Most of the respondents were satisfied with their preferred dressing and were not interested in trying alternative dressings.

The most common reason for missed tumours was technical. The percentage of missed tumours in each region of the bowel correlates with the known incidence of tumours in each region and with a normal Dukes stage distribution, except in the caecum where the number of missed lesions was higher than expected.

After careful planning, a postgraduate Diploma in Surgical Anatomy was launched in 2009. This report describes the structure of the program, the challenges encountered in implementing and running the course, and results of evaluations. The qualification is targeted at junior doctors intending to become surgeons or radiologists and aims to equip them with a sound understanding of regional anatomy relevant to common diagnostic and therapeutic procedures, together with an understanding of common/important anatomical variations. The course is delivered by: (1) 24 weeks' distance learning, comprising selected readings, podcasts, multiple choice questions (MCQs), and research informed essays; and (2) two separate two-week periods of intensive campus-based learning and whole body dissection (four students per cadaver) assessed by oral examination, a class presentation of an anatomical variation, and formal MCQ examination. Campus-based instruction is delivered by two surgical anatomists with additional input from a broad range of specialist surgeons and radiologists. Anonymous student evaluations over three successive courses show that all components of the course were highly rated. The success of the program may relate to several factors: an emphasis on clinically relevant anatomy, clear learning objectives, personalized student feedback, a low student to cadaver ratio, restricted class size, a wide range of supportive material, a dedicated team of surgical/radiological instructors, efficient course administration, and endorsement by the Royal Australasian College of Surgeons. Establishing a Diploma in Surgical Anatomy program requires a dedicated team of individuals, the setting and maintenance of appropriate educational standards, and collaboration with the professional body regulating the training of surgeons.

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Skin carcinomata are common following renal transplantation. Since 1972, 40 patients who have undergone renal transplantation in Christchurch have developed skin squamous cell carcinoma (SCC).Four (10%) have developed metastatic disease and one has died of disseminated disease. The risk of developing SCC increases with age at transplantation, total sun exposure and length of immunosuppression, reaching an incidence of 30% at 20years. All four patients had large numbers of SCCs excised (range 25-83). Metastases had occurred from 9 to 16years after transplantation. Three of the patients had been treated with azathioprine and prednisone, including the one who died. The fourth patient was treated with cyclosporin A in addition. The importance of protection from sun exposure must be emphasized.