Clinical Lead Gastroenterology

Curriculum Vitae

(CV)

Dr Zeshan Riaz

BM (UK), MRCP (UK), MRCP Gastro (UK),

MRCP Edinburgh, PGCME (UK), FRCP London, CCT (UK)

Consultant in Gastroenterology and General (Internal) Medicine

Currently Consultant Hepatologist and Clinical lead for medical recruitment for Medicine and Unscheduled care. Portsmouth University Hospitals, Portsmouth, UK (Since July 2018)

Consultant Endoscopist (Part time role in addition to above role) at ISTC, The Royal South Hants Hospital (Care UK), Southampton, UK, Since September 2019

Surname Riaz

First name Zeshan

Registration status Registered with a license to practice with GMC, UK

GMC Number 6135236

Place of Birth Bruges, Belgium

Date of Birth 04 November, 1979

Nationality European (Belgium)

Address 21 Jessica Crescent, Totton SO40 2BN, UK

Mobile 004***********

E-Mail ******@*******.***.**

Marital Status Married

CCT (Board Certification) July 2018 Gastroenterology and Internal Medicine

Qualification and Memberships

Bachelor of Medicine (BM), University of Southampton, UK, June 2006

MRCP (UK) January 2011

MRCP (Gastro) (SCE in gastroenterology) UK, April 2017

FRCP London, UK, September 2020

MRCP Edinburgh, UK

Post Graduate Certificate in Medical Education (PGCME), University of Winchester, UK 2018

ALS, Rotherham General Hospital / Resuscitation Council UK, June 2017

Member of British Association For the Study of Liver (BASL)

Current Job and roles:

I was appointed as a substantive consultant in gastroenterology with a special interest in Hepatology and advanced endoscopy by the Portsmouth Hospitals NHS trust, at the end of February 2018. Queen Alexandra Hospital is a large tertiary referral centre that has an immediate catchment population of just under 700,000 with additional referrals from the South of England and from foreign countries.

I took up that role in the locum capacity from July 2018 (whilst awaiting my CCT paperwork to come through from General Medical Council (GMC)) and then started as a substantive consultant from August 2018.

I have taken over the role of being a clinical lead for medical recruitment (junior doctors and Associate specialists) for the Medical and Unscheduled care division. My success in this role has resulted in over £2.5 per annum savings for the trust.

I am also the clinical lead for nurse development/teaching program in gastroenterology and currently leading a project to set up the first GI high dependency unit in this hospital. I am currently leading hepatitis C positive kidney donor organ program at my trust. This program will enable us to use hepatitis C positive kidneys in renal transplant cases.

My role here involves hepatology ward cover with 1:3 months’ frequency. I am on call for emergencies with a frequency of 1:8. My other direct clinical commitments involve two outpatient clinics per week. Two mixed endoscopy lists including both upper and lower GI endoscopies per week. In addition, I do at least one ERCP/Stent/Dilatation list per week.

My other management duties include international recruitment of doctors in the medicine and unscheduled care division. In this role, I also look after over 300 junior doctors across the division. I am the committee chairman that overseas recruitment, rota and training issues within the whole division. My current appointment has resulted in savings of over £1million to date due to the reduction in locum bill for the trust. It has also resulted in better team structures and improvement in patient care.

Early Post Graduate Training

Foundation program and Core Medical Training (Total 4 Years)

Foundation year 1 (from August 2006 to August 2007), Southampton General Hospital

Specialities covered: Upper GI, Breast, endocrine surgery (3 months), Vascular Surgery (3 months), Hepatology (3 months), Acute medicine, Stroke and elderly care (3 months).

Foundation Year 2 (from August 2007 to August 2008), Southampton General Hospital

Specialities covered: Elderly care (3 months), Oncology (3 months), Accident and emergency (6 months)

Core Medical Training Year 1 (from August 2008 to August 2009), Lancashire Teaching Hospitals NHS trust

Specialities covered: Gastroenterology (4 months), Endocrine and diabetes (4 months), Accident and emergency (4 months)

Core Medical Training Year 2 (from August 2009 to August 2010), Salisbury Foundation Hospital NHS trust

Specialities covered: Gastroenterology (4 months), Cardiology (4 months), Elderly care (4 months)

Higher Specialist Training and Fellowship in Gastroenterology/Hepatology and General (Internal) Medicine (8 years)

I was selected in this training program in the Wessex deanery which is known to be the toughest to get into due to its desired geography and excellent training in the UK. For myself, it was my parent deanery for the reasons that I went to Southampton medical school which is the only medical school within this catchment area and I was familiar with the excellent opportunities available due to my medical school placements and then through my early post-graduate training.

I had the following rotations with a brief description of the strengths that I gained as a result.

Salisbury Foundation hospital NHS trust August 2010 –September 2011

This was my first role as a senior trainee. My training included an introduction and building upon the basic knowledge of medicine and gastroenterology. I was rostered to do at least two outpatient clinics and two endoscopy lists per week. Clinics were spilt in two six-monthly blocks. They covered a wide range of gastroenterology curriculum including a balance of luminal, functional and hepatology.

I learned gastroscopies under close supervision and also did supervised oesophageal dilatations. I was also introduced to basic colonoscopy during this role.

Other roles included acute medical take and gastroenterology ward rounds. I also had a role in supervising more junior colleagues of mine.

Southampton University Hospitals NHS trust September 2011- September 2012

Southampton University Hospital is an 1100 bed large tertiary referral centre for a large number of specialities including gastroenterology. It is also an internationally recognized intestinal failure and nutrition centre. I was exposed to a large number of complex patients in this hospital. My year of training was split between pure luminal work (IBD and nutrition) for 6 months and 6 months of a hepatology with general gastroenterology. I was also part of on-call bleeder rota with 1:5 frequency. On my day of bleeder on-call, I was responsible for the organizing and then performing endoscopy for the bleeding patients. Due to the large size of the catchment area, on any given day, we had between 1 and 3 bleeders. This was an excellent opportunity to develop my decision-making skills. I was also trained in therapeutic gastroscopies with one dedicated oesophageal banding list per week. My additional weekly endoscopy lists were of mixed nature with both gastroscopies and colonoscopies on the caseload. I was formally JAG certified as an independent endoscopist in upper GI endoscopies during this post.

I also attended weekly upper GI and HPB MDTs that further developed my clinical management skills.

I was also the clinical lead for morbidity and mortality audits for the department. I also regularly taught medical students including bedside and classroom-based teaching.

Clinical Research fellowship in Hepatology: Southampton University Hospitals and University of Southampton September 2012-September 2015

I have spent three years in this post where I prepared protocols, ethics and methods of my research. I worked with ascites and performed cytokine analysis and also looked at the microbiome of these ascites. I compared transudates with exudates and currently, I am writing this research work as part of my Doctorate degree from the University of Southampton where I am still enrolled as a researcher.

On the clinical side, I worked 20 hours per week as a general medical registrar in addition to one or two weekly hepatology clinics. I also performed regular upper GI endoscopies with an average of just over 300 gastroscopies per year. I also started my ERCP training on an ad-hoc basis during this job. I also attended regular HPB MDTs during this post.

Southampton University Hospitals NHS trust September 2015- September 2016

Upon my return from my clinical research fellowship, I was the most senior gastroenterology registrar in the Wessex region and was again chosen to be placed at Southampton University Hospital. This again immensely helped me with the exposure to complex diseases including post Liver transplant patients. The routine to my placement was similar to my first rotation here but with more emphasis on advanced endoscopy this time. I had access to three regular ERCP list with an average of 15 ERCP cases every week. I also trained in Upper GI stenting including oesophageal and duodenal stents. This post helped me in establishing myself as an advanced endoscopy fellow in the region and this was noted on my final PYA (final assessment by the external assessor on GMC behalf before CCT) forms as well.

Portsmouth University Hospitals NHS Trust September 2016-September 2017

Portsmouth is also another large tertiary University referral centre within Wessex region. It has four hospitals in Portsmouth region with the largest being Queen Alexandra hospital that has just over 1200 beds. My placements were mainly based in this larger centre with a few outpatient clinics in the other hospitals in this trust.

My year was a general mix of all fields of gastroenterology on the wards with added specialist nutrition ward rounds. My main emphasis during the training remained on improving my ERCP and stenting skills. I had access to between 2 to 4 ERCP lists on any given week. I was the only trainee interested in these techniques that helped in the open access to these lists. I also had independent gastroscopy/bleeder lists and supervised colonoscopy lists. Portsmouth as a centre has an international reputation in endoscopy and is home to annual Portsmouth International endoscopy symposium. This international connection was also useful as I had an opportunity to work alongside international experts in this field including the invited experts.

This is one year that was very hard work but it has shaped my entire career.

Basingstoke Hospital NHS Trust September 2017-July 2018

The final year in the Wessex region requires the trainee to be placed in a district general hospital. I chose Basingstoke Hospital as my first choice as it is a 450-bed International centre for pseudomyxoma surgery with a very strongly supported gastroenterology department. It has excellent MDT network that is great for learning.

My 10 months in this hospital were equally split between hepatology and luminal clinics with unselected ward work. I continued with my ERCP training. I further developed myself with both upper and lower GI stents. I also got my JAG accreditation in colonoscopy during this post.

Prizes and Bursaries

I won a £2000 bursary from the Royal Medical Benevolent Fund (RMBF) in 2002 as a first-year medical student. As a result of the bursary, I learned about the different methods of marketing. I also learned about the effects of the financial hardships on the performance of a doctor.

A silver certificate awarded by the Royal Society of Chemistry in 2001 for being the runner-up in the Team Great Britain selection for 2001 Chemistry Olympiad as an A-Levels student in Itchen College Southampton.

Top-ranked poster, BASL 2014 held at Newcastle Hilton.

Audits

I have completed and presented four morbidity and mortality audits as an FY1 in vascular surgery.

I have also completed a cycle of auditing heart failure treatment in 2007-08.

I have also completed an audit on the paracetamol overdose in A&E in 2008 and the cycle was completed by my successors in 2008-09

I have also completed an audit on drug allergies.

I have also audited the data on the oesophageal stent insertion at Salisbury District Hospital in 2010.

I have done an audit on stool charts in December 2011.

An audit on Liver cirrhosis care bundle in Feb 2016.

JAG endoscopy audit in December 2016

Quality improvement project to improve the working conditions of junior doctors on the ward by employing a doctors’ assistant in Summer 2017. It resulted in two full-time doctors’ assistants being employed for the gastroenterology firms in Queen Alexandra Hospital, Portsmouth.

I have supervised numerous audit and quality improvement projects since becoming a consultant.

Publication and Presentation

Holloway JW, Laxton RC, Rose-Zerilli MJ, Holloway JA, Andrews AL, Riaz Z, Wilson SJ, Simpson IA, Ye S. ADAM33 expression in atherosclerotic lesions and relationship of ADAM33 gene variation with atherosclerosis. Atherosclerosis (Epub ahead of print, 24 February 2010 as doi: 10.1016/j.atherosclerosis.2010.02.023)

Riaz Z, Wright M, Advances in clinical hepatology and what the hepatologist expects from a liver biopsy result, March 2014, Diagnostic histopathology

Riaz Z, Collins JE, Green C, Wright M, Peritoneal cytokine responses in ascites are not related to aetiology: A direct comparison of portal hypertensive and malignant ascites. Abstract BASL 2014 (Top Ranked poster presentation)

I have also presented my work on atherosclerosis on this paper at the Annual 4th-year conference in 2005 held at the Southampton General Hospital.

My DM research has been presented at the joint Oxford-Wessex gut club.

About Myself:

I am proud of the lengthy and broad medical training that I received starting from Southampton medical school. This training, which also involves an additional three years’ research fellowship in hepatology, transformed me in an overall gastroenterologist with multiple skills under my belt. I am a JAG accredited endoscopist who also carries out advanced endoscopic procedure such as ERCPs, Stents, Dilatations, endoscopic injections, banding, Gastric variceal Glue and EMRs. I had the honour of doing my nutritional training with the famous Dr Mike Stroud in his nutrition unit at Southampton. Even though not a nutritionist myself, it still provided me with enough skills that I am comfortable in looking after the intestinal failures including post intestinal transplants. Currently, most of my non-practical workload is HPB related including pre and post-transplant liver care.

I am also a keen teacher and I have been involved with medical student bedside teaching as well as delivering group based teaching sessions.

I am also an OSCE examiner for the University of Southampton, School of Medicine.

I have taught at the University of Southampton’s liver SBOM for 3rd-year medical students from 2012 to 2015. I have also been a speaker at the BASL School of hepatology Southampton 2014. In addition, I have undertaken a post-graduate Certificate in medical education that will further improve my educational role. I am a General Medical Council recognised named educational and clinical supervisor.

Career Aims and future:

I am envisioning further career in a busy hospital that will allow me space and support to flourish and develop as a leading Physician. I am also looking for an adventure in a place with new excitement. I have trained in the UK and have been living in the same city for over 20 years now. I finished my schooling and university in Southampton and then ended up being in the same region. I feel, now is the time after completing my training and experience as a consultant that I sample and learn from a new culture. I am looking at locating in the Middle East as it offers a lot more than just work. I have friends who moved abroad and that has helped with their work-life balance and off course, meeting new people is always a great bonus.

I work hard and play harder. I believe that a well-resourced work place will help to bring out the best in myself. I am continuing in developing my endoscopic skills and again a well-resourced centre will further this development for me. I believe in a patient centred care model particularly where everyone is striving for excellence.

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