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Download Document The Association of Surgeons in Training the pursuit of excellence in training YEARBOOK 2009-2010 Surgical Training.What Is The Right Attitude? EWTD:The Surgical Community Fights Back 10 Years of The Silver Scalpel Award Updates On Clinical Management: Hernia, Breast Cancer and More New This Year: Book Reviews And A Student Only Section www.asit.org Registered Charity 274841 Page 1:ASIT IFC/Page 1 11/5/10 13:29 Page 1 ASSOCIATION OF SURGEONS IN TRAINING YEARBOOK 2009-2010 Published by THE ROWAN GROUP Boundary House, Boston Road, London W7 2QE Tel: 020 8434 3424 on behalf of THE ASSOCIATION OF SURGEONS IN TRAINING at the Royal College of Surgeons 35/43 Lincoln’s Inn Fields, London WC2A 3PE Tel: 020 7973 0300 www.asit.org Page 2 Contents:Contents 12/5/10 11:47 Page 2 Contents Contents Editor’s Foreword Awards Ishtiaq Ahmed 3 Nick Taffinder Travelling Fellowship Award 2009 President’s Report Ben Griffiths and Bruce Levy 73 Edward Fitzgerald 5 ASiT-Covidien Bariatric Fellowship Winner 2009 Girish Bapat 75 Honorary Secretary’s Report Conor Marron 7 Scientific Papers Vice-presidents’ Reports What’s New in Hernia Surgery Roddy O’Kane and Charles Gidding 8/9 Andrew Kingsnorth 77 Director of Education Report Moving Paradigm Towards Scarless Surgery Will Hawkins 10 James Pollard and Irfan Ahmed 80 Web Master’s Report Breast Cancer: Non-surgical Treatments Ghazia Shaikh and Mohammed Rizwanullah 84 Ishtiaq Ahmed 11 Management of Gastrointestinal Carcinoid Tumours ASiT Council 11 Shridhar Dronamraju 90 Past ASiT Office Bearers 12 Aetiology and Pathogenesis of Colorectal Cancer Reports from the Regions and Subspecialty Groups 13 Muhammad Kabeer, Adam Widdison, Andrew Demaine and Joseph Mathew 95 Political Portfolio The Role of Combined Positron Emission Tomography and EWTD for Surgical Trainees Computed Tomography (PET/CT) in Head and Press Release: Surgical Trainees Worried as Training Neck Squamous Cell Carcinoma Deteriorates Under European Working Time Regulations 20 Jonathan Hobson, Jonathan Hill and John P de Carpentier 102 Position Statement: Optimising Working Hours to Fixation Techniques in Laparoscopic Groin Hernia Repair Provide Quality in Training and Patient Safely 30 Nehal Shah and Aali Sheen 107 The ISCP Evaluation Report by Professor Michael Eraut 35 Fast Track Surgery (also called Enhanced Recovery Surgical Leadership Development 39 After Surgery [ERAS]) The Checklist - From Theory to Action 41 Prit Anand Singh and Grant Haldane 110 Acute Pain Management in Adult Surgical Patients Training and Education Grant Haldane 113 The New IMRCS Exam Radiofrequency Ablation and Barrett’s Oesophagus Will Hawkins 46 Natasha Henley and Simon Galloway 118 Applied Basic Surgical Sciences for the Evaluating the Effectiveness of the Mini-CEX in the IMRCS OSCE Course Review Modern NHS - Trainee’s Perspective 122 Abeyna Jones 47 Ilyas Arshad, Loaie Maraqa, Karim Jamal and The Provision of Excellence in Training - ASSETS Reg Dennick Will Hawkins 48 Nutrition: In the Surgical Patient and Information Technology and Audit: Making What The Role of Enteral Feeding in Patients with Matters Measurable Head and Neck Cancer Sarah Mills and Mike Bradburn 50 Justice Reilly 126 IT in Training and Beyond Management Strategies for Aortocaval Fistula Chris Macklin 52 Robert Brightwell and Tahir Hussain 130 A Guide to Less Than Full Time (THFT) Training Mandy Chadwick 54 Students’ Section My Most Brilliant Diagnosis Student Plenary Sessions: Anatomy Debate Harold Ellis 56 Matt White 133 Finding the Silver Lining: Making the Most of the Silver Scalpel Award EWTD in Your Student Years David O’Regan 57 Hugo Gemal 134 Silver Scalpel Award Winner 2009 - Surgical Training: Surgical Etiquette: a Guide to Time Spent in What is the Right Attitude? Operating Theatres David Khoo 58 Jessica Johnston and Antonia Mortimer 135 Silver Scalpel Award Symposium Becoming a Surgeon: a Personal Account of Finding Your Bettina Lieske 61 Feet on the Surgical Ladder Joy Singh 137 AGM The Role of Surgical Societies in Undergraduate Education Trauma in the Tropics Sabrina Akhtar and Justice Reilly 138 David Nott 62 How to Write a Surgical CV Book Reviews 140 Gillian Tierney 66 Providing a Global Service - The Trainee’s Contribution Directory of Members 142 Robert Lane 67 Damage Control Resuscitation Matthew Reeds and Adam Brooks 69 All rights reserved. No part of this publication may be produced, stored in a retrieval system, or transmitted in any form or by any means without prior permission from the Publisher. While every care is taken to ensure that the information published in this yearbook is accurate, the Publisher cannot accept responsibility for any errors, omissions or inaccuracies. The views and opinions expressed in this yearbook are not necessarily those of the Association. 2 Page 3 Editors welcome:Foreword 11/5/10 13:30 Page 3 Editor’s Foreword Editor’s Foreword Ishtiaq (Ish) Ahmed Having edited the ASiT yearbook last year together with communicate and in the delivery of healthcare. In this edition, Bruce Levy, it was certainly a pleasure being given the there is an excellent paper by Mr Mike Bradburn and Ms chance to do this again. Sadly Bruce was unable to continue Sarah Mills on the use of IT in healthcare management, and with this role and I certainly found it a lot harder to manage by Mr Chris Macklin on its use in training and beyond. the yearbook without his support. ASiT has seen a significant increase in medical student Last year saw the full implementation of the EWTD. This membership and to recognise this we have introduced a has had significant impact on surgical training, and in this Medical Student section for the first time. I am very grateful yearbook there are several papers and position statements to Jessica Johnston, the ASiT student representative, for all on this topical issue. Other topical issues that have been her help in putting this section together. The other section described in the political section are surgical leadership that is new to this yearbook is a Book Review section. Here development and the surgical checklist. you will find reviews on several books that will be of use to The Silver Scalpel Award is now in its tenth year, and with students as well as to junior and senior trainees. the introduction of the 48 hour week, the importance of In the scientific section there are some excellent reviews maximising training opportunities is paramount. The award is that summarise current concepts on topics of clinical interest: given to clinicians who continue to deliver excellence in Professor Kingsnorthʼs paper on hernia surgery is an training. In this edition Mr David OʼRegan, past ASiT excellent summary of current concepts in hernia president and creator of the award, describes the importance management; there is a comprehensive review on non- of recognising training skills in trainers. This is followed by surgical management of breast cancer; alongside which reflections from the 2009 Silver Scalpel Award winner, Mr there are several other outstanding reviews on pain David Khoo, on surgical training and the right attitude to management, fast track surgery, radiofrequency ablation in training. A Silver Scalpel Award symposium was held recently Barrettʼs oesophagus… to name but a few. to discuss educational and training issues and to define the I am very grateful to all the contributors to this yearbook attributes of an excellent trainer. This was attended by and to Julie Cornish for her help in proofreading some of the trainers who had been short-listed for the award previously contents. I would particularly like to thank Anne Rowe of The together with surgical trainees and business psychologists. A Rowan Group, our publisher, for all her hard work in bringing brief summary of the discussions in the symposium can be the yearbook together. Above all, I would like to thank her for found in the educational section of the yearbook. accommodating all the delays we have had in getting this Information technology is integral to the way we learn, yearbook together. 3 Page 5/6 Presidents Report:president 11/5/10 13:31 Page 5 President's Report President's Report Ed Fitzgerald It seems like just a few years ago that I joined ASiT as a Surgeons are professionals, and must always be so. As medical student, and yet here I find myself sat on a rainy such, much of what ASiT does as an organisation occurs December afternoon drafting the President’s report for our behind closed doors. Members may not see the Yearbook. A lot has changed since those student days. Not machinations, but we hope you see the results. Indeed, a only has my hair receded and my liver regenerated, but the great deal of time and effort frequently goes into saying landscape of surgical training has changed considerably. nothing while others do our bidding for us. Such is the political MTAS, MMC, ISCP, EWTD… who knows what acronym will world we live in. Recognition that ‘news’ is placed and not come along to blight our lives next?! reported is vital for ASiT to effectively influence our future The demands of surgical training are different to other training and careers; the public are on our side. Hopefully branches of medicine, even varying within the nine surgical members realise and appreciate our role in this, for without specialties. ASiT remains the only pan-surgical voice your continued support ASiT could not exist. representing trainees from all these groups. As such, our Surgical trainees are not pawns for political (often organisation undertakes an increasingly important role in unelected) masters to play with at will. We represent a highly representing surgical training as a whole to the wider medical trained and skilled professional group. ASiT gives us a community and beyond.
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