qu- ct 9

Medical error

Cancer

Heart disease

AUTUMN 2017

Medical errors: the third biggest killer

INSIDE

CELEBRATING DIVERSITY JUNIOR DOCTORS...OR NOT MEMBERSHIP SURVEY ON THE FRONT LINE OBESITY ACTION SCOTLAND

College NEW S

This Christmas dine in the Royal College of Physicians and Surgeons of Glasgow for a truly unique Christmas party.

Enjoy the setting of one of our beautiful historic rooms, for a private dining experience with our award-winning chef’s delicious festive menu. We can cater for parties from 35 to 100 for Christmas lunch or dinner, offering a licensed bar, first-class service and entertainment.

at the Royal College of Physicians and Surgeons of Glasgow

1599-Christmas-CN-Ad (10/17)

0845 388 1599 [email protected]

232-242 St Vincent Street, Glasgow G2 5RJ

with

Dinner £49 per person

3 courses, glass of prosecco on arrival and DJ entertainment

Lunch £29 per person

3 courses and glass of prosecco on arrival

A non-refundable deposit of £10 per person is payable upon booking.

1599_CHRISTMAS_CN_Ad.indd 1 18/10/2017 11:35

www.rcpsg.ac.uk College News AUTUMN 2017 1

Editors: Elaine Mulcahy Lucy Adams

Production: Carl Barton [email protected]

If you are interested in contributing to College News please email: [email protected]

rcpsg.ac.uk

@rcpsglasgow

/rcpsglasgow

/royal-college-of-physicians -and-surgeons-of-glasgow

College News is the magazine of the Royal College of Physicians and Surgeons of Glasgow.

FROM THE PRESIDENTS OFFICE 2

NEWS 3

COLLEGE IN ACTION 8

OBESITY ACTION SCOTLAND 10

IN FOCUS 12 The third biggest killer

ON THE FRONT LINE 14 With Catriona Barlow

TALKING POINT 15 Junior doctors…or not

WHAT’S ON 16

PHYSICIANS UPDATE 20

SURGEONS UPDATE 22

DENTAL UPDATE 24

TRAVEL MEDICINE UPDATE 26

PODIATRIC MEDICINE UPDATE 28

IN THIS ISSUE

JUNIOR DOCTORS... OR NOT

15

OBESITY ACTION SCOTLAND

10

REFRAMED

07

ON THE FRONT LINE

14

‘You Said’Improve the quality and accessibility of our educational

offering, particularly eLearning ‘We are Doing’An external, independent review of

our current eLearning will be conducted during Q4 2017 and we will

take forward the recommendations.

We are committed to providing you

with a world-class, eLearning resource.

‘You Said’Improve signposting and advertising of opportunities to connect and engage with the College

‘We are Doing’We are actively reviewing the College

website and member magazine, to

ensure opportunities are more visible

and easier to access.We are also actively reviewing the

process of booking events online.

We know this can be difficult and we

are determined to make this as simple

as possible.

‘You Said’Enhance membership benefit packages including additional costs e.g. costs associated with attendance at educational events‘We are Doing’A project team is being set up to

explore this further and develop a

range of options for consideration by

College Trustees.

‘You Said’Enhance the relevance, quality and frequency of our communications, both online and in print

‘We are Doing’We have recently appointed a new

Marketing Manager who will be

reviewing our internal marketing

processes and procedures. We will

adopt the most effective and efficient

ways of communicating with you,

our members.

‘You Said’Demonstrate more visible support and inclusiveness for non-medically

qualified healthcare professionals

including a review of the subscription discount policy

‘We are Doing’Subscription discount policy has been reviewed and updated. The

new policy is available to view at

rcpsg.ac.uk/college/subscriptions

‘You Said’Develop a clearer voice in public and political domains supporting and reflecting the views of the members

‘We are Doing’A new Public Affairs Manager has

been appointed and a PR and Public

Affairs strategy is in development.

‘You Said’Create opportunities for members to informally network and share

knowledge and experience

‘We are Doing’We will explore the possibility of creating a ‘community app’ for

members to informally connect

and engage.

MEMBERSHIP SURVEY

04

www.rcpsg.ac.ukCollege News AUTUMN 2017 2

It should not have been a surprise for me to

learn that many colleagues still tend to think

of the Royal Colleges as somewhat detached

organisations. I know that some see the

College as a body happy to relieve doctors of

substantial funds for the privilege of organising

postgraduate examinations and maintaining

the right to use the post-nominal recognition

of their status. It was something of a surprise

however that several colleagues, some with

much experience of College interaction, were

hazy on what exactly our College does. How

extensive are the responsibilities? In what ways

do we justify Fellowship and Membership fees

and how can we continue to be relevant in a

rapidly changing and deeply challenged NHS?

What does our College really do? The bottom

line and the objective that underpins virtually

all our activity is a drive to help our Fellows and

Members deliver the highest possible standards

of patient care.

For most people who become associated with

the College it is as a result of a postgraduate

assessment in their specialty. This is likely the

first and most obvious point of engagement for

young doctors with a Royal College. Behind that

is the less obvious fact that the postgraduate

training curricula in all the medical and surgical

specialties are prepared, reviewed, administered

and quality assured by the Colleges. This is a

huge and ongoing undertaking that not only

involves setting standards and expectations,

but provides a platform for each specialty to

maintain dynamic input into the content which

is monitored and controlled by the Colleges.

The resulting curricula are reviewed and

approved by the GMC. As trainees progress

through their curriculum the Colleges are

involved in reviewing that progress and in finally

recommending to the GMC that an individual

has completed their training requirements. For

the main medical and surgical specialties, the

relevant Colleges work together to deliver these

services on a collaborative basis.

Beyond these functions the College is one route

to the delivery, recording and recognition of high

quality resources for CPD. Various resources

have been developed picking up generic

issues such as mentoring, non-technical skills,

communication, leadership, helping doctors

in difficulty to mention just a few. Our current

refurbishment, which will provide fantastic new

facilities for clinical skills training, high fidelity

simulation and digital eLearning are due to come

on stream in the next few weeks.

These objectives are primarily focused on UK

based specialists but the international quality of

the education and assessments that are available

creates demand from international colleagues.

Such is the caliber and esteem in which Royal

College Membership and Fellowship is held

outside the UK – many aspire to use the College

benchmark as an indication of the standard of

practice that they can demonstrate.

Beyond these core items, the College provides

a voice and response on matters raised in

consultation from governments, regulators, civil

organisations, specialty groups and charities. I

have to confess that while it is straightforward

to obtain specialist clinical input, it is more

difficult to articulate a College view on some

of the more controversial matters which have

medical implications and which either impinge

directly on practice or legitimately need some

medical input. I will be seeking your views on

some of these cross specialty and sometimes

controversial matters in the coming months.

We have a health advocacy role and have been

particularly active on such important areas as

obesity, alcohol use and global citizenship. We

are working on offering some of the practical

implications arising from the recent Supreme

Court ruling on the nature of consent and hope

to bring some resources to you in the near

future. We have a group actively exploring the

implications of the UK leaving the EU. We are

actively engaged at the Scottish and UK level with

other Colleges through the respective Academies.

Finally, as a charity, we have some specific

charitable functions. We are launching HOPE the

Royal College Foundation – our new charitable

and philanthropic fund. We will be inviting

applications for future projects which aim to

address the health needs of people living in the

most challenging of circumstances – wherever

they may be.

An important element of all this activity is the

almost unbelievable fact that most of the work

is delivered by colleagues who volunteer. We

have ben calculating the volume of activity

provided by busy clinicians because they realize

the importance of our work, the benefits that

accrue and the satisfaction that comes from

making such a contribution. That contribution

is enormous. I am deeply grateful to all who,

in whatever capacity, become involved in the

work of our College. I am aware than many have

expressed an interest in becoming involved in

the future and I am encouraged by that fact.

Our challenge is in channeling that energy and

enthusiasm.

As ever my door is open and I would

genuinely appreciate discussing how your

ideas, in any of these areas, can be advanced.

WELCOME

FROM THE PRESIDENT’S OFFICE

Watch the President’s video at http://rcp.sg/cnautumn17video

Follow the President on Twitter @davidgallowaymd ■

www.rcpsg.ac.uk College News AUTUMN 2017 3

NEWS

HONORARY FELLOWSHIP

The President, Professor David

Galloway, was honoured by the

award of Honorary Fellowship

of the College of Surgeons of Sri

Lanka. The occasion was part of

the Annual Scientific Meeting of

the College in Kandy in Central

Sri Lanka. ■

FOUNDER’S DAY SERVICE – GLASGOW CATHEDRAL Each year, members of College

Council, Dental Council and

Faculty Boards participate in a

service at Glasgow Cathedral

to mark the anniversary of the

founding of the College and

to lay a wreath on the tomb

of Maister Peter Lowe in the

cathedral graveyard. This is a

colourful occasion with a formal

gowned procession.

This year, the service will be

held on Sunday 3 December at

11am. Fellows, Members, family

and friends are welcome to

attend. Seating will be reserved

for College guests, so if you

would like to attend, please email

[email protected] or

phone 0141 4657339. ■

DOORS OPEN DAY 2017

Doors Open Day has been

a cornerstone of Glasgow’s

cultural calendar since it

started in 1989 as an annual,

one-day event. Now in its 28th

year, the Glasgow Doors Open

Days Festival runs over a full

week in September.

The College has long been a

supporter of the festival, and

this year was no exception.

On Monday 11 and Saturday

16 September we opened

our doors to the public,

giving visitors a special

chance to fully explore the

building and collections. In

addition to the beautifully

decorated rooms and the

portraits and contemporary

artwork on display, there

was an exhibition of medical

instruments, archives and

rare books from our heritage

collections. Members of

College staff were on hand

throughout the day to

welcome visitors and answer

any questions.

Doors Open Day is one of our

biggest public engagement

events, and with nearly 600

visitors over two days, it

provides a great opportunity to

raise the College’s profile in its

home city. This annual event

helps us to spread the story

of the College’s crucial role in

Glasgow’s medical history, as

well as raising awareness of

our work in maintaining the

highest possible standards of

health care today. ■

COLLEGE ELECTIONS Nominations for a number

of posts on College Council,

including President Elect,

have now closed and an

election will be held. Election

papers will be issued to all

those eligible to vote on 30

October. Voting will close

on 29 November and the

outcome will be announced

at the AGM on 1 December.

Details are available on the

website at

http://rcp.sg/elections ■

Elections will be held for the following posts:

Post Nominees

President Elect Robin Northcote, Jackie Taylor

Vice President (Medical) Hany Eteiba, Asif Naqvi

Vice President (Surgical) Alison Lannigan, David Richens

Ordinary Councillor (Surgeon) Sanjeev Chitnis Jonathon Hannay

Andraay Leung

Colin McKay

NEWS

4 College News AUTUMN 2017 www.rcpsg.ac.uk

Membership Survey Many thanks to all who took the time to complete our membership survey.

More than 1,800 people

completed the survey and

response rates varied across

speciality and gender,

broadly reflecting our overall

membership breakdown.

The insights you have given are

already helping to shape the

future direction of our College.

By sharing with us your views

and needs, we will be better able

to support you individually and

the profession as a whole.

In particular the following key

areas have been prioritised

and will be progressed in the

coming months:

• The quality and accessibility

of our educational offerings

including eLearning and

CPD accredited courses and

events for subspecialties

• Signposting and advertising

of opportunities to connect

and engage with the College

• Opportunities for members

to informally network

and share knowledge and

expertise

• Development of a clearer

voice in public and political

domains supporting and

reflecting the views of the

members

• Membership benefit

packages including

additional costs e.g. those

associated with educational

events

• The relevance, quality

and frequency of our

communications, both online

and print

• The support and

inclusiveness for non-

medically qualified healthcare

professionals, including a

review of the subscription

discount policy ■

‘You Said’ Improve the quality and accessibility of our educational offering, particularly eLearning

‘We are Doing’ An external, independent review of our current eLearning will be conducted during Q4 2017 and we will take forward the recommendations. We are committed to providing you with a world-class, eLearning resource.

‘You Said’ Improve signposting and advertising of opportunities to connect and engage with the College

‘We are Doing’ We are actively reviewing the College website and member magazine, to ensure opportunities are more visible and easier to access.

We are also actively reviewing the process of booking events online. We know this can be difficult and we are determined to make this as simple as possible.

‘You Said’ Enhance membership benefit packages including additional costs e.g. costs associated with attendance at educational events

‘We are Doing’ A project team is being set up to explore this further and develop a range of options for consideration by College Trustees.

‘You Said’ Enhance the relevance, quality and frequency of our communications, both online and in print

‘We are Doing’ We have recently appointed a new Marketing Manager who will be reviewing our internal marketing processes and procedures. We will adopt the most effective and efficient ways of communicating with you, our members.

‘You Said’ Demonstrate more visible support and inclusiveness for non-medically qualified healthcare professionals including a review of the subscription discount policy

‘We are Doing’ Subscription discount policy has been reviewed and updated. The new policy is available to view at rcpsg.ac.uk/college/subscriptions

‘You Said’ Develop a clearer voice in public and political domains supporting and reflecting the views of the members

‘We are Doing’ A new Public Affairs Manager has been appointed and a PR and Public Affairs strategy is in development.

‘You Said’ Create opportunities for members to informally network and share knowledge and experience

‘We are Doing’ We will explore the possibility of creating a ‘community app’ for members to informally connect and engage.

www.rcpsg.ac.uk College News AUTUMN 2017 5

NEWS

9 10

members recommend membership

to their colleagues or peers

The top three aspects highlighted by our members are: 1. Global credibility and reputation of our College 2. The multidisciplinary nature of our College 3. The friendliness of our College

How you see the role of our College: 1. Delivery of exams and assessments 2. Inspiring the next generation of healthcare professionals 3. Professional registration and recognition 4. Championing best medical practice in society 5. Influencing medical and health-related policy

What are your priorities over the next 12 months: 1. Enhancing professional skills 2. Career progression 3. Improving technical/clinical skills 4. Publishing a paper 5. Gaining a new qualification

Why do people join our College? 1. A colleague recommended it 2. Preferred choice for the exam 3. It was my local College 4. Because of its association with Glasgow 5. It has the best reputation

PROSPECTUS The College’s 17/18 academic calendar is now

underway and, as we are delighted to provide you

with our latest prospectus, which covers all five of

our main areas of interest (physicians, surgeons,

dental professionals, travel medicine specialists

and podiatrists). We also provide multidisciplinary

conferences, allowing cross-speciality working,

and a range of non-clinical courses; perfect for

developing soft skills in management and training.

Our prospectus is an all-in-one resource which

will allow you to share and plan CPD with your

colleagues. If you require further information on

the events you are interested in, full programmes

and further details are available on our website.

If you have any comments or queries about the

prospectus, please do get in touch. ■

www.rcpsg.ac.ukCollege News AUTUMN 2017 6

NEWS

BOWEL CANCER RESEARCH GRANTS Bowel Cancer UK has

announced that, in the next

year, it will fund research of

up to half a million pounds to

improve the UK bowel cancer

screening programme, increase

understanding and identification

of people with a high risk of

bowel cancer, and further

knowledge of bowel cancer in

the under 50s.

The research charity plans to

involve patients, clinicians and

researchers to ensure that funded

projects are not only excellent in

terms of their scientific quality,

but also relevant and of most

benefit to people affected by

bowel cancer – aiming to deliver

real improvements for patients

and transforming bowel cancer

survival from 60% surviving at

least five years to 75% by 2025.

Bowel Cancer UK will fund

a mixture of large project

grants of up to £75,000 per

year for a maximum of two

years and smaller pilot grants

of up to £25,000 for up to 18

months. The first awards will be

announced in April 2018.

Find out more:

www.bowelcanceruk.org.uk ■

JUDICIAL APPOINTMENTS COMMISSION The UK Judicial Appointments

Commission is recruiting

approximately 200 new

medical members to bring

their expertise to the First-tier

Tribunal. The tribunal hears

appeals arising from decisions

made about disability benefits

and offers an opportunity for

medical professionals to use

their skills and knowledge to

make important decisions that

will make a real difference in

people’s lives.

As a medical member, you

would sit alongside a tribunal

judge and sometimes a

disability-qualified member. All

tribunal members contribute

to the decision about the

benefit being appealed. As a

medical member, you will hear

appeals relating to personal

independence payments,

attendance allowance,

employment support allowance,

benefits for industrial injury or

disease, compensation recovery,

and vaccine damage payments.

Vacancies are currently

available in England, Wales and

Scotland. Members are assigned

a primary hearing venue. This

is a fee-paid role and members

typically sit for a minimum of 15

days a year.

Find out more:

jac.judiciary.gov.uk ■

SUPPORT FOR DOCTORS UNDERTAKING NATIONAL WORK A letter jointly signed by the

Chief Medical Officers of

Scotland, England, Wales and

Northern Ireland, the Chair of

the GMC and Sir Bruce Keogh,

National Medical Director for

NHS England, has called for

better support for doctors

undertaking national work for the

benefit of health services. The

letter was sent to every employer

in the UK health service.

It said, “The part time work

people undertake alongside their

clinical duties contributes a great

deal to the quality and safety of

patient care, medical education

and to the planning, delivery and

independent assurance of the

safety and effectiveness of both

local and regional health services.

“We understand that in the

current climate there is

considerable pressure on local

resources… However, we hope

you will regard such activity

by your clinical staff as an

investment in our health services

and a reflection of the high

standards in your organisation.

The experience gained by these

individuals should be of direct

benefit to the unit in which they

work.”

The full letter can be viewed at:

www.rcpsg.ac.uk/news/1934-

letterjuly2017 ■

IN MEMORIAM: PROFESSOR SIR DAVID TODD

It was with sadness that our

College community learned of

the passing of Honorary Fellow

Professor Sir David Todd on 16

August 2017.

Sir David founded the Hong Kong

College of Physicians in 1986

and was instrumental in bringing

the MRCP examinations to

Hong Kong. He was well known

and loved across the medical

community in both the UK and

Hong Kong and we extend our

deepest sympathies to his family,

colleagues and friends. ■

www.rcpsg.ac.uk College News AUTUMN 2017 7

NEWS

REFRAMED – CELEBRATING DIVERSITY During a recent school visit to the College, one girl asked a simple question – “Why are there

no pictures of women on the walls?”

The portraits on display in

our College Hall follow a

similar pattern to most late

19th century celebrations of

an institution’s rich history.

The subjects are all white, and

they are all men. They do not

represent the diversity of our

membership today.

Earlier this year we put out a

call to our members to submit

selfies. We received hundreds

of submissions from around

the world and enthusiastic

volunteers from the annual

medical undergraduate

conference wanting to get

involved. We then worked with

an artist to create a projection

and animation that filled the

College Hall with light, sound,

and the faces of College

members, trainees and medical

students. The effect was to

subdue the impact of the

portraits of College founders,

former presidents and eminent

Fellows on the walls so that the

new, diverse faces dominated

the room.

Vice President (Medical) Hazel

Scott spoke at the event about

her own experiences as a

female clinician, the wonderful

diversity of our membership,

and the ongoing work that

needs to be done to ensure

a more balanced medical

workforce.

The event, on 27 October, was

held as part of Museums at

Night, a UK-wide programme

of events that gives museums

the opportunity to try new

things, take risks and attract

new audiences. As a newly

accredited museum within

a very old institution, we

are keen to grasp these

opportunities.

It was during the late 19th

century period that the

College’s community began

to diversify, with licentiates

appearing in the minute books

from many other parts of the

world, for example South

Asia. During the same period,

women began to be admitted

to the College, to be licensed

in surgery. Today the College

has a truly international

membership. Glasgow itself

is a proudly multi-ethnic city.

In the 21st century, women

are leaders in medicine. The

College has had two female

Vice Presidents this decade.

Yet College Hall has remained

virtually unchanged since it

was added as an extension to

the St Vincent Street building

in the 1890s. By reframing

College Hall with new, diverse

faces from our membership,

we have challenged

perceptions and celebrated our

diversity.

Taking on a project like this

needs support from inside

and outside the organisation.

We received strong support

and advice from the Glasgow

Women’s Library, and from

colleagues at the University

of Glasgow. Staff at Museums

Galleries Scotland also

provided encouragement.

Support from within the

College community shows

a real desire to celebrate

diversity, to tackle challenging

questions, and to transform

perceptions of our wonderful

organisation. ■

www.rcpsg.ac.ukCollege News AUTUMN 2017 8

COLLEGE IN ACTION

BREXIT Regulation of medicines

The Academy of Medical Royal Colleges

and the British Pharmacological Society

welcomed a letter from the Secretaries of

State of Health and Industry to the Financial

Times titled “The UK wants to continue to

work with the EU on medicines”.

The Academy has been clear that the future

of medicines regulation is one of the key

issues that needs to be addressed in terms of

healthcare as part of the Brexit negotiations,

which should be guided by: ensuring

patients in the UK and EU continue to have

access to the most effective and innovative

medicines; protecting patient safety through

the strongest regulatory framework, and;

sustaining close working relationships

between UK-EU partners.

Professor Alan Boyd, President of the

Faculty of Pharmaceutical Medicine, who

led the Academy’s work on this issue said,

“As the Government has recognised, it

is essential that the issues of regulation

of medicines and devices are properly

resolved for the safety and benefit of

patients. We urge the Government to

closely involve professional bodies

representing clinicians and the industry as

discussions progress.” ■

INSPIRING CHANGE The College has welcomed the National

Confidential Inquiry into Patient Outcome

and Death report, Inspiring Changes, which

has reviewed the provision and management

of patients undergoing Non-Invasive

Ventilation (NIV) mainly for the management

of chronic obstructive pulmonary disease

(COPD). It is very supportive of the

recommendations of the report in an

important area of medical practice.

COPD is the second most common

reasons for hospital admissions in the

UK. It is responsible for 25% of all deaths

from lung disease and is the fifth largest

cause of death overall. Appropriate and

timely treatment should be available in

our hospitals admitting acutely ill patients.

NIV is not generally appropriate in patients

with documented pneumonia.

The study highlighted the nature of pre-

hospital care, indications for treatment,

monitoring of patients and an escalation

plan should treatment with NIV not be

successful. It noted that because of coding

issues, the number of patients needing

this treatment was underestimated. Of

importance was that treatment with

NIV was not always indicated and more

appropriate care should be given. This

follows the aims of Realistic Medicine and

identifies instances where treatment is

inappropriate and where it needed to be

escalated.

Further details about the report can

be found at: rcpsg.ac.uk/news/1932-

inspiring-change-report-welcomed ■

GLOBAL CITIZENSHIP More than 110 people attended our Global

Citizenship conference in September, with

attendance up by 42% on the previous

year. The event was kindly supported

by Johnson and Johnson. Over the last

several months, our profile in the area

of global citizenship has continued to

rise. We are currently the number one

influencer on Twitter in global citizenship

and Scottish global health.

Leaders from across the global healthcare

community gathered at the College in

September to explore the benefits and

challenges of international volunteering.

The conference, Towards Global

Citizenship, followed the publication

earlier this year of our report on “Global

Citizenship in the Scottish Health Service”.

Speaking at the conference, College

Director of Global Health, Mike McKirdy,

said, “The College is delighted to

welcome experts from across the globe

to Glasgow to discuss this important

and topical issue. We know international

volunteering opportunities benefit some

of the world’s poorest countries. At the

same time it also extends professional

development of our NHS workforce. This

in turn helps to recruit and keep NHS staff

in Scotland. Everyone involved benefits

and we want to work with government,

the health service and others to realise

the full potential of global citizenship.”

Lord Nigel Crisp, co-chair of the All-Party

Parliamentary Group on Global Health,

and former Chief Executive of the NHS in

England, presented the key note talk.

Parliamentary events to further discuss

and explore options presented in the

report will be held at Westminster and

Holyrood over the coming months.

More information about our global

citizenship work can be found at:

http://rcp.sg/globalcitizenship ■

www.rcpsg.ac.uk College News AUTUMN 2017 9

COLLEGE IN ACTION

E-CIGARETTES The College has joined with a range of

organisations in the Scottish health sector,

including NHS Health Scotland, to sign a

joint statement (below) in order to clarify

public perceptions about the health effects of

e-cigarettes.

“E-cigarettes have been available for purchase

for just over a decade in Scotland. They have

become increasingly popular and many

smokers report using them.

“There is now agreement based on the current

evidence that vaping e-cigarettes is definitely

less harmful than smoking tobacco. Although

most e-cigarettes contain nicotine, which is

addictive, vaping carries less risk than smoking

tobacco. This, it would be a good thing if

smokers used them instead of tobacco.

“Using e-cigarettes without stopping smoking

(dual use) does not provide health benefits.

Anyone who is using both should be strongly

encouraged to stop smoking tobacco as soon

as they can. To be absolutely clear, e-cigarettes

are useful for public health services purposes

only as a potential route towards stopping

smoking. Access to e-cigarettes needs to be

controlled carefully; they are not products for

children or non-smokers.

“There is still a lot we do not know about

e-cigarettes. They are not risk free, but

based on current evidence, they have a

much lower risk than tobacco. We need to

carry out research to understand these risks

but in the meantime, we need to make the

best use of the situation to reduce tobacco

smoking further.” ■

COLLEGE HERITAGE FEATURED ON BBC’S TIME TRAVELS Two items from the College’s heritage collections

recently featured on Time Travels, a BBC Radio

Scotland series delving into the rich stories of

Scotland’s past.

Our Digital Heritage Officer Kirsty Earley

explained the story behind our Lucy Baldwin Gas-

Oxygen Analgesia Apparatus (1950s) from the

College’s museum collection. This item highlights

the role played by Prime Minister Stanley

Baldwin’s wife Lucy improvements to maternal

health, specifically pain relief, in the first half of

the 20th century. Kirsty also highlighted Lucy

Baldwin’s connections to Glasgow, including her

role in the appointment of the first anaesthetists

at Glasgow Royal Maternity Hospital in 1930.

http://www.bbc.co.uk/programmes/b095yp0p

Heritage Manager Ross McGregor, together

with Dr Cheryl McGeachan of the University of

Glasgow, featured in a programme about William

Macewen’s early career as a Police Surgeon in

the city’s Central Police Office in the 1870s. The

College archive contains a significant collection

of Macewen’s papers, covering his illustrious

career. His ‘Private Journal of Surgical Cases’

(1872 – 1875) features his notes on cases he

encountered as Police Surgeon – effectively

an A&E department in the heart of Victorian

Glasgow. Ross and Cheryl discussed the colourful

nature of this work, its connection to Macewen’s

innovations in surgery, and the wide-ranging

potential for further research into the role of the

Police Surgeon in the medical, legal and criminal

life of the city at that time.

http://www.bbc.co.uk/programmes/b097s2tr ■

CONSULTATIONS The College is regularly asked to contribute and respond to consultations.

Recent consultation responses are listed below.

• Quality standard on Mental health of adults in

contact with the criminal justice system

• National Cancer Programme - Multidisciplinary

Team Meetings

• Proposed federation of healthcare education

- survey

• Draft guideline on Physical activity and the

environment

• Management of Stable angina

• Draft guideline on sore throat (acute):

antimicrobial prescribing

• Draft guideline on Oesophago-gastric cancer

• Faculty of Pharmaceutical Medicine Board of

Trustees’ recommendation to admit non-

medically qualified individuals as members

• General Pharmaceutical Council Revalidation

consultation agreement

• Draft guideline on Flu vaccination - increasing

uptake

• Call for ideas for supporting doctors returning

to training after time out

• Updated SDCEP Prevention and Management

of Dental Caries in Children Guidance

Draft guideline on physical activity and

the environment (NICE): The College

welcomes this draft guideline. It provides a

rationale, a strategic framework and a set

of recommendations for implementation

to increase the physical activity of the

population as a whole and in specific groups.

It also recognises and seeks to decrease

the health inequalities in different socio-

economic and other groups with regard to

physical activity and the environment.

Call for ideas for supporting doctors

returning to training after time out (Health

Education England): It is imperative that

potential training doctors know that return

is possible, and they are encouraged and

informed. Training for returnees needs to

be flexible to allow the maximum possible

number to return. Part-time training

should be available but not, as in the past,

detrimental to other commitments.

Faculty of Pharmaceutical Medicine

Board of Trustees’ recommendation to

admit non-medically qualified individuals

as members (Faculty of Pharmaceutical

Medicine): We support the FPM in its

wish to consider non-medically qualified

individuals for membership. This is a

sensible, proportionate and timely proposal.

The landscape of medicine is changing

and all professional organisations need to

adapt with time in order to better serve their

members and their charitable aims.

Full details of all consultation responses

made on behalf of the College can be found

at www.rcpsg.ac.uk/consultations* ■

www.rcpsg.ac.ukCollege News AUTUMN 2017 10

COLLEGE IN ACTION

Update from Obesity Action Scotland The Scottish Government will be consulting on the detail of the proposed Diet and Obesity

Strategy this autumn. After including a commitment to “progress measures to limit the marketing

of products high in fat, sugar and salt” in the Programme for Government, it is vital that we

unite behind the Government’s good intention by ensuring they are backed up by solid actions.

These should include legislating for restrictions on advertising and marketing to children, price

promotions and portion sizes.

Only if we speak with a

loud, united voice will

the Government hear the

importance of taking bold

measures to tackle obesity in

Scotland. The consultation

period is still to be confirmed,

but we will publish links to the

consultation on our website

when it goes live.

You can access the

OAS website at: http://

obesityactionscotland.org ■

FROM A FEEDING CULTURE TO AN EATING CULTURE – THE CAMPAIGN FOR BETTER SCHOOL MEALS In April Obesity Action Scotland

called on national and local

governments to place greater

value on school meals to

improve the health of Scotland’s

school children and tackle

childhood obesity.

With obesity affecting almost one

in five children in Scotland and

two thirds of primary school pupils

in Scotland eating school meals,

improving school meals is a direct

way to drive the dietary change

we need to see in Scotland.

In 2015 school age children in

Scotland ate only 2.7 portions

of fruit and vegetables per day,

compared to the 5 portions

recommended, and free sugar

intake is highest in children

aged 4 to 18 compared to

all other age groups. This

means school age children

are consuming 3 times the

recommended level of free

sugars.

As part of the ‘Eating Not feeding’

campaign we set out four

recommendations for action:

1. Use unprocessed or

minimally processed foods

wherever possible

2. Prioritise vegetables, soup

and salad over puddings

3. Reduce free sugar content

towards Scottish Dietary

Goals

4. Create a positive physical

and social environment for

school meals

The full report can be accessed at:

http://obesityactionscotland.org/

images/pdfs/campaigns/School-

Meals-Brochure-A4.pdf

www.rcpsg.ac.uk College News AUTUMN 2017 11

COLLEGE IN ACTION

LEARNING FROM THOSE LEADING THE WAY Over the last few months

Obesity Action Scotland has

been gathering learning from

around the world to consider

what actions have successfully

tackled obesity or improved diet

in other countries.

In Amsterdam they have seen a

reduction in levels of childhood

overweight and obesity across all

the socio-economic groups. This

is the first area in the world to show

such positive progress.

The 5 key measures to their

success could be summarised as

• significant investment

• political buy-in

• collective responsibility

• clear targets

• focused, geographically targeted

interventions

During our study visit we

were struck by the pride and

ownership from everyone we

met in the programme. From

the municipality directors to the

school head teachers and local

fishmonger there was a level of

understanding and dedication

to do something and make a

difference to children’s health.

Slightly further north in

Scandinavia, the ‘Nordic

governments’ have collectively

taken a new approach to

change the food culture and

consumption patterns of their

people. In the past 10 years

they have implemented policies

that have promoted a new

and more sustainable ‘Nordic

cuisine’. Through public-private

partnerships, product innovations

and reformulation these new

ideas are being incorporated in

everyday life.

What can we learn from these

approaches? If we want to see

real change we need a focus

on prevention; a focus on a

national and local scale that

works with and for people. We

also need to see regulation to

improve the food environment,

accompanied with a positive and

engaging approach to promote

wholesome, healthy Scottish

produce, such as vegetables,

wholegrain and fish.

With 2 in every 3 adults being

overweight or obese, there

is a lot of work to do to

tackle the challenge we face.

Therefore, it is vital that the

Scottish Government uses the

forthcoming Diet and Obesity

strategy to set Scotland on

course to a healthy future.

Join us on social media

Twitter: https://twitter.com/

obesityactionsc

Facebook: https://www.facebook.

com/organsagainstobesity/

YouTube: https://www.

youtube.com/channel/

UCXjSmrdoEQHIq7VNRP5h1Dg ■

KEEP INFORMED WITH OUR MONTHLY NEWSLETTER Every month we compile

an e-newsletter with policy

developments in the area of

obesity and updates on what we

have been doing to tackle the

issue of obesity across Scotland.

Sign up to keep abreast of the latest

developments around obesity

as well as our own research and

resources. You can subscribe from

the homepage of our website:

www.obesityactionscotland.org ■

OBESITY BRIEFINGS We have published a number

of briefings on the subject of

obesity to provide researchers,

politicians and the public

detailed information on the

effects of obesity and the

actions which are required

in order to tackle the obesity

crisis in Scotland.

You can access

our full range of

briefings at: http://

obesityactionscotland.

org/our-publications/

briefings ■

www.rcpsg.ac.ukCollege News AUTUMN 2017 12

IN FOCUS

THE THIRD BIGGEST KILLER College President David Galloway says we do not need to wait for some remarkable

breakthrough to deal with one of the world’s leading causes of death – medical error.

During the late 1980s, Professor

Lucian Leape was conducting

a study in the use of cardiac

procedures which revealed

the extent of preventable

harm to patients. The work

led him to further investigate

errors in medical care and the

subsequent publication in JAMA

in 1994 of a seminal work on

“Error in Medicine”.

In his paper, Leape estimated that

the number of deaths caused, at

least partly, by iatrogenic injury in

the US every year was equivalent

to three jumbo jet crashes every

two days. And iatrogenic injury

was just one cause of death due

to unintended errors in medical

practice. Other types of medical

error leading to negative patient

outcomes include inappropriate

use of drugs, missed diagnoses,

and operational delays, among

others.

Is some level of medical error

inevitable? In Leape’s 1994

study, he calculated that, despite

the seemingly high incidence

of medical error, hospital

personnel were in fact operating

at 99% proficiency. Due to the

high volume of patients and

procedures being completed by

each professional in the hospital,

a 1% failure rate has a significant

negative outcome – often the

loss of someone’s life. Is this

an acceptable level of failure?

And who is to blame? Is it the

individual, or is the system and

culture in which they work?

Most healthcare professionals

accept that mistakes are

inevitable. It is how we learn

from these mistakes and put in

place systems to prevent them

from happening again that will

help to reduce the risk. Dealing

with the issue at the individual

level is not enough and can lead

to a culture of ‘cover up’ and

intellectual dishonesty.

Leape observed, “One of the

most frustrating aspects of

patient safety is the apparent

inability of healthcare systems to

learn from their mistakes. Tragic

errors recur in new places over

and over again. The solution to

this problem is to investigate our

errors and share lessons learned

through a reporting system.”

A 2017 survey by the Institute

for Healthcare Improvement,

NPSF Lucian Leape Institute,

and NORC at the University

of Chicago, found that 21%

of adults in the US reported

having personally experienced

a medical error. When errors

did occur, they often had a

lasting impact on the patient’s

physical health, emotional

health, financial wellbeing, or

family relationships. The survey

found that ambulatory settings

were a frequent site of medical

errors and that errors related to

diagnosis and patient-provider

communications were the most

commonly reported.

A report, published in the BMJ

in 2016 by Martin Makary and

Michael Daniel provided further

information on the incidence

of medical error. Compared

to other causes of death listed

by the Centers for Disease

Control and Prevention (CDC),

they found medical error to be

the third leading cause of the

death in the US. This figure is

typically unreported and broadly

unrecognised by most healthcare

professionals and their patients.

Why is this?

Currently, in the US, UK and many

other countries, the International

Classification of Disease (ICD) code

is used by clinicians to certify a

cause of death. Such misadventure

caused by human and system

failures such as communication

breakdown, diagnostic errors, poor

judgement, and technical error, do

not appear on the list – and when

they occur, they go unreported on

the death certificate.

In a further analysis in 2017, Makary

and Daniel focused specifically on

fatal medical errors. In their paper,

they usefully defined medical

error as, “an unintended act (either

of omission or commission) or

one that does not achieve its

intended outcome, the failure of

a planned action to be completed

as intended (an error of execution),

the use of a wrong plan to achieve

an aim (an error of planning), or a

deviation from the process of care

that may or may not cause harm to

the patient.”

They looked at a number of

studies carried out since 1999

that investigated the incidence

of fatal medical error and

extrapolated the data to gain

insight into the number of deaths

Medical error

Cancer

Heart disease

www.rcpsg.ac.uk College News AUTUMN 2017 13

IN FOCUS

that were a consequence of poor

inpatient care. They calculated

an average rate of more than

250,000 deaths from medical

error every year and believed this

to be an underestimate of the

scale of the issue as the study

excluded deaths in other settings

such as those that occurred

in care homes or ambulatory

surgical centres. The studies

considered were based on errors

recorded in patient records, so it

is likely that not all the relevant

events have been captured.

In the UK, it is estimated that

there are some 200 avoidable

deaths in our hospitals every

week, in addition to the

numerous episodes of harm that

result from medical error. At least

twice a week there are events

under the banner of healthcare

which ought never to take place.

Wrong side, wrong site and even

wrong patient surgery has been

recorded. Incorrect judgement

calls, inaccurate diagnoses,

aberrant decision making and

errors resulting from inadequate

knowledge, miscommunication

and lack of basic care. To err

is human for sure. However,

the pattern of failure, often

engendered by systems

which have not adopted the

necessary cultural change leads

to the inability to prevent the

preventable. Why this appears

to be considered as inevitable in

healthcare is both perverse and

curious.

Makary and Daniel make the

point, “Human error is inevitable.

Although we cannot eliminate

human error, we can better

measure the problem to

design safer systems mitigating

its frequency, visibility, and

consequences.”

They called for three steps to

reduce death from medical care:

• Making errors more visible

when they occur so their

effects can be intercepted

• Having remedies at hand to

rescue patients

• Making errors less frequent by

following principles that take

human limitations into account

They say, “Standardised data

collection and reporting

processes are needed to build

up an accurate national picture

of the problem. Measuring

the consequences of medical

care on patient outcomes is

an important prerequisite to

creating a culture of learning

from our mistakes.”

We need to develop and use

opportunities to properly

investigate areas of concern in

clinical practice and, importantly,

find ways of sharing the lessons

to be learned. There are many

ways to do this:

- Through managed clinical

networks where systems with less

good results can be flagged and

appropriate enquiry established

- The use of structured mortality

and morbidity reviews

- A system for highlighting best

practice and a national framework

to encourage this form of learning

(due for launch very soon)

- A Scottish guide to the

operation of a national mortality

and morbidity system has already

been published

- Checklists, provided they are

properly used by trained and

dedicated teams

- A culture that proactively seeks

the safest possible system of care.

When shortcuts are used,

standards slip and patients suffer.

It is high time we became alert to

the fact that if medical error was

considered as disease, it would

represent the third biggest killer

after cancer and heart disease.

We do not need to wait for some

remarkable breakthrough to deal

with this. It can be addressed

right now.

Safety is everybody’s business.

Presidentsblog.rcpsg.ac.uk

Further reading

Makary MA and Daniel M

(2016). Medical error – the

third leading cause of death in

the US. BMJ 2016; 353

(http://www.bmj.com/

content/353/bmj.i2139)

Leape LL (1994). Error in

Medicine. JAMA 1994; 272

(23) (https://jamanetwork.

com/journals/jama/article-

abstract/384554)

http://www.ihi.org/about/news/

Documents/IHIPressRelease_

Patient_Safety_Survey_

Sept28_17.pdf (accessed 17

October 2017)

Prevention through Learning:

http://www.scottishacademy.

org.uk/prevention-through-

learning.php

To Err is Human: Building a safer

health system https://www.ncbi.

nlm.nih.gov/pubmed/25077248 ■

The impact of complications

and errors on surgeons

Kevin Turner (consultant

urologist in Bournemouth) and

colleagues at Bournemouth

University are currently

conducting the first large scale

national study in the UK that

will provide a detailed national

picture of the challenges,

responses, and resilience

surgeons have when dealing

with adverse events. All

surgeons practicing in the UK

are invited to participate in

this national survey which will

help to paint a picture of the

impact of both complications

and errors on the professional

and personal lives of surgeons,

and will potentially enable

targeted support to benefit the

profession.

Find out more and complete

the survey online at

www.surgeonwellbeing.co.uk

www.rcpsg.ac.ukCollege News AUTUMN 2017 14

ON THE FRONT LINE

What is the Scottish Clinical Leadership

Fellow Scheme?

The scheme was started in 2014 as a

collaboration between various bodies

including NHS Education Scotland and

the Scottish Government. It provides

fellowships for trainees to take some time

out of their training to get experience in

other organisations and to learn real life

management skills that you don’t really

have time to get a focus on during your

clinical day job.

What made you apply to take part?

It was very unlike me! I felt that I was

at a point in my training, when I’d just

gone though my membership exams and

was just approaching the last couple

of years of my training in preparation

for becoming a consultant, when it was

time for me to try to develop some other

skills. I like things to be organised, and

it frustrates me when I see systems that

don’t work well, or when I don’t really

understand where they come from, so

doing this seemed to be a way in which I

could combine my skills and interests and

develop my career in that direction.

What’s your medical background, where

did you qualify and where did you work

before taking on the SCLF role?

I got my medical degree between St

Andrews and Glasgow Universities. I did

three years at St Andrews, then spent the

rest of my time at Glasgow, graduating

in 2010. I did my foundation training in

Glasgow and Ayrshire, and I’m now an

obstetrics and gynaecology trainee in the

West of Scotland.

Could you explain what your focus will be

over the next year, and what you hope to

achieve?

I’ll be working on a project around

consent. Consent is about everything

that we do, it’s about real collaboration

with our patients. The catalysts for this

were the Chief Medical Officer’s vision

for realistic medicine, and also the

mounting legal cases over the last few

years in this area. Although things are

slowly changing, it’s not something that

we get training on particularly well, so

what I’m aiming to do is to produce an

educational package for medical students

in Scotland to help instil those values

and skills at an early stage. I strongly feel

that if you can empower patients to take

involvement in their own care, whether

that’s though decision making or through

education, so that they can have that

conversation with you, then you get

happier, more involved patients.

What are the biggest challenges you face

in work?

For me, personally, the biggest challenge

will be the self-management. I’ve never

had a role like this where I’m leading on

a project and I’m my own boss, which is

very different from my normal day job.

What do you think are the biggest

healthcare challenges in Scotland, and

what can be done to deal with these

challenges?

Linking into the issues of consent, I think

that health literacy is a big challenge. In

order for us to have these conversations

with patients we have to be speaking the

same language and I think that even when

we think that we’ve got rid of the medical

jargon we often haven’t. I read recently

that the average reading age is nine years

old, but I’ve seen official documents

which are still full of technical terms. A

lot of patients just nod along with you

because they just want to please you. I’d

rather know that they didn’t understand

so that I can re-explain in a better way.

Health literacy also goes hand in hand

with heath inequalities, because the

people with the biggest health problems

are also likely to be those with the

poorest literacy. These twin challenges

span across all medicine.

How long have you been a member of the

College, and what does being a member

mean to you?

I’m not a member of the College! I am a

member of the Royal College of Obstetrics

and Gynaecology. But I’m certainly very

proud to be a member of the family of

the college now, and working here has

certainly changed my view of what the

Colleges do for the better. ■

ON THE FRONT LINE WITH SCOTTISH CLINICAL LEADERSHIP FELLOW CATRIONA BARLOW

“I strongly feel that if you can empower patients to take involvement in their own care, whether that’s though decision making or through education, so that they can have that conversation with you, then you get happier, more involved patients.”

www.rcpsg.ac.uk College News AUTUMN 2017 15

TALKING POINT

Junior doctors …. Or not? Chair of the Trainees Committee, Arianne Laws on the recent debate around “junior doctors”

terminology.

In October, an article in The

Times reignited the debate

regarding the terminology

we use to describe doctors

in training. A campaign led

by academics from Oxford

University aims to stop the use

of the title ‘junior doctor’ as

they feel it is demeaning, and

they have gained the support

of the Chief Medical Officer for

England, Dame Sally Davies.

This isn’t the first time this

debate has taken place – it has

intermittently arisen in various

trainee groups of which I am a

member, and it tends to peter

out as no-one can come up with

a better alternative. I also think

this current iteration conflates

two arguments: firstly that we

need a better collective name for

doctors in training, and secondly

that the current grading system is

complex and poorly understood

by the public (FY, CT, GPST, ST).

The article suggests a return

to House Officer, Senior

House Officer, Registrar and

Senior Registrar, which I think

misunderstands the question.

Those are titles for specific grades

of doctors in training, rather than

a collective term to encompass

all. It’s also in direct opposition

to the #SayNoToSHO campaign

from the GMC which aims to

clarify how we refer to those who

occupy the middle grades on our

rotas. On that matter, my feeling

is that SHO is useful because it’s

far easier than starting a nightshift

and asking “who is the FY2, core

medical trainee, ACCS trainee,

GP trainee or other middle grade

on tonight?”. Artificially imposing

changes in language doesn’t work

(ask the Académie Française)

when there isn’t an easy, viable

alternative. And to say that

patients don’t understand what an

SHO is (Senior to whom? Which

house? Officer – are you in the

military?!) implies they understand

the newer terms any better. If

I need to clarify my grade or

seniority to a patient, I don’t

explain that I’m an ST6 specialty

registrar, I say I’m the registrar

and I’ve got a year and a bit to go

before I qualify as a consultant.

It’s also important to clarify why

we’re making a change. If it’s to

improve junior doctor morale,

as the proposers suggest, then

I think it misunderstands the

roots of the current crisis in

junior doctor recruitment and

retention. If there was a strongly

held belief by the majority of

junior doctors that they’d rather

be called something else and

they knew what they wanted to

be called, then that would be fine

and I certainly wouldn’t oppose

it, but that’s not my impression

of the situation. And if we’re

aiming to make things clear for

patients and the public, then I

don’t think reinstating an older,

more complex naming structure

is the solution.

The argument for ‘Junior

Doctors’

I would suggest that ‘junior

doctor’ is a useful collective

term to use as shorthand

when referring to all doctors

in training; it fits neatly into

headlines and official documents

and, to me, it clearly means

qualified doctors who aren’t yet

consultants or SAS doctors.

I am proud to consider myself

as a junior doctor; though

I finished medical school in

2008 and have nine years of

experience to my name, I’m

not one of those who find it

belittling or demeaning. I like

the sense of belonging to a

group and all the positive things

that being a member of that

group encompasses for me:

exactly the things which made

it such a strong brand to unite

behind during the junior doctors

contract disputes and kept

public support in difficult times.

Others say that it’s not useful

as a term as it encompasses

everyone in training, from the

brand new FY1 to the person

who has been out of university

almost twice as long as they

were at medical school and

is soon to be a consultant.

But often we do need to write

about all those people at once,

and it seems as good a term

as any. The only other phrase

that makes sense to me, is one

I’ve used at time through this

article: doctors in training. It

implies a qualified doctor who

is still in a training programme,

but it is a little clunkier than

junior doctor.

Just a couple of thoughts to

end on:

1. Is asking to rebrand ‘junior

doctors’ really the right

solution to improving the

morale of doctors in training,

or is this just a distraction

from bigger issues for junior

doctors and the wider NHS?

2. Is it important that patients

and the public understand

all the terms we use to

refer to our grading system

internally? Is that something

which is important to them?

And how well do they

understand it at present? ■

Visualising Medical Heritage

HG_EVENTS_Nov-Dec17-CN-Ad (10/17)

All our events take place at the Royal College of Physicians and Surgeons of Glasgow, 232-242 St Vincent Street, Glasgow, G2 5RJ

HOW TO BOOK E: [email protected] | T: 0141 221 6072

Medical Heritage Events GLASGOW HISTORY OF MEDICINE SEMINAR Witnessing recent medical history 07/11/2017 | Lecture 5:30pm Tea/coffee 5pm | Adults

ARTIST IN RESIDENCE Artist in Residence workshop 20/11/2017 | 6pm | Adults

VISUALISING MEDICAL HERITAGE LAB Historical Fiction 25/11/2017 | 10am-4pm | Adults

A HISTORY OF HERBAL REMEDIES 29/11/2017 | 6:30pm | Adults

GLASGOW HISTORY OF MEDICINE SEMINAR Epidemics: Hate and Compassion from the Plague of Athens to AIDS: Towards a Conclusion 05/12/2017 | Lecture 5:30pm Tea/coffee 5pm | Adults

EXPLORING GLASGOW’S CRIMINAL- MEDICAL HISTORIES C1850 – 1920 07/12/2017 | 12-5pm | Adults

ARTIST IN RESIDENCE Artist in Residence showcase event 11/12/2017 | 6pm | Adults

Image: X-ray tube from the world’s first x-ray department for patients at Glasgow Royal Infirmary. The department was founded by John Macintyre, Fellow of our College.

HG_EVENTS_Nov-Dec17-CN-Ad.indd 1 18/10/2017 10:58

WHAT’S ON

www.rcpsg.ac.uk College News AUTUMN 2017 17

13-14 November, 0800-1800

IMPACT IMPACT introduces the principles and

practice of acute medical care, and the

related knowledge, skills, understanding and

attitudes. For CT1 level and above.

Member fee: £472 | Lunch provided | Book online

15 November, 0900-1700 Palliative Care Conference This one day conference will offer practical

advice about looking after patients with

complex mental health needs at the end of

life, through a series of mini-lectures and

interactive case based presentations.

Member fee: £75 | Lunch provided | Book online

17 November, 0900-1700 Respiratory Conference 2017 Please see details below.

21 November, 0900-1700 FICE (Focused Intensive Care Echocardiography) Course This course will cover ultrasound machine

demonstration, image acquisition and

optimisation, basic echo views and sonoanatomy,

common pathologies, and interesting cases.

Member Fee: £175 | Lunch provided | Book online

2 February, 0900-1700 Changing Face of Cancer: What the general physician needs to know Cancer survival rates are increasing and even

patients who are not cured are living significantly

longer - this means general physicians

and general practitioners are more likely to

encounter cancer patients in their clinics.

Member Fee: £75 | Lunch provided | Book online

2 March, 0900-1700 Neurology – a Practical Guide Please see details below.

9 March, 0900-1700 Interactive Cardiology Symposium The fifth annual collaboration between the Royal

College of Physicians and Surgeons of Glasgow

and the British Cardiovascular Society.

Member Fee: £75 | Lunch provided | Book online

Physicians

Exam closing dates

27 November | MRCP(UK) PACES Assessment period 20 January – 8 April,

various locations.

Applications open on 13 November

19 January | MRCP(UK) Part 2 Exam to be held on 27 March, Glasgow and

Belfast

Applications open on 25 September

16 February | MRCP(UK) Part 1 Exam to be held on 8 May, Glasgow, Belfast,

Leeds and Liverpool

Applications open on 5 February

31 January | MRCP(UK) Specialty Certificate in Geriatric Medicine Exam to be held on 28 February, various

locations

Applications open on 8 November

31 January | MRCP(UK) Specialty Certificate in Nephrology Exam to be held on 28 February, various

locations

Applications open on 8 November

21 March | MRCP(UK) Specialty Certificate in Gastroenterology Exam to be held on 18 April, various

locations

Applications open on 27 December

11 April | MRCP(UK) Specialty Certificate in Neurology Exam to be held on 9 May, various locations

Applications open on 17 January

9 May | MRCP(UK) Specialty Certificate in Endocrinology and Diabetes Exam to be held on 6 June, various locations

Applications open on 14 February

All events are held in the College unless otherwise stated. Event schedule and content may be subject to change. All of our events can be booked online (unless otherwise indicated) at http://rcp.sg/events. All exam enquiries are welcome through our general mailbox [email protected].

RESPIRATORY CONFERENCE 2017

17 November, 0900-1700

Respiratory 2017 will cover a broad range of

updates in common respiratory conditions,

seen in both primary and secondary care.

Member fee: £75 | Lunch provided | Book online

NEUROLOGY – A PRACTICAL GUIDE

2 March, 0900-1700

The day will consist of a day of talks, videos

and interactive discussion delivered by a team

of expert speakers.

Member Fee: £75 | Lunch provided | Book online

BREAST CANCER CONFERENCE 2017: DCIS IN THE ERA OF PRECISION MEDICINE

22 November, 0900-1700

This event will look at current issues and

controversies in the definition, diagnosis and

treatment of DCIS. Suitable for the whole

breast multidisciplinary team.

Member fee: £75 | Lunch Provided | Book online

WHAT’S ON

www.rcpsg.ac.ukCollege News AUTUMN 2017 18

13 November, 0900-1700 Principles of Casting for Orthopaedic Trainees A one day course covering upper and lower

body casting techniques.

Member fee: £20 | Lunch Provided | Book online

16 November, 0900-1700 Basic Surgical Skills Course The course aims to teach safe operating

techniques and stresses the importance of

precautions for safe theatre practice.

Member fee: £505 | Lunch Provided | Book online

16 November, 0900-1700 Basic Surgery Cadaver Skills (BaSiCS) Course The course is aimed at CT1 / ST2 level and will

cover areas of the ISCP curriculum required for

entry to ST3. Candidates should have previously

undertaken a Basic Surgical Skills course.

Member fee: £550 | Lunch Provided | Book online

22 November, 0900-1700 Breast Cancer Conference 2017: DCIS in the Era of Precision Medicine Please see details below.

30 November – 1 December, 0900-1700 Safety and Sustainability in Rural Surgery Please see details below.

13 December, 0900-1700 Advanced Surgery Cadaver Skills (ASiCS) in GI Surgery This course leads each trainee into the background

principles of each operation using short lectures

on operative technique that are then reinforced by

hands on cadaveric experience in small groups.

Member fee: £625 | Lunch Provided | Book online

31 October-1 November, 0830-1700 MFDS part 2 preparation course Suitable for those intending to sit either the

MFDS Part 2 exam our two-day revision course

includes both interactive lectures as well as

practical sessions to prepare you for your OSCE.

Member fee: £425 | Lunch provided | Book online

19 January 0900-1700 Scottish Orthodontic Symposium An opportunity for the whole Orthodontic team

to get together for a one day update on areas

of fundamental importance to the delivery of

contemporary orthodontics.

Member fee: £75 | Lunch provided | Book online

1 June 0900-1700 TC White Symposium: Complex patients, complex care – dental care under GA and sedation This conference will address dental care under

general anaesthetic and sedation, complex

patients, and expectations.

Member fee: £75 | Lunch provided | Book online

Surgeons

Exam closing dates

27 October | MRCS Part A Exam to be held on 9 January, various locations UK & international Applications open

24 November | MRCS Part B OSCE Exam to be held on 15-16 February, Glasgow Applications open

4 December | FRCS Ophthalmology Part 1 Exam to be held on 6 March, various locations UK & international Applications open

4 December | FRCS Ophthalmology Part 2 Exam to be held on 6 March, various locations UK & international Applications open

14 March | FRCS Ophthalmology Part 3 Exam to be held on 18-19 June, Glasgow Applications open on 12 March

13 June | FRCS Ophthalmology Part 3 Exams to be held 22-25 September (New Delhi), 11-16 November (Amman), 17-20 November (Muscat) Applications open on 11 June

3 November | DOHNS Part 1 Exams to be held on 8 January, Glasgow Applications open

15 December | DOHNS Part 2 Exams to be held on 20-22 February, Dublin Applications open

SAFETY AND SUSTAINABILITY IN RURAL SURGERY

30 November – 1 December, 0900-1700

This conference will bring together many of

Scotland’s current surgical trainees with a

long-established network of remote and rural

surgeons, the Viking Surgeons’ Club.

Member fee: £150 | Lunch Provided | Book online

MOUTH CANCER CONFERENCE

3 November, 0900-1700

This conference brings together a wide range

of experts involved in the management of

patients with mouth cancer, providing a

timely update on what signs to look for, how

the patient is assessed and investigated and

an update on the various ways in which the

condition is treated.

Member fee: £75 | Lunch provided | Book online

MAKING THE MOST OF MEDICINES: BUILDING CONFIDENCE IN PRESCRIBING AND POMS

23 November, 0900-1700

This conference will provide an opportunity

for podiatrists to contextualise their use of

medicines within the legislative frameworks

and clinical governance, and improve their

confidence in practice.

Member Fee: £75 | Lunch provided | Book online

Dentistry

3 November | MFDS Part 2 Exam to be held on 26-28 January, Chennai Applications open

1 December | MFDS Part 2 Exam to be held on 2-3 March, Manchester

Applications open

5 January | MFDS Part 2 Exam to be held on 23-25 March, Hong Kong Applications open

WHAT’S ON

College News AUTUMN 2017 19www.rcpsg.ac.uk

19 January | MFDS Part 1 Exam to be held on 9 April, various locations UK & international Applications open

22 February | Special Care Dentistry Exam to be held on 14-15 June, Glasgow Applications open

17 November | ISFE Oral Medicine Exam to be held on 8-9 March, Edinburgh Applications open

27 November | ISFE in Orthodontics Exam to be held on 19-20 March, Glasgow Applications open

3 January | ISFE in Paediatric Dentistry Exam to be held on 23-24 April, Glasgow Applications open

5 January | ISFE in Restorative Dentistry Exam to be held on 16-17 April, London Applications open

5 January | ISFE in Dental Public Health Exam to be held on 26-27 April, Dublin Applications open

19 January | ISFE in Oral Surgery Exam to be held on 10-11 May, Edinburgh

Applications open

GOING WITH THE FLOW: IMPROVING VASCULAR FOOT OUTCOMES

23 February, 0900-1700

This conference covers best practice models

in podiatry and different approaches to

vascular assessment.

Member Fee: £75 | Lunch provided | Book online

ROYAL COLLEGE ADVANCED CERTIFICATE IN CLINICAL EDUCATION

4-5 December (Glasgow) and

20-21 March (Leeds)

A comprehensive two-day microteaching

course for postgraduates and consultants

involved in teaching at an advanced level.

Member fee: £1058 |Lunch provided | Book online

CCRISP – CARE OF THE CRITICALLY ILL SURGICAL PATIENT

4-5 December, 0800-1700

Expert faculty will help you develop practical,

theoretical and personal skills so that you

can assess and manage critical situations in a

systematic way.

Fee: £675 | Lunch provided | Book online

Travel Medicine

Foundation in Travel Medicine Course begins 13 November (Glasgow), 21

March (London)

Royal College Membership Diploma in Travel Medicine Next intake begins May 2018

Exam closing dates Next exam dates for MFTM parts 1 and 2 to be confirmed.

Podiatric Medicine

Events for all

30 October, 0900-1700 Beginning your career in podiatric medicine - Glasgow An introduction to the Faculty of Podiatric

Medicine, including presentations in sports

medicine, MSK, podiatric surgery, diabetes and

career development.

Member Fee: £5 | Lunch provided | Book online

27 June, 0900-1700 The art of the possible: Local Anaesthesia in Podiatry This course aims to provide podiatrists

with theoretical underpinning and practical

exposure to fully utilise local anaesthetics

in practice, and is suitable for all podiatrists,

particularly those who wish to fully utilise the

scope of local anaesthetics in Podiatry.

Member Fee: £150 | Lunch provided | Book online

Exam closing dates 15 December | MFPM Part 1 Exam to be held on 7 March, Glasgow, London, Chennai Applications open

Next exam dates for MFPM part 2 to be

confirmed.

2 November, 1300-1700 Clinical Trainer Development Course This course will provide you with learning and

teaching skills, communication, coaching and

dealing with difficult students.

Member fee: £40 | Book online

9 November, 1830-2100 West of Scotland Critical Care Teaching This evening tutorial series, run in

association with the West of Scotland

Intensive Care Society, follows the

Fellowship of the Faculty of Intensive Care

curriculum offering themed nights covering

all the major areas of Intensive Care

Medicine.

Member fee: Free | Book online

11 January, 1300-1630 Doctors in difficulty This half day course aimed at senior

clinicians, responsible officers, clinical

directors, medical directors and clinical

leads, focuses on managing doctors in

difficulty and difficult doctors.

Member fee: £75 | Book online

eLearning New modules available in Global Health Stroke Bother with Bugs

For full details, please visit your relevant

faculty page on our website, or get in touch

with us: [email protected]

www.rcpsg.ac.ukCollege News AUTUMN 2017 20

PHYSICIANS

NEW MEMBERS Welcome to all physicians admitted to the College during May – August 2017.

Fellow qua Physician - FRCP(Glasg)

Sonya Maria Abraham

Iftikhar Ahmed

Sarra Ahmed

Kadhim Alabady

Mathavan Alagarsamy

Haydar Al-Ateye

Liaqat Ali

Wasim Amer

Tahir Anwar

Arthur Joseph Asirvatham

Md Bashar

Padmabushan Boovalingam

Ki Wan kelvin Chan

Yui Chang

Ka Cheung

Chun-Hoi Chung

Sandip Dash

Rafi Din

Oyewole Durojaiye

Mwaffhq El-Heis

Elzubier Elzubier

Ravi Gadahadh

Anish Kadambot Mohiyadeen

Muhammad Khan

Mohammad Khan

Mehrunnissa Khanoum

Zaw Khin

King Herald Kisku

Cheung Chi Simon Lam

Ming Kai Lee

Guo Ling

Mei Sze Lui

Hon Ming Ma

Waqar Malik

Mukesh Mehra

Partha Nandi

Ayalur Narayanaswamy

Abdul Khaliq Naveed

Choon Ng

Thin Nwe

Mohammed Ameen Patel

Mukundkumar Patel

Ka Poon

Paranthaman Poongavanam

Shyam Raja Mohan

Rajan Rajesh

Ramadas Ramkumar

Hammad Raza

Ranjit Roy

Mohsin Saif

Arshad Shah

Taj Muhammad Shaikh

Anshu Sharma

Hoi Ping Shum

Imran Siddiqui

Sarwar Siddiqui

Brijendra Srivastava

Boopathi Subramaniam

Jemy Thomas

Noble Thomas

Mangesh Tiwaskar

Anil Kumar Tripathi

Seshadri Varadarajan

Thangayyan Venkatrakrishnan

Mark James Stewart Weir

Rao Yasin Khan

Wee Song Yeo

Vijay Zawar

Member of the College -

MRCPS(Glasg)

Muhammad Junaid Alamgir

Asma Asghar

Alana Grace Brown-Kerr

Ahmed Adel Anwar Gad

Shaheen

Faiz Gadalmolla

Arshad Hayat

Aamir Ijaz

Shadman Irshad

Sujil Jacob

Umair Jilani

Ashish Kumar

Olha Malysheva

Kirsten Mitchell

Thin Ohn

Aiyegbusi Oshorenia

Mohammed Osman

Ahmed Pasha

Himanshu Patil

Shawn Pillay

Deepthi Ravi

Colin David Maxwell Stewart

Myat Thura

Mark White

Athesham Zafar

FEES FROZEN FOR FIFTH CONSECUTIVE YEAR 2018 fees for all parts of the MRCP(UK)

diploma and Joint Royal Colleges of

Physicians Training Board (JRCPTB) have

been frozen for the fifth consecutive year.

The decision not to increase fees has been

led by the continued commitment by

the Royal Colleges to keep examination

and training costs as low as possible for

thousands of candidates and trainee

physicians while maintaining investment

to develop world renowned curricula and

examinations. ■

UK SHAPE OF TRAINING REPORT The Joint Royal Colleges of Physicians Training

Board (JRCTPB) has welcomed the recently

published Shape of Training report and

committed to continue working together with

the GMC, specialist advisory committees and

doctors in training across the UK to develop

curricula that equip tomorrow’s physicians with

relevant training, skills and attributes needed to

deliver high quality care for patients.

The purpose of the Shape of Training review

was to ensure that doctors receive high

quality education and training that supports

high quality patient care and improved

outcomes. The resulting report makes a set of

recommendations to help doctors continue to

meet patient and service demands now and in

the future. ■

CENSUS OF UK CONSULTANT PHYSICIANS UK consultant physicians are invited to take

five minutes to complete the annual census

produced by the three medical Royal Colleges.

In addition to collecting regular data on your

job plans and working patterns, this year we’re

asking for feedback on current issues including:

• 7 day working

• Acting down

• Rota gaps

By completing the census you’re contributing

not just your own data, but to the wider view

of how consultants currently work in the UK.

Please look out for your personalised email from

the President which will allow you to access

the form. On completion, you will be able to

compare your data with the overall results.

The census will close on Thursday 30

November 2017.

As an incentive to enter, we’ll be giving

away a number of tablet devices in a

random draw of those who have completed

the census by this date. ■

www.rcpsg.ac.uk College News AUTUMN 2017 21

CHANGES TO MRCP(UK) PART 2 WRITTEN EXAM The Part 2 written examination will move to a

single day format from the beginning of 2018.

The new examination will consist to two, three

hour papers each with 100 questions.

This change, which has been approved by the

GMC, will bring benefits to trainees and the

health service, reducing the cost and time of

releasing candidates to sit the examination.

Dr Chris Wilkinson, trainee representative on the

academic quality management and research

committee, said, “I am pleased the examination

burden to trainees is being reduced without any

reduction in the quality of the exam.”

Professor Andrew Elder, Medical Director of

MRCP(UK) said, “We are pleased the GMC

approved our proposal to reduce the duration

of this important examination from two days to

one day and believe this will be supportive to

and welcomed by trainees and employers.”

The exam will be held on 27 March,

27 June and 24 October 2018. ■

PHYSICIANS

Get involved The contribution of our Fellows and Members to supporting the next generation of physicians as they progress to Specialty Training is critically important, both to our success as a College and to ensuring junior doctors have a positive experience.

How to apply? rcp.sg/PACESexaminer If you have any further questions please contact:

[email protected]

Become an Examiner for MRCP(UK) PACES

Examining is a great way to keep up-to date, catch up with old colleagues, help junior doctors further their careers and optimise your own clinical training/supervision skills.“ ”

I feel it is important as a practising clinician to contribute to the quality assurance and standards of this global examination by being an examiner.“ ”

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Closing date 8 December

2017

COLLEGE PALLIATIVE CARE LEAD The College is privileged to support the

William and Elizabeth Davies Foundation’s

objectives by embarking on the development

and design of a range of palliative care

online learning - endeavouring to provide an

accessible free learning resource to meet an

international need for support in this area.

The Foundation has a particular mission

to support advances in education, training

and research specifically connected to the

causes, diagnosis, treatment and care of

cancer and malignant disease, with special

concern for related issues affecting patients,

families and others - with specific interest in

palliative care.

We are currently recruiting a College

Palliative Care Lead to take this work

forward. Main responsibilities include:

• To direct the College’s provision of free

educational palliative care eLearning for

the College’s eLearning platform, My

College Online

• To assist in the identification of suitable

faculty to develop and deliver palliative

care education both in the UK and

internationally

• Attend, when required, meeting with

the College’s Education, Training and

Professional Development Boards

and meetings with the trustees of the

William and Elizabeth Davies Charitable

Foundation

• Other activities related to the

development of a comprehensive suite

of free education in palliative care

This role would include automatic

registration as a Principal College

Educator with our Academy of Clinical

Educators (ACE).

We are grateful for the generous funding

and support provided by the William and

Elizabeth Davies Charitable Foundation

which makes our development of

eLearning and educational material

possible.

Interested candidates should contact:

Ashleigh McCulloch, Deputy Head of

Education, Training and Professional

Development

Email: [email protected]

Tel: 0141 227 3236 ■

www.rcpsg.ac.ukCollege News AUTUMN 2017 22

NEW MEMBERS Welcome to all surgeons admitted to the College during May – August 2017.

Fellow qua Surgeon -

FRCS(Glasg)

Hayder Saleh Abdul Hadi

Yakout Alaraji

Layth Raoof Ahmed Al-Haddad

Kumar Ashok

M Hammad Ather

Jeffrey Cadeddu

Karthik Gunasekaran

Ali Haneef

Narendra Hulikal

Tholath Ittyerah Peter

Prema Kannan

George Kuruvilla

Farhan Ahmed Majeed

Gulshan Ali Memon

Manoj Monga

Stephen Nakada

James John Powell

Panchangham Ramakanth

Bhargav

Firdos Rehana

Ekta Rishi

Mughis Ahmed Saeed

Gyan Saurabh

Syed Shah

Ghouse Ejaz Ahmed Sheriff

Sudhir Shinde

Hariprasad Ramachandra Naidu

Taluru

Sampath Thirunavukkarasu

Shabir Ahmad

Hassan Al Thani

Ammar Al-Hassani

Rajkumar Amaravati

Manoj Andley

Jamshid Darabnia

Safiullina Guzaliya

Kabali Murthy Jayavelu

Vijay Kumar

Lawrence Pui Leung Lu

Dr.Sujatha Mohan

Andras Predl

Robin Alphonzo Roberts

Shahadot Hossain Sheikh

Sze Li Siow

Raju Thomas

Baldwin Po Man Yeung

Fellow qua Surgeon in

Ophthalmology - FRCS(Glasg)

Mona Mohammed Abdel Hafeez

Ola Abdulrazak Alhasan

Ahmed Ibrahim Mahmoud

Alsherbeny

Mohamed Abdelzaher

Mohamed Awwad

Waleed Saad El-Dein

Abdelmonem Ebrahim El-

Gharbawy

Hazem Abdallah Mosad

Elnashar

Abeer Abdelwahab

Abdelhakeem Etman

Merley Elizabeth George

Mohammed Abd Elnabi Hatab

Yomna Magdy Abdulla

Mahmoud Ismail

Shafiulla N Khaji

Hina Khan

T Lokesh

Shimaa Saad Abdelhameed

Metawe

Gayatri Murugan

Mohamed Badie Elnor Ahmed

Omar

Sureka Shraddha Pawan

Shalika Bernadette Perera

Videkar Rituraj Prabhakar

Modi Rohit Ramesh

Mahmoud Mosaad Ahmed

Ahmed Rashed

Sameh Abdel Tawab Abou-

Abass Aid Sabahy

Amir Radwan Abdelghaffar

Sharafeldin

Devi Priya V

Fellow in Cardiothoracic

Surgery - FRCSGlasg(C-TH)

Serita Barnard

Binayak Chanda

Tariq Ijaz Minhas

Fellow in General Surgery -

FRCSGlasg(Gen Surg)

Colin Hewitt Richards

Iain Smith

Himanshu Wadhawan

Fellow in Otolaryngology -

FRCSGlasg(ORL-HNS)

Adam Ali Shakir

Fellow in Paediatric Surgery -

FRCSGlasg(Paed Surg)

Brian James MacCormack

Fellow in Trauma &

Orthopaedics - FRCSGlasg(Tr

& Orth)

Oliver Edward Bailey

Sameer Gupta

Mark Christopher Francis

Middleton

Fellow qua Surgeon in Urology

– FRCS(Urol)(Glasg)

Thi HA Htun

Boon Cheok Lee

Arumuga Kumar Rajendram

Rajeentheran Suntheralingam

Teck Boon Wong

Jamil Merican B Mohamed

Yacob

How Fee Yoong

Fellow in Urology -

FRCSGlasg(Urol)

Palaniappan Sundaram

Member qua Surgeon -

MRCS(Glasg)

Ahmad Al-Saleh

Carly Nichola Bisset

Gowtham Chowdary Kankanala

Jennifer Nash

Hwei Jene Ng

Anna Adamusiak

Falih Mohsen Ali

Jay Atkinson

Anas Younes Enbaia Belhasan

Anamay Bidwai

Nicholas Andrew Bradley

Mark Scott Johnstone

Ross Keir McMahon

Member of the College -

MRCPS(Glasg)

Mohammad Adeel

Muhammad Waqas Ayub

Atia Khartoon

Nabaz Nabaz

Muhammad Salman Shafique

Amur Mohammed Ali Al Khayyat

Maryam Barkat

Petros Christopoulos

Kamal Hussein Saleh El

Husseiny

Sameh Elmorsy Ahmed Elmorsy

Elsayed

Samreen Umer Khan

Arifa Manzoor

Dr Tehniyat

Member qua Surgeon in ENT -

MRCS(ENT)(Glasg)

Yanqing Lee

SURGEONS

ASSOCIATE DIRECTOR OF SURGICAL EXAMINATIONS We are delighted to welcome Mr Eng

Kwee Ong as the Associate Director of

Surgical Examinations. Eng is a consultant

urological surgeon with a subspecialist

interest in urinary stone disease. He did

his basic surgical training at the Mersey

Deanery followed by a Master of Science by

research into peri-operative nutrition at the

University of Liverpool. He completed his

urology training in Scotland and took up his

consultant post in North Devon and Royal

Devon and Exeter Hospitals in 2009.

Over the years, Eng has played an active

role in education and training, including as

inspector for surgical posts for the Scottish

Royal Colleges’ Board for Recognition

and examiner at University of Dundee.

He represents our College on the internal

assurance committee of the ICBSE and is

an examiner for the University of Exeter

Medical School, intercollegiate MRCS and

Fellowship of the European Board of Urology

examinations. ■

www.rcpsg.ac.uk College News AUTUMN 2017 23

SURGEONS

FRCS PART 3 We are pleased to announce the launch

of a new centre in Malta for our FRCS

Part 3 Ophthalmology oral and clinical

examinations. The examinations will

be held between 8-11 March 2018. Mr

Mario Vella, Chairman, Department

of Ophthalmology in the Mater Dei

Hospital will host the two days of

clinical examinations. ■

FRCS OPHTHALMOLOGY EXAMINERS We are 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, oral and clinical offered

in various centres around the world.

Examiners participate in activities

including question writing, standard

setting, and face-to-face examining,

some of which attracts CPD points. Full

training is provided.

NHS consultants of three years’ standing

are eligible to apply.

Informal enquiries can be emailed to

[email protected] and an application form

can be downloaded on our website at

www.rcpsg.ac.uk/college/vacancies ■

BULLYING AND UNDERMINING Less than full time (LTFT) training has

been an option for some time, but the

experiences of surgical trainees taking it

up have not been universally positive. A

survey by the Association of Surgeons in

Training (ASiT) and British Orthopaedic

Trainees Association (BOTA) identified

a number of issues including attitudes,

bulling and harassment, and access to

training opportunities.

The Joint Committee on Surgical

Training (JCST) set up a short life

working group with representatives

from ASiT, BOTA, the Confederation of

Postgraduate Schools of Surgery (CoPSS)

and the three UK Royal Colleges of

Surgeons to further examine the current

approach to LTFT training in surgery

and identify where improvements are

required.

The group identified 21

recommendations/commitments for

supporting and enabling LTFT surgeons

in training.

The full list of recommendations,

including methodology and commentary

can be viewed online at www.jcst.org ■

MRCS Part B OSCE

For more information please visit:

rcp.sg/MRCSPartB

Why sit MRCS Part B in Glasgow? Becoming a Member of the Royal College of Physicians and Surgeons of Glasgow provides a range of opportunities and resources to support your career progression through core and specialty training and beyond. Our annual Collegiate Membership fees are the lowest in the UK.

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www.rcpsg.ac.ukCollege News AUTUMN 2017 24

DENTISTRY

50 YEARS OF FELLOWSHIP The year 2017 marked 50 years since the

Dental Council, within the Royal College

of Physicians and Surgeons of Glasgow,

was set up. At our TC White Symposium

on 1 June 2017, we were also reminded

of other events that occurred that year,

such as it being 50 years since Mohammad

Ali was stripped of his world heavyweight

belt for refusing to fight in the Vietnam

War. Only one of the original members of

Dental Council, Professor Sir David Mason,

is still alive and, indeed, he was able to

join us later that day. We also celebrated

50 years since the Fellowship in Dental

Surgery was run from our College.

To mark the event, we organised a special

celebratory dinner of the many former

Deans or Convenors of Dental Council.

Those in attendance included:

Professor Sir David Mason (1977-1980)

Professor David McGowan (1989-1992)

Professor K Moos (1992-1995)

Dr Ian Watson (1995-1998)

Dr Bill Jenkins (2004-2007)

Professor Mike Lewis (2007-2010)

Dr Alyson Wray (2010-2013)

Professor Richard Welbury (2013-2016)

All recounted fond memories of their time

as Convenor/Dean of the Faculty and

recounted their greatest achievements

while in office.

Examples included, in 1980, Dental

Fellows being given full rights as Fellows

of the College, similar to Physician and

Surgical colleagues (Professor Sir David

Mason); development and promotion of

the Intercollegiate Specialty Fellowship

Examinations (Mr Alexander Cockburn);

foundation of the Joint Meeting of the Dental

Faculties (Professor David McGowan); the

internationalisation of our activities (Professor

K Moos); the introduction of Specialist

Lists (Dr Ian Watson); implementing the

MFDS (Mr Ray Reed); re-design of the ISFE

examinations and introduction of the new

bi-collegiate MFDS (Dr Bill Jenkins); TC White

awards programme development (Professor

Mike Lewis); securing Dental Update as

a membership benefit (Dr Alyson Wray);

extending dental exam opportunities in India

(Professor Richard Welbury).

The work of the Dental Faculty is heavily

dependent upon the goodwill and the time

that the Office Bearers can give to the

job. They are not paid for this and, with

the loss of merit awards in Scotland, the 9

plus one contract for new consultants and

discretionary points being awarded mainly

for local service provision, rather than for the

good of the wider NHS, it is clear that it isn’t

going to become any easier to encourage,

or expect, a large contribution from hospital

based Fellows. However, the Dental

Faculty has seen a year on year increase in

membership of approximately 10% and, as

such, we have encouraged more members in

general practice to get involved.

Our incoming Director of the Dental

Education and Professional Development

Board (DEPDB) Jimmy Boyle, has a

background in GDP, our representative on

the National Dental Advisory Committee

(NDAC), Donald McNicol, is a general dental

practitioner and, indeed, our Dental Update

editorial board member, Steve Bonsor, is both

an academic and ‘wet fingered’ practitioner.

Given the above professional climate, and

the many demands made upon them by

their employing authorities (both the NHS

and Universities), I would like to record my

gratitude to all those involved (especially the

Office Bearers) who continue to work for the

benefit of the Dental Faculty. We thank their

line managers for granting them that time

and for realising that such involvement brings

many links and transferable skills that can

benefit their own place of work.

Our current dental Office Bearers include

Andy Edward (Director of Exams), Jeremy

Bagg (Vice Dean), Andrew Forgie (interim

Director of DMSB), Helen Patterson

(Honorary Secretary and College Council

representative), Christine Goodall (Vice

Dean), Jimmy Boyle (Director of Education)

and, last but not least, Iain Buchanan , who

has recently demitted office as Director

of Education (DEPDB), who organised our

successful 50 year celebrations.

Over the course of the next two years, a

different Office Bearer will contribute to each

edition of College News, explaining in greater

detail their role with the Dental Faculty. We

hope these reports (and the musings of our

former Convenors and Deans above) will

be of interest to you . Who knows, it might

encourage some of you to put your name

forward and get involved with the College.

Graham Ogden, Vice President (Dental)

and Dean of the Faculty ■

Top (L-R): WMM Jenkins (2004 – 2007), DA McGowan (1989 – 1992), RR Welbury (2013 – 2016)

Bottom (L-R): KF Moos (1992 – 1995), IB Watson(1995 – 1998), GR Ogden (2016 to present),

APM Wray (2019 - 2013), DK Mason (1977 – 1980)

www.rcpsg.ac.uk College News AUTUMN 2017 25

DENTISTRY

NEW MEMBERS Welcome to all dentists admitted to the College during May – August 2017.

Fellows in Dental Surgery - FDS

RCPS(Glasg)

Divya Mehrotra

Abhijit Kumar Pal

Priya Subramaniam

Nausath Khan Ubayathulla

Yin Ling Yiu

Fellow in Paediatric Dentistry -

FDS(Paed Dent) RCPS(Glasg)

Hani Mohammed Nazzal

Fellow in Oral Medicine -

FDS(OM) RCPS(Glasg)

Kevin Ryan

Fellow in Orthodontics -

FDS(Orth) RCPS(Glasg)

Preeti Jauhar

Laura Jane Short

Rehan Ullah

Joanne Birdsall

Member of the Faculty of

Dental Surgery - MFDS

RCPS(Glasg)

Hamza Abdelfattah Aboelola

Abdelaziz

Olusola Olufunmike Adeboyejo

Zakiya Ameena Ahmed

Mohammed Mudassar Akhtar

Jenan Al Hussaini

Omar Alimazighi

Saba Akram Ali Al-Mahmod

Ghassan Andulkareem

Yashoda Ashok

James Alexander Ashworth-

Holland

Syed Naseer Askari

Ramy Magdy Mahmoud Ayoub

Ashvin Babber

Michelle Louise Berry

Surina Bhola

Victoria Ellen Bulmer

Polyvios Charalambous

Garima Charan

Yuen Shan Cheng

Chun Yik Cheung

Harpreet Kaur Chowlia

Natalie Clark

Martin Neil Collis

Paul Francis Cooney

Edward Linsell Coppen

Rebecca Coulter

Victoria Elinor Davies

Matthew Dickie

Nivedita Dubey

Katharine Mary Jessie Dunn

Ahmed El Sergani

Hind Ahmed Osman Elhag

Amel Eltayeb

Nurul Nadia Ataillah Emran

George Erics

Faizan Farid

Constance Chi Mun Fung

Alasdair Scott Gilmour

Melissa Goddard

Amy Elizabeth Greenwood

Bridie Vivien Griffiths

Amtul Hayee

Amrita Hayer

Alice Mary Hopkins

Sumeya Ibrahim

Enas Issa

Sareena Devi Jakhu

Daniel Jankun

Manjit Singh Kathora

Aengus Kelly

James Anthony Kielt

Hudson Alexander King

Roisin Mary Lancaster

Harriet Liddicott

Hannah Judith Kathleen Linnard

Samuel Lockhart

Katielyn Macdonald

Iain Martin

Eve Marie Matthewson

Mary McClory

Christopher James McConnell

Neil Iain McDougall

Niall McGoldrick

Kelly Fiona McKeague

Sha Menon

Khadir Abubakr Khadir

Mohammed

Labibah Motaleb

Charlotte Mowforth

Malaz Mohamed Elrafie Mustafa

Nia Mukund Naik

Nathan Thomas Neale

Anneka Angela Nicholls

Olayinka Olawunmi Latifat

Agbeke Ogunmola

Angela Kemunto Onchwari

Rachael Otukoya

Sukhdev Singh Parhar

Matthew Parsons

Ernish Patel

Shankargouda Patil

John Perry

Shruthi Prasad

Gunjan Pruthi

Asad-Ur Rahman

Gajen Raveendran

Hazel Ellen Reid

Alison Renton

Mohamed Ismail Mahmoud

Hussen Salama

Rania Ahmed Mohamed Sharif

Mohamed Salih

Vinojah Sarathbabu

Mohammed Shaath

Khushil Hanish Shah

Matthew Francis Shilling

Catherine Claire Spence

Rohit Srikanthan

Roshan Jahan Syed

Maria Taheny

Mohammad Hassan Tahir

Shuk Kwan Christine Tse

Aiston Alexandra Tucker

Bilal Tujjar

Maria Tumelty

Shakil Abdullah Umerji

Maria Helen Varlas

Joseph Anthony Watson

Lauren Amy Wilson

Christopher Brian Wright

Man Kin Yeung

Aya Zahran

Brooke Zaidman

Member in Paediatric Dentistry

- M(Paed Dent)RCPS(Glasg)

Patricia Nunes Correia

Member in Oral Surgery -

M(OS) RCPS(Glasg)

Louise Sylvia Middlefell

Member in Orthodontics -

M(Orth) RCPS(Glasg)

Aida Nur Ashikin Abd Rahman

DENTAL FACULTY ANNUAL DINNER 2017 Friday 3 November 2017

19.30 for 20.00

We look forward to welcoming

you to an evening of food, music

and magic.

The evening will include a charity

raffle for the HOPE Foundation.

Find out more online at

http://rcp.sg/fds2017 ■

MFDS PART 2 IN HONG KONG We are delighted to offer the

MFDS Part 2 examination in

Hong Kong.

Examination dates:

23-25 March 2018

Closing date: 5 January 2018

Venue: Hong Kong Academy of

Medicine

Fee: £1350

APPLY TODAY: https://rcp.sg/mfdsexam

Call +44 (0)141 2216072 / email

[email protected] ■

MFDS Part 2

It is important to note that places at this centre are limited and applications will be allocated on a first come first served basis. If you wish to ensure a place at this centre please apply early to avoid disappointment. The fee is correct at the time of publication: the College reserves the right to amend this fee in advance of the closing date. In the unlikely event that the College has to cancel this examination or restrict numbers, the examination fee shall be reimbursed, but the College shall incur no further liability. For full Terms and Conditions please refer to the College website.

Membership of the Faculty of Dental Surgery

We are delighted to offer this examination in Hong Kong and look forward to supporting you on your journey to membership of the Royal College of Physicians and Surgeons of Glasgow.

After completing MFDS Part 1, candidates need to complete MFDS Part 2 within 5 years in order to obtain the MFDS qualification.

Examination now available in Hong Kong

APPLY TODAY Visit the MFDS website https://rcp.sg/mfdsexam Need more information? Contact us at [email protected] or call +44 (0)141 221 6072

Membership benefits: • 50% off Membership joining fee - only for

candidates in the inaugural diet • Use of postnominals MFDS RCPS(Glasg)

• Access to awards and scholarships • Free online subscription to Dental Update

• Discount on a range of educational courses and symposia

• Access to our extensive library catalogue

Successful candidates are eligible for membership

of the College

Examination dates 23-25 March 2018 Closing date 5 January 2018

Venue Hong Kong Academy of Medicine

Exam fee £1350

www.rcpsg.ac.ukCollege News AUTUMN 2017 26

TRAVEL MEDICINE

REVIEW OF UK MALARIA PREVENTION ADVICE There has been some confusion in the UK for

travel health clinicians in recent years regarding

malaria prevention advice for travellers. This

has been due to differing advice from Health

Protection Scotland’s (HPS) Scottish Malaria

Advisory Group (SMAG), from which the HPS

Travel and International Health Team (T&IH)

produces the malaria guidelines used on

the HPS Travax and Fit for Travel websites;

and Public Health England’s (PHE) Advisory

Committee on Malaria Prevention (ACMP) from

which the NaTHNaC TravelHealthPro website

malaria recommendations are made.

This differing advice has also caused confusion

for travellers themselves. They often research

malaria prevention guidelines online before their

visit, and come into their consultation with an

understanding of malaria advice from one of

the sources above. If the clinician then presents

recommendations from the other source with

differing malaria prevention advice, it requires a

good deal of explanation to the patient on the

difference between the sources to come to a

decision on malaria prevention, taking up a good

deal of time in a relatively short consultation.

In October 2017, the ACMP published their 2017

updated ‘Guidelines for malaria prevention in

travellers from the UK’. While using different

methods for making recommendations, the

two sources are more closely aligned than

previously, reflecting that there has been much

improvement in the malaria situation globally;

the country recommendations on both sites are

testament to this improvement.

While both sources reflect the fact that Africa

continues to present a high risk of malaria for

travellers, much of Asia, Central and South

America are now considered to present a

much lower risk of malaria than previously;

so much so that far fewer destinations have a

recommendation for chemoprophylaxis.

Insect bite avoidance measures are stressed in

both sources, and it is important to remember

that a very low risk of malaria remains in

some areas even if chemoprophylaxis is not

recommended.

Both sources also show areas where, while

not recommended for most travellers,

chemoprophylaxis may be considered for those

at an increased risk of contracting malaria or of

serious complications should they contract the

disease. Assessing those at increased risk is an

essential part of the travel health consultation,

and clinicians can obtain guidance on those

who may be at increased risk on both the Travax

and TravelHealthPro websites.

Now that the two sources of malaria

prevention recommendations in the UK are

more closely aligned, clinicians are presented

with recommendations that are similar

on both websites, meaning that there are

fewer dilemmas for the clinician in making

recommendations on malaria prevention, saving

valuable time in the consultation and giving

better clarity of information to travellers.

Foundation in TRAVEL MEDICINE

Putting career development first for health professionals in travel medicine

FIND OUT MORE rcp.sg/fctm

The next start dates for this 6 month blended learning course are: Wednesday 21 March 2018 (2 day residential component in London) Monday 12 November 2018 (2 day residential component in Glasgow)

FOUNDATIONTRAVELMED_A5_ADVERT.indd 1 03/11/2017 09:53:58

www.rcpsg.ac.uk College News AUTUMN 2017 27

TRAVEL MEDICINE

TRAVEL MEDICINE BITES This article appeared in the latest edition of the

Faculty’s magazine, Emporiatrics. Read more

from Emporiatrics at https://rcpsg.ac.uk/

college/influencing-healthcare/publications/

emporiatrics

Continuing Professional Development (CPD) is an

essential element of doctor and nurse revalidation

through their respective regulators and being a

member of other professional bodies.

Most specialties are moving away from using

points as a way of recording CPD and require

individuals to write reflective notes on any

learning they have undertaken. Individuals who

are not used to writing reflective notes often see

this as an additional burden after doing a CPD

activity. Also, healthcare professionals are often

constrained by time as to how much CPD activity

they can undertake so it is important for providers

of education to tailor educational resources to

meet this challenge.

Following my predecessor’s innovative launch of

the Travel Medicine Hub, the Faculty’s Education

Board has considered how we can build on this

excellent tool while recognising that production

of the Hub was very labour intensive and was only

a success because of Jane Chiodini’s personal

dedication. We have therefore decided to produce

short pieces of CPD using one section of the Hub,

which we have called Travel Medicine Bites.

The first edition of Travel medicine Bites is on

rabies. The background material focuses on a

traveller bitten by a monkey and was provided by

Dr Susanna Roughton a student from the 2014/15

Diploma cohort who was awarded the Cameron

Lockie prize for overall best student.

Within this edition you will become familiar

with international and national guidelines on

the management of individuals who may have

been exposed to rabies and be able to test your

knowledge on what you already know and what

you have learned through the “Travel Medicine

Bites” activity. It can be completed in 15 minutes,

but if you want to do more reading around

the subject then you can simply record that as

additional time claimed in your reflective note.

I tend to use four questions to structure my CPD

reflective note:

• Why did I choose this activity for my CPD?

• What have I learned from doing it?

• How am I going to apply this learning in my

work?

• What am I going to do in future to develop this

learning further and/or meet any gaps in my

knowledge or skills.

Finally, if readers have material for future editions

of “Travel Medicine Bites” or feedback as to how

we could improve future editions then email me

at [email protected] ■

NEW MEMBERS Welcome to all Travel Medicine Specialists admitted to the College during May – August 2017.

Fellow of the Faculty Of Travel Medicine – FFTM RCPS(Glasg) Ron Behrens Charles Ericsson Smriti Pathak

Joseph Torresi Member of the Faculty Of Travel Medicine – MFTM RCPS(Glasg) Sarah Dolores De Martin y Barry Ini-Abasi Ofonmbuk Usoro

JANE CHIODINI NAMED DEAN ELECT

Jane Chiodini

was named as

Dean Elect at the

Faculty’s Annual

General Meeting

in October,

following an

election.

Jane is a travel health specialist nurse and

the founder and director of Travel Health

Training. She has a long involvement

with the Faculty and has held various

roles including as founder Fellow, board

member, education and professional

development lead, membership services

lead, board secretary, Faculty Director

of Education, and triennial conference

committee member.

Jane introduced the faculty’s magazine,

Emporiatrics, created the Travel Medicine Hub

and initiated Faculty awareness of female genital

mutilation as an issue. She has developed 12

major travel medicine symposia, and was a

lead author on the Faculty’s recommendations

for the practice of travel medicine. She has

also lectured, authored and examined on the

Diploma in Travel Medicine and acted as an

advisor and lecturer for the Foundation Course.

Jane will assume the role of Dean Elect for

12 months before becoming Dean of the

Faculty in October 2018. In this role she aims

to focus on enhancing membership benefits

and involvement in Faculty of Travel Medicine

activity, and further develop decision aids,

eLearning, webinars and the use of new

technology and social media. ■

Further information:

https://travelhealthpro.org.uk/

http://www.travax.nhs.uk/

https://www.gov.uk/government/ publications/malaria-prevention-guidelines- for-travellers-from-the-uk

http://www.fitfortravel.nhs.uk/home.aspx ■

www.rcpsg.ac.ukCollege News AUTUMN 2017 28

PODIATRIC MEDICINE

ENDORSEMENT FOR BSc AT THE UNIVERSITY OF MALTA The Faculty has agreed to endorse the

Bachelor of Science (Honours) in Podiatry

being offered by the University of Malta. The

four year degree programme equips students

with the necessary knowledge and clinical

experience to pursue their career in podiatry

and/or clinical research.

Students enrolled on the course study podiatric

science, medical sciences, behavioural and

clinical studies, local anaesthesia, nail surgery

and research design. These study-units

together with applied anatomy, pathology, and

physiology, underpin and support the specialised

study units which are developed progressively

throughout the course. The clinical component

is an important, integral part of the course.

This degree programme is delivered

by enthusiastic and talented members

of staff specialised in different areas of

interest including the diabetic foot, clinical

biomechanics, therapeutic footwear, vascular

assessment, geriatrics, organisational

management, and patient education amongst

other specialties. The professionalism and

dedication of the academic staff is the most

fundamental and crucial element that has

contributed to the Department’s success

and advancements. Members of staff within

the department are actively involved in

research and are continuously publishing in

leading podiatric and medical peer-reviewed

international journals and regularly participate

in international conferences. A number of

external visiting lecturers are regularly invited

to deliver lectures in specialised areas in

podiatry including podiatric surgery, podiatric

ultrasound, sports medicine and podo-

paediatrics amongst others.

On successful completion of the course,

candidates are eligible to apply for

registration within the Council for the

Professions Complementary to Medicine.

This degree programme is also recognised

in various countries including the UK and

Australia.

For further information about endorsement

opportunities, please contact Stephanie.

[email protected] ■

FIT FEET AT THE SPECIAL OLYMPICS Faculty Dean, Professor Robert Ashford, and

Fellow of the Faculty, Mandy Abbott, recently

attended the Special Olympics GB National

Summer Games in Sheffield. Mandy has given

us some insight to the work involved.

Who went and how many?

I am the Clinical Director for Special Olympics

GB for the Fit Feet programme. I went down

to Sheffield with nine volunteering podiatry

students. We also had three qualified podiatrists

from Glasgow who attended and two local

podiatry volunteers who helped out, including

Professor Robert Ashford.

What were you tasked with doing?

We were carrying out foot health screening.

The Fit Feet Programme is part of a wider

“Healthy Athletes” Programme where there

are five disciplines involved in health screening

for the athlete. The others are Special Smiles

(Dentistry), Opening Eyes (Optician), Healthy

Hearing (Audiology), Fun Fitness (Physio).

The foot health screening comprises of

footwear check, ensuring the footwear fits

and is suitable for the athlete. The feet are

checked for deformities such as nail, skin,

joint/structural. The athlete’s gait is analysed

and pressure measurements taken. All the

information is recorded and a prescription

form and advice is given to the athlete for

what is required when they go home.

What was your experience of the Games?

and What sort of experience has it

provided for the volunteers?

The Games was an amazing experience

where we were able to provide health

promotion for nearly 500 athletes and

their coaches and carers. The volunteers

were able to have the opportunity to

work with this specialist population which

would improve their communication skills

and also their clinical skills. We stayed at

Sheffield University campus in student

accommodation where the athletes were

staying so were able to socialise as well as

work with the athletes. This allowed the

volunteers to see the athletes’ abilities in

daily living tasks and social behaviours. The

students commented on the spectrum of

disability from high functioning athletes

to those who required a lot of physical,

functional, and emotional support. ■

www.rcpsg.ac.uk College News AUTUMN 2017 29

PODIATRIC MEDICINE

NEW MEMBERS Welcome to all podiatrists admitted to the College during May – August 2017.

Fellow in Podiatric Medicine - FFPM

RCPS(Glasg)

David Cashley

Ian Neil Reilly

Joseph Richard Stern

Deborah Whitham

Member of the Faculty of Podiatric

Medicine - MFPM RCPS(Glasg)

Andrew Brown

Steven Burton

David Holland

FEET ON THE GROUND IN TAMIL NADU Thirty thousand family physicians are members

of the Tamil Nadu State Branch of the Indian

Medical Association. They serve a population

of just under 70 million in India’s southernmost

state. According to the International Diabetes

Federation, there are now an estimated 65

million adults with diabetes in India. That

number is projected to increase to 109 million

by 2035. The challenge for family physicians

across Tamil Nadu is accessing appropriate

continuous professional development to

support and enhance patient care in the

management of foot pathology. Podiatric

Medicine is not a specialism recognised by the

Medical Council of India. Consequently family

physicians are treating foot disease, including

those arising from diabetes, without easy access

to learning resources pertinent to the foot.

The Faculty of Podiatric Medicine has initiated

a pilot, blended learning programme in

collaboration with Tamil Nadu’s IMA to help

meet this growing need. Over 10 weeks, a

group of 23 family physicians will, by the start of

December this year, have completed a series of

learning modules and online tutorials covering

podiatric medicine, MSK and pharmacology.

This will be in preparation for the face to face

clinical component delivered in March/April

2018 in Chennai.

Professor Stuart Baird, who initiated the project

during his role as Faculty Dean, was delighted

to witness the signing of a Memorandum of

Understanding which will allow the College to

develop this work over the next three years.

College President, Professor David Galloway,

warmly welcomed the innovative approach to

delivering this learning as it will undoubtedly

extend the College’s reach.

In Tamil Nadu, Professor JA Jayalal, President

of the Tamil Nadu State Branch of the Indian

Medical Association commented in his letter

to the participants in the pilot, “It is a great

honour for you to be the pioneering batch on

this new venture. IMA Tamil Nadu appreciates

your passion and concern in Diabetic foot

Management. We firmly believe by updating

you with the concepts and skills of Diabetic

Foot Management, the knowledge gained will

percolate from you to the community and

and save thousands of patients from diabetic

foot complications and also ensure fair and

comprehensive healing to them.” ■

eLEARNING MODULES A new eLearning package for podiatrists is

now available, free of charge to members

of the Faculty. The Management of Foot

Pathology package of modules provides

an update on all aspects of current

podiatric practice. The modules are

linked to the syllabus of the Faculty of

Podiatric Medicine Membership (MFPM)

examination, and provide a comprehensive

revision guide for those looking to sit

the exam. Although linked to the exam

syllabus, the individual modules will also

be of interest to Fellows and Members

wishing to keep up to date with current

developments in care.

Learning outcomes for the Management

of Foot Pathology modules are:

• Evaluate local and systemic pathology

with particular regard to Diabetes

• Evaluate local and systemic pathology

with particular regard to Musculo

-Skeletal Management

• Evaluate local and systemic pathology

with particular regard to Vascular

Disease

• Appraise and interpret diagnostic images

from a range of imaging modalities

• Evaluate and justify the application of

the results of diagnostic investigations

relevant to management strategies

• Interpret outcomes of kinetic and

kinematic assessment to inform patient

management

• Evaluate the pharmacological

component of the patient care package

with particular reference to the effects

on the lower limb and the influence in

podiatric intervention

Modules available include:

Podiatric medicine

- MSK assessment

- Dermatology

- Management of the diabetic foot

- Peripheral artery disease

Diagnostic/radiography

- Clinical examination

- Lab and diagnostic tests

- Imaging of the foot and ankle

Pharmacology

- Common medications regime

- Topical agents ■

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