Medical Infection Control
Resume:
CURRICULUM VITAE
NAME JULIE ROBIN SAMUEL
DATE OF BIRTH 04.02.1976
ADDRESS *** *******’s Avenue,
Longbenton
Newcastle upon Tyne, NE12 8UA.
PHONE 079********
E-MAIL *****.******@****.***.**
GMC STATUS 6095952
CAREER AIMS
I had an interesting year so far, being involved in numerous activities in my specialist areas. These
include cardiothoracic transplantation, haematology/oncology and orthopaedics.
I would aim to facilitate more workshops in the region in association with BSAC and also desire to
form an orthopaedic group in collaboration with other colleagues.
I am involved in a couple of research projects which I would like to complete in the following year.
In addition to the above, publishing interesting clinical research are among my other priorities.
Infection control is integral to my current role which I am keen to enhance further through additional
courses.
1 QUALIFICATIONS
CCT September 2011
GMC Specialist Register
(Eligible to apply in June 2011)
FRCPath -2 November 2010
Royal College of Pathologists
FRCPath-1
Royal College of Pathologists October 2006
MD (Microbiology)
Topiwala National Medical College, Mumbai July 2003
MBBS
Grant Medical College, Mumbai. October 1997
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CURRENT APPOINTMENT
Consultant Microbiologist
05th September 2011
Newcastle upon Tyne Hospital NHS Foundation Trust
2 PAST APPOINTMENTS
Specialist Registrar Medical Microbiology
Northern Deanery December 2006- September 2011
SHO, Microbiology
South Tyneside Healthcare Trust December 2005-November 2006
Newcastle upon Tyne Trust
Educational Supervisor: Dr Adrian J Bint
Honorary SHO Department of Medical Microbiology,
St Georges Hospital NHS Trust August 2005- November 2005
2 Training Consultant: Dr R Holliman,
Clinical attachment (Microbiology),
Kettering General Hospital, Northampton, May 2005- July 2005
Dr Manjula Natarajan
Relocation to the UK September 2004- April 2005
Microbiologist
Suburban Diagnostics India October 2003- August 2004
Dr Sanjay Arora.
Post Graduate Trainee in Medical Microbiology,
Topiwala National Medical College,
Mumbai. July 2000- July 2003
Dr G V Koppikar.
Maternity leave December 1999- June 2000
Senior House Officer (Cardiology),
Lilavati Hospital, Mumbai. February 1999- November 1999
Pre Registration House Officer,
Med/Surg/Obs&Gynaec/Paeds/Ortho/Comm Med January 1998- January 1999
Grant Medical College, Mumbai.
MBBS
Grant Medical College, Mumbai January1993- October 1997
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1
1 SUMMARY OF SKILLS AND EXPERIENCE
Clinical
My specialist areas include Cardiothoracic Transplantation, Orthopaedics, Haematology
/Oncology and ENT.
My role includes providing expert advice on clinical management, antibiotics and infection control
queries. I work closely with colleagues from other specialties in developing guidelines and other
quality improvement activities. On a daily basis I do bench rounds, authorize results, liaise with
different groups of people including junior doctors, consultants, General Practitioners, nursing and
non medical staff. Also managing a spectrum of infections ranging from the simple to the
complicated ones which require a specialist reference laboratories input. I have a good working
relationship with the laboratory staff. I have worked across a range of specialties both in tertiary and
district general settings gaining valuable clinical and managerial experience.
Specifically:
Paediatrics’/Adults
• Experienced in management of common infections as well as infections in SCBU and PICU.
• Proficient in management of patients with severe combined immunodeficiency and Bone
marrow transplant patients, understand microbiology, pathogenesis and interplay of
immunosuppression and infection.
• Understand the importance of effective infection control and can advice appropriately.
• Managed patients on Extra Corporeal membrane oxygenation (ECMO), Ventricular assist
devices (VAD) and other mechanical circulatory support.
Transplant-First On Call for transplant microbiology advice
• Managed recipients of Solid organ transplant, pre-operative donor selection, immediate post
-operative management, long term care and advice on infection control issues.
• Knowledge of common immunosuppressants, drug interactions, and non infectious
complications.
• Regular attendance at multi disciplinary team meetings.
• Management of line infections, surgical site infections and hospital acquired infections.
• Understand the role of prophylaxis, pre-emptive and targeted therapy.
• Interpretation of laboratory results.
ITU
Regularly attend and represented microbiology on ward rounds.
• Management of frequently seen infections such as VAP, lines and other complicated
infections.
• Antibiotic advice.
• Managed critical patients post surgical complications.
• Managed patients on filter, dialysis and respiratory support.
Surgery and Orthopaedics
This specially interests me, particularly management of prosthetic joint infections with use of
antibiotic cement spacers and its complicated dynamics.
• Managed complicated infections including neurosurgical, metal ware, complicated
intraabdominal infections, endophthalmitis, obstetric and gynaecological infections.
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Laboratory
I have a strong foundation in fundamental principles of laboratory tests and general microbiology,
this is a big advantage when it comes to effectively communicating results with clinicians, making
appropriate clinical and laboratory based decisions. Having a structured and well organized method
of result documentation and communication is integral and a crucial component of interfacing with
the clinicians. I have worked hands on, alongside Biomedical Scientists and understand day to day
laboratory functioning.
• Acquired skills in performing routine laboratory tests, molecular tests and serology.
• Good understanding of antibiotics, resistance mechanisms and correlation with host factors.
• Understand health and safety, good laboratory practice, role of external bodies and
accreditation.
• Skilled in virology data interpretation, antivirals and management of common infections.
• Gained experience in mycobacteriology through HPA attachment, teaching and laboratory
experience.
• Sound knowledge of new diagnostic techniques, available automated methods and their
application to clinical practice.
Infection Control
This is well integrated in my daily activities. I am the Infection Control Doctor for the Freeman
Hospital. I provide advice based on risk assessment on several issues, regularly meeting the Infection
Control Nurses to update and follow up on inpatients. I am involved in educating medical and
nursing staff at ward level and small group teaching for the Consultants. I lead investigations of
outbreaks, review minutes, liaise with relevant parties including the Public Health, formulate action
plans, delegate responsibilities and supervise the implementation of actions. In particular I have:
• Chaired Outbreak meetings for Clostridium difficile in a renal ward /GAS outbreak in ENT/
MRSA and C.diff PII meetings.
• Reviewed Current C.diff testing methods and applied new algorithms using PCR, involved in
scoping exercise (Shelford group) and reviewed role of HPV.
• Regularly attend Multidisciplinary team meetings.
• Daily risk assessment and management of hospital and community issues.
• Prepare outbreak reports
• Published an outbreak of Glycopeptide resistant enterococci in a haematology unit.
• Updated Trust guidelines on multi-resistant gram negative rods and reviewed Infection
Control aspects associated with liver transplant recipients.
• Experience in liaison with Public Health and Reference Laboratories.
• Review building plans with Estates and IPCN and participated in theatre commissioning.
Public Health
• Outlined a process for management of PVL in community and streamlined reporting
mechanism.
• One week attachment with Health Protection Unit, acquired knowledge in the general
functioning of the unit, role of Environmental Health Officers, management of community
outbreaks, role of surveillance nurses and epidemiologists.
• Regular liaison with surveillance nurses for notifiable diseases.
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Continuing Professional Developmental Activities
• Royal College online CPD portfolio.
• NEQAS Interpretative comments - participate in interpretation.
• Referee for Journal of Antimicrobial Chemotherapy.
• Regularly attend Departmental Journal Club, North East Regional Microbiologists Group
(NERMG) and Medical Directorate Grand Rounds.
• Refer to resources: Uptodate, Lancet Infectious Diseases, Clinical Microbiology Reviews and
PubMed.
2 MANAGERIAL EXPERIENCE
My role involves managing trainees and providing an educational environment for their training.
This is done through case based discussion, small group teaching and ward rounds. Other roles
include clinical and educational supervision for foundation and microbiology trainees.
Courses attended include - Educational Supervision, Appraisal skills, Leadership Skills and
Laboratory Management.
I make decisions pertaining to appropriate and cost effective use of laboratory services in order to
make the most of available resources. Updated Trust Policy for Neutropenic Sepsis, Staph aureus
screening in renal and currently updating the ENT and Orthopaedic Policy. I also updated the Trust
policy for multi-drug resistant gram negative rods including carbapenemases.
I have been a member of HPA/Trust Working Party.
Present relevant data at audit meetings in order to implement quality improvement.
As the ICD I regularly attend IPCC, IPC Ops group, review policies and attend SIRMs with Medical
Director, Head of Nursing, DIPC and clinical team. We are currently reviewing usage of ribavirin in
post BMT patients.
I am the local investigator for a multicentre international research project.
I also had the opportunity this year (2012) for setting questions and acting as supporting examiner for
FRCPath part 2.
I was also the trainee representative at the Specialty Training Committee (STC), which involved
presenting trainees views to the group and feeding back to the trainees, relevant minutes and updates.
Reviewed Standard Operating Protocol for infection control in liver transplant recipients.
I have also been an observer at an interview for non medical staff.
Attend monthly meetings with Infection control nurses, modern matrons and renal staff about
standardizing care for renal dialysis catheters, management of infections and surveillance of
bacteraemias associated with catheters and role of antibiotic locks.
I am Medical representative on Trust Committee looking at the purchase of equipment.
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TEACHING EXPERIENCE
I think teaching is a very rewarding experience. My teaching audiences have included medical and
dental undergraduate students, consultants, registrars, General Practitioners, link nurses, mortuary
technicians and laboratory staff. I have incorporated various styles of teaching using Power point and
Turning point in small and large groups. I have delivered lectures and seminars at regional meetings
mainly pertaining to clinical conditions, laboratory methods and infection control.
As a trainee I had co-ordinated sessions for my peers. I have also been involved in medical student
assessments.
QUALITY ASSURANCE AND AUDITS
2012
• Management of C.diff carriers and review of RCAs.
• Implications of C.diff infection in haematology patients.
• Line infections in haematology.
• Orthopaedic data base.
• Laboratory processing of orthopaedic samples.
• Evaluation of lateral flow device in cardiothoracic transplant recipients.
• Standardisation of laboratory processing of mycobacteria and anaerobes.
• Aspergillus PCR and galactomannan in paediatric BMT recipients (RVI 2010).
To evaluate role in diagnosis and the management of Invasive Aspergillosis.
Retrospective analysis Feb 2010- Nov 2010.
Conclusions: Inconclusive role so far, needs further evaluation in high risk
population in the absence of Anti Fungal Prophylaxis.
Actions: Presented data to paediatricians
• Evaluation of blood cultures collected in Medical admissions (RVI 2010).
Retrospective analysis and comparison of Blood Cultures from medical admissions
(Jul- Oct 2010).
Conclusions: 37.6% of positive blood cultures taken through peripheral venflon.
Rate of coagulase negative staphylococci in blood cultures (28-36%).
Actions: Presented at Division of Medicine Grand Round, review of
blood culture policy.
• Bacteraemia audit -prospective evaluation of health care acquired bacteraemia
(Freeman 2010).
Participated in collection of data prospectively as part of trust wide initiative.
• EUCORE Daptomycin study (Freeman Hospital 2010).
Collected data for haematology patients treated with daptomycin.
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• CMV in paediatric heart transplant recipients- Pre-emptive versus prophylactic
therapy (Freeman 2009).
Retrospective analysis of all paediatric heart transplants since 2000 to
evaluate our CMV strategy.
Conclusions: 19.3% CMV mismatch, 41% high viral load, only 1 symptomatic
disease.
Poster at International Society of Heart Lung Transplant 2009.
• Urine forms audit (Freeman Hospital 2009).
Aim: to audit clinical details on urine forms (15/06/09- 19/06/09).
Conclusions: 3.73% had no specimen type mentioned.
• Appropriateness of specimen collection and clinical criteria for C. difficile testing
(Queen Elizabeth 2008).
Prospective analysis of all patients admitted with diarrhoea in a week
to assess cause, type of motion, use of laxatives and appropriateness
of testing.
Conclusions: 19/34 patients had only 1 episode of diarrhoea for which testing
could have been avoided.
Actions: Presented at Infection control committee, policy reviewed.
• Investigation protocol for Hepatitis C ( Freeman 2007).
Aim: to determine frequency of tests requested, monitor adherence to
protocol and to identify areas for improvement.
Conclusions: 100/317 had greater than 2 positive PCR, accounting for an
avoidable cost of £3130.
Actions: Presented at Sharing good practice meeting.
• Appropriateness of microbiological advice for positive blood cultures (RVI 2006).
Participated in prospective data collection.
RESEARCH
• Long term impact of voriconazole in lung transplant recipients 2012.
• Impact of non tuberculous mycobacterial infections in cardiothoracic transplant
recipients (Freeman Hospital 2010). Retrospective analysis of all transplant recipients
(pre or post)
Conclusions: 11/14 patients had good outcomes post transplant, no difference between
CF and non CF patients. 2 patients with M abscessus were clinically stable four years
post transplant. Review of literature.
• Worked on a research project with Dr J Perry investigating a chromogenic agar for
isolation of multi drug resistant Acinetobacter baumanii (Freeman 2009).
• Review of an outbreak in SCBU with a unique strain of MRSA (Queen Elizabeth 2008)
Review of literature and outbreak report prepared for publication.
• MD dissertation entitled “Causative pathogens of Onychomycosis and in vitro susceptibility
of dermatophytes to the newer anti-fungal agents. This was a very clinically oriented topic
wherein a variety of rare causative pathogens were identified and also the newer anti-fungal
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agents were found to be more efficacious in vitro with fewer side effects and greater patient
compliance (Mumbai 2003).
PUBLICATIONS
• Disagreement between disc diffusion and MIC based susceptibility categorizations of
ertapenem versus ESBL producers
J R Samuel, M Natarajan, E Rizkalla, D Livermore, M Warner and P Jenkinson
2005 Journal of Antimicrobial Chemotherapy. 56: 984-985
• Is terminal subculture of value in detection of candidaemia?
N C Rennison, A Galloway and J R Samuel
2007 Journal of Infection. 55: e66-67
• Mycobacterium mucogenicum from the hickman line of an immunocompromised patient
C Marshall, J R Samuel, A Galloway and S J Pedler
2008 Journal of Clinical Pathology. 61: 140-141
• Glycopeptide resistant enterococcus raffinosus in a haematology unit: an unusual cause
of a nosocomial outbreak
J R Samuel, H Coutinho, A Galloway, C Rennison, M E Kaufmann and N Woodford
2008 Journal of Hospital Infection. 70: 294-296
• Prosthetic joint infection- Single versus combination therapy ( leading article)
J R Samuel and F K Gould
2010 Journal of Antimicrobial Chemotherapy. 65: 18- 23
• Etiology of peritonsillar abscess- JAC in submission
INTERNATIONAL MEETINGS
• Control and prevention of Infections in cardiothoracic transplant recipients
J R Samuel and F K Gould
ISHLT monograph chapter 5, Section 3 (accepted for publication-International Society
of
Heart Lung Transplant ISHLT April 2011)
• NTM in lung transplants – ICAAC - 2011
REGIONAL
• Role of 16S PCR in endocarditis- British Infection Association (April 2011)
• Is it just a liver abscess?- picture quiz for NEJM
• Painful leg- BSAC workshop presentation
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PRESENTATIONS
• Infections in community – Marie curie Hospice January 2012.
• Candida tropicalis septic arthritis- Oxford bone conference March 2012.
• Revising orthopaedic policy – Audit meeting July 2012.
• Minimising infection pre and post lung transplantation- BTS short course October
2012.
• Orthopaedic registrar training – November 2012.
• CMV in adult heart transplant recipients (poster), ISHLT San Diego 2011.
• Guidelines on Ventricular assist device infections, VAD Training Day, Freeman, March
2011.
• Aspergillus galactomannan and aspergillus PCR in paediatric BMT recipients,
Paediatric Immunology Grand Round, March 2011.
• Blood cultures from medical admissions, Division of Medicine Grand Round RVI,
February 2011.
• Measles – Microbiology consultant teaching, Freeman Hospital, January 2011.
• PCP- Journal club, Freeman Hospital, July 2010.
• Meningitis- Journal club, Freeman Hospital, June 2010.
• Prosthetic joint infections, Joint Microbiology, BMS and ICN day, RVI, May 2010.
• Enteric fever- Journal Club, September 2009.
• Standards for surveys- PMETB, June 2009.
• Enteric fever - ID meeting, June 2009.
• Metalloenzyme- Journal club, May 2009.
• CMV in paediatric heart transplant recipients- ISHLT April 2009.
• Recent developments in C difficile, QE, Grand Round. December 2008
• Leptospirosis, Journal Club. December 2007
• Value of terminal subculture in candidaemia, FIS poster. November 2007.
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• Investigation protocol for Hepatitis C, Audit Competition FRH. September 2007
• PVL MRSA, Grand round RVI. May 2006
COURSES AND MEETINGS
Sheffield Orthopaedic meeting November 2012
BSAC workshop November 2012
Revalidation training October 2012
BTS short course October 2012
School of lab medicine study afternoon May 2012
Oxford Bone conference March 2012
Northern deanery recruitment and selection course December 2011
Equality and diversity course December 2011
Good practice in Educational Supervision, Northern Deanery April 2011
Appraisal skills for Consultants, Northern Deanery January 2011
Mycology Course, Bristol Reference Lab July 2010
ECCMID, Austria April 2010
Prosthetic joint Infections, SSI Master Class November 2009
Antibiotic assay course, Bristol reference lab July 2009
Parasitology Course, Liverpool June 2007
Mycology workshop, Bristol May 2007
FIS, Wales November 2006
BSAC workshop annually
TRIMM monthly
Regularly attend MDTs, Infection Control meetings, Senior Laboratory Staff meetings and Journal
Clubs and NERMG, Management Executive IPC Ops Group, IPCC.
COMPUTER/IT SKILLS
Proficient in use of MS Word, Excel and Power point.
LANGUAGE SKILLS AND SPECIAL INTERESTS
Effective communication in English, I also can speak three Indian languages.
I love cooking different cuisines.
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REFERENCES
Dr Victoria Cleeve
Consultant Microbiologist
North Tyneside General Hospital
********.******@****.***.**
Professor Kate Gould
Consultant Microbiologist
Freeman Hospital
****.*****@****.***.**
Dr Glenda Horne
Microbiology Consultant
Queen Elizabeth Hospital
******.*****@****.***.**
Contact this candidate