Higher Specialist Training

Specialist medical rotation approved by the Oxford Deanery, the post is recognised for postgraduate training in General Internal Medicine by the Royal College of Physicians.

· Day to day management of general medical inpatients, with responsibility for patients admitted from acute on take, general outpatients, with responsibility for clinics, including follow up of patients with GIM problems.

· Attending regular hypertension clinics, once a week, dealing with primary hypertensive patients as well as secondary cases, capacity 900 – 1000 patients.

· Carrying out one chest clinic for follow-up of patients with chest problems, all conditions, including management of COPD and lung cancer. Attending Bronchoscopy list once a week.

· Managing regular endoscopy sessions twice a week, assisting in OGD for outpatients, average 8 per week. I have carried out an average of 50 upper GIT endoscopies, mainly diagnostic.

· Attending two outpatients’ clinics in a week, following up patients with general medical and gastroenterological problems.

· Attending ERCP lists once a week.

· Managing inpatients with a vast variety of sub acute and acute medical problems.

· Participating in academic activities especially teaching of junior colleagues, paramedic, nursing staff and MRCP II candidates. Annual assessments.

· Participating in regular weekly training sessions for GIT Endoscopy techniques, attending, and presenting clinical cases in Grand Rounds, firm meetings, weekly x-ray meetings and pathology meetings.

· ITU experience with exposure to medical, surgical and obstetrical patients of intensive care, with very good experience in intubations, difficult airways management and fibroptic bronchoscopy aided intubation, central line and swan-Ganz catheters insertion, pacing and haemofilteration. Leading trauma calls, and cardiac arrests, and initiating clinical judgement and decision-making processes.

· Performing ultrasound examinations for diagnostic and therapeutic purposes for all the patients in ITU

· Intensive Care experience, attaining primary and finishing with Intermediate level of Critical Care in ITU. Participating in a Senior Rota for ITU registrars dealing with different varieties of medical and surgical patients admitted to ITU. Also having a good chance in helping out in the different managerial tasks in rationalising beds and patients allocations under supervision from the various ITU consultants.

· Competent in all the procedures undertaken in ITU including management of patients’ airways, while on invasive and non-invasive monitoring.

· Anaesthetics experience with day-to-day theatre activities and being actively responsible for the care of critically ill and ventilated patients in CCU. Assessing and performing general, regional anaesthesia/analgesia (performing all forms of regional blocks) for emergency cases as well as elective cases with grade ASA 1-4, including dentals, urology, maternity, gynaecology, general surgery etc. (8-10 cases/day)

Senior House Officer

Medicine, Surgery, Paediatrics, Obstetrics & Gynaecology

· Managing acute surgical emergencies and general medical patients, performing minor operations and assisting in major ones.

· Supervising inpatients and doing outpatients clinics.

· Involvement in all clinical activities, including teaching sessions and case presentations, attending consultant and registrar ward rounds.

· Acquired skills in diagnostic and therapeutic lower GIT endoscopies and ERCP during training. Regularly attending bronchoscopy lists for training.

HIV & Tropical Diseases

· Inpatient management of all patients with infectious and imported tropical illnesses and HIV.

· Outpatient clinics and regular attendance of informal and formal teaching sessions, including preparing and providing presentations.

· Managing acute medical emergencies and regular attendance and consultant and registrar ward rounds.

Confident and competent in performing minor procedures, including: lumbar punctures, insertion of NG tubes, chest drains, Central Venous lines, pleural biopsies, aspirations, pleurodesis, abdominal pracentesis and performing venesections, urethral and suprapublic catheritisation, bone marrow aspirations and skin biopsies. Performing all kinds of epidurals in particular maternal epidurals to assist with labour, spinal anesthesia, and lumbar plexus, femoral blocks, axillary, interscalene, and other nerve blocks

Confident in performing difficult airways intubation with fibroptic bronchoscopy

§ Consultant’s responsibilities:

With 2 other Acute PHYSICAINS WE RUN THE Acute Medicine Department at the Royal United Hospital, Bath, a 67 bedded unit consisting of a 39 bedded Medical Assesment Unit and a 19 bedded medical short stay unit and a 9 bedded chest pain Unit, dealing with acutely ill patients in all specialties of Medicine.

Very much believe that the interphase between Acute Medicine and Intensive Care exists and being able to be equipped with the skills that will allow managing these category of patients is very important.

I run regular ward rounds on daily basis to continue monitoring of those ill patients admitted to our service and to triage their transfer to the other specialties a planned and positive step.

Responsible of regular teaching of medical students and MRCP candidates, including the bed side medical teaching.

Developing leadership and managerial skills in the MAU and looking after the nursing professional development and upgrade.