Dipesh Sharma
MBBS
Redhill
Summary
An enthusiastic junior doctor, passionate about the work and eager for challenges that foster growth. Constantly reflecting on experiences to enhance skills and patient care, while staying calm under pressure, and dedicated to lifelong learning and excellence.
Overview
8
8
years of professional experience
11
11
years of post-secondary education
Work History
Junior Clinical Fellow, Critical Care
Epsom And St Helier University Hospitals
04.2023 - Current
- Daily Patient Monitoring: Continuously monitor critically ill patients, including checking vital signs, assessing neurological status, fluid balance, and other clinical parameters.
- Treatment and Intervention: Administer medications, fluids, and other treatments as prescribed. This include managing complex infusions, adjusting ventilator settings, and titrating inotropes or vasopressors.
- Invasive Procedures: Perform and assist with procedures such as central line insertion, arterial blood gas sampling, chest drain insertion, and intubation, under the supervision of senior doctors.
- Care Plan Implementation: Work closely with the multidisciplinary team (MDT) to implement care plans, which include nursing care, physiotherapy, and nutritional support. Responsible for ensuring that all aspects of the care plan are carried out effectively.
- Emergency Response: Quickly assess and manage deteriorating patients. You may need to initiate resuscitation or other emergency interventions, with support from the senior ICU team.
- Patient and Family Communication: Communicate with patients' families, providing updates on their condition, explaining treatment plans, and offering support during what is often a very difficult time.
- Multidisciplinary Collaboration: Collaborate with nurses, physiotherapists, dietitians, pharmacists, and other healthcare professionals to deliver comprehensive care. Effective communication and teamwork are vital in the ICU setting.
- Accurate Documentation: Maintain detailed and accurate records of patient care, including clinical notes, treatment changes, and procedural outcomes.
- Learning from Senior Doctors: Observing and participating in advanced procedures, attending teaching rounds, and asking questions to deepen your understanding of critical care.
- Attending Teaching Sessions: Participate in formal teaching sessions, which may include lectures, case discussions, and morbidity and mortality meetings.
- Case-Based Learning: Engage in case-based learning by reviewing complex cases, discussing management decisions, and understanding the rationale behind different treatment approaches.
Residential Medical Officer, Surgical Ward
Chase Farm Hospital NHS Trust
07.2022 - 03.2023
- Ward Rounds: Participate in or lead daily ward rounds, assessing patients' conditions, making treatment decisions, and ensuring continuity of care.
- Pre- and Post-operative Care: Manage patients before and after surgery, including monitoring vital signs, managing wounds, and ensuring that postoperative care plans are followed.
- Admissions and Discharges: Assess new patients being admitted to the surgical ward, take detailed histories, perform physical examinations, and coordinate their initial management. Prepare discharge summaries and plans for patients leaving the hospital.
Senior Medical Officer
Karuna Hospital
09.2019 - 06.2022
- Patient Triage: Assess the severity of patients' conditions upon arrival, prioritizing those who need immediate attention based on the urgency of their symptoms (e.g., chest pain, respiratory distress, trauma).
- History Taking and Physical Examination: Conduct thorough history taking and physical examinations to quickly identify the patient’s primary complaints and underlying issues.
- Initial Investigations: Order and interpret diagnostic tests such as blood work, X-rays, CT scans, and ECGs to aid in diagnosing the patient’s condition.
- Stabilization: Work to stabilize patients, ensuring their vital signs are within safe parameters before they are either discharged, admitted to a ward, or transferred to the ICU for more intensive care.
Senior Medical Officer
Motherland Hospital
09.2017 - 08.2019
- Participation in Ward Rounds: Accompany senior doctors, such as consultants or registrars, during daily ward rounds to review each patient’s condition. This involves discussing the progress of the patients, examining them, and updating their care plans.
- Documentation: Record detailed notes during ward rounds, including any changes in treatment plans, test results, or instructions from the senior doctors. Accurate documentation is crucial for continuity of care.
- Vital Signs and Clinical Status: Regularly monitor patients' vital signs (e.g., blood pressure, heart rate, temperature) and overall clinical status. Ensure any significant changes are promptly reported to senior staff.
- Medication Management: Prescribe medications according to the treatment plan and adjust dosages as needed, in consultation with senior medical staff. Ensure that patients are receiving the correct medications at the correct times.
Foundation Doctor, Intern
Universal College of Medical Sciences
07.2016 - 08.2017
- Initial Assessment: Conduct thorough history taking and physical examinations of patients admitted to the ward. This includes assessing symptoms, performing relevant clinical examinations, and identifying initial management needs.
- Documentation: Accurately document all clinical findings, patient interactions, treatment plans, and any changes in patient status in the medical records. Proper documentation is critical for legal, ethical, and clinical purposes.
- Basic Procedures: Perform basic clinical procedures such as venepuncture, cannulation, catheterization, ECGs, and taking arterial blood gases. These tasks are fundamental to patient care and provide practical experience.
Education
MBBS - Medicine
Universal College of Medical Sciences
Nepal 12.2010 - 08.2017
High School Diploma -
Golden Gate International College
Nepal 06.2008 - 07.2010
Secondary School -
Babu Vidhya Mandir
Nepal 01.2006 - 03.2008
Skills
- Intravenous (IV) Medication Administration
- Intramuscular (IM) and Subcutaneous (SC) Injections
- Oropharyngeal and Nasopharyngeal Airway Insertion
- Bag-Valve-Mask Ventilation
- Basic life support
- Urinary catheterization
- Arterial Blood Gas and Arterial line
COMPETENT
- NG tube insertion
- Lumbar puncture
- Ultrasound lungs and IVC
- Central line and Vascular Catheter for renal replacement therapy
- Ventilator optimization
- Chest drain insertion
SUPERVISED
Registrations
- Nepal Medical Council, 2016.
- Nepal Medical Association, 2019.
- General Medical Council, 2022.
- British Medical Association, 2023.
Qualifications
. Occupational English Test, 2020.
. PLAB 1 and 2, 2021.
Awards
- COVID Hero: Awarded for the work done during COVID pandemic by local hospital.
- Event manager award: Awarded for organizing inter medical college fest.
- Inter medical college FIFA tournament winner.
Courses
- Advanced Life Support (ALS), Resus UK
- Pediatrics Life support (ePALS), Resus UK
- Teach the teachers course, Oxford University.
QIP and Audits
- Blood and blood products transfusion in the ITU.
- Optimization of antibiotics doses in renal impairment.
- Antibiotics stewardship: Judicial use of antibiotics in the hospital.
Research and publications
- Macrophage Activation Syndrome secondary to Systemic Juvenile Idiopathic Arthritis: A Case Report.
- Prevalence of Elevated D-dimer Levels in Confirmed COVID-19 Cases in Intensive Care Unit of a Tertiary
Care Centre of Western Nepal. - Strenuous Exercise-Induced Tremendously Elevated Transaminases Levels in a Healthy Adult: A Diagnostic
Dilemma.
Non clinical activities
- Chief medical officer and emergency department lead, Motherland Hospital, Nepal (2017-19).
- Rota manager for ICU at Karuna Hospital, Nepal (2019-22).
- Cricket team captain: Medical college competitions.
- IT skills: Organizing MS TEAMS meetings.
- SPSS statistics.
- Registered driving licenses: UK and Nepal.
Oral presentations and teachings
- M&M meetings, ICU, Epsom and St Helier.
- Weekly department teachings, Epsom and St Helier.
- Key note speaker: SAFECON, national conference held in Nepal, 2021.
References
- Dr Viplaw Shukla, Consultant Intensivists, London ICM stage 3 training program director
Epsom and St Helier Hospital NHS Trust
viplaw.shukla@nhs.net
- Dr Madiha Abbas, Consultant Intensivists
Epsom and St Helier Hospital NHS Trust
madiha.abbas@nhs.net
Timeline
Junior Clinical Fellow, Critical Care
Epsom And St Helier University Hospitals
04.2023 - Current
Residential Medical Officer, Surgical Ward
Chase Farm Hospital NHS Trust
07.2022 - 03.2023
Senior Medical Officer
Karuna Hospital
09.2019 - 06.2022
Senior Medical Officer
Motherland Hospital
09.2017 - 08.2019
Foundation Doctor, Intern
Universal College of Medical Sciences
07.2016 - 08.2017
MBBS - Medicine
Universal College of Medical Sciences
12.2010 - 08.2017
High School Diploma -
Golden Gate International College
06.2008 - 07.2010
Secondary School -
Babu Vidhya Mandir
01.2006 - 03.2008
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