Locum SHO, Acute Medical Unit (AMU)/Accident & Emergency (A&E) at Epsom General Hospital (2025-07 – Present)
Successfully managed high volume workloads in a very busy AMU/A&E (20-30 inpatients and 10-15 admissions per shift). This involves independently clerking, assessing and management of acutely unwell patients with varying medical conditions, including sepsis, pneumonia, COPD/asthma exacerbations, acute heart failure, atrial fibrillation, diabetic emergencies, acute kidney injury, gastrointestinal bleeding, decompensated liver disease, stroke, thromboembolic conditions, acute delirium etc., ensuring timely diagnosis, treatment and escalation of care by consistently applying NICE guidance and local trust protocols.
- Actively manage patients with complex multimorbidity, frailty and polypharmacy balancing acute medical needs with long term disease management while promoting personalised, patient-centred care.
- Actively involved in early discharge planning and admission avoidance by working collaboratively with multidisciplinary teams (MDT), community services and discharge co-ordinators to promote safe and timely discharge, optimise patient flow and increase bed capacity.
- Managed workload effectively during periods of high demand, ensuring patient safety while balancing competing clinical demands and supporting the flow of patients across emergency and inpatient services, contributing to the efficient operation of Acute Medical Units.
- Conduct regular structured clinical assessment of deteriorating ward patients referred by nursing staff, initiating appropriate investigations and treatment and ensuring timely escalation to registrars, consultants or critical care outreach teams.
- Work collaboratively with Acute medical consultants and other members of the MDT during post-take ward rounds by presenting complex cases, developing differential diagnosis and implementing the agreed management plan to ensure continuity of care of patients.
- Actively participate in consultant led team meetings and twice daily ward catchups, contributing to clinical decision making of complex patients requiring co-ordinated care between the GP, social services, nursing homes and other members of the MDT.
- Provide clinical leadership, supervision and mentorship of undergraduate medical students, foundation doctors, IMGs and other non-medical staff, through bedside teaching, clinical observation and supervision of ward duties, CBD and WPBA.
GP Speciality Trainee, Reading and Newbury VTS at Royal Berkshire Hospital/Tilehurst surgery/Sonning Common Health centre, Reading (2019-02 – 2025-07)
Actively managed a wide range of acute and chronic conditions in GP surgery, patients' home, nursing and care homes and NHS hospital settings, developing expertise in holistic, patient-centred care. Carried out consultations to assess non-specific symptoms, diagnose common and complex conditions, initiate investigations and formulate management plans.
- Delivered supervised and independent GP consultations by actively managing patients with varied multiple long-term conditions such as diabetes, hypertension, asthma, COPD, CVD, cancer etc., complex social and significant healthcare needs through structured reviews, medication optimisation and personalised care planning.
- Excellent skills in uncertainty management, risk assessment, safety-netting, shared decision-making and continuity of care.
- Developed experience in specialities such as Ophthalmology, Palliative care, Trauma & Orthopaedic, General Medicines, Psychiatry, obstetrics & gynaecology, Paediatrics and Community Care.
- Conducted clinical audits, quality improvement initiatives and clinical governance, in alignment with GMC good practice and to improve my own professional development and improve patient safety, clinical documentation, prescribing quality, and service efficiency.
- Managed acutely unwell patients in GP and hospital settings, identifying clinical deterioration and initiating appropriate escalation pathways.
- Actively collaborated with consultants and members of the MDTs, through active participation in MDT meetings involving complex patients, to coordinate patient care, safeguarding concerns, frailty management, and end-of-life care planning.
- Maintained professional development by delivering GP teaching sessions, portfolio development and reflective practice.
Locum Senior House officer, Haematology and Oncology at Princess Royal university hospital (2018-01 – 2019-02)
- Actively carry out daily clinical assessment/review, monitoring/investigation and management of patients on chemotherapy/immunotherapy/transfusion support and those with wide range of haematological diseases including immunocompromised patients with complex medical problems, acute and chronic leukaemias, lymphomas, myeloma, myelodysplastic syndromes, anaemias, thrombocytopenia, neutropenia and disorders of coagulation.
- Managed emergency haematology presentations including neutropenic sepsis, febrile neutropenia, severe anaemia, thrombocytopenic bleeding, venous thromboembolism, and chemotherapy complications.
- Actively initiated immediate investigation, antimicrobial therapy, fluid management, transfusion support and escalation of care in conjunction with senior clinicians.
- Monitored patients receiving chemotherapy and other specialised treatments, identified treatment related complications and reported concerns as appropriate.
- Reviewed blood results, coagulation studies and other investigations to inform clinical decision-making.
