AUGIS Summer 2019 Newsletter 24 Trainee Representative Report - Roux Group Siobhan McKay AUGIS Summer 2019 Newsletter 25 Trainee Representative Report - Roux Group Thus far 2019 has been a fantastic year for UGI trainees and has seen the Roux Group build from a relatively low trainee base, to reinvigorate trainee enthusiasm for AUGIS and Roux. We have been representing our trainees with a real passion to move things forward for current and future generations of UGI trainees. Oneofthehighlightsfor2019hasbeen the inaugural Roux Weekend held in March 2019. This was a phenomenal success with over 50 trainees attending for a weekend of education, training, debate and networking. A personal highlight was the battle of the specialties, with the Future of Bariatric, OG and HPB surgery going head-to-head, presented by Mr Rishi Singhal, Professor Tim Underwood, and Mr Mark Taylor. The Roux Weekend also saw the Roux AGM, which was amazingly well attended, and the everyone present contributed to the discussion and debate in a lively, entertaining and inclusive fashion. We discussed the shape of the Roux Group moving forward, the key priorities to address for 2019/2020, and the new process of electronic election at the Roux Weekend annually. It was a fantastic meeting to chair, and so exciting to see so many people attend and engage in such enthusiastic discussion. It was without doubt the most enjoyable and active AGM I have ever attended, long may this level of engagement continue! The creation of a position for SAS/non-trainee representative on the Roux Committee was proposed, and I think this is a brilliant addition to our committee, and was wholeheartedly supported by all present. This is a cohort of the NHS workforce that is often neglected in terms of being provided with support for individual professional development, however they continue to deliver a vital role in supporting the service which affords trainees learning opportunities. I believe we have a responsibility to support their development so they are not a lost and neglected tribe of doctors. The Roux mission statement defined our key aims to support and improve ‘Education, Training and Research’, and much has been achieved. For ‘Education’wedeliveredtheInaugural Roux Weekend in March 2019. For ‘Training’ we have continued working with ASiT and Dukes to remain key stakeholders in the new curriculum and JCIE development, discussions about post-fellowships, and creating a Roux website resource of available UK and international fellowships. For ‘Research’ we supported the OG/HPB SSL meeting in February, delivered a free Roux/Dukes/ASiT research course, and will soon be launching Roux’s first two collaborative studies – BADCap (audit of bile acid diarrhoea after cholecystectomy), and a survey of CRLM surveillance, with more than 10 OG/HPB studies in development. I have been very lucky to be working alongside a fantastic group of trainees in the Roux Committee, who have kindly highlighted some of our achievements of 2019 below. Roux Weekend 2019 Jen Barrie The inaugural Roux weekend was held at Chesford Grange hotel in Warwickshire on the 9th of March this year. It was a well-received first event, showcasingavarietyofinterestingand informative topics in OG, Bariatrics and HPB. We were privileged to have the presence of international speakers such as Professor Werner from Munich and Olivier Saint Marc from Orleans, as well as prestigious UK speakers, such as Professor Tim Underwood and Mr Mark Taylor. Topics spanned the breath of benign and malignant oesophago-gastric surgery, bariatrics and liver and pancreatic surgery. The Roux group AGMwasheldandwasanopportunity for all trainees to voice their opinions on shaping the future of the group and have an active involvement. Saturday evening saw a successful networking dinner. Feedback has been taken into consideration to build an ever better event next year. Bariatrics Course Corinne Owers The first national course designed for trainees/AHP’s who are new to bariatric surgery was run in Doncaster in March 2019 with a great response from professionals from all disciplines. Further courses are planned in the future, in order to spread the word about the importance of bariatrics to all upper GI trainees.  New fellowships for bariatrics have been recently advertised- check the BOMSS and Roux group websites for details.  Any trainees with an interest in bariatrics who would like to join the U.K. bariatric WhatsApp group, please contact Corinne the BOMSS rep at corinneowers@doctors.org.uk HPB Samir Pathak The research day at the RCS England on Feb 4th was a resounding success. Following on from that meeting, a number of projects are being developed in association with the SSL for pancreatic cancer, Mr Keith Roberts. We are keen for as many trainees to engage as possible, so please email myself or Siobhan, the associate SSLs for Pancreatic Cancer for more information (drsamirpathak@gmail.com and mckay.siobhan@gmail.com). A course specific for HPB trainees is also being developed. The aim of this will be to detail common HPB operations step-by-step and explain HPB radiology for surgeons. We are hoping to run this in November so please keep ears open! Post-CCT fellowships Pete Coe A post-CCT fellowship is an important topic for Roux group members with 92% of attendees at the Roux group weekend expecting to complete one before taking up a Consultant position butonly46%believingthattheyshould be mandatory before taking up a resectional job. Members at the Roux group weekend overwhelmingly felt that fellowships should be recognised and quality assured by national bodies but were split on whether they should be centrally appointed and limited to accredited centres. At a national level accreditation of fellowships is now being considered but until recently no list of current fellowships existed. To help our members decide which fellowship to apply to we asked centres across the United Kingdom that offer a fellowship position to provide information to allow our members to compare different positions. The number of fellowships listed on the Roux Group website is now at 24 and continues to grow. Endoscopy for UGI trainees Krashna Patel Significant barriers and deficiencies in endoscopytrainingforgeneralsurgical trainees have been highlighted in the recently published ASiT National Endoscopy Survey, co-badged by the Roux Group and Duke’s Club. Changes need to be made to facilitate better endoscopy training and allow trainees to achieve relevant JAG accreditation prior to completion of surgical training. The Roux Group are currently part of a JAG Training Working Group working towards improving these deficiencies and also aim to release a collaborative statement with ASiT and the Duke’s Club later in the year. JCIE and new curriculum developments Adam Peckham-Cooper The Roux Group continues to represent its members on various committees through its links with ASiT. Most relevent and important to senior upper GI trainees is its representation on both the JCIE General Surgery Exam board, ISCP and curriculum development committees. It is vital to uphold the views of the wider training body and we have been vocal in both supporting and resisting various planned changes throughout the year. Many of these plans remain to be ratified at this stage but as and when these happen we will be first to inform you. Similarly we are always interested to hear your views with respect to ongoing challenges in these areas and as such can hopefully use are influence to improve training, portfolio and exams for everyone.  New SAS/Non-trainee role Renol Koshy As the SAS/Non-trainee lead, I look forward to connecting with my colleagues to find ways of supporting each other. I aim to support SAS/Non- trainees through the development of a CESR workshop in General Surgery. It would help our colleagues to plan career progression and have all the support needed. Research activity Natalie Blencowe In May, the Roux Group collaborated with Dukes Club and ASiT to deliver a one-day free research workshop at the Royal College of Surgeons. Thirty delegates were taught the fundamentals of RCTs with inactive lectures interspersed with group work. The day culminated with a Dragons Den style event where each new trial idea was presented. The faculty were hugely impressed by the enthusiasm of all delegates and their ability to design such interesting and thoughtful RCTs in such a short space of time! Positive feedback has encouraged us to run a similar event later in the year. Roux Committee elections 2019 Pooja Prasad ElectionsfortheRouxcommitteewere held in March 2019, following the Roux Weekend. We were delighted to receive over 35 applications for 16 positions on the executive committee. Potential new positions were discussed and debated at length during the AGM at the Roux Weekend. New posts on the committee include BSG/JAG, Transplant, Core Trainee, Foundation Trainee and SAS Doctor Representatives. Expressions of interest from applicants were circulated among AUGIS trainee members and electronic ballot votes were held. We are delighted by the number of applications received and all committee positions were successfully appointed to. The response is a real testament to the appetite among trainees for a national trainee-led Upper GI collaborative network. We look forward to working with AUGIS trainees nationwide, to provide high quality training, research and educational opportunities in Upper GI surgery. Website developments Stephen Knight Over the past few months the Roux Group website has been extensively updatedandnowboastsanewdesign, colour scheme and URL (https://www. rouxgroup.org.uk). It currently hosts