, Neck and Skull Base

Albert LT

continued

33

MORNING SESSION

Convenors Professor John O’ByrneRCSI Professor of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Dublin

Mr John QuinlanConsultant Orthopaedic Surgeon, Tallaght Hospital, Dublin

Co-Chairs Mr David MooreConsultant Orthopaedic Surgeon, Our Lady’s Hospital for Sick Children Crumlin and Tallaght Hospital, Dublin

Mr Tom McCarthyConsultant Orthopaedic Surgeon, St. James’s Hospital and Tallaght Hospital, Dublin

10.00 – 10.30For:

Against:

One size does not fit all: Higher Surgical Training in T&O would be best run by T&OMr Keith SynnottConsultant Orthopaedic Surgeon, Mater Misericordiae University Hospital and Cappagh National Orthopaedic Hospital, Dublin

Mr Finbarr CondonConsultant Orthopaedic Surgeon, University Hospital Limerickand Training Programme Director in Trauma and Orthopaedics

10.30 – 11.00For:

Against:

Research remains an essential component of training in T&OProfessor James HartyConsultant Orthopaedic Surgeon, Cork University Hospital, Cork

Mr Paul O’GradyConsultant Orthopaedic Surgeon, Mayo University Hospital, Mayo


Co-Chairs Mr Alan WalshConsultant Orthopaedic Surgeon, Our Lady’s Hospital, Navan

Mr Paddy KennyConsultant Orthopaedic Surgeon, Connolly Hospital Blanchardstown and Cappagh National Orthopaedic Hospital, Dublin

11.30 – 12.00For:

Against:

The establishment of a sub-consultant grade is the answer to all of our problemsMr Diarmuid MolonyConsultant Orthopaedic Surgeon, Tallaght Hospital, Dublin

Mr Sven O’hEireamhoinPresident Irish Orthopaedic Trainees Association

PARALLEL SESSION: TRAUMA & ORTHOPAEDIC SURGERY

Houston LT

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12.00 – 12.30For:

Against:

The system needs full time trauma surgeons Mr Brendan O’DalyConsultant Orthopaedic Surgeon, Tallaght Hospital, Dublin

Mr Gerry McCoyConsultant Orthopaedic Surgeon, University Hospital Waterford, Waterford

12.30 – 13.00

For:

Against:

An absence of formal gender equality mechanisms hindered my progress as an Orthopaedic SurgeonMr Eoin SheehanConsultant Orthopaedic Surgeon, Midland Regional Hospital, Tullamore

Ms May ClearyConsultant Orthopaedic Surgeon, University Hospital Waterford , Waterford

MORNING SESSION

PARALLEL SESSION: TRAUMA & ORTHOPAEDIC SURGERY

Houston LT

continued

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PARALLEL SESSION: UROLOGY

MORNING SESSION

Co-Chairs Mr David GalvinConsultant Urologist, Mater & St Vincent’s Hospitals, Dublin

Professor Thomas Lynch Consultant Urologist, St James’s Hospital, Dublin

10.00 – 10.25 Surviving Prostate Cancer: Rehabilitating Urinary ContinenceMr James FordeConsultant Urologist, Beaumont and James Connolly Memorial Hospital, Dublin

10.25 – 10.50 Surviving Prostate Cancer: Rehabilitating SexualityMr Ivor CullenConsultant Urologist, Waterford Regional Hospital, Waterford



Co-Chairs Mr Peter RyanConsultant Urologist, Bon Secours Hospital, Cork

Mr Richard PowerConsultant Urologist Beaumont Hospital, Dublin

11.30 – 11.55 Evolution of Endourology and Minimal Access Urological SurgeryMr Rustom ManeckshaConsultant Urologist, Meath Adelaide Hospital, Tallaght and St James Hospital, Dublin


12.00 – 12.25 Bladder Cancer in 2018: Where are we?Miss Catherine Dowling Consultant Urologist, University College Hospital, Galway


12.30 – 12.55 The Female Urinary Tract: Role of the Urologist in 2018Mr Ciaran BradyConsultant Urologist, Mercy University Hospital, Cork



Nightingale

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PARALLEL SESSION: VASCULAR SURGERY Stroke

MORNING SESSION

Co-Chairs Professor Martin O’DonohoeConsultant Vascular Surgeon, Mater Misericordiae Hospital, Dublin

Mr Morgan McMonagleConsultant Vascular Surgeon, Waterford University Hospital

SESSION I

IMAGING

10.00 – 10.10 Vascular Lab Ms Catriona CanningConsultant Vascular Medicine, St James’s Hospital, Dublin

10.10 – 10.20 RadiologyDr Seamus LoobyConsultant Neuroradiologist, Beaumont Hospital, Dublin

10.20 – 10.30 Timing of Intervention Professor Sean MurphyConsultant Stroke Physician, Mater Misericordiae Hospital, Dublin

10.30 – 10.40 Antiplatelet / AnticoagulantsDr Fionnuala Ni AinleConsultant Haematologist, Mater Misericordiae Hospital, Dublin

10.40 – 10.50 GuidelinesMs Zenia MartinConsultant Vascular Surgeon, St James’ Hospital, Dublin



College Hall

37

PARALLEL SESSION: VASCULAR SURGERY Stroke

MORNING SESSION continued

College Hall

SESSION II

Co-Chairs Mr Peter NaughtonConsultant Vascular Surgeon, Beaumont Hospital, Dublin

Mr Gerald McGrealConsultant Vascular Surgeon, Mercy Hospital, Cork

11.30 – 11.40 National Service Plan Dr Ronan CollinsConsultant Stroke Physician, AMNCH Tallaght, Lead National Stroke Programme

11.40 – 11.50 Endovascular Intervention Dr Paul BrennanConsultant Neurointervention Radiologist, Beaumont Hospital, Dublin

SURGICAL TECHNIQUE

11.50 – 11.55 Shunts – Types Ms Emily BoyleConsultant Vascular Surgeon, AMNCH Tallaght, Dublin

11.55 – 12.00 Patch All Professor Mohammed TubassamConsultant Vascular Surgeon, Galway University Hospital, Galway

12.00 – 12.05 Selective Patch Mr Prakash MadhavanConsultant Vascular Surgeon, St James’s Hospital, Dublin

12.05 – 12.10 Eversion Mr Stephen SheehanConsultant Vascular Surgeon, St Vincent’s Hospital, Dublin

12.10 – 12.15 Protamine Mr Eamon KavanaghConsultant Vascular Surgeon, University Hospital Limerick, Limerick

12.15 – 12.20 Antiplatelets Post-op Mr Seamus McHughConsultant Vascular Surgeon, Beaumont Hospital, Dublin

12.20 – 12.30 Evolution of Practise Mr Greg Fulton, Consultant Vascular Surgeon, Cork University Hospital, Cork



38


The announcement of the Colles Travelling Fellowship in Surgery Award 2018 recipient:

Mr Kieron Sweeney (a trainee in Neurosurgery - ST8) for a Clinical Fellowship at the Department of Paediatric Neurosurgery, Hospices Civils de Lyon, France (May 2018 – April 2019). The amount awarded was €20,000 together with the Colles Medal. Mr Sweeney was also awarded a surgical travel grant for €5,000. During his Fellowship, he will be able to participate in both clinical and surgical activities of diverse areas of Paediatric neurosurgery (neuro-oncology, malformation, epilepsy, trauma etc.), with both elective and emergency interventions. Mr Sweeney will gain experience in the management of a wide range on paediatric neurosurgical conditions from craniosynostosis to hydrocephalus. He will gain special experience in the management of epilepsy and paediatric brain tumours. He will actively contribute to various on-going research projects at Hospices Civils de Lyon, which has a strong tradition of academic and clinical research.

The announcement of Joint RCSI/Gussie Mehigan Scholarship Travel Grant 2018

The Joint RCSI/Gussie Mehigan Scholarship Travel Grant, 2018, for an amount of €3,000 was awarded to Mr Gregory Nason (Urology trainee – ST8) for his Society of Uro-Oncology Fellowship at the University of Toronto. (1st July 2018 – 31st June 2020). Mr Nason was also awarded an RCSI Travel Grant of €7,000. Among Mr Nason’s objectives of his Fellowship are the development of his knowledge and practice of robotic prostatectomy and cystectomy, penile preserving surgery and a multi-disciplinary approach to cancer care.

RCSI Surgical Travel Grant 2018 recipient

An RCSI travel grant for €15,000 was awarded to Ms Sarah Moran (Ophthalmic Surgery trainee – ST7), towards the cost of her fellowship to the Foundation Ophthalmmique, Adolphe De Rothchilld, Paris, France. (1st May 2018 – 1st May 2019). During her fellowship Ms Moran will advance her training and experience in Anterior Segment & Corneal Surgery. This will be the first time an Irish trainee has participated in this training programme which provides extensive experience in anterior segment surgery and advanced corneal transplantation techniques.

AFTERNOON SESSION

14.15 – 14.45 JOHNSON & JOHNSON LECTURE The Future of Surgery Delivered by; Professor Shafi Ahmed Consultant Surgeon & Co-founder, Virtual Medics & Medical Realities Introduction & Chair: Mr Kenneth Mealy, Vice-President, RCSI

PLENARY SESSION O’Flanagan LT

14.45 – 15.15 PRESIDENTIAL ADDRESS, Professor John Hyland

Introduction & Chair: Mr Kenneth Mealy, Vice-President, RCSI

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Co-Chairs Professor John HylandPresident, RCSI Mr Kenneth MealyVice-President, RCSI

15.15 – 15.30 Professionalism, preventing patient safety incidents and claimsProfessor Dubhfeasa SlatteryProfessor & Chair of Medical Professionalism, RCSI

15.30 – 15.45 Medico-legal Aspects of Medical Practice and the CourtsMr Asim A. Sheikh BLThe Law Library, Dublin and University College Dublin

15.45 – 16.00 Troubleshooting - a legal perspectiveMs Emily Egan SCThe Bar of Ireland, The Law Library, Dublin

16.00 – 16.15 Surgery without litigation - can it be achieved?Mr Richard StephensRetired General and Colorectal Surgeon


18.15 – 19.00 Reception

AFTERNOON SESSION

Even surgeons who do not specialise in providing medical opinion in legal cases face a growing demandfor expert reports - from state agencies, insurers, coroners, solicitors and from the courts. Gathering the information required and producing a comprehensive report is time consuming and it can sometimes bedifficult to understand exactly what is expected. Occasionally, a surgeon may be called on to give evidence in court which may be a daunting challenge. We have asked our panel to give their different perspective on how surgeons might safely navigate their way through this challenging area of practice and how the system might be improved and made more efficient.

MEDICO LEGAL PRACTICE – LESSONS TO BE TAUGHT AND LEARNED

17.30 – 18.15 94th ABRAHAM COLLES LECTURE College Hall

How Inequality Kills

Dr David Ansell, MD, MPH Senior Vice President, Community Health Equity, Rush University Medical Center, Chicago

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ABRAHAM COLLES (1773-1843)

1st 1956 Charles Wells

2nd 1957 Eric William Riches

3rd 1957 David Howard Patey

4th 1958 O. Theron Clagett

5th 1958 Walter Mercer

6th 1959 R. Vaughan Hudson

7th 1959 Archibald H. McIndoe

8th 1960 Stanford Cade

9th 1960 Ion Simson Hall

10th 1960 John Bruce

11th 1962 Clarence Crafoord

12th 1963 Harold C. Edwards

13th 1963 J. Angell James

14th 1964 F. J. Gillingham

15th 1964 Herbert Conway

16th 1965 Lord Brock

17th 1966 Henry Osmond-Clark

18th 1967 Michael de Bakey

19th 1967 John Conley

20th 1968 James Fraser

21st 1969 Geoffrey H. Bateman

22nd 1970 J.C. Golligher

23rd NO DETAILS

24th 1972 George D. Zuidema

25th 1972 Richard A. Mogg

26th 1973 Stig Bengmark

27th 1973 Robert B. Salter

28th 1974 M. Balasegaram

29th 1974 Ronald Belsey

30th 1975 Sir Thomas Holmes Sellors

31st 1975 Bentley P, Colcock

32nd 1976 G. B. Ong

33rd 1976 E. Garner King

34th 1977 John L. Cameron

35th 1977 D. F. N. Harrison

36th 1977 Sir Edward Hughes

37th 1978 Peter G. Bullough

38th 1978 W. Rudowski

39th 1979 John W. Kirklin

40th 1979 Douglas Tracy

41st 1979 William J. W. Sharrard

42nd 1980 Bernard Mc O’Brien

43rd 1981 John B. McGinty

44th 1982 Na’il A. Al Naqeeb

45th 1985 Roger Boles

46th 1985 M. Stuart Strong

47th 1985 H. Brendan Devlin

48th 1986 A. Miehlke

YEAR DELIVERED BY YEAR DELIVERED BY

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Abraham Colles was born in Co. Kilkenny in 1773 and over the next 70 years, he would come to dominate the world of surgery both in Ireland and around the world. After completing a BA in TCD, his ‘letters testimonial’ from RCSI and Doctor of Medicine in Edinburgh, he returned to Dublin to work at the Dispensary for the Sick Poor in Meath Street, an unusual move at that time for a young man who belonged to the middle and upper classes. His actions caught the attention of Surgeon-General Stewart, who seeing the potential in Colles persuaded him to leave the world of the physician behind and enter that of the surgeon. Colles held numerous consulting surgeon and academic positions, including Professor of Anatomy, Physiology and Surgery in RCSI, and in 1802 Colles was elected President of RCSI at the age of 29.

Colles could skilfully draw graphic images of diseases and Colles’ publication Treatise on surgical Anatomy (1811) was the first anatomical work designed on topographical lines. This earned Colles several eponyms for his anatomical discoveries, examples being the Colles’ fascia and Colles’ ligament. The most widely known of these eponyms is the Colles’ fracture which was named after he published the paper on the fracture of the carpel extremity of the radius (1814). During his lifetime Colles was visited by doctors from all over the world. He is considered one of Ireland's great nineteenth century surgeons and one that made the surgical profession respectable in Ireland. When Colles died in 1843, medical schools suspended their classes and he was given a public funeral.

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49th 1986 Mortimer Buckley

50th 1986 S. W. A. Gunn

51st 1986 E. O’G. Kirwan

52nd 1987 John Terblanche

53rd 1987 John Fitzpatrick

54th 1987 William Furlow

55th 1987 Lloyd M. Nyhus

56th 1987 Henri Bismuth

57th 1988 Andrew Morrison

58th 1989 G. W. Hilton

59th 1990 Donald Trunkey

60th 1991 John L Cameron

(Lecture cancelled

due to Gulf War)

61st 1991 Selim A Mellick

62nd 1991 T.P.J. Hennessy

63rd 1992 John L. Cameron

64th 1992 John C. Hanrahan

65th 1993 Sydney S. C. Chung

66th 1994 Laureano Fernandez Cruz

67th 1995 Sir Norman Browse

68th 1995 Gerald C. O’Sullivan

69th 1996 Andrew Novick

70th 1997 Richard L. Simmons

71st 1999 Judah Folkman

72nd 2000 Clyde F. Barker

73rd 2001 David Bernt Skinner

74th 2002 Edwin Kaplan

75th 2003 Patrick C. Walsh

76th 2003 Stanley Goldberg

77th 2004 Charles A. Vacanti

78th 2004 David Bouchier-Hayes

79th 2005 Matthias Rothmund

80th 2005 Bill Heald

81st 2006 James Styner

82nd 2007 Jeffrey Matthews

83rd 2008 Joseph P. Vacanti

84th 2009 Alan W. Flake

85th 2010 Michael Brennan

86th 2011 Edward Kiely

87th 2012 Patrick J. Gullane

88th 2013 Michael J. Solomon

89th 2014 Donald E. Low

90th 2015 Stan J. Monstrey

91st 2015 Prem Puri

92nd 2016 S. Michael Griffin

93rd 2017 Raymond F. Morgan

YEAR DELIVERED BY YEAR DELIVERED BY

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CENTRALISATION OF CANCER SERVICES The Impact of the National Cancer Strategy

Mr Patrick CaffertyAs the Head of Planning, Performance, and Programme Management for the National Cancer Control Programme, he has a responsibility for Service Planning, Financial Oversight, and Programme Management.

As the former Planning and Risk Manager for the National Cancer Screening Service, he developed strategic plans for and participated in the implementation of the National Cervical Screening Programme, Bowel Screening Programme, and Diabetic Retinopathy Screening Programme.

As the former Chief Information Officer for both the Town and Public Schools of Brookline, he wasresponsible for all Information Technology and participated in Harvard University’s Kennedy School ofGovernment E-Government Executive Education Project focusing on Institutional Opportunities to Improve the Dissemination of Technology-Related Innovations in Government.

In his previous capacity as Boston Public Library Systems Officer, he was a member of Mayor of BostonTaskforce on School and Library Technology.

He is a former recipient of Boston Private Industry Council Achiever Award.

He is married and currently residing in Quin Co Clare.

Professor Deborah McNamaraDeborah McNamara MD FRCSI (Gen Surg) is a Consultant General & Colorectal Surgeon at Beaumont Hospital, Dublin, Honorary Clinical Associate Professor at the Royal College of Surgeons in Ireland and Co Lead of the National Clinical Programme for Surgery. She is formerly a Clinical Director for Surgery at Beaumont Hospital (2014-2017), Secretary of the Irish Association of Coloproctology (2005-11), Programme Director for General Surgery (2010-13) and Secretary (2007-10) & Chairman (2010–13) of the General Surgery Sub-Committee at RCSI. She represents RCSI on the National Endoscopy QA Programme and the SAC

in General Surgery and chaired the RCSI Short-Life Working Group on Gender diversity in Surgery. A former Council Member of ACPGBI (2009-2014), she chairs the NCCP Rectal Cancer Lead Clinician Group. Her interests include colorectal cancer, surgical education & training and healthcare quality improvement.

Mr Eamonn RogersMr Eamonn Rogers M.Ch., M. Med. Sci., F.R.C.S.I., F.R.C.S. (Urol), Dip. Urol. (Baylor). Consultant Urologist with special interest in Urological Oncology, University College Hospital Galway; President of Irish Societyof Urology; Clinical Lead in Urology for Saolta Healthcare Group; National Clinical Advisor in Urology to the National Clinical Programme in Surgery and HSE.

A member of Irish Society of Urology, British Association of Urological Surgeons and European Association of Urology. Throughout his career, he was responsible for formal and informal tuition of bothundergraduates and fellow postgraduates at University College Hospital Galway, Royal College of Surgeons in Ireland, Baylor College of Medicine and University of Dublin, Trinity College.

JOHNSON & JOHNSON LECTURER

Professor Shafi AhmedConsultant Surgeon & Co-founder, Virtual Medics & Medical Realities

Professor Shafi Ahmed is a multi-award winning surgeon, teacher, futurist, innovator, entrepreneur and an evangelist in augmented and virtual reality. He is a 3x TEDx and an international keynote speaker and is a faculty at Singularity University, a think tank in Silicon Valley.

He is a cancer surgeon at The Royal London and St Bartholomew’s Hospitals and has been awarded the accolade of the most watched surgeon in human history. As a dedicated trainer, educator, and Associate Dean of Bart’s Medical School, he was awarded the Silver Scalpel award in 2015 as the best national trainer in surgery by the Association of Surgeons in Training. He is currently serving as

CHARTER DAYGUEST SPEAKERS

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an elected member of council of the Royal College of Surgeons of England where he is the Director of the International Surgical Training Programme. He is an honorary visiting professor at The University of Bradford where he delivered the Cantor Lecture of Technology in 2017 and the public lecture to open the Digital Health Enterprise Zone.

In 2017 he was the top British Asian star in Tech and received this award from HRH Duke of York. He was also the British Bangladeshi of the Year 2017.

His mission is to merge the world of medicine, global education, and virtual and augmented reality to democratize and scale surgical education to make it affordable and accessible to everyone using the power of connectivity to allow equitable surgical care. He cofounded Medical Realties who have just released the world’s first VR Interactive Surgical Training Module. He is also a cofounder of Hearthy a healthcare blockchain company and a non-executive director of Medic Bleep, a communications platform for healthcare professionals. He is an advisor for companies working in Digital Health, Artificial intelligence and Robotics.

He recently disrupted the traditional medical school curriculum by launching the Barts X Medicine Programme which has embedded future technologies and entrepreneurship into the medical school. He is also chairman and a co-founder of the Global Innovation and New Technologies conference in London and Chair of WEBIT Health, Bulgaria.

PLENARY SESSION GUEST SPEAKERS

Professor Dubhfeasa SlatteryDubhfeasa was recently appointed as Professor and chair of medical professionalism at the Royal Collegeof Surgeons in Ireland (RCSI) - the first professor of medical professionalism nationally. Prior to this,Dubhfeasa was head of Clinical Risk at the State Claims Agency, Dublin. Some of her work there involved analyses of national data pertaining clinical, patient safety incidents, claims and costs. This workculminated in the publication of multiple national reports.

She is a Consultant Respiratory and General Paediatrician of 15 years and graduated from University of Dublin, Trinity. She completed her postgraduate training at the Children’s Hospital Boston and Harvard Medical School before working there as a Consultant Respiratory Paediatrician. Dubhfeasa has a PhD in Molecular Medicine and has published on basic science, translational, clinical and educational research. She has received independent research grant funding, multiple national and international research awards and was one of 3 international recipients of an American Ireland Fund Award (2009) for her contribution to Paediatrics, research and fundraising.

Dubhfeasa consolidated her interest in quality improvement in healthcare by completing a Diploma in Leadership and Quality in Healthcare (RCPI) in 2014, the Safety, Quality, Informatics and Leadershipprogramme (2015-16) through Harvard Medical School and the Harvard Quality and Leadershipprogramme for healthcare executives (2016). She has held multiple national roles including Associate Deanof Hospital Inspections at the Royal College of Physicians of Ireland (RCPI 2010-2014) and LeadPaediatrician for the national Outpatient Parenteral Antimicrobial Therapy programme (2011-2014).

Dubhfeasa has always enjoyed teaching. She has a Master’s in Education for Healthcare Professionals (Queen’s University 2011) and has authored and delivered national courses. Dubhfeasa is a fellow of the Royal College of Physicians of Ireland.

Mr Asim SheikhAsim A. Sheikh is a practising barrister, specialising in clinical negligence and medical and healthcare law.He is also Assistant Professor in Legal Medicine, in the School of Medicine, University College Dublin.He lectures and has published widely on aspects of medical law.

He also lectures in the RCSI, the Law Society and occasionally in Trinity College Dublin.

He is a member of the National Advisory Council on Bioethics and is Editor of the Medico-Legal Journal of Ireland.

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Ms Emily Egan, Senior CounselEmily Egan is a practicing barrister. Emily studied law in Trinity College Dublin, graduated in 1991 and obtained a Post Graduate Degree (BCL) at Oxford University. She was called to the Bar in 1994 and was appointed Senior Counsel by the Government in 2010.

In the course of over 20 years’ experience as a trial lawyer, Emily has gained extensive experience in many areas of law. Her specialist interests lie in the areas of healthcare and medical law, administrative, constitutional and regulatory law. Emily assists and advises a wide range of statutory bodies in both contentious and non-contentious matters.

Emily also acts as Legal Assessor to the Medical Council, the Pharmaceutical Society of Ireland (the Pharmacy Regulator), the Dental Council and the Teaching Council in Fitness to Practice enquiries into complaints of professional misconduct.

Emily has been a CEDR Accredited Mediator since 2008. She acts as both Mediator and Arbitrator in the settlement of a broad range of disputes.

Mr Richard StephensRichard Stephens graduated from Trinity College in 1972. He pursued Surgical Training in Ireland, England and the United States. He was appointed Consultant General Surgeon at St James’s Hospital in 1982. He also practiced at Mount Carmel Private Hospital, Dublin and was a visiting Surgeon at the Coombe Women’s Hospital. He was a Lecturer in Surgery at Trinity College, and had a specialist interest in Colorectal Disease.

Since leaving hospital practice he has represented the Royal College of Surgeons in Ireland on the Specialist Advisory Committee in General Surgery. He continues to facilitate post graduate training on Human factors and Surgical Skills courses. He is a member of the Medical Advisory Committee currently supporting Colon Cancer Screening in Ireland, and acts as an expert witness.

94th ABRAHAM COLLES LECTURER

Dr David Ansell, MD, MPH Senior Vice President, Community Health Equity, Rush University Medical Center, Chicago

David Ansell, MD, MPH is the Senior Vice President for Community Health Equity at Rush University Medical Center in Chicago. He is an internal medicine physician trained, at Cook County Hospital in the late 1970s, where he spent seventeen years holding a number of positions including Chief of General Medicine/Primary Care. After leaving County, he spent ten years as Chair of the Department of Internal Medicine at Mount Sinai Hospital, located in one of the highest hardship communities in Chicago. He has been particularly involved in health equity work, bringing attention to higher rates of breast cancer mortality for African-American women in Chicago. In 2007 he co-founded the Metropolitan Chicago Breast Cancer Taskforce a not-for-profit that focuses on eliminating the racial disparities in breast cancer mortality. He is the author of numerous papers and book chapters on health disparities. In 2011 he published an acclaimed memoir based on his experiences as a doctor in Chicago, County: Life, Death and Politics at Chicago’s Public Hospital. His next book The Death Gap: How Inequality Kills, was released by the University of Chicago Press in 2017. Dr Ansell is a graduate of SUNY Upstate Medical University and received his Masters of Public Health from the University of Illinois School of Public Health.

CHARTER DAYGUEST SPEAKERS

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SATURDAY 3rd FEBRUARY 2018

IRISH SURGICAL TRAINING GROUP MEETING (ISTG)

ISTG (formally known as the Irish Higher Surgical Training Group) is an independent entity run by surgical trainees. In addition to organising and running specific events, ISTG represents trainees from all subspecialties and levels of surgical training at a variety of committees influencing training.

Cheyne LT

08.15 – 09.00 Registration. York Street, RCSI

Co-Chairs Mr Eamon Francis Chair ISTG & SPR in Plastic & Reconstructive Surgery St James’s Hospital & Our Lady’s Children’s Hospital, Dublin

Ms Ailin Rogers Vice-Chair ISTG & SPR in General Surgery, Mater Misericordiae University Hospital, Dublin

SESSION I

THE ART OF SURGERY

09.00-09.05 Welcome Ms Ailin RogersVice-Chair ISTG & SPR in General Surgery, Mater Misericordiae University Hospital, Dublin

09.05 - 09.15 RCSI Travelling Fellowship Awardee ReportMr Eamon FrancisChair ISTG & SPR in Plastic & Reconstructive Surgery St James’s Hospital & Our Lady’s Children’s Hospital, Dublin

09.15 - 09.35 Colles Travelling Fellowship Awardee Report Mr Fardod O’KellyFellow in Urology, University Hospital of Eastern Ontario

09.35 - 09.55 Colles Travelling Fellowship Awardee Report

PANEL PRESENTATIONS

10.00 - 10.25 Drawing for surgeonsDr Eoin Kelleher SPR in Anesthesiology, Galway University Hospital, Galway

10.30 - 10.55 Art and SurgeryDr Barbra DawsonDirector Hugh Lane Gallery

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SATURDAY 3rd FEBRUARY 2018

10.55 - 11.20 3D Printing and its role in SurgeryProfessor James F. JonesProfessor of Anatomy, University College Dublin, Dublin

11.20 - 11.35 Discussion

11.35 - 11.55 Refreshments

SESSION II

continued

Professor Earley is a graduate of University College Dublin and has recently retired his post as a Consultant Plastic, Reconstructive and Aesthetic Surgeon from Children’s University Hospital, Temple Street and the Mater Misericordae University Hospital. His primary area of interest and specialization was in reconstruction of Cleft Lip and Palate. He has been a longstanding member of Operation Smile and currently serves as its Medical and Board Director. Professor Earley was a member of the RCSI council & currently demonstrates Anatomy to the students of RCSI. In addition to medical commitments, he has keen interest in art and sculpture and regularly attends exhibitions of both.

12.40 - 12.50 Closing Remarks Mr Eamon FrancisChair ISTG & SPR in Plastic & Reconstructive Surgery St James’s Hospital & Our Lady’s Children’s Hospital, Dublin

12.00 - 12.40 THE BOSCO O’MAHONY LECTURE How Art Can Teach Surgery

Professor Michael Earley Retired Consultant Plastic, Reconstructive and Aesthetic Surgeon, Mater Misericordiae University Hospital & Children’s University Hospitals Temple Street, Dublin

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18.45 Honorary Fellowship Conferring

Dr Michael Collins, MD, FACP Professor John Nicholls, MA, MB, BChir, FRCS Professor Jatin Shah, MD, FACS

Charter Day Dinner Dress Code: Black Tie, Orders & Decorations

Mr John Bosco O’Mahony FRCSI MRCP (UK) was one of the longest serving members of the Council ofRCSI, being elected by his peers for almost twenty years consecutively. His untimely death on the 29th July2008 left a void for the College, where he served on Council since 1989, and for the people of Wexford,where he was Consultant Surgeon since July 1984 in Wexford General Hospital. Bosco was a man ofexceptionally high intelligence as proved by his many personal and academic achievements. He wasHead-boy and Gold medalist at Rockwell College and won a scholarship to study medicine in UniversityCollege Dublin, graduating in 1972. He completed his internship at St Vincent’s University Hospital andwas awarded his MRCP (UK) before concentrating on his career in surgery. His post graduate trainingtook him to St Thomas’s Hospital in London and subsequently to Brigham and Women’s Hospital andHarvard University in Boston USA, where he completed his research training. His greatest legacy will behis human touch. He understood people and their needs and worked extremely hard over the years in hisprofession. He was a great teacher and mentor of his junior colleagues and developed many long standingrelationships with his trainees. He was awarded the Silver Scalpel in 2007 by the Higher Surgical Trainees inrecognition of his talents.

THE BOSCO O’MAHONY LECTURE JOHN BOSCO O’MAHONY (1948 – 2008)

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Dr Michael F. Collins Senior Vice President for the Health Sciences, University of Massachusetts Chancellor, University of Massachusetts Medical School. Professor of Quantitative Health Sciences & Medicine

Michael F. Collins, MD, FACP, was appointed Chancellor of the University of Massachusetts Medical School (UMMS) in 2008 after serving in an interim capacity for a year. In June 2007, Dr. Collins was named Senior Vice President for Health Sciences at the University of Massachusetts. As Chancellor of UMMS, Dr. Collins oversees one of the most entrepreneurial medical schools in the nation that is recognized as a leader in student satisfaction, primary care training, basic science research, innovation and commercialization. He provides strategic management to a burgeoning enterprise that includes: 6,000 employees; 1,100 graduate-level students; 550 medical residents and fellows; and three schools. UMMS generates almost $1 billion in annual revenues and operates a $270 million research portfolio. Unique among all medical schools, UMMS is home to Commonwealth Medicine, a large health care consulting division, and MassBiologics of UMMS, the only university-based, non-profit FDA-licensed drug developer and manufacturer in the U.S.

Dr. Collins first joined the UMass System in 2005 to lead UMass Boston. From 1994 to 2004, he served as President & CEO of the Caritas Christi Health Care System. Board-certified in internal medicine, Dr. Collins is a Fellow of the American College of Physicians.

Professor R. John NichollsProfessor Nicholls qualified in medicine in the University of Cambridge and the London Hospital in 1968. He was appointed Consultant Surgeon to St Mark’s Hospital in 1978 and to St Thomas’ Hospital in 1982. He was President of the Association of Coloproctology of Great Britain and Ireland in 2000 and President of the European Association of Coloproctology in 2004. In 1998 he established with others accreditation and certification leading to a European diploma in Coloproctology recognised by the Union Europeéne des Médecins Specialistes (UEMS) and was also party to the creation in 2005 of the European Society of Coloproctology.

Professor John Nicholls has made contributions to

clinical practice in ulcerative colitis, rectal cancer and faecal incontinence. He has contributed to training and teaching nationally and internationally and was editor of two colorectal journals over a period of twenty-eight years He is currently Professor of Colorectal Surgery in Imperial College London and Emeritus Consultant Surgeon to St Mark’s Hospital, London.

Professor Jatin P. ShahJatin P. Shah, M.D, holds The Elliott W. Strong Chair in Head and Neck Oncology at Memorial Sloan Kettering Cancer Center (MSKCC), and he is Professor of Surgery at Cornell University, in New York. He graduated from MS University in Baroda, India, and trained in surgical oncology and Head and Neck Surgery at MSKCC.

In addition to his superlative patient care activities, Dr. Shah is an international leader in the field of head and neck surgery. He has delivered over 1,500 scientific presentations worldwide, over 80 eponymous lectures, and published more than 550 peer reviewed articles and 10 medical textbooks. He has served as president of The New York Cancer Society, The New York Head and Neck Society, The Society of Head and Neck Surgeons, The North American Skull Base Society and the International Academy of Oral Oncology. He founded The International Federation of Head and Neck Oncologic Societies (IFHNOS), and serves as its CEO. He is listed amongst the Top Doctors in USA directories 55 times in last 20 years.

Professor Shah was awarded Honorary Fellowships from The Royal College of Surgeons of Edinburgh, London, Ireland and Australia and Honorary Ph.D. degrees from Belgium and Greece, Honorary D.Sc, from India, the Blokhin Gold Medal from Russia, Sir William Wilde medal from Ireland, and the Ellis Island Medal of Honor from the US. He was inducted to “Living Legends in Oncology” in India. In recognition of his outstanding efforts to enhance patient care and physician training and education in head and neck surgery, Professor Shah has received numerous awards, from all corners of the world, including an eponymous lecture established in his name by the IFHNOS, an academic symposium in his name at the annual meetings of the American Head and Neck Society, and an Endowed Chair established in his name to honor him at MSKCC in New York.

HONORARY FELLOWSHIP CONFERRING

SAVE THE DATE

National Health Outcomes Conference

Tuesday, 20th February 2018, 9am in RCSI

We are delighted to host our first National Healthcare Outcomes Conference, the conference offers a unique forum for discussions of how Ireland has and can embrace a more value based healthcare approach towards meeting our healthcare challenges and how this might impact policy, planning, service delivery, funding as well as access to innovation.

We will welcome speakers from Health Information and Quality Authority, National Office of Clinical Audits, Healthcare Pricing Office, National Centre for Pharmacoeconomics, Irish Platform for Patient Organisations, Science & Industry, OECD - Paris, Queen’s University Belfast and the University of Aberdeen.

For further information and to register your attendance, please visit:

http://www.rcsi.ie/healthoutcomesconference

Registration is free of charge

INAUGURAL CONFERENCE PROFESSIONALISM: WHY IT MATTERS FOR PATIENT SAFETY, QUALITY AND RISK

Thursday, 12th April 2018, 9am in RCSI

This is the inaugural conference on Professionalism in Healthcare in Ireland. Professionalism is intimately linked to patient and clinician safety. It is one of the main pillars of training for the healthcare professional at under and post graduate level.

For further information, please visit http://www.rcsi.ie/professionalism2018

MILLIN MEETING

Friday, 9th November 2018, 9am in RCSI

RCSI’s annual Millin Meeting will take place on Friday 9th November 2018. The Millin meeting is held annually in memory of Sir Terence Millin, an outstanding Urological Surgeon and President of the College from 1963 - 1966. Some of the most challenging contemporary issues facing Irish surgeons and trainees are explored through a series of presentations throughout the day and will conclude with the 41st Millin Lecture.

As part of its international strategy, the Court has recently established regional Chapters in South-East Asia and the Middle East. The South-East Asia Chapter was launched in August 2017 and the Gulf Area Chapter welcomed its foundation members in a ceremony in RCSI Bahrain in November 2017.

At the same time, we are also inviting all our Fellows in Ireland and the UK to become Court Members.

SUPPORT OUR DRIVEFOR EXCELLENCEIN ASSESSMENT

To find out more about becoming a Court Member, please contact us at [email protected]

rcsi.ie/coe

Membership of the Court allows our Fellows to: › Contribute to the assessment of junior colleagues › Obtain PCS Credits › Participate in Annual Meeting / Postgraduate Conferring › Network with colleagues › Examine in Overseas Centres

EDUCATIONAL EXCELLENCE IN SURGERY MEDICINE PHARMACY PHYSIOTHERAPY NURSING & MIDWIFERYRESEARCH LEADERSHIP POSTGRADUATE STUDIES RADIOLOGY DENTISTRY SPORTS & EXERCISE MEDICINE

RCSI Royal College of Surgeons in IrelandColáiste Ríoga na Máinleá in Éirinn123 St Stephen’s Green, Dublin 2Tel: +353 1 402 2100Email: [email protected] rcsi.ie#charterday2018

WIFI Access: RCSI-CHARTER-DAY

If you experience difficulties getting access to the RCSI Guest network please try the following for troubleshooting:

• Once you connect to the RCSI Guest Network: • For Windows devices: open a new Internet

Explorer browser • For Apple devices: open a new Safari

browser first• Once you have done this you should be able

to use your preferred browser (chrome/safari/internet explorer)

• If you cannot get access after trying this please call the IT Helpdesk 01 402 2273

charter day meeting - rcsi.ie final... · to our annual charter day meeting. the annual...

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