CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons

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CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons
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
CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons
RCSI CHARTER DAY 2020

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CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons
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).

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CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons
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

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CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons
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.

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CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons
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

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CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons
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

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CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons
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

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CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons
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

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CHARTER DAY MEETING UNIVERSIT Y OF MEDICINE AND HEALTH SCIENCES - Royal College of Surgeons
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.

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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
 Ireland. Working with the HSE and the Department of Health (DoH), through its National Clinical

                                                                                                              Wednesday 12
 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

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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

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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

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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

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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

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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
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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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                                                                             Friday 14

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
                   Dean, Faculty of Radiologists, RCSI, Dublin

                                                                                                      Friday 14
 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
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