Annual Business Meeting 2

1
Annual Business Meeting 2

• Chairman
• The President Mr Patrick Magee

2
Distinction Awards Committee

• 1. SCTS 0-5
• 2. SAC/Training/Education 0-5
• 3. Intercollegiate Exam 0-1
• 4. Science/Innnovation 0-3
• 5. Service 0-2
• 6. Impact 0-5
• Maximum total 21

3
Hon. Treasurer

• Importance of maintaining I/E balance
• Investment in Scholarships and Surgical Tutor
• Plan to invest further in website and
  communication with membership

4
The RCSEng Cardiothoracic Tutor

• New Curriculum launch with Core skills course and
  materials in 2006
• Consequent reorganisation of ALL existing courses
• Aims for interactive 1 or 2 day courses rather
  than didactic lecture-based ones
• New courses in 2006 on (a) AF ablation, (b) CPB
  circulatory support, (c) Advanced decision-making
  in cardiac surgery
• 5 year future of Tutors Post secured.

5
Specialist Advisory Committee

• Upholding standards of training
• PMETB
• Modernising Medical Careers
• Intercollegiate Surgical Curriculum Project
• Manpower crisis

6
Cardiothoracic Dean
7
Intercollegiate Specialty (Exam) Board

• PMETB has legal responsibility for assessment
• ?Exam has to conform to their requirements
• New regulations opened up (Article 14
  candidates)
• New format (from 2007)
• Written paper MCQ and extended matching
• pass needed for entry to
  clinicals
• Clinicals and Orals more structure

8
CCAD Data Validation

• 6 pilot sites visited
• Visiting team SCTS/CCAD
• Panel of QAP assessors
• CCAD Data Auditor
• Proforma sent to unit visitors
• Describes the format of the visit
• Units data accessed from CCAD and included
  within the visit proforma

9
CCAD Proforma(1)

• Structure of data collection system
• Data collection processes and X checks
• Processes to ensure completeness of activity and
  mortality data
• Feedback mechanisms for surgeons to validate own
  data - audit meetings

10
CCAD Proforma (2)

• Review of data
• Discrepancies between submitted and ONS tracked
  data
• data completeness hospital vs. pooled national
  data
• completeness Euroscore fields vs. national
• Incidence patient risk factors vs. national

11
Pilot Site Visits

• Useful
• Visits positively welcomed
• Visit and proforma acts as a driver
• X checks are taking place
• Uplift/preservation of personnel / resource
• SCTS/CCAD module upgrade
• QAP/Visit acknowledged in CCAD portal
• Further unit interest ?

12
Thoracic Forum Report 2006

• Breadsall Priory, Derby, 4/5th Feb 2006
• 50 delegates
• (25 consultants, 25 trainees)
• Open to all surgeons interested in thoracic
  surgery
• 2007 meeting due to take place in Dublin, to
  coincide with BTOG

13
Representative to the College of Perfusionists of
Great Britain Ireland

• COPGBI financially sound. Discussions ongoing
  regarding best use/investment
• Perfusion is the next discipline to be considered
  for HPC regulation
• Unit accreditation programme progressing well
• Discussions ongoing with NPSA regarding
  restriction of potassium use by perfusionists.
  Unlikely to be implemented

14
surgical assistant (surgical care practitioner)
examination 18 November 2005

• 12 candidates Southampton, Cardiff, Manchester
  (2), Liverpool (2) Wolverhampton (2), Sheffield,
  Middlesbrough, Papworth (2)
• Vivas arranged to avoid bias (examiners did not
  test own trainees or SAs)
• Written exam 6 out of 8 modified essay questions
• Viva conducted in a uniform fashion (broadly
  similar questions for all)
• 2 examiners marked each paper following advance
  guidelines
• Written all candidates comfortably exceeded pass
  grade (60)
• Viva all candidates acquitted themselves
  satisfactorily
• 2 candidates excelled in both written and viva
  (diploma with distinction)
• Comment training is getting better. Candidates
  with broad experience (in and out of theatre)
  tend to do better. Exam is well supported and
  will continue until the DoH/RCS SCP system is
  established.
• S A M Nashef

15
Does Our Annual Meeting Represent Its
Membership? A Review Of The Last 15 Years

• Antonio E. Martin-Ucar, Khaleel R. Fareed,
• David A. Waller.
• Glenfield Hospital, Leicester

16
Methods

• Review of abstract books 1991 to 2005
• Medline and Pubmed search of published work in
  peer-review journals
• Abstracts were classified by
• specialty, topic, type of study, origin
• Analysis of trends over the last 15 years

17
Of the 897 abstracts
18
By sub-specialty
19
More international interest
20
Trends with time
21
Trends with time
22
The cardiothoracic ratio
23
Better scientific content ?
24
By subjects
25
Better scientific method ?
26
34 of abstracts have been published
27
Summary

• This meeting has become a forum for British adult
  cardiac surgeons
• to discuss more lab based studies
• which more likely than not remain unpublished
• There is little attraction for the other members
  of this society

28
Discussion

• Create a more balanced and varied program
• Reflect changes in clinical practice
• Consider protected sessions for subspecialities
• Embrace the diversity of the Society

29
Thoracic Abstracts Submitted
30
Abstract Assessment Matrix

• Impact. Score 1,2, 3 or 4. This reflects the
  relevance of the abstract to a clinical
  cardiothoracic surgical meeting. Work should have
  direct clinical relevance to score 3 or 4.
• Originality. Score 0,1 or 2. Score 0 if the study
  repeats previous work, 1 if it extends previous
  work and 2 if it is completely original.
• Design / Data Analysis. Score 1,2 or 3. In
  general a case control series would score 1 and a
  randomised trial 2. For laboratory work
  controlled experiments score 1 or 2. If the data
  analysis is clear, uses appropriate statistics
  and allows for confounding variables add 1.
• Conclusion. Score 1 if the conclusions are
  clearly stated and supported by the results.
  Score 0 if this is not the case.

31
Trainee Report

• New Trainee Rep has been elected
• Farah Bhatti
• No additional items since report posted on Web.

32
Nursing representative

• Jacqueline Nicol is standing down
• Process to appoint successor underway

33
The President
34

• Any other business
• Date of next meeting
• Manchester 11th to 14th March 2007