This is the final episode in our four-part series on the theme of culture change, developed in collaboration with the Royal Australasian College of Surgeons. Presented by Rhea Liang, general and breast surgeon in Gold Coast, Australia and Simon Fleming, orthopaedic trainee in London, the series aims to bring conversations surrounding bullying, harassment and discrimination in the surgical workplace to the forefront of professional discourse, in hopes of encouraging long-term changes in attitudes and behaviours at all levels.

As a capstone to the questions and themes we have developed over the previous episodes, Rhea and Simon now ask, ‘where to from here?’ and review what the future may hold for culture change in surgery. Following this podcast, the listener should be able to integrate methods of culture change into their own workplace.

Views expressed in this podcast are the speakers' own and do not necessarily reflect the positions of the Royal College of Surgeons or the Royal Australasian College of Surgeons.

For more information about the learning and courses that RCS England offers please visit https://www.rcseng.ac.uk/education-and-exams/courses/ or https://vle.rcseng.ac.uk/ for the RCS England Virtual Learning Environment (VLE).

RCS England recognises the pressures placed on healthcare professionals at the moment and we are critically aware of the potential impact this may have on mental health and wellbeing. Therefore, we have expanded our Confidential Support and Advice Service (CSAS) through a helpline partnership with Health Assured. Members of RCS England can access this support service free of charge, 24/7. If you are experiencing problems in your work or personal life and would like to seek confidential support and advice from a trained counsellor please call the helpline on 020 7869 6221 or visit https://www.rcseng.ac.uk/careers-in-surgery/csas/ for more information.

This is the third episode in a four-part series on the theme of culture change, developed in collaboration with the Royal Australasian College of Surgeons. Presented by Rhea Liang, general and breast surgeon in Gold Coast, Australia and Simon Fleming, orthopaedic trainee in London, the series aims to bring conversations surrounding bullying, harassment and discrimination in the surgical workplace to the forefront of professional discourse, in hopes of encouraging long-term changes in attitudes and behaviours at all levels.

In episode 1, we considered the question “why do we need culture change in surgery?” and continued that discussion in episode 2 by considering, “How is it achieved?” In this episode, Rhea and Simon discuss the levers and barriers to achieving culture change in surgery. Following this podcast, the listener should be able to distinguish these levers and barriers and identify how the specific obstacles to culture change that arise in their own workplace.

Views expressed in this podcast are the speakers' own and do not necessarily reflect the positions of the Royal College of Surgeons or the Royal Australasian College of Surgeons.

For more information about the learning and courses that RCS England offers please visit https://www.rcseng.ac.uk/education-and-exams/courses/ or https://vle.rcseng.ac.uk/ for the RCS England Virtual Learning Environment (VLE).

RCS England recognises the pressures being placed on healthcare professionals at the moment and we are critically aware of the potential impact this may have on mental health and wellbeing. Therefore, we have expanded our Confidential Support and Advice Service (CSAS) through a helpline partnership with Health Assured. Members of RCS England can access this support service free of charge, 24/7. If you are experiencing problems in your work or personal life and would like to seek confidential support and advice from a trained counsellor please call the helpline on 020 7869 6221 or visit https://www.rcseng.ac.uk/careers-in-surgery/csas/ for more information.

This is the second episode in a four-part series on the theme of culture change, developed in collaboration with the Royal Australasian College of Surgeons. Presented by Rhea Liang, general and breast surgeon in Gold Coast, Australia and Simon Fleming, orthopaedic trainee in London, the series aims to bring conversations surrounding bullying, harassment and discrimination in the surgical workplace to the forefront of professional discourse, in hopes of encouraging long-term changes in attitudes and behaviours at all levels.

In episode 1, we considered the question “why do we need culture change in surgery?” and continuing from that discussion, we now ask, “How is it achieved?” Following this podcast, the listener should be able to evaluate ongoing national and international initiatives to attain culture change and review how these efforts might be applied to your own working culture.

Views expressed in this podcast are the speakers' own and do not necessarily reflect the positions of the Royal College of Surgeons or the Royal Australasian College of Surgeons.

For more information about the learning and courses that RCS England offers please visit https://www.rcseng.ac.uk/education-and-exams/courses/ or https://vle.rcseng.ac.uk/ for the RCS England Virtual Learning Environment (VLE).

RCS England recognises the pressures being placed on healthcare professionals at the moment and we are critically aware of the potential impact this may have on mental health and wellbeing. Therefore, we have expanded our Confidential Support and Advice Service (CSAS) through a helpline partnership with Health Assured. Members of RCS England can access this support service free of charge, 24/7. If you are experiencing problems in your work or personal life and would like to seek confidential support and advice from a trained counsellor please call the helpline on 020 7869 6221 or visit https://www.rcseng.ac.uk/careers-in-surgery/csas/ for more information.

This episode marks the first of a four-part series on the theme of culture change, developed in collaboration with the Royal Australasian College of Surgeons. Presented by Rhea Liang, general and breast surgeon in Gold Coast, Australia and Simon Fleming, orthopaedic trainee in London, the series aims to bring conversations surrounding bullying, harassment and discrimination in the surgical workplace to the forefront of professional discourse, in hopes of encouraging long-term changes in attitudes and behaviours at all levels.

Episode one considers the question 'why do we need culture change in surgery?' with a particular interest in examining the effects of uncivil behaviours on patient outcomes. Following this podcast, the listener should be able to evaluate, in terms of both patient care and professional wellbeing, the impact of discrimination, bullying and harassment, with a view towards better assessing the state of professional culture in their own working environments.

Views expressed in this podcast are the speakers' own and do not necessarily reflect the positions of the Royal College of Surgeons or the Royal Australasian College of Surgeons.

For more information about the learning and courses that RCS England offers please visit https://www.rcseng.ac.uk/education-and-exams/courses/ or https://vle.rcseng.ac.uk/ for the RCS England Virtual Learning Environment (VLE).

RCS England recognises the pressures being placed on healthcare professionals at the moment and we are critically aware of the potential impact this may have on mental health and wellbeing. Therefore, we have expanded our Confidential Support and Advice Service (CSAS) through a helpline partnership with Health Assured. Members of RCS England can access this support service free of charge, 24/7. If you are experiencing problems in your work or personal life and would like to seek confidential support and advice from a trained counsellor please call the helpline on 020 7869 6221 or visit https://www.rcseng.ac.uk/careers-in-surgery/csas/ for more information.

This episode marks the first of a four-part series on the theme of culture change, developed in collaboration with the Royal Australasian College of Surgeons. Presented by Rhea Liang, general and breast surgeon in Gold Coast, Australia and Simon Fleming, orthopaedic trainee in London, the series aims to bring conversations surrounding bullying, harassment and discrimination in the surgical workplace to the forefront of professional discourse, in hopes of encouraging long-term changes in attitudes and behaviours at all levels.

Episode one considers the question 'why do we need culture change in surgery?' with a particular interest in examining the effects of uncivil behaviours on patient outcomes. Following this podcast, the listener should be able to evaluate, in terms of both patient care and professional wellbeing, the impact of discrimination, bullying and harassment, with a view towards better assessing the state of professional culture in their own working environments.

Views expressed in this podcast are the speakers' own and do not necessarily reflect the positions of the Royal College of Surgeons or the Royal Australasian College of Surgeons. 

In this, the second and final episode of our two-part series on Reflections from the Covid-19 response, orthopaedic registrar and PhD candidate in medical Education, Simon Fleming discusses his experiences working at the Nightingale Hospital in London at the height of the pandemic. Though this interview was recorded on 1 May and operations at the Excel Centre have since ceased, these reflections nonetheless contain valuable insights for how surgical teaching and training may grow from the trauma and upheaval of Covid-19. 

"The Theatre" is taking a pause for the summer, but will return in September with more important conversations from the world of surgery.

In this first of a two-part series on Covid-19 Reflections, neurosurgeon John Brecknell, head of school for the London Postgraduate school of surgery discusses the impact of Covid-19 on surgical teaching and training with RCS Educator, Elise Omfalos. Though this interview was recorded on 4 May and there have been a number of developments with regards to social distancing guidelines in the intervening weeks, the long-term challenges for education posed by the ongoing pandemic remain broadly unchanged.