rtve1. Telediario "Se publica por vez primera en España un manual para ayudar a los profesionales de la salud que deseen salir a trabajar al extranjero"

http://www.youtube.com/watch?v=-_UjX-RoSSE

MATRONAS EN ARABIA SAUDÍ

Vacaciones TRABAJANDO de enfermera en Arabia Saudita

¿Alguna vez ha pensado en trabajar en el extranjero? ¿Sí? Considere entonces a Arabia Saudita.

1. ¿Dónde está ubicada Arabia Saudita?

En Medio Oriente,  es el país más grande del Medio Oriente

2. ¿Por qué necesitan enfermeras españolas?

En Arabia Saudita hay, aproximadamente, 300 hospitales. Professional Connections está reclutando sólo para siete de ellos. Esos siete hospitales son los principales centros de referencia terciarios en Arabia Saudita. Dos en Riyadh poseen más de 1000 camas.  Estos hospitales han contratado enfermeras con buen dominio del idioma Inglés de todo el mundo, desde 1970. La mayoría de las enfermeras europeas eran irlandesas, británicas,  finlandesas y suecas. Actualmente, los hospitales están contratando un creciente número de enfermeras de todos los demás países europeos, incluyendo España.
Hay enfermeras que han sido formadas en Arabia Saudita, pero no en número suficiente para satisfacer la demanda de todos los hospitales. Las enfermeras occidentales son contratadas principalmente por los principales hospitales de referencia públicos.

3. ¿Puedo conocer a alguna enfermera española que esté trabajando allí?

Sí, en julio de 2010, una enfermera española estará de vacaciones en su casa. Ella hará una presentación que durará dos horas, en la que contará todo acerca de la vida y el trabajo en Arabia Saudita, y habrá una sesión de preguntas y respuestas. Visitaremos Málaga, Madrid y Barcelona. Para recibir una invitación, debe enviarnos un correo electrónico  en inglés, dirigido a nurses@profco.com.

4. ¿Cuál es el idioma de trabajo en el hospital?

El idioma de trabajo es el inglés. Toda la documentación está en inglés,  pero, por supuesto, los pacientes hablan árabe. Alrededor de un 30% hablará bien el inglés. En todo caso, en la sala habrá traductores para asistirle. Sin embargo, sus habilidades en inglés deben ser lo suficientemente buenas para ejercer una práctica segura y eficaz.

5. ¿Cuánta experiencia necesito?

Usted debe tener, al menos, dos años de experiencia posgrado.

6. ¿Por cuánto tiempo son los contratos?

Los contratos son por un año, prorrogables.

7. ¿Cuánto se paga?

Los salarios son muy buenos. Si usted es una enfermera general, puede esperar ganar alrededor de 3300 euros; y si es una enfermera especializada, el salario será de unos 3500 euros. El pago se realiza en la moneda local, el riyal saudí Los salarios varían ligeramente de un hospital a otro,  pero todos son libres de impuestos.
También recibirá la mitad del salario de un mes como bono, si completa un año y un bono de recontratación si firma por un segundo año.

8. ¿Cuál es el horario de trabajo?

Usted trabaja 44 horas por semana. La mayoría de los hospitales hacen día largos, de 07.00-19.30 y de 19.00-07.30 horas. Usted trabaja 22 turnos en seis semanas.

9. ¿Voy a trabajar en turno de noche y fines de semana?

Sí, si es enfermera de sala.

10. ¿Cuántos son los días de vacaciones?

54 días al año. Usted puede tomarlos una vez que haya completado su periodo de prueba, de 90 días.  No es necesario que tome todas las vacaciones de una vez, sino que puede dividirlos como usted quiera.

11. ¿Dónde viviré?

Los hospitales tienen alojamiento gratuito. Usted no paga nada por el alojamiento,  el hospital también paga su electricidad, agua, recolección de basura, etc.

12. ¿Cuánto me costará ir a Arabia Saudita?

Usted no paga la contratación de la Agencia. Los hospitales pagan a la agencia para que les ayuden a encontrar a las enfermeras y para ayudar a las enfermeras con los trámites y la obtención de una visa. Usted deberá pagar el examen médico que se requiere para el visado, y que cuesta alrededor de 300-500 euros.

13. Beneficios

El hospital paga sus vuelos hacia y desde Arabia Saudita, al comienzo y al fin del contrato. Algunos hospitales pagan un vuelo de vacaciones. También goza de asistencia sanitaria gratuita.

14. ¿Cuánto tiempo tarda la organización del traslado hacia allá?

Una vez que tome contacto con nosotros, tardará de 4-6 meses, pero puede comunicarse con nosotros hasta con un año de antelación, para que podamos conocerla y prepararla, por ejemplo, si necesita tiempo para mejorar sus conocimientos del idioma inglés.

Contáctenos:  nurses@profco.com

Trabajo en New Zealand

To work in New Zealand as a doctor you need to be registered with the Medical Council of New Zealand (MCNZ). The registration process is generally straight forward, and usually doctors who have qualified and worked in countries with comparable health systems are not required to sit any exams to gain registration with the MCNZ.
The following is a guide only, as policies may be subject to change by the MCNZ. Further information is available on the Council website at http://www.mcnz.org.nz/
There are four types of pathways to gain registration in New Zealand, with each requiring different criteria. NZLocums will determine the best pathway to registration (licensure) for you and discuss the requirements with you.
If you have been working in any of the following countries for 36 (or more) months out of the last 48 (international graduates) it is likely you will be eligible to apply for MCNZ registration:

• Australia
• Austria
• Belgium
• Canada
• Denmark
• Finland
• France
• Germany
• Greece 
• Hong Kong 
• Iceland
• Israel  
• Italy
• Norway
• Republic of Ireland
• Singapore
• Spain 
• Sweden
• Switzerland
• The Netherlands
• United Kingdom
• United States of America

Australian, English and Irish graduates must have successfully completed your internship year and hold full registration in your home country.
For those doctors that have not worked in the listed countries you may be required to sit the MCNZ registration examination before being approved for medical registration in New Zealand.
If you have a post graduate qualification from any country and are practising as a consultant / specialist in your own country you may be eligible to apply for vocational (specialist) registration in New Zealand. Contact us for more details.

If English is not your first language you may first need to sit the International English Language Testing System (IELTS) English test - Academic module.

The following scores in the Academic Module of the International English Language Testing System (IELTS) are required within one examination:
Minimum requirements:
- Speaking 7.5
- Listening 7.5
- Writing 7.0
- Reading 7.0
In some instances the MCNZ may allow you to be exempt from this test if you have worked in an English speaking country for 2 years within the 5 years preceding your application. You can find out about places and dates to sit this test at http://www.ielts.org/

Supervision for overseas Doctors

Whether you are a junior doctor or a consultant, supervision is a requirement of the MCNZ for all new registrants, (the exception is Australian graduates), and is an excellent way to integrate and familiarise yourself with practicing in New Zealand. The role of the supervisor is to assist the Council in determining that you have the required skills, knowledge and attitudes to practise safely in New Zealand to a standard comparable to your peers in this country.
NZLocums organises supervision arrangements prior to your arrival in New Zealand. Your supervisor may change if you move to a different location to work.
As a part of your supervisory relationship, supervisors are available to:

• Discuss difficult or unusual cases
• Randomly review and discuss patient notes
• Discuss patient and staff feedback
• Observe consultations as far as is practical
• Encourage personal growth and development

You will be required to work under supervision for a period of 12 to 24 months depending on what registration pathway you apply under.

Working as a Doctor in the U.S.

United States Medical Licensing Examination

The USMLE assesses a physician's ability to apply knowledge, concepts and principles that are important in health and disease and that constitute the basis of safe and effective patient care. Each of the three complements the others; no one can stand alone in the assessment of readiness for medical licensure.

Because individual medical licensing authorities make decisions regarding use of USMLE results, you should contact the jurisdiction where you intend to apply for licensure to obtain complete information. The Federation of State Medical Boards" can provide general information on medical licensure.

The following sites also may help:

• National Board of Medical Examiners (NBME): For students/graduates of medical schools in the US or Canada taking or planning to take Step 1, Step 2 CK, or Step 2 CS
• Educational Commission for Foreign Medical Graduates (ECFMG): For students/graduates of medical schools outside the US and Canada taking or planning to take Step 1, Step 2 CK, or Step 2 CS
• Federation of State Medical Boards (FSMB): For any student / graduate taking or planning to take Step 3. Also for students / graduates looking for information about medical licensure.

Preparing for an interview. Part III

Below, we have included a short list of possible questions so you can start thinking about how you would answer them. You can sit down and try to come up with an answer for each and then practise speaking with a friend or colleague so you sound natural when you answer something similar.

General questions

������ Tell us about yourself

������ Talk/Walk us through your CV/Application form

������ Speak to us about your background

������ What is exceptional about you?

������ What part of your CV are you most proud of?

Personal Qualities

������ Why did you go into Medicine?

������ What is your career ambition?

������ What would you change if you could start your career again?

������ Where exactly do you see yourself in 6-7 years?

������ Why do you want to do this speciality in particular?

������ What do you like about this speciality?

Research and Audit

������ Tell us about your research experience.

������ How much of your research is your own design and how much was designed by your supervisor?

������ How do you organise your research projects?

������ Why is research important?

������ When doing research, what is the one most important thing to get right?

Teaching others and keeping yourself up to date

������ Tell us about your teaching experience.

������ What methods of teaching do you prefer? Why?

������ How would you convince a junior colleague of the importance of teaching?

������ Give me an example of a situation where you recognised that a member of your team needed more training.

������ What is Problem Based Learning? What are the pros and cons?

Ethical Problem

������ How would you deal with a situation where you suspected that your consultant had a drink problem?

������ How would you react if one of your junior colleagues came to

work drunk on the ward fi rst thing in the morning? What about if it was your consultant?

������ A patient mentions to you that on various occasions they have

smelt alcohol on another doctor’s breath during clinic in the past few weeks. What do you do? with it? How would you approach the consultant?

������ How would you react if your consultant did not provide adequate

training and adopted a condescending attitude towards

you due to your apparent lack of knowledge?

Clinical Governance and other Issues

������ What impact does Clinical Governance have on your daily

work?

������ Do you think Clinical Governance is useful or is it just more

bureaucracy?

������ Do you think there are any problems with the way Clinical

Governance is implemented?

������ Who is responsible for Clinical Governance at your hospital?

Preparing for an interview. Part II

Possible Question  & Model Answer

1. Why do you want this post?

This institution is one of the leading hospitals in the country in this field

and I would like to be given this post because it offers an opportunity to get the best possible training in the field and because there is also a high degree of practical exposure with this post.

2. What are the qualities of a good doctor?

Good doctors are people who can think on their feet. They are good team leaders as well as being good team players. Good doctors are always up to date on all medical literature and show good medical knowledge. They know how to listen to patients and

other members of staff. They know how to plan ahead and are great time managers, never wasting time on useless procedures. A good doctor will know when the time has come to ask for help and will not let pride get in the way of helping a patient.

3. What do you expect from this post?

I expect this post to help me advance toward my goal to becoming an

excellent doctor. I expect this post to offer me the possibility to not only learn but to put into practice what I have been taught in my time here.

4. Tell us your good and bad points.

There is no real answer to this one as it depends largely on what you consider to be your good points and bad points. Make sure your “bad points” are not too bad and can be construed as good points. eg. Taking work home with me, etc.

5. What are your short/ medium/long term career goals?

My professional goals are to gain new skills and experience so that I

can be promoted to the next level in my career as a doctor.

There will always be one question which comes from the information that you supplied on your C.V. so make sure that what you say on your C.V. is the truth or that you can at least speak confidently about things which you are supposed to know about. Nothing would be worse than writing that you spent your summer holidays bird-watching in the

Himalayas and for one of the interviewers to be a avid bird watcher himself,

leaving you to admit you don’t have any idea about birds at all......... You may also be given one or two clinical scenarios and asked to explain what you would do in each case.

Scenario 1:

A colleague comes into the operating theatre prepared to operate

smelling of alcohol after a very heavy night out and possibly

having taken drugs. How do you face up to this situation?

Because the patient’s safety is paramount, the fi rst thing I would do would be

to speak to the doctor in question. Then, I would warn the Clinical Director of the

situation so a solution could be found. I would look into the possibility of rehabilitation

for the doctor as it is a very serious situation which cannot happen in a hospital.

Patients’ well-being and even their lives are at stake.

Scenario 2:

You are an I.C.U. medical resident and you are awoken while

on duty to be told that one of the patients was unwell. How will

you deal with this situation?

Firstly, I would ensure that there is a safe environment for myself and my colleagues

to work in. Then, I would start by assessing the situation using the A (Airway), B

(Breathing), C(Circulation), D(Disability) and E(Exposure) procedure so I would not

miss anything. I would seek help from a senior doctor if required. Above all, I would

remain calm, lead the team in a professional way and apply the qualities of a good doctor.

Preparing for an interview. Part I.

So, you have made it! You have sent off your C.V. and/or application form and you have impressed the hospital so much that they have set up an interview with you. Congratulations! Now it’s time for you to sit down and plan, as best you can, what you are going to say. It is almost impossible to predict what questions you are going to be asked, but there are certain questions which always seem to be asked in one form or another.

In this chapter we will be discussing what you should do before you go for your interview and also what to expect when you get to the interview itself by looking at some of the most common questions doctors are asked.

The first thing you should do before you even go to the interview is get in contact with someone who already works in the department or hospital that you want to work in. We could call it ‘spying’, but we won’t. We’ll just call it ‘preparing’. Most people, when asked, will give you an opinion on what a department or another doctor is like. Calling the department in question may seem a little devious but it can also show initiative. Also, it would be a good idea to arrange a visit to the Department before the interview to get to know more about the post. Getting background information is key to fi nding out what the interviewers might expect from you in the way of answers.

When you first get into the interview room, you are going to fi nd yourself faced with a group of people. You will be facing at least 3 but probably 4 or even more people. One of them will be the department head, another may be a representative of the personnel department and you will probably have to answer questions from 1 or 2 department consultants. This can be very intimidating if you have never spoken in front of a group of people before but what is the worst thing that can happen? They won’t employ you. Well, you are already in that situation, so why worry? Just get on with the job of answering their questions. Remember that you need to show that you can cope in diffi cult and stressful situations. It’s all in a day’s work for most doctors, so this is your chance to shine at it.

Below, we have a list of questions that are commonly asked in interviews. It is a good idea to think about answers to these questions and even take some time to plan out how you would respond in case you are faced with the task of answering them in person one day.

Example of an invitation to write for a medical journal

 

Dear Dr. Jones,

I am writing to you in my capacity as Guest Editor of Modern Cardiologic Review. It is my honour to be able to invite you to contribute to a special issue we are compiling on the use of technological devices in cardiovascular patients.

The journal Modern Cardiologic Review is now in its seventh volume. It is indexed in many major databases, such as Chemical Abstracts, EMBASE, Scopus, EM Nursing, Google, Google Scholar, Genamics and JournalSeek. The magazine´s homepage can be found at http://www. cardioreview.org.

An article on percutaneous aortic valve replacement gaining acceptance as a viable option in patients at high surgical risk would make an interesting contribution, however, you may suggest another subject or title provided it is related to the application of implantable devices in cardiovascular patients.

For complete information on the format, content and instructions for authors, please visit our website http://www.benthamian.org/index.html. If you decide to submit an article, I ask that you send me the following information, within 15 days, by email to goldsmithch@yahoo.com:

• The title of the article

• The name of the lead author

• A brief summary of the content and scientific objectives of the article.

When I receive this data, I will give you more details concerning the proposed special issue of the magazine and inform you of the timelines for submission of the article, editing and publication.

On submission, I would then review the article before referring it to the publisher.

Thank you very much for your cooperation.

I look forward to receiving your completed proposal.

Yours sincerely,

M.D. Smith

goldsmithch@yahoo.com

Guest Editor

Modern Cardiologic Review

MODELO DE CARTA- REFERENCIA DE TRABAJO

     Muchos de vosotros ya tenéis pensado el destino incluyendo el país y hospital, el tipo de trabajo que deseáis realizar, (rotación  externa, trabajo como voluntario en una ONG o símplemente optar por un puesto de trabajo con carrera profesional), para ello habésis escrito una carta de solicitud vs carta de presentación y adjuntado una copia de vuestro curriculum. Quedaría un tercer paso no menos importante: las referencias de trabajo.
     Aunque en los países latinos (y entre éstos incluyo a España) no se suelen pedir, puesto que prima más el "buen contacto" al "buen curriculum", en Europa y más concrétamente en los países anglosajones, éstas son un pilar fundamental. Esta actitud, nos da una idea de cómo funcionan y de porqué van a la cabeza del resto del mundo. Las referencias como su nombre indica, son unas cartas que hablan profesionalmente sobre nosotros, generalmente redactadas por nuestro jefe, empresa o persona destacada por su rango para la que hemos trabajado previamente. Obviamente, sólo presentaremos aquellas cartas que sepamos con certeza que hablan positivamente de nosotros. A nivel práctico, si vuestro jefe o empresa están por la labor de daros su apoyo pero no hablan inglés, sería conveniente facilitarles una carta de referencia redactada por vosotros mismos (siempre con su aceptación) y que la tuviesen en su despacho para cuando les fuese solicitada por fax.
    A continuación, os muestro un modelo de carta-referencia, os llamará la atención su estilo, incluso sonaros pedante, pero creedme que éste es el formato habitual.




Dr. Prof. Smith
Head of Anaesthesia Department
South Tyneside NHS
Harton Brick
South Chester


24/06/2011

To whom it may concern

RE: DR. CARLOS MATA TRAINEE IN ANAESTHESIA

Dear Ladies and Gentlemen,

   I am happy to write this testimony and comment on the performance of Dr. Mata, DOB (date of birth) 04/04/1980 who was employed at South Tyneside NHS as a locum trainee between 15/03/2010-15/03/2011.
   Dr. Mata has excellent practical and theoretical skills in performing general and regional anaesthesia (spinal and epidural anaesthesia including labour epidurals) for urology, orthopaedic, general and dental surgery. He not only worked in theatre but also did some shifts on ITU where he fulfilled all duties with high standards.      He has not been sick and I am not aware of any previous or current criminal convictions. He is known by all the senior staff to be friendly and confident anaesthetist and always coped well with theatre and ITU-staff. I certainly would reemploy him as his performance is rather on a level of a more senior doctor.

With kind regards,


Dr. Prof. Smith
Head of Anaesthesia Department

CURRICULA MÉDICOS. Modelos en inglés.

Modelo 1. Curriculum vitae correspondiente a un residente de Medicina Interna de primer año.

CURRICULUM  VITAE

                      Dr. HOUSSAME ATWAN

Personal Details

Forename:                  Houssame                  Surname:                  Atwan

Date of Birth:             9th July1977           Place of Birth:           Aleppo / Syria

Sex:                             Male                        Marital Status:           Single

Nationality:                Palestinian

Present Address:      Ward 11,Bishop Auckland General Hospital, Cockton Hill Road, Bishop    Auckland, County Durham, DL14 6AD.

Mobile Number:        0997173738

E-mail:                       houssameatwan@yahoo.com

Education & Qualifications 

Sep2001                  PLAB (the professional and linguistic assessment board).

Mar2000                 IELTS (international academic English testing system).

Nov1999                  MBBS, Medical School, Damascus University, Syria ( grade: very good).

Jul1993                    Baccalaureate (Equivalent to A level) Al Saeda high school, Syria.

GMC Registration

 Limited registration with the GMC, ref.: 5205541.

 Recent Employment

Sep2001-Feb2002 :  Pre-Registration House Officer in Surgery

                                 South Durham Health Care NHS Trust 

                                Darlington Memorial  Hospital & Bishop Auckland General Hospital.

                                Responsible for the reception of surgical emergencies at Darlington and the  

                               day-to-day management and investigation of patients in the Surgical Wards.

                                First on-call duties for Surgical Unit as per rota under supervision of Senior

                                House Officer or Registrar.

Next Employment

Feb2002-Aug2002 : Pre-Registration House Officer in Medicine

                               Ayrshire and Arran Acute Hospitals NHS Trust, Crosshouse Hospital

                             I will be attached to a Consultant team and will rotate through major medical     

                            Specialities.The six months consist of ten weeks blocks; each block includes

                           one week on night shift, two weeks in Medical Assessment unite, six weeks

                           in one of the Medical specialities and one week holiday.

 Postgraduate Training 

Oct2000-Dec2000:    Clinical Attachment, Department of Rheumatology, Corbett Hospital.

       Supervisor: Dr.G.Kitas, Consultant Rheumatologist.

Dec2000-Feb2001:      Clinical Attachment, Department of Endocrinology, Russels Hall

                                      Hospital. Supervisor: Dr.T.M.Fiad, Consultant Endocrinologist.

Feb2001-May2001:     Clinical Attachment, Department of Medicine for Elderly, Rotherham 

                                      District General Hospital. Supervisor: Dr.B.k.Mondal, Cosultant

                                      Physician in Medicine for Elderly.

Jun2001-Jul2001        Clinical Attachment, Department of Accident & Emergency, 

                                      Rotherham District General Hospital. Supervisor Dr.N.B.Chopra,

                                      Consultant Physician in A&E.

Jul2001-Aug2001        Clinical Attachment ,Department of General Surgery, Dewsbury

                                     &District Hospital. Supervisor Mr. C.M. White, Consultant Surgeon.

These attachments gave me a great opportunity to become familiar with the NHS system and the management of acute and elective Medical and Surgical cases.  I took part in all activities of the team including ward round, attending the outpatient clinics, theatres and educational activities of the department including the journal clubs and MRCP teaching sessions.

Undergraduate Training

Dec1999-Oct2000      Internship training that included six months in Medicine and six months 

                                     in Surgery.

Sep1998-Nov1998     Elective Clinical Attachment

 Department of Cardiology, Eastbourne Hospital under supervision of

 Dr. Alistar Macleod, Cosultant Cardiologist.

      I attended cardiac outpatient clinics, ward rounds and observed Cardiac

      Procedures including coronary angiography.

Practical experience

Emergencies: Familiar with the management of many Medical and Surgical cases including: 

                         MI, Asthma, Epilepsy and Resuscitation of a shocked patient.

 Procedures:  Taking blood pressure, Venepuncture, I.V. Cannulation, Giving intravenous 

                          injections, Giving intramuscular and subcutaneous injections, Suturing,

                          Bladder catheterisation, Taking cervical smear, Adult basic life support and 

                          Fundoscopy.

Courses

Jun2001              PLAB Course Part2 (Clinical skills including communication with patients   and procedure skills) London, UK.

Jun2001             PLAB Course Part 2 (Southwark College, London).

Jun2001             Principals of Basic Life Support, Rotherham General Hospital, and UK.

Oct2000              PLAB Course Part1  (Plabmaster, London).

Jan2000              IELTS examination preparation course (British Council, Damascus, Syria).

Oct1998              Principles of first aid and Basic Life Support, Eastbourne Hospital, UK.

Career Intentions

I intend to get training in UK hospitals as a house officer then to get basic medical training and take the MRCP part one in January 2002.

I am interested in doing research in the future and apply this experience in the medical practice.

In the future I hope to get higher training in cardiology.

Interests

Computing           I have good knowledge in computer system (Word & Power point).

Hobbies                Reading, Travelling and Football.

Community work

In a voluntary capacity I joined a Medical camp in rural areas in south Syria.Activities included practicing Medicine, educating people and distributing medications (summer 1998)

References

Dr.H.Karei , MD, PhD, FRCP                  

 Department of Rheumatology                               

 The Guesten Hospital                                     

 Dudley DY1 4SE                                         

 Tel: 01384 244842                                      

 Fax: 01384 244808 

Dr. Peter J. Whallem, MBBS, MRCP (UK)

Department of Rheumatology

The Guesten  Hospital

Dudley DY1 4SE

Tel: 01384 244816

Fax: 01384 244808

 Mr. H. G. Cornell, FRCS

Consultant General/Vascular Surgery

Darlington Memorial Hospital

Darlington DL3 6HX

Tel: 01325743509

Fax: 01325743044

Modelo 2. Curriculum vitae correspondiente a un residente de Urgencias y Emergencias de últimos años.

CURRICULUM VITAE

Dr Paul Good

MA, MB, BChir, MRCP(UK), FFAEMCONTENTS

Page no

3                      Personal details

4                      Education

5                      Medical training

6                      Present appointment

                        Previous appointments

10                    Practical procedures

11                    Research

                        Audit

14                    Conferences, meetings attended

                        Major incident training

                        Teaching

15                    Management and administration

16                    Other work experience

                        Outside interests

17                    Referees

PERSONAL DETAILS

Name                                                 Paul Good

Address                                              33 Casualty Street

                                                           Digit Town

                                                           DT26 0QQ

Telephone                                          0214 345 147

Date of Birth                                      01/06/69

Marital Status                                     Single

Nationality                                          British

Place of Birth                                     Labour Pain, Cheshire

GMC Registration No.                                   9472145

Specialist Register                             Accident & Emergency Medicine –                                                                          01/11/2000

Medical Protection Society               644002

British Medical Association                6445459-76

President of British Accident & Emergency Trainees Association

Fellow of the Faculty of Accident & Emergency Medicine

Member of the British Association for Accident & Emergency Medicine

EDUCATION

School                     1979-1986             Armless Grammar School

                                 1984                      9 ‘O’ levels

                                 1986                      5 ‘A’ levels

                                 1985-1986             Deputy Head Boy

University               1986-1992             Gonville and Caius College, Cambridge

                                 1989                      BA (Hons) Medical Sciences

                                 1993                      Converted to MA

Clinical School       1989-1992             Addenbrooke’s Hospital, Cambridge

1992                              MB, BChir

Post Registration Qualifications

1994                      MRCP Part I

                                 1996                      MRCP Part II

2000                              FFAEM

Life Support Courses

1995                      ALS provider

                                 1995                      ATLS provider

1997                              1-day major incident course

                                 1998                      ALS instructor / Course Director

1999                      APLS instructor

                                 2001                      ATLS recommended for instructor course

MEDICAL TRAINING

Present Appointment

01/12/99 - 11/2/00             Specialist Registrar in Accident and Emergency

19/04/00 -                          Wobegone Hospital

Previous Appointments

12/02/00 - 18/04/00           Specialist Registrar with consultant duties

                                          Little One’s Children’s Hospital

01/12/98 - 30/11/99           Specialist Registrar in Accident and Emergency

                                          Arrow Head Hospital

01/04/98 - 30/11/98           Specialist Registrar in Accident and Emergency

                                          Royal Heartbeat University Hospital

01/12/97 - 31/03/98           Specialist Registrar in Accident and Emergency

                                          Littleone’s Children’s Hospital    

01/06/97 - 30/11/97           Specialist Registrar in Accident and Emergency

                                          Royal Heartbeat University Hospital

01/05/96 - 31/05/97           Specialist Registrar in Accident and Emergency

                                          Everwell Hospital

07/02/96 - 31/04/96           Senior House Officer in Orthopaedic Trauma

                                          Royal Heartbeat University Hospital

02/08/95 - 06/02/96           Senior House Officer in Accident and Emergency

                                          Royal Heartbeat University Hospital

02/08/94 - 01/08/95           Senior House Officer in General Medicine / Cardiology

                                          Royal Heartbeat University Hospital

01/02/94 - 01/08/94           Senior House Officer in Respiratory Medicine

                                          Painborough District Hospital

01/08/93 - 31/01/94           Senior House Officer in General Medicine / Care of the                                 Elderly

                                          Stand and Rutling Hospital

01/02/93 - 31/07/93           Senior House Officer in Accident and Emergency

                                          Never Better

01/08/92 - 31/01/93           House of Physician in General Medicine / Care of the                                    Elderly Norfolk and Never Better Hospital

01/02/92 - 31/07/92           House Surgeon in General Surgery / Urology

                                          Beenlucky Trust

Present Appointment

December 1999 – February 2000. April 2000 –

Specialist Registrar in Accident and Emergency

Mrs A Tetanus / Mr S Spasm

Woebegone Hospital

This is my final attachment as an SpR and I was able to be more involved in departmental management, such as complaints and SHO appraisal.  I also assisted in short-listing and interviewing for new SHOs.

The department had a strong lead in audit and I was involved in some of the projects there.

I continued to be involved in SHO teaching and also in regular shop-floor teaching for SHOs, medical students and nursing staff.

My primary secondment was at Little One’s Hospital.  In the remaining time I plan to attend some gynaecology, ophthalmology clinics in Woebegone and some theatre lists at the Cardiothoracic Centre.

Previous Appointments

February 2000 – April 2000

SpR with consultant duties

Dr T Neonate / Dr F Bronchiolitis

Little One’s Children’s Hospital

This was an opportunity both to provide further experience in the clinical aspects of paediatric emergency medicine and to expose me to the managerial and administrative side of A&E.

Clinically I encountered several cases involving child protection, consent and confidentiality as well as the sick and traumatized children.  Having dedicated shop-floor sessions, I was able to supervise and teach the SHOs in the department.

I was involved in and wrote provisional replies for any current complaints.

I attended meetings within the trust – fortnightly A&E departmental meetings, A&E pain group, resuscitation committee, clinical policy evaluation group (CPEG), presentation of A&E plans for European Foundation Quality Management (EFQM) model and outside of the trust – NHS direct, medical students 5^th year attachments.

December 1998 – November 1999

Specialist Registrar in Accident and Emergency

Mr B G Accident / Dr C Minors

Arrow Head Hospital

As I continued with my specialist training I moved to a department, which though busy (new patient attendances 80,000 / year), sees a higher proportion of minor injuries.  This added further experience of time and people management.  There were also regular victims of major trauma usually from the surrounding network of mortorways.

I became more involved in SHO teaching than in previous hospitals.  I was responsible for arranging the weekly afternoon programme and its speakers.  I lead part or all of the 3-hour session most weeks.  I also worked with the newly appointed chest pain nurse in the design of a chest pain pathway and its initiation into the department.

I was on the millennium committee and have written the SHO rota to cover the holiday fortnight.

I spent my last 3 months attached to General Surgery and other surgical specialities.

June 1997 – November 1997 and April 1998 – November 1998

Specialist Registrar in Accident and Emergency

Mr L Jaffa / Dr C Seville

Royal Heartbeat University Hospital

This phase of my rotation took me back to an A&E department where I’d previously been an SHO.  I was now more involved in the overall running of this very busy department, with frequent experience of working under pressure and assisting in the management of many imminent bed crises both in the main hospital and within A&E.  As a middle-grade doctor my role was altered in that I was involved in reviewing may patients seen by the SHOs, of which there 20, leading the overall care of major trauma cases, cardiac arrests and other critical patients in the resuscitation room in addition to seeing many patients myself both in majors and minors.

I also ran re-dressing clinics of up to 50 patients and ward rounds on the Short Stay ward being responsible for discharging most of these patients.

During this time I taught medical students, SHOs and Nurse Practitioners.  The consultants and middle-grade staff had weekly meetings covering, for example, clinical policies, journal scans and review of our trauma audit.

In June 1997 a committee was formed to review the management of patients with chest pain of possible cardiac origin.  It was through this group of biochemists, cardiologists and emergency physicians, including myself, that troponin T was introduced as the primary biochemical marker of myocardial damage in this hospital and I am still involved in an extensive audit of all patients who have a troponin T level measured.

December 1997 – March 1998

Specialist Registrar in Accident and Emergency

Dr C Support / Mrs I M Wright

Little One’s Children’s Hospital

This was an opportunity to use the skills I had gained in both APLS and ATLS, and also to further my experience in paediatric medicine and surgery.  Little One’s is a busy paediatric A&E department seeing approximately 72,000 patients each year.

Teaching was available for myself, both on the shop-floor and in the form of monthly consultant-led afternoons.  I had ample opportunity to supervise and teach SHOs and medical students through individual cases and in more formal weekly sessions.

May 1996 – May 1997

Specialist Registrar in Accident and Emergency

Dr G Getitright / Dr I M Arrogant

Everwell Hospital

This was a major step in my career in A&E Medicine, being the first in my role as a middle-grade doctor in the specialty.  It increased my exposure to new and broader aspects of medical, surgical and paediatric emergencies and furthered my skills in leading teams and supervising the SHOs in the same areas.  I acquired skills of rapid assessment / prioritisation of large numbers of patients especially in the busy winter months.  I went out as the senior member of the forward aid team on numerous occasions.  I was jointly responsible for running a review clinic and for managing the observation ward patients.  I was involved in teaching the SHOs on a variety of subjects and myself was taught in a variety of ways including clinics, ward rounds and giving weekly presentations on various topics.

The last three months of this attachment were spent in anaesthetics.  Here I learnt a variety of skills involved in both general and local anaesthesia, including useful experience in the simple and more advanced management of a patient’s airway.

I spent some time on the Intensive Care Unit introducing me to this other area of critical care medicine.

February 1996 – April 1996

Senior House Officer in Orthopaedic Trauma

Professor Neverwrong / Mr Bowtome

Royal Heartbeat University Hospital

I worked as part of a team looking after the acute trauma admissions for the above consultants.  The knowledge I’d gained previously was only as far as referral to the Orthopaedic surgeons or fracture clinic.  This post enabled me to further my experience and knowledge into the management of cases including reduction, internal and external fixation of fractures, exploration of wounds with repair of tendons and nerves as necessary, joint and extensive soft tissue infections.  In a busy fracture clinic I was able to learn about the ongoing management and its adjustments as required both in ward discharges following some of the aforementioned procedures and in those referred directly from A&E.  I had a weekly theatre session in which I was able to do many practical procedures myself under the supervision of a consultant.  In the trauma meeting each morning I was encouraged to formally present the details and x-rays of each case I had admitted.

August 1995 – February 1996

Senior House Officer in accident and Emergency Medicine

Dr L Jaffa / Dr C Seville

Royal Heartbeat University Hospital

This post has furthered my training in Accident and Emergency Medicine exposing me to new areas of acute trauma and other emergencies.  This department is one of the largest in the country and sees approximately 95,000 new patients each year.  Cardiac arrests and major trauma are managed solely within the department.

The number of victims of interpersonal disharmony such as stabbings, shootings and other serious assaults are increasingly frequent occupiers of the resuscitation bays.

At night the Senior House Officers are also responsible for 28 beds on the Short Stay Observation Ward which is utilized for patients with conditions expected to resolve within 36 hours.  This includes head injuries, acute asthma, post-ictal states, overdoses, non-specific abdominal pain, substance misuse and social admissions.

Previous appointments – continued

August 1994 – July 1995

Senior House Officer in General Medicine / Cardiology

Dr R D Beat / Dr I M Cheerful

Royal Heartbeat University Hospital

In this post I worked for the two above consultants, taking care of both of their in-patients.  I attended two out-patient clinics – one in general medicine and the other primarily in Cardiology.  I also played a major role in the acute and on-going management of patients on the coronary care unit.  When on-call, I was involved in a team admitting 30-45 patients per 24 hours; seeing patients both firsthand and reviewing patients seen by the house officer.

On several occasions I acted up as registrar, being fundamental in the organisation of the take.

August 93 – July 94

Senior House Officer in General Medicine / Care of the Elderly

Stand & Rutting Hospital

Senior House Officer in Respiratory Medicine

Dr I M Lonely

Painborough District Hospital

Stand is a small rural town in Lincolnshire and the hospital covers its population and that of the surrounding farming villages.  I worked for several consultants covering General Medicine, Care of the Elderly, Rehabilitation and Rheumatology.  The junior staff consisted of just two senior house officers, thus placing most of the major diagnostic and management decisions on us.  The on-call was 1:3 rota and when on-call I was the only doctor covering the hospital including the surgical wards.  Painborough District Hospital has a busy acute medical department where I was able to gain experience in medical experiences and their management.  My team was frequently involved in the care of patients on the intensive care unit.  My out-patient duties included a respiratory clinic and review of our medical discharges.

February 1993 – July 1993

Senior House Officer in Accident and Emergency

Mr T O Locum / Mr J Hardworking

Never Better Hospital

This post was my introduction to the specialty and decided my choice of career.  I was introduced to the concepts of management of major and minor trauma and other emergency situations, and learnt to put these into practice, initially under the guidance of the senior medical staff and later, especially when alone as a doctor on night duty, by myself.  It was a department that saw about 10,000 paediatric cases annually as well as the adult patients.

In addition to the regular “shop floor” education with individual cases, we had an extensive formal teaching programme one afternoon per week which included practice moulages following both ACLS and ATLS protocols.

PRACTICAL PROCEDURES

I am competent in the following:

Anaesthesia

         Simple and advanced airway management

         Rapid sequence induction and general anaesthesia

         Regional anaesthetic blocks

Venous and arterial cannulation

         Central venous access

         Temporary cardiac pacing

         Cardiac catheterisation and angiography

Swan-Ganz catheterisation and pulmonary artery wedge pressure measurements

Femoral venous and arterial access

Biopsy procedures

         Pleural aspiration and biopsy

         Fine needle aspiration

Musculoskeletal

         Manipulation of joint dislocation and fractures

         Joint aspiration and injection

         Tendon sutures

         Muscle biopsy

Cardiorespiratory

         Chest drain insertion

         Pericardiocentesis

         Management of cardiac arrests

         Tracheal intubation

Surgical procedures

         Wound toilet and suturing

         Incision and drainage of abscesses

         Appendicectomy

         Suprapubic catheterisation

         Diagnostic peritoneal lavage

Miscellaneous

         Lumbar puncture

PUBLICATIONS

1.      Chlamydia pneumoniae myocarditis and early diagnosis

         Goodenough, Wheezy I M

         Linset 1996; 463; 895-898

2.      Photoquiz: Pigmentation secondary to long-term tetracycline therapy

         Goodenough, Scar M

         Hospital Furum        June 1997

3.      CS exposure – clinical effects and management

         Goodenough, D; Pee, N

         J Accid Med 2000; 17(4): 178-182

Submitted for publication

1.      The future of A&E – the trainees perspective

         Goodenough, D; Pain Y P

         J Accid Med

2.      Troponin T in practice

         Goodenough, D; Analysis, P

         Linset

PRESENTATIONS

The future of A&E – the next 40-50 years

Royal Society of Medicine – London, January 2000

I was invited to give this lecture, as President of BAETA, to describe where I saw A&E in the relatively distant future.

Troponin T: the answer to chest pain in A&E

BAEM Annual Conference – Cambridge, April 2000

A large study to review all patients attending an inner city A&E with chest pain of possible cardiac origin.  A chest pain pathway was introduced with Troponin T as the primary cardiac marker enabling the safe discharge of low risk patients within 24 hours.  Follow-up data was given on mortality, readmission and positive investigations for ischaemic heart disease at 1 month.  These suggested that it was a safe protocol if followed carefully and further 12-month follow-up data has further reinforced this.

Paediatric Seizures

A presentation at the 8^th International Conference on Emergency Medicine – Boston, USA, May 2000

A review of all aspects of the emergency management of seizures in children, including details of ‘The treatment of status epilepticus in children:  A consensus statement’ then unpublished, from the National Status Epilepticus Working Party.

Posters

Police usage of CS Spray in UK – an urban review

Goodenough D

BAEM Annual Conference, Bristol 1998

RESEARCH

1.    Troponin T as a marker or myocardial damage – this is an extensive        project involving 1700 patients at the RLUH who had a troponin T level           measured during our study period.  We have looked at 30 day and 12       month       outcomes (including mortality, morbidity – cardiac and non-cardiac          and fast-         track investigations).  We are now planning to look at subgroups of patients in   more detail such as those with renal failure and significant but non-infarction      levels of troponin T.

2.    Defining the size of a pneumothorax – following a recent paper in the        A&E journal on the management of a spontaneous pneumothorax in which the percentage size of pneumothorax was suggested as a clinical       decision-tool.        Sizing of pneumothoraces, both spontaneous and traumatic is a vague science and following a literature search, I am undertaking a survey within my hospital   on different ways on this and how clinicians use their system to make             management decisions.

3.    CS Spray – following its introduction as a police weapon, I reviewed its         clinical effects and management. I also looked at numbers of presentations      to         an urban A&E department and the resultant clinical workload.

4.   Concussion following a whiplash-type injury – patients presenting to       A&E following an RTA often complain of other symptoms in addition to   their neck pain.  The frequency of the various symptoms more commonly      associated with minor head injuries was assessed in these RTA patients.

CURRENT AUDIT

1.   Primary care in A&E – Woebegone 2001

      Current modernisation of emergency services in North Wetshire will include the       co-location of a primary care adjacent to A&E.  This will be accessed by a single    triage entry point.  The current audit looks at appropriateness of patients    presenting to A&E and changes in patterns of attendance.

2.   Thrombolysis audit – RLHH 1997-8

      At RLHH, monthly audit meetings were held to assess door-to-needle            times in           thrombolysis of all acute myocardial infarctions.  This was primarily run by the           chest pain nurse but on several occasions I was involved, especially in            looking at how changes in the care pathway could reduce delays and      improve       patient care.

3.   Complaints – RLHH 1997

      An audit of 3 months complaints (verbal and written), focusing on specific     areas such as waiting times and staff attitudes that could be targeted for       improvement.

4.   Cervical spine x-rays – RLHH 1995

      An audit of 100 case-notes to determine clinical indications for requesting c- spine x-rays in patients presenting with possible neck injuries. Guideline            lines were produced from this audit and included in the SHO handbook.        Further audit was then performed to complete the audit cyle.

CONFERENCES/MEETINGS ATTENDED

BAEM Annual Conference                BAETA Annual Conference

            Cardiff 1997                                       Southampton 1997

            Belfast 1999                                       Newcastle 1998

            Cambridge 2000                                Cardiff 1999

Faculty of A&E                       International Conference in Emergency Medicine

            London 1999                                      Vancouver 1998

                                                                       Boston 2000

Centralisation of A&E Departments – Sheffield, May 2000

            Professor John Nichol/Professor Brian Edwards

The Future of Accident and Emergency Medicine – London, January 2000

            Royal Society of Medicine

The Future of Accident and Emergency Medicine – London, June 1999  

            Joint meeting on BAEM and FAEM

MTOS and trauma data analysis – Manchester, December 1996

MAJOR INCIDENT TRAINING

1996              1 day introductory course, Chichester

1997              Emergency services practice – Boat crash, River Dee, Chester

2000          British Aerospace practice – Plane crash with fire, Broughton, N Wales

2000          Lead medic of runway rescue team, Air Day at British Aerospace,     Broughton, N Wales

TEACHING

Medical undergraduates

Clinical instruction and end of firm assessments of 2^nd, 3^rd and 4^th year students from Murkeyside, Leicester and Addenbrooke’s medical schools.

Clinical tutorials to final year students.

Lectures on management of trauma and medical emergencies.

Paediatric Emergencies to 2^nd and 4^th year students at Little One’s Children’s Hospital.

6^th formers as prospective medical students within the A&E Department.

Medical postgraduates

As an ALS and APLS instructor on at least 2 courses of each per year.

Clinical tutorials to pre-registration house officers including practical training sessions in advanced cardiopulmonary resuscitation.

SHO teaching on a variety of subjects relevant to A&E.  Audit projects with SHO’s in A&E.

Nursing staff, ODA’s etc.

Lectures and practical teaching stations on ALS and APLS courses.

Paramedics in cannulation and resuscitation within Royal Heartbeat A&E Department.

MANAGEMENT and ADMINISTRATION

1. President of BAETA

v  To improve communication between A&E trainees in the UK including setting up a website information page on Doctors.net

v  To chair the BAETA meetings

v  Organisation and writing of the trainees section of JAEM supplement

v  To represent A&E at the meetings of the Specialist Trainee Representatives and the JDC

2. Departmental Management/Committees

v  Chairman of the organising committee for BAETA 2000 annual conference        to be held in Liverpool in November 2000

v  Junior representative on Medical Directorate at Royal Heartbeat University         Hospital and Critical Care Directorate at Everwell Hospital and Arrowe Head       Hospital

v  Departmental planning and development

v  Chest pain management

v  Millenium organisation

v  Paediatric pain group at Little One’s Children’s Hospital

3. Teaching

v  Planning the weekly meetings for the Murkeyside A&E Trainees Group   within a committee of three (1997-1999)

v  Arranging the schedule and speakers for a 3 hour weekly teaching          afternoon for SHO’s at Arrowe Head Hospital (1998-1999)

v  Course Director for ALS course in Cresta (2000) and member of the       faculty for numerous ALS and APLS meetings (1996-)

4. SHO Employment

v  Short-listing at Arrowe Head Hospital

v  Showing prospective interviewees around the department

v  A member of the interview panel at Little One’s Children’s Hospital and    Woebegone Hospital

5. Introduction of new departmental policies

v  Chest pain pathways at Royal Heartbeat Hospital and Arrowe Head         Hospital

v  Pathway for management of pain in children at Arrowe Head Hospital

6. New junior doctors hours

v  Re-organisation of junior doctors rotas within the new hours regulations at RLHH

v  Establishment of House Officer and Senior House Officer in rotations in General Medicine in the Murkeyside region.

OTHER WORK EXPERIENCE

1987/88           Preparatory certificate in Teaching English as a Foreign Language; teaching experience with classes up to 14 students of a variety of nationalities during summer courses at Cambridge.

I have a wide range of experience as a leader/organiser of children’s holidays  and day-centres; children aged 2-15.

I gave a talk to a local rotary club, the Rotary Club of Bighull, on a day in the life of an A&E doctor in 1997.

I was invited as the guest speaker at the Junior Speech Day at Armless Grammar School in 1998.

OUTSIDE INTERESTS

Skiing              I have skied for 18 weeks in Europe and Canada

I am also a leader and doctor to a school skiing course for a party of 80 pupils and 16 adults, I have accompanied this group on 4 occasions.

Cycling           Touring holidays in Britain and in Europe

Walking           Many holidays in the Lake District, Peak District, Yorkshire Dales, North Wales, Scotland, in the Swiss and French Apls and Picos De Europa in Northern Spain.

Music              Piano and Violin grades 4.

                        I was involved in school, college and hospital orchestras.

                        I was the leader of the school orchestra in my final year at school and have recently played in a quartet.

REFEREES

Mrs J Summer

Accident and Emergency Department

Woebegone Hospital

Lonely Lane

Woebegone

WO3 1QG

Dr  Autom

Accident and Emergency Department

Arrowe Head Hospital

Dowtown

D36 4EA

Dr F Brocholli

Accident and Emergency Department

Little One’s Children’s NHS Trust

Living Road

Murkeyside

M21 3AQ