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Good morning, everyone. Um Welcome to day one of the Innovation Summit. Um My name is Roberta GRE and I'm the president of the Association of Surgeons in Training. And I thought I just give you all a bit of a background about asset because I know there are some of you that are coming from 77 countries around the world and not just the UK and the Republic of Ireland. Um So asset is almost 50 years old and it's an independent association that was funded by um Irish and UK trainees. And our aim is to pursue excellence in surgical training and that's what we are trying and of innovation in surgery and be at the forefront of innovation as a group of surgical trainees. It is amazing to know that we have colleagues from all over the world and we're really hoping that we can foster those relationships in the years to come. I want to say a big thank you to meal for hosting us today. And a thank you to Matt Harris, our honorary secretary who's been instrumental in organizing this summit and Kenny mclean, who is our new innovation um lead and also a massive thank you to all the speakers that have taken the time to come today for this fantastic program. So I'll hand over to Kenny now who he's going to talk about the innovation strategy of asset brilliant. Um Thanks so much Beta. Uh And, and thank you, I'll just echo, thanks for, for, for joining today and for all our phenomenal speakers who are you're going to be hearing over the course of the next couple of days. Um Yeah, so, so um I'm the, the newer asset innovation lead. Um So I just want to talk a wee bit about um what this role is and uh how asset wants to kind of support uh trainees in surgical innovation moving forward. So, uh so asset innovation essentially brings together a variety of different um groups who are all kind of involved in, in bringing surgical innovation um together in the UK. Um So that is obviously asset itself represents trainees, surgical trainees across the UK and Ireland and, and sort of aims to sort of bring their voices and you know, into the conversation about innovation. And we also work very closely with the Royal Colleges um who who have a sort of leading role in setting standards in the UK and Ireland and essentially kind of bring together and the sort of training aspect of innovation. And then obviously, we work very closely with a variety of industry partners um who often are, are the people sort of supplying the, the sort of innovations in practice and, and helping us sort of scale that into reality. And so to bring together all these different groups and to essentially help support surgical innovation in practice. Um, so let's kind of talk a wee bit about what the future of surgery might, um, look like. Um, at least within the UK and Ireland. And in 2018, uh, the Royal College of, of England and put together the future of Surgery report, which is online for free. And it's a fantastic read, essentially looking over the next sort of 20 years of what surgery could look like and what technologies are expected to have the greatest impact what this means for patients and for surgical trainees and, and surgical care and health systems in general as well. Um So it, it's a fantastic report. I would definitely have a, have a read through it and I'll just sort of highlight some innovations that are, you know, either in practice or on the horizon. And so certainly within the UK and Ireland and, and many other high income countries, a robotic surgery is becoming increasingly a part of, of standard care. Um It's still still, you know, evolving over time and still sort of expanding the remit of what surgeries are, are done robotically. Um And this is expected to kind of grow over time and it's really exciting time for, for robotic surgery and the potential of that could bring uh for patients and for surgeons. Um there's a variety of specialist interventions that are being developed. You know, some of them are, are sort of that more 20 year view of, you know, 3d printing, um sort of um joint replacements or 3D printing uh organs and a whole host of different things that are under development and to kind of help improve the standard of surgical care. Um There's also some fantastic work around augmented and virtual reality, essentially bringing that sort of 3D imaging into practice, maybe, maybe viewing this real time during surgery and being able to see, you know, have a, have an overlay of seeing perhaps a tumor within a patient and understanding the 3D anatomy and how best to approach it and that kind of thing. Um So there's huge potential which we're hearing about uh more later. Um And then there's a whole host of things around big data and A I and genomics. Um being able to do personalized medicine for people um predicting who's gonna get what complication, being able to sort of use computer vision to sort of view, you know, surgical wounds or, or or other aspects of, of um patient care and being able to sort of overlay, you know, where the problem is um as part of that and that kind of stuff. So there's a host of things that are in development and some of which is is emerging into practice. And so it's a very exciting time for, for everyone, obviously. Um But I think it is important to reflect on how um this is all gonna impact surgical training. Um So in uh 2022 asset and the Royal Colleges of England and other groups um co published the technology enhanced surgical training report um which outlined um sort of themes that are broadly encompassed around how these new inventions can benefit surgical training or this to happen. So what training to do surgeons need to be able to sort of actually use this in practice and what needs to change about services to allow this to happen, that kind of thing. Um So again, this is online for free. And if you're interested in this area, I would definitely have a read of this because it's um you know, it's again, particularly in the UK and Ireland and other high income countries. This is this is going to be setting the standard for, for things moving forward and certainly other countries as well. So, II guess it's sort of important to talk about whenever you sort of bringing innovations into practice. II guess what um the adoption of innovations can look like. Um So often when new innovations come out, these take time for people to be able to start using them. Um So there's some people who will want to test something immediately and maybe be involved in developing the whole process and around the innovation and there's some who, you know, don't necessarily want to use it until there's robust evidence and to show that it's safe and it's effective and all that kind of thing. Um And then there's some who to a less extent, you know, won't change it unless it becomes unsafe, not to do so. So kind of need maybe a bit of a push to actually embrace innovation. Um II guess the key part of this is that, you know, wherever you are in that spectrum, you don't necessarily need to be leading these innovations. Um But we all need to be able to understand and adopt these new innovations where appropriate. Um Unfortunately, often, you know, as surgical trainees, we're not necessarily always prepared to uh you know, have the skills to be able to do this effectively. Um And this is where asset are hoping to come in. And so ultimately having trainees at the forefront of surgical innovation. And so we're sort of committed to, to sporting that um with trainees, um you know, aiming to sort of support trains to become ups skilled in innovation, um equipment with the knowledge and skills to be able to use innovations in practice as well as lead innovation and understand what innovations are appropriate to use when for your patients. Um And trainees are also essential stakeholders in this. We are, you know, the future of surgery. And so ultimately, you know, our voices are important to be heard in the context of innovation, uh being able to, you know, you, you are, you know, the frontline people being able to understand maybe some of the the problems that you're encountering and the sort of unmet clinical and training needs that that would potentially benefit from innovation. Um And are ultimately able to provide some really, really fantastic feedback on potential solutions to help guide the development of innovation as it as it moves forward. And so ultimately, you are incredibly important to this and we want to help support you in, in doing so. Um so I'll just sort of finish off by saying, you know, hope everyone enjoys the summit and this sort of inaugural event will be one of the first of many opportunities for trainees and sort of to benefit from educational and have the voices heard in innovation and the asset are going to provide moving forward. So, um I will pass it on to Matt uh to share some of the more details. Thank you very much. Brilliant. Thank you very much Kenny. Um So, yeah, I mean, it's my absolute pleasure um to, I guess, kick off the, the summit and um try and give a bit of inspiration to everybody. Um So my name is Matt. I'm a general surgery registrar in the UK part of er, the Asset Committee. Um I'm also doing a phd at the moment up in, in Manchester. Um I chair our Robotic Conditional surgery trainees committee um, which is really everything that, that Kenny's been talking about, um, wanting to make sure that trainees are at the center and able to drive through technology enhanced surgical training. Um, so the title of my talk is the future of surgical training. Um, and I think, you know, my main aim today is going to be, um, showing you that very much digital surgery is coming and this is gonna really impact the way that we train and it's gonna really massively improve potentially the way that we train as long as we get some things, right. Um, we have a whole load of amazing speakers throughout the next two days. So I'm gonna leave the, the specifics to them. Um, we're covering a whole host of topics which we'll kind of, um, go through. Um, but hopefully, uh, you'll enjoy the week. Thank you for, for, for being here. Um, so to give you an idea of, I guess the, the, the, the burden and the speed into which digital surgery is being adopted, this is a graph showing, er, NHS contracts of digital surgery solutions. And as you can see, just over the past two years, things are, are starting to kind of creep up and up and this is not small amounts of money. This is just thinking about contracts of er, digital solutions for single trusts. So we're talking or single organizations is talking, you know, almost 200 million lbs for a single trust. So we're talking big money being invested from the NHS, but it's not just England. Um when we look across the globe and we look at things like the robotic surgery market size. This is increasing and increasing as it projected to continue to increase potentially on an exponential rate. We look at the digital health market. It exactly the same thing and we're talking, you know, 500 billion lbs of investment and spending and the same with artificial intelligence, I'm sure that even, you know, if you reflect back two years, pre chat GPT, um, it would probably seem almost, you know, unbelievable. You wouldn't think that that's gonna be part of your day to day life. But it is, and it's only gonna get more and more advanced and it's only gonna get more and more er, common in its use. But going back to surgical training, um, times have changed, especially with, er, pressures on surgical trainees to kind of what they want to do is get to be a consultant, competent attending surgeon at the end of it. But there's all of these pressures, for example, um European working time directive, meaning that the way that we work is potentially changing a little bit. Um, the way that our supervision is a little bit more consultant led, um, more kind of case kind of case based and competency based rather than just pure volume. We also have these increasing workforce pressures with aging populations expanding populations, our theater capacity and efficiency can potentially be be reduced. And also there's changes in the way that we do procedures. We're having more complex pathology, we're potentially doing robotic procedures rather than open um or potentially contributing to a relative reduced amount of time training or a reduced amount of time operating. And this is just in the UK and actually a lot of these are compounded and worse across the world. And I'm sure we have lots and lots of international delegates as Roberta mentioned from 77 countries. I imagine some of these themes will be similar. So we look to the future of surgery, potentially, what we need to do is try and increase our exposure to operating, enhance our learning whilst we are training, improve the way that we feedback and develop while we're learning and try and improve and enhance that workforce. And we can look to technology to do that and that's exactly what um the future of surgery report has looked to and the the technology enhanced surgical training report, which we'll touch on a little bit later and Kenny's already er touched on already. So if we think about our learning curve as a surgeon, this is kind of a rough estimation and where can technology fit in to to kind of speed us up here. So if we look at the beginning, this kind of slow plateau, um potentially things like virtual reality and improvements in an extended reality, meaning we can learn up that early learning curve without even needing to be in the operating theater, perhaps in the middle bit when we're operating and learning these procedures, improving the way that we can reflect and learn and look and look at our videos or even with teleprompter, um can help us accelerate up that middle part of the curve more quickly or even at the plateau, we might have er intraoperative decision making aids where we can raise that plateau and make standards even higher. So we look to our technology is at the moment. Um, and extended reality has massively expanded over the past few days. And as you can see, you can even think about, er, getting into theater and doing an operation, but of course, we need to make sure that these are evidence based. Um and we're not just using technology for the sake of it as you can see in some of these videos, er, there's gonna be a spectrum of technology and its usefulness and kind of on that path to being a safe consultant. So again, I wanted to highlight these two reports. I think it's well worth, er, just having a read. They're both brilliant. The future of surgery report chaired by, er, Mr Richard Kerr, er, in 2018 and the technology enhanced surgical training report chaired by Josh Burke in 2022. Um, if you haven't read these, um, it's pretty, you know, it's very very well written. It's a conglomeration of industry clinicians and, and leaders throughout the field and certainly would, would recommend having a look at that. So Kenny's already mentioned these things and these, this is what these two reports have highlighted, um which is gonna be the next thing coming. So, minimally invasive surgery, er, improvements in im imaging and extended reality, big data in genomics and specialized interventions. So, what I'm gonna do is highlight a few um of these really exciting developments. So the robot, I'm sure er, you've all come across things like this and this is one of the, the beautiful videos from CMR and we have the co founder speaking er, in just 45 minutes. Um but it's not just one robot that's coming in the UK, we have three using clinical practice, but actually, if we look across the world, we're seeing even more even more all doing the same thing. And this is um a really important thing is we look to the future, how we're gonna make sure that surgeons can train. It's much more complex than the technology that we've been used in operating before. You know, different types of scalpel are pretty similar but different types of robot as you can see, can be massively different when we look to imaging in extended reality. We've already seen that we can potentially train as er surgeons in a virtual space. But what about intraoperatively, potentially even using these er augmented reality overlays to massively improve the accuracy. So you can see here, this is kind of emerging technology, potentially able to locate brain tumors with people live on the table, which is really gonna help any surgical approach. Um and per perhaps perhaps one of the most impactful things is going to be genomics and big data. So um the what 100,000 genomes project is now is relatively old news. This is now the 1 million genomes project and it is essentially about genotyping large numbers of people and understanding how we can personalize medicine. And so er one of the interesting things that's come out out of this is being able to personalize er um therapy based on patients cancer genome. And within this, we're, we're taking lots and lots of data and there's lots of opportunities to where the collection of this data and implementation. Now we have the ability to be able to understand and use it. So to highlight just within the NHS, there's about 600 million patient contacts, er just in one year, which is about 1.7 million interactions with patients per day. Um All of these are recorded, all of these are points of data and this is just one year and actually the vast majority of people er are happy for their data to be used. Um And this is a, you know, a massive data mine and as we're able to start to harness some of this we're gonna really be able to make some, um, potentially really positive, er, changes for our patients and this is where it kind of feeds into things like artificial intelligence so we can use it all the way across the patient pathway. Um I'm not gonna speak too deeply in that because we have some amazing speakers as to, as some of the um, er, ways that this can be implemented. But for example, even something like er using A I to schedule your operating lists, er, we've talked about the potential for interoperative decision making tools and er one thing that's gonna be really impactful is using that big data to help personalize postoperative recovery. And this is really interesting, we talked about robots. What about the intersection between big data and robots and this is autonomous. So this is um a robot that can suture on its own. Um but it looks all right, it looks pretty accurate, it looks pretty slow and bearing in mind. This is from 2008. Um So we're talking these technologies really well established and actually, if we look at this video that, which is er shown by John Hopkins University recently, now these suturing robots can er understand their errors um and do things on not just this very controlled environment but actually out of their distribution of operation um on irregular tissues like chicken thigh, pork loin. So this is the way that we're, we're kind of going as you can see, we're probably not gonna be out of a job too soon. Um But that ability to use that big data um with the new hardware as it were is gonna be a really um kind of practice changing innovation over the next kind of 1020 years. Um So circling back round to er asset and radius. So I chair this committee. And the idea of this committee is to er break down silos and get everybody working together. So we're a committee with representation from every surgical specialty trainee society within the UK and Ireland and also er representation and um communication with all four Royal colleges. And so that really allows us to bring in um people from all different places doing different things um and making sure that we're all driving towards one common goal. So we have four kind of main priorities the first being um about robotics and we want to re er for the UK understand the about integrating the robotic curriculum. Um Having that equity of access is really important, making sure that all specialties are represented and that junior trainees are supported through this process too. Second thing um which is really important is er making sure that we're involved through the pathway of um technology enhanced surgical training, innovation, er assessment um and development and making sure that actually, you know, we're receiving innovations to en enhance our training process which are in the best interest of us, we're also really passionate about supporting innovation skills. Um So a doctor doesn't always have to just be a total clinical doctor. A lot of the best, most clinically relevant, er, innovations as you'll see from a lot of our, er CEO S and co-founders and you'll hear from, er, people like Mark Slack a little bit later. Um That having that clinical aspect is really important in making sure um that we have patient centered interventions. Um And what we wanna really wanna do is is support this through the process and finally making sure that um as digital technology is expanded and implemented, that trades aren't left behind in terms of the understanding of this, some of this complex stuff like wearables like artificial intelligence. Um So something that we're uh one of our big projects at the moment is trying to understand the feasibility of using video assessments. Um This survey is going to close er at the end of this summit. So if you have, I appreciate filling in, it's only two minutes just understanding uh your, your um kind of perceptions about video recording and assessment and what we will plan to do is then launch a national pilot study. Um So what we're gonna do over the next few days, so we're gonna talk about the future of surgery. Er, we're gonna talk a lot about, er A I and big data. Um We're gonna talk about entrepreneurship and we're gonna hear from er, Professor Tony Young, imminently, um, who is head of this clinical entrepreneurship program. So today again, we're talking about artificial intelligence. We have some amazing case examples all powered by a video which you're gonna hear from and have a panel discussion with. We're gonna hear about frugal innovation, even having b who will be, er, streaming in from Nepal trying to run the, the world's highest laparoscopic skills course. Um, we're gonna be talking sustainability, which we'll hear about some, er, cutting edge studies from the N A hr Global Health Research Unit on Global Surgery. And we're gonna hear about entrepreneurship from er CEO S um kind of helping you understand and um some of those skill developments in terms of building your business, er how to develop those entrepreneurship skills, how to fund that thing. So tomorrow we'll be talking a little bit about innovation in industry and in the NHS. So we're gonna hit from, er B braun and the chair of the A BH I Commercial group, er, and also um some NHS professionals in, in innovation. We're talking digital health um which is something that is definitely emerging in importance at the moment. Um And we'll have a, a fantastic plenary on simulation where we'll have multi, multiple different, er, amazing kind of world renowned speakers coming in to talk about um the latest developments in simulation. Um And finally, we have loads and loads of research. We have 400 posters for you to see in the breaks. Um We also have, er, seven different um breakout groups for oral presentations and our best of the best abstracts, which is tomorrow afternoon. So, er, definitely get involved and, and see that, that, er, trainee led research that, that's out there at the moment. Um So that's all for me. Thank you so much. Um I would recommend joining Asset of course. Um.