Event Details

Managing Complexity and Uncertainty - Medicine for Older People Conference

RCPE Symposium Edinburgh

Date: Wednesday, 21 March 2018


Royal College of Physicians of Edinburgh,
9 Queen Street,


Online booking is now closed but there may be some places available. For more information contact Anne Fairbairn (a.fairbairn@rcpe.ac.uk) at the College

For the 2018 Medicine for Older People symposium, the symposium committee and I have invited engaging expert speakers from a broad range of disciplines to share their insights and practical advice on the theme of managing complexity in older people. We aim to provide a stimulating, varied and informative day on topics including

  • Delivering realistic medicine

  • Managing complexity from the perspectives of primary care and community geriatrics – how to provide an effective, evidence-based service

  • Updates on what is new in medicine for older people presenting with respiratory conditions, heart failure and infectious diseases

  • Trainee-focused session on key lessons learned in complex clinical decision making and successful quality improvement projects - full details on submitting an abstract can be accessed here

  • Assessing and managing frailty in a range of acute environments – perspectives from emergency medicine, intensive care and surgery, plus an interactive discussion

The symposium is aimed at physician trainees, physicians from all specialties, primary care physicians and multiprofessional colleagues who encounter older people with complex healthcare needs, and deal with the associated challenges and dilemmas. We look forward to your company.

Dr John Davison
Chair, Organising Committee

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Wednesday 21 March 2018


Registration and Coffee


Welcome and introductory remarks
by Professor Derek Bell OBE, President, Royal College of Physicians of Edinburgh

Session 1 - Managing complexity in the community

Chair: Dr Lynn Shields, Consultant Geriatrician, Aberdeen Royal Infirmary


Chair: Professor Derek Bell OBE, President, Royal College of Physicians of Edinburgh
Realistic medicine for older people in Scotland and beyond
Dr Helen Mackie, Realistic Medicine Clinical Adviser, The Scottish Government


Providing comprehensive assessment: the Primary Care perspective
Dr Jane Halpin, General Practitioner, Sunderland
*pros and cons of a primary care-led service *how to deliver comprehensive geriatric assessment in primary care *how to maximise expertise of the multiprofessional team


Community management: a geriatrician's perspective
Dr Marie Bateman, Consultant Geriatrician, Sunderland Royal Hospital
*what services to provide and how to deliver them *how to develop your service *how to sustain your service


Coffee / tea

Session 2 - What's new in healthcare for older people?

Chair: Dr Gordon Duncan, Consultant Physician, Western General Hospital, Edinburgh


Infectious diseases
Dr Alisdair MacConnachie, Consultant Physician in Infectious Diseases & General Medicine, Gartnavel General Hospital, Glasgow
*Clostridium difficile - new treatments and changing epidemiology *multi-resistant organisms - antibiotic selection and effective administration in older people *emerging threats - how will this impact on older people


Heart failure
Dr John Baxter, Consultant in Geriatric Medicine, Sunderland Royal Hospital
*new treatments for heart failure *device therapies - where is the evidence? *advanced care planning and end of life care decision making


Respiratory medicine
Dr Richard Stretton, Consultant in Respiratory Medicine, NHS Tayside, Dundee
*lung cancer, new developments and treatment strategies in lung cancer in older people *COPD and interstitial lung disease - what is new?



Session 3 - Complexity in older people: a trainees' perspective

Chair: Dr Jennifer Harrison, Specialty Trainees, Medicine for the Elderly, Edinburgh


Slumpograms, mortality and long hospital stays
Dr Aled Lloyd, CT2 Doctor, Morriston Hospital, Swansea


Frailty assessment and risk prediction by GRACE score in older patients with acute myocardial infarction
Dr Atul Anand, SpR in Geriatric Medicine, Royal Infirmary of Edinburgh


Multidisciplinary approach to oral health assessment
Dr Claire Corson, CMT2, University Hospital Wishaw


Managing uncertainty in care homes
Dr Gemma Alcorn,
Public Health Masters Research Student & SpR in Geriatric Medicine, University of Edinburgh



Session 4 - Frailty and delivery of acute and complex care throughout the NHS

Chair: Dr John Davison, Consultant Geriatrician, Newcastle upon Tyne Hospitals NHS Trust


Frailty in the emergency department (ED)
Dr Charlotte Bates, Consultant in Emergency Medicine, Northumbria Healthcare NHS Trust
*How does the ED triage, assess and manage frail older patients?  *silver trauma


Frailty in intensive care unit (ICU)
Dr Nazir Lone, Senior Clinical Lecture in Critical Care Medicine, University of Edinburgh
*selecting older people for ICU *outcomes from ICU intervention in frail older patients


Frailty in the operating room (OR)
Mr Iain McCallum, Consultant Surgeon, Northumbria Healthcare NHS Trust
*assessing suitability for surgery *operative choice and treatment options in frailty *surgical frailty teams


Panel Q&A Session
led by Dr Zoe Wyrko, Consultant Geriatrician, Queen Elizabeth Hospital, Birmingham
*frailty assessment models. Frailsafe and patient outcomes *panel discussion on managing frailty in all specialties





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Online booking for this event closes on Tuesday 20 March 2018 but places may still be available after that date - please contact the Education Co-ordinator for further information.

An early bird discount applies until Wednesday 21 February 2018

Registration fees


Early Bird fee
until Wednesday 21 February 2018

from Thursday 22 February 2018

Standard fee



RCPE Fellow



RCPE Collegiate / Associate / Foundation Member



Nurse / AHP / Pharmacist / Postgraduate student



Retired FRCPE, including lunch



Retired FRCPE, no lunch



Medical student



Long term / other leave – Fellows and Members, please contact the Event Co-ordinator as some discretion may be available.

Collegiate and Associate Members of the RCPE in clinical research posts may be eligible for funding - please contact the Event Co-ordinator for further information.

Trainees – Scotland Deanery medical specialty trainees can attend any number of eligible symposia for a one-off payment from their study leave budget (block grant scheme).

Further details can be obtained from the Event Co-ordinator.

Free places

Unpaid post – Nil, if confirmation of status provided – please contact the Event Co-ordinator.

Refugee doctors – free places are available to refugee doctors who are Associate Members of the College. Associate Membership for refugee doctors is available free of charge. Please visit our website for instructions on how to join, and then apply to the Event Co-ordinator for your free place.

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Further Info

This event is open to all grades of medical, health care and scientific staff and to students. If you are unsure about eligibility, or the correct fee category, please contact the RCPE member of staff responsible for the event (see Fees page).

All relevant events are approved for Continuing Professional Development (CPD). A certificate of attendance with CPD information will be issued electronically to individual delegates via email. Please note - certificates can only be issued to attendees who have signed against their name on the CPD Register/Delegate List available at each event and completed feedback forms have been received.

Please note that on occasion event programmes may be subject to change due to unforeseen circumstances.

A professional photographer may be in attendance at this event. Photographs may be used by the College in digital and printed publicity material. If you do not wish to be photographed, please let a member of staff know at the registration desk.


As a listed building, the College has restricted disabled access. A wheelchair lift is provided at the rear of the College giving access to the Conference Centre and the main historic rooms, but not all of the smaller rooms used for educational events. For further information and assistance please contact the RCPE Co-ordinator responsible for the event.

An induction loop system is available in the conference centre and Great Hall.

Accommodation and Directions to the College

The College has negotiated special rates with a number of local hotels.

Parking is available on street (metered) or at the Omni Centre car park, 10 minute's walk from the College.

Download pdf map and directions

Bicycle racks are available for cyclists at the door to 8 Queen Street. For access to further bicycle racks, please ask at reception.

Local walking routes

Three short walks can be enjoyed from the College. So if you are visiting us, why not explore the local area. Details can be found at Medal Routes.

Commercial Sponsorship

Many events are supported by commercial companies taking stand space. Health professionals and NHS managers are invited to visit the company stands during the breaks. Companies interested in sponsoring this, or other events listed on the Calendar, should contact the Co-ordinator responsible for the event.

Exhibitors/sponsors play no part in the planning or delivery of the event and the College has developed an Ethical Sponsorship Policy to support organising committees and committee chairs in their negotiations with potential commercial partners for education and other events.

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