THE FUTURE OF RADIOLOGY IN THE NHS: TOP TIPS FOR INTERVIEWS

Venue: Royal Society of Medicine, London

CPD: 6 CREDITS

21NOVEMBER

2014

More information available soon at www.bir.org.uk

• Room1Primers for the non-specialistsSessionorganisedbyDrDavid

Wilson,ConsultantInterventional

MSKradiologist,OxfordUniversity

HospitalsNHSTrust

• Room2Radiation protectionSessionorganisedbyMrAndy

Rogers,HeadofRadiationPhysics,

NottinghamUniversityHospitals

NHSTrust

Save the date

• Room1Clinical hybrid imaging in oncologySessionorganisedbyDrGopinathGnanasegaran,ConsultantPhysicianinNuclearMedicine,StThomas’Hospital

• Room2Musculoskeletal imagingSessionorganisedbyDrRichardWakefield,ConsultantinRheumatology,StJames’sUniversityHospital

Essentials for the radiology traineeSessionorganisedbyDrHardiMadani,RadiologyRegistrar,RoyalFreeLondonHospitalandDrAusamiAbbas,CardiothoracicRadiologyPostCCTFellow,UniversityHospitalAlberta

Day 2Day 1

BIR ANNUAL CONGRESS 20154–5 NOVEMBER

LONDON

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Save the date

Day 2

Welcomeandthankyouforcomingto‘ThefutureofradiologyintheNHS:toptipsforinterviews’organisedbytheBritishInstituteofRadiology.

TheBIRYoungProfessionalsandTraineeSpecialInterestGrouphaveputonthisone-dayeventtonotonlyprovideyouwithinvaulablepreparationforinterviewsbuttoalsoInformonrecentNHSchangesandmanagementissuesfacingfuturetrainees.

Wehaveanumberofpostersdisplayedinthefoyer,wherestudents,traineesandconsultantswillbeshowcasingtheircurrentresearch.Pleasetakethetimetoviewtheseandasktheauthor(s)questions.

TheBIRandtheYoungProfessionalsandTraineeSpecialInterestGroupwishyouaveryenjoyableandeducationalexperience.

Certificateofattendance

Thismeetinghasbeenawarded6RCRcategoryICPDcredits.

Yourcertificateofattendancewillbeemailedtoyouwithinthenexttwoweeksonceyouhavecompletedtheonlineeventsurveyat:

https://www.surveymonkey.com/s/ThefutureofradiologyintheNHS2014

We are most grateful to

for supporting this conference

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Programme

08:30 Registration and refreshments

09:00 Welcome and introduction DrNassimParvizi,RadiologyRegistrar,OxfordUniversityHospitalsNHSTrust

09:05 BIR Young Professionals and Trainees Committee DrHardiMadani,RadiologyRegistrar,RoyalFreeLondonHospital

09:15 Balancing demand and cost in imaging ProfessorErikaDenton,NationalClinicalDirectorforDiagnostics NHSEngland

09:45 Better living through radiology DrStuartWilliams,PreviousNICEFellowandConsultantRadiologist UniversityofEastAngliaandNorfolkandNorwichUniversityHospital

10:15 The third healthcare revolution ProfSirMuirGray,DirectorofBetterValueHealthcareandapartnerinthe OxfordAcademicHealthScienceNetwork

10:45 Refreshments

11:15 The future of radiology training DrCarolineRubin,MedicalDirectorEducationandTraining,RCR

11:45 Imaging services accreditation scheme DrMelanieHiorns,ConsultantRadiologist,GreatOrmondStreetHospital

12:15 Philips award winner presentation DrCherylMain,RadiologyRegistrar UniversityHospitalSouthamptonNHSFoundationTrust

12:30 Why do radiologists need to go to medical school? DrDavidWilson,ConsultantInterventionalMSKRadiologist OxfordUniversityHospitalsNHSTrust President,BIR

13:00 Leadership and management in radiology MrPeterLees,FacultyofMedicalLeadershipandManagement

13:30 Lunch and poster viewing

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Workshop 1 - ST interview skills

14:30 What do we do in diagnostic radiology? DrHardiMadani,RadiologyRegistrar,RoyalFreeLondonHospital

15:00 What do we do in interventional radiology? DrJamesBriggs,InterventionalRadiologyFellow OxfordUniversityHospitalsNHSTrust

15:30 The radiology application process - what do we look for? DrJanePhillips-Hughes,ConsultantRadiologist OxfordUniversityHospitalsNHSTrust

16:00 Refreshments

16:15 What do we do in academic radiology and interview tips DrJamieFranklin,RadiologyRegistrarandClinicalResearchFellow OxfordUniversityHospitalsNHSTrust

16:45 Experiences of the interview and preparing for the day DrJoshuaShur,RadiologySpecialtyRegistrar StGeorge’sHealthcareNHSTrust

17:00 Challenges in the first 18 months of training DrJohnAdu,RadiologySpecialityRegistrar,BartsHealthNHSTrust

17:15 Close of event

Workshop 2 - Consultant interview skills

14:30 Getting the consultant job you want DrKarenPartington,ConsultantRadiologist,NuffieldOrthopaedicCentre, OxfordUniversityHospitalsNHSTrust

15:00 The consultant interview DrRajatChowdhury,ConsultantRadiologist,NuffieldOrthopaedicCentre, OxfordUniversityHospitalsNHSTrust

15:30 Mock interview DrRajatChowdhury,ConsultantRadiologist,NuffieldOrthopaedicCentre, OxfordUniversityHospitalsNHSTrust

16:00 Refreshments

16:15 Your first consultant job-surviving the early years DrRossTapping,ConsultantRadiologist OxfordUniversityHospitalsNHSTrust

16:45 Setting up a service/directorate roles ProfessorFergusGleeson,DivisionalDirectorOxfordUniversityHospitals

17:15 Close of event

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Speaker profiles

Dr John AduRadiology Specialty Registrar, Barts Health NHS Trust

DrJohnAduiscurrentlyanST2traineeintheBartsandtheRoyalLondonprogramme.AfterearninghisBachlelor’sdegreeinPsychologyandNeuroscienceattheUniversityofLiverpool,hestayedoninLiverpooltocompletehismedicaldegreeandFoundationtraining.JohnthenmovedtoLondontocompleteCoreSurgicalTraining,duringwhichtimeheachievedmembershipoftheRoyalCollegeofSurgeons.JohnisanenthusiasticeducatorandconsequentlydecidedtocompleteaClinicalTeachingFellowshipatQueenMaryUniversity,adiverserolewhichincludedanatomydemonstrating,lecturing,problembasedlearning(PBL)facilitation,clinicalskillsteachingandOSCEexamination.Duringhisteachingfellowship,hewasawardedtheBestTeacherprizeintheacademicsupportdivision.Oncompletionofhisteachingfellowship,Johncommencedradiologytraining.Johnauthoredseveralpeer-reviewedpublicationsandhaspresentedatseveralnationalandinternationalsurgicalandradiologicalconferences–includingaprizewinningpresentationattheRadiologicalSocietyofNorthAmerica(RSNA)annualscientificmeeting.Hisradiologicalinterestsincludegastrointestinalradiologyandinterventionalradiology.

Dr James BriggsInterventional Radiology Fellow, Oxford University Hospitals NHS Trust

JamesgraduatedfromLeedsSchoolofMedicinein2007,andundertookhisfoundationtraininginOxford.Heisnowinthefinalyearofsub-specialtytraninginInterventionalRadiologywithintheOxfordRadiologyScheme.AdditionalroleshehasundertakenincludewithintheBSIR(BritishSocietyofInterventionalRadiology)educationcommittee,RCR/BSIR/VascularSocietyjointworkinggroup,RCRJuniorRadiologist’sForum,andmostrecentlyasaspecialadvisorwiththeCareQualityComission.

Dr Rajat ChowdhuryConsultant RadiologistNuffield Orthopaedic Centre Oxford University Hospitals NHS Trust

RajatisaConsultantMusculoskeletalRadiologistattheNuffieldOrthopaedicCentre,OxfordUniversityHospitalsNHSTrust.AftergraduatingfromOxfordUniversity,RajatcompletedtheMRCSandbasicsurgicaltrainingontheStMary’sImperialCollegeSurgeryProgrammeandthengeneralradiologytrainingandtheFRCRontheWessexSouthamptonRadiologyProgramme.HethencompletedamusculoskeletalfellowshipatChelseaandWestminsterHospital,LondonbeforebeingappointedtoaconsultantpostinOxfordin2013.RajatwasthechairoftheBIRYoungProfessionalsandTraineeCommittee2013-2013andelectedtoBIRCouncil2010-2013.RajatwasawardedaNICEScholarshipin2010-2011andanRSNAinternationalyoungacademicscholarshipin2011.HewasawardedtheFellowshipoftheBIRin2014.Rajatisleadauthoroftheundergraduatetextbook‘RadiologyataGlance’andwasrecruitedasatutorandcoachatISCMedicalInterviewSkillsConsultingin2013.

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Professor Erika DentonNational Clinical Director for Diagnostics, NHS England

ErikaistheNationalClinicalDirectorforDiagnosticsatNHSEnglandwithresponsibilityforclinicalleadership,adviceandguidanceacrosstheNHSandcoveringalldiagnosticservices.Diagnosticservicesutilise10%ofNHSspendingandover1billiontestsaredoneeveryyearinEngland.

From2005-2013ErikawasNationalClinicalLead,andsubsequentlyNationalClinicalDirector,forImagingatDHleadingacomplexprogrammeofworkacrossallaspectsofimaging.Thisdeliveredconsiderableadditionalcapacityforimagingservicesandmarkedreductioninwaitingtimes.Herworkhasincludedcancer,paediatric,interventional,cardiacandforensicimaging.InherrolesinConnectingforHealthshehasleddeploymentofPACSsystemsacrosstheNHSandisnowleadingtheprocesstomovePACStolocalNHSownershipworkingwithTheHealthandSocialCareInformationCentre.

ErikawaspreviouslyDivisionalClinicalDirectorforSupportServices,DirectorofBreastScreeningandHeadofRadiologyTraininginNorwich.Shecontinuestopracticeclinically2daysaweekandtopublishinbreastimagingandhealthcarepolicy.

ErikadidhermedicaltrainingatStThomas’Hospital,Londonandthenspent4yearsingeneralmedicaltrainingbeforeradiologytraininginLondon.ShewasaconsultantradiologistatKingsCollegeHospitalinLondonbeforeshemovedtoNorfolkin1999.

Dr Jamie FranklinRadiology Registrar and Clinical Research Fellow Oxford University Hospitals NHS Trust

JamesFranklingraduatedinmedicinefromtheUniversityofCambridgeandImperialCollege,London.Hetrainedinradiologywithsubspecialtyinterestsinabdominalandoncologicalradiology,completinganAcademicClinicalFellowshipatOxfordUniversityHospitalsNHSTrustwithafocusononrectalcancerimaging.HeiscurrentlyaClinicalResearchFellowattheUniversityofOxford.

Professor Fergus GleesonDivisional Director, Oxford University Hospitals

FergusGleesonistheProfessorofRadiologyinOxford.HetrainedinCambridge,Papworth,andLondon.HewasaFellowinThoracicRadiologyatUCLAinLosAngeles.HehaspreviouslybeenthePresidentoftheBritishSocietyofThoracicImaging,andisamemberoftheScientificCommitteeofboththeEuropeanSocietyofThoracicImagingandEuropeanCongressofRadiology.HehaswrittenGuidelinesonPleuralImaging,ThoracicInterventionandPulmonarynodules,andhaspublishedover150papersonThoracicRadiology.Hehasgivenover100NationalandInternationallecturesinthelast5years.HewasamemberofaNICETechnologycommitteefor10years.

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HehasbeenaClinicallead,ClinicalDirectorandisnowtheDivisionalDirectorforClinicalSupportServices-comprising:Radiology,Pathologyandlaboratories,Pharmacy,Theatresandanaesthetics,Criticalcare,PainreliefandSterileservices.Thedivisionhasapproximately1900staffandanexpenditurebudgetof£110million.HeistheheadofacademicradiologyinOxfordandtheDirectoroftheOxfordAcademicHealthSciencesImagingNetwork.

Prof Sir Muir GrayDirector of Better Value Healthcare and a partner in the Oxford Academic Health Science Network

MuirGrayenteredthePublicHealthServicebyjoiningtheCityofOxfordHealthDepartmentin1972afterqualifyinginmedicineinGlasgow.HenowworksonedayaweekasaconsultantinpublichealthinOxfordUniversitiesNHSTrustandinhisNHSroleheisinvolvedinsupportingleadershipandmanagementdevelopmentinOxfordshire.HeisalsotheconsultantinpublichealthintheDigitalHealthandSocialCareService.OneofthemissionsistotransformNHSChoicesfrombeingsolelyawebsitetobeingaknowledgeservicedeliveringknowledgetocitizensandpatientswhereandwhentheyneeditthroughletters,sentasemails,thoughlabreportssentdirectlytopatientsandindocumentslinkedtothedispensingofprescriptions.

HehasbeenworkingwithbothNHSEnglandandPublicHealthEnglandtobringaboutatransformationofcarewiththeaimofincreasingvalueforbothpopulationsandindividualsandpublishedabookcalledHowToGetBetterValueHealthcarein2007.ThemeansofdoingthisthroughSystemsisnowcalledPopulationHealthcare.Theaimofpopulationhealthcareistomaximisevalueandequitybyfocusingnotoninstitutions,specialtiesortechnologies,butonpopulationsdefinedbyacommonsymptom,conditionorcharacteristic,suchasbreathlessness,arthritis,ormultiplemorbidity.ThisworkrequiresculturalchangenotstructuralchangeandthedevelopmentofPopulationHealthcareandPopulationMedicine,astyleofclinicalpracticewhichfocusesonallthepeopleinneedinthepopulationandnotjustthosewhoreferthemselvesorhavebeenreferredishiscurrentfocusbothinEnglandandinanumberofothercountries.

Dr Melanie HiornsConsultant Radiologist, Great Ormond Street Hospital

DrMelanieHiornsisaconsultantradiologistandDivisionalDirectorofMedicine,DiagnosticandTherapeuticServicesatGreatOrmondStreetHospitalforChildren(GOSH)inLondon.Herclinicalworkisfocussedonbodyradiologyandshehasaspecialinterestinthegenitourinarysystemandgastroradiology.Shehasbeeninaseniormanagementroleforeightyearsandhasresponsibilityforover700staffanda£50Mbudget.

GOSHwasanearlyadopteroftheISASaccreditationschemeinRadiologyandcontributedextensivelytothepilotprojectwork,andsubsequentlybecamethethirdhospitalintheUKtogainaccreditation,andtheonlyspecialistchildren’shospital.InparallelwiththisshebecameaNationalAssessorforISASseveralyearsago,andcontinuestodothisworkassessingradiologydepartmentsagainstthecriteriasetoutbyISAS.

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Withrespecttoconsultantinterviews,shehasbeenonthereceivingendonlyonce(!),buthasbeenonthepanelformoreconsultantappointmentsthanshecanremember.

Mr Peter LeesFaculty of Medical Leadership and Management

PeterLeesisthemedicaldirectorandformerfoundingdirectoroftheintercollegiateUKFacultyofMedicalLeadershipandManagement,anewmembershiporganisationwith2,000members.HeisalsoamemberoftheClinicalGoverningBodyofWestHampshireClinicalCommissioningGroupandamemberoftheGeneralAdvisoryCounciloftheKing’sFund.Over20years,hecombinedacareerinneurosurgerywithseniorrolesinoperationalmanagementandleadershipdevelopment.Thisincludedexperienceatlocal,regionalandnationallevelsandinglobalhealth.MostrecentlyhewastheMedicalDirector,DirectorofWorkforceandEducationandDirectorofLeadershipatNHSSouthCentralStrategicHealthAuthority;MedicalDirectoroftheNHSTopLeadersProgramme;andSeniorLecturerinNeurosurgeryattheUniversityofSouthampton.

HeisagraduateofManchesterandSouthamptonUniversities,aFellowoftheRoyalCollegeofSurgeonsofEnglandandaFellowoftheRoyalCollegeofPhysicians,London.

Dr Hardi MadaniRadiology Registrar, Royal Free London Hospital

AftergraduatingfromKing’sCollege,UniversityofLondon,withaBachelorsofPharmacy,hesecuredtheRansonFellowshipfromtheRoyalPharmaceuticalSociety,tocompletehisMastersattheUniversityofBath,withathesisbasedaroundworkonBoronNeutronCaptureTherapy.

HewentontocompletehismedicaldegreeatRoyalFreeandUCLMedicalSchool,FoundationtraininginBathandBasicCoreSurgeryTrainingandMRCSexaminationswithintheKentSurrySussexdeanery.HethensecuredapositionontheLondondeaneryClinicalRadiologyTrainingProgramme,isbasedattheRoyalFreerotationandaFellowoftheRoyalCollegeofRadiologists.

HeistheseniorRoyalFreetraineerepresentativetotheLondondeaneryandhaspreviouslybeeninvolvedatdeaneryandcollegelevelexploringanatomyteachingprovisionandselectedasatraineecouncilmemberfortheRoyalSocietyofMedicineandLeadershipFellow.HisisalsoaregionalrepresentativeandboardmemberoftheBritishJournalofHospitalMedicine.

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Dr Cheryl MainRadiology RegistrarUniversity Hospital Southampton NHS Foundation Trust

DrCherylMainisanST4radiologytraineeontheWessexschemewithaninterestinpaediatricandmusculoskeletalradiology.She,alongwithfellowco-ordinatorsDrCharlieLane,ConsultantGastrointestinalRadiologistandleadconsultantfortheundergraduateradiologystudentselectedunit(SouthamptonGeneralHospital/UniversityofSouthamptonMedicalSchool)andDrAusamiAbbas,Cardiothoracicradiologyfellow(Edmonton,Canada)anduntilrecently,registrarleadforundergraduateradiologyeducationatSouthamptonGeneralHospital/UniversityofSouthamptonMedicalSchool,conceivedanddevelopedtheundergraduateworkbookproject,winneroftheBIR/PhilipsTraineeAwardforExcellence2013.

Dr Karen PartingtonConsultant RadiologistNuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust

KarenisaConsultantMusculoskeletalRadiologistwithintheOxfordUniversityHospitalsNHSTrust.AftergraduatingfromGlasgowUniversity,KarencompletedtheMRCSandbasicsurgicaltrainingontheWestofScotlandSurgeryProgramme,andthengeneralradiologytrainingandtheFRCRontheLeedsRadiologyTrainingScheme.ShethencompletedapostCCSTfellowshipattheOxfordNuffieldOrthopaedicCentrebeforebeingappointedtoaconsultantpostinOxfordin2014.Karenhaspublishedasleadauthorinpost-graduatemedicaltextbookssuchas“HarrisandHarrisEmergencyMedicine”and“PracticalMusculoskeletalUltrasound”.ShewasawardedtheYoungInvestigatoroftheYearAwardattheBritishMedicalUltrasoundSocietyin2011.KarenisakeeneducatorinvolvedintheOxfordRadiologyRegistrarTrainingSchemeandteachesontheAintreeBones&JointsandFRCRcourses.

Dr Nassim ParviziRadiology Registrar, Oxford University Hospitals NHS Trust

DrNassimParvizicompletedherundergraduatemedicaltrainingatImperialCollege,London.ShestartedhertrainingasanacademicfoundationtraineeintheNorthWestThamesFoundationSchoolin2010,duringwhichshewasinvolvedintranslationalclinicaltrialsusinghormonesforappetitesuppression.Shewasactivelyinvolvedwithqualityandsafetyimprovementprojectsaimingtodeliverbetterpatientcare.SheundertookasecondmentaspartoftheNHSMedicalDirector’sClinicalFellowSchemeattheMedicinesandHealthcareproductsRegulatoryAgencyduring2012.NassimiscurrentlyanacademicclinicalfellowandspecialistregistrarinClinicalRadiologyattheOxfordUniversityHospitalsNHSTrust.

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Dr Jane Phillips-HughesConsultant Radiologist, Oxford University Hospitals NHS Trust

JanePhillips-HughesqualifiedfromtheUniversityofWalesCollegeofMedicinein1986,obtainedMRCPandthenundertookradiologytraininginCardiff.ShehasbeenaconsultantradiologistattheOxfordUniversityHospitalNHSTrustsince1995,andspecialisesininterventionalGIandHepato-biliaryradiology,ERCPandEndoscopicultrasound.ShehasbeenanRCRTutor,TrainingProgrammeDirectorandiscurrentlyHeadoftheSchoolofRadiologyinOxford.ShesitsontheCurriculumCommitteeandtheSpecialtyTrainingBoardoftheRCRandisalsoaVicePresidentoftheBritishInstituteofRadiology.

Dr Caroline RubinMedical Director Education and Training, RCR

DrRubinhasbeenaConsultantRadiologistinGeneralandBreastImagingattheSouthamptonUniversityHospitalsNHSTrustsince1988.SheisalsoMedicalDirectorofEducationandTraininginClinicalRadiologyattheRoyalCollegeofRadiologists2013-2016.

Dr Joshua ShurRadiology Specialty Registrar, St George’s Healthcare NHS Trust

JoshuaShurisasecondyearRadiologyregistrarbasedatStGeorge’sHospitalinLondonandamemberoftheBIRYoungProfessionalsandTraineesspecialistinterestgroup.HestartedradiologyafterfinishingfoundationtrainingintheSouthThamesdeanery.PriortomedicineJoshuastudiedforadegreeinPhysics.

Dr Ross TappingConsultant Radiologist, Oxford University Hospitals NHS Trust

DrTappingtrainedinMedicineandRadiologyinYorkshireandOxford.HecompletedanInterventionalFellowshipinRadiologyinOxfordandwasappointedasaconsultantin2012andworksattheChurchillandJohnRadcliffeHospitals.HisinterestsincludebothUro-radiologyandInterventionalRadiology.Hehasanactiveroleinteachingandtrainingmedicalstudentsaswellaspostgraduatedoctorsandhasaninterestinscientificandclinicalresearch.HeisaclinicalandeducationsupervisorforRadiologytraineesandisthecollegetutorfortheChurchillHospital,Oxford.

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Dr Stuart WilliamsPrevious NICE Fellow and Consultant RadiologistUniversity of East Anglia and Norfolk and Norwich University Hospital

StuartWilliamsisaconsultantGIradiologistinNorwich.Locallyhehasbeenheadoftrainingandclinicaldirectorfortheradiologydepartment.CurrentlyheisTrustclinicalleadforauditandimprovementandanhonoraryseniorlectureratNorwichMedicalSchool.DrWilliamswastheRCRregionalchairfortheEastofEnglandandbetween2010and2013heldaclinicalfellowshipattheNationalInstituteforHealthandCareExcellence(NICE).

Dr David WilsonConsultant Interventional MSK RadiologistOxford University Hospitals NHS TrustPresident, BIR

DrWilson’sprimaryinterestisintheapplicationofmodernimagingtechniquestodisordersofthelocomotorsystemandspineintervention.Hehasundertakenoriginalworkintheapplicationofdiagnosticultrasoundtojoint,muscle,andsofttissuediseasewithparticularattentiontojointeffusionandcongenitaldysplasiaofthehip.Hehasover20yearsofexperienceinvertebroplastyandistheauthorofpublicationsonmulticentrecontrolledtrialsonthetreatmentofinsufficiencyfractures.HehasestablishedinnovativetrainingcoursesintheUKinmusculoskeletalultrasoundinOxfordandBath.Heteachesinternationallyandisaleaderinthedevelopmentofultrasoundinmusculoskeletaldiseaseandinjectiontechniquesinthespine.HehasconsiderableexperienceinallaspectsofmusculoskeletalimagingandistheEditoroftheprincipletextbookonMSKimaging.AsaformerPresidentoftheBritishSocietyofSkeletalRadiologistandapreviousMedicalDirectoroftheNuffieldOrthopaedicCentrehehaswideclinicalandresearchexperience.

HehasbeenamemberoftheBIRsince1982.HewasCommissioningEditoroftheBJR(2011-12)andthenDeputyEditor(2012-2013).HewasVicePresident(ExternalAffairs)from2012-2014.HeiscurrentlyPresidentoftheBIR(2014-16).

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Abstracts (where supplied)

Balancing demand and cost in imagingProfessor Erika Denton

Thispresentationwillcoverthechallengesforradiologyservicesovercomingyearswhenbalancingdemandandcapacityinacostconstrainedpost-recessionenvironment.Thecontentwillcoverdifferenttypesofimprovementmethodologywhichcanandhavebeenusedinimagingservicestoincreasecapacityandreducewaitingtimesaswellashowradiologyservicesarefunded.Themovetowardsworkingacross7-daysoftheweekinhealthcarewillbeexploredwiththesignificanceofthesemoveswithrespecttoRadiologyDepartments.AsdemandforradiologycontinuestorisetheNHSwillneedtoadaptinordertocontinuetodeliverhighqualityimagingaspartofallpatientpathways.

References:

Serviceimprovementresources:http://www.nhsiq.nhs.uk/9108.aspx

TheDiagnosticImagingDataset:http://www.england.nhs.uk/statistics/statistical-work-areas/diagnostic-imaging-dataset/

7DayHealthcare:http://www.england.nhs.uk/wp-content/uploads/2013/12/brd-dec-13.pdf

Better living through radiologyDr Stuart Williams

Radiologydevelopedasamedicaldisciplineduringthe20thcenturyandembodiesthemid-centurynotionthathumanproblemscanbeaddressedthroughtheapplicationoftechnology.Overthelast30years,UKmedicalpracticehasbecomeincreasinglyreliantonimagingasameansofdiagnosis,triage,surveillanceandreassurance.

Inthisregard,radiologycanbeseenasagreatsuccesswithagrowthindemand,whichfaroutstripstheGDPgrowthoftheUK,morecloselyparallelingthegrowthofsoutheastAsianeconomies.Thishoweverputspressureonradiologydepartmentsandonindividualradiologiststoincreasethenumberofexaminationsundertakenandtodecreasethetimeframeinwhichtheyarebothperformedandreported.

Nationallycommissionedevidence-basedguidelinesarewidelyemployedinUKmedicinetopromotesafeandcost-effectiveworking.However,itisveryrareforNICEguidelinestosuggestlessimagingaspartofbestpractice.NICEguidelinestendtobedisease-basedandhaveacumulativeimpactonradiologyasadisciplinethatintersectswithdiverseclinicalpathways.Therehasalsobeenanincreaseinexaminationcomplexityandrequesterexpectation.Theriseinexamnumbersisoftenaccompaniedbyadropinthepositivity-rateforagiventest,whichhasimplicationsforthosereportingthem.

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Despitethesestresses,radiologyhasimprovedoutcomesforpatientsandcanhelpsecondarycaretackleongoingproblemsofcapacityanddemandinemergencyandinpatientservices.ItalsoremainsanattractivecareeroptionforUKmedicalgraduates.

The third healthcare revolutionProf Sir Muir Gray

Therehasbeentremendousprogressmadeoverthelastfortyyearsduetothesecondhealthcarerevolution,withthefirsthealthcarerevolutionhavingbeenthepublichealthrevolutionofthenineteenthcentury.Hipreplacement,transplantation,andchemotherapyareexamplesofthehightechrevolution.Howevertherearestillfiveoutstandingproblemswhicharefoundineveryhealthservicenomatterhowtheyarestructuredandfunded:Oneoftheseproblemsishugeandunwarrantedvariationinaccess,quality,costandoutcome,andthisrevealstheotherfour:

• Patientharm,evenwhenthequalityofcareishigh• Waste,thatisanythingthatdoesnotaddvaluetotheoutcomeforpatients

orusesresourcesthatcouldgivegreatervalueifusedforanothergroupofpatients

• Inequity• Failuretopreventthediseasesthathealthcarecanprevent,strokeinatrial

fibrillationforexample.

Inadditiontheserviceswillhavetocopewithrisingneedanddemandwithoutadditionalresources.

Moreofthesame,evenbetter,quality,safercareisnottheanswer.Thefocushastobeonvalue,onbettervalueforindividualsandpopulations.Toachievethisweneed:

• Developmentofcollaborativesystemsandnetworkswithpatients&carersasequalpartners

• Personalisedserviceforallthepeopleaffectedinthepopulation• Cliniciansactingthestewardsofthepopulation’sresources

Anewparadigmisneedednotanewstructure.Inanerainwhichtherewillbeinsufficientmoneytomeetneedanddemandweneedtoharnesstheforcesdrivingthethirdhealthcarerevolution–citizens,knowledgeandthesmartphone

Weneedatransformationwiththenewfocusontriplevalue.Thiswillnotbebroughtaboutbymoremoney,evenifmoremoneywereavailable.Norwillitresultfromstructuralreorganisationbecausethebureaucracieswhicharenecessaryareorganisationsthatoperateinalinearfashionwhereashealthandhealthcareissuesarecomplexor‘wicked’problemsandrequirenewtypesofintervention.

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The future of radiology trainingDr Caroline Rubin

Educationalaim:inspiredebateaboutfuturetrainingbasedonpastdevelopmentandcurrentpolitical/medicalimperatives.

Radiologytraininghaschangedwiththeadventofnewtechnologiesandtechniques.ThecurriculaforClinicalRadiologyandInterventionalRadiologyarereviewedandupdatedonanannualcycletomaintaincurrencywithtechnologicalchangesaswellastocomplywiththerequirementsoftheGMCandotherregulatorybodies.

TheShapeofTrainingreviewisunlikelytoimpactonthecurrentstructureoftraininginradiology.CorecompetencesshouldbemaintainedthroughouttrainingwithtraineesatCCT/CSThavingcompetencesingeneralradiology,oneortwospecialinterestareasorsubspecialtycompetenceinInterventionalRadiology.

Trainingundertakenasanapprenticeshipmodel,orblendedwithclassroomlearningasintheAcademies,islikelytoremain,withdurationoftrainingat5or6years,coveringthewholecontentofthecurriculumpreCCT/CST.

Credentialingofareasofpracticealreadyoccurs:forexamplebreastphysiciansandbreastimaging,cardiologistsandcardiacCTandMRI.CredentialingislikelytogoaheadevenifimplementationofthewholeoftheShapeofTrainingreviewdoesnot.Developmentofcredentialsinareasofpractice,withtheRCRasthecredentialingbody,toenablepostCCT/CSTflexibledevelopmentoftheworkforcewillbethenextchallenge.

LearningPoints:• RadiologytrainingisShapeofTrainingCompliant• Radiologistsaretheonlycliniciansableprovideanimagingopinionforan

increasinglyelderlypopulationwithmultipleco-morbidities.Credentialsintestsandtrainingotherspecialtiesinlimitedareasofpractice,runstheriskoftoonarrowafocus.

Imaging services accreditation scheme Dr Melanie Hiorns

TheISAS(ImagingServiceAccreditationScheme)isapatient-focussedassessmentandaccreditationprogrammethatisdesignedtohelpdiagnosticimagingservicesensurethattheirpatientsconsistentlyreceivehighqualityservices,deliveredbycompetentstaffworkinginsafeenvironments.IthasbeenjointlydevelopedbytheRoyalCollegeofRadiologistsandtheCollegeofRadiographers.ItistheonlynationallyrecognisedaccreditationschemeavailablefordiagnosticimagingservicesintheUKandprovidesanessentialframeworkforservicestoengagewithakeydeliverableoutlinedintherecentlypublishedNHSEnglandbusinessplan.ManyleadinghospitalshaveachievedaccreditationincludingGreatOrmondStreetHospitalforchildren,CambridgeUniversityHospitalsNHSFoundationTrust,ChelseaandWestminsterHospitalNHSFoundationTrust,andNorfolkandNorwichUniversityHospitalsNHSFoundationTrust.

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ThistalkwilloutlinewhatISASaccreditationinvolvesandillustratesomeofthecriteriathatmakeupthe31standardsacrossthefourdomainsof‘clinical’,‘facilities,resourcesandworkforce’,‘patientexperience’,and‘safety’,andwilldiscussthedifficultiesandbenefitsofgainingaccreditation.

Philips award winner presentationDr Cheryl Main

The2013BIR/PhilipstraineeawardforexcellencewasawardedtoanelectroniceducationprojectformedicalstudentsdevelopedbyamultidisciplinaryteamatSouthamptonGeneralHospital,themajorityradiologyregistrarsbutalsoincludingradiographersandconsultants.

SouthamptonUniversitymedicalstudentsintheirfinalyearareabletochooseashortin-houseelective.Oneoptionisradiology,usuallyinvolvingtwoweeksofprogrammedactivitiesandaccesstotheelectronicworkbooks.TheE-modulesarewrittenineitheraquiz,longcaseorshortcaseformat.Thereissomedidacticmaterialinadditionbutmostmodulesarebasedoncasehistoriesorimageswithquestions.StudentscompletetheelectronicworkbookandthenjoinaseniorregistrarorConsultantfortwotutorialsattheendoftheirelectivetodiscusstheanswers.Theattachmenthasbecomeextremelypopular.Theformathasworkedwellandthestudentshavebeenwellengaged,givingpositiveandencouragingfeedback.Theprojecthashelpedpreparestudentsforfinals,fortheirfuturerolesasjuniordoctorsandgivesatasterofacareerinradiology.

Why do radiologists need to go to medical school? Dr David Wilson

Thedifferencebetweenaradiologistandareportingradiographeristhemedicaldegree.Thereisgoodevidencethataradiographertrainedtoreportconventionalradiographsormorecompleximagingcanproduceexcellentresultswithaccuracyatleastasgoodasthatofmanyradiologists.Sowhydowepersistinemployingqualifieddoctorsasradiologistspayingthemapremiumrate?

Toanswerthisquestionweneedtolookatthetasksthatareassociatedwithanimaginginvestigation.Patientsarereferredtoanimagingdepartmentforanopinion.Cliniciansoftenseethisasan“order”foraninvestigationbuttoacceptthisconceptmissestheimportanceofclinicaloversightoftheimaginginvestigation.

InthispresentationIwilldiscusstheelementsthatmakeupanimageinvestigationexplainingwhereamedicalbackgroundaddsvalue.IwillcommentonwhatIseeistheproperroleofadoctorwhoknowsaboutimaginganddescribethemeansbywhichtheycanworkinclosecollaborationwithnon-radiologistswhoreportimaginginvestigations.Iwilltouchonthepotentialmedicalnegligenceissuesthatmightensuewithsomeexamplesfromanonymizedcases.

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Leadership and management in radiology Mr Peter Lees

UKMedicinepridesitselfonitsevidencebaseandrightlylaudsthosewhoenhancethatevidencebase.Bycontrast,itrespectsmanagementandleadershipmuchlessandyetthereisalsoevidencetoshowthatgoodleadershipisassociatedwithimprovedpatientoutcomes.

Theevidenceandhowleadership‘works’willbediscussed.

What do we do in diagnostic radiology?Dr Hardi Madani

Advancesintechnologyandimagingtechniques,combinedwithcomprehensiveclinicaltraining,haveallowedradiologiststoarguablybecomeoneofthecornerstonesofmodernmedicineandanintegralpartofapatient’sjourney.Thistalkwillendeavortohighlighttheprogressmade,exemplifysomeofthecrucialrolesradiologyasaspecialtycanplayanddescribeexcitingnewdevelopmentsinthefield.

What do we do in interventional radiology? Dr James Briggs

Interventionalradiology(IR)isarelativelynewandrapidlyevolvingsub-specialtyofClinicalRadiology.Asavailabletechnologyandourunderstandingofhowtouseitdevelops,theroleofIRisexpandingintoalmostallfieldsofclinicalpractice.

Thissessionaimstohelpdevelopanunderstandingoftheworkofinterventionalradiologistsandtheirrolewithininamodernintegratedcaresetting.WewilllookatsomeofthekeyskillsandattributesrequiredinIR,explainthestructureoftraininginradiologyandcareerpathwaystobecominganinterventionalradiologist.WewillreviewsomeofthechallengescurrentlybeingfacedbyprovidersofIRservicesintheUK,including24/7care,workforceexpansion,lookatsomeadvantagesandproblemsrelatingtoprogressivesubspecialistationandaddressissuesaroundpublicandprofessionalawarenessofthespecialty.

The radiology application process - what do we look for?Dr Jane Phillips-Hughes

InthisworkshopwewilldiscusstheradiologyST1personspecification,andtheinterviewprocessasseenfromthepointofviewofaninterviewerandtrainer.Areascoveredwillincludesome“do’sanddon’ts”andtipsonhowtomakeagoodimpression.

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What do we do in academic radiology and interview tipsDr Jamie Franklin

Thetalkwillcoverthefollowingtopics:• AnintroductiontoresearchinRadiology• Academiccareerpathsexplained• Thebenefits(andchallenges)oflifeasanAcademicClinicalFellow• TipsfortheACFinterview

Experiences of the interview and preparing for the day Dr Joshua Shur

Aims:• Discussionofexperiencesoftheradiologyinterview• Tooutlinetheradiologyinterviewformat• Preparationtipsfortheinterview

Learningoutcomes:• Tounderstandtheinterviewformat• Howtopreparefortheinterviews

Theradiologyinterviewsconsistofmultiplestations,muchlikeanOSCEexamination.Thedifferentstationsincludethepreparationstation,portfolio/auditstation,imageinterpretationandrequestcardstation,interviewstationandethicalscenariostation.Eachstationis8minuteswithnormally2examinersperstation,andaremarkedindependentlyofeachother.Practicingthestationsandpreparingforthequestionsyoumightbeaskedisthekeytoscoringwellintheinterview.The“blueprint”fortheidealcandidateisfoundinthepersonspecificationandthesearethebroadcriteriabywhichcandidatesarescored.Makesureyougothroughthepersonspecbeforehandandseeifyoucanmeetasmanyoftheessentialanddesirablecriteriaaspossible.Writedownasmanyquestionsthattheymightaskyouandthinkabouthowyoumightanswerthem.Practicepresentingcommonradiologicalimagesasyouwillhavetodothisintheexam,usinganatomicalandradiologicaltermswhenpossible.Practicecritiquingauditabstractsandknowtheauditcycle.Finallythinkabouthowyoumightprioritiserequestsforradiologicalinvestigations.

Challenges in the first 18 months of trainingDr John Adu

Thetransitionfromclinicalpractice‘ontheshopfloor’toradiologytrainingcanbeadifficultone.Althoughalldoctorswillhavehadsomeinteractionwithradiologicalservicesduringtheircareer,veryfewindividualswillhavespentasignificantamountoftimeintheradiologydepartmentpriortoactuallystartingtheirradiologytraining.Inthatregard,beginningacareerinradiologycanbeliketakingastepintotheunknown.

Self-reflectivequestionssuchas‘howdoIknowifradiologyisreallyforme?’andfeelingsofinadequacyarecommonplace.Althoughexciting,thelearningcurveintheearlyyearsisprettysteepandthevolumeandbreadthofknowledgetobeassimilatedcanbeoverwhelming.Thereareseveralexamsthatmustbe

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successfullynegotiatedtoensureprogression.Thestyleandpaceofworkasaradiologistalsotakessomegettingusedto.

Theaimofthistalktoisprovidearealistic,personalinsightintothechallengesfacedintheearlystagesofradiology,andstrategiesthatcanbeusedtoovercomethesechallengestoensurethatyouenjoyyourtraining.

Getting the consultant job you wantDr Karen Partington

Afterover5yearsofradiologytraining,examinationsandmultiplecareerinterviewsonewouldthinkwewouldautomaticallyknowhowtogetajob.Theconsultantjobapplicationandinterviewprocessislikenoneotheryouwillexperience,andtrulyisinpartagame.Thissessionistodemystifytheprocessandexplainsomeoftherulestogetthejobyouwant.

Educationalaims:• Overviewoftheconsultantrecruitmentprocessandpitfalls• Pre-shortlistingandinterviewvisits• BuildingyourCV• Theinternalcandidate?!?

Learningoutcomes:• Tobeconfidentthatyoucanachievetheconsultantjobyouwant

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Platinum sponsors

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Wedevelopinnovativehealthcaresolutionsacrossthecontinuumofcare,inpartnershipwithcliniciansandourcustomerstoimprovepatientoutcomes,providebettervalue,andexpandaccesstocare.

Aspartofthismissionwearecommittedtofuellingarevolutioninimagingsolutions,designedtodelivergreatercollaborationandintegration,increasedpatientfocus,andimprovedeconomicvalue.Weprovideadvancedimagingtechnologiesyoucancountontomakeconfidentandinformedclinicaldecisions,whileprovidingmoreefficient,morepersonalisedcareforpatients.

TheSiemensHealthcaresectorisoneoftheworld’slargestsupplierstothehealthcareindustryandatrendsetterinmedicalimaging,laboratorydiagnostics,medicalinformationtechnologyandhearingaids.Siemensoffersitscustomersproductsandsolutionsfortheentirerangeofpatientcarefromasinglesource–frompreventionandearlydetectiontodiagnosis,andontotreatmentandaftercare.Byoptimisingclinicalworkflowsforthemostcommondiseases,Siemensalsomakeshealthcarefaster,betterandmorecost-effective.Forfurtherinformationpleasevisit:http://www.siemens.co.uk/healthcare

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FORTHCOMING EVENTS

DIAGNOSTIC RADIOLOGY FOR ADVANCED HEAD AND NECK CANCER PLANNING26 NOVEMBER 2014

LONDON

STATE OF THE ART RADIOTHERAPY EDUCATION DAY 10 DECEMBER 2014

LONDON

WESSEX BRANCH EVENT 10 DECEMBER 2014

SOUTHAMPTON

ADVANCES IN RADIOTHERAPY FOR PROSTATE CANCER: FROM THEORY TO PRACTICE12 DECEMBER 2014

CARDIFF

THE SPINE IN HEALTH AND DISEASE21 JANUARY 2015

LONDON

CONTRAST STUDY DAY AND ESSENTIAL PHYSICS FOR FRCR29 - 30 JANUARY 2015

SHEFFIELD

RADIOLOGY ERRORS6 FEBRUARY 2015

LONDON

EMERGENCY INTERVENTIONAL RADIOLOGY13 FEBRUARY 2015

LONDON

4TH ANNUAL SPECT/CT SYMPOSIUM: CURRENT STATUS AND FUTURE DIRECTIONS OF SPECT/CT IMAGING23 FEBRUARY 2015

LONDON

THE TECHNOLOGY AND USES OF ON-TREATMENT IMAGING IN RADIOTHERAPY24 MARCH 2015

LONDON

IMAGING IN DEMENTIA23 APRIL 2015

LONDON

EMERGENCY OUT OF HOURS RADIOLOGYAPRIL

GLASGOW

MANAGEMENT AND RADIOLOGY - A GUIDE TO CURRENT AND FUTURE MANAGEMENT ISSUES IN RADIOLOGY

1 MAY LONDON

THORACIC IMAGING15 MAY

CAMBRIDGE

VISIT: WWW.BIR.ORG.UK FOR MORE INFORMATION AND TO REGISTER

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JointheBIRtodaytobenefitfromreduceddelegateratesforourevents.Formembershipinformationvisit:www.bir.org.uk/join-us

48–50StJohnStreet,London,EC1M4DG

www.bir.org.uk

Registeredcharitynumber:215869

@BIR_News

/britishinstituteofradiology

TheBritishInstituteofRadiology