Education

The Orthopaedic Institute are pleased to have been able to provide support for visiting clinicians to lecture at the hospital and also to support 30 members of hospital staff which included consultants, orthopaedic trainees, nursing and allied health professionals to attend meetings and training courses held in the UK and abroad.    

One of the Orthopaedic Specialist Trainees, Mr Maulik Gandhi has provided the following report of his visit to Seoul, South Korea in May 2016: 

I had 2 objectives for visiting South Korea.

1)      Professor In-Ho Jeon is a shoulder and elbow surgeon at Asan Medical Center, Seoul and holds a chair at the University of Ulsan. In additional to clinical work, he has a research lab. A large number of projects can be encompassed by the phrase “Translational Research” – taking technology available today and applying or modifying it for purposes within orthopaedics. The research I was most interested in learning about was his work in developing the next generation arthroscope, shoulder movement modelling, and his work on developing a robotic arm.

2)      International Congress of Shoulder and Elbow Surgery (ICSES – tri-annual global congress) being held in Jeju, South Korea. This was a 4-day congress that promised to showcase 3 plenary lectures, multiple symposia and research sessions with global leaders in the field of shoulder and elbow.

Asan Medical Centre was a big the hospital complex consisting of 3 wings – West, East and New wings, and besides these clinical wings, there were offshoots to the research buildings, accommodation, and numerous other buildings.

When I was with Professor Jeon in the operating theatre, I was struck by the different theatre design. There was a central staff scrub area for approximately 5 theatres, which then led into each theatre (through a door) where a final chlorhexadine wash done in the operating room. The operating room (OR) was large and allowed plenty of movement, but as was identified by the team, there were a lot of cables running across the floor. They are currently working on a project termed “Next generation OR” where they are rethinking the whole design of the modern day operating room, and I had a sneak preview in the research building, but it is a number of years away from completing. Other teams are also developing robotics arms for bony cuts for total knee and hip replacements as well as femoral canal preparation.

We left for Jeju Island on Monday for the Conference. Wednesday had a plenary lecture (Codman lecture) delivered by Prof Wallace (UK) titled “Our Legacy to Future Patients: To provide the best training for the next generation of shoulder and elbow surgeons” and gave a fantastic talk encompassing training in the UK, the difficulties faced and also the need to train the surgeons of tomorrow.

Prof Etoi (Japan) delivered the (Kessel lecture) on Thursday and talked about his work on shoulder instability and external rotation bracing, and the concept of a humeral track. Strikingly he quoted Einstein in saying that to prove you understand a topic, you must be able to explain it to a 6 year old. His ability to explain the complex topics was exemplary.

Prof Hawkins (USA) delivered the Neer Lecture titled “The Journey Through Life and Orthopaedics” on Friday. His heartfelt talk went through a range of pertinent topics of a surgeon’s career, applicable to all grades. I went away with a genuine understanding and witnessed examples of team playing, humility, the importance of saying thank you and the absolute requirement of having goals for oneself in the short, medium and long term.

Welcome to ICSES, Jeju, South Korea - Orthopaedic Specialist Trainee, Mr Maulik GandhiWith Prof Jeon at ICSES

This trip was hugely successful for me in the professional and personal sense.   I have made a close link with Prof Jeon who is working to create a paradigm shift within orthopaedics by developing new ideas through translational research. I also had a chance to network during my time at ICSES and met a textbook of distinguished leaders in their shoulder and elbow surgery. All this would not have been possible without the generous support from the Orthopaedic Institute. I wish to thank Mr David J Ford and Dr Brian Ashton for their personal support in helping me make this trip.

The following 26 courses were organised by the Orthopaedic Institute during 2016-2017:

2016

18-19 April                 Intensive Course in Clinical Examination for FRCS (Tr & Orth)

20 April                       One Day Viva Course for FRCS (Tr & Orth)

5 May                          GP Orthopaedic Study Day

9 May                          Image Guided Spinal Interventions Course

10 May                        Imaging of Orthopaedic Implants

4 June                        Oswestry Introduction to Fracture Management

6-7 July                      Shoulder and Elbow Course

15 September           SAS Doctors Workshop

1 October                   Inaugural Oswestry Arthroscopy Skills Course for Core Trainees

6 October                   Lower Limb Course for Physiotherapists

17-18 October           Intensive Course in Clinical Examination for FRCS (Tr & Orth)

19 October                One Day Viva Course for FRCS (Tr & Orth)

20-21 October           Anatomy and Surgical Exposures in Orthopaedics Course

2-3 November           Oswestry Spinal Imaging Course

11 November            GP Study Day

24-25 November      Oswestry Cartilage Symposium

29 November            Joint Injection Study Day for GPs

5- 7 December         15th Oswestry Foot and Ankle Course

2017

8 – 13 January         Oswestry Intensive course in Basic Science in Orthopaedics

16 - 17 January        Intensive Course in Clinical Examination for FRCS (Tr&Orth)

18 January                One Day Viva Course for FRCS (Tr& Orth)

19 - 20 January        Anatomy and Surgical Exposures in Orthopaedics Course

28 January                ST3 Interview Course for CT2’s

13-15 March             Temporal Bone Dissection (ENT) Course

 4 March                    ST3 Interview Course for CT2’s

 16 March                  Acute Traumatic Spinal Cord Injury Symposium

 

The New Year commenced with the 25th Oswestry Intensive Course in Basic Science in Orthopaedics.     Over 40 registrars attended, coming from all over the world i.e. Israel, Qatar and the Netherlands.

 

For the last 25 years, Professor John Stallard and Mr Richard Major have set the high standard of the course by teaching Biomechanics on the Sunday afternoon, with tutorials and further teaching on the Monday morning. They have now handed the baton over to Team ORLAU and we would like to take this opportunity to thank John and Richard for all their efforts and support for this course which has been exemplary.

The course progressed throughout the week under the watchful guidance of Mr Birender Balain, Convenor for the course assisted by Mr Rath Narendra, Facilitator, along with Alison Whitelaw.   

 

The focus of the course was on delivering the principle that underpins orthopaedics. The evaluation sheets handed in at the end of the course had some excellent comments so all the hard work in organising the course was worth it:   “The course was very well run. I’m more confident about basic sciences”;   “Excellent speakers who simplified concepts which made it easy to remember”;     “This course should be compulsory for all trainees!”

 The Orthopaedic Institute courses have only been possible because of the Trust’s support and the commitment of the Consultants and Specialist Orthopaedic Registrars.  The Consultants put a tremendous amount of effort into teaching which makes the courses so successful at Oswestry, and this in turn publicises the Robert Jones and Agnes Hunt Orthopaedic Hospital both nationally and internationally.