College VOICE Edition 10

C O L L E G E

THE MALDENT PROJECT MISSION OF ‘ORAL HEALTH FOR ALL’ OUR RESPONSE TO THE COVID PANDEMIC

WEALTHY NATIONS MUST DO

MUCH MORE, MUCH FASTER

A PASSION FOR INCLUSION

Call for emergency action to limit global temperature increases, restore biodiversity, and protect health ISSN 2632-0185

FOR MEMBERS OF THE ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF GLASGOW

AUTUMN 2021

President’s Week 4-8 October 2021 Please join us during the week of 4-8 October to welcome, celebrate, inspire and learn in a programme of activities that showcase who we are, what we stand for, and what we do

Words of Hope and Kindness Exhibition Launch 4 October

Words of hope and kindness from our College community featuring simple notes, letters, postcards, cards and doodles that express goodwill and love

Diploma Ceremony 5 October

A celebration of our membership community and welcome to new members from all over the world

Time To Heal: Recovery and Renewal Conference 6-7 October

A conference for the healthcare workforce focused on healing, wellbeing and creating a leadership that embeds these values into our health service

Peer Support and Mentorship Programme launch 8 October

Launch of a new support service for our membership community as they progress through their careers

For more information visit

rcp.sg/presidentsweek

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EDITION 10 22

A PASSION FOR INCLUSION Adewale Adebajo on inclusion in the community, clinical care, education and research.

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WEALTHY NATIONS MUST DO MUCH MORE, MUCH FASTER Call for emergency action to limit global temperature increases, restore biodiversity, and protect health.

A REALISTIC AND CAUTIOUS APPROACH

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SIMULATION TRAINING FACILITY LAUNCHED

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19 Blythswood Square transformed

8 NEWS BITES 28 CONFIDENTIAL REPORTING SYSTEM FOR SURGERY

Professor Jackie Taylor

MEMBERS’ AREA

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ADDRESSING ORAL HEALTH INEQUALITIES IN MALAWI

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End of Year Report 2020-21

A celebration of hope of kindness from our College community.

OUR RESPONSE TO THE COVID PANDEMIC

Inequalities in Malawi: the MALDENT project.

Voice is the magazine of the Royal College of Physicians and Surgeons of Glasgow. If you are interested in contributing to Voice please email media@rcpsg.ac.uk Copyright 2021. The text and images in this publication may not be reproduced without permission from the Royal College of Physicians and Surgeons of Glasgow. To request permission, please contact the Creative Manager.

Produced by the office of the Chief Executive Officer and Corporate Communications and Marketing.

WORDS OF HOPE AND KINDNESS

30 COLLEGE AND FACULTY UPDATES 35 OPPORTUNITIES 36 EDUCATION AND EXAMINATIONS CALENDAR 40 NEW MEMBERS WELCOME

Editor Elaine Mulcahy Design Kirsty Smith Print Winter and Simpson Print Photography Nick Callaghan, Ian Marshall, Chris Watt, Lorraine Hannah, Kirsty Earley Cover: Eelco Böhtlingk and Ahmet Sali, Unsplash Royal College of Physicians and Surgeons of Glasgow 232 - 242 St Vincent Street, Glasgow, G2 5RJ +44 (0) 141 221 6072.

Registered Charity SC000847.

AUTUMN 2021 EDITION 10

PRESIDENT’S VOICE

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A REALISTIC AND CAUTIOUS APPROACH I have been humbled by the incredible passion, resilience and dedication our members have shown to their patients and each other during this most challenging of years.

Thank you for all that you do.

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s we begin to see the slow signs of recovery from the Covid19 pandemic which has dominated much of our daily lives for the last 18 months, there is hope for a return to greater social interactions, conversations and connections. Feelings of isolation, sadness and distance from our loved ones have caused tremendous pain and harm for so many. It is important that we move forward cautiously, and treasure these moments of reconnecting, revisiting, and for many – simply getting home. The incredible development of vaccinations and their roll out around the world is critical to our recovery, and I do encourage everyone to take the vaccine when it is offered to them. As healthcare professionals, we are a trusted voice for those who may have concerns or worries. We have an important role to play in reassuring people about the importance and benefits of vaccination for everyone.

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While public consciousness has largely been focused on the pandemic for such a long time, many of the issues and concerns that existed before the pandemic have continued to rumble along in the background. As we now look to the future, and how we recover, we are also faced again with the stark realities of climate change, political unrest, and health services stretched beyond their capacity.

Political unrest in Myanmar and Afghanistan have come at a time when healthcare is already under enormous pressure.

Care and compassion will be needed by all to minimise the impact on the physical and mental health of those affected. I have reached out to our Fellows and Members to express my concern and offer the support of our College community.

As we look forward to COP26 in Glasgow in the autumn, huge efforts are being made to encourage world leaders to take meaningful action to limit global temperature increases. Voice is among one of more than 150 international journals around the world publishing an editorial on the climate and nature crisis (cover story page 15).

Climate change will place a huge burden on our health and our healthcare systems. Already, we have seen increases in heat-related mortality, dehydration and renal function loss, skin cancers, and cardiovascular harm as a consequence of rising temperatures. These harms impact the very vulnerable in our society the most. Rising heat is also resulting in a decline in food production and destruction of habitats that impact on ecosystems. If action is not taken now, the consequences will be irreversible. Equity muse be at the centre of the global response, which means that wealthy nations need to do more.

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As well as cutting emissions and implementing their own sustainability plans, wealthier nations need to support low and middle income countries to build cleaner, healthier and more resilient societies. There is much that we can all do. Our College has also taken direct action to ‘get our own house in order’. We are currently in the process of completing a carbon audit so that we can put in place a firm commitment and actions to reduce our own carbon footprint. More details about we are doing as a College are on page 18.

In the UK, there is much focus now on recovery of our health service. I was pleased to meet the Cabinet Secretary for Health and Social Care in Scotland recently to offer our support and guidance in the development of recovery and workforce planning in the months and years ahead. The voice of the profession is critical to ensuring the success of any recovery, remobilisation and transformation of services.

I have continued to speak out on the essential need for workforce planning and wellbeing to be key priorities of any recovery plan – these areas are inextricably linked.

Much of the mental and psychological health impact on our staff is a consequence of chronic excessive workloads.

One of the key issues that has frequently been raised by our members is the lack of adequate rest and catering facilities in the workplace. During September, we will be running a campaign on our social media channels to raise awareness about this issue and I encourage you all to join in and make sure your voice is heard. Further details can be found on our website rcp.sg/restandfood I am very much looking forward to the President’s Conference on 6 and 7 October “A Time to Heal” where we will focus on the wellbeing of the profession and the strategies which need to be developed to embed a wellbeing approach in our healthcare systems. I encourage you to set aside some time to join this hybrid event. More programme and further details can be found here rcp.sg/timetoheal While we are now looking firmly to the future, it is also important that we pause and reflect on what we have achieved over the last number of months. Peer support, compassion and kindness came to the fore across our communities and in our hospitals. We identified opportunities and delivered new ways of working, the focus always being to ensure we were doing the very best for our patients and for each other. Our College was quick to respond with opportunities to connect, provide ongoing access to education and resources, and to be a voice for the profession in influencing action when action was needed. Today our College is stronger than it was one year ago. Our End of Year Report: Our Response to the Covid Pandemic outlines all that we have achieved. I have been humbled by the incredible passion, resilience and dedication our members have shown to their patients and each other during this most challenging of years. Thank you for all that you do.

PRESIDENT’S CONFERENCE 2021

Time to Heal: Recovery and Renewal Wednesday 6 and Thursday 7 October 2021 This event consolidates Professor Jackie Taylor’s commitment throughout her Presidency to improve clinicians’ wellbeing. The two-day programme will focus on healing, wellbeing for the clinician and how we develop a leadership which embeds those values in our health service.

Day 1 Programme Work-life balance and setting boundaries The reachable moment COVID-19 and the impact on the profession Improving our workplace environment Day 2 Programme Recovery and wellbeing: what is happening and where?

Creating a wellbeing culture: what qualities are needed?

Challenges in achieving a wellbeing culture in the NHS Leadership and cultural change

rcp.sg/timetoheal

Scotland

AUTUMN 2021 EDITION 10

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Malawi’s first dental students

ADDRESSING ORAL HEALTH INEQUALITIES IN MALAWI: THE MALDENT PROJECT MISSION OF

‘ORAL HEALTH FOR ALL’ Director of Global Health, Professor Jeremy Bagg Venerable Mother Toothache Climb down from the white battlements, Stop twisting in your yellow fingers The fourfold rope of nerves

S

o wrote the English poet John Heath-Stubbs in his piece ‘A Charm against the Toothache’ in 1954. As many of us can attest from personal experience, dental pain can be excruciating and, if untreated, can have serious or even life-threatening consequences.

This poses a serious challenge in Malawi whose population of 19.5 million citizens is currently served by only 43 dentists, most of whom work in private practice in the cities, even though more than 80% of the population live in rural villages and have little disposable income.

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The provision of dental care in rural areas falls largely to dental therapists, of whom there are approximately 100 in public service, but this very small workforce, which is often poorly resourced, cannot begin to address the treatment needs. As a result, most Malawians have no access to professional dental care, but the limited available oral health survey data indicate a very large burden of untreated oral and dental disease.

It was against this backdrop that in 2016 Dr Mwapatsa Mipando, then the Principal of the University of Malawi College of Medicine, reached out to the University of Glasgow (UofG) for advice on establishing a Bachelor of Dental Surgery degree programme, so that Malawi could begin to train its own dentists. That was the beginning of a close partnership between the two organisations that became the MalDent Project (www.themaldentproject.com).

The MalDent Project is a collaboration between the Kamuzu University of Health Sciences (KUHeS -formerly the University of Malawi College of Medicine) and the University of Glasgow Dental School, generously funded by Scottish Government International Development.

However, from the outset it has been a crosssectoral multi-stakeholder enterprise, and our College is a named partner on the grant funding awarded by Scottish Government.

Furthermore, it was the College’s Global Health Group which kindly funded the flights for my first ever visit to Malawi in 2017 to scope the work that would be required to deliver a dental degree programme.

It rapidly became clear that establishing a Bachelor of Dental Surgery (BDS) degree programme in isolation would be futile if work were not undertaken in parallel to develop an Oral Health Policy for the country at Government level, which would ensure that there was a framework within which newly qualified dentists could apply their clinical and leadership skills. Furthermore, it would be critical that the policy pursued vigorously an oral disease prevention agenda, as championed by the World Health Organisation. This is especially important in low-income countries since delivery of operative dental treatment requires complex equipment and is very expensive.

Joint working between 2017 and 2019 allowed the creation of a BDS curriculum that was designed to deliver dentists who were “globally competent and locally relevant”, to quote the words of Dr Mipando. Following approval by the University of Malawi Senate in March 2019, the first ever cohort of BDS students enrolled in the new programme in August 2019. At the time of writing, there are now students enrolled on both the BDS 1 and BDS 2 courses together with 26 students in the Foundation Year ready to join BDS 1 in the next academic session. This total of 52 dental students is greater than the number of dentists in the country. The MalDent

Project has established a staffing strategy for the new course, provides support with delivery of teaching as the programme is developing and has worked with industrial and charity partners (including the College's HOPE Foundation) to enhance the clinical facilities in the Dental Department at Kamuzu Central Hospital. It has also established a small Scottish charity called MalDent Student Aid (www.maldentstudentaid.org) to raise money for a dental student hardship fund administered by KUHeS. In a related programme of work, the MalDent Project is also funding the design, by a consortium led by John McAslan + Partners, of a building on the Blantyre campus of KUHeS which will accommodate dental student clinical training and provide generic teaching space for students across all healthcare programmes on site.

The curriculum contains a significant oral disease prevention component which links closely with the second major strand of work to develop a national Oral Health Policy and Implementation Strategy for Malawi. Following a two-day workshop in Lilongwe in February 2020, organised jointly by the Ministry of Health, KUHeS, University of Glasgow and WHO Africa, an Oral Health Policy Task Force was established by the Ministry of Health including members from the Ministry, KUHeS, WHO Africa and the University of Glasgow. It has been meeting fortnightly on Zoom, completing a Concept Paper, Situation Analysis and Narrative Review to inform the policy writing. The Policy is close to completion and imminent presentation to the Minister and Principal Secretary for Health, who will sign it off before an official launch later his Summer.

To inform the implementation of the policy, a third strand of work aims to establish a programme for prevention of dental disease in children, based upon the principles of Scotland’s very successful Childsmile model, but adapted to the Malawian situation. Development of the programme is supported by an under-pinning research project to evaluate models of delivery, with particular emphasis on supervised tooth brushing with fluoride toothpaste in schools. This work is being undertaken by a Malawian PhD student, funded by the MalDent Project and the Borrow Foundation, who is co-supervised by staff from the School of Public Health & Family Medicine at KUHeS and the Community Oral Health Research Group at the University of Glasgow. Following the appropriate proof of concept work, the prevention programme will be integrated as part of the implementation of Malawi’s new Oral Health Policy. Linked to this work is a planned national child oral health survey to be undertaken in conjunction with the Ministry of Health, that will establish a baseline understanding of the level of dental disease among Malawian schoolchildren, against which the impact of any interventions can be measured.

“

This total of 52 dental students is greater than the number of dentists in the country

A chronological description of the programme since its inception is available at www.themaldentproject.com AUTUMN 2021 EDITION 10

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NEWSBITES PROFESSOR JACKIE TAYLOR AWARDED HONORARY DEGREE FROM GCU

College President, Professor Jackie Taylor has been recognised with an honorary Doctor of Science (DSc) for her outstanding contribution to geriatric medicine, dedication to improving health and wellbeing in the workplace and addressing workforce challenges within the NHS. Professor Taylor said it was a great honour to receive the honorary degree.

“I am so thrilled and honoured to be awarded an honorary degree from Glasgow Caledonian University. I have worked with GCU for a number of years and have very strong links with the University. We have lots of areas of common interest and we will continue to see where we can work together to bring added value.”

Vice Chancellor and Principal Pamela Gillies CBE, who is an Honorary Fellow of our College, said: “Graduations afford us the opportunity to welcome distinguished individuals into our GCU family as honorary graduates. This year we are privileged indeed to honour many worthy recipients who are: activists, leaders across many domains, creative designers, cultural icons and contributors and funders of charities and community organisations. They all share a deeply held core set of values that align with our own. They authentically live these values and are an inspiration to us all."

JEREMY BAGG APPOINTED DIRECTOR OF GLOBAL HEALTH

Professor Jeremy Bagg has been appointed as Director of Global Health for the College.

Professor Bagg replaces Mike McKirdy, who will assume the role of President of the College at the AGM in December.

Professor Bagg, who is former Head of Glasgow Dental School, has been instrumental in establishing the first Dental School in Malawi and the MalDent project featured here. In his role as Director of Global Health for the College, Professor Bagg will lead and help develop the College’s work in influencing and shaping action in global health policy and decision making.

MEMORANDUM OF UNDERSTANDING The College recently signed a memorandum of understanding with the Ministry of Higher Education and Scientific Research in the Arab Republic of Egypt to work together to realise a successful and mutually beneficial collaboration.

As part of the MoU, the two organisations will work together to promote and advance standards of surgical, medical and dental care in Egypt and to facilitate the delivery of any face-to-face elements of the College’s highly regarded FRCS (Ophthalmology) examinations.

Development of an educational programme to support potential exam candidates and the identification of opportunities to develop and/or co-badge postgraduate education, training and assessment in support of College members working in Egypt also form part of the understanding.

Speaking about the partnership, International Director of the College, Professor Hany Eteiba said: “Our College has a strong connection with Egypt and I am delighted that we have established this memorandum of understanding that will continue to build and develop our mutually beneficial relationship. Our International Advisors will play a key role in supporting practical implementation and progress in Egypt.”

HE Professor Khaled Abdel Ghaffar, Egypt’s Minister of Higher Education and Scientific Research, said: “Egypt’s future is tied to the development of our youth. Part of that growth and development will come from nurturing the innovation and talent we have here in our country and the region. We are delighted to partner with the Royal College of Physicians and Surgeons of Glasgow to bring their premier teaching, research, and technology experience to Egypt and expanding our capabilities to support the growth of this cooperation.”

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ALISON LANNIGAN APPOINTED CHAIR OF HOPE FOUNDATION Former Vice President (Surgical), Mrs Alison Lannigan, has been appointed Chair of the College’s HOPE Foundation. In her role, Mrs Lannigan will lead on driving forward the charity’s ambitions to make a positive difference to the health of people living in challenging circumstances where access to quality healthcare is limited.

Since its founding, the HOPE Foundation has strived to promote how the collective power of our community can make a real difference to people’s lives locally, nationally and internationally. It has achieved this through fundraising, grant-making and disseminating learning from funded projects as inspiration to others.

The most recent round of grant applications has recently closed and the Foundation board will now assess the applications to ensure as many people as possible can benefit from our small grants.

Anyone interested in donating to the HOPE Foundation can do so here: rcp.sg/hopedonate

Speaking about her role, Mrs Lannigan said: “It is a privilege to chair such a worthwhile cause with a genuine ambition to help people to access the care they need, where they need it. I believe the strength and will of our College community and the incredible initiative and creativity that we have seen in so many of the projects supported by the HOPE Foundation, will make a difference.”

HOPE Foundation Supporting projects that overcome barriers to healthcare locally and worldwide Our purpose is to make a positive difference to the health of people living in challenging circumstances where access to quality healthcare is, for whatever reason, limited.

To make a donation visit rcp.sg/hopedonate

The HOPE Foundation is administered by the College ensuring that 100% of donations goes towards funding projects.

To discuss a donation, please contact 0141 221 6072 or email hope@rcpsg.ac.uk

HOPE Foundation is a fund of the Royal College of Physicians and Surgeons of Glasgow, 232-242 St Vincent Street, Glasgow, G2 5RJ. A charity registered in Scotland, charity number SC000847. Photograph Rob McDougall. Teapot Trust for Art Therapy in Paediatric Rheumatology.

AUTUMN 2021 EDITION 10

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VIRTUAL SYM P OS IUM

Faculty of Travel Medicine Annual Symposium Back to the Future Friday 22 October, 9am - 5pm BST As travel begins to emerge from shutdown caused by COVID-19, old problems will resurface albeit in a different form. Previously neglected fields will come into sharp focus. This symposium covers infection, co-morbidity, social factors and looks at the travel industry which ultimately is a major reason why our speciality exists.

Join us at this virtual conference for a dynamic day which will help to prepare you for when travel returns.

FOR MORE INFORMATION VISIT rcp.sg/tmsymposium TMConf_Voice_210x130_0821.indd 1

16/08/2021 16:06

EE BE FR EM M

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Dental Webinars September 2021 - June 2022 Our series of dental webinars focus on current topics of relevance to dental practitioners and are free to our members. Most webinars take place from 6pm to 7pm and will feature a presentation as well as a live Q&A session. Webinars that have already taken place are made available as CPD e-learning modules. Webinars cover: Digital workflow in implants

Minor oral surgery for primary care

Dental public health in action: managing COVID-19 in the dental setting

Cleft lip and palate

COP 26 and dental sustainability Update of the national third molar guidelines Human factors

FOR MORE INFORMATION VISIT rcp.sg/events RCPSG.AC.UK

TMJ diagnosis and non-surgical management Vital pulp therapies Sedation

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OUR RESPONSE TO THE COVID PANDEMIC

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n the 12 months from April 2020 to March 2021, our College witnessed a year like no other in its 400 year history. When we entered the first lockdown on 23 March 2020, we could not have anticipated how devastating, persistent and prolonged the pandemic would be. As the year progressed, we went through a roller coaster of emotions from phases of easing and hopefulness, to restrictions and despair.

New strains of the virus brought second and third waves of infections, increasing death rates, and a lingering burden that impacted societies on a global scale.

By April 2021, people across all populations and different walks of life were exhausted. Drained from the relentless uncertainty, the highs and lows, the absence of social interaction, and the devastation of loss of loved ones, of employment, of freedom. This exhaustion was felt heavily among healthcare workers, faced with the daily physical and emotional demand of hospitals under immense strain and extremely sick patients in their care. As well as dealing with the immediate urgency to cope with high admission rates, they

were also mindful of the growing number of people waiting for treatment for other conditions leading to huge backlogs of patients needing care. And they were also concerned about the significant mental health burden that has been spreading across our society as a direct consequence of this pandemic.

We pulled together. Peer support, compassion and kindness came to the fore across our communities and in our hospitals.

We identified opportunities and delivered new ways of working, the focus always being to ensure that we were doing our best for our patients and for each other.

Our College reached out with opportunities to connect, provided access to learning and resources, and acted as a voice for the profession to influence action when action was needed.

Today our College is far stronger than it was one year ago. Our membership has grown, we have strengthened our connections, and our voice has been heard. Most importantly, we have been humbled by the incredible passion, resilience and dedication that our membership has shown to their patients and to each other during this most challenging of years.

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This is who we are Throughout the year we have continued to stay connected. We have Celebrated our members

Connected with our heritage and our story

6 419 Downloads Launched

Shared our members’ stories

1,374

5,282

Engaged with our networks

Senior Fellows’ Club

Engagements

People reached

747

627

Post clicks

between September and March

Initial episodes

Reactions, comments and shares

Empowered our staff Valued and respected

Connected and engaged

Informed and up to date

Able to access the information they need

Over the year, we reached more people and our membership grew.

This is what we stand for We spoke out on key issues that impact the healthcare profession calling for action on: Workforce

Wellbeing

Equality, diversity and inclusion

Reframed:

conversations about heritage & inclusion

TITLE

Advocacy, raising awareness and promoting best practice

Faculty of Travel Medicine of the Royal College of Physicians and Surgeons of Glasgow

GOOD PRACTICE GUIDANCE FOR PROVIDING A TRAVEL HEALTH SERVICE

RCPSG.AC.UK

13 A VOICE FOR THE PROFESSION DURING THE PANDEMIC

Throughout the pandemic, we have been outspoken on the range of issues impacting on the profession that were specific to changes as a consequence of Covid. This includes guidance and review of PPE, greater flexibility for local services in terms of reducing elective activity, and increased access to testing for healthcare staff during the early stages of the pandemic.

The issues we raised received significant media coverage across many print and broadcast channels, and were raised during First Minister’s questions in the Scottish Parliament.

Following meetings between the President and Cabinet Secretary for Health, the Scottish government published a new clinical framework that addressed many of the key issues and recommendations we had raised, including plans to begin testing for NHS staff.

We consistently supported and contributed to guidance in relation to the pandemic, much of which was at short notice.

In total we responded to more than 45 consultations across the

UK over the year. With our hospitals under immense pressure during multiple waves of the infection, it was imperative to reduce the number of hospital admissions and deaths. While some of the restrictions seem harsh, we encourage everyone to follow the guidance to reduce community transmission.

As vaccines became available, our Faculty of Travel Medicine stepped forward with an offer of support to the four Chief Medical Officers of the UK on the topic of using skills and experience of travel health professionals to assist with the rollout of the Covid vaccine programme. Working in collaboration with the Scottish government, we surveyed members of the faculty and provided details of 11 travel clinics operated by our members who could facilitate the roll out of the vaccination.

This pandemic truly is a global one and will continue to demand international efforts to overcome. With the UK Academy of Medical Royal Colleges and Faculties we have called for UK support to vaccination programmes globally, and have opposed the reduction in overseas aid recently announced.

This is what we do Over the last year we have…

Widened the scope and reach of our education 47 webinars attended by 11,810 people

29 skills courses attended by 432 people

11 virtual conferences attended by 1,884 people

These occurred in College premises when restrictions allowed (from Sept to Dec 2020 and the last 2 weeks in March)

(these commenced in September 2020)

eLearning

Out of these webinars 12 had a Covid19 focus and attracted 4,378 people

20 virtual non-clinical skills courses attended by 388 people (these commenced in September 2020)

Rapidly adapted our exam delivery model First online examination 7 September 2020

15 candidates

MFDS Part 2 1 diet in 2 centres

sat the Intercollegiate Specialty Fellowship Examination (ISFE) in Orthodontics

By the end of March 2021 we had: Delivered

to

from

online exams

candidates

countries

21 762 20

DO-HNS 1 diet MRCP(UK) PACES 2 diets across 6 centres MRCS Part B 1 diet AUTUMN 2021 EDITION 10

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Supported personal and professional development Responded to

Awarded

2,144

to 20 individuals

verification requests

876

6,939

75,000

Downloads of membership applications

Members updated their details online

Core benefits

Added value

• postnominals • voting rights

• free inter-library loans • awards and scholarships • Athens password

• verifications for employment • networking opportunities

• VOICE magazine • daily health news updates

Improved online access and services Digital Project objectives Improving and securing our ICT infrastructure

Delivering the tools, technology and solutions needed by our staff and members

CRM project aims Providing a positive membership experience that is personalised, intuitive and easy to navigate

Leveraging the new platforms to deliver better services

Developing a system that facilitates and encourages meaningful dialogue and interaction

Enabling access anytime from anywhere with more automation and less manual processing

Developed a digital first approach to communications

+215% +84% +28%

69

marketing campaigns were delivered, including the production of

1,233

+20%

creative items

Above industry average open and click rates on our email communications

Social media growth

Created a Covid safe environment

Installation of temperature scanning equipment at entrances

Water systems flushed to prevent legionella and other diseases associated with water prior to reoccupation of buildings

Installation of sensor operated hand sanitiser stations throughout the College

Established capacities both for working and public events spaces at 2m, 1.5m and 1m social distancing

Implementation of a one way system

Covid-safety ‘what to expect’ video created to provide to staff and visitors

Read the full report here: rcp.sg/ourresponse RCPSG.AC.UK

Achieved the ‘Good to go’ accreditation

Creating a flexible hybrid approach for staff to work between College and home

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WEALTHY NATIONS MUST DO

MUCH MORE, MUCH FASTER

AUTUMN 2021 EDITION 10

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WEALTHY NATIONS MUST DO

MUCH MORE, MUCH FASTER

CALL FOR EMERGENCY ACTION TO LIMIT GLOBAL TEMPERATURE INCREASES, RESTORE BIODIVERSITY, AND PROTECT HEALTH VOICE joins more than 150 health journals to publish this editorial on the climate and nature crisis. A fully referenced version can be accessed on our news site at: rcp.sg/climatechange

T

he UN General Assembly in September 2021 will bring countries together at a critical time for marshalling collective action to tackle the global environmental crisis. They will meet again at the biodiversity summit in Kunming, China, and the climate conference (COP26) in Glasgow, UK. Ahead of these pivotal meetings, we—the editors of health journals worldwide—call for urgent action to keep average global temperature increases below 1.5°C, halt the destruction of nature, and protect health.

Health is already being harmed by global temperature increases and the destruction of the natural world, a state of affairs health professionals have been bringing attention to for decades. The science is unequivocal; a global increase of 1.5°C above the pre-industrial average and the continued loss of biodiversity risk catastrophic harm to health that will be impossible to reverse. Despite the world’s necessary preoccupation with covid-19, we cannot wait for the pandemic to pass to rapidly reduce emissions.

Reflecting the severity of the moment, this editorial appears in health journals across the world. We are united in recognising that only fundamental and equitable changes to societies will reverse our current trajectory.

The risks to health of increases above 1.5°C are now well established. Indeed, no temperature rise is “safe.” In the past 20 years, heat related mortality among people aged over 65 has increased by more than 50%. Higher temperatures have brought increased dehydration and renal function loss, dermatological malignancies, tropical infections, adverse mental health outcomes, pregnancy complications, allergies, and cardiovascular and pulmonary morbidity and mortality.

Harms disproportionately affect the most vulnerable, including among children, older populations, ethnic minorities, poorer communities, and those with underlying health problems.

RCPSG.AC.UK

The risks to health in the past

20 years

heat related mortality has increased in people

over 65 years

50

%

Global heating is also contributing to the decline in global yield potential for major crops, falling by 1.8-5.6% since 1981; this, together with the effects of extreme weather and soil depletion, is hampering efforts to reduce undernutrition.

Thriving ecosystems are essential to human health, and the widespread destruction of nature, including habitats and species, is eroding water and food security and increasing the chance of pandemics.

The consequences of the environmental crisis fall disproportionately on those countries and communities that have contributed least to the problem and are least able to mitigate the harms. Yet no country, no matter how wealthy, can shield itself from these impacts. Allowing the consequences to fall disproportionately on the most vulnerable will breed more conflict, food insecurity, forced displacement, and zoonotic disease—with severe implications for all countries and communities. As with the covid-19 pandemic, we are globally as strong as our weakest member.

Rises above 1.5°C increase the chance of reaching tipping points in natural systems that could lock the world into an acutely unstable state. This would critically impair our ability to mitigate harms and to prevent catastrophic, runaway environmental change.

17 GLOBAL TARGETS ARE NOT ENOUGH

These measures will also improve the social and economic Encouragingly, many governments, financial institutions, determinants of health, the poor state of which may have made and businesses are setting targets to reach net-zero emissions, populations more vulnerable to the covid-19 pandemic. But including targets for 2030. The cost of renewable energy is the changes cannot be achieved through a return to damaging dropping rapidly. Many countries are aiming to protect at least austerity policies or the continuation of the large inequalities of 30% of the world’s land and oceans by 2030. wealth and power within and between countries.

These promises are not enough. Targets are easy to set and hard to achieve. They are yet to be matched with credible short COOPERATION HINGES ON WEALTHY and longer term plans to accelerate cleaner technologies and In particular, countries that have disproportionately created transform societies. Emissions reduction plans do not adequately the environmental crisis must do more to support low and incorporate health considerations. Concern is growing that middle income countries to build cleaner, healthier, and more temperature rises above 1.5°C are beginning to be seen as resilient societies. High income countries must meet and go inevitable, or even acceptable, to powerful members of the global beyond their outstanding commitment to provide $100bn community. Relatedly, current strategies for reducing emissions a year, making up for any shortfall in 2020 and increasing to net zero by the middle of the century implausibly assume contributions to and beyond 2025. Funding must be equally that the world will acquire great capabilities to remove split between mitigation and adaptation, including greenhouse gases from the atmosphere. improving the resilience of health systems.

This insufficient action means that temperature Financing should be through grants rather increases are likely to be well in excess of than loans, building local capabilities and 2°C, a catastrophic outcome for health truly empowering communities, and should As health professionals, and environmental stability. Critically, the come alongside forgiving large debts, which we must do all we can to destruction of nature does not have parity constrain the agency of so many low income aid the transition to of esteem with the climate element of the countries. Additional funding must be crisis, and every single global target to restore marshalled to compensate for inevitable loss a sustainable, fairer, biodiversity loss by 2020 was missed. This is an and damage caused by the consequences of the resilient, and healthier overall environmental crisis. environmental crisis. world.

Health professionals are united with As health professionals, we must do all we can environmental scientists, businesses, and many others to aid the transition to a sustainable, fairer, resilient, in rejecting that this outcome is inevitable. More can and healthier world. Alongside acting to reduce the harm and must be done now—in Glasgow and Kunming—and in from the environmental crisis, we should proactively contribute the immediate years that follow. We join health professionals to global prevention of further damage and action on the root worldwide who have already supported calls for rapid action. causes of the crisis. We must hold global leaders to account Equity must be at the centre of the global response. and continue to educate others about the health risks of the Contributing a fair share to the global effort means that crisis. We must join in the work to achieve environmentally reduction commitments must account for the cumulative, sustainable health systems before 2040, recognising that this historical contribution each country has made to emissions, as will mean changing clinical practice. Health institutions have well as its current emissions and capacity to respond. Wealthier already divested more than $42bn of assets from fossil fuels; countries will have to cut emissions more quickly, making others should join them. reductions by 2030 beyond those currently proposed and The greatest threat to global public health is the continued reaching net-zero emissions before 2050. Similar targets and failure of world leaders to keep the global temperature rise emergency action are needed for biodiversity loss and the wider below 1.5°C and to restore nature. Urgent, society-wide destruction of the natural world. changes must be made and will lead to a fairer and healthier To achieve these targets, governments must make world. We, as editors of health journals, call for governments fundamental changes to how our societies and economies are and other leaders to act, marking 2021 as the year that the organised and how we live. The current strategy of encouraging world finally changes course. markets to swap dirty for cleaner technologies is not enough.

This editorial is being published simultaneously in many Governments must intervene to support the redesign of transport international journals. systems, cities, production and distribution of food, markets https://www.bmj.com/content/374/bmj.n1734 for financial investments, health systems, and much more.

Global coordination is needed to ensure that the rush for cleaner technologies does not come at the cost of more environmental destruction and human exploitation.

Many governments met the threat of the covid-19 pandemic with unprecedented funding. The environmental crisis demands a similar emergency response. Huge investment will be needed, beyond what is being considered or delivered anywhere in the world. But such investments will produce huge positive health This is an Open Access article distributed in accordance with the terms of the and economic outcomes. These include high quality jobs, Creative Commons Attribution (CC BY 4.0) license, which permits others to reduced air pollution, increased physical activity, and improved distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ housing and diet. Better air quality alone would realise health Corresponding email: laurie.laybourn@ukhealthalliance.org benefits that easily offset the global costs of emissions reductions.

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AUTUMN 2021 EDITION 10

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COLLEGE ACTION ON CLIMATE CHANGE

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ur College joined the UK Health Alliance on Climate Change (UKHACC) in December 2020.

As with many other organisations, the pandemic had forced us rapidly to adapt our delivery model from one that was predominantly delivered face to face, to one that moved almost completely online. By April 2020, we had moved from our staff being office based, to working from home, with meetings all conducted via MS Teams. Over the course of the year, we also transformed the delivery of our online education, webinars and hybrid events. We introduced online exams across medicine, surgery and dental surgery. We installed a new CRM system and celebrated, connected and engaged with more members than ever before. And, while our historic building might have been closed, we continued to improve access and engagement with our heritage through podcasts, online events, and digital exhibitions.

There is no doubt that 2020 was enormously challenging, but it also presented many opportunities which we took head on. And we are stronger because of it. The shift to more online delivery also made us acutely aware of our carbon footprint – there was less travel, printing, and energy usage, for example. At the same time, we also realised how much further we could reach through online platforms. Our Climate Change and Health conference planned to take place face to face at our conference facilities in Glasgow in

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autumn 2020, for example, would have had a maximum capacity of about 120 people. Due to the pandemic, this event was moved to an online platform and more than 700 people were able to attend.

While there are many positives to online delivery, it does also pose many challenges – the greatest of these being the lack of face to face interaction, which we believe is critically important for social cohesion, belonging and communications. As we look to the future, our focus is on a delivery model that strikes a good balance between online and face to face working. This approach will also take into consideration our carbon footprint, and how we can ensure our College plays its part in achieving a net zero target. The first stage of this work involves an assessment of our current carbon footprint, including carbon emissions from our office spaces, business travel, and indirect emissions such as commuting, investments and procurement. Once the baseline has been established, we will develop a Net Zero roadmap with realistic carbon reduction actions to 2030.

As we approach COP26 in Glasgow in the autumn 2021, we also plan to capitalise on the opportunity to raise awareness and advocacy on the health burden of climate change through our work with the UKHACC, a series of educational events for healthcare professionals, and a networking event for thought leaders and influencers working to deliver positive progress.

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FR EE WEB INAR

Climate Change and Health Webinar Thursday 28 October 6pm - 7.45pm BST

Following the success of our 2020 Climate Change and Health Webinar, we are hosting a further webinar exploring both international and local challenges and solutions.

The programme features high profile speakers, all experts in their field, who will give us a timely update on all the relevant issues on this topic, the week leading up to the COP26 meeting in Glasgow.

The speakers include representatives from WHO, Academy of Medical Royal Colleges and the UK Health Alliance on Climate Change, amongst others: •

Professor Dame Parveen Kumar

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Dr Emily Broadis

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Dr Duncan Booker

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Dr Diarmid Campbell-Lendrum

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Professor Helen Stokes-Lampard

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Dr Richard Smith

Trainee Climate Change Competition – Thursday 28 October 2021, 7.45pm – 8.45.pm BST Please submit your proposal to: lauren.gay@rcpsg.ac.uk Submission deadline: Friday 8 October 2021 Submission criteria can be found online under the ‘downloads’ tab

Book your place at rcp.sg/climhealth For more information contact lauren.gay@rcpsg.ac.uk AUTUMN 2021 EDITION 10

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n 1597 our College founder, Peter Lowe, expressed these words while writing about his motivation and desire to share knowledge and learning with colleagues. The sentiment is one that expresses hope, kindness and compassion, which, to this day, resonates with the humanity and passion of our College community.

The past twelve months have been extremely challenging, but they have also brought to the fore the genuine impact and importance that simple acts of care and kindness mean to each one of us. The power of a kind word should never be underestimated. In the early stages of the pandemic, it was small glimpses of generous acts – isolation packs left on a neighbour’s doorstep, people applauding first line workers, and a new appreciation for the world around us. As we sunk deeper into the depths of increasing infection rates, hospitals under immense pressure, and the societal strain of restricted movements and contact with loved ones, the mental and physical burden grew, and it will take some time to safely heal from this. During this time, the way we show respect and support to one another has been more critical than ever, more appreciated than ever before. We believe that goodwill and love will help us all to get through this.

We believe hope and kindness should be celebrated and plan to fill our exhibition spaces, both online and in our College building, with words of hope and kindness from our College community - simple notes, letters, postcards, doodles, cards from patients, drawings pinned to notice boards.

We have already received some wonderful submissions which will be incorporated into our exhibition when we launch in October, and we will continue to accept submissions over the next number of months. Everyone is invited to contribute. If you have some examples of hope and kindness, please do send them to us. They could include: • Handwritten words of hope and kindness in your first language and/or in English • Video contributions talking about moments that have encouraged you through the pandemic • Gifts, postcards, doodles, cards - either in physical or photographic format Following the exhibition, the contributions we receive will be catalogued and preserved as part of the historical record of the College during this extraordinary moment in history.

Submission guidance Post contributions to: Heritage Team, Royal College of Physicians and Surgeons of Glasgow, 232-242 St Vincent Street, Glasgow G2 5RJ Digital contributions to: library@rcpsg.ac.uk Please include your full name, job title and location and/or your College PID number.

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A PASSION FOR INCLUSION College Fellow, Adewale Adebajo, was recently awarded an MBE for Inclusivity.

He spoke to VOICE about how his passion for inclusivity is expressed across several areas of his work in the community, clinical care, education and research.

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iversity and inclusion isn’t just about ethnic minorities.

It is about people from a whole range of backgrounds with different needs, issues and challenges – race, gender, physical disabilities, learning difficulties among others.

“Diversity and inclusion is about making all people feel valued and included with a sense of belonging,” Professor Adebajo said.

One way he has been contributing to this has been through his role as non-executive director of ‘Reds in the Community’, the charity arm of Barnsley football club. The charity provides a number of opportunities for people in the community across education, health, social inclusion and sports participation.

An emphasis is placed on partnership working that enables ‘hard to reach’ people and communities to participate in society, with an aim to remove barriers to participation and promote equal opportunities for groups and individuals who are often excluded.

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“I feel passionate and privileged to be involved in work that helps people who are marginalised, to feel valued and included; to be able to help people by putting diversity on the agenda,” Professor Adebajo said.

Professor Adebajo, who is a consultant rheumatologist and Associate Medical Director at Barnsley Hospital, is also passionate about enabling and supporting healthcare professionals to deliver the best standards of patient care. “As doctors, it is important to ensure we don’t discriminate. We see many patients from different cultural backgrounds and with language difficulties and, as doctors, we need to understand the cultural sensitivities around patient care.”

The National Rheumatoid Arthritis Society (NRAS) has established a diversity working group, of which Professor Adebajo is a member and he is also involved in the development of a programme of training in the area of cultural sensitivities for healthcare professionals to support them in delivering the best possible care for their patients.

As well as his clinical role as a consultant rheumatologist, Professor Adebajo is involved in teaching and research at the

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University of Sheffield, where he is currently Associate Clinical Professor Adebajo highlights three key areas of focus: Tutor for admissions for the medical school. As part of this work participation, engagement and involvement. he has led the development of a curriculum which is sensitive to “Participation means that people and patients are able to equality, diversity and inclusion. participate in clinical research and have a positive experience “The doctors of tomorrow will be doctors able to provide when they do so,” he said. He believes passionately that we the best quality of care for people from a range of diverse have a moral obligation to society to engage and inform about backgrounds,” he said. “In order to achieve this, we need to research. “We should be accountable to the public about the ensure the curriculum is sensitive to cultural differences in research we do. People need to feel consulted about research our society.” and be able to contribute ideas.”

Diversity and One of Professor Adebajo’s greatest passions is in Professor Adebajo is careful to differentiate democratising research. between participation and involvement. inclusion is about “Research should be for the many, not for the “Involvement means that patients and the public making all people feel few – both in terms of the patients and people have an equal footing with the people conducting valued and included who get involved in the research, and the people the research. This spans a range of areas from with a sense of who conduct research. It should not be an elite or commissioning research, choosing research belonging exclusive activity – research is for everyone,” he said. programmes, establishing priorities, overseeing “We need to embrace as many people as possible who conduct through steering committees and panels, want to participate in research.” dissemination of findings, and co-authorship of research Statistical evidence shows that people of colour and from papers.” ethnic minority groups are under-represented in the award of He also believes that community partnerships in research are research grants, for example. Professor Adebajo says he would critical. By understanding what the priorities of a community are love to see more people from these groups involved in research. in terms of their needs, meaningful research that can effect real He has been heavily involved in driving forward both patient change for the better can be achieved. and public involvement in research through INVOLVE, an In his role with the College, Professor Adebajo is looking organisation set up by the Department of Health to encourage forward to getting involved with the Inclusion Advisory Forum. and promote involvement in research. INVOLVE has He has been extremely proud of the College and President recently been subsumed by a new Centre for Engagement and Professor Jackie Taylor’s openness and honesty in raising her head Dissemination established by the National Institute for Health above the parapet to have a voice on issues of race and equality.

(NIHR), which is involved in engaging with patients, service “Giving a voice to these matters is so essential,” he said. “Our users, carers and the public to provide coordination and thought College is steeped in history and can use its voice and platform to leadership across the health and care system. give a voice and help that voice to be heard.”

VIRTUAL CONFERENCE FACULTY OF PODIATRIC MEDICINE ANNUAL CONFERENCE

‘Bypassing the Inevitable?’

Friday 17 September 2021, 12pm BST Exploring the multi-disciplinary approach to the prevention, assessment, and treatment of Peripheral Arterial Disease and its manifestations to optimise patient outcomes.

This year’s online event will bring together podiatrists for an informative annual education session focusing on cardiovascular disease and MDT working and Strategies for reduction of CVS risk. The webinar will be fully interactive with the opportunity to ask questions.

FOR MORE INFORMATION VISIT rcp.sg/pmconference

AUTUMN 2021 EDITION 10

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Our comprehensive non-clinical skills training programme enables healthcare professionals to develop skills in teaching and education, leadership and management, and professional competencies.

To provide necessary flexibility to potential participants at our non-clinical skills courses, we have restructured the course content to enable remote delivery and participation.

The format will, however, retain interactive, small-group elements that enhance the quality of the learning experience.

New courses include:

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For full course listings visit

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LAUNCH OF

NEW SIMULATION TRAINING FACILITY AT OUR COLLEGE

Our College has joined a new partnership, the Healthcare Skills and Simulation Collaborative, to enhance access to first class professional skills and education facilities and deliver essential training to healthcare staff in Glasgow and beyond.

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number of organisations involved in the training of healthcare professionals have joined forces in a partnership to enhance access to professional skills and education facilities across Glasgow. Along with our College, the Healthcare Skills and Simulation Collaborative also involves NHS Greater Glasgow and Clyde, NHS Education Scotland (NES), NHS Golden Jubilee, and NHS Lanarkshire.

The partnership will open up opportunities for healthcare professionals including doctors in training, and those in more senior roles, to access world class clinical training in dedicated spaces that have been designed to mimic a real hospital environment. The simulation facilities have been kitted out with hospital beds and equipment, with anatomical models specially designed for teaching healthcare professionals.

Recent medical graduates about to start their hospital careers as Foundation Year doctors were among the first to use some of the new facilities as they begin their induction programme at the newly kitted out facility at the Royal College of Physicians and Surgeons of Glasgow.

Speaking about the launch, College President, Professor Jackie Taylor, said “I am absolutely delighted that we will be welcoming new doctors in training to this world class facility over the next two weeks. They will benefit significantly from access to this simulation skills training, which will prepare them for working with real patients and the environment of a real hospital. The new facility is a wonderful addition to our surgical skills training centres located at our premises on St Vincent Street in Glasgow, and at the Clinical Anatomy Skills Centre at the University of Glasgow. I am proud that we are leading the way to drive forward access to high value skills training for healthcare professionals.”

NHS Education for Scotland Medical Director, Professor Stewart Irvine, said "We are delighted to support this initiative.

The pandemic saw our clinical skills team work with partners to create a dedicated education and simulation hub at the Louisa Jordan Hospital, delivering essential training to hundreds of staff. We're pleased to be able to build on that success with the new facility at the Royal College of Physicians and Surgeons of Glasgow, which is part of a wider network across Scotland."

Dr Jennifer Armstrong, Medical Director at NHS Greater Glasgow and Clyde, said, “We invest heavily in providing worldclass training and development for new doctors as they embark on a career committed to providing the very best in patient care. We’re delighted to be supporting this new facility, which will complement the skills and experience they will achieve through working at sites across Greater Glasgow and Clyde.”

Dr Lindsay Donaldson, Director of Medical Education RCPSG.AC.UK

at NHS Greater Glasgow and Clyde, said, “At NHSGGC we are currently welcoming 252 new doctors with our induction programme, which includes simulation training and we look forward to working with them on our wards in the weeks ahead.

The last 16 months have seen many changes in how we approach training, and innovations such as this are very much at the forefront of providing opportunities, which will improve skills and outcomes for patients.”

Dr Mark MacGregor, Medical Director at NHS Golden Jubilee said, “NHS Golden Jubilee is thrilled to be collaborating with our colleagues to form the HSSC. The Golden Jubilee Conference Hotel, as an integral part of NHS Golden Jubilee, offers world class training facilities and support to ensure an immersive and educational experience. Through innovative and simulation training, participants will gain the key skills and confidence needed to provide their future patients with the highest level of care.

“NHS Golden Jubilee has a proven track record of hosting successful clinical and surgical training, with the ability to offer live two-way audio visual links to areas such as surgical theatres, diagnostic imaging and cardiac catheterisation laboratories. We are looking forward to welcoming trainee healthcare professionals to our facilities and to a fruitful collaboration with our colleagues across the West of Scotland.”

FY Induction, July 2021

PODCAST

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THE

MEDICAL TAKE

Join Arrianne Laws (Consultant Physician), Daniel Lynagh (Specialty Registrar), Laura Gillespie (Consultant Physician) and their guests as they discuss clinical cases, non-technical factors, leadership and more!

The Medical Take is the new fortnightly podcast series from the Royal College of Physicians and Surgeons of Glasgow, aimed at everyone who is interested in looking after medical patients and improving their practice.

Episode 1

Chest Pain

Episode 2

Feedback in the Clinical Environment

Episode 3

Acute Kidney Injury

Episode 4

Giant Cell Arteritis

Episode 5

Upper GI Bleeding

Episode 6

Anogenital Ulceration

Episode 7

DKA/HHS

Episode 8

LGBT health & wellbeing

Episode 9

Breathlessness

Episode 10

Headaches in pregnancy

Listen to The Medical Take at

rcp.sg/themedicaltake

or on Spotify, Apple Podcasts, Google Podcasts, Buzzsprout and more #TheMedicalTake

AUTUMN 2021 EDITION 10

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THE CONFIDENTIAL REPORTING SYSTEM FOR SURGERY (CORESS)

College is supporting the work of a confidential reporting system for surgery - CORESS (www.coress.org.uk).

Programme Director, Professor Frank CT Smith, explains its purpose.

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he purpose of CORESS is, exclusively, to share lessons learnt from unexpected or adverse incidents in surgical practice.

At a time when the ‘blame industry’ is in overdrive, defensive practice is ever more common and bureaucracy is overwhelming us, do surgeons really need another incident reporting system? This was the very reasonable question put to the Association of Surgeons of Great Britain and Ireland (ASGBI) when CORESS was proposed in 2006.

The answer, of course, was that if the proposal was simply another layer in the clinical governance framework, then it was unlikely to succeed. So, what is different about this reporting system?

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CORESS is similar to a system set up for aviation in 1982 following several high-profile accidents. When CORESS was devised, the organisation was assisted by the chief executive and his team at the aviation system (CHIRP) and although there are differences between systems suitable for aviation and surgery, the principles under which the system should operate remain the same.

Firstly, there must be complete confidentiality between the reporter and the system. Confidence in the integrity of the system is essential in this respect. Next, the educational value of feedback both to the reporter and to the professional body concerned must be excellent. For there to be confidence in the credibility of feedback, any panel of

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‘experts’ must include people of acknowledged distinction who actively practice their profession. Lastly, confidence in the system by those interested but not directly involved is essential.

These systems are complementary to existing statutory, professional and organisational measures for the protection of the public and do not replace them. The necessary support of regulatory bodies and society in general is dependent on this being made very clear. These principles are embodied in the operating framework of CORESS, which became an independent charity, introduced by Sir Bruce Keogh at the House of Lords in 2010.

CORESS is a service provided by surgeons for surgeons and is concerned with any safety-related issue from which lessons can be learned. Any surgeon, surgical trainee, or member of the wider surgical team, irrespective of specialty, can submit reports, in confidence, to CORESS. Reports can be made online at www.coress.org.uk or by mail, using a form which can be downloaded from the same website.

Reports may concern any safety-related incident involving the reporter, other people, a hospital or other organisations that the reporter deals with. Incidents may be diagnostic or operative errors, technical or maintenance failures, regulatory or procedural aspects or unsafe practices and/or protocols.

Useful lessons may often be learned from incidents which do not result in adverse consequences and may only be known to the reporter. However, there is no educational value in incidents where no lesson can be learned. Incidents

with no safety content or issues involving conflicts of personalities and problems involving industrial relations or terms and conditions of employment are not, generally, useful.

Confidentiality is fundamental to the concept of the CORESS service. On receipt of a report, it is transferred to a stand-alone computer with no wired or wireless connections to any network. Identifying data are available only to the programme director. All identifiable data are removed before a report is reviewed by an advisory committee of experts in the appropriate specialty all of whom have signed a confidentiality agreement. If useful lessons can be learned, an unidentifiable version is incorporated in a feedback document. All reports are anonymised and identifying data is securely deleted from the CORESS system before any feedback publication.

Contributors are provided with a “Certificate of Contribution to Surgical Safety”, which may be useful evidence for training or appraisal portfolios. Previous reports may be found on the CORESS website.

How does CORESS contribute to safety? Unlike mandatory reporting systems CORESS does not systematically analyse and feedback information to NHS organisations. Rather, CORESS aims to complement this activity by providing individual feedback to surgeons and to the surgical community in general. If you have lessons which may benefit the surgical community please consider sharing them with CORESS.

APPLICATIONS SOUGHT FOR THE POST OF CORESS (CONFIDENTIAL REPORTING SYSTEM FOR SURGERY) PROGRAMME DIRECTOR-ELECT CORESS (Confidential Reporting System for Surgery) invites applications for the post of Programme Director-Elect.

The role of Programme Director-Elect will be to work with as deputy, and to assimilate and take on the role of the current Programme Director, with anticipated appointment of the successful applicant to the post of Programme Director within 6-12 months. The term of appointment of the new appointee will be 4 years, to include the period spent as Programme Director-Elect.

Key responsibilities of the post are to liaise with the 10 surgical specialty associations to solicit reports of adverse incidents and near misses in surgical practice, which are published and disseminated to the surgical workforce as anonymised educational vignettes and presentations.

The role of Programme Director involves chairing the pan-specialty Advisory Board, liaising with other organisations involved in patient safety including the surgical Royal Colleges, NHS England Patient Safety, HSIB, the MRHA, and MDU. The successful applicant will be involved in, and will eventually direct, the strategic development of the charity and its educational programmes

and aspirations. The Programme Director reports to the Board of Trustees chaired by the Lord Ribeiro CBE FRCS. It is expected that the applicant will be in good standing as a medical practitioner with experience as a committee chair, interests in surgical education, a proven track record of organisational skills and published outputs. Presentation skills and familiarity with charitable governance will be an advantage.

This post represents an excellent opportunity for an individual with interests in surgical education, patient safety and quality improvement. This post is an honorary appointment, but all reasonable expenses will be refunded with oversight by the Hon. Treasurer and Board of Trustees.

The formal application pack is available from: admin@coress.org.uk The closing date for applications will be 10 December 2021.

Applicants interested in the role can contact the current Programme Director for further information.

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MEMBERS' AREA

MEMBERS’AREA CROSS COLLEGE

COUNCIL AND EXECUTIVE BOARD ELECTIONS Nominations for all vacancies on the College Executive Board and Council are now open.

This year we are seeking nominations for the following posts: Trustees/Office Bearers to serve on Executive Board and Council •

Honorary Treasurer •

Honorary Librarian

Council Members • •

Ordinary Councillor (Physician) •. Ordinary Councillor (Physician) <10 years GMC registration Ordinary Councillor (Surgeon) x2 •. Regional Councillor (Surgeon) worldwide (outside Scotland)

For the first time in the College’s history, all Fellows and Members, irrespective of their geographic location, will be able to support any nomination and vote in the elections. Also, Fellows and Members outside of the UK and Ireland will be able, for the first time, to nominate themselves for the vacant position of Regional Councillor (Surgeon).

To participate in the College’s governance processes, please visit our Election Portal www.hub.ukevote.uk/rcpsg where you will be able to view the detailed eligibility criteria, role specifications, and, once registered, submit a nomination. Nominations will close at 12.00hrs (BST) on Friday 8 October.

FOLLOW OUR TRAINEES ON TWITTER Our Trainees' Committee are now on Twitter!

Run by trainees, for trainees, they'll keep you up to date with relevant College courses, the work of the Trainees' Committee, and provide a platform where trainees can contact the Committee directly - follow and get involved here: twitter.com/RCPSGTrainees

SENIOR FELLOWS’ CLUB Andrew Tannahill, Honorary Secretary, Senior Fellows’ Club Despite the COVID-19 pandemic – and thanks to the willingness, adaptability and efforts of College staff and speakers alike – the Senior Fellows’ Club had an outstandingly successful 2020-21 session as ‘SFC online’, with webinars replacing the usual gatherings.

A full programme of meetings (some including lunch in the College Hall) is in place for our next session, which will run from October 2021 to April 2022. The first two monthly events will be webinar-only, but we hope to be able to get together in the College again from December.

In so many of its important aspects, the pandemic has confirmed the validity of the old saying ‘Necessity is the mother of invention’. There is wide awareness of the importance of holding on to, and building on, changes in the way things are done that have the capacity to continue to make a positive difference after the threat that triggered or accelerated them has diminished. The Senior Fellows’ Club has taken that on board in its own small but significant way: webinar transmission of its lectures will continue even after in-person meetings resume, thereby enabling retired RCPSG Fellows/Members to be part of the Club whatever their circumstances and wherever they live.

If you have retired from substantive practice, or will be doing so in the coming months, and you would like to be added to the Club’s Contacts List and receive full information on the 2021-22 session, please email seniorfellowsclub@rcpsg.ac.uk, or call +44 (0) 141 221 6072 and ask for/select the option for the membership department.

The SFC Chair, Alistair Dorward, and I look forward to welcoming members old and new, whether face-to-face or virtually.

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PRIDE OF PERFORMANCE AWARD

Warm College congratulations are extended to Professor Dr Khalid Masood Gondal who has been awarded the Presidential Pride of Performance award by the President of the Islamic Republic of Pakistan. Professor Gondal, who is a Fellow of our College, received the award in recognition of his contributions to the field of medical education.

The King Edward Medical University, Lahore, where Professor Gondal is Vice Chancellor, has played a pivotal role in service delivery, innovation and research throughout the pandemic, with faculty members publishing more than 100 research articles on Covid patients. A department of telemedicine established in March 2020 has provided tele services to more than 15,000 patients through the teleoutdoor, telecorona, and telepsychiatry helpdesks.

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FACE TO FACE DELIVERY OF EXAMS AND EDUCATION After much uncertainty due to Covid19, we were delighted to deliver face to face exams and training courses when it was safe to do so.

In April, the MRCP(UK) PACES exam, led by Associate Director of Medical Examinations, Dr Moe Oo, was held in the Alexandra Room in our building on St Vincent Street in Glasgow.

In May, we held our very first hybrid course, Foundation Skills in Surgery, with the support of a fantastic faculty.

PACES exam team in the College’s Alexandra Room

Foundation Skills course faculty; Ms Sarika Nalagatla, Miss Carly Bisset, Mr Liam Henderson, Miss Abigail Ingham, Mr Matthew Kennedy and Ross McMahon

Later in May, our MFDS Part 2 exam was held at Old Trafford – home of Manchester United football club.

Over the past few months, we’ve also been able to re-instate specialist courses at our Clinical Anatomy Skills Centre based at the University of Glasgow.

MFDS exam team and faculty, L-R: Rebecca Speirs, Fraser Urquart, Will Keys (convenor), Yasir Shammaa (co-convenor), Carol Anne Buchanan (administrator) and Sarah Pollington (co-convenor).

Course Director Mr Iyer and course delegates, Head and Neck Dissection course

Updating our exams and courses to ensure we follow Covid guidelines, whilst providing the highest possible standard of service you’ve come to expect from us, has been paramount over the past year. Thank you to everyone involved – our staff, our faculty and, of course, our exam candidates and course delegates. The effort has been nothing short of inspiring.

SURGICAL HYBRID DELIVERY OF THE MALAYSIAN FRCS UROLOGY EXAMINATION The College has worked in partnership with the Malaysian Board of Urology, the Ministry of Health, Malaysia and the Malaysian Urological Association since 2008 in the development and delivery of a conjoint exit examination for Malaysian Urology trainees, leading to Fellowship of our College.

The examination is normally held in November annually however, as with many of our international examinations, its delivery in the usual face to face format was impacted by the pandemic. Working together, the College and the Malaysian Board of Urology agreed an alternate hybrid examination format which was successfully delivered for the first time in March 2021. The Glasgow based team, led by Mr I Graeme Conn, joined the experienced Malaysian Examiner team via video link in order to quality assure the exam delivery.

Thanks to the efforts of the organisers in Malaysia in ensuring appropriate IT infrastructure was in place, the hybrid examination was delivered seamlessly with seven successful candidates progressing to Fellowship of the College.

Successful candidates with local examiners and IT

Local examiners, Mr. Teh GC and Professor Ong TA

Local examiners, Mr. Warren Lo and Mr. Git KA

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MEMBERS' AREA

MEDICAL COLLEGE PARTNERS WITH UAE TO DELIVER INTERNATIONAL WEBINAR SERIES A series of webinars focused on hypertension and diabetes has been delivered in partnership with the Ministry of Health and Prevention of UAE (MOHAP).

The series, which was initiated by the College’s International Director, Professor Hany Eteiba, was attended by more than 800 primary care physicians located all over the world, including Saudi Arabia, Bahrain, Kuwait, Oman, Qatar, UAE and UK. Diabetes is one of the most widespread chronic diseases in the world. Through the course of the three webinars, attendees explored local and international guidelines, and shared challenges and tips in managing diabetes, particularly during Covid, from starting diagnosis through to treatment and follow up.

IAN ANDERSON MEDAL AWARDED TO MELANIE SNEDDON The Ian Anderson Medal has been awarded to Melanie Sneddon. The Medal, which is awarded annually to a final year medical student at Glasgow University, is named after Mr Ian Anderson CBE, who served as President of the College between 2009 and 2012.

Melanie was awarded the medal on the basis of her essay “Audit: follow up on chest x-rays in A&E”, which described the results of an audit she conducted during a placement in the A&E department at the Royal Alexandra Hospital in Paisley.

The audit investigated the processes in place for arranging follow up chest x-rays for patients discharged from A&E. Melanie’s audit showed that only 60% of patients attended a follow up appointment and her recommendation for a template letter to be sent to the patient and their GP has now been adopted by the A&E department at the Royal Alexandra Hospital.

Melanie said:

Reflecting on the international significance of this series, Professor Eteiba said: “We are thrilled to have established this positive collaboration with MOHAP, and to have delivered a highly successful and informative series of webinars on such an important topic to a global audience of healthcare professionals. I am very grateful to all of the speakers and faculty from both the UK and UAE for their excellent contributions to the success of this initiative.”

“I was over the moon to learn I have been awarded the Ian Anderson medal. It means a lot to have my work recognised by senior members of the profession and it has given me a real boost of confidence as I start my career as a junior doctor.”

Melanie is now starting her Foundation Year training at the Royal Alexandra Hospital where she carried out the audit, and she is looking forward to conducting a follow up audit when she returns to A&E. The College extends our warmest congratulations to Melanie for receiving the award. As a new Affiliate Member of the College we look forward to supporting Melanie throughout her career and wish her well as she begins her foundation training.

TRAVEL MEDICINE NEW COURSES IN TRAVEL MEDICINE We have been working hard to take forward the recommendations and actions of the Faculty publications ‘Good Practice Guidance for Providing a Travel Health Service’ and ‘Recommendations for the Practice of Travel Medicine’. Much of this has involved the development of new courses for healthcare professionals to develop and support them in the delivery of travel medicine services.

Postgraduate Diploma in Travel Medicine This course offers an academic base that assists individuals to become autonomous and reflective practitioners in the delivery of travel medicine services. The content and level facilitates growth of higher audit processes in developing cognitive, leadership and practical skills that will enhance travel medicine practitioners’ practice.

Professional Development Certificate (PDC) in Travel Medicine We look forward to welcoming the first cohort on the new Postgraduate Diploma in Travel Medicine (PDC) in October. The course has been designed to enhance the knowledge and skills of doctors, nurses and pharmacists working within travel medicine.

If you or any colleagues may be interested in enrolling, please do get in touch.

Full details, including some very helpful FAQs, can be found on the College website: rcp.sg/travelmedicine

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GOOD PRACTICE GUIDANCE Our Faculty of Travel Medicine's Good Practice Guidance for Providing a Travel Health Service is an essential resource for Travel Medicine practitioners. This fantastic guidance sets out to define the standards of care every practitioner should achieve in their practice of travel medicine for the health and safety of the international traveller.

The guidance can also be used as a self-assessment guide to identify key areas for continuing professional development, or continuous quality improvement, including effectiveness, efficiency and safety of the service: rcp.sg/tmgoodpractice

PODIATRIC MEDICINE LOWER LIMB AND FOOT IN DIABETES The Faculty of Podiatric Medicine has developed some excellent digital learning modules on the management of the lower limb and foot in diabetes. The interactive modules are valuable learning opportunities for a range of healthcare professionals and have received very positive feedback. The first two modules have been released with the final module due to be released later this year.

If you have not already done so, please do find out more here rcp.sg/pmlowerlimb

DENTAL FACULTY DENTAL AWARD WINNERS Dr Ailish Clark was awarded the TC White Researcher Grant for her project focused on “Answering the unanswered questions of Medication Related Osteonecrosis of the Jaws using a multi-site UK registry.

Ailish is an NIHR funded Academic Clinical Fellow in Oral Surgery based in the University Dental Hospital Manchester. Prior to gaining her BDS (Hons) from the University of Glasgow in 2013, Ailish was awarded a BSc (Hons) in Forensic Biology in 2007 and enjoyed the opportunity to develop research skills both as part of her degree and with an Erasmus placement in the University of Porto. This early enjoyment of research has continued to grow and Ailish developed a special interest in Medication Related Osteonecrosis of the jaws early in her dental career. Ailish’s research is focused on answering some of the many unanswered questions around this condition and ultimately improve the care for these patients.

Congratulations to all those who have recently received dental awards from our Faculty of Dental Surgery. The reward recipients and the amount awarded are outlined below. Details about all of our awards and scholarships can be found on the College website.

Name of Award

Name of applicant

Total Amount

T C White Travel Grant 2021

Dr Akhilanand Chaurasia

£2,000

T C White Travel Grant

Mr Arkadiusz M Dziedzic

£2,000

T C White Travel Grant

Professor Arvind Muthukrishnan

£2,000

T C White Researcher Grant

Miss Ailish Clark

£10,000

T C White Observership Award

Dr Akhilanand Chaurasia

£2,000

T C White Observership Award

Professor Gyanendra Kumar

£2,000

UK Dental Undergraduate Award

Miss Tara Bharadia

£500

UK Dental Undergraduate Award

Miss Sushila Marwaha

£500

UK Dental Undergraduate Award

Mr Har-Amrit Singh

£500

Ben Walton Scholarship and Development Grant

Professor Arvind Muthukrishnan

£3,000

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OPTIMAL MANAGEMENT OF THE ACUTELY ILL PATIENT: THE FIRST 24 HOURS

Thursday 30 September and Friday 1 October 2021 Sign up today rcp.sg/medicine24 #Medicine24 RCPSG.AC.UK

35

OPPORTUNITIES A number of opportunities are currently available to get involved with College education, assessment and committees.

Further information on all of the roles highlighted below can be found on our website at: rcp.sg/vacancies This page is regularly updated when new opportunities become available.

MEDICAL PACES Examiners Experienced clinicians are required to become examiners and assess candidates undergoing the MRCP(UK) Part 2 Clinical Exam (PACES). Examiners are asked to commit to examine at least 6 cycles (30 candidates) per year (averaged over two years), which is equivalent to a minimum of 2/3 days examining per year.

MRCP(UK) Scenario Role MRCP(UK) is recruiting to a number of roles to support scenario development for the PACES examination. This includes: Scenario Editorial Committee Chair, Scenario Editorial Committee Members, and Scenario Writing Group Chair.

IMPACT Faculty We are currently seeking members of faculty to support delivery of the Ill Medical Patients’ Acute Care and Treatment (IMPACT) course. Applications are invited from consultants, associate specialists and specialist training registrars (ST3 or above) in acute medicine or related specialties.

SURGICAL JCST SACs The Joint Committee on Surgical Training (JCST) is seeking practising NHS consultants to join Specialty Advisory Committees (SACs) across a number of surgical specialties. Newly appointed SAC members attend a SAC induction day which includes an EDI training session and gains a CPD point.

FRCS Ophthalmology Examiners We are currently seeking to appoint UK-based ophthalmology examiners to participate in the surgical fellowship examination in ophthalmology (FRCS Ophthalmology). The examination consists of a range of written, orals and clinicals offered in various centres around the world.

Examiners participate in a range of activities including question writing, standard setting, and face to face examining – some of which attracts CPD points. Full training is provided.

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EDUCATION AND EXAMINATIONS CALENDAR TE NG

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non-clinical skills training

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Leading the way in Developing the Clinical Trainer 29 November, 0830 - 1700 Introductory online live session 31 January 1000 - 1200 or 1400 - 1600 1 February 1000 - 1200 or 1400 - 1600 Live small-group interactive sessions £110 6 CPD Credits This course will provide foundation doctors and medical students with an overview of teaching, learning and feedback in the clinical environment.

Suitable for - Medical students, foundation doctors, core trainees and early stage GP trainers Royal College Advanced Certificate in Clinical Education 16 - 30 November, 6 - 7 December, 10 - 24 January, 21 - 22 February, 10 - 24 March 1-hour introductory session and a 3-hour interactive session. In addition, participants will be required to complete 8 hours of individual activity and online learning before the final session. £995 The Royal College Advanced Certificate in Clinical Education covers all essential trainer prerequisites and provides learning opportunities specifically tailored to meet the needs of experienced trainers. The course focuses on enabling delegates to relate and constructively apply relevant educational theory to their ongoing clinical education practice.

RCPSG.AC.UK

The course covers all aspects of the GMC 2016 guideline competency framework and may be recognised as leading to the award of up to 10 credits towards further study on the University of Dundee's Certificate/Diploma/Master of Medical Education (MMEd) programme.

Suitable for - Specialty/Senior trainees and Consultants across all specialties Training the Clinical Trainer 22 - 23 November, 2 - 16 December, 26 January - 10 February One-hour introductory sessions and a 3-hour interactive session which concludes the course. In addition, participants will be required to undertake eight hours of individual online learning over a period of two weeks

1-hour introductory session and a 2-hour live session. In addition 2 hours of online learning will need to be completed. £80 4 CPD Credits Through national updates, case studies and in depth interactive sessions, this course will support you to identify concerns early, diagnose the issues and ensure effective intervention and support doctors who are experiencing difficulty or demonstrating difficult behaviours.

Suitable for - Senior trainees & Consultants across all specialties Clinical Trainer Development: An Update

£395

10 - 24 November 1-hour introductory session and a 2-hour live session. In addition 2 hours of online learning will need to be completed.

12 CPD Credits

£80

This course aims to enhance your knowledge of, and skills in, educational practice within a clinical setting. Designed for senior trainees across all specialties and mapped to CCT requirements, it will provide attendees with knowledge and skills to meet the criteria set out in the GMC’s recognition and approval of trainers' requirements.

4 CPD Credits

Suitable for - Specialty/Senior trainees across all specialties Performance Support for Doctors in Training 21 - 24 September

The Royal College of Physicians and Surgeons of Glasgow Clinical Trainer Development Course will provide you with learning and teaching skills, communication, coaching and dealing with difficult students. With a focus on supporting the training and professional development of trainers specifically, this course is designed for those holding a named trainer role in secondary care.

Suitable for - All

For more information on non-clinical courses visit rcp.sg/nonclinical

37 Events for all

Physicians

Clinical Courses Basic Surgical Skills Course 23 - 24 September, 13 - 14 October, 23 - 24 November, 9 - 10 December 0815 - 1745 £525 12 CPD Credits This is the new, 6th edition of the Intercollegiate course that runs over two days. It is for trainees anticipating a career in Surgery and preparing for basic surgical examinations. The course aims to teach safe operating techniques and stresses the importance of precautions for safe theatre practice.

Focus on Neurology for PACES Candidates

Surgeons

Dentistry

Travel Medicine

Preparing for Core Training Interview

Basic Laparoscopic Skills

16 October, 0900 - 1300 £30 This half day seminar will guide you through the application process for surgical core training posts. The seminar will cover what to expect and how to prepare through a combination of lectures and workshops focusing on portfolios, management and clinical stations.

Endoscopic Ear Surgery Cadaver course 18 - 19 October, 0830 - 1700 CADAVERIC Closing date: 20 September Venue: Clinical Anatomy Skills Centre £800 12 CPD Credits This is an advanced hands-on endoscopic ear surgery dissection course using fresh frozen cadaveric specimens.

Emergency Head and Neck Surgery Cadaver Course CADAVERIC

28 September, 1300 - 1630 £75 This half day course, taught by neurology registrars, will help candidates to prepare for the neurology station, and potential neurology cases encountered in the MRCP(UK) PACES examination.

Basic Orthopaedic Procedural Skills

20 October, 0800 - 1715 Closing date: 22 September Venue: Clinical Anatomy Skills Centre £350 6 CPD Credits The course gives hands-on refresher training for consultants and senior trainees in ENT emergencies that occur in areas outside their sub-specialty using fresh frozen cadavers.

30 September, 16 December 0830 - 1700 £125 By attending this course you will learn the principles of skin suturing, plastering, digital nerve blocks, joint aspiration, emergency fracture treatment and spinal immobilisation.

Principles of Casting for Orthopaedic Trainees

MFDS Part 2 preparation course

21 October, 0830 - 1700 £125 Taught by experienced clinicians and plaster technicians, this course will provide you with skills for upper and lower body casting.

15 October, 0830 - 1700 Closing date: 8 October £195 6 CPDA approved Designed for those intending to sit the MFDS Part 2 exam, we are excited to announce that our one-day revision course has returned to a face to face format.

The day will include interactive skills stations and lectures, as well as an afternoon of mock OSCEs. Run by MFDS Part 2 examiners, the course aims to develop your knowledge and skills in six key exam areas.

Podiatric Medicine

Foundations Skills in Surgery 23 October, 0830 - 1700 £80 This interactive course provides an introduction to the specific skills of early stages of surgery. It is suitable for medical students and Foundation Year doctors considering a career in surgery.

27 October, 29 November 0830 - 1700 £125 The aim of the course is to familiarise the delegate with the equipment and instruments used in laparoscopic surgery, to allow simulation of manipulation of objects within a laparoscopic environment and to have the opportunity to practice simulated operations using a gallbladder and appendix laparoscopic training model.

GI Anastomosis Techniques Course 17 November, 16 March, 0830 - 1635 £195 This one day course provides exposure to the theoretical principles and practical techniques of GI anastomosis. It gives an opportunity to perform a variety of surgical procedures on tissue models under the expert guidance of consultant surgeons.

Mentorship Course 18 November - 13 January Closing date: 4 November £75 18 CPD Credits Access to the Mentorship Programme is open to College Fellows and Members who are seeking mentoring as their careers develop, perhaps when changing roles, with established, trained College mentors.

Vascular Anastomosis Techniques Course

18 November, 17 March, 0830 - 1630 £195 This one day course provides exposure to the theoretical principles and practical techniques of vascular anastomosis.

It gives an opportunity to perform a variety of surgical procedures on tissue models under the expert guidance of consultant surgeons.

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MEMBERS' AREA IMPACT

6 - 7 December, Closing date: 25 October 7 - 8 March, Closing date: 24 January 4 - 5 May, Closing date: 23 March 14 - 15 June, Closing date: 4 May 0830 - 1700 £472 The IMPACT course is a two-day course introducing the principles and practice of acute medical care and related knowledge, skills, understanding and attitudes.

Principles of Intramedullary Nailing 20 December, 0830 - 1715 Closing date: 22 November £125 This practical, one day course introduces the principles of intramedullary nail fixation for fractures of the tibial and femoral shaft. The course will be taught by experienced orthopaedic surgeons with an interest in orthopaedic trauma.

Webinars Dental Public Health in Action: Managing COVID-19 in the Dental Setting 19 October, 1800 - 1900 FREE 1 CPD This webinar will provide delegates with an overview of COVID-19 cases associated with Dental Settings using real world data and scenarios from the East of Scotland.

Climate Change and Health Webinar 28 October, 1800 - 1945 FREE 2 CPD Credits Following the success of our 2020 Climate Change & Health Webinar, we are hosting a further webinar exploring both international and local challenges and solutions.

The programme features high profile speakers, all experts in their field, who will give us a timely update on all the relevant issues on this topic, the week leading up to the COP26 meeting in Glasgow.

RCPSG.AC.UK

Released Back into Mortality: Intensive care, Patients and the Law

Faculty of Travel Medicine: Back to the Future

10 December, 1400 - 1700 £30 3 CPD Credits The afternoon will comprise three remote sessions that will inform, explore, and give the opportunity to discuss topical issues of intensive care medicine, the impact of intensive care on patients, and essential legal issues including capacity, shared decision-making, refusing treatment, and dying with dignity.

22 October, 0900 - 1700 £85 5 CPD Credits As travel begins to emerge from shutdown caused by COVID-19, old problems will resurface albeit in a different form. Previously neglected fields will come into sharp focus.

DIGITAL

HYBRID

Conferences

Conferences Medicine24

Orthopaedics and Trauma online conference 16 September - 25 November 2000 - 2130 £30 - £50 4 CPD Credits The Royal College of Physicians and Surgeons of Glasgow continues to lead the way in orthopaedic education by taking our ever successful Orthopaedics and Trauma conference online for 2021 with mini-symposia taking place between September and November 2021.

Faculty of Podiatric Medicine Annual Conference ‘Bypassing the Inevitable?’

17 September, 1200 - 1500 £30 3 CPD Credits This year’s online event will bring together podiatrists for an informative annual education session focusing on cardiovascular disease and MDT working and Strategies for reduction of CVS risk.

The webinar will be fully interactive with the opportunity to ask questions.

Time to Heal: Recovery and Renewal 6 - 7 October, 0815 - 1530 £60 - £100 12 CPD Credits This event is the inaugural President’s Conference of the Royal College of Physicians and Surgeons of Glasgow and consolidates Professor Jackie Taylor’s commitment throughout her Presidency to improve clinicians’ wellbeing.

The two-day programme will focus on healing, wellbeing for the clinician and how we develop a leadership which embeds those values in our health service.

30 September - 1 October 0845 - 1635 £190 12 CPD Credits Returning for its seventh year, our flagship medical conference will provide up-to-date information on the optimal management of acutely ill patients within the first 24 hours of admission.

Focusing on the most common situations that present in busy receiving wards, a range of topics and specialties will be covered during the two-day event.

TC White Conference 2021 19 November, 0900 - 1645 £85 5 CPDA Each year the TC White Conference directs its focus on a different topical issue affecting dentists in practice and in 2021, the theme will be ‘Where can dental radiology take us?’.

GESTS 2022 - Glasgow Emergency Surgery and Trauma Symposium 17 - 18 February This two-day symposium brings together a range of nationally and internationally renowned expertise and focuses on key messages and practical tips in emergency surgery and trauma care.

For more information visit rcp.sg/events Due to the ongoing COVID-19 pandemic, all of our Conferences and non-clinical skills events, as well as many of our clinical skills courses are currently being held virtually. The safety of our delegates and faculty is our key priority and our educational events will continue to be delivered digitally until the situation changes.

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Examinations

Geriatric Medicine

Physicians MRCP(UK) Part 1 Exam date: 23 Nov UK registration: 4 - 11 Oct Online MRCP(UK) Part 2 Exam date: 14 Dec UK registration: 1 - 8 Nov

Exam date: 23 Feb UK registration: 3 Nov - 1 Dec ESEGH Exam date: 6 Apr UK registration: 15 Dec - 12 Jan Neurology

Endocrinology and Diabetes

DO-HNS - Part 2 OSCE

MRCP(UK) PACES

Rheumatology

Exam period: Sep - Nov

Exam date: 22 Jun UK registration: 2 - 30 Mar

Each module focuses on one of the PACES stations and includes; an introduction to the station, top tips on that station from a senior clinician and PACES expert, a behind the scenes look at the process of examiner calibration, an example of a satisfactory pass (including the patient examination and examiner questioning) and PACES exam tips from Dr Stuart Hood at the Royal College of Physicians and Surgeons of Glasgow.

Focus on neurology for PACES candidates Date: 28 Sep rcp.sg/pacesneuro £75 This half day course, taught by neurology registrars, will help candidates to prepare for the neurology station, and potential neurology cases encountered in the MRCP(UK) PACES examination.

MRCP(UK) Specialty Examinations ESENeph Exam date: 23 Feb UK registration: 3 Nov - 1 Dec

Exam date: TBC FRCS Ophthalmology – Part 2

Online

rcp.sg/pacesonline

FRCS Ophthalmology – Part 1

Exam date: 11 May UK registration: 19 Jan - 16 Feb Exam date: 8 Jun UK registration: 16 Feb - 16 Mar

MRCP(UK) PACES Revision Modules

from examiners and demonstrations of how stations work and are to be completed.

The scenarios are then summarised and feedback is given to allow you to employ best practice when taking your own exam.

Medical Oncology

Exam date: TBC Exam date: TBC

Dental Surgery

Exam date: 7 Sep UK registration: 18 May - 15 Jun

MFDS Part 1

Respiratory Medicine

Revision Modules

Exam date: 21 Sep UK registration: 1 - 29 Jun

rcp.sg/mfds1revision

Surgeons

Question Bank

MRCS Part A

The Example Question Bank is designed to prepare candidates for the exam.

Exam date: 11 Jan Closing date: 22 Oct

Exam date: TBC

These modules have been developed to give candidates the necessary knowledge about key areas of the exam. rcp.sg/mfds1questions

MFDS Part 2

Exam date: 26 Apr Closing date: 25 Feb

Exam date: 18 - 19 Nov Closing date: 12 Sep

Online

Glasgow and Manchester

MRCS Part B OSCE Exam date: TBC MRCS Part B OSCE Preparation Modules rcp.sg/osceonline Each module focuses on one element of the MRCS PartB OSCE preparation. The modules include thorough introductions

MFDS Part 2 Preparation Course 15 Oct Glasgow Designed for those intending to sit the MFDS part 2 exam, our one day revision course includes interactive lectures and practical skills stations, as well as an afternoon of mock OSCEs. AUTUMN 2021 EDITION 10

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MEMBERS' AREA

WELCOME TO ALL OUR

NEW MEMBERS MAY - JULY 2021 PHYSICIANS Fellow qua Physician Bilal Ahmad Shad Ahmed Md. Jahangir Alam Sajesh Asokan Chi Kit Au Ashish Bhalla Aung Hlaing Bwa Swadesh Kumar Chakrovortty Eswaradass Chellapandian Ka Chun Cheung Faisal Eltatar M Kumrul Hasan Md. Anwar Hossain Mohammad Rezaul Islam Lynne Meekison Amal Ibrahim Abdel Latif Mohamed Min Zaw Oo Ajit Kumar Paul Atiqur Rahman Khan Tejhmal Rehman Me Me Sein Toe Muhammad Murtaza Shafqat Sanjeev Srivastava Swe Swe Thit Tak Wai Wong Member qua Physician Ashley Hong Sahil Jain Rebecca Caitlin Johnson Mohammad Raihan-Ul Kabir Scott Lang Aung Myo Naing Soe San Naing Beenish Rizvi Khaleeq Hussain Siddiqui Member of the College Muhannad Abalrhman Muhammad Altohami Sadia Asif Maria Awais Abdul Basit Jai Deep Yousif Ahmed Ali Elnaeem SKM Nazmul Hasan Muhammad Yousaf Jan Muhammad Sohail Khalid

RCPSG.AC.UK

Tahir Khan Abdullah Al Mamun Hassan Masood Nyambe Innocent Mungandi Mohamed Khalafalla Kabashi Osman Muhammad Ahmed Saif Ullah Asif Javaid Wakani

Fellow qua Surgeon in Ophthalmology Wafa' Salim Moh'mad Al-Jaafreh Amgad Abdelghaffar Mohamed Eldib Nidhi Gajendragadkar Bibhuti P Kashyap Shruti Mittal

SURGEONS

Fellow qua Surgeon in Urology Kumarappan Alagappan Roger Bin Anthony Idi Chang Bing Chi Yue Keng GOH Syed Omar Bin Mohamed Ibrahim Suriaraj Karppaya Wei Lun Tam

Fellow qua Surgeon Muhammad Umar Aasim Mushtaq Chasib Abu Al-Hail Mohammed Wakil Ahmed Naveed Ahmed Mohammad Noor A Alam Mahmood Alharoon Ali Al-Hilli Hyder Ali Israr Ahmed Bhutto Sudhangshu Shekhar Biswas Moinuddin Ahmed Choudhury Tamer El Zalabany Duke Herrell Mumtaz Ibrahim Jitendra Jagtap Montasir Junaid Mohammad Kamruzzaman Louis Kavoussi Mohammad Ibrahim Khalil Senthil Vel Kumar Dineshan Kunimmal Mattanchery Abdul Sami Memon Ehab Jasim Mohammad Md Abdul Gani Mollah Samia Mubin Myo Naing Sarder Abdun Nayeem Faisal Nazeer Hussain MD Mizanur Rahman Md Abdur Rakib Ravishanker Ramadorai Neela Ramdass Ravindra Sabnis Azhar Ali Shah Iqbal Shahzad Faiz Ismail Shakarchi Rohan Shetty Aung Thu Soe Myint Shashidharan Viswanathan Imrana Zulfikar

Fellow in Urology Abisola Ekundayo Oliyide Fellow in Trauma & Orthopaedics Kailash Kailash Salahuddin Khan Fahd Faisal Mahmood Rebekah Joan Parkes South Heng Victor Voon Rahi Kiran Yallapragada Fellow in General Surgery Daniel Couch Stephen Thomas McSorley Paul Shuttleworth Fellow in Oral & Maxillofacial Surgery Shiva Subramaniam Glyndwr Warren Jenkins Fellow in Otolaryngology Peter John Kullar Member qua Surgeon Naqqash Adnan Thomas Edward Baldock Bhalchandra Prabhakar Bhalerao Ross Bogle Rebecca Anne Bradley Boonyih Cindy Chua Blair Cooper

Rachel John-Charles Arun Krishna Ross Alexander Edward Leader Mhairi Helen Mactier Stanislau Makaranka Laura Catherine Martin Oluseyi Harold Ogunfusika Emily Louise Pearce Rohan Angus Ramasubbu Joshua Darius Rutnagur Zi Hao Sam Giuliana Torpiano Simon John Walker Member qua Surgeon in ENT Muneera Abdulla Mohamed Humood Al-Khalifa Alison Lim Trung An Ton Member of the College Ghayur Abbas Siddharth Agrawal Tayyab Ahmad Habib Ahmad Hassan Ahmed Nasir Ahmed Luqman Ali Bajwa Nighat Bakhtiar Asad Ali Chaudhry Umar Hayat Mohammed Gamal Taher Aboelftouh Hegazi Ayesha Inam Aurangzeb Kalhoro Syed Intesar Mehdi Kazmi Saad Akhtar Khan Hina Khan Santosh Kumar Raj Kumar Moeez Fatima Laghari Badar Munir Malik Muhammad Umar Asif Malik Zubda Malik Nauman Manzoor Asad Maqbool Waqas Ahmed Memon Gul Muhammad Muhammad Noman Parekh Irfan Rasheed Tariq Rasheed

41

Summaya Saeed Ahmed Salloum Khusheed Ahmed Samo Muhammad Gulfam Shahzad Osama Bin Zia Siddiqui Sherief Makram Fahmy Sidhom Muhammad Anis Ul Islam Rehan Wani Adil Shafi War Muhammad Nofil Zulfiqar DENTAL SURGERY Fellow in Dental Surgery Fahd Aleem Attiguppe Ramasetty Prabhakar Nitesh Tewari Fellow in Restorative Dentistry Josefine Hirschfeld Member of the Faculty of Dental Surgery Aya Al-Harbawee Matthew Allan Nouf AlMarzooqi Thafar Almela Mohamed Saeed Khamis Saeed Alsharji Fiona Andrews Mark Daniel Atkinson

Sana Bashir Reuben Bennett Rachel Botrugno Emma Katie Carr Rosani Chandrabalan Thibault Nicolas Erwann Colloc Khaled Alaa Eldin Hamed Mostafa Elgamaz Matthew Gibson Deepika Gopal Gopalan Abigail Graham Callum John Graham Matthew Gribbon Glesni Guest-Rowlands Catherine Hackett Mona Halawi Michael Hamer Terri Hamilton Patrick Joseph Handy Moataz Tarek Mohamed Elsayed Hekal Katharine Julia Hurry Aesa Alzaroug Jaber Neda Jajeh Katherine Kaczmarczyk Kathleen Margaret Keenan Rohit Kunnath Menon Michael Lewis Jonathan Lewis John Linden

Ruby May Long Ravindranath Mambakkam Jagannathan Shivasakthy Manivasakan Natasha Mann Amy McRae McKay Hamish McNaughton Hayley Moss Mohammed Mustafa Kedarnath Nakkalahalli sheshappa Mary Catherine O’Dolan Jessica Patel Vinya Ravindra Aimen Firdose Ravoof Gursimar Sekhon Rachel Sommerville Kumar Chandan Srivastava Vinay Sundar Siôn Thomas Anthony Tsoi Sakthivel Velu Subbaiah Hannah Walthew Jacob Watts Callum Weir Kar Wong Christopher Yule Member in Orthodontics Sahil Agrawal

Balavenkata Bharathi Chaturvedula George Jose Cherackal Aravinthrajkumar Govindaraj Manali Prakash Jadhav Ashish Mathew Chinnaraju Naveen Kumar Elbe Peter Subashree Rathi Selvan Lina Mohamed Saied Shehata Anup Singhvi PODIATRIC MEDICINE Fellow of the Faculty of Podiatric Medicine Johnson Boey Matthew Fraser Collison Peter Crisologo Robert Klein Yaoquan Manfred Mak Euan John Mackie McGivern Member of the Faculty of Podiatric Medicine Christopher Joyce Alexander William Murray Sean Savage Nicola Shearman

AUTUMN 2021 EDITION 10

42

SYNCOPE DIAGNOSIS NEEDED? CHALLENGE ACCEPTED.

Reveal LINQ™ with TruRythm™ is the world’s smallest2 and most accurate3 ICM.

ESC and NICE Guidelines recommend Implantable Cardiac Monitors in the evaluation of unexplained syncope.1

References: 1. Brignole M, Moya A, de Lange FJ, et al. 2018 ESC Guidelines for the diagnosis and management of syncope. Eur Heart J. June 1, 2018;39(21):1883-1948.

2. ICM Size Comparison Guide. Medtronic data on file. 2019 3. ICM Published Accuracy Comparison Guide. 2019 See the device manual for detailed information regarding the instructions for use, the implant procedure, indications, contraindications, warnings, precautions, and potential adverse events. If using an MRI SureScan™ device, see the MRI SureScan™ technical manual before performing an MRI. For further information, contact your local Medtronic representative and/or consult the Medtronic website at www.medtronic.eu.

For applicable products, consult instructions for use on manuals. medtronic.com. Manuals can be viewed using a current version of any major internet browser. For best results, use Adobe Acrobat® Reader with the browser.

UC202111866EZ © Medtronic 2021.

All rights reserved.

nsk-surgery.co.uk RCPSG.AC.UK

01438 310670

American Orthodontics 43 would like to introduce Emma Robins.

Hi, I am Emma Robins and I am your representative for American Orthodontics in the Scotland region.

A little bit about me...

My childhood years were spent in Dunfermline, before moving to Edinburgh to further my education at Queen Margaret University. My university years have given me not only an academic award, they have helped me grow and gain valuable life skills. Outside of work, I live in West Lothian with my fiancé and our two dogs. You will usually find me walking the dogs, finding various ways to keep fit and taking on DIY projects at home; all of which have been my saviours during these difficult times.I began my new venture at the start of April 2020, amid the current pandemic that we are all living through. It is daunting to start any new career path, however, the addition of a national lockdown, and the inability to meet any of the AO colleagues in person furher added to this challenge. With that said, I am lucky to have the fantastic support of the team at AO who have helped me find both my feet and teeth at home. A big thank you to you all!

I was excited to start my new role, meeting customers face to face across Scotland, building relationships and growing the AO family. Unfortunately, this was not be, the past year has been an unsettling time for everyone, we have had to learn to adapt and change not only our day to day lives but our way of working also. For me, I have had to adapt to working from home, embracing the new virtual platform, and gaining an insight into the world of Orthodontics.

As restrictions gradually eased, I was finally able to dip my toes into my new role and I had the pleasure of meeting many of our existing friends and welcoming new ones. Everyone has been extremely generous with their time and I look forward to expanding our relationships and developing the AO Family in the very near future.

07496990129

TM

PREMIUM HEAT ACTIVATED ARCH WIRE

erobins@americanortho.com

AO United Kingdom / Ireland 7 The Barns, Milton Lane Castor, Peterborough PE5 7DH +44 1733 308088 uksales@americanortho.com

AUTUMN 2021 EDITION 10

44

Heritage Events Programme September - December 2021 PODCASTS

BITES

Body of Work returns for a new mini-series!

Episode 1 - William Macewen and Osteotomes Thursday 20 September 2021

Episode 3 - Andreas Vesalius and De Humani Monday 15 November 2021

Episode 2 - Mearnskirk Hospital and the Alexander Dale Collection Monday 18 October 2021

Episode 4 - Audubon and Birds of America Monday 20 December 2021

DIGITAL EVENT

Words of Hope and Kindness Exhibition launch

Monday 4 October 2021, 2pm DIGITAL EVENT

Reframed: conversations about heritage & inclusion

Ethics of anatomical collections Thursday 28 October 2021, 6pm

HYBRID EVENT

DIGITAL EVENT

DIGITAL EVENT

Glasgow Doors Open Day 2021

Lowe’s Chirurgerie

Digital / Video Launch Monday 13 September 2021

Poison Pen Writing Workshop | with Historical Crime Writer, E.S. Thomson

“In goodwill and love”

College event Sunday 19 September 2021

Thursday 14 October 2021 6pm

Thursday 18 November 2021 6pm

For more information and booking visit

RCPSG.AC.UK rcp.sg/heritageevents