In this series the Medspire team interviews doctors about their career, their specialty, the choices they have made and their advice for doctors and medical students. There is some progress there. He was trained in Trent GI programme and completed Liver Transplant training at St. James Hospital Leeds. This post sits within a generic 2 year foundation programme with 5 other clinical placements, balanced to enable acquisition of foundation competences. There are new conditions. We need to ask why we are listening to this response from a large section of the population who are uncomfortable having that conversation with us. People of that mindset tend not to see the world that's going on around them and the detail that they might. I think more has changed in hepatology probably than most other specialities combined. What important lessons have you learned during your career? That pathway of evolution to his books has really intrigued me. Member, European Association for the Study of LiverMember, British Association for the Study of LiverMember, American Association for the Study of Liver Diseases As one of the biggest NHS trusts in the UK, with an annual turnover of almost 1.5 billion, it employs around 16,200 staff. Macken L, Joshi D, Messenger J et al. Do this in a way that you will become associated with something that, in itself, will then mould, promote, and encourage that academic behaviour as part of your working life. It also allows Oncology and Radiotherapy based regimens to treat cancers more effectively. The programmes are based at Guys and St Thomas (GSTT) or Kings College Hospital (KCH) and KCL for 2 years. My first consultant post was in Leeds, in 1992. He lectures frequently in International conferences and a key-note speaker to share his expertise with the world. Dr Curtis was appointed as Consultant Gastroenterologist in 2002. He trained at the University College of Dublin and qualified in 1992. Dr Ed Despott, Consultant Gastroenterologist, Royal Free HospitalDr Nadeem Tehami, Consultant Gastroenterologist, University Hospital Southampton, Dr Phil Harrison, Consultant Hepatologist,Dr Patrick Dubois, Consultant GastroenterologistDr John Devlin, Consultant HepatologistDr Mark Howard, Consultant HistopathologistDr Raj Srirajaskanthan, Consultant GastroenterologistDr Alex Kent, Consultant GastroenterologistDr Mayur Kumar, Consultant GastroenterologistMargaret Burt, Early Colorectal Cancer NurseLaura Pang, Early Colorectal Cancer NurseProf Francesco Rubino, Consultant Upper GI SurgeonDr Vishal C. Patel, Consultant HepatologistDr Guy Chung Faye, Consultant Gastroenterologist. He was awarded his PhD in 2017 from King's College London. Can you tell us about your interest in alcoholic liver disease? It's only considered a dumb question by people who don't understand. The powerful thing about screening that is numerical, or factual, is that it's an ongoing tool that helps intervention and modification of what you see or find. Dr Deepak Joshi graduated from King's College London in 2001 and completed his postgraduate training at the Institute of Liver Studies, King's College Hospital, London. Serendipity is incredibly useful - if you're in the right place at the right time, with the right people, asking the right question. A podcast of this interview is available here: How did you get to where you are today? So there is still a lot of work to be done, but it's been a very dynamic situation. Related Doctors . At present, Dr Joshi is practising at the Guthrie Clinic, a part of King's College Hospital, the Institute of Liver Studies, and the London Liver Centre. We have a specialist interest in the care of patients with acute . Not having humility is a blinding process. Durham, North Carolina, United States 464 followers 466 connections 38 Giltspur Street, London, EC1A 7BS. Dr Mark Hudson is a Consultant Hepatologist Dr Mark Hudson qualified from Aberdeen University in 1992 and trained at King's College Hospital Liver Failure Unit, The Royal Free Hospital and Aberdeen Hospitals, as well as in Newcastle where he was appointed as a Consultant Hepatologist and Gastroenterologist in 1995. It's not as emphatic as in some of the other areas I've mentioned, but it also illustrates what can be achieved in the UK when people come together. There will be lows. He is an . Dr James has been a consultant hepatologist at Nottingham University Hospitals NHS Trust since 2008. Although it confirmed what a lot of people thought, the fact that it was established at a later stage became quite important. ),MRCPI,M MED Sc,MD,USMLE,FRCPI, Liver transplantation Autoimmune liver disease, British Association for the Study of the Liver (BASL)Royal Academy of Medicine of Ireland (RAMI)American Association for the Study of Liver Disease (AASLD)International Liver Transplantation Society (ILTS)American Gastroenterological Association (AGA)European Association for the Study of the Liver, Guthrie ClinicKing's College HospitalNHS Foundation TrustDenmark HillLondon SE5 9RS. academic GUM. I'm going to give you an author - Sebastian Barry. London, United Kingdom. M. Which is quite a different career development pathway to the one of applying for, and being successful in getting a grant working in a very specific area. At Kings, besides general GI diseases, Dr Khan will be doing special clinics for complex liver diseases including Liver Transplant clinic. With my first research experience, the research questions were already formulated by my supervisor, and I conducted the research to that thinking. Every King's patient is under the care of a named Consultant, who will have specialist knowledge of the condition and the latest treatments available. Although this is happening en masse, the issues aren't any different to an individual patient who's on the pathway to understanding what the stressors are in terms of alcohol use. Bespoke endoscopic guided feeding treatments. They did the first liver transplant in the UK in 1968. How did you develop the criteria which help determine which patients are suitable for liver transplantation? You have to understand the complexity of getting that patient in the right mood. So it's going both ways. Essentially he tried, and succeeded in many ways, to create a liver unit within the hospital. What are the biggest changes you have witnessed? They must want to know the information that you're going to provide them. The most recent novel I read by him was based in the US after the civil war, and a lot of the language used is actually the language of a native Indian girl. There weren't that many fixed rules. Please choose an alternative time. TE not performed TE performed TE not performed TE performed 100 50 0 Pa ents, % 100 50 0 t e s (n=351) T t e s (n=245) t e s (n=106) e s (n=106) T s (n=245) ns FHJv9n1-Colwill.indd 43 3/11/22 3:06 PM I was incredibly lucky in that I could be free-thinking, and free-behaving in a new, evolving area. Stoke on Trent. 08/02/2023. North West Anglia NHS Foundation Trust. So because we were in new practice, in a new clinical activity, there was a lot of opportunity to start with that fact-finding approach in groups of patients. That statement came from the perspective of, if you're a scientist and you're looking for evidence of drinking that is either safe or beneficial, you won't get that level of evidence in the community. Ivana Carey Clinical Lecturer in Viral Hepatitis at King's College London . But you may reach a point where you decide that instead of going down the grant-generation academic pathway with a relatively low level of clinical commitment, you want a balanced post. After qualifying in medicine from King's College in 2001, he went on to train in hepatology at the Institute of Liver Studies for five years, where he carried out a PhD researching into predictors of fibrosis in patients following a liver transplant. So anything you can do to bring the patient to the point where they choose to abstain and maintain that abstinence means you've truly saved a life. While the clinical burden of disease associated with HCV could be . Roger Williams Institute of Hepatology, King s College London, and King s College Hospital NHS Foundation . He's an Irish author and obviously that resonates with me. He was a paediatric hepatobiliary surgeon. Ashish Kumar has been working as a Professor and Senior Consultant in Gastroenterology for Sir Ganga Ram Hospital for 2010 days. Daniel Douek KINGS COLLEGE HOSPITAL 2022 CLINICS & MEDICAL CENTREMOH: GPGBMNM3-220322, Consultant Hepatologist, Gastroenterologist & Interventional Endoscopist, FRCP, MRCP[Gastroenterology], MRCGP, FAcadMEd CCT-UK Hepatology, CCT-UK Gastroenterology, Dubai Hills Hospital, Dubai Marina Clinic, Kings Clinical Update in Diabetes, Endocrinology & Obesity, Complex liver disease (including Autoimmune and Transplant Medicine), Pancreatic disorders (Pancreatitis, Pancreatic cyst and cancer), Bile duct related diseases (Stones, IgG4 cholangiopathy and stricture management), Advance endoscopic procedures (ERCP, EUS, Spyglass), Early detection and endoscopic based cancer treatments (including Neuroendocrine Tumours). Ali Al Fazari Consultant Gastroenterologist . CQC. Controversies in the management of PSC. Our NIHR-funded Integrated Academic Training (IAT) Programme at Kings College London allows Academic Clinical Fellows and Clinical Lecturers to develop academic skills at a world-class university while furthering clinical training in partnership with three leading NHS Foundation Trusts: Guys and St Thomas, Kings College Hospital and South London and Maudsley. Check it out on American Association for the Study of Liver Diseases Career Center. Now NAFLD is the new disease, the new challenge. French, General hepatology, liver transplantation. Humility, particularly in clinical practice. Job advert has closed. Approximately 800 patients are treated every year, referred from local, national and international centres. Now, over 80% of people will survive without a transplant. As a profession - and I'll make this statement provocatively, but intentionally - we probably do a significant disservice to the third of the population who choose to drink alcohol regularly. . COVID is creating a fantastic opportunity to start your thinking, writing, and the academic part of your career. Salary: 88,364 - 119,133 pa. Once you get beyond that interaction with Aurelie [the patient] in the consultation, I think it speaks a lot to the things that I was talking about after that consultation. He previously held the position of Medical Director of liver transplantation at Duke University Medical Center, Durham, North Carolina. "The current options to assess and monitor liver fat in NAFLD patients, namely MRI and liver biopsy, can be challenging to integrate into clinical practice. As I was putting it together and writing things down - this was before you had electronic databases - patterns started to emerge. In respect of his untiring commitment to Education and Academic activities, he has been awarded a prestigious fellowship of the Royal Academy of Medical Educators. "HCV therapy aims at a higher level than human immune deficiency (HIV) or hepatitis B (HBV) in that it achieves viral clearance when successful," he says. In terms of what was going through my mind, at the very first step it was really a combination of boredom and curiosity. That was quite a bit of detective work - finding old notes - and I extracted a dataset from those notes of the admission details and episodes, the best or worst and then the ultimate, death, and collected over 1,000 patients. Farooq Khan Consultant Hepatologist, Gastroenterologist & Interventional Endoscopist +971 4 800 7777 ; About King's College Hospital; Find a Doctor; Careers . Alberto Snchez-Fueyo, MD PhD, is Professor of Hepatology, Academic Head of the Institute of Liver Studies at Kings College London, and Honorary Transplant Hepatology Consultant at Kings College Hospital. It's a wonderful career. I love it. One of the most common mistakes we make as a profession is to ask people the number of units that they drink and make judgements on whether that is 12, 16 or 30. After the cloning of CYP7A1 cDNA, we wanted to study the molecular mechanism of bile acid regulation of CYP7A1 gene expression. I had time on my hands. In 1968, one of the first transplants ever to be done was at King's, because the donor was at King's. In the 1980s, nobody knew what NAFLD was. You have to be a gastroenterologist, and then make your mind up. . Ops! I was given 12 hours to think about it and I decided to do it - so I deviated away from the normal early pathway of clinical training. It's a machine which tells you exactly how much fat is in your liver and how much fibrosis, or stiffness and scarring is involved in the liver. A Transplant author - Sebastian Barry new disease, the research questions were formulated. 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