Speakers
Adrian Andronic
Deepa Bose
Adrian Brooke
Anna Chapman
Vikas Khanduja
Hiro Tanaka
BOA Session
Reforming Training – Challenges and How Do We Make it Happen?
Chairs: Hiro Tanaka & Deepa Bose
Surgical training in Trauma and Orthopaedics requires an exceptional level of commitment and dedication to achieve the highest standards of clinical performance. This may lead to having to make sacrifices in a trainee’s personal and family life which can be inequitable depending upon the circumstances.
What can we do as a profession to reform training to minimise these inequities and thereby improve recruitment, retention and allow our trainees to flourish in their professional lives? In this session, we explore the challenges and the innovative solutions to this important issue.
Agenda:
10:30 - 10:42 Opportunities for reforming training - a BOTA perspective Adrian Andronic
10:42 - 10:54 Challenges of rotational training - a TPD’s perspective Kevin Wembridge
10:54 - 11:06 Improving retention though access to flexible training Anna Chapman
11:06 - 11:18 Challenging Dogma: What can be done to reform the first 5 years? Vikas Khanduja
11:18 - 11:30 Addressing Health Inequalities : Distribution of Medical Speciality Training Programmes Adrian Brooke
11:30 - 12:00 Panel Q&A
Adrian is an ST8 on the Yorkshire and Humber rotation and is the current BOTA Vice-president. Throughout his training Adrian’s focus has been on promoting and developing educational and mentorship opportunities for trainees.
Adrian was the T&O Core Trainee Representative for North West in 2017-2018, North Yorkshire BOTA Regional Representative North Yorkshire in 2019-2021 and was elected BOTA Education Representative in 2021, BOTA Treasurer in 2022 and more recently BOTA Vice-president in 2023.
Adrian sits on multiple committees, including JCST, ISCP, and BOA Orthopaedic Committee. He has also served on the BOA Education and Careers Committee, the Royal College of Surgeons Learning Committee, and the HEE Training in the Independent Sector Committee.
Adrian is passionate about medical education and is actively engaged in supporting trainees to achieve the highest standards of both training and clinical care, especially in light of recent challenges to training.
He was a speaker for the BOA Education & Careers Committee on the topic, "Can high-quality patient care co-exist with the erosion of training standards?"
Deepa Bose is a consultant in orthopaedic trauma and limb reconstruction at the Queen Elizabeth Hospital Birmingham. Her practice is exclusively in adults, and includes general trauma, major trauma and post-traumatic limb reconstruction: osteomyelitis, malunion, non-union, limb lengthening & deformity correction.
She is currently Vice Chair of the Specialist Advisory Committee for Trauma & Orthopaedics, and the lead for CESR approval process. She has also contributed to the revision of the curriculum. She holds an MSc in Medical Education and has been admitted to the Faculty of Surgical Trainers of RCS Edinburgh, as well as being a member of the Academy of Medical Educators. She is involved in national selections for core and orthopaedic surgery, and sits on ARCP panels for both. She was regional training programme director for core surgery in West Midlands from 2015 – 2019.
She is the Chairman of World Orthopaedic Concern UK, a specialist society of the British Orthopaedic Association, and a charity which focuses on teaching orthopaedics in low resource countries. She is co-director of the postgraduate orthopaedic training programme in Guyana. She also visits Gaza as part of the UK limb reconstruction team of the charity Medical Aid for Palestinians.
She has been on the Emergency Response Team of UK Med, a first response team for international disaster relief, since 2012.
Adrian Brooke is Medical Director for Workforce Alignment in the Workforce, Training and Education Directorate of NHS England and Honorary Professor at the University of Leicester Medical School.
He chairs the workforce group on the cardiovascular, respiratory and stroke strand of the NHS WT&E Long Term Conditions Programme, co-chairs the Expansion and distribution of Medical Specialty Training Programme, the Medical and Dental Recruitment Selection Programme Board and involved closely with the Long-Term Workforce Plan training investment programme.
He was appointed as Head of the Paediatric Specialty School by East Midlands Healthcare Workforce Deanery in 2011 and was Secondary Care Dean and Deputy Postgraduate Dean from 2013, before being Postgraduate Dean for Health Education England East Midlands in 2017. He was past Lead Dean for allergy, immunology, stroke, core medical training and the newly established internal medicine training programme. He was appointed as NHS-HEE Deputy Medical Director of Workforce Alignment in 2019.
Anna Chapman is a Consultant Trauma and Orthopaedic Surgeon at University Hospitals, Coventry and Warwickshire, with a specialist interest in Foot and Ankle surgery.
She qualified from Guy’s, King’s and St. Thomas’s Hospitals School of Medicine in London and completed her Orthopaedic training on the Warwick rotation. She undertook Fellowship training in Bournemouth and Bristol, and was appointed as a Consultant in 2012. She completed a Masters Degree in Medical Education at the University of Warwick in 2010 and continues to pursue her interest in all things educational.
Anna is currently the Lead Training Programme Director for the West Midlands and is the Portfolio Pathway Lead for the T&O Specialist Advisory Committee. She has served two terms on the BOFAS Education Committee (2015-2023) and is currently the Lead for Equality, Diversity and Inclusion for BOFAS.
Vikas Khanduja is a Consultant Orthopaedic Surgeon specialising in both preservation and arthroplasty aspects of hip surgery and has a particular interest in arthroscopic surgery of the hip. He has been instrumental in setting up the tertiary referral service for Young Adult Hip Surgery in Cambridge for East of England.
Complementing his clinical practice, he also leads the Cambridge Young Adult Hip Research Group and is Affiliate Associate Professor at the University of Cambridge. The focus of his research group centres around optimisation of conservative and surgical management of femoroacetabular impingement with the help of technology. Mr. Khanduja has authored over 200 peer reviewed articles and 3 books.
Mr. Khanduja is the recipient of the American and British Hip Society Travelling Fellowship in 2011, the Arnott Medal presented by the Royal College of Surgeons of England in 2013, the Insall Fellowship presented by the American Knee Society and Insall Foundation in 2014 and the Hunterian Professor by the Royal College of Surgeons of England in 2021.
Mr. Khanduja sits on the Executive Board of SICOT as President Elect, of BOA as a Council Member and Trustee & is the Associate Editor in Chief to JISAKOS. He is the Past President of the British Hip Society, Past Chair of the ESSKA - European Hip Preservation Associates and a Trustee and Past Chair of the Non-Arthroplasty Hip Registry.
Hiro Tanaka is a consultant orthopaedic surgeon in Newport, South Wales. He is passionate about improving the quality of surgical training and promoting clinical leadership in the NHS. He designed the BOFAS Principles Course on behalf of the Education Committee in 2010 and continues to be a member of the committee. He is Chairman of the Education and Revalidation Committee of the BOA and is an examiner for the FRCS (Orth).
Kevin Wembridge is Consultant Orthopaedic Surgeon in Rotherham General Hospital, specialising in lower limb arthroplasty. He trained in Sheffield with Fellowship training in London.
He is actively involved in medical student education through roles as an Honorary Senior Clinical Lecturer, which has led to him being voted clinical trainer of the year five times in a row. He has been a faculty member for the Chesterfield Clinical examination course since 2007 and fulfilled the same role for the BOA for ten years.
He is a former Training Programme Director for T&O Yorkshire and the Humber Training Programme, SAC Liaison member for Ireland and LTFT Lead for the SAC. He examines for the FRCS Tr & Orth and the JCSFE. He is the Members’ Representative to the Advisory Board, Faculty of Surgical Trainers.