Update from the Endometriosis Centres Chairman

Thank you for your continued support of the Endometriosis Centres Project. 2018 saw the highest number of submitted cases to the database, which is a very positive sign of growing uptake of a governance process for the surgical treatment of women with severe disease. 1762 cases of pararectal space dissection were entered by accredited centres, 236 more than last year. In addition a further 384 cases were submitted by provisional centres bringing the total for 2018 to 2146 (from 1619 last year). The vast amount of data now held on the database continues to make this an extremely attractive source of information for research.

The Scientific Advisory Group published a landmark paper: “Laparoscopic excision of deep rectovaginal endometriosis in BSGE endometriosis centres: a multicentre prospective cohort study” in 2018 and plans are in place for further publication. There is a data sharing agreement policy for those interested in using the database to develop research ideas.

Annual accreditation continues to be a desirable process and continues to set high standards evidencing multispeciality and multidisciplinary involvement. In 2019 as in 2018, a minimum of 12 cases of pararectal dissection with complete pre-operative questionnaire entered per named gynaecological surgeon in each centre is required to maintain accreditation. Each accredited and provisional centre is also required to submit an exemplar video by the end of the year to coincide with the annual data collection and to ensure a CNS job plan has been submitted by the end of December.

I am keen that we continue to be ambitious in our data collection. There are challenges faced by hospital with varying individual and institutional resources to facilitate database entry and monitoring. That being said, I hope that we can further improve the vale of the data, by getting better follow up rates. This ultimately will mean more meaningful results and more relevant information to give clinicians and women contemplating surgery for severe disease.

We have had to come to difficult decisions with respect to the growing interest from overseas hospitals regarding centre accreditation. It is a source of pride that the BSGE is setting standards that international centres wish to adopt. Such has been the popularity of the requests to seek BSGE accreditation, that the Council have inevitably had to carefully consider its role in the accreditation of overseas centres. It was the unanimous decision of the committee and BSGE Council, that the BSGE would suspend the accreditation of overseas centres. This means that 2019 will be the last year they will appear on the list of provisional / full accredited BSGE centres.

I am grateful to my subcommittee members, Tom Aust, Dominic Byrne, Justin Clark and Tom Smith-Walker for their support, to our IT team, Presidential guidance from Sanjay Vyas and most of all Atia Khan who tirelessly works in the face of much adversity to keep the database, the committee and me inline.

I look forward to updating you in the New Year with data from 2019 and thank you for your ongoing interest and support.

Arvind Vashisht

Chair BSGE Endometriosis Centres subcommittee

Professor Justin Clark

President

Birmingham Womens Hospital, Birmingham

The BSGE is a respected and influential specialist society due to the passion and vision of our past and current members. I wish to build on these achievements to ensure women have access to the best endosurgical care. It is for this reason I would like the opportunity to step up and lead our society. I believe that I can enhance the status of gynaecological endoscopic surgery in the UK and exert influence on training and the current / future roles of specialist nurses and consultants. I aim to achieve this using my national / international profile and the experiences I have gained from involvement in the BSGE and the wider NHS.

I have contributed to the BSGE for over 20 years through lecturing, training, writing papers / guidelines and serving on sub-committees. I have been a member of BSGE Council since 2013, leading the Research & Audit portfolio where I conceived and developed the BSGE surgical information collection system (www.bsgesics.com). Other BSGE contributions include establishing our clinical studies group in 2011 (research funding > £5 million) and chairing the BSGE Endocentres scientific group. I was on RCOG Council (2007-2013). I am a scientific editor (BJOG and Gynaecological Surgery), a member of the NIHR Research Panel, the NICE HMB guideline and RCOG Clinical Informatics committees.

I am proud to be part of the BSGE and have greatly enjoyed exchanging ideas and making new friends. I will do my very best as VP and President of the BSGE.

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Mr Andrew Kent

Vice President/ Honorary Treasurer

Royal Surrey County Hospital

As a minimal access surgeon with over 20 years experience, I learnt my trade under the
auspices of Chris Sutton and Percy Coats. I have been a consultant in Guildford since 2001.
My skills set includes advanced laparoscopic and hysteroscopic surgery, particularly with
relation to endometriosis, uterine disease and prolapse. I am Director of Gynaecological
Surgery and Research at the MATTU and Clinical Director of the MSc in Advanced
Gynaecological Endoscopy at the University of Surrey.
Credentials
I have previously served on both the BSGE and ESGE Councils. I have substantial experience
in delivering training programs, including budgetary responsibility and program management.
I have over the years developed excellent relationships with industry, who continue to support
the society and training for our speciality as whole. It is vital that we maintain and foster this
support.
Ethos:
It is important that we value and nurture our human resource, from which will flow excellent
patient care. I would like to help take our society back to its’ roots whilst looking to the
challenges of the future, with training and the sharing of knowledge at it’s heart.
As Treasurer I feel that I would be in a good position to help with this task.

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Mr Shaheen Khazali

Honorary Secretary

St Peter's Hospital, Chertsey

Having served on the BSGE council for more than 7 years, (trainee rep 2009-11, senior council member since 2013), I feel ready to step up and continue to offer my services as an officer with the role of the Honorary Secretary.

Some of my contributions as a council member include setting up the video library and starting and overseeing the video competitions (both of which have been running successfully since 2009) and leading the project of the new website, from concept to launch. Perhaps the contribution I am most proud of has been proposing, editing and producing our newsletter, The Scope, the 9th issue of which is coming out shortly.

I would like to think that I have been able to do my share of work to make our society stronger than ever and I also hope that I have been able to demonstrate that I can spot areas that need improvement, come up with ideas to make things better and take the lead and work hard to execute them and bring them to fruition.

My clinical practice is almost solely dedicated to advanced endometriosis surgery, leading two of the busiest BSGE accredited endometriosis centres in Chertsey and Tehran.

I believe there is a lot more work to be done, particularly for our trainees and I would welcome the opportunity to continue to be a part of it.

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Mr Kirana Arambage

Awards & Bursaries

Oxford University Hospitals

Kirana is a Consultant Gynaecologist at the BSGE accredited Endometriosis Care and Research (CaRe) Centre at John Radcliffe Hospital, Oxford having completed the RCOG/ATSM in advanced laparoscopic surgery. He won RCOG Bernhard Baron travelling fellowship and BSGE travel scholarship to visit centres of excellence in France (Strasbourg, Rouen) and in Australia (Melbourne).

Kirana has been an active member of the BSGE since 2009. He was elected in 2012 and re-elected in 2014 as the trainee’s representative of the BSGE council. He had proposed, designed and co-organised the annual BSGE fresh cadaveric laparoscopic anatomy course in Oxford University, which continues to have excellent feedback. He is great passion for training and has been a faculty member of the RCOG benign gynaecology/laparoscopic and hysteroscopic surgery courses.

He has been a part of BSGE subcommittees contributing to SCOPE e-newsletters, guidelines, laparoscopic and hysteroscopic training. He co-organised the first Young Endoscopic Platform (YEP) meeting at the Jubilee ASM of BSGE and represented ESGE/YEP from 2013-15 developing networks between European trainees.

He is a member of the medical advisory panel of Endometriosis UK and contributes to it's charitable activities. His MSc in advanced gynaecological endoscopy from University of Surrey (with merit pass) evaluated a structured training module for any laparoscopy, which has helped feed the proposed RCOG national simulation curriculum.

Kirana is a co-author for the latest Cochrane review of surgical treatment of endometriosis and guidelines (to be published) on management of distension media in hysteroscopy and consent for laparoscopic surgery.

Kirana was a trainee representative for the BSGE and was elected to become a senior council member in 2016. His experiences and relationships created, have given him insight in to the working of our society and views of our membership, which enables him to effectively represent and continue to improve services for the members.

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Mr Arvind Vashisht

Endometriosis Centres

University College London Hospital

For me, the BSGE stands out amongst fellow national societies in its inclusiveness, forward thinking and its effectiveness to responsibly drive through key issues such as training programmes, setting standards and national governance.
I was lucky enough to have been the Chair of the Organising Committee for the 2015 BSGE Silver Jubilee meeting. In this role I gained considerable understanding and experience of the working of the society, its profile, role, projects and administration.
I had ample opportunity to work with members of Council as well as a significant number of members nationwide spanning nurses, junior and seniors who worked collaboratively with me to make the meeting the biggest and most profitable annual scientific meeting yet.
Having whet my appetite, I am keen to serve the society in a productive fashion and I want to help ensure that it continues in its direction:
- to reach out to all gynaecology endoscopy subspecialties
- to recognise and represent multi-disciplinary team members
- to appeal, encourage and facilitate education for trainees.
To this end I am already involved in BSGE anatomy and surgical training workshops, and it would be a pleasure to assume greater responsibility with Council.

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Ms Donna Ghosh

Laparoscopic Training

Worcestershire Royal Hospital

Donna has completed a two-year term as trainee representative on the BSGE council, from 2016-2018, and sits on the BSGE subcommittees for Awards & Bursaries and Communications & Website.

She has gained considerable experience in minimal access surgery, having won a BSGE travelling fellowship in 2013 to work within Sydney Women’s Endosurgery Centre and having completed the ATSM in advanced laparoscopy, subsequently commencing a Post CCT fellowship at the Wirral University Teaching Hospital. She has recently been appointed as Consultant at Worcestershire Acute Hospitals.

Donna has supported the development of Registrars in Gynaecological Surgery (RIGs) to improve opportunities and communication amongst trainees. She conducted a BSGE laparoscopic training survey and completed the RCOG Gynaecological Surgery training analysis for 2017. Having identified deficiencies in training across the UK she subsequently conceived, organised and implemented the RIGs/ BSGE Intermediate Laparoscopy Course in 2018.

Donna was responsible for the introduction of the ‘Pecha Kucha’ into the BSGE Annual Scientific Meeting as well as organising the first trainee breakout session. She is organising faculty for the 2018 pre-congress video-editing workshop and the RIGs Annual Dinner in Edinburgh.

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Mr Funlayo Odejinmi

Membership relations and Editor of The Scope

Whipps Cross Hospital, London

I have been a member of the BSGE for more than 20 years and a regular attender of the annual meetings. I would like to be elected to the council to further the society’s aims to improve standards, promote training and encourage innovation by the exchange of ideas within the MAS community.

My experience as Consultant Gynaecologist since 2001 and Clinical Director for Gynaecology at the Bart’s Health, the country’s largest trust (2012-2015), and my current post as Clinical director for Women’s services at Whipps Cross has given me the level of experience that would aid me in the role of council member.

My passion is for the delivery, promotion, and training of consistently high quality MAS. At Whipps cross this has resulted in 100% women needing surgery having their ectopics treated laparoscopically irrespective of site or haemodynamic status with trainees performing most of the procedures, and more than 50% of hysterectomies and myomectomies being performed laparoscopically.

To help promote laparoscopic hysterectomy I am a preceptor on the BSGE lap hysterectomy programme. To promote training I am a preceptor to one of the only 5 advanced ATSM trainees in the country and my trainees having won prizes for their presentations at BSGE ASM for 3 years in a row.

I am driven and welcome innovation for patient outcomes having published widely on topics including ectopic pregnancy, laparoscopic myomectomy and hysterectomy.

As a council member, I hope to continue to help eliminate women’s healthcare delivery disparities and raise systematic health care issues for women using information technology and App development to acquire and disseminate information to effect change in practice.

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Mr Tom Smith-Walker

Patient information and Guidelines

Royal Cornwall Hospital

I have been an active member of the BSGE over the years and believe I would be an excellent representative. I have previously been the Trainee representative 2011-13. During that period, one of the things I was proudest of was helping to develop the first TLH training course with Ethicon, this has subsequently grown and involvement with industry has grown leading to more excellent courses be offered. Currently I am on the Endometriosis Sub-committee and working closely with the endometriosis nurse specialists. My interests are MAS training and Endometriosis, these are the areas I would keen to represent and help build on.

I am a Consultant at the Royal Cornwall hospital and work as part of the Endometriosis service and ambulatory gynaecology team promoting MAS and supporting our trainees in developing their skills. I would like to take this opportunity to bring my ideas and enthusiasm to the council.

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Mr Fevzi Shakir

Website and Digital Governance

Royal Free Hospital, London

I work as a Consultant Obstetrician and Gynaecologist at The Royal Free Hospital, Hampstead, London specialising in Advanced Minimally Invasive Gynaecological Endoscopic Surgery.

In 2014 I was elected as a BSGE council member in charge of the trainee portfolio and re elected in 2016. During my 3 years on council I founded the trainee group RIGS (Registrars in Gynaecological Surgery) aiming to improve training and resources. Since inception RIGS has grown from strength to strength and 13 UK regional representatives have been appointed. In addition, we have initiated RIGS training courses and have regular breakout meetings and events at annual scientific meetings.

I have recently completed an MSc in Advanced Gynaecological Endoscopy based at the University of Surrey and currently my research includes work on endometriosis, humidification in laparoscopic surgery, design and validation of a laparoscopic hysterectomy scoring system, 3D and Robotics. In addition, I am actively involved in teaching and part of over 15 National and International course faculty.

I continually fundraise for Endometriosis UK. In 2014, I ran the London Marathon raising £2,333.75, In 2016 I ran the British Vitality London 10Km run, raising over £740 and am scheduled to run again in July 2017.

My continuous research, teaching and training activity has led me to have good relationships with industry. As well as this my time previously spent on council will enable me to contribute not only to the continuous growth of RIGS but also at representing the senior members of our society.

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Mr Angus Thomson

Meetings Convenor and Industry Relations

Worcestershire Acute Hospitals NHS Trust

As a consultant for 15 years in a busy DGH, I have always been passionate about advancing MAS surgery within gynaecology. The BSGE Worcestershire Endometriosis Centre is amongst the busiest in the country, striving to improve care. My other special interest is laparoscopic urogynaecology in our BSUG accredited Urogynaecology unit.

Since training in the North West and fellowship in Australia in 2003-5, I have had a keen interest in laparoscopic training and still assist with local, national and international courses each year. We also have an advanced ATSM trainee and have made laparoscopic surgery the default surgical route for gynaecology in our unit. My previous experience as Clinical Director and current role as Divisional Director has given me a broad understanding of the NHS and the challenges we face in training, governance, finance and specialist commissioning.

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Ms Karolina Afors

Whittington Hospital, London

I have been an active member of the BSGE for the past 5 years and am also a Gynaecologist at the Whittington Hospital in London, which is a BSGE accredited Endometriosis Centre.

My intial involement in the BSGE stems back to the Jubilee ASM Meeting. I served on the organising committee and was repsonsible for arranging a pre- congress workshop on operative complications, in addiiton, to introducing laparoscopic Hands on Trainng (HOT) workshops.

As one of the chief mentors for the Gynaecologica Endoscopic Surgical Education and Assessmnt (GESEA) programme I have helped introduce GESEA ceritfication to the UK, where together with the BSGE we have continued to run biannual certiifation sessions which continues to grow in popularity and receive positive feedback. I am also actively involved with ESGE where I serve as co chair for the Young Endoscopic Platform and associate editor of ESGE vision.

I understand the commitment required to be a BSGE Council Member and feel I possess the energy and enthusiasm to serve the membership. If successfully appointed, I would aim to strengthen the links between the BSGE and our european counterparts. I am passionate about training opportunities in minimal access surgery and would hope to use this platform to set up recognised visiting training fellowships in specialist centres throughout Europe.

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Dr Sujata Gupta

Co-opted for BSGE ASM 2021, Manchester

Stockport NHS foundation Trust

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Gilly Macdonald

Endometriosis Nurse Specialist representative

Cornwall Endometriosis Centre

I have been in post as an Endometriosis Clinical Nurse Specialist at the Cornwall Endometriosis Centre since November 2016.
During this time, I have seen how the clinical nurse specialist is a fundamental part of a multidisciplinary team striving to achieve the very best care and service for our patients. As a member of the BSGE, I am aware of the society’s continued commitment to facilitate education, guidance, standard setting and professionalism. An opportunity to be a council member represents an exciting opportunity to develop changes, which will improve care for all women with endometriosis. There is currently considerable variation in the CNS role and how nurses work providing the best service for our patients. I would like to see obstacles challenged and the nurse’s role to continue to evolve, creating an environment where we can work to our full potential. To enhance the patient journey in providing expert, high quality care and also to have a voice as a practitioner, leading nurse led services.
The CNS role is extremely rewarding. I provide an independent nurse led service encompassing pre and post-surgical care, and, for patients choosing a non-surgical approach of care. I am a member of the MDT, maintaining strong links with the team. I maintain the database for Cornwall Endometriosis Centre, run a patient support group and am non-medical prescriber. My particular interest is in pain management and psychology of pain. I feel that my level of practice offers the opportunity to actively contribute to the BSGE council and I would be grateful of your support.

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Caroline Bell

Nurse Hysteroscopists representative

West Cumberland Hospital

Over the last three years I have had the privilege of being the nurse hysteroscopist on the sub-committee, being able to support my colleagues and share information as required. In this time I have also worked with the team at the University of Bradford, meeting the new hysteroscopy students annually introducing them to the BGSE. This has meant as a team we have been able to share guidelines, policies and networking opportunities as well as resources which they have felt would benefit them. When it was realised nurse hysteroscopists could not be revalidated through the BSGE I was able to work with the nurse hysteroscopists and Professor Justin Clark to make recommendations for the website to support nurse appraisal by the employing trust. The introduction of the ambulatory care meeting has been a huge success and I am proud I have been able to be a part of this. I would now like to progress my role further and have a chair position at the BSGE this would be a true honour to represent my colleagues in the nurse hysteroscopy field.

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Angharad Jones

Trainee representive

University Hospital of Wales

After graduating from Nottingham University, completing foundation training in London and Core Surgery in Wales, I am currently ST5 in Cardiff where I will commence the advanced laparoscopy for the excision of benign disease ATSM this August.

I am RIGS regional representative for Wales, committee member/social secretary for the Trainees in Wales O&G Society and UHW trainee representative. These roles provide grounding for fulfilling the position of junior council representative, requiring effective teamwork and leadership, facilitated by efficient communication and organisation. I have demonstrated these key skills and would utilise them to represent views and opinions of trainees within the BSGE. I am committed, enthusiastic and enjoy engaging with colleagues.

In 2016 I won best candidate at the “WelshEndoscopySkillsTraining” course, prizes for best ST3-5 and overall best O&G trainee in Wales 2017, along with a BSGE trainee video prize. These awards show my hard work and commitment, essential when representing colleagues on a national committee.

In 2016 I completed an observational fellowship with Professor Einarsson, president of the AAGL. I have presented internationally (AAGL/ESGE/RCOG), continuing to seek opportunities for research/quality improvement in training and service provision in minimal access gynaecology. I took a lead role in the successful bid to host the 2019 BSGE ASM at Celtic Manor, continuing to be an active member of the organising committee. This demonstrates my ambition to go above and beyond when presented with a challenge.

I would be honoured and excited to follow Donna’s impressive example and represent my trainee colleagues on council.

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Michael Adamczyk

Trainee representive

St Peter's Hospital, Chertsey

I am an ST5 working on the CEMIG team at St Peter’s Hospital in Chertsey. I am also a RIGS regional representative for Kent, Surrey and Sussex and a member of ESGE, ISGE and ISON.
My areas of interests are teaching and training in MAS, Neuropelveology and development of tools for laparoscopic education.

As part of my commitment to teaching in MAS, I have started an annual laparoscopic workshop in the Hoima General Hospital in Uganda. So far, we have done two successful practical teaching sessions (2018 and 2019), and we are planning on returning to Hoima early next year. This shows my commitment to education in MAS not only locally but globally. The organisation of these two trips required an extensive time commitment, effective teamwork, good communication and excellent leadership skills which I believe are essential for the role of a junior council member. If appointed to the council I would utilise these skills to advance the interaction between trainees and the organisation as well as develop new learning opportunities in gynaecological endoscopy.

In 2017 I launched a website called “The Art of Laparoscopy and Laparoscopic Workouts”. This website was designed to improve motor skills of surgeons by performing various psychomotor tasks and exercises. I have also developed a unique laparoscopic trainer, that would be accompanied by a phone application to make training easier and more enjoyable.

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Atia Khan

BSGE Manager

As specialist societies co-ordinator for the BSGE, Atia Khan is the first point of contact, and something of a Girl Friday, for BSGE members.

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Lesley Hil

Membership Administration

Lesley Hill Lesley has been the Accounts and Database Administrator for almost a quarter of a century! Born in London and raised in Kidderminster, she was educated at Kidderminster High School for Girls. Her working life began in the Civil Service and, after the birth of her son, and five years in Germany working as an English Secretary, she returned to England and furthered her career to management. Lesley became Head of Examinations Services at Pitman Examination Institute in Godalming, Surrey dealing with schools and managers throughout the world. She became a full member of the Institute of Management. She managed 54 staff and played a major role in the development of the company’s computerisation. After 12 years, Pitman relocated to London and Lesley decided to start afresh in a stress free (!) job. She secured a position with Jeremy Wright to build up his private medical practice. From the day Jeremy handed her a set of index cards she has helped to develop the BSGE into the impressive Society it is today. Lesley suffered her second bout of cancer in 1997 and when her husband retired from St George’s Medical School in 1998, they decided to move to Cyprus where she continued her work for the BSGE.18 months ago they left Cyprus and now spend a lot of time in Spain. They have a place in Midhurst, West Sussex. Whether in Spain, England, on a cruise or a far off land, every day is a work day and she is always ready, computer to hand, to deal with members’ problems, needs and queries and to ensure she fully supports the Treasurer with his many duties. Lesley thoroughly enjoys all that she does for the BSGE and its’ members and will continue to do so as long as her services are required!

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Dr Jane Gilbert

Dr Jane Gilbert qualified as a doctor from St Mary’s Hospital Medical School just as it was being eaten up by Imperial College. She has been working for the past eighteen years as a health journalist. She has been published widely and created content for Roche Pharmaceuticals, Diabetes Wales, Hamlyn books, Boots, ITV and Channel 4 and a number of NHS Trusts.

She is currently employed as the BSGE’s assistant editor as well as creating digital health information ‘prescriptions’ for the E-Health company Pocket Medic.

Members of a certain age may remember Jane’s toe-curling interview for medical school which featured on the BBC series “Doctors to Be’ –she definitely still enjoys a bit of Shakepeare!

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