Pediatrician : Resume CV

[Guest-IJT]

CURRICULUM VITAE :

PROFESSIONAL QUALIFICATIONS :
- MBBS Register NO :52982833 DR. M.G.R MEDICAL UNIVERSITY, Chennai, India –Completed during March 2004
- MD Paediatrics Register NO :20073131 DR. M.G.R MEDICAL UNIVERSITY, Chennai, India – Completed during May 2010
- MRCPH Part I- Appearing in June 2011

PREVIOUS EXPERIENCES :
HOSPITAL DATE DESIGNATION DURATION :
- Government Medical College, Coimbatore,INDIA 27-2-2003 To 26-3-2004 Compulsory Rotatory Resident Internship 1 year
- Bethesda Hospital,Coimbatore,INDIA 1-4-2004 To 15-7-2006 Resident medical officer 2 years 31/2 months
- Government Primary Health Centre , Panagudi,INDIA 18-7-2006 To 19-3-2007 Assistant Surgeon 8 months
- Government Medical college,Tirunelveli,INDIA 27-5-2007 To 26-5-2010 MD Paediatrics post graduation period 3 years
- Krishna Paediatric Centre,Tirunelveli,INDIA 1-6-2010 to till date - Consultant Paediatrician and Incharge of Paediatric and Neonatal Intensive care unit 8 months
-Government Medical College, Tirunelveli,INDIA. 30-6-2010 to till date -Assistant Professor 7 months

POSTING DETAILS DURING MD PAEDIATRICS :
POSTINGS TOTAL DURARION :
Neonatal & post natal unit 12 months
General pediatric ward 15 months
Immunization 1 months
Medicine 1 month
Dermatology 1 month
Radiology 1 month
Pediatric surgery 1 month
Other institute training 2months

OTHER INSTITUTE TRAINING PROGRAMMES:
From date To date Institute & Place Details of training
1-11-2008 10-11-2008 Institute of Child Health, CHENNAI Medical Newborn Unit
11-11-2008 20-11-2008 Institute of Child Health, CHENNAI Paediatric Neurology
21-11-2008 30-11-2008 Institute of Child Health, CHENNAI Emergency room &Pediatric Intensive Care Unit
1-12-2008 10-12-2008 Institute of Child Health, CHENNAI Paediatric Cardiology
11-12-2008 20-12-2008 Institute of Child Health, CHENNAI Paediatric Gastroenterology
21-12-2008 31-12-2008 Institute of Child Health, CHENNAI Paediatric Nephrology

PRACTICAL SKILLS :
- Peripheral , central and
Intraosseous lines
- Arterial Blood Gases sampling and Analysis
- Bag and Mask Ventilation
- Endotracheal intubation& Mechanical Ventilation
- Intratracheal Surfactant Administration
- New born Resuscitation
- Neonatal Exchange Transfusion
- Peritoneal dialysis (Paediatric and neonatal)
- Closed Intercostal Drainage tube insertion (Paediatric and neonatal)
- Cardiopulmonary resuscitation, defibrillation
- Ascitic tap
- Pleural tap
- Lumbar puncture
- Intrathecal chemotherapy
- Bone marrow aspiration
- NG tube insertion
- Urethral catheterisation
The following nature of emergencies are being handled by me during my Post
Graduate career .

NATURE OF EMERGENCIES :
- Status Epilepticus
- Status Asthmaticus
- Cyanotic spells
- Diabetic Ketoacidosis
- Acute Laryngotracheobronchitis
- Epiglottitis
- Cardiogenic Shock
- Dengue Shock Syndrome
- Anaphylactic shock
- Hypovolemic Shock
- Septic Shock
- Pulmonary edema
- Pneumothorax
- Empyema Thoracis
- Non Traumatic Coma
- Cardiac Arrhythmias
- Hypertensive Emergencies
- Cardiopulmonary Resuscitation
- Drowning
- Neonatal Resuscitation
- Neonatal Seizures
- Neonatal shock
- Apnea Of Prematurity
- Neonatal hypoglycemia and Hyperglycemia
- Neonatal polycythemia
- Neonatal Primary Pulmonary Hypertension
- Meconium Aspiration Syndrome
- Snake Bite
- Scorpion Sting
- Organophosporus poisoning
- Kerosene poisoning
- Acetaminophen Poisoning
- Tricyclic Antidepressant Poisoning

JOURNAL CLUB DISCUSSIONS :
- Antioxidants in preterm babies
- Arterunate vs. Quinine in cerebral malaria
- Zinc in acute diarrheal disorder
- Management of steroid resistant nephrotic syndrome
- Quinolones in paediatrics
- Serum Lactate level in birth asphyxia
- Low osmolar ORS
- Acute phase reactants
- IAP Guidelines for PEM Management
- IAP Guidelines for Rheumatic fever
- Hypertonic saline nebulization in Bronchiolitis
- Immunogenicity and safety of HEP A Vaccine
- Role of salicylates in Kawasaki
- Non glucose ORS
- Common Drug poisoning

TEACHING ASSIGNMENTS :
My teaching assignments are in the following topics with the guidance of Pediatric Department professors/assistant professors/chief.

TOPIC ASST.PROF/PROFESSORS/CHIEF :
Growth and Development in Infancy -12 yrs Dr.Devikala
Habit Disorders Dr. Krishnamoorthy
Dyslexia Dr.Mathivanan
Failure to thrive Dr.Nagendran
Breast Feeding Dr.Bhaskar
Vitamin Deficiency Disorders Dr.Anandhishree
Congestive Cardiac Failure Dr.Babu Kandhakumar
Hemolytic Anaemia Dr.Venketaswaran
Haematuria Dr.Naresh
Encephalitis/menigitis Dr.Krishnamoorthy
Diagnosis of Allergic disorders Dr.Devikala
Porphyria Dr.Anandhishree
Ankylosing Spondylitis Dr.Babu Kandhakumar
Rapid Antigen Test in Dengue fever Dr.Ravichandran
Vaccine preventable diseases Dr.Mathivanan
Antibiotics Dr.Naresh
PEM Feeding for special category Dr. Krishnamoorthy
Pneumonia Dr.Devikala

EDUCATIONAL COURSES :
Course From Dates :
Integrated Disease Surveillance Project Training Department of Public Health and Preventive Medicine Government of Tamil Nadu, India. 10th to 12th August 2006
Peadiatric Advanced Life Support Indian Academy of Pediatrics 19th &20th July 2008
Neonatal Advanced Life support Indian Academy of Pediatrics 7th August 2008
Pediatric Emergency Medicine Course Indian Society of Critical Care Medicine 8th &9th November 2008

SYMPOSIUM AND SEMINARS PARTICIPATION :
TOPIC ASST.PROF/PROFESSORS/CHIEF :
- Neonatal Sepsis Dr.Venketraman
- Hemorrhagic Fever Dr.Vishwanath
- Protein Energy Malnutrition Dr.Vishwanath
- Cyanotic Heart Diseases Dr.Senthil Kumar
- Refractory Ascites Dr.Bhaskar
- Respiratory Distress Syndrome Dr.Mathivanan
- Acyanotic Congenital Heart Disease Dr.Anandhishree
- Menigitis Dr.Babu Kandhakumar
- Viral Hepatitis Dr.Bhaskar
- Fever of unknown origin Dr.Venketraman
- Neonatal seizures Dr.Vanitha
- Acute Flaccid paralysis Dr.Anandhishree
- Neonatal hyperbilirubinemia Dr.Bhaskar
- Fever with Rashes Dr.Naresh
- Rickets-I Dr.Babu Kandhakumar
- Rickets-II Dr.Vishwanath
- Portal hypertension Dr.Vishwanath
- General Approach to poisoning in children Dr.Bhaskar
The above topics are presented as symposium in the GOVERNMENT
MEDICAL COLLEGE, Tirunelveli, India.

PRESENTATIONS :
- Approach to “Acute flaccid paralysis” -26th July 2007 Tirunelveli Government Medical College.
- An overview on “Fever without focus” - 10th October 2007 Tirunelveli Government Medical College.
- “Inborn error of Metabolism” - Homocystinuria in IAP interesting cases forum December 2007 ,Chennai.
- “Newer Modalities in prenatal diagnosis and Genetic counselling”-Government Institute of child health , Chennai.January 19 2008.
- “Newer Diagnostic modalities in Neonatal Sepsis” -March 15 2008 Tirunelveli Govt Medical College.
- “Approach to Respiratory distress in Newborn” -June 12 2008 Madurai Govt Medical college.
- “An Overview of Hospital Acquired Infections in pediatric and Neonatal Intensive Care Units”- Government Institute of child health , Chennai. September 17 2008.
- “Indications of Vasoactive Drugs in Emergency Department”-January 10 2009, Tirunelveli Government Medical College.
- “An Approach to non traumatic Coma in Children”-Aryaas International Hotel ,Tirunelveli,April 22 2009.
- “An Overview on Post Resuscitation Care”-M.H. Plaza,Tirunelveli,August 24 2009.
- “An Approach to Bleeding Neonate”-December 13 2009- Tirunelveli Government Medical College.

RESEARCH :
Dissertation on Predictive Value of Serial C- Reactive Protein in Diagnosing Neonatal Sepsis in a Tertiary Care Centre, Tirunelveli, India.
The above dissertation is unanimously approved by the INSTITUTIONAL ETHICAL COMMITTEE OF TIRUNELVELI MEDICAL COLLEGE AND HOSPITAL and approved by THE TAMILNADU DR.M.G.R. MEDICAL UNIVERSITY,CHENNAI,INDIA.

SUMMARY OF THE DISSERTATION :
Neonatal sepsis is one of the leading causes of neonatal morbidity and mortality especially in developing countries. It requires rapid and accurate diagnosis as well as treatment for the improved outcome. Serial estimation of CRP has been reported to be useful investigation for the rapid diagnosis of this condition. Thus, this study was conducted in the department of Pediatrics Neonatal Unit, Tirunelveli Medical College Hospital to find out the significance of serial C reactive protein levels in neonatal sepsis.
This study revealed the following findings :
1. In the study population, male neonates are 58 (58%) and neonates are 42 (42%). Overall M : F ratio was 1.38:1.
2. Prevalence of late onset sepsis was higher 59(59%) in comparison to the early onset sepsis 41(41%).
3. Number of probable cases were 51 (51%), proven sepsis 20 (20%) and clinical sepsis 29 (29%). The number of probable sepsis being more than that of proven sepsis.
4. Klebsiella was the most commonly isolated organism (35%) followed by Escherichia coli (25%) in the culture of blood.
5. CRP measurement was positive in 66 (66%) cases; with CRP 1 being positive in 27cases, CRP 2 positive in 55 cases(55%) and CRP 3 positive in remaining 11 cases which had normal CRP 2 measurement.
6. Lethargy (80%) and Refusal to feed (74%) were the two most common symptoms among the neonates and both of them showed significant correlation with raised CRP value, (P<0.05).
7. Among the 20 cases with positive culture, CRP 1 was positive in 5cases, CRP 2 in 16 cases with no statistical significance, (p>0.05) but on serial CRP measurement, positive CRP 3 level was seen in 18 cases showing significant statistical correlation, (p<0.05).
8. Positive CRP 1 in 5(7.5%) cases of proven sepsis and 22(33.3%) cases of probable sepsis with no significant correlation (p>0.05). positive CRP 2 in 16(24.2%) cases of proven sepsis and 31(46.9%) cases of probable sepsis with significant correlation (p<0.05).While CRP 2 and 3 measurement was positive in 18(27.2%) cases of proven sepsis and 39(59%) cases of probable sepsis with highly significant correlation (P<0.05).
9. The serial CRP measurement showed higher sensitivity and negative predictive value compared to early CRP (CRP 1) alone, in both early as well as late proven and probable sepsis.
CONCLUSIONS AND RECOMMENDATIONS

Following recommendations can be made from our study :
1) Serial measurement of CRP should be used for the diagnostic evaluation of the neonates with suspected sepsis as it is a very good screening test for the early detection of sepsis.
2) Serial negative measurement of CRP could almost exclude the presence of infection in the neonate and can guide in deciding the duration of antibiotics.
3) Sample size being small in this study, further studies are needed on a large scale to find out the association of CRP level with the neonatal sepsis.
4) Since Role of CRP in guiding antibiotic therapy is outside the scope of our study, a prospective study should be carried out to detect the role of CRP measurement in deciding the duration of antibiotic therapy in neonatal sepsis.

WORKSHOPS & SEMINARS :
- “ Asthma Training Module” workshop by Indian Academy of Pediatrics,
India held on July 15th 2007 at Tirunelveli, India.
- “ Detection and Management of Child Abuse” Interdisciplinary seminar by
UNICEF held on October 24th 2007 at Tirunelveli Medical College,India.
- “CME on Diabetes Mellitus” conducted by Department of Medicine, Tirunelveli Medical College, India . Held on 19th January 2008.
- 33rd Annual State Conference of Indian Academy of Pediatrics and the
CME held from 8th to 10th August 2008 at Madurai,India.
- 8th Neuropedicon 2008 National conference, held at Kovalam, India on 30th & 31st August 2008.
- 1st Annual meeting of Paediatric Nephrology Chapter ,IAP,held at
Thiruvananthapuram ,India on 21st September 2008.
- “ECG Made Easy”held at Government Medical College,Kanyakumari,India
organized by API Kanyakumari Chapter held on 19th September 2009.
- “Pediatric Emergency Medicine 2011” provided by National Assembly on
Pediatric Emergency Medicine held on 29th &30th January 2011 at
Chennai,India.

SOCIAL & FIELD WORK :
- 3 months medical camp conducted by the Department of social and preventive medicine, Government Medical College, Coimbatore in remote areas of Coimbatore.
- Participated in pulse polio immunization campaign through Government Primary Health Centre, Tirunelveli, INDIA.
- Participated in Government’s disease prevention program “VARUMMUN KAAPOUM” in remote and rural areas through Government Medical College Hospital, Tirunelveli.
- Free Medical camps in remote areas through various organizations, social clubs and by self arrangements.
- 3 months medical camp conducted by the Department of social and preventive medicine, Government Medical College, Coimbatore in remote areas of Coimbatore.

COMPUTER ERUDITION :
Computer literate in accordance with the relevant professional use.

HOBBIES :
Leisure time : Exercise, Music, photography and Reading.

CAREER AMBITIONS& OBJECTIVES :
I always had an aim and ambition to pursue a career in the field of Neonatology. I have thoroughly enjoyed the subject as a student and also during my clinical attachments. My object is to improve skills and knowledge not only to obtain a remarkable career in future but also to have experience in educating and helping about the health issues of neonates to their parents. I plan to obtain higher Qualifications (MRCPH) from the Royal College of Pediatrics.