Wednesday 20 May 2020
Combined Meeting with Glasgow Society
Venue: Dovecot Studios, 10 Infirmary Street, Edinburgh EH1 1LT
DETAILS FOR THIS EVENT WILL BE CIRCULATED NEARER THE TIME
Archive Meeting minutes
The Society was addressed by Professor James Walker, Professor of Obstetrics and Gynaecology in Leeds and the Senior Vice President of the RCOG with the remit of Global Health.
Throughout the world the RCOG is seen as leading the way on standards in women’s healthcare and the training of obstetricians and gynaecologists.
The meeting was addressed by Mr Raj Naik of the Clinical Gynaecological Oncology Unit, Queen Elizabeth Hospital, Gateshead.
Mr Naik gave a very thought provoking and interactive talk on radical gynaecological oncology, discussing in particular ultra-radical cytoreduction in ovarian cancer, lateral extended radical extentoration (LEER), pelvic and para-aortic lymphadenectomy and surgery for recurrent disease.
The speaker was Professor Siladitya Bhattacharya of the University of Aberdeen.
Professor Bhattacharya was originally going to speak about the new NICE guidelines but, as their release date had been changed and the contents were still confidential, he was unable to speak on this topic but instead gave an excellent talk, the title of which was “Does Infertility Exist – and Does it Matter?”
Dr Kim Hinshaw of Sunderland Royal Hospital addressed the College on “Training for Obstetric Emergencies, Simulation and Human Factors”.
There is adverse outcome in 1 in 12 labours. In 50% of cases there are preventable factors and these are frequently human error.
The current training is focused on attainment and assessment of competencies. Human factors, ie non-technical skills are neglected.
Mr Edwin Chandraharan, Consultant in Obstetrics and Gynaecology at St George’s Hospital, London addressed the Society. The title of his talk was CTG interpretation: from patterns to predictions.
CTGs have a 40-60% false positive rate. They over-diagnose acidosis. Most clinicians interpret CTG by pattern recognition. Failure of CTG interpretation is the biggest single cause of medical negligence which has cost the country £5.2 billion in the last 10 years in pay-outs. Even in the hands of experts there is inconsistency in interpretation of the CTG.
Experts will interpret the same CTG differently if the outcome is known.
The meeting was opened and introduced by Professor Hilary Critchley who gave an overview on the human and financial cost of uterine fibroids.
25-50% of women will have fibroids and it is still the second commonest indication for hysterectomy. There is however a need for good uterine sparing medical treatment for young women with fibroids who wish to preserve their fertility. The pathogenesis of fibroids is poorly understood and although hormonally related is multifactorial.
What happens to the endometrium in women with fibroids is understudied and we don’t know why some women have heavy periods with fibroids and others don’t.