Aleksandra Chylak

• Company Overview: Warsaw,Prosta 51

Clinical lead: Dr Krzyszfof Malinowski

My present job is a Consultant in General Ophthalmology and Eye Emergency Care.

I have been doing:

7-8 PAs in clinical ophthalmology

1PA consulting for Occupational Health Practitioners in cases of fitness for work according to Regulatory Compliance: in a view of construction, health care, industry related occupational hazards.

The scope of my work:

approximately 60 % of my patients come through emergency route as self-referrals or referred by general practitioners.

I see a broad scope of ocular emergencies from corneal ulcers, minor injuries and blepharitis, through uveitis to migraine aura, flashes and floaters, retinal tears/detachments, optic neuritis/adult strabismus/pupillary defects.

30% are follow up patients with chronic conditions like glaucoma/glaucoma suspects, cataract, ocular surface disease, diabetic eye disease etc.

I assess and examine approximately 20 to 25 patients a day.

As an independent practitioner I have been active in:

Improving of patient outcomes by implementing evidence-based treatments and staying current with the latest advancements in ophthalmology.

Providing compassionate care that resulted in increased positive feedback from patients resulted in high NPS - Net Promoter Score (above the average 80), important to measure patient's satisfaction rate.

Delivering comprehensive patient education, empowering individuals to take an active role in their eye health management:

i.e. Poland has no national screening system for diabetic patients involving GPs, so educating diabetic patients on the importance of at least yearly screening to prevent diabetic retinopathy

can reduce the number of cases requiring invasive treatment of ocular complications of diabetes,

Advising patients on proper eye care hygiene, resulting in reduced instances of preventable eye infection,

Educating patients on proper contact lenses hygiene,

Encouraging patients to use virtual communication system called "Ask the doctor" to improve tailored patient care while reducing the number of unnecessary face-to-face consultations, improving treatment outcomes and reducing patients stress duo to absence at work (reviewing tests' results, giving recommendations, communicating treatment plans, responding to emergencies, giving reassurance),

Actively introducing improvements in electronic medical record systems creating templates for common eye conditions, streamlining documentation processes while maintaining accuracy and confidentiality standards,

Investigating patient histories and goals to determine optimal care planning, establishing relationships with physicians, resulting in i.e. directing investigations towards eye related general health conditions like inflammatory bowel disease, ankylosing spondylitis, multiple sclerosis, migraine.

Referring patients to specialized physicians and facilities for emergency or complex conditions i.e.

for emergency retinopexy for retinal tear to Ophthalmology acute care or

for tertiary level specialized Neurology service for steroid dependent recurrent alternating optic neuritis with inconclusive MRI head scans and negative antibodies for AQP4 and MOG.

• Liaised with customers, management, and sales team to better understand customer needs and recommend appropriate solutions.

• Company Overview: Luxmed Warsaw ul Prosta 51
• Clinical Lead Dr Wojciech Pasierbski

My responsibilities and scope of work were very similar to the description of my current position.

• Company Overview: Rothwell Road Kettering NN16 8UZ
• Supervising Consultant Mr Wathek Abdulaziz
• I have been doing 10 PAs supporting outpatient clinics: general, casualty, glaucoma, oculoplastic and medical retina services depending on the department' need. I was involved in triaging patients to the emergency service from the local optometrists, GP's and hospital wards.
• I have been supervising and teaching GP trainees, in-house optometrist and ST1 trainees.
• I have been performing emergency laser retinopexy procedures unsupervised and elective laser treatment: YAG laser capsulotomies, peripheral iridotomies and selective laser trabeculoplasty procedures under supervision of Mr Abdulaziz. I did supervised intravitreal injection lists.
• I took part in the on-call rota covering emergency work on weekdays and weekends (1:6) in the absence of my colleagues when needed.

Eye casualty and the on-calls improved and refreshed my experience in dealing with common emergencies as well as unusual neuro-ophthalmology on first hand basis.

• I took part in departmental teaching, monthly clinical governance meetings and monthly audit meetings.

General opthalmology

• Company Overview: Cliff Gardens, Scunthorpe DN15 7BH, Ophthalmology Department Mr Kaleem Siddiqui
• I have been supporting general, cataract, glaucoma clinics.

• Company Overview: Ophthalmology Department Miss Lucy Clarke
• Supporting emergency clinics

Clinical lead Mr Jonathan Barnes

Clinical supervisor Mr Andrew Waldock

Supporting Eye emergency, General, Glaucoma, Medical Retina and Glaucoma laser clinic

April-May 2012

July-August 2012

July-August 2013tarct,

Clinical supervisor Mr James Talks

My job plan involved 12,5PAs-flexible clinics depending on departmental need, including on-calls.

I had 2-3 cataract lists a week initially supervised later unsupervised -adding to my portfolio of phacoemulsification procedures up to 200 cases.

I have been performing PRP lasers and YAG PIs.

I have worked in medical retina team led by Mr Talks taking care of vascular retinal conditions, AMD patients etc. 3 sessions;

general ophthalmology 2 sessions; emergency clinic 3-4 sessions; 1 session of corneal and anterior segment clinic (voluntarily during my admin session).

I have been attending weekly angiography and neuro-opthalmology teaching sessions as well as lunchtime Medical retina teaching on regular basis.

.

Sandford Road, Cheltenham, GL53 7AN

Ophthalmology Department Fixed term temporary Mr John Ferris/ Prof Andrew McNaught

The post timetable was based on ST2 program and gave me exposure to various clinics: vitreo-retinal, medical retina, cornea, oculoplastic and orbital and pediatric as well as ocular emergency and 1;6 on-calls.

I had 4 theater sessions of cataract lists where I started my supervised phaco procedures and by the end of the post I have performed nearly 100 full surgeries.

I have also assisted in strabismus and oculoplastic procedures.

• Company Overview: West Smithfield, London, EC1A 7BE Ophthalmology Department Fixed term temporary Mr John L. Hungerford / Mrs Ester Posner / Andrew Coombes

10 PAs a week

1:5 on-calls

Apart from fare share of general, emergency, medical retina and oculoplastic clinics, I was fortunate to become a part of Ocular Oncology Service led by Mr John Hungerford and Miss Victoria Cohen. I had opportunity to participate in clinics both adult at St'Barts and pediatric at the London Hospital (retinoblastoma, ROP, inherited eye conditions).

I had opportunity to participate in pediatric ophthalmology teaching and pediatric clinics.

I have been assisting in brachytherapy procedures and tantalum markers insertion procedures.

• Company Overview: Denmark Hill, London, SE5 9RS Ophthalmology Department Locum Sobha Sivaprasad / Paul Hunter / Genevieve Larkin

• Company Overview: Warsaw, Poland Ophthalmology Service Substantive-part time Dr A. Otto

• Company Overview: Warsaw, Poland Ophthalmology Department Substantive – part time Dr W. Czarnecki/Dr I. Skórska

• Company Overview: Warsaw, Poland Ophthalmology Department Substantive Dr W. Czarnecki

• Company Overview: Warsaw, Poland Ophthalmology Department Substantive Dr W. Czarnecki

• Company Overview: Warsaw, Poland General Medicine, Surgery, A&E Substantive