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Graduate Trainee Team Member

Location:
Bury St Edmunds, Suffolk, United Kingdom
Posted:
April 11, 2023

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Resume:

CURRICULUM VITAE

Dr. Tayyaba Aamir

C.C.T (certificate of completion of training, Pediatric medicine RCPCH UK) FRCPCH (UK) MRCPCH (UK), FCPS (Pak)

Post Graduate Diploma in neonatology (Cardiff, UK) MBBS, BSc.

Name: Dr. Tayyaba Aamir

Address: 68 Churchgate street

Bury St Edmunds

United Kingdom

Post code IP33 1RL

Nationality: British

Email: adwg76@r.postjobfree.com

00000004

Contact: (0044)077********

GMC number: 7462222

Qualifications

C.C.T (certificate of completion of training, Pediatric medicine RCPCH) 01/2022 FRCPCH (UK) 01/04/22022

MRCPCH (UK) 01/08/2014

Post graduate diploma in Neonatology (Cardiff University UK) 07/2021 FCPS (Fellowship of the College of Physicians

And Surgeons Pakistan) in pediatric medicine. 02/04/2013 MBBS (King Edward Medical College. Pakistan) 02/04/2004 B.Sc. (Punjab University) 2002

IELTS (International English

Language Testing System) 8 BANDS 2013

Professional registrations:

GMC (general medical council) specialist register for pediatrics Employment history:

Present Job:

I am currently working as a consultant pediatrician at West Suffolk hospital. I have completed my specialty training in pediatrics and have received my CCT in pediatrics. (Certificate of completion of training –RCPCH UK). As a part of my training, I have rotated in various hospitals in the southwest region of England. I have also completed a placement in pediatric cardiology at Bristol children’s hospital. During this placement I have gained the skills performing echocardiography. I have also completed the post graduate diploma in neonatology from Cardiff University alongside my clinical work.

As a part of my day to day work I run ward rounds and outpatient clinics I am also responsible for assessment and admission of children presenting to the children’s assessment unit from the emergency department and the community.I can manage and lead confidently and competently paediatric and neonatal emergencies as well as being an active team member should a colleague lead. These human-factor and practical skill sets offer significant transferable skills. I can manage common neonatal problems like necrotising enterocolitis, chronic lung disease, neonatal encephalopathy, stabilisation of an extreme preterm baby to name a few. I have also led acute emergencies such as status Epilepticus, Diabetic Ketoacidosis, Status Asthmatics where I have involved multi-disciplinary teams including anaesthetists, outreach nurses and liaised with transport team including telephone conference calls to facilitate patient’s retrieval. EMPLOYMENT HISTORY:

25/07/2022- West Suffolk hospital as a consultant pediatrician Training posts (as a RCPCH, UK pediatric specialty registrar) 7 Sep 16 – 4 Sep 18 – Royal Cornwall Hospitals NHS Trust (neonates and pediatrics) 5 Sep 18 – 3 Sep 19 – St Michael’s Hospital (Tertiary neonatology) 4 Sep 19 – 3 Mar 20 – Southmead Hospital (Tertiary neonatology) 4 Mar 20 – 1 Sep 20 – Bristol Royal Hospital for Children (Pediatric cardiology) 2 Sep 20 – 31 Aug 21 – University Hospitals Plymouth NHS Trust (tertiary neonatology) 1 Sep 21- 1-Mar-22- University hospitals Plymouth NHS trust (general pediatrics) 1Mar 22– 24-July-22 University hospitals Plymouth NHS trust (general pediatrics –grace period) Non-Training posts:

23/02/2011 - 20/01/2014) Prince Salman bin Abdul Aziz hospital KSA (pediatrics/neonates) 22/10/2014-31/10/2015 Darlington memorial hospital (pediatric specialty doctor) 13/11/2015 - 31/10/2016 St Mary’s hospital, Manchester. (Tertiary neonatology) Training posts: Pediatrics specialty trainee for Fellowship of physicians and surgeons Pakistan

(FCPS)

25/11/2005 - 21/03/2010 Mayo hospital and Services Hospital (Pediatrics/neonates) Practical procedural skills:

I can perform echocardiography in neonates including functional assessment, PDA and PPHN assessment. I can also perform basic structural echocardiography. I can confidently perform routine neonatal and paediatric procedures such as lumbar puncture, peripheral arterial and venous cannulation, insertion of umbilical lines, peripheral long lines, urinary bladder catheterisation, suprapubic aspiration, chest drain insertion (both surgical and Seldinger technique), ommaya reservoir tap and endotracheal intubation in both controlled and emergency situations in babies of all gestations.

I can initiate and manage babies on non-invasive respiratory support such as high flow therapy, CPAP and BiPAP. I am also confident with use of various modes of mechanical ventilation including SIMV, volume guarantee and high frequency oscillation and use of nitric oxide in management of persistent pulmonary hypertension. I am competent with aEEG including lead placement and data interpretation. I regularly perform cranial ultrasound as a part of my job and have identified abnormalities including absence of corpus callosum and intra-ventricular haemorrhage. Past experience:

Clinical fellow in neonatology:

I have worked as a clinical fellow in neonatology at St Mary’s hospital, Central Manchester hospital NHS foundation trust. (13/11/2015 till 31/10/2016). This is a busy level 3 NICU.I had an opportunity to manage a wide variety of conditions in neonatology including babies with congenital cardiac and surgical anomalies.

Specialty doctor in Pediatrics:

I have worked as a specialty doctor in Pediatrics at Darlington memorial hospital (CDDFT) NHS foundation trust. (22/10/2014 to 31/10/2015). This is a busy DGH with level 1 neonatal unit. Pediatric resident ;( SHO)

I have worked at Prince Salman Bin Abdulaziz Hospital, Riyadh, KSA as a paediatric resident.

(23/02/2011 till 20/01/2014). This is a 200- bedded government hospital with a busy general pediatric ward and neonatal unit.

As post-graduate Trainee (for FCPS):

I have successfully completed my training for FCPS in pediatrics and passed the exams (4 years program). During my training I worked in in Mayo hospital for 1 year ((25/11/2005 till 01/2007) and in Services hospital for 3 years (01/2007-03/2010).

Mayo hospital is a 2000-bedded teaching hospital affiliated with King Edward medical university. There are 110 beds in the pediatric department. Services hospital is a 750-bedded teaching hospital with 80 pediatric beds. The training for FCPS is a structured rotational training program. The rotations are in pediatric and neonatal ICU, pediatric emergency department and the pediatric wards. Resuscitation courses:

APLS (Advanced Paediatric life support 09/03/2019) EPLS (European Pediatric life support 21/01/2015)

NLS (Neonatal life support 11/02/2019)

Safeguarding training:

Child protection recognition and response (CPRR by ALSG) 24/11/2015 Level 3 safeguarding children’s training (Health Education England) 2020 Other Relevant Courses:

Neonatal SIM instructor course. (Southampton UK 2021) Neonatal difficult airway course (Southampton UK 15/05/2021) Teach the teacher course (Oxford medical training (23/24-05-2021) Effective educational supervision course (RCPCH London 07/06/2021) NIRS Workshop 01/05/2021

NeoCARD UK (Teesside neonatal cardiology and haemodynamics) 12-13 Oct 2020 SANDS (Stillbirth and neonatal death charity UK) webinar 23/10/20 Neonatal echocardiography course (Harlow UK 2019)

Neonatal cranial ultrasound and aEEG course (Cambridge UK December 2019) Professional and generic skills course -university of Plymouth (Truro UK 2018) PET 1 (Pediatric epilepsy training) conducted by BPNA (British pediatric neurology association) 23/11/2016

COPE (confidence in management of pediatric emergencies in Bristol) 02/11/2016 NeoNATE course (Neonatal Neurology course by British society of paediatric neurology) 2019 Neonatal cranial ultrasound course (Imperial college London 21/03/2018) Pediatric/neonatal echocardiography course (Brighton 16/17 -02-2018) Neonatal ventilation course (Bridgend, Wales 04/10/2018) How to manage common cardiac problems in paediatrics (RCPCH) How to manage common cardiac problems in neonates (RCPCH) NeoSave (Wales UK)

Audit and Quality improvement projects:

I have been actively involved in various audit and Quality improvement projects throughout my training. During my ST4 year I designed and led an audit on late onset neonatal sepsis. The audit was done in response to a suspected increase in rate of late onset neonatal sepsis in our unit. The aim was to assess the incidence and characteristics of late onset sepsis in our neonatal unit against previous benchmarking and the national rate and to identify any gaps in our practice. Using the Badger system total admissions in the neonatal unit between 14/9/15 and 16/10/16 were identified. Retrospective data was collected using electronic results system, patient notes and microbiology records. All babies with positive blood culture taken after 48 hours of life were selected. The results were compared with the local late onset sepsis rate (results from previous benchmarking) and with the national baseline. (NeoNIN data). The data was collected to identify risk factors for developing late onset sepsis. The results of culture and sensitivities, inflammatory markers and antibiotics used were also noted. The audit showed that the rate of late onset infection was lower than national benchmark. I designed the audit, collected data, compiled the results, and then presented the findings in a local meeting. During data collection some deficiencies were identified and the following recommendations for change in our current practice were agreed upon: 1. A procedure safety checklist for central venous catheters, like the one recommended by BAPM

(CVC practice framework 2015)/Matching Michigan needs to be developed which would be incorporated into patient notes.

2. Peripheral cannulation in extreme preterm babies (26 weeks gestation and below) should be attempted using sterile gloves/gown/hat.

3. A guideline for a uniform method of fixing the UVC should be in place. 4. Documentation of the ability to aspirate/flush the CVC after insertion should be mandatory. 5. UAC/UVC should be clearly labeled, or red/blue bungs should be used. Following this audit, I compiled a procedure safety checklist for insertion of central venous catheters and the guideline for insertion of umbilical lines was revised to incorporate an agreed method of fixation and ensure uniformity of practice. This was accepted for poster presentation at the Southwest paediatric club meeting (2018). During my placement at St Michael’s hospital NICU, I was responsible for the implementation of LOCSSIP (Local Safety Standards for Invasive Procedures). At Southmead hospital NICU, I was involved in the audit for thermoregulation in preterm babies. All babies born under 32 weeks or less than 1.5 kg were delivered in a sterile plastic bag and continuous temperature monitoring was done from the delivery suite to the NICU. Thermoregulation kits were prepared for babies of different weights. (Temperature probe, sticking, sterile neoHelp hoodies). In addition to this, I have conducted an audit on documentation of risk factors for paediatric urinary tract infections. Data was collected from patients from 3 local hospitals. I compiled the results and presented them in regional meeting. Following this an aid memoire (FED-UP Family history of VUR, Evidence of spinal lesion, dysfunctional voiding, Urine flow, Previous pyrexia of unknown origin) was put in all clinical areas and a form was introduced which could be incorporated in the notes of patients with suspected urinary tract infection. Re-audit after a few months showed a significant improvement in practice. It was presented in the regional pediatric SAGE meeting and resulted in significant improvement in practice. I have written the departmental guideline on Extravasation injury in neonates and RDS management and set up neonatal skills training station for trainees where they could practice various skills in a safe environment during my placement in Derriford hospital. Research:

I am currently GCP trained and have been involved in recruitment of babies for PlaNET-2 study and PREVAIL trial. PlaNeT-2 is a two-stage, randomised, parallel-group, superiority trial which compared clinical outcomes in preterm neonates (<34 weeks' gestation at birth) randomised to receive prophylactic platelet transfusions to maintain platelet counts at or above either 25 10(9)/l or 50 10(9). Babies who were transfused platelets at the higher platelet count threshold had a higher risk of dying or having a major bleed than those who were not. The reasons why this occurred are currently unclear. The PREVAIL trial (PREVenting infection using Antimicrobial Impregnated Long lines) compared the effectiveness and cost-effectiveness of antimicrobial impregnated Premicath catheters

(Premistars) compared with standard Premicath for reducing Blood Stream Infection (BSI) in neonates. The results showed that there was no appreciable difference in infection frequency between groups. I have recently been involved in consent, recruitment and randomization process of the NeoCLEAR (Neonatal Champagne Lumbar Punctures Every time) trial which looked at early VS late stylet removal and lying Vs sitting position for neonatal lumbar puncture. Publications:

My case report of a case of ‘kocher-debre-semelaigne syndrome (KDSS) associated with renal dysfunction’ was accepted for poster presentation at the RCPCH conference in 2017.The abstract was also published in Archives of diseases in childhood. (Citation: Fordham J, Kumar Y, Aamir TG168 (P) A case of kocher-debre-semelaigne syndrome associated with renal dysfunction. Archives of Disease in Childhood 2017; 102: A68-A69)

Another case report ‘Guillain-Barré Syndrome as A Rare Complication of Mycoplasma Infection in A Child’ was published in EC pediatrics. (Citation: Khairy Gad., et al. “Guillain-Barré Syndrome as A Rare Complication of Mycoplasma Infection in A Child”. EC Pediatrics 2.6 (2016): 275-278) Teaching:

I am currently coordinating the pediatric specialty trainee teaching. I have also been significantly involved in teaching nurses, doctors, and medical students throughout my career as well as the wider multi-professional team. I have been teaching NLS to the 4th year medical students, G.P trainees, and other junior doctors as a part of induction to the neonatal unit. I have been actively involved in teaching NIPE (newborn infant physical examination) to midwives. I have been directly involved in departmental teaching during weekly morning education sessions and try and integrate learning daily. Some of the taught topics include neonatal hyperammonemia, CFM, PPHN, oxygen saturation downloads, and discharge planning of babies with chronic lung disease. I am also proactive in completing RCPCH (WPBA) assessments for other trainees. I am a keen participant in simulation training and have plans to increase my involvement in delivering this learning in the coming year. I have attended the 'neonatal SIM instructor course' to further develop this skill. I set up neonatal skills training station for trainees where they could practice various skills in a safe environment. The feedback from trainees was very positive regarding this. I have already completed the 'professional and generic skills course' including the complete module in teaching. I found this particularly useful in developing my teaching skills. I have taken the

‘Teach the teachers’ course to consolidate my knowledge on learning styles and approaches and therefore enhance my teaching. I have also completed the ' RCPCH effective educational supervision course' this year to sharpen my skills in assessing and supporting trainees. Management and leadership:

I was appointed the trainee representative to the department during my placement in Derriford hospital neonatal unit. This role mainly involved regularly meeting up with all tiers of the trainee group and collating feedback regarding various aspects of training. Different areas discussed in the meeting include induction, supervision, clinic access, and curriculum opportunities like teaching/clinical skills development. Moreover, feedback regarding rota and study leave is also collected. Any suggestions from the trainees to improve the training experience are noted. All this information is then shared with the consultant team who then take appropriate actions as needed to help provide an excellent training experience. Recently as a result of the trainee feedback some of the positive actions taken included changes to rota pattern, an opportunity for clinic /admin time for projects, and setting up a skills training station to enable trainees to practice airway management skills in a safe environment. I have led the multidisciplinary ward rounds on the neonatal intensive care unit and high dependency unit. I have also led the multidisciplinary team in managing neonatal emergencies like tension pneumothorax, duct dependent congenital heart disease, and stabilization of extremely preterm babies.

I have experience in leading the multidisciplinary social meeting and discharge planning meetings held in the neonatal unit

I have completed the "Professional and generic skills programme" including a module in NHS structures, funding, management &leadership. This gave me an insight to various aspects of management and leadership in NHS.

I have worked as journal club Rota coordinator at a large DGH. This provided me with valuable experience and introduced me to the challenges of management including group satisfaction and taking into account shift patterns.

While in medical school I facilitated the clinical part of 3rd year exams and as a post graduate trainee in pediatrics I facilitated in the clinical part of pediatrics fellowship examination. This included identifying suitable cases for the exams, communicating with the families and discussion with consultants.

I helped to organise a pediatrics review course for pediatric trainees preparing for clinical part of pediatric fellowship examination.



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