EUOGS 4th National Undergraduate Conference: EXPLORING INFLAMMATION IN Saturday 27th January 2018 Chancellor’s Building, Royal Infirmary of

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Welcome

We are delighted to welcome you to EUOGS’ 4th National Undergraduate Conference!

Our theme this year is “Exploring Inflammation in Reproductive Medicine”. Inflammation is an integral part of reproductive physiology, necessary for normal ovulation, menstruation and parturition. However, it also plays a sinister role in many reproductive pathologies, including preterm labour, miscarriage and pre-eclampsia; and targetting inflammation may be one strategy in the management of these conditions. Thus, we believe it is a fascinating area of O&G, and are excited to welcome numerous accomplished speakers to better understand this field.

We are also fortunate to welcome many gifted students presenting their own innovative research, and will be hosting several workshops exploring a variety of essential O&G skills. Therefore we encourage you to make the most of the opportunities available today; be curious, ask questions, take part, and most importantly – have fun!

We hope that what you learn today may strengthen your passion for O&G.

Best wishes, Amanda Leow (President) Lily Hua (Vice President) Nazia Zahed, Amy Shearer (Conference team)

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Programme

TIME TOPIC VENUE 09.00-09.15 Registration, refreshments Foyer 09.15-09.20 Welcome talk (EUOGS president) LT B 09.20-10.05 Abnormal menstrual bleeding: still an unmet clinical need. LT B (Professor Hilary Critchley) 10.05-10.50 What is the impact of stress and obesity in pregnancy on child LT B health? (Professor Rebecca Reynolds) 10.50-11.10 Break & poster viewing UMTR 11.10-12.00 Student oral presentations: LT B 1. Ryan Andrew Brown 2. Laura Haddow 3. Bhavya Rajagopalan 12.00-12.45 Debate: This house believes that & should LT B be separate specialities in the future (Professor Colin Duncan, Dr Mayank Madhra) 12.45-13.00 Student data blitz: LT B 1. Jesymin Choong 2. Hannah Elkadi 3. Iverene Tung 4. Sin Hui Winsy 5. Giselle Yonace 13.00-13.05 Group photo Foyer 13.05-14.00 Lunch & poster viewing UMTR  13.05-13.30 Delegates please stand beside your posters after getting food.  13.30-14.00 Laparoscopy kits and C-section model available for play. 14.00-14.30 Announce winners, organise groups for workshops LT B 14.30-15.00 Workshop 1/2/3/4/5 15.00-15.30 Workshop 1/2/3/4/5 15.30-16.00 Workshop 1/2/3/4/5 16.00-16.30 Workshop 1/2/3/4/5 16.30-17.00 Workshop 1/2/3/4/5 Workshops: 1. Laparoscopy skills (Dr Jonathan Chamberlain) SR 1 2. Shoulder dystocia & emergency C-section (Dr Mila Maidarti, Dr SR 2 Rashda Bano) 3. Ultrasound skills (Dr Tom Fitzgerald) SR 3 4. How to birth a baby (Dr Emem Usoro) SR 4 5. SimMom: O&G resus skills (Dr Kirsty Dundas) CSC 17.00-17.10  Debrief, feedback & more information on EUOGS LT B  Announce winners (workshop skills, lucky draw)  Remove posters, end of conference.

LT B = Lecture Theatre B UMTR = Undergraduate Medical Teaching Room CSC = Clinical Skills Centre SR 1 = Seminar Room 1 SR 2 = Seminar Room 2 SR 3 = Seminar Room 3 SR 4 = Seminar Room 4

See overleaf for the site map.

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Site map (ground floor)

UMTR

SR 2

SR 1

LT B

Stairs

FOYER

Enter from RIE 4

Site map (first floor)

CSC SR 6

SR 5

SR 4

SR 3

Stairs

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Guest speakers Professor Hilary Critchley

“Abnormal menstrual bleeding: still an unmet clinical need”

Professor Hilary Critchley’s research programme focuses upon local uterine mechanisms involved in menstruation, abnormal uterine bleeding and implantation. Major contributions have been made to understanding the local endometrial response to withdrawal of progesterone, both physiological and pharmacological. Study of the local effects of pharmacological steroid receptor modulation in uterine tissues has informed development of novel treatment strategies for problematic uterine bleeding and in the field of endometrial contraception. Recent studies have included further development of models for studying menstruation and uterine bleeding. She has over 250 peer- reviewed publications. Professor of Reproductive Medicine, She has Co-Chaired an International Agreement Process for terminologies /definitions and a classification system for abnormalities of menstrual bleeding supported throughout by the Honorary Consultant International Federation of Gynecology and Obstetrics (FIGO) and Gynaecologist, remains a member of the FIGO Menstrual Disorders Committee Edinburgh Royal Infirmary, NHS Lothian, (MDC). She is a Past-Coordinator of the European Society of Human Reproduction and Embryology (ESHRE) Special Interest Group Endometriosis & Endometrium. She was a Council Member Head of Deanery of of the Society for Gynaecologic Investigation (2010-2013). She is a Clinical Sciences current member of the University of Cambridge Centre for (Edinburgh Medical Trophoblast Research (CTR) Scientific Advisory Board; an School; University of immediate past Board member of the World Endometriosis Society Edinburgh) (WES) and current Board member of the Society for Endometriosis Co-Deputy Director, and Uterine Disorders (SEUD). MRC Centre for Reproductive Health at Her expertise in the field of endometrial biology and reproductive University of Edinburgh medicine has been nationally and internationally recognised. In 2009 she was elected to the Fellowship of The Academy of Medical Sciences (UK) and in 2012 she was elected to the Fellowship of The Royal Society of Edinburgh.

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Professor Rebecca Reynolds

“What is the impact of stress and obesity in pregnancy on child health?” Professor Rebecca Reynolds’ main research interest is in the early life origins of health. She was awarded the Nick Hales Award in 2011 by the International Society for the Developmental Origins of Health and Disease and the Curt Richter Award in 2012 by the International Society of Psycho-neuroendocrinology in recognition of this work. She is Chair of the Diabetes UK Clinical Studies Group ‘Causes of Diabetes’. Her work spans ‘process to population’, e.g. experimental medicine studies in pregnant women and their children, detailed mechanistic studies using placental tissue, randomised controlled trials testing interventions in pregnancy to improve outcomes and epidemiological data-linkage studies using ‘big data’ in Scotland. Professor of Metabolic Medicine, University of Her clinical work includes diabetes, endocrinology, reproductive Edinburgh endocrinology and antenatal medicine. She is Module Lead for MBChB Year 4 and Year 2 Endocrinology and Diabetes. Honorary Consultant Physician in Diabetes & Endocrinology, NHS Lothian

Deputy Head of the Centre for Cardiovascular Sciences, University of Edinburgh

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Professor Colin Duncan

“This house believes that Obstetrics & Gynaecology should be separate specialities in the future” (The Affirmative) Professor Colin Duncan is a Principal Investigator in the MRC Centre for Reproductive Health at the University of Edinburgh. He graduated in Medicine from the University of Edinburgh in 1990. His research training included a Wellcome Trust Clinical Training Fellowship at the MRC Reproductive Biology Unit and a Clinician Scientist and Scottish Senior Clinical Fellowship at the University of Edinburgh. Clinically he trained in Obstetrics and Gynaecology becoming a subspecialist and Consultant in Reproductive Medicine and Surgery in 2004. He runs infertility and reproductive endocrine clinics and is the lead Consultant for Ovulation Induction in the Edinburgh Fertility and Reproductive Endocrine Centre lead clinician of the Pregnancy Support Centre at the Royal Infirmary of Professor of Edinburgh. Reproductive Medicine and Science Scientifically Colin Duncan runs a research laboratory that studies tissue and vascular remodelling, normal ovarian physiology and polycystic ovary syndrome using human cells and a large animal model. Academically he chaired the MCROG examination working group for the RCOG. He is Director of the year 5 MBChB course at the University of Edinburgh and is external MBChB examiner at the University of Liverpool and Imperial College, London. He is a member of the Scottish Committee of the RCOG and member of council of the Society for Reproduction and Fertility.

Dr Mayank Madhra

“This house believes that Obstetrics & Gynaecology should be separate specialities in the future” (The Negative)

Dr Mayank Madhra graduated from Edinburgh University and did most of his Obstetrics and Gynaecology clinical training in Edinburgh and South-East Scotland. After obtaining a UK wide competitive entry advanced training post in endometriosis and minimal access surgery, he spent the final two years of his postgraduate training in Edinburgh as part of the EXPPECT nationally recognised BSGE Endometriosis Centre. During this time he focussed on Endometriosis surgery and Medical Education.

Consultant Gynaecologist, NHS Lothian

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Workshop tutors

Dr Jonathan Chamberlain Laparoscopy skills Dr Jonathan Chamberlain is a consultant gynaecologist primarily based at Sunderland Royal Hospital, City Hospital Sunderland Foundation NHS Trust. His main interests are in urogynaecology and other benign gynaecological diseases, and also Minimal Access Surgery. He was also a prominent member of the British Society for Gynaecological Imaging (BSGI) Committee in 2014.

Dr Mila Maidarti Shoulder dystocia & emergency C-section Dr Mila Maidarti is an O&G consultant in the University of Indonesia, where she worked in the Reproductive Endocrinology and Infertility division for five years. Mila is currently pursuing her Ph.D. programme in the MRC Centre for Reproductive Health, Edinburgh, where her research lies in the field of fertility preservation. She was a visiting research fellow in Japan where she studied the in vitro follicle culture of mice. She previously visited St Louis hospital, Missouri, USA for a short-term training on ovarian tissue transplantation and minimal ovarian stimulation in IVF patients. This year, under the guidance of Mila we will learn some clinical skills relevant to O&G.

Dr Rashda Bano Shoulder dystocia & emergency C-section Dr Rashda Bano is a specialist in reproductive endocrinology and assisted conception, based in the renown Simpson Centre, Royal Infirmary Edinburgh.

Dr Tom Fitzgerald Ultrasound skills Dr Tom Fitzgerald is a consultant radiologist at the Royal Infirmary of Edinburgh with special interests in General, Obstetric, Gynaecological and Neonatal ultrasound scanning.

Dr Emem Usoro How to birth a baby Dr Emem Usoro completed her medical bachelor degree in University of St Andrews and subsequently obtained her MBChB from the University of Manchester. After clinical training in Wigan, Northern Ireland and Glasgow, she pursued her interest in obstetrics and gynaecology. She is currently an ST2 at the Royal Infirmary of Edinburgh.

Dr Kirsty Dundas SimMom: O&G Resus skills Dr Kirsty Dundas is a consultant obstetrician at the Royal Infirmary of Edinburgh. Her interests include high risk obstetrics including preterm delivery and induction of labour and also in medical education. Kirsty did her undergraduate degree at Edinburgh University and trained in the South East of Scotland. In addition to her clinical role she is an honorary senior lecturer and an associate senior tutor at Edinburgh University and serves on the council of the Royal College of Obstetricians and Gynaecologists as a Scottish representative.

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Student research

Oral presentations:  Ryan Andrew Brown, The University of Edinburgh “Understanding the Mechanism of Action of the Copper Intrauterine Device and the Levonorgestrel Intrauterine System.”  Laura Haddow, The University of Edinburgh “Gestational Diabetes Mellitus and the Maternal and Neonatal Outcomes of Pregnancy within NHS Lothian.”  Bhavya Rajagopalan, The University of Edinburgh “Edinburgh Pelvic Pain Multidisciplinary Clinic: An Audit of Pain Outcomes in Patients with Chronic Pelvic Pain.”

Poster presentations:  Jesymin Choong, The University of Edinburgh “Physiological Observation Frequency on Antenatal Patients: an Audit on Compliance with NHS Lothian Monitoring Frequency Guidance.”  Hannah Elkadi, The University of Sheffield “The Role of Pre- and Intra-Operative Ureteric Stent Insertion in Radical Gynaecological Oncology Surgery.”  Iverene Tung, The University of Edinburgh “An Audit and Quality Improvement: Frequency of Observations Done in Postnatal Patients.”  Sin Hui Winsy, The University of Sheffield “Green Tea for Treatment of Endometriosis.”  Giselle Yonace, The University of Edinburgh “Retrospective Study of Borderline Ovarian Tumours in Young Women and Associated Controversies in Management.”

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Acknowledgments

A huge thank you to our generous sponsors, without whom this conference would not have been possible.

We would also like to thank the staff and students who very kindly donated their time to present their research and teach us about Obstetrics & Gynaecology.

Finally, thank you all for attending the conference, and making this day so special. We hope to see you again soon!

Best wishes, the EUOGS team 

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Notes

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