Ryan James Fields
Physician Associate (General Practice)
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About
Cardiometabolic Fellow, PrEP Practitioner, Mental Health First Aider, Wellbeing Champion Managed a diverse caseload of acute and chronic presentations within NHS primary care, conducting comprehensive clinical assessments, examinations, and management planning. Worked within scope of practice while collaborating closely with GPs, practice nurses, pharmacists, and secondary care teams to deliver high-quality patient care.
Experience
Physician Associate (General Practice) - Nexus Health Group - London
(2022-12)
- Cardiometabolic Fellow, PrEP Practitioner, Mental Health First Aider, Wellbeing Champion
- Managed a diverse caseload of acute and chronic presentations within NHS primary care, conducting comprehensive clinical assessments, examinations, and management planning.
- Worked within scope of practice while collaborating closely with GPs, practice nurses, pharmacists, and secondary care teams to deliver high-quality patient care.
- Developed expertise in the assessment, monitoring, and management of long-term conditions including diabetes, hypertension, asthma, COPD, chronic kidney disease, and cardiovascular disease.
- Identified and managed patients at increased cardiovascular risk, contributing to preventative care initiatives and population health management.
- Contributed to medication optimisation and chronic disease management reviews in collaboration with clinical pharmacists and GP supervisors.
- Requested, interpreted, and acted upon diagnostic investigations, including blood tests, ECGs, spirometry, and imaging results, under appropriate clinical supervision.
- Supported achievement of Quality and Outcomes Framework (QOF) targets through proactive management and follow-up.
- Facilitated timely referrals to specialist services and coordinated care for patients with complex and multi-morbid conditions.
- Maintained accurate and comprehensive electronic patient records using NHS clinical systems, ensuring compliance with governance and documentation standards.
- Participated in clinical audits, quality improvement projects, and multidisciplinary team meetings to enhance service delivery and patient outcomes.
Physician Associate (Trainee) - Central and North West London NHS Foundation Trust - London
(2020-10 - 2022-09)
- Completed over 1,600 hours of supervised clinical training across primary and secondary care settings.
- Completed clinical placements across primary care, acute medicine, emergency medicine, internal medicine, paediatrics, general surgery, and women's health.
- Maintained a clinical portfolio documenting competencies, reflective practice, clinical teaching, workplace assessments, and professional development activities.
- Performed clinical procedures under supervision, including venepuncture, cannulation, ECG recording, basic wound care and point-of-care testing.
Student Researcher - Wellcome Trust - Kent
(2019-06 - 2019-09)
- Awarded a competitive Wellcome Trust Research Scholarship to undertake laboratory-based research in CRISPR-Cas9 applications in targeted genome modification.
- Performed molecular biology techniques including DNA extraction, PCR, gel electrophoresis, and sample preparation.
- Assisted in the design, execution, and optimisation of laboratory protocols to support research objectives.
Education
Good Clinical Practice (GCP) Introduction - E6(R3) - NIHR (2026-07 - 2026-07)
Cardiometabolic Fellowship - Health Innovation Network (2025-03 - 2025-11)
MSc Physician Associate - Brunel University London (2020-09 - 2022-09)
BSc (Hons) - Biomedical Science - University of Kent (2017-09 - 2020-08)



