CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons
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UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES CHARTER DAY MEETING 11 February – 15 February 2020 CPD ACCREDITATION TUESDAY In Conversation With = 1 credit WEDNESDAY NOCA = 6 credits What is a 21st Century Doctor? = 1 credit THURSDAY NCPS = 6 credits/ Videosurgery = 3 credits FRIDAY Charter Day = 6 credits SATURDAY ISTG Meeting = 4 credits
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). 3
RCSI CHARTER DAY 2020 PRESIDENT’S MESSAGE It is my great pleasure to welcome all those attending Thursday evening sees Professor Tom Walsh’s 30th Annual events this week for our Charter Day celebrations. Video Surgery meeting take place and will feature surgical This year is a time for special celebration as for the first videos from both Ireland and abroad. I congratulate Tom on time we can now refer to RCSI as a University. This follows his long-term commitment to this project which can only be a resolution passed in both Houses of the Oireachtas last described as a true labour of love. December. ‘Choosing Wisely’, the theme of Friday’s Charter meeting University status is the culmination of many years of plenary sessions, has been chosen to examine constraints in sustained growth for the institution. RCSI has evolved healthcare delivery. Wasteful and inappropriate healthcare considerably since its foundation in 1784 from an practices need to be addressed if we are to manage future organisation set up by Charter from King George III to set demands on healthcare. In addition to our local speakers, standards in surgery and oversee surgical training to the I welcome Ms Laura Magahy from Sláintecare, Professor institution it is now; an internationally recognised health Stephen Wigmore from Edinburgh and Mr Tony Sparnon, sciences University with campuses in Dublin, Dubai, Bahrain President of the Royal Australasian College of Surgeons, all and Malaysia. of whom will talk to this important topic. Over the years, our annual Charter Day meeting has Also on Friday morning, in a novel event for RCSI, the grown to reflect our ever-expanding role and reach as a Emergency Medicine Programme will demonstrate an professional training body. emergency crisis simulation. Following this, eleven of the This year we begin on Tuesday evening with interviews surgical subspecialties will also run parallel sessions. with Drs Michael Farrell and Morgan Crowe and Prof Con Dr med Claude Martin Jr, AO Alliance Managing Director Feighery who will reminisce on past glories in the history of will deliver the annual Johnson and Johnson Lecture on the Hospital Cup (rugby for the non-initiated!) the impact of musculoskeletal injuries in low and middle- income countries and the 96th Abraham Colles Lecture will On Wednesday, RCSI hosts the annual NOCA conference be delivered by Professor James Lau of the Department of which will examine changing perceptions in quality Surgery, Chinese University of Hong Kong on the demise of healthcare. NOCA continues to expand its portfolio of emergency ulcer surgery. national audits which are key to quality improvement in Irish healthcare and the annual conference provides a valuable On Saturday morning RCSI hosts the Annual Irish Surgical opportunity to bring all of the relevant stakeholders Training Group Meeting and the Bosco O’Mahony Lecture together to address the opportunities and challenges which will be delivered by Mr Justin Geoghegan, Consultant presented by audit. Hepatobiliary, Transplant and Bariatric Surgeon in St Vincent’s University Hospital. On Wednesday, we are pleased to host Dr Olle Ten Cate who holds the Chair in Medical Education at University The Charter Day Dinner on Saturday evening will be Medical Centre Utrecht. Dr Ten Cate, who will address preceded by the conferring of Honorary Fellowships on ‘What is a 21st Century Doctor?’ has a specific interest in Dato’Dr Godfrey Geh Sim Wah and the Honourable Justice the application of ‘entrustable professional activities’ in Susan Mary Denham. competency-based medicine. This topic will be of interest This comprehensive programme has been developed by a to those involved in undergraduate medical education and large cohort of surgeons and other healthcare professionals. postgraduate professional training. I wish to acknowledge all those who organised the various This will be followed by the medical students’ 14th Annual individual sessions and the speakers and chairs for their Intercollegiate case presentation competition, which is commitment to these activities which could not take place competed for by students from seven national medical without their support. schools. I also wish to acknowledge the organising committee of Sean On Thursday, the annual meeting of the National Clinical Tierney, Kieran Ryan, Louise Loughran, Cara McVeigh, Aoife Programmes in Surgery (NCPS) will examine what’s required Mahon, Sheila Corballis, Paula Curtin, Robyn Byrt and Kate to improve emergency surgery in Ireland’. The separation of Smith for their efforts in putting together this comprehensive acute from elective surgical care has been a major focus of and interesting programme. I hope you find something of the NCPS since its inception and continues to challenge all interest and I look forward to your participation. of us who work in surgical care delivery. Mr Kenneth Mealy President 4
CONTENTS 06 Programme at a Glance TUESDAY 11 February 09 In Conversation With… Dr Michael Farrell (class of 1974), Professor Conleth Feighrey, Dr Morgan Crowe WEDNESDAY 12 February 11 NOCA Annual Conference Quality Healthcare: Challenging Perceptions 15 What is a 21st Century Doctor? 15 14th Annual Intercollegiate Case Competition THURSDAY 13 February 16 National Clinical Programme in Surgery: Improving Emergency Surgery in Ireland 20 National Clinical Programme in Surgery: Our Speakers 24 30th Annual Videosurgery Meeting FRIDAY 14 February 25 Kindly sponsored by… 26 Morning Plenary Session – Choosing Wisely: Health Systems Approach 27 Johnson & Johnson Lecture 29 President’s Forum 29 Afternoon Plenary Session – Choosing Wisely: Doctors Choosing Well 29 96th Abraham Colles Lecture 31 Parallel Session: Cardiothoracic Surgery 32 Parallel Session: General Surgery & Paediatric Surgery 33 Parallel Session: Neurosurgery 34 Parallel Session: Ophthalmic Surgery 36 Parallel Session: Oral & Maxillofacial Surgery 37 Parallel Session: Otolaryngology Head & Neck Surgery 38 Parallel Session: Plastic Surgery 39 Parallel Session: Trauma & Orthopaedic Surgery 40 Parallel Session: Urology 41 Parallel Session: Vascular Surgery 42 Johnson & Johnson Lecturer 44 Abraham Colles (1773 – 1843) 46 Charter Day Guest Speakers SATURDAY 15 FEBRUARY 49 Irish Surgical Training Group Meeting (ISTG) 50 including the Bosco O’Mahony Lecture 53 Honorary Fellowship Conferring 54 Save the Date 56 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, 13 February for both the NCPS Meeting and the Videosurgery Meeting to receive CPD credits for both meetings. 5
RCSI CHARTER DAY 2020 PROGRAMME AT A GLANCE Tuesday, 11 February 2020 Time Title Venue 18.15 – 18.30 Registration Front Hall, St Stephen’s Green 18.30 – 19.30 In Conversation With… College Hall Dr Michael Farrell (class of 1974), Professor Conleth Feighrey, Dr Morgan Crowe 19.30 Drinks Reception Boardroom Wednesday, 12 February 2020 Time Title Venue National Office of Clinical Audit (NOCA) Annual Conference in conjunction with Charter Day Meetings 08.00– 09.00 Registration 26 York Street 09.00 – 16.00 Quality Healthcare: Challenging Perspectives Desmond Auditorium 17.00 – 17.30 Registration College Hall 17.30 – 18.30 What is a 21st Century Doctor? 19.00 – 22.00 14th Annual Intercollegiate Case Competition Albert LT Thursday, 13 February 2020 Time Title Venue National Clinical Programme in Surgery Meeting in conjunction with Charter Day Meetings NCPS 08.15 – 09.00 Registration Front Hall, York Street 09.00 – 16.00 Improving Emergency Surgery in Ireland Houston LT 30th Annual Videosurgery Meeting 16.00 - 16.30 Registration Front Hall, York St. 16.30 - 20.30 30th Annual Videosurgery Meeting Cheyne LT 6
Friday, 14 February 2020 Time Title Venue 07.45 – 08.50 Registration Front Hall, York St. 08.50 – 10.00 Morning Plenary Session O’Flanagan LT Choosing Wisely: Health Systems Approach 10.00 – 10.40 The Trauma Team Response Exam Hall 10.40 – 11.00 Exhibition & Refreshments Exam Hall 11.00 – 13.00 Parallel Sessions Cardiothoracic Surgery Tutorial Room 324/325 (level 3, 26 York Street) Emergency Medicine (de-brief) Dr Mary Emily Dowson Room (VC Room) General Surgery & Paediatric Surgery Houston LT Neurosurgery Bouchier-Hayes Auditorium (level 5, 26 York Street) Ophthalmic Surgery Tutorial Room 4 Oral & Maxillofacial Surgery Tutorial Room 8 Otolaryngology Head & Neck Surgery Albert LT Plastic Surgery College Hall Trauma & Orthopaedic Surgery Cheyne LT Urology Tutorial Room 1 Vascular Surgery Tutorial Room 2 & 3 13.00 – 14.15 Exhibition & Lunch Exam Hall 14.15 – 14.45 Johnson & Johnson Lecture O’Flanagan LT 14.45 – 15.00 Award and Medal Presentations O’Flanagan LT 15.00 – 15.15 Presidential Forum O’Flanagan LT 15.15 – 17.00 Afternoon Plenary Session O’Flanagan LT Choosing Wisely: Doctors Choosing Well 17.00 – 17.30 Refreshments College Hall 17.30 – 18.00 96th Abraham Colles Lecture College Hall 18.00 – 19.00 Reception Atrium 7
RCSI CHARTER DAY 2020 Saturday, 15 February 2020 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 Commences with a drinks reception followed by Honorary College Hall Fellowship Conferrings upon The Honourable Susan Denham, Chief Justice of Ireland 2011-2017 Dato’ Dr. Godfrey Geh Sim Wah, DSPN, PJK Dress code: Black Tie, Orders & Decorations 8
TUESDAY, 11 FEBRUARY 2020 Tuesday 11 18.15 – 18.30 Registration Front Hall, St Stephen’s Green 18.30 - 19.30 IN CONVERSATION WITH… College Hall DR MICHAEL PROFESSOR DR MORGAN FARRELL CONLETH FEIGHERY CROWE RCSI Class of 1974, Former Irish Rugby Former St Vincent’s Former Hospitals International, President of Hospital RFC and William Cup Captain, the Dublin Hospitals Cup Osler House XV player, Neuropathologist Committee, Consultant Consultant Physician in Beaumont Hospital Immunologist Geriatric Medicine Join RCSI, RTÉ’s Michael Corcoran and our special guests as they take us through the history of the Dublin Hospitals Rugby Cup competition and its lasting impact. The Dublin Hospitals Rugby Cup is the longest running rugby cup competition in Ireland; Michael, Conleth and Morgan discuss findings from research they have carried out over the past few years along with the competitions unique contribution to Dublin medicine and Irish Rugby. followed by a Drinks Reception 9
RCSI CHARTER DAY 2020 IN CONVERSATION WITH… Dr Morgan Crowe, UCD Clinical Associate Professor, UCD School of Medicine Dr Morgan Crowe was educated at St Michaels and Blackrock College and graduated from UCD in Medicine in 1974. After house posts in Dublin hospitals including St. Vincent’s, Our Lady’s Hospital, Crumlin, Richmond and Connolly Hospitals, he trained in General and Geriatric Medicine in Oxford at the John Radcliffe Hospital. On returning to Ireland he worked as Consultant General Physician at Naas General Hospital before being appointed as Consultant Physician in General and Geriatric Medicine at St Vincent’s University Hospital and St Columcille’s Hospital Loughlinstown in 1987.Subspecialty interests included stroke, rehabilitation and exercise in old age. Prior to retirement in 2015, he returned to Oxford on a sabbatical where he worked in the Oxford Vascular Study at the University of Oxford. In 2018, he was awarded the Presidential Medal by the Irish Gerontological Society for life time services to older people through research, education and practice. Interests outside medicine include sport particularly rugby (serving on the organizing committee of the Dublin Hospitals Football Union for over 10 years), golf, music and history. Dr Michael Farrell (class of 1974) Dr Michael Farrell graduated in medicine from the Royal College of Surgeons in Ireland and interned at the Richmond Hospital. He captained the RCSI Rugby XV in 1973. Following completion of the MRCPI, Dr Farrell began his training in Pathology at St Vincent’s Hospital, Dublin and later at the Westminster Hospital in London. Following completion of the MRCPath, Dr Farrell began a career in Neuropathology at the University of Western Ontario, Canada where he also undertook a fellowship in Neuroimmunology. Later, Dr Farrell succeeded Dr. John Dinn and Professor Paddy Bofin as Neuropathologist to the Richmond Hospital, moving to the new Beaumont Hospital in 1987. Dr Farrell was appointed as the first Professor of Clinical Neurological Sciences at RCSI in 1996. Later, he became Dean of the Institute of Irish Clinical Neuroscience and was also Chairman of the Neuroscience Cogwheel at Beaumont Hospital. His interests include all aspects of clinical neuroscience but with particular interest in epilepsy and mitochondrial disease. He is a member of the American Association of Neuropathologists and the British Neuropathological Society as well as the International Society of Neuropathology. Professor Conleth Feighrey Con Feighery attended primary school in Gonzaga College and then received his secondary education at Castleknock College. Since rugby was the principal sport in both schools, a life time interest in the game developed. He then attended UCD to study medicine during a period when rugby flourished in the university with multiple players achieving high honours, playing for inter-provincial and international sides. Con first played for Leinster in 1970 and having joined Lansdowne RFC, for Ireland in 1972. He played three games for Ireland, the team winning each time – including games against France in Paris and against England in Twickenham. The international programme was cut short that year, when Scotland and Wales refused to travel to Dublin, because of violence in Northern Ireland. During his student days, Con was a regular member of Dublin hospital cup teams. He won a medal with a St. Vincent’s team in 1965 and was injured for the final of a winning Mater team in 1967. He was appointed president of the Dublin Hospitals Football Union in 2001 and continues in that position. Professionally, Con was appointed as Senior Lecturer in Immunology in Trinity College Dublin in 1982 and as consultant Immunologist in St. James’s Hospital. He has had an active research career and published extensively. 10
WEDNESDAY, 12 FEBRUARY 2020 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 Team, 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 Wednesday 12 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 Heart Attack Audit • Irish Hip Fracture Database (IHFD) • Irish National Audit of Stroke (INAS) • Irish National ICU Audit (INICUA) • Irish National Orthopaedic Register (INOR) • Major Trauma Audit (MTA) • National Audit of Hospital Mortality (NAHM) NOCA also provides a governance only model to the National Perinatal Epidemiology Centre (NPEC), who conduct three national clinical audits. -Perinatal mortality in Ireland - Severe maternal morbidity in Ireland - Very Low Birth Weight Infants in the Republic of Ireland 11
RCSI CHARTER DAY 2020 NOCA NATIONAL CONFERENCE Desmond Auditorium Quality Healthcare: Challenging Perspectives 08.00 – 09.00 Registration & Tea / Coffee 26 York Street SESSION 1 Chair Collette Tully, Executive Director, NOCA 09.00 - 09.15 Welcome Address Dr Brian Creedon, Clinical Director, NOCA 09.15 – 09.40 LAUNCH: Major Trauma Audit National Report 2018 Dr Conor Deasy, Clinical Lead, Major Trauma Audit 09.40 – 10.00 ‘That What is Measured Improves’ (Pearson) – UL Hospitals Story Colette Cowan, Chief Executive Officer, UL Hospitals Group 10.00 – 10.20 Should we trust healthcare professionals? Brendan Martin, Managing Director, Buurtzorg Britain & Ireland 10.20 – 10.30 CodeHip NOCA Quality Improvement Champion Award 2020 - Top 3 submission Ricardo Paco, Trauma Audit Coordinator, St James’s Hospital 10.30 – 11.00 Panel Discussion: Professor Áine Carroll, Professor of Health Integration and Improvement University College Dublin / National Rehabilitation Hospital Colette Cowan, Chief Executive Officer, UL Hospitals Group Dr Conor Deasy, Clinical Lead, Major Trauma Audit Mr Paddy Kenny, Joint Clinical Lead, Irish National Orthopaedic Register Brendan Martin, Managing Director, Buurtzorg Britain & Ireland 11.00 – 11.30 Exhibition & Refreshments Exam Hall 12
SESSION 2 Chair Professor Conor O’Keane, Chair, Noca Governance Board Wednesday 12 11.35 – 12:00 KEYNOTE: Bending the quality curve - The long arc to safer, better care Professor Jeffrey Braithwaite, Founding Director of the Australian Institute of Health Innovation & President Elect, ISQUA 12:00 – 12.20 LAUNCH: Irish National ICU Audit Annual Report 2018 Dr Rory Dwyer, Clinical Lead, Irish National ICU Audit 12.20 – 12.35 An ICU patient perspective Shaun & Gretta Fogarty 12.35 – 12.45 Paediatrics ECG interpretation checklist NOCA Quality Improvement Champion Award 2020 - Top 3 submission Muhammad Moazzam Gulzar, Registrar Emergency Medicine, Children’s Health Ireland at Crumlin 12.45 – 12.55 Seven-day Physiotherapy Stroke Assessment in St James’s Hospital NOCA Quality Improvement Champion Award 2020 - Top 3 submission Helen Kavanagh, Clinical Specialist Physiotherapist, St James’s Hospital 12.55 – 13.20 Panel Discussion: Professor Jeffrey Braithwaite, Founding Director of the Australian Institute of Health Innovation & President Elect, ISQUA Dr Rory Dwyer, Clinical Lead, Irish National ICU Audit Shaun & Gretta Fogarty Dr David Hanlon, National Clinical Advisor & Group Lead Primary Care, HSE Professor Joe Harbison, Consultant Stroke Physician and Geriatrician, St James’s Hospital 13.20 – 14.20 Exhibition & Lunch Exam Hall 13
RCSI CHARTER DAY 2020 SESSION 3 Chair Brian O’Mahony, Chief Executive, Irish Haemophilia Society 14.20 – 14.50 Strengthening Accountability for Improved Health Outcomes Paul Reid, CEO, HSE 14.50 – 15.10 Benchmarking hospitals in the Netherlands – lessons learned in a broader perspective Arthur van Leeuwen, Journalist, Netherlands 15.10 – 15.30 Open data in healthcare - knowledge, control and accountability Professor Anthony Staines, Professor of Health Systems, DCU 15.30 – 16.00 PANEL DISCUSSION: Professor Richard Greene, Director, National Perinatal Epidemiology Centre Dr Jennifer Martin, Chair, National Audit of Hospital Mortality Paul Reid, CEO, HSE Professor Anthony Staines, Professor of Health Systems, DCU Arthur van Leeuwen, Journalist, Netherlands 16.00 – 16.15 Presentation of NOCA Quality Improvement Champion Award & Closing Address Collette Tully, Executive Director, NOCA 16:45 - 18:15 COMPLEXITY SCIENCE SIMULATION GAME Exam Hall THE COMPLEXITY SCIENCE SIMULATION GAME Facilitated by Professor Jeffrey Braithwaite, Founding Director of the Australian Institute of Health Innovation & President Elect, ISQUA You know all about the health system from your own standpoint, but do you wonder about what other stakeholders think and do? In this workshop, we will simulate what happens in the health system. You will be a participant and, alongside other participants, you will be asked to solve a challenging problem. Be prepared to be surprised about how the health system works and doesn’t work, and for whom. @noca_irl #NOCA2020 OPTIONAL SESSION (Limited to 100 participants) WHAT IS A 21ST CENTURY DOCTOR? 17.00 – 17.30 Registration Front Hall, St Stephen’s Green 17.30 – 18.30 What is a 21st Century Doctor? College Hall 14
Delivered by Olle Ten Cate, PhD Professor ten Cate is a professor of medical education at University Medical Center Utrecht, the Netherlands. With a background of medical education and a PhD in social sciences, he has vast experience with curriculum innovation, educational research, and faculty development in the health professions domain, locally, nationally and internationally. He was the founding director of the Center for Research and Development of Education at UMC Utrecht, served as the President of the Netherlands Association for Medical Education, and has published widely about advances in health professions education. One of his interests is in competency-based education, and specifically in the application of entrustable professional activities (EPAs), which are increasingly being used internationally in undergraduate and postgraduate training of doctors. There are also plans to bring this framework into Irish medical settings. He will be in Dublin to speak on this topic at the Irish Network of Healthcare Educators (INHED) conference in Wednesday 12 Trinity College on February 13 and 14. For this special public lecture, Professor ten Cate has agreed to address the important topic of how medical education will need to take account of significant changes taking place in healthcare and their impact on the role of the doctor. 14th ANNUAL INTERCOLLEGIATE 19.00 - 22.00 Albert LT CASE COMPETITION The Intercollegiate Case Competition is an annual event which sees an individual student from each of the Medical Schools in Ireland 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 for Surgical Excellence. The Bouchier-Hayes Medal is named in honour of Professor David Bouchier-Hayes who performed Ireland’s first laparoscopic cholecystectomy. 19.00 – 21.00 14th Annual Intercollegiate Case Competition Albert LT Hosted by the RCSI Surgical Society including the presentation of the Bouchier-Hayes Medal for Surgical Excellence Welcome Address Professor Rory McConn Walsh Guest Speaker Associate Professor David Bouchier-Hayes (Hon.) Judges Ms Camilla Carroll, Council Member, RCSI Professor John Reynolds, Professor & Head of Department, Surgery, TCD UCD - TBC Universities participating; • National University of Ireland, Galway • Queen’s University Belfast • Royal College of Surgeons in Ireland • Trinity College Dublin • University College Cork • University College Dublin • University of Limerick 21.00 – 21.45 Reception Boardroom 15
RCSI CHARTER DAY 2020 THURSDAY, 13 FEBRUARY 2020 NATIONAL CLINICAL PROGRAMME Houston LT IN SURGERY The National Clinical Programme in Surgery represents a strategic initiative between the Health Service Executive’s (HSE) Clinical Design and Innovation and Royal College of Surgeons in Ireland (RCSI) as the relevant post-graduate training body. Clinical Design and Innovation, under the Wednesday 6 leadership of the HSE Chief Clinical Officer Dr Colm Henry, works through the clinical programmes to define best practice and to assist in the development of evidence-based policy. Clinical leadership is central to the delivery of the changes required by our health system. The National Clinical Programmes (NCPs) will play a strong role in supporting the transformation that is required over the next ten years, the anticipated lifetime of Slaintecare. RCSI is home to both the National Clinical Programme in Trauma and Orthopaedics as well as to the National Clinical Programme in Surgery which encompasses specialty advisors including General Surgery, Urology, Otorhinolaryngology Head and Neck Surgery, Vascular Surgery, Plastic and Reconstructive Surgery and Oral Maxillofacial Surgery. The National Clinical Programme in Surgery works to ensure an ongoing focus on the needs of surgical patients. The programmes define models of care and also advise on the implementation of change initiatives that will improve and standardise the quality, access and cost-effectiveness of surgical care. The aim of the National Clinical Programme in Surgery is to provide a framework for the delivery of safer, more timely and accessible, more cost effective and efficient care for surgical patients. The NCPS works closely with the other National Clinical Programmes as well as with colleagues throughout the HSE, Department of Health, Slaintecare, acute hospitals, patient advocacy groups and other relevant stakeholders across the health system. The National Clinical Programme in Surgery reports directly to the RCSI Committee for Surgical Affairs (CSA) and to the Chief Clinical Officer through the National Clinical Advisor and Group Lead for Acute Operations, Dr Vida Hamilton. NCPS 16
IMPROVING EMERGENCY SURGERY IN IRELAND 08.30 – 09.15 Registration Front Hall, York St. 09.15 – 09.25 Welcome & Launch of the Patient Experience Report Professor John Hyland, NCPS Clinical Lead Professor Deborah McNamara, NCPS Clinical Lead 09.25 – 09.30 When Patients Cannot Choose: the case for improvement in emergency surgery Professor Deborah McNamara Council Member RCSI & NCPS Co-Lead SESSION 1 EMERGENCY GENERAL SURGERY IN IRELAND: THE NOW AND THE NEXT Co-Chairs Mr James Geraghty, Council Member, RCSI Mr Eamon Mackle, Council Member, RCSI Thursday 13 09.30 – 09.45 State of Emergency General Surgery 2018 Professor Paul Ridgway National Clinical Advisor in General Surgery NCPS 09.45 – 10.00 Evidence & Outcomes in Emergency Laparotomy Mr Dara Kavanagh Consultant Colorectal Surgeon 10.00 – 10.15 Training Tomorrow’s Workforce for Emergency General Surgery Mr Kenneth Mealy President, RCSI 10.15 – 10.30 Challenges to delivering surgical services across Ireland Dr Vida Hamilton NCAGL Acute Hospitals, HSE 10.30 – 11.00 Panel Discussion: the future of emergency general surgery 11.00 – 11.30 Refreshments 17
RCSI CHARTER DAY 2020 SESSION 2 THE ACUTE SURGICAL ASSESSMENT UNIT – FROM IDEA TO IMPLEMENTATION Co-Chairs: Ms Eleanor Carton Consultant General and Colorectal Surgeon, Our Lady of Lourdes Hospital Drogheda Professor Simon Cross Council Member RCSI & Consultant Vascular Surgeon, University Hospital Waterford Ms Camilla Carroll Council Member RCSI, Consultant Otolaryngology Head and Neck Surgeon, RVEEH Dublin & National Lead for ENT Education in Primary Care 11.30 – 11.50 What do patients think? The national ASAU patient experience report Mr Jamie Logan NCPS Nurse Lead 11.50 – 12.00 Is there a role for the ASAU in acute urology? Mr Eamonn Rodgers National Clinical Advisor for Urology NCPS 12.00 – 12.10 Is there a role for the ASAU in acute ENT? Professor Michael Walsh National Clinical Advisor for ENT NCPS 12.10 – 12.20 Is there a role for the ASAU in vascular surgery? Mr Martin Feeley National Clinical Advisor for Vascular Surgery NCPS 12.20 – 12.40 Expanding the ASAU- what does the patient in the Emergency Department need? Dr Emily O’Conor Emergency Medicine Consultant and President IAEM 12.40 – 13.00 Panel Discussion: lessons learned from successful ASAUs and next steps 13.00 – 14.00 Lunch Co-Chairs: Professor Paul Burke Council Member RCSI Consultant Vascular Surgeon, University Hospital Limerick & St John’s Hospital 14.00 – 14.30 KEYNOTE ADDRESS: Trauma Centralisation: from vision to implementation Mr Keith Synnott National Clinical Lead for Trauma Services 14.30 – 14.45 Discussion 18
SESSION 3 PLANNING FOR TRAUMA CENTRALISATION – PERSPECTIVES FROM THE FRONTLINE Chairs Ms Bridget Egan Council Member RCSI, Consultant Vascular Surgeon, Tallaght University Hospital, Dublin Mr Paddy Kenny Council Member RCSI, Consultant Orthopaedic Surgeon & National Trauma and Orthopaedic Clinical Programme Co-Lead Professor Ronan O’Connell Vice-President, RCSI President Elect European Surgical Association Emeritus Professor of Surgery, University College Dublin 14.45 – 14.55 Neurosurgery and trauma centralization: meeting the needs of patients Professor Mohsen Javadpour Consultant Neurosurgeon 14.55 – 15.05 Meeting the needs of trauma patients: the HSCP perspective Ms Alison Enright Health and Social Care Professions Development Manager HSE Thursday 13 15.05 – 15.15 Experience in Cardiothoracic Trauma Professor David Healy Council Member RCSI, Consultant Cardiothoracic & Transplant Surgeon, St Vincent’s & Mater Misericordiae University Hospitals, Dublin 15.15 – 15.30 The general surgeon and trauma- who will care for trauma patients? Professor Carmel Malone Consultant General and Breast Surgeon, Head of School of Medicine NUI Galway, & Chair of the Irish Medical Schools Council 15.30 – 15.50 Panel Discussion: next steps in trauma centralisation 15.50 Closing address Professor Deborah McNamara, Clinical Lead Professor John Hyland, Clinical Lead 19
RCSI CHARTER DAY 2020 NATIONAL CLINICAL PROGRAMME IN SURGERY: OUR SPEAKERS Professor Deborah McNamara acute surgical assessment at Tallaght Hospital (2015). Professor Deborah McNamara MD FRCSI (Gen He has over 80 Peer reviewed publications, book Surg) is a Consultant General & Colorectal Surgeon chapters and numerous invited lectures. He at Beaumont Hospital, Dublin; Clinical Professor in represented Ireland as an International Cricketer at Surgery at the Royal College of Surgeons in Ireland; University level. Co-Lead of the National Clinical Programme for References: http://www.ncbi.nlm.nih.gov/m/ Surgery and a member of Council at RCSI. She is pubmed/?term=ridgway+p formerly Clinical Director for Surgery at Beaumont Hospital; Secretary of the Irish Association of Mr Dara Kavanagh Coloproctology; National Training Programme Director Dara is a Consultant Colorectal Surgeon at Tallaght for General Surgery and Chair of the RCSI General University Hospital & St James’ Hospital where he Surgery Sub-Committee. She represents RCSI at the was appointed in 2013. He is a graduate of University SAC in General Surgery and chaired the RCSI Short- College Dublin in 2000. He has a specialist interest Life Working Group on Gender Diversity in Surgery. in minimally invasive surgery for colorectal cancer & A former Council Member of ACPGBI, she chairs the Inflammatory Bowel Disease with particular emphasis NCCP Rectal Cancer Lead Clinician Group. She is upon transanal minimal access surgery. He is a Senior recipient of the Patey Prize and a Millin Lecturer. Her Lecturer in Surgery and Research supervisor at RCSI. interests include colorectal cancer, surgical education His main research interests include simulation in & training and healthcare quality improvement. Her surgery and surgical outcomes. He has published work as Co-Lead of the National Clinical Programme in over 90 articles in peer-reviewed medical journals Surgery focuses on collaborating with colleagues in all and supervised 2 PhDs to completion. He has a surgical specialties to publish evidence-based policies particular interest in optimizing outcomes for patients and care pathways that will improve the delivery of undergoing Emergency Abdominal Surgery. surgical care in Ireland. Mr Kenneth Mealy Professor Paul Ridgway Kenneth Mealy is a consultant general surgeon based Paul is an Academic Consultant General Surgeon in Wexford. He qualified in 1983 from Trinity College at Tallaght Hospital with honorary appointments to Dublin and his surgical training took place in Dublin Our Lady’s Hospital for Sick Children, Crumlin and St and the UK. Mr Mealy was a Research Fellow in the Vincent’s Hospital. Brigham and Women’s Hospital/Harvard Medical Qualified from RCSI in 1996, Paul trained in Ireland, from 1987 – 1989. He was Joint Lead of the National London (England) and Toronto (Canada). He has held Clinical Programme in Surgery and Medical Director elected positions on the councils of the Society of of National Office of Clinical Audit (2010 – 2018). He Academic and Research Surgery (SARS; 2005-9) and has had a long interest in surgical training, audit, the Network of Accredited Skills Centres in Europe performance management and quality improvement in (NASCE; 2014-present). He was president of the Surgery and is currently President of RCSI. Biological Society of TCD 2013/14 and is a co-founding member of the Irish Sarcoma Group. In 2016, he was Dr Vida Hamilton appointed the National Clinical Advisor for General Dr Hamilton graduated from the Royal College if Surgery to the Clinical Programmes, a HSE initiative Surgeons in Ireland in 1995. She trained in Anaesthesia and is currently the National Clinical Programme and Intensive Care in Ireland and Australia and joined General Surgical Advisor (RCSI), appointed in 2016. University Hospital Waterford as Consultant in 2008. He has research interests in the patient-technology She has acted as Department Lead, Medical Director interface as it pertains to training and practice. His of the ICU and Honorary Secretary for the Medical doctorate (Imperial College, London; 2002) was centred Advisory Board during her tenure there. on how tumours interact with the technology used to At a national level Dr Hamilton is Council Member of remove them. His recent eHealth projects include the the Joint Faculty of Intensive Care Medicine and of the development of a Virtual Reality Outpatients (2009) Intensive Care Society of Ireland. and the use of a telepresence robot “LUCY” to deliver 20
Internationally she is the former Chair of the Quality Mr Eamonn Rogers Improvement Committee of the Global Sepsis Alliance Mr Eamonn Rogers M.Ch., M. Med. Sci., F.R.C.S.I. , and remains a committee member. F.R.C.S. (Urol), Dip. Urol. (Baylor). Consultant Urologist Dr Hamilton led on the development of National with special interest in Urological Oncology, University Clinical Guideline No. 6: Sepsis Management formed College Hospital Galway; Vice President of Irish and led on its implementation programme; leaving Society of Urology; Clinical Lead in Urology for Saolta an established governance structure, implementation Healthcare Group; National Clinical Advisor in Urology team, audit and feedback process. Annual publication to the National Clinical Programme in Surgery and HSE. of the National Sepsis Outcome Report outlines the A member of Irish Society of Urology, British impact of the National Programme and facilitates Association of Urological Surgeons and European international benchmarking. Association of Urology. Throughout my career, I was In September 2018, Dr Hamilton took up the post of responsible for formal and informal tuition of both National Clinical Advisor and group Lead for Acute undergraduates and fellow postgraduates at University Operations. This role involves providing clinical College Hospital Galway, Royal College of Surgeons in advice and guidance to all aspects of acute hospital Ireland, Baylor College of Medicine and University of care including serious incident management, Brexit Dublin, Trinity College. Thursday 13 preparedness, Quality and Safety and Process Improvement. She leads on 13 clinical programmes Professor Michael Walsh whose remit is to design models of care and Appointed William Wilde Professor of Ear, Nose patient pathways that are evidence-based, quality and Throat Surgery, RCSI Ireland and Consultant to assured, feasible and pragmatic and to support Beaumont Hospital Dublin in 1990. Senior Lecturer in their implementation within an effective governance Trinity College Dublin and Consultants at St James arrangement. Hospital from 1983 to 1990. Trained in ENT and Head and Neck Cancer Surgery in Toronto, 1978 to Mr Jamie Logan 1981. Senior Registrar in the Royal Victoria Eye and Jamie LOGAN (RN, AdDip, BSc, PgDip) is the Nurse Ear Hospital from 1981 – 1983. Chairman training Lead within the National Clinical Programme in Surgery programme in Ireland 1987 to 2009, Member Specialty at RCSI (Royal College of Surgeons Ireland), which is Advisory Committee UK 1995 to 2000. President of jointly commissioned by the HSE and RCSI, and looks European Union Specialty Group 1996. Secretary at improving the surgical patient journeys, considering Intercollegiate Board in ENT Surgery 1994 to 1996. access, quality and cost. As part of this role, Jamie is President of the Irish ENT Society in 2007. Founding central to the roll out of Acute Surgical Assessment member of the Irish Institute of Otolaryngology. Units (ASAU) in Ireland. Professor Walsh is currently the Clinical Advisor in He is Chair of the ASAU Accreditation review board Otolaryngology Head/ Neck Surgery to the National as well as active member of the Department of Health Clinical Programme in Surgery. Safe Staffing and Skillmix phase II, Deteriorating patient improvement programme, he is developing Mr Martin Feeley advanced practice within surgery and the development of a foundation education programme for surgical nurses nationwide. Jamie trained in the UK, beginning his career in Neurosurgery in Sheffield before heading to Australia for some rural and remote nursing, then latterly to the Kings College Hospital in London, where he worked in numerous roles, including Neuro-oncology CNS, Intensive Care Charge Nurse, Patient Safety and Risk Management, and lead for the newly qualified and overseas nurse education programmes. 21
RCSI CHARTER DAY 2020 NATIONAL CLINICAL PROGRAMME IN SURGERY: OUR SPEAKERS Dr Emily O’Conor British Neurological Surgeons (2011-2016) Qualified Trinity College Dublin, post graduate training Ireland and UK, Fellow Royal College Emergency Mohsen moved back to Ireland in 2011. He is Medicine (FRCEM) , President Irish Association for currently Consultant Neurosurgeon at the National Emergency Medicine 2016- date, Council Member Neurosurgical Centre, Beaumont Hospital and RCEM, Member Working Group National Emergency honorary clinical associate Professor at RCSI. He has Medicine Programme, Member Slaintecare Advisory published more than 80 peer reviewed articles and has Council, Consultant Emergency Medicine Connolly written 5 book chapters, and is an associate editor of Hospital Blanchardstown. the British Journal of Neurosurgery. Mr Keith Synnott Ms Alison Enright I am a consultant Trauma, Orthopaedic and Spine Alison Enright is Health and Social Care Professions surgeon working in the Mater Misericordiae University Development Manager in the HSE’s National Health Hospital, Cappagh National Orthopaedic Hospital and Social Care Professions Office. Alison has held and the National Rehabilitation Hospital. I trained leadership roles in healthcare and in overseas not-for- on the Higher Surgical Training scheme in RCSI and profit environments during the past seventeen years. subsequently received fellowship training in the Previously, she worked as an Occupational Therapist in Hospital for Special Surgery in New York. the UK and Ireland. I served as Training Program Director for T&O for 6 Her special areas of interest are frontline staff years and have previously a member of RCSI council engagement in service design, quality improvement and have a particular interest in education. Having won and fostering cultures which value creativity and the Sir Walter Mercer medal for the intercollegiate innovation. examination in Trauma and Orthopaedics have subsequently been an examiner in that examination Professor David Healy for 10 years. Prof. Healy is a cardiothoracic and transplant surgeon. My practice involves a special interest in spinal trauma. His subspeciality focus is thoracic oncology having As such I am involved in patient care from initial trained in Memorial Sloan Kettering Cancer Center. resuscitation and transfer through definitive acute He was a member of the NCCP lung cancer guideline management on to complex rehabilitation. This has group. fostered an interest in the full spectrum of trauma care He has previously served as president of the Irish throughout the system. Transplant Society and performed the first combined I sat of the reception an intervention sub-committee of Irish heart and lung transplant. In 2019 he was the working group that produced the report “A Trauma privileged to host the European Society of Thoracic System for Ireland” under Prof Eilis McGovern and was Surgery in Dublin and has been on the RCSI council appointed National Clinical Lead for Trauma Services since 2018. in 2019. Cardiothoracic injuries have historically been major factors in trauma deaths. Progress in the management of such life threatening injuries has been a significant Professor Mohsen Javadpour contributor to improved trauma outcomes. Trauma Mohsen is a graduate of Trinity College Dublin (1993). is now the a key focus of health policy and a co- He obtained his training in neurosurgery at the Walton ordinated national effort is underway to optimise care. Centre for Neurology & Neurosurgery, Liverpool, UK Cardiothoracic surgery will be a pillar or this policy. and subspecialty training in neurovascular surgery at the Toronto Western Hospital, Canada. He was Professor Carmel Malone Consultant Neurosurgeon at the Walton centre in Professor Carmel Malone is a Consultant General Liverpool from 2004 to 2011 and held a number of and Breast Surgeon, Head of School of Medicine positions, including Chairman of British Neurovascular NUI Galway and chair of the Irish Medical Schools Group (2008-2012) & Member of Council of Society of 22
Council. Professor Malone has been involved in the Undergraduate and Postgraduate Medical Education over many years. She is former Chair of the National Intern Network Executive and is a member of the national Medical Intern Board and RCSI General Surgical Training Sub Committee. Clinically, Professor Malone’s speciality interest is Breast Cancer and Reconstructive Surgery. She is former President of the Society of Irish Breast Surgeons (SIBS). Her research interests include Medical Education, Molecular Oncology and Reconstructive Breast Surgery. Thursday 13 23
RCSI CHARTER DAY 2020 THURSDAY, 13 FEBRUARY 2020 30th ANNUAL VIDEOSURGERY Cheyne LT Connolly Hospital Blanchardstown presents VideoSurgery in conjunction with RCSI 16.00 – 16.30 Registration Front Hall, York St. Co-Chairs: Session 1 Session 2 Professor Aoife Lowry Professor Paul Redmond Professor Arnie Hill Professor Thomas Lynch 16.30 - 20.30 Video Surgery Meeting Not Just One of the Ladds: Surgical Management of Adult Intestinal Malrotation Mr Mayilone Arumugasamy Connolly/Beaumont Hospitals, Dublin Computer Aided Central Vascular Guidance for Complete Mesocolic Excision of Right Colon Cancer Professor Ronan Cahill Mater Misericordiae University Hospital, Dublin Laparoscopic management of post-cholecystectomy bile leak Mr Robert Cunningham University Hospitals Limerick Laparoscopic One Anastomosis Gastric Bypass for Severe Obesity and Metabolic Disease Professor Helen Heneghan St Vincent’s University Hospital, Dublin Efferent Loop Syndrome After OAGB Maj. Gen. (Prof.) Khalid AL-Khalifa BDF Hospital, Bahrain Clamshell Thoracotomy – The ‘Go-to’ Manoeuvre in Exsanguinating Thoracic Hameorrhage Mr Morgan P McMonagle University Hospital Waterford Muco-epidermoid Carcinoma of The Skull Base Professor Paul O’Neill Beaumont Hospital, Dublin Robotic Transabdominal Retromuscular Incisional Hernia Repair Mr Will Robb Beaumont Hospital, Dublin Magnetic Seed Localisation for Impalpable Breast Lesions Ms Siun Walsh Mater Misericordiae University Hospital, Dublin Robotic Transthoracic Parathyroidectomy: How we do it Mr Maher Shuhaibar & Mr Peter Walshe Mater Misericordiae University Hospital / Beaumont University Hospitals, Dublin Open Trype IV Thoracoabdominal Aneurysm Repair with Protective Temporary Externalised Axillary-Unifemoral Bypass Mr Morgan P. McMonagle University Hospital Waterford 24
FRIDAY, 14 FEBRUARY 2020 RCSI CHARTER DAY MEETING PROGRAMME KINDLY SPONSORED BY... Oxycare LOGO.qxp_Layout 1 30/10/2019 10:04 Page 1 Oxycare LTD Modern Hyperbaric Solutions advanced Healing Care 2 Friday 14 Please show your support to our sponsors by visiting their exhibition stand during the refreshment break, 10.40 – 11.00 and lunch, 13.00 – 14.15 25
RCSI CHARTER DAY 2020 FRIDAY, 14 FEBRUARY 2020 MORNING SESSION PLENARY SESSION O’Flanagan LT CHOOSING WISELY Health Systems Approach 07.45 – 08.50 Registration Front Hall York Street, RCSI 08.50 – 09.00 Presidents Welcome Mr Kenneth Mealy, President RCSI Co-Chairs Professor David Healy Council Member RCSI, Consultant Cardiothoracic & Transplant Surgeon, St Vincent’s & Mater Misericordiae University Hospitals, Dublin Professor May Cleary, Consultant Orthopaedic Surgeon, University Hospital Waterford. Professor of Orthopaedic Surgery, U.C.C. 09.00 – 09.15 Sláintecare and Delivering Health Care in Ireland Ms Laura Magahy Executive Director of Sláintecare Programme Implementation Office 09.15 – 09.30 Health care delivery in Scotland - the good and the bad Professor Stephen Wigmore Regius Professor of Clinical Surgery, University of Edinburgh, President British Transplantation Society & Programme Director MSc in Surgical Sciences 09.30 – 09.45 Challenges in Health Care Delivery How do we assist surgeons to choose wisely? Dr Tony Sparnon President, Royal Australasian College of Surgeons 09.45 – 10.00 Discussion 10.00 – 10.40 The Trauma Team Response 10.40 – 11.00 Exhibition & Refreshments 11.00 – 13.00 Parallel Sessions 13.00 – 14.15 Exhibition & Lunch 26
AFTERNOON SESSION PLENARY SESSION O’Flanagan LT 14.15 – 14.45 JOHNSON & JOHNSON LECTURE At breaking point: the impact of musculoskeletal injuries in low and middle-income countries Delivered by; Dr med Claude Martin jr., AO Alliance Managing Director Introduction & Chair: Professor Ronan O’Connell, Vice-President, RCSI 14.45 – 15.00 AWARDS AND PRESENTATIONS PROGRESS Women in Surgery Fellowship 2020 The RCSI has a long tradition of excellence in surgical training. Our surgeons, male and female, have over many decades, earned leading positions in institutions across the world. The College has been at the forefront in developing transparent selection processes for future surgeons. But despite more than 20 years of gender parity among medical graduates, female consultant surgeon numbers in Ireland remain very low. Evidence from other sectors shows that gender diversity within organisations results in better decision making. The RCSI believes that Surgery as a profession will also benefit by ensuring the unique contribution of male and female surgeons is valued and enabled. In 2017 RCSI undertook to publish a comprehensive report ‘PROGRESS: Promoting Gender Equality in Surgery,’ which highlights the scale of the problem and seeks to make meaningful recommendations that will ensure that surgery as a profession is an attractive and practical career for both men and women. The RCSI is Friday 14 committed to the findings within the report and is seeking to make substantial changes to career pathways for females interested in pursuing a career in surgery. RCSI feel that the provision of fellowships and programmes that advance female role models will do much to break down barriers and unlock the potential of women in surgery. The RCSI PROGRESS Female Surgical Fellowship, funded by Johnson & Johnson Medical Devices Companies through an educational grant, is a prestigious bursary awarded by the Royal College of Surgeons in Ireland to promote female participation in surgical training at fellowship level that will support the acquisition of additional surgical skills and knowledge contributing to the advancement of surgical science and practice on the island of Ireland. The successful candidate is awarded a Fellowship of an €45,000 and also is awarded the RCSI PROGRESS Fellowship Medal. 27
RCSI CHARTER DAY 2020 Colles Travelling Fellowship in Surgery Award 2020 The RCSI Colles Travelling Fellowship in Surgery 2020 awarded to Eamon Francis who will receive the Colles Medal, together with an amount of €20,000 towards his International Clinical Fellow in Reconstructive Microsurgery - Chang Gung Memorial Hospital, Linkou, Taiwan. (01/07/2020 – 30/06/2021). The Colles Travelling Fellowship in Surgery is offered by the Royal College of Surgeons in Ireland to promote the acquisition of additional surgical skills and knowledge that will contribute to the advancement of surgical science and practice in Ireland. The Fellowship is open to Fellows/Members of the College who, at the time of application, are in, or have completed within the previous two years, a higher surgical training programme in the Island of Ireland. RCSI Surgical Travel Grant 2020 Ailin Rogers will receive the sum €10,000 towards the cost of a Fellowship in robotic surgery for advanced pelvic cancer at the Royal Marsden Hospital, Fulham Road, Chelsea, London. (August 2020 – August 2021). Peter Lonergan - €6,500 towards the cost of a Pelvic & Upper Tract Robotic Urologic Oncology Fellowship at the University of California, San Francisco, USA (July 2019 – June 2021) Helen Mohan - €6,500 towards a Peter MacCallum Cancer Centre Advanced Colorectal Cancer Fellowship, Melbourne, Australia. (January 2021 – December 2021). Gregory Nason - €6,500 towards a Senior Robotic Pelvic Oncology Fellowship at the Royal Surrey Hospital, Guildford, UK. (July 2020 – July 2021) Gerald O'Sullivan Medal The Gerald O'Sullivan medal is awarded every year to the Fellow who graduates top of the class at the annual COSECSA (College of Surgeons of East, Central and Southern Africa) exams. The medal is named in honour of the former President of RCSI, Professor Gerald (Gerry) O'Sullivan, who along with Professor Krikor Erzingatsian, set up the partnership between RCSI and COSECSA in 2007. This partnership aims to help train and retain surgeons in sub-Saharan Africa, and make better surgery accessible to more patients. In this region, the ratio of surgeons to population is 1.8:100,000 thus far below the 20:100,000 ratio recommended by the Lancet Commission. The partnership is funded by the Irish people, through Irish Aid, and is coordinated by RCSI. To date, COSECSA has graduated 450 surgeons, over 90% of whom are practicing in Africa. The medal has been awarded every year since 2012. Previous winners have been from Kenya and Zimbabwe. The medal winner for 2019 is Dr Benson Harrison Lyimo. He is a General Surgeon at Arusha Lutheran Medical Centre in Tanzania. This is the first year that the winner is from Tanzania. 28
FRIDAY, 14 FEBRUARY 2020 AFTERNOON SESSION 15.00 – 15.15 PRESIDENT’S FORUM, CHOOSING WISELY Mr Kenneth Mealy CHOOSING WISELY O’Flanagan LT DOCTORS CHOOSING WELL Co-Chairs Ms Bridget Egan Council Member RCSI, Consultant Vascular Surgeon, Tallaght University Hospital, Dublin Professor Micheal O’Riordain Mercy University Hospital, Cork 15.15 – 15.30 The GP Gatekeeper and Equity of Care Dr John Cox Chair ICGP 15.30 – 15.45 Maintaining Balance in Cancer Screening Programmes Professor Michael Kerin Council Member, RCSI & University College Hospital Galway, Galway 15.45 – 16.00 Effective Care in Orthopaedic Surgery Professor John M. O’Byrne Professor of Orthopaedic and Trauma Surgery, RCSI, Dublin 16.00 – 16.15 Radiology: Making the best use of it Dr Niall Sheehy Dean, Faculty of Radiologists, RCSI, Dublin Friday 14 16.15 – 17.00 Discussion 17.00 – 17.30 Refreshments, College Hall 17.30 – 18.30 96th ABRAHAM COLLES LECTURE The Demise of Emergency Ulcer Surgery College Hall Professor James Lau BMedSc, MBBS (Hons), FRCS Edin and Glasgow,MD Chair, Department of Surgery, Chinese University of Hong Kong 18.30 – 19.00 Reception 29
RCSI CHARTER DAY 2020 CONTINUOUS PROFESSIONAL DEVELOPMENT PROGRAMME 2019 – 2020 1 CPD More than 75 courses aimed at supporting NCHDs at all stages of their careers to meet their professional development needs. www.rcsi.ie/CPDSS 30
MORNING SESSION Tutorial Room PARALLEL SESSION: 324/325, (level 3, CARDIOTHORACIC SURGERY 26 York Street) 11.00 – 11.15 Mitral valve surgery Ms Tara Ni Donnchu Consultant Cardiac Surgeon, Cork University Hospital, Cork 11.15 – 11.30 Robotic thoracic surgery Mr Vincent Young Consultant Cardiothoracic Surgeon, St James Hospital, Dublin 11.30 – 11.45 Cardiac tumours Mr John Hinchion Consultant Cardiothoracic Surgeon, Cork University Hospital, Cork 11.45 – 12.00 Transcatheter technologies and the surgeon Mr Ronan Kelly Specialist Registrar in Cardiothoracic Surgery, Royal Victoria Hospital, Belfast 12.00 – 12.15 Recent cardiac surgery clinical trials and the impact on surgeons Ms Rebecca Weedle Specialist Registrar in Cardiothoracic Surgery, St James Hospital, Dublin 12.15 – 12.30 Thoracoscopic atrial fibrillation ablation Ms Marina Cannoletta Senior Clinical Fellow in Cardiac Surgery, Royal Brompton Hospital, Dublin 12.30 – 13.00 KEYNOTE SPEAKER Evolution of minimally invasive programme in Royal Brompton Hospital Friday 14 Mr Anthony de Souza Consultant Cardiac Surgeon, Royal Brompton Hospital, London President-elect, BISMICS 31
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