UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES CHARTER DAY MEETING 11 February – 15 February 2020
CPD ACCREDITATION TUESDAY In Conversation With = 1 credit WEDNESDAY NOCA = 6 credits What is a 21st Century Doctor? = 1 credit THURSDAY NCPS = 6 credits/ Videosurgery = 3 credits FRIDAY Charter Day = 6 credits SATURDAY ISTG Meeting = 4 credits RCSI CHARTER DAY 2020
2 THE RCSI ROYAL CHARTER
In 1765 Sylvester O’Halloran, a surgeon from Limerick, had proposed a College of Surgeons in Ireland along the lines of the College de St. Cosme in Paris, which had been regulating French surgery since its creation by royal charter by Louis IX in 1255. O’Halloran called for a college of surgery to be founded in Dublin to train, educate and examine persons in the art of surgery. This lead to a group of Dublin surgeons joining together and forming the Dublin Society of Surgeons in 1780. The main goals of the society were to separate surgeons from the Barber Surgeons Guild and provide surgical training, education and regulation in Ireland. They lobbied for a royal charter in 1781 and presented the Lord Lieutenant with their petition. The Lord Lieutenant presented the petition to King George III who saw it fit to grant a royal charter on 11 February 1784 establishing the Royal College of Surgeons in Ireland. The first President was Samuel Croker-King (1728-1817) and the first Professor of Surgery was William Dease (1752-1798).
3 RCSI CHARTER DAY 2020
PRESIDENT’S MESSAGE
It is my great pleasure to welcome all those attending Thursday evening sees Professor Tom Walsh’s 30th Annual events this week for our Charter Day celebrations. Video Surgery meeting take place and will feature surgical This year is a time for special celebration as for the first videos from both Ireland and abroad. I congratulate Tom on time we can now refer to RCSI as a University. This follows his long-term commitment to this project which can only be a resolution passed in both Houses of the Oireachtas last described as a true labour of love. December. ‘Choosing Wisely’, the theme of Friday’s Charter meeting University status is the culmination of many years of plenary sessions, has been chosen to examine constraints in sustained growth for the institution. RCSI has evolved healthcare delivery. Wasteful and inappropriate healthcare considerably since its foundation in 1784 from an practices need to be addressed if we are to manage future organisation set up by Charter from King George III to set demands on healthcare. In addition to our local speakers, standards in surgery and oversee surgical training to the I welcome Ms Laura Magahy from Sláintecare, Professor institution it is now; an internationally recognised health Stephen Wigmore from Edinburgh and Mr Tony Sparnon, sciences University with campuses in Dublin, Dubai, Bahrain President of the Royal Australasian College of Surgeons, all and Malaysia. of whom will talk to this important topic. Over the years, our annual Charter Day meeting has Also on Friday morning, in a novel event for RCSI, the grown to reflect our ever-expanding role and reach as a Emergency Medicine Programme will demonstrate an professional training body. emergency crisis simulation. Following this, eleven of the This year we begin on Tuesday evening with interviews surgical subspecialties will also run parallel sessions. with Drs Michael Farrell and Morgan Crowe and Prof Con Dr med Claude Martin Jr, AO Alliance Managing Director Feighery who will reminisce on past glories in the history of will deliver the annual Johnson and Johnson Lecture on the Hospital Cup (rugby for the non-initiated!) the impact of musculoskeletal injuries in low and middle- income countries and the 96th Abraham Colles Lecture will On Wednesday, RCSI hosts the annual NOCA conference be delivered by Professor James Lau of the Department of which will examine changing perceptions in quality Surgery, Chinese University of Hong Kong on the demise of healthcare. NOCA continues to expand its portfolio of emergency ulcer surgery. national audits which are key to quality improvement in Irish healthcare and the annual conference provides a valuable On Saturday morning RCSI hosts the Annual Irish Surgical opportunity to bring all of the relevant stakeholders Training Group Meeting and the Bosco O’Mahony Lecture together to address the opportunities and challenges which will be delivered by Mr Justin Geoghegan, Consultant presented by audit. Hepatobiliary, Transplant and Bariatric Surgeon in St Vincent’s University Hospital. On Wednesday, we are pleased to host Dr Olle Ten Cate who holds the Chair in Medical Education at University The Charter Day Dinner on Saturday evening will be Medical Centre Utrecht. Dr Ten Cate, who will address preceded by the conferring of Honorary Fellowships on ‘What is a 21st Century Doctor?’ has a specific interest in Dato’Dr Godfrey Geh Sim Wah and the Honourable Justice the application of ‘entrustable professional activities’ in Susan Mary Denham. competency-based medicine. This topic will be of interest This comprehensive programme has been developed by a to those involved in undergraduate medical education and large cohort of surgeons and other healthcare professionals. postgraduate professional training. I wish to acknowledge all those who organised the various This will be followed by the medical students’ 14th Annual individual sessions and the speakers and chairs for their Intercollegiate case presentation competition, which is commitment to these activities which could not take place competed for by students from seven national medical without their support. schools. I also wish to acknowledge the organising committee of Sean On Thursday, the annual meeting of the National Clinical Tierney, Kieran Ryan, Louise Loughran, Cara McVeigh, Aoife Programmes in Surgery (NCPS) will examine what’s required Mahon, Sheila Corballis, Paula Curtin, Robyn Byrt and Kate to improve emergency surgery in Ireland’. The separation of Smith for their efforts in putting together this comprehensive acute from elective surgical care has been a major focus of and interesting programme. I hope you find something of the NCPS since its inception and continues to challenge all interest and I look forward to your participation. of us who work in surgical care delivery. Mr Kenneth Mealy President
4 CONTENTS
06 Programme at a Glance TUESDAY 11 February 09 In Conversation With… Dr Michael Farrell (class of 1974), Professor Conleth Feighrey, Dr Morgan Crowe WEDNESDAY 12 February 11 NOCA Annual Conference Quality Healthcare: Challenging Perceptions 15 What is a 21st Century Doctor? 15 14th Annual Intercollegiate Case Competition THURSDAY 13 February 16 National Clinical Programme in Surgery: Improving Emergency Surgery in Ireland 20 National Clinical Programme in Surgery: Our Speakers 24 30th Annual Videosurgery Meeting FRIDAY 14 February 25 Kindly sponsored by… 26 Morning Plenary Session – Choosing Wisely: Health Systems Approach 27 Johnson & Johnson Lecture 29 President’s Forum 29 Afternoon Plenary Session – Choosing Wisely: Doctors Choosing Well 29 96th Abraham Colles Lecture 31 Parallel Session: Cardiothoracic Surgery 32 Parallel Session: General Surgery & Paediatric Surgery 33 Parallel Session: Neurosurgery 34 Parallel Session: Ophthalmic Surgery 36 Parallel Session: Oral & Maxillofacial Surgery 37 Parallel Session: Otolaryngology Head & Neck Surgery 38 Parallel Session: Plastic Surgery 39 Parallel Session: Trauma & Orthopaedic Surgery 40 Parallel Session: Urology 41 Parallel Session: Vascular Surgery 42 Johnson & Johnson Lecturer 44 Abraham Colles (1773 – 1843) 46 Charter Day Guest Speakers SATURDAY 15 FEBRUARY 49 Irish Surgical Training Group Meeting (ISTG) 50 including the Bosco O’Mahony Lecture 53 Honorary Fellowship Conferring 54 Save the Date 56 Court of Examiners
CPD Please ensure you sign in each day to receive all CPD credits for the meeting. CPD credits cannot be awarded without a signature. PLEASE NOTE: You will be required to sign in on two occasions on Thursday, 13 February for both the NCPS Meeting and the Videosurgery Meeting to receive CPD credits for both meetings.
5 RCSI CHARTER DAY 2020
PROGRAMME AT A GLANCE
Tuesday, 11 February 2020
Time Title Venue
18.15 – 18.30 Registration Front Hall, St Stephen’s Green
18.30 – 19.30 In Conversation With… College Hall Dr Michael Farrell (class of 1974), Professor Conleth Feighrey, Dr Morgan Crowe
19.30 Drinks Reception Boardroom
Wednesday, 12 February 2020
Time Title Venue
National Office of Clinical Audit (NOCA) Annual Conference in conjunction with Charter Day Meetings
08.00– 09.00 Registration 26 York Street
09.00 – 16.00 Quality Healthcare: Challenging Perspectives Desmond Auditorium
17.00 – 17.30 Registration College Hall 17.30 – 18.30 What is a 21st Century Doctor?
19.00 – 22.00 14th Annual Intercollegiate Case Competition Albert LT
Thursday, 13 February 2020
Time Title Venue
National Clinical Programme in Surgery Meeting in conjunction with Charter Day Meetings NCPS
08.15 – 09.00 Registration Front Hall, York Street
09.00 – 16.00 Improving Emergency Surgery in Ireland Houston LT
30th Annual Videosurgery Meeting
16.00 - 16.30 Registration Front Hall, York St.
16.30 - 20.30 30th Annual Videosurgery Meeting Cheyne LT
6 Friday, 14 February 2020
Time Title Venue
07.45 – 08.50 Registration Front Hall, York St.
08.50 – 10.00 Morning Plenary Session O’Flanagan LT Choosing Wisely: Health Systems Approach
10.00 – 10.40 The Trauma Team Response Exam Hall
10.40 – 11.00 Exhibition & Refreshments Exam Hall
11.00 – 13.00 Parallel Sessions
Cardiothoracic Surgery Tutorial Room 324/325 (level 3, 26 York Street)
Emergency Medicine (de-brief) Dr Mary Emily Dowson Room (VC Room)
General Surgery & Paediatric Surgery Houston LT
Neurosurgery Bouchier-Hayes Auditorium (level 5, 26 York Street)
Ophthalmic Surgery Tutorial Room 4
Oral & Maxillofacial Surgery Tutorial Room 8
Otolaryngology Head & Neck Surgery Albert LT
Plastic Surgery College Hall
Trauma & Orthopaedic Surgery Cheyne LT
Urology Tutorial Room 1
Vascular Surgery Tutorial Room 2 & 3
13.00 – 14.15 Exhibition & Lunch Exam Hall
14.15 – 14.45 Johnson & Johnson Lecture O’Flanagan LT
14.45 – 15.00 Award and Medal Presentations O’Flanagan LT
15.00 – 15.15 Presidential Forum O’Flanagan LT
15.15 – 17.00 Afternoon Plenary Session O’Flanagan LT Choosing Wisely: Doctors Choosing Well
17.00 – 17.30 Refreshments College Hall
17.30 – 18.00 96th Abraham Colles Lecture College Hall
18.00 – 19.00 Reception Atrium
7 RCSI CHARTER DAY 2020
Saturday, 15 February 2020
Time Title Venue
08.15 – 09.00 Registration Front Hall, York St.
09.00 – 13.00 Irish Surgical Training Group Meeting (ISTG) Cheyne LT including the Bosco O’Mahony Lecture
18.45 Charter Day Dinner
18.45 Commences with a drinks reception followed by Honorary College Hall Fellowship Conferrings upon The Honourable Susan Denham, Chief Justice of Ireland 2011-2017 Dato’ Dr. Godfrey Geh Sim Wah, DSPN, PJK
Dress code: Black Tie, Orders & Decorations
8 TUESDAY, 11 FEBRUARY 2020 Tuesday 11
18.15 – 18.30 Registration Front Hall, St Stephen’s Green
18.30 - 19.30 IN CONVERSATION WITH… College Hall
DR MICHAEL PROFESSOR DR MORGAN FARRELL CONLETH FEIGHERY CROWE RCSI Class of 1974, Former Irish Rugby Former St Vincent’s Former Hospitals International, President of Hospital RFC and William Cup Captain, the Dublin Hospitals Cup Osler House XV player, Neuropathologist Committee, Consultant Consultant Physician in Beaumont Hospital Immunologist Geriatric Medicine
Join RCSI, RTÉ’s Michael Corcoran and our special guests as they take us through the history of the Dublin Hospitals Rugby Cup competition and its lasting impact. The Dublin Hospitals Rugby Cup is the longest running rugby cup competition in Ireland; Michael, Conleth and Morgan discuss findings from research they have carried out over the past few years along with the competitions unique contribution to Dublin medicine and Irish Rugby. followed by a Drinks Reception
9 RCSI CHARTER DAY 2020
IN CONVERSATION WITH…
Dr Morgan Crowe, UCD Clinical Associate Professor, UCD School of Medicine Dr Morgan Crowe was educated at St Michaels and Blackrock College and graduated from UCD in Medicine in 1974. After house posts in Dublin hospitals including St. Vincent’s, Our Lady’s Hospital, Crumlin, Richmond and Connolly Hospitals, he trained in General and Geriatric Medicine in Oxford at the John Radcliffe Hospital. On returning to Ireland he worked as Consultant General Physician at Naas General Hospital before being appointed as Consultant Physician in General and Geriatric Medicine at St Vincent’s University Hospital and St Columcille’s Hospital Loughlinstown in 1987.Subspecialty interests included stroke, rehabilitation and exercise in old age. Prior to retirement in 2015, he returned to Oxford on a sabbatical where he worked in the Oxford Vascular Study at the University of Oxford. In 2018, he was awarded the Presidential Medal by the Irish Gerontological Society for life time services to older people through research, education and practice.
Interests outside medicine include sport particularly rugby (serving on the organizing committee of the Dublin Hospitals Football Union for over 10 years), golf, music and history.
Dr Michael Farrell (class of 1974) Dr Michael Farrell graduated in medicine from the Royal College of Surgeons in Ireland and interned at the Richmond Hospital. He captained the RCSI Rugby XV in 1973. Following completion of the MRCPI, Dr Farrell began his training in Pathology at St Vincent’s Hospital, Dublin and later at the Westminster Hospital in London. Following completion of the MRCPath, Dr Farrell began a career in Neuropathology at the University of Western Ontario, Canada where he also undertook a fellowship in Neuroimmunology. Later, Dr Farrell succeeded Dr. John Dinn and Professor Paddy Bofin as Neuropathologist to the Richmond Hospital, moving to the new Beaumont Hospital in 1987. Dr Farrell was appointed as the first Professor of Clinical Neurological Sciences at RCSI in 1996. Later, he became Dean of the Institute of Irish Clinical Neuroscience and was also Chairman of the Neuroscience Cogwheel at Beaumont Hospital. His interests include all aspects of clinical neuroscience but with particular interest in epilepsy and mitochondrial disease. He is a member of the American Association of Neuropathologists and the British Neuropathological Society as well as the International Society of Neuropathology.
Professor Conleth Feighrey Con Feighery attended primary school in Gonzaga College and then received his secondary education at Castleknock College. Since rugby was the principal sport in both schools, a life time interest in the game developed. He then attended UCD to study medicine during a period when rugby flourished in the university with multiple players achieving high honours, playing for inter-provincial and international sides. Con first played for Leinster in 1970 and having joined Lansdowne RFC, for Ireland in 1972. He played three games for Ireland, the team winning each time – including games against France in Paris and against England in Twickenham. The international programme was cut short that year, when Scotland and Wales refused to travel to Dublin, because of violence in Northern Ireland. During his student days, Con was a regular member of Dublin hospital cup teams. He won a medal with a St. Vincent’s team in 1965 and was injured for the final of a winning Mater team in 1967. He was appointed president of the Dublin Hospitals Football Union in 2001 and continues in that position. Professionally, Con was appointed as Senior Lecturer in Immunology in Trinity College Dublin in 1982 and as consultant Immunologist in St. James’s Hospital. He has had an active research career and published extensively.
10 WEDNESDAY, 12 FEBRUARY 2020
NATIONAL OFFICE OF CLINICAL Desmond Auditorium AUDIT (NOCA)
NOCA - Excellent healthcare for Ireland shaped by good information
NOCA was established in 2012 to create sustainable clinical audit programmes at national level. NOCA is funded by the Health Service Executive (HSE) Quality Improvement Team, governed by an independent voluntary board and operationally supported by the Royal College of Surgeons in Wednesday 12 Ireland. Working with the HSE and the Department of Health (DoH), through its National Clinical Effectiveness Committee (NCEC), NOCA designs, establishes and supports a portfolio of national clinical audits based on national priorities that include burden of care, variation of care, availability of clinical standards and economic benefit.
NOCA enables the Irish healthcare system to continually improve by maintaining a portfolio of prioritised national clinical audits, measuring care against national and international standards. By making reliable data available to those who use, manage and deliver healthcare, clinical audits help to refine Irish healthcare, improve patient outcomes, and achieve change at local and national level.
NOCA advocates for change at a national level, arising from key findings in our audits. We do this by working with senior decision makers at both policy and operational levels within the Irish healthcare system. NOCA promotes transparent reporting and publishes national annual reports for each of its audits as well as providing regular reports to hospitals.
National clinical audit, while still relatively new in Ireland, is recognised by those who deliver and manage healthcare as a key component to improve healthcare through the systematic collection and analysis of data that assesses if the level of care provided meets the required standards.
NOCA’s current audit portfolio includes: • Irish Heart Attack Audit • Irish Hip Fracture Database (IHFD) • Irish National Audit of Stroke (INAS) • Irish National ICU Audit (INICUA) • Irish National Orthopaedic Register (INOR) • Major Trauma Audit (MTA) • National Audit of Hospital Mortality (NAHM)
NOCA also provides a governance only model to the National Perinatal Epidemiology Centre (NPEC), who conduct three national clinical audits. - Perinatal mortality in Ireland - Severe maternal morbidity in Ireland - Very Low Birth Weight Infants in the Republic of Ireland
11 RCSI CHARTER DAY 2020
NOCA NATIONAL CONFERENCE Desmond Auditorium Quality Healthcare: Challenging Perspectives
08.00 – 09.00 Registration & Tea / Coffee 26 York Street
SESSION 1
Chair Collette Tully, Executive Director, NOCA
09.00 - 09.15 Welcome Address Dr Brian Creedon, Clinical Director, NOCA
09.15 – 09.40 LAUNCH: Major Trauma Audit National Report 2018 Dr Conor Deasy, Clinical Lead, Major Trauma Audit
09.40 – 10.00 ‘That What is Measured Improves’ (Pearson) – UL Hospitals Story Colette Cowan, Chief Executive Officer, UL Hospitals Group
10.00 – 10.20 Should we trust healthcare professionals? Brendan Martin, Managing Director, Buurtzorg Britain & Ireland
10.20 – 10.30 CodeHip NOCA Quality Improvement Champion Award 2020 - Top 3 submission Ricardo Paco, Trauma Audit Coordinator, St James’s Hospital
10.30 – 11.00 Panel Discussion: Professor Áine Carroll, Professor of Health Integration and Improvement University College Dublin / National Rehabilitation Hospital Colette Cowan, Chief Executive Officer, UL Hospitals Group Dr Conor Deasy, Clinical Lead, Major Trauma Audit Mr Paddy Kenny, Joint Clinical Lead, Irish National Orthopaedic Register Brendan Martin, Managing Director, Buurtzorg Britain & Ireland
11.00 – 11.30 Exhibition & Refreshments Exam Hall
12 SESSION 2
Chair Professor Conor O’Keane, Chair, Noca Governance Board Wednesday 12
11.35 – 12:00 KEYNOTE: Bending the quality curve - The long arc to safer, better care Professor Jeffrey Braithwaite, Founding Director of the Australian Institute of Health Innovation & President Elect, ISQUA
12:00 – 12.20 LAUNCH: Irish National ICU Audit Annual Report 2018 Dr Rory Dwyer, Clinical Lead, Irish National ICU Audit
12.20 – 12.35 An ICU patient perspective Shaun & Gretta Fogarty
12.35 – 12.45 Paediatrics ECG interpretation checklist NOCA Quality Improvement Champion Award 2020 - Top 3 submission Muhammad Moazzam Gulzar, Registrar Emergency Medicine, Children’s Health Ireland at Crumlin
12.45 – 12.55 Seven-day Physiotherapy Stroke Assessment in St James’s Hospital NOCA Quality Improvement Champion Award 2020 - Top 3 submission Helen Kavanagh, Clinical Specialist Physiotherapist, St James’s Hospital
12.55 – 13.20 Panel Discussion: Professor Jeffrey Braithwaite, Founding Director of the Australian Institute of Health Innovation & President Elect, ISQUA Dr Rory Dwyer, Clinical Lead, Irish National ICU Audit Shaun & Gretta Fogarty Dr David Hanlon, National Clinical Advisor & Group Lead Primary Care, HSE Professor Joe Harbison, Consultant Stroke Physician and Geriatrician, St James’s Hospital
13.20 – 14.20 Exhibition & Lunch Exam Hall
13 RCSI CHARTER DAY 2020
SESSION 3
Chair Brian O’Mahony, Chief Executive, Irish Haemophilia Society
14.20 – 14.50 Strengthening Accountability for Improved Health Outcomes Paul Reid, CEO, HSE
14.50 – 15.10 Benchmarking hospitals in the Netherlands – lessons learned in a broader perspective Arthur van Leeuwen, Journalist, Netherlands
15.10 – 15.30 Open data in healthcare - knowledge, control and accountability Professor Anthony Staines, Professor of Health Systems, DCU
15.30 – 16.00 PANEL DISCUSSION: Professor Richard Greene, Director, National Perinatal Epidemiology Centre Dr Jennifer Martin, Chair, National Audit of Hospital Mortality Paul Reid, CEO, HSE Professor Anthony Staines, Professor of Health Systems, DCU Arthur van Leeuwen, Journalist, Netherlands
16.00 – 16.15 Presentation of NOCA Quality Improvement Champion Award & Closing Address Collette Tully, Executive Director, NOCA
16:45 - 18:15 COMPLEXITY SCIENCE SIMULATION GAME Exam Hall
THE COMPLEXITY SCIENCE SIMULATION GAME Facilitated by Professor Jeffrey Braithwaite, Founding Director of the Australian Institute of Health Innovation & President Elect, ISQUA
You know all about the health system from your own standpoint, but do you wonder about what other stakeholders think and do? In this workshop, we will simulate what happens in the health system. You will be a participant and, alongside other participants, you will be asked to solve a challenging problem. Be prepared to be surprised about how the health system works and doesn’t work, and for whom.
@noca_irl #NOCA2020
OPTIONAL SESSION (Limited to 100 participants)
WHAT IS A 21ST CENTURY DOCTOR?
17.00 – 17.30 Registration Front Hall, St Stephen’s Green
17.30 – 18.30 What is a 21st Century Doctor? College Hall
14 Delivered by Olle Ten Cate, PhD
Professor ten Cate is a professor of medical education at University Medical Center Utrecht, the Netherlands. With a background of medical education and a PhD in social sciences, he has vast experience with curriculum innovation, educational research, and faculty development in the health professions domain, locally, nationally and internationally. He was the founding director of the Center for Research and Development of Education at UMC Utrecht, served as the President of the Netherlands Association for Medical Education, and has published widely about advances in health professions education.
One of his interests is in competency-based education, and specifically in the application of entrustable professional activities (EPAs), which are increasingly being used internationally in undergraduate and postgraduate training of doctors. There are also plans to bring this framework into Irish medical settings. He will be in Dublin to speak on this topic at the Irish Network of Healthcare Educators (INHED) conference in Wednesday 12 Trinity College on February 13 and 14.
For this special public lecture, Professor ten Cate has agreed to address the important topic of how medical education will need to take account of significant changes taking place in healthcare and their impact on the role of the doctor.
14th ANNUAL INTERCOLLEGIATE 19.00 - 22.00 Albert LT CASE COMPETITION
The Intercollegiate Case Competition is an annual event which sees an individual student from each of the Medical Schools in Ireland compete against one another through presentation of a surgical case, to a 3 person judging panel of well-respected surgeons. The winning student, as selected by the judges, takes home not only the bragging rights for their Medical School, but is also awarded the Bouchier-Hayes Medal for Surgical Excellence. The Bouchier-Hayes Medal is named in honour of Professor David Bouchier-Hayes who performed Ireland’s first laparoscopic cholecystectomy.
19.00 – 21.00 14th Annual Intercollegiate Case Competition Albert LT Hosted by the RCSI Surgical Society including the presentation of the Bouchier-Hayes Medal for Surgical Excellence Welcome Address Professor Rory McConn Walsh Guest Speaker Associate Professor David Bouchier-Hayes (Hon.) Judges Ms Camilla Carroll, Council Member, RCSI Professor John Reynolds, Professor & Head of Department, Surgery, TCD UCD - TBC Universities participating; • National University of Ireland, Galway • Queen’s University Belfast • Royal College of Surgeons in Ireland • Trinity College Dublin • University College Cork • University College Dublin • University of Limerick 21.00 – 21.45 Reception Boardroom
15 RCSI CHARTER DAY 2020
THURSDAY, 13 FEBRUARY 2020
NATIONAL CLINICAL PROGRAMME Houston LT IN SURGERY
The National Clinical Programme in Surgery represents a strategic initiative between the Health Service Executive’s (HSE) Clinical Design and Innovation and Royal College of Surgeons in Ireland (RCSI) as the relevant post-graduate training body. Clinical Design and Innovation, under the Wednesday 6 leadership of the HSE Chief Clinical Officer Dr Colm Henry, works through the clinical programmes to define best practice and to assist in the development of evidence-based policy. Clinical leadership is central to the delivery of the changes required by our health system. The National Clinical Programmes (NCPs) will play a strong role in supporting the transformation that is required over the next ten years, the anticipated lifetime of Slaintecare.
RCSI is home to both the National Clinical Programme in Trauma and Orthopaedics as well as to the National Clinical Programme in Surgery which encompasses specialty advisors including General Surgery, Urology, Otorhinolaryngology Head and Neck Surgery, Vascular Surgery, Plastic and Reconstructive Surgery and Oral Maxillofacial Surgery. The National Clinical Programme in Surgery works to ensure an ongoing focus on the needs of surgical patients. The programmes define models of care and also advise on the implementation of change initiatives that will improve and standardise the quality, access and cost-effectiveness of surgical care.
The aim of the National Clinical Programme in Surgery is to provide a framework for the delivery of safer, more timely and accessible, more cost effective and efficient care for surgical patients. The NCPS works closely with the other National Clinical Programmes as well as with colleagues throughout the HSE, Department of Health, Slaintecare, acute hospitals, patient advocacy groups and other relevant stakeholders across the health system.
The National Clinical Programme in Surgery reports directly to the RCSI Committee for Surgical Affairs (CSA) and to the Chief Clinical Officer through the National Clinical Advisor and Group Lead for Acute Operations, Dr Vida Hamilton.
NCPS
16 IMPROVING EMERGENCY SURGERY IN IRELAND
08.30 – 09.15 Registration Front Hall, York St.
09.15 – 09.25 Welcome & Launch of the Patient Experience Report Professor John Hyland, NCPS Clinical Lead Professor Deborah McNamara, NCPS Clinical Lead
09.25 – 09.30 When Patients Cannot Choose: the case for improvement in emergency surgery Professor Deborah McNamara Council Member RCSI & NCPS Co-Lead
SESSION 1 EMERGENCY GENERAL SURGERY IN IRELAND: THE NOW AND THE NEXT
Co-Chairs Mr James Geraghty, Council Member, RCSI
Mr Eamon Mackle, Council Member, RCSI Thursday 13
09.30 – 09.45 State of Emergency General Surgery 2018 Professor Paul Ridgway National Clinical Advisor in General Surgery NCPS
09.45 – 10.00 Evidence & Outcomes in Emergency Laparotomy Mr Dara Kavanagh Consultant Colorectal Surgeon
10.00 – 10.15 Training Tomorrow’s Workforce for Emergency General Surgery Mr Kenneth Mealy President, RCSI
10.15 – 10.30 Challenges to delivering surgical services across Ireland Dr Vida Hamilton NCAGL Acute Hospitals, HSE
10.30 – 11.00 Panel Discussion: the future of emergency general surgery
11.00 – 11.30 Refreshments
17 RCSI CHARTER DAY 2020
SESSION 2 THE ACUTE SURGICAL ASSESSMENT UNIT – FROM IDEA TO IMPLEMENTATION
Co-Chairs: Ms Eleanor Carton Consultant General and Colorectal Surgeon, Our Lady of Lourdes Hospital Drogheda
Professor Simon Cross Council Member RCSI & Consultant Vascular Surgeon, University Hospital Waterford
Ms Camilla Carroll Council Member RCSI, Consultant Otolaryngology Head and Neck Surgeon, RVEEH Dublin & National Lead for ENT Education in Primary Care
11.30 – 11.50 What do patients think? The national ASAU patient experience report Mr Jamie Logan NCPS Nurse Lead
11.50 – 12.00 Is there a role for the ASAU in acute urology? Mr Eamonn Rodgers National Clinical Advisor for Urology NCPS
12.00 – 12.10 Is there a role for the ASAU in acute ENT? Professor Michael Walsh National Clinical Advisor for ENT NCPS
12.10 – 12.20 Is there a role for the ASAU in vascular surgery? Mr Martin Feeley National Clinical Advisor for Vascular Surgery NCPS
12.20 – 12.40 Expanding the ASAU- what does the patient in the Emergency Department need? Dr Emily O’Conor Emergency Medicine Consultant and President IAEM
12.40 – 13.00 Panel Discussion: lessons learned from successful ASAUs and next steps
13.00 – 14.00 Lunch
Co-Chairs: Professor Paul Burke Council Member RCSI Consultant Vascular Surgeon, University Hospital Limerick & St John’s Hospital
14.00 – 14.30 KEYNOTE ADDRESS: Trauma Centralisation: from vision to implementation Mr Keith Synnott National Clinical Lead for Trauma Services
14.30 – 14.45 Discussion
18 SESSION 3 PLANNING FOR TRAUMA CENTRALISATION – PERSPECTIVES FROM THE FRONTLINE
Chairs Ms Bridget Egan Council Member RCSI, Consultant Vascular Surgeon, Tallaght University Hospital, Dublin
Mr Paddy Kenny Council Member RCSI, Consultant Orthopaedic Surgeon & National Trauma and Orthopaedic Clinical Programme Co-Lead
Professor Ronan O’Connell Vice-President, RCSI President Elect European Surgical Association Emeritus Professor of Surgery, University College Dublin
14.45 – 14.55 Neurosurgery and trauma centralization: meeting the needs of patients Professor Mohsen Javadpour Consultant Neurosurgeon
14.55 – 15.05 Meeting the needs of trauma patients: the HSCP perspective Ms Alison Enright
Health and Social Care Professions Development Manager HSE Thursday 13
15.05 – 15.15 Experience in Cardiothoracic Trauma Professor David Healy Council Member RCSI, Consultant Cardiothoracic & Transplant Surgeon, St Vincent’s & Mater Misericordiae University Hospitals, Dublin
15.15 – 15.30 The general surgeon and trauma- who will care for trauma patients? Professor Carmel Malone Consultant General and Breast Surgeon, Head of School of Medicine NUI Galway, & Chair of the Irish Medical Schools Council
15.30 – 15.50 Panel Discussion: next steps in trauma centralisation
15.50 Closing address Professor Deborah McNamara, Clinical Lead Professor John Hyland, Clinical Lead
19 RCSI CHARTER DAY 2020
NATIONAL CLINICAL PROGRAMME IN SURGERY: OUR SPEAKERS
Professor Deborah McNamara acute surgical assessment at Tallaght Hospital (2015). Professor Deborah McNamara MD FRCSI (Gen He has over 80 Peer reviewed publications, book Surg) is a Consultant General & Colorectal Surgeon chapters and numerous invited lectures. He at Beaumont Hospital, Dublin; Clinical Professor in represented Ireland as an International Cricketer at Surgery at the Royal College of Surgeons in Ireland; University level. Co-Lead of the National Clinical Programme for References: http://www.ncbi.nlm.nih.gov/m/ Surgery and a member of Council at RCSI. She is pubmed/?term=ridgway+p formerly Clinical Director for Surgery at Beaumont Hospital; Secretary of the Irish Association of Mr Dara Kavanagh Coloproctology; National Training Programme Director Dara is a Consultant Colorectal Surgeon at Tallaght for General Surgery and Chair of the RCSI General University Hospital & St James’ Hospital where he Surgery Sub-Committee. She represents RCSI at the was appointed in 2013. He is a graduate of University SAC in General Surgery and chaired the RCSI Short- College Dublin in 2000. He has a specialist interest Life Working Group on Gender Diversity in Surgery. in minimally invasive surgery for colorectal cancer & A former Council Member of ACPGBI, she chairs the Inflammatory Bowel Disease with particular emphasis NCCP Rectal Cancer Lead Clinician Group. She is upon transanal minimal access surgery. He is a Senior recipient of the Patey Prize and a Millin Lecturer. Her Lecturer in Surgery and Research supervisor at RCSI. interests include colorectal cancer, surgical education His main research interests include simulation in & training and healthcare quality improvement. Her surgery and surgical outcomes. He has published work as Co-Lead of the National Clinical Programme in over 90 articles in peer-reviewed medical journals Surgery focuses on collaborating with colleagues in all and supervised 2 PhDs to completion. He has a surgical specialties to publish evidence-based policies particular interest in optimizing outcomes for patients and care pathways that will improve the delivery of undergoing Emergency Abdominal Surgery. surgical care in Ireland. Mr Kenneth Mealy Professor Paul Ridgway Kenneth Mealy is a consultant general surgeon based Paul is an Academic Consultant General Surgeon in Wexford. He qualified in 1983 from Trinity College at Tallaght Hospital with honorary appointments to Dublin and his surgical training took place in Dublin Our Lady’s Hospital for Sick Children, Crumlin and St and the UK. Mr Mealy was a Research Fellow in the Vincent’s Hospital. Brigham and Women’s Hospital/Harvard Medical Qualified from RCSI in 1996, Paul trained in Ireland, from 1987 – 1989. He was Joint Lead of the National London (England) and Toronto (Canada). He has held Clinical Programme in Surgery and Medical Director elected positions on the councils of the Society of of National Office of Clinical Audit (2010 – 2018). He Academic and Research Surgery (SARS; 2005-9) and has had a long interest in surgical training, audit, the Network of Accredited Skills Centres in Europe performance management and quality improvement in (NASCE; 2014-present). He was president of the Surgery and is currently President of RCSI. Biological Society of TCD 2013/14 and is a co-founding member of the Irish Sarcoma Group. In 2016, he was Dr Vida Hamilton appointed the National Clinical Advisor for General Dr Hamilton graduated from the Royal College if Surgery to the Clinical Programmes, a HSE initiative Surgeons in Ireland in 1995. She trained in Anaesthesia and is currently the National Clinical Programme and Intensive Care in Ireland and Australia and joined General Surgical Advisor (RCSI), appointed in 2016. University Hospital Waterford as Consultant in 2008. He has research interests in the patient-technology She has acted as Department Lead, Medical Director interface as it pertains to training and practice. His of the ICU and Honorary Secretary for the Medical doctorate (Imperial College, London; 2002) was centred Advisory Board during her tenure there. on how tumours interact with the technology used to At a national level Dr Hamilton is Council Member of remove them. His recent eHealth projects include the the Joint Faculty of Intensive Care Medicine and of the development of a Virtual Reality Outpatients (2009) Intensive Care Society of Ireland. and the use of a telepresence robot “LUCY” to deliver
20 Internationally she is the former Chair of the Quality Mr Eamonn Rogers Improvement Committee of the Global Sepsis Alliance Mr Eamonn Rogers M.Ch., M. Med. Sci., F.R.C.S.I. , and remains a committee member. F.R.C.S. (Urol), Dip. Urol. (Baylor). Consultant Urologist Dr Hamilton led on the development of National with special interest in Urological Oncology, University Clinical Guideline No. 6: Sepsis Management formed College Hospital Galway; Vice President of Irish and led on its implementation programme; leaving Society of Urology; Clinical Lead in Urology for Saolta an established governance structure, implementation Healthcare Group; National Clinical Advisor in Urology team, audit and feedback process. Annual publication to the National Clinical Programme in Surgery and HSE. of the National Sepsis Outcome Report outlines the A member of Irish Society of Urology, British impact of the National Programme and facilitates Association of Urological Surgeons and European international benchmarking. Association of Urology. Throughout my career, I was In September 2018, Dr Hamilton took up the post of responsible for formal and informal tuition of both National Clinical Advisor and group Lead for Acute undergraduates and fellow postgraduates at University Operations. This role involves providing clinical College Hospital Galway, Royal College of Surgeons in advice and guidance to all aspects of acute hospital Ireland, Baylor College of Medicine and University of care including serious incident management, Brexit Dublin, Trinity College. Thursday 13 preparedness, Quality and Safety and Process Improvement. She leads on 13 clinical programmes Professor Michael Walsh whose remit is to design models of care and Appointed William Wilde Professor of Ear, Nose patient pathways that are evidence-based, quality and Throat Surgery, RCSI Ireland and Consultant to assured, feasible and pragmatic and to support Beaumont Hospital Dublin in 1990. Senior Lecturer in their implementation within an effective governance Trinity College Dublin and Consultants at St James arrangement. Hospital from 1983 to 1990. Trained in ENT and Head and Neck Cancer Surgery in Toronto, 1978 to Mr Jamie Logan 1981. Senior Registrar in the Royal Victoria Eye and Jamie LOGAN (RN, AdDip, BSc, PgDip) is the Nurse Ear Hospital from 1981 – 1983. Chairman training Lead within the National Clinical Programme in Surgery programme in Ireland 1987 to 2009, Member Specialty at RCSI (Royal College of Surgeons Ireland), which is Advisory Committee UK 1995 to 2000. President of jointly commissioned by the HSE and RCSI, and looks European Union Specialty Group 1996. Secretary at improving the surgical patient journeys, considering Intercollegiate Board in ENT Surgery 1994 to 1996. access, quality and cost. As part of this role, Jamie is President of the Irish ENT Society in 2007. Founding central to the roll out of Acute Surgical Assessment member of the Irish Institute of Otolaryngology. Units (ASAU) in Ireland. Professor Walsh is currently the Clinical Advisor in He is Chair of the ASAU Accreditation review board Otolaryngology Head/ Neck Surgery to the National as well as active member of the Department of Health Clinical Programme in Surgery. Safe Staffing and Skillmix phase II, Deteriorating patient improvement programme, he is developing Mr Martin Feeley advanced practice within surgery and the development of a foundation education programme for surgical nurses nationwide. Jamie trained in the UK, beginning his career in Neurosurgery in Sheffield before heading to Australia for some rural and remote nursing, then latterly to the Kings College Hospital in London, where he worked in numerous roles, including Neuro-oncology CNS, Intensive Care Charge Nurse, Patient Safety and Risk Management, and lead for the newly qualified and overseas nurse education programmes.
21 RCSI CHARTER DAY 2020
NATIONAL CLINICAL PROGRAMME IN SURGERY: OUR SPEAKERS
Dr Emily O’Conor British Neurological Surgeons (2011-2016) Qualified Trinity College Dublin, post graduate training Ireland and UK, Fellow Royal College Emergency Mohsen moved back to Ireland in 2011. He is Medicine (FRCEM) , President Irish Association for currently Consultant Neurosurgeon at the National Emergency Medicine 2016- date, Council Member Neurosurgical Centre, Beaumont Hospital and RCEM, Member Working Group National Emergency honorary clinical associate Professor at RCSI. He has Medicine Programme, Member Slaintecare Advisory published more than 80 peer reviewed articles and has Council, Consultant Emergency Medicine Connolly written 5 book chapters, and is an associate editor of Hospital Blanchardstown. the British Journal of Neurosurgery.
Mr Keith Synnott Ms Alison Enright I am a consultant Trauma, Orthopaedic and Spine Alison Enright is Health and Social Care Professions surgeon working in the Mater Misericordiae University Development Manager in the HSE’s National Health Hospital, Cappagh National Orthopaedic Hospital and Social Care Professions Office. Alison has held and the National Rehabilitation Hospital. I trained leadership roles in healthcare and in overseas not-for- on the Higher Surgical Training scheme in RCSI and profit environments during the past seventeen years. subsequently received fellowship training in the Previously, she worked as an Occupational Therapist in Hospital for Special Surgery in New York. the UK and Ireland. I served as Training Program Director for T&O for 6 Her special areas of interest are frontline staff years and have previously a member of RCSI council engagement in service design, quality improvement and have a particular interest in education. Having won and fostering cultures which value creativity and the Sir Walter Mercer medal for the intercollegiate innovation. examination in Trauma and Orthopaedics have subsequently been an examiner in that examination Professor David Healy for 10 years. Prof. Healy is a cardiothoracic and transplant surgeon. My practice involves a special interest in spinal trauma. His subspeciality focus is thoracic oncology having As such I am involved in patient care from initial trained in Memorial Sloan Kettering Cancer Center. resuscitation and transfer through definitive acute He was a member of the NCCP lung cancer guideline management on to complex rehabilitation. This has group. fostered an interest in the full spectrum of trauma care He has previously served as president of the Irish throughout the system. Transplant Society and performed the first combined I sat of the reception an intervention sub-committee of Irish heart and lung transplant. In 2019 he was the working group that produced the report “A Trauma privileged to host the European Society of Thoracic System for Ireland” under Prof Eilis McGovern and was Surgery in Dublin and has been on the RCSI council appointed National Clinical Lead for Trauma Services since 2018. in 2019. Cardiothoracic injuries have historically been major factors in trauma deaths. Progress in the management of such life threatening injuries has been a significant Professor Mohsen Javadpour contributor to improved trauma outcomes. Trauma Mohsen is a graduate of Trinity College Dublin (1993). is now the a key focus of health policy and a co- He obtained his training in neurosurgery at the Walton ordinated national effort is underway to optimise care. Centre for Neurology & Neurosurgery, Liverpool, UK Cardiothoracic surgery will be a pillar or this policy. and subspecialty training in neurovascular surgery at the Toronto Western Hospital, Canada. He was Professor Carmel Malone Consultant Neurosurgeon at the Walton centre in Professor Carmel Malone is a Consultant General Liverpool from 2004 to 2011 and held a number of and Breast Surgeon, Head of School of Medicine positions, including Chairman of British Neurovascular NUI Galway and chair of the Irish Medical Schools Group (2008-2012) & Member of Council of Society of
22 Council. Professor Malone has been involved in the Undergraduate and Postgraduate Medical Education over many years. She is former Chair of the National Intern Network Executive and is a member of the national Medical Intern Board and RCSI General Surgical Training Sub Committee. Clinically, Professor Malone’s speciality interest is Breast Cancer and Reconstructive Surgery. She is former President of the Society of Irish Breast Surgeons (SIBS). Her research interests include Medical Education, Molecular Oncology and Reconstructive Breast Surgery. Thursday 13
23 RCSI CHARTER DAY 2020
THURSDAY, 13 FEBRUARY 2020
30th ANNUAL VIDEOSURGERY Cheyne LT Connolly Hospital Blanchardstown presents VideoSurgery in conjunction with RCSI
16.00 – 16.30 Registration Front Hall, York St.
Co-Chairs: Session 1 Session 2 Professor Aoife Lowry Professor Paul Redmond Professor Arnie Hill Professor Thomas Lynch
16.30 - 20.30 Video Surgery Meeting Not Just One of the Ladds: Surgical Management of Adult Intestinal Malrotation Mr Mayilone Arumugasamy Connolly/Beaumont Hospitals, Dublin Computer Aided Central Vascular Guidance for Complete Mesocolic Excision of Right Colon Cancer Professor Ronan Cahill Mater Misericordiae University Hospital, Dublin Laparoscopic management of post-cholecystectomy bile leak Mr Robert Cunningham University Hospitals Limerick Laparoscopic One Anastomosis Gastric Bypass for Severe Obesity and Metabolic Disease Professor Helen Heneghan St Vincent’s University Hospital, Dublin Efferent Loop Syndrome After OAGB Maj. Gen. (Prof.) Khalid AL-Khalifa BDF Hospital, Bahrain Clamshell Thoracotomy – The ‘Go-to’ Manoeuvre in Exsanguinating Thoracic Hameorrhage Mr Morgan P McMonagle University Hospital Waterford Muco-epidermoid Carcinoma of The Skull Base Professor Paul O’Neill Beaumont Hospital, Dublin Robotic Transabdominal Retromuscular Incisional Hernia Repair Mr Will Robb Beaumont Hospital, Dublin Magnetic Seed Localisation for Impalpable Breast Lesions Ms Siun Walsh Mater Misericordiae University Hospital, Dublin Robotic Transthoracic Parathyroidectomy: How we do it Mr Maher Shuhaibar & Mr Peter Walshe Mater Misericordiae University Hospital / Beaumont University Hospitals, Dublin Open Trype IV Thoracoabdominal Aneurysm Repair with Protective Temporary Externalised Axillary-Unifemoral Bypass Mr Morgan P. McMonagle University Hospital Waterford
24 FRIDAY, 14 FEBRUARY 2020
RCSI CHARTER DAY MEETING PROGRAMME KINDLY SPONSORED BY...
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Please show your support to our sponsors by visiting their exhibition stand during the refreshment break, 10.40 – 11.00 and lunch, 13.00 – 14.15
25 RCSI CHARTER DAY 2020
FRIDAY, 14 FEBRUARY 2020 MORNING SESSION
PLENARY SESSION O’Flanagan LT CHOOSING WISELY Health Systems Approach
07.45 – 08.50 Registration Front Hall York Street, RCSI
08.50 – 09.00 Presidents Welcome Mr Kenneth Mealy, President RCSI
Co-Chairs Professor David Healy Council Member RCSI, Consultant Cardiothoracic & Transplant Surgeon, St Vincent’s & Mater Misericordiae University Hospitals, Dublin
Professor May Cleary, Consultant Orthopaedic Surgeon, University Hospital Waterford. Professor of Orthopaedic Surgery, U.C.C.
09.00 – 09.15 Sláintecare and Delivering Health Care in Ireland Ms Laura Magahy Executive Director of Sláintecare Programme Implementation Office
09.15 – 09.30 Health care delivery in Scotland - the good and the bad Professor Stephen Wigmore Regius Professor of Clinical Surgery, University of Edinburgh, President British Transplantation Society & Programme Director MSc in Surgical Sciences
09.30 – 09.45 Challenges in Health Care Delivery How do we assist surgeons to choose wisely? Dr Tony Sparnon President, Royal Australasian College of Surgeons
09.45 – 10.00 Discussion
10.00 – 10.40 The Trauma Team Response
10.40 – 11.00 Exhibition & Refreshments
11.00 – 13.00 Parallel Sessions
13.00 – 14.15 Exhibition & Lunch
26 AFTERNOON SESSION
PLENARY SESSION O’Flanagan LT
14.15 – 14.45 JOHNSON & JOHNSON LECTURE
At breaking point: the impact of musculoskeletal injuries in low and middle-income countries
Delivered by; Dr med Claude Martin jr., AO Alliance Managing Director Introduction & Chair: Professor Ronan O’Connell, Vice-President, RCSI
14.45 – 15.00 AWARDS AND PRESENTATIONS
PROGRESS Women in Surgery Fellowship 2020 The RCSI has a long tradition of excellence in surgical training. Our surgeons, male and female, have over many decades, earned leading positions in institutions across the world.
The College has been at the forefront in developing transparent selection processes for future surgeons. But despite more than 20 years of gender parity among medical graduates, female consultant surgeon numbers in Ireland remain very low. Evidence from other sectors shows that gender diversity within organisations results in better decision making. The RCSI believes that Surgery as a profession will also benefit by ensuring the unique contribution of male and female surgeons is valued and enabled.
In 2017 RCSI undertook to publish a comprehensive report ‘PROGRESS: Promoting Gender Equality in Surgery,’ which highlights the scale of the problem and seeks to make meaningful recommendations that will ensure that surgery as a profession is an attractive and practical career for both men and women. The RCSI is Friday 14 committed to the findings within the report and is seeking to make substantial changes to career pathways for females interested in pursuing a career in surgery. RCSI feel that the provision of fellowships and programmes that advance female role models will do much to break down barriers and unlock the potential of women in surgery.
The RCSI PROGRESS Female Surgical Fellowship, funded by Johnson & Johnson Medical Devices Companies through an educational grant, is a prestigious bursary awarded by the Royal College of Surgeons in Ireland to promote female participation in surgical training at fellowship level that will support the acquisition of additional surgical skills and knowledge contributing to the advancement of surgical science and practice on the island of Ireland.
The successful candidate is awarded a Fellowship of an €45,000 and also is awarded the RCSI PROGRESS Fellowship Medal.
27 RCSI CHARTER DAY 2020
Colles Travelling Fellowship in Surgery Award 2020 The RCSI Colles Travelling Fellowship in Surgery 2020 awarded to Eamon Francis who will receive the Colles Medal, together with an amount of €20,000 towards his International Clinical Fellow in Reconstructive Microsurgery - Chang Gung Memorial Hospital, Linkou, Taiwan. (01/07/2020 – 30/06/2021).
The Colles Travelling Fellowship in Surgery is offered by the Royal College of Surgeons in Ireland to promote the acquisition of additional surgical skills and knowledge that will contribute to the advancement of surgical science and practice in Ireland.
The Fellowship is open to Fellows/Members of the College who, at the time of application, are in, or have completed within the previous two years, a higher surgical training programme in the Island of Ireland.
RCSI Surgical Travel Grant 2020 Ailin Rogers will receive the sum €10,000 towards the cost of a Fellowship in robotic surgery for advanced pelvic cancer at the Royal Marsden Hospital, Fulham Road, Chelsea, London. (August 2020 – August 2021).
Peter Lonergan - €6,500 towards the cost of a Pelvic & Upper Tract Robotic Urologic Oncology Fellowship at the University of California, San Francisco, USA (July 2019 – June 2021)
Helen Mohan - €6,500 towards a Peter MacCallum Cancer Centre Advanced Colorectal Cancer Fellowship, Melbourne, Australia. (January 2021 – December 2021). Gregory Nason - €6,500 towards a Senior Robotic Pelvic Oncology Fellowship at the Royal Surrey Hospital, Guildford, UK. (July 2020 – July 2021)
Gerald O'Sullivan Medal The Gerald O'Sullivan medal is awarded every year to the Fellow who graduates top of the class at the annual COSECSA (College of Surgeons of East, Central and Southern Africa) exams.
The medal is named in honour of the former President of RCSI, Professor Gerald (Gerry) O'Sullivan, who along with Professor Krikor Erzingatsian, set up the partnership between RCSI and COSECSA in 2007. This partnership aims to help train and retain surgeons in sub-Saharan Africa, and make better surgery accessible to more patients. In this region, the ratio of surgeons to population is 1.8:100,000 thus far below the 20:100,000 ratio recommended by the Lancet Commission. The partnership is funded by the Irish people, through Irish Aid, and is coordinated by RCSI. To date, COSECSA has graduated 450 surgeons, over 90% of whom are practicing in Africa.
The medal has been awarded every year since 2012. Previous winners have been from Kenya and Zimbabwe. The medal winner for 2019 is Dr Benson Harrison Lyimo. He is a General Surgeon at Arusha Lutheran Medical Centre in Tanzania. This is the first year that the winner is from Tanzania.
28 FRIDAY, 14 FEBRUARY 2020 AFTERNOON SESSION
15.00 – 15.15 PRESIDENT’S FORUM, CHOOSING WISELY Mr Kenneth Mealy
CHOOSING WISELY O’Flanagan LT DOCTORS CHOOSING WELL
Co-Chairs Ms Bridget Egan Council Member RCSI, Consultant Vascular Surgeon, Tallaght University Hospital, Dublin
Professor Micheal O’Riordain Mercy University Hospital, Cork
15.15 – 15.30 The GP Gatekeeper and Equity of Care Dr John Cox Chair ICGP
15.30 – 15.45 Maintaining Balance in Cancer Screening Programmes Professor Michael Kerin Council Member, RCSI & University College Hospital Galway, Galway
15.45 – 16.00 Effective Care in Orthopaedic Surgery Professor John M. O’Byrne Professor of Orthopaedic and Trauma Surgery, RCSI, Dublin
16.00 – 16.15 Radiology: Making the best use of it Dr Niall Sheehy Friday 14 Dean, Faculty of Radiologists, RCSI, Dublin
16.15 – 17.00 Discussion
17.00 – 17.30 Refreshments, College Hall
17.30 – 18.30 96th ABRAHAM COLLES LECTURE The Demise of Emergency Ulcer Surgery College Hall
Professor James Lau BMedSc, MBBS (Hons), FRCS Edin and Glasgow,MD Chair, Department of Surgery, Chinese University of Hong Kong
18.30 – 19.00 Reception
29 RCSI CHARTER DAY 2020
CONTINUOUS PROFESSIONAL DEVELOPMENT PROGRAMME 2019 – 2020
1
CPD More than 75 courses aimed at supporting NCHDs at all stages of their careers to meet their professional development needs. www.rcsi.ie/CPDSS
30 MORNING SESSION
Tutorial Room PARALLEL SESSION: 324/325, (level 3, CARDIOTHORACIC SURGERY 26 York Street)
11.00 – 11.15 Mitral valve surgery Ms Tara Ni Donnchu Consultant Cardiac Surgeon, Cork University Hospital, Cork
11.15 – 11.30 Robotic thoracic surgery Mr Vincent Young Consultant Cardiothoracic Surgeon, St James Hospital, Dublin
11.30 – 11.45 Cardiac tumours Mr John Hinchion Consultant Cardiothoracic Surgeon, Cork University Hospital, Cork
11.45 – 12.00 Transcatheter technologies and the surgeon Mr Ronan Kelly Specialist Registrar in Cardiothoracic Surgery, Royal Victoria Hospital, Belfast
12.00 – 12.15 Recent cardiac surgery clinical trials and the impact on surgeons Ms Rebecca Weedle Specialist Registrar in Cardiothoracic Surgery, St James Hospital, Dublin
12.15 – 12.30 Thoracoscopic atrial fibrillation ablation Ms Marina Cannoletta Senior Clinical Fellow in Cardiac Surgery, Royal Brompton Hospital, Dublin
12.30 – 13.00 KEYNOTE SPEAKER
Evolution of minimally invasive programme in Royal Brompton Hospital Friday 14 Mr Anthony de Souza Consultant Cardiac Surgeon, Royal Brompton Hospital, London President-elect, BISMICS
31 RCSI CHARTER DAY 2020
MORNING SESSION
PARALLEL SESSION: Houston LT GENERAL & PAEDIATRIC SURGERY
Co-Chairs Professor Kevin Barry Mayo University Hospital, Mayo
Mr Sean Johnston Midland Regional Hospital in Tullamore, Offaly
11.00 – 11.15 Epidemiology of Obesity in Ireland / Management Strategies / Healthcare Policy Professor Donal O’Shea St. Vincent’s University Hospital, Dublin 11.15 – 11.30 Immune Aspects of Obesity Dr Andrew Hogan Maynooth University, Kildare & National Children’s Research Centre, Dublin
11.30 – 11.45 Nutritional Strategies to Counteract Obesity in the Irish Population
11.45 – 12.00 Assessment and Management of Paediatric Obesity Dr Sinead Murphy Temple Street Children’s Hospital, Dublin 12.00 – 12.15 Anaesthetic Issues for Obese Patients Undergoing Surgery Dr Michael O’ Dwyer St. Vincent’s University Hospital, Dublin 12.15 – 12.30 Bariatric Surgery in Adolescents - Updates Professor Abdalla Zarroug Division Chief – Pediatric General and Thoracic Surgery President, American College of Surgeons – Qatar Chapter 12.30 – 12.45 Benefits of Metabolic Surgery / Future Surgical Service Development in Ireland Professor Helen Heneghan St. Vincent’s University Hospital, Dublin 12.45 – 13.15 Discussion 13.15 – 14.15 Exhibition & Lunch
32 MORNING SESSION
Bouchier-Hayes PARALLEL SESSION: NEUROSURGERY Auditorium Epilepsy Surgery across all age groups (level 5, 26 York Street)
Co-Chairs: Dr John Duddy Senior SpR, Beaumont Hospital, Dublin
Dr Jahangir Sajjad Senior SpR, Beaumont Hospital, Dublin
11.00 – 11.25 Progress in Paediatric Epilepsy Surgery Mr Donncha O’Brien Consultant Neurosurgeon, Beaumont and Temple Street Hospitals, Dublin 11.25 – 11.50 Laser Ablation of seizure onset zones- a great step forward Ms Taffy Mandiwanza Senior SpR , Neurosurgery, Beaumont Hospital, Dublin
11.50 – 12.15 Antagomirs as a genetic treatment for epilepsy Professor David Henshall Professor of Physiology, RCSI, Dublin
12.15 – 12.40 Neuropace as a treatment for complex epilepsy conditions Dr Ronan Kilbride Consultant Neurophysiologist, Beaumont Hospital, Dublin 12.40 – 13.05 Stereo-EEG for non lesional epilepsy localization Mr Kieron Sweeney Consultant Neurosurgeon, Beaumont and Temple Street Hospitals, Dublin 13.05 – 14.15 Exhibition & Lunch Friday 14
33 RCSI CHARTER DAY 2020
MORNING SESSION
PARALLEL SESSION: OPHTHALMIC SURGERY Tutorial Room 4 Life and Sight Threatening Conditions in Ophthalmology
Co-Chairs Ms Kathryn McCreery Consultant Ophthalmic Surgeon Children’s Health Ireland (CHI) at Crumlin and Blackrock Clinic, Dublin
Mr Donal Brosnahan Consultant Ophthalmic Surgeon Children’s Health Ireland (CHI) at Crumlin and Royal Victoria Eye and Ear Hospital, Dublin
11.00 – 11.30 New Imaging Technology and Treatments in Retinal Disease Professor Dara Kilmartin Consultant Ophthalmic Surgeon, Royal Victoria Eye and Ear Hospital, Dublin 11.30 – 12.00 Advancements in Orbit and Oculoplastic Surgery in 2020 Mr Tim Fulcher Consultant Ophthalmic Surgeon Mater and Beaumont Hospital, Dublin 12.00 – 12.30 New technologies and treatment for cataract and refractive laser eye surgery Mr Sheraz Daya Consultant Ophthalmic Surgeon, Center for Sight, West Sussex 12.30 – 13.00 Discussion 13.00 – 14.15 Exhibition & Lunch Exam Hall
34 CODE OF PRACTICE FOR SURGEONS RCSI 2018 Friday 14
RCSI DEVELOPING HEALTHCARE LEADERS WHO MAKE A DIFFERENCE WORLDWIDE
CODE OF PRACTICE Download your Code of Conduct at rcsi.ie/about-surgeons-in-practice
35 RCSI CHARTER DAY 2020
MORNING SESSION
PARALLEL SESSION: Tutorial Room 8 ORAL & MAXILLOFACIAL SURGERY
Co Chairs Mr Mark Wilson University Hospital Limerick, Limerick
Mr Chris Cotter Cork University Hospital, Cork
11.00 Facial Aesthetic Surgery: My Journey Professor Velupillai Ilankovan Consultant Maxillofacial/Head & Neck Surgeon Poole Hospital NHS Foundation Trust
11.50 The National Clinical Programme for OMFS – the Challenges Mr Dermot Pierse Consultant Maxillofacial Surgeon Dublin Dental Hospital, Dublin 12.05 Adding a new dimension to orthognathic surgery Mr Kenneth Sneddon Consultant Maxillofacial Surgeon Queen Victoria Hospital NHS Foundation Trust
13.00 – 14.15 Exhibition & Lunch
36 MORNING SESSION
PARALLEL SESSION: Albert LT OTOLARYNGOLOGY HEAD & NECK SURGERY Surgery in the Elderly
Moderators Professor John Fenton University Hospital Limerick, Limerick
Professor James Paul O’Neill Beaumont Hospital / RCSI, Dublin
Co-Chairs Mr Leonard O’Keeffe Midland Regional Hospital Tullamore, Offaly Professor Ivan Keogh University Hospital Galway, Galway 11.00 – 11.15 Head & Neck Skin Cancer in an ageing population Mr Tom Moran Mater Misericordiae University Hospital, Dublin 11.15 – 11.30 Key issues in Geriatric Head and Neck Surgical Oncology Mr Paul Lennon St James’s Hospital, Dublin
11.30 – 11.45 Clinical manifestations of the ageing laryngopharyngeal complex Mr Mark Rafferty St Vincent’s University Hospital, Dublin 11.45 – 12.00 Rhinology in later life Mr David Smyth University Hospital Waterford, Waterford
12.00 – 12.15 Hearing loss and its effect on cognition in the elderly Friday 14 Mr Fergal Glynn Beaumont Hospital, Dublin 12.15 – 12.30 A surgeon’s approach to the elderly thyroid Professor Patrick Sheahan South Infirmary Victoria University Hospital, Cork 12.30 – 13.00 When the fun stops Professor Raymond Clarke Alder Hey Children’s Hospital, Liverpool 13.00 – 14.15 Exhibition & Lunch
37 RCSI CHARTER DAY 2020
MORNING SESSION
PARALLEL SESSION: College Hall PLASTIC & RECONSTRUCTIVE SURGERY
Co-Chairs Ms Claragh Healy Consultant Plastic and Reconstructive Surgeon St James’s Hospital, Dublin
Mr Richard Hanson Consultant Plastic and Reconstructive Surgeon Mater Misericordiae University Hospital, Dublin 11.00 – 11.05 Welcome and Introduction 11.05 – 11.25 Autologous Breast Reconstruction with the DIEP Flap Mr Nadeem Ajmal Consultant Plastic and Reconstructive Surgeon Beaumont Hospital, Dublin 11.25 – 11.45 Breast Reconstruction from a Breast Surgeons Perspective Mr Martin O’Sullivan Consultant Breast Surgeon Cork University Hospital, Cork 11.45 – 12.05 Implant-based Breast Reconstruction Ms Catriona Lawlor Consultant Plastic and Reconstructive Surgeon St Vincent’s University Hospital, Dublin 12.05 – 12.35 Breast Implant Associated Anaplastic Large Cell Lymphoma, Should We Be Worried? Dr Peter Cordeiro Consultant Plastic and Reconstructive Surgeon William G. Cahan Chair in Surgery Memorial Sloan Kettering Cancer Centre New York, USA 12.35 – 12.50 BIA-ALCL : Identifying and Notifying Patients at Risk - The Irish Experience Professor Brian Kneafsey Consultant Plastic and Reconstructive Surgeon Beaumont Hospital, Dublin 12.50 – 13.00 Panel Discussion and Questions Ms Claragh Healy St James’s Hospital, Dublin
Mr Richard Hanson Mater Misericordiae University Hospital, Dublin 13.00 – 14.15 Exhibition & Lunch
38 MORNING SESSION
PARALLEL SESSION: Cheyne LT TRAUMA AND ORTHOPAEDIC SURGERY
Co-Chairs Mr Joe Queally St James’s Hospital, Dublin
Mr Barry O’Neill Sligo University Hospital, Sligo 11.00 – 11.15 Transitioning to Major Trauma care – where we are now – TARN update Dr Conor Deasy Cork University Hospital, Cork 11.15 – 11.30 Nationalising trauma care… lessons learned from the National Spinal Unit Mr Keith Synnott Mater Misericordiae University Hospital, Dublin 11.30 – 11.45 Challenges and solutions in delivering a complex upper limb trauma service Mr David Morrissey Bon Secours Hospital, Cork 11.45 – 12.00 Challenges and solutions in delivering a complex pelvic and lower limb trauma service Mr Brendan O’Daly Tallaght University Hospital, Dublin 12.00 – 12.15 The role of trauma units in a trauma network – the ED perspective Mr Fergal Hickey Sligo University Hospital, Sligo 12.15 – 12.35 Transitioning to Major Trauma Care – The Cambridge Experience Mr Lee Van Rensburg Addenbrooke’s Major Trauma Centre, Cambridge, UK Friday 14 12.35 – 12.55 Transitioning to Major Trauma Care – The Bristol Experience Mr Michael Kelly North Bristol NHS Trust, Bristol, UK 12.55 – 13.00 Closing Remarks Mr Keith Synnott Mater Misericordiae University Hospital, Dublin
13.00 – 14.15 Exhibition & Lunch
39 RCSI CHARTER DAY 2020
MORNING SESSION
PARALLEL SESSION: UROLOGY Tutorial Room 1
Co-Chairs Mr Kiaran O’Malley Vice-President, Irish Society of Urology & Mater Misericordiae Hospital, Dublin
Mr Barry Jones Our Lady of Lourdes Hospital, Drogheda 11.00 Introduction Professor Thomas Lynch, President Irish Society of Urology St. James’s Hospital and Trinity College, Dublin
11.05 – 11.30 The role of MRI and target biopsy in the assessment of the prostate- a radiological perspective Dr Peter Beddy St. James’s Hospital, Dublin 11.30 – 11.55 Transperineal prostate biopsy – a urological perspective Mr Rick Popert Guys and St. Thomas’s Hospital, London 11.55 – 12.20 Massachusetts General Hospital experience of active surveillance in prostate cancer Professor Michael Blute Massachusetts General Hospital and Harvard Medical School 12.20 – 12.45 Review of International guidelines for active surveillance Dr Cliodhna Browne St. James’s Hospital, Dublin
12.45 – 13.00 Discussion 13.00 – 14.15 Exhibition & Lunch
40 MORNING SESSION
PARALLEL SESSION: Tutorial Room 2 3 VASCULAR SURGERY Venous Disease and Imaging
Co-Chairs Ms Bridget Egan Council Member RCSI, Consultant Vascular Surgeon, Tallaght University Hospital, Dublin
Mr Peter Naughton Consultant Vascular Surgeon, Beaumont Hospital, Dublin
11.00-11.05 Introduction and welcome Professor Simon Cross Council Member RCSI & Consultant Vascular Surgeon, University Hospital Waterford, Waterford 11.05-11.25 Venous Imaging Professor Mary-Paula Colgan Consultant in Vascular Medicine, St James’s Hospital, Dublin 11.25-11.40 Thermal vs non-thermal ablation techniques Mr Seamus McHugh Consultant Vascular Surgeon, Beaumont Hospital, Dublin 11.40-11.55 Venous intervention and ulceration Professor Eamon Kavanagh Consultant Vascular Surgeon, University Hospital Limerick, Limerick 11.55-12.10 Thromboprophylaxis for varicose vein procedures Ms Emily Boyle Consultant Vascular Surgeon, Tallaght University Hospital, Dublin 12.10-12.30 Management of DVT Friday 14 Dr Kevin Ryan Consultant Haematologist, National Coagulation Centre St James’s Hospital, Dublin 12.30-12.45 Compression after DVT Ms Caitríona Canning Consultant in Vascular Medicine, St James’s Hospital, Dublin
12.45 - 13.00 Discussion
41 RCSI CHARTER DAY 2020
JOHNSON & JOHNSON LECTURER (2004 – 2020)
RCSI is proud to partner with Johnson & Johnson, working collaboratively to support healthcare education and training. We are grateful for the continued support through the prestigious Johnson & Johnson Lecture and Medal.
2020 Recipient:
This year’s Johnson & Johnson Lecture entitled, ‘At breaking point: the impact of musculoskeletal injuries in low- and middle-income countries’ is delivered by Dr med Claude Martin jr., AO Alliance Managing Director.
YEAR DELIVERED BY
2004 Mr Stuart 2005 Professor O. James Garden 2006 Dr Tom Boland 2007 Professor Tom DeMeester 2008 Professor A.J. Meissner 2009 Dr John L. Cameron 2010 Professor John R. T. Monson 2011 Professor Sir Bruce Keogh, KBE, FRCS 2012 Dr L.D. Britt, MD, MPH, FACS, FCCM, FRCSEng (Hons), FRCSEd (Hons), FWACS (Hons) 2013 Professor Ralph G. Dacey, Jr., M.D. 2014 Professor Richard J. Heald, CBE MChir FRCS FACS 2015 Dr Carol-anne Moulton, MD, PhD, FRACS 2016 Vice Admiral Mark Mellett DSM, PhD 2017 Dr Aran Maree 2018 Professor Shafi Ahmed 2019 Professor Martin T. Corbally
42 TOP Times250 Higher Education World University Rankings 2020
RESEARCH - Driving pioneering breakthroughs in human health
Estabished in 1784 to set and support professional standards for surgical training and prcatice in Ireland Friday 14
TRANSFORMATIVE EDUCATION EXPERIENCE - Intergrating leading research and innovative approaches to educate healthcare UNIVERSIT Y OF MEDICINE leaders AND HEALTH SCIENCES
43 RCSI CHARTER DAY 2020
ABRAHAM COLLES (1773-1843)
Abraham Colles was born in Co. Kilkenny in 1773 and Colles could skilfully draw graphic images of diseases over the next 70 years, he would come to dominate the and Colles’ publication Treatise on surgical Anatomy world of surgery both in Ireland and around the world. (1811) was the first anatomical work designed on After completing a BA in TCD, his ‘letters testimonial’ topographical lines. This earned Colles several from RCSI and Doctor of Medicine in Edinburgh, he eponyms for his anatomical discoveries, examples returned to Dublin to work at the Dispensary for the being the Colles’ fascia and Colles’ ligament. The most Sick Poor in Meath Street, an unusual move at that widely known of these eponyms is the Colles’ fracture time for a young man who belonged to the middle which was named after he published the paper on the and upper classes. His actions caught the attention of fracture of the carpel extremity of the radius (1814). Surgeon-General Stewart, who seeing the potential During his lifetime Colles was visited by doctors from in Colles persuaded him to leave the world of the all over the world. He is considered one of Ireland's physician behind and enter that of the surgeon. Colles great nineteenth century surgeons and one that made held numerous consulting surgeon and academic the surgical profession respectable in Ireland. When positions, including Professor of Anatomy, Physiology Colles died in 1843, medical schools suspended their and Surgery in RCSI, and in 1802 Colles was elected classes and he was given a public funeral. President of RCSI at the age of 29.
YEAR DELIVERED BY YEAR DELIVERED BY
1st 1956 Charles Wells 27th 1973 Robert B. Salter 2nd 1957 Eric William Riches 28th 1974 M. Balasegaram 3rd 1957 David Howard Patey 29th 1974 Ronald Belsey 4th 1958 O. Theron Clagett 30th 1975 Sir Thomas Holmes Sellors 5th 1958 Walter Mercer 31st 1975 Bentley P, Colcock 6th 1959 R. Vaughan Hudson 32nd 1976 G. B. Ong 7th 1959 Archibald H. McIndoe 33rd 1976 E. Garner King 8th 1960 Stanford Cade 34th 1977 John L. Cameron 9th 1960 Ion Simson Hall 35th 1977 D. F. N. Harrison 10th 1960 John Bruce 36th 1977 Sir Edward Hughes 11th 1962 Clarence Crafoord 37th 1978 Peter G. Bullough 12th 1963 Harold C. Edwards 38th 1978 W. Rudowski 13th 1963 J. Angell James 39th 1979 John W. Kirklin 14th 1964 F. J. Gillingham 40th 1979 Douglas Tracy 15th 1964 Herbert Conway 41st 1979 William J. W. Sharrard 16th 1965 Lord Brock 42nd 1980 Bernard Mc O’Brien 17th 1966 Henry Osmond-Clark 43rd 1981 John B. McGinty 18th 1967 Michael de Bakey 44th 1982 Na’il A. Al Naqeeb 19th 1967 John Conley 45th 1985 Roger Boles 20th 1968 James Fraser 46th 1985 M. Stuart Strong 21st 1969 Geoffrey H. Bateman 47th 1985 H. Brendan Devlin 22nd 1970 J.C. Golligher 48th 1986 A. Miehlke 23rd NO DETAILS 49th 1986 Mortimer Buckley 24th 1972 George D. Zuidema 50th 1986 S. W. A. Gunn 25th 1972 Richard A. Mogg 51st 1986 E. O’G. Kirwan 26th 1973 Stig Bengmark 52nd 1987 John Terblanche
44 YEAR DELIVERED BY YEAR DELIVERED BY
53rd 1987 John Fitzpatrick 77th 2004 Charles A. Vacanti 54th 1987 William Furlow 78th 2004 David Bouchier-Hayes 55th 1987 Lloyd M. Nyhus 79th 2005 Matthias Rothmund 56th 1987 Henri Bismuth 80th 2005 Bill Heald 57th 1988 Andrew Morrison 81st 2006 James Styner 58th 1989 G. W. Hilton 82nd 2007 Jeffrey Matthews 59th 1990 Donald Trunkey 83rd 2008 Joseph P. Vacanti 60th 1991 John L Cameron 84th 2009 Alan W. Flake Friday 14 (Lecture cancelled 85th 2010 Michael Brennan due to Gulf War) 86th 2011 Edward Kiely 61st 1991 Selim A Mellick 87th 2012 Patrick J. Gullane 62nd 1991 T.P.J. Hennessy 88th 2013 Michael J. Solomon 63rd 1992 John L. Cameron 89th 2014 Donald E. Low 64th 1992 John C. Hanrahan 90th 2015 Stan J. Monstrey 65th 1993 Sydney S. C. Chung 91st 2015 Prem Puri 66th 1994 Laureano Fernandez Cruz 92nd 2016 S. Michael Griffin 67th 1995 Sir Norman Browse 93rd 2017 Raymond F. Morgan 68th 1995 Gerald C. O’Sullivan 94th 2018 David Ansell 69th 1996 Andrew Novick 95th 2019 J. Jan B. van Lanschot 70th 1997 Richard L. Simmons 71st 1999 Judah Folkman 72nd 2000 Clyde F. Barker 73rd 2001 David Bernt Skinner 74th 2002 Edwin Kaplan 75th 2003 Patrick C. Walsh 76th 2003 Stanley Goldberg
45 RCSI CHARTER DAY 2020
CHARTER DAY GUEST SPEAKERS
JOHNSON & JOHNSON LECTURER 96th ABRAHAM COLLES LECTURER
Dr med Claude Martin jr., AO Alliance Managing Professor James Lau BMedSc, MBBS (Hons), FRCS Director Edin and Glasgow, MD Dr Claude Martin jr. is the Managing Director Professor James Lau is the current Chair to of the AO Alliance Foundation, a not-for-profit Department of Surgery at the Chinese University of developmental organization dedicated to improving Hong Kong. He studied medicine at the University of the care of the injured in low-income countries. He New South Wales, Australia, completed his training was formerly the Executive Director of the Clinical in upper gastrointestinal surgery and therapeutic Division AOTrauma at the AO Foundation in Davos. endoscopy at the Prince of Wales Hospital, Hong After graduation from medical school at McGill Kong. Dr. Lau was further trained in vascular University in Montreal, Canada, he completed his surgery in the UK and Australia. Dr. Lau has been residency in orthopaedic surgery at the University of awarded over HK$15M in research grants from the Toronto in 1990. Dr Martin practiced as a community University Grant Council, the Health and Medical orthopaedic surgeon until 1995 and then entered Research Fund, the Croucher Foundation and others the Hand and Upper Extremity Fellowship Program from the Government to the Hong Kong Special at Harvard Medical School – Massachusetts General Administrative Region. In 2014, Dr. Lau received Hospital in 1996. The next year, he received an AO an endowed Professorship from late Mr. Yao Ling Foundation Fellowship in hand and wrist surgery in Sun’s family. Dr. Lau’s research includes therapeutic Bern, Switzerland. Claude, a Canadian citizen who endoscopy to bleeding peptic ulcers and strategies has lived in London, Tel Aviv, Boston, Bern, Alabama, to improve outcomes in patients with acute upper Toronto, Montréal, Trois-Rivières and now Zurich, gastrointestinal bleeding. Dr. Lau has published 367 also holds an MBA degree from the University of manuscripts in international peer-reviewed journals Tennessee - Knoxville and attended the Kellogg- with a H-index of 54. Recanati School of Management at Tel-Aviv University. He successfully defended his thesis to complete his Masters degree in Education from the University of Cincinnati College of Education in Cincinnati in 2012. His dream is to see every injured patient in developing countries receive the appropriate care that every human being deserves.
46 PLENARY SPEAKERS multiple organisations. He was President of the Australian and New Zealand Association of Paediatric Laura Magahy BA, MBA, Executive Director of Surgeons and Adjunct Professor of Paediatric Sláintecare Programme Implementation Office Surgery at the National University of Malaysia. He is Laura Magahy is the Executive Director of the a life member of Australian and New Zealand Burn Sláintcare Programme Implementation Office. Association and International Advisor for Masters in Previously she has led some of Ireland’s most Paediatric Surgery Program at UKM. significant and transformational public-sector projects on behalf of government. In early 2019 Dr Sparnon was elected RACS President. Prior to this, he served as the RACS Censor-in-Chief Laura Magahy is a Fellow and past President of the with overarching responsibility for the education and Institute of Directors and is one of Ireland’s top Level training of Fellows. A Project Directors. She is an honorary member of the Royal Institute of Architects in Ireland and has Dr Sparnon has a keen interest in Surgical Education served on numerous public, private and plc boards and has published on a wide range of paediatric as Chairman, Non-Executive Director, and Executive surgical topics including two book chapters on burns. Director. Dr John Cox, Chair ICGP Professor Stephen Wigmore, Regius Professor of Dr John Cox is in general practice at Fethard-on-Sea, Clinical Surgery, University of Edinburgh, Co. Wexford. President British Transplantation Society & Programme Director MSc in Surgical Sciences He graduated from University College Dublin in 1979, Stephen Wigmore is the Regius Chair of Surgery at completed his general practice training in 1983 and the University of Edinburgh and Head of Department worked in general practice in south Dublin and as a at the Royal Infirmary of Edinburgh. He is an HPB and research registrar with Professor Eoin O’Brien at the transplant surgeon based at the Royal Infirmary of Blood Pressure Unit, Beaumont Hospital, from 1985 Edinburgh. He is the Surgeon to the HM Queen in – 92. Scotland and is the Chair of the Research Committee
of the Royal College of Surgeons of Edinburgh. He He became a Fellow of the Royal College of Friday 14 is the Editor in Chief of the journal HPBthe official Physicians of Ireland and a Fellow of the Royal journal of the IHPBA. He is President of the British College of General Practitioners in 1994. Transplantation Society. He is the Honorary Secretary of the James IV Association of Surgeons for the British He is presently Provost & Chair RCGP Republic of Isles and Rest of the World and Treasurer Elect of the Ireland Faculty and Chair ICGP. BJS Society. He is co-author of the Irish College of General Dr Tony Sparnon, President, Royal Australasian Practitioners publication “Cardiovascular Disease: College of Surgeons Prevention in General Practice” Dr Tony Sparnon is a paediatric surgeons, who graduated in Medicine at the Adelaide University, He was previously a director of the Irish Heart South Australia, in 1975. He became a Fellow of the Foundation and remains an active member of the Royal Australasian College of Surgeons (RACS) in Council on the Prevention of Cardiovascular Disease 1983. After gaining international surgical experience & the Council on High Blood Pressure of the Irish in Ireland and England, Dr Sparnon returned to Heart Foundation. He is a member of the British & Adelaide in 1987 as Senior Visiting Paediatric Surgeon Irish Hypertension Society. at the Women’s and Children’s Hospital. He was Head of the Paediatric Burn Service for 17 years and is He is a trainer with the HSE - South East Training presently the Senior Consulting Paediatric Surgeon. Scheme for General Practice for many years and is interested in curriculum development in general In his long surgical career, Dr Sparnon has been practice. involved in child accident prevention and has chaired
47 RCSI CHARTER DAY 2020
CHARTER DAY GUEST SPEAKERS
His professional interests are in risk factor assessment Professor John M. O’Byrne MCh, FRCSI, FRCS(Tr. & management and the use of information & Orth.), FFSEM, FFSEM(UK) technology in general practice. Professor of Orthopaedic and Trauma Surgery, RCSI, Dublin Professor Michael Kerin, Council Member, RCSI & • Abraham Colles Professor of Trauma and University College Hospital Galway, Galway Orthopaedic Surgery, Royal College of Surgeons in Professor Michael J Kerin is the Chair of Surgery Ireland. at the National University of Ireland, Galway and • President, Irish Institute of Trauma and Orthopaedic Cancer Network Director for the NUI Galway/Saolta Surgery University Health Care Group. • Consultant Orthopaedic Surgeon - Cappagh National Orthopaedic Hospital As Consultant Surgeon he has a special interest in - Mater Private Hospital breast and endocrine cancer. He is Research Director - The Sports Surgery Clinic, Santry of the National Breast Cancer Research Institute • Honorary Orthopaedic Surgeon to Ireland Senior and principal investigator at the Lambe Institute for Soccer Team Translational Research, NUI Galway and with Precision • UEFA Chief Medical Officer – Euro 2020 Dublin Oncology Ireland, a national collaborative cancer • Chairman, Medicine and Science Commission, research initiative. Olympic Federation of Ireland / Sport Ireland • Author over 130 publications , three textbooks Professor Kerin’s research interests include molecular • Founder and Director, Masters of Surgery (by profiling in cancer, cancer risk prediction, cellular module) RCSI interactions in the cancer microenvironment and • Co-Principal Investigator SFI/HRB Translational innovative methods for breast cancer diagnosis and Research Award management. He has authored/co-authored over 380 research publications (h-index 54) and has received over €5million in research grant income. Dr Niall Sheehy, Dean, Faculty of Radiologists, RCSI, Dublin He is a member of the James IV Association of Dr Niall Sheehy is a consultant radiologist in St Surgeons, a former Association of Surgeons of James’s Hospital Dublin. He trained in radiology as Great Britain and Ireland (ASGBI) Robert Smith part of the Faculty of Radiologists Radiology Training Guest Lecturer and RCSI Millin Guest Lecturer Scheme between 2002 and 2006. He did fellowships and a frequent keynote speaker at national and in PET/CT and Nuclear Medicine in The Dana Farber international cancer meetings. Cancer Institute and the Joint Programme in Nuclear Medicine in Harvard Medical School. He is a Clinical Senior Lecturer in Trinity College Dublin and the current Dean of the Faculty of Radiologists of the Royal College of Surgeons in Ireland.
48 SATURDAY, 15 FEBRUARY 2020
IRISH SURGICAL TRAINING GROUP Cheyne LT MEETING (ISTG)
ISTG (formally known as the Irish Higher Surgical Training Group) is an independent entity run by surgical trainees. In addition to organising and running specific events, ISTG represents trainees from all subspecialties and levels of surgical training at a variety of committees influencing training.
RESILIENCE AND SURGICAL TRAINING: NATURE OR NUTURE?
08.15 – 09.00 Registration Front Hall, York Street, 123 St Stephen’s Green
Co-Chairs Christina Buckley ISTG President & SPR in Plastic & Reconstructive Surgery St James’s Hospital, Dublin Micheal Kelly ISTG Vice-president & SPR in General & Colorectal Surgery Mater Misericordiae University Hospital, Dublin
09.00 – 09.40 SESSION 1 WELCOME AND FELLOWSHIP PRESENTATIONS 09.05 – 09.20 RCSI Travelling Fellowship Awardee Report Micheal Kelly 09.20 – 09.40 Colles Travelling Fellowship Report from Lyon Mr Kieron Sweeney Consultant Neurosurgeon, Beaumont and Temple Street Hospitals, Dublin
09.40 – 10.40 SESSION 2 PANEL PRESENTATIONS 09.40 – 10.00 The “Tough” Surgeon Professor Blánaid Hayes Consultant Occupational Physician, Honorary Clinical Associate Professor, RCSI 10.00 – 10.20 Reflections of a “Leaver”: Constructive Critique of Surgical Training Dr Marguerite Carter Histopathology SHO, St James’s Hospital, Dublin Saturday 9
49 RCSI CHARTER DAY 2020
SATURDAY, 15 FEBRUARY 2020 continued
10.20 – 10.40 “New Directions in Positive Psychology: Optimising Resilience, Mental Health and Well-Being” Professor Ciaran O’Boyle Director, Centre for Positive Psychology and Health, RCSI
10.40 – 11.40 SESSION 3 DEBATE “This House Believes We Need a More Supportive System, Not More Resilient Trainees” Chair Ms Camilla Carroll Consultant Otolaryngology Head and Neck Surgeon, RVEEH RCSI Council Member 10.40 – 11.00 For the Motion Ms Sarah Early Consultant Cardiothoracic Surgeon, St James’s Hospital, Dublin 11.00 – 11.20 Against the Motion Mr Sean Martin Consultant Colorectal Surgeon, St Vincent’s University Hospital, Dublin
10.20 – 11.40 Discussion
11.40 – 12.00 Refreshments
12.00 - 12.40 THE BOSCO O’MAHONY LECTURE
“If I Knew Then What I Now: The Snakes And Ladders of a Surgical Career” Mr Justin Geoghegan Consultant Hepatobiliary, Transplant and Bariatric Surgeon St Vincent’s University Hospital, Dublin
12.40 - 12.50 Closing Remarks
50 THE BOSCO O’MAHONY LECTURE JOHN BOSCO O’MAHONY (1948 – 2008)
Mr John Bosco O’Mahony FRCSI MRCP (UK) was one of the longest serving members of the Council of RCSI, being elected by his peers for almost twenty years consecutively. His untimely death on the 29th July 2008 left a void for the College, where he served on Council since 1989, and for the people of Wexford, where he was Consultant Surgeon since July 1984 in Wexford General Hospital. Bosco was a man of exceptionally high intelligence as proved by his many personal and academic achievements. He was Head-boy and Gold medalist at Rockwell College and won a scholarship to study medicine in University College Dublin, graduating in 1972. He completed his internship at St Vincent’s University Hospital and was awarded his MRCP (UK) before concentrating on his career in surgery. His post graduate training took him to St Thomas’s Hospital in London and subsequently to Brigham and Women’s Hospital and Harvard University in Boston USA, where he completed his research training. His greatest legacy will be his human touch. He understood people and their needs and worked extremely hard over the years in his profession. He was a great teacher and mentor of his junior colleagues and developed many long standing relationships with his trainees. He was awarded the Silver Scalpel in 2007 by the Higher Surgical Trainees in recognition of his talents.
18.45 CHARTER DAY DINNER College Hall
Commences with a drinks reception followed by Honorary Fellowship Conferrings upon
The Honourable Susan Denham, Chief Justice of Ireland 2011-2017 Dato’ Dr. Godfrey Geh Sim Wah, DSPN, PJK
Dress code: Black Tie, Orders & Decorations Saturday 9
51
RCSI CHARTER DAY 2020
GENERAL DATA PROTECTION REGULATIONS (GDPR) A GUIDE FOR SURGEONS
RCSI 2018
GDPR Find out everything you need to know about GDPR for surgeons – download your Guide at rcsi.ie/surgeons_gdpr
52
CHARTER DAY HONORARY FELLOWSHIP RECIPIENTS
Dato’ Dr. Godfrey Geh Sim Wah, DSPN, PJK Committee, the Steering Committee established to plan for and provide a system of information on sentencing. Dato Dr Godfrey Geh is presently the Senior Consultant As Chief Justice, she chaired: the Board of the Courts General & Plastic Surgeon at Pantai Hospital Penang. Service; its Finance Committee; the Committee for He qualified from RCSI Medical School in 1965. He did Judicial Studies; the Superior Court Rules Committee; his post-graduate Surgical training in Baltimore, USA, the Judicial Appointments Advisory Board; and the the University of Malaya, Kuala Lumpur and in Dublin. interim Judicial Council, from 2011 to 2017. She chaired His post-graduate Fellowships in Surgery included the Courts Centenary Commemorations Committee FRCS(Ireland); FRCS(England) and FRCS(Edinburgh); all from 2013 to 2017. obtained in 1970. Mrs. Justice Denham was the Honorary Secretary of the He then trained in Plastic Surgery at the Royal London Committee on Judicial Conduct and Ethics which in and Great Ormond Street Hospitals, ending up at East 2000 presented a report advising the establishment of a Grinstead, Sussex. Judicial Council in Ireland. In 1973 he was appointed Lecturer in Surgery and Chief She was part of the Irish delegation which, with Holland of Plastic Surgery at the University of Malaya, Kuala and Belgium, established the European Network of Lumpur. He has been in private practice since 1975. Councils for the Judiciary (ENCJ). From 2015 to 2016, He was instrumental in starting two private hospitals in she was President of the Network of the Presidents of Penang, which are now tertiary hospitals. Despite his the Supreme Judicial Courts of the European Union, busy practice, he managed both hospitals in their initial an association of Supreme Court Presidents and Chief stages. Justices of EU Member States. His proudest achievement was his vision in the Mrs. Justice Denham was the Chairperson of the establishment of the Penang Medical College in 1996 in Committee on Court Practice and Procedure, which a joint venture with RCSI (his alma mater) and UCD; this advises on the need for change in various areas of the is another success story and his lasting legacy. operation of the courts. One such recommendation In 1999, he was awarded the Penang Datukship has seen the establishment of a Commercial Court in (Malaysian Knighthood) in recognition for his role in the Dublin, which uses state of the art technology in its improvement of health-care services and for furthering deliberations. The Committee has also advised on the medical education in Malaysia. establishment of a new administrative infrastructure for Not only is he a highly successful and well respected the Courts Rules Committees. Surgeon in Malaysia, he is widely known for his During her tenure as Chief Justice, Mrs. Justice Denham entrepreneurial spirit. was a Trustee of the Holocaust Education Trust Ireland, and was a Governor of Marsh’s Library, Dublin. The Honourable Justice Susan Mary Denha In December 2006 the Government established a The Hon. Mrs. Justice Denham was educated at Working Group on a Court of Appeal, chaired by Mrs. Alexandra College, Dublin; University of Dublin, Trinity Justice Denham. The Working Group presented its College; King’s Inns and Columbia University, New York, report to the Minister for Justice, Equality & Law Reform U.S.A. She was called to the Bar in 1971 and became a recommending the establishment of a general Court of Senior Counsel in 1987. As a barrister she practised on Appeal, it was published in 2009. the Midland Circuit and in Dublin, and had a general She is a Bencher of the Honorable Society of King’s Inns practice with a specialisation in Judicial Review cases. since 1991, and an Honorary Bencher of the Middle Appointed a Judge of the High Court in 1991, in Temple in London since 2005. Judge Denham is an December 1992 she was the first woman appointed a Honorary Bencher of the Inns of Court of Northern Judge of the Supreme Court. Ireland since 2011. Mrs. Justice Denham chaired the Working Group on a Mrs. Justice Denham is a Member of the Royal Irish Courts Commission established by the Government to Academy since 2013. From 1996 to 2010 she was review the management of the Courts, which published Pro-Chancellor of the University of Dublin. In July six reports and two working papers, leading to the 2002, Queens University, Belfast, presented her with establishment of the Courts Service in November 1999. an honorary Ll.D. In 2013, Mrs. Justice Denham was conferred with an honorary Ll.D. from the University She was a member of the Interim Board, and of the of Ulster, and a Distinguished Fellowship Award from Board of the Courts Service from 1999 to 2001, and Griffith College Dublin. In 2014, she was conferred with chaired the Family Law Development Committee until GDPR an honorary Ll.D. from University College Dublin and a 2001. She chaired the Courts Service Board from 2001 D.Phil from Dublin City University. In 2019, Mrs, Justice Find out everything you need to know about GDPR for surgeons – to 2004; and the Finance Committee from 2001 to Denham became an Honorary Fellow of Trinity College 2004. Mrs. Justice Denham chaired the Irish Sentencing download your Guide at rcsi.ie/surgeons_gdpr Dublin.
53 RCSI CHARTER DAY 2020
SAVE THE DATE
National Healthcare Outcomes Conference 31st March 2020
We are delighted to host our third National Healthcare Outcomes Conference.
For further information and to register your attendance, please visit https://www.rcsi.com/dublin/news-and-events/events/event/2020/ national-healthcare-outcomes-conference
Registration is free of charge.
RCSI Fellows and Members Regional Meetings 2020: Cork and Belfast
Cork: 25th March 2020 RCSI’s next Regional Meeting will take place at Cork University Hospital, Cork on Wednesday, 25 March 2020 at 5:30pm.
These interactive meetings, hosted by the President of RCSI, provide a forum for surgeons and surgical trainees to discuss concerns and issues specific to where they are practising with senior College representatives.
Invitations to register will be distributed to Fellows and Members in Munster over the coming weeks. If you are practising in the region but have not received an email invitation, please contact the Fellows Office directly at [email protected]
Belfast: 13th November 2020 There will be a Regional Meeting in Belfast on Friday, 13 November 2020. Invitations and further information will be issued closer to the time.
CPD Credits will be awarded to all attendees. For queries or questions, please contact the Fellows Office directly at [email protected], or on +353 1 402 2116
Millin Meeting 6th November 2020
RCSI’s annual Millin Meeting will take place on Friday 6th November 2020. The Millin meeting is held annually in memory of Sir Terence Millin, an outstanding Urological Surgeon and President of the College from 1963 - 1966. Some of the most challenging contemporary issues facing Irish surgeons and trainees are explored through a series of presentations throughout the day and will conclude with the 43rd Millin Lecture.
54 NATIONAL SURGICAL AND RESEARCH OUTPUT EMERGENCY MEDICINE • 31 peer reviewed publications TRAINING PROGRAMMES during the past 24 months • 35% increase in CST applications • 2 PhDs and 1 MSc supervised • 27.7 average age of CST applicant to completion • 48% of CST applicants were • 2 Models of Care Published in female Otorhinolaryngology and Urology • 12 specialties • 195 CST & CSTEM trainees STAFF • 303 Specialty trainees • 52 staff members • 18 international trainees • 149 adjunct faculty (CPSP & Sudan) • 605 trainers
MRCS EXAMS ACADEMIC PROGRAMMES AND COURSES AND SHORT COURSES • 1,158 MRCS Part A candidates • 16 Accredited short courses • 523 MRCS Part B candidates • 3 Academic programmes • 11 MRCS Part A centres • 47 Academic students • 4 MRCS Part B centres • 1 Academic programme • 175 MRCS examiners in development
• 5 MRCS Part B preparation courses Saturday 9
PCS AND FELLOWS AND CPD COURSES MEMBERS PROGRAMME • 587 NCHD on the CPD-SS Scheme • 9,481 Fellows and Members • 74 courses in Dublin • 2,247 doctors registered in the • 3 regional courses Professional Competence Scheme • 5 new RCSI accredited certificates
55 RCSI CHARTER DAY 2020
BECOME AN FRCS EXAMINER
Since 2014, the Court of Examiners has recruited more than 80 new MRCS Examiners in Ireland and the UK. The Court is now inviting RCSI Fellows in Ireland and the UK to become FRCS examiners for the following specialties:
› Cardiothoracic Surgery › General Surgery › Neurosurgery › Oral and Maxillofacial Surgery › Otolaryngology › Paediatric Surgery › Plastic Surgery › Trauma & Orthopaedic Surgery › Urology › Vascular Surgery
Interested Fellows can visit the Court of Examiners information stand at the Charter Day or contact us at [email protected]
rcsi.ie/coe
56 RCSI CHARTER DAY APP
For this year’s Charter Day Meetings, we are using the RCSI Events App. This is available to download on the Google Play Store and the Apple iTune Play Store, just search for ‘RCSI Events’. Simply install the app and enter the event app code: charterday2020
UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES
When you click into the app first you will be asked to login.
If you have not already assigned yourself a password, select forgot password and you will get an email to reset your password.
Once logged in, select the icon, Attendee App. You will be asked 'I would like to opt in - share my contact details' or 'I would like to opt out - do not share my contact details'.
With this app, you can: 1. View a list of attendees & speakers and connect with them with direct in-app messaging 2. View a complete agenda of the event programme as well as take notes at sessions and export them for future reference 3. Connect with other attendees with the easy-to-use contact exchange feature 4. Network with other attendees with the EventStream Private Social Network, including posting of photos, videos, likes and tags 5. Stay up-to-date with real time messaging alerts and news updates
57 RCSI Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn 123 St Stephen’s Green, Dublin 2 Tel: +353 1 402 2100 Email: [email protected] rcsi.com #RCSICharter
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Username: RCSI-CHARTER-DAY Password: #RCSICharterDay20
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• Once you connect to the RCSI Guest Network: • For Windows devices: open a new Internet Explorer browser • For Apple devices: open a new Safari browser first • Once you have done this you should be able to use your preferred browser (chrome/safari/ internet explorer) • If you cannot get access after trying this please call the IT Helpdesk 01 402 2273