MANCHESTER MEDICAL SOCIETY
(Registered Charity No 222800)
c/o John Rylands University Library, Oxford Road, Manchester M13 9PP

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SECTION OF ODONTOLOGY
Annual General Meeting and Joint Symposium with NW Branches of the BDA Hospitals Group and Faculty of General Dental Practice (UK)
"Complaints and Communication"

Dr C Asher-McDade & Dr G McDade - "How to talk so patients listen and listen so they talk"

[The presentation is based upon their highly successful experiential course which they have been presenting several times per year since 2005 to practitioners, PGs, orthodontic specialists and student therapists at the University of Manchester. They have also presented it nationally and in 2010, to orthodontic  specialists in Australia. It will be in the form of one joint presentation.  They will cover the following topics:

Dr M Clarke - "Now that shouldn't have happened - can I phone a friend!" Complaints handling/legal and ethical issues

[In the last few years dental practice has gone through an enormous amount of change. We all try hard to please our patients but naturally this is not always possible. New techniques and modern dental materials have made high quality dentistry more practical for the dental team and affordable for patients. Unfortunately it has also had the effect of making certain patients more demanding and raised their expectations. Not surprisingly then when things go wrong, complaints inevitably follow.

For the clinician and the dental team as a whole, a simple patient complaint can be devastating. What started off then as a model patient suddenly becomes the practice ogre. But how do you recognise the potential complainant. Perhaps more importantly how do you deal with them when they've arrived at the practice? Is it really true that the clinician and the practice team are often their own worse enemy in this respect?

Dental Risk management is all about awareness, control and containment of potential areas of jeopardy. Successfully implemented, it should ensure that a dental practice remains happy, successful and profitable. Using examples from the extensive Dental Protection case file, Dr Clarke will demonstrate key areas in the recognition and handling of complaints and other dento legal problems, and provide strategies to ensure that the entire practice team remains safe.]

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SECTION OF SURGERY

Mr A P Dickson - “The development of bladder exstrophy surgery”

[This talk will include:

Description of bladder exstrophy epispadias complex spectrum (BEEC).

Discussion of historical outcomes

Outline of management of bladder exstrophy in the world

Development of bladder exstrophy care in the UK and in Manchester, in particular.

Current outcomes

Development of a bladder exstrophy team and a lifespan service

1 CPD Credit

Wednesday 9th
5.30pm
Coffee from 5.00pm

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SECTION OF PATHOLOGY

Dr J Burthem - "Identifying leukaemia by immunophenotype. Flow cytometry - an art, a science, or both?"

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Programme (PDF)

Dr C Conlon - "Current higher airway management training in the North West Deanery - lessons from NAP4 and challenges of the new curriculum"

Dr J Shaw - "Human Factors and NAP4"

Dr N Woodall - "Overview of the main findings of the report"

[In this talk the major findings and recommendations of the NAP4 project will be presented. The implementation of the 160 recommendations contained in the final report is a challenge for any department. The strength and validity of the report and of the recommendations will be reviewed then suggestions as to how these might be used to bring improvements in patient care will be offered.]

Dr P Groom - "ADAM website"

Dr B McGrath & Dr L Bates - "ICU and the NAP4 report"

3 CPD Credits

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SECTION OF IMAGING

Dr P Shaw - "Radiation and Borders"

[The talk will discuss the issues surrounding uses of radiation in security and border monitoring.]

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SECTION OF PSYCHIATRY
Symposium  "The Ages of man: the chronological approach to bipolar disorders"

Dr B Dubicka - "Bipolar disorder in children and adolescents – a case for early intervention?"

[Bipolar disorder in children and adolescents remains controversial. Clinical studies have demonstrated large differences in prevalence between the US and the UK, and the diagnosis has been increasing substantially in the US. This presentation will present data on prevalence in the US and other countries, and describe a cross-national study which explored diagnostic differences between US and UK clinicians. Clinical vignettes will be presented and possible reasons for  diagnostic differences explored, together with implications for over and under diagnosis. Dilemmas surrounding the case for early detection and treatment will be explored. ]

Professor R Morriss - "The assessment and management of bipolar disorder in adulthood"

Professor R C Baldwin - "Defeating (Old Age) Depression, fifteen years on"

[This talk will summarise the work Professor Baldwin's has been involved in over 15 years (and more) into the aetiology and prognosis of late life depression and the interactions between vascular disease and depression.]

2.5 CPD Credits

**TICKET ENTRY ONLY** -
 

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SECTION OF SURGERY
Guest Lecture and Annual Dinner 

Mr G A MacKinlay - "A Glimpse through the keyhole at advances in paediatric surgery"          

[These days the majority of abdominal and thoracic operations in children can be performed laparoscopically or thoracoscopically not only in infants and children but also in neonates, even very premature neonates. Particularly in the neonate, some procedures can be challenging and should only be considered once one has acquired advanced laparoscopic skills in older children. These operations also require an experienced paediatric anaesthetist with the knowledge of the problems associated with CO₂ insufflation of the abdominal or thoracic cavity. There are significant increases in EtCO₂ in children undergoing thoracoscopy; which are higher than during laparoscopy. Changes in EtCO₂ are larger in smaller children undergoing single lung ventilation. Thoracoscopy may surprisingly preserve intra-operative thermoregulation in small babies.

My own experience in complex endoscopic procedures will be illustrated. These include lung resections, oesophageal atresia repair, repair of congenital diaphragmatic hernia, pancreatectomy for nesidioblastosis, laparoscopy in neonatal necrotising enterocolitis, re-do fundoplication and tumour biopsies and resections, both laparoscopic and thoracoscopic. The benefits of laparoscopy and thoracoscopy for the paediatric patient are multifaceted and of enormous importance in the oncology group. In units where the surgical expertise is available then laparoscopy and/or thoracoscopy should be considered in the diagnosis and treatment of all paediatric oncology patients.]

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Programme PDF

SECTION OF SURGERY

Professor George G Youngson CBE -
“Non-technical skills in surgery – what are they and do they matter?”

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Programme PDF

SECTION OF PATHOLOGY

Mr B G Keevil - "The analysis of steroids by LC-MS/MS a rapidly maturing technology"
 

[Immunoassay has been the mainstay of steroid analysis in routine laboratories for over 30 years but it is now recognised that some of these immunoassay methods suffer from lack of    specificity due to poor antibody performance.  Laboratories have therefore looked to more  precise analytical techniques to improve the  performance of steroid assays and of the liquid chromatography tandem mass spectrometry has shown the most promise.  LC-MS/MS has been in routine use in neonatal screening laboratories for over 20 years but has only been used in routine clinical laboratories for 10 years.  LC-MS/MS offers many advantages to the clinical         laboratory through an improvement in not only specificity but also in very low detection limits.  In addition it offers the ability to measure several steroids simultaneously and this allows the     construction of profiles to investigate specific conditions eg adrenal steroids and androgenic steroids. There are disadvantages to the      technique and these include a requirement for increased sample preparation which leads to a consequent loss of sample throughput.  The    instruments are also relatively expensive to buy and generally require highly skilled staff to   operate them, but continuing improvements in instrument design are tackling some of these problems.  This presentation will focus on the  advantages of LC-MS/MS for steroid analysis but will also address some of the problems    inherent with the technique.]

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Programme PDF

SECTION OF IMAGING
Mini Symposium on "Sarcoma"

LG12 - Leamington Theatre, Samuel Alexander Building
(East Wing), University of Manchester

SOCIETY
Symposium "From bench ...... to real patient benefit” & Telford Memorial Lecture

Professor S Elborn - "Cystic Fibrosis"

Professor S O'Brien - “Is there a recognisable irritable bowel syndrome phenotype in routine primary care consultation data?”

[Chronic gastrointestinal disorders are considered to represent around 8% of the General Practice workload - around 6 million consultations per year.  Around 30% of those consultations are for ‘functional gastrointestinal disorders, including irritable bowel syndrome (IBS).  What is not known is the extent of potential variation in clinical coding of consultations that might lead to an underestimate of disease burden i.e. is there a recognisable IBS phenotype presenting to primary care? To address this question we used routine, electronic clinical coding data from primary care consultations  general practitioners in Salford, north-west England, to investigate clustering of diagnosis data associated with IBS patients using a novel visualisation – mapping Read code data into a 2-dimensional plane (a diagnosis space).  Clinical coding of consultations from IBS patients was scattered across the whole of the diagnosis space and so it was impossible to identify IBS patients on the basis of their recorded symptoms.  This has important implications for epidemiological studies of patients with IBS using primary care datasets and, potentially, for commissioning services for these patients.]

Professor C E M Griffiths - "Art and science in psoriasis management"

[Psoriasis is a common inflammatory skin disease that affects 2% of the UK population. The disease is  currently incurable, causes significant psychosocial difficulty and places a large burden on the NHS. It is increasingly recognised that psoriasis is more than  skin deep and is associated with significant comorbidity including a high risk for  cardiovascular disease.  Translational research and genome-wide association studies have revolutionised the management of severe psoriasis in that identification of key immune pathways in disease pathogenesis has led to the development of targeted biologic therapies including anti-IL12/23.

Management of the person with psoriasis, as with any patient with a chronic stigmatising disease , should be cognisant of the need to individualise therapy. This is achieved by recognising the considerable anxiety, depression and avoidance coping demonstrated by psoriasis patients and that stress itself may trigger and /or perpetuate the disease. The application of the latest research findings to the management of psoriasis linked to a  personalised, holistic approach  leads to optimal care. ]

Professor A Custovic - "Allergy: time for a step change?"

Telford Memorial Lecture by Professor A Compston - "Multiple Sclerosis: A model disease for experimental medicine"

FREE to attend

Programme PDF

Michael McGrady - “The effect of social deprivation on the prevalence and severity of dental caries and fluorosis in populations with and without water fluoridation”

Irvail Prabhu - “A novel method of anastomosing vessels using an intraluminal stent: a proof of principle study”

Mohammad Owaise Sharif - “Estimating the need for dental sedation”

SECTION OF PAEDIATRICS
Regional Paediatric Endocrinology Study Day

FULLY BOOKED

**Please note venue has changed from Education North, MRI**

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Programme PDF

SECTION OF ANAESTHESIA
Trainees' Prize Evening

"The SLAVED process check: a quality improvement initiative to improve reliability in delivery of small-scale evidence based interventions in ICU" - Dr K Braid

"Paediatric endotracheal tube (ETT) cuff pressure at altitude during rotary wing retrieval: an in-vitro study" - Dr L Thomas

"CPET identifies patients with reduced survival following elective AAA repair" - Dr J Roberts

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Programme PDF

SECTION OF SURGERY

Dr W J Forsyth- "Reflections on a lengthy career"

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SECTION OF IMAGING

Mr M D Viner - "The Bone Detectives - the Role of Forensic Radiography"

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 “24 hour party people: Alcohol and Drug Misuse in the North - the historical perspective and current trends”

Professor A R Lingford-Hughes -

“The treatment of alcohol problems - current evidence and future directions”

Professor Sir Ian Gilmore - “Alcohol and physical health” 

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SECTION OF ODONTOLOGY
Symposium "The missing incisor"

Dr M Ashley & Dr D Waring - "A multidisciplinary approach to hypodontia"

Dr K Hood "Incisor trauma"

Professor C Ucer - "Implant replacement of the missing incisor tooth

[Although, immediate placement of implants in fresh extraction sockets in the upper anterior region is considered to be somewhat controversial, there is accumulating evidence to show that this could be an optimum solution for patients faced with the loss of their incisors in the so called the aesthetic zone. The advantages include shorter treatment, one less surgical stage, preservation of hard and soft tissue, and optimum aesthetics. This presentation will consider the evidence for and against immediate implant placement and present the results of a 5 year multi-national trial of immediate implant placement of incisor teeth in fresh extraction socket"]

SOCIETY
Joint Meeting with the Liverpool Medical Institution

Professor I Jacobs - "Ovarian Cancer Screening"

Professor D Felson - "Treatment of osteoarthritis: Past and current frustration; Future promise?"

Mr N Shah - “A randomised, double-blind, placebo-controlled trial of antioxidant therapy for chronic pancreatitis.”

Miss K Newton - “Tumour MLH1 methylation testing is an effective pre-screen test for Lynch Syndrome”

Dr C Miranda - “Human recombinant activated protein (Xigris) for the treatment of severe acute pancreatitis: A case control study”

Mr S Grant - “Is cardiopulmonary exercise testing useful for predicting peri-operative mortality and survival following elective AAA repair?”

Miss S Chadwick - “Factors regulating repigmentation of cutaneous scars”

SECTION OF PATHOLOGY
Trainees' Prize Evening

 Stephanie Carter - “Audit of Vitamin B12 and folate requesting” 

Helen Jopling - “Phenotype-genotype correlation of TPMT activity in patients undergoing thiopurine drug based therapies”
  

Martin McHugh - “Improved diagnosis of meningococcal and pneumococcal meningitis

and septicaemia by a novel lyophilised multiplex PCR”
 

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SECTION OF IMAGING
Mini symposium on "Paediatric Epilepsy"

Professor K Herholz - "Functional PET imaging in paediatric epilepsy"

Lunch & Registration from 1.00 pm

CHARGE TO ATTEND

Dr C Evans - “Defensible or not?”
 

Professor A Aitkenhead - “Anaesthetic misadventures; The Anaesthetist’s View”
 

Mr B Alderman - “A date with the GMC”
 

Dr U Prabhu - “Learning lessons from medical errors”

Park Royal Hotel, Stretton, Warrington

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SECTION OF IMAGING

SECTION OF PATHOLOGY
Joint Symposium with the Royal College of Pathologists "The future is immunology"

Dr E Kaczmarski - “Advances in meningococcal vaccination”

Professor S Wonnocott - "Vaccines for drug addictions: prospects for nicotine and cocaine vaccines"

Dr R Antrobus - "Developments in malaria vaccines"

Presidential Address by Dr M Helbert - "Three ladies"

[As an SHO in 1984 Dr Helbert encountered three youngish women with very different conditions. All of them died that year. In the intervening years, discoveries have been made that would mean that if these women were diagnosed now they would have very different life expectancies.  In this lecture he will address the developments that would have had such an impact on these women’s lives by covering four strands:

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SECTION OF MEDICINE
Spring Meeting

Professor S Ray - "Aortic Stenosis – New Treatments for a Neglected Disease" 

[Aortic stenosis is the commonest valvular abnormality requiring surgery in Western populations and is largely a disease of aging for which valve replacement is currently the only treatment.  Untreated severe symptomatic aortic stenosis carries a prognosis worse than most cancers and yet about a third of older patients with the condition are denied surgery, mainly on grounds of perceived risk.  The advent of catheter based aortic valve replacement has provided a means for older co-morbid patients to be treated without the need for sternotomy, cardiopulmonary bypass and prolonged rehabilitation.

Advances in valve biology have improved the understanding of the mechanisms underlying the development of aortic stenosis and it is clear that this is an active inflammatory process potentially amenable to pharmacological manipulation. Similarly there is increasing recognition of the importance of excessive myocardial hypertrophy and fibrosis in the adaptive response to the narrowed valve.  Identification of the pathways involved in these adverse remodelling processes may also provide novel targets for medical treatment.]

Dr M Roberts

Dr P Selby

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SECTION OF ANAESTHESIA
Out of Town Lecture

Dr M Cardwell - "Military trauma in Afghanistan"

[A summary of Dr Cardwell's experiences as an ICU consultant in the military hospital in camp Bastion, Afghanistan.  A description of the injury patterns and principles of trauma management from the point of wounding to repatriation to the UK.]

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SECTION OF ODONTOLOGY
Guest Lecture

Professor W C Shaw CBE - “Collaboration in Clinical Research. What works and what doesn’t?”

[There are many good reasons for undertaking collaborative clinical research between individuals and institutions, such as greater collective expertise, recruitment, credibility, and generalisability of results. There are however several pitfalls too, some organisational, some interpersonal.

This lecture will be drawn from the reflections of a researcher whose research partnerships have sometimes succeeded, but sometimes failed.]

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SOCIETY
John F Wilkinson Memorial Lecture

Professor A Burns - "Dementia and Alzheimer's Disease - prospects for treatment and prevention"

[Dementia affects 750,000 people in the UK the commonest cause of which is Alzheimer's disease the affects to the individual suffering with dementia and their carers can be devastating.

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SECTION OF IMAGING
Debate "This house believes that every radiology department should have their own in house radiologists with comprehensive sub-specialist interests"

Dr D Bisset - For the proposal

Dr R D Laitt - Against the proposal

Tel: 0151 - 709 9125

Tel: 0161 - 275 6600

(Campus Map - MANDEC No.41).
Please note ACCESS CANNOT be gained via the Patients Entrance to the Dental Hospital. The MANDEC has its OWN ENTRANCE.

Tel: 0161 - 276 4169

Map & directions

Tel: 01925 730 706

Theatre A,
Roscoe Building

Theatre 1, Stopford Building

LG12 - Leamington Theatre, Samuel Alexander Building,
East Wing

Maps and travel information to the University

Roscoe Building,
The University of Manchester,
Brunswick Street,
Manchester M13 9YJ

Campus Map - Roscoe Building No.53
 

Stopford Building,
The University of Manchester Medical School,
Oxford Road,
Manchester M13 9PT

Tel: 0161 - 275 5775

Campus Map  - Stopford Building No.79
 

Samuel Alexander Building,
The University of Manchester,
Oxford Road,
Manchester M13 9PL

Tel: 0161 - 306 6000

Campus Map - Samuel Alexander Building No.67

University Place,
The University of Manchester,
178-186 Oxford Road,
Manchester M13 9PL

Tel: 0161 - 306 4100

Campus map - University Place No.37