jueves, 23 de junio de 2011

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

domingo, 5 de junio de 2011

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 5th 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 8th 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 2nd, 3rd and 4th 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 2nd and 4th year students at Little One’s Children’s Hospital.
6th 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