College VOICE Edition 13

At the time of this edition of VOICE going to print, the entire College community noted with sadness the death of Her Majesty Queen Elizabeth II and extended our condolences to King Charles III, the wider Royal Family and all who knew her well.

As we reflect on her late Majesty’s selfless devotion to duty, we can draw inspiration from a life so well lived and recall her auspicious role in granting our change of title to Royal College in 1962 and also her happy visit in 1999 to mark College’s 400th anniversary.

T he curbs on social behavior and travel, introduced because of the pandemic, have been lifted across the UK. Of course, infection control measures remain in place in clinical settings but there has been a clear change in public behaviour on mask wearing and social distancing. The current intelligence on variants of Covid, which might cause future problems, is generally reassuring and so perhaps we can hope for a more normal autumn season in our family and social lives. However, we know that our NHS is still under immense pressure and winter will bring enormous challenges. The College will be engaged in supporting our Fellows and Members as we tackle those challenges and we will use our voice to speak up for the professions as we go forward.

Our engagement with key political stakeholders across the United Kingdom continues and I have recently had productive meetings with Humza Yousaf, the Cabinet Secretary for Health and Social Care in Scotland and Robin Swann, the Health Minister for Northern Ireland. As in all of our meetings with politicians across the UK we emphasized the need to retain senior clinical staff as we address the recovery of NHS services after Covid and explained that current contractual matters, especially pension tax charges, are impacting on the delivery of clinical care and require political action.

Another common theme in our meetings with politicians and senior NHS managers has been the granting of leave for our Fellows and Members to take part in educational activities and in particular to be released for their roles as examiners. It is surprising that this matter is so little understood. Our College examiners, voluntarily, quality assure the medical and dental workforce of the NHS and yet we regularly hear of leave for this important work being denied. The UK Academy of Medical Royal Colleges has been working with the four Chief

Medical Officers on updated guidance on the granting of leave for educators and examiners and with our colleagues in the other Royal Colleges of Surgery we have written jointly to raise this matter with senior health service managers. If you are encountering difficulties with the granting of professional leave to examine for the College please let me know directly at president@rcpsg.ac.uk. Thank you to everyone who has joined us for the President’s Webinar series on climate change and sustainability. I am sure you will agree that we have had illuminating debate and discussions as we build to the President’s Conference on 16 November, which will focus on climate change and sustainability. Please do consider joining us on that day either in person or virtually.

Sadly the war in the Ukraine continues with daily evidence of war crimes, atrocities and the senseless killing of civilians, including children. The economic impact of the war causing high energy prices and inflation is likely to be followed by acute food shortages across the world wherever Ukrainian grain is a staple import. In the midst of this chaos medical and surgical care is still required and I am very proud of the role our College has played in that. Fellows will recall that earlier this year College Council member Steve Mannion, a trauma and orthopaedic surgeon, volunteered to work with UK Med in Ukraine. On his return Steve discussed the need for plastic surgery training and Surgical Vice President John Scott, a plastic surgeon, then readily volunteered. I am sure that you will join me in thanking them for their bravery in travelling to Ukraine during this time of war to share their skill and expertise. Of course, not all of us are needed in Ukraine, but we can consider assisting in other ways. In that regard the example of College Surgical Vice President Abhay Rane and his wife in opening their home to Ukrainian refugees is an example to us all. College has joined with others to support the appeal for Ukraine and details of how to donate are on the College website.

We have also welcomed the news that Mr Mike Lewis has been appointed to the position of Chair of the JCIE, which oversees the FRCS examination in all ten surgical specialties in the UK and Ireland and the FRCS internationally. Mr Lewis is a cardio-thoracic surgeon in Brighton and he will have a period of handover with Mr John McGregor, formerly a Vice President of our College who has led this essential intercollegiate work with great distinction, particularly in the challenges of assessment during the pandemic. While John McGregor will be a very hard act to follow, we wish Mike Lewis well and warmly welcome him to his new role.

As we look ahead to what may be a very challenging autumn and winter for healthcare delivery I send you my very best wishes and the promise of continued support from the College. We are truly an inspiring community to be a part of.

NEWSBITES

COLLEGE STATEMENT ON THE GMC NATIONAL TRAINING SURVEY RESULTS

The College responds to the National Training Survey 2022 results.

The GMC has published the results of its National Training Survey 2022. Some 67,000 medics across the UK responded to the poll, including both trainee doctors and those who train them. Two-thirds (66%) of trainees said they are ‘always’ or ‘often’ worn out at the end of their working day. And 44% said they were regularly exhausted in the morning at the thought of another day of work.The risk of burnout is now the highest it has ever been since the GMC began tracking it in 2018.

College President Mike McKirdy said:

The findings from this report are not surprising to us.

Our healthcare workforce has faced unprecedented pressures over the past two years, the impact of which will continue to be felt for some time to come.

We know that a healthy healthcare workforce is essential for patient care. When the workforce is exhausted, experiencing burnout, and struggling to balance their work and personal lives, it impacts on everyone.

We welcome the progress being made in this area at UK Government level with the announcement of a workforce strategy later in the year and welcome the Scottish Government’s own workforce plan.

I am committed to working closely with all Governments across the UK to help determine the best way ahead.

JOINT STATEMENT FROM ACADEMY OF MEDICAL ROYAL COLLEGES ON THE CONSERVATIVE LEADERSHIP CONTEST

Medical leaders from Royal Colleges and Faculties have published a joint statement calling on the next Prime Minister to commit to proper workforce planning, a greater focus on preventing illness and tackling inequalities and fixing the breakdown between NHS and social care.

The College is one of several medical Royal Colleges and Faculties representing the full range of medical specialties across primary, public health and hospital care who have signed a joint statement urging the next Prime Minister and leader of the Conservative and Unionist party to make health and care a priority.

Medical leaders from Royal Colleges and Faculties have published a joint statement calling on the next Prime Minister to commit to proper workforce planning, a greater focus on preventing illness and tackling inequalities and fixing the breakdown between NHS and social care.

The statement urges the next Prime Minister and leader of the Conservative and Unionist party to:

1. Commit to planning and providing a health and care workforce that meets the needs of the population, particularly by increasing medical school places and clinical training places.

2. Commit to reducing health inequality by tackling the causes of ill health so that in the long run we reduce pressure on the NHS by reducing preventable illness.

3. Commit to fixing social care so that we end the cycle of working age adults and old age adults being admitted to hospital, or delayed in leaving hospital, because of insufficient social care packages to help them live independently.

ACADEMY OF MEDICAL ROYAL COLLEGES

We are delighted to announce that our President, Mike McKirdy has been elected as a Vice-Chair of the Academy of Medical Royal Colleges, beginning in September.

The Academy of Medical Royal Colleges (the Academy) is the membership body for the UK and Ireland’s 24 medical royal colleges and faculties. It plays a key role in collating its member’s views, and coordinates activities to collectively influence and shape healthcare across the four nations of the UK. More information on the Academy can be found www.aomrc.org.uk.

COLLEGE RESPONDS TO PUBLICATION OF HEALTH AND SOCIAL CARE COMMITTEE WORKFORCE REPORT

The House of Commons Health and Social Care Committee has published its Workforce: Recruitment, Training and Retention in Health and Social Care report. It contains a number of recommendations supported by the College.

College President Mike McKirdy said:

The findings from this report are not a surprise to anyone involved with or working in our NHS. As an organisation, we have been calling for action to address the workforce crisis and prioritise staff wellbeing for many years and the pandemic has only exacerbated this.

This report makes it abundantly clear that we need a fully resourced strategic workforce plan for our NHS.

These challenges must be addressed urgently and we hope the government will engage with the Royal College of Physicians and Surgeons of Glasgow and our fellow medical royal colleges to ensure the needs of our workforce are reflected in its upcoming workforce strategy.

Develop your career in Travel Medicine

Professional Development Certificate (PDC) in Travel Medicine

The PDC in Travel Medicine has been designed to enhance the knowledge and skills of doctors, nurses and pharmacists working within Travel Medicine. The qualification will provide practitioners with knowledge and understanding of travel medicine in relation to the core aspects of travel health. The course will take 6 months to complete is delivered entirely online using electronic modules with self-directed study. Students will have access to a Tutor Group, who will provide guidance throughout the programme.

The next cohort entry dates are 27 September 2022 and 28 March 2023. Medically qualified participant – £1,195

Non-medically qualified participant – £995

Find out more at rcp.sg/PDCTM

RCPSG International Postgraduate Diploma in Expedition and Wilderness Medicine

This course was partially funded by a Sanofi Pasteur educational grant. Sanofi Pasteur had no input into the content of the course.

This Diploma is a must for any healthcare professional seeking to participate in, or lead expeditions in extreme and challenging environments. Structured in conjunction with the Oxford Handbook of Expedition and Wilderness Medicine, the Diploma will offer students the chance to gain a fully recognised qualification, whilst also having the opportunity to travel to challenging locations both in the UK and Morocco.

The next cohort begins 7 November 2022. Course fee - £7,300

Find our more at rcp.sg/DEWM

RCPSG Postgraduate Diploma in Travel Medicine

This course consists of eight postgraduate modules delivered over a period of 18 months. The course will be delivered by specialists in the travel medicine field using a blended model of two residential elements and online interactive learning. Students will be expected to attend and contribute to online educational and peer support platforms.

Those who complete the Postgraduate Diploma in Travel Medicine will be eligible to be admitted to the College as Members of the Faculty of Travel Medicine and able to use the post nominal MFTM RCPS(Glasg). The next cohort will begin on 30 January 2023 with a week of learning.

The next week long residential will take place in October 2023. Applications are now open. Course fee - £4,395

This will include Affiliate Membership of the Faculty of Travel Medicine and access to TRAVAX for the duration of the course.

For more information visit rcp.sg/pgdiptm

Supported through an Educational Grant by Valneva

TRAVEL AFTER THE PANDEMIC

Eco-tourism. This sounds like an oxymoron, a construct of geeks in the neuro-marketing department to green-wash a growing industry.

Most modes of travel require energy that is derived from burning fuel and most fuel comes from fossil reserves –fossil fuel. More of this later.

Walking is one of the most efficient forms of travel known and uses caloric energy from food. Humans are remarkable in their endurance when compared to other animal species, which have evolved for acceleration over short distances. The average fit human can outrun a horse over a marathon distance.

Cycling is the most efficient form of human-powered mechanical transport, being many times more Joule-energy efficient than walking. There are over one billion bicycles in the world. More efficient still is sailing, which requires no energy at all, except to steer the tiller. Here the energy comes from the prevailing winds.

Gliding, ballooning and drifting – say down a great river or on an ocean current – require no energy at all but these are one-way journeys that do require the voyager to first travel to the start point of their journey.

Global car ownership has never been higher and is expected to continue to increase across developing nations, particularly in emerging markets of Asia and Africa. Since the first Conference of the Parties (COP-1), in Berlin in 1995, it has become increasingly recognised that the popularity of the

Sam Allen FFTM-RCPS(Glasg), Dean of the Faculty of Travel Medicine writes for VOICE on what the future of travel may look like post Covid-19.

internal combustion engine has been a major factor in the increase in global greenhouse gas (GHG) emissions leading to global warming. The recent switch to E10 petrol (containing up to 10% renewable ethanol) is a small step to reduce GHG from automobiles.

The first UK lockdown that began on 23 March 2020 gave a glimpse of what the world would look like if there were no vehicles on the road. Pollution levels fell, the sky became a deeper blue; hedgehogs appeared and birdsong could be heard without the drone of traffic. It was what Sundays used to be like a generation ago. Even God, on the Sabbath, rested.

But travellers are not wanton to rest. They like to explore, in the words of Kipling, beyond the ranges, and for most this will involve a trip overseas.

Aviation accounts for about 2.5% of global CO2 emissions. Fuel efficiency in this sector has improved substantially over the last few decades. At cruising altitude (35,000 feet) and speed (550 mph), a 747 carrying a typical payload of 360 passengers would emit levels of GHG similar to those that would be emitted if each passenger drove the distance – the difference is the journey time.

Approximately 5000 gallons of fuel (approximately 10% of the total for a trans-Atlantic flight) is burned during takeoff. To achieve maximum thrust, an airliner will be burning roughly 100 gallons per mile at lift-off. The better fuel efficiency at cruising altitude then compensates for the high energy injection at take-off. Contrails (vapour trails) in the upper atmosphere also contain non-CO2 pollutants such as nitrate (NO3), sulphur compounds and soot that add to the atmospheric insult.

A space tourist could expect to pay £200,000 for a trip to the edge of Earth’s troposphere, broadly defined as above the Kármàn line (62 miles/100 km above earth), beyond which lies the darkness of outer space. To reach orbital height of 250 miles above Earth is much more expensive, costing around £40 million per astronaut.

The Falcon 9 rocket, used in Elon Musk’s SpaceX, will burn 296,000 gallons each launch which in turn will release a third of a mega-tonne of CO2. This sounds terrible until you compare this with a full 747 trans-Atlantic journey, which will burn 45,220 gallons of fuel, and trans-Atlantic flights occur hundreds of times per day.

The elephant in the room is the sea. This, after all, accounts for 70% of Earth’s surface. The oceans act as a heat capacitor, soaking up the sun’s heat energy and distributing it more evenly around the planet. 90% of global warming goes into the oceans, mainly the top few meters, which store as much heat energy as the entire atmosphere. It also soaks up CO2 from the atmosphere, delaying the future impact of global warming.

The rise in water temperature and carbon dioxide content of the oceans eventually leads to water acidification. This has a devastating effect on marine life, directly endangering coral reefs, impeding

photosynthesis of algae, and ossification of shellfish. The adverse effect on plankton and molluscs at the bottom of the marine food-chain will inevitably affect vertebrate fish higher up. The worldwide phenomenon of algae blooms, that in June 2021 turned the murky blue Clyde around Arran into an ethereal turquoise, is thus another consequence of climate change.

The Paris Agreement on Climate Change (2015), which had as its central aim to keep global temperature rise to below 2° Celsius and ideally less than 1.5° Celsius above pre-industrial levels this Century, did not include international shipping. However, the International Maritime Organisation (IMO) is committed to reducing its carbon footprint.

Vessels above 5000 tons account for 85% of maritime GHG. This includes most cruise liners. In 2020 the International Maritime Organisation (IMO) adopted new mandatory energy efficiency design index (EEDI) requirements for new shipping to reduce GHG emissions. Existing vessels will either be phased out or modified. Containerships over 200,000 tons must achieve 50% reduction in emissions from 2022(1)

What does the future of travel look like? Return of the zeppelins, flying cars, exoskeleton suits, graphene wings, hyperloops, hydrogen vehicles, and a running shoe that can increase your personal best time by 4%? These are already here. Nuclear fusion energy is not quite here but promises unlimited energy.

(1) The EverGiven, that (in)famously got stuck in the Suez canal in March 2021 has a deadweight of 199,629 tons and would be subject to a 45% reduction.

Peace Boat’s Eco-ship promises emission-free cruising

Gravity Industries flying suit pioneered for remote mountain rescue in the UK

Surgical Events and to the Limb for Surgery Cadaver Surgery for the

FACULTY OF PODIATRIC MEDICINE 10TH ANNIVERSARY

In May, our Faculty of Podiatric Medicine celebrated its 10th anniversary with a celebratory dinner in College. As you’ll see from the photos, the evening was a fantastic occasion, with fine food, live music and fabulous company. This provided the perfect opportunity to reflect on and celebrate a decade of achievements of the Faculty, which has grown into a strong community, centred around education and support for podiatrists.

I remember being part of those initial conversations with Professor Stuart Baird and Dai Roberts way back in 2005 and the excitement as we began to realise that our idea for a Faculty could become a reality. After much work on what a potential Faculty could do, then followed a series of meetings with the College’s then President in 2006 a one-day seminar held at the College in 2007 and the rest as they say is history! It took a lot of hard work to get from those early days to 11 May 2012 when the Faculty of Podiatric Medicine was officially formed.

Words by Christine Skinner, Dean of the Faculty of Podiatric Medicine

Like everyone, we have had to adapt and expand our offering due to the pandemic. Whilst this has been a challenge, we have risen to the occasion with successful online events including a joint webinar on sports with the Royal College of Podiatry and webinars covering musculo-skeletal assessment, dermatology, management of the diabetic foot, and pharmacology. We also supported new graduates and those in the early stages of their practice with webinars on POMS, local anaesthesia, vascular disease and management of ulceration.

Our international links – whilst disrupted due to the pandemic – continue to be strong and is where we have done some of our best work to date. As travel restrictions ease across the world, it is our hope to continue that good work in the future. We are also exploring other international links as we seek to serve the global membership that our Faculty attracts.

Personally, it has been an honour to be the Faculty’s first female Dean. I have had the benefit of the wisdom and experience of three outstanding former Deans who have been unwavering in their support and guidance over the past 10 years. Professor Robert Ashford, Professor Stuart Baird and Dr Colin Semple have and continue to play a crucial role in the life of the Faculty. It was the highlight of my Deanship to see all of us together celebrating the success that was built as a result of their tireless efforts over these past years.

The future of the Faculty is now in safe hands with the election of Dean-elect, David Wylie who will ensure we will go from strength to strength when he takes office next year. In ten years from now, I know the Faculty of Podiatric Medicine will have grown further still than it has in the preceding decade.

I’d like to place on record my thanks to the College staff who have joined us on this journey – some for the entirety of the last ten years –without them we would not be in the position we are today.

As we look to the future, it is important to reflect on the past. It has been an exciting and fulfilling ten years for me, watching the Faculty grow and develop into the community it is today. There is so much more to come as we continue to seek out opportunities to influence and shape our profession in the UK and internationally. I am confident that our Faculty will continue to provide high quality education, support and professional development not just for the next ten years, but for many decades to come.

Today, the Faculty is a thriving global community of almost 400 Fellows and Members, with almost half of our membership coming from overseas.

From left to right: Professor Stuart Baird, Dr Colin Semple, current Dean Christine Skinner and Professor Robert Ashford

DIGITAL LEARNING

THE LOWER LIMB AND FOOT IN DIABETES

The “Management of Foot Pathology” programme was designed to meet a very real need overseas, particularly India. This was in response to reports indicating that there may be approximately 72 million people in India diagnosed with diabetes and potentially 50%60% of that again undiagnosed. General physicians in India will treat diabetes and deal with foot disease as there is no specific discipline of podiatric medicine.

An educational offering entitled “Management of Foot Pathology” was created in 2017 and offered during 2017 and 2018 in India. This programme was originally offered as a stand-alone course to improve the knowledge and skill of Indian Physicians and surgeons with an interest in foot pathology.

Initial contacts were made with clinicians in India who supported the programme. In particular, support came from two key sources.

1 Indian Medical Association (‘IMA’) – Tamil Nadu Chapter. Professor Jayalal was the President of this chapter of the IMA. The IMA has approximately 300,000 members in India and this particular chapter had over 30,000, the largest proportion of which are family physicians who treat foot disease and diabetes weekly. Professor Jayalal has been very engaged with College and is currently one of the National Vice Presidents of the IMA.

2 Sri Ramachandra University (‘SRU’) – SRU were helpful in providing a venue and resources for the clinical component of the course.

The clinical component was delivered by 4 senior clinicians from the UK and four SRU covering specialisms in orthopaedics, dermatology, diabetes and vascular disease. This allowed the participants to experience the management of the patient from both a UK and Indian perspective. RCPSG and SRU worked together very well in relation to this joint offering.

Online learning modules created by College covered aspects of Podiatric Medicine (eg Musculoskeletal assessment, dermatology, management of the diabetic foot, and pharmacology, with a total of 10 presentations made available. An additional six online presentations of related material were released and included online questions for the candidates to answer to test their understanding.

Candidates were encouraged to complete the content within approximately eight weeks, and had the opportunity to join four different webinars during this time. The webinars either consisted of a presentation and/or discussion of a paper, with an opportunity to ask questions of the presenter.

The programme was reviewed and following feedback from the participants highlighting a greater need for a focus on Diabetes and lower limb disease a new on-line offering was created“The Lower Limb and Foot in Diabetes”.

These modules are now available on line for both a UK and an International audience. Contributors to this programme are from UK, USA, Australia, Tanzania and India.

Global Surgery, The Way Forward

Friday 7 October 2022, 2pm

Please join us for a chance to listen to our nominated speakers as we discuss the current roadmap of global surgery, it’s future and how it affects all of us. This webinar will provide an overview of relevant issues for Physicians and Surgeons of different levels and specialties.

Speakers Barbara Dean, School Medicine Sciences, George Washington University Professor Chris Lavy Professor of University of Oxford

HYBRID CONFERENCE

Thursday 20 October 2022, 9am BST

This year’s Livingstone Lecture will be delivered by the Chief Medical Officer for England and Chief Medical Adviser to the UK Government since 2019, Professor Sir Chris Whitty. Sir Chris will be joined by a host of stellar speakers from around the world covering a diverse range of topics pertinent to current challenges facing the multi-disciplinary body of travel health professionals.

HOPE Foundation

Over the past four years, our HOPE Foundation has donated £100,000 to a variety of charities in the UK and internationally, supporting people whose daily lives are affected by a lack of access to much needed care. We'd like to take this opportunity to thank those who have donated in the past - we could not have supported these charities without you.

If you'd like to donate and are in the UK, you can donate £5 by texting RCPSGHOPE to 70085. Alternatively, if you'd like to find out more about HOPE, or donate by credit or debit card, you can do so via our website. You can find out more about some of the fantastic charities we're supporting this year opposite.

Kids Operating Room (KidsOR)

KidsOR is a global health charity focused entirely on the provision of high quality, safe surgical services for children in low- and middle-income countries. Our donation will support the training of South Sudan’s first paediatric surgeon, as part of a longer-term plan to train four paediatric surgeons in the country. All four surgeons will be trained at Baylor College of Medicine in Lilongwe, Malawi under Dr Bip Nandi, before returning to work at the first dedicated OR for children, within Al Saba Children’s Hospital, Juba.

Glasgow City Mission

Our donation to Glasgow City Mission's Overnight Welcome Centre has funded medical training for Centre staff, along with supporting a much-needed counselling service from Healing for the Heart:

“Gem’s interactions with guests have been so worthwhile, particularly our international guests. It can be really easy to see a language barrier and decide not to make an effort, however Gem took the time to use apps and google translate in order to communicate. Guests really opened up to him. Our English-speaking guests responded well too and appreciated having time to sit and talk. This has often been hard for them as they have shared some traumatic stories.”

Hope for Girls and Women Tanzania (HGWT)

Funding provided to HGWT will empower girls and women in maintaining menstrual hygiene and dignity through producing their own supplies of washable, reusable sanitary towels. Currently there are no sanitary towels leading to embarrassment and infection risk (e.g. from using leaves, rags and even dried manure). Many women need to take time off from work or domestic duties, and girls stop attending school each month. This has a significant negative economic impact for the women and negative educational impact for the girls, thereby further reducing their efforts to become more empowered. This project will reduce the economic impact on women and increase girls’ school attendance, which improves their overall life chances. The World Bank states that for every year a girl stays in school, her future income increases by 10-20%.

Additional charities being supported in 2022

Along with Kids Operating Room, Glasgow City Mission and Hope for Girls and Women Tanzania, we are proud to support the following charities this year: Playlist for life | A Scottish music and dementia charity operating throughout the UK. CBU Dental Community Outreach | Promoting and improving the oral health and general wellbeing of the vulnerable population in Zambia. Finding Your Feet | Providing lifeline support to amputees and those born with limb absence throughout Scotland. Transplant Links | Providing long-term training and support to surgeons, doctors and nurses of nascent transplant units in low- and middle-income countries.

Scotland continues to face a significant challenge from overweight and obesity, with more than two-thirds of adults having overweight and obesity, and 29% of children at risk of overweight and obesity. This is clearly patterned by deprivation, with those in the most deprived fifth of the population significantly more likely to have overweight and obesity than those in the least deprived quintile. For children, the trend is no different, with clear evidence of persistent and worsening inequalities - 24% of children in the most deprived quintile are at risk of obesity, compared to only 9% in the least deprived(3)

ealth inequalities in Scotland are not new. They have been a significant issue for decades but it is in the last few years in particular that we’ve seen a further worsening of the gradient between the most and least deprived. Progress on life expectancy has been made but this has now been interrupted by austerity, with life expectancy stalling and a widening gap in healthy life expectancy between the most and least deprived. The pandemic has made matters worse. A key lesson from the pandemic has been the importance of having a healthy population across the social spectrum, something which Scotland currently lacks.

Across a range of measures including diet and healthy weight, health inequalities are a significant issue in Scotland, and there has been little or no progress made towards tackling them. Recently published data from the National Records for Scotland paints a stark picture of the extent of the problem. In terms of overall life expectancy, males in the most deprived groups have a life expectancy 13.5 years lower than their least deprived counterparts, and for females, the difference between the most and least deprived is 10.2 years.

This increasing gradient of inequality is expected to continue and further worsen. A recently published report by the NCD Prevention Coalition, of which we are a member, conducted trend analysis to 2026 to predict the disease burden from ill-health and death from NCDs in Scotland. It found that NCD deaths will worsen and the existing inequality gap will widen. Specifically, for obesity, the trend analysis projects that by 2026, the rate of obesity related NCD deaths could increase by 10%(1). Another recent analysis found that the increasing prevalence of diabetes in Scotland has contributed to nearly as many heart attacks as the decline in smoking has prevented(2)

In recognition of this, the Scottish Parliament’s Health, Social Care and Sport Committee are currently holding an inquiry into health inequalities in Scotland. We submitted a response to the call for views and continue to engage with the inquiry through stakeholder events.

Over the past 2 years it has been impossible to ignore the impact of the pandemic of our lives. This impact, however, has not been experienced equally. Many of the restrictions and control measures put in place to limit the impacts of the pandemic have been felt more acutely by those who face the greatest adversity and have as a result worsened health inequalities.

The pandemic has changed our relationship with food and consumption patterns. It has exacerbated existing problems with diets and unhealthy eating and weight, with many people reporting eating more unhealthy foods on a more regular basis. It has also exposed weaknesses and vulnerabilities of our food system.

To tackle health inequalities, action needs to be focused on population level public health interventions which help to address the underlying causes of these inequalities. We must challenge the incorrect narratives which argue that adverse health outcomes, such as overweight and obesity, are the result of individual choices and fail to acknowledge the profound impact of environments and wider social and economic factors on health outcomes and inequalities. The notion that overweight and obesity is the fault of the individual and a result of poor choices is inaccurate, damaging and needs to be addressed(4)

There needs to be prioritisation of population-level public health interventions focused on changing the food environment and addressing structural causes of overweight and obesity, and inequality. This includes action on price, availability and marketing of unhealthy, high in fat, salt and sugar (HFSS) foods.

(1) https://www.obesityactionscotland.org/publications/reports/non-communicable-disease-prevention-mapping-future-harm/

(2) NCD Coalition (2022) Non-Communicable Disease Prevention: Mapping Future Harm https://www.obesityactionscotland.org/media/1792/ncd-prevention-mapping-future-harm.pdf

(3) Scottish Government (2019) The Scottish Health Survey 2019 Volume 1. Main report https://www.gov.scot/binaries/content/documents/govscot/publications/statistics/2020/09/ scottish-health-survey-2019-volume-1-main-report/documents/scottish-health-survey-2019-edition-volume-1-main-report/scottish-health-survey-2019-edition-volume-1-main-report/ govscot%3Adocument/scottish-health-survey-2019-edition-volume-1-main-report.pdf

H(4) Government Office for Science (2009) Foresight: Tackling Obesity Future Choices Project Report 2nd edition https://assets.publishing.service.gov.uk/government/uploads/system/ uploads/attachment_data/file/287937/07-1184x-tackling-obesities-future-choices-report.pdf are overweight and of

MEMBERS’AREA COLLEGE AWARDS AND SCHOLARSHIPS

Professor Stuart Baird award Romy Baird and Rhona Price have received the Professor Stuart Baird award in recognition of being the best overall podiatry students at Glasgow Caledonian University.

UK Dental Undergraduate Award

Beant Singh Thandi, Tanaka Kadiyo, Ismaeel Rafiq and Rebecca Pullin are the winners of the UK Dental Undergraduate Award.

TC White Conference Presentation Award for 2022

Dr Annette Gemma Gaw is the successful winner of the TC White Conference Presentation Award for 2022.

APPLICATIONS OPEN

TC White Observership Awards

Mr Prabhat Kumar Chaudhari is the winner of the TC White Observership Award.

TC White Travel Grant

Miss Surina Bhola, Dr Kunaal Dhingra, Dr Chian-Ming Julian Leow and Mr Thomas Gill are the recipients of the TC White Travel Grant.

Members of our College have the opportunity to apply for a number of awards to help you progress your research, improve your knowledge and skills or widen your experience by visiting other countries or specialist centres.

Medical Elective Scholarship

Closing: 27 November

We offer eight scholarships of up to £1,000 to medical students annually to enable them to spend 4-6 weeks studying abroad as part of their elective study within the medical school curriculum. Applicants should be medical students studying in the UK and at least 3 of the successful applications will be selected from University of Glasgow students.

Ethicon Foundation Fund Travelling Fellowship

Closing: 27 November

The objective of the Ethicon Foundation Fund Travelling Fellowship, established through the generosity of Ethicon Limited, is to promote international goodwill in medicine and surgery by means of grants to assist the overseas travel of surgeons.

College Travelling Fellowship Closing: 27 November

The College awards up to 5 College Travelling Fellowships each year, to encourage the further education of younger Fellows and Members. These scholarships are intended to help our members travel to centres of excellence to gain invaluable experience. These awards will also support a variety of other learning opportunities including taster weeks for junior doctors.

The full eligibility criteria and application requirements are available on our website rcp.sg/awards

HEE CHANGES TO THE MRCP(UK) ATTAINMENT RULES FOR 2023 SPECIALTY RECRUITMENT

Health Education England (HEE) has brought forward the date when candidates will need to demonstrate they have passed the MRCP(UK) diploma required to take up a specialty training post in the UK.

The Health Education England (HEE) Medical and Dental Recruitment and Selection (MDRS) Recruitment Group has brought forward the date when candidates will need to demonstrate they have passed the MRCP(UK) diploma required to take up a specialty training post in the UK.

This date has been changed to the time of offer for that vacancy and will take effect from the start of 2023 medical specialty recruitment this November. This will bring into line the dates for when College and Faculty examinations need to be passed across all recruitment processes.

This means that that trainees applying for higher specialty training in 2023 will need the full MRCP(UK) diploma by approximately 21 April 2023.

You can read more HEE Physician Higher Specialty Recruitment website:

If the Physician Specialty Recruitment

GET INVOLVED

More information about the below vacancies can be found at rcp.sg/vacancies

Regional Advisors (various locations in UK and Ireland).

Examiner for Bi-Collegiate Membership in Endodontics, Periodontics or Prosthodontics of RCS England and RCPS Glasgow

ISFE Examiners

PACES Examiners

MRCP(UK) Scenario Role Recruitment: Scenario Editorial Committee Chair Scenario Editorial Committee members

Scenario Writing Group Chair

Specialty Advisory Committees members (SACS)

UK-based Ophthalmology Examiners

Member of Faculty for IMPACT

Focus on Neurology for PACES Candidates

Wednesday 5 October 2022

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.

The course includes a mixture of short lectures and practical exam stations, mirroring stations 3 and 5 of the PACES exam. Delegates will have the opportunity to examine neurology inpatients and outpatients at each station under exam conditions, with feedback from the examiners.

Who should attend?

The course is open to CMT and ACCS doctors preparing to sit the MRCP(UK) PACES exam.

REVISED ENTRY CRITERIA FOR EXAMINATIONS ADMINISTERED BY THE JOINT COMMITTEE ON INTERCOLLEGIATE EXAMINATIONS

After due consideration, the JCIE and the four Surgical Royal Colleges have determined to delay the introduction of the revised entry criteria to 1 October 2023.

The Joint Committee on Intercollegiate Examinations (JCIE) conducted a consultation and review exercise between the Spring of 2017 and the Autumn of 2019 to harmonise the entry criteria for Intercollegiate Specialty Board (ISB) examinations (commonly referred to as FRCS examinations) between candidates in approved UK/Ireland training programmes and not-in-training candidates.

The principal drivers for this were to address differential attainment by ensuring that not-in-training candidates were better prepared for the high stakes assessment and to contribute to the portfolio required of a submission for a Certificate of Eligibility for Specialist Registration (CESR). In addition, it aimed to align assessment in surgery to the GMC’s two publications, ‘Excellence by Design’ and ‘Designing and Maintaining Postgraduate Assessment Programmes’ by ensuring that an integrated framework of examinations and work-place based assessment applied to all surgeons in their preparation for independent practice.

The work included two meetings of Short Life Working Groups (SLWGs). Both meetings had SAS doctor representation with one meeting attended by BAPIO (British Association of Physicians of Indian Origin) and the other by a Lay Representative. All participants extended the consultation to the wider community they represented. The consultation process also included the four Statutory Education Boards of the UK, the Royal College of Surgeons in Ireland, and the National Association of Clinical Tutors (NACT). The latter is affiliated to the network of Directors of Medical Education who are responsible for educational governance for all UK NHS employers.

There was unanimous support for the revised ISB entry criteria for not-in-training candidates that were proposed by the SLWGs and approved by the JCIE Committee. These were then endorsed by the four Surgical Royal Colleges at the Joint Surgical Colleges Meeting (JSCM) of October 2019.

A detailed communication that outlined the revised entry criteria was distributed to all key stakeholders, including all the Surgical Specialty Associations via their Federation, on 1 May 2020, and

the criteria have featured on the JCIE website for some time (Candidate Applications (jcie.org.uk)). They have also been highlighted in various presentations and this includes a Webinar for SAS doctors that took place on 17 August 2020 and which is still available for download on YouTube (Supporting our SAS Surgeons through COVID-19 and beyond – YouTube).

The initial intention was for the new criteria to come into force for all new ISB Section 1 entrants for examinations taking place from 1 January 2022 but in recognition of the difficulties imposed by the pandemic, an early decision was made to delay this to January 2023. It should also be noted that the GMC has been fully aware of the proposals, courtesy of them being included in assessment change submissions to the Curriculum Advisory Group throughout 2021 and 2022.

However, the closing dates for the January 2023 Section 1 examinations are rapidly approaching and it has recently become apparent that some prospective candidates and their referees are not fully aware of the revised criteria and the reasons for their introduction. While this is largely beyond the control of the JCIE and JSCM, the potential implications of this in the face of post-pandemic service recovery and the current NHS and Irish healthcare workforce crises are appreciated After due consideration, the JCIE and the four Surgical Royal Colleges have therefore determined to delay the introduction of the revised entry criteria. Instead of applying to all new ISB entrants from 1 January 2023, the new criteria will now come into force for all new entrants to Section 1 examinations taking place from 1 October 2023. Allowing for distribution time, this communication therefore serves as a minimum of a year’s notice of the revised entry criteria for all not-in-training ISB candidates who have not previously been fully aware.

The JCIE and Surgical Royal Colleges do, however, reiterate that they believe the revised criteria to be educationally appropriate and to be in the best interests of all surgeons as they prepare for ISB (FRCS) examinations. As such the JCIE supported by JSCM remains committed to their introduction and the delay until October 2023 is to allow prospective candidates to align to them.

Communication and discussion will be ongoing via established forums such as the Intercollegiate Committee for SAS Education.

DAVID KEAN MASON 1928 – 2022

CONVENOR OF FACULTY OF DENTISTRY RCPSG 1977 – 1980

Professor Sir David Kean Mason died peacefully on 27th March 2022. Known affectionately to those who worked with him as “DK”, he was truly one of the most inspiring and innovative professionals of his generation. Having gained a dental degree from the University of St Andrews and a medical degree from the University of Glasgow, he was one of the earliest individuals to recognise the benefits of a collaboration between dentistry and medicine. He was extremely successful in this respect throughout his working life and David has left an impressive legacy to both undergraduate and postgraduate education. In addition, there is no doubt that the general population has benefited greatly from improved health services due to his vision of a multi-professional model for the delivery of patient care.

As the Chair of Oral Medicine & Oral Pathology, David teamed up with Professor Harold Jones from the University of Manchester in 1980 to produce the definitive medical textbook entitled Oral Manifestations of Systemic Disease. He also established many international collaborations, the most significant being in 1988 when, with Dean Millard of the University of Michigan, he created the World Workshop in Oral Medicine, an event which continues to be held every three years.

Whilst Dean of the Dental School at University of Glasgow and Convenor of Faculty of Dentistry, David demonstrated a particular skill of not only being able to raise funding for the benefit of

dental education but also to use it effectively, as reflected by his leadership during the establishment of the West of Scotland Centre for Postgraduate Education in 1990 and the distribution of financial support from the T.C. White Bequest Fund held within the College. It is often said that the success of an institution is not only judged by the quality of staff within it but also the individuals that it sends out work at other organisations. In this respect, David excelled and he professionally developed many young academics who subsequently progressed to become leaders of dental institutions and organisations both within the United Kingdom and overseas. He held a range of senior administrative roles during his time, including President of the General Dental Council, President of the British Society for Dental Research and a Founding Member of the British Society for Oral Medicine. The extent of David’s outstanding achievements was recognised by the award of a CBE and subsequently in 1992, a knighthood.

Always immaculately dressed and often wearing the tie of the Royal & Ancient Golf Club of St Andrews, David was the perfect gentleman. He was an accomplished golfer and skilled rugby player. A particular personal feature in the late 1980s was his blue MG sports car.

Outside of his professional academic life, David was a family man being a husband to Judy, in addition to being a father, grandfather and great-grand father.

David will be remembered by many for his enthusiastic support, combined with appropriate wisdom, when approached with a proposal for innovation or research in the fields of oral medicine and dental education. “DK” will be greatly missed by all of those that knew him. He will certainly never be forgotten.

Dental Events

with the Royal College of Physicians and Surgeons of Glasgow

MFDS Part 2 Preparation Course

Monday 3 October 2022, 9am – 5pm BST

Designed for those intending to sit the MFDS Part 2 Exam, we are delighted 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:

• History taking

• Special tests

• Diagnoses, problem lists and discussion of possible treatment options

HYBRID CONFERENCE

• Planning and explaining treatment

• Breaking bad news / handling complaints

• Medical history and managing emergencies

TC White Conference - Medical Bites

Friday 11 November 2022, 9am – 5pm GMT

Each year the TC White conference directs its focus on a different topical issue effecting dentists. In 2022 the theme of this hybrid conference will be on Medicine in Dentistry and will cover a range of sessions including:

• Oncology

• Cardiology

HYBRID CONFERENCE

Scottish Orthodontic Conference

Friday 27 January 2023, 9am – 5pm GMT

• Aging population and Psychiatric Illness

• Internal medicine

This one-day conference will provide updates on current practice and contemporary topics including self-ligating appliances, CBCT in orthodontics, treatment of patients with cleft lip and palate, occlusion and orthodontics.

EDUCATION AND EXAMINATIONS CALENDAR

Non-Clinical Skills

Mentorship Programme

12 October - 13 December

In-person, 18 CPD Credits

This three day course concentrates on the skills needed to be a successful mentor and is based upon a framework known to be of benefit in mentoring relationships.

Royal College Advanced Certificate in Clinical Education

1 - 15 November, 31 January - 14 February, 21 March - 4 April

Online

The course focuses on enabling delegates to relate and constructively apply relevant educational theory to their ongoing clinical education practice.

Training the Clinical Trainer

23 - 24 November, 8 - 23 February, 28 - 29 March

Online, 12 CPD Credits

This course will provide foundation doctors and medical students with an overview of teaching, learning and feedback in the clinical environment.

Developing the Clinical Trainer: Teaching Skills for early stage trainees

1 March

Online, 6 CPD Credits

This course will provide foundation doctors and medical students with an overview of teaching, learning and feedback in the clinical environment.

Clinical Courses

MFDS Part 2 Preparation course

Basic Surgical Skills

11 12 October, 23 24 November, 15 16 December, 26 27 January, 22 24 February, 0815 1715

In-person, 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.

Foundation Skills in Surgery

29 October, 25 March 0830 - 1635

3 October, 0830 - 1700 - Glasgow 20 January, 0830 - 1700 - Manchester

In-person, 6 CPD Credits

Designed for those intending to sit the MFDS Part 2 exam, the day will include interactive skills stations and lectures, as well as an afternoon of mock OSCEs.

GI Anastomosis Course

3 October, 3 November, 2 March 0830 - 1635

In-person, 18 CPD Credits

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.

Vascular Anastomosis Course

4 October, 4 November, 3 March, 0830 - 1630

In-person

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.

In-person

This interactive course provides an introduction to the specific skills of early stages of surgery. It is suitable for foundation year doctors and final year medical students considering a career in surgery.

Surgical Skills for the Emergency Department Resuscitation Room

9 10 November

In-person, 12 CPD Credits

An innovative practical training course on the surgical techniques that can save lives when waiting for assistance is not an option.

IMPACT

5 6 December, 17 18 January, 9 - 10 February, 7 8 March

In-person

The IMPACT course is a two-day course introducing the principles and practice of acute medical care and related knowledge, skills, understanding and attitudes.

Events for all Physicians Surgeons Dentistry Travel Medicine Podiatric Medicine

CADAVERIC

For more information visit rcp.sg/events

Lower Limb Injection Therapies Cadaver Course

14 - 15 December

In-person, 12 CPD Credits

This is a two day blended course with day one focusing on lecture based learning followed by day two, which will involve observing and performing injectable therapy techniques on cadaver limbs.

Basic Orthopaedic Procedural Skills

22 December, 0830 - 1700

In-person

By attending this course you will learn the principles of skin suturing, plastering, digital nerve blocks, joint aspiration, emergency fracture treatment and spinal immobilisation.

Endoscopic Ear Surgery Cadaver Course

23 - 24 January, 0830 1700

In-person, 12 CPD Credits

Closing date: 10 January

CADAVERIC CADAVERIC

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.

Head and Neck Dissection Course

Medicine24

MEDICINE

27 - 28 October, 0830 1700

Hybrid, 12 CPD Credits

Returning for its eighth 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.

22 - 23 June, 0830 1700

In-person, 12 CPD Credits

This is a two day, hands-on dissection course aimed at ST level trainees in Otolaryngology. The main aim of the course is to teach the surgical anatomy and steps of important head and neck procedures.

Conferences

Faculty of Travel Medicine Annual Conference: Challenges of Travelling Safely

This is an advanced hands-on endoscopic ear surgery dissection course using fresh frozen cadaveric specimens. The course is suitable for consultants and senior otolaryngology trainees and will be delivered by international and national experts.

Emergency Head and Neck Cadaver Course

25 January, 0800 1715

In-person, 6 CPD Credits

Closing date: 11 January

20 October, 0900 1700

Hybrid

The Annual Faculty of Travel Medicine Conference is the perfect opportunity for travel medicine professionals to learn, interact and get inspired. This year’s Livingstone Lecture will be delivered by the Chief Medical Officer for England and Chief Medical Adviser to the UK Government since 2019, Professor Sir Chris Whitty.

11 November, 0900 1730

Hybrid, 5 CPD Credits

Each year the TC White conference directs its focus on a different topical issue affecting dentists.

In 2022 the theme of this hybrid conference will be on Medicine in Dentistry and will cover a range of sessions including oncology, cardiology, ageing population and psychiatric illness and internal medicine.

President's Conference: Sustainability in Healthcare

16 November, 0845  1730

Hybrid, 6 CPD Credits

This year’s President's Conference will lead the way with informative and thought provoking discussion around the impact of climate change on human health and healthcare delivery, while also inviting international perspectives and offering solutions and ideas to take forward on a personal and institutional level.

TC White Conference – Medical Bites

CADAVERIC

Examinations

Physicians

MRCP(UK) Part 1

Exam date: 30 November

UK registration: 26 September - 3 October UK online only

MRCP(UK) Part 2

Exam date: 14 December UK registration: 10 - 17 October UK online only

MRCP(UK) PACES

Exam period: TBC UK registration: TBC

MRCP(UK) PACES Revision Modules

rcp.sg/pacesonline

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: 5 October rcp.sg/pacesneuro

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.

Surgeons

MRCS Part A

Exam date: 18 January

Closing date: 21 October Pearson Vue Centres

MRCS Part B OSCE

Exam date: 7 - 8 February

Closing date: 11 November Glasgow

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 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.

Dental Surgery

MFDS Part 1

Exam date: 4 April

Closing date: 23 January Online

Revision Modules

rcp.sg/mfds1revision

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

Question Bank

rcp.sg/mfds1questions

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

MFDS Part 2

Exam date: 10 - 11 February

Closing date: 5 December Manchester

NEW MEMBERS WELCOME TO ALL OUR -

PHYSICIANS

Fellow qua Physician

Haider Abbas

Mirza Aftab Ahmad

Najia Ahmed

Asim Ahmed

Muhammad Ahsan

Abrar Akbar

Azhar Abdul Hamza Mutter Al-Shaibany

Muhammad Junaid Alamgir

Abba Sadiq Alkali

Adil Hassan A Alshehri

Hon Da Kenneth Au Manas Kumar Banerjee

Punit Bedi

Sanjeev Bhoi

Sunil Kumar Biswas

Syed Abdullah Javaid Bukhari Sish Chakrabarty

Ayesha Chowdhury

Roger Cooke

Justin Cornelius

Vishal Dey

Arosha Dissanayake

Rajasekhar Ramesh Duraipandian

Taha El Hadj Othmane

Mohamed Fekry ElDeeb

Awad Elnour

Gafer Elsafi

Sohail Fazal

Ping Ching Fong

Joel Weng Yew Gan Md. Monsurul Haque

Asif Hashmat

Innes Robert Hynd

Gifty Immanuel

Nitesh Jain

Mahir Khalil Ibrahim Jallo

Ravi Kant Md Shirajul Islam Khan

Mohammed Shahedur Rahman Khan

Aftab Khalid Khattak

Lubna Khondker

Thoyaja Koritala

Mohandas Kozhippally

Akshay Kumar

Zin Myo Latt

Wai Fung Anders Leung

Chung Yee Arisina Ma

Geeta Madathil Govindaraj

Ahmed Magdy

Anselm Mak James McLaren

Akhtaruzzaman MD

Tariq Nabi Memon

Lubna Meraj

William Louis Merton Biswa Ranjan Mishra

Azarisman Shah Mohd Shah

Atif Munir

Aizuri Murad

Awais Naeem

Ahsan Naqvi Muhammad Nawaz Lashari

Azizun Nessa Chen Fei Ng

May Thandar Oo Mohammed Osman

Bakhiet Osman

Asif Husain Osmani

Disanayaka Mudiyanselage Laksiri Bandula Paranathala

Muhammad Mahzooz Qasim Fahd Rana Azhar Rashid

Syed Muzaffar Ali Rizvi Md. Khalequzzaman Sarker

Shahzeb Ahmed Satti

Abdul Shakoor

Soumitra Sinha Roy Mathias Strowski

Hesham Salah Eldin Taha Vishal Tandon Saffi Ullah

Krishnamoorthy Vengadakrishnan

Chih Mun Wong See Yue Arthur Yung

Fady Monir Nessim Zakharious

Member qua Physician

Nisreen Al-Salaita

James Brock Hasan Mujtaba Cheema

Santhosh Cheruvillil Abraham Sook Vui Chong George Dickson Sharif Fattah Claire Louise Fugaccia Fergus Gallagher Saima Ghaus

Claire Holmes Praveen Kumar Kaudlay Sathyanarayana Nina Lewis Erin McGarry

Muhammad Usman Naeem Euan Paterson Tasnuva Saiful Mahmoud Taha Abdelalim Salem Christopher Michael Speakman Kamran Uddin Peter Van Rhijn Fady Monir Nessim Zakharious

Member of the College

Moustafa Kotb Abdelwahab Elmala

Mainuddin Ahmed Waqar Ali Adnan Ali Shafique Rehman Arain Naeem Asghar Amit Bhowmik

Muhammad Amir Saeed Butt Naveen Divakaran Arup Dutta Md.Hasibul Hasan Zeeshan Hassan Khin Thida Htut Asfia Irfan

Mahesh Gautamrao Katre Syed Sufyan Khaliq Ashok Kumar Siam Mohan Sami Ullah Mumtaz Muhammed Aslam Nambidi Kandiyil

Udhayesan Cherayil Nanu Mohammed Hisham Obaid Subhadip Pal Naveen Raju Muhammad Irfan Rashed Qamar Sajad Ariz Samin Shahzeb Ahmed Satti Sahar Tariq Anup John Thomas Yu Wing Tong Harsh Vardhan Yasir Abbas Zaidi Muhammed Zubair

SURGEONS

Fellow qua Surgeon

Ameer Afzal Salah Uddin Ahmmed Masood Alam J M H Qausar Alam Fathalla Ali Syed Farhan Ali Razib Mohammed Abdullah Al-Muharraqi

Nargis Ashraf Ahmed Dehal Debashis Dey Razeeb Hassan Jason Howard Farhat Jaleel Kamrul Khan Shafiullah Khan Vigneswaran Kumarasamy Haider Kurkoosh Tariq Mahmood Malik Muhammad Makki Aneeq Ullah Baig Mirza Shahryar Noordin Pooja Ramakant Purushotman Ramasamy Ahmed Raza Syed Shahabuddin Pinkesh Thakkar Aravinthan Thevarajah Munipriya Anura Willaraarachchi Willara Arachchige

Fellow qua Surgeon in Ophthalmology

Ali Salih Sadeq Al-Naimi Prashob Mohan Candice Avian Sampath

Fellow qua Surgeon in Plastic Surgery

Suleka Chelliah Kerry Jane Davies

Fellow qua Surgeon in Urology

Chai Chu Ann Kyaw Phyo Aung Mohd Najib Aziz

Jaspreet Singh Cheema Durvesh Lachman Jethwani

William Ong Lay Keat

Karthikayenee Ramasamy

Samuel Yon Xiang Tan

Zainal Adwin Zainal Abiddin

Fellow in General Surgery

Gulzar Ahmad

Hasham Akram Choudhary William David George Evans

Ian Sebastian Farrell

Ryan Ghita

Fellow in Oral and Maxillofacial Surgery

Ahad Shafi

Fellow in Trauma & Orthopaedics

Adnan Ahmed Saleh Al-Adraii

Abhishek Bansal

Alexander James Duguid

Osama Samir Mohamed Gaarour

Vipul Garg

Anthony Graham Gibson

Muhammad Muddassir Mahmood

Javaid

Nicholas Stewart Kalson

Sze Wei Justin Lee

David Robert Walker Macdonald

Jayachandran Sundarapandian Raj Kumar

Soma Sundar Subramanian

Ting Yang Tan

Scott John Wilson

Simon David Woods

Fellow in Vascular Surgery

Mingzheng Aaron Goh

Member qua Surgeon

Huzaifa Nazir Ahmad Yassir Al Azzawi

Abdulaziz Aldiy Mutaz Alrawashdeh

Edward Ekram Nan Atalla Dani Avabde

Muqtada Bahr

James Barry Lucy Campbell Gareth Clarke

Hannah Dunlop

Mahmoud Mohamed Tawfik Elshesheeny

Dr. Faruquzzaman

Mang Yik Foo

Ahmed Gabr

Mohammad Goodarzi

Sameeah Hanif

Mohamed Hashem

Nida Tehseen Ilahi

Magnus Johnston

Vinay Mathew Joseph

Aun Ali Khuwaja

Mahmoud Sayed Ahmed Osman

Makram

Marasinghe Gedara Sanjaya Prasad Maduranga Marasinghe Thamer Mhanna Gopikrishnan Nair

Uswatte Liyanage Asanka Janaka Perera

Arjun Rajan

Wannaku Kankanamge Rusiru Kalhara Ranaweera

Manuela Adriana Roman

Ganesh Shinde

Misha Mukesh Sidapra

Welmillage Don Heshan Dayantha Siriwardena

William Richard Thompson

Craig Russell Warren

Dominic Waugh

Wickramasinghe Mudiyanselage Ravihar Sujanthe Wickramasinghe

Member qua Surgeon in ENT

Subash Bhatta

Peter Cordiner

Ishwor Raj Devkota

Gyleen Cailas Elegio

Shilpi Gupta Sihem Madi Meha Mohammed

Dibaal Sunny Oghu Saurav Sarkar

Emelda Rose Sebastin

Radhika Shetgaunkar

Neha Singh

Member qua Surgeon in Ophthalmology

Ali Mohameed Ali Abdulhussein

Al-Gburi

Abdel-Aziz Elsayed Mahmoud Ibrahim Abousalem

Hussain Ahmad Mushtaq Ahmad

Zuha Farag G A Al Mehdawi

Latifa Ali Ahmed Al-Dousari

Eid mahajaAlenazi

Mustafa Saber Hafez Mohamed Ali Syeda Bushra Ali

Nabeelah Mohammed Abraheem Aljirbah

Ahmed Mofreh Ali Alkaliby

Ola Abdulla Abbas Almutawakel Nahal Mostak khan Arnob Muhammad Arshad

Menaka Nisala Kumara Atapattu Hazem Bahieddin Abdelghani Morsi

Saira Bano Shashwat Bhattacharyya Enver Caliskan

Siva Teja Challa Pranab Das Avnish Deshmukh

Mostafa Amr Azzab El-Bahrawy Hassan Mohammad Mohammad Hassan El-Sheemy Feroz Farook

Fauqia

Mostafa Abd El-Moety Gazar Abdelhamid Fawzi A Ghunaim Anwar Ahmed Gul Al-Tamimi Haidar Faisal Abdullah Muhammad Omer Hassan Ireen Hossain

Ismael Mostafa Ismael Ibraheem Mohamed Ahmed Abdelkarim Ibrahim

Mahmud Ibrahim Behairy Muhammad Israr

Manish Jain V.Swetha Jeganathan Murtaza Sameen Junejo Muhammad Nasar Qamar Khan Asfandyar Khan

Hayat Ahmad Khan Rabia Khawar

Ravish Akhilkumar Kinkhabwala Al Mahmud Lemon Parchand Swapnil Madhukar Selma Mahmah

Syed Asaad Mahmood

Shireen Mahmoud Elsayed Mohamed Marzook Islam Md. Emranul Yasmin Mohamed Abdelrahman Adam Ali Mohammed

Enas Abdel Haleem Mourad Moeez Uddin Muhammad Alina Mustafa Hamid Nafees

Merlyn Mathias Pereira Hizbur Rahman Archana Rajamani Sundus Shihab Salbookh Kainat Saleem

Olapeju Ajoke Sam-Oyerinde Ahmed Seifelnasr Moustafa Seifelnasr

Mohamed Atef Kamel Soliman Sewilam Maha Shahbaz

Abdul shameer Ahmed Mohamed Ahmed Hassan Sharaky

Pavaskar Jahin Siddiqui Abubaker Mohammed Abubaker Tarmoom

Saji Valiparambil Krishnanunny Latha Varadaraj Madiha Waseem Neena Chris William

Member of the College Riaz Ahmad Fayaz Ahmed

Hafiz Bilal Ahmed Shafiul Alam Babar Ali Kazim Ali Arif Ali Saad Bin Anis Waleed Anjum Muhammad Asjad Farya Aslam Hina Aslam Mohammad Omar Aziz Saqib Bakhshi Saad Hassan Bhatti Noshi BIbi Mumu Das Nifasat Farooqi

Muhammad Omer Fraz Nietiayurk Aminake Ghislain Tossif Ghodiwala Abdul Hafeez Md. Abdul Haque Nazia Ishaque Anila Jamshaid Muhammad Junaid Ahmad Kamran Khan Farooq Azam Khan Junaid Khan Zubair Khan Fahim Ullah Khan Ashok Kumar Amit Lakhani Abdul Majeed Sara Malik Mumtaz Manzoor Afeefa Mubashir Muhamad Zafras Muhamad Zufyan

Mustafa Nawaz Irfan Qadir Md. Shafiqur Rahman Md Salim-ur Rahman Muhammad Abdur Rehman Fawad Rizvi Ahmed Safwan Abdelhamid Marey Muhammad Sajjad Usama Shabbir Tahir Shahab Prashant Sharma Sehrish Siddique Shah Syed Muhammad Yunas

DENTAL SURGERY

Fellow in Dental Surgery

Bilal Ahmed Hilal Zahir Al-Ismaili Moustafa Alkhalil Ahmed Yaseen Alqutaibi Sudhindra Baliga Sanjeev Bhanderi Anuj Dadhich

Anil Kumar Danda

Brigit Varghese Eapen

Marwa Elkassaby Mohamed Ahmed Ahmed

Abdelaal Elkolaly

Hamdi Hosni Hamdan Eldesouki

Hamama

Srinivas Kandula

Abdul Samad Khan

Zeeshan Gul Khattak

Adarsh Kudva

Jalal Uddin Mahmood

Madan Mishra

Syed Fareed Mohsin

Kasturi Koteswara Prasad Nalabothu

Praveen Ganesh Natarajan

Gillian Clare Nevin

Sridevi Padmanabhan

Javed Qazi

Nivine Ragy

Joanna Sarah Rees

Roberto Sacco

Musab Saeed

Syed Ghazanfar Hassan Taqvi

Vinoth Kumar Thilla Sekar

Sung Chi Cissy Tsang

Naveen Kumar Vellore Loganathan

Alan Keith Whittet

Wai Yee Amy Wong

Fellow in Orthodontics

Jennifer Louise Galloway

Member of the Faculty of Dental Surgery

Mary Magdy Awad Alla Abdou

Kashif Adnan

Mas Suryalis Ahmad

Alshaimaa Mohamedalamin Ali Ahmed

Farah Khalid Ahmed

Suraj Ahuja

Haitham Kahlan Al Barwani

Khaled Walid Issa Al Haddadin

Hassan Al Hawatmah

Maher AL Shayeb

Ula Nabeel Al-Ramadhani

Rasha Albannaa

Farah Alsaeed

Hashem Alsaegh

Thamer Alsaif Ahmed Abdelhalim Mohamed

Ibrahim Amer Ayman Anis

Basma Gamal Salah El Din Awad

Mubashir Awan Imran Aziz

Jordan James Bain

Anastasija Bates

Roop Kaur Bhamra

Bhuvaneswari Birlabose

Edward Thomas Bottrill

Clare Bradley

Anna Britton

Matthew Canning

Aisling Cant

Clinton Koon-tung Chan

Neeraj Kumar Chandraker

Jalison Jacob Cheruvathoor

Kwan Pui Cheung

Kar Yee Jenny Chow

Kar Wah Chow

Letty Wing Yee Chu

Alexis Yan Pui Chu

Elspeth Cook

Katie Crawley

Lisa Rachel Dalrymple

Alexander Davies De Mugica

Nicole Dhillon

Neal Drummond

Benjamin Dunphy

Kariem Elbatouty Aeman Elkezza

Gehan Hassan Abdelrehim Fawzy Mostafa Gaafar Mansour

Orla Gallacher

Ruairidh Gallagher

Aimee Gazem

Amr Ghanem

Nahla Gamel Ghareeb Ghoraba Nushare Gilani

Thomas Karnail Singh Gill

Esraa Ahmed Elsayed Gomaa

Shirleen Hallang

Hossam Ragab Harisha

Owen Harries Benedict Harrison Mithra Hegde

Kwun Yin Ho Alnick Hong Ankita Jain

James Solomon Jesudasan

Betsy Joseph

Aljeeta Ajit Kadam

Mohmed Isaqali Karobari

Rabeet Haroon Khan

Akbar Khan

Suchetna Khanna

Gemma Victoria Klapwijk

Shaimaa Hussein Raafat

Mahmoud Kotb

Amarjit Singh Landa

Tsoi Yan Lau Hong Yu Law

Shen Ai Kerrine Lee

Tsun Sun Leung

Wing Tung Leung

David Livingstone

Ai-Leen Shu Jen Loo

Ka Wing Lun Fern Maddison

Sana Mahmood

Okba Mahmoud Rajkumar Maurya

Calum McColl Megan McFarlane

Bronagh McGuckin

Jill Marie McMurray Sanjay Miglani

Mayuri Mirji

Sarah Khaled Yehia Mohamed Archana Mootha Shahzad Muhammad Nina Musallam

Neena Nayyar

Wing Ting Christy Ng Chun Hown Ng

Ifueko Patience Osaghae Junaid Osman

Jibreel Oysul O.K.

Anitha Krishnan Pandarathodiyil Monica Patel Chloe Paton Vincia Paul Amit Punj

Syed Qasim Shenal Radia Afnan Rahman Morankar Rahul Amrita Rai

Shailandra Singh Rana Shesha Prasad Ranganath Roshni

Hiral Sapa Ruby Shah Khadar Shaik

Muhammad Saad Shaikh Ashika Shajahan Ena Sharma

Yasmine Sheshtawy Kelsey Ann Shortiss

Melissa Sin Sui Tak Bonita Sin Anusak Sintapanont Natalie Si Wing So Memuna Sohaib

Karthiga Kannan Subramania Pillai Nicholas David Sung Eleanor Tonsbeek Benjamin Trill Nikhilesh Vaid Ann Varghese

Natalie Jayne Walker

Wing Nga Wang

Emma Grace Ward

Samuel Thomas Wareing Emma Welsh

Mark Brian Wertheimer Siu Hin Wong

Kam Wing Wong

Tsun Fung Wong

Ka Wai Frank Wong Alice Worne Wei Chan Yeap Yat Cheong Yeung Farnaz Younessian Kin Hong Yuen

Member in Orthodontics

Ahmed Nabil Mohamed Abdelghaffar Hana Hamed Al Kiyumi

Prasanna Arvind T.R. Srinivas Raju Buddharaju Subhiksha K Chakkaravarthi Ahmed Abdelghany Attia Elnadar Nidhya Varshini Gurubaran Emad Hanna

Vaibava Keerthana Mithun Krishna Naik

Gayatri Mago Kaberi Majumder

Kurunji Kumaran Navaneethakrishnan

Mohd Helmi Mahamad Nazir Shabana Nazmeen Siti Balqish Oon

Abraham Reji Aisha Ali Mohamed Riyamy Nadia Izyan Muhamad Sabri Samprasanth Shankar Keerthi Venkatesan Hill Ying Yip

Member in Paediatric Dentistry

Yi Kwan Loo

Member in Prosthodontics

Ritul Agarwal

Member in Endodontics

Mohamed Mustafa Mohamed Abdel Aziz

Ammad Jawed

TRAVEL MEDICINE

Fellow in Travel Medicine

Soha Albayat Elmoubasher Abu Baker Abd Farag

Jennifer Sisson

Member of the Faculty of Travel Medicine

Helen Mead

Jack Douglas Murray Watson

Frank Paul Westerduin

Associate of the Faculty of Travel Medicine

Jacqueline Owens

PODIATRIC MEDICINE

Fellow in Podiatric Medicine

Vicki Cameron

Matthew James Cichero

Brent Haverstock

Richard Masoetsa

Syncope diagnosis needed? Challenge accepted.

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

References:

*Royal College of General Practitioners

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 2022. All rights reserved. to access with TruRythm™ is the world’s smallest2 and most accurate3

This Christmas choose a party, Royal College of Physicians Surgeons Glasgow. the setting of one of our beautiful historic rooms for a private dining experience, our delicious festive menu. Catering is available for parties of 35 to 130 for Christmas lunch or dinner, along with a licensed bar, entertainment and our first-class service.

Lunch Dinner