CHARTER DAY MEETING TUESDAY 5 - SATURDAY 9 FEBRUARY 2019 - Royal College of Surgeons in Ireland

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CHARTER DAY MEETING TUESDAY 5 - SATURDAY 9 FEBRUARY 2019 - Royal College of Surgeons in Ireland
CHARTER DAY MEETING
TUESDAY 5 – SATURDAY 9 FEBRUARY 2019
CPD ACCREDITATION
TUESDAY                           WEDNESDAY                      THURSDAY                   FRIDAY
In Conversation With = 1 credit   NOCA = 6 credits               NCPS = 6 credits           Charter Day Meeting = 6 credits
                                  Annual Intercollegiate Case    Videosurgery Meeting = 4
                                  Presentations = 2 credits      credits                    SATURDAY
                                                                                                                              Leading the world
                                  Emily Winifred Dickson Award                              ISTG Meeting = 4 credits           to better health
                                  Presentation = 1 credit
CHARTER DAY MEETING TUESDAY 5 - SATURDAY 9 FEBRUARY 2019 - Royal College of Surgeons in Ireland
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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CHARTER DAY MEETING TUESDAY 5 - SATURDAY 9 FEBRUARY 2019 - Royal College of Surgeons in Ireland
RCSI CHARTER DAY 2019

    PRESIDENT’S MESSAGE

    On the occasion of the annual commemoration of our          Later on Thursday evening, Professor Tom Walsh’s
    Charter Day, it is my pleasure to welcome all those         29th Annual Videosurgery meeting will take place.
    attending RCSI events this week.
                                                                The plenary sessions of the Charter Day meeting on
    RCSI has evolved considerably since its foundation          Friday will focus on the difficult topics of supporting
    in 1784 from an organisation set up by Charter from         both patients and surgeons ‘when things go wrong’.
    King George III to oversee standards in surgery             In the light of both individual and system failures in
    and for the regulation of surgical training, to the         our health service I would urge you to attend these
    organisation, which it is now, an internationally           sections of the meeting if at all possible. Friday
    recognised independent, not for profit, healthcare          morning also supports the specialty parallel sessions.
    institution with campuses in Dublin, Bahrain and
    Malaysia.                                                   On Friday, the Johnson and Johnson lecture will be
                                                                delivered by Professor Martin Corbally, Consultant
    Our annual Charter Day meeting allows us to focus           Paediatric Surgeon and Chief of Staff at the King
    on surgical care. Our commitment to healthcare              Hamad University Hospital, Bahrain who will talk on
    provision also gives an opportunity to our Clinical         “It should be possible to get the list right: A view
    Programmes in Surgery and the National Office of            of Clinical Governance”. This is will be followed by
    Clinical Audit (NOCA), an independent institution           the Presidential address and announcement of the
    supported by RCSI, to highlight their achievements          Surgical Travelling Awards.
    over the last year.
                                                                The 95th Colles Lecture will be delivered by Professor
    This year’s Charter celebrations begin on Tuesday           Jan van Lanschot from the Erasmus Medical Centre in
    evening with ‘In Conversation With...Dr Hedy Fry,           Rotterdam who will talk on “Major Developments in
    Class of 1968’, a Trinidadian-Canadian Politician           the Treatment of Patients with Oesophageal Cancer”.
    and Physician. Dr Fry is currently the longest-             Professor van Lanschot will also be conferred with an
    serving female Member of Parliament, winning                Honorary Fellowship prior to the Colles Lecture.
    eight consecutive elections in the constituency of
    Vancouver Centre since 1993.                                On Saturday morning, the Irish Surgical Training
                                                                Group host their Annual Meeting and the Bosco
    Wednesday sees the third National Office of Clinical        O’Mahony Lecture.
    Audit (NOCA) annual meeting. A highlight this year
    will be the publication of the first National ICU report.   The Charter Day Dinner on Saturday evening will be
                                                                preceded by the conferring of Honorary Fellowships
    On Wednesday evening, we host the second Emily              on Professor Hilary Sanfey – Springfield, Illinois and
    Winifred Dickson Lecture, which commemorates the            Professor John Monson – Orlando, Florida.
    first RCSI female Fellow, who was also the first female
    Fellow of any of the Surgical Royal Colleges. We            I wish to acknowledge the organising committee of
    offer a very warm welcome to Mary Robinson, former          Sean Tierney, Kieran Ryan, Louise Loughran, Cara
    President of Ireland and former United Nations High         McVeigh, Aoife Mahon, Sheila Corballis, Paula Curtin,
    Commissioner for Human Rights who will deliver              Robyn Byrt and Kate Smith for putting together
    this year’s lecture ‘Climate Justice and a Healthy          what I hope you agree is a varied and interesting
    Environment’.                                               programme.

    On Thursday, the third National Clinical Programme          I thank all the Speakers and Chairs for their
    in Surgery meeting will see the publication of three        contribution to the meeting and I look forward to
    surgical specialty reports in Otolaryngology, Head          seeing you throughout the week.
    and Neck Surgery, Urology and Vascular surgery - all
    of which will outline best practice in these specialties
    at a national level.                                        Mr Kenneth Mealy
                                                                President

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CHARTER DAY MEETING TUESDAY 5 - SATURDAY 9 FEBRUARY 2019 - Royal College of Surgeons in Ireland
CONTENTS

6     Programme at a Glance
TUESDAY, 5 February
9     In Conversation With… Dr Hedy Fry, Class of 1968
WEDNESDAY, 6 February
10    NOCA Annual Conference
14    Emily Winifred Dickson Award Presentation
15    13th Annual Intercollegiate Case Presentations
THURSDAY, 7 February
16    National Clinical Programme in Surgery: Improving Surgery In Ireland
23    National Clinical Programme in Surgery: Our Speakers
27    29th Annual Videosurgery Meeting
FRIDAY, 8 February
28    Charter Day kindly sponsored by...
29    Morning Plenary Session – When Things Go Wrong: Supporting Surgeons
30    Johnson & Johnson Lecture
30    Presidential Address
32    Afternoon Plenary Session – When Things Go Wrong: Supporting Patients
32    Honorary Fellowship Conferring
32    95th Abraham Colles Lecture
33    Parallel Session: Cardiothoracic Surgery
34    Parallel Session: General Surgery
35    Parallel Session: Neurosurgery
36    Parallel Session: Ophthalmic Surgery
37    Parallel Session: Oral & Maxillofacial Surgery
38    Parallel Session: Otolaryngology Head & Neck Surgery
40    Parallel Session: Paediatric Surgery
41    Parallel Session: Plastic Surgery
43    Parallel Session: Trauma & Orthopaedic Surgery & Neurosurgery
44    Parallel Session: Urology
46    Parallel Session: Vascular Surgery
48    About 2019 Johnson & Johnson Lecturer
50    About Abraham Colles (1773 – 1843)
52    Charter Day Guest Speakers
SATURDAY, 9 FEBRUARY
56    Irish Surgical Training Group Meeting (ISTG)
      including the Bosco O’Mahony Lecture
58    Charter Day Dinner including Honorary Fellowship Conferrings
59    Charter Day Honorary Fellowship Recipients
60    Save the Date - 2019 Events
61    RCSI Court of Examiners
CPD
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, 7th February for both
the NCPS Meeting and the Videosurgery Meeting to receive CPD credits for both meetings.

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CHARTER DAY MEETING TUESDAY 5 - SATURDAY 9 FEBRUARY 2019 - Royal College of Surgeons in Ireland
RCSI CHARTER DAY 2019

    PROGRAMME AT A GLANCE
      Tuesday, 5 February 2019

      Time                  Title                                                          Venue

      18.30 – 18.45         Registration                                                   Front Hall,
                                                                                           St Stephen’s Green

      18.45 – 19.30         In Conversation With…Dr Hedy Fry, Class of 1968                Albert LT

      19.30                 Drinks Reception                                               Boardroom

     Wednesday, 6 February 2019

     Time                   Title                                                          Venue

                            National Office of Clinical Audit (NOCA)
                            Annual Conference in conjunction with
                            Charter Day Meetings

     08.00 – 09.00          Registration                                                   Front Hall, York St.

     09.00 – 16.00          Connected Healthcare                                           Desmond
                            Including the launch of the ‘Irish National ICU Audit Annual   Auditorium
                            Report 2017’ & ‘Major Trauma Audit National Report 2017’

     18.00                  Emily Winifred Dickson Award Presentation                      Desmond
                            Mary Robinson,                                                 Auditorium
                            President, Mary Robinson Foundation – Climate Justice,
                            Former President of Ireland,
                            Former United Nations High Commissioner for Human
                            Rights

                            Reception to follow                                            Boardroom

     19.00 – 22.00          13th Annual Intercollegiate Case Presentations                 O’Flanagan LT

     Thursday, 7 February 2019

     Time                   Title                                                          Venue

                            National Clinical Programme in Surgery Meeting
                            in conjunction with Charter Day Meetings                       NCPS
     08.15 – 09.00          Registration                                                   Front Hall, York St.

     09.00 – 16.00          Improving Surgery in Ireland                                   O’Flanagan LT

                            29th Annual Videosurgery Meeting

     16.00 - 16.30          Registration                                                   Front Hall, York St.

     16.30 - 20.30          29th Annual Videosurgery Meeting                               Cheyne LT

6
CHARTER DAY MEETING TUESDAY 5 - SATURDAY 9 FEBRUARY 2019 - Royal College of Surgeons in Ireland
Friday, 8 February 2019
Time            Title                                              Venue

07.45 – 16.00   Registration                                       Front Hall, York St.

07.45 – 08.50   Tea & coffee and meet the Charter Day Sponsors     Exam Hall

08.50 – 09.50   Morning Plenary Session                            O’Flanagan LT
                When Things Go Wrong - Supporting Surgeons

09.50 – 10.00   Breakout for Parallel Sessions

10.00 – 13.00   Parallel Sessions

                Cardiothoracic Surgery                             Tutorial Room 8
                General Surgery                                    Houston LT
                Neurosurgery                                       Tutorial Room 2
                Ophthalmic Surgery                                 RVEEH
                Oral & Maxillofacial Surgery                       Tutorial Room 1
                Otolaryngology Head & Neck Surgery                 Albert LT
                Paediatric Surgery                                 Tutorial Room 4
                Plastic Surgery                                    Bouchier-Hayes
                                                                   Auditorium
                Trauma & Orthopaedic Surgery & Neurosurgery        Cheyne LT
                Urology                                            Tutorial Room 3
                Vascular Surgery                                   College Hall

11.00 – 11.30   Exhibition & Refreshments from Parallel Sessions   Exam Hall

13.00 – 14.15   Exhibition & Lunch                                 Exam Hall

14.15 – 14.45   2019 Johnson & Johnson Lecturer                    O’Flanagan LT

14.45 – 15.15   Presidential Address                               O’Flanagan LT
                including Presentations

15.15 – 17.00   Afternoon Plenary Session                          O’Flanagan LT
                When Things Go Wrong - Supporting Patients

17.00 – 17.30   Refreshments                                       College Hall

17.30 - 18.30   Honorary Fellowship Conferring                     College Hall
                & 95th Abraham Colles Lecture
                Professor J.Jan B. van Lanschot, MD, PhD

18.30 – 19.00   Reception                                          Atrium

                                                                                          7
RCSI CHARTER DAY 2019

     Saturday, 9 February 2019
     Time                   Title                                                     Venue

     08.15 – 09.00          Registration                                              Front Hall, York St.

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

     18.45                  Charter Day Dinner

     18.45                  Charter Day Dinner commences with a drinks reception      College Hall
                            and Honorary Fellowship Conferrings upon
                            Professor Hilary Sanfey MCh, MHPE, FRCSI, FRCS, FRCSEd
                            Professor John Monson MD, FRCS (Ire, Eng, Ed(Hon), Glas
                            (Hon)), FASCRS, FACS

                            Dress code: Black Tie, Orders & Decorations

8
TUESDAY, 5 FEBRUARY 2019

                                                                                                      Tuesday 5
18.30 – 18.45        Registration
                     Front Hall, St Stephen’s Green

                                                                                      18.45 - 19.30
  IN CONVERSATION WITH…                                                               Albert LT
  DR HEDY FRY, CLASS OF 1968
  followed by a Drinks Reception

  Honourable Dr Hedy Fry was first elected to Parliament for
  Vancouver Centre in 1993, becoming the first rookie to defeat a
  sitting Prime Minister. She has since been re-elected in 1997, 2000,
  2004, 2006, 2008 and 2011, and is currently the longest sitting
  female MP in Canada’s history.
  Dr Fry began her political career in 1993 as Parliamentary Secretary
  to the Minister of Health. She spent six years from 1996-2002 in
  Cabinet serving as Secretary of State for Multiculturalism and
  the Minister for the Status of Women, and sat on a number of
  Cabinet Committees regarding health, social policy, volunteerism,
  homelessness and same-sex benefits.
  Following graduation from RCSI, Dr Fry, who hails originally from
  Trinidad & Tobago, emigrated to Canada in 1970. She practiced
  family medicine at St Paul’s Hospital in the West End of Vancouver
  for two decades and was a local, provincial and national leader in
  medical politics.
  Dr Fry has served as President of the Vancouver Medical Association (VMA), BC Medical
  Association (BCMA), and the Federation of Medical Women, as well as Opposition Critic for Sports
  and the 2010 Olympics, and for Canadian Heritage. This parliamentary session, she has served as
  the Chair of the Standing Committee on Canadian Heritage.
  Dr Fry continues working hard at key priorities of her constituents and fighting for issues such
  as human rights, the environment, LGBTQ2+, healthcare, poverty, housing and homelessness,
  education and many others.

                                                                                                      9
RCSI CHARTER DAY 2019

     WEDNESDAY, 6 FEBRUARY 2019

        NATIONAL OFFICE OF CLINICAL                                                             Desmond
                                                                                                Auditorium
        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
            - Severe maternal morbidity in Ireland
            - Very Low Birth Weight Infants in the Republic of Ireland

10
NOCA NATIONAL CONFERENCE                                                       Desmond
                                                                                Auditorium
 Connected Healthcare

08.00 – 09.00    Registration
                 Front Hall York St.

09.00 – 11.00    SESSION 1

                                                                                                Wednesday 6
Chair            Mr Kenneth Mealy
                 President, RCSI

09.00 – 09.10    Welcome Address
                 Mr Simon Harris T.D.
                 Minister for Health

09.10 – 09.40    LAUNCH: Irish National ICU Audit Annual Report 2017
                 Dr Rory Dwyer
                 Clinical Lead, Irish National ICU Audit

                 Ms Barbara Egan
                 Public / Patient Interest Representative

09.40 – 10.00    Improving Healthcare Nationwide through Clinical Auditing: Precondition,
                 Results & Opportunities
                 Dr Eric Hans Eddes
                 Director, Dutch Institute for Clinical Auditing (DICA)

10.00 – 10.20    Clinical Leadership, Audit and Learning
                 Dr Colm Henry
                 Chief Clinical Officer, HSE

10.20 – 10.30    Quality Improvement Champion Presentation

10.30 – 11.00    Panel Discussion: The value of clinical audit: Delivering on the Promise of
                 Data
                 Dr Rory Dwyer
                 Clinical Lead, Irish National ICU Audit

                 Ms Brigid Doherty
                 Public / Patient Interest Representative, NOCA Governance Board

                 Dr Eric Hans Eddes
                 Director, Dutch Institute for Clinical Auditing (DICA)

                 Dr Colm Henry
                 Chief Clinical Officer, HSE

11.00 – 11.30    Exhibition & Refreshments

                                                                                               11
RCSI CHARTER DAY 2019

      11.30 – 13.10          SESSION 2

      Chair                  Professor Conor O’Keane
                             Chair, NOCA Governance Board

      11.30 – 11.50          Xploro: using emerging technologies to improve the patient experience
                             Mr Dom Raban
                             Managing Director, Corporation Pop

      11.50 – 12.10          Sláintecare Implementation Plan
                             Ms Laura Magahy
                             Executive Director, Sláintecare

      12.10 – 12.30          Using QI to drive service change – a personal experience
                             Mr Hugh McCaughey
                             Chief Executive of the South Eastern Health & Social Care Trust

      12.30 – 12.40          Quality Improvement Champion Presentation

      12.40 – 13.10          Panel Discussion: Connecting Audit to Improvement:
                             Paving the way for System Change
                             Dr Vida Hamilton
                             National Clinical Advisor and Group Lead, HSE Acute Operations

                             Mr Dom Raban
                             Managing Director, Corporation Pop

                             Ms Laura Magahy
                             Executive Director, Sláintecare

                             Mr Hugh McCaughey
                             Chief Executive of the South Eastern Health & Social Care Trust

                             Dr Emer Ahern
                             Clinical Geriatric Lead, Irish Hip Fracture Database

      13.10 – 14.10          Exhibition & Lunch

12
14.10 – 16.00   SESSION 3

Chair           Dr Philip Crowley
                National Director, HSE Quality Improvement Division

                                                                                            Wednesday 6
14.10 – 14.40   LAUNCH: Major Trauma Audit National Report 2017
                Dr Conor Deasy
                Clinical Lead, Major Trauma Audit

14.40 – 15.00   Using trauma registry data to drive system improvement and clinical care
                along the patient continuum
                Professor Belinda Gabbe
                Head of Pre-hospital Emergency and Trauma Research, Monash University

15.00 – 15.20   National Audit: Improved Care
                Marking 10 years of NPEC & Clinical Audit in the maternity services
                Professor Richard Greene
                Director, National Perinatal Epidemiology Centre

15.20 – 15.50   Panel Discussion: Connecting Audit to the Patient: The Value of Outcomes
                Data & Reporting
                Professor Belinda Gabbe
                Head of Pre-hospital Emergency and Trauma Research, Monash University

                Dr Conor Deasy
                Clinical Lead, Major Trauma Audit

                Ms Bridget Egan
                Council Member RCSI, Clinical Lead, National Audit of Hospital Mortality

                Professor Richard Greene
                Director, National Perinatal Epidemiology Centre

15.50 – 16.00   Close & Presentation of the ‘NOCA Quality Improvement Champion’ Award
                Ms Collette Tully
                Executive Director, NOCA

                                                                                           13
RCSI CHARTER DAY 2019

      EMILY WINIFRED DICKSON                                                          18.00
                                                                                      Desmond
      AWARD PRESENTATION 					                                                        Auditorium

      Award recipient
      Mary Robinson
      President, Mary Robinson Foundation – Climate Justice,
      Former President of Ireland,
      Former United Nations High Commissioner for Human Rights
      Lecture entitled ‘Climate Justice and a Healthy Environment’

      Reception to follow

          Emily Winifred Dickson, FRCSI, (1866-1944)

          Emily Winifred Dickson (1866-1944) broke boundaries when she became
          the first female Fellow of RCSI in 1893, which made her the first female
          Fellow of any of the surgical royal colleges in Britain and Ireland. RCSI
          established the Emily Winifred Dickson Award in honour of the
          achievements of this pioneering woman. The award recognises women
          who have made an outstanding contribution to their field.

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13th ANNUAL INTERCOLLEGIATE                                                        19.00 - 22.00
                                                                                   O’Flanagan LT
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

                                                                                                      Wednesday 6
Ireland’s first laparoscopic cholecystectomy.

                                                                                                     15
RCSI CHARTER DAY 2019

     THURSDAY, 7 FEBRUARY 2019

        NATIONAL CLINICAL PROGRAMME                                                          O’Flanagan LT

        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 being
        provided by the training bodies to ensure that the patient remains at the centre of any change
        recommendation.

        All National Clinical programmes 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 Programmes 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 Clinical Programmes in Anaesthesia, Acute and Emergency
        Medicine, Older Persons and Critical Care among others, as well as with colleagues throughout the
        HSE, patient advocacy groups and all relevant stakeholders across the health system.

        The National Surgery Programmes report directly to the RCSI Committee for Surgical Affairs (CSA)
        and 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 also sub-specialty advisors including General Surgery, Urology,
        Otorhinolaryngology Head and Neck Surgery, and Vascular Surgery with the aspiration that other
        subspecialties will, in time, have representation coordinated through the National Office.

     NCPS
16
IMPROVING SURGERY IN IRELAND

08.15 – 09.00   Registration
                Front Hall, York St.

09.00 – 09.10   Welcome & Introduction
                Mr Kenneth Mealy
                President, RCSI

09.10 – 09.15   National launch of Otolaryngology Head & Neck Surgery: A Model of Care
                for Ireland
                Professor Deborah McNamara
                Council Member RCSI & NCPS Co-Lead

                Professor John Hyland
                Council Member RCSI & NCPS Co-Lead

                Professor Michael Walsh

                                                                                          Thursday 7
                NCPS Clinical Advisor for ENT

                                                                                         17
RCSI CHARTER DAY 2019

      SESSION 1

      09.15 – 09.35          Otolaryngology Head & Neck Surgery: A Model of Care for Ireland
                             Professor Michael Walsh
                             NCPS Clinical Advisor for ENT

      09.35 – 09.40          Welcome to Session 1 Speakers
                             Professor Deborah McNamara
                             Council Member RCSI & NCPS Co-Lead

                             Professor John Hyland
                             Council Member RCSI & NCPS Co-Lead

      09.40 – 10.00          Debate: “Digital Care Pathway System (DCPS): Decades away – 2022 –
                             2032?”

      Co-Chairs              Dr Colm Henry
                             Chief Clinical Officer, HSE

                             Mr Ollie Plunkett
                             National Lead for Elective Care, Acute Strategy & Planning, HSE

                             Ms Camilla Carroll
                             Council Member RCSI, Consultant Otolaryngology Head and Neck Surgeon,
                             RVEEH Dublin & National Lead for ENT Education in Primary Care

                             2032
                             Ms Deirdre Nally
                             Research Fellow and ST 6 General Surgery and ASiT Representative

                             2022
                             Ms Ita Hegarty
                             General Manager, Office of National Lead for Elective Care, Acute Strategy &
                             Planning, HSE

      10.00 – 10.20          Discussion

      10.20 – 11.00          Refreshments & Networking

18
SESSION 2

11.00 – 11.05   Welcome to Session 2 Speakers
                Professor Deborah McNamara
                Council Member RCSI & NCPS Co-Lead

11.05 – 11.25   Vascular Surgery: A Model of Care for Ireland Update
                Mr Martin Feeley
                NCPS Clinical Advisor for Vascular Surgery

11.25 – 11.45   Debate: “Rationalisation of Vascular Surgery - next stop Dublin and Cork?”

Co-Chairs       Mr Paddy Kenny
                Council Member RCSI, Consultant Orthopaedic Surgeon & National Trauma and
                Orthopaedic Clinical Programme Co-Lead

                                                                                                    Thursday 7
                Dr Vida Hamilton
                National Clinical Advisor and Group Lead, Acute Operations, HSE & Consultant in
                Anaesthesia and Intensive Care

                Pro
                Mr Paul Blair
                Consultant Vascular Surgeon, Belfast Health and Social Care Trust, Belfast

                Con
                Professor Simon Cross
                Council Member RCSI & Consultant Vascular Surgeon, University Hospital Waterford

11.45 – 12.05   Discussion

12.05 – 13.00   ASAU on the Acute Floor

Co-Chairs       Professor Paul Ridgway
                NCPS Clinical Advisor for General Surgery

                Mr Jamie Logan
                NCPS Nurse Lead

12.10 – 12.15   Acute Floor: A Primer for Surgeons
                Professor Paul Ridgway
                NCPS Clinical Advisor for General Surgery

12.15 – 12.20   ED is still the Main Stream
                Dr Gerry McCarthy
                National Clinical Lead for Emergency Medicine Programme

                                                                                                   19
RCSI CHARTER DAY 2019

      12.20 – 12.25          Seeing the Medical Patient in the Right Place - First Time
                             Dr Yvonne Smyth
                             National Clinical Co-Lead for Acute Medicine Programme

      12.25 – 12.30          Where is the Acute Floor in HSE Thinking?
                             Ciaran Brown
                             HSE Acute Floor Lead

      12.30 – 13.00          Discussion
                             With representation from above speakers,

                             Ms Michelle Cooke
                             Clinical Nurse Manager, University Hospital Limerick

                             Ms Áine Davern
                             Assistant Director of Nursing, Our Lady of Lourdes Hospital Drogheda

      13.00 – 14.00          Lunch & Networking, Exam Hall

      13.00 – 14.00          ASAU Nurses Networking Lunch, Boardroom

20
SESSION 3

14.00 – 14.05   Welcome to Session 3 Speakers
                Professor John Hyland
                Council Member RCSI & NCPS Co-Lead

14.05 – 14.25   Urology: A Model of Care for Ireland Update
                Mr Eamonn Rogers
                NCPS Clinical Advisor for Urology

14.25 – 14.45   Debate: Non-surgeon roles – “Surgeons are just technicians”

Co-Chairs       Ms Natasha O’Malley
                Consultant Paediatric Orthopaedic Surgeon, University of Rochester Medical
                Centre, New York, USA

                                                                                                 Thursday 7
                Ms Liza McLornan MCh FRCSI (Urol) Consultant Urological Surgeon, Beaumont
                Hospital & Connolly Hospital Blanchardstown, Dublin

                Pro
                Professor John Quinlan
                Consultant Orthopaedic Surgeon, Tallaght University Hospital, Dublin

                Con
                Mr David Quinlan
                Council Member RCSI & Consultant Urologist, St Vincent’s University Hospital,
                Dublin

14.45 – 15.05   Discussion

15.05 – 15.25   Defining standards for Effective Multi-disciplinary Team Meetings
                Professor John R T Monson, MD
                Executive Director Colorectal Surgery, AdventHealth, Orlando, FL

15.25 – 15.45   Discussion

15.45 – 16.00   Closing remarks
                Professor Deborah McNamara
                Council Member RCSI & NCPS Co-Lead

                Professor John Hyland
                Council Member RCSI & NCPS Co-Lead

                                                                                                21
RCSI CHARTER DAY 2019

     NATIONAL CLINICAL PROGRAMME
     IN SURGERY: OUR SPEAKERS

     Mr Paul Blair MD, FRCS                                   “Women in Surgery”, both in Ireland and in the
     Appointed Consultant Vascular Surgeon and                Global Surgical arena. Her research interests are in
     Director of Trauma Royal Victoria Hospital Belfast in    the “transfer of procedural skills”, “integrated care
     1995 he stepped down as Trauma Director in 2012          pathways” and “surgcial professionalism”.
     to become Clinical Director of the regional vascular
     unit in Belfast following the reconfiguration of
     vascular services in Northern Ireland. The unit serves   Professor Simon Cross MD., M.Med.Sci.,
     a population of 1.8 million and is the highest volume    FRCSI(Gen)., FRCSEd
     centre in the UK for AAA, Carotid and lower limb         Honorary Associate Professor of Clinical Surgery
     revascularisation procedures.                            Royal College of Surgeons in Ireland
                                                              Senior Lecturer in Surgery, University College, Cork
     He currently undertakes all index vascular cases but     Consultant Vascular Surgeon
     has a special interest in carotid body tumours and
     lower limb revascularisation.                            Practice Locations: University Hospital Waterford &
                                                              Whitfield Clinic, Waterford
     In 2014/15 he was elected President of the Vascular
     Society of Great Britain and is currently chair of the   Vascular Surgery Specialist Clinical Interests:
     Professional Standards Committee of VSGBI.               Venous Disease, Endovascular Therapies, Peripheral
                                                              Vascular Surgery for Peripheral Arterial Disease
     He has been actively involved in the reconfiguration     (PAD), Diabetic Foot Disease, Aortic Aneurysm
     of vascular services throughout the UK and Ireland       Surgery (EVAR & Open), Carotid Surgery and Stroke
     and has chaired a number of professional and             Prevention.
     service reviews on behalf of VSGBI and the Royal
     College of Surgeons London.                              Research Interests: Microparticles and vascular
                                                              disease, exercise interventions for PAD
     Reconfiguration of vascular services can be
     problematic for a variety of reasons and significant     Current Training Appointments: Just demitted
     lessons have been learned by all concerned in this       Office from Intercollegiate Specialty Board in
     process of moving towards a smaller number of            Vascular Surgery, Emergency General Surgery Board
     high-volume arterial centres.                            (ASGBI), Extern Examiner Postgraduate Medical
                                                              School University of Limerick

     Ms Camilla MA Carroll, MB, LRCS/SI, BScAnat,             Examination Board Appointments: Intercollegiate
     MD, MEdSurgEd, FRCSI, FRCS (OTO), FRCS                   Specialty Board in Vascular Surgery, Intercollegiate
     (ORLHNS)                                                 Specialty Board in General Surgery
     Ms Camilla Carroll is a Consultant Otolaryngologist
     Head and Neck Surgeon at the Royal Victoria Eye          Member of Council: Royal College of Surgeons in
     and Ear Hospital Dublin. She is an elected member        Ireland
     of the RCSI Council, since 2016 and is currently the
     National Clinical Lead for ENT Education in Primary      Professional Training: 1981: Graduate of Medical
     Care with the NCPS. Ms Carroll is a “Surgeon             School of Trinity College, Dublin. 1986: FRCSI,
     Educator” with RCSI and has undertaken specialist        FRCS(Ed), 1991: Doctorate in Medicine (MD), 1995:
     training in surgical education at Imperial College       Consultant Vascular Surgeon & Honorary Senior
     London. She was awarded a Master’s Degree in             Lecturer to Aberdeen University and Aberdeen
     Surgical Education from imperial College London in       Royal Infirmary, 2001: Consultant General & Vascular
     2018. Ms Carroll is a postgraduate surgical assessor     Surgeon, University Hospital Waterford, 2012:
     with the Court of Examiner’s RCSI and the European       Honorary Associate Clinical Professor, Medical
     Board of Examiners in Otolaryngology.                    School, Royal College of Surgeons in Ireland.
     Ms Carroll is actively involved in mentorship for        Recent Publications Wekesa AL et al: Influence of a

22
low-carbohydrate diet on endothelial microvesicles        implementation of the National Guideline, which
in overweight women…..Appl Pysiol Nutr Metab              has been updated and will be going for public
2016 PMID 26963592, Rogers AC et al: A systematic         consultation shortly. Annual publication of the
review and meta-analysis of the use of surgical           National Sepsis Outcome Report outlines the
sealants for suture hole bleeding in arterial             impact of the National Programme and facilitates
anastomoses… Br J Surg 2017 PMID 27714778,                international benchmarking. Dr Hamilton has now
Healy DA et al: A systematic review and meta-             taken up post as NCAGL Acute Operations.
analysis of deep venous thrombotic events following
endothermal ablation of varicose veins….Eur J Vasc
Endovasc Surg 2018 PMID 29895399                          Ms Ita Hegarty
                                                          Working in the HSE for 20 years in research,
                                                          analytics, performance measurement and
Ms Áine Davern ADON – Our Lady of Lourdes                 improvement. Primary background in health
Hospital, Drogheda                                        psychology but changed focus by entering public
Áine has had an extensive career spanning over 20         health and epidemiology-focussed research.
years working in two major Dublin hospitals, and          Developed an interest in acute hospitals and moved
now as an Assistant Director of Nursing (ADON) in         into the broader health management environment

                                                                                                                    Thursday 7
Our Lady of Lourdes Hospital Drogheda; a level 3          providing analytic support to senior management.
hospital and part of the RCSI hospital group. Áine        Moved into OP performance measurement/
oversees surgery, orthopaedics, critical care, OPD        monitoring and thereafter, the broader change
and Infection Prevention and Control, and has held        management agenda in acute hospitals outpatient
a managerial position since 2003, her passion for         service provision. Recently became PRINCE 2
quality improvement growing through the journey.          practitioner. Primary interests lie in healthcare
OLOL recently gained accreditation for its Acute          information, definitions, measurement and broader
Surgical Assessment Unit, which opened its doors in       systems development.
October 2015.

                                                          Dr Colm Henry
Dr Vida Hamilton BE, MB, BAO, BCh, LRCP & SI,             Chief Clinical Officer
EDIC, FCARSCI, FJFICMI                                    Dr Colm Henry took up the position of Chief Clinical
Dr Hamilton graduated from the Royal College of           Officer in the Health Service Executive in April 2018.
Surgeons in Ireland in 1995. She trained in Anaesthesia   Prior to this appointment, he was National Clinical
and Intensive Care in Ireland and Australia and joined    Advisor and Programme Lead for Acute Hospitals
University Hospital Waterford as Consultant in 2008.      since 2014, National Lead for the Clinical Director
She has acted as Department Lead, Medical Director        Programme from 2012 to 2014 and Clinical Director
of the ICU and Honorary Secretary for the Medical         of the Mercy University Hospital in Cork from 2009 to
Advisory Board during her tenure there.                   2012. He was appointed as Consultant Geriatrician
                                                          to the same hospital in 2002.
At a national level Dr Hamilton is Honorary Secretary
of the Joint Faculty of Intensive Care Medicine and       As Chief Clinical Officer Dr Henry will be responsible
Council Member of the Intensive Care Society of           for ensuring clinical leadership, encompassing
Ireland.                                                  Medical, Nursing, Midwifery and Health & Social
                                                          Care Professions, is represented at the most senior
Internationally she is the former Chair of the Quality    level of the Health Service Executive and will work
Improvement Committee of the Global Sepsis                closely with other National Directors and with senior
Alliance and remains a committee member.                  leaders within Community Healthcare Organisations
Dr Hamilton acted as Clinical Lead for the National       and Hospital Groups to secure sustainable
Sepsis Programme for the past four years; leaving         improvements in patient and service user outcomes,
an established governance structure for the ongoing       safety and experience.

                                                                                                                   23
RCSI CHARTER DAY 2019

     NATIONAL CLINICAL PROGRAMME
     IN SURGERY: OUR SPEAKERS

     Mr Jamie Logan                                         of the RCSI PROGRESS report. She was Secretary
     Jamie Logan is the nurse lead with the programme       of the Irish Association of Coloproctology (2005-11),
     in Surgery, he chairs the ASAU accreditation review    Programme Director for General Surgery (2010-13)
     board for Ireland, sits on the DOH taskforce for       and Secretary (2007-10) & Chairman (2010–13) of the
     staffing and skill mix phase 2, is a member of the     General Surgery Sub-Committee. She represents
     acute floor information system development group       RCSI on the National Endoscopy QA Programme
     as well as the Deteriorating Patient Recognition       and the SAC in General Surgery. A former Council
     & Response Improvement group. Prior to this role       Member of ACPGBI (2009-2014), she chairs the
     Jamie worked in Kings College Hospital London,         NCCP Rectal Cancer Lead Clinician Group, an
     where he held roles in Medical, surgical and           RCSI Council Member and chair of the Academic
     Neuro intensive care, Neuro Oncology Clinical          Council of RCSI. Her research interests include
     Nurse specialist, patient safety and risk as well as   rectal cancer, surgical training and healthcare quality
     education of international nurses on a preceptorship   improvement.
     programme. Jamie holds a diploma in nursing from
     University of Sheffield, BSc in critical care along
     with a post grad diploma in leadership from Kings      Professor John RT Monson, MD, FRCS, FASCRS,
     College London.                                        FACS
                                                            Executive Director Colorectal Surgery, AdventHealth
                                                            Profess of Surgery, University of Central Florida,
     Ms Liza McLornan MCh FRCSI (Urol)                      College of Medicine
     Consultant Urological Surgeon
     Liza graduated from UCD in 1996 and underwent          Professor Monson is a board-certified colon and
     Basic Surgical Training in Dublin. Having completed    rectal surgeon, fellowship trained in surgical
     her MCh thesis in Prostate Cancer Translational        oncology. His areas of expertise include the use
     research in UCD (NUI) she moved to Edinburgh           of minimally invasive technologies in colorectal
     to complete her higher surgical training in            cancer treatment, including Transanal Endoscopic
     Urology. During her training she spent two years       Microsurgery (TEMS), laparoscopic surgery and
     in the Scottish Lithotriptor Centre at the Western     robotic surgery. Professor Monson is credited with
     General Hospital, Edinburgh where she undertook        leading the development of laparoscopic colorectal
     subspecialty training in Stone Disease and             surgery in the United Kingdom. He is a former Chair
     Endourology. She was appointed as a Consultant         of the U.K.’s National Training Program. His research
     Urological Surgeon (NHS Scotland) and Honorary         encompasses a broad range of cancer-related areas,
     Senior Lecturer at St Andrew’s University in 2009.     including the development of national standards in
                                                            cancer care and qualitative assessments of decision-
     She returned to Ireland in September 2016 and          making in cancer care. He is a current member of
     currently works as a Consultant Urological Surgeon     the Commission on Cancer and Steering Committee
     at Beaumont and Connolly Hospitals. She has a          for the National Accreditation Program for Rectal
     keen interest in surgical training and Undergraduate   Cancer (NAPRC).
     Education.

                                                            Mr Ollie Plunkett
     Professor Deborah McNamara MD FRCSI                    National Lead for Elective Care, Acute Strategy &
     (Gen Surg)                                             Planning
     Professor Deborah McNamara MD FRCSI (Gen               Ollie Plunkett is an Assistant National Director for
     Surg) is a Consultant General & Colorectal Surgeon     the HSE and National Lead for Elective Care. He
     at Beaumont Hospital, Clinical Professor at RCSI       is also Chair and Executive Lead for three Surgery
     and Co-Lead of the National Clinical Programme         Elective Care Commissioning Teams. Prior to
     in Surgery. She is recipient of the Patey Prize,       taking up this national role, Ollie was head of the
     Registrars Prize and is a Millin Lecturer and author   Outpatient Services Performance Improvement

24
Programme (OSPIP). The programme developed a               Professor John Quinlan
five year strategic plan to fundamentally redesign         Professor John Quinlan is a Consultant Trauma
the delivery of outpatient services, transforming          and Orthopaedic Surgeon in Tallaght University
the current single site hospital based departmental        Hospital specialising in lower limb arthroplasty
outpatient service, into an integrated service             and knee surgery. He is an Associate Professor
delivered across hospital groups and into the              in Trinity College Dublin. He is the current Chair
community Ollie was also the Performance and               of the Medical Board in Tallaght having been the
Development Manager for Dublin Mid Leinster                Vice-Chair form 2014-2018. He is also the Honorary
region.                                                    Academic Secretary of the Irish Institute of Trauma
                                                           and Orthopaedic Surgery (IITOS) since 2015. As a
Ollie has a vast wealth of experience and                  full time clinician he has published over 70 papers in
knowledge in the HSE leading out in various change         scientific journals and has supervised and examined
management initiatives, lean management projects,          multiple higher degrees. He is actively involved
business reorganisation and workforce optimisation         in training and was the IITOS Director of Core
initiatives.                                               Curriculum from 2012-2016. He is currently the Vice-
                                                           President of AO UK and Ireland and was the Dublin
                                                           AO Course Director from 2016 to 2018. He is an

                                                                                                                      Thursday 7
Mr David Quinlan                                           ATLS Course Director for many years and sits on the
Consultant Urological Surgeon, St Vincent’s                ATLS National Committee. He is a former Honorary
University Hospital, Dublin                                Secretary and Board member of the Faculty of
Surgical Training: Medical Graduate UCD;                   Sports and Exercise Medicine.
PreFellowhip Training Scheme, Dublin; Full
Residency, Fellowship and Staff, Department of
Urology, The John’s Hopkins Hospital                       Professor Paul Ridgway
                                                           Professor Paul Ridgway, Tallaght Hospital, Dublin
Current Roles: Consultant Urological Surgeon,              Paul is an Academic Consultant General Surgeon
St Vincent’s University Hospital, Dublin; Clinical         at Tallaght Hospital with honorary appointments
Associate Professor, University College Dublin;            to Our Lady’s Hospital for Sick Children, Crumlin
Council Member, Royal College of Surgeons in               and St Vincent’s Hospital. Qualified from RCSI in
Ireland                                                    1996, Paul trained in Ireland, London (England) and
Previous Roles: Chairman, Academic Council,                Toronto (Canada). He has held elected positions
RCSI President, Irish Society of Urology; Chairman,        on the councils of the Society of Academic and
British Journal of Urology International; Council          Research Surgery (SARS; 2005-9) and the Network
Member and Director of Trauma, British Association         of Accredited Skills Centres in Europe (NASCE;
of Urological Surgeons; Trustee, The Urology               2014-present), and is a co-founding member of the
Foundation, London; Chairman, Prostate Cancer,             Irish Sarcoma Group. He has research interests in the
NCCP Secretary, Medical Board, St Vincent’s                patient-technology interface as it pertains to training
University Hospital; Director of Training, Irish Society   and practice. His doctorate (Imperial College,
of Urology; UEMS Representative; Chairman, Dublin          London; 2002) was centred on how tumours interact
Region Prefellowship Training Scheme.                      with the technology used to remove them. His
                                                           recent eHealth projects include the development of
Specialist Interests: Pelvic Oncology and                  a Virtual Reality Outpatients (2009) and the use of a
Reconstruction Trauma                                      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. In 2016, he was
                                                           appointed the National Clinical Advisor for General
                                                           Surgery to the Clinical Programmes, a HSE initiative.

                                                                                                                     25
RCSI CHARTER DAY 2019

     NATIONAL CLINICAL PROGRAMME
     IN SURGERY: OUR SPEAKERS

     Dr Yvonne Smyth MB, MA, FRCPI                             Professor Michael Walsh
     Consultant Cardiologist and General Physician             Appointed William Wilde Professor or Ear, Nose
     Dr Yvonne Smyth MB FRCPI MA graduated from                and Throat Surgery, RCSI Ireland and Consultant to
     NUIG in 1997. She completed her internship and            Beaumont Hospital Dublin in 1990. Senior Lecturer
     General Professional Training in University Hospital      in Trinity College Dublin and Consultants at St
     Galway (UHG). Thereafter she worked in Beaumont,          James Hospital from 1983 to 1990. Trained in ENT
     the Adelaide and Meath and Cork University                and Head and Neck Cancer Surgery in Toronto,
     Hospitals before returning to UHG to complete the         1978 to 1981. Senior Registrar in the Royal Victoria
     Cardiology Specialist Registrar training program.         Eye and Ear Hospital from 1981 – 1983. Chairman
     She was enrolled in the specialist division of the        training programme in Ireland 1987 to 2009,
     medical registrar in both Cardiology and General          Member Specialty Advisory Committee UK 1995 to
     Internal Medicine in 2007.                                2000. President of European Union Specialty Group
                                                               1996. Secretary Intercollegiate Board in ENT Surgery
     Her particular areas of interest include cardiovascular   1994 to 1996. President of the Irish ENT Society
     imaging and heart failure. She undertook a                in 2007. Founding member of the Irish Institute of
     subspecialty fellowship in Cardiovascular Imaging         Otolaryngology.
     in the Cleveland Clinic USA and achieved level III
     board certification from the American Society of
     Echocardiography in 2008 and 2018.

     In 2008 Dr Smyth was appointed as a Consultant
     Cardiologist in Bon Secours and Kerry General
     Hospitals Tralee. In 2013, she took up a joint
     Cardiology/Acute Medicine consultant post in
     University Hospital Galway and commenced
     work in Bon Secours Hospital Galway. In 2015
     she became Co-Lead for the National Acute
     Medicine Programme. She has a MA in Healthcare
     Management, Diploma in Clinical Education and is a
     fellow of the Royal College of Physicians in Ireland.

26
THURSDAY, 7 FEBRUARY 2019

   29th ANNUAL VIDEOSURGERY MEETING                                                   Cheyne LT
   Connolly Hospital Blanchardstown presents Videosurgery in conjunction with RCSI

This year’s Videosurgery program features a Mini-Video Symposium on Hernia Repair in addition to
the usual broad range of video procedures.

All presenters will be asked to add a soundtrack to their video, and any other embellishments they
think might enhance their message, and these will be made available online later in the year as part
of a VideoSurgical Archive.

 16.00 – 16.30       Registration
                     Front Hall, York St.

 16.30 - 20.20       Videosurgery Meeting

 17.45 – 18.15       Refreshments Remedy Cafe

                                                                                                        Thursday 7

                                                                                                       27
RCSI CHARTER DAY 2019

          FRIDAY, 8 FEBRUARY 2019

          RCSI CHARTER DAY MEETING PROGRAMME
          KINDLY SPONSORED BY...

             Please show your support to our sponsors by visiting
             their exhibition stand during the refreshment break,
             11.00 – 11.30 and lunch, 13.00 – 14.15
28
FRIDAY, 8 FEBRUARY 2019
                                      MORNING SESSION

  PLENARY SESSION                                                                   O’Flanagan LT
  WHEN THINGS GO WRONG
  Supporting Surgeons

 07.45 – 16.00     Registration
                   Front Hall, York St.

 07.45 – 08.50     Tea & coffee and meet the Charter
                   Day Sponsors
                   Exam Hall

 08.50 – 09.00     Presidents Welcome
                   Mr Kenneth Mealy
                   President, RCSI

 Co-Chairs         Professor Deborah McNamara
                   Council Member RCSI, Consultant General / Colorectal Surgeon, Beaumont
                   Hospital, Dublin

                   Professor Paul Burke
                   Council Member RCSI, Consultant Vascular Surgeon, University Hospital Limerick
                   & St John’s Hospital

 09.00 – 09.10     US Perspective on the Surgeon as “Second Victim”
                   Professor Hilary Sanfey
                   Professor of Surgery & Vice Chair for Education, Department of Surgery, School of
                   Medicine Southern Illinois University

 09.10 – 09.20     When Things Go Wrong - The English College Invited Review Mechanism
                   Professor Tim Rockall
                   Consultant Surgeon, Royal Surrey Country Hospital, Guilford & Chairman of the

                                                                                                        Friday 8
                   RCS England Invited Review Mechanism

 09.20 – 09.30     Here be dragons
                   Professor Sean Tierney FRCSI
                   Consultant Vascular Surgeon, Tallaght University Hospital, Dean of Professional
                   Development and Practice, RCSI

 09.30 – 09.50     Discussion

 *09.50 – 10.00*   Breakout for Parallel Sessions

 10.00 – 11.00     Parallel Sessions (see pages 32 - 47)

 11.00 – 11.30     Exhibition & Refreshments

 11.30 – 13.00     Parallel Sessions Continued

 13.00 – 14.15     Exhibition & Lunch

                                                                                                       29
RCSI CHARTER DAY 2019

                                               AFTERNOON SESSION

        PLENARY SESSION                                                                           O’Flanagan LT

        14.15 – 14.45        JOHNSON & JOHNSON LECTURE

        	It should be possible to get the list right: A view of Clinical Governance

          Delivered by;
          Professor Martin T. Corbally
        	Professor and Head of the Department of Surgery at RCSI Bahrain, Chief of
          Staff and Consultant Paediatric Surgeon at King Hamad University Hospital,
          Bahrain

                             Introduction & Chair: Professor Ronan O’Connell, Vice-President, RCSI

        14.45 – 15.15            PRESIDENTIAL ADDRESS
                                   Mr Kenneth Mealy
                                 Introduction & Chair: Professor Ronan O’Connell, Vice-President, RCSI

     The announcement of the Colles Travelling Fellowship in Surgery Award 2019 recipient:
     Ms Danielle Collins (General Surgery, CCST 2018), towards her Robotics and Pelvic Exenteration Fellowship at
     the Royal Marsden Hospital, London, UK August 2018 –July 2019). The amount awarded was €20,000 together
     with the Colles Medal. The Robotics and Pelvic Exenteration Fellowship encompasses three rotations consisting
     of uro-oncology, gynae-oncology and colorectal surgery. The fellowship will provide specialist training for the
     management of advanced pelvic malignancies and there is a comprehensive robotics programme.
     RCSI Surgical Travel Grant 2019 recipients
     Seven RCSI Travel Grants awarded as follows:

     Adrian McArdle (Plastic and Reconstructive Surgery trainee) - €10,000 towards the cost of a Fellowship in
     Oncologic and Microvascular Reconstructive Surgery at the Division of Plastic Surgery, University of Toronto /
     Sunnybrook Health Sciences Centre (July 2019 –June 2020).

     Gregory Nason (Urology trainee) - €7,500 towards the cost of his Society of Urologic Oncology Fellowship,
     University of Toronto (July 2018 – 2020).

     Ali Abdulkarim (Trauma & Orthopaedics) - €2,500 towards his Trauma Fellowship in limb reconstruction,
     Cambridge University Hospitals (September 2018 – August 2019).

     Kieran Breen (Urology) - €2,500 towards his Fellowship in Robotic, Laparoscopic and Endoscopic Urology at the
     Northwestern University, Chicago (July 2019 – July 2021).

     Andrew Coveney (General Surgery) - €2,500 towards the cost of his Fellowship in General Surgery (Colorectal),
     in Sir Charles Gairdner Hospital, Perth, Western Australia. (February 2019 – February 2020).

     Philip O’Halloran (Neurosurgery) - €2,500 towards the cost of his Clinical Fellowship in Neuro-Oncology,
     Endoscopic &Skull Base Surgery, Toronto Western Hospital, Canada (July 2019 – June 2020).

     Elaine Redmond (Urology) - €2,500 towards the cost of her Reconstructive Urology Fellowship at the University
     of Alberta, Edmonton, Canada (July 2019 - July 2020).

30
GENERAL DATA PROTECTION
      REGULATIONS (GDPR)
      A GUIDE FOR SURGEONS

                                                                 Friday 8

      RCSI 2018

                         GDPR
Find out everything you need to know about GDPR for surgeons –
        download your Guide at rcsi.ie/surgeons_gdpr
RCSI CHARTER DAY 2019

     FRIDAY, 8 FEBRUARY 2019
                                              AFTERNOON SESSION

        PLENARY SESSION                                                                     O’Flanagan LT
        WHEN THINGS GO WRONG
        Supporting Patients

       Co-Chairs             Mr David Moore
                             Council Member RCSI, Consultant Trauma & Orthopaedic Surgeon, Our Lady’s
                             Children’s Hospital Crumlin, Dublin

                             Ms Bridget Egan
                             Council Member RCSI, Consultant Vascular Surgeon, Tallaght University Hospital,
                             Dublin

       15.15 – 15.30         Three lefts only make a right if it’s one-way
                             Professor Des Winter
                             St Vincent’s University Hospital, Dublin

       15.30 – 15.45         When Things Go Wrong – Supporting the Patient – Family Unit
                             Professor David Healy
                             Council Member RCSI, Consultant Cardiothoracic & Transplant Surgeon,
                             St Vincent’s & Mater Misericordiae University Hospitals, Dublin

       15.45 – 16.00         The Orthopaedic Perspective
                             Professor John M. O’Byrne
                             Consultant Orthopaedic Surgeon, Cappagh National Orthopaedic Hospital
                             & Mater Private Hospital, Sports Surgery Clinic Santry, Dublin

       16.00 – 16.15         Open Disclosure and Patient Care
                             Ms Margaret O’Donnell
                             Council Member RCSI, Consultant in Plastic, Reconstructive & Aesthetic Surgery,
                             Blackrock Clinic & St Vincent’s Private Hospital, Dublin

       16.15 – 17.00         Discussion

       17.00 – 17.30         Refreshments, College Hall

        17.30 – 18.30         HONORARY FELLOWSHIP CONFERRING
                                                                                           College Hall
                              and

                              95th ABRAHAM COLLES LECTURE                                          
                              Major Developments in the Treatment
                              of Patients with Oesophageal Cancer

                              Professor J.Jan B. van Lanschot, MD, PhD
                              Professor of Surgery at the Erasmus University Rotterdam, Netherlands

      18.30 – 19.00     Reception

32
MORNING SESSION

 PARALLEL SESSION:                                                               Tutorial Room 8
 CARDIOTHORACIC SURGERY

10.00 – 11.00   SESSION 1

Co-Chairs       Professor Karen Redmond
                Consultant Cardiothoracic Surgeon, Mater Miseriocordiae University Hospital,
                Dublin

                Professor David Healy
                Council Member RCSI, Consultant Cardiothoracic & Transplant Surgeon,
                St Vincent’s & Mater Misericordiae University Hospital’s, Dublin

10.00 – 10.20   Hybrid Cardiac Procedures
                Mr Hossein Javadpour
                Consultant Cardiothoracic Surgeon, Mater Miseriocordiae University Hospital,
                Dublin

10.20 – 10.40   Dilemmas in Dissection
                Mr Adam Daly
                Specialist Registrar in Cardiothoracic Surgery

10.40 – 11.00   Post Pneumonectomy Fistula
                Mr Ronan Ryan
                Consultant Cardiothoracic Surgeon, St James’s University Hospital, Dublin

11.00 – 11.30   Exhibition & Refreshments

11.30 – 13.00   SESSION 2

                                                                                                     Friday 8
Co-Chairs       Professor Jim Mc Carthy
                Consultant Cardiothoracic Surgeon, Mater Miseriocordiae University Hospital,
                Dublin

                Professor Mark Redmond
                Consultant Cardiothoracic Surgeon, Our Lady’s Children’s Hospital Crumlin, Dublin

11.30 – 12.00   PEARS: a satisfactory alternative to Aortic Root Replacement?
                Mr Alastair Graham
                Consultant Cardiothoracic Surgeon, Royal Victoria Hospital, Belfast

12.00 – 12.30   Robotic Assisted Thoracic Surgery - The Next Step
                Mr Gary Fitzmaurice
                Clinical Fellow, The Liverpool Heart & Chest Hospital, UK

12.30 – 13.00   Recent Updates in Coronary Revascularisation
                Mr John Hinchion
                Consultant Cardiothoracic Surgeon, Cork University Hospital, Cork

13.00 – 14.15   Exhibition & Lunch

                                                                                                    33
RCSI CHARTER DAY 2019

                                             MORNING SESSION

        PARALLEL SESSION: GENERAL SURGERY                                                 Houston LT
        Hernia Repairs including Complex Abdominal Wall Hernia Repair

     Co-Chairs          Professor Dermot Hehir
                        Consultant Surgeon, Midland Regional Hospital, Tullamore / U L GEMS

                        Professor Kevin Barry
                        Consultant Surgeon & Programme Director, General Surgery, RCSI

     SESSION 1

     10.00 – 10.15      Novel Techniques for Pain Management in Day Case Laparoscopic Inguinal
                        Hernia Repair
                        Mr Iqbal Zaman Khan
                        Consultant Surgeon, Mayo University Hospital, Castlebar

     10.15 – 10.30      Open Inguinal Hernia Repair / Groin Pain
                        Mr Gerry McEntee
                        Consultant Surgeon, Mater Misericordiae University Hospital, Dublin

     10.30 – 10.45      Complex Abdominal Wall Reconstruction
                        Professor Dermot Hehir
                        Consultant Surgeon, Midland Regional Hospital, Tullamore / U L GEMS

     10.45 – 11.00      Discussion

     11.00 – 11.30      Exhibition & Refreshments

     SESSION 2
     11.30 – 11.50      Training and Skills Acquisition in Hernia Surgery
                        Professor Kevin Barry
                        Consultant Surgeon & Programme Director, General Surgery, RCSI

     11.50 – 12.10      Medico-Legal Aspects of Hernia Surgery / Need for Audit and National Registry
                        Professor Thomas Walsh
                        Consultant Surgeon, RCSI Department of Surgery, Connolly & Beaumont Hospitals,
                        Dublin

     12.10 – 12.30      Working Together to Develop Hernia Surgery
                        Mr Liam Horgan
                        President British Hernia Society, Consultant UGI Surgeon, Northumbria Healthcare,
                        NHSFT, UK

     12.30 – 13.00      Discussion

     13.00 – 14.15      Exhibition & Lunch

34
MORNING SESSION

  PARALLEL SESSION: NEUROSURGERY                                                  Tutorial Room 2
  Emerging Strategies in Epilepsy Surgery

10.00 – 11.00     SESSION 1

Co-Chairs         Mr Donncha O’Brien
                  Consultant Neurosurgeon, Beaumont Hospital, Dublin

                  Dr Michael Farrell
                  Consultant Neuropathologist, Beaumont Hospital, Dublin
10.00 – 10.20     MEG in Seizure Onset Localisation
                  Mr Kieron Sweeney
                  National Hospital for Neurology & Neurosurgery, Queen Square, London, UK

10.20 – 10.40     Neuro-modulation for epilepsy, an under-valued treatment?
                  Mr Jonathan Poots
                  Beaumont Hospital, Dublin

10.40 – 11.00     Pathological Substrate in Epilepsy
                  Dr Jane Cryan
                  Consultant Neuropathologist, Temple Street, Our Lady’s Crumlin & Beaumont
                  Hospitals, Dublin

11.00 – 11.30     Exhibition & Refreshments

11.30 – 13.00     SESSION 2
Co-Chairs         Professor Jack Phillips
                  Consultant Neurosurgeon, Beaumont Hospital, Dublin

                                                                                                     Friday 8
                  Dr Jane Cryan
                  Consultant Neuropathologist, Temple Street, Our Lady’s Crumlin & Beaumont
                  Hospitals, Dublin

11.30 – 11.50     Results of the SANTE trial
                  Ms Catherine Moran
                  Kings College, London

11.50 – 12.10     Selection of Stereo-EEG/Resection cases
                  Mr Jibril Farah
                  Walton Centre, Liverpool

12.10 – 12.30     Tumour related Epilepsy Surgery
                  Mr Phil O’Halloran
                  Beaumont Hospital, Dublin

12.30 – 12.50     Laser ablation and thermo-coagulation for seizure onset areas
                  Dr Ronan Kilbride
                  Beaumont Hospital, Dublin
12.50 – 13.00     Discussion
13.00 – 14.15     Exhibition & Lunch

                                                                                                    35
RCSI CHARTER DAY 2019

                                            MORNING SESSION

        PARALLEL SESSION: OPHTHALMIC SURGERY                                                RVEEH
        Life and Sight Threatening Conditions in Ophthalmology

     Please note: This session will take place in the Learning Centre at the Royal Victoria Eye and Ear
     Hospital (RVEEH)

                        Welcome and Introduction
                        Dr Alison Blake
                        President Irish College of Ophthalmologists

     09.30 – 10.00      Neuro-Ophthalmology
                        Mr Mike Burdon
                        Consultant Neuro-Ophthalmologist, Queen Elizabeth Hospital Birmingham &
                        President, Royal College of Ophthalmologists, UK

     10.00 – 10.30      Peadiatric Ophthalmology
                        Mr Alan Mulvihill
                        Consultant Ophthalmic Surgeon, The Edinburgh Clinic, Edinburgh

     10.30 – 11.00      Emergency Ophthalmology
                        Dr Evelyn O’Neill
                        Fellow, Mater Misericordiae University Hospital, Dublin

     11.00 – 11.30      Break

     11.30 – 12.00      Retina
                        Miss Julie Sylvestri
                        Consultant Ophthalmic Surgeon, Royal Victoria Hospital, Belfast

     12.00 – 12.30      Cornea
                        Professor Stephen Kaye
                        Lead for the Corneal Service at The Royal Liverpool University Hospital, Liverpool

     13.00 – 14.15      Exhibition & Lunch
                        Exam Hall, RCSI, 1st Floor, 123 St Stephen’s Green

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