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FROM HERE, HEALTH i

Emergency Surgery in the 21st CenturyPROGRAMME OF EVENTS

FROM HERE, HEALTH

21 March 2014

PRESIDENT’S MEETING AND AUDIT SYMPOSIUM 2014In collaboration with the Surgical Specialty Associations

Contents

President’s Welcome 1

Chairman’s Welcome 3

Programme 4

Speakers’ Biographies 6

Surgical Specialty Associations 12

Oral Presentations 14

Campus Map 21

WITH THANKS TO OUR SPONSOR

MEDICAL COMPANIES

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President’s Welcome

MR IAN RITCHIEPresident, The Royal College of Surgeons of Edinburgh

It is a great pleasure to welcome you to this year’s President’s Meeting. The subject of

emergency surgery is one which surely interests every surgeon because, at some point

in our careers, dealing with emergencies has formed an integral part of our work. The

focus on emergency surgery is particularly sharp these days with the publication last

year of the Shape of Training report by Professor David Greenaway.

One of the fundamental drivers for his report was a concern that, in the medical

profession generally, the focus on specialism was happening to the detriment of the

care of the majority of patients who will have common, but often, life-threatening or

debilitating conditions which are best treated by surgery. It is also well known that the

mortality from emergency surgery is considerably greater than that from elective surgery.

Taking all these points into consideration, it is very timely that we discuss the general

topic of emergency surgery within the surgical profession because ultimately our goal as

surgeons is to treat patients safely and effectively, especially in emergency conditions.

The work of the organising committee has been tireless and I am grateful to them for

putting on an interesting and stimulating programme. I look forward to meeting you as

we explore this very relevant topic.

Welcome to Edinburgh.

The President and Council of The Royal College of Surgeons of Edinburgh welcome all delegates of the President’s Meeting to join them for a drinks reception in the Fellows’ Library following the conference at 5.15pm.

The RCSEd Fellows’ Library is a well-resourced medical and surgical library,

with all the latest in texts, journals and electronic resources, as well as a wealth

of fascinating historical stock dating from the 15th century to the present. The

Fellows’ Library is regularly visited by not only RCSEd Fellows, but also medical

historians, researchers, students and members of the public, wishing to develop

an increased understanding of the history of medicine and surgery.

The Fellows’ Library Friday 21 March 2014 ♦ 5.15pm

Conference Drinks Reception

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Chairman’s Welcome

PROFESSOR ROWAN PARKSRCSEd Member of Council

On behalf of the RCSEd President’s Meeting Planning Committee I am delighted to

add my welcome to that of the President’s. I am indebted to the support of Professor

Bob Steele as Co-Convenor and to those who have been part of the Committee. This

has included the President and Office Bearers, Chief Executive, and the hardworking

and committed College staff who have put a significant effort into ensuring another

outstanding meeting.

The overall theme of the meeting on emergency surgery recognises the significant

importance of this topic, and will be an opportunity to debate and discuss the challenges

of organisation and delivery of emergency surgery throughout the United Kingdom,

and in training clinicians to be competent to provide this service in both urban and rural

settings. We have an excellent range of keynote speakers and I am particularly grateful

for the significant contributions from the Surgical Specialty Associations.

The number and quality of abstract submissions for this meeting has been exceptionally

high. I am extremely grateful to Mr David Smith, Director of Education and Mrs Lorraine

Judge who have co-ordinated the logistics of abstract scoring and communicating

with abstract authors. A special mention should go to the team of markers who scored

over 180 abstracts, the best of which have been selected for the prestigious RCSEd

‘Surgeon in Training Medal’. There will also be a further oral short paper sessions and

a final adjudication for the Lister Legacy Prize Medal. This will be awarded for the best

presentation (delivered either orally or as a poster) relating to the work of Lord Lister

on ‘Sepsis and Infection Control’. This prize has been kindly sponsored by Johnson

and Johnson Medical Companies and will maintain a theme from the successful Lister

Centenary meeting in 2012. In addition, there will be further awards for the best poster

presentations.

I am also extremely grateful to Sarah Allen, Director of Membership and

Communications, who has led the publicity and promotion, and Alice Brown who

has made everything possible by her tremendous administrative support. I do hope

the 2014 President’s Meeting will be a memorable occasion for all who attend.

EMERGENCY SURGERY IN THE 21ST CENTURY

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Programme

08.00 Coffee and Registration

09.00 Welcome

Mr Ian Ritchie, President of The Royal College of Surgeons of Edinburgh

09.00 PLENARY SESSION

Wolfson HallChair

Professor John MacFie

09.05 Current Practice of Emergency Surgery in the UK

Mr Iain Anderson

09.25 Debate: Emergency Surgery as a Defined Specialty – Pro

Mr Richard Ward

09.35 Debate: Emergency Surgery as a Defined Specialty – Con

Mr Simon Paterson-Brown

09.45 The Acute Care Surgeon

Dr Ernest Moore

10.05 Panel Discussion

10.30 Coffee

11.00 SPECIALTY ASSOCIATION SYMPOSIA AND AUDIT SYMPOSIA

SYMPOSIUM 1Wolfson HallChairs Mr Robert Jeffrey and Mr Richard Montgomery

BOA Clinical Issues Relating to Emergency Surgery in Orthopaedics Mr John Keating

SCTS The Management of Cardiothoracic Trauma in the 21st Century Mr Richard Steyn

Vascular Society Emergencies in an Emerging Specialty Mr Paul Blair

SYMPOSIUM 2King KhalidChairs Mr John Duncan and Dr Judy Evans

BAUS Who Provides Emergency Urological Surgery: The Apple of Discord? Mr Mark Speakman

BAPS Emergency Surgery in Children: Where does the Buck Stop Mr Bruce Okoye

BAPRAS Severe Limb Trauma Mr Umraz Khan

AUDIT SYMPOSIUMQuincentenary Building(see pages 14-15)GB Ong RoomTausend RoomWadsworth Room

PRESIDENT’S MEETING & AUDIT SYMPOSIUM 2014

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12.15 Lunch

13.15 Chair

Mr Mike Lavelle-Jones

McKeown Lecture – Abdominal Catastrophe: The Salvage of Surgical Disaster

Professor Gordon Carlson

13.45 SPECIALTY ASSOCIATION SYMPOSIA AND AUDIT SYMPOSIA

SYMPOSIUM 3Wolfson HallChair Professor Michael Griffin and Professor Robert Steele

ASGBI Emergency Surgery and the Shape of Training Professor John Primrose

ACP Improving the Outcomes in Emergency Colon and Rectal Surgery Mr John Hartley

AUGIS The Development and Impact of a Sub-Specialist HPB Emergency Admissions System Mr Ian Beckingham

SYMPOSIUM 4King KhalidChair Mr Roger Currie and Ms Cate Scally

ENT UK Maintaining ENT Emergency Skills in a Changing Clinical Environment Professor B. Nirmal Kumar

BAOMS The Role of the OMF Surgeon in the Emergency Situation: Has Anything Changed in the Last 20 Years? Mr Roger Currie

SBNS Emergency Neurosurgery: How Should Smaller Specialties Integrate Emergency and Elective Care? Mr Richard Nelson

AUDIT SYMPOSIUMQuincentenary Building(see pages 15-16)GB Ong RoomTausend RoomWadsworth Room

15.00 Coffee

15.30 PLENARY SESSION

Wolfson HallChair

Professor Jimmy Hutchison

Faculty of Pre-Hospital Care – Delivering the Patient Alive

Professor Sir Keith Porter

15.50 Radiology in the Assessment and Management of the Acutely Ill or Injured Surgical Patient

Dr Ian Zealley

16.10 Minimal Access Surgery in the Emergency Situation

Mr Peter Sedman

16.30 Lister Legacy Lecture – Controversies in Post-injury Haemostasis

Sponsored by Johnson and Johnson Medical Companies

Dr Ernest Moore

16.55–17.00 Presentation of Prizes and Concluding Remarks

Mr Ian Ritchie, President of The Royal College of Surgeons of Edinburgh

17.15 Conference Drinks Reception


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DR ERNEST E MOORE

LISTER LEGACY LECTURE

Ernest Moore M.D. is currently Editor of the ‘Journal of Trauma and Acute Care Surgery’ and has been

the Chief of Trauma at the Denver General Hospital for the past 35 years, and Chief of Surgery for the

past 26 years. He continues to serve as Vice Chairman for Research and Professor of Surgery at the

University of Colorado, Denver, and was the Bruce M. Rockwell Distinguished Chair in Trauma Surgery.

Under Dr Moore’s leadership, the Rocky Mountain Regional Trauma Center at Denver General became

internationally recognised for innovative care of the injured patient, and its trauma research laboratory

has been funded by the NIH for 25 consecutive years. Dr Moore has served as president of nine academic

societies, including the Society of University Surgeons, American Association for the Surgery of Trauma,

International Association for the Surgery of Trauma, and the World Society of Emergency Surgery.

PROFESSOR GORDON CARLSON

MCKEOWN LECTURE

Professor Gordon Carlson has been Consultant Surgeon at Salford Royal Hospital, Manchester, since 1997.

He is a senior surgeon at the Intestinal Failure Unit, a national centre specialising in the management of

intestinal fistulae, sepsis and other complications of abdominal surgery. He has published over 100 peer

reviewed papers and book chapters and was appointed Honorary Professor of Surgery at the University

of Manchester in 2005 and Honorary Professor of Biomedical Science at the University of Salford in 2006.

He is a Consultant Advisor to the National Institute of Health and Clinical Excellence, as well as the

Department of Health. He has gained numerous national and international awards for his clinical and

academic work on intestinal failure, nutritional support in critical illness and gut barrier dysfunction and has

been visiting professor at numerous North American medical schools and was awarded an ad hominem

fellowship of The Royal College of Surgeons of Edinburgh in 2013.

MR IAIN D ANDERSON (ASGBI)

Mr Iain Anderson has been Consultant Surgeon at Salford Royal Hospital, Manchester, since 1995.

He is a senior surgeon at the Intestinal Failure Unit, a national unit specialising in the treatment of intestinal

fistulae and other complications after abdominal surgery to which patients are referred from around the UK.

He practices colorectal and emergency surgery and has a specialist interest in Crohn’s disease. From 1994

to 2007, he was Tutor in Surgical Critical Care at the Royal College of Surgeons of England, where he

developed and established the Care of the Critically Ill Surgical Patient (CCrISP) Course, which teaches

trainees how to care for their sickest patients and is now seen as an international standard of care. Since

2009, Mr Anderson has been a Member of the Executive of the Association of Surgeons of Great Britain

and Ireland and is Director of Emergency Surgery, contributing to the development of national standards

and audit in emergency general surgery.

Speakers’ Biographies


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MR IAN BECKINGHAM (AUGIS)

Mr Ian Beckingham is Lead Clinician for the Trent HPB Surgical Unit, Chairman of the Mid Trent HPB Cancer

Centre and lead for the Minimal Access Training Organization (MAeSTRO). He is President Elect of the

Association of Upper GI Surgeons, Council Member of the Association of Laparoscopic Surgeons and

BOMSS, and a Royal College of Surgeons Laparoscopic Trainer. Research includes a BMedSci degree,

an MD, a Hunterian Professorship and over 150 abstracts and publications, mainly in laparoscopic and

HPB surgery. He is a regular speaker on general surgery, laparoscopic and HPB topics at national meetings

and has written leading articles, book chapters and the ABC of diseases of the liver, pancreas and

gallbladder. His clinical interests include emergency surgery, laparoscopic HPB, benign upper GI surgery

and hernia surgery.

MR PAUL BLAIR (VASCULAR SOCIETY)

Mr Paul Blair is a Vascular Surgeon in Belfast and Vice-President Elect of the Vascular Society of Great Britain

and Ireland (2014). He developed an interest in trauma and critical care culminating in MD thesis on Selective

Gut Decontamination in ICU Patients and UKICU Travelling Fellowship. He is a Vascular Fellow of Providence

Medical Centre, Seattle USA and he was appointed Consultant Vascular Surgeon/Director of Trauma, RVH

Belfast 1995. He is Clinical Lead for the Northern Ireland AAA Screening Programme and Clinical Director of

the recently merged Belfast Regional Vascular Service. His main clinical interests are carotid body tumour

surgery; EVAR; and distal bypass surgery.

MR ROGER CURRIE (BAOMS)

Mr Roger Currie is a Consultant Oral and Maxillofacial Surgeon in Ayrshire with sessions at the Southern

General Hospital in Glasgow. He was elected to the Council of The Royal College of Surgeons of Edinburgh

in 2010 and has responsibility for the College’s Regional Surgical Adviser Network. At present, he is the

Chairman of the Scottish Oral and Maxillofacial Society.

MR JOHN HARTLEY (ACP)

Mr John Hartley is Regional Specialty Professional Advisor for General Surgery for the Yorkshire Region

and Council Member of the Association of Surgeons of Great Britain and Ireland. His elective surgical practice

is concerned almost exclusively with the treatment of colorectal disease. From 2007 to 2010, he served as

Specialty Tutor in Coloproctology in the Raven Department of Surgical Education at the Royal College of

Surgeons of England. He is a former member of the National Executive of the Association of Coloproctology

of Great Britain and Ireland and served as Chairman of the Education and Training Committee (2010-2013).

MR JOHN KEATING (BOA)

Mr John Keating is a Consultant Orthopaedic Surgeon at the Royal Infirmary of Edinburgh and is

Clinical Director for Musculoskeletal Services in Lothian. He was appointed as a consultant in 1994 with

a subspecialist interest in the field of orthopaedic trauma. Within this area his clinical practice is mainly

devoted to lower limb reconstruction, with an expertise in pelvic and acetabular fractures and complex

knee injuries. His main research interest is in orthopaedic trauma and he has published widely in this field.

He is the Co-chairman of the annual Edinburgh International Trauma Symposium which has been run

successfully by the Edinburgh Orthopaedic Trauma Unit for over 20 years. More recently, he was Chairman

of the RCSEd Short Life Working Group on the management of multiple trauma in Scotland and has been

a member of the National Planning Forum Sub-committee on Trauma Management in Scotland.


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MR UMRAZ KHAN (BAPRAS)

Mr Umraz Khan is a Consultant in Reconstructive Plastic Surgery at Frenchay Hospital, Bristol. Mr Khan has

a specialist interest in limb reconstruction, especially following trauma. He co-authored the BOA/BAPRAS

National Standards of Care for Open Lower Limb Fractures and has written over 50 papers in peer reviewed

journals; 25 of which relate to limb injuries. He runs a national fellowship in microvascular surgery in Bristol,

is an AO UK tutor, as well as an SAC member and Chair of Education in BAPRAS and a member of the

Clinical Reference Group on Specialist Orthopaedic Surgery. He runs an annual course in microsurgery

in Pakistan and has been given the honour of Visiting Professor to the Alam Iqbal University, Lahore. He is

a Fellow of the Royal College of Surgeons of England and has been awarded an Honorary Fellowship of

the College of Physicians and Surgeons (Pakistan) in recognition of his work mentoring a specialist hospital

in Lahore, Pakistan.

PROFESSOR B. NIRMAL KUMAR (ENT UK)

Professor Nirmal Kumar is Consultant ENT Surgeon at WWL NHS Foundation Trust where he is Director

of Medical Education, leading a simulation centre for medical training and is Clinical Director for Surgery.

Regionally, he leads the NW UK Training Programme for ENT and is Honorary Professor at Edge Hill University

where he leads an MCh degree in Otolaryngology. Nationally, he is Honorary Assistant Secretary for ENT UK

and is on the Specialist Advisory Committee for Otolaryngology.

MR RICHARD J NELSON (SBNS)

Mr Nelson is President of the Society of British Neurological Surgeons. He became Consultant in the

Neurosurgical Department at Frenchay Hospital, Bristol, in 1990 after training at the Wessex Neurological

Centre in Southampton. As Chairman of the Specialist Advisory Committee and Vice President of the Society

of British Neurological Surgeons, he has been closely involved in the development of the neurosurgical

curriculum, neurosurgical training programmes and selection for post-graduate training in the United

Kingdom. He specialises in vascular, skull base and spinal surgery.

MR BRUCE OKOYE (BAPS)

Mr Bruce Okoye is a Consultant Paediatric, Adolescent and Neonatal Surgeon at St Georges Hospital

NHS Trust, London, and an Honorary Consultant Paediatric Surgeon at the Royal Marsden Hospital, London.

He trained at the Alder Hey Children’s Hospital, Liverpool, Bristol Royal Children’s Hospital, Diana Princess

of Wales Children’s Hospital, Birmingham, and the Children’s Hospital of Philadelphia. He specialises in

paediatric surgical oncology and is the current Chairman of the Trauma Committee of the British Association

of Paediatric Surgeons.

MR SIMON PATERSON-BROWN

Mr Simon Paterson-Brown is a Consultant General and Upper Gastrointestinal Surgeon and Honorary

Senior Lecturer at the Royal Infirmary of Edinburgh since 1994. He has published widely both in textbooks

and journals on emergency surgery, laparoscopic surgery, upper gastro-intestinal surgery and the role of

non-technical skills in surgery. His other interests include surgical training and assessment. He was previously

Clinical Director of Surgical Services in Lothian and President of the Association of Upper GI Surgeons of

Great Britain and Ireland. He is currently a Member of Council of The Royal College of Surgeons of Edinburgh,

as well as Chairman of the College’s Patient Safety Board.


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PROFESSOR SIR KEITH PORTER

Professor Sir Keith Porter is a Consultant Trauma Surgeon and Trauma Clinical Director at Queen Elizabeth

Hospital Birmingham, which has been a major trauma centre since March 2012. Since 2000, he has been

the Civilian Clinical Lead for the care of injured soldiers returning to the UK from both Iraq and Afghanistan.

For 20 years he was Medical Director of the West Midlands Central Accident Resuscitation (CARE) team and

actively involved in advancing both the delivery of pre-hospital care and education within the region. He has

been the regional representative of both BASICS and the Faculty of Pre-hospital Care and is past Chairman

of RCSEd’s Faculty of Pre-hospital Care. He is also the past Chairman of the Intercollegiate Board for Training

in Pre-hospital Emergency Medicine and recently Co-Chaired the DoH Review on Major Trauma, in relation

to its pre-hospital care and transport sub-group. He is Chairman of Trauma Care, an educational charity, and

co-editor of its journal ‘Trauma’. For services to the military he was made a Knight of the British Empire in the

2010 New Year Honours List.

PROFESSOR JOHN PRIMROSE (ASGBI)

Professor John Primrose is President of the Association of Surgeons of Great Britain and Ireland

and Professor of Surgery at the University of Southampton. He is also Chair of the National Cancer

Research Institute Upper GI Clinical Studies Group and Director of the NIHR Hampshire and Isle of Wight

Comprehensive Local Research Network. In that role he is committed to promoting a research-led NHS.

He has served on a large number of national bodies particularly Cancer Research UK funding committees.

He has served the Association of Surgeons of Great Britain and Ireland as Director of Education where he

developed the surgical education agenda and later served as Director of Education, Training and Research

at the Association of Upper GI Surgeons. He took up the presidency of ASGBI in 2013.

MR PETER SEDMAN (ALSGBI)

Mr Peter Sedman is an Upper GI and Laparoscopic Surgeon in Hull where he has been Consultant for the

last 16 years. For the last seven of these he has focused on surgery for benign disease and expanded the

bariatric service which now accounts for approximately 50% of his clinical workload with hiatal surgery and

advanced laparoscopy being the majority of the remainder. He has formerly held the role of Minimal Access

Tutor for the Royal College of Surgeons of England and is the current Education Director of the Association

of Laparoscopic Surgeons of Great Britain and Ireland.

MR MARK SPEAKMAN (BAUS)

Mr Mark J Speakman was appointed Consultant Urologist in Taunton in 1990 and has developed a busy

practice in the management of benign and malignant prostate disease, incontinence and andrology. He has

undertaken research and published papers on smooth muscle physiology; the treatment of prostate and

bladder diseases; alternatives to prostatectomy and research into quality of life assessment and evidence-

based medicine in urology. Mr Speakman has been a member of the Council of the British Association of

Urological Surgeons (BAUS) on two occasions and was Honorary Treasurer of the Association (2003-2005)

and was recently elected as President-Elect of BAUS. He has served on the Editorial Board of European

Urology and is currently on the Editorial Board of the British Journal of Urology. He has been the Director

of Research and Development on two occasions within the Hospital Trust. He is a Specialist Advisor to the

UK National Institute for Clinical Health and Excellence.

EMERGENCY SURGERY IN THE 21ST CENTURY – SPEAKERS’ BYOGRAPHIES

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MR RICHARD STEYN (SCTS)

Mr Richard Steyn is a Consultant Thoracic Surgeon and Associate Medical Director of Surgery at Birmingham

Heartlands Hospital. Mr Steyn’s interest in trauma extends back prior to his surgical training when, as a rural

general practitioner, he would be called to the scene and then follow the patient through their care back to

rehabilitation into the community. This trauma interest has extended through his surgical training in Aberdeen,

Liverpool, Manchester and Birmingham and into his consultant practice. He continues to actively support the

ambulance service providing care on scene and during transit and is also the immediate Past Chairman of the

British Association for Immediate Care. After appointment as Consultant, he was heavily involved in promoting

better management of chest injuries, not only in his own hospital but also the surrounding hospitals through

the development of protocols, educational courses and lectures and the provision of outreach input into hot

cases. Mr Steyn was involved in the DoH working groups on trauma that led to the development of Major

Trauma Networks. He remains committed to the teaching and education in trauma for future generations of

surgeons and other clinicians.

MR RICHARD WARD

Mr Richard Ward is a Consultant Vascular Surgeon at Aintree University Hospital, Liverpool. In 2010, he

became Consultant at the Emergency General Surgery Unit, Aintree which has now developed into a three

consultant team. He founded the Aintree Major Trauma Ward as part of the Cheshire and Merseyside Trauma

Collaborative in 2012, which continues to provide consultant cover to both areas. Mr Ward is former Chair of

Mersey Basic Surgical Training Committee and currently Head of School of Surgery at the Mersey Deanery.

He was President of the Liverpool and North-West Society of Surgeons 2010. He has a career-long interest

in surgical education.

DR IAN ZEALLEY

Dr Ian Zealley is an Interventional Radiologist working at Ninewells Hospital Dundee, and previously worked

at the McMaster University Medical Centre, Ontario. Dr Zealley is interested in the application of radiology to

both diagnostic evaluation and therapeutic intervention in trauma. He initiated and executed an analysis of

provision of out-of-hours interventional radiology haemorrhage-control services in Scotland, leading to the

development of guidelines for service delivery, resulting in improved access. Dr Zeally is currently co-opted

onto the Scottish Trauma Audit Group for the on-going evaluation of trauma care in Scotland.


Our Surgeons’ Hall Museum is changing…

THE LISTER PROJECT

Originally developed as a teaching museum for

students of medicine, Surgeons’ Hall Museum has

been open to the general public since 1832, making

it Scotland’s oldest medical museum.

The Lister Project – named after notable Fellow of

the College, Joseph Lister, who radically improved

the safety of surgery by promoting the use of

antiseptic technique – will transform Surgeons’ Hall

Museum into a modern, public museum using its

internationally-important collections, amassed since

the 15th century, to tell the history of medicine. This

project will transform the experience and acess for

our 30,000 international visitors each year.

TO FIND OUT MORE ABOUT THIS EXCITING PROJECT, VISIT WWW.RCSED.AC.UK/HERITAGESOCIETY

The UK’s largest and most historic collection of surgical pathology artefacts, RCSEd’s Surgeons’ Hall

Museum is to be given a new lease of life thanks to a £2.7m grant from the Heritage Lottery Fund.

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Surgical Specialty Associations

ASSOCIATION OF SURGEONS OF GREAT BRITAIN AND IRELAND (ASGBI)The Association of Surgeons of Great Britain and Ireland is an association representing general surgery and all its related specialities throughout the UK and Ireland. Founded in 1920 by a group of leading surgeons of the day, it currently has 1,900 members. The founding objectives of the Association were two-fold - the advancement of the science and art of surgery and the promotion of friendship amongst surgeons; these objectives remain the same today. www.asgbi.org.uk

BRITISH ASSOCIATION OF PAEDIATRIC SURGEONS (BAPS)The British Association of Paediatric Surgeons was founded in 1953 to support surgeons in what was then a new specialty. It currently has 150 consultant members across the UK and Ireland. However, from their early days they were a fully international organisation and now have members in 73 countries around the world. www.baps.org.uk

BRITISH ASSOCIATION OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC SURGEONS (BAPRAS)The British Association of Plastic, Reconstructive and Aesthetic Surgeons is the voice of plastic surgery in the UK. It aims to increase the understanding of the professional specialty and scope of plastic surgery, promoting innovation in teaching, learning and research. Founded in 1946 (originally as the British Association of Plastic Surgeons), today BAPRAS has over 800 members and is the professional representative body for reconstructive and aesthetic plastic surgeons providing services to patients on the NHS and privately in the UK. www.bapras.org.uk

BRITISH ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS (BAOMS)Oral and Maxillofacial Surgeons specialise in the diagnosis and treatment of diseases affecting the mouth, jaws, face and neck. The British Association of Oral and Maxillofacial Surgeons (BAOMS) was established as an Association back in 1962 and celebrated its 50th Anniversary in 2012. OMF surgery is unique in requiring a dual qualification in medicine and dentistry, and is often seen as the bridge between medicine and dentistry. www.baoms.org.uk

BRITISH ASSOCIATION OF UROLOGICAL SURGEONS (BAUS)The British Association of Urological Surgeons was founded in 1945 and exists to promote the highest standards of practice in urology, for the benefit of patients, by fostering education, research and clinical excellence. BAUS is a registered charity and qualified medical practitioners practising in the field of urological surgery are eligible to apply for membership. BAUS has just over 1,700 members and 95% of consultant urological surgeons in the UK are BAUS members. www.baus.org.uk

BRITISH ORTHOPAEDIC ASSOCIATION (BOA)The British Orthopaedic Association is the surgical specialty association for trauma and orthopaedics in the UK. It was founded in 1918 with twelve founding members and now has over 4000 members worldwide.

They provide national leadership, a unifying focus, and charitable endeavour by caring for patients and

supporting surgeons. As a membership organisation they care for patients and support surgeons by

focusing on excellence in: professional practice; training and education; and research. www.boa.ac.uk

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ENT-UKFormed in 2008, the objectives of ENT UK are the advancement for the public benefit of education, training and research in the fields of otorhinolaryngology - head and neck surgery; the relief of patients suffering from diseases of the ear, nose and throat and related areas. Today, ENT UK represents over 1,300 medical practitioners including surgeons, trainees and audiologists. entuk.org

SOCIETY OF BRITISH NEUROLOGICAL SURGEONS (SBNS)The Society of British Neurological Surgeons was founded in 1926 and is one of the world’s oldest national neurosurgical societies. With currently 645 members, the purpose of the Society is the study and advancement of neurosurgery. This is achieved through the scientific meetings, publications, fostering professional relationships with neurosurgeons, other related organisations and engagement with the public. The Society is also involved in the education and the examination of neurosurgeons. www.sbns.org.uk

SOCIETY FOR CARDIOTHORACIC SURGERY (SCTS)The Society for Cardiothoracic Surgery was set up by the profession to enhance the quality of care delivered to patients. It is now a multi-professional organisation with about 650 members comprised of patients, nurses and doctors committed to improving patient care. SCTS has pioneered collection and public release of clinical outcomes demonstrating a 30% reduction in mortality for adult cardiac surgery over the past decade. www.scts.org

THE VASCULAR SOCIETY OF GREAT BRITAIN AND IRELANDThe Vascular Society of Great Britain and Ireland is the pre-eminent organisation in the country promoting vascular health by supporting and furthering excellence in education, training and scientific research. Founded in 1966 by Professor Sol Cohen, the Society represents and provides professional support for over 700 members, including consultant vascular surgeons and trainees, vascular radiologists and others involved in independent vascular practices in Great Britain and Ireland. It achieved separate surgical specialty status in March 2012. www.vascularsociety.org.uk

THE ASSOCIATION OF LAPAROSCOPIC SURGEONS OF GREAT BRITAIN AND IRELAND (ALSGBI)The Association of Laparoscopic Surgeons was formed in 1994 by the amalgamation of the Society of Minimally Invasive General Surgeons (SMIGS) and the British Surgical Stapling Group (BSSG). The ALS is the main voice for laparoscopic surgeons in Great Britain & Ireland. The ALS’ principal aims are to foster innovation and research in laparoscopic surgery, to promote public education, the raising and maintenance of clinical standards, and the provision of training courses to both experienced surgeons and those in training. www.alsgbi.org

ASSOCIATION OF COLOPROCTOLOGY (ACPGBI)The Association of Coloproctology of Great Britain and Ireland consists of over 1,000 surgeons, nurses, and allied professionals who advance the knowledge and treatment of bowel diseases in Britain and Ireland. Founded in 1990, the growth of the Association reflects the importance of coloproctology within the field of gastroenterology. Coloproctology is not just practiced by surgeons; it is a specialty of physicians, oncologists, pathologists and radiologists with specialist nurse support essential to the management of patients. www.acpgbi.org.uk

ASSOCIATION OF UPPER GASTROINTESTINAL SURGEONS OF GREAT BRITAIN AND IRELAND (AUGIS)The Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland has almost 900 members including surgeons, trainees and allied healthcare professionals. AUGIS’ aim is to improve the care and outcomes for patients with surgical conditions of the upper gastrointestinal tract. This aim is pursued through advising nationally on the provision of upper GI surgical services supported by comprehensive clinical audits. Audits are established in oesophago-gastric and HPB cancers and bariatric surgery. www.augis.org


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Oral Presentations

Morning sessions

11.00 LISTER LEGACY PRIZE SESSION

Sponsored by Johnson and Johnson Medical Companies

Tausend Room, Quincentenary Building

Chairs

Mr Roger Currie and Professor Bob Steele

NICHOLAS GILL Using Clinical Audit to Improve Sepsis Rates Post-TRUS Biopsy

JONATHAN WHITTON Closing the Loop: Does BIOPATCH Reduce Emergency Central Line Infections in a Paediatric Population?

JOHN CREWCrew-NovaBay Minimally Invasive Surgery for Necrotizing Fasciitis

KIRSTY TOMS Basing Antibiotic Prophylaxis on the Evidence Available for a Vascular Population

ANTONELLA MARIA ARDOLINO Intra-operative Bacterial Colonisation Beneath Plastic Adhesive Drapes: A Pilot Study

GARETH STEPHEN TURNBULLManagement of Infected Cases on Orthopaedic Wards: A Fourth Cycle Audit

RAJEEV ADVANI Small Changes: Better Outcomes – Mission to Reduce Infection following Middle Ear Surgery

11.00 SPECIALTIES AND COMMON INTEREST SESSION

Wadsworth Room, Quincentenary Building

Chairs

Ms Elaine Griffiths and Mr Omar Hilmi

RAJEEV ADVANI‘Safe Handover Saves Lives’: An Audit of an Electronic System to Improve Surgical Handover

RIAZ AHMED AGHAVenous Thromboembolism Risk Assessment Compliance in Plastic Surgery

RAJEEV ADVANIAirway Before All Else: The Tracheostomy and Laryngectomy Safety Project

KATHRYN LIGHTBODYMicroscope-assisted Marking of Skin Margins to Improve Excision Rates in Head and Neck Skin Cancers: a Completed Closed-loop Audit

DAVID EDWARD JAMES BALLImproving the Quality of Documentation on the Surgical Post-take Ward Round using a Proforma Based on Royal College of Surgeons Guidelines: A Completion of the Audit Loop

NEIL DAVID KILLICKTrainee Experience of using the Voxel-Man TempoSurg Temporal Bone Simulator in the North Western Deanery Otolaryngology Training Programme

SHUEH YIANG LIMIs There Still a Role for Open Neck Biopsy for the Diagnosis Of Lymphoma in 2013?



11.00 TRAUMA AND ORTHOPAEDIC SESSION

GB Ong Room, Quincentenary Building

Chairs

Prof Jimmy Hutchison and Mr Aly Mehdi

NEIL CHOTAIScrubbing Times in Trauma and Orthopaedics

NGWE PHYOBlood Transfusion Rates in Primary Total Knee Arthroplasty after Introduction of Tranexamic Acid

OMER TOUFEEQ SALARUncemented Unipolar Hemiarthroplasty for Hip Fractures. What Happens Next?

SOUMEN RUDRAIs Absence of Evidence, Evidence of Absence?

OMER TOUFEEQ SALARAnxiety and Depression Predicts Poor Outcomes in Arthroscopic Subacromial Decompression

KIM BOYD FERGUSONThe Success Rate of Image Guided Needle Biopsy for Musculoskeletal Tumours

MUHAMMAD ADEEL AKHTARAn Audit of Audits: Why Audits are Abandoned?

13.45 SURGEONS IN TRAINING MEDAL SESSION

GB Ong Room, Quincentenary Building

Chairs

Mr John Duncan and Mr David Smith

STACEY LOUISE THOMSONA Review of Red Flag GP Referrals to the Orthopaedic Spinal Service in Northern Ireland

MATILDA POWELL-BOWNSGynaecological History (GH) and Î²-hCG: An Audit of their Documentation in the Acute Surgical Receiving Unit (ASRU)

KASUN MANIGASOORIYAThe Critical Role of Leadership in Clinical Audit

JOHN ROCKEAudit of Venous Thromboembolism Prophylaxis Prescribing in Women of Childbearing Age in a Trauma Unit

ROHIT SINGHA Closed Loop Audit of Informed Consent In Elective Orthopaedic Practice. 13 Year Follow-up Study

NISHA RANGANasogastric Tube Management: Are We Following NICE and NPSA Guidance?

EIMEAR MCKENNAUrethral Catheter Care Documentation: Are We Doing It Right?


Afternoon sessions

FROM HERE, HEALTH16

13.45 TRAUMA AND ORTHOPAEDICS SESSION

Tausend Room, Quincentenary Building

Chairs

Mr Donald Campbell and Mr David Finlayson

GARETH STEPHEN TURNBULLThe Relationship of Perioperative Blood Loss and BMI to Recovery Following Total Knee and Hip Arthroplasty

SARFRAZ AHMADA Service Evaluation of Wasted Theatre Stock in a Specialist Orthopaedic Hospital

GARETH STEPHEN TURNBULL

Survivorship of 1023 Primary Knee Arthroplasties at Minimum 10 Year Follow Up

OLIVER CHAN

Concordance Between the Trainer/Trainee’s Logbook Supervision Codes

JONATHAN MACDONALD

Two Consultant Operating: The Perceived Benefits

FRASER JOHN GOULD

Improving the Early Application of Mechanical Thromboprophylaxis for Patients with Fractured Neck of Femur:

Closure of an Audit Loop

STACEY LOUISE THOMSON

Out of Hours Acute Cauda Equina Syndrome: Imaging and Outcomes

13.45 GENERAL SURGERY SESSION

Wadsworth Room, Quincentenary Building

Chairs

Mr Charlie Auld and Mr Pala Rajesh

DUNCAN STEPHEN GEORGE SCRIMGEOURAcute Pancreatitis: How Do We Compare to UK Standards? A Closed Loop Audit

CAROLINE MARGARET ATHERTONThe Emergency General Surgical Unit: The Clinical and Economic Benefits of the Centralisation of Emergency General Surgery

MUHAMMAD ISHTIAQ AHMED

Streamlining Electronic Operation Notes: a Team Based Improvement Project

IBRAHIM IBRAHIM

Day of the Week has no Correlation with Mortality in Patients aged 70 or over Admitted to Emergency General

Surgery

MICHAEL CHAN

A Re-audit of IV Fluid Prescribing at the University Hospital of North Durham against GIFTASUP Guidelines

CHARLOTTE BRIERLEY

Audit: Management of Warfarin Reversal in Acute Surgical Admissions

PHILIP BROADBENT

To Establish the Effect of the Introduction of a Standardised Proforma on the Documentation of Post-Take Ward

Round Notes


For the first time in The royal College of Surgeons of Edinburgh’s 500-year history, the College is pleased to be opening a base outside Edinburgh – in Colmore row, Birmingham.

rCSEd is strongly committed to providing the best services, facilities and support possible to everyone who has chosen to be part of our College, wherever they are based. This move is in recognition that 80% of our UK membership is based in England and Wales – more than 11,000 professionals in total.

The College hopes that many of our Fellows, Members and Affiliates will be able to take part in the meetings, lectures, courses and other events which will be held in

the new Colmore row facility from the opening week in late March/early April; as well as our colleagues and partners in healthcare.

Those in our membership who are Trainees or SAS grade may be interested in two bookable events which will be taking place in the opening week itself. In addition, we will be holding a PBA (procedure-based assessment) course at the centre within the same period. Fellows and Members local to Birmingham are also invited to attend an opening drinks reception on Thursday 3 April.

Places at all events are limited so please register to attend through the website.

RCSEd’S BiRmingham BaSE to opEn thiS monthCentre of operations will launch with a series of exciting activities and events

FoR FuRthER inFoRmation aBout ouR nEw BiRmingham oFFiCE and EvEntS viSit www.RCSEd.aC.uk

Birmingham

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Comfortable city centre hotel accommodation in Edinburgh can be found with us. With an excellent standard of room facilities throughout our 77 ensuite executive and skyline bedrooms, your stay be it short or extended, will leave you well rested. We are located a short distance from Edinburgh’s thriving visitor experience and part of the dramatic event and conference venue, Surgeons' Hall. Visit our website to find out more about us, our festive packages and our theatre breaks.

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WHO MAKES THE CUT? Assessment in Surgical Training

All in the surgical community are welcome to attend

the Faculty of Surgical Trainers Annual Meeting which

will take place at The Royal College of Surgeons of

Edinburgh on Wednesday 22 October 2014.

FROM HERE, HEALTH

The Faculty of Surgical

Trainers is a venture set

up by The Royal College

of Surgeons of Edinburgh

to promote and enhance

the role of the surgical

trainer. The Faculty is the

first of its kind in the UK

and its purpose is to help

support and develop

surgeons in their role as

surgical trainers.

It works to increase the

profile and recognition of

surgical education and

training and disseminate

the message that

excellent surgical training

means excellent and

safe patient care. It also

champions and promotes

training in non-technical

skills, as well as traditional

technical skills, to further

enhance patient safety;

and provide a framework

for the training and

education of surgical

trainers.

The Faculty will also play

an important role as the

landscape of surgical

training changes in the

future. As such it is already

highly active in preparing

for the GMC’s plan to

approve trainers by 2016.

The Faculty is open to all

those who have an active

interest or involvement in

surgical training in the UK

and internationally.

www.rcsed.ac.uk/fst

22 October 2014


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Roxburgh Place

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King Khalid Building

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Surgeons’Hall

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■ Playfair Main Hall■ Fellows’ Library■ Quincentenary Building■ Wolfson Hall■ Quin Hall – GB Ong Room – Tausend Room – Wadsworth Room■ Surgical Skills Laboratory


SAVE THE DATE

20 March 2015PRESIDENT’S MEETING 2015 SURGICAL ONCOLOGY

Advances in surgical technique and in the organisation

and delivery of care have contributed significantly to

improved outcomes for patients with cancer. The focus

of the 2015 President’s Meeting will provide updates in

recent developments across the surgical specialties.

FROM HERE, HEALTH

www. presmeeting.rcsed.ac.uk

Email: [email protected]

Phone: 0131 668 9209

president’s meeting and audit symposium 2014 · president’s meeting and audit symposium 2014...

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