The 2019 BOA Instructional Course took place on Saturday 12th January at the Macdonald Hotel Manchester.

This one day programme ran two parallel streams and provide curriculum driven clinical updates and critical condition assessment opportunities aimed at T&O trainees and SAS surgeons.

Stream One covers: Clinical Based Discussions (CBDs) in diabetic foot; necrotising fasciitis; spinal infection and metastatic spinal compression.

Stream Two covers:  Plenary sessions on Foot and ankle; shoulder and elbow; hand and wrist; hip and knee, spine and paediatrics.

CBD Faculty

Paul Banaskeiwicz

Paul is an active member of several orthopaedic associations and societies including the British Orthopaedic Association (BOA), British Hip Society (BHS) and British trauma society (BTS). I am fellow of the Royal College of Surgeons of England, Edinburgh and Glasgow

He has a strong commitment to teaching, training and education. He is a member of the regional STC panel; fully accredited ST3+trainer; regularly attend the ARCP process for ST3+ trainees and a regular interviewer for the national appointments process at ST3 level. In addition, he is a fellow of the Higher Education Academy, a fellow of the Academy of Medical Educators and have a Masters degree in Medical Education.

Paul has been an ATLS instructor for 8 years and regularly instruct on various courses both at a local and regional setting. he is also the main editor and author for three FRCS (Tr&Orth) related exam books. These are international best sellers and were highly commended at the BMA book awards in 2017.

He runs an annual 6-day intensive FRCS (Tr&Orth) revision course at Northumbria University and QEH Gateshead. This has attracted candidates from Hong Kong, Kuwait, Singapore, Saudi Arabia, Egypt, Greece, Germany and Ireland which is fully accredited by the RCSEng.

Paul is also a member of the BOA Educational and Revalidation Committee which focuses on the provision of high quality education for orthopaedic consultants, SAS staff and SpRs. Also a visiting professor at Northumbria University as acting as an interface between the academic roles Northumbria University provides and my own clinical oriented background that provides a practical focus for research.

Deepa Bose

Ms. Deepa Bose qualified as a doctor from the University of Calcutta in 1990. She subsequently came to the UK for higher training.
In 2009 she was appointed as a consultant to the Queen Elizabeth Hospital Birmingham, where she currently works. Her practice is exclusively in adults, and includes general trauma, major trauma and post-traumatic limb reconstruction (osteomyelitis, malunion, non-union, limb lengthening & deformity correction).
She also has a keen interest in medical education. She completed an MSc in Medical Education from Cardiff University in 2010. She is now Chair of the Specialist Training
Committee for core surgical training in the West Midland region, and is a member of the Training Standards Committee of the British Orthopaedic Association.

Ms Bose has a desire to promote and encourage teaching in orthopaedics in developing nations, and she gained the Diploma in Medical Care of Catastrophes from the Worshipful Society of Apothecaries in 2011. She has been the secretary of World Orthopaedic Concern UK, a specialist society of the British Orthopaedic Association, and a charity which focuses on teaching orthopaedics in low resource countries, since 2009.

She has been on the International Emergency Trauma Register of the UK, a first response team for international disaster relief, since 2012.

Lee Breakwell

Lee currently works at Sheffield Children’s and Teaching Hospitals as a spinal surgeon. He trained in Sheffield, West Midlands, with Fellowships in Nottingham and the USA. He is a Council member of the BOA, and was formerly President of BOTA. He is a member of the BOA Trauma group, and is responsible for Spinal BOASTs

He was Director of Education in Sheffield for 10 years, and led AO Spine Education for the UK. He is co-designer, developer and administrator of the British Spine Registry, and has been audit lead for both spinal surgery societies. He is currently secretary of the UK Spine Societies Board, who are responsible for organising the biennial BritSpine Congress.

His current research interests include respiratory function in Early Onset Scoliosis, and growing spine surgery

Zak Choudhury

Ashley Cole


Ashley Cole has been a Consultant Spinal Surgeon at the Sheffield Children’s and Northern General Hospitals in Sheffield since 2003. Whilst on the BASS Executive between 2010 and launch in 2012, he co-developed the British Spine Registry. He is Chair of a BOA group developing the newer Orthopaedic Registries (TORUS). He remains the Spinal Chair of the Orthopaedic Expert Working Group advising the NHS on spinal coding, healthcare resource groups and tariff. After being a member of the last Spinal Taskforce, he became Chair of the Complex Spinal Surgery Clinical Reference Group advising NHS England on commissioning specialised spinal surgery and is now Chair of the newly formed Spinal Services CRG. He is currently Clinical Lead for the NHS England Improving Spinal Care Project to implement the National Back and Radicular Pain Pathway and introduce Regional Spinal Networks. He is on the Executive Committee of the UKSSB.

Cyrus Jensen

Cyrus Jensen graduated from Newcastle Medical School in 2003 and stayed in the Northern Region for his Basic and Higher Surgical Training in Orthopaedics. He then completed an Advanced Spine Fellowship in Leeds Spine Unit in 2013, before taking up his Consultant post in Northumbria Healthcare NHS Foundation Trust.  He currently operates on all aspects of the adult spine, with a specialist interest in complex cervical surgery. He also participates on the general trauma rota.

Throughout his training and career he has been active in research and had a real passion for training, giving lectures and running courses for both under and post graduate, and allied health professionals. Appointed as Early Years TPD in the Northern Region, his roles include running the CT2 T&O program and the ST3 interview course. Whilst a trainee himself, he created a regional clinical assessment for Northern Trainees (ITCA), and has been a Chief Editor for the UKITE since its inception.  He helped to develop and has been faculty on all of the new format BOA Instructional courses, which aim to enable trainees to achieve their competencies in core CBDs.

Lisa Hadfield-Law

 Having spent 20 years in clinical practice and 20 years in surgical education, Lisa  has been immersed in both cultures and is, therefore, in a unique position to provide educational advice.  She has managed an orthopaedic/trauma service of a major teaching hospital, and has insight into the circumstances and challenges facing surgical teams.

Surgical educator since 1992
Tained over 10,000 surgeons from 65 countries within Europe, North America, Latin America, and Asia Pacific.
Previously 20 years of trauma nursing experience in the UK and abroad
MSc in Higher Professional Education

Current Position

  • Consultant surgical educator UK and abroad
  • Education Advisor to the British Orthopaedic Association & AOUK
  • Contributes to the T&O SAC, Training Standards Committee and ISCP Management group

Rajesh Kakwani

Rajesh Kakwani is a Consultant Orthopaedic Surgeon at Northumbria Healthcare NHS Trust where he leads the Foot and Ankle unit. He completed his Higher Surgical Training at the Northern Deanery, gaining the FRCS (Orth) accreditation in 2012. He undertook fellowship training in foot and ankle surgery at Bristol and Sheffield. Mr Kakwani completed the AO Trauma Fellowship in Hannover, Germany & was awarded BOFAS Travelling fellowship to the Sigvard Hansen Foot and Ankle Unit, Seattle. He is and has been a Clinical and Educational Supervisor for the Orthopaedic Specialty Trainees and teaches in a variety of international & national courses including the BOFAS Principles Course.

Birendar Kapoor

Birender Kapoor is a consultant orthopaedic surgeon at Royal Liverpool University teaching Hospital. He has a keen interest in education and has been teaching at local, regional, national and international level for the last 6 years. His clinical subspecialty interests include primary and revision hip arthroplasty, complex trauma and Metastatic bone disease.

  • Member of Intercollegiate MCQ setting committee
  • Runs a national cadaveric intra-medullary nailing course for trainees
  • Faculty member on FRCS exam courses
  • Co-founder of a novel regional Metastatic bone disease Service.
  • Honorary lecturer at Liverpool University

Peter Loughenbury

Peter Loughenbury is a fellowship trained Consultant Orthopaedic Spinal Surgeon at Leeds General Infirmary.  His practice includes surgical treatment for a full range of spinal conditions from the skull base to the pelvis. His entire surgical practice is focused on spinal surgery with a special interest in adult and paediatric spinal deformity.

He studied medicine at the University of Leeds and completed both basic and higher surgical training in trauma and orthopaedics in the Yorkshire Deanery. He gained specialist training in complex spinal surgery in the cervical, thoracic and lumbar spine as the National Spinal Fellow at Leeds General Infirmary – a combined neurosurgical and orthopaedic fellowship. He built on this experience with fellowship posts with the Scottish National Spinal Deformity Service at the Royal Hospital for Sick Children in Edinburgh, and as an AO Spine Fellow at Princess Alexandra Hospital in Brisbane, Australia.

He teaches on a number of regional and national FRCS (Orth) revision courses and is a former trainee representative on the British Association of Spine Surgeons (BASS) Executive Committee. He is actively involved in basic science and clinical research, with ongoing collaboration with the Institute of Medical and Biological Engineering at the University of Leeds.

Ajay Malvaya

Mr Malviya joined Northumbria Healthcare as a Consultant in 2011 after completing his orthopaedic training in the North East. His area of specialty is in the treatment of disorders of the young adult hip and has helped Northumbria become the tertiary referral centre for young patients with hip disorders attracting referrals from all over the country. He has expertise in hip preserving surgeries like hip arthroscopy for femoroacetabular impingement and other disorders around the hip and periacetabular osteotomy for hip dysplasia (corrective surgery for shallow socket) using a minimally invasive approach (small incision).

Mr Malviya is heavily involved in training future orthopaedic consultants. He is the lead of the UK and Ireland orthopaedic in training examination. In addition he regularly teaches in national hip arthroscopy courses and mentors consultants on how to set up a similar service in their own trust. He also teaches in early intervention in hip surgery and hip and knee arthroplasty courses.

He has an active interest in research, being an Honarary Senior Lecturer in Regenerative Medicine in Newcastle University, with many publications to his name, and lectures nationally and internationally. He has also won several national and international awards in his area of specialty.  He is editorial correspondent for Journal of Hip Preservation Surgery and a member of the steering committee for the National Non Arthroplasty Hip Registry (NAHR). He is the trust T&O lead for Academic research and Quality.

Lyndon Mason


Mr Mason qualified from the University of Wales College of Medicine, completing his orthopaedic training in Wales before moving to Liverpool as a consultant specialising in Major trauma and foot and ankle surgery. He was the first trainee to win the Chan Chen memorial prize twice and was the first fellow to be awarded the British Orthopaedic Foot and Ankle Society Gold fellowship award. He undertook fellowships in Dreseden with Prof Hans Zwipp and Salt Lake City with Prof Saltzmann before his home fellowship in Liverpool. His research in the last few years has become nationally and internationally recognised, winning 8 national and international prizes in 7 years. He has been awarded the Robert Jones gold medal and Association prize this year for his work on the evolution of the foot and Jaques Duparc prize from EFORT for their discovery of a new foot ligament. Mr Mason is involved in BOFAS, as an outcomes committee member.

Badri Narayan

Badri Narayan has been a Consultant in Trauma and Orthopaedic Surgery from 2002.

Matthew Newton-Ede

I’m a spinal surgeon at The Royal Orthopaedic Hospital NHS Trust and Birmingham Children’s Hospital. I qualified in 2002 in Manchester and undertook specialist training in Royal Manchester Children’s Hospital, Salford Royal Hospital, Royal Liverpool Children’s Hospital, Alder Hey and Robert Jones Agnes Hunt Hospital, Oswestry. I specialise in treating a wide range of spinal problems in adults and children including surgery of the neck and I have particular interest in children’s spinal deformity surgery. My research interests include reducing infection whilst maximising bone fusion, phenotyping molecular drivers of Adolescent Scoliosis, and pulmonary function in Early Onset Scoliosis.

I’ve been involved in BOA Education for a while, including developing the Spinal PBAs; I’m a regular contributor to the BOA FRCS revision course and I now sit as a member of the Training Standards Committee.

Phil Sell

 Philip trained at Southampton Medical School, graduating 1979. His research MSC was in Spinal bioengineering. His senior specialist training was at the Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry. In 1990 he was a Spine fellow in Hong Kong.
In 1993 he was appointed to the University Hospitals of Leicester and in 2001 also to Nottingham University Hospitals.
Philip has an adult and paediatric spinal practice that encompasses scoliosis, trauma, tumours, infection, tuberculosis and common compressive disorders. He has over 50 peer reviewed publications on diverse topics related to spine and surgery of the spine. He assisted in the NICE guidance NG59 on low back pain.
Philip has been President of the British Association of Spine Surgeons, and has had active roles on the executive of the other British Spine Societies. He is an active member of the Spine Society of Europe and has had roles within the Executive, the Education committee, and the scientific programme committee. He was EUROSPINE President in 2014.
Philip is passionate about education and spreading the word, he has converted powerpoint presentations into air miles. He has little interest in Fiscal health care systems except for making slightly smug comparative observations.

Amer Shoaib

Amer Shoaib is a Consultant Orthopaedic Surgeon at Manchester Royal Infirmary specialising in Foot and Ankle Surgery and Limb Reconstruction Surgery.
He qualified from St. George’s Hospital Medical School in London, and trained in Orthopaedic Surgery in the Welsh Deanery and Oswestry.
He is a member of the British Orthopaedic Foot and Ankle Society, as well as the British Limb Reconstruction Society and the European Foot and Ankle Society.
He has an interest in humanitarian medicine and has worked in several conflicts, and natural disasters, gaining a significant experience in the acute and reconstructive treatment of ballistic injuries. He was involved in the organisation and delivery of the orthopaedic response to the Manchester Arena bomb in 2017. He chairs the Orthocycle Foundation charity, which recycles orthotics and surgical equipment for use in less developed countries.
Amer has taught on many courses, including the BOFAS principles course and the BOA Boot Camp Course, and runs several courses in Manchester on Foot and Ankle Surgery and External Fixation.
He is married with four children, and enjoys fell walking and wild camping with them. He loathes static caravans.

James Tomlinson

James is a Consultant Spinal Surgeon in Sheffield and T&O Educational TPD for the Yorkshire region.  His clinical practice covers all aspects of adult spinal surgery.  His non clinical interests include medical education, leadership, and non-technical skills.  He teaches on a number of regional and national courses.  He was elected a Fellow of the Faculty of Surgical Trainers in recognition of his contribution to education and training.

His research interests include Medical Education and Surgical Performance.

Feedback from 2018 course delegates

“I found all the sessions very informative and interactive. Really enjoyed it.”


“Excellent, engaging, interactive faculty helping us fill our learning gaps through reconstructive discussion.”


“Faculties were fantastic, engaged and eager to teach. No-one should miss this opportunity.”


“Topics were relevant and pitched at the right level. Small group sessions made the teaching informal with excellent trainer:trainee ratio and allowed for plenty of opportunity for questions and discussion.”


“Great faculty, well versed and happy to help with CBDs.”