• As Principal Investigator, accepting responsibility for all sponsor research studies, ensuring GCP (ICH GCP and local regulations); collaborating with physicians working on the study within the company across sites as well as sponsors to ensure that the protocol is fully adhered to and that all parties are suitably updated, particularly in the event of a Serious Adverse Event to ensure patient safety • Give Centre Manager feedback on patients’ suitability, review telephone screening, as well as training colleagues on new protocols, eg training the recruitment team on a new study and eligibility criteria. Work with Centre Manager to achieve and exceed targets• Maintain awareness of recruitment as well as dropout rates, taking appropriate corrective action. • Establish and maintain relationships with local GPs/consultants/hospitals. • Recording information/data in accordance with GCP and resolving queries in timely manner• Following Standard Operating Procedures at all times. • Conducting clinical research trials as both principal investigator and sub investigator and this includes seeing patients morning and afternoon for 5 days in a week on average, and prescribing medications and drugs where necessary (as part of protocol) including off license drugs that are under investigation or part of the protocol of various clinical research trials. • Respond to patients’ concerns – procedures, new drugs, explaining informed consent forms. • Liaise with sponsors regularly at site qualification visits, site initiation visits etc, be informed about the facilities that the organization has and the studies it was capable of overseeing • Regularly educate the team on essential medical information and protocols. • Communication was vital with all - patients, customers and colleagues. • Offer suggestions for change in working practices – particularly relevant on setting up a new site• Motivate, encourage and train the team to take on additional roles

Conduct research protocols in manner that ensures quality, integrity, consistency, accuracy and maintains patient safety•Become familiar with a variety of protocol ls as well as eligibility criterias, informed consents, source documentation•Maintain a thorough knowledge of Good Clinical Practice•Liaise with patients, admin, GPs, nurses, principal investigator as well as sponsors •Conduct appropriate research protocol procedures including phlebotomy, cannulation, nose/throat swabs•Maximize participants safety by adherence to the protocol and dispensing study medication when applicable•Observe participants for the onset of adverse events, providing medical care as required, documenting as appropriate and liaising with the principal investigator•Adhering to SOPs

Only 2 doctors on board - having to deal with a wide range of medical emergencies including cardiac arrests/collapse as a first responder & to continue their ongoing care including ventilation & leading helicopter evacuation onboard•Looking after an aged population of approx 3000 •Dealing with multicultural insurance companies & health authorities in a variety of countries depending on where we were •Completing my own bloods, x-rays & ECGs

8 weekly 10 minute clinics - out of hours clinics, telephone triage, additional emergency appointments added on to normal clinics, referral both private & NHS•Prescription monitoring•Helping towards QOF points•Home visits•Aiding with diabetic clinics, palliative care, baby clinic, travel vaccinations, flu vaccination clinics, smear clinics etc

Initial assessment of patients on the ward•Maintenance & monitoring of patients•Training of junior house officer & daily ward rounds

Initial assessment of pregnancy & weekly experience at antenatal clinic•Interpretation of the Cardiotocogram•Regular 1st assistant at cesarean section operations - further basic surgical skills•Management of most commonly encountered gynaecological emergencies•Management of cervical cancer: Screening Programme; Smear tests & results•Regular teaching meetings and “near-miss cases” presentations

Further first hand experience with acute emergency situations, inc. frequent stand-by calls•Attending various courses relevant to A&E and acute medicine, inc. ALS & IMPACT (see below) •Gaining further practical basic surgical skills: wound care & suturing; pleural aspiration •Further experience of Advanced Life Support: Defibrillation; Resus Drugs; Arrhythmia management; General acute paediatric receiving •Exposure to all disciplines of paediatric medicine: Surgery; Medicine; Orthopaedics; ENT•Experience of Neonatology inc. neonatal resuscitation•Attending paediatric emergencies in A&E - inc. medical emergencies & trauma

Assessment of psychiatric patients & practice with mental state examination•Out-patient clinics & all aspects of community psychiatry•Pharmacology & applications of commonly used psychiatric drugs•Assessing potentially volatile patients (inc. patients under police arrest)•Anger de-escalation techniques•Experience with rapid tranquilization sequence•Regular educational programme for senior house officers

A&E Induction Course - wide overview of management of following emergencies: - respiratory; cardiac; neurological; paediatric; obstetric &gynaecology•Experience of acute emergency situations: inc. Cardiac Arrests; Management of critically ill medical patients; Major Trauma; Paediatrics etc.•Assessing clinical priority, instituting management and stabilising patients •Various surgical procedures e.g. reducing dislocations, ring blocks, suturing •Primary care of patients with psychiatric, opthalmology and O&G problems - without having specialist depts. of these specialties on site•Regular structured teaching programme and case presentations

Acute medical receiving - assessment & initial management of GP & A&E referred patients •Rotating through various medical sub-specialties: gastroenterology, respiratory, cardiology, endocrinology and renal medicine•Responsibilities for the care of medical HDU patients •Regular structured teaching programme for medical house officers

Acute Surgical Receiving - initial assessment and management of acutely ill surgical patients •Experience in a variety of sub-specialties inc. Surgical HDU, Orthopaedics& Breast Cancer Unit•Regular structured training programme, educational meetings & journal clubs•Junior house officer led surgical pre-assessment clinicsCOURSES:PMCPA COURSE ON ABPI CODE OF PRACTICE - May 2016ADVANCED LIFE SUPPORT - updated Jan 2015CHILD HEALTH SURVEILLANCE - September 07ILL MEDICAL PATIENTS' ACUTE CARE AND TREATMENT - May 2005