Undergraduate ear, nose and throat training: How do we inspire the next generation?
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Cited by 2 publications
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Sir,Thank you for your letter reminding readers about limited ENT undergraduate experience and the importance of promoting the specialty to future generations of surgeons. 1 SFO UK is already addressing all of the issues that you have raised. An undergraduate ENT curriculum has already been published 2 ; however, unfortunately this curriculum can only be recommended and not imposed onto individual medical schools. In view of this, the SFO group has written an "E-book" over the last 2 years that should be available to all medical students as a Kindle Book by the end of this year. The content has been mapped onto the published curriculum and is essentially "all you need to know about ENT as an undergraduate". The importance of engaging with local surgical societies is well recognised. SFO UK has already forged links with the recently formed Royal College Surgeons of England Future Surgical Forum's group comprising of all surgical medical school societies. We have also seen a number of new ENT societies flourish in medical schools over recent years.During 2017, SFO UK has supported over 10 national or regional careers fairs in addition to multiple local careers events/teaching sessions organised by regional SFO representatives. We have produced an "advice pack" which is available on our website to support medical students to organise local events such as careers days or teaching sessions along with the help of the local ENT undergraduate consultant lead.The SFO annual conference continues to go "strength to strength". At the SFO day at BACO 2018, we had 151 registrations and over 100 abstracts. We are also planning collaboration with the Association of Otolaryngologists in Training (AOT) group to organise a pre-conference ENT day at the 2019 Association of Surgeons in Training (ASIT) conference in addition to the annual SFO UK conference.It is very difficult to measure whether all these efforts will indeed achieve one of our intended goals of attracting the next generation of ENT surgeons. However, it is important that we are not too pessimistic as we always see young, dynamic and ambitious students and junior doctors at these events who overwhelming give positive feedback after seeing what ENT has to offer. CONFLI CT OF INTERESTChairman of SFO UK. O R C I D Jayesh Doshi
Sir,Thank you for your letter reminding readers about limited ENT undergraduate experience and the importance of promoting the specialty to future generations of surgeons. 1 SFO UK is already addressing all of the issues that you have raised. An undergraduate ENT curriculum has already been published 2 ; however, unfortunately this curriculum can only be recommended and not imposed onto individual medical schools. In view of this, the SFO group has written an "E-book" over the last 2 years that should be available to all medical students as a Kindle Book by the end of this year. The content has been mapped onto the published curriculum and is essentially "all you need to know about ENT as an undergraduate". The importance of engaging with local surgical societies is well recognised. SFO UK has already forged links with the recently formed Royal College Surgeons of England Future Surgical Forum's group comprising of all surgical medical school societies. We have also seen a number of new ENT societies flourish in medical schools over recent years.During 2017, SFO UK has supported over 10 national or regional careers fairs in addition to multiple local careers events/teaching sessions organised by regional SFO representatives. We have produced an "advice pack" which is available on our website to support medical students to organise local events such as careers days or teaching sessions along with the help of the local ENT undergraduate consultant lead.The SFO annual conference continues to go "strength to strength". At the SFO day at BACO 2018, we had 151 registrations and over 100 abstracts. We are also planning collaboration with the Association of Otolaryngologists in Training (AOT) group to organise a pre-conference ENT day at the 2019 Association of Surgeons in Training (ASIT) conference in addition to the annual SFO UK conference.It is very difficult to measure whether all these efforts will indeed achieve one of our intended goals of attracting the next generation of ENT surgeons. However, it is important that we are not too pessimistic as we always see young, dynamic and ambitious students and junior doctors at these events who overwhelming give positive feedback after seeing what ENT has to offer. CONFLI CT OF INTERESTChairman of SFO UK. O R C I D Jayesh Doshi
We found that MCPyV sT expressing cells showed higher ALOX15 protein expression compared to non-induced cells, TSPyV sT expressing cells and control cells (Figure 1). The MCPyV-positive cell lines also displayed ALOX15 overexpression. Our finding suggests an important role of MCPyV in ALOX15 expression that Fochtmann-Frana and colleagues identified as a possible predictor of MCC metastasis. Specifically, the sT antigen may play a critical role in ALOX15 expression. Since ALOX15 has been associated with cancer metastasis, our finding may be useful for developing innovative therapeutic interventions for MCC tumours and metastases. ACKNOWLEDGEMENTSNone. Student and foundation doctor perspectives on promoting entry to ENT specialist trainingSir, In recent years, there has been a decline in the number of applications per ST3 post for ENT. 1 The majority of medical students and foundation doctors have a limited exposure to ENT during undergraduate medical training. 2 This is a common issue in smaller surgical specialties and is acknowledged as one factor deterring students from surgical careers. 3 A recent study highlighted that undergraduate and/or postgraduate exposure as well as several specialty-specific factors (including work-life balance, inspirational role models, variety of operative procedures, and interest in the clinical field) are important for medical students and foundation doctors when deciding on ENT as their preferred specialty. 4To promote the specialty, a national ENT conference for medical students and foundation year doctors was held in Cambridge on 6October 2018. The conference provided an opportunity to explore the barriers to pursuing higher ENT training, and for students and junior doctors to develop solutions to these problems.A pre-conference questionnaire was completed by 109 individuals who had registered to attend the event (88% student and 12% foundation doctor). Of the respondents, 54 individuals (49.5%) reported being "likely" or "very likely" to pursue ENT as a future career, with the remainder "unsure" or "unlikely." The questionnaire also included a free-text question seeking individuals' actual or perceived barriers to a career in ENT. These were analysed by the authors and condensed to seven common themes.During a dedicated session at the conference, 77 student and foundation doctor attendees ranked these themes using an online live voting app. The top two barriers to pursuing ENT training were (a) a poor understanding of the specialty and (b) inaccessibility of clinical experience beyond very limited exposure at medical school. 206 | CORRESPONDENCE: LETTERSThe attendees then discussed and developed potential solutions to these issues in small groups, before presenting them to the conference group. A second round of live voting ranked these solutions. The top two were (a) greater coordination of student surgical/ENT societies and (b) a regular newsletter to explore and promote all surgical specialties.During further small group discussion, attendees were asked to refine the top tw...
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