SURGICAL NEWS THE ROYAL AUSTRALASIAN COLLEGE OF SURGEONS VOL 17 NO 02 MARCH 2016 PAEDIATRIC SURGERY Mr Sebastian King leading advances 18 THE ‘EYES’ HAVE IT In Timor-Leste 30 OPPORTUNITIES FOR 2017 Travel and research scholarhsips p26 The College of Surgeons of Australia and New Zealandd ChloraPrep™ with Tint Surgical Applicators Cutaneous Solution 2% Chlorhexidine Gluconate w/v and 70% Isopropyl Alcohol v/v Sterile applicator and solution Squeeze Hold the applicator as shown, with the sponge facing downward. Squeeze the Skin Preparation applicator once gently: - 26 mL squeeze the lever on handle for all - other products, squeeze the wings. Surgical Procedures Saturate the sponge by repeatedly pressing gently against the treatment area. Coverage Area: 15 cm x 15 cm Apply Product Code: 600415 Starting at the incision site, 3 mL gently press the applicator 25/Box 100/Case: against the skin using a gentle back and forth motion for at UOM Case least 30 seconds, before working outwards to the periphery. Coverage Area: 25 cm x 30 cm Product Code: 600715 10.5 mL 25/Box 100/Case: Dry UOM Case Leave the area to air dry completely before applying sterile drapes. Do not blot Coverage Area: or wipe away. Discard the applicator after a single use. 50 cm x 50 cm Important safety point: Product Code: Do not drape or use ignition source 600815 until the solution has completely 26 mL dried. 25/Case: UOM Case Before Using the ChloraPrepTM applicator, read the instructions for use. Use in accordance with the policies and procedures of your hospital. ChloraPrepTM with Tint CareFusion Australia CareFusion New Zealand Cutaneous Solution Unit 3/167 Prospect Highway 14B George Bourke Drive 2% w/v chlorhexidine gluconate (CHG) Seven Hills, NSW 2147 Mt. Wellington, Auckland. 70% v/v isopropyl alcohol (IPA) Ph: 1800 833 372 Ph: 0508 422 734 © 2015 CareFusion Corporation or one of its affiliates. All rights Reserved. ChloraPrep is a trademark of CareFusion Corporation or one of its affiliates. Ref: IP005Oct15v1 2 SURGICAL NEWS MARCH 2016 CONTENTS REGULAR 54 PAGES 4 PD Workshops 6 President’s Perspective 10 Surgical Snips 27 Dr BB G-Loved 18 14 Correspondence to Surgical News should be [14] DIGITAL UPDATES sent to: [email protected] Letters to the editor should be sent to: New RACS website and Portfolio details [email protected] T: +61 3 9249 1200 F: +61 3 9249 1219 [18] SUCCESSFUL SCHOLAR W: www.surgeons.org Mr Sebastian King making progress in the field ISSN 1443-9603 (Print) / ISSN 1443-9565 of Paediatric Colorectal Surgery (Online) Surgical News Editor: David Hillis [30] GLOBAL HEALTH © 2015 Royal Australasian College of Surgeons Training a new generation of Opthalmologists All copyright is reserved / The editor reserves the right in Timor-Leste to change material submitted / The College privacy policy and disclaimer apply - www.surgeons.org / [44] OPPORTUNITIES FOR 2017 The College and the publisher are not responsible for errors or consequences for reliance on information in Travel and Research scholarships this publication. Statements represent the views of the ON THE COVER: author and not necessarily the College. Information is Opportunities for 2017 [52] PERSPECTIVE AND EMPATHY not intended to be advice or relied on in any particular circumstance. / Advertisements and products Jason Chuen on the illusion of advertised are not endorsed by the college. The adversarial conflict advertiser takes all responsibility for representations and claims. / Published for the Royal Australasian [54] THE PRINTED PART College of Surgeons by RL Media Pty Ltd. ACN 081 735 891, ABN 44081 735 891 of 129 Bourverie St, Carlton 3D printing technology in a surgical context Vic 3053. SURGICAL NEWS MARCH 2016 3 PROFESSIONAL DEVELOPMENT WORKSHOPS & ACTIVITIES Online registration form is available now (login required). Inside ‘Active Learning with Your Peers 2016’ booklet are professional development activities enabling you to acquire new skills and knowledge and reflect on how to apply them in today’s dynamic world. Clinical Decision Making Process Communication (PCM) 21 March 2016 – Melbourne, VIC – Part 1 This three hour workshop is designed to enhance a 22 to 24 April – Sydney, NSW participant’s understanding of their decision making PCM is one tool that you can use to detect early signs of process and that of their trainees and colleagues. The miscommunication and turn ineffective communication workshop will provide a roadmap, or algorithm, of how into effective communication. This workshop can also the surgeon forms a decision. This algorithm illustrates help to detect stress in yourself and others as well as the attributes of expert clinical decision making and was providing you with a means to reconnect with individuals developed as a means to address poor clinical decision you may be struggling to understand and reach. The making processes, particularly as a guide for the PCM theory proposes that each person has motivational supervisor dealing with a struggling trainee or as a self needs that must be met if that person is to be successful. improvement exercise. These needs are different for each of the 6 different Foundation Skills for Surgical communication types; each person uses a combination of these types but usually one is dominant. Educators Supervisors and Trainers for SET 22 April 2016 – Melbourne, VIC (SAT SET) The new Foundations Skills for Surgical Educators is an introductory course aimed at expanding knowledge and 23 April 2016 – Melbourne, VIC skills in surgical teaching and education. The aim of the The Supervisors and Trainers for Surgical Education and course is to establish the basic standards expected of Training (SAT SET) course aims to enable supervisors our surgical educators within the College. and trainers to effectively fulfil the responsibilities of This free one day course will provide an opportunity for their important roles, under the new Surgical Education participants to reflect on their own personal strengths and Training (SET) program. This free 3 hour workshop and weaknesses as an educator and explore how they assists Supervisors and Trainers to understand their are likely to influence their learners and the learning roles and responsibilities, including legal issues around environment. The course will further knowledge in assessment. It explores strategies which focus on the teaching and learning concepts and look at how these performance improvement of trainees, introducing the principles can be applied into participants own teaching concept of work-based training and two work based context. Global sponsorship of the Professional Development programming is proudly provided by Avant Mutual Group, Bongiorno National Network and Applied Medical. 4 SURGICAL NEWS MARCH 2016 assessment tools; the Mini-Clinical Evaluation Exercise March 2016 - May 2016 (Mini CEX) and Directly Observed Procedural Skills (DOPS). NSW Keeping Trainees on Track (KToT) 22-24 April 2016 23 April 2016 – Melbourne, VIC Process Communication Model: Seminar 1, Sydney KTOT has been revised and completely redesigned to provide new content in early detection of Trainee QLD difficulty, performance management and holding difficult 29 April - 1 March 2016 but necessary conversations. Younger Fellows Forum (YFF), Canungra QLD This FREE 3 hour course is aimed at College Fellows who provide supervision and training SET 2 May 2016 Trainees. During the course, participants will have the Foundation Skills for Surgical Educators, opportunity to explore how to set up effective start of Brisbane term meetings, diagnosing and supporting Trainees 2 May 2016 in four different areas of Trainee difficulty, effective Keeping Trainees on Track, Brisbane principles of delivering negative feedback and how to overcome barriers when holding difficult but necessary 2 May 2016 conversations. Non-Technical Skills for Surgeons, Brisbane 2 May 2016 SAT SET Course, Brisbane 23 May 2016 Foundation Skills for Surgical Educators, Lismore Contact the Professional VIC Development Department 21 March 2016 Clinical Decision Making, Melbourne on +61 3 9249 1106 22 April 2016 by email [email protected] or visit www.surgeons.org Foundation Skills for Surgical Educators, Melbourne - select Health Professionals 23 April 2016 then click on Courses & Events Keeping Trainees on Track, Melbourne www.surgeons.org/ 23 April 2016 for-health-professionals/ register-courses-events/ SAT SET Course, Melbourne professional-development Global sponsorship of the Professional Development programming is proudly provided by Avant Mutual Group, Bongiorno National Network and Applied Medical. SURGICAL NEWS MARCH 2016 5 PRESIDENT’S PERSPECTIVE WORKING TOGETHER Collaboration is key to achieveing optimal patient outcomes DAVID WATTERS President magine a junior surgical trainee working in the most the trainee. They did not stand by silently and let it all go on. prestigious hospital of Neverland. Great Professor took the opportunity to change; the hospital I One day Junior makes an allegation of being bullied maintained their accreditation, and the training Board did the repeatedly by a particular senior consultant of renown. Working right thing by Junior and the hospital. It all took collaboration, for Great Professor, Junior often feels humiliated, becomes cooperation and communication. It took courage and increasingly anxious, and struggles to retain motivation. The determination to address uncomfortable topics, and insight by matter is reported to Hospital Supervisor (by Registrar) who Great