Summary
Overview
Work History
Education
Skills
Royal college exams
QIP, Audits and research
Publications and presentations
Courses
Leadership and Management
Teaching
References
Timeline
Generic

Taarunya Tirunellayi Narayanan

JSD- CT 1 Level
Birmingham

Summary

Currently a JSD in medical specialties with necessary skills and competence to be able to thrive in ITU. My interests include Cardiology, intensive care medicine, and research in the above fields.

Overview

5
5
years of professional experience

Work History

JSD Diabetes and Endocrinology (CT1 Level)

UHB
08.2024 - Current
  • Currently working in the diabetic and endocrinology wards in QEHB, my role here includes ward rounds, both independent and senior led, liaising with various teams for referrals, ward jobs and being a part of the MDT.
  • Also working on the general internal medicine on call rota. My role during on-calls include Clerking unwell patients, SDEC cover, Post take support and covering AMU out of hours.
  • Able to manage insulin doses and infusions in unwell patients, including DKA, HHS, patients requiring VRII and Inpatient hyperglycemia.
  • Currently undertaking an audit on adherence to guidelines for stool samples for C diff.

JSD Cardiology (CT1 Level)

Queen Elizabeth Hospital
02.2024 - 08.2024

- Role including working on cardiology wards and CCU, with on calls and night cover

- Ward rounds, both independent and senior led, and liaised with multiple teams for referrals.

- Part of the cardiology MDT

- Learnt basic Echocardiography and observed in cath labs, and attended cardiology clinics.

-Accompanied Senior registrar to triage and manage complex cardiology cases in A&E.

- Involved in various QIPs and audits as detailed in sections below


JSD Acute Medicine

Queen Elizabeth Hospital
08.2023 - 02.2024

- Worked at an SHO level in the Acute medicine department of QEHB

- Independently clerked patients in the acute medical take and SDEC

-Managed acutely unwell patients and led cardiac arrests as a part of the adult emergency team during on calls

- Worked in various departments including stroke, respiratory and diabetes as a part of my on call commitments

- Involved in audits and QIPs

- Competent in procedures such as lumbar punctures, ascitic taps and ultrasound guided cannulations, along with basic procedures expected at a junior level.

- Got my FY2 competencies signed off

JSD Elderly Care Medicine

Queen Elizabeth Hospital
03.2023 - 08.2023

- SHO level in elderly care medicine

- Managed chronic conditions on the wards, along with acute on calls

- Led difficult discussions with patient and families, including DNAR and Palliation.

- Treated patients with a holistic approach, factoring in frailty and psychosocial aspects.


Junior Resident, A&E

PSG Hospitals
09.2021 - 07.2022

- FY2 level job in the A&E department of a busy tertiary care hospital in India

- Manged various common and uncommon presentations to A&E, both with and without supervision

- Developed skills in point of care ultrasound, including assessment of LV function, IVC, and FAST scans

- Managed acute cardiac conditions including cardioversions for arrhythmias.

Internship (F1)

Karpagam Hospitals
03.2020 - 03.2021

F1 rotations in various departments including Surgery, Medicine, Pediatrics and ObGyn

Education

M.B.B.S -

Karpagam Hospital
India
04.2001 -

Skills

-ALS- I have been a part of the crash team including leading crash calls until senior support arrived

-Point of care ultrasound including basic echocardiography- Completed level 1 ultrasound training, and have practiced with supervision in acutely unwell patients

-Ultrasound guided venepuncture, ABG, Cannulas- with and without supervision

- Lumbar punctures with and without supervision

-Nasogastric tube, Male and female urinary catheterizations, ECG, and other procedures expected at my level without supervision

- Research skills- including data management, well versed in coding in 'R'

Royal college exams

- MRCP 1 passed December 2022

-MRCP part 2 written passed June 2024

Aiming for PACES in 2025

QIP, Audits and research


  • Led a cross sectional, observational survey on dental care practices and access to dental services for patients with adult congenital heart disease during and after the COVID pandemic.
  • Completed a 2 cycle QIP on weekend handover practices in the cardiology ward.
  • Undertook a single cycle audit on mood assessments in stroke patients and facilitating psychological care post stroke.

Publications and presentations

  • Poster presentation as first author in the international British Congenital Cardiac association (BCCA) this year titled- 'ACHD and oral health: Insights on Hygiene, Endocarditis risks and Antibiotic prophylaxis in the COVID era.'
  • Poster presentation as first author last year in international conference 'AGM london' titled- 'Are we really listening?- An audit on psychological care post stroke'.
  • Currently under peer review- Case report publication on a patient with Macrotroponin complexes post COVID vaccine with multiple presentations to A&E with atypical chest pains and increased troponins.

Courses

  • Currently undertaking a PG Cert in Clinical Data science under NHS scholarship, in the University of Manchester- commenced Sep 2024, successfully completed my first module.
  • ALS
  • Ultrasound level 1
  • NIHR GCP course


Leadership and Management

  • Managed the Cardiology resident doctor rota for a period of 6 months
  • Arranged regular Cardiology journal club meetings with Dr Shahid, consultant interventionalist chairing these sessions. I arranged catering as well.
  • Led local drives teaching basic life support back in India during medical school.

Teaching

  • Organized regular journal clubs in Cardiology as mentioned in the previous sections, promoting critical appraisal among peers. The Journal clubs gave all resident doctors a chance to present, and I have presented 3 sessions including an introductory session.
  • Regular structured formal teaching for F1 equivalent doctors during my resident doctor job in A&E in India.
  • Multiple formal and informal teachings and presentations, including audit presentations.

References

  • Dr Qazi Zaman- Consultant Endocrinologist, QEHB- Qazi.Zaman@uhb.nhs.uk
  • Dr Farhan Shahid- Consultant Cardiologist, QEHB- Farhan.Shahid@uhb.nhs.uk
  • Dr Vinay Reddy-Kolanu- Consultant Acute medicine, QEHB- Vinay.Reddy-Kolanu@uhb.nhs.uk

Timeline

JSD Diabetes and Endocrinology (CT1 Level)

UHB
08.2024 - Current

JSD Cardiology (CT1 Level)

Queen Elizabeth Hospital
02.2024 - 08.2024

JSD Acute Medicine

Queen Elizabeth Hospital
08.2023 - 02.2024

JSD Elderly Care Medicine

Queen Elizabeth Hospital
03.2023 - 08.2023

Junior Resident, A&E

PSG Hospitals
09.2021 - 07.2022

Internship (F1)

Karpagam Hospitals
03.2020 - 03.2021

M.B.B.S -

Karpagam Hospital
04.2001 -

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Taarunya Tirunellayi NarayananJSD- CT 1 Level