EDUCATION
National Bachelor of Science, 1978-1984, Karbala High School, Karbala County, Iraq. The highest A-Levels over the whole county.
QUALIFICATIONS
FRCS Royal College of Surgeons, Edinburgh, Nov, 2010.
ISB Intercollegiate Specialty Board Exam, Sep2010, UK and Ireland Royal Colleges of Surgeons.
MRCS Edinburgh, Jun2004
CCBST Certificate of Completion of Basic Surgical Rotation, 30/04/2007.
PLAB GMC (UK), July2001
CABS (Certificate of Arabic Board of Surgery), Part 1, Iraq, October 1996.
ECFMG (Educational Commission for Foreign Medical Graduates), Part1, USA, July 1990
M B Ch B Baghdad University, Medical College, 1984-1990, fifth among the graduates.
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GMC REGISTRATION:
Full Registration with license 5207839
EMPLOYMENT:
Consultant Surgeon, Wexham Park Hospital. General and laparoscopic surgery, and paediatric surgery, BCSP endoscopist, advanced polypectomy, Frimley Health NHS Foundation Trust, 16th May, 2012 on-going. One in ten on-call commitment as well as elective work/outpatients. 10.5 PAs. The on call covers various acute admissions including general surgical and colo-rectal and paediatric patients. I have done therapeutic endoscopic upper GI bleeding, managed wide range of surgical emergencies conservative and operative as required. I did wide range of operations perforated peptic ulcers, small and large bowel obstructions, stomas, splenectomise for trauma, Hartman’s procedures, etc; Elective operations including open/laparoscopic inguinal, femoral hernia repair, incisional hernias, formation/ reversal of ileostomies/colostomies open and laparoscopic, bowel resections, colonic and anterior resections, reversal of Hartman’s, laparoscopic and open cholecystectomies with or without cholangiogram, lymph node biopsies, endoscopies, colonoscopies, etc. I am the lead for paediatric surgery in our hospital networking with colleagues across the region. Attending colo-rectal and upper GI MDTs. I am a certified bowel cancer screening endoscopist and do regular BCSP lists in our trust.
Previous Posts:
Senior Clinical Fellow General, vascular and colo-rectal surgery, Mr A. Gordon, Mr A. Desai, Wexham Park Hospital, 22st of June, 2010-1st of May, 2012. One in 8 on call rota, covering acute and elective admissions. I assisted and performed supervised and independently wide range of operations, including right and left hemicolectomies, cholecystectomies, laparoscopic Nissen’s fundoplication, anterior resections, CBD exploration, etc.
Senior Clinical Fellow Upper GI and colorectal, Northwork Park Hospital, 5th of March, 2010-21st of June, 2010, Mr Stuart Gould, Consultant General and Upper GI surgeon, one in 8 on call registrar rota, assisting and performing general and upper GI lists, outpatient clinics, doing independent general surgery lists like hernias, peri-anal conditions.
Senior Clinical Fellow Vascular, paediatric and Upper GI surgery, Mr A. Gordon, Wexham Park Hospital,21st of December, 2009-4th of March, 2010. One in eight registrars on call rota, managing various acute vascular, colo-rectal and general surgical emergencies including operating and assisting in theatres. Elective work included paediatric, vascular and general surgery clinics, assisting and operating various benign upper GI, vascular and paediatric lists.
Senior Registrar Vascular, General and Endocrine Surgery, Mr Paul Thomas, 1st May 2008-20th December 2009,Epsom & St Helier University Hospitals, SSHO at Senior registrar level covered acute and elective vascular, endocrine, and general surgery with one in eight registrar on call duties. Managed outpatient clinics, inpatients, theatres and vascular MDT meetings. Operated supervised and independent in vascular (including emergencies), laparoscopic benign upper GI, hernias, lumber sympathectomise, adrenalectomies, splenectomise, thyroid and parathyroid surgeries, etc.
Registrar Laparoscopic and Upper GI Surgery, and colo-rectal, Mr Paul Toomey and Mr D Al-Musawi. 1st of Aug2007-1st of 30th of April 2008, Epsom & St Helier University Hospitals. SSHO at registrar level. Participating in one in eight registrars on call rota for general surgery. Elective general and colo-rectal theatre lists, clinics and inpatients. Attending lower GI MDT meetings at The Royal Marsden Hospital.
Registrar General Surgery, Colo-Rectal, Mr P Toomey and Mr M A Raja, 1st of February, 2006-31st of July, 2007. Epsom General Hospital. SSHO at registrar level. Colo-rectal firm. Covered elective and acute colo-rectal cases, Attending lower GI MDT meetings at The Royal Marsden Hospital. One in eight registrars on call duties.
Registrar Upper GI and Laparoscopic surgery, 4th of Aug 2004-31st of January, 2006, Mr D Al-Musawi, Mr D Nehra along with Vascular Surgery, Mr R J McFarland Epsom General Hospital. Senior SHO as a registrar. Covered elective and on call duties for the upper GI and general surgery and vascular, duties were outpatient clinics, management of inpatients, assisting and performing wide range of surgical procedures supervised and independently. One in eight registrars on call rota for general surgery.
Senior House Officer Urology, 21st of Feb, 2004-3rd of Aug 2004, Mr. P K Basu and Mr. I M Mark, Lincoln County Hospital. On call commitment one in 7 SHO in general and urology. Management of urology in patients, ward rounds, assisting in theatres in major and minor operations such as radical prostatectomies, nephrectomise, TURBT, TURP, and performing flexible cystoscopies, supervised and independently.
Senior House Officer General Surgery, 21st of Aug, 2003-20th of Feb, 2004. Mr. I. M. Hutton, Lincoln County Hospital. One seven on call commitment in general surgery. Elective duties included managing in patients, assisting in theatres in elective and emergency general surgery operations, operating supervised doing hernias, appendicectomies, minor surgical procedures.
Senior House Officer Accident & Emergency, 21st of Feb2003-20th of Aug 2003, Mr. J. V. Pillay, Lincoln County Hospital. Part of the Basic Surgical Rotation, managing various cases in Accident and Emergency Department.
Senior House Officer Trauma and Orthopaedics, 21st of Aug, 2002-20th of Feb 2003, Mr. R Asirvatham, Lincoln County Hospital. Part of my basic surgical rotation, Senior house officer on call commitments was one in 7. Elective work included assisting in theatres, attending outpatients clinics and managing Trauma and Orthopaedic in patients.
Senior House Officer General Surgery, 4th of Mar -20th of Aug 2002, Mr J. A. Jibril, Lincoln County Hospital. I was Senior House Officer with one in 7 on call commitment. I covered general, laparoscopic and breast surgery. I had assisted and performed supervised operations, did ward rounds, outpatient’s clinics, participated in audits.
Senior House Officer General Surgery, 22nd of September, 2001- 3rd of March, 2002, Mr S. Habib, Kings Mill Hospital. One in eight SHO on call for general surgery. Attended outpatient’s clinics, assisted and supervised in theatres. Doing in patients ward rounds.
Clinical Attachment General Surgery, 2nd of July, 2001 – 21st of September, 2001, General Surgery Department, Mr R D Rosin, FRCS, St Mary’s Hospital, London.
General Surgery Speciality doctor, Al-Rasheed private Hospital , amanging trauma/ elective general surgery. 1st of September, 1998-29th of November, 2000
Primary Health Doctor Al-Taff Primary Health Centre, 1st of September.1994- 30th of August, 1995, Karbala Health Governorate. Iraq. Situated in a rural area; Part of rotation in the health service provision in Iraq. I was responsible for organising and implementing immunization programme in addition to primary treatment of patients with various medical conditions.
Compulsory military service, Doctor in Kirkuk General Hospital,2nd of April, 1993 to 30th of August, 1994. Doctor for first aid/management of accident and emergency patients. Managing acute trauma patients.
Pre-registration HO/SHO Karbala General Hospital, 01/09/1990-1st of April, 1993, Iraq. Internship; Internal Medicine, General Surgery, Gynaecology and Obstetrics, and Paediatrics.
CLINICAL EXPERIENCE
Current post: One in ten, general surgical on call Rota. I have covered elective as well as emergency for general, upper GI and Colo-rectal surgery. I have done laparoscopic and open emergency procedures, emergency cholecystectomies, oncall for upper GI bleeding. Laparotomies for different colo-rectal emergencies, including small and large bowel obstructions, Hartman’s, perforated and bleeding peptic ulcers. I did elective and emergency colo-rectal cancer operations, including right, left hemicolectomies, sigmoid colectomy and anterior resections, attended and active member of the colo-rectal MDT meeting, upper GI MDTs, I do independent endoscopy lists. I have managed abdominal and thoracic traumas. Elective laparoscopic cholecystectomies, TEP and TAP inguinal and femoral hernia repairs. I managed various surgical patients and liaised with different specialties when needed to provide the best patient outcome.
Recently I have been doing elective pediatric surgery including different types of hernias, circumcisions, PPV and EUAs.
Previous post: I was working as a registrar and then senior clinical fellow in colorectal, upper GI, vascular and endocrine. I did emergency and elective duties covered upper GI and laparoscopic surgery as well as colo-rectal surgery. Operating – independently, under supervision, assisting and training as appropriate. (laparotomies for small and large bowel obstruction, perforated and bleeding duodenal ulcers, colostomies, right, sigmoid colectomies, strangulated inguinal, Para-umbilical and femoral hernias, appendicectomies, Hartman’s procedure, etc. I have assisted and contributed in anterior resections and abdomino-perineal excisions. I did Laparoscopic procedures like cholecystectomies, inguinal hernias (TEP) and assisted with Laparoscopic Nissen’s fundoplications, excision of gastric GIST and splenectomies, etc.
I did end-arterectomies, assisted in EVARS (exposure and deployment), and open aortic aneurysm repairs, fem-fem crossovers, fem pop and fem distal bypasses. I have done below and above knee amputations. I have done skin grafts as well. I did thyroidectomies, parathyroidectomies, laparoscopic splenectomies as well as thoracoscopic and laparoscopic sympathectomies. I did high number of special colo-rectal and upper GI laparoscopic and open procedures.
Out-patient clinics – managing new (including the two-week rule) and follow up patients independently.
Daily ward rounds, supervision of junior surgical staff.
Active participation in clinical audit, clinical governance and research.
Teaching of the medical students and surgical trainees.
Previous Posts
As an SHO I was doing 1/6 on call rota, managing emergency and elective admissions. I gained special experience in the pre-operative assessment of patients undergoing various surgical procedures and post-operative care including patients in Intensive and High Dependency Units. I assisted my consultant in the operating theatre in doing major operations laparoscopic and open. I performed some operations like excision of sebaceous cysts, lipomas, appendicectomies, open hernias and varicose veins under supervision. I was doing out patient clinics and presenting audits.
Overseas Training
The training was in The Medical City, Baghdad University, which is a big campus of different specialities. I worked under the supervision of 5 consultants in General Surgery, and 6 consultant surgeons in Trauma and Orthopaedics, Neurosurgery, Urinary, Vascular and Thoracic, Plastic, and Paediatric Surgery. The training programme included: -
First Year: With Mr Hisham Al-Doori, FRCS, Consultant Surgeon, as an SHO in general surgery for 12 months, looking after the inpatient, doing outpatient clinics, assisting him in the theatre in doing major operations (elective and emergency), I did some minor operations like hernias, appendicectomies, varicose veins, haemorrhoids, hydroceles. I attended regularly the weekly grand round in the general surgical department, and audits as well as journal clubs.
I passed the primary examination for Basic Sciences in General Surgery (Arabic and Iraqi Board).
Second Year: With Mr Dhia’a Al-Kattan, FRCS, Consultant Orthopaedic and Trauma Surgeon, as an SHO for 12 months, I did outpatient clinics, assisted him in the theatre, and did close reductions and external fixation to simple fractures.
Third Year: with Mr M AlAni, FRCS, Consultant Urologist, as an SHO for 4 months.
Paediatric Surgery for 2 months. Plastic Surgery for 2 months. Thoracic & Vascular Surgery for 2 months with Prof. N AlHasani, FRCS, Consultant Thoracic Surgeon.
Neurosurgery for 2 months with Prof. H Al-Khalili, FRCS, Consultant Neurosurgeon.
As a registrar in general surgery in Medical City Centre in Iraq, I had good chance to learn most of the general surgery operations like hernias, GI and endocrine surgery. My duties included the management of emergency and elective cases.
Education, Training and Supervision
Recently appointed as the University of Oxford Medical Students Lead in Surgery
I am the clerkship director for AUC (American University of the Caribbean) medical school for general surgery since 2016.
I have been heavily involved with training, teaching and clinical supervision to medical students, doctors and nurses.
I am a colonoscopy trainer accredited by JAG.
I am a faculty member of the BSSC running for the last three years in our hospital.
I was a faculty member in Oxford School of Surgery Core Surgical Training Program for our hospital, 2013.
I have been clinical and educational supervisor to FY1, FY2, CT1 and CT2, SCF and SPRs for the last 12 years.
I have been the interim surgical tutor for the Oxford Deanery for Surgical Training between January 2018-September 2018 and was a panel member in the ARCP.
I am the clerkship director for the American University of the Caribbean and RUSM medical students for six years started on the 7th December, 2015. I organized their surgical rotation, regular teaching and simulation session.
I participate in the regular teaching Rota for our FY1, FY2, CT1&2.
I do regularly formal assessments for medical students, doctors at FY1,2, CT, HST and have the necessary training. I participate actively in the Local LFG meetings.
I was the interim surgical tutor from February- September 2018. I was a member in the ARCP panel for Oxford Deanery for CT1&2 on the 6th June, 2018.
AUDITS
1. Audit on my personal OGD/ colonoscopy use of sedation/ completion rate and complications April,2012-March, 2013. This is to look into whether the practice is with the guidelines including the use of sedation mainly over 70s, completion rate and polyp detection rate.
1. Audit on the Indications and the outcome of the endoscopic investigation of the Iron deficiency anaemia, March, 2007, St Helier Hospital. To see whether our trust referral policy is adhering with the referring guidelines and what is the percentage of referrals who really are iron deficiency anaemic.
2. Audited the two weeks referral compliance for the colo-rectal cancer, Aug, 2006, Epsom General Hospital, to look into whether we are compliant with the national guidelines of doing the investigations within the time frame.
3. Audit on the outcome of the day case laparoscopic hernia repairs, March, 2006, Epsom General Hospital. To look into the practice of doing day surgery laparoscopic inguinal hernia repair as a day procedure, including patient satisfaction questionnaires and whether it was safe practice to improve the service.
4. Audit on the use of the drains in the breast conserving surgery for early Ca breast, June, 2004, Lincoln County Hospital. Looked into the changing practice of our firm of not leaving drains in breast conservation procedures, looking into the complication rates of infection, seroma/ haematoma formation and adopting this policy as a safe practice.
5. Audit on the use of antibiotics in the elective laparoscopic cholecystectomy and re-audit closing the loop on 23/02/2015, 19/01/2016.
6. Audit on the use of the extended thrombo-prophylaxis in emergency colo-rectal operations.
7. Audit on the compliance of antibiotic prescription of the inpatients.
8.Audit on paediatric circumcision part of regional paediatric KPIs comparing our figures to the national average.
9. Audit on the compliance of antibiotic prescription of the inpatients
Currently doing a project on the benefit of using the outpatients MRCP scan in patients with resolving abnormal LFTs prior to cholecystectomy.
I am presenting monthly audit on all my firm patients. I do my weekly audit on all my patients.
PUBLICATIONS AND PRESENTATIONS
The value of laparoscopy in the management of chronic groin pain. nt J Surg. 2017 Oct;46:114-118. doi: 10.1016/j.ijsu.2017.08.585. Epub 2017 Sep 6.
The Use of Tranexamic Acid in Sleeve Gastrectomy. Obes Surg. 2017 Jan;27(1):198-199. doi: 10.1007/s11695-016-2409-4.
Emergency laparoscopic cholecystectomy versus External biliary drainage Foundation Years Journal: vol. 11, iss. 8 - General Surgery (2017-10-01), page 34.
A case of abdominal apoplexy because of the rupture of the short gastric vessel. J Surg Case Rep. 2015 Mar 10;2015(3).
Use of antibiotic prophylaxis in elective inguinal hernia repair
in adults in London and south-east England: a cross-sectional
survey. Hernia (2013) 17:657–664, DOI 10.1007/s10029-013-1061-3
I have done a research on surgeon’s views on whether to remove or not to remove a normal looking appendix in laparoscopic operations for suspected appendicitis.
Published case report on Splenic abscess rupture postappendicectomy, october, 2012 on the BMJ.
Presentations:
Paediatric surgery audit at Wexham Park Hospital, Paediatric Surgery Regional Network Audit, Friday 15th November 2019, John Ratcliff Hospital, 1st author.
Our Journey in Ambulatory Care Unit, National Cohort for AEC Workshop, Surgical Emergency Network. 6th March, 2018. London. First author.
Mass Casualty in Holy City of Karbala, Iraq: A Hospital Experience. 3rd Annual Congress and Medicare Expo on Trauma & Critical Care, March 13-14, 2017 London, UK . J Trauma Treat 2017, 6:1 (Suppl) http://dx.doi.org/10.4172/2167-1222.C1.006
Evidence Based Medicine, 14th April, 2014. Al-Hussaini Medical City, Karbala, Iraq.
Advances in Surgical Technology, Karbala Medical School conference, Iraq.
I have presented a study comparing the use of multiple ligation technique versus excision and ligation of haemorrhoids, 1997 (Medical City, Baghdad)
I presented a case series on fractured penis in Lincolnshire regional urology meeting, May, 2004
I presented a case of right axillary abscess which ended up with amputation and the diagnosis was Large B cell lymphoma in Epsom General Hospital, June, 2007 local meeting.
Oxford Paediatric Regional Meeting, 8th November,2018, John Radcliff Hospital, networking for paediatric surgery across the region.
Management and Leadership
I was managing and organising the surgical rota for the registrars and CT/ FY1&2.
I was responsible for managing the two weeks rule colo-rectal cancer referral triage and clinic allocations.
I am a member ( surgical ) of the Major Trauma Group, 2016-2018.
I was the lead for our Ambulatory Care Unit for the 3 years. I have made change to increase the number of patients coming to the service. I trained an HCA to become the Ambulatory Service Coordinator. This has made our work flow smoother and improved patients experience.
I am the Infection Control Lead for the surgical department since 2016.
I am with one of my colleagues responsible for shortlisting, interviewing and appointing junior and senior clinical fellows to our surgical department for the last three years.
COURSES
Complex Abdominal Wall Reconstruction, Newcastle Freeman Hospital, Newcastle, 28th March,2022
Safeguarding Adults level 3, 23/12/2021, Future learn
7th King’s Endoscopic Submucosal Dissection,13th & 14th Sept,2021
King’s Hospital, London
The Lower GI Endoscopy at a Glance: Diagnosis, Treatment and Future Advances Lecture, King’s Live Endoscopy Masterclass 10-13, 2020.
Oxford Surgical Symposium, St Catherine’s College, Oxford, 30th November,2018
Mortality Review Training, 12th November, 2018, Wexham Park Hospital
Human Factors for Patient Safety, 22nd October, 2018, Wexham Park Hospital
ATLS Reverification, 11th October, 2018, Gloucester Hospital NHS Foundation Trust
BSSC Faculty , 10th October, 2018, Wexham Park Hospital
South Region Bowel Cancer Screening Education Day, 17th May,2018,
ARCP oxford, 15th March, 2018, Kassam Stadium, Oxford
Common Elective And Acute Problems In The General Surgery Of Childhood, Thursday, 22 February 2018, Saint Edmund Hall, Queen's Lane, Oxford, United Kingdom
Portsmouth International Endoscopy Symposium, 1st - 3rd February 2018, Portsmouth.
Guy’s and St Thomas’ 5th Upper GI study day, 20th September, 2017
Thames Valley’s Educational Supervisor Workshop, 10th May, 2017, Health Education England.
SPECC, Significant Polyp and Early Colorectal Cancer workshop, 20/01/2017.
Crohn’s Disease Matters, Federation of the Royal Colleges of Physicians of the United Kingdom. 25-26th November, 2016.
London Live Endoscopy, UCH, 24-25, November, 2016.
Educational supervisor training, January, 2016, Thames Valley, Wexham Park Hospital.
Stay Safe Volunteer Security Course, 16th April, 2015. By the International Federation of the Red Cross and Red Crescent Societies.
Laparoscopic Inguinal Hernia Repair, Leighton Hospital, 5th March, 2015.
CRMS appraiser training session, Wexham Park Hospital, 8th October, 2014.
National Advanced Communication Skills Training, (ACST), 18-19, December, 2014
Bile Duct & Advanced Lap Surgery, 18th June, ICENI Centre, 18th of June,2014
Training the trainers in colonoscopy course in Torbay, 22&23rd of January, 2014
Applied Management Masterclass for Healthcare Professionals on 24th & 25th June 2013, Medicademy.
Three yearly and yearly Essential Training, Heatherwood and Wexham Park Hospitals NHS Foundation Trust, 15th&16th of May, 2013.
Leadership for Higher Trainees & Consultants, 14th &15th of March, 2013, MIAD
Essential Knowledge for Educational Supervisors’ Training, 14th of September, 2012, Oxford Deanery
Haemorrhoid Artery Ligation and Recto-Anal Repair, HALO RAR, Poole NHS Foundation Trust, 22 March, 2013
Breast Reconstruction using LifeCell™ Tissue Matrices, 18th of October, 2012, Berlin, Germany
Challenging Abdominal Wall Defects, 18th of October, 2012, Berlin, Germany.
3rd Oxford Pelvic Floor Centre Masterclass 17th/18th May 2012, St. Anneʼs College, Oxford Pelvic Floor Centre.
Coventry intermediate colonoscopy course (JAG approved) Sharing good practice, 23rd September, 2011
Annual Laparoscopic Training Day, Musgrove Park Hospital, Taunton, 05, June, 2011
ATLS, March, 2010, Royal College of Surgeons of England
Hernia Master class, AESCULAP ACADAEMIA, Edinburgh Royal Infirmary, 5th&6th of June, 2008.
Minimal Access Surgical Skills & Endoscopic Suturing Course, 6-8 December, 2006, Imperial College London.
Educational Supervision and in-work Assessment, 17th May, 2005, London Deanery Foundation Program.
Training the Trainers Course, 10&11/05/2006, Royal College of Surgeons of England.
Core Skills in Laparoscopic Surgery, 15-17 February 2005, RCS England
Care of Critically Ill Surgical Patient, 2-4th June, 2003, Queen’s Medical
Centre.
Advanced Trauma Life Support Course, 4-6th December 2002, King’s
Mill Hospital.
Basic Surgical Skills, 26-28th March 2002, Derbyshire Royal Infirmary.
Conferences
Oxford 2nd Surgical Symposium, 30th November, 2018.
Bowel Cancer Screening Program Study Day, 17th May, 2018, Royal Berkshire Hospital.
Portsmouth International Endoscopy Symposium, 1st-3rd February 2018, Lake side North Harbour, Western Road, Portsmouth, Hampshire.
Guy’s And St. Thomas’s 5th Upper GI Study Day, September 20th, 2017, St Thomas Hospital, London.
European Colorectal Congress, 3-4 December, 2015 in St. Gallen, Switzerland.
The 2nd International Controversies in Hernia Surgery Conference,13th &14th April, 2016. ICENI Centre, Colchester.
Surgical Emergency Conference, Oxford, 11th September, 2015.
1st Oxford Surgical Symposium, 10th of July, 2015, Oxford.
1st International Controversies in Hernia Surgery Conference Wednesday 25th & Thursday 26th February 2015, Colchester.
SOCIETIES
General Medical Council.
Fellow of the RCS/ Edinburgh
BMA
MDDUS
Iraqi Medical Association, member.
COMPUTING
I own a personal computer, which I use for word processing, slide presentation, and publication.
I did Developing Confidence with IT , June-July, 2000, WEA Eastern District
INTEREST and HOBIES
¨ Music: classic music.
¨ Sport: football, fishing, table tennis and jogging.
CAREER PLAN
Consolidate my experience in general surgery. Advance courses in laparoscopy, advanced trauma management, therapeutic endoscopy courses. I want to be more involved in teaching, mainly medical education for medical students and junior doctors training.
References
Mr. Waseem Hameed
Consultant colo-rectal surgeon
Wexham Park Hospital, Frimley Health NHS Foundation Trust
Mr Francis D’Souza
Consultant colo-rectal surgeon
Wexham Park Hospital, Frimley Health NHS Foundation Trust
Miss Gisela Salerno
Consultant colo-rectal surgeon
Wexham Park Hospital, Frimley Health NHS Foundation Trust
