Spreading standards far and wide

rural surgery coverA report from the College has set out guidelines for maintaining standards in rural surgery. Lead author Gordon McFarlane summarises its findings

The remote Highlands and Islands of Scotland are served by six rural general hospitals (RGHs) providing emergency and elective medical and surgical care for the small communities in the region. Catchment populations average 25,000, with three of the hospitals situated on islands and the other units at least 65 miles from the nearest district general hospital. General surgeons working in these units do elective general surgery, urology, endoscopy services and minor orthopaedics. In addition to emergency general surgery, they cover urological, gynaecological, obstetric, neurosurgical, eye and ENT emergencies, and are responsible for all non-medical presentations to the emergency department.

Broadening our horizons

Roger StrasserAhead of a visit to the UK, Canada’s Professor Roger Strasser discusses his work on education for remote rural healthcare

Some 20 years ago, I did a series of studies on the health service needs of people in remote rural communities. From this research, I came to realise that people everywhere have a security need. They need to know that if they are unlucky enough to be seriously ill or injured, the ‘system’ is there for them.

Distance no object

DocinBoxShell’s Dr Alistair Fraser provides an industry perspective on innovation in remote healthcare

Delivering medical care remotely has been possible for decades and remote healthcare (RHC) is now a ubiquitous term.

Easier data connectivity, improved near-patient tests and increased acceptance of social media for human interaction make RHC more relevant and an opportunity to improve care quality. RHC technologies and competencies will become routine in general healthcare, particularly in rural areas. Within this context, I want to give an overview of RHC within Royal Dutch Shell.

New faces

Facing AfricaOral and Maxillofacial Consultant Kelvin Mizen was called upon to provide a groundbreaking procedure in Ethiopia after a young boy was attacked by a hyena

I became aware of surgical mission work in Africa for facial reconstruction dealing with the ravages of noma (formerly known as cancrum oris) when I was an oral and maxillofacial trainee in early 2000.

Five billion - the painful truth about access to surgery

Sept2015CoverThe Lancet Commission has reported that billions of people lack access to basic surgical care, setting ambitious targets to deal with the problem. Will the world’s health leaders rise to the challenge?

The Lancet Commission on Global Surgery, which reported in April, demonstrated the immense disparity in the provision of surgical care across the globe. Surgery is an integral component of healthcare, yet access to surgical and anaesthetic care in low and middle-income countries (LMIC) is woefully poor. The commission, which was written by a group of 25 experts with contributions from more than 110 countries, was launched at a day-long symposium at the Royal Society of Medicine in London.

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