NEWS CollegeWINTER 2015

Burden of global health must be shared

INSIDE

END OF PRESIDENCY JUNIOR DOCTORS’ CONTRACTS SCOTTISH HEALTH AWARDS ON THE FRONT LINE CAREER JOURNEY INFOGRAPHIC A leap forward in the management of heart failure How NT-proBNP could help reduce rehospitalisations and improve patient outcomes

Heart failure is a major, global health problem associated with high Studies have shown NT pro-BNP to be useful as a prognostic morbidity and mortality. Recent research by the ISD Scotland has marker in a range of situations. The ASTRONAUTvi and the I-Preserve identified coronary heart disease (CHD), which includes heart attacks, trialvii found that serial testing and a decreasing trajectory of as a leading cause of illness in Scotland and led to 7,239 potentially NT-proBNP in the early hospital discharge phase carried an avoidable deaths in 2013.i Furthermore, Scotland has a high prevalence independent prognostic value. Increasing levels of NT-proBNP of the risk factors associated with heart disease such as smoking, poor following hospital discharge identifies patients who are at highest diet and physical inactivity. risk of recurrent adverse events. Pooled analyses of chronic HF and biomarker-based studies (positive and negative) indicates a 20% Treating and preventing heart disease is a national clinical priority to 25% adjusted reduction in mortality associated with biomarker- for Scotlandii and it is estimated that around 7.1% of men and 5.3% guided care on top of standard management.viii of women are living with CHD.iii Although deaths from heart disease in Scotland are falling, early identification strategies and optimal risk NT-proBNP also offers less than 0.01% cross reactivity with nesiritide. stratification are healthcare priorities in an attempt to slow the disease BNP demonstrates a high level of cross reactivity with nesiritide, thus, progression. Now, there’s an innovative biomarker to help clinicians. limiting BNP’s value during nesiritide therapy. In these cases you can The Roche Elecsys®NT-proBNP test, accurately provides healthcare still use NT-proBNP. Its near absolute specificity (less than 0.01% professionals with the answers they need in the prognosis and crossreactivity with BNP)ix makes it a valuable marker for monitoring monitoring of heart failure (HF). improvement in patients being treated with recombinant BNP.x

Once diagnosed with HF the patient’s ventricular function and long-term NT-proBNP has been conclusively shown to outperform established outcomes continue to deteriorate. Approximately one in four patients cardiovascular disease (CVD) markers in a number of areas. It is a hospitalised with HF will be re-hospitalised within 30 days of discharge. useful marker for the detection, prognosis and monitoring of CVD Many HF rehospitalisations are preventable, but effective strategies to and one clinicians should not be without. prevent rehospitalisations are under utilised costing both health services and potentially compromising the health of patients. References i IDS Scotland. (2015) Heart Disease Statistics Update. Serial measurements of NT-proBNP, together with conventional ii NHS Scotland. (2009) Better Heart Disease and Stroke Care Action Plan. clinical assessment can assist in pharmacotherapy decision making iii The Scottish Government. (2014) Scottish Health Survey. and improve patient outcomes.iv When measured in the acute phase iv B.DeBaradini et al. (2012) CurrOpinCardio, 27(6):661-8. following myocardial infarction (MI), for example, NT-proBNP is a v S. Talwar et al. (2000) Euro Heart Journ. 21(18): 1514-1521. stronger predictor of poor clinical outcomes than BNP when measured vi Greene, SJ, et al. (2015). Euro Journ of Heart Fail, 17: 98-108. vii Jhund, PS, et al. (2014). Euro Journ of Heart Fail, 16: 671-677. by death or LV systolic dysfunction. At 72-120 hours after MI, it is also viii Januzzi. (2011). Journal of Cardiac Failure 17(8). superior to clinical, radiological or ECG parameters in the identification ix K-T J Yeo et al. (2003) Clinica Chimica Acta. 338: 107-115. of impaired LV systolic function.v x RL Fitzgerald et al. (2005) AHJ. vol. 150 (3): 471 - 477.

214589-CN-ROCHE FPA.indd 1 01/09/2015 15:31 IN THIS ISSUE

Editor: From the President’s Office 02 DENTAL UPDATE 20 Elaine Mulcahy COLLEGE NEWS 03 TRAVEL MEDICINE UPDATE 22 [email protected]

TALKING POINT 08 PODIATRIC MEDICINE UPDATE 24 Production: Junior doctors’ contracts Carl Barton LIBRARY AND HERTAGE 26 [email protected] COLLEGE IN ACTION 09 Time to tackle obesity New tool to help health professionals encourage physical activity If you are interested in contributing IN FOCUS 10 Burden of global health to College News please email: 03 [email protected] ON THE FRONT LINE 12 with Jane Chiodini

WHAT’S ON 11

PHYSICIANS UPDATE 16 www.rcpsg.ac.uk SURGEONS UPDATE 18 END OF PRESIDENCY @rcpsglasgow

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BANGALORE PEFC/16-33-576 www.pefc.org www.rcpsg.ac.uk College News Winter 2015 1 WELCOME

FROM THE PRESIDENT’S OFFICE

Watch the President’s video at http://rcp.sg/cnwinter15video

Our College has many Fellows and The Medicine24 two day symposium was component to visitors. It will also increase Members in England and training issues in a landmark day for the College. Jackie the public’s understanding of the College. the UK remain very much the responsibility Taylor and colleagues put the programme This comes at an opportune time with of all four nations. In view of this we have together and I am sure even they did the recent award to the college of been following the junior doctors’ dispute not anticipate the demand for places. Museum Accreditation status thanks to the closely. The outcome of the recent ballot Eventually five locations were used via leadership of Carol Parry. Carol recently of junior doctors overwhelmingly favoured video streaming, three of which were local retired after 20 years of outstanding industrial action. We are supportive of hospitals which permitted the attendance service the College, recognised by many of the issues raised by our junior of undergraduate students at no charge. conferring upon her fellowship of the colleagues and will continue to do all we The number of attendees exceeded College. can to persuade both sides to negotiate 450 illustrating that if the programme is without preconditions. relevant and of high quality, it will sell out. I approach the end of my three year Many other challenges exist in the NHS, I have been keen throughout my term as President with mixed emotions. none more than the issue of recruitment Presidency to meet many of our Fellows There will be a big gap to fill. I have many and retention of medical staff. I have and Members who, because of their happy memories. I have met remarkable previously expressed concerns regarding location, are unable to attend events people both locally and beyond who have trainees. Recent figures for cancelled in Glasgow. We have had a number of enhanced my perspective on life. I have consultant appointment committees in successful events around the UK including worked within a Royal College which has Scotland (i.e. unfilled consultant posts) two successful symposia in Inverness and so many committed staff and none more are of concern, and more so than in Gateshead this year. In addition, we have than the Chief Operating Officer, John England. The reasons for this are complex had a number of successful international Cooper. New ideas and developments are but are likely to include the introduction visits, specifically to India and Oman. We evaluated thoroughly and timeously thus in Scotland of 9/1 contracts in 2010. are also showing our commitment to allowing changes where appropriate to Throughout my presidency I, with other our international Fellows and Members be made without delay. The admission presidents, have consistently lobbied the through the recent appointment of an ceremonies have been a highlight as have Scottish Government to move away from international director and international the many highly successful educational these dispiriting contracts. I believe that manager who will support our ongoing events within College. I do feel strongly some progress is being made but much development outwith the UK. that three years is the right term of office still needs to be done. An aggressive drive and that it is right and proper that the is required to recruit more consultants We are excited by the ongoing building outgoing President should be just that and to Scotland and also to continue to work developments and are using the allow the new President to put his own on recruiting and retaining sufficient opportunity presented by the purchase mark on the College. I am confident that numbers of trainees to fill the consultant of 19 Blythswood Square to redesign David Galloway has all the qualities to vacancies. We also have a responsibility to the office accommodation in St Vincent make an excellent President and he has my promote our profession at every available Street. This includes plans to have a cafe very best wishes. opportunity. We are committed to working area for Staff, Fellows, Members and the with the Scottish Government on this public. This will allow us to build on the issue. considerable success of Fifteen Ninety Nine and to present a health education

2 College News Winter 2015 www.rcpsg.ac.uk NEWS

In Brief

PROFESSOR FRANK DUNN CBE, College Service – Glasgow Cathedral DL, FRCP (GLASG, LON, ED) - AN APPRECIATION

Each year, representatives of College traditionally participate in a service in Glasgow Cathedral to mark the anniversary of the founding of the College and to pay tribute to its Founder, Maister Peter Lowe by laying a wreath on his tomb which is in the Cathedral graveyard.

This year, the service will be held on Sunday, 6 December at 11am and College Frank Dunn became a member of the College implement. He has also been the driver to the Fellows, Members, family and friends are on 7 January 1974 and was elevated to purchase of our new premises on Blythswood most welcome. Please let Sandra Clearie Fellowship on 7 October 1985. Square which will enable our College to know if you would like to attend so that continue to grow. seating can be reserved. sandra.clearie@ A cardiologist of international reputation, his rcpsg.ac.uk or 0141 227 3203. early medical career was at Glasgow Royal The facts, impressive as they are, are Infirmary interspersed with several years in summarised above. But what they do not College closures Oklahoma and New Orleans before becoming portray is the personality and warmth that The College will be closed on the centred on Stobhill Hospital in Glasgow, the Frank has brought to all aspects of his career following dates: place where his father practiced and where he wherever he has been. He is regarded with • Friday 25 December 2015 to Monday lived as a child. deep and genuine affection by people from 4 January 2016 (inclusive) all walks of life. His engaging smile and • Friday 25 – Monday 28 March 2016 He has published widely throughout his personality put people at their ease, be they (inclusive) career, totalling 158 papers and articles, and patient or colleague. His professionalism is he is a member of sixteen faculties, colleges unquestioned and he has made a massive Annual subscriptions or societies. He has carried out eight major contribution to his specialty, the NHS and to 2015-2016 annual subscriptions funded research projects and chaired or sat this College. He has always been held in the Fellows and Members are reminded on 25 major bodies or committees. He was highest regard by his trainees, reflecting his that their 2015-16 annual subscriptions Vice President (Medical) of the College from caring style of leadership and his interest in were due on 1 October. A reminder 2007-2010 before becoming President in 2012, seeing young doctors achieve their potential. communication has been sent to all a post he demits on 4 December 2015. He Sport has always been close to his heart; he still Fellows and Members who have not became a Commander of the British Empire plays a competitive round of golf and follows yet paid detailing the fees due for in 2014, he is Deputy Lord Lieutenant for football avidly, but he is the first to admit that 2015-16. Fees can be paid by credit Dumbartonshire and a Freeman of the Barony his is a life of the triumph of optimism over card either online at http://rcp.sg/ Burgh of Kirkintilloch. experience, as witnessed by his enduring login or by telephone on +44 141 221 support of Clyde Football Club. 6072. Cheques and bankers drafts During his tenure as President, Frank has should be made payable to ‘RCPS overseen the continued growth of the As he demits his office as President, we Glasgow’. If you have any questions membership, the development of a very wish him well for the future, secure in the about your subscription or would like to positive media and communications posture knowledge that he and his wife, Helen, will pay by direct debit, please contact us on and the development of our international continue to be part of the College for many [email protected] strategy, which we are now beginning to years to come. www.rcpsg.ac.uk College News Winter 2015 3 NEWS

NEW MEMBERS OF COUNCIL

Mr David Galloway will be invested as the • Dr Douglas Thorburn will take on the new President of the College at the Annual role of Regional Councillor (Physician) General Meeting on 4 December. Please outwith Scotland look out for an article on David Galloway • Professor Stuart Pringle will take on the in the next issue of College News. role of Regional Councillor (Grampian, Highlands/Islands ex Argyll and Tayside) Following nominations for vacancies on College Council, the following posts are Voting papers were issued for the also expected to be confirmed at the AGM: following posts which had more than one • Professor Hazel Scott will complete a nominee: second term as Honorary Secretary • Honorary Treasurer • Mr Roy Miller will complete a second • Ordinary Councillor (Physician) term as Honorary Librarian • Mr Stephen Mannion will take on the Results of the election will be announced welcome to attend the AGM in the College role of Ordinary Councillor (Surgeon) at the AGM. All Felllows and Members are on 4 December.

WALK FOR WELLNESS

Well done and thank you to everyone who each logging the number participated in our Walk for Wellness. We of steps they had taken are delighted to report that, in October, we every time they went reached our target of walking 80 million for a walk. In just eight steps around the World. months, the combined efforts of the group Our Walk for Wellness challenge was resulted in us exceeding launched in February 2015 to support and our target of 80 million promote physical activity. The virtual walking steps. route began at the College and travelled around the world to a number of locations The walk for wellness including Pakistan, India, Malaysia, Australia was organised in and the USA. partnership with www.worldwalking.org who offer a website for anyone wishing to continue Almost 150 people signed up to our walk, number of different challenges on their walking and logging their steps.

RECRUITMENT Scholarship committee Expressions of interest are invited to fill two available funding for each award current vacancies – one trainee physician and one ordinary surgeon – on the Appointments to the committee are College’s scholarship committee. normally made for a term of three years, but may be extended to one further term of The main role and responsibilities of the three years. committee, which meets in College three times per year, are to: If you would like to be • review and score all applications considered for this received for each award administered by committee or require the College further information, • review and update where appropriate please send your CV the eligibility criteria for each award and a covering letter • review reports from all award recipients to: scholarships@ • authorise payments and approve rcpsg.ac.uk payment schedules for successful applicants • monitor the financial position and

4 College News Winter 2015 www.rcpsg.ac.uk NEWS

LOCAL BUSINESSES UNITE TO SUPPORT PLAYLIST FOR LIFE

has had a number of memorable music nights in association with the Royal Conservatoire of Scotland. We are very conscious of the role of music in a whole range of medical conditions. This was part of the reason for the music evenings. The other was enjoyment. It is the enjoyment and peace that music brings to patients with dementia that led us to provide this fund raising evening for Sally Magnusson’s charity Playlist for Life, based on her book about caring for her mother. We are very grateful to the Royal Conservatoire and many others for their support in putting this evening together.”

Sally Magnusson said: “My thanks go to Professor Dunn and the Royal College of Physicians and Surgeons of Glasgow for the Thirty local businesses donated prizes for Playlist for Life was founded by BBC work put into making Saturday night such a a charity gala held at the Royal College of Scotland News Presenter Sally Magnusson tremendous success, producing not just an Physicians and Surgeons of Glasgow in aid of after she discovered the effect of personally amazing outcome for Playlist for Life but a the dementia support charity Playlist for Life. meaningful music on her late mother when fantastic evening for all the guests.” she was suffering with dementia. College More than 100 people attended the event President, Professor Frank Dunn, has been Prizes donated for the charity auction held on Saturday 7 November, which raised greatly impressed by the project and led at the event included a tour of the BBC, £12,000 to support a unique initiative which the drive to host an event at the College to hotel stays, tickets to musical evenings, uses music to stimulate memories and a raise funds for the charity. an oil painting by Mark Olden, and sense of belonging in people suffering from more. Music was provided by the Royal dementia. Professor Dunn said: “The Royal College Conservatoire of Scotland.

STAFF PROFILE: LISA McMANUS

Lisa as the first international manager. Working perspectives on what and how the College McManus with Roddy Neilson the newly appointed should support our international members. recently International director, it will be my Their knowledge will be invaluable in joined the job to implement the recently agreed planning how to implement our ambition College as international strategy. to grow our membership outside the UK. the new It will also be their thoughts that will help International The College would like to establish a the College decide what international Manager. presence in India. With almost 1000 events we should participate in. Lisa members it makes sense to bring benefits previously closer to where a large number of our Working with the exams and education worked at international members are. In November teams will be a big part of bringing the BBC Media I made my first trip to India to meet with international strategy to life and ensuring Action, Fellows and Members there and explore we deliver core activities in defined The British our options. As you might imagine there is international areas. Council and the University of Strathclyde. a lot of listening and thinking to be done With over twenty years experience and assumptions to be tested. In the early This time next year I hope to be writing working in international development, New Year there will be a plan on how the to tell you that we are an established education and cultural relations, she College will set up first in Delhi and then, presence in India, that our international writes about her new role with the all lessons learned, in Bangalore. membership numbers have increase, College. and that our members have shone at There is already a network of 15 international events. It’s going to be a very I am delighted to be joining the College international advisers who give their busy year. www.rcpsg.ac.uk College News Winter 2015 5 NEWS

ADMISSION CEREMONY WHO’S IN More than 100 people were welcomed to the College at an Admission Ceremony HEALTH? held at the University of Glasgow on 25 November. Honorary Fellowships were awarded to Clare Marx, President of the Royal College of Surgeons of England; A new campaign has been launched by the Francis Murray, President of the Royal College of Physicians of Ireland; and the UK medical schools council to encourage founder of Playlist for Life, Sally Magnusson. people from the healthcare sector to volunteer to go into primary schools and chat informally to children about their jobs.

The aim of the campaign – called “Who’s in health?” – is to inspire children and help them see the relevance in what they are learning, especially in science, maths and English, to careers in healthcare.

Anyone working in healthcare willing to share their enthusiasm for the profession to motivate children is welcome to join the programme which is aimed at children aged seven to 11. Previous outreach experience with young people is not needed.

Signing up to the programme only takes a few minutes. From there you will be put in contact with primary schools and together with them, can determine how and where you might hold a session.

Further information including instructions on how to sign up can be found at www.inspiringthefuture.org COMMUNICATIONS TOOLKIT The Health Foundation has launched a and spread their improvement work. work. You can work through the four new online Communications in health care sections or dip into particular parts of the improvement toolkit to support health It contains guidance, resources and tips to toolkit that you are most interested in. care professionals working on quality share learning, engage stakeholders and improvement projects. spread success stories and evidence. No previous experience of communications is required to use this The toolkit is a useful resource for The toolkit includes four sections on: resource. those who want to understand and use planning for success, getting started, communications to better plan, implement sustaining interest and spreading your www.health.org.uk ONCOLOGIST WINS TRAVEL FELLOWSHIP TO JOIN ROCHE PHARMACEUTICALS IN NYC

Dr Patricia Roxburgh, clinical lecturer in medical Glasgow and will work with Roche on their management team developing protocols and oncology at the Beatson Institute, has been MDM2 inhibitor programme (anti-cancer drugs, biomarker studies for the early clinical studies awarded a £20,000 fellowship to undertake a designed to reactivate tumour suppressor p53). of these compounds. placement with Roche Pharmaceuticals in New York City. Dr Roxburgh said: “I completed my PhD in “I am so excited to be given the opportunity Professor Karen Vousden’s lab working on to learn about the pharmaceutical industry, Dr Roxburgh was awarded the Davies manipulating the p53 pathway to treat cancer. work on the most advanced MDM2 inhibitor Foundation Travelling Fellowship by the programme and to work and spend time living Royal College of Physicians and Surgeons of “My role will be as part of the study in New York.”

6 College News Winter 2015 www.rcpsg.ac.uk TALKING POINT

CHILD PROTECTION WORK RECOGNISED AT SCOTTISH HEALTH AWARDS

Vice President (Dental), Professor Richard Welbury has been named dentist of the year at the Scottish Health Awards. Professor Welbury received the honour in recognition of the outstanding contribution he has made to the dental care of children. One of his greatest achievements has been a recognition for the role of dental teams in child protection and he has had a huge impact in this area across the world.

Professor Welbury said, “I first became aware of child protection issues when I was working as a senior house officer in plastics at the old Fleming Memorial Hospital in Newcastle upon Tyne in 1985. I admitted a young boy who had sustained linear burns with a distinct pattern to his right palm. It transpired that these had been caused by his hand being held against the hot grill of a gas fire.”

“On returning to full time paediatric dentistry, it was apparent that there was scant guidance for dental practitioners about the signs of physical abuse on the head and neck. In addition, the medical profession were not really aware of the amount of dental neglect aware of the important role of dental teams all general paediatric trainees to complete a and untreated decay in the mouths of in supporting and identifying vulnerable module of study in paediatric dental units to children.” children. equip them with the skills to complete an oral examination and a knowledge of the basics of It is estimated that at least 60% of all children Professor Welbury said, “Although dental dental prevention. More recently in 2015 work who are physically abused have signs on neglect has only recently been defined in with colleagues in Glasgow has seen dental the head and neck that are visible to every terms of child protection, it is pleasing to assessments included for children who have a member of the dental team. Common see the increasing awareness of it relating to comprehensive medical assessment because injuries on the head and neck include bruises, children in need throughout the world. Dental of welfare concerns. abrasions and lacerations. Less commonly neglect may be one factor of general neglect, burns, bites and fractures may be seen. Inside but it may also be the sole presentation of As well as his outstanding leadership in the mouth, bruises, abrasions and dental neglect and it is frequently the case that child protection, Professor Welbury has trauma are common. oral sepsis is not viewed as importantly as championed the extension of undergraduate infections in other parts of the body. It would paediatric dental teaching into more primary In 1989 Professor Welbury started lecturing be completely unacceptable for a parent to care dental facilities in Greater Glasgow and publishing on the need for dentists and neglect to seek treatment for an abscess on and Clyde and the adoption of new and dental teams to take greater involvement in a child’s skin, yet widespread dental caries is innovative dental techniques to improve the identifying signs of physical abuse and dental almost accepted as the status quo. This is an dental treatment outcome and experience for neglect. In 2006, he and a small group of imbalance that needs to be addressed.” children. This has included the introduction colleagues wrote the current guidelines of new, less traumatic anaesthetic techniques in relation to child protection for dental “Safeguarding children is a now a General and promotion of a new soft tissue laser for practitioners and dental teams in the UK. Dental Council recommended CPD topic the treatment of oral mucositis in children This text has subsequently been translated for dental professionals, and dental teams with cancer. His unit in the West of Scotland into Croatian and Greek, and modified throughout the UK are important contributors was the first in the UK to use this latter appropriately for the health systems of these to child protection units and teams. All technique. countries. adults who work with children have a responsibility to safeguard those children. “Being at the award ceremony and hearing The impact of this work has been that most Communication between agencies is key and about the high standard of work and care in dentists now recognise their responsibilities it is essential that paediatric dentists work the NHS was inspiring. I consider my award in identifying and reporting on children who with paediatricians, social services, and the to be recognition for all the members of may be at risk. Importantly, other health police to identify children who may be at our paediatric dental team in the West of and social care professionals are now also risk.” In 2014, Professor Welbury called for Scotland.” www.rcpsg.ac.uk College News Winter 2015 7 TALKING POINT

JUNIOR DOCTORS’ CONTRACTS

Disputes around proposed changes to junior doctors’ contracts in NHS England are ongoing at the time of print. It is important to emphasise that although this does not impact on junior doctors’ in Scotland, it will have significant implications for our many Fellows and Members in England. In light of this and our commitment with the other Royal Colleges to ensure the best training for all UK trainees, we are obligated to contribute to the debate.

The issue was initially highlighted in September when the UK Secretary of State for Health announced plans to introduce a new contract for junior doctors working in England from August 2016. The contract reclassified standard social working hours, known as “plain time”, from 7am-7pm Monday to Friday to 7am-10pm Monday to Saturday. Many junior doctors objected to these changes arguing it would have a direct impact on their take home pay, work/ life balance, and quality of work. Image credit: William Perugini / Shutterstock.com In September, members of the trainees committees that sit on the Academy of Medical Royal Colleges Trainee Doctors to 7am-10pm Monday to Friday and 7am- increasing pressure on staff working in a Group wrote an open letter to the Secretary 7pm on Saturday. The ballot for industrial challenging environment. We are already of State expressing their concerns. They action went ahead and junior doctors voted facing a recruitment and retention crisis said that: “The imposition of the contract overwhelmingly in favour of strike action. The in the NHS which needs to be addressed presents an immediate risk to the provision Secretary and State and BMA subsequently to ensure patient care is protected. Our of healthcare throughout the UK, and agreed to enter into negotiations facilitated trainees will be the future leaders of NHS an ongoing threat to healthcare for by ACAS. At the time of print these teams and it is crucial that the services they generations to come.” They also argued discussions were ongoing. provide as they train are fully recognised. that failure to provide safeguards in terms of hours and working conditions President of our College, Professor Frank In order to deliver innovative models of will detrimentally impact upon the safe Dunn, wrote to our Fellows and Members in care, expand the delivery of services across treatment of patients and compromise the November to advise them of the College’s seven days, increase NHS efficiency, and training of doctors with a resultant negative position in relation to the proposed continue to lead the world in innovation impact on recruitment and retention. contract changes. and research, we must support and value the people who are going to deliver this. The Royal College Presidents also expressed As a Royal College, we do not have Medical and surgical trainees provide vital concern in letters to the Secretary of State in responsibility for negotiating contracts. and valued care to patients and we must do which they urged him to critically review the Since our founding more than 400 years all we can to ensure successful recruitment impact of the proposed contract changes. ago, our priority has been maintaining and retention – we must focus on attracting the highest standards of patient care. We doctors and not driving them away. The junior doctors committee of the British are concerned that the consequences of Medical Association (BMA) announced imposing the current proposals on junior We believe the solution will not come with plans to ballot their members to determine doctors could jeopardise the future of the industrial action, which has the potential whether they were prepared to take NHS by undervaluing and de-motivating a to have damaging effects on both the industrial action in refute of the proposed group of doctors already under significant profession and our patients. We urge all changes to their contracts. pressure. This will have a direct impact on involved to re-engage in negotiations patient care. without pre-conditions to work together to The Secretary of State subsequently yield a positive outcome for all. announced at Parliament in November new Our College believes the proposed plans for reforming junior doctors’ contracts. imposition of the trainee doctors’ contract We will continue to follow this issue closely. This included an increase in basic salary from is impacting upon the profession more Please check the website and twitter for £22,636 to £25,550 and amending plain time widely, adversely affecting morale, and statements from the College.

8 College News Summer 2015 www.rcpsg.ac.uk COLLEGE IN ACTION

Tipping the balance

In October, Obesity Action Scotland and our the headlines. According to recent OECD College partnered with the Royal College of figures, Scotland has the second highest Paediatrics and Child Health to run a fringe rate of obesity in adults in Europe – only event at the SNP party conference. The event Hungary has a higher rate. The consequences was chaired by BBC Health Correspondent are significant in terms of individual health Eleanor Bradford and featured a panel and direct costs to the NHS. This event discussion with our President Professor Frank considered the current situation in Scotland, Dunn, Chair of Obesity Action Scotland Dr the impact of obesity on child health, and the Andrew Fraser, Paediatric consultant Adrian need for action. Topics covered included a Crofton, and the Scottish Cabinet Secretary for sugar tax and a ban on junk food advertising Health, Wellbeing and Sport Shona Robison. before 9pm.

The terms “overweight” and “obesity” are We expect to lead more of these types of constantly in the news, with barely a day going fringe meetings at future conferences across by without a story about this epidemic hitting different political parties.

New tool to help health professionals encourage physical activity

PHYSICAL ACTIVITY INFOGRAPHIC COLOUR_AW_HR.pdf 1 21/08/2015 14:58

A new tool will be distributed to health workers to help highlight the importance of Physical activity benefits for physical activity. adults and older adults

The Chief Medical Officer for Scotland, BENEFITS HEALTH

Dr Catherine Calerdwood recently visited IMPROVES SLEEP the College to launch a new infographic MAINTAINS HEALTHY WEIGHT designed to encourage health professionals to speak to patients about why it’s important MANAGES STRESS IMPROVES

to be active. It highlights some of the QUALITY OF LIFE REDUCES YOUR CHANCE OF Cancers (Colon and Breast) benefits of physical activity, which can cut the chance of developing Type 2 Diabetes What should you do? by 40 per cent, cardiovascular disease by 35 per cent, and breast and colon cancers by 20 per cent.

The infographic will be distributed to doctors, nurses, GP surgeries, charities and allied health professionals such as physiotherapists.

Dr Calderwood said: “Tackling inactivity is one of the biggest public health challenges facing Scotland today. Taking the recommended level of physical activity can improve your mental and physical health and can help prevent and manage more than 20 chronic conditions, including diabetes, heart disease, dementia and even cancer.

“We need to sit less and move more. It’s never too late to start, and small changes are much better than doing nothing.

“It’s vital that more people know about the importance of physical activity, and the benefits it can bring. Health professionals have a big role to play in spreading the word. This simple infographic will ensure they have the information they need when they’re UK Chief Medical Officers’ Guidelines 2011 Start Active, Stay Active: having those conversations with patients.”

www.rcpsg.ac.uk College News Winter 2015 9 IN FOCUS

BURDEN OF GLOBAL HEALTH MUST BE SHARED

Approximately 30% of the global burden of disease can be attributed to surgically treatable conditions, yet over five billion people in low and middle income countries do not have access to safe and affordable surgical care. The impact of this on individual countries is devastating in terms of loss of life, loss of welfare through disability, and on economic growth. For those who can access surgery, as many as one in four people undergoing an operation will face catastrophic expenses. The Lancet Commission on Global Surgery estimates that 20-40 surgeons, anaesthetists, and obstetricians (SAOs) are needed for every 100,000 people. Currently, 44% of the world’s population live in countries with less than 20 SAOs per 100,000. The greatest need is in Africa.

In September 2015, the College brought forward. Scottish Minister for Europe volunteering, which will be felt in both together leading doctors from across and International Development, Humza Africa and Scotland. Mr Yousaf made a the UK, Ireland and Africa for an event to Yousaf MSP, opened the event saying he commitment to discuss with Health Boards address the challenges of global health. wanted Scotland to be known as the most the opportunities for medical workforce The Global Health symposium, organised compassionate country in the world. He volunteering to support healthcare by College Vice President (surgical) Mr said, “Behind every project and statistic initiatives in other parts of the world. Mike McKirdy, focused mainly on the there is a human story. We must never lose situation in Sub Saharan Africa, which holds our social consciousness.” At the symposium, particular attention was 25% of the world’s burden of disease and given to Malawi, a country which has a only 3% of the healthcare workforce. The President of the College, Professor close association with the College; most Lancet Commission on Global Surgery has Frank Dunn requested the Minister to notably through the legacy of Dr David estimated that the unmet surgical need provide continued leadership in this area Livingstone, one of the College’s most in Sub Saharan Africa is approximately 40 and support for the College’s work. He famous Fellows, who was a missionary million unmet cases. also asked for continued work to make there in the late 1850s. Malawi as a country volunteering easier for NHS Scotland faces many challenges, including severe At the meeting, a strong economic case staff, and for the Minister’s support in poverty – over 40% of the population for investing in global surgery was put spreading the word about the benefits of live below the poverty line; it has one of

10 College News Winter 2015 www.rcpsg.ac.uk IN FOCUS

the highest worldwide rates of HIV/AIDS at 11.9%, and a high prevalence of other diseases, including malaria and typhoid; improper infrastructure; drought; and scarce access to education.

Speaking at the event, Professor Nyengo Mkandawire, Professor of Orthopaedics and Head of Surgery at the Malawi College of Medicine, explained that 93% of the healthcare workforce in Malawi are not trained physicians or surgeons. The average number of general surgeons per 100,000 people in Malawi is 0.21 – that is equivalent to about one surgeon for half a million people. The recommended number in the USA is 4.7 per 100,000 people. To receive most emergency or specialist care, patients in Malawi must travel to one of the four tertiary central hospitals, which are consequently under resourced and overcrowded.

So what is being done?

There have been many successful capacity strengthening initiatives and collaborations between Malawi and institutions in the UK, the USA and Europe, including the Royal College of Surgeons in Ireland, the AO Foundation and the Norwegian Programme for Capacity Development in Higher Education. In 2013 the Scottish Global health symposium: (Pictured left to right) (Back row) Gordon McFarlane, Ewen Harrison, Government pledged more than £3 million Mike McKirdy,David Hope-Jones, (second row) Adrian Stanley, Liam Meehan, Chris Dyce-Lavy, to Malawi to improve education and health Neyngo Mkandawire, Trevor Crofts, (third row) David Galloway, (front row) Frank Dunn, and to promote sustainable economic Declan Magee, Stephen Mannion development.

The situation in Malawi has also attracted Consultant gastroenterologist, Dr Adrian low and middle income economies, while a great number of volunteers working in Stanley, has taken his expertise to Malawi their personal skills and experiences gained different capacities - as aid workers, on to provide endoscopy training to clinicians significantly impacts on their personal electives, as part of research projects and on performing endoscopic stent placements. development as healthcare professionals. career breaks. Speaking at the symposium Oesophageal cancer rates are particularly were two College Fellows who have had high in Malawi and the procedure is used to He added, “Global health is an issue that personal experiences of the healthcare alleviate symptoms, however, training in the affects us all and we need to look at ways to challenges in Malawi. country has been variable across clinicians share the burden of care around the world.” and hospitals. Dr Stanley has also helped Orthopaedic surgeon, and a leader in the to transport much needed equipment For more information about global health field of global health, Mr Stephen Mannion, for endoscopy departments in Malawi by and volunteering in low and middle is founder of the clubfoot charity Feet First. securing donations from Greater Glasgow income countries visit: Mr Mannion began his interest in clubfoot and Clyde health board. Global Health Exchange: in Malawi in the late 1990s, when he www.globalhealthexchange.co.uk realised the profound effect the untreated College Vice President (Surgical) Mike GlobalSurg: http://globalsurg.org/ condition was having on Malawian children. McKirdy explained that volunteering in a Lancet Commission on Global This prompted him to pilot the relatively, low to middle income country is a two way Surgery: http://www.thelancet.com/ non-surgical technique of Ponseti, which stream, with mutual benefits to the country commissions/global-surgery corrects clubfoot during the first few weeks and the individual, and also benefits to the of infancy with gentle manipulations and NHS: “There are enormous benefits for UK Scotland Malawi partnership: plaster casts. The results of the treatment medical students, trainees and consultants www.scotland-malawipartnership.org/ were excellent and use of the practice spending time working and learning spread nationally and internationally. Today in different parts of the world. Their If you are interested in this aspect of all children born with clubfoot in Malawi are contribution has enormous benefits to the College work, please contact Mr Mike treated within the first year of life. communities and hospitals they serve in McKirdy: [email protected] www.rcpsg.ac.uk College News Winter 2015 11 ON THE FRONT LINE

ON THE FRONT LINE WITH JANE CHIODINI MSC RGN RM FFTM RCPS(GLASG) QUEENS NURSE The Faculty of Travel Medicine is expanding its educational strategy and portfolio and in order to do so effectively Jane Chiodini has recently been appointed as Director of Education. She is now working on the new education board and at this time of new growth and development, College News caught up with Jane to gain her thoughts and ideas for forthcoming travel medicine educational provision.

Can you tell us a bit about yourself, your Such topics may not be as interesting to many, You now have a new role to develop and interests, training and background? but they underpin the standards of excellent lead the Faculty’s education board. What are I began my nurse training at St George’s Hospital care and are issues nurses in particular have to your initial priorities and what will be at the London in the 1970s followed by courses in deal with. fore of the board’s agenda over the incoming midwifery and neurology, completing a busy academic year? career back in London as a ward sister. After a I spend many hours developing presentations, I think it vital to establish a good rolling short break to have a family, I returned to work my website which is a hub of resources for programme of meetings. Some of these I’d like as a practice nurse, but back in the 1980s with those practising travel medicine and I’ve also to be specifically for Faculty members but some limited supervision and available training, I felt recently been developing e learning skills. I also need to reach out to groups who may ‘jack of all trades and master of none’ which write a regular feature for Practice Nurse Journal have an interest in, or deliver services for travel didn’t personally suit my style of working. and for Travel Medicine and Infectious Disease medicine but have limited access to education (TMAID), the official journal of the Faculty. I and so far have little or no knowledge of our When did your interest in travel medicine developed the Atlas of Travel Medicine and Faculty. However, as we know, people also find develop? Health with the current Vice Dean, which we it increasingly difficult to get time out to attend I saw an advert for the Diploma of Travel Medicine co-authored and ran to three editions. I’m events, so on-line learning opportunities will at the University of Glasgow and applied. I was very proud to have been involved in two major become increasingly important. 2016 sees the honoured to be in the very first cohort of students pieces of work on standards, competencies UK bringing in revalidation for nurse registration, with just four of us progressing to the Masters and recommendations for the practice of travel the first country in the world to do so. CPD is year. The depth of learning in the course was medicine, one with the Royal College of Nursing essential and I hope the new board can establish intense, but I soon realised I had discovered and the other the Official Recommendations some learning activities to fulfil these objectives. a subject which I found both interesting and from the Faculty of Travel Medicine, published We also need to establish a longer term strategy fulfilling. After qualifying I started to teach and in TMAID. for the coming years and the opportunity to lead as this experience increased I appreciated how a team on such activities is extremely exciting exhilarating the role was – to this day I get a You have been involved with the college for to me. tremendous ‘buzz’ from teaching healthcare some time, what forms has this involvement professionals in travel medicine. Much of this taken in the past? What do you feel are the biggest challenges education lies within primary care in the UK – still I was honoured to be there at the very beginning and greatest strengths of the new board going the source of the bulk of advice. Therefore I as a member of the steering group before forward? consider it vitally important to continue practising the Faculty was formed and was then elected The response to the advert for the educational in this environment to truly understand the onto the board. After three years’ experience, board was significant and we had 16 applicants pressures other colleagues are experiencing in I won the election to become Secretary of the for five places. I wish we could have taken their day to day work. I have a long-standing Faculty of Travel Medicine and during my tenure everyone but selection was conducted to relationship with the International Society of I initiated the concept of Emporiatrics which I achieve a balanced skill mix. I sincerely hope Travel Medicine and this year I received its co-edited, and also took on the role of lead for though that those not selected will still wish to Distinguished Nurse Leadership Award. educational events. That was a busy three years, contribute and I consider the many activities we not least keeping the elected Dean in order – I intend to produce will encourage involvement Are there any topics and areas which interest truly believe I was the only person capable of from any Faculty member around the world. you specifically? this task – he being my husband! We worked This is our opportunity to really develop My Masters dissertation assessed the standard of very hard over that tenure and together with the the education side of the Faculty in a more malaria prevention advice delivered in a primary board achieved a great deal. I considered it a productive and far reaching way. The challenge care setting and I’ve always enjoyed malaria as high honour to be in such a position within the is that we are all working on the ‘day job’ as a subject in particular. My e-learning course College and was delighted to give some lasting well. Therefore, I have reduced some of these entitled “Malaria Matters” is now posted on the memory back by donating the Dean’s Medallion commitments for myself as I want to lead a College e-learning website and is open to all. of Office which was developed through a successful initiative to benefit the field of travel Still working part time in primary care, I remain competition at the Glasgow School of Art. I medicine, to encourage younger practitioners focussed and passionate about many practical certainly missed my involvement when I stood to develop for the future, as our ultimate goal issues in travel medicine such as prescribing, down in 2012 so am thrilled to be back in the is always to improve the health of travellers management of the consultation and service. throng of activity once more. abroad. Not a quick fix, but watch this space!

12 College News Winter 2015 www.rcpsg.ac.uk WHAT’S ON

Physicians

Exam closing dates 18-19 January, 9.00-17.00 Member fee: £500 | Lunch provided | Book 9 December 2015 | Diploma in IMPACT online dermatology Two-day course introducing the principles Also running on 20-22 April and 7-9 Exam to be held on 2 March 2016, Glasgow and practice of acute medical care and September related knowledge, skills, understanding 22 January | MRP(UK) Part 2 and attitudes Exam to be held on 6-7 April 2016, 29 January, 9.00-17.00 Member fee: £410 | Lunch provided | Book online Glasgow and Belfast. Application period Hot gallbladder symposium Also running on 23-24 March opens on 4 January 2016. Details below

4 March, 9.00-17.00 3 February | MRCP(UK) SCE 25-26 February, 9.00-17.00 Interactive cardiology symposium Geriatric Medicine GESTS Details below Exam to be held on 2 March 2016, various locations. Now accepting applications. Details on page 14. 18 March, 9.00-17.00 Improving treatment of kidney disease 3 February | MRCP(UK) SCE Nephrology 15 April, 9.00-17.00 Details below Exam to be held on 2 March 2016, various Coloproctology symposium locations. Now accepting applications. Details on page 14. 11 May, 9.00-17.00 26 February | MRCP(UK) Part 1 Sports and exercise medicine symposium Exam to be held on 10 May 2016, various 20 May, 9.00-17.00 Details below locations. Application period opens on 8 International orthopaedic and trauma February 2016. symposium 15-16 September, 9.00-17.00 6 CPD credits Medicine24 Providing the latest thinking and advances 12 CPD credits in current practice to optimise surgical A two day interactive educational event Surgeons outcomes in orthopaedics and trauma which will provide a comprehensive update Member fee: £100 | Lunch provided | Book on general internal medicine, focusing on 13-15 January, 9.00-17.00 online the optimal management of conditions MRCS OSCE Part B Preparation Course within the first 24 hours of admission This course prepares candidates for the Member fee: £120 | Lunch provided | Book online MRCS OSCE exam

All events are held in the College unless otherwise stated. Event schedule and content may be subject to change. All of our events can be booked online (unless otherwise indicated) at http://rcp.sg/events. All exam enquiries are welcome through our general mailbox [email protected]. All dates advertised are in 2016 unless otherwise indicated.

INTERACTIVE CARDIOLOGY SYMPOSIUM IMPROVING TREATMENT OF KIDNEY SPORTS AND EXERCISE MEDICINE DISEASE SYMPOSIUM SYMPOSIUM

6 CPD credits 6 CPD credits 6 CPD credits 4 March, 9.00-17.00 18 March, 9.00-17.00 11 May, 9.00-17.00 The third annual Interactive Cardiology This symposium will update on the A world class event with keynote speakers symposium, run in partnership with the advances in treatment of patients with presenting on the prevention and treatment British Cardiovascular Society, provides kidney disease, with an emphasis on new of sporting injury. an opportunity to hear from national and therapies, safety and cost-effectiveness international experts who are recognised Member fee: £68 | Lunch provided | Book leaders in their fields. Member fee: £68 | Lunch provided | Book online online Member fee: £68 | Lunch provided | Book online

www.rcpsg.ac.uk College News Winter 2015 13 WHAT’S ON

18-19 February, 9.00-17.00 16-17 April, 9.00-17.00 Basic surgical skills course MRCS OSCE Part B Preparation Course - Dentistry This is the new, fifth edition of the Bangalore Intercollegiate course that runs over two This course prepares candidates for the days. It is for trainees anticipating a career MRCS OSCE exam 11-13 March, 9.00-17.00 in Surgery and preparing for basic surgical Member fee: £110 | Contact mrcsosce@ MFDS P1 – Glasgow examinations. rcpsg.ac.uk 18 CPD credits Member fee: £505 | Lunch provided | Book The MFDS Part 1 Revision course is a three- online day course featuring a series of interactive Also running on 22-23 September and 17- lectures, aimed at those candidates about to Exam closing dates 18 November sit their MFDS PART 1 exam Member fee: £440 | Lunch provided | Book 11 December 2015 | DOHNS Part 2 24 February, 9.00-17.00 online Exam to be held on 9-11 February 2016, Surgical Anastomosis Techniques Dublin A hands-on practical course designed 15 January, 9.00-17.00 for surgical trainees wishing to develop 5 February 2016 | FRCS Ophthalmology Inaugural Scottish orthodontic symposium their anastomosis techniques. The day Part 3 Details below concentrates on vascular and bowel Exam to be held on 25-28 April 2016, anastomosis techniques Amman. 12 February, 9.00-17.00 Applications open 8 January 2016. Member fee: £145 | Lunch provided | Book Management of caries in young people online 12 February 2016 | MRCS Part A Details below Exam to be held on 19 April 2016, various 19 March, 9.00-17.00 locations 12 February, 9.00-17.00 Foundation Skills in Surgery Top Tips for VDPs This interactive course provides an 12 February 2016 | DOHNS Part 1 6 CPD credits introduction to the specific skills of Exam to be held on 18 April 2016, Glasgow Member fee: £50 | Lunch provided | Book early stages of surgery. It is suitable for online 4 March 2016 | MRCS Part B OSCE foundation year doctors and final year Exam to be held on 22 May 2016, Salford medical students considering a career in 3 June, 9.00-17.00 surgery 4 March 2016 | DOHNS Part 2 TC White symposium Member fee: £68 | Lunch provided | Book Exam to be held on 24-26 May 2016, 6 CPD credits online Glasgow Focusing on the needs of individuals with

All events are held in the College unless otherwise stated. Event schedule and content may be subject to change. All of our events can be booked online (unless otherwise indicated) at http://rcp.sg/events. All exam enquiries are welcome through our general mailbox [email protected]. All dates advertised are in 2016 unless otherwise indicated.

HOT GALLBLADDER SYMPOSIUM GLASGOW EMERGENCY AND TRAUMA COLOPROCTOLOGY SYMPOSIUM SYMPOSIUM (GESTS)

6 CPD credits 11 CPD credits 6 CPD credits 29 January, 9.00-17.00 25-26 February, 9.00-17.00 15 April, 9.00-17.00 This symposium will be of interest to all This two-day symposium is an interactive, The eighth coloproctology symposium will healthcare workers. It involves a mixture engaging event designed to provide insight be held in conjunction with the Scottish of short presentations, video scenarios, into critical decision making, management Chapter of the Association of Coloproctology interactive discussions and an audience algorithms and delivering essential practical of Great Britain and Ireland. As before, a response system advice for surgeons on the spot number of controversial lectures will be given by speakers well recognised for their Member fee: £34| Lunch provided | Book Member fee: £178| Lunch provided | Book willingness to state an opinion online online Member fee: £68| Lunch provided | Book online

14 College News Winter 2015 www.rcpsg.ac.uk WHAT’S ON dementia, considering communication, 4 March 2016 | MFDS Part 2 Exam closing dates protection and health inequalities Exam to be held on 17-18 May 2016, Member fee: £80 | Lunch provided | Book online Glasgow and Manchester 11 December 2015 | MFPM Part 1 Exam to be held on 9 March 2016, Glasgow 26-27 April, 9.00-17.00 and London MFDS P1 – Glasgow Travel Medicine 11 CPD credits Designed for those intending to sit the MFDS 7 June part 2 exam, our two-day revision course Diploma in expedition and Bringing legs to life includes interactive lectures and practical wilderness medicine Member fee: £68 | Lunch provided | Book online skills stations, as well as an afternoon of The course has been designed and directed by mock OSCEs two of the editors of the international bestselling Member fee: £425 | Lunch provided | Book online Oxford Handbook of Expedition and Wilderness Medicine - Dr Jon Dallimore and James Moore. Exam closing dates Events for all Focused on preparing medical professionals 28 December 2015 | ISFE restorative dentistry for work in expedition medicine, the modular 22 January, 12.30-17.00 Exam to be held on 18-19 April 2016, course incorporates practical teaching Clinical trainer development course Glasgow on location in extreme and wilderness 4 CPD credits environments. Delivered by professional clinical leadership 28 December 2015 | ISFE paediatric dentistry Find out more at http://rcp.sg/expedmed and management experts and senior Exam to be held on 18-19 April 2016, clinicians, this half day course will provide Glasgow 14-17 March you with enhanced skills for delivering Diploma in Travel Medicine course education and training 31 December 2015 | ISFE dental public 12 month blended e-learning course, final Member fee: £40 | Book online health Exam to be held on 21-22 April 2016, exam on 9 February 2017 Glasgow Book online 10 May, 18.30-20.30 Public lecture: Stem cell research 4 January 2016 | ISFE oral surgery Free event Exam to be held on 23-24 May 2016, Glasgow Podiatric Medicine 22 January 2016 | MFDS Part 1 19 May, 9.00-17.00 Exam to be held on 4 April 2016, various 10 February Practical advice for new consultants locations Introductory student membership day Details below

All events are held in the College unless otherwise stated. Event schedule and content may be subject to change. All of our events can be booked online (unless otherwise indicated) at http://rcp.sg/events. All exam enquiries are welcome through our general mailbox [email protected]. All dates advertised are in 2016 unless otherwise indicated.

INAUGURAL SCOTTISH ORTHODONTIC TC WHITE SYMPOSIUM PRACTICAL ADVICE FOR NEW SYMPOSIUM CONSULTANTS

6 CPD credits 5 CPD credits 15 January, 9.00-17.00 6 CPD credits 19 May, 9.00-17.00 An opportunity for the whole orthodontic 3 June, 9.00-17.00 This symposium guides newly appointed team to get together for an update on areas This new event will focus on the needs consultants, or those who are about to be of fundamental importance to the delivery of of individuals with dementia, considering appointed, through the major issues they contemporary orthodontics communication, protection and health will encounter in the first years following inequalities appointment, particularly those areas not Member fee: £68 | Lunch provided | Book discussed in postgraduate or specialty online Member fee: £68 | Lunch provided | Book training online Member fee: £68 | Lunch provided | Book online www.rcpsg.ac.uk College News Winter 2015 15 PHYSICIANS

STATEMENT ON FEDERATION SHAPE OF TRAINING RESPONSE

We are pleased to announce that the Federation transformation but we are not seeking to alter the early years to permit more pluri-potential of Royal Colleges of Physicians of the UK final the current length of physician training. training and for later training to ensure response to the Academy of Medical Royal 2. We recognise that there are many ways to appropriate development and maintenance of Colleges (AoMRC) Shape of Training mapping better support the acute medical take and skills and competencies. exercise was sent to the GMC on 12 October acute care, both within the hospital and the 2015. community. These are specialty dependent, As we await feedback from the AoMRC and While the work on Shape of Training will continue but with an expectation that specialties will GMC, work will continue on the proposed model for several years, the submission of this particular have knowledge of the acute take, contribute for an Internal Medicine curriculum, including document is a key milestone. to the care of acutely unwell patients, and development of the supporting assessment have the skills to do that. methodology, via a newly-formed Internal Key points of the response: 3. Changes for training in all specialties will be Medicine Committee. The committee will be 1. We support the need to restructure aspects aligned with the General Medical Council tasked with developing the curriculum to support of the training of physicians to support the changes to Generic Professional Capabilities the spine of internal medicine, central to our management of acute medical emergencies, and a new approach to assessment. future proposals. chronic disease management, comorbidities, 4. The curricula will allow simpler and more complexity and the needs of an ageing society. regular updating to accommodate the needs We will continue to keep you appraised of the In doing so we also recognise an opportunity of patients and new innovations in treatment. latest developments, both on Shape of training, to begin the process of service and education In particular we want maximum flexibility in and the proposed Internal Medicine curriculum.

RECRUITMENT

Specialty Certificate Examinations Chair of the MRCP(UK) scenario editorial recruiting members to the following MRCP(UK) is currently seeking committee boards: appointments for the following positions MRCP(UK) is seeking to appoint a chair on its Specialty Certificate Examination of the MRCP(UK) scenario editorial • MRCP(UK) Part 2 written (respiratory (SCE) groups/boards: committee to oversee the production medicine and rheumatology) of clinical scenarios for inclusion in • Endocrinology and diabetes specialty • Member of the Geriatric Medicine SCE station 2 (history taking) and station 4 certificate examining board Standard Setting Group (communication skills and ethics) of the • Endocrinology and diabetes specialty • Member of the Geriatric Medicine SCE MRCP(UK) Part 2 clinical examination. certificate examination standard setting Specialty Certificate Examining Board group • Member of the Respiratory Medicine Further details can be found at • Medical oncology specialty certificate SCE Examining Board www.mrcpuk.org examining board • Member of the Respiratory Medicine • Chair of MRCP(UK) writing group SCE Standard Setting Group MRCP(UK) Part 2 written and specialty scenario certificate examining boards Full details can be found at The Federation of Royal Colleges of Further information and applications are www.mrcpuk.org Physicians of the UK are currently via www.mrcpuk.org

MEDICAL EXAM FEES FROZEN The fees are: All fees for MRCP(UK) and specialty structure to ensure it is able to provide certificate exams (SCE) will remain a cost effective service while investing UK International* unchanged in 2016. For the third year in academic quality. It has made the MRCP(UK) Part 1 £419 £594-£693 running, fees will be frozen for all three decision not to increase fees in 2016 in MRCP(UK) Part 2 £419 £594-£693 parts of the MRCP(UK) diploma examination light of current financial pressure in the and all of the SCEs. UK healthcare system along with their aim MRCP(UK) PACES £657 £1202-£1297 to keep the examinations affordable for *May be subject to currency fluctuations MRCP(UK) continually reviews its fee international candidates.

NEW LOOK FOR CT1 RECRUITMENT WEBSITE The CT1 recruitment website, home to all The website includes information on dates recruitment. of the information and guidance for those and posts, eligibility criteria, planning your Round 1 of recruitment opened on 11 looking to undertake a CT1 programme in application, applying, interviews and offers. November 2015 and closed on 3 December. core medical training or acute medicine has An ‘applicant’s guide’ provides an overview Round 2 opens in March 2016. been updated and refreshed to be more user- of how the process works and is a good friendly. introduction for those new to specialty http://www.ct1recruitment.org.uk/

16 College News Winter 2015 www.rcpsg.ac.uk PHYSICIANS

MRCP(UK) 2016 EXAM DATES NEW MEMBERS The dates for Part 1, 2 and PACES MRCP(UK) exams were announced recently and are provided below: Welcome to all physicians admitted to the College during August - October. Part 1 Application period Exam date Results released Fellow qua Physician - FRCP(Glasg) 19 Oct 2015 – 6 Nov 2015 12 Jan 2016 9 Feb 2016 Wazir Ahmed Rao Saad Ali Khan 8 Feb 2016 – 26 Feb 2016 10 May 2016 7 Jun 2016 Mohamed Ibrahim Ahmed Gurudev Konana 20 Jun 2016 – 8 Jul 2016 6 Sep 2016 4 Oct 2016 Mohamed Khamis Saleem Al- Chennabasappa Ghailani A S Mat Arshad Part 2 Mansoor Naser Ali Ishaq Muhammad Application period Exam date Results released Bassim A. Asker Owolabi Ogunneye 4 Jan 2016 – 22 Jan 2016 6-7 Apr 2016 6 May 2016 Faisal Azam Maire O’Riordan Shri Krishna Dutt Bhardwaj Md Mizanur Rahman 19 Apr 2016 – 9 May 2016 29-30 Jun 2016 29 Jul 2016 Brian Cheong Mun Keong Arakkal Riyazudheen 26 Sep 2016 – 14 Oct 2016 7-8 Dec 2016 6 Jan 2017 Lindsay Donaldson Shawana Farooq Shaikh Shanmugam Elangovan Uzma Syed Paces Mahesh Eswarappa George M Varghese Jose Vicente Fernandez- Mayank Vats Application period Assessment period Montero Graham Maxwell Whyte 8-22 Feb 30 May – 1 Jun (Brunei) Sunil Surajprasad Gupta Yat Hin Desmond Yap 28 May – 3 Jun (Egypt) Lesley Mary Lambert Hall Chi Kin Yeung 16-19 May (Dubai) Member of the College - MRCPS(Glasg) 24-28 Jun (Singapore) 28 Mar – 11 Apr 4 Jun – 7 Aug (UK) Kolawole Oluseyi Akande Teng Cheng Khoo 6-20 Jun 5-7 Dec (Brunei) Hanadi Babiker Abdel Basit Htin Aung Latt Alnageeb Ammad Mahmood 10-13 Oct (Dubai) Tengku Ahmad Hidayat Bin Debkrishna Mallick 8-13 Oct (Egypt) Tengku Kamadjaja Aziz Hibatullah Memon 14-18 Nov (Chennai, India) David Ejibe Joanne Kathryn Payne 31 Oct – 3 Nov (Kuwait) Malik Sajid Farid Muhammad Safdar Affifa Farrukh Saheer Sainalabdeen 14-16 Nov (Mandalay, Myanmar) Anuj Gandagule Niravkumar Kiran Sangani 23-27 Nov (Yangon, Myanmar) Fraser Graham Shatene Selvadurai 16-20 Oct (Oman) Raja Ramesh Gummalla Ian Sexton 14-18 Oct (Singapore) Stuart Hutchison Husain Shah Agha Haider Imran Syed Hassan Murtaza Shah 3-5 Dec (Sudan) Amena Iqbal Kyaw Thura Kolkata, India and Malaysia exam dates Samar Abbas Jaffri Mohammad Waleed to be confirmed Jamil Ahmad Khan John Robert Whitear 4-15 Jul 3-7 Oct (Hong Kong) 25 Jul – 8 Aug 1 Oct – 4 Dec (UK)

Please note: The application process for Hong Kong and Singapore centres are different.

Please refer to the MRCP(UK) website for details.

In Brief

A small number of trainees advised they were unaware were contacted via of the intention to use their JRCPTB ePortfolio ePortfolio in this manner recently with an email from and would not have granted Health Education England permission to do so. The concerning junior contract matter is currently being negotiations. JRCPTB have investigated.

www.rcpsg.ac.uk College News Winter 2015 17 SURGEONS

GESTS 2016

The only symposium of its kind in the UK bringing together world leaders in emergency trauma and surgery

The programme for the Glasgow Emergency Surgery and Trauma Symposium (GESTS) 2016 has shaped up impressively well. The event distinguishes itself as an opportunity to learn from the highest level experts how different countries manage emergency care. There will be an outstanding cohort of international and national knowledge in the room on 25 and 26 February 2016 and a rare opportunity to draw from the collective experience which this exceptional forum can provide.

Typically, Euan Dickson, Event Director, has given considered thought to the integral dynamic of his programme and how each speaker’s contribution will complement proceedings.

There is the classic blend of experienced GESTS faculty and fresh faces: a clever mixture, and necessary, for sustaining the fast pace and packed content of this energising and engaging symposium, with a substantive range of knowledge to share and remember. The international line up is comprised of Christine Gaarder, Director of Trauma from Oslo University Hospital, with themes on complex cases, difficult If you would like more information on Professor Bryan Cotton, from the University decisions, game changers and minimising GESTS February 2016 please contact our of Texas Health Science Centre in Houston, complications. There is even advice on Education Unit for details. Places are in Tracy Bilski, specialising in critical care, mission impossible situations. short supply and subject to availability. from Orlando, Florida and Scott D’Armours, Trauma Director from Liverpool Hospital, The content will keep delegates focused for Find out more about GESTS2016 at http:// Sydney. every second, there will be no let up in the rcp.sg/newsGESTS2016 pace of delivery, and make sure you take Some nationally based talent with a wide notes; you will not want to miss a single range of international expertise comes vital tip! On the subject of tips, there is from Lt Col Nigel Tai, clinical director of a fast and furious slide-a-minute section GESTS 2016 sponsor profile trauma at the Royal London Hospital who called ‘a tip, a trick and an error trap’. Rest MP Locums is a specialist locum doctor is accustomed to the distinctive GESTS assured you will go away from this event agency supplying locums to NHS Scotland format. The event will also introduce with a great deal to reflect upon and much through the NHS Scotland Framework Hugh Gallagher, consultant laparoscopic to remember. and NHS England through the CCS and colorectal surgeon from Newcastle, Framework. As a preferred provider MP who has a strong educational profile Euan Dickson’s determination and Locums is in a prime position to find the running national and international courses commitment to providing useful content best placements to match our doctors’ in colorectal, trauma and abdominal and valuable insight are forces to be preferences. As an NHS framework reconstructive surgery. He has a very reckoned with and they explain why the supplier we receive hundreds of new busy emergency practice, confirmed by GESTS programme design is so well- vacancies daily for doctors at all grades the NELA audit, as performing the most constructed, meaningful and engaging. and specialities across all hospitals in laparotomies in the Newcastle Major The event is all about substance - applied Scotland, England and Wales. Trauma Centre. We also have Professor knowledge, experience and reflection, Rowan Parks, who is a specialist in shared insight and reflective practice. Its hepatobiliary and pancreatic surgery from focus is on the best guidance for difficult Edinburgh. situations, vital insight when fast judgement and expedient procedures are essential. It Living up to expectations the content tells you what you really want to know and will be, above all, relevant and insightful, answers what you always wanted to ask.

18 College News Winter 2015 www.rcpsg.ac.uk SURGEONS

MRCS COMING TO BANGALORE IN 2016 candidates will receive one to one and peer feedback on their performance in the exam.

As a special launch offer, the College has agreed to waive the joining fee and offer 15 months subscription for the price of 12 for successful candidates in the first running of this exam in Bangalore. Candidates sitting both the exam and preparation course will also receive a discount on the total fee.

Dates and fees:

Preparation 16-17 April 2016 £350 course Exam 19 June 2016 £930

Closing date for applications 1 April 2016

The College recently announced plans to take of the internationally recognised postnominals Anyone interested in applying should the MRCS OSCE exam to Bangalore in 2016. MRCS(Glasg). contact [email protected] An exam preparation course will be held in the The exam, which will be held at MS Ramaiah exam centre a few weeks before the exam to FURTHER SAVINGS: Hospital, is suitable for surgeons looking to support candidates. The preparation course £180 off when you book the exam and advance their career through membership will focus on exam technique and application preparation course together of our College. Successful candidate in the of knowledge and includes a mock exam. It Total fee for exam + course = £1100 exam are eligible for membership and the use is delivered by current UK examiners and all

NEW MEMBERS Welcome to all physicians admitted to the College during August - October.

Fellow qua Surgeon – FRCS(Glasg) Linda Rankin MacDonald Fellow qua surgeon in urology (Malaysia) Ahmed Saber Abdou Kirsten McArdle – FRCS(Urol)(Glasg) Iftikhar Ahmad Ahmad James Raymond Oliphant Mei Wen Fiona Wu Abdu Hassan Al Zobydi Judith Reid Ayman Basheer Bajanethala Bryce Renwick Member qua surgeon – MRCS(Glasg) P Gopinath Menon Wejdi Abbass Yassin Al-Fatlawy Rose Padmini Moses Fellow in otolaryngology – Faisal Rehman Ali Ravi Chandran Nayar FRCSGlag(ORL-HNS) Levi Nii Ayi Ankrah Ramakrishnapillai Padmakumar Maria-Angeles Espeso Katrin Gudlaugsdottir Vishalkumar G Shelat Kerrie Ann McAllister Salman Jabbar Michelle Thornton John Kennedy Fellow in trauma and orthopaedics – Muhammad Ehtesham Ahsan Khan Fellow qua surgeon in ophthalmology – FRCSGlasg(Tr and Orth) Sajid Malik FRCS(Glasg) James Andrew Gillespie Archana Raysee Mohamed Ahmed Fathy El-Naggar Sarah Elizabeth Maclaine Rana Muhammad Umar Rizwan Nour Salah Elsayed Akl Nadia Saeed Asem Ahmed Ali Alqudah Fellow in urology – FRCSGlasg(Urol) Laura Isobel Smith Arthi Dwarakanath Abid Habib Khattak Ahmad Sulaiman Khaled Michael Sami Chenouda Guirguis Omar Aboumarzouk Babiker Taha Ahmed Mohamed Karara Muhammad Shabi Ahmad Nadira Sarika Mahabir Muhammad Zeeshan Aslam Mostafa Mohamed Ezzat Mazen Member qua surgeon in ENT – Fellow in paediatric surgery – Rani Rajagipalan Nair MRCS(ENT)(Glasg) FRCSGlasg(Paed Surg) Payman A K Mohammad Salih Ahmed Assad Hassan Al-Kilidar Suzanne McMahon Adam Christopher Gaunt Fellow in general surgery – FRCS(Glasg) Fellow in surgical neurology – Muhammad Aamer Kiani FRCSGlasg(Neuro Surg) Kirstin Ann Carswell Muhammad Shahzad Shamim www.rcpsg.ac.uk College News Winter 2015 19 DENTISTRY

TC WHITE LECTURE AWARD

Congratulations to Dr Francesco D’Aiuto, who received the TC White Lecture Award for his presentation entitled “A mouthful of disease”.

Dr D’Aiuto (right) received his certificate from Professor Mike Lewis (left), former Dean of our Faculty and current Dean of the School of Dentistry at Cardiff University, at the British Society for Oral and Dental Research annual meeting in Cardiff on 15 September.

MAXILLOFACIAL SURGERY FROM LIVERPOOL TO THE AMMAN Mr Ashraf Bustanji recently received funding reconstruction. I also attended other instruments. And I had valuable discussions through the College’s TC White Observership procedures including orthognathic and facial with surgeons, nurses and laboratory Award to spend time observing and learning trauma surgeries. technicians about the highly specialised at the Department of Maxillofacial and Head instruments used in surgery and their impact and Neck Surgery at Aintree Hospital in As well as ward round and surgeries, I on the time and precision of the procedures. Liverpool. He reports on his experience. attended the weekly multi-disciplinary team meetings where the head and neck oncology Throughout my visit, critical comparison of the Attending international conferences, cases were discussed and planned by different setup and technique between the department workshops and training can be very expensive specialties including surgical, radiotherapy, in Liverpool and my own department was for doctors, surgeons and dentists and this and medical oncology. I was also fortunate to carried out. This included comparison of can deprive them from attending important be able to attend the monthly audit/research/ procedures before, during and after surgery events to improve their competencies. I was teaching meeting of the regional services including all aspects of delivery – anaesthesia, extremely grateful to receive the observership for maxillofacial surgery at Aintree University transportation of patients, preparation, award which provided me with a precious Hospital where many lectures were delivered, surgery, and so on. opportunity to travel from my home in interesting cases were discussed, and audit Jordan to Liverpool in the UK to learn from reports were reviewed in different subjects on Since returning to MSFF Amman experienced surgeons. the specialty. Reconstructive Surgical Hospital, I have started applying my new learning by opening The aims of my visit were: I am always looking to provide my patients a thorough discussion with my colleagues • To observe new and advanced procedures with the best results possible and so it was across the surgical team to introduce used for head and neck reconstruction important for me to learn from experts in the changes to our set up. One change I plan to performed by a team of highly experienced field of oral and maxillofacial surgery who introduce is allowing more time for planning consultants in maxillofacial surgery are dealing with cases of reconstruction on surgery using new technologies that have the • To observe the advanced technology use in a daily basis. My visit to the Department of potential to dramatically improve the accuracy maxillofacial surgery Maxillofacial and Head and Neck Surgery of surgery. • To apply my learning into practice at made me re-think some of my current the Doctors Without Borders project, by practices, helped to refine my surgical During my visit, I had the opportunity of providing reconstructive surgery for victims technique, and pushed me to create some building a friendship with a highly experienced of violence in the Middle East positive change in my team. surgeon who I will continue to communicate and discuss complicated cases with. There is The Department of Maxillofacial and Head I achieved my aim of learning uncommon no doubt my experience will have a positive and Neck Surgery at Aintree University kinds of free flap techniques for facial impact on the unfortunate patients that I treat. Hospital is staffed by eight consultants. reconstruction by observing consultants in During my two week visit I attended the the operating theatre. I was also fortunate morning rounds with the consultants on a to learn about new technologies such as use The College offers a number of daily basis. After the rounds I attended the of software in planning and predicting the scholarships and awards for dental operating theatre with special concentration outcomes of surgery, fabrication of surgical professionals. Further details are available at on procedures that require free flap guides, 3D models, and custom made http://rcp.sg/scholarships

20 College News Winter 2015 www.rcpsg.ac.uk DENTISTRY

DENTAL DINNER RAISES £950 FOR MEDICS AGAINST VIOLENCE

The annual dental dinner was the Scottish charity which aims held in the College in November. to prevent violence by working Over 90 people attended the with young people to help them event, which included fund-raising to stay safe and understand the activities to support Medics Against consequences of violence and how Violence. £950 was raised for to avoid it. DEAN ELECT FOR STUDENT DENTAL FACULTY EVENTS

Professor Graham Ogden was invested We are looking forward to welcoming as Dean Elect at the Faculty AGM held final year dental students from the on 5 November. Over the past 10 years, Universities of Dundee and Aberdeen to Professor Ogden has been involved the College in January for our annual in various College activities including Temporomandibular disorders and oral examinations and courses. cancer symposium. This event is always a valuable opportunity for students to visit Most recently, in his role as Vice Dean of the the College and learn from key members Faculty, he has been involved in organising of the Faculty. a number of very successful meetings including the triennial conference and TC We will also be involved with the White symposium. Professor Ogden will University of Glasgow Attributes Week in assume to role of Vice President (Dental) December, which will include a careers and Dean of the Faculty in November 2015 day and mock interviews to prepare final when the current Dean, Professor Richard year dental students. Welbury’s term comes to an end.

NEW MEMBERS Welcome to all dental professionals admitted to the College during August-October.

Fellow in Dental Surgery - FDS Shoba Chandrasekar Carys Lock RCPS(Glasg) Andreas Chatzipantelis Andrew Mackintosh Ahed Al-Wahadni Amy Considine Hafsa Malik Afshan Bey Jamie Coulter Sarah Jane McGuckian Sarah Duffy Maria Helen Cresta Nuala Maire McMahon Kate Elizabeth Hargreaves Amit Dattani Camilla Dorothy Mary McPhee Kenneth Kurtz Harriett Elizabeth Day Pooja Mehta Stephen Lambert-Humble Sheila Friel Miten Mistry Sangeeta Batish Misra Anthony Gadd Puja Kumari Mittal Mutlu Ozcan Neha Rani Gupta Sze San Ngu Paul Andrew Stone Matthew Alexander Hanna Charlotte Mary O’connell David Wilson William Christopher Harrison Padraig Seamus O’Fearraigh Sarah Judith Humphreys Iffat Fatima Abdul Quayum Member in orthodontics Shumaila Iqbal Rhys Lewis Redford Ashish Gupta Robert Peter Jacobs Robert Reilly Aravind Kumar Subramanian Ikhinder Kaur Jheeta Ashish Niteenkumar Shah Lowri Angharad Jones See King Arthur Sham Member of the Faculty of Dental Surgery Kiran Jumbu Bhargavi Srinivasaraghavan – MFDS RCPS(Glasg) Mourughan Kalyanasundaram Nazar Rasool Syed Tariq Ashraf Matthew James Kitchen Ananthi Thirunavukarasu Harrison Belfield Fiona Marian Knight Lucinda Margaret Jane Waddingham Sophie Buzzard King To Jonathan Ku www.rcpsg.ac.uk College News Winter 2015 21 TRAVEL MEDICINE

RAF MEDICAL OFFICER APPOINTED DEAN OF THE FACULTY OF TRAVEL MEDICINE

Group Captain Andy Green has been invested into the role of Dean of the Faculty of Travel Medicine

prevention and control, and defence Travel Medicine Dean’s medallion by outgoing consultant adviser in communicable diseases Dean, Dr Mike Jones, at the Faculty’s Annual to the surgeon general. Symposium on 8 October 2015. He has served on the Faculty Board since 2010, for the past After joining the RAF in 1983, Gp Capt three years as Vice Dean and subsequently Green trained as a specialist in clinical Dean Elect. He was lead author of the Faculty’s microbiology. In a varied career he has “Health of Travellers” report published in deployed worldwide investigating outbreaks October 2014, which outlined areas of concern of infectious diseases in the Armed Forces, in the current delivery of Travel Medicine from the Falkland Islands to Sierra Leone. services across the United Kingdom. He was responsible for the deployed laboratories in field hospitals in Iraq and Afghanistan, dealing with the diagnostic challenges of both infectious diseases and infective complications of battle trauma. In Brief

He was the clinical lead for the MFTM exam development of the RAF Air Transportable The MFTM Part 2 OSCE exam was Patient Isolator in 1996, and been at the held at the Golden Jubilee Hospital forefront since then of the international in Glasgow on 2 December. Twenty development of policies for management candidates sat the exam, which is a and transport of patients with highly significant increase on the number who transmissible infectious diseases. In 2014 completed the exam when it was first Gp Capt Green is the first serving Royal Air he was one of the national leads advising held in 2013, reflecting a trend towards Force medical officer to be appointed as the on clinical aspects of the Ebola Virus greater recognition of the importance head of a medical royal college or faculty. He Disease response of the United Kingdom. of membership of our Faculty for is currently consultant in clinical microbiology healthcare professionals working in for the RAF, and serves as director of infection Gp Capt Green was presented the Faculty of travel health. Work is ongoing to align the Diploma in Travel Medicine examination with the MFTM exam.

Faculty dinner FACULTY EDUCATION BOARD The inaugural faculty dinner was held on the evening of Wednesday 7 October The travel medicine education and are Lisa Ford, Sarah Lang, Ann McDonald, in the splendour of the Alexandra Room professional development board has Catherine O’Malley and Deborah Rennie. in the College. An excellent menu was recently been formed. Response to the In due course, others who expressed accompanied by Allan Neave on classical advertisement was encouragingly high with interest will be invited to contribute to a guitar and Robert Irvine on cello from 16 applicants for five places. A College variety of projects. The immediate work the Royal Conservatoire of Scotland. selection process matched individuals for of this board is to progress meetings for their skill set to best serve this committee the forthcoming year and develop a longer Cameron Lockie Memorial Fund in its initial development. Jane Chiodini is term strategy plan. More information will The Audit and Remuneration Committee director of the board and new members be published in due course. of the College recently agreed to the initiation of the Cameron Lockie Memorial Fund. Cameron Lockie, who died earlier this year, was one of the NEW MEMBERS founding fathers of the Diploma in Travel Medicine in 1995. The fund will be Welcome to all travel medicine practitioners admitted to the College during August- used for the benefit of Travel Medicine October . education. Further information is Associate of the Faculty of Travel Prabjeet Dulai available at http://rcp.sg/scholarships Medicine – AFTM RCPS(Glasg) Derek Ramsay Grace Awe David Ndawula Serwadda Have a suggestion? Why not email us: Elaine Crisp [email protected]

22 College News Winter 2015 www.rcpsg.ac.uk TRAVEL MEDICINE

CHANGES ON THE FACULTY BOARD

This edition of College News marks a transitionary period after the election of new Faculty board members in October 2015 and the beginning of terms of office for the new Dean and Vice Dean. Current members of the board are:

Dean Group Captain Andy Board has not met since the elections. At her profession. Jane Chiodini has now Green the next meeting the board will agree a taken up post as Direction of Education strategic plan for the Faculty development and Professional Development, and the Vice Dean Mrs Lorna Boyne* over the next three years, which will be process of selecting members for the Secretary Mrs Margaret Umeed* reported in the next College News. Education Board is now complete - more Ordinary Members Ms Sharon Graham* details will be announced shortly. Dr Sundeep Dhillon New arrivals include Lorna Boyne as Vice Dean, who has previously served It is important to recognise the Dr Katie Geary as Secretary and is well known to the contribution of Mike Jones, the departing Mrs Carolyn Driver* Faculty. Lorna has worked in the field Dean, and departing Board member Associate Members Ms Jen Anderson* of travel medicine for more than 20 Joanne Lane-Sansam to the continued years. Her current position is nurse lead growth and evolution of the Faculty. It Mrs Dawn Alldridge* in travel medicine at Health Protection is now on a very sound professional and Co-opted Members Scotland where her responsibilities financial foundation, with the opportunity Hon Clin Reg, MFTM Dr Angus Menzies include overseeing clinical content to move forward in a strong fashion. Director Education Mrs Jane Chiodini* of Travax and managing Yellow Fever Centre designation in Scotland. Lorna Separate to the Board, Sue Campbell was Overseas member Dr Pål Voltersvik played a key role in the development appointed as co-course manager for the Lay representative Mr Alan MacDermid* and subsequent management of the diploma in travel medicine in summer Ex Officio diploma and foundation courses in travel 2015. President Dr Francis Dunn medicine. She also helped develop the Faculty of Travel Medicine and sat on the Another departure in the near future President Elect Professor David shadow board before serving as Secretary. will be Clare Henderson, who has been Galloway co-course manager for the diploma Registrar Dr Robin Northcote Katie Geary was elected as Ordinary in travel medicine since 2012. She is Member, having filled the role on a developing her career in new directions, * non medically-qualified temporary basis earlier this year prior expanding her clinical involvement and to formal elections. Dawn Alldridge taking on greater training and teaching Faculty board meetings are held every has joined as Associate Member. Dawn commitments. We thank Clare for her three months in accordance with College is a pharmacist, and brings a different patience and profound common sense, regulations, and at the time of writing the perspective to the Board representing and wish her well. www.rcpsg.ac.uk College News Winter 2015 23 PODIATRIC MEDICINE

We have created a new infographic to illustrate a typical career journey of a podiatrist. While recognising individuals may take a different route or different lengths of time between career stages, the illustration is intended to provide a guide. The infographic also indicates where different stages of Faculty membership typically sits within this career journey.

EDUCATION

The Faculty has held a number of highly the symposium, the annual Faculty dinner Update 2015” conference in Chennai, successful symposia and education events was held in the Alexandra room where South East India. This was a fantastic throughout 2015. In February, we hosted guests were treated to a magnificent dinner event which attracted more than 250 an undergraduate event that was attended and entertainment by musicians from the physicians from throughout the sub- by students from Glasgow, Edinburgh, Royal Conservatoire of Scotland. continent. and Galway. Around 70 students heard a number of inspirational presentations from More recently, around 40 delegates Our journal club continues to be very clinical and research leaders from within attended our “Lower limb pain and its popular and if you have not already the profession. The evening concluded clinical implications” symposium held participated, you are highly recommended with a curry in the College Hall. in Birmingham Medical Institute. Again, to do so, regardless of your location. This feedback regarding the calibre of the excellent discussion forum is hosted in the In June, around 110 colleagues assembled presenters was outstanding. A review of College and available worldwide via a live in the College for the Faculty’s flagship this event is provided. online link via Google/YouTube. symposium entitled “The high risk lower limb – navigation skills for clinicians in In November, Honorary Clinical Registrar Our Faculty recently supported the optimising patient outcomes”. Feedback Christine Skinner and Dean of the Faculty, College of Podiatry conference in was excellent, particularly around the quality Professor Stuart Baird, attended the Harrogate. Many thanks to everyone who and calibre of those presenting. Following “Diabetic Foot and Diabetic Neuropathy visited our stand.

24 College News Winter 2015 www.rcpsg.ac.uk PODIATRIC MEDICINE

LOWER LIMB PAIN SYMPOSIUM - REVIEW

The Faculty’s first podiatric medicine perspective on the current thinking around symposium to be held outside Glasgow a topic that all podiatrists must deal with in was delivered at the Birmingham Medical their everyday practice. Institute in October. This was a re-run of the very successful pain management The symposium evaluated exceedingly well, symposium held at the College in 2013. all the presentations scored high in terms More than forty delegates - including of quality and relevance and the venue was students from two schools of podiatry also liked by the majority of attendees. (Cardiff and Northampton) - from around the country attended. Interestingly there This was a very successful event and was an eclectic mix of health professionals demonstrated the need to offer such in attendance including: podiatrists; courses/symposia of this nature to medics; nursing and chiropractic colleagues. It probably takes a little more practitioners. The speakers were drawn effort and planning to organise such events from local medical and academic outside Glasgow but the educational colleagues as well as leading national reward and networking opportunities these podiatric colleagues. events offer members is invaluable.

The symposium focused on the clinical The Birmingham Medical Institute was implications and management of lower founded in 1875. It is a membership limb pain, covering such topics as: organisation whose primary purpose is physiology of pain; neuropathic and the provision of education, training and vascular pain; a patient’s perspective continuing professional development of pain and the psychology or pain. (CPD) for medical, dental, nursing and All lectures drew on contemporary other healthcare professionals along with research findings, offering the audience a appropriate training facilities.

FACULTY MEMBERSHIP EXAM The first membership exam (Part 1) for the was aligned to the syllabus’s three areas of VIDEO Faculty took place in November in three centres specialism: We have been working on a new at Glasgow, London and Dubai. promotional video for the Faculty. A 30 • Podiatric medicine second teaser was presented to the Faculty It has been an exciting venture for both the • Pharmacology Board in November and look forward to Faculty and the podiatry profession as our • Diagnostics and Imaging releasing the video for you to share over College is the only Royal College in the world to the coming weeks. Watch this space! have a Faculty of Podiatric Medicine. The questions have been rigorously scrutinised by the syllabus leads and finally the paper was The examination has been planned and compiled by the HCR. developed over the last two years by the NEW MEMBERS Faculty and a group of highly motivated Fellow The date for the next Part 1 examination will be and Members, who have undertaken training 9 March 2016 in multiple centres with the Part Welcome to all podiatric medicine with the assessment specialist and worked 2 (OSCE) taking place in Glasgow the autumn practitioners admitted to the College to compile a robust question bank which of 2016. during August - October.

Fellow of the Faculty of Podiatric Medicine - FFPM RCPS(Glasg) FACULTY GROWTH

Martin Lee Grant Our Faculty how has Fellows and Members over the next six months. in 18 countries around the world as we Member of the Faculty of Podiatric continue to grow towards our membership Following a recent survey of the Faculty Medicine – MFPM RCPS(Glasg) target of 400 by 2017. We all have a part to membership, the top two reasons for play in growing our Faculty and the Dean joining were: Morag Douglas Berkley has written to all members encouraging • Confirmation of professional status Peter Stuart Colhoun them to take an active role in recruiting at • Eligibility to use the Faculty postnominal least two new Fellows and Members each letters www.rcpsg.ac.uk College News Winter 2015 25 LIBRARY AND HERITAGE

DOORS OPEN DAY

On Saturday 19 September we once again took part in Glasgow Doors Open Day, with a record number of 854 people visiting the College in a single day. Visitors were invited to explore our wonderful building and collections, and were greeted in each of the public rooms by Fellows and staff members.

One of the themes of this year’s event was “Glasgow’s industrial heritage” and this was reflected in an exhibition of locally manufactured surgical instruments from our museum collection. Glasgow was home to a number of surgical instruments makers throughout the 19th century, and we had several examples of their work on display in the Crush Hall. You can find out more about the exhibition on our blog: http://rcp.sg/b58YX

Doors Open Day is our largest public engagement event, and we were delighted to welcome visitors both young and old. Our building and collections can appeal to people with interests in medicine, local history, art and architecture, as well as the generally curious. This year’s event was a great success, and an excellent opportunity to reach out to a wider audience. We look forward to taking part again next year.

CAROL PARRY STEPS DOWN AS LIBRARY AND HERITAGE MANAGER

Mr Roy Miller, Honorary Librarian

When Carol Parry was appointed to the By May 2003 she was officially the College exhibits and illustrations which were College Library as a temporary Archivist archivist, before progressing to take always provided. on 4 September 1995 no one could charge of the department with a new title, have foreseen how she would eventually Library and Heritage Manager. This gave Under her influence, the College now has develop all aspects of the department her the opportunity to embark on her a modern, outward looking department during the next 20 years and 26 days dedicated task of promoting the College’s providing Fellows and Members with a before she retired. collection of paintings, and of surgical service of the highest quality. This has instruments as well as our rare books. been recognised nationally because Early on the Honorary Librarian, Ian Boyle, Carol retires with the satisfaction of recognised her worth when she began Over the years she developed friendships knowing that her endeavours have earned the first ever meticulous cataloguing with colleagues in local and national the College’s collections full museum of our archival holdings thus raising establishments, leading to fruitful accreditation, the benefits of which are an awareness of the College’s unique collaboration. Attendances at lectures and explained opposite by her successor, Ross possessions. symposia were enhanced by the related McGregor.

26 College News Winter 2015 www.rcpsg.ac.uk LIBRARY AND HERITAGE

MUSEUM ACCREDITATION FOR OUR HISTORIC COLLECTIONS

Ross McGregor, Library and Heritage Manager

I am very fortunate to write my first piece Accreditation is a fantastic achievement for in future. For example, is the College a for College News on the achievement the College, and it will help bring greater museum? Should we begin to think more of Museum Accreditation. After years attention to the historic collections we hold. like a museum, bearing in mind the official of hard work by my predecessor Carol These collections include our rare books definition above? How do we ensure people Parry and the Library and Heritage team and archives, medical instruments and can explore our collections, be inspired by of Andrew McAinsh and Clare Harrison, equipment, and paintings. Taken together this them, learn from them and enjoy them? we received the news that the College is an outstanding collection that helps tell the has been awarded Full Accreditation from story of the College, of its place in the city These questions aren’t new to the College. Museums Galleries Scotland on behalf of of Glasgow, and of Scottish medical history. The great College Librarian and historian Arts Council England. This means that the Most importantly, our collections tell the Alexander Duncan wrote in his Memorials College meets the national standard for story of the students, Fellows and Members of the Faculty of Physicians and Surgeons UK museums – who make the College. In this respect, the of Glasgow that the college made ‘repeated collections will continue to grow, as new efforts’ during the 18th and 19th century to • In how we care for and document our achievements, innovations and working form a museum. In the 1830s moves were collections practices are recorded. The College’s made to form a pathological museum, for • In how our collections are governed and heritage is a living thing, dependent on its which specimens and object were collected. managed people as much as its collections. There were even plans to develop a building • On the information and services we offer for the museum, behind the old Faculty to users So what does Accreditation do? Ultimately, Hall in St Enoch’s Square, with a salaried it is a framework for improvement. We can conservator. However, by 1852 it was To apply for accreditation, the College had now proceed to develop our collections, agreed to hand the collection over to the to meet the Museums Association definition their care and access, with the appropriate Pathological Museum of the Glasgow Royal of a museum – support and guidance. We also have access Infirmary. to national investment programmes for “Museums enable people to explore museums, and will be able to apply for a Museum Accreditation is now part of the collections for inspiration, learning and wider range of funding. story of how the College’s collections have enjoyment. They are institutions that developed. It gives us the support and collect, safeguard and make accessible Accreditation also throws up some fantastic validation to help us preserve our collections artefacts and specimens, which they hold questions that are really key to how we for the future, and to use them in exciting in trust for society.” develop what heritage means for the College new ways. www.rcpsg.ac.uk College News Winter 2015 27 Need funding for research or travel to a centre of excellence?

£55,000 available

College Scholarships and Awards CLOSING APRIL 2016

TC White Young Researcher Grant Ethicon Foundation Fund £10,000 to assist a young researcher to enable them £900 to assist the international travel of surgeons to to develop research skills. support their training. Open to individuals at an early stage in their career, Open to all Fellows and Members in a higher training including postgraduates. post

Davies Foundation Travelling Fellowship TC White Observership Award £10,000 (two annually) to support travel and £2,000 per award (two annually) to assist with travel subsistence expenses for consultants wishing to take and accommodation costs for non-UK residents a sabbatical and undertake further study/research in wishing to gain experience at a centre of excellence cancer and its related fields. Open to all Fellows and Members

TC White Lecture Award £1,000 to enable young researchers to present their Lachlan McNeill Scholarship in Ophthalmology work at a professional conference. Up to £5,000 for junior doctors (specialty training Open to Individuals at an early stage in their careers level) wishing to extend their knowledge experience (less than 12 years experience) or training in ophthalmology. Open to ophthalmologists in a training grade; open to non-members TC White Travel Grant £2,000 per award (three annually) to assist with travel Find out more and apply now at and accommodation costs for attending symposia rcp.sg/scholarships and gaining experience outside the individuals country of residence. Open to individuals with no alternative means of support 50% discount on room hire for Fellows and Members Celebrate at your College

For more information, please visit www.fifteenninetynine.co.uk call 0845 388 1599 or email [email protected] Proud of our heritage

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