issue 5, 2010 - British Division of the IAP
issue 5, 2010 - British Division of the IAP
issue 5, 2010 - British Division of the IAP
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JANUARY <strong>2010</strong><br />
FUTURE MEETINGS<br />
3rd Trainees Meeting<br />
London, March 2nd <strong>2010</strong><br />
Upper GI Pathology,<br />
Ainley Top, West Yorkshire<br />
14-15th May <strong>2010</strong><br />
<strong>IAP</strong> International Congress,<br />
Sao Paolo, Autumn <strong>2010</strong><br />
Head and Neck Pathology,<br />
London,<br />
26-27th November <strong>2010</strong><br />
Ghent Pathology, 9-13th<br />
May 2011<br />
Inside this Issue<br />
President’s Column 1,2,3<br />
MSc in Death and<br />
Bereavement 3<br />
Inaugural East African School<br />
<strong>of</strong> Pathology 4,5<br />
BD<strong>IAP</strong> African Developments<br />
5,6,7<br />
Report from Junior Councillors<br />
8,9<br />
Cunningham and President’s<br />
Medals 9<br />
From <strong>the</strong> <strong>Division</strong>al Editor 10<br />
Highlights from 2009 11<br />
The <strong>British</strong> <strong>Division</strong> <strong>of</strong> <strong>the</strong> International Academy <strong>of</strong> Pathology<br />
www.bdiap.org<br />
BD<strong>IAP</strong> PRESIDENT<br />
PROFESSOR GERAINT T WILLIAMS<br />
Well, <strong>the</strong> noughties have passed in a<br />
flash, and here we are in <strong>2010</strong>. Happy<br />
New Year!<br />
2009 has been ano<strong>the</strong>r good year for<br />
<strong>the</strong> BD<strong>IAP</strong>. We have continued to expand<br />
our membership, and it is very<br />
gratifying to see not only a growing<br />
number <strong>of</strong> trainee members, but also<br />
most <strong>of</strong> those young pathologists converting<br />
to full membership when <strong>the</strong>ir<br />
training is complete. We have delivered<br />
high quality educational meetings for<br />
our members and for trainees, we have<br />
developed fur<strong>the</strong>r our support for<br />
pathologists in disadvantaged countries,<br />
our journal Histopathology has<br />
had its most successful year yet and,<br />
thanks to this success and <strong>the</strong> skills <strong>of</strong><br />
our Treasurer Ray McMahon, our finances are in good shape despite <strong>the</strong><br />
recession.<br />
For me, <strong>the</strong> most challenging but (eventually) satisfying experience <strong>of</strong> 2009<br />
was hosting, with Bharat Jasani, Cardiff Pathology 2009, <strong>the</strong> BD<strong>IAP</strong>’s fourday<br />
joint meeting with <strong>the</strong> Pathological Society. I am blessed in not being a<br />
martyr to insomnia, but this was tested to breakpoint six months before <strong>the</strong><br />
meeting. We discovered that Cardiff University, whose conference venue<br />
we had booked, had redeveloped its on-site facilities at <strong>the</strong> end <strong>of</strong> 2008<br />
without telling us, in such a way that <strong>the</strong>re was now space for ei<strong>the</strong>r posters<br />
or refreshments at <strong>the</strong> meeting, but not for both! Despairingly, we had to<br />
search last minute for a new venue and, thanks to an excellent conference<br />
agency, and probably <strong>the</strong> downturn in <strong>the</strong> economy, we were able to relocate<br />
<strong>the</strong> meeting to <strong>the</strong> newly refurbished 4-star Holland House Hotel in<br />
Cardiff’s City Centre for an extremely favourable hire fee. In retrospect, <strong>the</strong><br />
Presentation <strong>of</strong><br />
Cunningham and President’s<br />
Medals at<br />
The Autopsy Meeting,<br />
London,<br />
November 2009
Page 2<br />
gods were looking after us because not only were<br />
<strong>the</strong> facilities excellent, but <strong>the</strong>y meant that <strong>the</strong> meeting<br />
took place in a fully air conditioned environment<br />
during <strong>the</strong> hottest week <strong>of</strong> 2009 – we would have<br />
melted if we had stayed at <strong>the</strong> University!<br />
Feedback on Cardiff Pathology 2009 suggested that<br />
we had been successful in blending <strong>the</strong> science <strong>of</strong><br />
pathology with its clinical practice, and <strong>the</strong> quality <strong>of</strong><br />
<strong>the</strong> pr<strong>of</strong>fered papers was very high. For us, collaborating<br />
with colleagues from <strong>the</strong> BD<strong>IAP</strong> and <strong>the</strong><br />
Pathological Society (and a number <strong>of</strong> o<strong>the</strong>r groups)<br />
during <strong>the</strong> organisation was extremely easy and<br />
pleasurable. We had a lecture from Sir Martin Evans,<br />
one <strong>of</strong> Cardiff’s Nobel Laureates, <strong>the</strong>re were<br />
invited speakers from Germany, Japan, <strong>the</strong> Ne<strong>the</strong>rlands,<br />
Sweden, <strong>the</strong> United States, and pathologists<br />
<strong>of</strong> all ages shook <strong>the</strong> City Hall after <strong>the</strong> Conference<br />
Dinner as <strong>the</strong>y danced to <strong>the</strong> music <strong>of</strong> Dr Allen<br />
Gibbs’s jazz band. It was a particular pleasure to<br />
welcome Pr<strong>of</strong>essor Femi Ogunbiyi, President <strong>of</strong> <strong>the</strong><br />
Anglophone West African <strong>Division</strong> <strong>of</strong> <strong>the</strong> <strong>IAP</strong>, and<br />
his colleagues to <strong>the</strong> meeting and to discuss with<br />
<strong>the</strong>m how <strong>the</strong> BD<strong>IAP</strong> might support <strong>the</strong> US and Canadian<br />
<strong>Division</strong> in providing pathology education in<br />
that part <strong>of</strong> Africa.<br />
As President, I had <strong>the</strong> pleasure <strong>of</strong> attending two<br />
o<strong>the</strong>r very successful BD<strong>IAP</strong> meetings during <strong>the</strong><br />
last year. The novel and imaginative One-Day<br />
Seminar for Trainees on Laboratory Techniques,<br />
designed and organised by Lisa Browning and Katie<br />
Robertson, was well attended and special thanks<br />
are due to Cathy Corbishley who ensured that trainees’<br />
attention was maintained to <strong>the</strong> very end by<br />
holding a wide-ranging Q&A session on <strong>the</strong><br />
FRCPath examination. Our Annual Symposium in<br />
November on <strong>the</strong> Autopsy was terrific, at least for<br />
me as someone who has not done an autopsy for<br />
25 years, and I am very grateful to all those involved<br />
for broadening my mind!<br />
2009 was <strong>the</strong> year when our aspirations for supporting<br />
pathology education in East Africa, led by Alec<br />
Howat, began to come to fruition. These exciting<br />
developments are described in detail elsewhere in<br />
<strong>the</strong> newsletter, but I would particularly like to thank<br />
Alec for his outstanding input, and to draw readers’<br />
attention to <strong>the</strong> fact that <strong>the</strong> BD<strong>IAP</strong>’s investment in<br />
<strong>the</strong> successful training <strong>of</strong> Dr Ahmed Kalebi in South<br />
Africa over <strong>the</strong> last four years has paid dividends.<br />
Ahmed passed <strong>the</strong> Final Fellowship (FCPath) examinations<br />
and has now returned home to Nairobi<br />
to play a major role in <strong>the</strong> development <strong>of</strong> a new<br />
East African <strong>Division</strong> <strong>of</strong> <strong>the</strong> <strong>IAP</strong>. The o<strong>the</strong>r three<br />
“<strong>British</strong>” Schools <strong>of</strong> Pathology – Arab, Bosnian, and<br />
Sri Lankan - continue to go from strength to strength<br />
BD<strong>IAP</strong> NEWSLETTER<br />
and I am immensely grateful to all <strong>of</strong> our members<br />
who have given freely <strong>of</strong> <strong>the</strong>ir time to each <strong>of</strong> <strong>the</strong>se<br />
Schools this year. Following Stefan Dojcinov’s contribution<br />
to <strong>the</strong> <strong>British</strong> Bosnian School, two clinical scientists<br />
from Sarajevo have visited Cardiff to develop<br />
<strong>the</strong>ir expertise in <strong>the</strong> molecular diagnostics <strong>of</strong> lymphomas.<br />
It is a great pleasure to report that Pr<strong>of</strong>essor Claude<br />
Cuvelier, our Past President, has been elected an<br />
European Vice-President <strong>of</strong> <strong>the</strong> International Academy<br />
<strong>of</strong> Pathology – a worthy reflection <strong>of</strong> his standing<br />
among pathologists across <strong>the</strong> continent. He succeeds<br />
Pr<strong>of</strong>essor Kristin Henry, who will soon achieve<br />
<strong>the</strong> ultimate accolade <strong>of</strong> President <strong>of</strong> <strong>the</strong> (worldwide)<br />
<strong>IAP</strong> (she is currently President-Elect). This honour is<br />
a reflection <strong>of</strong> Kristin’s sustained contribution to <strong>the</strong><br />
<strong>IAP</strong> over many years, and particularly to developing<br />
pathology education internationally. It was our pride<br />
in her achievements that made her <strong>the</strong> obvious<br />
choice to receive <strong>the</strong> BD<strong>IAP</strong>’s President’s Medal for<br />
education in 2009, and I had <strong>the</strong> privilege <strong>of</strong> presenting<br />
this to her at <strong>the</strong> Dinner in November. I also had<br />
<strong>the</strong> immense pleasure <strong>of</strong> presenting <strong>the</strong> BD<strong>IAP</strong>’s<br />
o<strong>the</strong>r major award, <strong>the</strong> Cunningham Medal for service<br />
to <strong>the</strong> BD<strong>IAP</strong>, to Carol Harris, who has been our<br />
Administrative Secretary for 15 years. Carol’s efficiency,<br />
loyalty, and willingness to ‘go <strong>the</strong> extra mile’<br />
has been <strong>the</strong> stable foundation that has allowed <strong>the</strong><br />
BD<strong>IAP</strong> to flourish over <strong>the</strong> years while Presidents,<br />
Officers, and Councillors come and go. Long may<br />
she continue!<br />
I also feel compelled to congratulate Pr<strong>of</strong>essor Mike<br />
Wells, his editorial team, and colleagues from Wiley-<br />
Blackwell led by Elizabeth Whelan, on <strong>the</strong> success <strong>of</strong><br />
<strong>the</strong> BD<strong>IAP</strong>’s journal Histopathology. For <strong>the</strong> first<br />
time, <strong>the</strong> journal’s impact factor has risen above 4,<br />
surpassing nearly all international competitors, and<br />
while it is true that impact factors are not everything,<br />
<strong>the</strong>y do represent one objective indicator <strong>of</strong> a journal’s<br />
quality. The benefits <strong>of</strong> a number <strong>of</strong> innovations<br />
that Mike has introduced over <strong>the</strong> last few years<br />
are becoming obvious. Mike’s term <strong>of</strong> <strong>of</strong>fice as Editor<br />
will come to an end in January 2012, and during <strong>the</strong><br />
coming year we will be looking to recruit a successor<br />
from <strong>the</strong> membership <strong>of</strong> <strong>the</strong> BD<strong>IAP</strong>. Expressions <strong>of</strong><br />
interest (made to me in <strong>the</strong> first instance) would be<br />
extremely welcome.<br />
One important change to <strong>the</strong> Officers <strong>of</strong> <strong>the</strong> BD<strong>IAP</strong> in<br />
2009 has seen Neil Shepherd’s term <strong>of</strong> <strong>of</strong>fice as<br />
General Secretary come to an end, and his replacement<br />
by Andrew Nicholson. Neil’s enthusiastic efficiency<br />
and effectiveness in getting things done, and<br />
his unremitting devotion to <strong>the</strong> BD<strong>IAP</strong>, are legendary<br />
and we are truly grateful for his services for <strong>the</strong> last
ISSUE 5<br />
nine years. Fortunately, he has accepted Council’s<br />
unanimous invitation to be our next President.<br />
What <strong>of</strong> <strong>2010</strong>? We will do our utmost to continue<br />
providing educational support for pathologists in<br />
<strong>the</strong> BD<strong>IAP</strong>, and in disadvantaged parts <strong>of</strong> <strong>the</strong><br />
world. Last year I expressed my concern that we<br />
were not receiving more requests for student elective<br />
scholarships, BSc studentships, and travel<br />
bursaries, and I reiterate my invitation to members<br />
to apply. I am also concerned that so few members<br />
are asking <strong>the</strong> BD<strong>IAP</strong> to support <strong>the</strong>ir applications<br />
for national Clinical Excellence Awards. While<br />
we should not overestimate whatever influence we<br />
MSc in Death, Bereavement and Human T<strong>issue</strong> Studies<br />
Mr Martin Goddard, recipient <strong>of</strong> <strong>the</strong> BD<strong>IAP</strong> Studentship<br />
I’m Martin Goddard and for 9 years I have been<br />
an Anatomical Pathology Technician for <strong>the</strong><br />
Royal Devon & Exeter NHS Trust. Working in a<br />
Mortuary is challenging, both physically and<br />
emotionally: APTs provide technical assistance<br />
to pathologists during <strong>the</strong> autopsy process, facilitate<br />
viewing <strong>of</strong> <strong>the</strong> deceased by <strong>the</strong>ir next <strong>of</strong> kin<br />
and ensure timely completion <strong>of</strong> legal documentation<br />
for burial or cremation. The classical view<br />
<strong>of</strong> Mortuary staff was that <strong>of</strong> pale, loping old men<br />
<strong>of</strong> low intelligence working in <strong>the</strong> dingy bowels <strong>of</strong><br />
a hospital, a view sadly still held by some today.<br />
Much has been done by bodies such as <strong>the</strong> Association<br />
<strong>of</strong> Anatomical Pathology Technicians<br />
and <strong>the</strong> Royal College <strong>of</strong> Pathologists to dispel<br />
this myth, and today <strong>the</strong> range and depth <strong>of</strong> understanding<br />
required to be an APT is substantial.<br />
Knowledge <strong>of</strong> legal frameworks such as <strong>the</strong> Human<br />
T<strong>issue</strong> Act, Coroners Rules and Cremation<br />
Act are central to my job, and an understanding<br />
<strong>of</strong> grief is essential where dealing with <strong>the</strong> bereaved,<br />
as well as tact and diplomacy.<br />
I completed my Certificate in Anatomical Pathology<br />
Technology in 2003 and Diploma in 2004,<br />
and it became apparent that no fur<strong>the</strong>r academic<br />
opportunities existed, apart from a small selection<br />
<strong>of</strong> vocational qualifications, each <strong>of</strong> limited<br />
scope. In <strong>the</strong> summer <strong>of</strong> 2006 Dr Debbie Cook,<br />
a Forensic Pathologist, told me <strong>of</strong> <strong>the</strong> MSc in<br />
Death, Bereavement and Human T<strong>issue</strong> Studies<br />
at Staffordshire University. I am interested in improving<br />
bereavement services, both locally and<br />
nationally, as <strong>the</strong>y are a sadly neglected area <strong>of</strong><br />
patient care, so I enrolled upon <strong>the</strong> course and<br />
applied for a bursary from <strong>the</strong> <strong>British</strong> <strong>Division</strong> <strong>of</strong><br />
<strong>the</strong> International Academy <strong>of</strong> Pathology, through<br />
Page 3<br />
might have on <strong>the</strong>se, it is disappointing that while<br />
we are allowed to support up to 10 applications for<br />
Bronze level awards, we only had two requests to<br />
do so this year. So, don’t be coy!<br />
As for formal educational meetings in <strong>2010</strong>, we<br />
can look forward to ano<strong>the</strong>r Trainees’ Seminar on<br />
2 nd March, a Symposium on Upper Gastrointestinal<br />
Pathology at Ainley Top in Yorkshire on 14-15 th<br />
May, and a Symposium on Head & Neck Pathology<br />
in London on 26-27 th November. Then <strong>the</strong>re is<br />
<strong>the</strong> <strong>IAP</strong> International Congress in Sao Paolo in October,<br />
with all <strong>of</strong> <strong>the</strong> promises <strong>of</strong> Brazilian hospitality.<br />
See you <strong>the</strong>re?<br />
Pr<strong>of</strong>essor Geraint T Williams, BD<strong>IAP</strong> President<br />
<strong>the</strong> National Bereavement Partnership. My application<br />
was successful, and I began <strong>the</strong> course in<br />
early 2007. Unfortunately my wife had a recurrence<br />
<strong>of</strong> serious illness, and I put my studies on hold, but I<br />
rejoined <strong>the</strong> degree in a new cohort when she recovered.<br />
Death and bereavement may seem a sombre and<br />
somewhat depressing field <strong>of</strong> learning. It is a inevitable<br />
phase which we all pass through and at a time<br />
when lives are touched by <strong>the</strong>se circumstances I<br />
feel, as do many <strong>of</strong> my colleagues, it is <strong>of</strong> <strong>the</strong> utmost<br />
importance to ensure that a efficient, caring<br />
and equitable service is delivered. The MSc equips<br />
pr<strong>of</strong>essionals working in <strong>the</strong> field <strong>of</strong> bereavement<br />
with <strong>the</strong> knowledge and skills to do just that. I have<br />
personally benefited from learning about models <strong>of</strong><br />
bereavement and communication, never before appreciating<br />
why people react in certain ways or what<br />
<strong>the</strong>ir needs are. The degree also focuses on <strong>the</strong> sad<br />
events <strong>of</strong> <strong>the</strong> organ retention scandals at Bristol,<br />
Alder Hey and so on. I’m sure all <strong>the</strong> cohort understood<br />
<strong>the</strong> circumstances <strong>of</strong> <strong>the</strong>se events from <strong>the</strong><br />
media perspective, but knew much less about <strong>the</strong><br />
health care providers’ standpoint. With this knowledge,<br />
we can help to ensure such tragedies do not<br />
occur again.<br />
Death can be defined in many ways, but until I attended<br />
this course I thought it was simply <strong>the</strong> end <strong>of</strong><br />
life. After only one short year <strong>of</strong> lectures and research<br />
I see death is far more complicated than I<br />
thought. It is an area <strong>of</strong> health care that is still immature<br />
and waiting to grow.<br />
Martin Goddard, Anatomical Pathology<br />
Technician
Page 4<br />
The Inaugural East African <strong>British</strong> School <strong>of</strong> Pathology<br />
Pr<strong>of</strong>essor Neil A Shepherd<br />
President-Elect, BD<strong>IAP</strong><br />
The Inaugural East African <strong>British</strong> School <strong>of</strong><br />
Pathology took place in Nairobi, Kenya between<br />
<strong>the</strong> 5 th and 7 th <strong>of</strong> August 2009. This was<br />
<strong>the</strong> 4 th “School <strong>of</strong> Pathology” that <strong>the</strong> BD<strong>IAP</strong><br />
has instituted to promote and facilitate pathological<br />
education in disadvantaged countries<br />
around <strong>the</strong> world. The initial Arab <strong>British</strong> School<br />
<strong>of</strong> Pathology, established now for nearly 10<br />
years, has been followed by Schools in Sri<br />
Lanka and Bosnia and now in East Africa.<br />
The School comprised a comprehensive threeday<br />
teaching package on <strong>the</strong> pathology <strong>of</strong> <strong>the</strong><br />
gastro-intestinal tract. The course Facilitator<br />
was Dr Ahmed Kalebi, our former BD<strong>IAP</strong> Fellow<br />
in South Africa, who has now qualified to<br />
practice independent pathology and has become<br />
Managing Director <strong>of</strong> Lancet Kenya Limited,<br />
a private Pathology facility in Nairobi. The<br />
programme was co-ordinated by this author<br />
and <strong>the</strong> lecturers were our current President,<br />
Pr<strong>of</strong>essor Geraint Williams, our current President-Elect,<br />
our current Treasurer, Dr Ray<br />
McMahon and Pr<strong>of</strong>essor Sebastian Lucas.<br />
The meeting took place in <strong>the</strong> Nairobi Hospital,<br />
a private hospital in Nairobi. In total, <strong>the</strong>re were<br />
nearly 100 delegates. These derived mainly<br />
Faculty & delegates at <strong>the</strong> Inaugural East<br />
African <strong>British</strong> School <strong>of</strong> Pathology.<br />
BD<strong>IAP</strong> NEWSLETTER<br />
Our President, Pr<strong>of</strong>essor Williams, presents<br />
Dr Ahmed Kalebi with a special gift from <strong>the</strong><br />
BD<strong>IAP</strong>.<br />
from <strong>the</strong> major East African countries, Kenya,<br />
Tanzania, and Uganda, but <strong>the</strong>re were also<br />
many delegates from a very considerable<br />
distance away. Countries represented included<br />
Ethiopia, Zambia, Zimbabwe, Botswana,<br />
Malawi, Rwanda and Burundi. There<br />
were also many delegates from South Africa,<br />
some travelling from Cape Town via Johannesburg<br />
all <strong>the</strong> way to Nairobi. Interaction<br />
between <strong>the</strong> speakers and <strong>the</strong> audience was<br />
excellent and <strong>the</strong> social events magnificent.<br />
The BD<strong>IAP</strong> is most grateful to Dr Ahmed<br />
Kalebi for his energetic organisation <strong>of</strong> <strong>the</strong><br />
meeting. He and his colleagues are to be<br />
particularly congratulated for providing such<br />
excellent educational material for <strong>the</strong> meeting,<br />
in <strong>the</strong> form <strong>of</strong> a 152 page “handout” <strong>of</strong><br />
abstracts, etc, and a CD containing all <strong>the</strong><br />
abstracts and powerpoint presentations <strong>of</strong> all<br />
<strong>the</strong> lectures. This school is but one aspect <strong>of</strong><br />
our endeavours to promote and facilitate<br />
pathological education in sub-Saharan Africa,<br />
as Dr Alec Howat’s report elsewhere in this<br />
Newsletter attests. The first School was enormously<br />
successful and we look forward to <strong>the</strong><br />
second school in Kampala, Uganda, in <strong>2010</strong>.
ISSUE 5 Page 5<br />
A waiter at <strong>the</strong> “Carnivore” restaurant in Nairobi takes exception to one <strong>of</strong><br />
Pr<strong>of</strong>essor Lucas’ jokes!<br />
BD<strong>IAP</strong> African Developments<br />
Dr Alec Howat, BD<strong>IAP</strong> Councillor<br />
It is now just over a year since Neil Shepherd<br />
and I attended <strong>the</strong> Association <strong>of</strong> Pathologists<br />
<strong>of</strong> Eastern, Central and Sou<strong>the</strong>rn<br />
Africa (APECSA) meeting in Mombasa; not<br />
only was this to support <strong>the</strong> meeting with<br />
educational help but also to get a better understanding<br />
<strong>of</strong> <strong>the</strong> <strong>issue</strong>s related to histopathology<br />
in <strong>the</strong> region. After that meeting, I<br />
produced a report which is available to view<br />
on our website (http://www.bdiap.org/Africa/<br />
Howat.Africa_report.pdf). That report gave<br />
an overview <strong>of</strong> <strong>the</strong> situation <strong>of</strong> histopathology<br />
in most countries in sub-Saharan Africa,<br />
gave some background and history and produced<br />
recommendations with an action plan<br />
(an excellent article on Development <strong>of</strong><br />
Laboratory medicine in East Africa was re-<br />
cently published by James Kitinya in <strong>the</strong><br />
<strong>IAP</strong>’s International Pathology –<br />
www.iaphomepage.org) . Our response<br />
to <strong>the</strong> action plan is as follows:<br />
1. Identify used but recent books; set up<br />
a database <strong>of</strong> departments and individuals<br />
interested in <strong>of</strong>fering this service.<br />
General pathology books such as<br />
Rosai’s Ackerman are needed in particular.<br />
Previous ‘nearly new’ editions<br />
are welcomed. East African <strong>Division</strong> <strong>of</strong><br />
<strong>the</strong> <strong>IAP</strong> (EAD<strong>IAP</strong>) secretariat will identify<br />
departments to receive <strong>the</strong> books.<br />
Books will be sent using our own charitable<br />
monies (or carried out by visitors).<br />
Actions – I carried several books giving<br />
some to each <strong>of</strong> 4 countries in April
Page 6<br />
BD<strong>IAP</strong> AFRICAN DEVELOPMENTS, continued<br />
BD<strong>IAP</strong> NEWSLETTER<br />
2009.<br />
- New editions <strong>of</strong> Rosai’s Surgical Pathology books have been sent to 12 depts.<br />
- 6 boxes with 165 used books from Manchester and Cardiff have been distributed by<br />
Ahmed Kalebi to 5 centres in Kenya, Rwanda, Tanzania and Uganda.<br />
2. Provide a ‘second opinion’ service, if desired, for cases that cannot be worked up properly<br />
ie those needing IHC. These may be relatively simple cases and not necessarily rarities.<br />
Actions – This is being taken forward in collaboration with<br />
The International Network for Cancer Treatment and Research (INCTR). The aim is to<br />
identify a team <strong>of</strong> experts for second opinions via telepathology; <strong>the</strong> maximum<br />
number <strong>of</strong> cases per week is envisaged to be 2-3 per expert. A pilot is being<br />
started at Aga Khan Hospitals in Nairobi, Kisumu, Dar and Mombasa. The<br />
BD<strong>IAP</strong> has been asked to identify Consultants willing to act as experts (see<br />
below).<br />
Patologi oltre Frontieri. This Italian Group has sited a number <strong>of</strong> telepathology systems<br />
in labs and uses rented satellite time for pathologists to report <strong>the</strong> cases; reports<br />
are returned electronically.<br />
3. Initiate an East African/<strong>British</strong> School <strong>of</strong> Pathology to be run like o<strong>the</strong>r BD<strong>IAP</strong>-linked<br />
schools.<br />
Actions – 1 st EABSoP on GI pathology held in Nairobi, August 2009, this being a great success.<br />
2 nd school will be in Kampala, September <strong>2010</strong> at <strong>the</strong> time <strong>of</strong> <strong>the</strong> APECSA meeting; <strong>the</strong><br />
subject will be breast pathology.<br />
4. Encourage FNA as this is highly cost-effective.<br />
Actions – Andrew Field from Australia runs FNA courses x3 annually.<br />
- East African Cytology Society meeting October 6th – 9 th (Mina Desai attending for<br />
<strong>British</strong> Society for Clinical Cytology).<br />
5. Continue to send lecturers/goodwill ambassadors to APECSA, South African <strong>Division</strong> <strong>of</strong> <strong>the</strong><br />
<strong>IAP</strong> (SAD<strong>IAP</strong>) and EAD<strong>IAP</strong> meetings.<br />
Actions – Ray McMahon, Geraint Williams, Neil Shepherd & Sebastian Lucas attended <strong>the</strong> 1 st<br />
EAD<strong>IAP</strong> meeting in August 2009. Andrew Nicholson attended <strong>the</strong> SAD<strong>IAP</strong> meeting. The next<br />
APECSA meeting is September <strong>2010</strong> in Kampala and will be held with <strong>the</strong> 2 nd EABSoP.<br />
6. Support African Pathologists to attend international meetings on condition that <strong>the</strong>y produce<br />
a poster or talk. This may stimulate activity back home.<br />
Actions – Bursaries are available for members <strong>of</strong> <strong>IAP</strong> <strong>Division</strong>s to attend meetings <strong>of</strong> <strong>the</strong><br />
BD<strong>IAP</strong> and undertake periods <strong>of</strong> training. In addition, <strong>the</strong> BD<strong>IAP</strong> will provide many Bursaries<br />
for African Pathologists to attend <strong>the</strong> <strong>IAP</strong> Congress, Cape Town 2012.<br />
7. Arrange for training/update periods <strong>of</strong> 2-6 months in BD<strong>IAP</strong> countries and Republic <strong>of</strong> South<br />
Africa (RSA).<br />
Actions – Discussions are on-going with Martin Hale regarding a trainee starting a 6 month initial<br />
training period. The trainee has been encouraged to apply for a 6 month position in Anatomical<br />
Pathology at Cape Town University; <strong>the</strong> performance and potential <strong>of</strong> <strong>the</strong> trainee will<br />
<strong>the</strong>n be assessed before supporting a longer period <strong>of</strong> training.<br />
8. Support <strong>the</strong> set-up <strong>of</strong> quality procedures including internal QC, external QA schemes, MDTs<br />
etc.<br />
Actions – This was a topic <strong>of</strong> one <strong>of</strong> my lectures (Quality in Histopathology) as part <strong>of</strong> <strong>the</strong> 2009<br />
Pathology Safari.<br />
9. Liaise with IBMS regarding improvement <strong>of</strong> technical services.<br />
Actions – 1 st BD<strong>IAP</strong> technical meeting (basic histology and IHC) is being held in Dar es Salaam<br />
in March/April <strong>2010</strong> under <strong>the</strong> tutelage <strong>of</strong> Olorunda Rotimi and Peter Jackson. I have<br />
also written to Ken Rae, new IBMS President, about collaboration on technical <strong>issue</strong>s.<br />
10. Encourage greater dialogue with clinicians who send samples to educate <strong>the</strong>m as to <strong>the</strong>
ISSUE 5<br />
value <strong>of</strong> histopathology.<br />
Actions – Part <strong>of</strong> general education in most lectures regarding clinico-pathological liaison,<br />
MDTs etc.<br />
11. Encourage BD<strong>IAP</strong> pathologists to do locum work in Africa; this will improve departments<br />
by sharing organisational competency and providing education. This is particularly pertinent to<br />
recently retired senior pathologists.<br />
Actions – I will be enquiring whe<strong>the</strong>r any BD<strong>IAP</strong> Histopathologists wish to do short or longer<br />
periods <strong>of</strong> work in sub-Saharan Africa (see below).<br />
12. Help local teams raise <strong>the</strong> political pr<strong>of</strong>ile <strong>of</strong> pathology and hence funding. Support from<br />
clinicians is needed to influence <strong>the</strong> health ministers.<br />
13. Support ‘Centres <strong>of</strong> Excellence’ at ? Jo’Burg, Nairobi and Cape Town. These should be<br />
used for referral cases.<br />
Actions for 12 & 13 – none specific so far.<br />
In addition to <strong>the</strong>se actions, <strong>the</strong> BD<strong>IAP</strong> is doing <strong>the</strong> following:<br />
College <strong>of</strong> Pathology <strong>of</strong> Eastern, Central and Sou<strong>the</strong>rn Africa (COPECSA). BD<strong>IAP</strong> Officers<br />
attended a meeting in Nairobi August 2009 to develop COPECSA. This<br />
was also attended by Archie Prentice (Vice President and President <strong>of</strong> <strong>the</strong><br />
Overseas Committee) and Daniel Ross (Chief Executive) from RCPath and<br />
Ken Fleming from AfOx. The BD<strong>IAP</strong> will limit its activity to one <strong>of</strong> support<br />
ra<strong>the</strong>r than detailed involvement.<br />
Political Developments. The Dept <strong>of</strong> Health (DH) commissioned Tribal Newchurch and<br />
its partners Tropical Health and Education Trust (THET) and Voluntary Services<br />
Overseas to produce <strong>the</strong> recently published consultation paper ‘Towards<br />
a NHS Guidance Framework for UK Health Sector Involvement in International<br />
Development’ (www.tribalgroup.co.uk/consultation-internationaldevelopment).<br />
The BD<strong>IAP</strong> has sent a written response to this overall excellent document. I<br />
met Pia McCrae, Chief Executive <strong>of</strong> THET, on Tuesday 6 th October; later <strong>the</strong><br />
same day I met Nic Greenfield, Director <strong>of</strong> Workforce at <strong>the</strong> DH, to discuss <strong>the</strong><br />
<strong>issue</strong> <strong>of</strong> Trusts allowing employees paid leave to help developing countries.<br />
<strong>2010</strong> Educational Plan for sub-Saharan Africa<br />
1 st BD<strong>IAP</strong> Technical course – March/April, Dar es Salaam for 4 days<br />
2 nd EAD<strong>IAP</strong> Pathology Safari – April, Pr<strong>of</strong> Mike Wells on Gynaecological Pathology<br />
Uganda, Kenya & Tanzania FNAB workshops – Andrew Field<br />
APECSA – September, Kampala<br />
2 nd EABSoP – September, Kampala, Ian Ellis & Sarah Pinder on Breast Pathology.<br />
Matters are being finalised in consultation with <strong>the</strong> EAD<strong>IAP</strong> Council<br />
Questions for <strong>the</strong> BD<strong>IAP</strong> membership are:<br />
Are you willing to look at 1-2 cases per week using <strong>the</strong> telepathology system set up by<br />
INCTR (2a above)?<br />
Are you willing to do a short or longer locum in one <strong>of</strong> many countries in sub-Saharan<br />
Africa, ei<strong>the</strong>r whilst being a practicing Histopathologist or recently retired?<br />
If <strong>the</strong> answer to ei<strong>the</strong>r question is yes, <strong>the</strong>n please send your details to Carol Harris, BD<strong>IAP</strong><br />
Administrative Secretary.<br />
Page 7
Page 8<br />
REPORT FROM THE JUNIOR BD<strong>IAP</strong> COUNCIL MEMBERS<br />
In 2009 <strong>the</strong> BD<strong>IAP</strong> continued to provide outstanding<br />
support and educational opportunities for<br />
junior members <strong>of</strong> <strong>the</strong> <strong>Division</strong>.<br />
The second one-day Seminar for Trainees “From<br />
Cut-Up bench to Microscope Stage” was held on<br />
March 17 th at <strong>the</strong> Royal College <strong>of</strong> Pathologists.<br />
The day was packed with informative and stimulating<br />
talks on <strong>the</strong> laboratory team, t<strong>issue</strong> processing,<br />
special stains, Immunohistochemistry, diagnosis<br />
<strong>of</strong> infection diseases, and frozen sections.<br />
Speakers included Amanda Forsyth<br />
(Histology Lead, Ninewells Hospital & Medical<br />
School, Dundee), Dr K Fleming (John Radcliffe<br />
Hospital, Oxford), Pr<strong>of</strong>essor S Lucas (St Thomas’<br />
Hospital, London), Pr<strong>of</strong>essor K Gatter (University<br />
<strong>of</strong> Oxford), Pr<strong>of</strong>essor M Novelli (University College<br />
London) and Dr C Corbishley (St George’s<br />
Hospital, London). The talks and slide seminars<br />
are available at: www.bdiap.org under <strong>the</strong> recent<br />
meetings link.<br />
July brought us Cardiff Pathology 2009, a joint<br />
meeting <strong>of</strong> <strong>the</strong> BD<strong>IAP</strong> and <strong>the</strong> Pathological Society.<br />
During this excellent meeting <strong>the</strong>re were several<br />
trainee orientated sessions such as <strong>the</strong> ever<br />
popular “Meet <strong>the</strong> Experts” session, <strong>the</strong> Breakfast<br />
Meeting for Trainees which focussed on cervical<br />
cytology and <strong>the</strong> FRCPath exam, and <strong>the</strong> Trainees’<br />
Symposium. In addition, <strong>the</strong>re were ample<br />
opportunities for trainees to get to know one ano<strong>the</strong>r<br />
and to network with more senior and eminent<br />
Pathologists from many different countries.<br />
In October <strong>the</strong> German <strong>Division</strong> <strong>of</strong> <strong>the</strong> International<br />
Academy <strong>of</strong> Pathology held its’ second International<br />
Junior Academy in Geisenheim-<br />
Johannisberg. The BD<strong>IAP</strong> generously funded a<br />
trainee member to attend this meeting (Dr Camilla<br />
Rowan <strong>of</strong> The Royal Brompton and Harefield<br />
NHS Trust) which covered haematopathology,<br />
infectious diseases, lung pathology, s<strong>of</strong>t t<strong>issue</strong><br />
pathology, germ-cell tumours, gynaecological pathology,<br />
and urological pathology. Tutors included<br />
National and International experts in <strong>the</strong>ir field.<br />
The third International Junior Academy will on <strong>the</strong><br />
22 nd – 25 th August <strong>2010</strong> and will again cover<br />
haematopathology, s<strong>of</strong>t t<strong>issue</strong> pathology, gynaecological<br />
pathology, breast pathology, and<br />
urological pathology. Details will soon be available<br />
via <strong>the</strong> German<br />
Dr Ka<strong>the</strong>rine Robertson<br />
<strong>Division</strong> <strong>of</strong> <strong>the</strong> <strong>IAP</strong>’s website<br />
(http://www.iap-bonn.de).<br />
On November 3rd, we teamed up again with <strong>the</strong><br />
Trainees’ sub-committee <strong>of</strong> <strong>the</strong> Pathological Society<br />
and held a National pathology week event entitled<br />
“Small Heart, Big Heart, New Heart, and Your<br />
Heart”. The session was held at <strong>the</strong> Hunterian Museum,<br />
The Royal College <strong>of</strong> Surgeons <strong>of</strong> England,<br />
London. During <strong>the</strong> session we introduced groups<br />
<strong>of</strong> GCSE students (Years 10/11) to several aspects<br />
<strong>of</strong> basic cardiac pathology, illustrated by using<br />
real specimens and diagnostic tests. The event<br />
was over subscribed and so we ran it in both <strong>the</strong><br />
morning and afternoon. It was a fun day for all involved<br />
and we can highly recommend participating<br />
in such events in <strong>the</strong> future.<br />
Finally, at <strong>the</strong> end <strong>of</strong> November both Dr Lisa<br />
Browning and Dr Katie Robertson ended <strong>the</strong>ir<br />
terms <strong>of</strong> service as junior members <strong>of</strong> Council. Dr<br />
Browning remains on as <strong>the</strong> new Trainees’ Meetings<br />
Coordinator. Dr Robertson is replaced by Dr<br />
Silke Weischede. Dr Weischede currently holds an<br />
Academic Clinical Fellowship in Histopathology at<br />
Leeds Teaching Hospital NHS Trust/Leeds University.<br />
She graduated from <strong>the</strong> Semmelweis University<br />
Budapest, Hungary, in 2003 <strong>the</strong>n spent time in<br />
clinical medicine and research in Germany and<br />
Hungary, before starting as an SHO in Histopathology<br />
in 2006 in <strong>the</strong> UK. She passed her Part 1 in<br />
September 2009 and will join general training after<br />
finishing her allocated research time in February<br />
<strong>2010</strong>. Her interests include diagnostic pathology,<br />
training, research and medical education.<br />
Future Trainee Meetings:<br />
The 3rd BD<strong>IAP</strong> one-day Seminar for Trainees entitled<br />
“Approach to CutUp;<br />
Macroscopic Examination as <strong>the</strong> Precursor to Accurate<br />
Microscopic Interpretation” will take place<br />
on 2nd March <strong>2010</strong>, at <strong>the</strong> Royal College <strong>of</strong> Pathologists,<br />
London.<br />
This one day seminar aims to cover <strong>the</strong> more practical<br />
aspects <strong>of</strong> histopathology. It is aimed towards<br />
trainee histopathologists and is suitable for those<br />
at all stages <strong>of</strong> training. The day will cover <strong>the</strong><br />
macroscopic examination <strong>of</strong> some <strong>of</strong> <strong>the</strong> major
specimens that are received in <strong>the</strong> surgical pathology<br />
department, with emphasis on <strong>the</strong> specimens<br />
seen on a routine basis. The lectures will cover <strong>the</strong><br />
preparation, examination and cut-up <strong>of</strong> <strong>the</strong>se<br />
specimens, within <strong>the</strong> guidelines provided by <strong>the</strong><br />
Royal College <strong>of</strong> Pathologists in <strong>the</strong> form <strong>of</strong> minimum<br />
data sets, where appropriate. The day will be<br />
concluded with a session to be held by Dr Cathy<br />
Corbishley on macroscopic examination for <strong>the</strong><br />
FRCPath part 2 exam.<br />
The speakers for <strong>the</strong> day are all experts in <strong>the</strong>ir<br />
THE CUNNINGHAM MEDAL<br />
Presented by <strong>the</strong> President to <strong>the</strong> BD<strong>IAP</strong><br />
Administrator Mrs Carol Harris in<br />
recognition <strong>of</strong> her service to <strong>the</strong> BD<strong>IAP</strong><br />
over many years,<br />
Page 9<br />
fields (Pr<strong>of</strong>essor GT Williams,<br />
Pr<strong>of</strong>essor BF Warren, Pr<strong>of</strong>essor M Novelli,<br />
Pr<strong>of</strong>essor K Henry, Pr<strong>of</strong>essor S Pinder, Dr K<br />
Hollowood, Dr GDH Turner, Dr S Manek, Dr<br />
A Sandison, Pr<strong>of</strong>essor T Stephenson, and<br />
Pr<strong>of</strong>essor A Nicholson).<br />
Full programme and registration details available<br />
at: www.bdiap.org or for fur<strong>the</strong>r information<br />
please contact: Dr Lisa Browning<br />
(lisa.browning@ndcls.ox.ac.uk).<br />
PRESENTATION OF THE BD<strong>IAP</strong> CUNNINGHAM AND PRESIDENT’S<br />
MEDALS AT THE DINNER DURING THE MEETING ON<br />
“THE AUTOPSY”, NOVEMBER 2009<br />
THE PRESIDENT’S MEDAL<br />
Presented to <strong>IAP</strong> President Elect,<br />
Pr<strong>of</strong>essor Kristin Henry for her long<br />
and distinguished service to<br />
education in Pathology
Page<br />
10<br />
FROM THE DIVISIONAL EDITOR<br />
Dr Stephen Wells<br />
I took over as <strong>Division</strong>al Editor from Pr<strong>of</strong>essor<br />
Peter Furness in November 2007 and Peter, as<br />
we all know, went on to higher things. What does<br />
<strong>the</strong> <strong>Division</strong>al Editor do? Firstly, he looks after <strong>the</strong><br />
BD<strong>IAP</strong> website. This had been set up by Peter<br />
and it required me to undertake a crash course in<br />
web design to take over from him. I now keep <strong>the</strong><br />
website up to date, including setting up <strong>the</strong> web<br />
based booking for all <strong>of</strong> <strong>the</strong> BD<strong>IAP</strong> meetings.<br />
Anything more drastic, like redesigning <strong>the</strong> website,<br />
would, I’m afraid, require a lot more time and<br />
pr<strong>of</strong>essional expertise than I have to <strong>of</strong>fer, but<br />
maybe a change <strong>of</strong> look for <strong>the</strong> website is about<br />
due.<br />
Secondly, I produce this annual Newsletter, again<br />
something that Peter initiated. This is <strong>the</strong> fifth<br />
<strong>issue</strong> and <strong>the</strong> third which I have produced. This is<br />
not onerous and requires a working knowledge <strong>of</strong><br />
Micros<strong>of</strong>t Publisher and Adobe Acrobat. This <strong>issue</strong><br />
is <strong>the</strong> first which will not be available as a paper<br />
copy, on <strong>the</strong> urging <strong>of</strong> Pr<strong>of</strong>essor Bryan Warren<br />
last year and with <strong>the</strong> prime aim <strong>of</strong> saving<br />
trees. I hope <strong>the</strong> lay out and font size are conducive<br />
to reading on your PCs.<br />
I also chair <strong>the</strong> BD<strong>IAP</strong> Education and IT subcommittee<br />
which primarily administers <strong>the</strong> various<br />
BD<strong>IAP</strong> bursaries, namely Undergraduate Elective<br />
Scholarships, <strong>of</strong> which we awarded nine last year,<br />
BD<strong>IAP</strong> Bursaries to allow trainees and o<strong>the</strong>r pathologists<br />
from underprivileged countries to attend<br />
BD<strong>IAP</strong> meetings, <strong>of</strong> which we awarded six last<br />
year, BD<strong>IAP</strong> Travel Bursaries to help BD<strong>IAP</strong><br />
members to attend meetings abroad when <strong>the</strong>y<br />
are representing <strong>the</strong> BD<strong>IAP</strong> (two last year), BSc<br />
Scholarships to allow undergraduates to under-<br />
BD<strong>IAP</strong> BURSARY RECIPIENTS FROM NIGERIA AT THE<br />
AUTOPST MEETING, NOVEMBER 2009, WITH THE<br />
PRESIDENT (above) AND THE DIVISIONAL EDITOR<br />
(below)<br />
take Pathology related intercalated degrees (two<br />
last year, each for £7,000) and finally BD<strong>IAP</strong> Fellowships<br />
to allow more senior colleagues (usually<br />
consultants) to develop areas <strong>of</strong> expertise in<br />
centres <strong>of</strong> excellence (usually one per year, up to<br />
£5,000, although we awarded two last year). We<br />
will also consider ad hoc requests which fall outside<br />
<strong>the</strong>se more rigid areas and we will be awarding<br />
up to four bursaries <strong>of</strong> up to £2,000 for trainees<br />
or newly appointed consultant pathologists<br />
from <strong>the</strong> countries which <strong>the</strong> BD<strong>IAP</strong> currently support,<br />
namely Bosnia, Sri Lanka, East African<br />
countries and members <strong>of</strong> <strong>the</strong> Arab division, to<br />
attend <strong>the</strong> XXVIII <strong>IAP</strong> international congress in<br />
Sao Paulo, October 10-15th <strong>2010</strong>. Details <strong>of</strong> all <strong>of</strong><br />
<strong>the</strong>se bursaries are on <strong>the</strong> BD<strong>IAP</strong> website at<br />
www.bdiap.org.<br />
It is always good to see trainees from o<strong>the</strong>r countries<br />
benefitting from <strong>the</strong>se awards, and it was especially<br />
pleasing to meet three trainee Histopathologists<br />
from Nigeria at <strong>the</strong> November Autopsy<br />
meeting. These were Dr Ola<strong>of</strong>e Olaejirinde, Dr<br />
Pelemo Eyitayp and Dr Amatare Dinjain, pictured<br />
here with our president Pr<strong>of</strong>essor Geraint Williams<br />
at <strong>the</strong> reception prior to <strong>the</strong> dinner (above)<br />
and with <strong>the</strong>ir supervisor Babatunde J Olasode<br />
and me during a c<strong>of</strong>fee break (below). It was<br />
good to see such enthusiasm and gratitude<br />
amongst young trainee pathologists.
HIGHLIGHTS OF 2009<br />
Page 11<br />
CARDIFF 2009 THE AUTOPSY, NOVEMBER 2009<br />
SEE PAGE 12 FOR LEGENDS
The <strong>British</strong> <strong>Division</strong> <strong>of</strong> <strong>the</strong> International<br />
Academy <strong>of</strong> Pathology<br />
<strong>Division</strong>al Editor: Stephen Wells<br />
Department <strong>of</strong> Histopathology<br />
Royal Bolton Hospital<br />
Farnworth, Bolton, BL4 0JR, UK<br />
Phone: 01204 390534<br />
Fax: 01204 390946<br />
E-mail: stephen.wells@bdiap.org<br />
Contacts...<br />
President<br />
Pr<strong>of</strong>essor G T Williams - WilliamsGT@Cardiff.ac.uk<br />
Past President<br />
Pr<strong>of</strong>essor C Cuvelier - claude.cuvelier@ugent.be<br />
President Elect<br />
Pr<strong>of</strong>essor N A Shepherd - neil.shepherd@glos.nhs.uk<br />
<strong>IAP</strong> President-Elect<br />
Pr<strong>of</strong>essor K Henry - k.henry@imperial.ac.uk<br />
Editor, Histopathology<br />
Pr<strong>of</strong>essor M Wells - m.wells@shef.ac.uk<br />
Honorary General Secretary<br />
Pr<strong>of</strong>essor A G Nicholson - a.nicholson@rbht.nhs.uk<br />
Hon. Treasurer and Membership Secretary<br />
Dr R F T McMahon - ray.mcmahon@manchester.ac.uk<br />
Honorary Meetings Secretary<br />
Pr<strong>of</strong>essor B F Warren - bryan.warren@orh.nhs.uk<br />
Deputy Meetings Secretary<br />
Dr I S D Roberts - ian.roberts@orh.nhs.uk<br />
<strong>Division</strong>al Editor and BD<strong>IAP</strong> Webmaster<br />
Dr S Wells - stephen.wells@bdiap.org<br />
Dutch Councillor<br />
The <strong>British</strong> <strong>Division</strong> <strong>of</strong> <strong>the</strong> International<br />
Academy <strong>of</strong> Pathology covers:<br />
• The United Kingdom<br />
• The Ne<strong>the</strong>rlands<br />
• Belgium<br />
• The Republic <strong>of</strong> Ireland.<br />
Its aim is <strong>the</strong> advancement <strong>of</strong> pathology,<br />
through:<br />
• Improvement <strong>of</strong> methods <strong>of</strong> teaching<br />
pathology<br />
• Coordination <strong>of</strong> pathology with allied<br />
sciences and techniques<br />
• Promotion <strong>of</strong> research in pathology and<br />
pathologic techniques<br />
• Publication <strong>of</strong> reviews and <strong>the</strong> results <strong>of</strong><br />
work in pathology and related fields<br />
• Convocation <strong>of</strong> meetings and congresses for<br />
exchange <strong>of</strong> scientific information and<br />
ideas.<br />
Pr<strong>of</strong>essor P van der Valk - p.vandervalk@vumc.nl<br />
Belgian Councillor<br />
Pr<strong>of</strong>essor I Salmon - Isbelle.Salmon@erasme.ulb.ac.be<br />
Councillor, Co-opted from <strong>the</strong> Pathological Society<br />
<strong>of</strong> Great Britain and Ireland<br />
Pr<strong>of</strong>essor C S Herrington - csh2@st-andrews.ac.uk<br />
Irish Councillor<br />
Pr<strong>of</strong>essor E Kay - adoody@rcsi.ie<br />
Councillor<br />
Dr C M Corbishley -<br />
cathy.corbishley@stgeorges.nhs.uk<br />
Councillor<br />
Dr A J Howat - Alec.Howat@elht.nhs.uk<br />
Councillor<br />
Dr S Manek - smanek6014@aol.com<br />
Councillor<br />
Pr<strong>of</strong>essor T J Stephenson -m<br />
tim.stephenson@sth.nhs.uk<br />
Councillor<br />
Dr M E F Smith - mark.smith@phnt.swest.nhs.uk<br />
Councillor<br />
LEGENDS FOR PAGE 11<br />
Dr N Wilkinson - Nafisa.Wilkinson@leedsth.nhs.uk<br />
Trainees Meetings Co-ordinator<br />
Dr Lisa Browning -<br />
lisa.browning@ndcls.ox.ac.uk<br />
Junior Councillor<br />
Dr S Weischede - silkeweischede@yahoo.de<br />
The most crucial contact:<br />
Administrative Secretary:<br />
Mrs C E Harris<br />
BD<strong>IAP</strong> Administrative Secretary<br />
P.O. Box 73<br />
Westbury on Trym<br />
Bristol BS9 1RY<br />
Tel: (+44)(0)117 907 7940<br />
Fax: (+44)(0)117 907 7941<br />
Email - bdiap@blueyonder.co.uk<br />
CARDIFF PATHOLOGY: Above down, Pr<strong>of</strong>essors Andrew Wyllie, (incoming President <strong>of</strong><br />
The Pathological Society), David Levison (outgoing President <strong>of</strong> <strong>the</strong> Pathological Society)<br />
and Geraint Williams (President <strong>of</strong> <strong>the</strong> BD<strong>IAP</strong>), Geraint Williams giving <strong>the</strong> BD<strong>IAP</strong><br />
Cunningham Lecture, Pr<strong>of</strong>essor Sir Martin Evans with Pr<strong>of</strong>essor Williams and Pr<strong>of</strong>essor<br />
Bharat Jasani after giving <strong>the</strong> Public lecture, Pr<strong>of</strong>essor Barry Gusterson with Pr<strong>of</strong>essor<br />
Levison, after giving <strong>the</strong> Doniach Lecture.<br />
THE AUTOPSY: Pr<strong>of</strong>essor Geraint Williams, Dr E W Benbow, Dr A Pro<strong>the</strong>roe,<br />
Dr P Johnson, visitors from Nigeria, Dr A Davison, Dr S Elliot, Pr<strong>of</strong>essor G Rutty, and<br />
Dr I S D Roberts , Dr M Burke, Pr<strong>of</strong>essor S Lucas, Pr<strong>of</strong>essor P N Furness, relaxing at <strong>the</strong><br />
dinner during <strong>the</strong> Autopsy meeting, including Dr Ray McMahon, Pr<strong>of</strong>essor Sebastian<br />
Lucas and <strong>the</strong> President.