Clinical Practice
I am currently Consultant Physician and Honorary Senior Lecturer in Diabetes and Endocrinology at the Royal Free Hampstead NHS Trust in London. I have the following weekly committments: 1. A thyroid clinic including a monthly multidisciplinary thyroid cancer clinic together with colleagues in Nuclear Medicine, Surgery, Cytology and Radiology and twice monthly Thyroid Multidisciplinary meeting. Current Chair of Thyroid Tumour Sub-Group of Head and Neck Tumour Board of North Central London; 2. General endocrine clinic including pituitary disorders and reproductive endocrinology; 3. General diabetes clinic including patients with type 1 and complex type 2 diabetes; 4. Joint Diabetes-Renal Clinic to manage patients with diabetes who have had renal transplants; those on haemodialysis and peritoneal dialysis and also those with low clearance; 5. Multidisciplinary ward round and supervision of patients admitted to the Royal Free Hospital with diabetes; 6. Since 2001 I have had responsibility for primary care liaison in diabetes in Camden. A regular GP teaching programme now exists with guidelines for the management of diabetes and an email support system. I lead a Consultant-led clinic in the community to provide safe discharge of stable patients from the hospital clinic and an assessment of new referrals in conjunction with a community multidisciplinary team at the Crowndale Centre in Camden. http://royalfree.org.uk/default.aspx?top_nav_id=1&sel_left_nav=25&tab_id=393 I lead a six-monthly Adolescent Thyroid Clinic at the Middlesex Hospital with Prof Mehul Dattani which receives tertiary referrals for management of children with thyroid disease. From 1997 until April 2007 I was a member of the Combined Pituitary Clinic with Consultant Neurosurgeon Mr M Powell at the National Hospital. I was Clinical Director for Medical Specialties (Endocrinology, HIV/ID, Haemophilia, Amyloid, Rheumatology, Dermatology, Immunology) including Out-Patient Services from January 2005 to April 2006. I was Chair of the Trust's European Working Time Directive Service, Training and Care Committee from March 2004 to August 2007 which implemented the development of a generic night-team within Medicine and Surgery led by a Nurse Coordinator. I have served on the Drugs and Therapeutics Committee since January 2007. CLINICAL GUIDELINESI have participated in the development of following clinical guidelines: Vanderpump MPJ, Ahlquist JAO, Franklyn JA & Clayton RN on behalf of a Working Group of the Research Unit of the Royal College of Physicians and the Endocrinology and Diabetes Committee of the College and Society for Endocrinology (1996). Development of Consensus for Good Practice and Audit Measures in the Management of Hypothyroidism and Hyperthyroidism. British Medical Journal, 313, 539-544. http://www.bmj.com/cgi/content/full/313/7056/539 Vanderpump MPJ. Epidemiology of Subclinical Thyroid Disease: Expert Advisor for Consensus Development Conference on Subclinical Thyroid Disease, The Endocrine Society, Washington, September 2002 UK Guidelines for the Use of Thyroid Function Tests. The Association of Clinical Biochemistry, British Thyroid Association and the British Thyroid Foundation 2006. http://www.british-thyroid-ssociation.org/TFT_guideline_final_version_July_2006.pdf and http://www.acb.org.uk/docs/TFTguidelinefinal.pdf UK guidelines for the management of pituitary apoplexy. Member of Pituitary Apoplexy Guidelines Development Group, April 2010.
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