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ABOUT ENT SOCIETY

PREVIOUS MEETINGS

“Transfer your knowledge to help fellow human beings“

  • 17th Meeting of International / UK Medical Graduates (IMGs) in ENT
  • 16th Meeting of International / UK Medical Graduates (IMGs) in ENT
  • 15th Meeting of International / UK Medical Graduates (IMGs) in ENT
  • 14th Meeting of International / UK Medical Graduates (IMGs) in ENT
  • 13th Meeting of International / UK Medical Graduates (IMGs) in ENT
  • 12th Meeting of International / UK Medical Graduates in ENT
  • 11th Meeting of International / UK Medical Graduates (IMGs) in ENT
  • 10th Meeting of International / UK Medical Graduates in ENT
  • 9th Meeting of International / UK Medical Graduates in ENT
  • 8th Meeting of International / UK Medical Graduates in ENT
  • 7th Meeting of International / UK Medical Graduates in ENT
  • 6th Meeting of International / UK Medical Graduates in ENT
  • 5th Meeting of International / UK Medical Graduates in ENT
  • 4th Meeting of International Medical Graduates in the UK in ENT
  • 3rd Meeting of International Medical Graduates in the UK in ENT
  • 2nd Meeting of International Medical Graduates in the UK in ENT
  • Inaugural Meeting of International Medical Graduates in ENT in the UK
17th Meeting of International / UK Medical Graduates (IMGs) in ENT
Venue: Lal Qila Restaurant, Rusholme,Manchester M14 5AN 
Date: 19th October 2013  

Report by: Ehtesham Qureshi, Staff Grade ENT.St.Helens & Knowsley TrustMr. Saleem Yousef Consultant ENT Surgeon St. Helens & Knowsley Teaching Hospitals, introduced the speakers for the evening.

Mr. Saleem Yousef Consultant ENT Surgeon St. Helens & Knowsley Teaching Hospitals, introduced the speakers for the evening.

The guest speaker Mr N Ahmad FRCSEd (ORL-HNS) MSc DOHNS BSc (Hons) MBChB Consultant in Otology, Neurotology & Skull Base Surgery, James Cook University Hospital, Middlesborough spoke on “Cochlear Implantation.” He discussed in detail the selection criteria, the investigations necessary and the role of various disciplines. He also described steps of surgery and post-op rehabilitation process. He showed videos of the surgical procedure and the audience had opportunity to ask him questions.

Mr.Haroon Khan from Manchester spoke about the forthcoming 1st International Middle Ear Surgery Camp to be held from 24-26 November 2013 in Sahiwal,Punjab and the 3rd Ear Surgery camp at Indus Hospital, Karachi from 25-30 November as well as the 5th Ear Surgery camp Civil Hospital, Mirpurkhas, Sindh from 1-5 December 2013.Team of 7 U.K. Surgeons and 3 Local Surgeons will take part in these Free Ear Surgery camps.

He gave an update on Cochlear Implant Project in Pakistan and how the first Free Public Sector programme was set up. 2 Implants were done in Dec 2012 and 2 in July 2013 on children whose parents came from a very poor background. IMRA a U.K. Charity played a key role in these projects.

Bien-Air was thanked for supporting this meeting which concluded with delicious meal enjoyed by 45 delegates.

Group photo of some of the delegates

A view of the audience

Mr.N.Ahmad–Cochlear Implants

Mr.I.Ahmad, Mr.I.Yousuf & Mr.Janjua

Mr Yousef introducing speakers

Mr.H.Khan-Ear Surgery projects

16th Meeting of International / UK Medical Graduates (IMGs) in ENT

Venue: Walker Memorial Hall,Ampton Rd, Birmingham.

Date: May 18th 2013

Report by: Isma Zafar Iqbal, Newcastle, UK

The 16th Meeting of international/UK Medical Graduatesin ENT. opened with Mr ljaz Ahmad, Consultant ENT Surgeon, Heartlands Hospital, Birmingham, introducing the speakers for the evening. The guest speaker was Mr Shaz Ahmed-Consultant ENT and Skull Base Surgeon, Queen Elizabeth. Hospital NHS Trust, Birmingham, who spoke on ‘Endoscopic Approaches to the Skull Base’. He presented a variety of cases, including intra-operative videos demonstrating surgery to excise meningiomas in the olfactory groove, other tumours of the sella, clivus and orbits, and described various vascularised pedicled flaps to reconstruct the large skull base defects. His talk concluded with numerous questions from the floor focusing on the outcomes in this patient group when compared to the alternative, which is often a craniotomy and a much longer stay in hospital. Mr Anwar Moin Khan from Cardiff spoke about the forthcoming 5th International Middle Ear Surgery Camp to be held in November 2013 at Indus Charity Hospital, Karachi and Civil Hospital, Mirpurkhas, Sindh, Pakistan. Mr Haroon Khan gave an update on the Cochlear Implant Project in Pakistan. He spoke about how the first Free Public Sector programme was set up and the progress so far. Two implants were performed in December 2012 on children whose parents came from a very poor background. More were planned for the summer and the progress of the two operated patients is satisfactory. He also talked about the UK registered charity IMRA which is involved in these projects. Delegates enjoyed a delicious meal at the end courtesy of Nasser Malik.

Ijaz,Riaz,Faisal & Ishrat- some of the delegates

Group photo of delegates

Mr.Ijaz Ahmad introducing the speakers

Mr.Shaz Ahmed delivering his talk

Mr.A.Moin Khan –International Middle Ear Camp

Mr.Haroon Khan –First Free Cochlear Implant Project

15th Meeting of International / UK Medical Graduates (IMGs) in ENT

Venue: Karims Restaurant, Middleton, Manchester, M24 4SB.

Date: October 20th 2012*

Report by: Anwar Moin Khan – Speciality Doctor in ENT, Cardiff,Wales

At the Meeting of International / UK Medical Graduates in ENT, delegates were treated to enlightening presentations from leading oculoplastic and maxillo-facial surgeons.

Ahmed Sadiq, Consultant at the Manchester Eye Hospital, spoke about oculoplastic surgery in facial palsy. The aims of this treatment are to preserve vision, improve cosmesis and reduce epiphora. Mr Sadiq explained that in upper eyelid surgery the aim is to cover more of the cornea and allow better closure of the eye, and in lower lower eyelid surgery the aims are to lift and improve its position, reduce watering and increase the closure of the eye. Mr Sadiq also discussed lateral canthopexy and the difficulties of lifting the central part of the eyelid, which may require a larger operation. He concluded by talking about an alternative to reanimation surgery in the form of treatment with botulinum toxin A (BTXA), which particularly helps those with partial recovery of lower facial movement.

Mr Haroon Yusuf, Consultant Maxillo-Facial Surgeon from the Pennine NHS Trust, spoke about various oral lesions, including erythroplakia and squamous cell carcinoma (epidermoid carcinoma). Treatment consists of surgical excision and possible irradiation and chemotherapy as adjunctive.

Anwar Moin Khan from Cardiff spoke about the forthcoming 4th Middle Ear Surgery Camp and Haroon Khan gave an update on the Cochlear Implant Project.

The meeting concluded with a lavish dinner.

* error when report was sent it should be 20th October not 20th December

View of Delegates

Harun Yusuf: Oral Lesions

Haroon Khan introducing speakers

Ahmed Sadiq: Facial Palsy

Group photo of delegates

Anwar Moin Khan: Ear Surgery Project

14th Meeting of International / UK Medical Graduates (IMGs) in ENT

Venue: Walker Memorial Hall, Ampton Rd , Birmingham B15 2UJ.

Date: 19th May 2012.

Report by: M.H.Khan

Mr. Ijaz Ahmad ENT Surgeon, Heartlands Hospital, Birmingham introduced Prof. Hisham Mehanna of Univ. Hospitals Coventry and Warwickshire and Director, Institute of Head/Neck Studies and Education who spoke “How to set up a research programme in ENT? He explained about his own research project; advised meticulous planning and one should find out what has been done so far. He gave valuable ideas about what funders look for in a successful grant application and one should meet the funders and have an open session and discussion. How to seek ethics committee for approval and dealing with R&D departments. He explained how to run a clinical trial – challenges and pitfalls; working with a Clinical Trials Unit and understanding the new NHS research funding system. He touched upon how to choose a journal and what editors look for in a good paper.

Next speaker was Max Malik (former GP) “A Journey outside medicine”. He grew up in Britain and has travelled extensively thus gaining knowledge of many cultures, religions and philosophies. Max won the Muslim Writers’ Awards, Creative Writer of the Year 2007. He talked about his recent book “The Butterfly Hunter” which was been shortlisted for the Brit Writers’ Awards Published Writer 2011.

Haroon Khan gave an update on Cochlear Implant Project in Pakistan and introduced the Surgeons from Dow University currently in U.K. Their visit was arranged by ENT Society and funded by IMRA(U.K.Charity) to spend 3 months at Great Ormond Children’s Hospital and Institute of ENT, Grays Inn Road, London. They observed the assessment, surgery and rehabilitation of cochlear implant children and adults.

Prof. Farooq spoke about the present set up of Dow University and future developments for the Cochlear Implant programme. Prof. Khyani spoke about the training facilities and temporal bone courses.

The meeting was sponsored by Bien Air U.K. Ltd and delegates enjoyed a delicious meal at the end.

The next meeting was planned for late Autumn in Manchester.

    
    

13th Meeting of International / UK Medical Graduates (IMGs) in ENT

Venue: Karims Restaurant, Middleton, Manchester, M24 4SB.

Date: 29th October 2011.

Report by: S.H.Askari, Associate Specialist ENT, Lancaster Royal Infirmary.

Mr.Haroon Khan welcomed the delegates and introduced the first speaker; Mr.A.Janjua, Consultant ENT Surgeon, Heartlands University Teaching Hospital, Birmingham who spoke on the aetiology, diagnosis and management of cholesteatomas in children. He explained that cholestatomas in children behave differently and it is important to do a CT scan if one suspects a cholesteatoma. He discussed the merits of open and closed cavities and need for second look in some cases.

The next speaker was Mr.Saleem Yousef, Consultant ENT, St.Helens and Knowsley Teaching Hospitals who gave an update on Snoring and Sleep Apnoea. He talked about WatchPAT an ambulatory home sleep testing device which gives diagnosis of Sleep Related Breathing Disorders. WatchPAT monitors changes in peripheral arterial tone and activity, as well as blood oxygen saturation levels. It also identifies sleep apnea events. The device is typically worn on the patient’s wrist and has a non-invasive fingermounted probe to measure signals that indicate changes in the autonomic nervous system.

He was followed by Dr.Salman Qureshi, Consultant Radiologist Head and Neck/Neuroradiology, University Hospital of South Manchester who explained about “MRI Sequences – what do they mean?” He explained to ENT colleagues what are the reasons for MRI sequences and the various types. There are two main sequence families, depending on the type of echo recorded:

  • Spin echo sequences
  • Gradient echo sequences

Mr.S.Akhtar of Dow University, Karachi spoke on Cochlear Implant Programme in Pakistan. He and another colleague from Dow University were sponsored by ENT Society and spent 5 months mainly at London Teaching Hospitals and in Manchester. They learnt about audiology and speech assessments and rehabilitation for Cochlear Implant patients.

The meeting was sponsored by Neilmed Pharmaceuticals and the delegates enjoyed a delicious meal at the end. The next meeting was planned for next summer in Birmingham.

    

12th Meeting of International / UK Medical Graduates in ENT

Venue: The Education Centre, Northwick Park Hospital, London, HA1 3UJ.

Date: 21st May 2011.

Report by:Syed Mohtashim Hashmi, Associate Specialist Addenbrooke’s Hospital, Cambridge

Haroon Khan introduced the programme for the evening.

Mr.Khalid Ghufoor—Consultant Head and Neck at St. Bart’s and London Hospitals spoke on management of laryngo-tracheal stenosis (adults) and benign laryngeal lesions(non-voice).

Management of adult laryngotracheal stenosis is not well established. He presented data that suggested that it is not necessary to treat all tracheal stenosis with open resection and anastomosis. His multidisciplinary airway reconstruction unit has successfully managed over 70% of these cases by endoscopic techniques.

Hasan Beg, Victoria Hospital Kirkcaldy, spoke on: “Some aspects in the history of Otolaryngology in 8th-13th century” highlighting the important achievements.

  1. Hunain Bin Ishaq (809-873AD) wrote a complete treatise on dentistry.
  2. Zakaria Razi(850-923AD) described first case of nasal allergy also differentiated between Chicken and Smallpox.
  3. Ali Ibn Abbas Almajusi (died 994 AD) described Laryngotomy and used silk to ligate.
  4. Abulqasim Zohravi (936-1013 AD) wrote a Textbook of Surgery used for 500 years in Europe. He illustrated two hundred surgical instruments and describes treatment for nasal mass, meatal atresia, nasal polypi to name a few and tonsillectomy in some details.
  5. Ibn Seena’s (980-1037AD) book Qannon describes surgical principles on suturing of nerves.
  6. Ibn Zuhr (1091-1161AD) described Tracheostomy, Mediastinal Abcess and Dysphagia.

Mr.Ishrat Yousuf from Chesterfield updated about the Ear Surgery project—from 2nd- 7th January 2011 in Mirpurkhas, Pakistan. This team included Haroon Khan from Dumfries, Shaukat Malik, Tanvir Shaikh and Ismail Hirani all from Karachi joined them.

They performed 12 Mastoidectomies, 15 Myringoplasties and 1 FESS. The U.K. team also donated equipment to the Hospital.

  • A new Chinese microscope for OPD- Courtesy of Mrs. Gray from Dumfries.
  • A new diathermy machine and anaesthetic monitor costing – £2000 (approx).

Mr.Anwar Moin Khan from Cardiff spoke about the follow up Ear Surgery trip from 28th-29th March 2011. He was accompanied by Mr.Noweed Ahmad SPR Northern Deanery, Newcastle and Mr.Shaukat Malik from Karachi.

Besides 2 Mastoidectomies, 4 Tympanoplasties and 1 Grommet /EUA-PNS they examined 11 new and 21 post-op patients from previous visits.

Experience gained by U.K. team will help to enhance and develop their career. He thanked Drs.A.Memon,.I. Memon and A. Kamali for organising this trip.

The main speaker Professor Shak Saeed of UCL Ear Institute, London spoke about Cochlear Implantation in the Developing World. Tracing the development of implantation in UK he stated that Cochlear implants were arguably one of the greatest success stories of 20th century in the world of hearing loss.

These developments led to the birth of the Cochlear Implant specialist and extensive cooperation between clinicians, engineers and scientists. There are numerous challenges in the 21st century, one of them being health care economics. He argued that less well developed countries were in difficult situations; whether one should do cochlear implants or give hearing aids or implement other preventable programmes e.g. immmunisations.

Haroon Khan agreed with Shak Saeed but preferred efforts to be undertaken for the poor in these countries; also thanked Ali Kalan of Northwick Park Hospital in organising the meeting.

The meeting concluded with a delicious meal and Paul Skinner from DTR Medical was thanked for supporting the meeting.

For details on the Society email: meetings@entsociety.co.uk
11th Meeting of International / UK Medical Graduates (IMGs) in ENT

Venue: Karims Restaurant, Middleton, Manchester

Date: 20th Nov 2010

Report by: Azrina S Zaman CT2, Paediatric Surgery, Alder Hey Children’s Hospital Liverpool, UK.

Mr Hasan Beg, Consultant ENT, Victoria Hospital Kirkcaldy, Fife, opened the meeting with a fascinating talk on ‘Academic Babar’. The First Moghul Emperor of India was a genius. Not only because he was a great conqueror but the fact that he was a hard striving self made man, the story of rags to riches; he wrote his autobiography, the best known in the world by a reigning monarch. He is among the best known Turki poets, has two ‘diwans’. He was a great naturalist and wrote about people, animals, birds, plants and flowers establishing a number of gardens. The presentation included old manuscripts and historical letters. The audience was very impressed by Mr Beg’s command of history.

Mohammed Reda, Consultant ENT University Hospitals, Newcastle spoke on nasal valve surgery. This valve was originally described by Mink in 1903 and divided into external and internal portions. The internal valve accounts for the larger part of the nasal resistance and it is usually the narrowest part of the nose. Nearly 13% of the patients with chronic nasal obstruction have nasal valve collapse. This collapse can be divided depending on the structure that caused the collapse. In many cases, more than one structure is affected. The most common cause is probably septal deviation followed by nasal surgery, especially after removal of the nasal roof.

The angle between the upper lateral cartilage and the nasal septum is 10-15°. Internal nasal valve collapse occurs when, for some reason, this angle is diminished resulting in an increase in nasal resistance to airflow leading to nasal obstruction.

Diagnosis can be difficult if one does not visualize the valvular area. Examining the valve without disturbing it with a nasal speculum is important. The Cottle test is useful to evaluate nasal valve stenosis.

Septal cartilage is harvested in a standard fashion. Spreader grafts are placed in a submucosal pocket between the septum and the upper lateral cartilages. Alar battens are used to augment flaccid or absent lower lateral cartilages. Septal and conchal cartilages are an excellent source of graft material.

Other techniques used less frequently include columellar struts; tip suspension sutures, dorsal on-lay grafts, butterfly grafts, and inferior turbinoplasties. He presented some of his cases and emphasised the importance of assessing patients of nasal obstruction and the effect of nasal valve.

Mr Anwar Moin Khan from Cardiff spoke about the second forthcoming ear / sinus surgery charity project in December 2010 in Mirpurkhas, Sindh, Pakistan.

lt was hoped that experience gained in organising such projects would assist in ensuring further charity camps in the future and provision of essential equipment.

The meeting concluded with a lavish meal enjoyed by all. Paul Griffiths from Bien-Air UK supported the meeting.
For details on the Society email: meetings@entsociety.co.uk

ENT & AUDIOLOGY NEWS | VOL 20 NO 5 | NOV/DEC 2011

10th Meeting of International / UK Medical Graduates in ENT

Venue: Royal Al Faisal Restaurant, Birmingham

Date: Saturday 22nd May 2010.

Report by: Mamoona Raja,ST3 ENT SPR West Midlands Deanery /Somiah Siddiq ST3 ENT SPR West Midlands Deanery.

The 10th meeting of International Medical graduates (IMGs) took place on 22nd May 2010 at Royal Al Faisal Restaurant, Birmingham.

Mr. Ijaz Ahmed, Consultant Head/Neck Surgeon, (Heartlands Hospital, Birmingham), welcomed the delegates and introduced the programme for the evening.

Mr.Haroon Khan explained the aims of the Society to new members.

Dr. Cathal Coyle PhD, Liaisons Officer, (RB Healthcare UK Ltd.) was the first speaker whose topic was: Reflux and beyond; is acid the only problem? The next speaker was Dr.Adel Mansur, Consultant Physician, (Heartlands Hospital, Birmingham) who presented a talk on Vocal cord dysfunction- Diagnosis & Management focusing on unusual presentations’ of patients’ to A&E with severe respiratory distress.

Mr.Junaid Hanif, Consultant ENT Surgeon (Norfolk & Norwich University Hospital Honorary Senior Lecturer UEA Medical School), presented delegates with highlights of the recent Ear Surgery Charity Project in Mirpurkhas, Pakistan which took place in November 2009.

Aims of the charity work included crucial training of local doctors, reducing inequalities in healthcare and also providing a unique learning experience for the UK team of visiting surgeons. Such experiences, Mr Hanif explained were of great benefit to the UK team of surgeons in developing their personal and professional development and thereby, ensuring they were better equipped to deal with the diverse UK population base and changing face of the NHS.

Furthermore, it was hoped that experience gained in organising such projects would assist in ensuring further charity camps in the future and provision of essential equipment.

The meeting concluded with a lavish meal enjoyed by all. The next meeting is planned for summer 2010.

9th Meeting of International / UK Medical Graduates in ENT

Venue: Karims Restaurant, Manchester

Date: 10/10/09. 

Report by: Sadie Khwaja, SpR, Manchester & Maha Khan, FY2 Lancashire, UK.

Mr MH Khan (Honorary Chair) welcomed the delegates to the 9th meeting of International Medical Graduates (IMGs). Mr Yousef Saleem (Consultant ENT Surgeon, Merseyside, UK), gave an update on, management of chronic rhinosinusitis. Management of CRS is mainly medical; surrgery is reserved only for those who do not respond to medical treatment.

Recently balloon sinuplasty has shown to be effective in the surgical treatment of catients with CRS without polyps. The long term results seem encouraging. Mr Nasir Kazmi (Consultant ENT Surgeon, Victoria Hospital Blackpool, UK) spoke on Endoscopic dacryocystorhinostomy (DCR). Endoscopic DCR is a ‘minimaIIy’ invasive procedure performed by ophthalmologists and otorhinolaryngologists and is used to treat patients with nasolacrimal duct obstruction. There are certain advantages of endoscopic DCR: there is no external scar; it preserves the lacrimal pump system and any intranasal pathology that might have caused failure of the first procedure can be addressed.

The main disadvantage is that endonasal DCR is a fairly new procedure; long term results are unknown. A smaller rhinostomy is performed in endonasal DCR an in the external procedure. There are certain complications to an endoscopic XR. Some unique to the endoscopic approach and some shared by the external aporoach. The external DCR is certainly still thought of as the gold standard with success rate of approximately 91%. Reported success rates for endoscopic DCR are between 75% and 97% and is ideally suited for revision procedures.

Mr Anwar Moin Khan (ENT Surgeon, Cardiff, UK) presented the prospective ear surgery project in Pakistan in November 2009. Mr Faiz Tanweer (Norwich, UK) spoke about the viva sessions held in London, Birmingham and Manchester for candidates sitting the exit exams. The meeting concluded with a lavish meal enjoyed by all. The next meeting is planned for summer 2010.

ENT & AUDIOLOGY NEWS | VOL 19 NO 5 | NOV/DEC 2010
8th Meeting of International / UK Medical Graduates in ENT

Venue: Khan’s Restaurant, Bayswater, London, UK.

Date: May 30th, 2009.

Report by: Mr Asad Qayyum, SpR Year 5, Eastern Deanery, UK.

The 8th meeting of International Medical graduates(IMGs) took place at the famous Khan’s Restaurant in Bayswater, London. Mr M Khan welcomed the delegates who were around 25 in number. Some families also joined the meeting.

The main speaker for the evening was Shakeel R Saeed MD, FRCS (ORL), Professor of Otology I Neuro-otology, UCL Ear Institute, Consultant ENT and Skullbase Surgeon, The Royal National Throat, Nose and Ear Hospital and Royal Free Hospital, London, UK. Prof Saeed was congratulated on his prestigious appointment.

He spoke on: ‘Facial palsy – when to operate and what outcomes can be expected?’ He presented the various clinical situations in which a patient might present with facial palsy such as chronic suppurative otitis media, trauma (both surgical and non surgical), tumours both benign (facial neuroma) and malignant (parotid). About half of the cases in the series presented resulted from vestibular schwannoma surgery though the overall rate of significant facial nerve paralysis in his experience for this type of surgery is low (5% of all tumour sizes). The most frequent method of reanimation for vestibular schwannoma patients was the faciohypoglossal transposition. The other methods used were end-to-end anastomosis and cable nerve grafting. The House-Brackmann grading system was used as the main outcome measure and in the series presented, patients were scored at 6, 12, 24 and 36 months. A favourable outcome was defined as House-Brackmann Grade Ill or more. All the patients in this study had a HB Grade VI paralysis before intervention. End-to-end anastomosis or cable nerve graft interposition was performed at the original operation where the nerve was lost and there was a viable proximal facial nerve stump at the brain- stem.

After surgery for VS in which the nerve was anatomically intact but the face remained paralysed despite a period of observation, a delayed reanimation procedure was undertaken. End-to-end anastomosis and cable nerve graft interposition were superior to the classic faciohypoglossal transposition in the series presented. Increasing age at the time of repair was associated with a poorer outcome. Contrary to some previous opinions improvement in facial function could still occur two years after surgical repair particularly with classic faciohypoglossal transposition in the series presented.

Anwar Moin Khan from Cardiff presented the planned Ear Surgery Project in Pakistan in November 2009. He outlined the charity aspects of this project and how this project will be accomplished. Four ENT surgeons are planning to go and operate on patients at the District Government Hospital in Mirpurkhas, Sindh. Mr Tanweer was the last speaker and he presented about the Practice Viva sessions held over a weekend in London on March 28th-29th, 2009 for the candidates planning to sit the Exit exams. He explained the objectives behind this wholly voluntary project; the gratitude for the consultants who volunteered their time and the candidates six in number who attended and benefitted from this.

As usual the meeting concluded with a lavish meal which all the delegates and their families enjoyed. The next meeting is planned for Autumn 2009.

7th Meeting of International / UK Medical Graduates in ENT

Venue: Sangam Restaurant, Rusholme, Manchester, UK.

Date: 25/10/2008.

Report by: Mr Asad Qayyum, SpR Year 5, Eastern Deanery, UK.

The meeting started with an update on Indus Charity Hospital by Mr AM Khan (Cardiff) who had visited Karachi recently. He explained the various ENT facilities available there and what one could expect if one decides to visit.

The main speaker for the evening was Mr Saghir Shaikh (Consultant ENT Surgeon, Glasgow), who delivered a talk on ‘Management of facial cutaneous malignancies’. Mr Shaikh spoke about various facial defect management options which could range from small and superficial to large and full thickness. There was also a reminder to colleagues to follow the guidelines for basal cell and squamous cells carcinoma from the British Dermatological Society emphasising on the margins of excision.

The MOHS micrographic surgery provides superior margin control and low recurrence, and ENT should form an active part of the reconstructive team with dermatology colleagues to adopt this form of surgery. Mr Shaikh emphasised that prior to any reconstruction; the defect should be assessed with regard to its size, location in facial subunit, depth and missing structures. It is important to consider that skin on different regions of the face differs in colour, texture, thickness, vascularity and hair bearing nature. These issues should be considered prior to deciding on donor sites. Secondary intention healing has many advantages and it should be employed whenever applicable; for example mainly in defects of concave areas of the face; however the patient should be prepared psychologically to deal with an open wound. The primary repair is possible but repair should be layered and without any tension. When primary repair is not possible other methods like skin grafts, local flaps and distant flaps could be used.

Various flaps in different facial sites were also discussed along with options for reconstruction of auricular defects following cutaneous malignancy. Mr Shaikh explained that one should not forget that nasal and auricular prostheses give excellent cosmetic results in cases of advanced cutaneous malignancies. Mr Shaikh was asked many probing questions by the appreciative audience and was thanked for making his long journey to deliver an entertaining and informative lecture.

6th Meeting of International / UK Medical Graduates in ENT

Venue: Royal Al Faisal Balti Restaurant, Balti Triangle, Birmingham.

Date: 17th May. 2008.

Report by: Mr Faiz Tanweer, SpR(LAT), Norwich, UK.

The 6th meeting of International Medical Graduates (IMGs) took place on 17th May, 2008 at a posh restaurant in Birmingham. The venue was well appreciated as the upper hall was reserved for the meeting and Mr ljaz Ahmed, Consultant from Birmingham was congratulated for choosing and arranging the venue.

Mr M Khan welcomed the delegates who were about 35 in number. Some families also joined the meeting. The main speaker for the evening was Mr Hisham Mehanna, Consultant Head and Neck Surgeon at Coventry University Hospital. The meeting started with an update on lndus Charity Hospital by Mr I Yousuf of Chesterfield who had visited the Hospital in Karachi recently. He explained the various ENT facilities available there and what one could expect if one decides to go there. A UK-based charity called IMRA can – arrange visits to the Charity Hospital in Karachi.

Mr AM Khan was in Karachi at the time of meeting co-ordinating the LION Satellite link at Indus Hospital Karachi which was held on 21st May four days after the above meeting. This was the first ever live satellite link up in otolaryngology in Pakistan. A great deal of interest developed amongst the members present. They appreciated the efforts of Mr AM Khan in arranging the use of technology to promote surgical expertise and knowledge in this way.

The meeting was sponsored by NEILMED and Mr Marc Downie spoke briefly about the efficacy of Sinus Rinse.

Mr Hisham Mehanna followed and talked about the Management of a Thyroid Nodule presenting in an ORL/Head-Neck clinic. Mr Mehanna discussed the management of the thyroid nodule, reviewing the recently issued 2nd edition of the British Thyroid Association guidelines on that subject. The guidelines recommend that most thyroid nodules do not need to be referred through the two week wait mechanism, reserving this only for very rapidly growing nodules, or those associated with hoarseness or stridor. It is recommended that all patients with a thyroid nodule should have thyroid function tests, as well as fine needle aspiration, preferably under ultrasound guidance. Management is then guided by the results of the fine needle aspiration. A watch and wait policy with further scans and needle biopsy can be followed if a benign cytology is reported. Follicular aspirates or those suspicious of cancer are managed by diagnostic operations. Popular myths surrounding thyroid nodule management, such as cancer does not occur in multinodular goitre; small nodules are more likely to be benign, were also dispelled by evidence from the literature. His talk generated a good question and answer session

As usual the meeting concluded with a lavish meal which all the delegates and their families enjoyed. The next meeting is scheduled for 25th October, 2008 in Manchester later in the year.

5th Meeting of International / UK Medical Graduates in ENT

Venue: Lal Qila Restaurant, Manchester.

Date: 27th October, 2007.

Report by : Mr Ajmal Masood, Clinical Fellow, ENT Dept, Luton and Dunstable Hospital, Luton.

The 5th meeting of International Medical Graduates (IMGs) in ENT took place at Lal Qila Restaurant, Rusholme, Manchester on 27th October 2007. The meeting continues to provide a forum where IMGs in ENT can discuss various issues relating to their training and future job prospects; besides gaining career advice from their senior colleagues amidst rapid changes occurring in the NHS. The meeting was attended by about 40 consultants, associate specialist, staff grades, SPRs and SHOs, as well as their families who had travelled from all over UK.

Mr MH Khan, after a brief welcome, introduced the first speaker, Mr Anwar Moin Khan, a registrar from Wales who talked about a Charity Hospital in Karachi called Indus Hospital which he had visited recently. He advised that any ENT surgeon visiting Pakistan in the future should visit this modern hospital which is being run on an entirely charitable basis. The patients are treated for free; and there is no compromise on quality of care. Any ENT surgeon willing to give time whilst visiting Karachi should contact Mr Anwar Moin Khan to organise his / her programme schedule.

The next person was the guest speaker, a well known face in UK medical circles, Mr Mohib Khan, Chairman of SAS Committee of the British Medical Association (BMA) for the last 10 years. He is also a Council member of the Royal College of Surgeons Edinburgh and the Association of Surgeons of Great Britain and Ireland (ASGBI). He is also a member of the Postgraduate Medical Education and Training Board (PMETB) assessment committee.

He talked on various issues starting from the new SAS contract likely to come into force. He highlighted the advantages and disadvantages and emphasised that there are more disadvantages in the new contract. He personally thinks that this contract will be rejected and will go to a ballot and also linked the scenario of the consultant contract when it was accepted on its new improved offer.

He welcomed the establishment of PMETB and Article 14 but was critical of PMETB for the delays in processing applications under Article 14. Some applications were taking more than a year and no decisions were taken. According to statutory regulations PMETB should come with a definite answer within three months. He also talked about the recent MMC and MTAS fiasco and answered many questions from the floor, especially regarding the new contract.

The next speaker was Mr Shakeel Saeed, Consultant ENT and Skullbase Surgeon at Manchester Royal Infirmary and Salford Royal Hospitals. He talked about surgery for vertigo, using Meniere’s Disease as a model. He presented the evidence for and against saccus decompression and discussed the role of Intratympanic Gentamycin, Osseous Labyrinthectomy and Vestibular Neurectomy in carefully selected patients. He showed various slides of the surgical procedures and his results as published in the literature. There were lots of questions for Mr Saeed which he answered based on both the literature as it stands and his own experience in this field.

The meeting concluded with thanks to David Dunlop from de Soutter Medical for making the event very entertaining. He did a draw for all the participants and the winner was given a latest iPOD which went to Mr Ali Al Hakim.

All the participants and their families and the speakers then enjoyed a very delicious Indian meal and expressed their keen interest to know the venue and date of the next meeting. It was decided that the next meeting will be held in the 3rd week of May 2008 in Birmingham. Mr ljaz Ahmed, besides being congratulated on his consultant appointment, was given the responsibility to organise the meeting in Birmingham as he is based locally. Others appointed to consultant posts were also congratulated.

ENTNews | May/Jun 2008 | VOL 17 NO2

4th Meeting of International Medical Graduates in the UK in ENT

Venue: Cardiff.

Date: 26th May, 2007. 

Report by: Anwar Moin Khan, SpR. Wales.

The 4th meeting of International Medical Graduates in ENT was held at Spice Root Restaurant. The Dragon Centre, Atlantic Wharf, Cardiff on Saturday 26th May, 2007. The meeting started by welcoming new members and with a brief introduction by M Khan.

Mr F Tanweer presented an audit of parotidectomies at his hospital in Doncaster. The topic generated a heated discussion amongst the 20 members present.

The next discussion was on cochlear implant surgery in developing countries like Pakistan; Mr M Khan discussed the prospects of this surgery for patients who can’t afford to pay. Mr Khan plans to start a consultation process with other members to address this problem.

Continuing on the charity theme, Mr Anwar Moin Khan talked about charitable work which ENT surgeons can do when visiting Pakistan during their vacations, at a hospital in Karachi. They can contact Mr Anwar Moin Khan when they are planning to make their trip. The members thanked Mr Anwar Moin Khan for arranging the meeting in Cardiff.

The meeting was followed by a lavish buffet dinner at the same restaurant and members were joined by their families. The occasion allowed social contact amongst the members and their families. The next meeting is in the North West of England in Autumn 2007.

3rd Meeting of International Medical Graduates in the UK in ENT

Venue: Eastern Pearl Restaurant, Longsight, Manchester, UK.

Date: 4/11/06. 

Report by: Mr Hasan Khan, Clinical Fellow in Otolaryngology, Pinderfield Hospital, Yorkshire.

The 3rd Meeting of International Medical Graduates (lMGs) continues to provide a forum where IMGs in ENT can discuss various issues relating to their training and future job prospects besides gaining career advice from their senior colleagues amidst rapid changes occurring in the NHS. The meeting was attended by about 45 consultants, associate specialists, staff grades, SPRs and SHOs, as well as their families, who had travelled in from all over the UK.

After a brief introduction, Mr MH Khan introduced the first speaker, Mr Anwar Moin Khan, SPR from Wales, who talked about the training of ENT surgeons in developing countries. He recommended an exchange programme between ENT trainees in developed and developing countries, which would be of mutual benefit to both as well as facilitating trainees to come to UK.

The next speaker was one of the trainees, Mr Faiz Tanweer from Doncaster, who gave an interesting presentation on Paget’s disease in ENT affecting hearing; this was critically appraised in terms of content and presentation technique.

Mr Shahid Quraishi, Consultant ENT from Doncaster, gave an interesting presentation on his coin collection, some of which dates back to the 6th century AD. He described the unique history behind the various coins as well the events in history at that period. The coin collection was also exhibited for everyone to see and appreciate the hard work he has put into this hobby.

The next presentation was by Mr Junaid Hanif, Consultant ENT Norwich Hospitals, on the future of ENT training in the UK, the seamless training starting in 2007, BOT (basic otolaryngology trainee) instead of ST1 and ST2 and the intercollegiate MRCS exam in otolaryngology.

The last speaker was Prof of General Practice in Manchester, Dr Aneez Esmail, who spoke about the new proposals for revalidation, fitness to practise and how the UK will be leading the way in how revalidation is assessed. He noted that this would be a prerequisite for the registration of consultants, general practitioners and training doctors and how the current system would not stop doctors like Dr Shipman, who was liked by his colleagues and patients, from wilfully harming patients. Now the law to prove doctor’s guilt has changed from criminal to civil, making it much easier to do so.

The afternoon session ended with a sumptuous Indian meal and a dessert of traditional carrot halwa This was immensely enjoyed by everyone. The evening also provided an opportunity for doctors in the specialty to relax as well provide an entertaining social event for the whole family. The proposed venue for the next event is Cardiff, to be held in six months’ time.

2nd Meeting of International Medical Graduates in the UK in ENT

Venue: London, UK.

Date: 13th May, 2006. 

Report by: Mr Naveed Khan, (ClinicaI Fellow in Ototaryngology. Hope Hospital, Salford, Manchester. UK.)

The 2nd meeting of International Medical Graduates (IMGs) in ENT took place at Northwick Park Hospital, Harrow, London, under the leadership of Mr Ali Kalan, Consultant ENT Surgeon. The purpose of the meeting was to continue to provide a forum where IMGs in ENT can discuss various issues relating to their training and job prospects, besides gaining career advice from their senior colleagues amidst rapid changes occurring in the NHS. More than 30 consultants, Assoc. Spec, staff grades, SpRs and SHOs from all over the UK attended the meeting.

The meeting started with a mock SpR interview. The interview was conducted by Mr Ali Kalan and Mrs Rajput, Consultant Audiological Physician at Great Ormond Street Hospital for Sick Children. The candidate was asked questions on common topics as he would in a formal setting. The answers were critically analysed by the consultants doing the interview. All the participants were then allowed to take part in the discussion that followed regarding interview techniques.

Mrs K Rajput gave a lecture entitled ‘How to prepare for an interview.’ She emphasised the importance of knowledge of current issues afflicting NHS and the changes that are taking place in the training grades.

Mr Khalid Ghufoor, Consultant ENT Surgeon at St Bartholomew’s Hospital London NHS Trust spoke eloquently on ‘How to prepare a winning CV.’ Working in a large teaching hospital, he has to look at a good number of CVs. In particular he described what it takes to make an eye catching CV among the plethora of CVs that consultants must go through in order to create a short listing of candidates. At the end of his talk, Mr Ghufoor spoke about the new visa rules for post-graduate training of overseas doctors, and he highlighted the importance of getting a Highly Skilled Migrant Programme Visa to remain employable in the current system.

A slideshow presentation about the current state of its affairs regarding Article 14, sent by PMETB, was delivered by Mr H Khan. The implication of this article and its effect on the careers of SAS Grade doctors was highlighted. He stressed the importance of taking the Inter-Collegiate FRCS in Otolaryngology examination, which SAS doctors might have to pass to prove their clinical knowledge and experience.

The afternoon session ended with a sumptuous Indian (Kenyan flavour) meal, which was relished by the delegates. Mr Kalan thanked all the delegates and the speakers, and his efforts to organise the meeting and the meal was greatly appreciated by all.

Inaugural Meeting of International Medical Graduates in ENT in the UK

Venue: Manchester, UK.

Date: 12th November, 2005. 

Report by: Mr Yousuf Saleem, SpR in Otolaryngology, Hope Hospital, Salford, Manchester.

The purpose of this meeting was to exchange views among international graduates from South Asia, especially from Pakistan and India, and to obtain sound career advice from senior colleagues. This meeting was an informal gathering and was attended by about 25 consultants, SAS and trainee doctors in ENT. There was a separate social programme for spouses and children. There were three invited speakers.

The meeting was opened by a very interesting talk on ‘How to Get your Papers Published’ by Mr Ray Clarke, ENT Consultant at Alder Hey Children’s Hospital, Liverpool. Being the Editor of ENT News, Mr Clarke gave some very useful tips on how to write papers and how to get them published.

The next talk was given by Mr Musheer Hussain, ENT Consultant at Ninewells Hospital and Medical School, Dundee, on ‘Enhancing Scholarly Activity in Otolaryngology’ Delegates were told how to look around for ideas and set up research projects. The need for scholarship and the role of a mentor was emphasised.

The final talk was on a very informative topic for trainees, ‘How to prepare your CV’ by Mr Shakeel Saeed, ENT Consultant, Skull Base Surgeon, Hope Hospital, Salford and Manchester Royal Infirmary. Mr Saeed deals with lots of CVs as the Programme Director in the North West Region and gave valuable advice on how to present a CV for trainee posts in Otolaryngology. The talks were followed by a lively question and answer session. Mr Haroon Z Khan gave the vote of thanks.

Delegates then partook in a delicious Indian meal with mouth-watering starters and Raas Malai for dessert.

I thought this Inaugural Meeting was excellent. There are plans to hold future meetings on similar lines to cover topics of interest. The venue will move around.

ENT NEWS | VOLUME 15 NUMBER 1 | MARCH/APRIL 2006

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