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EUOGS 4th National Undergraduate Conference:

EXPLORING INFLAMMATION

IN REPRODUCTIVE MEDICINE Saturday 27th January 2018

Chancellor’s Building, Royal Infirmary of Edinburgh

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Welcome

We are delighted to welcome you to EUOGS’ 4th National Undergraduate

Conference!

Our theme this year is “Exploring Inflammation in Reproductive

Medicine”. Inflammation is an integral part of reproductive physiology,

necessary for normal ovulation, menstruation and parturition. However, it

also plays a sinister role in many reproductive pathologies, including

preterm labour, miscarriage and pre-eclampsia; and targetting

inflammation may be one strategy in the management of these conditions.

Thus, we believe it is a fascinating area of O&G, and are excited to

welcome numerous accomplished speakers to better understand this field.

We are also fortunate to welcome many gifted students presenting their

own innovative research, and will be hosting several workshops exploring a

variety of essential O&G skills. Therefore we encourage you to make the

most of the opportunities available today; be curious, ask questions, take

part, and most importantly – have fun!

We hope that what you learn today may strengthen your passion for O&G.

Best wishes,

Amanda Leow Lily Hua Nazia Zahed, Amy Shearer

(President) (Vice President) (Conference team)

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Programme

LT B UMTR CSC SR 1 SR 2 SR 3 SR 4

= = = = = = =

Lecture Theatre B Undergraduate Medical Teaching Room Clinical Skills Centre Seminar Room 1 Seminar Room 2 Seminar Room 3 Seminar Room 4

See overleaf for the site map.

TIME TOPIC VENUE

09.00-09.15 Registration, refreshments Foyer 09.15-09.20 Welcome talk (EUOGS president) LT B

09.20-10.05 Abnormal menstrual bleeding: still an unmet clinical need. (Professor Hilary Critchley)

LT B

10.05-10.50 What is the impact of stress and obesity in pregnancy on child health? (Professor Rebecca Reynolds)

LT B

10.50-11.10 Break & poster viewing UMTR

11.10-12.00 Student oral presentations: 1. Ryan Andrew Brown 2. Laura Haddow 3. Bhavya Rajagopalan

LT B

12.00-12.45 Debate: This house believes that Obstetrics & Gynaecology should be separate specialities in the future (Professor Colin Duncan, Dr Mayank Madhra)

LT B

12.45-13.00 Student data blitz: 1. Jesymin Choong 2. Hannah Elkadi 3. Iverene Tung 4. Sin Hui Winsy 5. Giselle Yonace

LT B

13.00-13.05 Group photo Foyer

13.05-14.00 Lunch & poster viewing UMTR 13.05-13.30 Delegates please stand beside your posters after getting food.

13.30-14.00 Laparoscopy kits and C-section model available for play.

14.00-14.30 Announce winners, organise groups for workshops LT B

14.30-15.00 Workshop 1/2/3/4/5 15.00-15.30 Workshop 1/2/3/4/5

15.30-16.00 Workshop 1/2/3/4/5 16.00-16.30 Workshop 1/2/3/4/5

16.30-17.00 Workshop 1/2/3/4/5 Workshops:

1. Laparoscopy skills (Dr Jonathan Chamberlain) 2. Shoulder dystocia & emergency C-section (Dr Mila Maidarti, Dr

Rashda Bano) 3. Ultrasound skills (Dr Tom Fitzgerald) 4. How to birth a baby (Dr Emem Usoro) 5. SimMom: O&G resus skills (Dr Kirsty Dundas)

SR 1 SR 2 SR 3 SR 4 CSC

17.00-17.10 Debrief, feedback & more information on EUOGS

Announce winners (workshop skills, lucky draw)

Remove posters, end of conference.

LT B

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Site map (ground floor)

UMTR

SR 2

SR 1

LT B

FOYER

Enter from RIE

Stairs

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Site map (first floor)

Stairs

SR 3

SR 4

SR 5

SR 6

CSC

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Guest speakers Professor Hilary Critchley

“Abnormal menstrual bleeding: still an unmet clinical need”

Professor of Reproductive Medicine, University of Edinburgh

Honorary Consultant Gynaecologist, Edinburgh Royal Infirmary, NHS Lothian, Scotland

Head of Deanery of Clinical Sciences (Edinburgh Medical School; University of Edinburgh)

Co-Deputy Director, MRC Centre for Reproductive Health at University of Edinburgh

Professor Hilary Critchley’s research programme focuses upon

local uterine mechanisms involved in menstruation, abnormal

uterine bleeding and implantation. Major contributions have been

made to understanding the local endometrial response to

withdrawal of progesterone, both physiological and

pharmacological. Study of the local effects of pharmacological

steroid receptor modulation in uterine tissues has informed

development of novel treatment strategies for problematic uterine

bleeding and in the field of endometrial contraception. Recent

studies have included further development of models for studying

menstruation and uterine bleeding. She has over 250 peer-

reviewed publications.

She has Co-Chaired an International Agreement Process for

terminologies /definitions and a classification system for

abnormalities of menstrual bleeding supported throughout by the

International Federation of Gynecology and Obstetrics (FIGO) and

remains a member of the FIGO Menstrual Disorders Committee

(MDC). She is a Past-Coordinator of the European Society of

Human Reproduction and Embryology (ESHRE) Special Interest

Group Endometriosis & Endometrium. She was a Council Member

of the Society for Gynaecologic Investigation (2010-2013). She is a

current member of the University of Cambridge Centre for

Trophoblast Research (CTR) Scientific Advisory Board; an

immediate past Board member of the World Endometriosis Society

(WES) and current Board member of the Society for Endometriosis

and Uterine Disorders (SEUD).

Her expertise in the field of endometrial biology and reproductive

medicine has been nationally and internationally recognised. In

2009 she was elected to the Fellowship of The Academy of Medical

Sciences (UK) and in 2012 she was elected to the Fellowship of

The Royal Society of Edinburgh.

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Professor Rebecca Reynolds

“What is the impact of stress and obesity in pregnancy on child health?”

Professor of Metabolic Medicine, University of Edinburgh Honorary Consultant Physician in Diabetes & Endocrinology, NHS Lothian Deputy Head of the Centre for Cardiovascular Sciences, University of Edinburgh

Professor Rebecca Reynolds’ main research interest is in the

early life origins of health. She was awarded the Nick Hales Award

in 2011 by the International Society for the Developmental Origins

of Health and Disease and the Curt Richter Award in 2012 by the

International Society of Psycho-neuroendocrinology in recognition

of this work. She is Chair of the Diabetes UK Clinical Studies

Group ‘Causes of Diabetes’. Her work spans ‘process to

population’, e.g. experimental medicine studies in pregnant women

and their children, detailed mechanistic studies using placental

tissue, randomised controlled trials testing interventions in

pregnancy to improve outcomes and epidemiological data-linkage

studies using ‘big data’ in Scotland.

Her clinical work includes diabetes, endocrinology, reproductive

endocrinology and antenatal medicine. She is Module Lead for

MBChB Year 4 and Year 2 Endocrinology and Diabetes.

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Professor Colin Duncan

“This house believes that Obstetrics & Gynaecology should be separate specialities in the future” (The Affirmative)

Professor of Reproductive Medicine and Science

Professor Colin Duncan is a Principal Investigator in the MRC

Centre for Reproductive Health at the University of Edinburgh. He

graduated in Medicine from the University of Edinburgh in 1990.

His research training included a Wellcome Trust Clinical Training

Fellowship at the MRC Reproductive Biology Unit and a Clinician

Scientist and Scottish Senior Clinical Fellowship at the University of

Edinburgh. Clinically he trained in Obstetrics and Gynaecology

becoming a subspecialist and Consultant in Reproductive Medicine

and Surgery in 2004. He runs infertility and reproductive endocrine

clinics and is the lead Consultant for Ovulation Induction in the

Edinburgh Fertility and Reproductive Endocrine Centre lead

clinician of the Pregnancy Support Centre at the Royal Infirmary of

Edinburgh.

Scientifically Colin Duncan runs a research laboratory that studies

tissue and vascular remodelling, normal ovarian physiology and

polycystic ovary syndrome using human cells and a large animal

model. Academically he chaired the MCROG examination working

group for the RCOG. He is Director of the year 5 MBChB course at

the University of Edinburgh and is external MBChB examiner at the

University of Liverpool and Imperial College, London. He is a

member of the Scottish Committee of the RCOG and member of

council of the Society for Reproduction and Fertility.

Dr Mayank Madhra

“This house believes that Obstetrics & Gynaecology should be separate specialities in the future” (The Negative)

Consultant Gynaecologist, NHS Lothian

Dr Mayank Madhra graduated from Edinburgh University and did

most of his Obstetrics and Gynaecology clinical training in

Edinburgh and South-East Scotland. After obtaining a UK wide

competitive entry advanced training post in endometriosis and

minimal access surgery, he spent the final two years of his

postgraduate training in Edinburgh as part of the EXPPECT

nationally recognised BSGE Endometriosis Centre. During this

time he focussed on Endometriosis surgery and Medical

Education.

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Workshop tutors Dr Jonathan Chamberlain Laparoscopy skills Dr Jonathan Chamberlain is a consultant gynaecologist primarily based at Sunderland

Royal Hospital, City Hospital Sunderland Foundation NHS Trust. His main interests are in

urogynaecology and other benign gynaecological diseases, and also Minimal Access

Surgery. He was also a prominent member of the British Society for Gynaecological Imaging

(BSGI) Committee in 2014.

Dr Mila Maidarti Shoulder dystocia & emergency C-section Dr Mila Maidarti is an O&G consultant in the University of Indonesia, where she worked in

the Reproductive Endocrinology and Infertility division for five years. Mila is currently

pursuing her Ph.D. programme in the MRC Centre for Reproductive Health, Edinburgh,

where her research lies in the field of fertility preservation. She was a visiting research fellow

in Japan where she studied the in vitro follicle culture of mice. She previously visited St

Louis hospital, Missouri, USA for a short-term training on ovarian tissue transplantation and

minimal ovarian stimulation in IVF patients. This year, under the guidance of Mila we will

learn some clinical skills relevant to O&G.

Dr Rashda Bano Shoulder dystocia & emergency C-section

Dr Rashda Bano is a specialist in reproductive endocrinology and assisted conception,

based in the renown Simpson Centre, Royal Infirmary Edinburgh.

Dr Tom Fitzgerald Ultrasound skills

Dr Tom Fitzgerald is a consultant radiologist at the Royal Infirmary of Edinburgh with

special interests in General, Obstetric, Gynaecological and Neonatal ultrasound scanning.

Dr Emem Usoro How to birth a baby

Dr Emem Usoro completed her medical bachelor degree in University of St Andrews and

subsequently obtained her MBChB from the University of Manchester. After clinical training

in Wigan, Northern Ireland and Glasgow, she pursued her interest in obstetrics and

gynaecology. She is currently an ST2 at the Royal Infirmary of Edinburgh.

Dr Kirsty Dundas SimMom: O&G Resus skills Dr Kirsty Dundas is a consultant obstetrician at the Royal Infirmary of Edinburgh. Her

interests include high risk obstetrics including preterm delivery and induction of labour and

also in medical education. Kirsty did her undergraduate degree at Edinburgh University and

trained in the South East of Scotland. In addition to her clinical role she is an honorary

senior lecturer and an associate senior tutor at Edinburgh University and serves on the

council of the Royal College of Obstetricians and Gynaecologists as a Scottish

representative.

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Student research

Oral presentations:

Ryan Andrew Brown, The University of Edinburgh

“Understanding the Mechanism of Action of the Copper Intrauterine Device and the

Levonorgestrel Intrauterine System.”

Laura Haddow, The University of Edinburgh

“Gestational Diabetes Mellitus and the Maternal and Neonatal Outcomes of

Pregnancy within NHS Lothian.”

Bhavya Rajagopalan, The University of Edinburgh

“Edinburgh Pelvic Pain Multidisciplinary Clinic: An Audit of Pain Outcomes in

Patients with Chronic Pelvic Pain.”

Poster presentations:

Jesymin Choong, The University of Edinburgh

“Physiological Observation Frequency on Antenatal Patients: an Audit on

Compliance with NHS Lothian Monitoring Frequency Guidance.”

Hannah Elkadi, The University of Sheffield

“The Role of Pre- and Intra-Operative Ureteric Stent Insertion in Radical

Gynaecological Oncology Surgery.”

Iverene Tung, The University of Edinburgh

“An Audit and Quality Improvement: Frequency of Observations Done in Postnatal

Patients.”

Sin Hui Winsy, The University of Sheffield

“Green Tea for Treatment of Endometriosis.”

Giselle Yonace, The University of Edinburgh

“Retrospective Study of Borderline Ovarian Tumours in Young Women and

Associated Controversies in Management.”

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Acknowledgments

A huge thank you to our generous sponsors, without whom this conference would not

have been possible.

We would also like to thank the staff and students who very kindly donated their time to

present their research and teach us about Obstetrics & Gynaecology.

Finally, thank you all for attending the conference, and making this day so special. We

hope to see you again soon!

Best wishes, the EUOGS team

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Notes