NEwSLETTER 2018

THE ROYAL FREE ASSOCIATION(Incorporating the Royal Free Old Students’ Association

and Members of the School)

LONDON

• TH

E RO

YAL FREE HOSPITAL •

NEwSLETTER2018

RFA 2018

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4. President’s Report

6. Programme

8. Minutes Of The Annual General Meeting

11. Apologies For Absence

12. Treasurer’s Report

14. News

18. Members

22. RUMS

26. Reunions

30. Students

34. Obituaries

38. GDPR

39. Extra Thanks

In This Year’s Issue

ExTRA FORmS ATTATCHEd

- Registration Form

- Triennial Dinner Form

- Donation Form

- Subscription Form

- GDPR Form

2 The Royal Free Association Newsletter 2018

RFA 2018

[email protected]

www.royalfree.nhs.uk/rfa

Peter Howden on:01205 260601

The Royal Free Association

UCL Medical SchoolRoyal Free CampusRowland Hill StreetHampsteadLondon, NW3 2PF

Keep in Contact!

Please keep in touch, and let us know of any changes to your contact details!

To receive contact details for reunions, or to provide content for next year’s newsletter, please contact Tanya Shennan by emailing:

[email protected]

The Royal Free Association Newsletter 2018 3

RFA 2018

Report from the President

Whatever the concerns and worries about the NHS, it is a remarkable organisation providing a generally high level of care to potentially the whole population – and it is celebrating its 70th birthday. Care systems are always likely to be under pressure. During the NHS 70th birthday discussions, I was interested to hear an extract from an interview made I think in 1949, commenting on how the system was under pressure. So, the challenges will always be there, particularly with changes in demographics and the steady advances in management, and increasing demand. However, both Royal Free and UCL Medical School remain in the forefront of developments and innovation around the needs of the patients.

The Royal Free Hospital was chosen by the Prime Minister Teresa May for her announcement on the 18th June 2018 of her commitment to an increase in the NHS budget by £20.5 billion in real terms by 2023/24-

the event here was also attended by her Chancellor, Philip Hammond; the Health Secretary, Jeremy Hunt and NHS Chief Executive, Simon Stevens. She said that there was no more fitting place to do so, based drawing on the history of the Royal Free with William Marsden’s initiative in 1828. So, the Royal Free Trust and Group are recognised and valued by those above.

It is also noteworthy that the previous Medical Director and Group Chief Medical Officer of the Royal Free Hampstead NHS Trust, Professor Stephen Powis, has been appointed National Medical Director of NHS England, a challenging position, and we all wish him well in his new role.

In the Queen’s Birthday honours this year, Professor Jane Dacre, President of the Royal College of Physicians and Professor of Medical Education at UCL, has been made a dame, receiving a DBE for services to Medicine and

Medical Education. We extend our congratulations to Dame Jane on behalf of the Association. As President of the Royal College, Professor Dacre has been very active in a wide range of areas and featured in the media widely with statements and opinions.

Among many other developments at the Royal Free the opening of the New Chase Farm Hospital within the Trust is very important and will contribute to specific areas including in particular the provision of planned surgical procedures, as well as continuing with outpatient patient care and an urgent care centre. The building of the new Pears Building (on the site of the previous multi-storey car park at the Royal Free) is well advanced and will house the UCL Institute of Immunity and Transplantation.

Royal Free staff have featured in the Birthday Honours in June, with Breda Athan, lead Matron of the High-Level Isolation Unit,

Dear Friends and Colleagues,


RFA 2018

receiving an honorary MBE for her role in the Ebola outbreak in 2015, and surgeon Nadine Hachach-Haram receiving a British Empire Medal for her innovative work using digital technology in the field of surgery and medicine while at the Royal Free Hospital between 2014 and 2017.

UCL Medical School has a wonderfully invigorated group of students, and although there are changes in the UCL Alumni structure, we understand that RUMS will continue – a group with whom we have a constructive and friendly relationship which we very much wish to conserve.

So, despite all the challenges to the NHS and Medical Education, the Royal Free Hospital and UCL Medical School remain leaders with new initiatives always in view.

The Royal Free Association still provides Bursaries and Elective Grants for students and Peter Howden has enhanced the position of the Association for these. A major

challenge in May this year was to complete proper process regarding the database for the Association. Tanya Shennan, Peter Howden and Wendy Kelsey led a comprehensive process to ensure that all Members were contacted, as far as possible, to give consent/permission for the updating, storage and use of their contact data. Despite being a headache, the process has been successful on the whole, in particular in updating information and bringing contact again with some who had been lost to follow-up!

In addition, the process has brought to light potential new Members of the Executive Committee of the Association.

On Thursday 15th November, 2018 the RFA will be holding its Annual Meeting, with an attractive selection of morning seminars and three lectures in the afternoon in the Peter Scheuer Symposium by Royal Free Graduates, including Dr Jo Walker who has been awarded

an MBE for services to Paediatrics. Professor Tony Schapira will be giving a presentation on behalf of the Medical School. There will be a talk also from the RUMS President and from a holder of an Elective Bursary.

Last year, the informal dinner was held at the Freemasons in Hampstead and proved to be a thoroughly enjoyable evening! The informal dinner on November 15th will be held at the same venue again this year and on the night before this the Triennial Dinner is being held at the Royal College of Obstetricians and Gynaecologists. We do hope that as many of you as possible will come to support the events on the 15th November and the Triennial Dinner on the evening of 14th November.

James dooleyRFA President


AGm

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Programme for 2018

10.00am REGISTRATION ANd COFFEE

Sir Williams Wells Atrium Ground Floor, Royal Free Hospital

10.30am CLINICAL UPdATES

NEPHROLOGYdr Stephen walsh“Hypertension diagnosis & management: from the community to the genome?”dr Sally Hamour“Early detection of acute kidney injury in collaboration with Google DeepMind”

VASCULAR mALFORmATIONSNicolas Evans, Clinical Nurse Specialist - Vascular Surgerydr Jocelyn Brooks, Consultant Vascular Surgeon

ACCIdENT & EmERGENCY mEdICINEdr John Parker, Consultant Emergency Medicine

ORTHOPAEdICSmr Nimalan maruthainar, Orthopaedics and Trauma Consultant

11.45am ANNUAL GENERAL mEETING - Agenda

1. Apologies for Absence2. Recording of Deaths3. Minutes of the last Meeting held on Thursday 16th November, 20174. Matters Arising5. President’s Report6. Finance - Treasurer’s Report7. Election of Officers for 2018-20198. Any Other Business9. Date of next Annual Meeting

12.15pm REPORTS FROM UCL AND RUMS

Speakers:

Professor Tony SchapiraDirector, Royal Free Campus, Vice Dean of UCL

dan NtuiabanePresident, RUMS (UCL Medical Students)

Annual General Meeting to be held on Thursday 15th November 2018 in the Sir William Wells Atrium, Ground Floor, Royal Free Hospital


AGm

ELECTIVE REPORT 12.45pmSpeaker:

Sonam Vadera

LUNCH 1.00pm

THE PETER SCHEUER SYMPOSIUM 2.15pmChairman:

dr James dooley,RFA President

Speakers:

Professor Julia Verne, Honorary Senior Lecturer, School of Clinical Science, University of Bristol“A Public Health Approach to Tackling Liver Disease”

dr Helen wehner General Medical Practitioner, Bristol“Healthcare, Houses and Hospitality in Post Earthquake Nepal”

dr Joanna walker, MBE, Consultant Paediatrician, Portsmouth“Turning Off the Tap – Prevention of Childhood Obesity”

TEA 4.15pm

THE MARSdEN LECTURE 5.00pmSpeaker:

Matthew SyedJournalist, author and broadcaster“Black Box Thinking in Healthcare”

INFORMAL dINNER 6.30pmThe Freemasons Arms, 32 Downshire Hill, Hampstead Heath, London NW3 1NT


AGm

minutes from the AGm 2017of the Royal Free Association held in the Sir William Wells Atrium at the Royal Free Hospital, London NW3 2QG on Thursday, 16th November 2017

James Dooley welcomed everyone to the Meeting.

Present: Dr James Dooley in the Chair, plus 41 Members of the Association, namely:

Monica AQUILINA (1981), Rosemarie BAILLOD (1961), Sarah BARKER (1963), Maureen BARTLETT (1963), John BEAVEN (1982), Elizabeth BIEL (1961), Sara BOOTH (1983), Eleanor BUTLER (1963), Helen CLARK (1964), Wendy CLINE (1965), Andrew CLYMO (1959), Colin COOPER (1959), Anna COPE (1956), Helen CROSSLEY (1961),

Robert Paul DAVIES (1971), James DOOLEY (Member), Ewa DRAGOWSKA (1960), Christine HALL (Member), James HARDIMAN (1964), Ann HOWARD (1964), Peter HOWDEN (1983), Wendy KELSEY (1966), Sylvia LAQUEUR (1972), Philip LODGE (1989), Susan LUCAS (1963), Neil MCINTYRE (Member), Deborah MEANLEY (1965), Carola MORAN (1964),

Renu MORRIS (1964), Mary O’CONNELL (1981), Dorothy PLATTS (1961), Margaret PROUT (1964), Anna RAKOWIKZ (1962), Avery REZEK (1959), Jeremy RIDGE (1980), Elizabeth SALTER (1965), Sonia SASSOON (1977), Louise SCHEUER (Member), Tanya SHENNAN (Member), Brenda THOMPSON (1961), Pat WARMSLEY (1964)

1. APOLOGIES FOR ABSENCE

Apologies were received from 48 members.

2. RECORdING OF dEATHS

The Chairman regretted to report the deaths of 20 members; many of whom had made outstanding contributions to medicine and the care of patients. He read out the names:

BASTABLE, Morag J.R. (née Millar) (1952); BATEMAN, Mary (1951);

BENNETT, Mavis (Member); BOWER, Helen (1958);

CAMERON-STREET, R. Wendy (née Cabeldu) (1964);COMBES, Shirley G. (1973);

GRIFFITHS, Sheila (1951); HAYDEN, Jeera (née Clubwalla) (1967);

HOWARD, John (1972); KURZER, Fred (Member);

MEESE, John D. (1965); O’CALLAGHAN, Nigel (1973); OSGOOD, Vicky M. (1977); O’SULLIVAN, Mary J. (Mrs Ledger) (1955); RANSOME, Mary (1944); ROWE, Penelope C. (née Humphries) (1951); ROWE, Prudence A. (née Cooper) (1944); SEYMOUR, Anne (1959); WILLIAMS, Helen D. (née Bower) (1958);WORTHINGTON, John R.M. (1974)

There followed a short silence.


AGm3. mINUTES OF THE LAST ANNUAL GENERAL mEETING

Held on Thursday 17th November, 2016

The Minutes of the last Annual General Meeting had been circulated to all members via the Annual Newsletter and copies were made available to those present. There were no objections or questions and the Minutes were approved.

4. mATTERS ARISING

James Dooley clarified for those present the difference between the two RUMS’ bodies. RUMS is made up of the current UCL medical students. They receive our elective bursaries each year and can apply for student distress funds. Our RFA Members now receive an electronic copy of the RUMS Review, the quarterly magazine published by the current RUMS medical student body. RUMS Alumni is made up of UCL Medical School graduates and we welcome the recent links that have been forged between them and the RFA. There is no suggestion of the RFA and RUMS Alumni merging in the foreseeable future.

There were no other Matters Arising.

5. PRESIdENT’S REPORT

James Dooley directed members to his Report in the 2017 Newsletter. This had been emailed to Members previously, and hard copies were available on arrival at the meeting. In discussion it was requested that, in future, an email be sent out in advance of the Newsletter to let people know of its imminent arrival. This may help to avoid it being overlooked in mail boxes. It was agreed that the Newsletter and details of the Clinical Day should be sent out in early summer rather than early autumn in order to help people plan their time.

6. ELECTIONS

It was reported that Wendy Kelsey was standing down as Secretary. James Dooley thanked Wendy for her service to the RFA and assured the meeting that she would remain on the Executive Committee for the foreseeable future.

Peter Howden was nominated and seconded to take over the position of Secretary (in addition to the position of Treasurer he already holds). This nomination was agreed.

Dr Paul Dilworth, Clinical Sub-Dean of the Royal Free, was nominated as a new member of the Executive Committee, which was seconded and agreed. Paul’s links and experience with UCL Medical School would be a valuable asset to the RFA.

The Officers for the forthcoming year were confirmed as:

Officers for 2017-2018

President: James Dooley

Vice-President: Richard Brueton

Secretary/Treasurer: Peter Howden

Rosemarie Baillod Wendy KelseyPhilip Lodge Susan Tuck Bimbi FernandoPaul Dilworth Tanya Shennan


AGm7. FINANCIAL REPORT

Peter Howden referred to his Treasurer’s Report in the Newsletter which included a detailed breakdown for clarification. The balance was good, with £21,000 in the Deposit Account and £500 in the Current Account. The Treasurer’s Report was accepted by those present.

Peter reported that no applications had been received for the Student Distress Funds during 2016-17 and he was continuing liaison with UCL to raise awareness amongst the students of the existence of this potential funding. During the 2016-17 financial year, two elective bursaries of £1,000 each and three of £500 each, were awarded to UCL final year students. No applications were made for our student distress funds. Once again £75 was donated to the production of the RUMS Review Magazine.

It was suggested that the RFA could now afford to allocate additional funds directly to medical students in need. Following some discussion, there was a proposal that there should be four awards of £1,500 allocated to 4th year mature students, a cohort known to be particularly financially burdened. These awards would be titled “The Royal Free Association Awards” and allocated by the UCL Bursaries Committee, of which Peter attends and has input, and the outcome reviewed in one year. This proposal was voted on and agreed. Peter will write to the Medical School advising them of this new funding.

Peter confirmed that Gift Aid could not be claimed against donations to the RFA as the Association is not a registered charity.

8. ANY OTHER BUSINESS

It was noted once again that attendance numbers for the Clinical Day/AGM were down, and it is hoped that an earlier distribution of the Newsletter would prove helpful in encouraging Members to attend.

9. dATE OF NExT mEETING

The next Annual General Meeting would be Thursday 15th November, 2018. The Triennial Dinner would be held on Wednesday 14th November, 2018 at the Royal College of Obstetricians and Gynaecologists.

10. PRESENTATION

Immediately following the AGM, a presentation by Rosemarie Baillod was made to Wendy Kelsey in recognition of her hard work and devotion to the Royal Free Association. Rosemarie said a few words of sincere thanks and added notes of nostalgia. She presented Wendy with a Dartington glass bowl, engraved with the shield of the Royal Free Hospital School of Medicine.


Prof. Deborah Gill

Prof. Guy Rutty

The Freemasons Arms

AGm

Lesley Ashworth (1960)Anne Barlow (1948)May Bee (1964)Deborah Beere (1981)Adrian Bennett (1965)Audrey Boucher (1974)Ivan Brown (1974)Alison Buchanan (1983)Sherwood Burge (1969)Kate Burton-West (1963)Lynn Cairns (Member)Patrick Chapman (1968)Pam Chesters (Member)Patrick Dawes (1982)Mary Ellis (Member)Jill Everett (1959)

Judith George (1963)Sean Gower (1989)Michael Green (1983)Jane Harpur (1969)Graeme Hart (1969)Sandra Hartman (1969)Pamela Hills (1964)Jane Horsman (1971)Stephanie James (1951)David N. Jones (1962)Shirley Jones (1959)Judy Legg (1963)Rosemary Luck (Member)James Mason (1973)Helen McBeath (1976)Fred Meynen (1964)

Margaret Murphy (1962)Mary Nichols (1982)Richard Nunn (1969)Brian Penney (1970)Nick Reed (1976)Anne Rendell (1954)Stuart Robertson (1976)Valerie Rogers (1961)Eleri Rowlands (1970)Helen Streeter (1989)Mary Tate (1961)Michael Thomas (Member)David Trash (1965)Rosemary Underhill (1961)Helen Wehner (1983)Michael Wilschanski (1985)

Apologies for Absence


Ozzy Eboreime Dr. Sara Booth

Prof. Lesley Regan The Informal Dinner

News

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Treasurer’s ReportI am pleased to report that our surplus funds at the end of the tax year

2017/2018 remain stable at around £17,000.00. Unfortunately, the costs incurred with the mass mail out in May relating to the recent changes in the data protection regulations (GDPRs) have cost the Association £2,500.00. I would like to thank Tanya Shennan for arranging the printing, and other members of the Committee, Wendy Kelsey, James Dooley and Richard Brueton for giving up hours of their spare time to stuff envelopes. All in all, a worthwhile effort, as it has yielded many updates of addresses and emails, although we will, inevitably, have to remove many Members who have lost touch with us over the years.

Looking at the accounts in detail compared to 2016/2017:

Subscriptions are stable; donations are slightly up. Due to very low applications last year we only gave out one Elective Bursary of £1,000.00, instead of the usual five which totalled £3,500.00. One hardship bursary of £1,000.00 was also granted. (No applications in 2016/2017).

Deficits occurred for both the Annual Meeting catering and the informal dinner. This raises the question of increasing the ticket cost and feedback would be welcomed.

Other income relates to ties, brooches and cufflinks sold.

‘Hospitality Expenditure’ is the deposit paid out for this year’s Triennial Dinner venue.

‘Other’ relates to the cost of purchasing ties and cufflinks.

All three of our Bursaries, Student Hardship, the new Royal Free Awards and the Elective Awards will be advertised to students on the UCL online forum, Moodle, thus making them more accessible to all students. I continue to have an input for all three categories.

Thank you to all those who kindly made donations and, of course, to our account auditor, Karen Hamilton.

Peter HowdenTreasurer/Secretary


News


News

The Royal Free Association started over eighteen years ago and for fourteen years, Wendy Kelsey has been our Secretary and Treasurer. Wendy had also done this job some years previously for the Old Students’ Association. I thought she had volunteered, but she assures me that Peter Scheuer just told her to do it!!

What a huge benefit her service has been to the Association, giving stability, development and continuity to our Annual Meetings and the Association itself. Wendy brings so many attributes – notably competence, excellent memory and organization. Working with Wendy was always easy, happy and efficient. Her patients must have loved her as much as I have loved working with her. The organising of events never seemed a burden and the two of us had the odd perk when planning the Triennial Dinners, the most memorable being at the Sloane Club where we were able to try 8 or 9 different wines!

There must have been times when family commitments were very high, but loyalty and her no fluster attitude prevailed throughout. In my eyes, Wendy was invariably kind, thoroughly charming and achieved it all with an infectious smile.

The honour was given to me to present Wendy with a gift from the Royal Free Association at the Annual Meeting in November 2017, with their grateful thanks for all the work she has done for the Association.

Rosemarie Baillod

A Thank You to wendy


News

The Triennial dinnerThe Triennial Dinner will be held on Wednesday 14th November, 2018 at the Royal College of Obstetricians and

Gynaecologists in Regent’s Park, 7.15pm – midnight. This is a black-tie event and for the 4-course meal tickets cost £85 per head - and, of course, there will be music and maybe even a bit of dancing! Please complete the attached form and return to Peter Howden by Friday, the 19th of October.

Found –RFHSm Student Union Cheques!On his way to work on the morning of 26 July 2018, a member of the public spotted some cheques lying on the

pavement at the junction of Belsize Avenue and Northfields Avenue, Ealing W13; beside which was an open box. On inspection he found that the box was actually full of old, pre-decimal currency cheques issued throughout the 1960s by the Students’ Union of the Royal Free Hospital School of Medicine, approximately 250 of them. How or why they came to be there is a mystery! If anyone has any ideas as to how the archive box found its way to Ealing, after nearly 60 years, please get in contact!! ([email protected])

We are very grateful to Adam for taking the trouble to look us up and get in contact.


News

The new GDPRs which came into effect in May 2018 have impacted on the way we keep our alumni records. Details may only be stored with your permission, and we may only continue to contact you with RFA news if you have agreed to this. Therefore, we undertook a mass mailing both by post and email in an endeavor to communicate this to as many people as possible. We have lost track of many members as they move jobs, houses and change email addresses, but we have been pleasantly overwhelmed by the positive response of the majority. And it has been lovely to read your kind words of encouragement along the way, thank you!

If you are organising/attending reunions or meeting up with Royal Free alumni, please do encourage everyone to return the permission form if they have not already done so, or drop an email to [email protected] The number of people we are able to communicate with will inevitably reduce from now on, and so please spread the word!

A copy of our Privacy and Data Protection Statement can be found at the end of this Newsletter for your information.

We would like to extend our sincere thanks to Miss Susan Tuck who has just stepped down from many years of service as a valued Member of the Executive Committee. Susan has provided invaluable advice and support and we wish her well for the future.

We are very grateful to Sara Booth (1983), Martin Waldron (1980) and John Llewelyn (1986) who have volunteered to stand as Members of the Executive Committee, to be agreed at the Annual General Meeting in November. We appreciate them offering to give up some of their spare time to support the RFA.

The Executive Committee would very much like to welcome aboard any other alumni or Members of the Association who would be interested in becoming a Committee Member. Please contact me at [email protected]

Peter HowdenTreasurer/Secretary

General Data Protection Regulations

Executive Committee News


News

RFA Shop

HOw BRITISH wOmEN BECAmE dOCTORS: The Story Of The Royal Free Hospital And Its Medical Schoolby Neil McIntyre

Copies of the book are available to purchase in the Medical School Library, Ground Floor at the Royal Free Hospital. Payment is by:Cash or Personal Cheque made out to ‘UCL Business Plc’ – with reference on the back of the cheque as to which book has been purchased. Alternatively, copies can be brought direct on-line at xip.uclb.com Once we have received your order and payment the book will be dispatched directly from the Publishers.

Prices are as follows:For the Paperback version; £24 excluding VAT UK and £41 International.For the Hardback version £31 excluding VAT UK and £49.99 International. Add P&P: UK = £5.55, Europe = £12.70, USA/Africa/Middle East/Asia = £20.00, Australia/NA/Singapore = £21.05.

RFHSM Brooch: black and gold.Cost each £5

RFHSM Cufflinks: black and gold.Cost per pair £18

Winter Scarf (knitted): black and yellow. Length 160cm, Width 18cmCost each £10

RFHSM Tie: black with gold embellishment. Cost each £15

All these items can be ordered from Peter Howden. Please contact him by email:

[email protected] by telephone:

01205 260601

A cost of £2.50 will be charged to each order for postage and packing


members

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AmINA JINdANI

Congratulations are in order for Amina Jindani (a 1962 graduate) who has been conferred the Ibn Sina Award for Medicine by the Muslim News Awards for Excellence. A globally recognized specialist in the field of tuberculosis research, Amina received the award at the Marriot Hotel, Grosvenor Square in April 2018. At the age of 82 years, Amina is still carrying out full time research in a mission to eradicate tuberculosis and is an Honorary Senior Lecturer at St George’s, University of London. You can read more about Amina’s work here:

https://wp.me/p1Z38-Lhe

wOmEN’S VOICES IN PSYCHIATRY

Gianetta Rands (1981 graduate) has edited a collection of essays entitled “Women's Voices in Psychiatry”.

A collection of thoughts, opinions, and experiences of women doctors specializing in modern day psychiatry, covering a diverse range of topics and aims to draw lessons from history, particularly about women's roles in UK psychiatry. Published in June 2018, more details here:

https://bit.ly/2MH5KfM


members

NiNEty SEvEN – AND NOt OUt!! Recollections by Peggy Liddell (née McGuire, Dorothy M. E.) (1945 graduate)

Entry into Medical School was somewhat different 80 years ago, and my experience was different from most. Having been educated in a convent school in the Himalayas in India (my father was a doctor employed by the government of India before its independence), subjects such as maths and science were considered not suitable for a young woman. With the result that having passed Cambridge School Certificate with several credits, I found myself unable to enter the London School of Medicine for Women for training. There was a mad rush to cram as much algebra, geometry, physics, botany, and chemistry into a short space of time - about 18 months. Nuns were not teachers in these subjects so I was removed from boarding school for private lessons. I managed to pass and was duly admitted to LMSW on Hunter Street in 1938.

There were about 60 new entrants in my year, and there was a system of “Godmothers” where new entrants were looked after by older students. My Godmother was McGilevray. The first year was uneventful, then came the war in 1938, and a decision was made in

anticipation of an attack on London to move the first year students to St Andrews, and our class (second years) to Aberdeen - Marshical College. We had a very enjoyable few months before being sent back to London and then Exeter for safety after the London docks were bombed. Unfortunately, the Germans had other plans and decided to attack Exeter. My parents’ house collected one of their visiting cards, but they escaped injury. The dive bombing was terrifying.

Clinical attachments were spread around the country - Arlesey, St Albans, Barnet, Carshalton, as well as London. I did my surgical run in London with consultants such as Mr Norhury, and Mr Joll. The great man, Joll, had an eye for the girls, and he always had the prettiest house surgeons whose duty it was to present him with a buttonhole before rounds started! My personal encounters with him were in the operating theatre when assisting him - he liked artery forceps smacked into his hands. Not knowing this, I passed the forceps over in a ladylike fashion only to be told “tickling is all very well, and has its place, but don’t do it in the operating theatre”.

He was also a butt for good humour in the end of year concert. One I particularly remember is the parody of the song “Oh You Beautiful Doll (Joll), You Great Big Beautiful Doll (Joll)”!

The war over, and the magic letters after my name, I did my House Surgeon years in London hospitals, then obtained a job in the professorial unit in Addenbrookes Hospital in Cambridge with Professors Mitchell (radiotherapy), Whitby (blood diseases), and McCance (metabolic diseases) This led to a careers in Radiotherapy/Oncology, first in Hammersmith, then in Christchurch New Zealand. I was probably the first female radiotherapist in New Zealand. I was a New Zealand import having married a New Zealand Orthopaedic Surgeon. In 1989 I was awarded the Queens Service Order for setting up breast cancer screening in Christchurch, New Zealand.

97 and still going strong!

Awards presentation at Government House in Wellington

Peggy Liddell1945 graduate


HEALTH CARE AdVENTURES IN NEPAL

members

Having been a GP for nearly 30 years I am fairly accustomed to assessing and taking risks. I am also naturally an optimist and believe that things generally work out for the best. Despite this, it was still with some degree of trepidation that I decided to resign from my partnership in Bristol after a series of funding cuts, loss of staff members and difficultly in recruiting made going to work every day a depressing and frustrating experience. With a child still at school and increasingly dependent parents, the options of early retirement or leaving the country were not realistic, but I knew that I needed to do something different to renew my enthusiasm for medicine and re-establish myself as a human being with a life beyond the surgery.

Locuming paid the bills and I rediscovered neglected hobbies but it was a chance advert in the local sessional GP’s newsletter that really provided the opportunity I had been looking for. PHASE Worldwide was seeking GP volunteers on short-term placements to mentor nurse-midwives in health posts in remote rural areas of Nepal. Having previously worked for a development organisation in Africa and with a Masters’ degree in Public Health I am pretty circumspect about many health-related volunteering programmes abroad, but an internet search suggested that this one seemed to meet all my requirements including addressing a real need identified by local people and being sustainable. It was also short term so satisfied my desire for an adventure without being too disruptive of family life. My application was soon in the post!

PHASE Worldwide (Practical Health Achieving Self Empowerment) was started in 2005 by a group of friends who had spent time in Nepal and wanted to raise money and offer support to development projects identified and managed in Nepal by Nepalese people. Their partner charity in Nepal, PHASE Nepal, is a non-governmental organisation which aims to empower disadvantaged communities in very remote and resource-poor Himalayan

villages by improving health, education and livelihood opportunities. The health programmes strive to improve the quality of health care by supporting existing governmental health centres through infrastructure work and provision and support of staff in areas where retention can be difficult due to the challenging environments. My role as a British GP was not to get involved in clinical care, but to be part of this support system by being a mentor to the health care workers.

Most of the health workers employed by PHASE are young female “Auxiliary Nurse Midwives” (ANMs), who have 18 months training in primary and maternity care before being sent to rural health posts to manage common health problems, as well as providing health promotion, family planning, intrapartum and maternal and child health care and being the first point of call in any health-related emergency. The marvels of mobile telephone technology mean that they are able to contact PHASE in Kathmandu for clinical advice, but most of the time they are working alone or in pairs, often far from their own homes, with no-one to discuss cases or provide day-to-day clinical and emotional support. Even with the increasing pressures in the NHS these are aspects of day to day clinical practice which we all take for granted and which help to ensure good practice and improve job satisfaction. How much harder must the job be for someone with considerably less training and back up?

The PHASE model is to send an English-speaking GP to live with the ANMs in the community for a week at a time every 6 months. During this time, GPs sit in on clinics and accompany the girls on their outreach visits, providing at least one tutorial a day with other ad hoc teaching as well as general support and advice. The health care workers have an opportunity to practice their English and the visiting GP has the rare experience of being completely immersed in rural Nepalese village life. This means living with the ANMs, sharing their living space, meals, sanitary facilities and day to day activities. This is all fairly basic, but few experiences can beat washing in the sunshine at an outdoor tap surrounded by 6000m peaks, covered with snow, peaking through distant clouds!

I spent three weeks in Nepal in October and November 2017, volunteering in two villages, on either side of the Indrawati river in the Sindhupalchok district northeast of Kathmandu, a long day’s journey from


membersthe capital. Both had been near the epicentre of the earthquake in 2015 and were still recovering, many people still living in corrugated metal huts and almost everyone involved in rebuilding houses. Despite many people living at subsistence level or below, both villages were full of some of the most hospitable and resilient people I have ever met. Being invited into someone’s metal home to drink tea and watch a Bollywood film, dubbed into Nepali, on satellite TV is an experience which will live with me for a long time!

Bhotang the first village I stayed in, on the eastern side of the valley, is the bigger and slightly more affluent of the two. It has a secondary school and can be reached by “road” after a fairly exciting journey in a sturdy vehicle. Accommodation here was two rooms in a house that was also home to two other households.

The health post, which had two clinical rooms and a glorious view, had been damaged in the earthquake and was in the process of being rebuilt. Medical problems were varied with infections and skin complaints prominent and there was a big emphasis on preventative care with enthusiastic support for government-led immunisation, de-worming and ante-natal programmes. The quality of care provided by the ANMs after their brief training was impressive, as was their enthusiasm and anxiety to learn more. Tutorials with the two resident ANMs, Kriti and Saraswati, and a nurse, Kalpana, who was also visiting for a week in a managerial role, took a variety of different formants and ranged from discussions about consultation skills, patient confidentiality and mental health to hands-on sessions and role play about specific systems and diseases with additional spontaneous teaching on cases we saw as we went along. Language presented some difficulties: my few phrases of Nepali (“that was a delicious meal”, “may I take your photograph?”) weren’t much help, but the ANMs spoke English to different levels and someone was usually able to translate for the rest. We also had copies in both English and Nepali of an excellent illustrated clinical guide produced by PHASE and drawing and acting are always useful tools. Flexibility and thinking outside the box became my greatest allies.

After 8 days ,Kalpana and I hired porters, put on our walking shoes and set off for Bolgaon a small village in the Baruwa administrative area on the western side of the valley. This involved a three-hour hike through stunning terraced mountain scenery down to the river and up the other side, additional interest being provided en route by a snake and a quaint, but dilapidated, rope and plank bridge. Bolgaon was much poorer, had been even more badly affected by the earthquake and had only had a health post, built by PHASE and other international organisations, for a few months. Until then the nearest health facility was a two-hour walk away with patients being carried on stretchers or in baskets on other

people’s backs to seek attention. Rita, the lone ANM lived in a single-roomed corrugated metal hut which did feel a little cramped with three of us in, but was warm and cosy. (Despite warm summer temperatures in the day, Himalayan nights were getting a bit chilly by November). Medical problems on this side of the valley included much more visible malnutrition and more trauma, including burns, related to living conditions.

I am intensely interested in people’s lives and enjoy home visits. It is probably not surprising, therefore, that in both villages one of my favourite activities was accompanying the ANMs on their outreach work. This involved walking to other settlements to carry out clinics in cluttered spaces in volunteers’ homes, giving health education to mothers and school pupils and doing house visits. Besides providing plenty of opportunity for learning and material for tutorials it also gave more fascinating insight into the day-to-day lives of people in these remote communities.

After another 8 days it was an early start to walk three and a half hours down to the river and along the valley to meet a PHASE driver for the long bumpy journey back to the hustle and bustle of Kathmandu. Quite a culture shock after two weeks in the mountains, but my opportunity, after debriefing, to contribute directly to the economy of the country through a brief spell as a tourist.

To finish I have a series of yeses and happy endings. Yes, I did enjoy my time in Nepal. Yes, I do think it was of real benefit to the people I was working with. Yes, I do plan to go again, hopefully somewhere even more remote. Yes, I have got my enthusiasm for medicine back (even taking on a new partnership) and Yes, the Partnership I abandoned has used my departure as an opportunity to reassess and is once again a successful practice.

If you would like to know more about my exploration into Nepalese health care please come and hear my talk at the Annual Meeting on 15 November. For more information about the work of PHASE try these websites https://phaseworldwide.org and http://phasenepal.org

Helen wehner E: [email protected]


RUmS

22

REPORT FROm THE dIRECTOR OF UCL mEdICAL SCHOOL

It has been a busy year for us in the Medical School. Creating a sense of community and belonging for students, alumni and staff is one of our major goals, where current and past students feel connected and supported, so we have been focusing on two main areas: our alumni relations, and increasing access and support for students.

We now have a fantastic range of ways alumni can stay in touch with each other, give something back to current students and stay connected with the life of the school and have also launched our alumni webpage where past students can find out about our many events and opportunities. These range from reunions and networking events, to taking part in admissions, teaching and assessments as well as mentoring and supporting current students. Connecting alumni to students is so important of course – a particular highlight of last term was a mentoring evening we held at the Royal College of Physicians for female medical students, paired with some wonderful mentors from our alumni community, all based around the RCP’s exhibition on Women in Medicine. Other events have been around student sports, comedy, mental health awareness and encouraging high school students to consider medicine – all hugely enjoyable as well as inspirational!

We also acknowledge that more needs to be done to create a more diverse student cohort and ultimately a more diverse medical workforce in the NHS, reflective of the national population. UCLMS aims to do this both

by increasing the number of entrants to medicine from widening participation backgrounds (first generation scholar, financially disadvantaged etc.), and by supporting them appropriately throughout the full student lifecycle. There are several ways we hope to achieve this and are implementing adjusted admissions from 2019, as well as an expanded school outreach plan and many others, all under the banner of our very popular Target Medicine programme. Our latest event was aimed at students aged 14-15 of African and Caribbean descent or mixed black backgrounds from non-selective state schools to inspire them to study medicine. Organised by four current students from similar backgrounds, with staff and alumni volunteers, the day was a huge success and feedback was overwhelmingly positive. There is an enormous demand for similar events next year so if you would like to be involved please do get in touch.

July will prove to be just as busy, with 353 new UCL doctors graduating at the Royal Festival Hall on the fourth, so I am sure you will join me in welcoming them into the alumni community and continuing to support their careers and wellbeing.

Please look out for a new Medical School alumni newsletter from us next term. We are always delighted to hear from alumni and hope we will see much more of you in the coming years.

Professor deborah Gill


RUmSRUmS ALUmNI ASSOCIATION SUmmARY

It has been an exciting year for the RUMS Alumni Association which has seen the beginning of change to its constitution, terms of reference and membership structure. The Alumni organisation for past, current and future MBBS graduates of University College London Medical School (UCLMS) is from this summer to be known as the ‘RUMS Alumni Community.’ The RUMS Alumni Committee will continue to be an elected group of volunteers that aims to oversee the activity of the Alumni Community and will now sit under the UCLMS Alumni Advisory Group. This advisory group’s purpose is to inform and organise alumni volunteers working with UCLMS on delivering alumni activities aligning with the Medical School’s divisional strategy. Perhaps the greatest change to the RUMS Alumni Community is the move to an all-inclusive non-subscription membership structure rather than the previous subscription model. The immediate increase in size of the Alumni Community will be a positive step in the right direction of our organisation which is only a decade old. Graduates of the medical school will automatically become part of the Alumni Community (unless they opt out), thus giving us a wider audience for our events and to recruit volunteers to support the medical school with activities such as mentoring and careers advice. Without regular subscriptions, the RUMS Alumni Committee would rely on generous donations from the alumni community to continue to support the valuable work being done. Donations can be made through the medical school website by following the link to the donations page.

Over the past 12 months we have continued to support the medical school through anchor days and

various mentoring schemes. For the second year running we have sponsored the RUMS Alumni Association Award which is allocated to students in MBBS Years 1

and 2 who have shown an outstanding contribution to extracurricular activities. This year we were delighted to allocate the RUMS Alumni Association Award to four outstanding students in MBBS years 1 and 2, who managed to combine achieving well academically with excelling in a variety of extra-curricular activities. This was as varied as captaining the RUMS Cricket Club to national success, being part of the team organising an international conference to working with refugees or raising large amounts of money for charity through leading the UCL wide Dance Society in a series of charitable shows. The RUMS Alumni Committee has continued to offer financial support to the students for social activities including Results Day drinks and the Final Year Ball. We are also well poised to support our alumni members and successfully ran an interview preparation course for foundation doctors applying for Core Surgical Training using alumni volunteers already within Core or Specialty Surgical Training programmes. This event was extremely well received and we aim to roll this out for other specialties next year.

We are very excited for the next 12 months to come where the hard work behind the scenes during this period of transition will become realised and we look to our alumni community for their continued support as always.

Lalin Navaratne President, RUMS Alumni


RUmS

RUMS StUDENtS’ UNiON - PRESiDENt’S REPORt

Dear Alumni,I’ve been asked to write a short

summary of all things RUMS for the past 12 months. With Ozzy at the helm, 2017/18 has been a fantastic year for our members. This is by no means an exhaustive list of their successes!

RUMS members have continued to excel academically. The 2017 winner of the prestigious University of London Gold Medal was none other than UCL final year student Melanie Jensen. She triumphed after a gruelling Viva which tested her on six key areas: pathology, medicine, surgery, clinical pharmacology and therapeutics, obstetrics and gynaecology and paediatrics. This challenge is no mean feat, and her success is an immense achievement given the difficulty in preparing for such an interview.

UCLMS student Dina Radencovic (now in her final year) was awarded the Josephine Lansdell grant, the BMA Foundation Research Award of £10,000. This grant will go toward her cardiology project, which examines dark blood late gadolinium

enhancement as a novel cardiac imaging biomarker. Her research has the potential to allow early identification and risk stratification of patients with lamin dilated cardiomyopathy.

It is safe to say that it has been another events-full year for RUMS. Freshers were once again welcomed into the fold with a smorgasbord of events, including a Boat Ball, Scrubs party and the infamous Hampstead Pub Crawl. Pub crawl is a semi-compulsory initiation ceremony, welcoming our new members in a way that only RUMS knows how. With no hospitalisations and no encounters with the police (to my knowledge), this year’s incarnation can be considered to be about as successful as it gets.

This year has been one for novel student-led projects and has seen the introduction of a number of new events, including the blockbuster dating extravaganza “RUMS Take Me Out”. Fronted by a fantastic student host and brought to life by a group of talented techies, Cruciform LT1 was temporarily transformed into a setting reminiscent of the ITV1


RUmS

show. The aim of the event was nurture some new RUMS romances (in front of a packed audience) with a few laughs along the way. At the end, 9 happy pairs were sent on all-expenses-paid dates on Valentine’s Day. The event was a great success, with our members already asking about what will happen for next year’s show. This is a testament to the hard work and brilliance of all involved.

RUMS has continued to work with the Medical School towards improving student welfare. One of our flourishing student-led initiatives is medics4medics. Conceived and realised by 4th year student Kerry Wales, the project opens up discussion of the unique relationship between medical students and mental health. Speaker-led events take place on a fortnightly basis, with each one focusing on a specific aspect of mental health or wellbeing. Student engagement with this initiative has steadily grown throughout the year, culminating in a fantastic event during which current students spoke frankly and openly to their peers about their

own experiences with mental health whilst at medical school. Feel free to contact us if you are interested coming to talk about your own experiences in this area; it would be a pleasure to have you speak.

Finally, our sportsmen and women have continues to do us proud, with numerous league advancements and significant wins. It was an especially good year for Women’s Hockey, who won both the LUSL cup and Varsity. Rugby were also triumphant in the UH final against Bart’s, marking only the 3rd time in our history that we have won UH Rugby!

Year on year, RUMS continues to grow. We are defined by our students, and it continues to be a pleasure to work with and for a group of such talented and able people. Looking to the future, I am hopeful that I can build on Ozzy’s hard work and success this year. He’s a tough act to follow, but I’ll do my best!

dan NtuiabaneRUmS President 2018/19


Reunions

26

Upcoming Reunions

1964 ANd 1965 GRAdUATES

A reunion is being organised for 1964/65 graduates on 3 rd – 5 th September, 2018 in Lewes, East Sussex. Please contact: Elizabeth Bradshaw [email protected] or Dorothy Loftus [email protected]

1968 GRAdUATES

Jo Lampert is organising a reunion of 1968 graduates on 25 th September, 2018. Please contact Jo for more details at [email protected]

1984 GRAdUATES

The 1984 reunion will be on 15th June 2019 (next year). Graduates from 1983 and 1985 who would also like to attend, will be very welcome. Please contact me for further details. Barbara Hanak [email protected]

1983 GRAdUATES

Chris Renfrew has organised a reunion for 1983 graduates on 20 th October 2018, which will be held at the Queens Hotel in Cheltenham.

Contact Chris at [email protected]

1979 GRAdUATES

I am organising a 40th reunion of the 1979 graduates, to be held in Manchester in June 2019. I have managed to email the majority, but there are a few people I have no email addresses for. If anyone reads the newsletter who has not yet been contacted, perhaps they could contact me

[email protected] Many thanks, Tony Kaye

1978 GRAdUATES

40 years since graduation! Planning a celebration in London in the Autumn. Please get in contact with Jackie Spiby [email protected] or Gill Rose [email protected]

If you are thinking of planning a reunion, please do get in touch for a list of the graduates we have on our RFA database. We are happy to include your reunion notice in the next Newsletter and, of course, we would love to share your account and photos of the event too!

Please contact Tanya at [email protected]


Reunions

1963 REUNION

On 9th May 2018, thirty-four members and guests of the 1963 graduates met for a wonderfully happy and elegant lunch at the Athenaeum Club in Pall Mall. Two came all the way from New York!

Rosemary Radley-Smith was one of the First Lady members of the club and enjoyed its charms with her husband, John Hopewell, for many years. She very kindly hosted our reunion which was the most relaxed and enjoyable of the many we have had over the 55 years since we qualified. We attributed this in part to everyone’s enjoyment and enthusiasm for retirement and the conversation centred mainly around grandchildren, gardening, music and art and travel. No-one seemed to be missing work, although we are all still interested in Medicine. We had time to listen to a short news story from everyone so we feel up to date now and there was enthusiasm to meet again in 2 years’ time.

Eleanor Butler (1963)

1967 REUNION

On Friday 6th October 1967, 92 undergraduate medical students walked through the front doors of the RFHSM, Hunter Street to begin 2nd MB. A few had done 1st MB, but for most this was a brand new and rather daunting moment. Exactly 50 years on a number of that same class of ’67 reassembled to reminisce, share their experiences in medicine, and generally enjoy each other’s company.

The reunion took place at the Celtic Manor Resort, near Newport in South Wales. Some groups gathered on the evening of the anniversary of that first day but the main event was lunch on Saturday 7th, to which Gail Morris-Williams (Cook) gave us a warm Welsh welcome.

Forty-three of the old year were able to make it – with quite a few only absent because they were tied up with family commitments or because they were overseas. Many sent us messages of support and a short update. Two, sadly, had passed away since the last get together (in Wimbledon in May 2013): Dr Claire Naish and Professor John Howard. There was a special moment of silence for them during Grace, and for Gerald Whitehead and Angela Neilson who both died many years ago. During and after

lunch some of the class entertained us with a “vignette”. Others brought an amazing selection of old photographs and copies of documents such as the programme from “our” Christmas Show and even some exam papers!

We are very grateful to Gail Morris-Williams (Cook) and Margaret Graham (Graham-Brown) for doing all the hard work.

Robin Graham-Brown

Reunion write-Ups


Reunions

1977 REUNION

Having not had a reunion since 1997 it was felt that 2017 would be a good year to get together as we would be 40 years since qualifying. A small group of us set about tracing people using any and all methods we could think of, including the Royal Free resources, previous lists of addresses and Google. Unfortunately, there were some who we did not find (and apologies to them if they happen to read this and missed out), but we managed to contact about 80% of our year. We had a very positive and enthusiastic response so work went ahead in organising the event.

We met for a lovely dinner on 11th November at The Moat House in Acton Trussell, Stafford attended by 48 alumni and by 18 of their guests. The venue was perfect for our gathering, the food excellent and the staff were very helpful. Many of the year group were staying at The Moat House and met at the bar in the afternoon and early evening so initial reintroductions were made. Inevitably the noise level increased as the evening went on and there were lots of re-connections made with excited greetings and long talks until late in the evening. Some of our group had made journeys from very far afield – USA, Australia.

We had collected some old photos, posters, memorabilia, even past exams papers and results sheets, all eagerly poured over. Interestingly exam results did not always predict the future successes and careers of the students. Our entry year mug shots were popular items, not least because of the changes that 45 years had wrought in us.

A highlight of the evening was the showing of the Christmas Show film, ‘Idiopathic Aminorrhoea’, made by Chris Emmett and digitised so we could enjoy it in full screen. How times have changed! This would not have passed the censor these days as it was very un- PC. We did wonder whether anyone else in subsequent years had persuaded Dame Fanny Gardner to drive her car around the interior of the (then very new) Royal Free hospital. Unfortunately, the student who had dressed up as Idi Amin was not there to revisit his acting début.

Many of the year had taken retirement and were admiring of the stamina of those who were still working. We also remembered and discussed fond memories of deceased members of our year including Victoria Osgood, Pete Billings, Gary Hughes, Aidan Prestage, Pat Moore and Josie Hicks. Conversations and reminiscences resumed the next morning as many had stayed overnight and met at breakfast.

Andrew Gellert did a fantastic job of taking photos during the evening and circulated a wonderful slideshow artistically put together with accompanying music. A compilation of email addresses, photos and personal profiles was circulated to all those in contact. Enthusiasm was such that most felt that we would have another reunion in five years’ time.

If there is anyone who missed this reunion and wishes to be in touch with others in the year and to be informed of the next one, please contact Angela Galloway (nee Kennedy) on [email protected]

Catherine Campbell (1977)


Reunions

A REUNION OF RFHSm GRAdUATES IN THE LANd BELOw THE wINd

22th to 24th September 2017

An intrepid group of RFHSM graduates from many different years, got together at the Rasa Ria Shangri-La Resort, Kota Kinabalu, Sabah, Malaysia. It was a wonderful weekend of getting to know those we didn’t know and reminiscing with those we did. It was very far from home for those from Britain, and so, many took the opportunity to make a once-in-a-lifetime holiday out of it. One went to see the Rafflesia flower (the largest in the world) at the Poring Hot springs. Some climbed Gunung Kinabalu, a tremendous feat! Some went to nearby nature reserves to see the natural flora and fauna, including the famous Orang Utans and Proboscis Monkeys. A couple of grads renewed old childhood memories of a Malaysian childhood. Others went nature walking, kayaking and relaxed by the beach in the wonderful accommodation. Scuba diving was another option taken.

We met at breakfast buffets but the two main events were the cocktail get together on Friday night with snacks and drinks ending with a hearty plate of Malaysian fried rice. The second event was the dinner and dance on Saturday night with a great DJ who played lots of requests from our med school days. We had a 6 course Chinese meal and danced the night away while others chatted outside. Overall, a wonderful time was had by all and a big ‘thanks’ goes to all those who made the effort to come halfway around the world for this event.

Sara Ahmad (1983)

Those who attended were:

Judy Teng, a Paediatrician 1984 and her husband.Aishah Knight a Physician and Public Health specialist 1984 and her husband.Sharon Paulraj an Ophthalmologist in Sabah 1982 and her husband.Hooi Siew Hong an Ophthalmologist in Johore, Malaysia. 1993.Tunku Sara Ahmad. Hand and Microsurgeon in Kuala Lumpur, Malaysia. 1982, and husband Zul.Nicky (Williams) Dewar 1982/3 retired Anaesthetist.Rebecca Hobbs 1982 and husband Max.Chandrika/Chandy (Sivasubramaniam) Caroll 18982/3 GP and husband Kevin Caroll 1983 Infectious Disease and GPAmanda (Smith) Barnes 1982 GP and her husband Barry.Bernie (Sequiera) Borgstein 1981, Paediatric Audiologist husband Rudi and son NicoAbdul Rauf Kamboh 1982/3, Paediatric Ophthalmologist now in Dubai and wife Gina Razeena Ong 1983,

Histopathologist.Gianetta Rands 1981, Elder Psychiatrist. Those who had booked, but then were not well enough to come due to injury or illness, were Alison (Buchanon)

Horton 1982/3 GP and husband John Horton 1983. GP Judith (Wright) Holbrook 1957We missed them all but, happily Judith and Ali both recovered soon after and Judith has already asked about the

next international reunion!


Students

30

My elective was based in the Western Health Region in Belize, where healthcare is provided through both public and private services. I was able to spend time in clinics, which enabled me to see a wide variety of pathologies in a range of age groups. Most patients were solely seen in primary care and all attempts were made to avoid referring them further. The reason for this is that there are only around ten doctors for the entire population that the Western Health Region serves. Of these doctors, there are only three specialists: a gynaecologist, a paediatrician and a surgeon. The doctors I met generally worked in both the public and private sectors, and therefore had heavy workloads. The shortage of doctors however gave me the opportunity to get fully involved in patient care and perform practical procedures.

My experience made me truly appreciate the wealth of resources and the ease with which we request blood tests and further investigations in the UK; in Belize, this was only done when absolutely necessary due to the costs. The lack of specialists was particularly striking. Whilst in the UK we are easily able to refer patients to secondary care, this was far more challenging for most patients in Belize. Funding was often an issue within the public sector, and specialist health services were sparse, so patients requiring further care would often have to be transferred to Belize City. The shortage of doctors meant that GPs had more autonomy and also greater responsibility for advanced conditions. Despite the workload, I did find that I was impressed with how the staff coped with the pressure and the responsibility. It taught me an important lesson of managing under

Elective Reports


BELIzE

Studentspressure, and how to optimally utilise resources when they are limited. I was also surprised to learn that they do not train doctors in Belize, so the healthcare provided is a combination of medicine from different countries.

Before my elective, I had already expected to find general cultural differences between Belize and the UK, but I was continuously surprised at how such differences permeated into the consultation room. Doctors were regarded with the utmost respect, and their medical decisions and management plans were rarely questioned by patients or family members. The doctor-patient dynamic was entirely different to what I have witnessed at home, where increasingly patients are highly knowledgeable and forthcoming about what they think is wrong with them and what will make them better. In Belize, the patients only responded to specific closed questions and were generally less informed; I thought that this could be partly attributed to less education, but also due to a lack of Internet resources to look things up beforehand.

I noted that patients would only seek medical attention if they were extremely unwell due to the burden of associated healthcare costs; even the cost and availability of factors such as travel would be obstacles. After being exposed to the NHS for so long, it was challenging to see the struggle for patients who could not afford private care in these countries yet required quick treatment. The public system was significantly slower, and undoubtedly the health of the poorer population was negatively impacted as a consequence of their income. It was difficult and sometimes emotionally challenging to

see patients suffer as a consequence of lack of resources and funding. This heightened my appreciation for the NHS, and the fact that free healthcare is provided to all, regardless of their income.

Although I noticed many differences in the way medicine is practised in Belize compared to the UK, as well as many cultural differences, I found it remarkable how much reassurance can be provided as a medical student. Though most patients spoke English, in situations where language was a barrier, simple body language and gestures had a huge impact. I remember a case where a patient could not afford to have a surgery under private care, so she was informed that she would have to wait significantly longer for public care. I held her hand and she gripped it back tightly, and said thank you. Though it was an emotionally challenging situation, I felt glad to be able to provide some support and care.

Overall, my elective experience provided a fascinating insight into medicine in a developing country, and the different obstacles patients face in accessing good care. It also sparked a personal interest in global health, and in the challenge of finding sustainable solutions to healthcare issues in developing countries. The entire experience was extremely inspiring and enriching. It reminded me why I chose medicine in the first place, and reinforced how thankful I am for the NHS. I would like to thank the Royal Free Association, and express how grateful I am, for their help in allowing this experience to be possible for me.

Sonam Vadera


Students

Bursaries

Dear Royal Free Association,

I wanted to send my sincere gratitude for allocating the Hardship Grant to me. The money will be really useful – allowing me to decrease my working hours at the weekends so that I can focus on my studies leading up to exams. This will certainly reduce the pressure surrounding the exams. Thank you very much.

Yours faithfully,James Speed4 th Year Medical Student

Dear Dr Peter Howden and members of the Association,

I’m writing to express my gratitude for your generosity in providing me with a bursary this year.

I’m a second-year medical student at UCL who was born in Shiraz, Iran before moving to London at the age of four. One of the main reasons for my parents’ migration to the UK was to provide better opportunities for me. This bursary is one of these opportunities! I chose to pursue medicine at UCL since I find it so varied and fascinating. I hope to become a practising plastic surgeon after graduation, and your donation means that I’m one step closer to that goal!

I try to give back myself - I’ve led academic tutorials for younger students and visited state schools to inspire students to pursue medicine. As a state school student, I’m all too familiar with the lack of support for students who want to pursue higher education. For this reason, I’m particularly appreciative of selfless donors such as the

members of the Royal Free Association.Next year, I plan to run for the Education Chair

position at UCL’s Medical Society which would allow me to run more events for younger students on the course. This will stand me in good stead during my career when I get involved in medical education. I’m sure you can appreciate how expensive it can be to live in London so your financial support can significantly help me stay on top of my studies and focus only on what’s important, not my finances. Once again, I’d like to sincerely thank you for your support and I hope you are conscious of how much it is appreciated. I hope one day to support future students in achieving their goals in the same way the Association has today.

Yours faithfully,Amir Amini

Below are letters of thanks to the Royal Free Association from students who have received bursaries from us over the last year. These are listed below:

Jake Figi and James Speed received £500 each from our Student Hardship fund.Amir Amini received £1,000 that had been promised to him by UCL. However, they were unable to honour this and

approached the Association for assistance. This also came from our Student Hardship fund.One Elective Bursary was awarded this year to Sonam Vadera who will be presenting a short report at this year’s

Annual Meeting.The bursaries available to students for the coming year will be as follows:1. Four Elective Bursaries of £500 each2. Four Student Hardship Bursaries of £500 each3. Two RFA Graduate Awards of £1,000 each. These will be allocated to 4th year students who have taken a degree

prior to entering Medical School. They will all be advertised under the heading “Bursaries” on “Moodle”, the online learning platform to which all

students have access.


Students

Dear Royal Free Association members,

Thank you for your incredibly generous bursary of £500. This has come at a time of great need, and has gone a long way to bridge the gap in my current financial situation. My rent and living situation is now secured through the rest of the academic year. The medical school has been a great support to me through all times of need, and I doubt I would have made it through the first part of my degree half as well as I did without them!

Thank you again for your support, and I hope one day I can pay back the Royal Free Association and help a medical student in need, as you have.

Best wishes,Jake FigiYear 3, UCL medical student

To the Royal Free Bursary Fund,

I am writing to thank you for the extremely generous and kind bursary that you awarded me this year. It will ease the burden of the cost of my elective hugely for me.

I was originally born in Leicester, but I have spent the last six years studying for my Medicine degree in London. Though I am of Indian origin, my parents were born in Uganda and moved to the UK when they were teenagers. My father works for the Leicester City Council and my mother works for a bank in Leicester. I do not have any close family members who are doctors, which often seems to strike people as surprising. However, from a young age, I knew that I wanted to pursue a career where I could improve others’ lives. Becoming a doctor seemed to fulfil this desire, therefore I spent my school years working towards this goal. I chose to study at UCL because of how brilliant the medical school is; my family and I were thrilled when I got a place.

Studying medicine truly is something that I enjoy. Though the degree can be challenging at times, I have never regretted this choice, and I am grateful to be able to study such a fascinating degree every day. I believe it is this passion and interest, combined with determination and hard work that have enabled me to achieve a number of prizes during my degree, including a first prize for overall performance during my first clinical year. Outside of university, I am very close with my family and friends, and make the most of the time I can spend with them.

Unfortunately, whilst I thoroughly enjoy studying medicine in London, it has taken a toll financially. Living costs are extremely high, and exceed the amount given

in my maintenance loan. Bursaries and working during my summer holidays helped me to scrape through. During clinical years, it has been much harder to work and manage university too, so once again bursaries have helped me to cope financially. In my final year, I have also had to think about the cost of my elective, as I plan to go to Central America and have dreamed about my elective since the day I began Medical School. The bursary that you have given me will help me to enjoy my elective more without the constant nagging worries about money and will, thus, also enable me to concentrate better on my studies for finals. I am so, so grateful for this bursary, and would like to thank you very much.

After I graduate, I hope to undertake an Academic Foundation Programme, so that I can gain an insight into both a clinical and academic career. Whilst I love clinical medicine, I have a keen interest in studying patients’ quality of life in relation to various chronic disease states and would like to research this area further. In the long term, I am considering a career in dermatology. This topic has always interested me, and I particularly like it as I feel that skin conditions can affect quality of life and patients’ confidence enormously. Therefore, I would like to translate my clinical knowledge to be able to help those affected by such conditions.

Once again, I would like thank you for this bursary. It truly is a huge help, and I really, really appreciate it.

Yours faithfully, Sonam Vadera


Obituaries

34

MONA (RONA) vERONiCA MiLLS, M.B CH.B D.A (1939–2018)

Finally at peace, a few hours past Mother’s Day and the Feast of the Ascension, Rona, aged 78, passed away on May 14, 2018 at the Grace General Hospital, after a progressive illness.

Left to cherish Rona’s memory forever are her husband Barry; daughters Cressida and Eleanor (Jeremy); grandchildren Olivia, Isabella and Amelia; brother Wyn Lewis; sister Eileen (Keith); nieces Kirsty (Richard), Naomi and their families all from England. Also grieving are her sister in law Helen (Winston) in Auckland, New Zealand. She was predeceased by her mother Winifred and father Robert Ifor Lewis; infant sister Eleanor Ann; niece Helen Sykes and her beloved son Damian.

Rona was born on November 24,1939 in Heswall, the Wirral, England. She graduated from Birkenhead High School in 1956 with a Trust Scholarship and graduated in Medicine in 1964. She worked at the Royal Free Hospital, St. Mary’s and Edgware Hospitals in London, England where she met her future husband Barry while doing Anaesthesia. They were married in Auckland, NZ in 1970 and Rona worked in General Medical Practice until 1972 when she had her daughter, Cressida.

Prior to this time, the Vietnam War was world news and the effect on the children was constantly on Rona’s mind. She wanted to do so much to help a child. With dogged determination, she started making contact with the Sacred Heart Orphanage in Da Nang, Vietnam, and approached the NZ Government for adoption permission. After four years of painstaking work, there was final resolution and Eleanor arrived in Auckland, under the protection of Maree Johnson, two days before Saigon fell in April 1975. She was the first child of that particular war to enter New Zealand.

With two young daughters now, Rona suggested a move to Canada - a new adventure - and to be closer to her family in England. The family arrived in Deloraine, Manitoba in February 1977 and it was there many lifelong friendships were established. Rona became very, much part of the community in a variety of ways. A memorable contribution involved her hard work along with other women in the community in opening a library. An even more memorable event during that time was the birth of

her son Damian in 1979.The family then moved to Winnipeg, MB in 1983.

Rona always felt that education and sports involvement were important. She was a regular volunteer at the former St. Charles Academy and in later years became a founding member of the Damian Mills Junior Cricket Foundation. Rona also became very involved at St. Paul the Apostle Catholic Church. Her faith was her foundation. She taught Catechism and for 25 years, as a member of the Human Concerns Committee, spearheaded the Christmas hampers, volunteered at Immaculate Conception Drop-In, spent countless hours helping with the annual garage sale and contributed most generously to the Christmas Craft Sale and Mother’s Day bake tables. Rona had an acute awareness and empathy towards anyone who was suffering be it through poverty, illness, loneliness or any sort of emotional strife. Her loving approach towards people, her wisdom in helping with everyday difficulties came naturally to her. It was with much humility that she accepted the Pope’s Apostolic Blessing in 2014.

Rona was a person with many talents and interests. She was well versed in world events and issues, loved a good book and enjoyed attending the theatre and symphony. She had a way with words, often expressing her thoughts and feelings through letters to the editorial section of the paper and through her beautiful poetry. She was a whiz at crosswords, an excellent sewer and knitter and a wonderful cook and baker. Over the years she traveled quite extensively and had many happy memories from these adventures. Although Rona lived at a distance from her family in England she was faithful to them through visits and regular emails and phone calls. Her grandchildren live across the country also but were always in her heart. She loved them all dearly. Communication was her specialty. Many a person was fortunate to receive her cards and gifts. She never missed a special occasion.

Our family has lost a gracious and caring wife, Mum, Nanny, sister, sister in law, aunt and friend. We will miss her presence immensely but are comforted in knowing she is reunited with family members who have gone before her, especially her son Damian.


Obituaries

Our gratitude goes to the many medical specialists who were involved with her care in the past year and to the Home Care nurses who made their daily visits and brightened her day. Our sincere thanks also to the Winnipeg Fire Paramedic Service and the Emergency and ICU Staff at the Grace Hospital. Everyone’s care, understanding and compassion for Rona was very much appreciated.

Rona wrote a poem every Mothers’ Day in memory of her son Damian who passed away in 2003 at the age of 24. The following poem was written and finished by Rona five days before she died, a day after Mothers’ Day:

Barry millls

The past and future merge with one another The happy times that were, and those to be.And faith affirms the Hope that gently guides usAnd brought us safely through our agony.The future draws us on to our reunion,The past falls back and heals our broken heartsWhile joy replaces grief and brings us wholeness,We sense we are close, not far apart.We feel your presence, anxious to be with us, And know your heart will claim us when we meet,The sweet delight that tells us we are home now,Together for all time, we are complete.

ROwE, PRUDENCE ANNE (NEé COOPER) MRCS, LRCP

Prue died on 7th September 2017. She was born 100 years earlier on 9th October 1917 in New Malden, Kingston, Kent. After finishing School at St Leonards School, St Andrews, Fife, she enrolled at The Royal Free Hospital Medical School in 1936 and after qualifying in 1943, went to work as a House Physician at Paddington Green Children’s Hospital. She used to say, it was so sad that the severely disadvantaged people in those days sewed their children into their clothes for the winter, as she had to cut the stitches off their clothing to listen to their chests.

In October 1943, Prue married Dr Arthur John Edgcombe Rowe who had qualified at St Mary’s Hospital, Paddington, who was then working as a Clinical Assistant to Prof. Fleming. She left medicine in 1945 to bring up two children and help her husband with his career. This involved living in Canada and Australia, as well as extensive travel around the world, during which time she wrote very descriptive Diaries illustrated with lovely sketches.

Her husband died suddenly after they returned to the UK from Australia, which left her devastated at the age of 56. She then decided to go back to Medicine, so attended a one-year refresher course at Exeter University. Wishing to understand her husband’s commitment to

psychiatric medicine, Prue took a position with West Berkshire Health Authority, at Smiths Hospital, Henley-on-Thames as a Doctor. At that time, the Hospital cared for very young mentally impaired/autistic children. Mother said she could never have worked for long at Smiths as she was always falling in love with these helpless children. At the same time, she was appointed to the large mental hospital at Borocourt, Rotherfield Peppard, near Henley, which housed elder patients. Here she experienced the difficulties facing those who care for mentally ill patients.

After her husband died she bought a house in the lovely village of Whitchurch-on-Thames, where she lived for nearly 40 years, firstly working as a Doctor and then in retirement, enjoying a very active life, gardening, painting, playing bridge, cleaning books at the Bodleian Library, looking after her grandchildren and later her great grandchildren. She had many friends and loved helping others in the local community. She had a wonderful sense of humour and love of life.

Prue will be sadly missed by all who knew her for her glorious smile and warm affection. She leaves behind a son, Christopher and daughter Carolyn and their respective families.

Christopher J Rowe

“

“


ObituariesJOAN (LADy) SLACk (1925-2015)

BA BM BCh Oxon(1949) DCH(1952) DM(1972) MFCM(1974) FRCP(1979) Lady Joan Slack was a consultant clinical geneticist at the Royal Free Hospital, London. She was a woman who liked to

‘put her all’ into, and succeed at, anything she put her hand to throughout life, be it in the class room, the sports field or her family. She also held particularly firm opinions about how the medical profession should defend standards of medical practice in a climate where this was becoming increasingly difficult.

She was the daughter of a stockbroker, Talbot Wheelwright, who died playing golf when she was 12, and his second wife, Amy, a champion chess player, among other accomplishments, who in 1936 became joint British Commonwealth Ladies Champion. After her secondary education at Cheltenham Ladies’ College, where she succeeded both in the classroom and on the sports field (but hated board games), Joan won a scholarship to read medicine at St Hilda’s College, Oxford in 1943. She moved to London for her clinical studies and was one of the first six women to do this at St Bartholomew’s Hospital Medical School, which had until then only been open to male students.

Shortly after qualifying, she entered general practice, working on the Caledonian Road, London, in the then very deprived area of King’s Cross, and whilst there had a great interest in the sessions being arranged by Michael and Enid Balint at the Tavistock Clinic, possibly the first people to properly look at the psychological impact of general practice on the doctors themselves. In 1952, she married a fellow Oxford medical graduate, William Slack (who later became a general surgeon at the Middlesex Hospital and serjeant surgeon to the Queen).

In 1959 they went to Chicago as part of William’s surgical training, where she developed what was to become a lifelong interest in genetics whilst working at the genetics unit of the Children’s Memorial Hospital.

In 1963, after returning from the USA and a short spell back in general practice, this time in the rather less deprived Golders Green area of north London, she took up a post in clinical genetics at the Institute of Child Health in London. It was here that she started to investigate the inheritance patterns of coronary heart disease and lipoproteinaemias, for which she was awarded a DM in 1972. This work led to her being elected as a founder member of the Faculty of Community Medicine at Royal College of Physicians, without examination, and subsequently being elected as an FRCP without having previously achieved the MRCP by passing the required exams; this ability to progress through the ranks of the Royal College of Physicians without troubling the examiners was something she was very proud of and she light heartedly joked about, saying that good things come to those who wait!

Joan subsequently became involved in research into the genetics of colon cancer, working closely with the staff at St Mark’s Hospital, and was appointed as a consultant clinical geneticist to the Royal Free Hospital, London in the 1980s, before retiring in 1990 and moved to Somerset, where she started a new career with William and one of her sons in farming. She quickly made herself very knowledgeable about the diet requirements of the livestock, worried about the advice given concerning the use antibiotics as growth enhancers and was frequently seen on a tractor mucking out the pigs. Always interested in education, she was appointed as a governor to one of the local secondary schools, and also helped put her father-in-law’s First World War letters and other documentation into the public domain on a website designed to be used by secondary school students.

In addition to this, following an inheritance of a number of artefacts from the family of the Arts and Crafts architect Charles Voysey, she catalogued them and they were subsequently shown at special exhibitions at the Victoria and Albert Museum and in Tokyo, as well as being loaned for other specialist exhibitions. She was particularly pleased when two students based their PhD theses around these artefacts.

Joan was a woman of strong opinions and continued to defend many of these robustly well into her more senior years. Lady Joan Slack died aged 90, leaving her husband, two sons and two daughters, and 10 grandchildren.

Rob Slack[Plummer, S J. The Wheelwright family story Cloth Wrap Publishing, 2010](Volume XII, page web)


Obituaries

dR YVONNE G. BEECHING

My dearly beloved wife, Dr Yvonne Gladys Beeching, (Mrs McClean) passed away peacefully on 16th May 2017. Yvonne qualified from the RFHSM in 1952 and had a succession of posts before marrying in 1960. Following

marriage, she held several different posts in general practice, in public health and in industry, including a ten-year stint at British Aerospace.

Yvonne has left two children and six grandchildren. She is remembered by her grandchildren that her unvarying solution to any problem was to have a nice cup of tea!

Edward McClean

DR FREDERiCk kURzER (1922-2017)

My friend, Dr Frederick Kurzer, was Reader in Chemistry at the Royal Free Hospital School of Medicine and a Fellow of the Royal Society of Chemistry for over seventy years. He was someone I knew for almost 50 years. The son of Rosa and Jacques Kurzer, he was born in 1922 in the beautiful spa town of Karlsbad in the German-speaking area of what was then Czechoslovakia. He lived in Karlsbad with his parents and sister Dorothy until 1939 when the family fled to London to escape the Nazis. In 1940 he was interned on the Isle of Man by the British Government as an ‘enemy alien’ as were all male German-speaking Jewish refugees.

After a period undertaking research in industry, he moved into academia at the Royal Free Hospital School of Medicine in London until his retirement in 1987. As well as lecturing to medical students in chemistry, biochemistry and pharmacy, Fred was also responsible for a research laboratory specialising in heterocyclic chemistry that attracted many British and overseas doctoral students. He was my supervisor and we published several research papers together.

Fred was modest and possessed of warm human attributes, having a wry sense of humour and being kind and tolerant with his research students. Not only

was he highly respected as a chemist, but in addition had interests outside the laboratory, particularly in the history of science. In retirement he published significant papers on the chemical work of Samuel Parkes, Charles Tomlinson, William Hasledine Pepys, Arthur Church (the Palace of Westminster frescoes) and the lexicographer, Samuel Johnson as well as on the scientific activities of the ‘lost’ Surrey and London Institutions.

Fred was well versed in the arts and humanities, with a great love of classical music, books and ornithology. He especially enjoyed long walks by the Thames and in the Lea Valley. A kind and generous man who hid his many talents, he was one of the ‘old school’ with little interest in television, the internet or sports. As a result of hospitalisation three years ago, he reluctantly moved from his London flat to a residential home. Accompanied by his familiar writing desk and chair, he continued to work at his desk most mornings. Mentally sharp, Fred passed away on 11 October 2017, aged 95. I feel privileged to have been his friend and I will miss him greatly.

Stanley Langer

MARiON J. BARtLEtt (NéE PHiLLiPS)

Marion graduated from the Royal Free in 1944, and sadly passed away on 10th March 2018 aged 97. This obituary appears on-line:

“The Friends of Masasi and Newala are saddened to learn of the death of Dr Marion Bartlett a long-time supporter of our charity and a former doctor working in Masasi. Marion Phillips - the name by which many people will remember her - spent forty years as a surgeon and physician in Tanganyika.

In 1966 she married David Bartlett, a priest with USPG, who later became Canon Bartlett Vicar General of Zanzibar. They returned to England in 1997, but after David’s death a year later, Marion moved to live at the College of St Barnabas, Lingfield, Surrey where she remained for the rest of her life.”

Stephen Jarvis


COMMUNICATIONS REGARDING THIS POLICY TO: [email protected]

_________________________________________________________________________________________________________

PRIVACY STATEMENT AND DATA PROTECTION POLICY OF

THE ROYAL FREE ASSOCIATION (May 2018) 1. The Administrator maintains the membership database to be able to send news and information to

Members. 2. The Treasurer/Secretary is able to access a copy of the database as a contingency in case the

Administrator is unable to perform the role.

3. Membership records may contain: - Name - Qualifications - Year of graduation or Membership status - Subscription amount paid and method of payment - Address - Email Address - List of RIPs/deleted Members

4. The Administrator maintains the membership database in Access which is password protected on the Administrator's personal computer and in a password protected cloud backup.

5. Every effort is made to ensure that virus protection is kept up-to-date and that anti-virus programmes are run on a regular basis.

6. The Administrator and Secretary/Treasurer use a Gmail account for the sole purpose of sending emails. The Gmail account is password protected.

7. The Administrator uses blind-copy (Bcc) when sending emails to more than one Member to ensure privacy.

8. The Administrator, from time to time, shares subsets of the membership database with other Members on request, for the purposes of organising reunions.

9. The Administrator does not share membership data with any external person or organisation. In the event of a request being made for a Member’s record, the Member will be contacted by the Administrator in the first instance.

10. The Administrator does not process data.

11. The Administrator will respond within one month to a request from a Member to see their personal data record, and within one month to a request from a Member to remove their data from the membership database.

12. Records are kept indefinitely, unless a request for removal is received.

The Royal Free Association (incorporating the Royal Free Old Students' Association


COMMUNICATIONS REGARDING THIS POLICY TO: [email protected]

_________________________________________________________________________________________________________

PRIVACY STATEMENT AND DATA PROTECTION POLICY OF

THE ROYAL FREE ASSOCIATION (May 2018) 1. The Administrator maintains the membership database to be able to send news and information to

Members. 2. The Treasurer/Secretary is able to access a copy of the database as a contingency in case the

Administrator is unable to perform the role.

3. Membership records may contain: - Name - Qualifications - Year of graduation or Membership status - Subscription amount paid and method of payment - Address - Email Address - List of RIPs/deleted Members

4. The Administrator maintains the membership database in Access which is password protected on the Administrator's personal computer and in a password protected cloud backup.

5. Every effort is made to ensure that virus protection is kept up-to-date and that anti-virus programmes are run on a regular basis.

6. The Administrator and Secretary/Treasurer use a Gmail account for the sole purpose of sending emails. The Gmail account is password protected.

7. The Administrator uses blind-copy (Bcc) when sending emails to more than one Member to ensure privacy.

8. The Administrator, from time to time, shares subsets of the membership database with other Members on request, for the purposes of organising reunions.

9. The Administrator does not share membership data with any external person or organisation. In the event of a request being made for a Member’s record, the Member will be contacted by the Administrator in the first instance.

10. The Administrator does not process data.

11. The Administrator will respond within one month to a request from a Member to see their personal data record, and within one month to a request from a Member to remove their data from the membership database.

12. Records are kept indefinitely, unless a request for removal is received.

The Royal Free Association (incorporating the Royal Free Old Students' Association


GdPR

38


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Who will be performing at the Triennial Dinner in November

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39


NEwSLETTER 2018

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