Tpiece Spring2016Contents:President’sreportTraineenewsCharityoptionsScottishSnippets

AnnualDinner2015inAberdeen

President’sReport

TheTpiecestartsanewyearwhich

seestheNHSundergoingtheusual

battlesthroughthewinterpressures,

increaseddemandforpaediatric

anaesthesiainputinandoutofthe

operatingroomandunresolved

issuesaroundsevendayworkingand

contracts.Whilethecorebusinessof

theAssociationofPaediatric

Anaesthetistsistosupport

education,standardsand

developmentofthosewhoare

involvedwithanaesthesiaofinfants

andchildrenundergoinganaesthesia,

itishardnottobeinfluencedbythe

currentissuesfacingtheprofession.

Thisprobablyisaveryimportant

timeforallus:occasional

practitioner,traineeorspecialistin

paediatricanaesthesiatomaintain

closetieswiththeAPA.Ourwebsite

continuestoexpandprovidingkey

informationoncurrentissues,and

theworkoftheeducationcommittee

ledbyMarkThomasandprofessional

standardsledbyBobBingham

maintainsastrongsourceof

informationandguidance.Welook

forwardtoafullBelfastAnnual

scientificmeeting(May4-6th)

completewithahalf-dayTrainee

meetingontheWednesdayat

nominalcost,parallelstreamsof

lecturesontheThursdayandFriday,

workshopsandagreatsocial

programme.Maintainingcontact

throughmembershipoftheAPAis

vitalatthistimesothatwecan

supporteachother.Werecentlysent

outamembershipsurvey,whichwill

helpCouncildirecteffortsand

activitiesinthenextyear.However,

wearealwayshappytorespondto

directcontact,suggestionsandcalls

foradviceandcontactdetailsareon

thewebsite.Mye-mailaddressis

awolfbch@aol.comandIwhileImay

takeafewdaystogetbacktoyou,I

willrespondassoonasIcan.

AstheAPAhasevolvedovertime,

themakeupofmembershipand

Councilhaschangedconsiderably

fromasmallergroupofspecialist

paediatricanaesthetists,toamuch

broaderbasethatreflectsthewide

spectrumofpaediatricanaesthesia.

ThecurrentCouncilreflectsnotonly

thedifferentenvironmentswhere

paediatricanaesthesiaisundertaken

butalsotheregionalapproachesto

practiceacrossGreatBritainand

Ireland.Wealsogetvaluableinput

fromanelectedoverseas

representative,atpresentheldby

WalidHabrefromGeneva.Itis

essentialthattheAPACouncil

continuestobeaninclusivegroup

andinordertomaintainthis

“freshness”thereneedstobea

regularintakeofnewCouncil

memberswhohavetheideasand

enthusiasmtotakepaediatric

anaesthesiaforward.Thishas

becomeincreasinglyimportantas

childrenwithcomplexneedsarenot

justfoundinlargespecialistcentres

andwaysneedtobefoundto

integratecarethroughoutregional

networksandwaysfoundto

maintainskillsandknowledge.I

wouldthereforeurgethosefrom

bothspecialistandmixedpracticeto

considerapplyingforCouncilelection

laterthisyearwhenvacancieswill

occur.Personally,after15years

associatedwithCouncilIstillfindit

reallystimulatingtoworkwitha

groupofenthusiasticindividualsas

wetryourbesttosupportthe

professionandpracticeofpaediatric

anaesthesia.

Wehavehadsomechangeson

Councilinthelastfewmonths.Karen

Bartholomewwhoisnostrangerto

APAcouncilthroughherworkwith

thelinkmanschemeisnowan

electedmembertoCouncil.Wealso

welcomeDrRichardMarks,Vice

PresidentoftheRoyalCollegeof

AnaesthetistsandDrUpmaMisra

CouncilmemberofAAGBIandonthe

EditorialBoardofAnaesthesia.Both

areco-optedtostrengthenourties

withthesetwoimportantnational

bodiesandcollaborateonmatters

paediatric.Formanyyears,theAPA

providedPeerreviewofpaediatric

anaestheticpracticeattherequestof

anaesthesiadepartmentsinorderto

evaluateallaspectsofpaediatrc

anaesthesiaanditsadjacencieswith

aviewtohelpthelocalteamimprove

theirpractice.Thisaspectofour

workwasmuchapprovedand

admiredbymanyofourcolleaguesin

otherspecialties.Recently,theRCoA

hasbegunrollingoutasimilar

schemeofqualityimprovement

throughpeerreviewthatcanbe

applieduniversallytoallhospitals.

ThisprocessofAnaesthesiaClinical

ServicesAccreditation(ACSA)has

drawnmuchfromourown

experienceofpeerreviewandSimon

Courtmanhasputahugeamountof

workwittheRcoAinestablishing

appropriatepaediatricneedswithin

thecoredomainsoftheACSA

process.Anothercurrentactive

collaborationisajointprojectwith

theRCoAledbyAlistairCranstonand

KathyWilkinsontodevelopa

micrositeforSafeguardinglevel3

trainingforanaesthetists.These

collaborativeprojectsallbodewell

forcloseintegratedworkingacross

theAnaestheticorganisationswith

theAPAprovidingacentral

touchstoneforspecialistadviceand

inputinpaediatricanaesthesia.

2015hasbeenagoodyearfor

researchwithintheAPA.Notonly

weretwopaediatricanaesthetic

projectsgivenGrantfundingbythe

NationalInstituteforAcademic

Anaesthesia(NIAA),butalso,the

resultsofapreviousAPA

commissionedandfundedresearch

project,the“painathomestudy”

waspublishedinthejournalPediatric

Anesthesia.SallyWilmshurst,from

GreatOrmondStreet,whohasbeen

appointedbyCounciltoleadthe

developmentofQuality

Improvement(QI)methodologyin

paediatricanaesthesia,iscurrently

workingonhowtohelpdifferent

departmentstosetupandundertake

QIprojectsinthefuture.Sallygavea

briefpresentationofhervisionon

howtorolloutthisprojectatthe

recentCouncilmeeting,andnowshe

hasbeentaskedtosetouta

blueprintofhowindividual

departmentscanorganiseandroll

outtheirinitialQIprojects.Please

watchoutforthisdevelopmenton

theAPAwebsite.Wearealsoaiming

tohelptheseprojectsgetoffthe

groundandwillbeworkingouthow

todothisinthenextfewmonthsas

theprocessdevelops.Thisyearalso

sawtheformationofthePaediatric

AnaesthesiaTraineeResearch

Network(PATRN)ledbyDrElin

Hugheswhoisthetraineerepon

CouncilincollaborationwithDrsZoe

HarclerodeandAnnaBarrow.They

havealreadystartedworkonsome

simpleprojectsandfollowinguseful

informaldiscussionswiththe

paediatricsurgicaltraineenetwork

wehopethatsomemorecomplex

collaborativestudiescouldbe

undertakeninthenextcoupleof

years.

Ilookforwardtoanenergetic2016

withabrilliantBelfastAnnual

ScientificMeeting.Wewillletyou

knowwhatyouhavecomeupwith

asprioritiesfortheAssociationfrom

themembershipsurvey.Meanwhile,

ifthisismoreconvenient,letushave

yourideasfornewprojectsandareas

youthinkweneedtoconcentrateon

inthenextcoupleofyears,anddo

considerwhetheryoumightwantto

applyforelectiontoCouncilinthe

future.

AndrewWolfAPAGBIPresident

TraineeNews

PATRN,thenewtraineeresearch

networkhashadaverygoodstart.

Sofar,overfortyAPAtrainee

membershavejoinedfromamixture

oftertiarycentresanddistrict

generalhospitals.Ourpilotproject,

ondaycasetonsillectomy,hasclosed

andthedatacrunchinghasbegun.A

secondprojectiscurrentlyonthego.

Anumberofothershavesuggested

projectsthatthey’dliketoput

throughthenetwork.ThePATRN

committeewouldliketosayabig

thankyoutothosewhohavejoined

andhelpedwiththefirstdata

collection.Wewillbecontactingyou

shortlywithcertificatesforyour

portfolios.Usingthenetwork,we

havethepotentialtocollectmuch

moremeaningfuldata,andhopefully

completesomeworthwhileprojects.

Ifyouwouldliketojoin,orhavea

projectidea,pleasegetintouchand

we’llseehowwecanhelp.Theemail

addressis

patrn.network@gmail.com.

Thenew‘ArticleWatch’featureison

theAPAGBIwebsite.Thiscontainsa

summaryofthemostrecent

quarterlyarticlesofnoteinthefield

ofpaediatricanaesthesia.Thisisa

fantasticresourceforkeepingupto

date,lookingforjournalclub

inspiration,pre-interviewcramming

andguidingfurtherreading.Ifany

APAtraineememberswouldliketo

writean‘ArticleWatch’piece,email

meatelin.jones@doctors.organd

I’dbehappytohelpyou.

Weareattemptingtoimproveand

updatetheexamquestionsonthe

APAGBIwebsite.AnAPAtrainee

memberDrDaveNewbyis

endeavouringtosetupanexam

writinggroup.Youmayhave

receivedanemailaboutthisalready

andcontactedhimdirectly,however

ifyoumissedit,hecanbecontacted

ondavenewby@doctors.org.uk.

Ihavegainedanenormousamount

frommy(nearly!)twoyearsactingas

rep.Notonlydoyougetaninsight

intohowalargeorganisationlike

APAworks,itisfantasticplatformfor

interactingwithothertraineesin

paediatricanaesthesia,introducing

projectsthatcanhaveabigimpact

andseeingthemthroughtofruition.

Anyexpressionsofinterestin

becomingthenextrepresentative

shouldcometomeinitiallyandI’llbe

happytotalkyouthroughwhat’s

involved.

DrElinJonesAPAGBITraineeRepresentative

ONLYAFEWDAYSTOGO!

BOOKonlineNOW@

http://www.apagbi2016.co.uk

SAVEtheDATE

APALinkmanMeeting2016

MondayNovember7th

Birmingham–detailssoonat

http://www.apagbi.org.uk

Councilshorts:

NewmembersofCouncil

• KarenBartholomewelectedH0memember

• NirmalaSoundararajanelectedLinkmanCo-

ordinator

Congratulationstoboth

Electionseason

Electionswilltakeplaceinthesummerforanew

Traineerepresentativeandintheautumnfora

newHomemembertoCouncil.Detailswillbe

postedontheAPAwebsite.

APAMembersSurvey2016

ResultsandCouncil’sresponsewillbepostedon

thewebsitesoonaftertheASMinBelfast

JacksonReesLecture2015,AberdeenMr.ChrisAllenreceivedhisJacksonReesmedalfromDr.BobBingham,outgoing

APAPresident,attheAberdeenmeeting

Aberdeen2015

Overseasmissions

TheAPAisawarethatmany

anaesthetistsconsiderworking

overseasasavolunteerduringtheir

workinglives.Therearemany

websiteswithinformationforeach

individualcharityandthereissome

usefulinformationonboththe

AAGBIandRCoAwebsites.However,

thesedonotspecificallylookat

paediatricanaestheticpossibilities

abroad.

Therefore,wearetryingtosetupa

databaseforinformationforanyone

wishingtothinkaboutvolunteering

foranoverseaspaediatric

anaestheticplacement.Theaimisto

collectalistofthoseavailable,abrief

descriptionofwhattheworkentails,

contactdetailsofthecharitywebsite

andofanyonewhohasworkedfor

thatcharityiftheyarehappytobe

contactedbyanyonewhois

interested.Iamawarethatthereare

sometraineeopportunitiesbutalso

volunteeronesforconsultants.

Pleasecanyoueitherletmeknow

aboutanythatyouhavebeen

involvedinorareawareofandwe

willputthemonthewebsitefor

othersasaresource.

Manythanks

CharlesStackPresidentElectc.stack@sheffield.ac.uk

ScottishSnippetsThishasbeenaninterestingyearfor

paediatricanaesthesiainScotland

withtheopeningoftheRoyal

HospitalforchildreninGlasgow,the

hostingoftheAPAinAberdeenand

theretirementofoneoftheprevious

APApresidentsDrNeilMorton.

SPAN:TheWinterEducationmeeting

entitled“CriticalCareUpdate”on

the11thofDecemberprovedpopular.

Thecentrallocationandvariedtopics

drewalargegroupofpaediatric

enthusiastsfromaroundthecountry.

Themeetingconsistedoflecturesin

themorningsessionsandaseriesof

workshopsintheafternoon.

ThenextAGMwillbeheldonthe13th

ofMay2016intheTeachersbuilding

inGlasgowwithvideo-conferencing

beingavailableonrequest.Further

detailsandoutlineprogrammewill

beavailableonthespanwebsite:

www.span.scot.nhsinduecourse.

Scotlandhashadanexcellent

responsetothecallforinclusionin

theApricotstudywithallhospitals

submittingdata.DrTomEngelhardt

willhopefullypresentsomeofthe

findingsatthenextAGM.

SCCCSS:MrFraserMunrohasnowsucceeded

MrRoderickDuncanaschairofthis

groupofPaediatricSpecialty

Consultants.Therecontinuestobe

problemsrecruitingintopaediatric

surgicalspecialtypostssuchthatthe

long-termretentionofsuchservices

isanincreasingconcern.Ashortlife

workinggrouphasbeencollatinga

paperlookingathowtoensure

trainingenablesandinformsthe

futuregenerationsofpaediatric

surgicalspecialists.Areportformthis

shouldbeavailableinthenear

future.

NSD:Nationalservicesdivisionhas

recentlysetupanewgroupwhose

remitistoaudittheManagedClinical

NetworkswithinChildren’sSurgical

Servicestoensurechildrenare

receivingthebestcarepossible.

MEPA/MEPA-FC:Bothofthesecoursescontinuetobe

popularwithConsultantsand

traineeswishingupdate/enhance

theirpaediatricanaesthetic

management.Coursesarebasedat

theScottishCentreforSimulation

andClinicalHumanFactorsatForth

ValleyHospitalandcanbebooked

throughthewebsite:

www.scschf.org

CarolynSmithAPAGBIScottishRepresentative

ANDFINALLY

“Peter,only5moresleepsuntilthemeetinginBelfast.Ican’twait!”SeeyouallinBelfast.Haveasafejourney.