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Summary

This on-demand teaching session is applicable to medical professionals, especially those interested in sustainable surgery. It will cover an introduction to Thet, a global health organization, what they do in terms of grant-giving, resources, events, and policy advocacy. The speakers will cover topics such as virtual opportunities, an inquiry into U.K health worker well-being in global health, engagement of diaspora staff, and climate action. Through evaluating the activities of the health partnerships, they will show examples of what they've learned and how working virtually can support each other. Join the session to discover the principles of partnerships, how to develop medical curricula, and how to recognize global health connections. A Q&A will be held at the end.

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Description

Welcome to the GASOC International Conference 2022, we are delighted to have you join us either in person or virtually.

Join the conversation online by using #GASOC2022

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📮 Contact support@MedAll.org with any questions about the platform

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Links from Chat:

Twitter is @GASOC_2015. The facebook is GASOC UK. The conference hashtag is #gasoc2022

https://youtu.be/Hl7c3oDxIU8

Prof Mahmood Bhutta - 'The Real Cost of Healthcare': https://www.youtube.com/watch?v=Hl7c3oDxIU8

Dr Hixson's twitter: @ICUdocX / Twitter: @oceansandus

https://www.incisionuk.com/about-4

https://www.fmlm.ac.uk/clinical-fellow-schemes/chief-sustainability-officer%E2%80%99s-clinical-fellow-scheme

Miss Hunt - https://bjssjournals.onlinelibrary.wiley.com/doi/10.1002/bjs5.50122

References from Michelle Joseph: References:

https://gh.bmj.com/content/4/5/e001853

https://gh.bmj.com/content/5/7/e003164

https://gh.bmj.com/content/6/2/e002921

GASOC Mailing list - https://www.gasocuk.co.uk/join-now

https://www.gasocuk.co.uk/ Is our website for the Keith Thomson travel grant info

Phil - You can set up your own teaching organisation and get going straight away at https://MedAll.org/host

Or feel free to find at time that works for you to jump on a call after the conference and if we can help, we always will: https://calendly.com/phil-medall

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HOUSE KEEPING - once you have entered the event, on the left of the screen you will find the following icons:

🎤 Main stage - this will be where all our talks will happen - you can use the chat on the right to ask any questions

💬 Breakout session - this is where you will see our coffee rooms where you can network throughout the conference and also sessions

ℹ️ Event Info - you will find our schedule - we will try our best to keep to the times listed

👀 Sponsors - we have a few some incredible sponsors here - please do take a look

📃 Poster hall - this will open in a new window for you, you can browse these and click on them to read them - click on them a second time and this will enlarge it for you. Please do 'like' the posters as well as ask our poster presenters any questions

SCHEDULE

(subject to change | 'Skills Sessions' 1, 3 & 4 can be found in the sessions tab on the left of your screen, Skills Session 2 is on the main stage )

08:00-09:00 | Poster Hall and Sponsors

✳️ Welcome

09:00-09:10 | President's Address | William Bolton

09:10-10:00 | Keynote Speech: "Global Surgery: The State of Play" | Kee Park

✳️ Sustainable Global Surgery

10:00-10:25 | Human Healthcare and the Oceans| Richard Hixson

10:25-10:50 | Sustainability in surgery: A circular economy for medical products | Mahmood Bhutta

10:50-11:15 | Sustainable surgery, Making each day count| Katie Hurst

11:20-11:30 | Break | Sponsors and Posters or chat to others in our coffee break session

✳️ Sustainable Global Training

11:30-12:05 | Sustainable Mesh Hernia Surgery – Can Dreams Come True? | Mark Szymankiewicz & Mugisha Nkoronko

12:05-12:30 | What can the Sierra Leone surgical training program teach UK surgeons? | Lesley Hunt

12:30-12:55 | HEE’s Global Health Partnership Team: Global Learning Opportunities | Fleur Kitsell

13:00-13:45 Lunch | Sponsors and Posters or chat to others in our Lunch break session

13:15-13:45 | Sponsor Breakout Session

✳️ Sustainable Policy and Advocacy

13:45-14:10 | Health Partnerships: for sustainable and mutually beneficial health systems strengthening | Kit Chalmers

14:10-14:35 | Sustainable surgical solutions in LMICs, how do we achieve this? | Tim Beacon

14:35-15:00 | Climate Change and Global Surgery Policy | Lina Roa

15:00-15:15 | Break | Sponsors and Posters or chat to others in our coffee break session

SESSIONS **(use tab called 'session' on the left of screen)**

15:15-16:15 | Skills Session 1 - Trainee perceptions of Global Surgery and our role as advocates| Catherine O’Brien

15:15-16:15 | Skills Session 2 **Main Stage** - Research skills in Global Surgery | Michelle Joseph & Kokila Lakhoo

✳️ GASOC Projects updates

16:20 - 16:40 | The Future Surgical Training - Sustainability and Challenges | Moiad Alazzam

16:40 - 17:00 | Uganda VRiMS and Events Update | Helen Please

Sunday 23rd October

✳️ Welcome

09:00-09:10 | Secretary and Conference Organiser Address | Pei Jean Ong

✳️ GASOC Trainee Prize Presentations

09:10 - 09:20 | Ethical challenges in the implementation of global surgery: The Non-Maleficence Principle | Ana Toguchi

09:20 - 09:30 | A case report of multiple urogenital abnormalities detected during the post-surgery in a 20 year old primipara in Uganda | Paul Stephen Ayella-Ataro

09:30 - 09:40 | Designing low-cost simulation model for laparoscopic appendectomy and its application for surgical training in lower and middle-income countries | Bishow Karki

09:40 - 09:50 | Prize presentation including announcement of Keith Thomson grant recipients

09:50 - 10:00 | What are the challenges facing the development of pre-hospital care service in a low resource setting? | Elizabeth Westwood

10:00 - 10:10 | Speech from President of FoNAS | Michael Kamdar

✳️ Sustainable Global Development

10:15 - 10:30 | Why Global Healthcare Education Matters | Phil McElnay

10:30 - 10:55 | Patient-Centered Impact Evaluation in Global Surgery | Mark Shrime

10:55 - 11:15 | Sustainable Strategies for Global Surgery | Salome Maswime

11:15-11:45 | Break | Sponsors and Posters or chat to others in our coffee break session

11:25-11:45 | Mentoring in Global Surgery (EADP) | Omar Ahmed

✳️ Sustainable Global Innovation

11:45-12:10 | Design Challenges for Affordable and Reusable Surgical Devices for Low-Resource Settings | Jenny Dankelman

12:10-12:35 | Environmentally Sustainable Change in Theatre - Our Experience and How-to Guide | Katie Boag

12:35-13:00 | Frugal Innovation in Healthcare: How to Do More and Better with Less | Jaideep Prabhu

13:00-13:15 | Conference Close and Prize Giving | William Bolton

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A Global Conference

The GASOC International Conference 2022 will be hosted in Sheffield City Hall, UK, on the 22-23rd of October. Everyone is welcome, including medical students, trainees and allied health professionals from all surgical specialties, anaesthesia, obstetrics and gynaecology with a passion for global health. There will be something for everyone, with a range of keynote speeches from inspiring leaders in global health, breakout skills sessions, and opportunities to present your research through our e-poster hall. Finally, delegates will have a chance to meet our sponsors and exhibitors both online and in-person.

Sustainable Global Surgery

The theme of this year's conference is Sustainable Global Surgery. This is an exceptionally important topic as sustainability impacts every aspect of healthcare training and service delivery. Through this conference, we hope to not only tackle areas concerning environmental sustainability but also take on a broader approach and explore sustainability in other aspects, including sustainable training programmes, sustainable global partnerships, and sustainable innovation.

Click here to view our conference programme.

Posterhall

We thank all poster presenters for your enthusiastic participation. Please upload your posters by 17th October.

*Important information regarding registration*

Delegates from the UK can only register for in-person attendance, until our venue capacity is reached.

  • UK: in-person tickets only, virtual option will only be made available when venue capacity is reached
  • LMICs: free in-person and virtual tickets available, subject to a strict vetting process. Please note this does not include accommodation or travel expenses etc, these must be covered by yourself
  • Any other countries: in-person and virtual (fee-paying) tickets available, please save the date for now and we will open this option at a later date

LMIC is defined as per World Bank LMIC country classification, please do not pick the Fair Medical Education ticket if you live/work/study in any other country.

All delegate registrations will be reviewed to ensure that the correct tier of payment is selected. We take probity issues seriously and reserve the right to refuse admission to delegates who may have been dishonest in their application.

Please do not hesitate to get in touch via gasocuk@gmail.com if there are any queries about payment.

Refund Policy

GASOC is a trainee organisation and will have to shoulder the burden of the costs when people cancel their tickets. We seek your understanding in this matter. Should you require an urgent refund, this will be considered on a case-by-case basis. No refunds will be considered after 6th October. Please get in touch via via gasocuk@gmail.com in the earliest instance to discuss.

We look forward to seeing you soon!

Please visit our GASOC website for more information on the conference programme, food and accommodation. You can also follow us on Twitter @GASOC_2015 for the latest news updates!

Learning objectives

Learning Objectives:

  1. To understand the purpose and scope of the organization Thet.
  2. To gain insight into the different ways in which Thet supports health partnerships.
  3. To become familiar with the Principles of Partnership and the commitment to Climate Action.
  4. To appreciate the range of virtual and digital approaches being used in global health partnerships.
  5. To gain insight into the impact of global health opportunities on UK health professionals' well-being.
Generated by MedBot

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Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

Thank you, everyone. Uh, lovely to see you all back and hope you agree. That was wonderful Lunch and a great many thanks to the organizing team for doing that. And especially for the catering staff being so welcoming with their time and the delicious food and a huge thank you. Also to our sponsors for funding this conference, the food, and also for showcasing. They're wonderful. Different devices on to the next part of our conference, and I'll introduce ourselves. My name is so, um, I'm one of the gastric committee members on the virtual reality side. Hi. My name is Elizabeth, and I'm one of the treasurers for gas up. Uh huh. Okay, So we are really excited to introduce this next session. We've got three really amazing speakers who will introduce one by one. We're going to hold a Q and A at the end of the session. So please do put all your questions in the middle chat. Um, or if you have any questions that you wanted to just pop and let us know as well. But the middle chat would probably be the easiest way to ask your questions, So I'll leave to go home to introduce our first speaker. Thank you. So our first speaker is Doctor Kit Shoulders, who's the head of policy and learning yet, and she's also a former consultant in intensive care, medicine and anesthesia. She's trained predominantly in the west of Scotland before taking up a consultant post in Wales, where she continues to work on behalf of. Yet she has led her hospitals International Health partnership, the gland clear Ethiopia link and joined the wider activities of international development in Wales and beyond. Having now left local medicine, she works full time for Thet, and she has taken up her role in September of 2021. She also wants me to let you know that she loves her dog and is a Welsh learner. So, without any further ado over to Dr Chalmers, Thank you. This is lovely. I've been working for Thet since January 2021 almost everything I speak at has been online. So I sit in my home office staring at a computer, not knowing what anyone looks like. I've never had an introduction like that before, so thank you very much. Lovely to be here. Um, so I don't need to say who I am. What I'm going to talk to you about is just a little bit about threat itself. Because probably many people aren't familiar with our work, what we do and then a bit about what we've learned about virtual opportunities over the last few years. Um, and then a bit more about what we're doing around climate change in the environment, both internally and in our programs. Because this is, after all, about sustainable, um, surgery, et cetera. Because I'm used to sitting in front of my computer. I am going to have to turn around a bit to check my slides to apologize for that. So I'm not going to bother explaining the acronym Thet because it doesn't describe what we do. What we do is we we support partnerships for global health, which is a tagline. Um, and health partnerships, as we see them, are described in that blurb there, which you can read for yourselves. But essentially the core features are that they're equitable partnerships which are long term not necessarily permanent, but long term between health institutions in the UK and low or low middle income countries, predominantly in Africa and Asia. in terms of the ones that we support and mutual benefit is at the core of these and bidirectional learning. So this is not about people from a high income country thinking that they can tell other people what they need to do or what they should be doing. This is about both parties learning from each other. So we we work in all of those countries that colored in whatever color that is dark blue. I think we've got offices were in London based organization, but we work entirely virtually now, So I live in North Wales. I've got colleagues across the UK as well as in five countries in Africa and Asia, and we have a presence in several others as well as per the map. How do we support health partnership? So we support health partnerships firstly, with grant giving. So we're not a big fund holding organization. We have to go out and find others who want to give funds. And we work those into grant programs that suits health partnerships. So those donors might be private. They might be government. We work very closely with Hee. So we do. Various pieces of work are funded through a GI because we know that the NHS benefits from this, as does HG. We create resources. So there are various tool kits on our website. So forth thing around things like reverse innovation, how to manage volunteers within health partnerships. Um, all sorts of things. Really. Um, we have events. So, like you had just had our annual conference, it was all online. We find that works better for you, drawing people in from low and middle income countries to have a kind of equitable platform. But we recognize the value of the impersonal events and thinking that that may need to change in due course. And it's really nice that there are people here online as well. We also hold other events. So introductions to global health and and various things like that, um and then policy and advocacy, which is my end of things, at least the policy end of things is, and I've got a couple of examples of some of the areas where we're interested in policy. A lot of it is around persuading important stakeholders that allowing UK health professionals and similar people to take part in global health opportunities is good for them. And it's good for their organizations, um, as well as other issues around global health, including migration of health workers. And I put in brackets that we also do some direct program implantation because it's not so relevant to this. But we we do have programs that we run ourselves, but also in partnership. So, for example, at the moment we've just started some work in Syria to develop medical curricula, and we've drawn in various Royal College is to help develop those as well as the colleges overseas. In fact, the only college that didn't want to be involved was the Royal College honesty's, I think so. We've got an anesthetic organization elsewhere. So just as an example of grants programs, so this is the only one that's open. At the moment. It's Commonwealth Partnerships for Antimicrobial Stewardship that's funded through the Department of Health and Social Care. So that is UK aid spending. Um, it's a follow on from other programs that we've done, and that's currently open for applications from both established partnerships and new partnerships with grants from between 10 and I think, 200,000 lbs, a big area of policy for us at the moment is around engagement of diaspora staffing, global health. So recognizing that as per the papers title, the UK health system is full of people who have already learned a lot from other global health systems or by growing up in different cultures within the UK and bring that to the UK medical practice or nursing practice, etcetera, Um, and also whole global health connections that that are ongoing. And this report shows how those are under recognized and undervalued and how everyone loses as a result. Um, so we're doing quite a bit of work to bring that to life and and do some practical activities around that with the NHS to make sure that people, everyone is involved in global health and everyone is at least equally recognized for that. We've also got an interesting health worker well being generally. But this inquiry, which we carried out at the end around about this time last year, actually is looking at how you K healthcare staff benefit from taking part in global health, and that that could be one element of wellbeing package that organ medications may want to offer their staff is that they support people in taking part in this. So we know that we've managed quite easily and quite clearly to map outcomes of global health with factors associated with good well being, like a sense of purpose, a sense of connectedness. Professional development team working. Uh, and we're now starting a formal research study to properly evaluate the well being of participants before and after, um, their participation in these programs. So all of this for partnerships is built around what we call the principles of partnership. They were originally eight of those, um, and they relate to forming the partnership, making sure it's equitable, making sure it's effective and that effective projects and programs to run and that both ends of the partnership benefit from that. Genuinely, we added 1/9 1, I think, a couple of years ago, which is around gender equality and social inclusion, which is very much at the core of our work and much more recently. So only last year we added the commitment to climate action, which finally brings us on to what we're what we're all here for today, and just to say so. This is our 2022 to 27 strategy that we've just learned that we just launched and one of our core objectives is also around climate. So he's there because this little critter, while he's been a pesky disruptor of almost everything good in the world, has actually driven, um, so much change in the world of global health. As I'm sure many of you are aware, as as health in general particularly, um, and I wasn't terribly involved in all of this. But yet, for example, as an organization would have done lots of travel between countries across countries having people come for half a day to speak at a conference, um, supporting health partnerships to travel to each other to and from each other, sometimes for a relatively short periods. And obviously all that stopped two almost entirely stopped the pandemic. However, health partnership activity did not stop. Um, and there was actually lots of partnership health partnership activity that went virtual, um, and work very effectively. Uh, and we offered some specific grants for that and health education. England offered funding for some specific digital and virtual partnership bursaries and people have done all sorts of things, and we've evaluated those to see what we can learn from those about working virtually and global health because clearly it's the way forward, isn't it? Not to have people crossing the global the time, um, to to support each other. So these are just some of the examples, and some of them are quite basic, and it all seems obvious now. But if you just think back to kind of three years ago hardly yes, people on WhatsApp chats and things, but not necessarily with their partners in other countries. And almost none of them were doing virtual training or zoom meetings. Um, etcetera. So we have seen, well, all of those things. So lots of chat. We've seen a lot of online learning modules developed. We've seen lots of partnerships develop kind of live training, or at least some element of live training. Um, there's quotes at the bottom. These are from the reports that the health partnerships have written for us about how things worked and that one in particular was a, um, you know, ended up with a simulation session, which was facilitated in person by the local partners, but also supported remotely by the UK partners. These sorts of things have never been done before and they're pretty much I wouldn't say standard now. But it's almost expected that you'll be able to do quite a lot, virtually completely cutting all the carbon footprint of all that travel. Oh, complete needs assessment have been done online of facilities from which other things can be developed. So clearly there's lots of advantages of these, and some of them are obvious, and some of them are less obvious. So, yes, there is the cutting of the climate cost, um, widening of of opportunities. So just something being remote widens the opportunities both at the at the UK end of the partnership, where people who perhaps weren't able to take a week or a month or whatever off work, either because of work or because of personal commitment. Suddenly they can take part because they can spend Saturday afternoon or Wednesday evening doing their their global health activity and similarly, at the L M I C end, something that's remote often reaches people in remote areas where they may not have had access to kind of central training sessions and so on. I think despite best efforts, a lot of health partnerships probably aren't truly equal. I think there probably is a lot of Okay, so we you know, that l m I c would like some training the UK and is going to deliver that. And it sort of becomes this unequal thing where the the UK under the partnership is in charge of the training. Um, that hasn't disappeared. But I think a lot of partnerships have found that not being able to be there in person meant that they had to transfer responsibility for delivering training and so on, with with virtual support to their local partners who've taken that on with gusto and obviously perfectly able to do it and themselves have grown in terms of leadership skills in doing that. So that's been a great positive. I think, um, there's flexibility in time. So you delivered workshops and that can be recorded and so on. And and then things that might once have been delivered just in one place can actually be rolled out to different areas and even involved different countries. So clearly lots of advantages, unsurprisingly, also lots of challenges. Probably the top one that was mentioned is about connectivity. So can everyone actually get on to the Internet or their bandwidth issues. I mean, I know that even in the UK, traveling across Wales half the time, I can't get any Internet and and in remote rural areas of a low resource country that is more common, although many people have access to the Internet, but it just needs a bit of attention. Um, there's a perception, at least early on, I think there's a perception that remotely delivered training wasn't going to be as effective. Uh, and it was more difficult to get important stakeholders engaged. So I think, for example, hospital management who needed to give people, uh, time to attend training events. Well, why are we going to do that when it's just online? So I think a lot of time had to be invested into making it clear that this was going to work and then showing that it had worked, um, various other things as a written down there. But I think one of the big ones and we'll come to what we think we should do about virtual opportunities is that there is something about being in a room with people and feeling part of something that just doesn't come from virtual interactions and I think some partnerships have found that a challenge, particularly new partnerships. So from all that, we have some recommendations these these have been putting together into paper, which was to be published on our website, and I don't think it has yet because it's waiting. Sign off from the donor. That's the f c d o. But it will be there shortly. Um, so really investing in that that locally lead leadership locally lead leadership. That's not the thing you can say, is it? But you know what I mean, Um, making sure that people in the country where the train is going to be delivered, um, support it believe it's going to work and have the time to make it work. So putting that investment in the beginning is really important, as is actually thinking about who's got technology, how are they going to connect to the Internet and whether, as part of your project, the infrastructure around that can be supported? Jan was just telling me about delivering dangles around South Africa as part of her project. So there's lots of ways of getting, um, getting Internet and and hardware and things to people who need it Um, And then I There's published guidelines on how to ethically approach digital developments in global health. Um, so have have a look at those, and I put a couple of resources at the bottom there. Um, and because we know opportunities can be widened through this, make that part of your project plans. So plan to widen those opportunities. Think about how to get people involved who might not previously been involved for one reason or another, um, and do support individuals because while it's nice to it's easy to do things sitting in your room on a Wednesday evening, it might leave you feeling disconnected rather than connected and unsupported. I've got very little time left and loads more to say, which is always the case. So I'm just going to say the bottom line in terms of this. So we feel that probably hybrid opportunities are the best for the future, so encouraging virtual connections and virtual working where it's possible. But having some in person time, particularly to build relationships and obviously to do those things that don't work so well online. So the other thing I was going to tell you about is the is the other work we're doing around climate. So this is the Green team. We don't actually have any sort of allocated time for this. We do it because we're interested in it. We have a meeting for about an hour month, and then we do bits and pieces in between time. We've all got ridiculous names just for fun. Uh, that we had to pick at the beginning. I think they allocated randomly and so we work on internal things. So we've developed various internal tools to try and look at our organizational carbon footprint and how we can reduce that. Obviously, almost all of us are working from home almost all of the time now, so that reduces carbon footprint substantially. But it does mean that people are using electricity, heating and so on at home. Um, people are gradually starting to travel internationally again. So we've got a an international travel assessment. So, for example, where we might once have so that balances time cost and carbon footprint to look for the best option. So where we might once have taken a two stage flight because it was much cheaper. We might go for a direct flight which is more expensive because it's got a low carbon footprint. Um, and you can actually calculate people's, uh, energy output, carbon footprint working from home. So we have a baseline organizational working from home carbon footprint. These are all just excel sheets that people have put together, you know, in their spare moments or something like them within our programs were developing environmental standards. So we're developing program quality standards for all our programs, Uh, elements of our program. One of those will be programs, environmental standards and ultimately, our aim is that projects will have a carbon budget. So we'll be giving people tools to work out what the carbon footprint of the project is, and with the recommendation that they keep within whatever level. We've got various ideas for projects that could work around climate actions. So there is reducing emissions, and then there's doing positive things. So actually doing things that either mitigate the climate crisis, uh, increased resilience. So we're looking to support projects that actively work around climate change in the climate crisis. Um, and they're just some examples of things that that we've come up with. And of course, there's lots going on in the world of global health, including at W H O. On climate change, and we engage externally. So we're part of various working groups and other organizations who look at policy who look at advocacy and we input into the thinking. And we also learned from being part of those groups on how to take things forward. Um, we stimulate discussion and collaboration ourselves, So I'm going to move on to a slide about what you can do. But on our online networking site Pulse are all the sessions from our conference, which was at the end of last week, which included a few around the planet and climate change. And of course, we need to find funds for programs that will support climate specific project. And we actually had some of that. But it was slashed in the April 2021 aide cuts so that program is gone. But we're actively looking for more, and this is probably an area where funders will become more and more interested. So the future is positive from that point of view. So this is my last slide, I think. What can you do? Um, you can find out from various organizations ways you can get involved. And these are just a couple you know, a few things related to health partnerships you've already heard about hee opportunities from floor. Um, the Scottish NHS has its own global citizenship program. Wales has an International Health Coordination Center and Wales and Africa Health Network that deal with health partnerships. Um and then there's a set that you can get in touch with as well. That QR code takes you to the website for pulse to join. It's free to join. Anyone can join. We've got over 1000 uses across the world. You just need to register. You can also find out on the app store by typing and pulse partnerships. Confusingly, um, just Google fit Health Advocates Network. If you're the sort of person that's interested in getting involved in advocating for global health, there's no time to say more about it now. But we're building a network of people who would like to to lobby there M. P s etcetera to say that this is a good thing and I should have said these are all very UK focused opportunities, at least the first one. So apologies to those in L M. I C s. But there are often UK organizations looking to partner. So also, join pulse and join that network and you may find people. Thank you. I'm being hustled off.