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ANNUAL REPORT 2019 / 20 2 Royal College of 3 1.0 Physicians of Ireland

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ANNUAL REPORT 2019 / 20 2 Royal College of 3 1.0 Physicians of Ireland ANNUAL REPORT 2019 / 20 2 Royal College of 3 1.0 Physicians of Ireland MISSION ANNUAL REPORT AND VISION 2019-2020 Contents Our mission is to train, educate and 1.0 Mission and Vision 2 2.0 About RCPI 4 continuously develop doctors for current 3.0 Our Strategic Aims 6 and future world health needs. 4.0 Message from the President 7 4.1 Message from the CEO 13 5.0 Achievements against aims: Our vision is to lead excellence and quality 5.1 Deliver World-Class Specialist Training 17 5.2 Enhance Life-Long Learning and Professional Development 35 in medical practice through world-class 5.3 Promote Leadership in Patient Care 45 5.4 Be a Trusted, Authoritative Voice on Public Health Policy 57 training, education and healthcare 5.5 Build Our Global Presence 65 improvements in Ireland and internationally. 6.0 Membership and Fellowship of your College 75 7.0 Faculty Reports: 7.1 Faculty of Occupational Medicine 80 7.2 Faculty of Pathology 82 7.3 Faculty of Paediatrics 86 7.4 Faculty of Public Health Medicine 89 7.5 Institute of Medicine 93 7.6 Institute of Obstetricians and Gynaecologists 96 8.0 Celebrating our History 100 9.0 Governance 104 10.0 Financial Reports 116 4 2.0 5 ABOUT THE ROYAL COLLEGE OF PHYSICIANS OF IRELAND Founded in 1654, RCPI is a not for profit organisation We also have two joint Faculties: Examinations Reducing health harm that is committed to helping doctors enhance their Our postgraduate examinations are internationally As an independent organisation representing thousands skills, competencies and professionalism throughout • The Joint Faculty of Intensive Care Medicine of recognised benchmarks of excellence, and help doctors of doctors, we are a united, powerful voice that can their working lives. We also advocate for the health Ireland, which is a joint faculty between RCPI, the to develop their skills and demonstrate competencies in: influence national health policies to ensure they are of the nation. College of Anaesthesiologists of Ireland and the in the best interests of people’s health. We have been Royal College of Surgeons in Ireland • General Medicine successful in advocating for policy and legislative We offer training programmes, examinations, diplomas • The Faculty of Sports and Exercise Medicine, which • Paediatrics change in a number of key areas, including: and educational courses to equip doctors with the skills is a joint faculty between RCPI and the Royal • Obstetrics and Gynaecology and knowledge they need to care for patients, and run College of Surgeons in Ireland • Public Health Medicine • Ageing safe and efficient healthcare systems. • Occupational Medicine • Tobacco What matters to us • Clinical Psychiatry • Cancer screening Our Faculties and Institute We value relationships and understand the value of • Open disclosure Six of Ireland’s 13 postgraduate specialist training bodies working collaboratively with all stakeholders in the Making healthcare safer and better • Obesity are housed within RCPI: healthcare system. We quality-assure standards in specialist medical • Alcohol practice. Simply put, we develop policies and procedures • Physical Activity • Faculty of Occupational Medicine But we will always remain true to our position as an to make sure that the delivery of diagnostics and patient • Sexual Health • Faculty of Paediatrics independent authority on specialist medicine. We care is of the same high quality no matter where you • Traffic Medicine • Faculty of Pathology are an advocate for what is right: what is in the best are in Ireland. interests of patients and those who care for patients. • Faculty of Public Health Medicine We lead 21 ground-breaking National Clinical • Institute of Obstetricians and Gynaecologists Educational opportunities for healthcare professionals Programmes in conjunction with the HSE. These • Institute of Medicine Today we offer a truly diverse range of courses and programmes are led by senior clinicians and are helping events. Our Postgraduate Medical Education Centre to transform healthcare in Ireland. continues to develop new and innovative lifelong learning and professional development opportunities for healthcare professionals. “A commitment to improving patient care lies at the heart of all we do” 6 3.0 4.0 7 OUR STRATEGIC AIMS MESSAGE FROM 2015–2020 THE PRESIDENT Professor Mary Horgan I am delighted to present our annual report for knowledge on COVID-19 out to our Members and to 1 Deliver World-Class Specialist Training 2019/2020. It has been an exceptionally challenging a wider medical and healthcare audience. I am hugely year for all of us working in healthcare and I am appreciative of the work that went into this, both from immensely proud of all we have achieved this year, the clinicians who gave their time, and the staff of the both in the context of the COVID-19 pandemic and college who provided the technical and administrative Enhance Life-Long Learning and Professional Development 2 prior to that. support remotely to make these webinars happen. Our Members and Fellows have been to the forefront The Institute of Medicine Promote Leadership in Improving Patient Care of the COVID-19 response, treating patients on the The establishment of the Institute of Medicine in Jan 3 frontline, putting in place preparedness plans and 2020 as a training and professional body for Internal working tirelessly on providing vital public health advice Medicine and its specialties was a significant action to decision-makers at government level. They have under the Governance change programme. The Institute, 4 Be a Trusted, Authoritative Voice on Public Health Policy published specialty-specific guidance, contributed to chaired by Prof Anto O’Regan, will continue to build expert panels and provided much needed reassurance and expand upon the extensive work done by the Irish and information to the public throughout the course of Committee on Higher Medical Training (ICHMT) which the pandemic to date. had its last meeting in November 2019. 5 Build our Global Presence COVID-19 Clinical Updates Increase in training posts The COVID-19 Clinical Updates, which began in In June 2020, we saw the creation of 90 new training March 2020, were a major initiative for the newly posts which expand RCPI’s specialist medical training established Institute of Medicine. These Wednesday programmes. The recruitment and retention of doctors webinars brought clinicians’ expertise both national and has been a key focus of my Presidency for the past two international, across a range of specialties, to a wide years and remains a priority for RCPI, so this was a audience, with the opportunity to watch the webinars significant development for me. It means we will have in real time and to view recordings. These webinars were more highly trained medical specialists in areas such viewed over 30,000 times to date and were a critical as general medicine, infectious diseases, occupational means of quickly getting up to date scientific and clinical medicine, public health, clinical microbiology and 8 4.0 9 MESSAGE FROM THE PRESIDENT paediatrics throughout the country. As a result, we will of Health for expert medical opinion, drawing on the Supporting trainees Trainee representation on the College Council has be in a better position to respond to future public health expertise of our doctors. Indeed, in recent months our In July 2019, we welcomed 527 doctors onto our training doubled with 2 trainees joining in 2019. challenges. In the past, we have lost medical graduates doctors in key specialities stepped up to the mark to programmes, including 38 doctors onto our International who go abroad to work and do not return home. Now advise us through expert groups, knowledge sharing at Programmes. In addition to maintaining high standards Supporting your lifelong learning there are more opportunities for doctors to advance their webinars and by speaking in the media. All of this has in training, we’re also continuously improving health We’re committed to delivering medical education for medical careers while remaining within the Irish health helped us as a country to chart our way through the and wellbeing supports for all of our trainees. In 2019 all stages of your career. We know it’s important to service. RCPI will continue to advocate for expansion pandemic. We have also actively advocated for doctor we launched our Health and Wellbeing Department, you to explore new ideas and perspectives, so we aim of our training posts. recruitment and retention and to protect training. led by Professor Gaye Cunnane, Director of Health to provide diverse subject matter in our educational and Wellbeing at RCPI. This Department provides events and courses. In 2019/2020 we hosted new Supporting your health and wellbeing In 2019, we highlighted doctor burnout and challenges support and referral pathways for Trainees who are conferences on Person Centred Care, Digital Health Supporting the health and wellbeing of our members in doctor retention. Our Faculties of Public Health and struggling to meet the training requirements or reach and a Green Health Symposium in partnership with The has long been a priority for the college. I know that Paediatrics have spoken up for marginalised communities the competencies required for reasons related to their Irish Heart Foundation and APC Microbiome. We hosted many of our doctors have experienced extraordinary in the context of both homelessness and those living in health or overall performance. masterclasses, courses and diplomas in different physical pressure as a result of the COVID-19 pandemic. Our Direct Provision. We engaged with media to promote locations, and online. Health and Wellbeing department has shared guidance the HPV Vaccine and to support Cervical Check and We’ve also appointed mentors to support trainees, on how to cope at this time for our Members working on other cancer screening initiatives. In 2020, our Faculty launched a buddy system for NCHDs in the UL hospital the frontline.
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