1. Template Slides for Local Presentation 1.Reporting back of audit results to key stakeholders including audit departments is good practice. 1.This may be done in several ways, including presenting your results in an oral presentation at an audit meeting or departmental meeting. Alternatively your local audit department may require that you submit a written report of the results. 1.These slides are provided to local collaborators for use in local presentations to departmental or audit meetings. It may be worthwhile consulting your local audit department regarding any specific requirements. 2.Feel free to format report and add sections as required. This presentation is a guide only. 1.Ensure that the whole team including your supervising consultant approves of the content of these slides before the presentation. 1.Guidance notes on this template are in red font - delete them when editing.

2. www.starsurg.org collaborate@starsurg.org (Name of team members) Supervising Consultant: ON BEHALF OF STUDENT AUDIT AND RESEARCH IN SURGERY (STARSurg) Supported by:

3. www.STARSurg.org Principles of STARSurg Empower student audit and research Facilitate audit and research training ‘Hands-on’ medical student engagement Build a culture of collaboration Promote evidence-based practice Student led initiative STARSurg: The Student Audit & Research Collaborative www.starsurg.org collaborate@starsurg.org

4.  Audit standard: – All patients should have BMI calculated within 24 hours of admission to hospital (NICE CG 32).  Study aims: – Establish compliance with NICE guidelines requiring early identification of obese patients. – Determine role of obesity as risk factor for major post-operative complications. STARSurg: The Student Audit & Research Collaborative www.starsurg.org collaborate@starsurg.org

5. Methods  3 teams each auditing 2-week periods in Oct–Nov 2014.  Inclusion criteria:  Adult patients undergoing GI or HPB surgery with an overnight stay in hospital.  Exclusion criteria:  Day case surgery and minor anorectal procedures.  Transplants.  Hernia surgery without bowel resection. STARSurg: The Student Audit & Research Collaborative www.starsurg.org collaborate@starsurg.org

6. STARSurg: The Student Audit and Research Collaborative www.starsurg.org collaborate@starsurg.org

7. Follow-up  30-day follow-up:  Complications.  Severity graded by Clavien-Dindo classification.  Re-admission. STARSurg: The Student Research Collaborative www.starsurg.org collaborate@starsurg.org

8. Demographics Total x patients:  y males, z females  Median age: a years  Median IMD: b  c% had co-morbidities Body Mass Index (Edit piechart data)

9. STARSurg: The Student Audit & Research Collaborative www.starsurg.org collaborate@starsurg.org ElectiveEmergencyTotal Open Open, laparoscopy assisted Laparoscopy converted to open Laparoscopy Total Procedures

10. Results  Audit standard compliance:  X (y/z) patients had BMI screened at admission.  Major post operative complications:  a Clavien-Dindo grade ≥3 events. ***Any other results/graphs as per DISCOVER Local Data Analysis Sheet Tool provided*** STARSurg: The Student Audit & Research Collaborative www.starsurg.org collaborate@starsurg.org

11. STARSurg: The Student Audit & Research Collaborative www.starsurg.org collaborate@starsurg.org You may also wish to present other data, e.g. by stratifying complications by emergency or elective status

12. Conclusions Summarise data points How many patients had BMI measured What proportion of patients were obese? Outcomes STARSurg: The Student Audit & Research Collaborative www.starsurg.org collaborate@starsurg.org

13.  STARSurg is a student-led collaborative in Surgery facilitating multi-centre audit and service evaluations.  Participation in DISCOVER across the UK:  All UK and four Irish medical schools.  Total 165 hospital centres  Over 1,000 collaborators  More than 10,000 patients STARSurg: The Student Audit & Research Collaborative www.starsurg.org collaborate@starsurg.org

14. STARSurg 2013 Substantial progress from our 2013 study Prospective audit on the use of NSAIDs in gastrointestinal surgery – 258 student collaborators – 31 UK medical schools – 1500 patients – 109 UK hospitals STARSurg: The Student Audit & Research Collaborative www.starsurg.org collaborate@starsurg.org

15. STARSurg 2013 - Publication STARSurg: The Student Audit & Research Collaborative www.starsurg.org collaborate@starsurg.org

16. STARSurg Collaborator Centres 2013 and 2014 20142013 STARSurg: The Student Audit & Research Collaborative www.starsurg.org collaborate@starsurg.org

17. Join our mailing lists! www.STARSurg.org Supported by:

18. www.starsurg.org collaborate@starsurg.org Thank you any questions? You may wish to add a personal contact email/information Supported by: