Joshua Oluwatimilehin OLOWOOKERE

Participate in consultant-led ward rounds for pre- and postoperative patients and new admissions.
Prioritise ward tasks by requesting tests, prescribing medicines, and monitoring progress.
Perform clinical procedures including arterial blood gas sampling, cannulation, and drain management.
Clerk emergency and elective admissions by taking histories, examining patients, and consenting.
Attend daily trauma handovers by reviewing referrals, documenting findings, and arranging follow-up.
Prepare discharge summaries by reviewing medications and postoperative imaging.
Hold the OMFS bleep as first contact for emergency and regional referrals across Northern Ireland.
Assess and stabilise referrals, start management plans, and advise referring teams promptly.
Review new and follow-up patients in consultant-led clinics by taking histories and examining.
Request and interpret investigations, then formulate management plans for each clinic case.
Assist minor oral surgery by performing dental extractions and biopsies under local anaesthetic.
Maintain accurate clinic documentation and correspondence with referring practitioners.
Assist consultants and senior trainees in elective and emergency OMFS theatre procedures.
Perform supervised tasks such as suturing, haemostasis, and core wound-closure skills.
Deliver teaching on mandibular fractures and dental cysts to students.
Provide bedside and clinic-based teaching to medical and dental students.
Complete an audit on discharge summary compliance with Royal College standards.
Publish audit findings by identifying documentation gaps and improving continuity of care.
Publish a peer-reviewed article comparing operative versus nonoperative acute Achilles rupture management.

A. Clinical Assessment and Patient Management

1. Clerked, assessed and managed acute and elective surgical admissions through comprehensive histories and performed clinical examinations, requested and interpreted laboratory and radiological investigations, formulated and implemented management plans under consultant supervision.

2. Managed a broad range of surgical conditions including acute appendicitis, bowel obstruction, abdominal trauma, perforated viscus and hernias

B. Ward-Based Responsibilities

1. Participated in daily consultant-led ward rounds and independently reviewed patients when required.

2. Monitored patient progress and adjusted treatment plans appropriately.

3. Maintained accurate clinical documentation and prepared discharge summaries.

4. I worked closely with consultants, anaesthetists, radiologists, nurses and allied healthcare professionals to coordinate patient care and communicated effectively with patients and relatives regarding diagnoses, investigations and treatment plans.


C. Emergency and On-Call Duties

1. Participated in the General Surgery on-call rota providing emergency surgical cover and served as the first point of contact for surgical referrals during on-call shifts.

2. Assessed emergency admissions and initiated management of acute surgical presentations.


D. Theatre Responsibilities
Assisted consultants during elective and emergency surgical procedureslaparotomies, appendicectomies and hernia repairs and participated in perioperative and postoperative patient management.

E. Teaching and Leadership Experience

1. Supervised interns and medical students during ward rounds and clinical assessments.

2. DeliveredProvided bedside teaching and case-based teaching sessions on bowel obstruction, acute abdomen and abdominal trauma.

7. Clinical Governance and Quality Improvement

Completed an audit evaluating compliance with the WHO Surgical Safety Checklist.

1. Day to day follow-up of patients admitted under the unit. Some of the cases I managed include:Hypertensive and diabetic
emergencies, fractures,, work related accidents, acute appendicitis cute severe asthma, panic attacks, scorpion bites, sickle cell crisis and severe malaria. In addition, I had significant exposure to frail geriatric patients with multiple comorbidities.

2. Attendance at regular daily ward rounds and multi-disciplinary case conferences with the
Consultants.

3.I was responsible for keeping of medical case-notes, ordering and interpreting investigations, writing electronic summaries and making referrals to other specialties.

4. Assistance with outpatient clinics under supervision, on a regular basis, and in exceptional
circumstances I attended clinics held in the community.

5.I interacted with members of the multidisciplinary team including nurses, physiotherapist, dietitians, laboratory scientist e.t.c in the interests of patients

6. Teaching and Supervisory role: Participated in the training of house physicians and medical students attached to the hospital. For example, I organised weekly bedside teaching on common topics and clinical procedures including clinical examination of systems particularly abdominal and cardiovascular examination, urinalysis, urethral catheterization, intravenous cannulation and supervised them while performing it.


7.I participated in the provision of cover on a shared basis with colleagues when unforeseen short notice absences occur.

1. Inpatient Care:
I looked after older patients admitted with conditions such as stroke, heart failure, diabetes complications, confusion, and infections. For example, I cared for an elderly woman with pneumonia and memory loss, ensuring her breathing, hydration, and safety needs were properly managed.

2. Outpatient Clinics:
I attended regular clinics where I saw elderly patients with chronic illnesses like hypertension, diabetes, arthritis, and memory problems. I monitored their conditions and adjusted medications when needed.

3. Emergency Care:
During on-call shifts, I managed urgent problems in older adults such as confusion (delirium), falls, chest pain, and infections. I once managed an elderly man brought in with a fall and confusion, treated his infection, and worked with the team to prevent future falls.

4. Teaching and Supervision:
I taught junior doctors and medical students during ward rounds. I explained how to assess elderly patients, manage common geriatric problems, and safely use medications in older people. I also gave practical tips using real patient cases.

5. Multidisciplinary Team Work:
I worked closely with nurses, physiotherapists, dietitians, pharmacists, and social workers to give complete care to elderly patients. We held team meetings to plan care for patients with complex needs, such as stroke recovery or frailty.

Outpatient and Acute Clinical Care

1. I assessed and managed patients presenting with a broad spectrum of acute and chronic medical conditions, including hypertension, diabetes mellitus, respiratory illnesses, and infectious diseases.

2. I carried out comprehensive clinical evaluations, including history taking and physical examination, to establish working diagnoses and guide management.

3. I prioritised patient safety by identifying red flag symptoms and arranging urgent escalation where necessary.

Clinical Assessment and Decision-Making

4. I was responsible for requesting and interpreting appropriate investigations, including blood tests and basic imaging where available, to support diagnosis and management.

5. Based on clinical findings, I initiated evidence-based treatment plans tailored to individual patient needs. I ensured that patients requiring specialist input were appropriately referred, providing clear clinical information to support continuity of care across services.

Preventive Care and Health Promotion

7. A key aspect of my role involved preventive healthcare and patient education. I counselled patients on lifestyle modification, medication adherence, and disease prevention, particularly in relation to chronic conditions such as hypertension and diabetes.

8. I supported patients in understanding their conditions and encouraged engagement with long-term management plans to reduce complications and improve outcomes.

Continuity of Care and Follow-Up

9. I ensured continuity of care by arranging and conducting follow-up reviews to monitor treatment response and disease progression. During these reviews, I reassessed patients, adjusted management plans where required, and reinforced health education. This approach helped to identify early signs of deterioration and supported ongoing patient engagement.

Emergency Assessment and Resuscitation

1. I conducted clinical assessments of patients presenting with acute surgical and trauma-related conditions, including maxillofacial injuries, polytrauma, acute abdomen, and severe infections by following the ABCDE approach, ensuring airway protection and early identification of life-threatening conditions.
In cases of facial trauma, I remained mindful of potential airway compromise and escalated early to senior and anaesthetic teams where required.

Management of Acute Surgical Conditions

2. I managed a wide range of acute presentations including facial lacerations, mandibular fractures, soft tissue infections and general surgery conditions including perforated viscus, abdominal trauma among others.

3. I initiated appropriate treatment plans such as fluid resuscitation, analgesia, antibiotics, and monitoring.

4. I ensured timely escalation of unstable patients to senior colleagues and specialty teams, maintaining a strong focus on patient safety.

Procedural Skills and Emergency Interventions

5. I performed and assisted with emergency procedures including wound suturing, incision and drainage of facial abscesses.

6. I also contributed to initial fracture stabilisation under senior supervision. I worked within my level of competence and ensured appropriate supervision for more complex interventions.

Investigations and Clinical Decision-Making

7. I requested and interpreted relevant investigations, including laboratory tests, X-rays, and CT imaging, to support clinical decision-making. I ensured clear documentation and
communication of clinical findings to support continuity of care.

Multidisciplinary Team Working and Clinical Governance

8 . I worked closely with surgeons, anaesthetists, and intensive care teams to deliver coordinated care for critically unwell patients.

9. I participated in teaching sessions, and monthly morbidity and mortality meetings, contributing to reflective practice and service improvement. I presented the morbidity and mortality statistics for the months of October, November and December, 2021 while working in the hospital. This supported ongoing development of safe and effective trauma care within the department.

Paediatrics:
I did rotations in Paediatric Neurology unit, Paediatric Emergency department and Neonatal
intensive care unit, and took calls in the other paediatric departments which broadened my exposure.
I was actively involved in the management of cases such as childhood tetanus, meningitis, and emergencies such as status epilepticus, febrile seizures, severe Malaria, severe dehydration, hypoglycemia, neonatal jaundice, neonatal sepsis, sickle cell crisis, acute severe asthma, among others.

I acquired experience in neonatal and paediatric venepuncture, peripheral and umbilical vein
cannulation, lumbar puncture, blood transfusion and fluid resuscitation and paediatric cardiopulmonary resuscitation under supervision.

I also managed the side laboratories running capillary PCV, urinalysis and rapid antigen tests. Alongside my training, I taught medical students and I also made case/topic presentations at the weekly clinical departmental meeting.

Obstetrics and Gynaecology:
I participated effectively in the running of pre-conception, antenatal, postnatal care and gynaecology clinics where I saw and managed patients under supervision. I also had on-call duties at the Labour ward and Gynaecology emergency room and was responsible for pre- operative assessment, post-operative care and preparation of patients for gynecological surgeries and Caesarean sections which I assisted.

I had the opportunity to learn about the management of cases such as severe pre-eclampsia,
post partum haemorrhage, hyperemesis gravidarum, threatened miscarriage, incomplete
abortions and procedures such as episiorrhaphy, repair of cervical lacerations and manual vacuum aspiration which I performed under supervision.

I also made clinical presentations at the departmental clinical meetings.

Internal Medicine:
I had rotations in the Gastroenterology, Endocrinology and Respiratory Medicine each involving weekly emergency department calls where I was the first on call.
In the clinics, I obtained detailed history from patients, performed thorough physical examination
and ordered relevant tests as well as outlined appropriate management plans which I presented to my consultants.

I saw and managed under supervision, patients with health conditions such as Chronic Obstructive pulmonary disease, asthma, pulmonary tuberculosis, pneumonia, diabetes mellitus, hypo and hyperthyroidism, upper gastrointestinal bleeding, intraabominal malignancy, acute renal failure, hypertensive and diabetic emergencies, among others.

I also performed procedures such as venepuncture, femoral venous cannulation, urethral catheterization, and I presented clinical cases at the departmental meetings.


Surgery:
I did rotations in General Surgery, Plastic surgery, Cardiothoracic surgery units and surgical
emergency department. I was responsible for the care of surgical patients admitted under my
unit, where I conducted daily ward rounds, took blood samples, ordered investigations, carried out pre-operative work up and post-operative instructions.

I was actively involved in the management of cases such as severe burns, intestinal obstruction, fractures, head injuries, acute appendicitis, among others. I performed minor procedures such as nasogastric tube insertion, aseptic wound dressing, suturing, incision and drainage and also assisted in chest tube insertions and surgeries.