New this Week
Changes are afoot in T&O. A new 'MSK' Division has been formed which embraces T&O, Rheumatology, Chronic Pain Services and Therapies. This may sound like a common sense grouping of specialities but it has required for example the wrestling of Rheumatology from Medicine & Pain from Anaesthetics to create a properly MDT approach for the patients.
Part of this evolution is the setting up of governance meetings and we held one this week: the Upper Limb Speciality Review Meeting
This is a rare & welcome opportunity for all the consultants to be in one place at the same time, which otherwise never happens. Never. So it's also a team building experience as well as a review of practice and you see here me, Ioannis Polyzois, Rohit Gupta & Ali Narvani in the historic first-ever photo taken of all of us together.
Guardian of Safe Working
We've discussed in previous posts the importance of this new role and on Thursday 23rd June after open interview, Dr Paul Murray was appointed to this post
Paul is a Consultant Respiratory Physician here @ASPHFT. He has long been engaged in supporting education and we look forward to seeing how he shapes the post of Guardian of Safe Working as it evolves. Congratulations Paul.
New Face on the Block
We welcome back this week Gautham Talewadeker to the post of Locum Upper Limb Consultant
Gautham is helping us out for four months to address the patient pathway. He was last with us as Upper Limb Fellow and rejoins us after a further Fellowship in Canada
#ILookLikeASurgeon
It was lovely to receive a visit this week from Ms Sabahat Gurdezi. 
Sabahat has been a SW Thames T&O trainee and next year will start as an Upper Limb Consultant at East Surrey @sashnhs
Registration has opened for the BMJ Careers Fair October 21/22nd October @bmjcareers. It is FREE & an excellent opportunity to find out about specialities you might not have considered before, as well as a good networking opportunity 
And Finally...
The role of Surgical Tutor is seemingly wide-ranging. This week I was tackled on 'the dispositions required to be a Surgeon' by Year 6 at Wimbledon High School @Juniors_WHS as part of their "Imagine your Futures" afternoon.
Their forensic questioning made me re-appreciate that yes, I do have a really cool job and get to do really cool stuff. You can lose that joy when the management walls seem to close in around you as they did a bit this week, so thank you Year 6 for reminding me what it's all about.
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