Volume 23 | Issue 3 - Meet our new vice president
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Volume 23 | Issue 3 Page 6 Pages 12 to 23 Meet our new vice president RACS ASC May 2022
Surgical News | Volume 23 | Issue 3 3
RACS leadership
President’s message 4
Meet our new vice president 6
Respecting one another is the right thing Survey of Australian senior surgeons’
to do 10 views on retirement 37
RACS recommits to building a culture of Daniel Chan’s multifaceted career 38
respect in surgery 11 Student researchers collaborate for
Indigenous health in the spotlight success in opioid study 40
at RACS ASC 12 Gendered titles, barber surgeons
Brisbane ushers in a successful RACS and all that 42
90th Annual Scientific Congress 14
Tenei au - surgery in an Indigenous
world 17
Why Dr Aly likes the roux en y gastric
bypass 17
RACS ASC 2022 18
Making media waves at the
RACS ASC 2022 20
Advocacy at RACS 44
RACS Global Health working in partnership
for the Pacific Island Program 46
Good reads 47
RACS Trainees recognised for leadership
skills 48
The Melbourne surgeon and the iconic
Chloe 50 Correspondence and letters to the editor for Surgical
News should be sent to: surgical.news@surgeons.org
Editor: Abderazzaq Noor
Publications Lead: Saleha Singh
Designer: Amy Tanner
Contributing writers: Fleur Morrison, Rachel Corkery,
Surgical competence - a surgeon’s Najma Sambul
perspective 24 www.surgeons.org
ISSN 1443-9603 (Print)/ISSN 1443-9565 (Online).
Challenging management of an elderly
© Copyright 2022, Royal Australasian College
patient 26 of Surgeons. All rights reserved. All copyright is
SUNRRiSE boosts Trainees’ skills 28 reserved. The editor reserves the right to change
material submitted. The College privacy policy and
ACT Annual Scientific Meeting 2022 31 disclaimer apply – www.surgeons.org. The College
and the publisher are not responsible for errors or
The Queensland Trauma Committee 32 consequences for reliance on information in this
Sustainability in a dispersed publication. Statements represent the views of the
author and not necessarily the College. Information is
workplace 34 not intended to be advice or relied on in any particular
ANZHNCS ASM 2022 35 circumstance. Advertisements and products
advertised are not endorsed by the College. The
Five million procedures logged 36 advertiser takes all responsibility for representations
and claims. Published for the Royal Australasian
College of Surgeons by RL Media Pty Ltd. ACN 081 735
891, ABN 44081 735 891 of 129 Bouverie St, Carlton
Vic 3053
4
President’s message
As we get into the colder months of Health Products Regulations Group, that of some planned surgery until the supply
winter, we expect to see a growing there is an extreme shortage of non-ionic is restored in hopefully, one to two
number of COVID-19 infections and IV contrast (Omnipaque) for radiological months.
influenza. This is a stark reminder that investigations. Aotearoa New Zealand
We encourage surgeons to make sure
the COVID-19 pandemic is far from over had adequate supply when this message
their Trainees are aware of these
and that we have many issues that need was published.
guidelines.
to be addressed, including the impact We wrote to our members advising
of long COVID and its implications for In May we held our 90th RACS Annual
that they comply with restrictions in
ongoing medical support. Scientific Congress in Brisbane. It was
requesting diagnostic imaging that
a successful event that attracted more
As governments try to get the elective requires IV contrast, such as angiograms,
than 2600 attendees from more than 25
backlog under control, I fear that CT scans, intra-operative imaging,
countries. It was great to see so many
the already exhausted and burnt retrograde pyelography, ERCP, operative
people in one place—enjoying catching
out healthcare workers’ health and cholangiogram among other items.
up with friends and colleagues. I’m
wellbeing will continue to be adversely The current stock of IV contrast should sure that like me, many of you were
affected. We desperately need more be reserved for urgent, non-deferrable reminded of just how much we have
staff, particularly nurses and other indications and surgeons should missed in-person interaction with
clinical professionals. consider alternative investigation each other. We were able to have more
We recently received notification from methods if appropriate for the meaningful conversations and make
the Australian Department of Health’s indication. This is likely to mean deferral important connections.
Surgical News | Volume 23 | Issue 3 5
We had a wide variety of presentations
covering an interesting range of topics
made by our Fellows, Trainees, overseas
medical colleges, our specialty societies,
and other healthcare practitioners. My
special gratitude to my fellow presidents
who joined us: Professor Mike Griffin,
the president of the Royal College of
Surgeons of Edinburgh, Professor Kean
Ghee Lim, president of the College of
Surgeons of Malaysia and Professor
Johan Fagan, incoming president of the
Colleges of Medicine of South Africa.
I attended as many sessions as possible
and particularly enjoyed the theme teams performing at their best and keep support of and against—the proposed
of sustainability. It covered topics patients safe. name change for the College. It is
from education, individual health and encouraging to see the high level of
The plan sets out a program of work
wellbeing to rural surgery in Australia engagement this issue has generated. We
that aims to strengthen leadership and
and Aotearoa New Zealand, and also will continue to give you the opportunity
professionalism, increase cultural safety
overseas in countries such as India, to share your views as we increase
and diversity, address racism, support
where the rural areas also suffer from awareness of the proposal.
speaking up and providing feedback,
a lack of infrastructure and support and leverage collaborations and
systems on a much larger scale than we partnerships.
experience in our countries. Dr Sally Langley
We look forward to working with our President
I especially want to acknowledge members and health jurisdictions around
Associate Professor Rhea Liang, one of Australia and Aotearoa New Zealand
our Queensland-based Fellows, who and supporting them to embrace and
stepped in at the last minute to cover implement this new focus.
for a plenary session presenter who
My thanks also go to the congress
couldn’t attend. I was impressed by how
conveners—Professor
well Rhea delivered a highly polished talk
Chris Pyke, Professor
at a moment’s notice. Thank you, Rhea.
Deborah Bailey,
I was also honoured to welcome our new section conveners,
Fellows at the convocation ceremony. Dr Liz McLeod, the
Congratulations to you all. I know how congress coordinator,
hard you’ve worked to get to where you our keynote speakers
are. I look forward to supporting you and visitors, and our Join us for dinner, music
as you embark on this new phase of generous sponsors. and auctions at the
your career. I encourage you to become Thanks to our staff who
active members of the College—it is your pulled this wonderful
College and you have the opportunity to
make it a College that you can be proud
event together and
spent many hours
Victorian Surgeons
of and help progress. making sure everything
During the RACS ASC, I also had the was working well— Charity Ball
pleasure of launching our Building from technology,
Respect Action Plan 2022, a five-year communications, media, Saturday
plan, which expands the College’s focus accommodation, and October 8th, 2022
on addressing bullying, discrimination food services. from 7pm
and sexual harassment, towards And thank you Brisbane
fostering professionalism and civility in for your warm Melbourne Cricket Ground
surgery. hospitality. We look
For the past six years we have focused on forward to the 2023
building awareness and understanding RACS ASC in Adelaide,
to operate with respect in surgical South Australia.
TICKETS & INFORMATION
workplaces. The new action plan focuses On a final note, I would
on supporting actions that encourage like to thank you for https://surgeons.eventsair.com
professional behaviours that keep sharing your thoughts /vicball22/vicballreg
and concerns—in
6
Meet our new vice president
Gratitude drives Professor Chris Pyke
Professor Chris Pyke is motivated by a “It was a happy discovery that I really “I have to say, if you want to affect the
sense of gratitude in his roles as a breast enjoyed surgery and I was good enough at community, just make a disease for
and endocrine surgeon and incoming it,” he says. middle-aged women; they are front and
RACS vice president. “It’s very tactile—like woodwork—and centre of every single family at that age,
The Brisbane-based surgeon is grateful every day it’s like you’re involved with and many workplaces. They’re the glue of
for the free university education that your patient in hand-to-hand combat our society and diseases that affect them
enabled him to complete a medical against disease.” affect everyone,” he says.
degree, and for the many mentors and Since the death of his sister after a 20- “Working in this area, you can make a real
colleagues who supported and inspired year battle with breast cancer, Professor difference.”
him along the way. Pyke is aware of the toll the disease takes While Professor Pyke’s father was a
But Professor Pyke is most grateful on families and communities. paramedic, his influence on encouraging
that he discovered a career that he In his area of specialty, he feels like he can his son to pursue a medical career was
enjoys, finds satisfying and gives him the make a significant impact on patients’ more to do with his work ethic and notion
opportunity to repay what he considers lives and those of their loved ones. of a vocation. It was only later, when he
to be a debt to the community and the was a medical student that Professor
profession.
Surgical News | Volume 23 | Issue 3 7
“Every new generation of
surgeons should be better
than the one before, and
that’s what I’d like to help
achieve.”
Pyke understood the impact that his University of Queensland and completed a “At the beginning of the College in 1927,
father’s work had on him. PhD in breast cancer risk quantification. surgeons came together to ensure they
“There was a terrible accident outside He combines a professorship at the had met the standard necessary to serve
our place one night and I got to see him University of Queensland with his work as their community and I see my role as a
working firsthand. It was a multi-vehicle a consultant in public and private health continuation of that.”
trauma and I saw him triaging, deciding services, and his many administrative, Ultimately, he would like to leave the
which people to rescue first—in the dark. board and committee positions. profession in an even better shape than
I was rather in awe of what he was doing.” Professor Pyke sat on the Board of he found it.
Professor Pyke and his wife have three General Surgery for almost a decade, “I benefited along the way from the magic
children, one of whom has followed his is a past president of Breast Surgeons escalator of free tertiary education, and
father into medicine, while the other two of Australia and New Zealand, and the from extraordinary teachers. Some of the
are pursuing careers in education and Breast Section of RACS. His most recent role models I’ve had did not need to spend
law. College position was Chair of the Court of their time teaching me, but they wanted
His wife conducts tours at the Queensland Examiners, a position as challenging as it to make sure the profession was better
Art Gallery and Professor Pyke enjoys was inspiring. when they left it.
acting as what he describes as a “crash In his new position as RACS vice president, “I’m proud to say I’m following in their
test dummy” to help her prepare. he aims to protect the high standards of footsteps. Every new generation of
In his spare time, Professor Pyke loves the surgical profession and encourage surgeons should be better than the one
to bushwalk along the trails around “quality” as a unified goal for all before, and that’s what I’d like to help
Brisbane. specialties. achieve,” he says.
Professor Pyke’s career has taken him In line with his commitment to serving
around the globe, working at some of the the community, he would also like to
world’s leading hospitals alongside some ensure surgeons offer high value care for
extraordinary doctors. patients and to undertake responsible
stewardship of the community’s health
After completing his surgical training resources.
at Mater Medical Centre in Brisbane, he
undertook surgical fellowships at the Professor Pyke sees his role as a
Nottingham Breast Unit in the UK and the continuation of the work of the
Mayo Clinic in the US. surgeons who originally established the
profession’s membership body.
On his return to Australia, he took up a
position as a senior lecturer with The
8
news
in brief
RACS strategic and business Our Business Plan outlines the first year of RACS concerned with decision
plans implementation of the Strategic Plan. We to cancel elective surgery at
feature five flagship programs in 2022:
We recently published our Strategic Royal Adelaide Hospital
Plan 2022–2024 and our Business Plan 1. Building Respect, Improving Patient
RACS South Australia State Committee
2022, which outline specific initiatives Safety: From awareness to action
Chair, Dr David King, said the decision
to support the College in continuing our 2. Implementing the Rural Health Equity to cancel elective surgery will result
work to deliver value for our Fellows, Strategy in additional delays for patients in a
Trainees, Specialist International Medical 3. Championing Aboriginal, Torres Strait system that is already struggling to meet
Graduates (SIMGs), partners and the Islander, and Māori health extraordinary demands on waiting lists
communities we serve. two years into the pandemic.
4. Advocating for workforce and health
In considering our strategy for the next care sustainability Read the latest media release:
three years, we reviewed internal, bit.ly/3z60PPW
external, and global conditions to guide 5. Improving our services.
our thinking and planning. Our priorities You can find the current Strategic Plan
are: and Business Plan and previous iterations Colorectal surgery MBS
on the RACS website: bit.ly/3wWYTrr
• Leading a sustainable future of surgery changes in Australia
• Serving all communities equitably Changes to Medicare Benefits Schedule
• Enhancing member value Join the RACS Professional (MBS) colorectal surgery services will
commence from 1 July 2022 following
• Operational excellence. Skills Assessment Working
recommendations from the MBS Review
Group Taskforce and consultation with key
We are calling for expressions of stakeholders. These changes will better
interest from Fellows who have an align colorectal surgery services with
interest in work-based assessments to contemporary, evidence-based practice.
contribute to developing assessment
The changes are outlined in a range of
tools and processes to support the RACS
Strategic Professional Skills Curriculum.
communication materials, which are now
Plan available on the MBS Online Fact Sheets
2022-2024 A working group of specialty page. This includes a fact sheet, Quick
representatives and RACS education Reference Guide and Frequently Asked
staff is being convened to undertake Questions, available at this link:
development of an assessment program, bit.ly/3NNeU8X
with integrated assessment activities to
Please contact the Department of Health
support delivery and assessment of the
if you have any questions.
Professional Skills Curriculum.
The Professional Skills Assessment
Working Group will also consider
assessment delivery via an app being
developed by RACS.
If you are interested in participating,
or if you have any questions, please
contact Sally Drummond via email (sally.
drummond@racs.org) or by phone:
(03) 9249 1195.
Dr Ravi Mahajani
Plastic surgeon, NT
Leading support in your times of need
– it’s why more doctors choose Avant
When the moment arrives, how confident are you in the quality of
support you’ll receive? Avant offers unrivalled protection.
Award-winning defence Industry-leading insights Expert advice and risk management
A 295-strong* team, including one of With half of Australian doctors as Prevention is better than cure.
Australia’s largest medical defence law members, we handle more calls and That’s why members have access
firms, recognised for their expertise, cases. This wealth of insights and to our medico-legal experts, 24/7
providing members with on-the- experience helps us determine the in emergencies, risk advisers and
ground support across Australia. best approach for your matter, to high-quality educational resources.
achieve a positive outcome.
Experience the Avant difference
avant.org.au/practitioners
1800 128 268
IMPORTANT: Professional indemnity insurance products are issued by Avant Insurance Limited, ABN 82 003 707 471, AFSL 238 765. The information provided here is
general advice only. You should consider the appropriateness of the advice having regard to your own objectives, financial situation and needs before deciding to
purchase or continuing to hold a policy with us. For full details including the terms, conditions, and exclusions that apply, please read and consider the policy wording
and Product Disclosure Statement, which is available at avant.org.au or by contacting us on 1800 128 268. *Accurate as at 08/03/2022. MJN859 05/22 (DT-2407)
10
Respecting one another is the right thing to do
As I reflect on my eight years at the correspondence in the form of emails in silence. Our workplaces will be better
College, the last three as CEO—and prior from our Fellows to College staff—what for it—more kindness and less stress
to that, as Deputy CEO—we have come a was the writer thinking? Did they not and frustration. In the words of the
long way when it comes to respecting one realise that another human being with great General Morrison who addressed
another, whether it is between Fellows, feelings would be reading the email? the 2016 RACS ASC in Brisbane … “the
Trainees, Specialist International Medical Unfortunately, this goes on, and as CEO standard you walk past is the standard
Graduates and College staff. Or have we? I have instructed College staff to report you accept.”
The recent evaluation of the Building these incidents as they will not be When RACS initially committed to
Respect initiative has demonstrated we tolerated and will be dealt with. We have ‘Building Respect’ it was lauded by
have made some gains in achieving more had some staff leave the College because everyone and we were a leader in this
respectful workplaces, but why does of inappropriate behaviours from Fellows. area. Let us all re-commit to this pledge,
the problem of inappropriate behaviour It is indeed a sorry reflection on RACS to be authentic leaders, compassionate
persist? I still see examples of this around when this happens, but it does. and caring, and always respectful of
me and I still see Fellows turning a blind On a more positive note, most of our others.
eye and not ‘speaking up’ when these members do the right thing and recognise Above all, we want the members of our
behaviours are exhibited. and live the College values: Service, profession to exemplify the values we
I have also experienced these behaviours Respect, Integrity, Compassion and aspire to.
myself from Fellows. Sometimes the Collaboration.
John Biviano
behaviours are what some would call I ask everyone reading this article to look
borderline ‘micro-aggressions’ or CEO
at themselves in the mirror; to reflect
‘micro-corrections’. However, it is these on their behaviours and those of others
behaviours that can cause the most harm around them, commit to leading a culture
when repeated and allowed to fester. of respect, to call out poor behaviour
I am concerned when I see these when it occurs and come to the aid of
behaviours expressed in some of the affected individuals who will be sufferingSurgical News | Volume 23 | Issue 3 11
RACS recommits to building a culture of respect
in surgery: Now is the time for action
The Royal Australasian College of The report notes that ‘entrenched RACS Building Respect Action Plan 2022
Surgeons (RACS) re-convened an Expert problems in healthcare will only be expands the College’s focus to date on
Advisory Group (EAG 2022) to review the solved by cross sectoral commitment addressing bullying, discrimination and
progress made by the College community and collaboration.’ sexual harassment, towards fostering
since 2015 to build respect and improve ‘Given the limits of RACS influence professionalism and civility in surgery.
patient safety in surgery, and to over workplace settings, our The plan sets out a program of work
recommend future actions. recommendations rely on collaboration, that aims to strengthen leadership and
The College Council has endorsed leadership and shared responsibilities,’ professionalism, increase cultural safety
the recommendations of EAG 2022 EAG 2022 notes. and diversity, address racism, support
and published a new five-year plan RACS President, Dr Sally Langley, said the speaking up and providing feedback,
for cultural change by investing in College was energised and heartened by and leverage collaborations and
leadership, training and education, the EAG 2022 report. partnerships.
fostering diversity, and strengthening a Read more about the EAG 22 Report and
feedback culture in surgery. “Cultural change takes time. We’re in
this for the long haul because it’s best the RACS Building Respect Action Plan:
‘Now is the time for action. Six years has for our patients and will strengthen the From Awareness to Action: bit.ly/3a8CyP1
built awareness and understanding of whole surgical community,” Dr Langley
the need to operate with respect. We are said.
now looking for actions that encourage
professional behaviour that keeps teams She said the RACS Building Respect
performing at their best and patients Action Plan 2022 would require
safe’, the EAG 2022 report states. leadership, collaboration
and a shared purpose
EAG was ‘struck by the seriousness of with other health sector
the College’s ongoing commitment’ and agencies. Building Respect, Improv
ing Patient Safety: From
found it had ‘prioritised identifying and
Awareness to Action
addressing a serious problem’ by rolling “Agencies across 1
out an ambitious program of work. the health sector in
Australia and Aotearoa
EAG 2022 notes that a lot has changed New Zealand have
inside and outside the College in the embraced the need
six years since RACS launched its 2015 for cultural change. At
Action Plan: Building Respect, Improving different places, we are
Patient Safety. recognising that this
2022 Report, Recom
‘Community dialogue and expectations means disrupting the mendations and Act
ion Plan
about acceptable behaviour and culture status quo and being
have profoundly altered the RACS open to new ideas and Building Respect,
operating environment and re-shaped practices. Improving Patient Sa
the wider community,’ the report states. fety:
“RACS focus is From Awareness to
‘The College must now keep pace with shifting from raising
Action
community standards and expectations awareness, to RACS Expert Advisory
Group (Discrimination
and Sexual Harassme , Bullying
and keep striving to effect real change. supporting action. We nt)
Ongoing, concerted effort and a renewed will work with the
commitment is needed to convert College community
awareness to action and enable the as we build our skills
profession to change and meet the and learn to lead
expectations of the community it serves,’ compassionately and
the EAG 2022 report states. collaboratively,” she
said.12
Indigenous health in the
spotlight at RACS ASC
The Indigenous Health section of RACS lecture, she and her team from the presidents, office-bearers, and allies
ASC was expanded in 2022. This was Institute of Collaborative Race Research attending. The breakfast was opened
in response to Cultural Competence hosted a workshop of guided readings with a welcome to country from elder
and Safety becoming the new 10th examining cultural competency, or rather, Uncle Joseph and ended with a message
competency and the steady and the negative effects on Indigenous people from Haylene Grogan, Deputy Director
continuing focus on increasing diversity when cultural competency is absent. General of Queensland Health. The
and inclusion within the College. Catering was provided by Murri Menu Indigenous scholarship winners were
There were two broad aims—to provide and it is possible that the lemon myrtle presented with their awards by Dr Sally
sessions suitable for upskilling by all scones and kangaroo sausage rolls with Langley.
conference attendees and to increase bush tomato relish were also a first for
Dr Mikayla Couch - RACS ASC Award
Indigenous participation in every role at the ASC.
Dr Mitchell Smith - RACS ASC Award
the conference. The Indigenous Health breakfast sold
out early, with current and multiple past Dr Toriana Murray - RACS ASC Award
The result of this focus was several
firsts—the first academic visit, the
first section dinner, the first dedicated
plenary, and the first funded research
prize.
As part of a parallel aim to normalise
Indigenous ways of working and doing,
there was also the first Yarning Circle/
Hui Whakawhanaungatanga and an
increasing use of norms such as Māori
pepeha in speaker introductions and
Aboriginal languages in presentations.
The section visitor was Professor Chelsea
Watego. In addition to her keynoteSurgical News | Volume 23 | Issue 3 13
Dr Nasya Thompson - RACS ASC Award Dr Lincoln Nicholls - 2022 SET Trainee One Fund, London) and Future Dreaming
Dr Nikola Fraser - RACS ASC Award (2020 Year Scholarship – Māori panellists Dr Claudia Paul (Rhodes
winner but due to COVID deferred until The Indigenous Health convenors would scholar), Dr Jamie-Lee Rahiri (PhD) and
2022) also like to thank the keynote speakers Dr Rob Grant (cardiothoracic Trainee)
Dr Maxine Ronald, immediate past Chair for contributing to such a strong and
Dr Claudia Paul - ASC Peer Support award
of the RACS Indigenous Health committee successful section.
Dr Justin Cain - 2022 SET Trainee One Year and Dr Kris Rallah-Baker, Australia’s first It is clear from the attendance and
Scholarship – Aboriginal and Torres Strait and only Indigenous ophthalmologist. the social media engagement with the
Island
Thank you also to the plenary speakers activities of this section that Indigenous
Dr Jamie-Lee Rahiri - 2022 SET Trainee Dr Rhys Jones (University of Auckland) health is on an increasingly strong footing
One Year Scholarship – Māori and Professor Michael West (The King’s at RACS. We look forward to the RACS ASC
2023 where Indigenous health will be the
overarching theme.
Dr Justin Cain and Associate Professor Rhea
Liang
Images (Clockwise from top left):
Indigenous Health breakfast; ICCR workshop;
Dr Justin Cain and Associate Professor Rhea Liang;
Yarning Circle/ Hui Whakawhanaungatanga.14
Brisbane ushers in a successful RACS
90th Annual Scientific Congress
Brisbane played host to the Royal Tuesday’s plenary session was opened Denna Fryer who was the winner of the
Australasian College of Surgeons 90th by RACS president Dr Sally Langley Women in Surgery essay competition
Annual Scientific Congress (RACS ASC). followed by a calendar full of interesting entitled The myth of meritocracy: What
More than 2600 participants attended the presentations. RACS can do to dismantle it. Denna
Congress either in-person or virtually. A moving Indigenous health breakfast received a RACS grant, which included
was the highlight of the day on entry to the RACS ASC 2022, flights and
We kicked off RACS ASC on Sunday, accommodation in Brisbane.
1 May with a gala dinner hosted by the Wednesday, with many past presidents
Foundation for Surgery at the Birrunga in attendance. Dr Langley presented The last day of the Congress featured
Gallery to thank the extraordinary awards to several recipients before Dr various presentations, including one by
generosity of our donors. Justin Cain led a panel discussion entitled Australian Orthopaedic Association’s
‘future dreaming’. All panellists spoke President and RACS Councillor, Dr
On Monday, 2 May we proudly welcomed optimistically about the future, noting Annette Holian on ‘Women who lead’.
our new Fellows in the evening at the that it was reassuring to see the College’s Dr Holian shared numerous stories from
2022 Convocation ceremony. The continued commitment to Indigenous her personal and professional lives and
Fellowship pledge recital was a powerful health and representation in surgery. the lessons she learned throughout her
and engaging moment, highlighting that journey. She encouraged the audience to
the future of surgery is in the best of This year’s RACS Women in Surgery
breakfast and annual business meeting remember to be kind to themselves and
hands. Our sincerest congratulations to to take ownership of mistakes.
the new Fellows. was opened by chair, Dr Christine Lai. Dr
Langley acknowledged medical studentSurgical News | Volume 23 | Issue 3 15
16
Some statistics from the RACS ASC 2022
Our first in-person congress since the pandemic was an amazing experience for us. Here are some facts and figures:
• more than 2600 participants (in-person and virtual) • representatives from more than 25 countries: Australia,
participated Aotearoa New Zealand, Norway, the UK, USA, Japan, Israel,
• total live stream viewed minutes: more than 250,000 Malaysia, Belgium, Greece, France, Ireland, Netherlands,
Botswana, South Africa, Brazil, Canada, India, United Arab
• 664 presentations Emirates, and Papua New Guinea to mention some.
• 1712 e-poster views
• average number of steps during a congress day – 8000
664 MORE THAN 2600
PRESENTATIONS PARTICIPANTS
(IN-PERSON AND VIRTUAL)
1712
E-POSTER
VIEWS
AVERAGE NUMBER
LIVE STREAM
OF STEPS DURING A
VIEWED IN MINUTES: CONGRESS DAY – 8000
MORE THAN 250,000Surgical News | Volume 23 | Issue 3 17
‘Tenei au’ — Surgery in an Indigenous world
Dr Maxine Ronald, a general surgeon and informed by the community and also
at Whangārei Hospital, Northland in shared some solutions.
Aotearoa New Zealand, presented a “We should support communities and
keynote lecture titled ‘Tenei au’—Surgery whānau to be self-determining and
in an Indigenous world at the RACS ASC provide healthcare that is internally
2022. integrated and reaching across sectors
Dr Ronald, of Ngāti Wai and Ngāti Hine to include housing, education, social,
descent, started her talk with a beautiful cultural and environmental networks.
ancient Māori tauparapara or chant. “We should also indigenise the health
She focused on how Indigenous practice system, embedding Matauranga
can inform surgical practice and the (knowledge) Māori frameworks and
importance of indigenising the spaces strategies.”
we work in and structure of the health Dr Ronald also called for the equitable
services. distribution of resources in the country’s
“Medical and scientific advances have healthcare system.
failed to improve equity for Indigenous “We need an Indigenous measurement
groups. The solution to Indigenous of health as the problem with equity
health inequities lies with Indigenous is that it is defined in relation to white
communities,” she said. people. It assumes there is a limit to what
Dr Ronald shared Māori stories with Indigenous people can achieve, and has
key values that can inform surgical a narrow focus on disease rather than
services such as whakapapa (genealogy, Indigenous, holistic models of health.
relationships), whanaungatanga The key to addressing Indigenous issues
(connection) and manaakitanga (caring, lies within Indigenous communities,” she
kindness, support). added.
She reiterated the importance of using
Indigenous knowledge as a foundation
for informing health services’ structure
to ensure the health system is responsive
Why Dr Aly likes the roux en y gastric bypass
Dr Ahmad Aly, address endless questions (around reflux weight loss at 10 years and only 3.5 per
an Upper Gastro or uncertainty of oesophageal function as cent regained weight to within five per
Intestinal surgeon at explained later) and it leaves nothing to cent of index weight.”
Melbourne’s Austin chance—just like Jason.” Dr Aly added that while RYGB, like all
Hospital, presented a He said the procedure had been around surgery, carries some risk it can be
convincing argument since the 1960s, is backed up by plenty of effectively mitigated, and long-term
to a captivated data and it is still here because it works. complications can be minimised with
audience at the RACS Annual Scientific The bypass has been refined over the past attention to detail.
Congress 2022 on why he likes the roux decades and the modern RYGB has existed
en y gastric bypass (RYGB). Acknowledging some hyperbole in
since the early 1990s. presenting his arguments for this session
Dr Aly used facts, figures and a movie “It is still here because it works and in which several different operations
clip—featuring Jason Bourne—to is the best performing of the non- were discussed, Dr Aly concluded, “All
cheekily describe the RYGB as the “Jason malabsorptive weight loss procedures procedures have a place and we need to
Bourne of Bariatric Surgery.” Alluding to offering the most durable long-term tailor each to the patient.”
the movie clip, he made the comparison weight loss. A recent paper from JAMA
saying: “It’s powerful, efficient and References
Surgery1 found that 80 per cent of
effective, and highly adaptable. It can patients who underwent gastric bypass
Matthew L. Maciejewski, David E. Arterburn, Lynn Van
Scoyoc,et al. Bariatric Surgery and Long-term Dura-
solve simple (primary) or complex maintained 20–30 per cent total body bility of Weight Loss. JAMA Surg. 2016;151(11):1046-
(revision) problems, it doesn’t need to 1055.18 RACS ASC 2022
Surgical News | Volume 23 | Issue 3 19
20
Making media waves at the RACS ASC 2022
We present some interesting abstracts that generated media interest.
Depressive symptoms occur in almost Dr Joshua Kovoor, a researcher, medical ensure it has good position and proper
half of stoma surgery patients intern and PhD candidate with the shape.
University of Adelaide said a patient’s “A preoperative visit from a stomal
An Australian-first research has depressive state after stoma surgery therapist aids in both deciding the
discovered depressive symptoms occur in could be linked to a few key factors. optimal position on the abdomen to
almost half of stoma surgery patients. “After stoma surgery, many place the stoma and gives reassurance
that help will be available in the post-
The study, conducted by a team of patients struggle physically operative period to manage the stoma,”
17 medical professionals and health
and mentally post-surgery, Professor Hewett said.
researchers, led by Dr Joshua Kovoor and
supervised by Professor Peter Hewett, especially with a loss of self,
comprised a systematic review and meta- intimacy, and body image, Circumcision still common in private
analysis aiming to characterise depressive in response to multiple hospitals, despite the procedure being
symptoms after stoma surgery. banned in public hospitals
psychological stressors,”
Key findings included: Dr Kovoor said.
A new study has revealed circumcision
- overall prevalence of depressive
“The research highlights how we can remains one of the most common
symptoms in stoma patients after their
improve care to stoma patients before surgeries performed in Australian private
surgery was 41 per cent
and after their surgery. hospitals, despite the procedure being
- across the included longitudinal banned in public hospitals.
studies, six-month postoperative “Stoma patients at risk of developing
depressive symptoms should be identified The research by Dr Darshan Sitharthan
prevalence was 39 per cent
early, and have access to mental health and Keeththana Thayanantharajah
- across the included longitudinal reports Australia’s circumcision rate has
services, including psychologists and
studies, 12-month postoperative fallen by 80 per cent in the past 40 years.
psychiatrists to assist with their overall
prevalence was 42 per cent
care.” Key insights include:
- patients with a stoma had significantly
Professor Peter Hewett, RACS Fellow and - Male circumcision is an ancient practice
higher rates and risk of depressive
senior colorectal surgeon at The Queen that dates as far back as 10,000 BC.
symptoms compared to patients
Elizabeth Hospital said when forming
undergoing surgery without stoma
a stoma, the surgeon will take care to
formation.Surgical News | Volume 23 | Issue 3 21
- The total additional personal cost of
A lack of plastic surgeons based in
travel and accommodation to patients
regional Victoria costing rural patients
if they had to travel to a metropolitan
millions of dollars
- Following WWI, male circumcision was service over a two-year period was
widely embraced by the Anglosphere $1,707,740 for those attending South
Research has revealed a lack of plastic West Healthcare (Warrnambool),
for medico-cultural reasons.
and reconstructive surgeons based in and reaches $6.36 million over all the
- Australia’s routine circumcision regional Victoria is costing rural patients health care services they operate in the
rate peaked at 85 per cent between millions of dollars. south-west Victorian region.
1950–1980.
The study—a two-year retrospective - Median travel distance was 28 km to
- Due to a societal and cultural shift, the evaluation of patients who underwent the Warrnambool service compared
1980s saw circumcision rates fall to 15 a procedure at Warrnambool Plastic to 259 km to the nearest metropolitan
per cent in Australia. & Reconstructive Surgery—by Dr Toby service.
- Changes in political and culture Vinycomb, Dr Hanna Jones, Mr John
Mr Toma, a RACS Fellow and a Plastic and
sentiments saw the gradual Masters and Mr Robert Toma found there
Reconstructive surgeon said regional and
introduction of state level bans of is significant increase in personal cost for
rural Victorian patients want to receive
cosmetic circumcision. South Australia travel and accommodation required for
treatment close to where they live.
and Queensland were the first to strike rural patients to access specialist care.
in 2007 with the rest of the states “What I would like to see is increased
Background:
following suit before the end of the funding to attract sub-specialty surgeons
- 1860 patients in the study to regional areas of Victoria,” Mr Toma
year.
- 3.5 per cent of Victorian plastic and said.
- In 2010 the Royal Australasian College
reconstructive surgeons live and work “When I relocated to Warrnambool
of Physicians released a statement,
in regional or rural areas—to cover 23 a decade ago, there was a lack of
which concluded the risks ‘do not
per cent of the Victorian population understanding regarding services plastic
warrant routine infant circumcision’.
- Warrnambool is a two surgeon, one surgeons provided to the community.
- Circumcision remains one of the most Fortunately, South West Healthcare,
Trainee plastic surgery unit that
common private surgeries performed in St John of God Hospital and Portland
provides elective and emergency
Australia, and the single most common Hospital saw the benefit and supported
services to a population of 151,140
surgery performed worldwide. my decision.
people and performs almost 2500
- Globally, approximately 39 per cent of operations a year. “Ten years on, the community is reaping
males are circumcised. the rewards of that decision because
Key findings include:
- America’s circumcision rate is 81 per they don’t have to travel to Melbourne
- Patients would pay on average at
cent. for surgery and be thousands of dollars
least an additional $1201 in travel
worse off.”
- Australia’s circumcision rate is and accommodation for common
approximately 15 per cent. and necessary operations in travel to Dr Toby Vinycomb, a plastic surgery
Melbourne. registrar said the research highlights
Dr Sitharthan, a junior doctor, said
the disparity of services available to
despite the operation being banned in - Over a prospective four-week period, a
Victorians based in rural areas of the
public hospitals, it remains a common total saving of $245,000 was achieved
state.
procedure in private hospitals. in travel and accommodation cost by
“Cultural and cosmetic reasons are 204 patients attending a rural service.
driving the demand for circumcisions in - Savings did not factor in the increased
private hospitals,” Dr Sitharthan said. cost of prolonged displacement to
Melbourne on individual and family
“Dad is circumcised, so he
members and economic impact of
wants the same for his son.” increased time off work.
“Circumcisions in private hospitals cost - 51 per cent of patients would prefer to
between $450 to $1600. Anecdotally, the travel an additional 30 minutes or more
circumcision rate in regional and rural to go to a rural service than travel to
Australia is a lot higher when compared to Melbourne.
the capital cities too.” - 93 per cent of respondents felt it
very important to have a rural plastic
surgery service.22
“Rural and regional Victorians population).
generally earn less than those - The rate of CTR in males has nearly
based in Melbourne and doubled over two decades (59.8 to
108.1 per 100,000 population).
Geelong. However, they are
- This increase is largely attributed to
currently being asked to pay
two age groups: 75 to 84 (+180 per
more to access healthcare,” cent) and over 85 (+201 per cent).
Dr Vinycomb said. - For females, the incidence has
remained largely unchanged over the
“Surgeons who train in rural and regional
past 20 years, with a decline seen for
areas of Victoria often want to return
some age groups 45 to 54 (-32 per
when their training is complete, however,
cent) and 55 to 64 (-20 per cent).
there needs to be appropriate funding to
make it happen. Dr Arunan Jeyakumar, a surgical resident
at Brisbane’s Princess Alexandra Hospital
“It’s a win-win situation. There will be
said CTR is one of the most performed
more sub-specialty surgeons setting
hand surgeries. The procedure aims to
up shop throughout regional Victoria,
treat Carpal Tunnel Syndrome (CTS), a
which in turn will drastically reduce the
painful disorder of the hand caused by
amount Victorians based outside the
pressure on nerves that run through
metro centres will have to pay to access
the wrist. Anything that aggravates and
healthcare.”
inflames the tendons can cause CTS,
including repetitive hand movements,
Males more likely to suffer from Carpal pregnancy, and arthritis.
Tunnel Syndrome
“It’s a growing problem, with Breast reconstruction surgery post
CTR surgery rates increasing mastectomy jumps 125 per cent in past
A 20-year review of Carpal Tunnel Release decade
(CTR) trends in Australia has revealed for by 30 per cent every year for
the first time, males are more likely to the past 20 years,”
suffer from Carpal Tunnel Syndrome than Exclusive research has discovered the
Dr Jeyakumar said. national rate of breast reconstruction
females, with the rate of CTR in males
almost doubling in the past two decades. (BR) following mastectomy has jumped
“Historically, CTS has been associated 125 per cent in the past decade.
The research conducted by Dr Arunan with females—thought to be related
Jeyakumar analysed Medicare data over to hormonal changes secondary to The study by Nirmal Dayaratna, Dr Chu
the past 20 years. pregnancy and menopause. However, Luan Nguyen, Associate Professor Cindy
the research unexpectedly revealed a Mak, Associate Professor Sanjay Warrier
Key findings over the past 20 years and Dr Joseph Dusseldorp included
significant increase in the number of
include: patients who underwent mastectomy
males requiring CTR surgery over the past
- 302,211 CTR operations were 20 years,” Dr Jeyakumar said. with or without reconstruction for
subsidised by Medicare Australia. invasive or in situ breast carcinoma from
“Males are likely undertaking activities 2010 to 2019 in Australia and Aotearoa
- CTR was most common among ages that require repeated movement of New Zealand.
55 to 64 for females and 65 to 74 for the wrist, which could include using a
males. keyboard and mouse, machine work or Key findings include:
- The yearly incidence of CTR has sports-related activities. - Women who underwent mastectomy
increased by 30 per cent over the past “With the percentage of males requiring between 2010 and 2019 was 42,279.
20 years. CTR surgery trending up, it is important - The national BR rate over the 10-year
- While females made most of the claims for the healthcare system to identify how study period was 21.46 per cent.
(59.3 per cent) in 2020, the incidence they can allocate resources to meet the - The yearly rate had steadily increased
for males has eclipsed females for the growing demand.” from 12.84 per cent in 2010 to 29.01
first time (108.2 vs 103.2 per 100,000 per cent in 2019.Surgical News | Volume 23 | Issue 3 23
- All states and territories, except South Dr Dusseldorp, a RACS Fellow and “It’s important to acknowledge not
Australia and the Northern Territory, Plastic and Reconstructive surgeon at every woman wants BR following a
showed a steady increase in BR rate Chris O’Brien Lifehouse in Sydney said mastectomy, however, without analysis
from 2010 to 2019. BR following mastectomy has proven, and knowing what the trends are, it is
- The BR rate increased from 22 per positive quality-of-life benefits. impossible to make informed decisions
cent to 41 per cent in Victoria, nine “The rise in uptake over the past decade about the allocation of health services
per cent to 33 per cent in New South is encouraging. However, there is an and funding.”
Wales, eight per cent to 20 per cent in ongoing need to address the barriers to
Queensland, and 22 per cent to 28 per equitable access to BR,” he said.
cent in Western Australia over the 10- “The rise in BR following mastectomy
year study period. since 2010 is patient driven.
- South Australia has had a relatively
low BR throughout the 10-year study
“There is a better
period with a BR rate of eight per cent understanding of the surgery,
identified in 2019. greater acceptance of the
- BR was found to be significantly more procedure, and improved
common in younger women, being access to support groups.
most common between the ages of 40
and 54 and falling sharply from age 70
There are also more trained
onwards. oncoplastic breast surgeons.”
- The majority of BR was performed
in private hospitals, except in
South Australia, where most of the
procedures occurred in the public
setting over the 10-year study
period.
- 74 per cent of BR cases in New
South Wales were performed in
a private hospital in 2019.
- 69 per cent of BR cases in
Western Australia were
performed in a private hospital
in 2019.
- 51 per cent of BR cases in
Victoria were performed in a
private hospital in 2019.
- 52 per cent of BR cases in
Queensland were performed in a
private hospital in 2019.
- Women living in metropolitan
areas had a BR rate of 33 per
cent and this rate falls sharply in
regional and rural areas .
- Hospitals in rural and remote
areas have a lower BR rate
compared to metropolitan
areas.24
Surgical competence – a
surgeon’s perspective
Abstract Even the most experienced and surgeons need to adapt in a fast-
Throughout our lives we work in a safety conscious surgeon can make a changing, fiercely competitive digital
fiercely competitive world for a living. mistake as revealed by Henry Marsh world.
Competence matters more than ever in his scholarly article7. Surgeons Measuring competence
before, especially in surgical practice. working at the coal face, often in Nevertheless, measuring competence
Competence means the ability to make trying circumstances, may rightly feel and outcomes is a complex task. It
decisions to do the tasks on hand exhausted and depressed leading to depends on the ability to collect accurate
well—a lifelong process. ‘burn out’.8 meaningful data without any bias and
Introduction In reference to surgical malpractice I confounding factors coupled with the
The Oxford dictionary defines compete quote Sokol, ‘...The risk of being sued, ability to interpret and implement
as to ‘take part in a contest’ and like surgical complications cannot be practical measures towards improving
competence as ‘the ability or the state eliminated but it can be reduced’.9 the outcome. For surgical competence,
of being competent’. But the origin of Against this backdrop a surgeon must colleges have embraced MALT (Morbidity
the word ‘compete’ has nothing to do necessarily update their knowledge and and Audit Log Book Tool) combined with
with competing against one another. skill base and be able to decide when SNOMEDCT (Systemised Nomenclature of
‘Compete’ comes from the Latin word to operate or when not to for the best Medicine Clinical Terms) as measurement
competere—com (together) and petre possible care for the patient.10 tools among many other means for
(aim at, seek). The Oxford English delivery of surgical care by surgeons,
Dictionary defines the verb, which has its As surgery becomes increasingly collaborating with other disciplines
modern origins in the 17th century, as ‘to specialised and multidisciplinary to the public at large—there being no
seek together, to come together, agree, requiring teamwork, coupled with high certainty of the outcome .11-14
and be suitable’. expectations of the public at large,
Nevertheless, in the real world we
compete to gain access to the necessary
knowledge to be licensed as practising
surgeons for the health and wellbeing of
patients, which is commercialised and
governed by public and private bodies.2-5
‘To err is human’; prevention is better
than cure
In reference to human factors training
the Royal College of Surgeons in Ireland
states: ‘It has been estimated that only
25% of the important events that occur
during a surgical procedure are related
to manual or technical skills and that
75% relate to human factors such as
decision-making, communications,
teamwork and leadership’.6Surgical News | Volume 23 | Issue 3 25
Continuous improvement without compromising the time available 10. Thomas WEG. Martin Allgower Lecture. Teaching
and assessing surgical competence. Ann R Coll
There needs to be continuous to do the actual work and earn a living. Surg Engl 2006 88:429-432
improvement in technology, processes, 11. Annual Report 2015 P-6-7, Royal College of
and skill and expertise. This will enable Dr Ratnakar Bhattacharyya Surgeons of Australia and New Zealand, www.
Surgeons.org
Retired General Surgeon,
a team to capture accurate meaningful 12. Mitchell DC, Spencer SA. Keeping the score. A
Sydney, Australia. discussion of issues around data quality and
data and be able to assess where case mix control. The Bulletin of RCS of England
things went wrong (with resulting poor 98 issue 8 Sept 2016 pp.348-351
13. Frampton S, Moulds, A. Surgical outcomes:
outcomes), why the error took place, and a Victorian viewpoint. Bull RCS Engl. 2015;
how the situation can be improved. References 97:190-191
1. Sanders David: Competing together. The Bulletin 14. Verguet, S et al. Timing and cost of scaling up
Everyone should be aware that ‘to err of RCS Eng., 100, 193, July 2018. DOI:10.1308/ surgical services in low –income and middle-in-
rcsbull.2018.193 come countries from 2012 to 2030: a modelling
is human’ and that no two patients, 2. Bhattacharyya R. Letter: Revalidation. Aust. study. Lancet Global Health 2015; 3(52):528-37
circumstances, their treating surgeons, Fam. Physician 2014; 43:343-44 15. Bhattacharyya Ratnakar Covid-19: a remote
3. Bhattacharyya R, Letter: Endoscopic large bal- assessment in primary care | The BMJ www.bmj.
and the teams providing their care are loon sphincteroplasty is a useful, safe adjunct com › content › bmj.m1182 › rapid-responses
the same. There is no perfect health for difficult to treat choledocholithiasis. ANZ May25, 2020
J.Surg. 2016;86:1068 16. AlHasan, AJMS. Bias in medical artificial intelli-
service anywhere in the world.15-19 4. Bhattacharyya R: Publishing Ssmd: The Risks gence. Bull R C S Engl.2021; 103:302-305
Outweigh The Benefits: The Bulletin of RCS of 17. Milroy T, Bandler, Lion. Closing the Gap: where
Conclusion England 98 issue 7 July 2016 pp. 281-281 DOI: to now? Med J Aust. 2021; 214:209-210.
A career in surgery does carry risks, as http://dx.doi.org/10.1308/rcsbull.2016.2815. 18. Editorial. Emergency Action to limit global tem-
5. Logan RL, Scott P J. Uncertainty in clinical prac- perature increases, restore biodiversity, and
well as rewards, with happy outcomes tice: implications for quality and costs of health protect health.34(5):257-260 doi:10.25259/
and anyone wishing to be a surgeon care: Lancet 1996; 347:595-98 NMJI_706_21
6. Future of Surgery. Royal College of Surgeons 19. Crozier J. Data-Key to meeting road safety.
will have to do whatever it takes to get England. Preparing the surgical workforce. P 68 - Surgical News 2022; 23:28
there. There is no one set of rules that https://futureofsurgery.rcseng.ac.uk/
7. Marsh Henry. Better not look down. The Bulletin
will apply everywhere and one should be of RCS of Engl.2015;97.229-342
able to give and take in an uneven world. 8. Dean, Erin. Burnout and surgeons. Bull R Coll
Surg Engl. 2019; 101:134-136.
Those measuring competence should be 9. Sokol. D. Surgical malpractice-the barrister’s
able to demonstrate that current tools perspective. Ann R Col Surg Engl 2021:103:542-
543
of measurement lead to better outcomes
in keeping with the demands of society
ANZHNCS
ASM 2022
26 - 28 August 2022
Gold Coast Convention and Exhibition Centre
Gold Coast, Australia
Program now
available
Evolving Paradigms in Evolving Paradigms in
ANZHNCS Head and Neck Cancer ANZHNCS Head and Neck Cancer
Registrations
ASM 2022 ASM 2022
26 - 28 August 2022 26 - 28 August 2022
Gold Coast Convention and Exhibition Gold Coast Convention and Exhibition
Centre Gold Coast, Australia Centre Gold Coast, Australia
Provisional Program Provisional Program (cont’d)
Provisional Program correct at the time of publication (April 2022). However, the organising committee
Sunday 28 August 2022
reserve the right to change the program without notice. The concurrent session topics will be cover
8:00am - 10:00am Concurrent Session 10A the following topics: (exact topics to be
Friday 26 August 2022 Saturday 27 August 2022
Registration is currently open.
Concurrent Session 10B finalised by the organising committee)
8:00am - 10:00am Opening/Session 1 7:30am - 9:00am Breakfast Session 5
10:00am - 10:30am Morning tea with the industry 1. Slip, slop, slap: Cutaneous malignancy
Meeting Welcome “Breakfast With The Authors” update
Dr Sam Dowthwaite Review of de-intensification trials 10:30am - 12:00pm Session 11 2. Head and Neck Reconstruction
in OPSCC: ORATOR / NRG / 3. Foundational sciences
Chris O’Brien Oration Keynote Lecture: Role of the
PATHOS
To register and to view the provisional
Scapula in Head and Neck 4. Nutritional / functional outcomes in head
Dr Ben Panizza
Reconstruction and neck cancer
Keynote Lecture: Neoadjuvant 9:00am - 10:00am Session 6 5. Contemporary skull base management
Dr John Yoo
Therapy in the Management of Keynote Lecture: Functional 6. OPSCC / HPV - a new look
Advanced Sinonasal and Skull outcomes for people undergoing Keynote Lecture: Value Based 7. Regional / rural cancer care services
Base Cancers reconstructive surgery for oral Health Care Delivery in Head and 8. Salivary gland pathology: An update
program, visit www.anzhncs.org.
Dr Ehab Hanna cancer and osteoradionecrosis Neck Cancer 9. Allied health / nursing care
utilising an early, post-operative Dr Ehab Hanna 10. TORS - Evolving paradigms
Keynote Lecture: Contemporary
Management of the Paralysed feeding approach (does what it Multidisciplinary Tumour Board
Face says on the tin)
Dr John Yoo Dr Justin Roe
Keynote Lecture: De-
10:00am - 10:30am Morning tea with the industry intensification of Therapy in
HPV-Associated Oropharyngeal
10:30am - 12:00pm Concurrent Session 2A Better HMEs deliver better
Carcinoma: Is there an End
Concurrent Session 2B clinical outcomes*
Game?
12:00pm - 1:00pm Lunch with the industry Dr Sue Yom
Closure of Early Registration
Provox Life™ system
1:00pm - 2:30pm Concurrent Session 3A 10:00am - 10:30am Morning tea with the industry
Concurrent Session 3B
*Longobardi Y, et al. Optimizing Pulmonary Outcomes after total
Laryngectomy: Crossover Study on New Heat and Moisture Exchangers.
10:30am - 12:00pm Concurrent Session 7A Otolaryngology-Head and Neck Surgery. March 22
2:30pm - 3:00pm Afternoon tea with the industry Concurrent Session 7B
Monday 18 July 2022
3:00pm - 4:30pm Session 4 12:00pm - 1:00pm Lunch with the industry
Keynote Lecture:
12:00pm - 1:00pm ANZHNCS AGM
Nasopharyngeal Carcinoma
in 2022: A Rapidly Shifting 1:00pm - 2:30pm Concurrent Session 8A
Landscape Concurrent Session 8B
Dr Sue Yom
2:30pm - 3:00pm Afternoon tea with the industry
Keynote Lecture: From Parotid
Sparing to Swallow Sparing 3:00pm - 4:30pm Session 9
Radiation Therapy - How Are We Multidisciplinary Tumour Board
Doing?
Dr Justin Roe Debate 2: “Regional versus
Metropolitan Cancer Care
Debate 1: “Choose Your Weapon!” Services” Is there a Difference?
Surgery versus Non-surgery in
the Management of Head and 7:00pm - 10:30pm Meeting Dinner info.au@atosmedical.com
Neck Cancer
6:00pm - 8:00pm Welcome Reception
6 7
Chris O’Brien
Keynote Speakers Orator
Dr Ehab Hanna Dr Justin Roe Dr Sue Yom Dr John Yoo Dr Ben Panizza
Houston, USA London, UK San Francisco, USA London, Canada Brisbane
www.anzhncs.orgYou can also read
