May 27 2019
The Acute Surgical Unit (ASU) at Royal North Shore Hospital (RNSH) was the “Local Solutions” winner in the 2019 Northern Sydney Local Health District Quality and Improvement Awards for the project titled — ‘Better managing gastrointestinal surgery”. Congratulations to Olivia Kirkland and team.
Prior to the establishment of the ASU, the large number of emergency gastrointestinal procedures performed at RNSH meant that elective surgery patients had to be rescheduled or procedures performed out of hours. The Acute Surgical Unit was established to address these challenges through a range of measures which included a dedicated theatre and a data-driven quality improvement process. In addition, an online web application was developed to provide clinicians with ready access to relevant protocols and procedures. This data-driven approach has helped improve the care of acute surgical patients at RNSH. In particular, it has resulted in a 40 per cent reduction in elective surgery cancellations and a 45% reduction in unnecessary after-hours surgeries.
May 22 2019
The SERT Institute was a sponsor of the RNSH 2019 Clinical trials day. The Department of Surgery was well represented. Special thanks go to Linda Pallot (RNSH Vascular, Surgery) and Rebeka Tenant (Manager, Research Strategy and Partnerships, NSLHD).
May 22 2019
The first medical students entered the Faculty of Medicine at the University of Sydney in 1883. At this time, Thomas Peter Anderson Stuart (1856–1920), a 26-year-old recent graduate of the University of Edinburgh, was appointed Professor of Anatomy and Physiology and charged with organising the surgical teaching program. As it is today, surgery was a rapidly changing speciality. In particular new techniques such as anaesthesia and antisepsis were in the process of transforming clinical practice. Professor Stewart recalled of his time in Edinburgh:
“I recognised the value of Lister’s teaching, and did as much as I could with him… I had an opportunity of working under the old surgery, and yet observing the new… I remember Mr Spence in an old grey operation coat, which he had used for years, and which was stiff with coagulated blood, and other discharges, so that if you placed it on the floor it stood erect by itself…” (Epps, 1922; Brown, 2016)
Brown and Storey (2016) give a fascinating account of the changes in surgical teaching that have taken place at the university since the introduction of anaesthesia and antisepsis.
May 15 2019
International Clinical Trials Day (2019) will be celebrated in the front foyer of the Acute Services Building between 10 am and 2 pm. It will highlight the excellent clinical research conducted on the Royal North Shore Hospital Campus.
International clinical trials day is held each year on the 20th of May to celebrate the day in 1753 that James Lind commenced the first documented clinical trial. This study convincingly demonstrated that scurvy could be treated with citrus fruit [Lind, 1753]. Scurvy is a horrible disease, the mortality associated with this condition on long sea voyages during the “Age of Sail” was approximately 50% [Price 2017]. Lind’s study conclusively demonstrated the striking contrast between the severity of the disease and the simplicity of its cure. Without recognition of the importance of the scientific methodology behind the clinical trial, it took an additional forty years of experiments, analysis, and political lobbying for his result to become institutionalized in the Royal Navy [Cegłowski, 2010]. It was not until 1795 that the Royal Navy routinely administered citrus fruit to sailors [Hemila, 2006]. Sadly, since antiquity, it has been documented that fresh fruit will prevent scurvy. In the absence of the evidence provided by the “scientific methodology”, these observations were forgotten or ignored by subsequent generations [Cegłowski, 2010]. Continue reading
Mar 30 2019
In a recent paper published in Nature Reviews Clinical Oncology, an international team of prominent surgeons examined the barriers to conducting research faced by contemporary trainees and practising surgeons.
“Over the past decade … concerns have been raised about a global decline in the number of surgeons performing basic science research alongside clinical activity – so-called surgeon-scientists. … we offer some thoughts on potential strategies and future directions for surgical engagement in oncology research to increase the number of research-active surgeons.” (1)
Feb 22 2019
MESSAGE FROM THE DIRECTOR
Professor Tom Hugh
I welcome you to the 5th Newsletter of the Royal North Shore Hospital SERT Institute.
We have made significant progress in our endeavours to promote academic surgery on the campus. I encourage you to become a part of our vision and am interested to hear your thoughts on how we can continue to improve this service.
Chair of Surgery, Sydney Medical School – Northern, The University of Sydney
Director of the RNSH SERT Institute.
Royal North Shore Hospital, St Leonards NSW, 2065
+61 2 9463 2899 (tel) | +61 2 9438 2278 (fax)
Feb 11 2019
Dr Jason Sicklick, general surgeon and surgical oncologist from University of California San Diego will be visiting Royal North Shore Hospital on the 18th of February and speaking at Surgical Grand Rounds (5-6pm in the Kolling Auditorium). Jason specialises in the treatment of gastrointestinal stromal tumors (GIST), primary liver cancer (hepatocellular carcinoma, HCC) and in the role of genomic medicine in the provision of personalised care for cancer patients. The topic of his talk is `It’s More than Personal: Putting the “I” in Precision Oncology’.
Feb 05 2019
Professors Hugh and Samra covering the RMO evening shift during the annual RMO handover party. The “Hello Goodbye Party” is a tradition at the RNS. At the end of each year, senior medical staff volunteer to provide cover on the wards to facilitate as many of the junior medical staff to attend the party. This year doctors Tom Hugh, Jas Samra, Stephen Ruff and John Vandervord were the senior surgeons.
Dec 04 2018
“Although the dictum “see one, do one, teach one” may have characterized the way physicians learned clinical skills in the past, it is now clear that, for training to be effective, learners at all levels must have the opportunity to compare their performance against a standard and to continue to practice until competence is achieved.” – Wartman et al, 2018.
(1) Wartman, Steven A., and C. Donald Combs. “Medical Education Must Move From the Information Age to the Age of Artificial Intelligence.” Academic medicine: journal of the Association of American Medical Colleges 93.8 (2018): 1107–1109. Web. <https://dx.doi.org/10.1097/ACM.0000000000002044>.
(2) “Artificial Intelligence, Brain.” Web Image. 4 Dec. 2018. <https://pixabay.com/en/artificial-intelligence-brain-think-3382507/>.
Nov 22 2018
Twelve researchers provide ten tips for collaboratively writing a multi-authored paper (1). They provide a structured approach to building a successful collaborative team. Their advice ranges from an approach to team selection to the use of appropriate digital tools.
- Frassl, Marieke A. et al. “Ten Simple Rules for Collaboratively Writing a Multi-Authored Paper.” PLoS computational biology 14.11 (2018): e1006508. Web. https://dx.doi.org/10.1371/journal.pcbi.1006508.