IOS Report 9th & 10th October 2015 The fifty-sixth annual meeting of the IOS was held at the Trump International Doonbeg Resort in Co. Clare on the 9th and 10th of October. Once again, this proved to be a highlight in the ENT calendar for trainees and consultants alike. On Thursday evening, the IOS council held their bi-annual meeting, followed by the President’s dinner. Starting on Friday morning, trainees from all around the country, in conjunction with some of our British colleagues, presented clinical and lab-based research of high quality from a variety of ENT departments. Free-paper sessions were held on Rhinology, Otology and Head and Neck. Coffee breaks in between provided a welcome chance for the various delegates to mix and catch up on developments in the various departments around the country, and from further afield. There was a healthy representation from various surgical equipment representatives, and their stands were well appointed during the meeting. The poster adjudication was also held in the early afternoon. A very interesting and stimulating session took place mid-afternoon on ‘Frontiers in ORL’. This was started off by Mr Shahed Quraishi, who spoke of his practice of minimally invasive parathyroidectomy in Doncaster. He also, later on, shared his success story of the ENT Masterclass® series and how it became a worldwide phenomenon thanks to his dedication and the goodwill of other trainers in getting involved. Mr David Kennedy led us through the evolution of image guided surgery, which encompasses such a huge part of his practice. Endoscopic ear surgery was given an enjoyable overview by Mr Arunachalam Iyer who is based in Glasgow. We then heard from Prof Patrick Bradley on the important topic of minor salivary gland neoplasms. Sinus balloon dilation technology was explained to us by Mr. Peter Baptista of Navarra, Spain, and Mr Petr Lukes from Prague finished up the session by exploring magnifying NBI endoscopy in laryngology. That evening a drinks reception was held prior to this year’s Wilde discourse which was given by Professor Robin Cotton, of Cincinnati, USA which was entitled ‘Reflections on the Pediatric Airway, setting the standard’. This was a very reflective talk discussing his life in surgery and his pathway through training and the personal and professional aspects of his career along the way. It was a talk enjoyed by medical and non-medical attendees alike. This was followed by the eversuccessful Gala Dinner, and this year was no exception. Saturday began with an early meeting of the Irish Institute of Otolaryngology. A free-paper session on Paediatric and General ENT followed. A highly educational session on Paediatric ENT followed, chaired by Mr Keith Trimble and Ms Helena Rowley. Mr Mike Rothera from Manchester spoke of the management of the paediatric airway. Emergency paediatric ENT was then debated by a shared panel of Mr Mike Rothera, Mr Conor Jackson and Mr Stephen Kieran. All of these sessions led to a vigorous and stimulating discussion. After a coffee break, ‘Albatross’ cases in Paediatric ENT were outlined by Mr Mike Rothera, Mr John Russell, Mr Ray Clarke and Mr Tadhg O’Dwyer. These were difficult and chronic cases that each consultant had treated, and they struck a chord with delegates who would have had similarly difficult cases over the years. Following this thought-provoking session, Mr David Kennedy delivered a talk on the progress in various treatments in rhinology to date. Closing speeches were then held, including best poster and presentation prizes. Following this, the IOTA held a session with Mr Mike Rothera, Ms Paula Casserley and Mr David Kennedy. They kindly shared tips and tricks with us regarding topics and answering at the intercollegiate exam, how to apply for training and fellowships in the US, and how to navigate the lengthy process of applying for a fellowship in Australia. Their time and expertise was greatly appreciated by all the trainees present. Olympus and Medtronic also held a clinical skills workshop after this session which was very beneficial. All in all this year’s IOS meeting was one of the best to date. It proves that this worthwhile event in the ENT calendar is going from strength to strength every year. Ms Éadaoin Ó Catháin (ENT SpR) Michael Moran (ENT SpR) Nash Patil (ENT Consultant)