Computer generated transcript

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

I like the President's of the colleges that had the privilege of reading the citations for the nominees for this year. The Acid Council have been inspired by the interviews, but rather than quote the citations, I felt it was more important that we had the nominees on stage such as you can feel their pash in for education. So I'm asking them to come on stage in alphabetical order and they have been given four minutes know slides to share their philosophy on education. And I'm first delighted to ask Richard Bolton to the stage. Richard. Thank you. Thanks everyone. My name's Richards and I'm a surgeon. Uh And I think that really captures what we all do, what we love. It's the best career in the world and it gives us joy. It gives us a smile to be a surgeon and we should always remember that. That's what everything is all about. It's an honor and a privilege to be given the opportunity to operate and have responsibility to the patient's we treat and we should always remember that and that is what we invoke and that's what we teach our trainees. Uh and our trainees are the essential to how we progress and how we look after our patient's throughout that progress. Uh I wanted to thank my trainees and nominated me. Uh some of those are here. So Francis Tim Nafie, and she mean, very grateful for the nominations and it's a privilege. Uh My trainees are not only my colleagues there, also my friends and then the consultant surgeons of the future. So they, we work collaboratively as a team. You never know what path you make. And it's nice to meet uh one of my previous trainees who's nominated one of my colleagues in the Wings over here. I'd also like to thank my colleagues in my hospital have helped me and support me, Assassin am Alesha in the audience. They know who they are. Thank you very much. So I work at Queens Hospital and King George's over at uh Barking Haven Red Bridge down in Essex. Uh I'm a consultant colorectal surgeon. I have a number of my peers and I followed those with the masters in education, with Roger Knee Bone at Imperial College. Uh And it's nice to follow on from some of my colleagues that are here with this. I thoroughly recommend that course to anyone as a trainee who is interested in doing it. I've become the educational lead over the last five years of being a consultant that's been here. Um the surgical tutor for my trust, um The pilots slightly for the extended surgical training program that you've been hearing about. And I've now become the, the training program director for North Central and East London. And it's really that that's allowed me to flesh out, not just training my trainees in theater, but also giving them the opportunity uh to express themselves and work and acknowledge their goals and their ideas. Uh And really has allowed me to uh let them reach their potential because that's really what it's about. It's facilitating, facilitating your trainees to do what they need to do. Uh My previous trainee one, the court surgical skills competition, the you cut out for it. Uh And it was, I've been running that as a regional heat taking on from my colleague cess uh and my main focus about a modernizing a surgical career. It's about work life balance and the college has had a big push about reducing burn out. You can see that there's a lot of work that still going on about that. And what I do is, is training program director is to facilitate and allow that. I've got one of my trainees going off to and I'm sure you won't mind to going off and having some time out to have fertility treatment. And I think it's important that we acknowledge that there are lives, there are families, there is a lot of background to all of our trainees and I want to protect them with that. I'll finish by echoing that the motto of no training today, know surgeons tomorrow. I'm applying for the Faculty of Surgical Trainers. Uh big plug for that Peter. Thank you, which I recommend all the trainees and trainers. Uh It's been promoted by the silver suture and the silver scalpel winners. So from Peter and from Ricky, uh and I wanted to thank the creator, I wanted to thank David for the awards. It's a great way of showcasing fantastic training and trainers and all of the finalists here will really demonstrate and show you that this needs to be promoted further. And I thank you for the privilege of talking to you. Okay. Thank you very much, Richard. I'm privileged to ask our next nominee to the stage. Nick. Carlton Bland. Nick. Thank you very much. Hi there. My name is Nick Carlton Bland. I'm a consultant surgeon here in Liverpool. Uh Just let's say a big thank you to the assets organizing committee, uh the surgeons in training who nominated me, uh and everyone else who's supported me. Uh It's a great honor to be here. Uh Educations, passion of mine ever since I started medical school. I really love medical education. I was one of the new fancy graduates. I started in the year 2000 in Saint George's Hospital, part of the graduate entry program that was a very different sort of course where you were taught in a different way, but you were treated in a different way. We were treated as colleagues. We were treated as uh have we were treated as colleagues? And really we were treated as adults, I guess. And it was a very different experience in my previous university degree. I think those values have gone forward with me on my educational ist journey now as a neurosurgeon, I'm interested in the brain. I'm interested in the way that we learned. Um And I think that it's, it's so clever the way that we can reduce very complicated problems down to small bite sized chunks. And I often say anatomy, the triangles, you know, we've got the Inguinal, we've got Cal Oes, we've got the carotids triangle. Um Imagine my excitement when I learned that in neurosurgery, there are 31 school based triangles. Wow. Um But all that trigonometry aside to try and glide, what you think about really is Miller's and you'll be familiar with that at the base. There's knowledge and then there's knowing how showing how and doing. I think the base layer, the trainees can get, you can get that from the internet, you can get that from books. But what we do, a surgical trainers really is the knowing how we do mu large and divers, we do showing how with simulation and we assess the surgical training, doing the operation with good well done work based assessments. And I think that really we need to be doing this. There's a time ticking E W T D makes the training more pressured. But also our trainees, the surgeon and training are under the microscope. It's not acceptable to have learning curves on real patient's. And so we educationists need to push and develop that area. Yeah, I think I've, I've taken that on, on one side. I've, I was the director for training for the whole of neurosurgery for the north of England. I've started revision courses and, uh, another training courses, uh, part of the S A C I've even brought in the most sophisticated neurosurgical simulator in the country and brought it here to Liverpool. But I've not been nominated for any of that. I don't think, I think I've nominated. But what I've done local on the small scale, which is the daily interaction, the weekly virus, an interview practice in the monthly simulation. And very much as Peter Britain was saying, it's reducing that hierarchy. It's talking to decisions in training like their colleagues are not where there's a false distance. So I guess I would say that my philosophy of training really is to be kind to be respectful and overall, I think to have empathy, it's a stressful time being a surgical trainee. It's stressful operating, it's stressful because the bleeps going off, it's stressful because you've got to submit that paper, you're promising that you're gonna submit and you haven't. Um There's, there's a whole load of demands made on you. And I think that we as the surgical training, hopefully can create a culture and I think that's what I've done. I think that's why I've been nominated. I've created a culture of, uh, which really, I think has helped that. We have a happy group of junior doctors who work hard. They'll go the extra mile, they have job satisfaction and they don't burn out and they don't leave. And I think that's what we've really created. Has it been successful? Well, certainly are GMCR JCs T scores between the red are now in the green. We've got a great result of getting uh see sts into neurosurgical training and we've had very good results with the, with the exams. And I think really what I the triangle that I really think I've been part of uh is the Maslow's triangle, the, the hierarchy of need and to be at the top of that triangle and to have that trainee firing on all cylinders and really, you know, maximizing the use, they have to, it's predicated on having those foundations of respect, of feeling safe and feeling valued. And I think that's what I've tried to do at the Walton Center. Um So I think in conclusion, that's my philosophy uh of teaching. And I really encourage you all to try to change that culture, to really support our trainees and remember your triangles. Very pleased to ask to the stage. Christina freeze any Christina, please come to the stage two, deserve the applause. So, um first of all, thank you so much for inviting me and for sure. Listening for this price, it's a great honor. So who am I? I am Christina. I am an oral and maxillofacial surgeon specializing in had a neck oncology and I work at Sheffield teaching Hospital. Um I think I'm very privileged because I work in a teaching hospital and in a specialty, the um has a great range of trainees. So we go from single qualified dental and medical students through to people going through their second degree, whether it's dentistry medicine and w qualified registrars. Um And that gives a great opportunity to address everyone. Um So cutting to the chase was my philosophy of training. I think training should be fun and should be free. Um Your log books and your surgical training, surgical skills will come off their own accord. Uh If you're doing a surgical training. Um But what will make the difference is there's memories that you have to create that go well beyond academia. So for example, as a trainer, we um me and my team, we encourage everyone to come to conferences, to come to courses to present nationally internationally, but not only um they will increase the CV. Uh we create extracurricular activities because it's that team joining activities that um will help them when they feel um the maybe surgery is down in a dark road because surgeries long, um everyone needs to feel included from the most junior to the most senior. Um And um and we try to do that. So um talking about free um finances, finances are important. Surgical training is expensive. I don't think it should be expensive. I think it's the responsibility of us trainers to provide those extra um uh opportunities free of charge at the point of delivery. So I'm very proud that we've organized um courses from all levels from susteren workshops for students to um the cherry on the cake in our region, which is um surgical courses on cannabis, which are aimed at our registrars and are two day courses they run every year and they're completely free of charge. Um Again, because we're in max facts, we can support trainees financially through their second degree by creating work, helping them, applying to bursaries, help them um apply for prices. Um I think surgical training, you shouldn't worry about the destination, you'll get there, you're already halfway there. What you should do, you should enjoy the journey and create an environment that you would want to work with. These are your colleagues of the future and happy colleague, happy trainees, make happy colleagues and some of my colleagues already alluded in the past about work life balance. And I do think if your work is enjoyable, then your balance is better. Thank you to my left Adrian Harris. Hello, I'm majoring Harris Summer consultant, upper Gi laproscopic surgeon that Hinchingbrooke in hunting, which at one point was the smallest trust in the country. Um uh my, my two great passions in my work are the laparoscopic surgery and training and teaching, um, college tutor and also a faculty, a fellow of the Faculty of Surgical uh trainers, which does fantastic work in supporting training and trainers. Um David asked for a philosophy in four minutes which is, is difficult. Um But there's been excellent answer so far. I think a common theme. I'm sure in this conference in other training conference is, is that the operating list is every operating list is a training opportunity. Um I'm sure would agree that every operation, I certainly feel every operation is a training opportunity. Um So I think as, as consultants, we need to protect our trainees and, and try and make that happen, even if they take part a small part in the operation, we have some negatives that we have to fight against. We have grumpy Iniesta's, we have time is often not our friend. And uh you know, we, we've all had those experiences and the trouble is as consultants. We have to, we have to juggle a few balls in there. We have to satisfy the managers, we have to satisfy the staff in theater. We have to be sensitive to time issues, but we must protect the time that the trainees get to operate. And it's something that I've had to protect my trainees from time and time again. I would expand that philosophy and say that really every patient contact is a potential training opportunity ward round or in the clinic, they're often little sort of nuggets of training goal that you can extract and pull out and, and uh and discuss. Uh the trouble is, is clearly you cannot sit down, have a training session every time you see a patient, but you can pull these things out and take them away and discuss them later. And my philosophy very much is on, on ward rounds and clinics in theater, just if something occurs to just pull it out and say to the trainee, look, remember what he or she said or what this looks like and let's discuss it later. And I think that way you maximize all the training opportunities and things that might have got MS don't get missed. Um The other half of my sort of interest in training is non operative factors. Uh sorry, non clinical factors are we consultants do an awful lot of non clinical stuff that just doesn't get talked about in most training programs. And to that end, we started a thing we call surgical Forum Hinchingbrooke, which is just, it's just another teaching session, but it's all about the non clinical stuff that consultants do. So how to answer a complaint. What happens in an Inquest? Private practice? No one seems to talk about private practice, but the trainees, they know these things happen, they want to know about it. And our surgical forms run by our enthusiastic trainees. They bring their topics to the table. I sort of just oversee the whole thing, but they run it and we just have a very enjoyable and relaxed discussion. So that's something that, that I think is very helpful. It provides a sort of around it. If you, if you've got the clinical and the non clinical it then provides, I think around it, uh training opportunity for our trainees and they, they seem to enjoy it very much and I'll finish with the fact that the thing I love about you trainees is that you've been elsewhere. So we consultants were in our little silo is doing a lot of hard work and keeping our heads down. And then when the trainees come through the door, they've had experiences elsewhere. Um Some of them negative, but a lot of them positive and when we discuss these issues, particularly the surgical forum, I find it very enlightening and probably as helpful as the trainees. Um So it's just another side. So that's the hopefully a rounded train of the clinical and definitely the non clinical as well. I'll stop there. I hope he's starting to get the idea and I would like to welcome to the stage tomorrow, Kenan tomorrow. Thank you. Thank you. I'd just like to thank the association for inviting me to be here today. I am absolutely deeply honored by the nominations. So, what's my philosophy on training? Well, much like what's been said before, I believe that we're presented with training opportunities all the time throughout the day. And it could be a decision that we've made in theater. It could be an email, a question posed by a patient or maybe it's something outside of work that's had a real impact. I think it's part of the trainer trainee partnership to identify those learning opportunities for what they are and to consolidate them by chatting about them, reflecting upon them. Now, with routers being as they are, I think now more than ever, trainees need to feel that sense of belonging. They need to feel that they are valued and that their opinions matter. So how do I address this? It's by getting to know my trainee finding out what their strengths are. What are the things that we need to work on what their goals, they're learning styles. Um But also thinking about those support networks and what gets them up each morning. What's their pash in long gone are the breakfast that we'd have after a long war drowned. Nice team breakfast. What I do is a cost a Tuesday. So the time between my theater and my clinic, we grab a coffee, we sit down and we'll talk about anything. It could be how the list went. It could be what work based assessments we need to do. It could be something that the trainees done that the weekend or they might quit me on how I handle being a parent. And the surgeon. So most surgeons I believe are quite visual or tactile learners. So we need to learn by actually doing the operation. So that's why I tried to give my trainees the time and the space to try out their skills, to learn new skills. But to make those decisions during the operation, all the while being in a safe environment. And of course, I would step in if there was something untoward happening, but that's quite difficult as a surgeon who loves to operate. So I thought I best get some feedback from my cheney's to see whether I actually did this. So this is what they said. You're very calm and during the operation you do not interfere. Yes, you let you let myself, let me as the trainee get myself out of trouble. And if I can't do it that, you know, you are able to verbalize the steps that need to be done without taking over. If I'm stuck, then you'll take over, but only for that step. So then you hand the operation back. My current trainee was told by a previous one that no matter what she was to get to my list because she would receive training there. Um And one that really stuck with me was my previous trainee who said no, no matter how rubbish my week has been, I know I'm going to be okay because I'm coming to your list. So for me being a consultant is providing excellent patient care, but not just for now, it's for the future and to do that, we have to ensure that the next generation of surgeons are you set out? There are better than the current generation. You need to be more skilled. We need to have sustainability of the N H S. So there's nothing I like more than to watch my trainees skills and confidence increase over the time with me to the point that I can stand back, I can let them lead the operation. I can let them lead the who checklist and just watch them flourish because I know I've done my job then. So for me, training isn't an added extra. It doesn't take more time because it's within everything that we do and it's up to all of us to do that. Thank you. And last but certainly not least, please come to the stage, Thomas Pearson and a round of applause, please. Um Right. My energy levels are a little low. I just finished an on court week. I was reflecting on, on court weeks. Um I quite like the on court week. We have a team. It's one of the few times now where that team is continuous for a significant period of time. I get to learn about that team during the week. Um I find that massively rewarding. Um I was reflecting that by the end of the weekend between us, we've done seven laparotomy. We've had a PTC inserted, we transferred a patient for visceral embolization. My involvement in that was in some situations um direct in other situations, mentoring, providing advice, providing space for other members of the team to expand their skills, expand their experience um and provide them support and guidance as they needed. Um I find that a valuable process. I was listening to the other uh trainers here. I think maybe their organization of how they train is more specific than mine. Mine seems to be a bit off the cuff. Um I was trying to think about my style. Um I might be irreverent. It's certainly sometimes impatient. I probably come across disappointed in my 3 60. I suspect tall and rude would be the commonest returns. Um I think surgery is really complex. I don't really know what surgery is in, in simple terms, but I try to break it down. I spend a lot of my time training now with motivated organized trainees who are clearly going to make a better surgeon than I ever will who and need minimal guidance. I think getting out of their way is probably one of the things that I need to do more than I probably do. I talk about damage, I talk about repair, I talk about knowing when to do something. Um And probably more importantly, knowing not to do something. Um That particular skill and experience is, is uh a difficult one to learn and an anxiety inducing uh situation I think for most of us who feel that we ought to do something because that's going to be in our patient's best interest. Um, reflecting some other um observations that trainers are still training. Um, you're in a really powerful position as trainees to train your trainer, the better you train them. Uh the more responsive there'll be to your needs. Uh the more you'll get out of it and the more they'll get out of it too. That's my understanding. So there's training techniques. I think one of the fantastic advantages of being a trainer is seeing trainees with slightly different approaches or techniques and stealing those is that you've always done it that way because it was such a fantastic thing to do. Um But learning from the trainee in so many different ways, I think is one of the important and humbling factors. And one of the things I've written down here that COVID has been pretty dreadful, but actually trainees move less during COVID and reflecting one of the trainees I need to thank for nominating me. I think I've, she has endured me as her educational supervisor for three of her six years as a trainee, both as a junior trainee and coming up to C C T. And it was phenomenal to watch the observed the change in her surgical practice uh during that time. Um And the fact that she felt I'd had some influence in that was a phenomenal feeling to be nominated. I think that's what I'm saying. You take a good head and you put a good heart and you have a formidable accommodation and you put in their hands and inform scalpel. Then you've got something very, very special. And for 22 years and I continue to bang the drum, the system must recognize believe and invest in these people because for me, it's black and white education, education, education and the power of education extends beyond the development of just simple skills we need for surgical success. It is because the N H S and our profession will not develop unless our trainees are educated. I felt it. I've seen it. You've heard it. We need to recognize these people. Please stand up and take the applause from the audience 2023 silver scalpel award nominees. Sadly, sadly, there can only be one. It will be announced at dinner tonight. Get dressed, let's have some fun and let's celebrate this moment. Thank you very much. Indeed.