AHMED ABDELLA

• I am currently working at the Subregional Neonatal Intensive Care Centre in North Wales at the ST2 level.
• Throughout this year, I have been attending deliveries, and performing neonatal resuscitation according to a stepwise approach.
• I have a full NLS Certification which is Valid until October 2026.
• I can carry out thorough patient assessment, and diagnosis to implement effective treatment programmes.
• I can conduct all the required clinical procedures from basic to advanced clinical procedures at different neonatal ages starting from 26 weeks gestation onwards (I can provide a skills log on request).
• I can initiate discussions with other healthcare professionals to evaluate complex cases and address innovative treatments through multiple channels to enable safe and precise delivery of care in line with the GMC guidance for good medical practice (for instance, I currently work closely with tertiary neonatal units in terms of management of extremely premature babies who requires advanced treatment modalities).
• I am aware of the trust policy in terms of incident reporting and complying with the trust guidance for any prompt action to treat every patient and their families with respect and equality.
• I have an acceptable range of skills in using online systems for requesting investigations, reporting results, discharge letters, and referrals to tertiary centres.
• Eventually, I have managed to develop my skills, especially in dealing with certain situations which require highly focused and delicate techniques especially when intubating preterm babies, obtaining central line access, CSF sampling and Lumbar punctures.

I started my Paediatric training at Wrexham Maelor Hospital in North Wales.

I learned how to perform all the required basic and advanced skills and procedures which enabled me to work as a safe and skilled doctor to match the job specifications for different age groups including neonates, children, and adults.

Also, I can initiate basic and advanced pediatric life support following the EPALS steps and work in collaboration with nursing staff, doctors from other specialities, and senior Pediatric doctors to conduct highly effective resuscitation.

I am currently EPALS certified which is valid until June 2026.

I have contributed to lots of safeguarding cases in different aspects from history taking, clinical examination, requesting investigations and obtaining samples. In addition to referrals and liaising with the local safeguarding team.

I successfully managed to conduct and show a consistently high level of competencies in conducting the following procedures:

A· Performing Venepunctures, IV Cannulation and obtaining blood samples and blood cultures in different age groups.

B· Inserting nasogastric and orogastric tube insertion in neonates, children, and adults.

C· Performing Capillary, Venous, and arterial blood gas and interpretation of the results.

D· Performing and interpreting ECG.

E. IV fluids infusion and adjustment taking into consideration special attention to critical cases (e.g., DKA, insulin regimen, fluid restriction)

F· Urethral Catheterization in males and females in different age groups.

G· Intramuscular and Subcutaneous injections including administration of vaccines.

H· Performing the Neonatal and Infant Physical examination and conducting any required special examination including the anthropometric measurements, plotting against the relevant growth charts, the musculoskeletal assessment and neurological examination.

I· Monitoring patients requiring Intensive care, high dependency, and special care including monitoring of the hydration and neurological status of such patients.

Eventually, I dynamically work with play specialists to support the kids while conducting invasive and painful procedures. Their assistance eases and helps to conduct such procedures smoothly and successfully and I find it is fundamental to the CYP and their parents to have the best quality of care and limit the trauma they could have from these procedures.

When I applied for this post as a pediatric emergency trust grade doctor, I was aiming to diagnose and treat patients with a variety of health issues as well as input and contribute to the treatment of difficult and unusual cases within the speciality (for example; safeguarding cases, minor traumas, poisoning and drug overdosage).

Before starting my post, I ensured the validity of all the mandatory courses that are required for this post which I am going to highlight later in the education section.

As a pediatric emergency doctor, my primary goal was to provide timely and effective medical care to children in emergencies.

My main achievements in this role included:

This post was my first job in the NHS as an overseas Paediatrician.

This job was a challenge for me, especially during a very critical time when COVID hit and Lockdown was there.

My job roles are listed as follows:

• I managed to conduct thorough medical evaluations and assessments of pediatric patients.
• Diagnose and treat complex medical conditions specific to children.
• I was able to develop and implement comprehensive treatment plans for pediatric patients, considering their unique physiological and developmental needs.
• Coordinate with other specialists and healthcare professionals to ensure integrated and effective care.
• During my shifts, I was entitled to monitor the progress of patients undergoing treatment and make necessary adjustments to the care plan.
• Additionally, Provide ongoing follow-up care to manage chronic conditions and ensure optimal health outcomes.
  

In terms of Medical Procedures and Interventions: I am competent in performing a wide range of medical procedures and interventions varying from simple basic procedures to advanced skills

• Established rapport with patients, fostering trust and confidence in the healthcare provider.
• Addressed patient concerns and questions empathetically to provide informative support.
• Exercised critical thinking skills to identify potential complications and implement preventive measures.
• Worked collaboratively with healthcare professionals to resolve complex patient care issues for optimal outcomes.
• Developed and implemented personalised treatment plans, tailoring interventions to individual patient needs and preferences.
• Conducted thorough medical histories, physical examinations and diagnostic tests to accurately assess patient conditions.
• Assessed and interpreted complex medical information to make sound clinical decisions.
• Monitored and intervened in high-risk pregnancies to protect maternal and fetal well-being
• Consulted and collaborated with other physicians to plan and provide patient treatment.
• Discussed test results with patients or family members.
• Planned and implemented health programmes in hospitals, businesses and communities (for example, I shared in implementing new assessment tools for Paediatric patients presenting acutely with mental health problems).
• Prepared official health documents and records.
• Monitored patient conditions and progress, reevaluating treatments for optimal outcomes.
• Reviewed medical journals and researched to increase knowledge of medical issues.
• Advised patients and community members on diet, activity and disease prevention.
• Referred patients to necessary medical specialists and healthcare practitioners.
• Assessed patient progress and responses to treatments.
• Cared for and treated women during pregnancy and childbirth.
• Collaborated with healthcare professionals to plan and provide treatment.
• Collected, recorded and updated medical histories, examination results and other patient information.
• Explained procedures and discussed prescribed treatments with patients.
• Analysed records, reports and test results to diagnose the medical condition of patients.
• Directed and coordinated nurse, assistant and specialist activities.
• Prescribed and administered medical care to treat or prevent illness, disease and injury.
• Built and maintained strong working relationships with colleagues to provide quality care.

I started my Paediatric career as a paediatrics and Neonatology resident for 5 years, starting by joining the national Paediatric training program in Egypt. I was allocated to the Children’s Department of the Suez Canal University Teaching Hospital, Ismailia, Egypt.

I Started in May 2015 and until March 2020. A tertiary care hospital that serves around 4 million people and treats over 700 thousand people annually. During this 5-year training process:

• I have demonstrated competencies in the full range of clinical skills, guidance, and ethics relevant to Paediatrics, utilising the skills of another health professional when required.
• I have also adapted clinical examination to meet the needs of the child and the child’s family/carers.
• I have learned and developed in terms of undertaking basic and advanced paediatric clinical procedures, recognizing emergency and critically ill patients, how to adhere to the local policies and supporting the health care system to facilitate the conduction of the appropriate level of care.

I found this post ideal for starting a Paediatric profession – great levels of senior support, wide exposure to different cases and clinical situations, and excellent level of knowledge and conduction of clinical and communication skills.

I applied the knowledge I obtained during medical school to assess any child attending with different acute and chronic presentations, recognition of sick children, and management of chronic illnesses.

I was UpToDate with the local and national guidelines and I was keen to have support from other specialties.

Theoretically, I undertook the postgraduate exams in 2 modules and passed them on the first attempt with very good grades. Also, I finished my master’s degree in Paediatrics in which I conducted a cross-sectional analytical study for the children admitted with bronchial asthma who have had iron deficiency anaemia and determined whether iron deficiency anaemia was a prognostic factor for the exacerbation of asthma or not. It was a 3-year study and by the end of the study, I discussed the results with a panel of supervising professors, and I was granted a master’s degree in Paediatrics and neonatology.

Clinically, I learned about obtaining a relevant focused history, performing a competent detailed physical and mental examination and accordingly formulation of appropriate differential diagnoses until reaching a provisional diagnosis and developing management strategies with my senior colleagues, writing clinically effective prescriptions and performing any required basic Paediatric procedures and skills independently and successfully as mentioned in the clinical skills.