Kennedy Umege

I managed 12 patient consultations in the morning, and 10 in the afternoon, mostly face to face consultations with home visits in between ,as well as helping with the urgent cases booked in the 'extras' slot. I do 7 sessions a week.

Managed my patient list which included adult and children, with chronic and acute conditions including palliative and preventive care.

Education Activity: Designed a QIA for Medical students and supervised them.

Leadership and Management:

• I did a presentation on Chaperoning during aa Practice meeting, sharing from personal experiences working in the NHS as an international medical graduate.
• I trained the non-clinical staff of the Practice on standard chaperoning practice and practice policy was designed around it.

Audit: I audited the number of consultations for tiredness( TATT),designed a patient information leaflet and attached to AccuRx messaging system, which patients received from the reception team on calling to book GP appointments. A re-audit showed significant reduction in appointments as patients began to utilise the self help advice contained in the link.

Admitted and managed elderly patients with both acute and chronic condition, including those in the community hospital.

Managed patients acute and chronic conditions, health promotion and home visits.

QIA:

I audited the number of antibiotics issued to patients over a time period for acute sorethroat consultations. Using FeverPAIN/Centor criteria, most of them did not comply with he guideline. I presented the audit result as well information on antibiotics stewardship. Compliance with the guideline improved afterwards.

Ward cover duties for general cardiology ward and the high dependency unit,supervised FY1 and FY2 doctors as well as general medical on call cover and acute admissions.

I was one of first group of doctors reassigned to the Covid Pods during the first wave of the pandemic, admitting and managing infected patients. Carried out numerous ReSPECT discussions and palliative care.

Ward cover in Paediatric and neonatal inpatient and post-natal wards.

On call duties in the wards and Paediatric assessment unit.

Immunization duty at children's day unit

Worked in all areas of the department: majors, minors, Resus and Paediatric section treating all patients presenting with acute conditions.

Also taught and supervised junior colleagues important skills needed to optimise patient care like interpretation of ECG etc.

Rotated through these departments:

General Paediatric Outpatient Department

General Outpatient Department

Special Treatment Clinic: where I managed and monitored cases of HIV/AIDS

Posting in Radiology department: where I interpreted CT-Scan,MRI and X-Ray images of various cases like Subarachnoid hemorrhage, Epidural and subdural hemorrhages, Brain tumors,Pneumonia,Lung cancer, Fractures,etc. Performed FAST and other Ultrasound modalities like obstetric scans. Also assisted in special investigations like Hysterosalpingography and IVU.

Posting in Otorrhinolaryngology department where I managed many emergencies including Epistasis using cautery, anterior and posterior nasal packing, foreign body removal from the nose and ears, and Acute otitis media. Assisted in many tracheostomy procedures.

Also did a number of clinical presentations.

I saw about 40 patients per day of all ages and conditions. Took deliveries, carried out cervical laceration repairs , circumcisions and lot of other procedures.

Conducted monthly audits of the doctors consultation through the review of the EMR to ensure strict adherence to treatment and prescription guidelines

Organized and supervised a weekly clinical meeting of all the doctors and ensured full participation by dividing the doctors into teams with the presentation topics shared and rotated between the teams weekly.

Produced regular guidelines/SOP on the management of many medical conditions for doctors according to international best practice .

Daily consultations ranging between 30 to 40 patients.

Also supervised the junior doctors.

Treated patients with various locally endemic diseases like Malaria, Typhoid fever, Bilhaziasis, Helminthiasis, Diarrhoea diseases, Iron deficiency anemia.

Also managed many emergencies under supervision.

Carried out community sensitization campaigns on HIV/AIDS prevention, Malaria prevention and benefits of routine Immunization

Rotations:

Internal Medicine

Surgery

Paediatrics

Obstetrics and Gynaecology