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The Department of Surgery Under Dr Joseph Plummer Has Undertaken the Establishment of a Colon Cancer Registry

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The Department of Surgery Under Dr Joseph Plummer Has Undertaken the Establishment of a Colon Cancer Registry DEPARTMENT OF SURGERY, RADIOLOGY, ANAESTHESIA & INTENSIVE CARE Professor Ivor Crandon, CD, FRCS (Ed.) – Head of Department: WORK OF THE DEPARTMENT he Department of Surgery, TRadiology, Anaesthesia & Intensive Care is one of nine clinical departments within the Faculty of Medical Sciences located at Mona in Jamaica, and is engaged in the undergraduate and postgraduate training of doctors, nurses, physiotherapists, psychologists and emergency medicine responders for Jamaica, the region and the world. The teaching staff functions as consultants at the University Hospital of the West Indies, a modern hospital of 500 beds, where the available patients facilitate the teaching of students. The concept of providing modern surgical training became a reality with the official opening on July 21, 2011 of The CHASE Carnegie Skills Laboratory. Hon. Rudyard Spencer, Minister of Health, was in attendance at the opening ceremony. Of significance in this new facility are the technological capabilities to link with the Western Campus in Montego Bay and Yale University School of Medicine in Connecticut, USA, which was demonstrated at the opening. This laboratory will function as a simulator for basic and advanced training in Surgery and all its disciplines, Anaesthesia and Intensive Care and Emergency medicine. Teacher training through the MEU/IDU is required of all new Department members. The Department achieved a teaching score of 4.4 for courses and 4.2 for Lecturers, compared with 4.3 and 4.4 respectively for the previous year, a commendable performance and in keeping with its objectives. 246 In light of the increased intake of medical students, efforts continued to expand off-campus sites. Surgical and Orthopaedic clerkships for Year 5 (Final Year) have now been extended to the Mandeville Regional Hospital (MRH). The Year 3 junior surgical clerkships are offered at three sites: University Hospital (UHWI), Kingston Public Hospital (KPH) and Cornwall Regional Hospital (CRH) and Year 4 clerkships at UHWI and CRH. Teaching at CRH and KPH is now well established in undergraduate training and has been extremely well-received by the students. Teaching is projected to commence at the Spanish Town Hospital in September 2011. In the continuing effort at synchronization, the Department is actively working with colleagues to ensure standardization of evaluation instruments for clerkships across campuses. During the year, the Department received medical students and residents for elective experiences from the UK, St. Lucia, Germany, Canada and the USA among other countries. Members of the Department play an active role in the curriculum review workshop process of the Faculty. A CD (Surgical Instrument Review) was developed to assist students with undergraduate clerkship revision. The DM Surgery Part II curriculum is being published and the undergraduate curriculum document is to undergo further revision at the end of the year. The Section of Anaesthesia and Intensive Care conducted a Conference/workshop to train regional physicians in the use of state of the art and cutting edge equipment used in modern Anaesthesia and Intensive Care. The title of the conference/workshop held between March 26th and 27th in the Main Medical Lecture Theatre and the CHASE Carnegie Skills Laboratory was, Echocardiography and Ultrasound Applications in Anaesthesia and Intensive Care. This attracted some 76 participants comprised of Consultants and Residents in anaesthesia, critical care medicine and emergency medicine from Jamaica and the wider English speaking Caribbean including Trinidad & Tobago, Grenada, St Kitts & Dominica. The Department hosted a successful and well attended 9th Annual Caribbean Neurosciences Symposium and Charity Golf Tournament 247 from January 27 – 30, 2011 at the Ritz Carlton, Rose Hall, Montego Bay. This symposium was preceded by a Spine Workshop held from January 25-27, 2011 in the CHASE Carnegie Skills Lab. Renovations were undertaken and completed in June 2011 to the various offices within the Section of Surgery. This was achieved through the Campus and Department members’ individual contributions. The Department expresses appreciation to the Dean, Faculty of Medical Sciences, for providing three new computers for the administrative staff, and a water tank in April 2011. In 2010 we bade farewell to the following long-serving academic staff members: Dr. Denis Ronald DuQuesnay, Dr Romer E. Christopher Rose and Prof. Joseph Michael Branday. The latter was appointed Dean, Faculty of Medical Sciences, UWI Cave Hill Campus. Honours Awards and Fellowships Note should be taken of the following who received Honours, Awards or Fellowships: ¡ Dr. Belinda Morrison for Best poster presentation, Hypogonadism and associated osteopenia and lipid abnormalities in adult male patients with sickle cell disease, at the American Urological Meeting in Washington DC, May 14-19, 2011. ¡ Dr. Jean Williams-Johnson: Fulbright Scholar Award for Latin America and the Caribbean, Wayne State University, Detroit, Michigan, USA, September 5 - December 5, 2010. ¡ Dr. Nicole Hart: Trauma Fellowship, University of Toronto, Canada, July 1, 2010 – June 30, 2011. ¡ Dr. Ingrid Tennant-Martin: Research Fellowship at the TMRI, UWI, August 2010 to July 2011. ¡ Dr. Peter Johnson: The Derek Harwood-Nash Fellowship by the RSNA, a Neuro-imaging Fellowship at Emory University, June – July 2011. 248 RESEARCH The Department of Surgery under Dr Joseph Plummer has undertaken the establishment of a colon cancer registry. Funding was provided through the Principal’s Research Initiative. The database instrument has been procured and training of field staff has proceeded smoothly. The Intracranial Tumour Registry was established consequent on collaboration between the Neurosurgery Service in the Section of Surgery and Section of Radiology and the Department of Pathology, utilizing funds provided through the Principal’s Fellowship Initiative. Participants in this project are: ¡ Dr. Peter Johnson (Radiology) ¡ Dr. Carl Bruce (Neurosurgery) ¡ Dr. Jacqueline Jaggon (Pathology) The Registry software was obtained by The Centre for Disease Control (CDC). The registry seeks to collect demographic, clinical, radiological and pathological data on all patients diagnosed with an intracranial tumour at the University Hospital of the West Indies since the inception of Magnetic Resonance Imaging at the University Hospital in 2002. There are plans to expand this registry in the future to include patients from the South East Region group of hospitals as well as Cornwall Regional Hospital. Trauma Registry A total of 15,481 records had been entered in the database as at July 18, 2011. Backlog data now being entered is for June 2011. 249 PAPER PRESENTED • Dr. SO Cawich. Pathophysiology and Treatment of Chronic Leg Ulcers. 17th Annual International Diabetes Conference. Sunset Grande Hotel. Ocho Rios, Jamaica. March 26, 2011 • Professor A McDonald. Data from the Trauma Registry [a 10 year analysis of trauma]. Sir Harry Annamunthodo Lecture. • Dr. K. Ehikhametalor. Diabetic Neuropathic Pain. Medical Association of Jamaica Symposium 2011, The Pegasus Hotel, New Kingston, June 2-5, 2011. • Professor AH McDonald: Training medical graduates of The University of the West Indies to become world leaders in the field of medicine. 10th William Dennis Memorial Lecture, Main Lecture Theatre, UWI, July 21, 2011. • C. Dave McGaw . Principles of ultrasonography & Anatomy of the heart. Anaesthetic Workshop, CHASE/ Carnegie Skills Laboratory, UWI, March 26 & 27, 2011. • Dr. E. Williams. Surgical causes of abdominal pain in the patient with HIV. Jamaica Emergency Medicine Association 11th Annual Conference, Jamaica Pegasus Hotel, Kingston, March 27, 2011 • Dr. J. Plummer. Diagnosing Lynch Syndrome in a cohort of young patients with colorectal cancer in Jamaica. Association of West Indian Gastroenterologists, Iberostar Suites, Rose Hall, Jamaica, April 28-30, 2011. • Dr. W. Aiken. Your Prostate and your Sexuality. Senior Common Room Committee 1st Seminar Series, Senior Conference Room, UWI Campus, June 23, 2010. • Dr. D. Mitchell. Breast Cancer. The University of the West Indies Women’s Health Group Meeting, Conference Room Department of Obstetrics and Gynaecology, October 27, 2010. 250 • Dr. REC Rose. Orthopaedics in the Caribbean. Jamaica Urological Society Prostate Cancer Medical Symposium, The Jamaica Pegasus, September 12, 2010. • Dr. B. Morrison. Priaprism: Current Concepts in Medical and Surgical Management. Jamaica Urological Society Annual Symposium, The Jamaica Conference Centre, February 27, 2011. • C. Dave McGaw . Principles of ultrasonography & Anatomy of the heart. Anaesthetic Workshop, CHASE/ Carnegie Skills Laboratory, UWI, March 26 & 27, 2011 • Dr. E. Williams. Surgical causes of abdominal pain in the patient with HIV. Jamaica Emergency Medicine Association 11th Annual Conference, Jamaica Pegasus Hotel, Kingston, March 27, 2011. • Dr R Reid-Stultz. Ultrasound Physics and Artifacts. Accident and Emergency Workshop, UHWI • Dr B Ying. Ultrasound Demonstration of Aortic Disease. Accident and Emergency Workshop, UHWI • Dr. J. Plummer. Diagnosing Lynch Syndrome in a cohort of young patients with colorectal cancer in Jamaica. Association of West Indian Gastroenterologists, Iberostar Suites, Rose Hall, Jamaica, April 28-30, 2011. • Dr R Bullock. Imaging Options in Sports Medicine. Jamaica Association of Radiologist Musculoskeletal Symposium, UHWI. • Dr D Cornwall. Screening for Breast Cancer. Association of Surgeons Annual
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