2008 Summer Meeting - Leeds - The Pathological Society of Great ...

P151P153The Central & Northern Research CollaborativeSPaine 1 ,JLowe 1 ,MIlyas 11 University of NottinghamThe Royal College of Pathologists and the Pathological Society are supportingcollaboratives in the UK to stimulate academic and research activity amongstestablished researchers and trainees. There are four collaboratives which coverthe UK.The Central & Northern Research Collaborative (CNRC, covering EastMidlands/ Northern England) has been active in developing a researchsupportiveinfrastructure. There have been two CNRC meetings (November2007 and May 2008). In addition to stimulating collaborative research, agreeddesired objectives were mentorship for trainees, sharing of teaching materialsand establishment of training courses. The meetings' consensus was that ameans of easily gathering/disseminating information was essential to achievingthese objectives. This could be best achieved via a website containing all theinformation essential to the activities of the Collaborative (available projects,techniques, biological resources, lecturing materials etc.).The CNRC has taken a number of steps forward. The architecture of the CNRCis Specialist Groups (centred around organ systems) with a chosen lead for eachgroup to oversee activity. A community based website (www.ipath.org.uk) hasbeen established with each Specialist Group forming a community. All personsare invited to register their interests/expertise and tag clusters are allowing newcommunities to emerge. Collaborative projects between Nottingham and Leedshave been developed together with some exchange of teaching materials.Training courses in PCR and Laser Capture Microdissection are planned.Ultimately, it is hoped that joint tissue resource will develop to expeditedevelopment of multi-centre projects.This abstract as been withdrawnprior to the MeetingP152The impact of the european working time directives onmodern surgical traineesSRahmani 1 ,JMacfie 21 Leeds General Hospital, 2 Scarborough General HospitalIntroductionThe European working time directive (EWTD) was introduced to establishminimum safety and health requirements for employment. The effects EWTDwill have on surgeons in training are unknown. The aim of this study was toevaluate the effects of EWTD implementation on the quality of life and trainingof surgical speciality trainees.Materials and MethodsQuestionnaires were posted to all 250 surgical trainees in Yorkshire. Subjectiveevaluation of training and theatre exposure in the three months before and thethree months after enforcement of the EWTD were investigated, substantiatedby objective logbook records. Groups were compared using the Wilcoxonsigned rank test.Results50 responses were received. 30 trainees (60%) were working more hours thanpermitted, with 19 claiming to working >6 hours per week extra. EWTD did notappear to effect overall patient management (p=0.423), continuity of care(p=0.954), teamwork (p=0.647) or theatre exposure (p=0.677) as subjectivelyassessed by the trainees. Objective logbook data, however, showed that traineeswere operating significantly less (p=0.025) after EWTD implementation,tending to act more as assistants and less as operating surgeons. Overall, 62%of trainees felt that derogation should be made with EWTD.ConclusionsThere are early signs that the EWTD is subjectively and objectively detrimentalto the well being and training requirements of future surgeons, with indicatorsof increased job dissatisfaction and stress, along with poorer trainingopportunities. Assessments were hampered because logbooks are no longermandatory for speciality membership examinations.P154Audit of Correlation Between Respiratory Cytology andHistologySA Thiryayi 1 ,DN Rana 1 , P Shenjere 2 , PS Hasleton 21 Manchester Cytology Centre, 2 Department of Histopathology,Manchester Royal InfirmaryA retrospective audit covering a one year period was undertaken to assess thecorrelation between respiratory cytology and histology diagnoses and thereasons for mismatches with calculation of the diagnostic accuracy ofrespiratory cytology.There were 258 respiratory cytology specimens from 174 patients, 58(33.3%) of whom had corresponding histology specimens. Inadequate cytologysamples totalled 17 (6.6%), 11 of which were lung fine needle aspirates (FNA).There was diagnostic correlation in 44 cases (75.8%). In 12 cases there was amismatch with negative cytology and positive histology, 2 of which were truefalse negatives with the other 10 cases negative due to sampling error or poorpreservation. In 2 cases with positive cytology and negative histology, thecytology diagnoses were considered true positives on review, while thehistology diagnoses were altered on review.The sensitivities of the adequate cytology specimens were 80% for lavage,84.5% for bronchial brushings, 74.1% for bronchial trap/washing, 100% forlung FNA and 50% for sputum. This represented an improvement for allspecimen types from a previous audit and is comparable to figures in theliterature.Overall there was good correlation between respiratory cytology andhistology diagnoses. The majority of false negative cytology specimens weredue to non representative sampling. The high level of inadequate lung FNAsamples has been evaluated in a recent audit and recommendations made forimprovement.70 Summer Meeting (194 th ) 1–4 July 2008 Scientific Programme