AIMS & OBJECTIVES
I am an extremely motivated and dedicated individual and am committed to give my 100% to reach my goals. My ambition is to become a highly successful and skilled surgeon that can contribute with fellow medical professionals in the advancement of this noble profession. I would like to continually develop, gaining experience in all aspects of General and Bariatric Surgery. I wish to utilise my skills and knowledge in not only treating patients but also teach and train the next generation of junior doctors. I am driven by an unquenching interest for Surgery and Medical Sciences.
EDUCATION AND QUALIFICATIONS
Post CCT Bariatric Fellowship, Royal College of Surgeons of England. |
Dec 2019 |
FRCS General Surgery, Royal College of Surgeons of England. |
Feb 2018 |
PGC in Medical Education, Sheffield University. |
July 2015 |
MD in Medical Sciences. Hull York Medical School, University of Hull. |
Sep 2014 |
PGC in Health Research. Hull York Medical School, University of Hull. |
Jan 2012 |
PGC in Medical Ultrasound with distinction. The University of Leeds. |
Sep 2010 |
MRCS General Surgery, Royal College of Surgeons of England. Sep 2008 |
Sep 2008 |
MBBS Kempegowda Institute of Medical Sciences, India. |
Oct 2001 |
AWARDS & RECOGNITION
Aug 2015 |
|
First Prize (Co-authored) Oral Presentation, 16th Annual Meeting, EVF, St. Petersburg, Russia |
July 2015 |
Best Poster Prize (Co-authored), 50Th Congress of ESSR, Liverpool, UK. |
June 2015 |
Outstanding trainee of the year 2013/2014, Barnsley Hospital NHSFT. Bursary towards PG Certificate in Medical Education, Sheffield University. |
July 2014 |
Highest scoring abstract at PVSS Winter meet, Colorado, USA |
Jan 2012 |
Second highest scoring (co-authored) abstract at PVSS Winter meet, Colorado, USA |
Jan 2012 |
Venous forum Prize for oral presentation at annual meeting of the Vascular Society, Edinburgh |
Nov 2011 |
Second prize (co-authored) oral presentation Yorkshire Vascular Forum, Leeds |
Oct 2011 |
Venous forum Prize (co-authored) oral presentation at annual meeting of the Vascular Society, Brighton |
Nov 2010 |
3rd Prize (co-authored) oral presentation at Royal Society of Medicine Venous Forum Spring Meeting. London |
Apr 2010 |
1st Prize for the best Clinical Audit - Joint Clinical Attachment Scheme, |
May 2004 |
CLINICAL EXPERIENCE / EMPLOYMENT HISTORY
Consultant Surgeon: General Surgery, Upper GI and Bariatric Surgery, substantive post at Doncaster and Bassetlaw Teaching Hospitals. |
Oct 2019 - |
RCSEng recognised Post CCT Bariatric Fellowship, Sunderland Royal Hospital, AES - Mr Carr, CS – Mr Small |
Oct 18 - Sep 19 |
ST8 Registrar, Upper GI Surgery, Sheffield Teaching Hospitals, AES - Mr Tamhankar |
Apr 18 - Sep 18 |
ST8 Registrar, HPB Surgery, Sheffield Teaching Hospitals, |
Oct 17 - Apr 18 |
ST7 Registrar, Upper GI Surgery, Sheffield Teaching Hospitals, AES - Mr Patel |
Oct 16 - Sep 17 |
ST6 Registrar, Upper GI Surgery, Doncaster Royal Infirmary, |
Oct 15 - Sep 16 |
ST5 Registrar, Lower GI Surgery, Barnsley Hospital NHSFT, |
Oct 14 - Sep 15 |
ST4 Registrar, Upper GI Surgery, Barnsley Hospital NHSFT, AES – Mr Shiwani |
Oct 13 – Sep 14 |
ST3 Registrar, Breast/General Surgery Doncaster Royal Infirmary, AES – Miss Rogers |
April 13 – Sep 13 |
ST3 Registrar, Colorectal/General Surgery Sheffield Teaching Hospitals, AES – Mr Skinner LAS Registrar, Paediatric Surgery Hull and East Yorkshire Hospitals NHS Trust, CS - Mr Daniel LAS Registrar, Vascular Surgery Hull and East Yorkshire Hospitals NHS Trust, CS - Mr Renwick |
Oct 12 - Mar 13 April 12 – Sep 12
Feb 12 – April 12 |
Clinical Research Fellow, Vascular Surgery, Hull York Medical School / University of Hull, Research Supervisor – Prof Chetter |
Sep 09 – Jan 12 |
Core Surgical Trainee year 2, General Surgery, Huddersfield Royal Infirmary, AES - Mr Ilsley |
Aug 08 – Aug 09 |
Fixed Term Specialist Trainee year 1, Plastic Surgery, Upper GI Surgery, T&O Hull and East Yorkshire Hospitals NHS Trust, AES - Mr Sedman |
Aug 07 – Aug 08 |
Foundation year 2, Colorectal Surgery, General Surgery, Orthopaedics, The Hillingdon Hospital, AES - Mr Babu |
Aug 06 – Aug 07 |
Senior House Officer, Accident and Emergency, The Hillingdon Hospital, AES – Dr Kuriyan |
Aug 05 – Aug 06 |
SHO, Trauma and Orthopaedics, The Hillingdon Hospital |
Feb 05 – Aug 05 |
Clinical assistant, General Surgery, The Hillingdon Hospital, CS - Prof Das |
Aug 04 – Feb 05 |
Locum PRHO, Surgery, Orthopaedics, Urology, Queen Elizabeth Hospital CS - Mr Tibrewal |
Jun 04 – Aug 04 |
Clinical Observer, Kings College Hospital, Queen Elizabeth Hospital |
Mar 04 – May 04 |
RESEARCH
One-Anastomosis Gastric Bypass: ideal bypass length - single Centre data analysis. Sunderland Royal Hospital, Sunderland. |
March 19 |
DOME Trial: A double-blinded randomised controlled trial comparing the clinical and cost effectiveness of self-fixating versus stapled mesh in the laparoscopic management of inguinal hernia. Doncaster and Barnsley Hospital, South Yorkshire. |
Aug 17 |
Omental wrap technique in maturing gastro-oesophageal anastomosis: Comparative case-series Lap-assisted vs Open Oesophagostomy for Oesophageal cancers. Northern General Hospital, Sheffield. |
Oct 2016-17 |
Clinical effectiveness of Bariatric Surgery for Obesity – single Centre data analysis. Doncaster Royal Infirmary, Doncaster. |
Oct 2016-17 |
Clinical and cost-effectiveness of Laparoscopic ventral hernia repair. Barnsley Hospital NHSFT, South Yorkshire |
Oct 2013-14 |
Formal period of research undertaken. Registered with Hull York Medical School and granted MD in Medical Sciences.
|
Apr 2010-12 |
GALA Trial (General Anaesthesia Vs Local Anaesthesia in Carotid |
Oct 2004 – Feb 2005 |
AUDITS
- Gastro-Esophageal Reflux Disease following Laparoscopic Roux-En-Y Gastric Bypass procedure: Quality improvement Audit on the effectiveness of intervention.
- ‘Hot’ Laparoscopic Cholecystectomy Pathway at the Northern General. A service improvement (closed loop) audit. NGH, Sheffield.
- Post-operative nausea and vomiting in Bariatric Surgery. A service evaluation Audit, DRI, Doncaster.
- Auditing 30-day readmission rates following Laparoscopic Cholecystectomy, DRI, Doncaster
- National Emergency Laparotomy Audit (NELA), Barnsley (2014/15), Doncaster (2016), Northern General (2017/18), Sunderland Royal (2018/19)
- Clinical audit evaluating antibiotic prescription in patients undergoing laparoscopic or open appendicectomies, BHNFT, Barnsley
- Is an Abscess Pathway Practical? A Service Improvement Audit, BHNFT, Barnsley
- Clinical Variation in Practice of Laparoscopic Cholecystectomy and Surgical Outcomes: a multi-centre, prospective, population-based cohort study. BHNFT, Barnsley
- Management of Gall Stone Disease in Acute Pancreatitis. Retrospective Audit of our Service, BHNFT, Barnsley
- Trust Wide Consent Audit: Department of General Surgery, BHNFT, Barnsley
- Ductal Carcinoma In-Situ. An audit of Practice, DRI, Doncaster
- Clinical Audit on Pain management in patients undergoing Breast Surgery, DRI, Doncaster
- Optimising Consultant ward round, a service improvement audit, NGH, Sheffield
- Clinical audit on in-patient care following lower limb angioplasties, HRI, Hull
- Endovenous treatment of venous leg ulcers, HRI, Hull
- Clinical audit on Carotid duplex ultrasound referrals, HRI, Hull
- Clinical audit Proportion of correctly suspected skin malignancies under the two-week waiting initiative, CHH, Hull
- Clinical audit on management of Lower GI bleeders presenting to the casualty, THH, London
- Clinical audit on Hand hygiene in the surgical wards of THH, London
- Clinical Audit on use of radio imaging in ankle injuries at A&E,THH, London
- Audit on Arthroscopic debridement of the knee for Osteoarthritis in patients 60 years of age or older, THH, London
- Clinical Audit on Segregation of Hospital Waste at the point of origin, QEH, London – Best Clinical audit 2004.
PUBLICATIONS
Mid-Term Bariatric Surgery outcomes for obese patients: Does weight matter? Ann R Coll Surg Engl, 2020 Jan, DOI:10.1308/rcsann.2019.0100, Samuel N, Q Jalal, A Gupta, FAK Mazari, P Vasas, S Balachandra
Evaluation of Cost-Effectiveness of Laparoscopic Ventral and Incisional Hernia Repair Service in a District General Hospital. J Surg Clin Pract 2018 Oct, 2:3, DOI: 10.4172/JSCP.1000118, Samuel N, Q Jalal, V Proctor, FAK Mazari, MH Shiwani
Endovenous thermal ablation for healing venous ulcers and preventing recurrence. Cochrane Database of Systematic Reviews 2013 Oct, Issue 10. Art. No.: CD009494. DOI:10.1002/14651858.CD009494.pub2 Samuel N, Carradice D, Wallace T, Smith GE, Chetter IC.
Comparison of 12-W Versus 14-W Endovenous Laser Ablation in the Treatment of Great Saphenous Varicose Veins: 5-year Outcomes From a Randomized Controlled Trial. Vascular and Endovascular Surgery 2013 May; Samuel N, Wallace T, Carradice D, Mazari FAK, Chetter IC.
A reply to the letter Re: Saphenopopliteal ligation and stripping of small saphenous vein: does extended stripping provide better results? Phlebology. 2013 May 23. Samuel N, Carradice D, Chetter I.
Randomized clinical trial of endovenous laser therapy versus conventional surgery for small saphenous varicose veins. Annals of Surgery 2013 Mar;257(3):419-26. N Samuel, D Carradice, T Wallace, AI Mekako, J Hatfield, IC Chetter.
Endovenous laser ablation in the treatment of small saphenous varicose veins: Does site of access influence early outcomes? Vascular and Endovascular Surgery 2012 May;46(4):310-4 Samuel N, Wallace T, Carradice D, Smith GE, Mazari FAK, Chetter IC.
Saphenopopliteal ligation and stripping of short saphenous vein: Does extended stripping provide better results? Phlebology. 2012 Dec;27(8):390-7 N Samuel, D Carradice, GE Smith, FAK Mazari, IC Chetter.
Endovenous Laser Therapy: Evolution of Practice. Phlebology. doi: 10.1258/phleb.2011.011103 N Samuel, T Wallace, D Carradice, GE Smith, FAK Mazari, IC Chetter.
Junction jump sign – a useful adjunct to the precise positioning of the catheter tip during endovenous thermal ablation. Ultrasound 2011; 19: 97–98 N Samuel, T Wallace, GE Smith, Y Shahin, IC Chetter.
Ultrasound Evaluation of Carotid Body Tumours. Ultrasound. 2011; 19: 26-30. N Samuel, GE Smith, S Wolstenhulme, IC Chetter.
Technical Tip: Duplex ultrasound evaluation for DVT post endoluminal venous procedures. Ultrasound. 2011; 19: 20-21 N Samuel, GE Smith, IC Chetter.
Book Chapter: Debate: Concomitant phlebectomy is essential following truncal endovenous laser ablation. For the motion. Charing Cross Symposium - Vascular and Endovascular Challenges Update 2010: 478-482 Book Chapter Editor Roger M Greenhalgh N Samuel, D Carradice, I Chetter.
Laparoscopic Roux-En-Y gastric bypass versus one anastomosis (loop) gastric bypass for obesity: A prospective comparative study of weight loss and complications. Annals of Medicine and Surgery. 2020 July, DOI:10.1016/j.amsu.2020.04.040. A Mustafa, N Rizkallah, N Samuel, S Balupuri
Mesh fixation techniques for laparoscopic inguinal hernia repair in adults. (Protocol) Cochrane Database of Systematic Reviews 2017, Issue 10. Art. No.: CD008954. DOI: 10.1002/14651858.CD008954.pub2. A Gupta, FAK Mazari, N Samuel, S Balachandra
Influence of Patient Choice on Outcome of Bariatric Surgery. Obesity Surgery. 2017 Aug. DOI:10.1007/s11695-017-2871-7. Vasas P, Nehemiah S, Hussain A, Finney J, Kirk K, Yeluri S, Balchandra S
Readmissions after laparoscopic cholecystectomy in a UK District General Hospital. Surg Endosc. 2016 Dec 23. DOI 10.1007/s00464-016-5380-1. O Awolaran, T Gana, N Samuel, K Oaikhinan
A novel corrective approach to achieve satisfactory function of a ‘sunk’ colostomy. Ann R Coll Surg Engl 2016; 98: e84–e87 doi 10.1308/rcsann.2016.0134. K Siddique, G Prud’Homme, N Samuel, K Avril-Griffiths, T Offori
Day-surgery approach for incision and drainage of an abscess. Surgical Practice, 2016 Oct 28. doi:10.1111/1744-1633.12201. Balakumar, R., Samuel, N., Jackson, A., Butterworth, J. and Shiwani, M. H
Long-term outcomes of a randomized clinical trial of supervised exercise, percutaneous transluminal angioplasty or combined treatment for patients with intermittent claudication due to femoropopliteal disease. Br J Surg. 2016 Oct 20. doi: 10.1002/bjs.10324. [Epub ahead of print] Mazari FA, Khan JA, Samuel N, Smith G, Carradice D, McCollum PC, Chetter IC.
Defining the optimum tumescent anaesthesia solution in endovenous laser ablation. Phlebology. 2016 Jun 15. pii: 0268355516653905. [Epub ahead of print] Wallace T, Leung C, Nandhra S, Samuel N, Carradice D, Chetter I.
Comparison of Use of Short Form-36 Domain Scores and Patient Responses for Derivation of Preference-Based SF6D Index to Calculate Quality-Adjusted Life Years in Patients with Intermittent Claudication. Ann Vasc Surg. 2016 Jul;34:164-70. doi: 10.1016/j.avsg.2015.12.028. Epub 2016 May 11. Mazari FA, Shahin Y, Khan JA, Samuel N, Carradice D, McCollum PT, Chetter IC.
A randomized clinical trial of endovenous laser ablation versus conventional surgery for small saphenous varicose veins. J Vasc Surg. 2015 Mar;61(3):741-6. doi: 10.1016/j.jvs.2014.09.037 Nandhra S, El-sheikha J, Carradice D, Wallace T, Souroullas P, Samuel N, Smith G, Chetter IC.
Clinical outcomes and quality of life 5 years after a randomized trial of concomitant or sequential phlebectomy following endovenous laser ablation for varicose veins. Br J Surg. 2014 Aug;101(9):1093-7. doi: 10.1002/bjs.9565. El-Sheikha J, Nandhra S, Carradice D, Wallace T, Samuel N, Smith GE, Chetter IC.
Economic analysis of a randomized trial of percutaneous angioplasty, supervised exercise or combined treatment for intermittent claudication due to femoropopliteal arterial disease. Br J Surg. 2013 Aug;100(9):1172-9. doi: 10.1002/bjs.9200. Mazari FA, Khan JA, Carradice D, Samuel N, Gohil R, McCollum PT, Chetter IC.
Comparing the treatment response of great saphenous and small saphenous vein incompetence following surgery and endovenous laser ablation: A retrospective cohort study. Phlebology. 2011 Aug 3. [Epub ahead of print] Carradice, D., Samuel, N., Wallace, T., Mazari, F. A. K., Hatfield, J. and Chetter, I.
Randomized clinical trial of percutaneous transluminal angioplasty, supervised exercise and combined treatment for intermittent claudication due to femoropopliteal arterial disease. Br J Surg. 2011 Oct 21. doi: 10.1002/bjs.7710. [Epub ahead of print] Mazari FA, Khan JA, Carradice D, Samuel N, Abdul Rahman MN, Gulati S, Lee HL, Mehta TA, McCollum PT, Chetter IC.
Great saphenous vein transposition to the forarm for dialysis vascular access; an underused autologous option? J Vasc Access. 2011 Jun 1. [Epub ahead of print] GE Smith, D Carradice, N Samuel, R Gohil, IC Chetter.
Targeted duplex ultrasound in a one stop dialysis vascular access assessment clinic. Ann Vasc Surg. 2011 Jun 11. [Epub ahead of print] GE Smith, N Samuel, JA Khan, BF Johnson, IC Chetter.
Clinical and technical outcomes from a randomized clinical trial of endovenous laser ablation compared with conventional surgery for great saphenous varicose veins.Br J Surg. 2011 Aug;98(8):1117-23. Carradice D, Mekako AI, Mazari FA, Samuel N, Hatfield J, Chetter IC.
Modeling the effect of venous disease on quality of life. Br J Surg. 2011 Aug;98(8):1089-98.
Carradice D, Mazari FA, Samuel N, Allgar V, Hatfield J, Chetter IC.
Angiotensin converting enzyme inhibitors effect on endothelial dysfunction: A meta-analysis of randomized controlled trials. Atherosclerosis. 2011 May;216(1):7-16 Y Shahin, JA Khan, N Samuel, IC Chetter.
Randomized clinical trial of endovenous laser ablation compared with conventional surgery for great saphenous varicose veins. Br J Surg. 2011 Apr;98(4):501-10. Carradice, D., Mekako, A. I., Mazari, F. A. K., Samuel, N., Hatfield, J. and Chetter, I. C. ,
Recognition of inflammatory aneurysm in abdominal aortic aneurysm screening and surveillance. Ultrasound Nov 2010:18(4): 186-190 GE Smith, N Samuel, S Wolstenhulme, AB Akomolafe, IC Chetter.
Minerva publication of Colonic Transposition of Oesophagus. Br J Surg 2009; 96:240
Samuel N, Theivacumar NS, Aldoori MI.
PRESENTATIONS
Feeding jejunostomy for post-operative management of nutrition in UGI cancer resections: Comparative Case-Series from a Tertiary Centre, UK. 53rd Congress of European Society of Surgical Research, Madrid, Spain. May 2018. N Samuel, M Tsachiridi, Q Jalal, CJ Kelty, A Tamhankar.
Mediterranean holiday gone horribly wrong: An unfortunate case of complete Gastric Band slippage while on holiday. 2016 Trent Region Laparoscopic Surgery Meeting, Nottingham, UK. July 2016. N Samuel, S Balachandra, A. Hussain, P Vasas
Bariatric Surgery outcomes for obese patients: Does weight matter? 51st Congress of European Society of Surgical Research, Prague, Czech Republic. May 2016. N Samuel, P Vasas, A Hussain, H Zaidi, J Finnen, K Kirk, S Balachandra
Comparison of Effectiveness of Bariatric Surgery for Obesity: Mid-term results from a Single Bariatric Centre in the UK. 51st Congress of European Society of Surgical Research, Prague, Czech Republic. May 2016. N Samuel, P Vasas, A Hussain, H Zaidi, J Finnen, K Kirk, S Balachandra
Laparoscopic ventral/incisional hernia repair service in a district general hospital: Predicting factors likely to cause recurrence. 50Th Congress of European Society of Surgical Research, Liverpool, UK. June 2015. N Samuel, FAK Mazari, MH Shiwani
Bile Duct perforation by Biliary Stents post-ERCP: Case-reports and literature review of management. 50Th Congress of European Society of Surgical Research, Liverpool, UK. June 2015. N Samuel, A Wheeler, MH Shiwani, A Masri
Evaluation of cost-effectiveness of laparoscopic ventral/incisional hernia repair service in a district general hospital. 49Th Congress of European Society of Surgical Research, Budapest. May 2014. N Samuel, FAK Mazari, V Proctor, K Siddique, L Wheldon, MH Shiwani
Cholecystectomy for gallstone pancreatitis: A service evaluation audit. 49Th Congress of European Society of Surgical Research, Budapest. May 2014. N Samuel, F Dar, S Roomi, S Anwar, MH Shiwani
5-year outcomes from a randomised clinical trial comparing 12W vs. 14W endovenous laser ablation in the treatment of great saphenous varicose veins. 17th World Meeting of International Union of Phlebology, Boston, Sep 2013. N Samuel, T Wallace, D Carradice, J Hatfield, IC Chetter.
Economic analysis of EVLA and Surgery in the treatment of small saphenous incompetence. Results from an RCT. 48Th Congress of European Society of Surgical Research, Turkey. May 2013. N Samuel, FAK Mazari, T Wallace, D Carradice, IC Chetter
Evaluation of mid-term outcomes of endovenous laser ablation for small saphenous varicose veins treatment. 47Th Congress of European Society of Surgical Research, France. June 2012. N Samuel, T Wallace, R Gohil, R Barnes, I Chetter.
Comparison of 12W vs. 14W endovenous laser ablation in the treatment of great saphenous varicose veins: 5-year outcomes from a randomized controlled trial. PVSS 22nd Annual winter meeting, Colorado, Jan 2012 N Samuel, T Wallace, D Carradice, J Hatfield, IC Chetter.
5-year outcomes from a randomised clinical trial comparing 12W vs. 14W endovenous laser ablation in the treatment of great saphenous varicose veins. SARS, Nottingham, Jan 2012
N Samuel, T Wallace, D Carradice, J Hatfield, IC Chetter.
Randomised clinical trial of endovenous laser therapy versus conventional surgery for small saphenous varicose veins. Annual meeting of the Vascular Society. Edinburgh Nov 2011(Venous forum Prize) N Samuel, D Carradice, AI Mekako, T Wallace, J Hatfield, IC Chetter.
Research update - RCT of endovenous laser ablation versus conventional surgery for small saphenous varicose veins. Centre for Cardiovascular & Metabolic Research, HYMS, Castle Hill Hospital, Oct 2011 N Samuel, D Carradice, AI Mekako, T Wallace, J Hatfield, IC Chetter.
Endothermal ablation of superficial venous insufficiency for venous leg ulcers: a systematic review of randomized controlled trials. Euro Chap of IUA. Ljubljana Oct 2011 N Samuel, T Wallace, D Carradice, IC Chetter.
Endovenous laser therapy in the treatment of small saphenous vein: Does site of access influence early outcomes? Euro Chap of IUA. Ljubljana Oct 2011 N Samuel, D Carradice, T Wallace, JA Khan, IC Chetter.
Saphenopopliteal ligation and stripping of short saphenous vein: Does extended stripping provide better results? N Samuel, D Carradice, GE Smith, A Mekako, IC Chetter.
46Th Congress of Europen Society of Surgical Research, Germany. May 2011
17th Annual Conference of Vascular Society of India, India. Oct. 2010
Endovenous Laser Therapy: Evolution of Practise. N Samuel, D Carradice, FAK Mazari, IC Chetter. 46Th Congress of Europen Society of Surgical Research, Germany. May 2011
17th Annual Conference of Vascular Society of India, Mamallapuram, India. Oct. 2010
Seminar presentation of Clinical Audit “Segregation of Hospital Waste at the point of origin”, QEH, May 2004 N Samuel.
POSTER PRESENTATIONS
The ‘Cocoon’ effect of an omental wrap in maturing gastro-oesophageal anastomosis: Comparative case-series Lap-assisted vs Open Oesophagectomy for Oesophageal cancers. SAGES 2018 Annual Meeting, Seattle, WA. April 2018. N Samuel, M Tsachiridi, J Fletcher, A Tamhankar, CJ Kelty
A systematic review of RCTs evaluating laparoscopic repair of inguinal hernias with self-gripping mesh versus mechanically fixed ‘lightweight’ mesh in the treatment of medium to large sized defects. SAGES 2018 Annual Meeting, Seattle, WA. April 2018. N Samuel, M Tsachiridi, A Gupta, F Mazari, A Durham-Hall, S Balachandra
Comparison of Clinical Effectiveness of Bariatric Surgery for Obesity: Mid-term results from a Single Centre in the UK. 2016 European Obesity Summit. Gothenburg, Sweden. June 2016. N Samuel, P Vasas, A Hussain, J Finney, K Kirk, S Balachandra
Mid-Term Bariatric Surgery outcomes for obese patients: Does weight matter? 2016 European Obesity Summit. Gothenburg, Sweden. June 2016. N Samuel, P Vasas, A Hussain, J Finney, K Kirk, S Balachandra
Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass: A single centre experience with postoperative 2-5 years follow-up. 2016 European Obesity Summit. Gothenburg, Sweden. June 2016. N Samuel, P Vasas, A Hussain, J Finney, K Kirk, S Balachandra
An unusual occurrence of adult sigmoid intussusception due to extraluminal cause: A Case Report and literature review. 51st Congress of European Society of Surgical Research, Prague, Czech Republic. May 2016. N Samuel, A Durham-Hall, R Hutchinson.
Predicting risk factors likely to cause early recurrence following laparoscopic ventral / incisional hernia repair. SAGES 2016 Annual Meeting, Boston, MA. March 2016. N Samuel, FAK Mazari, MH Shiwani
Common Bile Duct perforation by biliary stents post-ERCP: Case-Reports and literature review of management. SAGES 2016 Annual Meeting, Boston, MA. March 2016. N Samuel, A Wheeler, MH Shiwani, A Masri
Laparoscopic management of an accessory/ectopic liver attached to the gallbladder: Case report and literature review. 50Th Congress of European Society of Surgical Research, Liverpool, UK. June 2015. N Samuel, H Shiwani, MH Shiwani
Evaluation of cost-effectiveness of laparoscopic ventral/incisional hernia repair service in a district general hospital. 36th International Congress of European Hernia Society, Edinburgh, 2014. N Samuel, FAK Mazari, V Proctor, K Siddique, MH Shiwani
Gastric cancer metastasis causing unusual perforation of sigmoid. 49Th Congress of European Society of Surgical Research, Budapest. May 2014. N Samuel, T Middleton, K Siddique, L Wheldon, MH Shiwani
An aberrant right accessory hepatic duct as a cause of iatrogenic bile leak. 49Th Congress of European Society of Surgical Research, Budapest. May 2014. N Samuel, V Proctor, FAK Mazari, MH Shiwani
Systematic review of Randomised Clinical Trials evaluating endothermal venous ablation for treatment of venous leg ulcers. 47Th Congress of European Society of Surgical Research, France. June 2012. N Samuel, T Wallace, D Carradice, I Chetter.
Endovenous laser ablation for small saphenous varicose veins: evaluation of outcomes over two year follow-up. ASiT conference Apr 2012, Cardiff, UK. Samuel N, Wallace T, Barnes R, Gohil R, Chetter IC.
Endothermal ablation of superficial venous insufficiency for venous leg ulcers: a systematic review of randomized controlled trials. ASiT conference Apr 2012, Cardiff, UK. Samuel N, Wallace T, Barnes R, Gohil R, Chetter IC.
E-Poster: Duplex ultrasound evaluation of carotid body tumors – a case report. 18th Annual Conference of Vascular Society of India, Mumbai, India. Sep 2011 N Samuel, G Smith, J Bryce, I Chetter.
Endovenous laser therapy in the treatment of small saphenous vein: Does site of access influence early outcomes? Royal Society of Medicine Venous Forum Spring Meeting. London Apr 2011 N Samuel, D Carradice, T Wallace, JA Khan, FAK Mazari, IC Chetter.
Endovenous laser therapy: Evolution of practice in a tertiary vascular unit. ASiT conference Apr 2011, Sheffield, UK. N Samuel, D Carradice, T Wallace, JA Khan, FAK Mazari, IC Chetter.
Tips and tricks: Factors influencing outcomes of EVLT – 17th Annual Conference of Vascular Society of India, Mamallapuram, India. Oct. 2010 N Samuel, D Carradice, JA Khan, IC Chetter.
Identification of factors influencing mortality after open repair of abdominal aortic aneurysm. – 17th Annual Conference of Vascular Society of India, Mamallapuram, India. Oct 2010 JA Khan, FAK Mazari, N Samuel, GE Smith, R Gohil, IC Chetter PT McCollum
Co-authored Abstracts/Presentations.
Influence of pre-operative HbA1c on bariatric patient outcomes: a single institution’s experience. 10th BOMSS Annual Scientific Meeting, Belfast, 2019. N Wei, N Samuel, N Jennings, N Schroeder, P Small, S Balupuri, K Mahawar, W Carr
Introduction and development of Sheffield Hot Laparoscopic Cholecystectomy pathway: improving patient’s journey. British Association of Day Surgery ASM 2018, Sheffield. Q Jalal, N Samuel, F Roberts, A P Tamhankar, A Al-Mukhtar, J Gardner-Thorpe
Acute Laparoscopic Cholecystectomy: Service evaluation in a tertiary referral NHS Hospital, UK. 53rd Congress of European Society of Surgical Research, Madrid, Spain. May 2018. Q Jalal, N Samuel, M Tsachiridi, J Gardner-Thorpe.
‘Hot’ Laparoscopic Cholecystectomy for gallstone pancreatitis: A service evaluation audit. 53rd Congress of European Society of Surgical Research, Madrid, Spain. Q Jalal, N Samuel, M Tsachiridi, J Gardner-Thorpe
The effect of the omental wrap on minimising gastroesophageal anastomotic leak after Ivor Lewis oesophago-gastrectomy. 53rd Congress of European Society of Surgical Research, Madrid, Spain. M Tsachiridi, N Samuel, Q. Jalal, A.P. Tamhankar, C. J. Kelty
The use of Omental Wrap for reinforcement of Gastro-oesophageal anastomosis: 3-Year outcomes. AUGIS 20th Annual Scientific Meeting, Cork, Ireland. M. Tsachiridi, N. Samuel, J. Fletcher, A.P. Tamhankar, C. J. Kelty
Introduction of an Abscess Pathway in a NHS District General Hospital. Results of a service improvement Audit. 50Th Congress of European Society of Surgical Research, Liverpool, UK. June 2015. (Best Poster Prize) R Balakumar, N Samuel, A Jackson, MH Shiwani
Clinical and technical five year outcomes of a randomised clinical trial comparing EVLA vs. Surgery for Varicose Veins. 16th Annual Meeting, European Venous Forum, St. Petersburg, Russia, July 2015. (First Prize Oral Presentation) J El-Sheikha, S Nandhra, D Carradice, T Wallace, N Samuel, I Chetter
Supervised exercise programmes, angioplasty and combined treatment are equally effective long-term treatments for intermittent claudication. 50Th Congress of European Society of Surgical Research, Liverpool, UK. June 2015. F. A. K. Mazari, J. A. Khan, N. Samuel, G. Smith, P.T. McCollum, I. C. Chetter
Barnsley laparoscopic cholecystectomy course – course review. 50Th Congress of European Society of Surgical Research, Liverpool, UK. June 2015. F Jarral, H Harvey, N Samuel, M. Khan, S Anwar, A Masri, M.H. Shiwani
Isolated jejunal perforation following blunt abdominal trauma. A case series and review of literature. 50Th Congress of European Society of Surgical Research, Liverpool, UK. June 2015. A. Jackson, K. Jetha, N Samuel, MH Shiwani, A. Masri
Feasibility study of safety and cost effectiveness of using Johan forceps as endoloop pushers for laparoscopic appendicectomy. 50Th Congress of European Society of Surgical Research, Liverpool, UK. June 2015. K Siddique, K Khan, N Samuel, MH Shiwani, P Sedman, A Fawole.
Surgical weekend handover- Are stickers the answer? 50Th Congress of European Society of Surgical Research, Liverpool, UK. June 2015. V. Proctor, A. Wheeler, N. Samuel, M. Shiwani
The “sunk” colostomy: a novel corrective approach to achieve satisfactory function. 50Th Congress of European Society of Surgical Research, Liverpool, UK. Siddique K, Prud’Homme G, Samuel N, Avil-Griffiths K, Offori T.
Outcomes of Cross-linked Porcine Dermal Collagen Matrix (PermacolTM) use for complex incisional hernias and abdominal wall reconstruction: Practical limitations. 36th International Congress of European Hernia Society, Edinburgh, 2014. K Siddique, N Samuel, K Khan, MH Shiwani, T Offori
Techniques and Complications of Establishing Pneumoperitoneum. 49Th Congress of European Society of Surgical Research, Budapest. May 2014. LW Wheldon, N Samuel, MH Shiwani
Recurrence of varicose veins: 2 year results from a randomised clinical trial of endovenous laser ablation versus surgery. PVSS, Vail, Colorado, USA, Jan 2012 T. Wallace, N. Samuel, D. Carradice, I. Chetter.
How should interventions for superficial venous insufficiency be commissioned? SARS, Nottingham, Jan 2012 T. Wallace, N. Samuel, D. Carradice, I. Chetter.
Endovenous treatment of venous leg ulcers: time for definitive evidence of clinical cost-effectiveness. SARS, Nottingham, Jan 2012 T. Wallace, N. Samuel, D. Carradice, I. Chetter.
Recurrence of varicose veins: 2-year results from a randomised clinical trial of endovenous laser ablation versus surgery. Yorkshire Vascular Forum, Garforth Leeds Oct 2011(2nd Prize) T. Wallace, N. Samuel, D. Carradice, I. Chetter.
Current practices in the management of venous leg ulcers: A survey of the members of the vascular society of Great Britain and Ireland. European Chapter Congress of the International Union of Angiology, Ljubljana, Slovenia, Oct 2011. T. Wallace, N. Samuel, D. Carradice, I. Chetter.
Is the EQ5D appropriate for determining provision of intervention in Superficial Venous Insufficiency? European Chapter Congress of the International Union of Angiology, Ljubljana, Slovenia, Oct 2011. T. Wallace, N. Samuel, D. Carradice, JA Khan, I. Chetter.
Correlation analysis of stair climbing test, anaerobic threshold in cardiopulmonary exercise testing & B-type natriuretic peptide levels in pre-operative evaluation of patients undergoing intervention for Abdominal Aortic Aneurysm (AAA). ESSR, Aachen, Germany, May 2011. Br J Surg 2011; 98(Suppl 5): 24 J. A. Khan, F. A. K.Mazari, N. Samuel, G. Smith, R. Gohil, I. C. Chetter, P. T. McCollum.
Role of Left Ventricular Ejection Fraction (LVEF) in assessment of patients undergoing Abdominal Aortic Aneurysm (AAA) repair. ESSR, Aachen, Germany, May 2011. Br J Surg 2011; 98(Suppl 5): 39-40. J. A. Khan, F. A. K.Mazari, G. Smith, N. Samuel, R.Gohil, I. C. Chetter, P. T. McCollum.
Identification of risk factors affecting perioperative mortality; A case control study of open Abdominal Aortic Aneurysm (AAA) repairs. ESSR, Aachen, Germany, May 2011. Br J Surg 2011; 98(Suppl 5): 40. J. A. Khan, F. A. K.Mazari, G. Smith, N. Samuel, R.Gohil, I. C. Chetter, P. T. McCollum.
Correlation analysis of stair climbing test, anaerobic threshold in cardiopulmonary exercise testing & length of hospital stay in patients undergoing repair of abdominal aortic aneurysm (AAA). ASiT conference Apr 2011, Sheffield, UK. JA Khan, FAK Mazari, N Samuel, GE Smith, R Gohil, IC Chetter, PT McCollum.
A case control study of identification of risk factors affecting peri-operative mortality in patients undergoing open repair of abdominal aortic aneurysm. ASiT conference Apr 2011, Sheffield, UK. JA Khan, FAK Mazari, N Samuel, GE Smith, R Gohil, IC Chetter, PT McCollum.
Role of pre-operative cardiopulmonary exercise testing in evaluation of outcomes in patients undergoing repair of abdominal aortic aneurysm. Accepted ASiT conference Apr 2011, Sheffield, UK. JA Khan, FAK Mazari, GE Smith, N Samuel, R Gohil, IC Chetter, PT McCollum.
Modelling the effect of venous disease upon quality of life. Annual meeting of the Vascular Society. Brighton Nov 2010 (Venous forum Prize) D Carradice, FAK Mazari, N Samuel, AI Mekako, J Hatfield, IC Chetter.
The Association between demographic factors, the location of superficial reflux and the clinical severity of venous disease. American College of Phlebology, 24th Annual Congress, Florida Nov 2010. D Carradice, N Samuel, J Hatfield, I Chetter.
Identification of risk factors affecting perioperative mortality; a case control study of open abdominal aortic aneurysm repairs. Leeds Regional Surgical Club Nov 2010 JA Khan, FAK Mazari, N Samuel, GE Smith, R Gohil, IC Chetter, PT McCollum.
Predicting peri-operative mortality after open abdominal aortic aneurysm (AAA) repair. Yorkshire Vascular Forum, Garforth Leeds Oct 2010 JA Khan, FAK Mazari, N Samuel, GE Smith, R Gohil, IC Chetter, PT McCollum.
NHS AAA screening programme may not detect inflammatory abdominal aortic aneurysms. Yorkshire Vascular Forum, Garforth Leeds Oct 2010 GE Smith, RP Porter, N Samuel, J Khan, IC Chetter.
Supervised exercise improves balance in patients with intermittent claudication. World Congress of Biomechanics, Singapore Aug 2010 K Mockford, F Mazari, J Khan, N Samuel, D Carradice, N Vanicek, I Chetter, P Coughlin
Generic quality of life: selecting the optimal patient reported outcome measures in venous intervention. Bristish Journal of Surgery May 2010; 97(S2): 200 (ASGBI 2010 International surgical conference, Liverpool April 2010) S Bradley, D Carradice, N Samuel, A Mekako, I Chetter.
The association between demographic factors, the location of superficial reflux and the clinical severity of venous disease. Royal Society of Medicine Venous Forum Spring Meeting. London Apr 2010 (3rd Prize) D Carradice, N Samuel, J Hatfield, I Chetter.
Outcome of contra lateral hand after release of one hand in Bilateral Carpal tunnel Syndrome: (BSSH-ISSH, winter meet 2008, Bangalore, India - Poster presentation). Nov 2008. Z Shariff, N Samuel, S Jivan, AJ Platt.
Sentinel Lymph Node Biopsy in Melanoma < 1 mm: Our experience. (Summer BAPRAS Jul 2008 – oral presentation). Z.Shariff, N. Samuel, P.Matteucci, PRW.Stanley
The proportion of correctly suspected skin malignancies under the two-week wait initiative remains unsatisfactory despite continuing education: Results from a prospective audit: (Summer BAPRAS Jul 2008). A.Roshan, Z.Shariff, N.Samuel, AM.Williams, AJ.Platt
COURSES
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Advanced course in revisional bariatric surgery & the management of complex cases, AZ St. Jan, Bruges, Belgium |
Feb 2020 |
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Barnsley laparoscopic cholecystectomy course, BHNHSFT (Faculty) |
Jan 2020 |
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Open Inguinal Hernia Repair Workshop, DRI (Faculty) |
Dec 2019 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
Nov 2019 |
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Sheffield advanced gastrointestinal anastomosis skills (SAGAS) workshop, NGH (Faculty) |
June 2019 |
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Sheffield advanced laparoscopic anastomosis skills (SALAS) workshop, NGH (Faculty) |
May 2019 |
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Anti-reflux surgery, Sleeve Gastrectomy Workshop, Leeds (Faculty) |
May 2019 |
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Upper GI Anastomosis Course, NGH, Sheffield (Faculty) |
Feb 2019 |
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Laparoscopic Inguinal Hernia Repair Workshop, Bassetlaw (Faculty) |
Feb 2019 |
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Open Inguinal Hernia Repair Workshop, DRI (Faculty) |
Oct 2018 |
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Barnsley laparoscopic cholecystectomy course, BHNHSFT (Faculty) |
Sep 2018 |
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Advanced Laparoscopic skills workshop, DRI (Faculty) |
Sep 2018 |
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Abdominal Wall Reconstruction Course, York And Leeds |
Aug 2018 |
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Sheffield advanced gastrointestinal anastomosis skills (SAGAS) workshop, NGH (Faculty) |
July 2018 |
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Ethicon Bariatric Trainee Pathway, Luton |
June 2018 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
June 2018 |
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Ethicon Bariatric Trainee Pathway, New Castle |
May 2018 |
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Ethicon Bariatric Trainee Pathway, Luton |
April 2018 |
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Hepato-pancreatic Biliary Anastomosis Workshop, NGH (Faculty) |
Feb 2018 |
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Upper GI Resection Workshop, NGH (Faculty) |
Nov 2017 |
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Baxter Advanced Surgery Hernia Training Cadaveric Training Course, Bristol |
Nov 2017 |
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Laparoscopic inguinal hernia repair workshop, DRI (Course Facilitator) |
Sep 2017 |
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Single Anastomosis Gastric Bypass, DRI |
July 2017 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
Mar 2017 |
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Advanced Laparoscopic skills workshop, DRI (Faculty) |
Dec 2016 |
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Surgeons in Difficulty, Patients in Difficulty, Leeds |
Nov 2016 |
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Advanced Trauma Life Support, Wakefield |
Sep 2016 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
Aug 2016 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
Jan 2016 |
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7th BOMSS Annual Scientific Meeting Training Day, Cardiff |
Jan 2015 |
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Advanced Laparoscopic skills workshop, DRI |
Dec 2015 |
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8th Laparoscopic inguinal hernia repair workshop, DRI (Course Facilitator) |
Nov 2015 |
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Barnsley laparoscopic cholecystectomy course, BHNHSFT (Course Co-ordinator) |
Oct 2015 |
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Appraisal, Revalidation and building your portfolio, Barnsley Hospital |
Oct 2015 |
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Leadership, management and team-working, BHNHSFT |
Oct 2015 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
Sep 2015 |
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Foundation Course in Gastrointestinal Endoscopy, St George’s, London |
July 2015 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
July 2015 |
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Therapeutic Upper GI Training Day, BHNHSFT |
June 2015 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
May 2015 |
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Doncaster Intermediate Surgical Skills, DRI (Tutor) |
May 2015 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
Feb 2015 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
Jan 2015 |
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Basic Colonoscopy Course, Wolverhampton |
Jan 2015 |
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Barnsley hands-on laparoscopic cholecystectomy course, BHNHSFT (Course Convenor) |
Nov 2014 |
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Sheffield Wound Closure Workshop, NGH (Tutor) |
Sep 2014 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
Sep 2014 |
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Barnsley hands-on laparoscopic cholecystectomy course, BHNHSFT (Course Convenor) |
June 2014 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
June 2014 |
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The Gateway Course, Sheffield University |
June 2014 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
Feb 2014 |
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Doncaster Intermediate Surgical Skills, DRI (Tutor) |
Feb 2014 |
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Barnsley Surgical Skills Course, BHNHSFT (Course Director) |
Feb 2014 |
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Doncaster Laparoscopic Inguinal Hernia Course, DRI |
Nov 2013 |
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Doncaster Intermediate Surgical Skills, DRI (Tutor) |
Sep 2013 |
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Doncaster Open Inguinal Hernia Course, DRI |
Aug 2013 |
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Laparoscopic Inguinal Hernia Course, NGH, Sheffield |
June 2013 |
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The Leicester Laparoscopic Inguinal Hernia Course, Leicester |
May 2013 |
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M62 Coloproctology Course |
March 2013 |
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Yorkshire Intermediate Laparoscopic Skills Course, Bradford Royal Infirmary |
Feb 2013 |
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Advanced Laparoscopic Skills Course, DRI |
Dec 2012 |
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Doncaster Intermediate Surgical Skills, DRI |
Nov 2012 |
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M18 Colorectal Masterclass 2012 |
Nov 2012 |
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Amputation Course, Royal College of Surgeons of England |
Feb 2012 |
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Bowel stapling workshop, Walsall Healthcare NHS Trust, Walsall |
Sep 2011 |
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Vascular access for dialysis, Royal College of Surgeons of England |
Sep 2011 |
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Kidney Transplantation in pigs, University Hospital Aachen, Germany. |
May 2011 |
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Leadership skills for professionals in the new NHS, Sheffield |
Apr 2011 |
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Advanced Life Support, Spire Hospital Manchester |
Feb 2011 |
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Applications, University of Hull, Hull
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2009 - 2010 |
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- Immediate life support course, KCH |
2004 - 2008 |
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TEACHING EXPERIENCE
- Faculty: Doncaster Advanced Surgical Skills Workshop, DRI. 2017-19.
- Faculty: Doncaster Laparoscopic and Open Inguinal Hernia Workshop, DRI 2017-19.
- Faculty: Barnsley hands-on Laparoscopic Cholecystectomy Course, BHNFT, Barnsley. 2014-2020.
- Course Director: Barnsley Suturing Skills Course at BHNFT, Barnsley. 2014-19.
- Faculty: Sheffield advanced gastrointestinal anastomosis skills (SAGAS) workshop. 2018 - 19
- Faculty: Upper GI Anastomosis Course for HST at NGH, Sheffield. 2017 - 19
- Course co-ordinator: Pancreaticobiliary Anastomosis Skills Course for HST at NGH, Sheffield. Feb 2018.
- Faculty: Bowel anastomosis for Core-Surgical Trainees at NGH, Sheffield. Oct 2017.
- Yorkshire and Humber Deanery led Core-surgical trainees teaching on topics such as hernia, post-op complications at NGH, Sheffield. 2016-17.
- Faculty: Doncaster Intermediate Surgical Skills Course, DRI, Doncaster. 2014-15
- Teaching coordinator for surgical departmental teaching for junior doctors at BHNFT, Barnsley. Oct 2013 – Oct 2014
- Teaching coordinator for surgical departmental teaching for junior doctors at NGH, Sheffield. Oct 2012 – March 2013
- Training junior research fellow and student sonographer in Vascular Ultrasound.
- Formal training of dialysis access nurses in the use of ultrasound for venous access.
- Training nurses at the Spire Elland Hospital phlebotomy skills.
- 6 months formal period of teaching: Clinical skills teaching & bedside clinics to the medical students of the Imperial College London at The Hillingdon Hospital, London
- Undergraduate teaching of the medical and nursing students at KIMS, India
MANAGEMENT
- Doctors Rota lead for GI Surgery Department at DRI
- Involved in shortlisting and interview process to recruit Junior Doctors
- Continue to develop and organise clinical courses / workshops for medical students, Foundation year, Core and Higher Surgical Trainees.
- Have been the junior trainees’ representative at Barnsley Hospital (2013-15); Middle-grade Rota scheduler and Clinical Audit Day facilitator.
- Organised educational evening for surgeons and gynaecologists on the safety of establishing pneumoperitoneum. Feb 2014
- Organised MRCS revision courses at Huddersfield Royal Infirmary (twice in 2009) at a regional level
- Organised mock OSCE tests for 3rd year medical students of Imperial College London. 2005.
- Organised several cultural and sports events whilst at medical school. (1996-2001)
IT SKILLS
- Proficient in the use of Windows Operating System & MS Office Tools, PACS and ICS system.
- Able to work with SPSS statistics software to analyse research data; Reference management (Endnote); Advanced literature search strategies using OvidSP Medline, EMBASE & Cochrane database.
ENDOSCOPY
- JAG Certified Diagnostic Upper GI Endoscopy since October 2016
REFEREES
Mr Srinivasan Balachandra
Consultant Upper GI & Bariatric Surgeon
Clinical Director, Surgical services
Clinical Lead for Bariatric Surgery
Doncaster & Bassetlaw NHS Teaching Hospitals
Armthorpe Road, Doncaster, DN2 5LT
Tel. Via Switch 01302 366666
Email: srinivasan.balchandra@nhs.net
Mr Shlokarth Balupuri
Consultant Upper GI and Bariatric Surgeon
Sunderland Royal Hospital
Kayll Road, Sunderland SR4 7TP
Tel. Via Switch 0191 5656256
Email: Shlok.Balupuri@chsft.nhs.uk
Mr Ahmed Masri
Consultant Upper GI and General Surgeon
Clinical Director, Surgical Services
Barnsley Hospital NHSFT
Gawber Road, Barnsley S75 2EP
Tel. Via Switch 01226 432567
Email: A.Masri@nhs.net