Nigel Mendoza - Consultant Neurosurgeon Images
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Mr Nigel D Mendoza MBBS FRCS FRCS (SURG.NEUROL)
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Nigel Mendoza
 
. . .
 

Neurosurgical Experience

Education:

1968-1972  
Belmont Preparatory School (Mill Hill Village, London)
1972-1978
Mill Hill School (Mill Hill Village, London)  
1978-1983
Charing Cross Hospital Medical School (Hammersmith, London)

Degrees and Diplomas:

1983    
M.B.B.S. 
1987
F.R.C.S.
1993  
F.R.C.S in SURGICAL NEUROLOGY                        
1994 
CERTIFICATE OF ACCREDITATION                 

Academic Awards:

Undergraduate:

1983 The Swinford Edwards Prize in Surgery
1983 Certificate of Merit in Medicine

Memberships:

  • Society of British Neurological Surgeons
  • British Cervical Spine Society
  • British Medical Association
  • Royal Society Of Medicine
  • British Skull Base Society
  • European Skull Base Society
  • Medical Society of London


Current Appointments:

August 1995 - present
Consultant Neurosurgeon
Charing Cross Hospital
(Hammersmith, London)
April 2001 - present
Honorary Clinical Senior Lecturer
Imperial College
(Department of Neuroscience) 

 

Previous Appointments:

August 1983 – October 1983   House Surgeon in Orthopaedic Surgery
Charing Cross Hospital
Mr A J Hall
November 1983 – January 1984 House Surgeon in General Surgery
Charing Cross Hospital
Mr. J I Burn
February 1984 – July 1984  House Physician in General Medicine and Oncology
Torbay District Hospital
Dr I McGill
August 1984 – January 1985
Senior House Officer in Accident and Emergency
Central Middlesex Hospital
Mr S Tachakra
March 1985 – March 1987 

Senior House Officer:  Surgical Rotation
Northwick Park Hospital
Accident and Emergency
Mr.T.Welch

Orthopaedic Surgery
Mr. C.J.MCCulloch

General Surgery
Mr.A.Cox

Urology and General Surgery
Mr.D.Mee
Mr.M.Burke

May 1987 – January 1988 Senior House Officer in Neurosurgery
Charing Cross Hospital
Mr R Illingworth
Mr J M Rice Edwards
Mr P Richards 
February 1988 – February 1989 Registrar in General Surgery and Orthopaedic Surgery
Mount Vernon Hospital
Mr J Sales
Mr P Mitchenere
Mr J Bradley
Mr B Phillips
Mr D John
Mr Esah
March 1989 – April 1991

Registrar Rotation in Neurosurgery
Charing Cross Hospital
Mr R Illingworth
Mr. J M Rice Edwards
Mr P Richards

Royal Free Hospital
Mr R Maurice-Williams
Mr R Bradford
Mr C Schieff

May 1991 – January 1992 Clinical Lecturer in Neurosurgery
Gough-Cooper Department of Neurological Surgery
Institute of Neurology
Professor L Symon
February 1992 – January 1993 Senior Registrar in Neurosurgery
Charing Cross Hospital
Mr R Illingworth
Mr J M Rice Edwards
Mr P Richards
February 1993 – January 1994 Senior Registrar in Neurosurgery
The National Hospital for Neurology and Neurosurgery
Professor L Symon
Professor D Thomas
February 1994 – March 1994 Senior Registrar in Neurosurgery
Great Ormond Street Hospital
Mr R Hayward
Mr W Harkness
April 1994 – January 1995  Senior Registrar in Neurosurgery
The National Hospital for Neurology and Neurosurgery
Mr A Crockard
Mr M Powell
February 1995 – June 1995 Senior Registrar in Neurosurgery
Charing Cross Hospital
Mr R Illingworth
Mr J M Rice Edwards
Mr P Richards

Teaching Experience:

Postgraduate Diploma in Neurology
The National Hospital for Neurology and Neurosurgery

Clinical Surgery in General
The Royal College of Surgeons of England  

Surgeons in Training Education Program
The Royal College of Surgeons of England

Demonstrator: Workshop on Cervical Spine Fixation   
British Cervical Spine Society

Neurological Intensive Care Nursing Course
The National Hospital for Neurology and Neurosurgery

S.H.O Induction Course in A&E      
Ealing Hospital and Central Middlesex Hospital

                                                                                                                       

Undergraduate Teaching:

Lecturer North Thames Neurosurgical Teaching Programme
The National Hospital for Neurology & Neurosurgery (1997, 1998 & 1999)  

Musculoskeletal Course
Charing Cross Hospital ( November 1999 & November 2000)

BSc Project Supervisor                                             
Imperial College School of Medicine 2002

Clinical Neuroscience Induction Course
Charing Cross Hospital (October 2002)

 

Postgraduate Teaching:

Surgical Workshop and Prosection                                                  
Royal College of Surgeons of England
Faculty Member
(1998, 1999, 2000, 2001 & 2002)

Hospital Medical Staff                                                                                 
West Middlesex Hospital
Wexham Park Hospital

General Practitioners                                                                                   
Princess Margaret Hospital

Lecturer: Accident and Emergency SHO Induction Course                      
Central Middlesex Hospital

North West Thames Regional Training for Orthoptists     
Charing Cross Hospital
(January 2000)

Imperial Spine 2000 Course                                                             
Hammersmith Hospital

Lecturer: Imperial College FRCS Course                                      
Hammersmith Hospital

Regional ENT training programme                          
Chelsea and Westminster Hospital
(December 2000)

GP Update Day                                                                     
Wexham Park Hospital
(January 2001)

Pituitary Foundation                                                 
Royal Surrey County Hospital
(March 2001)

Orthopaedic Core Curriculum                                                          
Charing Cross Hospital
(6th June 2001)

The Surgical Sixty Meeting - Acoustic Neuroma               
Charing Cross Hospital
(May 2001)

Gordon Holmes Study Day                                                  
Charing Cross Hospital
(December 2001)

Windsor Othopaedic Lecture Day                                       
Wellington College
(January 2002)

Pain and Nociception Group (PANG)                                  
Charing Cross Hospital
(14th May 2002)

Skull Base Group Meeting - ( TGN + MVD )                                
National Hospital for Neurology & Neurosurgery
(June 2002) 

Red Cross Surgical Meeting                                                
Chelsea & Westminster Hospital
(October 2002)

Faculty Member: Approaches to Skull Base: 6                              
Royal College of Surgeons of England
(8th November 2002)

Calman SpR Training (Endocrine)                                       
Charing Cross Hospital
(25th September 2003)

Temporal Bone Dissection Course (Management of Acoustic Neuroma)
St Mary’s Hospital
(14th October 2003)

Facial Pain Symposium                                                                     
Royal College of Surgeons     
(18 October 2003)

Imperial Spine 2001 Course                                                 
Hammersmith Hospital
(24th October 2003)

Windsor Othopaedic Lecture Day                                                   
Wellington College
2003

Windsor Orthopaedic Lecture Day                                                  
Wellington College
2004

Imperial Spine 2003 Course                                                             
Hammersmith Hospital

Imperial Spine 2004 Course                                                             
Hammersmith Hospital

Calman Training Day (Medical) – Post Fossa Haematoma
Charing Cross Hospital
(27th October 2004)

Temporal Bone Dissection Course (Management of Acoustic Neuroma)
St Mary’s Hospital
(17th November 2004) 

Windsor Orthopaedic Lecture Day                                      
Reading Football Club
(22nd November 2004)

Imperial Spine 2005 Course                                                             
Hammersmith Hospital

BUPA: Spine Surgery
(January 2005)

Consultant Orthodontist Group Symposium                                    
Royal College of Physicians

Imperial Spine Course 2006                                                             
Hammersmith Hospital   

Trigeminal Neuralgia 
(February 2006)

Intracranial and Spinal Anatomy for Neurosurgeons - Arachnoid Cisterns 
Royal College of Surgeons
(February 2006) 

Endocrine Symposium (Pituitary Tumour Surgery)            
Hammersmith Hospital
(December 2006)

Research Experience:

May 1991 – January 1992 Clinical Lecturer in Neurosurgery
The Gough-Cooper Department of Neurological Surgery Institute of Neurology, Queen Square, London Professor L Symon

During this period I was involved with both the clinical and research applications of neuromonitoring in relation to preoperative assessment and intraoperative monitoring of patients.

Specific work undertaken encompassed:

  • Transcranial magnetic stimulation for the preoperative assessment of the central motor conduction time and motor evoked potential in patients with spinal pathology.
  • Transcranial electrical stimulation for the intraoperative monitoring of spinal surgery.  
  • Intraoperative assessment of somatosensory evoked potentials in the treatment of middle cerebral artery aneurysms.
  • Intraoperative assessment of facial nerve function for acoustic neuromas and other lesions of the cerebello-pontine angle.

Specialist Courses:

November 1988  Advanced Trauma Life Support Course
Royal Free Hospital
September 1992  International Cranio-Cervical “Hands On” Workshop
University College, London
April 1994 International Cavernous Sinus and Cerebello-pontine angle: "Hands On" Workshop
University College, London
April 1994  Midas Rex "Hands On" Workshop
University College, London
February 1995 European Neuroendoscopy Workshop
University of Nottingham
April 1995 S.W.A.P: Approaches to the thoracolumbar spine.   
Royal College of Surgeons, London
January 2000 Interview skills and equal opportunities training course.
Imperial College of Science, Technology and Medicine         
May 2000 Millenium Masterclass: Thoracic Spine: advances in treatment
Royal College of Surgeons, London
February 2002  IDET Course: De Puy Acromed: Basel, Switzerland
August 2002 Gamma Knife Stereotactic Radiosurgery Training Course
London (16th August 2002)      
October 2002  Spinal Injury Repair Workshop: Institute of Neurology
December 2004 International Microneurosurgical Skull Base Dissection Course
Palm Beach, Florida, United States of America

Neurosurgical Experience:

Since March 1989 I have participated in, and completed a recognised training programme at both registrar and senior registrar grade in Neurosurgery which has allowed me to obtain the Fellowship in Surgical Neurology conducted by the Intercollegiate Speciality Assessment Board on behalf of the Royal Colleges of Surgeons and the Certificate of Accreditation.


In addition to these aspects of training I have been involved with the day to day organisation of Neurosurgical units including the management of waiting lists, junior staff rotas, clinical meetings and medical audit. I have presented tutorials on the principles of general surgery and neurosurgery to medical students, medical and nursing staff on a regular basis. I have also attended meetings of the Society of British Neurological Surgeons, the British Cervical Spine Society, and the Senior Registrars' Travelling Club.

I have gained a wide experience of operative neurosurgical procedures in addition to which I have also been trained and taught by Neurosurgeons who have an interest in particular aspects of neurosurgery. This has included:

  • Surgery of the posterior fossa and skull base: I have seen different approaches to this area including a transphenoidal approach, the combined infra- and supratentorial approach, subtemporal approach and the extreme far lateral approach as well as the standard retrosigmoid craniectomy with exposure of the sigmoid sinus. The pathology treated has included acoustic neuromas, meningiomas, glomus tumours, chordomas and pituitary tumours.

  • Complex spinal surgery including transoral procedures and lesions of the cranio-cervical junction: I have experience of both anterior and posterior approaches to the vertebral column and different forms of spinal fixation for the treatment of congenital disorders such as Down's syndrome and osteogenesis imperfecta, and acquired disorders most commonly due to rheumatoid arthritis, cervical spondylosis and malignancy.
  • Aneurysm surgery: I have seen the treatment of both anterior and posterior circulation aneurysms including giant aneurysms using hypothermia and cardiac arrest as well as routine general anaesthesia.

  • Stereotaxy: I have performed tumour resection and biopsy using both the Leksell and CRW stereotactic frames and frameless stereotaxy.

I now have 11 years experience as an NHS Consultant Neurosurgeon working at the West London Neurosciences Unit at Charing Cross Hospital. I was Chief of Service for the previous 5 years. I have continued to consolidate my clinical practice developing specialist areas of surgical interest taking an active part in continuous personal development and continuing medical education. My particular areas of interest include spinal surgery, trigeminal neuralgia, pituitary tumours and skull base surgery.

Operative Experience:

(In training up to March 1995)

Burr Holes:

Operation
Personal
As Assistant
Consultant Assisted
Chronic Subdural

74

3

6

Tumour Biopsy

36

5

4

External Ventricular Drain

38

5

2

 

Craniotomy:

Operation

Personal

As Assistant

Consultant Assisted

Extra/Subdural Haematoma

75

9

1

Malignant Tumours

71

49

7

Meningiomas

23

22

2

Aneurysms

53

71

12

Haematoma

26

5

3

Abscess/ Empyema

16

5

0

 

Posterior Fossa:

Operation

Personal

As Assistant

Consultant Assisted

Benign Tumour

10

43

4

Malignant Tumour

15

9

5

 

Midline Tumours:

Operation

Personal

As Assistant

Consultant Assisted

Transphenoidal

10

16

4

Other

8

10

1

 

Hydrocephalus:

Operation

Personal

As Assistant

Consultant Assisted

Infants

27

5

3

Adults

97

14

2

 

Spinal Surgery:

Operation

Personal

As Assistant

Consultant Assisted

Cervical Spondylosis

85

22

4

Lumbar Surgery

76

69

20

Trauma / Fixation

28

16

6

AVM

2

8

1

 

Tumours:

Operation

Personal

As Assistant

Consultant Assisted

Extradural

22

24

2

Intradural

14

20

2

Transoral Procedure

5

10

3

 

Stereotaxy:

Operation

Personal

As Assistant

Consultant Assisted

Biopsy

36

14

4

 

Peripheral Nerve:

Operation

Personal

As Assistant

Consultant Assisted

CTD/ Ulnar Nerve

39

0

0

Cervical Rib

6

1

1

 

Publications:

Chapters:

Mendoza N.D, Bradford R, Middleton F. Spinal Injury. In: Neurological Rehabilitation.
Chapter 47: 545-560; Ed. Greenwood R.J, Barnes M.P, MCMillan T.M, Ward C.D. Churchill Livingstone, Edinburgh. 1993.

 

Mendoza N.D, Harkness W. The Spine: The Vertebral Column and Spinal Cord. In: Bailey and Love's Short Practice Of Surgery. Chapter 26:354-373; 22nd  Edition. Ed. Mann C.V, Russell R.C.G,Williams N. Chapman and Hall Medical, London.1995.

 

Mendoza N.D, Crockard H.A. Anterior Transoral Procedures. In: An Atlas of Surgery of the Spine. Chapter 3: 55 - 69 Ed. An H.S, Riley L  Martin Dunitz, London. 1998

 

Papers:

Beware the prolapsed disc. Mendoza N.D, Leherman O, Bradford R. British Journal of Hospital Medicine 1991: 46; 52.

 

Recurrent Craniopharyngioma in the posterior fossa. Tomita S, Mendoza N.D, Symon L. British Journal of Neurosurgery 1992: 6; 587-590.

 

Spontaneous Spinal Epidural Haematoma: A cautionary tale. Mendoza N.D, Lord G.M. Archives of Emergency Medicine 1993:10; 339-342.

 

Isolated Cervical nerve root injury successfully treated by operative decompression. Kitchen N, Mendoza N.D, Bradford R. Injury 1993: 24; 341-342.

 

An unusual complication of  glomus jugulare tumour resection: a case report and review of the literature. Vowles R, Mendoza N.D, Cheeseman A, Symon L. Journal of Laryngology and Otology 194: 108; 776-778. 

 

Glomus Jugulare Tumours: a review of 61 cases. Watkins L, Mendoza N.D, Cheeseman A.D, Symon L.  Acta Neurochirugica 1994: 130; 66-70.

 

Trigeminal neuralgia treated by microvascular decompression: A long term follow-up study. Mendoza N.D, Illingworth R. British Journal of Neurosurgery 1995: 9; 13-19.

 

Posterior fossa arteriovenous malformations: Long term follow up and review of the literature. Tacconi L, Mendoza N.D, Symon L.  British Journal of Nuerosurgery 1995: 9; 721-732.

 

Dysphagia and deformity following after odontoid fracture in the elderly. Ishaque M, Mendoza N.D, Crockard. Journal of Accident  and Emergency Medicine. 1995: 12; 293-295

 

Magnetic resonance imaging – compatible posterior cervical implant for occiptocervical stabilization.  Crockard H.A, Tammam A, Mendoza N.D. Journal of Neurosurgery 1998: 89; 852 – 856.

 

Motor evoked potential monitoring during spinal surgery: responses of distal limb muscles to transcranial cortical stimulation with pulse trains.  Jones S J, Harrison R, Koh K, Mendoza N, Crockard A.  Electroencephalography and clinical neurophysiology.  1996: 100; 375-383.

 

Late relapse of metastatic teratoma invading a vertebral body: a combined surgical approach. Elkabir J, Christmas T, Ellamushi H, Mendoza N. British Journal of Urology. 1997: 79; 999 - 1000.

 

Trigeminal neuralgia.  Stacey R, Mendoza N.  Neurology and Neurosurgery.  1997: 13; 87 - 90.

 

Loss of chromosome 10 is an independent prognostic factor in high – grade gliomas.. Balesaria S, Brock C, Bower M, Clark J, Nicholson SK, Lewis P, de Sanctis S, Evans H, Peterson D, Mendoza N, Glaser MG, Newlands ES, Fisher RA.

British Journal of Cancer. 1999 : 81 (8); 1371 – 1377

 

Pneumatic drill through the foramen magnum . McEvoy AW, Mendoza N. Journal of Neurol Neurosurg Psychiatry. 1998 65 (4); 511

 

Primary Non-Hodgkin's Lymphoma of the Cranial Vault Presenting with Unilateral Proptosis. Pardhanani K, Ashkan K, Mendoza N, Acta Neurochirugica 2000 142: 597 - 598

 

Cortisol Binding Globulin is important in the interpretation of the hypothalamic - pituitary - adrenal axis . Dhillo W, Kong W, Zadem J, Carter G, Mendoza N, Meeran K, O’Shea D .  European Journal of Endocrinology 2002 146: 231 - 235


Collecting Duct Carcinoma of the Renal Medulla Presenting with paraplegia. Ockrim J, Rees H, Mendoza N, Christmas T.(In preperation)

 

Case report re Dysphagia and Cervico - medullary meningioma : BMJ ( Minerva ) April 2002


Expression, Subcellular localisation and phosphorylation statu of annexins 1 and 5 in Human pituitary adenomas and a growth hormone secreting carcinoma : Mulla A,  Solito E, Mendoza N, Morris J, Christian H, Buckingham J. Submitted for publication : Journal of Clinical Endocrinology

 

The operative learning curve for Vestibular Schwannoma Surgery via the Retrosigmoid approach :  Elsmore A, Mendoza N. British Journal of Neurosurgery 2002 ; 16: 448 – 455

 

Measurement of pulse pressure profiles in patients with Trigeminal Neuralgia : Turner C.L, Mendoza N , Illingworth R, Kirkpatrick P. Journal of Neurology, Neurosurgery and Pyschiatry. 2003 ; 74 : 533 0 535.

 

Posterior Fossa Meningioma presenting as hypnic headache. Peatfield R, Mendoza N.  Headache. 2003; 43 : 1007 – 1008.

 

Haemangioblastoma : a rare cause of a cerebellar mass in the elderly. Gnanalingham K, Apostolopoulos V, Chopra I, Mendoza N, Peterson D.  British Journal of Neurosurgery . 2003 ; 17 : 461 - 464

 

The time course of visual field recovery following transphenoidal surgery for pituitary adenomas: predictive factors for a good outcome.
Kanna K Gnanalingham, Sumon Bhattacharjee, Richard Pennington, James Ng, and Nigel Mendoza

 

Journal of Neurology, Neurosurgery and Psychiatry 2005; 76: 415 - 419
Back pain and disability following lumbar laminectomy – Is there a relationship to muscle retraction? Gorav Datta, Kanna K Gnanalingham, David Peterson, Nigel Mendoza , Kevin O’Neill, James Van Dellen, Alison McGregor, Sean PF Hughes Neurosurgery 2004 : 54 : 1413 – 1420

 

Intradural metastatic spinal cord compression from ACTH – secreting Pituitary Carcinoma. Case report and review of literature. Tysome J, Gnanalinghma KK, Chopra I, Mendoza N. Acta Neurochirugica ( in press ) 2004
Morganstein, D, Mendoza, N, Strickland, N, Meeran, K
Low TSH in a patient with primary hypothyroidism
J R Soc Med 2005 98: 417-418

 

Abstracts & Letters:

Management of patients with head injuries. Schieff C, Bradford R, Mendoza N.D. British Medical Journal 1990: 300; 1195.

 

Management of thoracolumbar spinal trauma with incomplete neurological injury. Mendoza N.D, Bradford R, Lehousky J. Journal of Neurology, Neurosurgery and Pyschiatry 1992: 55;82.

 

Manipulative therapy and physiotherapy for persistant back and neck complaints. Lehermann O.J, Mendoza N.D. British Medical Journal 1992: 304; 1309

Trigeminal neuralgia treated by microvascular decompression: A long term follow-up study.
Mendoza N.D, Illingworth R. Journal of Neurology, Neurosurgery and Psychiatry 1993: 56; 82

 

Pituitary Surgery for Cushing’s should be carried out by a specialised neurosurgeon. Collier K, Mendoza N, Barakat M, Todd J, Meeran K. Endocrine abstracts ( 2002 ) 4 : 49

 

Presentations:

Management of thoracolumbar trauma with incomplete neurological injury. Society of British Neurological Surgeons. London, April 1991.

 

Trigeminal neuralgia treated by microvascular decompression: A long term follow-up study. Society  of British Neurological Surgeons. Hull, September 1992.


Intracranial complications of chronic otitis media. Royal Society of Medicine. London, December 1993.


Postoperative MRI  in patients with titanium frame fixation. British Cervical Spine Society. Birmingham, November 1994.


Extended vertebrectomy and reconstruction for treatment of teratoma.  Royal Society of Medicine, London, June 1996.


Intraoperative MEP to transcranial electrical stimuli.  6th International Symposium on Spinal Cord Monitoring.  New York, USA.  May 1995.


Arteriovenous malformations of the posterior fossa: A report on 28 cases. 10th  European Congress of Neurosurgery. Berlin, May 1995.


Facial nerve preservation and function following surgery for Acoustic neuroma. Society of British Neurological Surgeons. Hanover, September 1996.


Facial nerve preservation and function following surgery for Acoustic neuroma.  3rd European Skull Base Congress.  London, April 1997.


Reconstruction of the skull base.  3rd European Skull Base Congress.  London, April 1997.

 

Neurocystosarcosis presenting in the United Kingdom: Management of a single enhancing lesion causing epilepsy.  Society of British Neurological Surgeons, Cambridge, April 1997.

 

Facial nerve preservation and function following surgery for Acoustic Neuroma . Society of British Neurological Surgeons, Glasgow , April 2000.

 

Solitary infraorbital schwannoma arising from the supraorbital nerve. World Federation of Neurosurgeons, Australia, September 2001

 

Percutaneous retrogasserian glycerol rhizotomy for TGN. The experience of one surgeon. SBNS Middlesborough Sep 2002
Determining the causes of delayed surgical intervention for sciatica.  SBNS Middlesborough Sep 2002

 

Returning summaries of emergency referrals improves accountability. SBNS Middlesborough Sep 2002

 

Quantative assesment of the time course of visual recovery following trasphenoidal surgery for pituitary adenomas : British Skull Base Meeting : London Dec 2002           

 

Quantative assesment of the time course of visual recovery following trasphenoidal surgery for pituitary adenomas :
European Skull Base meeting : Barcelona  March 2003

 

Pituitary case presentations : Clinicopathological conference on Pituitary disease : RCP London Feb 2004

 

Long term outcome following Microvascular decompression for Trigeminal Neuralgia : SBNS Manchester September 2004

 

Pituitary case presentations : Clinicopathological conference on Pituitary disease : RCP London Feb 2005

 

Pituitary case presentations : Clinicopathological conference on Pituitary disease : RCP London Feb 2006

Imperial College Medical School :

Interview panel member for prospective medical students.

Examiner : Final MBBS 
(June 1999)

OSCE Examiner: 
(11 July 2001)

Supervisor for BSc Project
2002 

An audit of the diagnosis, treatment and surgical outcome of patients with pituitary tumours : Kathleen Collier

Causes of delayed surgical intervention for sciatica : Joe Geraghty

Examiner Final MBBS (Oral examination)
(16th June 2003)

Supervisor for BSc Project
2004

Management of aneurysmal subarachnoid haemorrhage at Charing Cross Hospital and consequent effects upon patient outcome : The impact of ISAT :  Katharine Fraser

Predictive factors for surgical outcome following microdiscectomy for sciatica : David Deman

OSCE Examiner
(25th May 2004)

Examiner Final MBBS:            
June 2004

Medical students Mentor 2004/2005


OSCE Examiner 
(25th May 2005)

College Examiner: Final MBBS
(14th June 2006)

Clinical Service Developments:

  • Implementation of specialist joint pituitary tumour clinic for the management and long term follow up of patients with pituitary tumours.
  • Implementation of trigeminal neuralgia clinic enabling rapid access for patients.

 

Management and Proffessional Activities:

Trust:
February 1999 – April 2006 Chief of Neurosurgery
1999 – 2000 Directorate lead clinician for Clinical Risk Management
1999 – 2000 Clinical Risk Management Committee: Committee member
January/February 1998 Critical Care Users Working Group Committee
1999 – 2000 Private Patients Development Steering Group
January 2000 Steering Group Committee Member: CXH Operating Department Outline Business Case Steering Group
2000 Theatre Redevelopment Project: Member of Local Steering Group       
2000  NHS Clinical Governance Support Team: Trust Representative
October 2000 Consultant Appraisal Workshop: Hammersmith Hospital
January 2001  Steering Group: Trauma centre and management of multiple injuries
18th April 2001  Representative for Clinical Director meeting to assess the 1st year of Appraisal
16th May 2001  Critical Care Users Group: Committee member
June 2001 Shortlisting panel member for LAT in Neurosurgery
December 2001 Member: Theatre Board HHNT  
January 2001 - March 2002 Assessor for Consultant Appraisal
November 2002 Critical care providers group: Member committee 
June 2003  Strategic development meeting: Neurosciences
26th February 2004 Steering group meeting: NCEPOD 
2006 Directorate Lead for NICE Guidelines
2006   Neurosurgery representative for Clinical Risk in Directorate of Neuroscience
       
Regional Level:
1999 / 2000 Audit of Provision of Neurosurgical Beds and Management of Severe Head Injury: KCW Health Authority
December 2000  London Neurosciences Review: Working party member December

 

National Level:
October 2000  Neurosurgical advisor to Clinical Risk Incident Investigation: Ealing Hospital
21st March 2001

Panel member for Step 2 appeal against a RITA for a neurosurgical trainee: NHSE, Millman Street, London

Faculty member: Neurological Anatomy for Neurosurgeons at Hill Surgical Workshop: Royal College of Surgeons of England

2003 / 2004

Faculty member: Skull Base Surgery for Neurosurgeons at Hill Surgical Workshop: Royal College of Surgeons of England.

Member of Spontaneous Intracerebral Haemorrhage Group: This meets four times a year, for a full day meeting, advising relevant groups on the advisability and feasibility of relevant research in this area. 

Medical advisor to British Acoustic Neuroma Association

Member of Pituitary Foundation

Autumn 2001 Member of Trigeminal Neuralgia Association (UK) Medical Advisory Board 
July 2002  Assessed abstracts for SBNS meeting 2002 in Middlesborough
June 2003

Lecture to Annual General meeting of Trigeminal Neuralgia Association: Surgery for TDN: London

Lecture to Annual General Meeting of British Acoustic Neuroma Association

March 2004 Lecture to ATLA (Association of teachers of lip reading): RNIB: London
26th June 2004  AGM TNA: Focus group patient discussion: London
March 2005 Advisor to NICE: Request for Specialist Advice for Intracranial pressure monitoring (288)
22nd March 2006  Lecture to TNA Local West London Patient Group – Charing Cross Hospital
26th November 2006 Lecture to patients – London branch of BANA:  Charing Cross Hospital

Continuing Proffessional Development:

Audit:

1. Theatre instrument failure :   2001, 2002, 2003
2. Delayed discharge :  2002
3. Outpatient satisfaction :   2003

Educational Meetings:
Clinicopathological conference on Pituitary disease: RCP London: February 2004
Courses Attended:   
9th February 2004 Byran Cervical Disc Training Course: RSM London: Medtronic
24th -25th August 2004 Advanced Life Support Provider Course: Chelsea and Westminster Hospital
March 2004    OSCE Examiner Training Session: Charing Cross Hospital
May 2004 PACE (Practical assessment of Clinical Skills) examiners training session

     

Clinical Governance:
December 2004 Clinical Governance ½ day: Charing Cross Hospital: Pre-assessment clinic
17th May 2005 Basic Life Support Course: Chelsea & Westminster Hospital

 

Meetings Attended:
June 2003 ‘Safe Neurosurgery 2003’ Conference: RCS, London 
April 2004 SBNS: Oxford
September 2004 SBNS: Manchester
January 2006 BRITISH SKULL BASE MEETING: Bristol
February 2005 Clinico-pathological conference on Pituitary disease: RCP London
March 2006  Clinico-pathological conference on Pituitary disease: RCP London 
March 2006 European Basic Instrumentation Course in Spine Surgery – (Zimmer) Windsor
7th April 2006 SBNS:  Royal Free Hospital: RCS of England, London
January 2007 British Skull Base Meeting; Birmingham

 

 

 

                     

 



 

 

 
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