ANNUAL REPORT 2017 CAO Annual Report_2017_Cover.indd 1 17/05/2018 15:05 CAO Annual Report_2017_Cover.indd 2 17/05/2018 15:06 1 CONTENTS CONTENTS President’s Report 02 CEO’s Report 08 Honorary Treasurer’s Report 12 Income and Expenditure 15 Independent Auditors Report 16 Statement of Financial Position 18 Council of the College of Anaesthetists of Ireland 2017 19 Education & Training Committee Report 20 Research Audit and Innovation Committee Report 25 Director of Postgraduate Training’s Report 26 Examinations’ Committee Report 29 CEPD-Congress Committee Report 36 Quality & Safety Advisory Committee Report 37 Professional Competence Scheme Committee Report 38 Credentials’ Committee Report 39 Information Technology and Communications’ Committee Report 40 Committee of Anaesthesia Trainees (CAT) Report 41 Joint Faculty of Intensive Care Medicine of Ireland Report 43 Faculty of Pain Medicine Report 45 Simulation Training (CAST) Report 46 Photographs from Recent Events 48 Education Calendar 2018 52 ANNUAL REPORT | COLLEGE OF ANAESTHETISTS OF IRELAND CAO Annual Report_2018_V13.indd 1 22/05/2018 08:25 2 PRESIDENT’S REPORT PRESIDENT’S REPORT Professor Kevin Carson, President his year has been a tremen- e rst Diploma examination in anaes- e College awards Memberships and dous year in the life of the thesia in Ireland was developed as a con- Fellowships in anaesthesia, critical care College with many projects joint examination of both e Royal Col- and pain medicine as well as administer- and programmes maturing lege of Physicians of Ireland and e Royal ing a Master’s Programme and Leadership and coming to fruition. is College of Surgeons in Ireland held in 1942. Courses and Professionalism Programme. year has moved at, what seemed at times, a Perhaps a portent of the extended role of Currently we are in the process of prepar- Tfrenetic pace. anaesthesiologists who are recognised to- ing an application to become an aliate I am drawn to Seamus Heaney’s nal day as the perioperative physicians. College of the National University of Ire- poem completed ten days before he died, In 1946 the rst academic body of an- land, which will permit us to award our inspired by the painting ‘Banks of a Canal’ aesthetists was founded by the formation own degrees and diplomas. by the French artist Caillebotte: of the Section of Anaesthesia of the Royal Academy of Medicine in Ireland with Dr “So scholarship and art must be “Say ‘canal’ and there’s that nal vowel T PC Kilpatrick, anaesthetist and registrar Fragrant with personality Towing silence with it, slowing time of the RCPI as President and Prof Tommy And moral feeling. To a walking pace, a path, a whitewashed Gilmartin as Secretary. At that inaugural Distinction’s not an ego-trip.” gleam meeting, Sir Ivan Magill spoke on ‘Current (Seamus Heaney, Verses for a Of dwellings at the skyline. World stands topics in anaesthesia’. Fordham Commencement, 1982) still.” In 1959 the faculty of Anaesthetists of (Banks of a Canal, Seamus the Royal College of Surgeons in Ireland e College is completing our speciality Heaney, 2013) was founded. e rst or Foundation Dean document on ethics and professionalism was Professor Tommy Gilmartin. for the Medical Council to reect the par- e imagery is captivating, powerful, e College of Anaesthetists of Ireland ticular contribution from anaesthesia, crit- almost soporic. In a way, the poet chal- was founded as an independent college on ical care and pain medicine, covering such lenges us to slow down and reect. is is Merrion Square in 1998, with the inaugu- topics as advocacy, consent, breaking bad the last year of my Presidency, my caretak- ration of Dr William Blunnie as the rst news and end of life issues. er-ship. is provides an opportunity to re- President of the College of Anaesthetists In 2008 the Faculty of Pain Medicine view highlights and memorable events that of Ireland. I have the honour of being the was founded. e College awards both took place during this year and during the seventh President. Diplomas and Fellowships in Pain Med- last three years; then we refocus and look is year marks the twentieth anniversa- icine. e Faculty has commenced the forward as we move on again. ry of the College’s foundation. process of accreditation of their training ANNUAL REPORT | COLLEGE OF ANAESTHETISTS OF IRELAND CAO Annual Report_2018_V13.indd 2 22/05/2018 08:25 3 PRESIDENT’S REPORT scheme with the Medical Council. e patronage has been especially noted Twelve per cent of approved hospital con- In 2009 the Joint Faculty of Intensive in our various overseas projects and en- sultant posts nationally are in anaesthesia. Care Medicine of Ireland was founded deavours. We are in the process of recording our short emanating from the Irish Conjoint Board An Honorary Fellowship is the highest but rich history, having commissioned a of Intensive Care medicine that had been award that the College can bestow and is re- book on the history of anaesthesia in Ire- examining trainees in the specialty since served for those who have made outstand- land and the College. 1996. ing contributions to anaesthesia, intensive Anaesthesia plays a pivotal role in the Historically the College of Anaesthetists care and pain medicine as well as acknowl- patient’s clinical journey. of Ireland was a constituent College of the edging academics and those in leadership e interaction of anaesthetists with pa- Joint Faculty along with the Royal College positions who act as role models, exemplars tients in the operating theatre being only of Physicians of Ireland and the Royal Col- and modern day heroes for our postgradu- one point of contact, albeit a highly eec- lege of Surgeons in Ireland. is reects ate doctors in training, Members and Fel- tive one, as we mange some of the sickest the background specialities of trainees en- lows of the College. patients including those from the extremes tering the training programme. In order On September 23rd 1998 President of age, from 500 gram neonates to our to streamline the governance structures to Mary McAleese was awarded the rst Hon- most, fragile senior citizens with many co- facilitate IMC accreditation of the training orary Fellowship of the College. is senti- morbidities. Recognition of these patients’ programme in intensive care medicine, the nel event may be considered to be the rst pre-operative condition allows for their sta- Faculty has now become a faculty of the act of the independent College and thus, bilisation and optimisation. College of Anaesthetists of Ireland, while the date is considered to be the foundation Anaesthetists are involved in the man- still proudly acknowledging its parentage of the College. agement of patients during their clinical in and association with the other Colleges. On the 9th of April 2016 we had the journey from the time of consideration of It has been recommended by the review unique opportunity to acknowledge and surgery, to and aer their discharge home. team that the accreditation process will celebrate the achievements and outstand- We lay claim to being perioperative phy- soon conclude positively with the opening ing contributions that Professor William sicians. It is estimated that through our of the specialist register in intensive care Campbell, Nobel Laureate for physiology/ speciality and subspecialties that we are medicine before the current Medical Coun- medicine in 2015 had made to the eld of involved in the management of almost 70 cil demits in May of this year. medicine by awarding him an Honorary per cent of patients who pass through our In 2009 President Mary McAleese Fellowship of this College. hospitals. opened the refurbished building including His lifesaving discovery of Ivermectin – Whilst numbers do not reect complex- the newly built Dr William Blunnie lecture a drug active against parasite roundworms ity, our most recent national audit from the theatre and the Clinical science education has changed the course of countless lives public sector hospitals enumerates that ap- centre in the mews site. across the globe. proximately: In May 2016 we were delighted, singu- e Honorary Conferring ceremony 168,000 General Anaesthetics larly honoured and appreciative to receive took place in Prof Campbell’s hometown of 53,000 Neuroaxial Blocks notication that we were to the rst train- North Andover just outside Boston – a not (Spinals/Epidurals) ing body to be granted Patronage by the unnoticed happy coincidence of geography 8,500 Regional Anaesthetics President of Ireland, Michael D Higgins, and anaesthesia. which we proudly but humbly acknowledge I am delighted to share with you that in In total, approximately 230,000 anaes- on our stationary. May this year our Patron and President of thetics were carried out in 2016. the State, Michael D. Higgins has agreed to Following on from the recent NAP5 From: be conferred with an Honorary Fellowship study into awareness, a further approxi- “Inishbon on a Sunday morning, of our College in St Patrick’s Hall, Dublin mately 39% of anaesthetics will have been Sunlight, turfsmoke, seagulls, boatslip, Castle, in the same state apartments where administered in the private sector. d i e s e l …” he was inaugurated as President on 11 No- e physician’s healing hand on the Col- (Seeing ings, Seamus Heaney, vember 2011 and where then President lege Crest serves as a reminder that in Ire- 1991) Mary McAleese welcomed Queen Eliza- land all consultant anaesthetists are highly To: beth on 18th May 2011. We look forward to trained specialist physicians. Hidden in the thick of a tree is a bough this occasion with eager anticipation. On the other hand, this situation is not made of gold From the rst anaesthetic administered the norm in many countries around the And its leaves and pliable twigs are made in Dublin in 1847, a few weeks aer the rst world.