A P P L I C A T I O N F O R M

OLYMPUS UPPER GASTROINTESTINAL CANCER CADAVERIC MASTERCLASS

Option A: Three days - 4-6 September 2017

Option B: One day - 6 September 2017

Hosted by The Northern Oesophagogastric Cancer UnitVenues: Newcastle Surgical Training Centre & Royal Victoria Infirmary, Newcastle

TARGET AUDIENCE: Aimed at ST7-ST8 and Consultants

Learning Objectives• Revision of surgical technique for oesophageal and gastric resections

• Evaluate the advantages and disadvantages of minimally invasive approaches compared to open resections

and perform these procedures on cadavers

• Assessment of patients prior to surgery

• Understand and formulate management plans for post-operative complications

• Review of surgical energy modalities

Course content

OLYMPUS UPPER GASTROINTESTINAL CANCER CADAVERIC MASTERCLASS

COURSE OVERVIEW

• Intensive three day course (for option A)

• Number of attendees limited

• Fresh frozen cadavers

• Course certificates provided

• High faculty-to-participant ratio

• Interactive classroom and cadaver instruction

• CPD applied (18 points for three day course 6 points for one day course.)

• Course dinner

Newcastle Surgical Training Centre

Day one will consist of lectures and cadaveric

“theatre” time. The focus will be gastric mobilisation

and D2 lymphadenectomy.

Day One - Monday 4 September 2017

Royal Victoria Infirmary, Newcastle

The third day includes live operating links

throughout the day, plus seminars and group

discussions on:

• Minimally invasive versus open resection and

merits of hybrid procedures

• Managing complications: leaks/stenosis/fistula

and feeding jejunostomy

• Type II/Type III cancers - which operation?

• The ‘not very fit’ patient

• Enhanced recovery

Day Three - Wednesday 6 September 2017

Newcastle Surgical Training Centre

Day two will involve lectures and cadaveric

“theatre” time. This will include the thoracic phase

of oesophagectomy, lymphadenectomy and

reconstruction methods. Neck dissection and

extended lymphadenectomy will also be discussed.

Day Two - Tuesday 5 September 2017

PROFESSOR S M GRIFFIN

Consultant Surgeon

Newcastle Upon Tyne Hospitals NHS Foundation Trust

MR ARUL IMMANUEL

Consultant Surgeon

Newcastle Upon Tyne Hospitals NHS Foundation Trust

MR ALEXANDER PHILLIPS

Consultant Surgeon

Newcastle Upon Tyne Hospitals NHS Foundation Trust

MR GRAEME COUPER

Consultant Surgeon

Edinburgh Royal Infirmary

MR SIMON FORD

Professional Education Manager

Olympus

MR PETER LAMB

Consultant Surgeon

Edinburgh Royal Infirmary

MR SHAUN PRESTON

Consultant Surgeon

Royal Surrey County Hospital

MR SHAJAHAN WAHED

Consultant Surgeon

Newcastle upon Tyne NHS Foundation Trust

MR KAMIL WYNNE

Consultant Surgeon

Newcastle upon Tyne NHS Foundation Trust

COURSE DIRECTORS

FACULTY

KeyMed House, Stock Road, Southend-on-Sea, Essex, SS2 5QH, UKTelephone: +44 (0)1702 616333e-mail: medical@olympus.co.uk website: www.olympus.co.uk

Surname: Dr/Prof/Mr/Mrs/Miss/Ms

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Dietary Requirements: Vegetarian Other (please state)

Signed: Date:

I would like to attend the Olympus Upper Gastrointestinal Cancer Cadaveric Masterclass to be held from

4-6 September 2017 (HN029).

PLEASE COMPLETE IN BLOCK CAPITALS (NB: Your badge and Certificate of Attendance will reflect the

details provided below).

APPLICATION FORM

PLEASE TURN OVER

Please note: These courses are offered free of charge and will include materials plus accommodation for option A. Delegates are responsible for their own travel and meals outside of the course. However, should you fail to attend or give less than two weeks notice that you are unable to attend we reserve the right to invoice you £100 payable immediately.

Photographs will be taken during the course and used to promote future events. If you do not wish your image to be used, please tick the box.

Please return your completed application form to:

Hayley Newbury, Event Coordinator

Olympus, KeyMed House, Stock Road, Southend-on-Sea, Essex SS2 5QH

Telephone: + 44 (0)1702 616333 Facsimile: + 44 (0)1702 452744 Email: education@olympus.co.uk

Head faculty will review all applications and appoint delegates. Please indicate below which option you would like to attend.

Option A: Three days - 4-6 September 2017 Option B : One day - 6 September 2017

APPLICATION FORM CONTINUED

Applications will only be considered on completion of this form and submission of your CV (CV submission not applicable to Consultants) either by email or post. It is essential to provide your career intentions below.

Please complete all the details below:

Position: Grade:

Procedures being performed:

Career intentions: