Editorial Contents 2012 UltrasoUnd training CoUrses 08 03 Editorial 04 Anaesthesia Digested 2012 Course Dates: Introductory Ultrasound Guided Regional Anaesthesia 6 – 7 February 14 – 15 May 11 – 12 June 19 – 20 November Ultrasound Guided Venous Access 2 February 26 April 11 October 8 November Ultrasound Guided Chronic Pain Management Dates to be confirmed Venue: SonoSite Education Centre – Hitchin For the full listing of SonoSite training and education courses, dates and to register go to: www.sonositeeducation.co.uk Course Dates Location Organisers 6 – 7 January Newcastle (A) Dr Ian Harper 13 –14 April Bristol (A) Dr Barry Nicholls – co-organiser Dr Tony Allan 9 –10 July Brighton (A) Dr Susanne Krone 20 – 21 September Liverpool Dr Steve Roberts 30 November – 1 December Nottingham (A) Dr Nigel Bedforth Faculty will vary depending on location © 2011 SonoSite, Inc. All rights reserved. 10/11 10% Discount for ESRA members – 15% Discount for RA-UK (FULL) members. Cost: £400 / £500 (A) including a CD with presentations and course notes. Pre-course material can be downloaded once registered on the course – including US physics, anatomy of the brachial / lumbar plexus, current articles of interest and MCQ’s. A pre course questionnaire will be sent 30 days before each course. Programme Day 1 • Ultrasound a ppearance of the nerves • Machine characteristics and set-up • Imaging and needling techniques • Common approaches to the brachial plexus / upper / lower limb • Workshops – using phantoms / models / cadaveric prosections (A) SonoSite, the world leader and specialist in hand-carried ultrasound, has teamed up with some of the leading specialists in the medical industry to design a series of courses, for both novice and experienced users, focusing on point-of-care ultrasound. Introductory Ultrasound Guided Regional Anaesthesia The two-day introductory course is designed to teach those who have little or no experience in the use of ultrasound in their normal daily practice. The course comprises of didactic lectures on the physics of ultrasound, ultrasound anatomy and regional anaesthesia techniques. The lectures and hands-on sessions will concentrate on the brachial plexus, upper and lower limb blocks. Ultrasound Guided Venous Access This one-day course is aimed at physicians and nurses involved with line placement and comprises didactic lectures, ultrasound of the neck, hands-on training with live models, in-vitro training in ultrasound guided puncture and demonstration of ultrasound guided central venous access. The emphasis is on jugular venous access, but femoral, subclavian and arm vein access will also be discussed. Ultrasound Guided Chronic Pain Management The course is aimed at chronic pain specialists, or other interested parties practising in chronic pain medicine who have little or no experience of musculoskeletal ultrasound and who wish to obtain an introduction to ultrasound in chronic pain medicine skills. Fees: £375 (two-day courses) includes VAT, lunch, refreshments and course materials. £260 (one-day courses) includes VAT, lunch, refreshments and course materials. If you have any questions or should need further information please contact: Jes Tiller, SonoSite Ltd, Alexander House, 40A Wilbury Way, Hitchin Herts, SG4 0AP Tel: +44 (0) 1462 444800 Fax: +44 (0) 1462 444801 E-mail: education@sonosite.com 2012 UltrasoUnd gUided regional anaesthesia – beyond introdUCtory These courses are organised by Regional Anaesthesia UK (RA-UK) in conjunction with SonoSite Ltd for training in ultrasound guided regional anaesthetic techniques. Previous experience in regional anaesthesia is essential. Day 2 • Consent / training and image storage • Upper / lower limb techniques • Abdominal / thoracic techniques • Cervical plexus / spinal / epidural / pain procedures • Workshops – using phantoms / models / cadaveric prosections (A) (A) – Anatomy based courses / with cadaveric prosections For further information and to register logon to www.sonositeeducation.co.uk © 2011 SonoSite, Inc. All rights reserved. 10/11 1321_AN December 2011 Half Page Ads Split v5.indd 1 26/10/2011 16:04 A giant leap This month is longer than usual as it is a leap year, and there are some momentous events planned (and no doubt unplanned). SpaceX is scheduled to become the first commercial company to launch a space vehicle (the Dragon) and have it dock with the International Space Station. This landmark NASA/commercial venture surely has some parallels with the current direction of the NHS – let’s hope it is a successful mission. The AAGBI ‘s education team are out and about this month, with Core Topics meetings in Dublin (10th) and Liverpool (24th) and the Scottish meeting in Dundee on the 24th, as well as numerous seminars and so on. If you can’t make these, do visit the website - the video platform now has a large number of really excellent talks on a wide variety of topics. In this month’s Anaesthesia News there is an update from the Hon Treasurer, Paul Clyburn, about the state of the Association’s finances. It is important that you have the opportunity to review the way in which your subscriptions are being spent, and we would be delighted to hear from you on this subject. I think it is important for those of us who are well past the early years of anaesthetic and medical training to be reminded from time to time of what training is like, and we have two articles this month (on pages 12 and 17) which shed light on this from different angles. Further help for trainers can be found in the article about the e-Portfolio on page 14 and the article on page 22, which, although it is about debriefing following OOPE, has wider relevance. Last but not least, I would like to draw your attention to the notice on page 4: we are looking for the next Editor of this newsletter. I have found this to be a challenging, interesting, humbling and entertaining commitment. I definitely thought that it was a leap too far for me, and was persuaded to take on the role somewhat reluctantly. Whilst I leave you to pass judgement on the success or otherwise of my efforts, I have undeniably achieved more than I thought I could. I say this in order to encourage those of you whose first thought is ‘No, I couldn’t possibly…’ to re-consider. Yes, you can! Val Bythell The Association of Anaesthetists of Great Britain and Ireland 21 Portland Place, London W1B 1PY Telephone: 020 7631 1650 Fax: 020 7631 4352 Email: anaenews@<strong>aagbi</strong>.org Website: www.<strong>aagbi</strong>.org Anaesthesia News Editor: Val Bythell Assistant Editors: Kate O’Connor (GAT), Nancy Redfern and Felicity Plaat Address for all correspondence, advertising or submissions: Email: anaenews@<strong>aagbi</strong>.org Website: www.<strong>aagbi</strong>.org/publications/anaesthesia-news Design: Christopher Steer AAGBI Website & Publications Officer, Telephone: 020 7631 8803 Email: chris@<strong>aagbi</strong>.org Printing: Portland Print 05 President’s Report 06 AAGBI Finances – an overview 08 The History of ‘Biopsychosocial’ Pain – A Tale of Gladiators, War, Papal Doctrine and a Wrestler 10 A dark obsession 12 Starting my first foundation year at the age of 41 14 How to survive e-Portfolio: A brief guide for trainees and trainers 17 Warning! Concerns of a first year core trainee 18 Ironman Triathlon: Old Consultants did it years ago! 22 Debriefing and reflective learning for Out of programme experience. 26 Particles 28 Your Letters Copyright 2011 The Association of Anaesthetists of Great Britain and Ireland The Association cannot be responsible for the statements or views of the contributors. No part of this newsletter may be reproduced without prior permission. Advertisements are accepted in good faith. Readers are reminded that Anaesthesia News cannot be held responsible in any way for the quality or correctness of products or services offered in advertisements. Anaesthesia News February 2012 Issue 295 3 10 14 12 18 3