Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn

Dimensions of Change in Surgical Practice

13 November 2015
More than 200 surgeons will visit RCSI today for the annual Millin meeting to discuss changes within surgical practice in Ireland.  The meeting will address outcomes reporting and data driven surgery; supporting doctors in complex working and training environments & new models of service delivery and workforce planning.

Commenting on the meeting, Mr Declan J. Magee, RCSI President said “As a profession, surgeons have always aspired to optimal performance and best behaviour. However, nowadays, we must show both evidence that this is so and take measures to minimise the occurrence and impact of situations where it is not. The Millin meeting will address these issues by highlighting issues affecting the surgical profession today and seek solutions to these current challenges.”

There will be three surgical sessions at the meeting and the first session of the day entitled ‘Towards Outcomes Reporting and Data Driven Surgery’ will focus on health outcome reporting and lessons from the UK, improving healthcare in Ireland and the role of national audit. Session two entitled ‘Supporting Doctors in Complex Training and Working Environments’ has been stimulated by the Medical Council’s report ‘Your Training Counts’ and the widely reported controversy in Australia, surrounding bullying and harassment within surgery. The third session entitled ‘New Models for Service Delivery and Workforce Planning’ will address the problem of retention of trainees and specialists within the public health system. 

Mr Michael O’Leary, Chief Executive of Ryanair will give the 24th Carmichael Lecture. His lecture entitled ‘Ryanair, Always Getting Better’ will no doubt serve to entertain the audience while he recounts how Ryanair consolidated its position as Europe’s largest airline and delivered record growth, by improving its customer experience. 

As part of the day’s proceedings, the Department of Surgical Affairs will launch ‘RCSI VR (Virtual Reality) Hospital’. ‘VR Hospital’ is a suite of learning environments that exist in the virtual world and will be used to train surgical trainees. It involves a person putting on a head set and become completely immersed in a different world. RCSI is the first medical institution in the world to release a VR training experience on the first commercially available Oculus rift headset. A demonstration exhibition will be held in the Exam Hall throughout the day and staff are welcome to demo VR Hospital and the Oculus. 

In his opening address, Mr Magee commented “RCSI VR Hospital is the next phase of simulation learning and brings ‘gamification’ even further into the learning environment.  We are continually looking at ways to enhance the learning experience of our students and trainees by providing them with realistic simulations of life and death situations.” 

A number of medals will be presented throughout the day at the Millin meeting. Dr Ainhoa Costas-Chavarri from Boston’s Children’s Hospital & Harvard Medical School is the recipient of the American College of Surgeons & RCSI Resident Exchange Fellow award for 2015. Dr Rebecca Weedle will be presented with the Brian Lane Medal for her outstanding performance at this year’s Surgical Bootcamp. Mr Mark Quinlan will be presented with the Professor W.A.L. McGowan medal. This medal is awarded to recognise the highest performing FRCS candidate across all specialties from the surgical training scheme. 

Professor James Garden, Regius Professor of Clinical Surgery at the University of Edinburgh will be awarded an Honorary Fellowship of RCSI. Professor Garden has led significant clinical, academic and service developments in Edinburgh and nationally. As Clinical Director he led the reconfiguration of general surgical services in the Lothian University Hospitals NHS trust with the establishment of a single Coloproctology Unit on the Western General Hospital site and Upper GI and HPB surgery at the Royal Infirmary, thus enabling the management of both acute and elective surgical patients in the region.  One of his most enduring legacies is in the area of surgical education. He led the development of the MSc in Surgical Sciences that forms part of the collaborative venture between his University and the Royal College of Surgeons of Edinburgh. This programme has recruited over 600 trainee students in the last 6 years. 

The meeting will conclude with the 38th Millin Lecture which will be delivered by Ms Aoife Lowery, Associate Professor of Surgery, University of Limerick. Her lecture is entitled ‘The Evolving Role of the Surgical Oncologist in the Biomolecular Era’.