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.
“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>.
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.
The SERT Institute is dedicated to the mentoring and training the next generation of surgeons. An important part of this role is our participation in the University of Sydney postgraduate medical program. The courses lead to the post-graduate degree Masters of Surgery in a number of surgical sub-specialities. Dr Anthony Glover is the co-ordinator of this program at the SERT Institute. He is an endocrine surgeon, with an interest in the molecular biology of endocrine cancers. Anthony is involved in endocrine cancer research. He is a current NHMRC Neil Hamilton Fairley Early Career Fellow and Senior Research Officer with the Cancer Division of the Garvan Institute of Medical Research.
“The Institute is collaborating with all RNS hospital surgeons, but especially with those who are actively involved in teaching, education, research and mentoring activities. Each surgical department was engaged in a massive consultation from July -November 2017 to help determine priorities, barriers and challenges when engaging in academic activities on the campus. Nine out of twelve surgical departments responded (75.0%), which demonstrates the high value they place on academia as part of professional practice.”
Another important academic position within the RNS SERT Institute (Lead, Surgical Excellence and Performance Change) will be advertised in the coming weeks and I encourage interested surgeons to apply (more on page 4). We will also be recruiting a 0.5 FTE administrative officer to support our ever-expanding work!
Based on feedback from surgical departments during our consultation process we have taken the following actions:
Started the recruitment process to appoint a dedicated surgical scientific officer to provide research support to the RNSH Division of Surgery (more on page 4)
Launched the RNS SERT Institute website (www.rnssert.org), which is being populated with information about surgical departments on the Northern campus, as well as profiles of surgical leaders working in the RNS SERT Institute. We anticipate this will become the main conduit for promoting surgical activity in our area. Shelly would appreciate any feedback you have about the website.
Assessed and developed a preliminary surgical research strategy, including our bio-statistics capacity and how the RNS SERT Institute can strengthen this further
Identified opportunities for collaboration with the academic anaesthetists at RNSH
We are planning an official launch of the RNS SERT Institute in June 2018. This will be another exciting milestone and an invitation will be extended to all clinicians and researchers within the Northern area. The RNS DASO unit is also just about to announce the funding application outcomes to assist surgical departments with data management.
The RNS SERT Institute is collaborating with the Kolling Institute of Medical Research to celebrate the International Clinical Trials Day at the RNS hospital. The event is highly supported by the NHMRC. The Day itself falls on 20 May but because it is a Sunday this year, we will be celebrating it on Friday 18 May. The RNS hospital’s main entrance foyer will be the showcase area where clinical trial posters will be displayed to raise awareness on the significance of innovation and research in professional practice. All surgical departments are strongly encouraged to show-case their clinical trials, and also other research projects, at the foyer. This will also be an opportunity for us all to come together, including our community members and visitors, and learn about the great work that we are doing here! Please contact Linda Pallot, Clinical Trials Research Nurse, Vascular Surgery, Linda.Pallot@health.nsw.gov.au , if you are interested to showcase or will like to help organise this event.
Anthony had been appointed to the SERT Institute as Lead for the Masters of Surgery program. Anthony is an Endocrine, Oncology and General Surgeon, and an NHMRC Early Career Fellow. His research focuses on understanding the molecular biology of endocrine cancers (thyroid and adrenal) to develop new treatments to improve outcomes. Anthony completed general surgical training at St Vincent’s Hospital (Sydney) and clinical fellowships in surgical oncology with the Royal Marsden Hospital (London) and with the University of Sydney Endocrine Surgical Unit. Anthony obtained a PhD for his work on the molecular biology of adrenal cancer with the Cancer Genetics Laboratory of the Kolling Institute (University of Sydney) and subsequently was awarded an NHMRC Neil Hamilton Fairley Early Career Fellowship which allowed him to obtain post-doctoral research training with the James Fagin Lab at Memorial Sloan Kettering Cancer Center (New York). Anthony is a newly appointed VMO at RNSH, a Clinical Lecturer with the Northern Clinical School and an instructor for the College of Surgeons for the improved outcomes and ASSET courses. His main role within the RNS SERT Institute will be to coordinate and expand the Masters of Surgery program on the Northern campus.
We were recently visited by delegates of the NSW Ministry of Health’s Health System Purchasing and Performance Branch Melinda Pascoe and Chrissie Crawford. Their role includes advising the Ministry on improvement strategies, performance against key indicators and issues regarding elective surgical services. The purpose of their visit was to get a better understanding of the innovative projects going on within the RNSH Division of Surgery and Anesthesia.
The meeting was attended by Prof Tom Hugh; Diane Elfleet
(A/Divisional Nurse Manager, Division of Surgery and Anaesthesia), Shelly Dhaliwal, Maria Albania, Joe Portelli (Manager, Analytics and Business Intelligence Unit), Graham Hanson (Senior Business Analyst) and Olivia Kirkland (CNC, Acute Surgical Unit).
We had an opportunity to present the RNS SERT Institute and the RNS DASO Unit activities to date. We also discussed the Theatre Information Management System (TIMS), the Waitlist Application and the Acute Surgical Unit. It was an opportunity to share knowledge and there were discussions of the state-wide roll-out of some of our projects. Needless to say, the Ministry delegates were impressed by the great work going on at RNSH.
The surgical teaching component of the Sydney Medical Program has been favourably evaluated by students. However, we are always striving to improve the teaching of surgery and student experience. With this in mind, we ran the inaugural summer surgical program for 4 weeks in November/December 2017. This program is designed to give stage 1 and 2 students some exposure to surgery ahead of their clinical attachments in stage 3. Thirty-two students were placed with various surgical departments at RNSH and all participants indicated that their interest in surgery had increased. In the words of one student:
“I had the most fantastic week with the neurosurgery team. I learned many new skills and also gained a much greater understanding of how a surgical team fits into the day-to-day running of a large hospital. It was exciting and great fun and the surgeons were all very helpful and welcoming. I wish I could do it all again!”
It favourably that this will be an annual activity at the Northern Clinical School and we hope to expand the number of placements in coming years. The structured surgical teaching program has been extensively revised in the past couple of years with a focus on interactive and case-based sessions to complement the online lecture program. This year has seen the introduction of a series of clinical reasoning sessions on common surgical topics with a case student presentation and an expert surgical mentor. All of our Thirty-two is evaluated and student feedback is used to plan future sessions. We are fortunate to have an enthusiastic group of consultant surgeons and fellows who contribute to the surgical program at the Northern.