rpa reunion week 2015 program final

Wednesday 2 — Friday 4 September 2015

Venue: Kerry Packer Education Centre (KPEC)Royal Prince Alfred Hospital, Camperdown

2015 McIlrath Guest ProfessorProfessor Tim PawlikChief, Division of Surgical OncologyJohns Hopkins Hospital, Baltimore US

International & Interstate Guest LecturersSponsored by RPA Medical Board

Professor Scott LeMaireBaylor College of Medicine, Texas US

Professor Guy MaddernAcademic Section, Royal Australasian College of Surgeons

Proudly hosted by:

Scientific and Events Program

81st Annual Reunion Week Symposia

Phone (02) 9515 3464 for program and general enquires

RPA Medical Officers Association

Speakers and Chairs

McIlrath International Guest ProfessorProfessor Tim Pawlik Johns Hopkins Hospital, Baltimore, US

International & Interstate Invited Speakers - sponsored by RPA Medical BoardProfessor Scott LeMaire Baylor College of Medicine, Texas, USProfessor Guy Maddern Academic Section, Royal Australasian College of Surgeons Professor Debra Nestel Monash University, MelbourneProfessor Jeff Rosenfeld Melbourne Institute of Medical Engineering (MIME)Professor Julian Smith Monash University, MelbourneProfessor David Watson Flinders University, Adelaide

Special GuestsDame Professor Marie Bashir AD CVO Patron, Medical Officers Association The Honourable Pru Goward Minister for Mental Health, Minister for Medical Research, Assistant Minister for Health, Minister for Women, and Minister for the Prevention of Domestic Violence and Sexual AssaultDr Teresa Anderson Chief Executive, Sydney Local Health District Ms Deb Willcox General Manager, RPA & Director of Operations, SLHD

Local Speakers & Chairs Professor Paul Bannon Medical Officers Association & RPA Institute of Academic SurgeryDr Daniel Brown Brain & Mind Research Institute (BMRI)Mr Kilian Brown Surgical Society of University of Sydney & Central Clinical SchoolAssoc Professor Janette Burgess Woolcock Institute Dr Michael Byrom Cardiothoracic Surgery & RPA Institute of Academic SurgeryAssoc Professor Sydney Ch’ng Plastics & Recon Surgery & RPA Institute of Academic Surgery Dr James Edwards Health Education & Training Institute (HETI) & RPA HospitalDr Oliver Flower University of Sydney & Royal North Shore HospitalAssoc Professor Roger Garsia Central Clinical School, University of Sydney & RPA HospitalProfessor Marc Gladman ANZAC Research InstituteDr Richard Hanney Academic Section, Royal Australasian College of SurgeonsDr Roger Harris University of Sydney & Royal North Shore HospitalAssoc Professor Michael Hollands University of Sydney & Westmead Hospital Dr Ben Jonker Neurosurgery & RPA Institute of Academic SurgeryDr Cherry Koh Colorectal Surgery & RPA Institute of Academic SurgeryAssoc Professor Kelvin Kong University of Newcastle & John Hunter Hospital Dr Nyambura Mwaniki Latitude 4-40 ConsultingMs Allyson Newman RPA Institute of Academic SurgeryDr Sanjay Patel Heart Research Institute (HRI)Assoc Professor Glen Reid Asbestos Disease Research Institute (ADRI)Assoc Professor Charbel Sandroussi Upper GI & HPB Surgery & RPA Institute of Academic SurgeryDr Robyn Saw Melanoma & Surgical Oncology, RPA HospitalDr Michael Secco Intern, RPA HospitalProfessor Steve Simpson Charles Perkins Centre (CPC)Professor Michael Solomon RPA Institute of Academic Surgery & SOuRCeAssoc Professor Cate Storey Medical Alumni Association, University of SydneyAssoc Professor David Storey RPA Institute of Academic Surgery Professor Mathew Vadas Centenary InstituteAssoc Professor Sanjay Warrier Breast Surgery & RPA Institute of Academic Surgery Professor Kate White University of Sydney & Sydney Local Health DistrictProfessor Tristan Yan Cardiothoracic Surgery, RPA HospitalDr David Yeo Upper GI & HPB Surgery & RPA Institute of Academic SurgeryAssoc Professor Christopher Young RPA Institute of Academic Surgery Professor Paul Young Woolcock Institute

1

Acad

emic

Careers

Surg

ical E

ducatio

nS

urgical

Research

Wo

rkshop

sM

edical

Research

Institutes

Future o

f S

urgery

Wed

nesday

2 Sep

temb

er

10:30am-12p

m

How

to develop an academ

ic career

Wed

nesday

2 Sep

temb

er

1pm

-2:30pm

New

approaches to education and training in surgery

3pm

-4pm

Social M

edia

4pm

-5pm

Global health

& training

Thursd

ay3 S

eptem

ber

10:30am-12p

m

Funding in S

urgical Research

1pm

-2:30pm

Current R

esearch at R

PA

Thursd

ay 3 S

eptem

ber

8:30am-10am

Workshops:

• Lab Research

• Clinical

Research

• Abstract W

riting

• Minor

Procedures

Frid

ay 4 S

eptem

ber

8:30am-10am

Heart R

esearch Institute

Centenary Institute

Brain &

Mind

Research Institute

Charles P

erkins C

entre

10:30am-12p

m

Monash Institute

of Medical

Engineering

AN

ZAC

Research

Institute

Asbestos D

isease R

esearch Institute

Woolcock Institute

Frid

ay 4 S

eptem

ber

1pm

-2:30pm

Q &

A P

anelFeaturing special guests

Top

ic: Public

expectations of surgeons in the future

Prizes &

E

vents

5:30pm

-6:30pm

: Baird

Institute F

undraiser fo

r Kenya S

cholarship

7pm

-8pm

: Histo

ry Nig

ht

3pm

-5:30pm

: Patro

n’s and

Presid

ent’s Prize fo

r Research

1pm

-2:30pm

: Q&

A P

anel

7pm

-11pm

: Med

ical Bo

ard D

inner

Event Research Themes

2

2015 Research Prizes

and introducing the new

The Patron’s Prize for Clinical Research

The President’s Prize for Laboratory Research

All Junior Medical Officers, Allied Health and Nursing Staff are encouraged to submit Abstracts for The Patron’s Prize for Clinical Research and the new President’s Prize for Laboratory Research.

The top 3 Abstracts submitted for each prize will be invited to give an 8 minute presentation with 2 minutes for questions in front of an esteemed panel of judges from RPA Reunion Week.

Prizes will be awarded based on the quality of science, the clarity of the presentation and the participant’s response to questions.

When: 3 – 5pm on Thursday 3 September 2015 followed by drinks

Where: KPEC Auditorium & RL Harris Room

Prizes: $1000 prize money + iPad Sponsored by The Baird Institute & Surgical Outcomes Research Centre (SOuRCe)

Chair: Associate Professor Roger Garsia

Judging Panel: Professor Tim Pawlik, Ms Claire Harris, Professor Chris Semsarian & Professor Jane Young

Due Date: Abstracts must be submitted by Wednesday 12 August 2015 Email: [email protected]

Successful submissions will be notified by Wednesday 19 August 2015 to prepare for presentations on 3 September

3

Q&A

Grand Finale Event

Q&A

Get your questions ready!

Public expectations of surgeons in the future

1:00 – 2:30pm Friday 4 SeptemberKPEC Auditorium

Hosted By: Special guest to be announced

Panel Members:Professor Catharine LumbyProfessor Tim Pawlik (McIlrath Professor)

Dr Teresa AndersonProfessor Michael SolomonProfessor Paul Bannon & other special guests

All Staff & Community Members Welcome

4

Wednesday 2 September

Official opening

Session Session 1: Opening Ceremony 08:30am – 10:00am

Chair Professor Paul Bannon, President of MOA & Bosch Professor

Venue KPEC Auditorium

Time Topic Speakers

08:30 – 08:45am

Welcome to RPA Reunion Week

Welcome to Country

Professor Paul Bannon

08:45 – 09:00am Overview of Academic Surgery Dr Teresa Anderson

09:00 – 09:15am Official OpeningDame Professor Marie Bashir

09:15 – 09:55am Plenary Lecture

Why is academic surgery important and how can it be measured?

Professor Tim Pawlik

2015 McIlrath Guest Professor

09:55 – 10:00am Questions & Discussion

10:00 – 10:30am Morning Tea – RL Harris Room

Academic Careers

Session Session 2: Academic Careers 10:30am – 12:00pm

Chair Dr Richard Hanney


Time Topic Speakers

10:30 – 10:50am US experience of developing an academic career

Professor Scott LeMaire

10:50 – 11:10am Introduction to academic careers in Australia

Dr Richard Hanney

11:10 – 11:30am Early academic career experience in IAS A/Prof Sanjay Warrier

11:30 – 11:40am Medical student experience Dr Michael Secco

11:40 – 12:00pm Panel discussion Speakers

12:00 noon – 13:00pm Lunch – RL Harris Room

5


Surgical Education

Session Session 3: New approaches to education & training in surgery 1:00pm – 2:30pm

Chair Associate Professor Christopher Young


Time Topic Speakers

1:00 – 1:25pmA changing landscape of education and training: Opportunities for surgery

Professor Debra Nestel

1:25 – 1:50pmAn opportunity taken: Exploring threshold concepts in cardiothoracic surgeons

Professor Julian Smith

1:50 – 2:15pm Is training in theatre still enough?Professor Tim Pawlik McIlrath Professor

2:15 – 2:30pm Panel discussionSpeakers + A/Prof David Storey

2:30 – 3:00pm Afternoon Tea – RL Harris Room

Surgical Thought & Value

Session Session 4: Social Media 3:00pm – 4:00pm

Chair Associate Professor Sanjay Warrier


Time Topic Speakers

3:00 – 3:25pm Social media in medicine Dr Oliver Flower & Dr Roger Harris

3:25 – 3:40pm Development of the ‘on the wards’ website for teaching

Dr James Edwards


6



Session Session 5: Global Health 4:00pm – 5:30pm

Chair Professor Paul Bannon


Time Topic Speakers

4:00 – 4:20pm RACS Global Health Program – Personal experience in Myanmar & Asia

A/Prof Michael Hollands

4:20 – 4:40pm Surgical Knowledge Exchange – Kenya Dr Nyambura Mwaniki

4:40 – 5:00pm International surgical training standards Professor Paul Bannon

5:00 – 5:20pm Challenges in surgical treatment for the Indigenous population

A/Prof Kelvin Kong


7


History Night

Session Session 6: Surgical History 7:00pm – 8:00pm

Chair Associate Professor Cate Storey


Time Topic Speakers

7:00 – 7:30pm History of surgical education at the University of Sydney

Mr Kilian Brown & A/Prof Cate Storey

7:30 – 8:00pm Discussion and personal anecdotes Audience

8:00pm Drinks & light refreshments – KPEC foyer

FUNDRAISING FOR KENYA SCHOLARSHIPThe Baird Institute of Applied Heart & Lung Surgical Research warmly invites you to attend a fundraising event to support the establishment of a scholarship program in partnership with the Kenyatta University in Nairobi to develop cardiac surgeons in Kenya.

Time: 5:30 – 6:30pm Venue: KPEC Fountain CourtyardEnjoy light refreshmentsRSVP: [email protected]

8

Thursday 3 September

Reunion Week Workshops

Session Session 7: Reunion Week Workshops

Open To All Staff & Students — Free To Attend 8:30am – 10:00am

Please RSVP: [email protected]

Workshop 1 Laboratory Research

Facilitators: Dr Michael Byrom & Professor Scott LeMaire

An introduction to laboratory research techniques used by RPA Surgeons including side stream dark field imaging, microCT, biocompatibility assessment, animal models, and more!

Speakers: Dr Carlo Pulitano, UGI/Transplant Surgeon, Dr Payal Mukherjee, ENT Surgeon and Dr Michael Byrom, Cardiothoracic Surgeon

Venue: Scott Skirving Lecture Theatre

Workshop 2 Clinical Research

Facilitators: A/Prof Charbel Sandroussi & Professor Guy Maddern

An introduction to key methodological concepts and ideas in conducting high quality clinical research

Venue: KPEC Auditorium

Workshop 3 Abstract Writing

Facilitators: Professor Kate White & Ms Allyson Newman

Want to get your work noticed? Ensure your Abstract gets accepted by attending this practical workshop

Venue: KPEC Large Conference Room 4.2

Workshop 4

Minor Procedures

Facilitators: Dr Robyn Saw, A/Prof Sanjay Warrier & A/Prof Sydney Ch’ng

This hands-on course aims to enhance the surgical skills required for minor surgical procedures most likely to be carried out by a surgical resident or junior doctor in the Emergency Department setting

Venue: Area A, Level 2, Chris O’Brien Lifehouse

10:00 – 10:30pm Morning Tea – RL Harris Room

9


Funding in Surgical Research

Session Session 8: Grants in Surgical Research 10:30am – 12:00pm

Chair Professor Tim Pawlik, 2015 McIlrath Guest Professor


Time Topic Speakers

10:30 – 10:45am Surgical research: planning for the future Minister Pru Goward

10:45 – 11:00am Surgical research within the NHMRC Professor David Watson

11:00 – 11:15amChallenges facing surgical research in Australia and New Zealand

Professor Guy Maddern

11:15 – 11:30am Challenges facing surgical research in US Professor Scott LeMaire

11:30 – 12:00pm Panel discussion Speakers + Professor Paul Bannon & Professor Michael Solomon

12:00 – 1:00pm Lunch – RL Harris Room

RPA Clinical Research

Session Session 9: Current Clinical Research from RPA Surgeons 1:00pm – 2:30pm

Chair Professor Guy Maddern


Time Topic Speakers

1:00 – 1:15pm Cardiothoracic Surgery Professor Tristan Yan

1:15 – 1:30pm Breast Surgery A/Prof Sanjay Warrier

1:30 – 1:45pm Plastics & Reconstructive Surgery A/Prof Sydney Ch’ng

1:45 – 2:00pm Colorectal Surgery Dr Cherry Koh

2:00 – 2:15pm Upper GI & HPB Dr David Yeo

2:15 – 2:30pm Neurosurgery Dr Ben Jonker

2:30 – 3:00pm Afternoon tea – RL Harris Room

10


Research Prizes

Session Session 10: Patron’s and President’s Prizes 3:00pm – 5:30pm

Chair Associate Professor Roger Garsia


Time Topic Speakers

3:00 – 3:10pm Introduction to Prizes Professor Paul Bannon

3:10 – 3:20pm Patron’s Prize – 1st presentation TBA

3:20 – 3:30pm Patron’s Prize – 2nd presentation TBA

3:30 – 3:40pm Patron’s Prize – 3rd presentation TBA

3:40 – 3:50pm President’s Prize – 4th presentation TBA



4:10 – 4:30pm Deliberation of Judging Panel See below

4:30 – 5:00pm Award Prize Winners A/Prof Roger Garsia

5:00pm Drinks and Snacks – RL Harris Room

Prizes: $1000 prize money + iPad sponsored by The Baird Institute and Surgical Outcomes Research Centre (SOuRCe)

Judging Panel: Professor Tim Pawlik (McIlrath Professor), Ms Claire Harris, Professor Chris Semsarian & Professor Jane Young

Criteria: The panel of judges will award the Prizes based on the quality of science, the clarity of the presentation and the response to questions

All welcome to attend

Informal dinner for international and interstate speakers

11

Friday 4 September

Medical Research Institutes

Session Session 11: Opportunities for Surgical Research with MRIs 8:30am – 10:00am (segment 1)

Chair Professor Paul Bannon


Time Topic Speakers

08:30 – 08:50am Heart Research Institute (HRI) Dr Sanjay Patel

08:50 – 09:10am Centenary Institute Professor Matthew Vadas

09:10 – 09:30am Brain & Mind Research Institute (BMRI) Dr Daniel Brown

09:30 – 09:50am Charles Perkins Centre Professor Steve Simpson

10:00 – 10:30am Morning Tea – RL Harris Room

SessionSession 12: Opportunities for Surgical Research with MRIs 10:30am – 12:00pm (segment 2)

Chair Dr Michael Byrom


Time Topic Speakers

10:30 – 10:50am Monash Institute of Medical Engineering Professor Jeff Rosenfeld

10:50 – 11:10am ANZAC Research Institute Professor Marc Gladman

11:10 – 11:30amAsbestos Disease Research Institute (ADRI)

A/Prof Glen Reid

11:30 – 11:50am Woolcock InstituteProfessor Paul Young & A/Prof Janette Burgess

12:00 - 1:00pm Lunch – RL Harris Room

12

Friday 4 September

Q&ASession: Public expectations of surgeons in the future

Chair: Special guest to be announced

Venue: KPEC Auditorium

Time Topic Speakers

1:00 – 2:30pm PUBLIC FORUMAll staff and community members are encouraged to attend this event

Professor Catharine Lumby

Professor Tim Pawlik (McIlrath Professor)

Dr Teresa Anderson

Professor Michael Solomon

Professor Paul Bannon

& special guests to be announced

13

Friday 4 September

Annual Formal DinnerCo-hosted with RPAH Medical Board

For RPAH Medical Staff and their guests

Venue: The Ivy Ballroom, George Street Sydney

Arrivals: 7:00pm for 7:30pm seating

Dress: Black tie

Tickets:$140 per head(Subsidised for JMOs & partners at $70 per head)

Bookings essential: Bookings for individuals, groups or tables to be made ONLY via the Medical Board Booking Form available from:

Phone: 9515 6015

Email: [email protected]

Reunion Week website: coming soon

The booking form contains account details for EFT processing

14

Acknowledgments

The RPA Institute of Academic Surgery and the Medical Officers Association wish to thank the RPAH and SLHD, and their senior executives Ms Deborah Willcox and Dr Teresa Anderson respectively for their strong support of the Symposia by provision of access to facilities and personnel.

Considerable thanks are also extended to the staff within the Audio Visual Services, Strategic Relations & Communications Team, Kerry Packer Education Centre (KPEC), and Food Services.

Finally sincere thanks and gratitude is extended to our generous sponsors including Olympus, Johnson & Johnson, The Baird Institute, the Surgical Outcomes Research Centre, and the Sydney Local Health District.

2015 Symposia Organising CommitteeProfessor Paul Bannon A/Prof Charbel Sandroussi

Ms Katie McBride A/Prof Sydney Ch’ng

Ms Allyson Newman A/Prof David Sullivan

Dr Michael Byrom A/Prof Roger Garsia

A/Prof Sanjay Warrier Mr Jake Gordon

The RPAH Medical Officer Association

The RPA MOA enjoys the patronage of Her Excellency Professor Marie Bashir AD CVO

OfficersPresident: Professor Paul Bannon

Treasurer: Assoc Professor Peter Youssef

A/Secretary: Assoc Professor Roger Garsia

Life Vice Presidents

Dr William Bye Assoc Professor David Storey

Dr Don Child AM* Dr Terry O’Sullivan

Dr John Greenaway AM Assoc Professor David Sullivan

Dr Brian Morgan AM Assoc Professor Richard Waugh

Dr Stuart Renwick AM Dr Graham Yule

*Sadly passed away on 19 March 2015. Vale Dr Child.

15

Venue

Royal Prince Alfred Hospital

Bus stopBike parkingTaxi rankInformationParking station to be builtLimited paid parking availableNon Smoking Campus

Phone: 9515 6111

95

96

88

27

26

28

14

16

65

64

6372

75

89

93

10

Cyclotron

13

68

44

Lucas St

Grose St

Church St

Salisbury Rd

Susan St

Missenden Rd

to Parramatta Rd

to King St New

town

Carillon AveCarillon Ave

Gloucester House Dr

John

s Hop

kins D

r

New

Hospital Rd

St Johns College

St Andrews College

P

to Central Station

to Newtown Station

P

Buildings: 10. QE11 (IRO Building)11. Professor Marie Bashir

Centre13. KGV Administration Building14. Lifehouse16. Heart Research Institute26. Audio Visual Department27. Radiation Oncology28. Engineering Services42. Building 4244. Staff Car Park63. Albert Pavilion64. Administration65. Victoria Pavilion68. Medical Centre72. Kerry Packer

Education Centre75. “E” Block88. Gloucester House89. Clinical Services Block93. Centenary Institute94. Tissue Pathology &

Diagnostic Oncology95. RPAH Chapel96. Blackburn Pavilion –

Sydney University97 Charles Perkins

Research Centre

Bicycle Route

89

RPAH Womens and Babies

11

12

P

Dunblane St

to Sydney University

94

42

41

97

AVS 76765

1. Kerry Packer Education Centre (KPEC) Level 4 – item 72 on the map

2. KGV carpark (machine timed car parking) - $25 per day

3. RPA Medical Centre carpark (corner Missenden Rd & Carillon Ave, enter from Carillon Ave) - $42 per day – item 68 on the map

4. St John’s College carpark (enter via Missenden Road) - $40 per day

5. Taxis rank

2

3

4

5

16

W

ednesday 2 September


Friday 4 September

Theme

Official Opening CHAIR

Workshops

CHAIR M

edical Research Institutes CHAIR

8:30-‐10AM

Paul Bannon W

elcome to Country

Teresa Anderson Dam

e Marie Bashir

Plenary Lecture -‐ Tim Paw

lik, McIlrath Professor

KPEC Auditorium

Paul Bannon

Lab Research M

. Byrom &

S. LeMaire

Scott Skirving

Clinical Research

C. Sandroussi & G. M

addern KPEC

Auditorium

Abstract W

riting A. New

man &

K. White

Large Conference

Room

Minor

Procedures S. Ch’ng & S.

Warrier

Area A, Lvl2 Lifehouse

HRI

KPEC Auditorium

Paul Bannon

Centenary

BMRI

CPC

10-‐10:30 AM

M

ORNING TEA – RL Harris Room

M


M


Theme

Academic Careers

CHAIR Funding Surgical Research

CHAIR M

edical Research Institutes CHAIR

10:30-‐12PM

How to develop an Academ

ic Career Speakers: Scott LeM

aire, Richard Hanney, Sanjay W

arrier & Michael Secco

Panel Discussion KPEC Auditorium

Richard Hanney

Grants in Surgical Research Speakers: M

inister Pru Goward, David W

atson, Scott LeM

aire & Guy Maddern

Panel Discussion KPEC Auditorium

Tim

Pawlik

MIM

E

KPEC Auditorium

Michael

Byrom

ANZAC

ADRI

Woolcock

12-‐1PM

LUNCH – RL Harris Room



Theme

Surgical Education CHAIR

Current Clinical Research CHAIR

Future of Surgery CHAIR

1-‐2:30PM

New approaches to education and training in

surgery Speakers: Debra Nestel, Julian Sm

ith, Tim Paw

lik Panel Discussion KPEC Auditorium

Christopher Young

Current research from various departm

ents: Speakers: T. Yan / S. Ch’ng / S. W

arrier / B. Jonker / C. Koh / D. Yeo KPEC Auditorium

Guy M

addern

Q AND A PANEL Public Expectation of Surgeons in the Future

Michael Kirby, John Pilger, Catharine Lum

by, Teresa Anderson, Tim

Pawlik, M

ichael Solomon &

Paul Bannon KPEC Auditorium

Tony Jones

2:30-‐3PM

AFTERNOON TEA – RL Harris Room



Theme


CHAIR Research Prizes

CHAIR

3-‐4PM

Social Media

Speakers: Oliver Flower, Roger Harris & Jam

es Edw

ards KPEC Auditorium

Sanjay W

arrier Patron’s Prize – Clinical Research

President’s Prize – Laboratory Research Panel: Tim

Pawlik, Claire Harris, Chris Sem

sarian, Jane Young KPEC Auditorium

Roger Garsia

4-‐5:30PM

Global health & training

Speakers: Nyambura M

waniki, M

ichael Hollands, Kelvin Kong & Paul Bannon

KPEC Auditorium

Paul Bannon

5:30–6:30PM

The Baird Institute FUNDRAISER FOR KENYA SCHOLARSHIP

KPEC Fountain Courtyard

Paul Bannon

Speakers Dinner: Gowings QT

Paul Bannon

Medical Board Dinner: Ivy Ballroom

David

Sullivan

7– 7:30PM

HISTORY NIGHT Cate Storey &

Kilian Brown

History of Surgical Education at University of Sydney KPEC Auditorium

Cate Storey

Notes

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

..............................................................................................................

Proudly sponsored byhosted

AV

S 75994

rpa reunion week 2015 program final

Documents

medical research

rpa director of operations

assistant minister

mental health

honourable pru goward

melanoma surgical oncology