Your Name

I am an enthusiastic paediatrician with a particular interest in neonatology. I strive for excellence and committed to working as part of a multidisciplinary team where my broad experience and special interests can be fully utilized. I aim to complete my Specialist training in paediatrics and specialise in neonatology with further interest in neonatal cardiology. I have a vast experience in general paediatrics and neonatology; I worked at registrar level in neonates at various UK tertiary level units, including transport. Most of my SHO jobs have been approved for training by the postgraduate dean. I have worked abroad in Saudi Arabia, the United Arab Emirates and Sudan. I have the correct balance of knowledge, including a wide variety of general paediatrics and neonatology skills, which will allow me to be an integral part of the multidisciplinary specialist involved in the care of child health.

As a doctor at NHs, I provide high-quality care and support to newborn babies and their families, with a special focus on neonatology and neonatal intensive care, I have a certificate in neonatology (SPIN) and I have 5 years experience in the field including 4 level 3 units. Igraduated with a Bachelor of Medicine, Bachelor of Surgery (MBBS) degree from the University of Khartoum, where I have gained extensive knowledge and skills in pediatrics, neonatology, and other related fields. I have been working as a doctor for more 30 years, and I have participated in multiple projects and initiatives to improve the health outcomes and well-being of neonates and children in various settings. I have several publications in peer review magazine and have recently published a book. I am passionate about advancing the field of neonatology and contributing to the mission and vision of NHS. I have strong competencies in communication, collaboration, problem-solving, and critical thinking, and I value continues learning and professional development. I will be finishing my CCT which I joined 6 years ago.

My passion in Neonatology started when I held my daughter in my hands when she was born at 26 weeks ,so I feel I understand how it feels to be a mother of a preterm baby .

Career plans

Current: To complete specialty training in paediatrics and start neonatal SPIN

Intermediate: To apply for the Grid training in neonatology. To get structured training through the programme. To individualise and tailor my own needs to reach my goal.

Long term: to become a paediatric consultant with a special interest in neonatology

• Peripheral long lines (competent unsupervised)
• Cannulas (competent unsupervised)
• Male catheterisation (competent unsupervised)
• Interosseous needle insertion (competent unsupervised)
• Lumbar punctures (competent unsupervised)
• Arterial stab (competent unsupervised)

Neonatal courses

• 2020 COVID  -19 neonatal webinar
• •2019 Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III)
• 2016 NRP (neonatal resuscitation program)
• April 2009 Neonatal Life Support
• May 2009 Peninsula Neonatal Network Ventilation Course
• November 2010 Neonatal • cranial ultrasound
• March 2010 Paediatric and infant critical care Transport course

I enjoy an excellent working relationship with all my co-workers. I am a team player
and understand that for teams to succeed they must have good communication,
mutual trust and a strategic direction. Teamwork and leadership are particularly
crucial in dealing with emergencies
My postgraduate degree has given me the knowledge and insight into the different
management aspects that are needed in health systems.
I have also attended a professional skills course, which is aimed to improve the
management aspects of medical staff.
Other managerial roles I have taken include the following:

1. Trainee representative
This has helped me develop my management and leadership skills and improved
my ability to negotiate and use diplomatic strategies to solve trainees concerns to
maximise their training. For example, in one instance, the trainees complained they
were unable to see patients in the clinic. This was resolved by simple
communication to find a room for registrars to see patients.

2. Teaching
I have organized the external speaker rota in Lister hospital. This has helped
improve my organization skills. I developed a timetable and sent out invitations for
external speaker via email. The response was excellent, and the variety of teaching
was good. I had written feedback and a well-done note from the clinical director

3. Guideline coordinator At Lister Hospital. My role was to allocate and make sure
each trainee was given a guideline to do. The skill I have learnt was delegation and
communication

4. Champion of the mentorship programme I learnt the skill of being a
champion and encouraging and championing a course

5. I organize teaching for doctors taking MRCPCH.

6. Rota coordinator. This has improved my computer skills and ability to organize
and covering rota absences.

7. New service development, I set up a clinic to give preterm babies prophylaxis
against RSV in the form of Palivizumab. I learnt how to manage time effectively and
communicate with the multidisciplinary team.

8. One2One Mentoring Mentee. I am part of the mentoring initiative for BAME
woman professionals. My postgraduate certificate in Public Health has given me
the knowledge and insight into the different management aspects that are needed
in health systems.

I have attended a professional skills course, which was aimed to improve the
management aspects of medical staff.

I make sure to take a managerial role to improve my skills in each job I undertake

Communication has a vital role in Medicine but more so for Paediatrics and
Neonatal practice. This has been the driver for me to continuously seek to improve
my already excellent communication skills through formal training courses and
non-formal on the job teaching.
I can communicate clearly and effectively bad news, share information with other
health care professionals and counsel parent before a preterm delivery to mention
a few examples. My communication skills are good and have been commented on
by parents and colleagues.
Examples I get emails from parents and thank you cards personal and to our team

I have good computer skills, and I can use the following; Word, Excel, PowerPoint
and SPSS. I have used electronic medical records keeping in addition to regular
input into databases

I enjoy teaching as it's a mean by which continuity of knowledge and practice
happens. I have had formal training by attending a course called ‘Tomorrow's
teacher'. Attending this course has improved my learning and teaching delivery in
the workplace. I make sure I get feedback after each presentation I deliver and
work on the feedback to improve.

I have helped organize the NPEG (Norfolk paediatric educational
group) and presented my jaundice audit on it.
I have helped organize SIMS training for GP trainees
about sepsis and bronchiolitis in Norwich. I lead resuscitation teaching
using SIM scenarios.
I have participated in journal clubs and presented and
critically analyzed papers.
I improve my teaching through courses feedback from
others and through reflection.
I have presented my poster presentation ‘Meningitis in neonates' in an
international conference EAPS and responded to questions.

I am always involved in day-to-day teaching of medical students from
UCL and Cambridge.
This is done through listening to their history taking and observing their
examination in CAU and giving them feedback.
I also fill assessments at work, e.g. CBD minicex and DOPS and give more junior
staff and other trainees and student feedback.
I participated in the teaching of NICU nurses including how to recognize
acute neonatal problems such as NEC (necrotising enterocolitis) and how
to use the transport incubator, I introduced a step-by-step instruction
leaflet and attached it to the transport incubator.

I carried out a research about “Prevalence of deafness and blindness in Umduina
village”. Umduina, Sudan, during my medical training.
This research was conducted in light of the increased incidence of deafness and
blindness in that village. The objective of this study was to identify the prevalence
and aetiology of deafness and blindness; data were collected through a proforma
in addition to eye and ENT examination. Most of the cases identified were bloodrelated,
and pedigree showed a recessive pattern for inheritance. As opposed to the
suspected nutritional deficiency, consangiounos marriage was the cause of the
problem within the community.

1. Quality improvement project (2019) Reducing prescription errors
I used the plan do study act (PDSA) cycle to plan my QI project
Title: Quality improvement project -Prescription errors
Aim: To improve patient care by reducing drug prescription errors systemically and
collaboratively in Luton neonatal unit by 50 % (I used the smart method)
Method: In the diagnostic phase, we identified there is an increasing trend in
prescription errors by analysing unit data over the past six months.
Recommendations:
Results: I analysed data of drug prescription after the measures were placed and
found that the error has reduced by almost 50%.
Conclusion: Using a prescription trolley, Druggle, and Guardrail has helped reduce
drug prescription errors.
The consequence of this audit has been an improvement in patient safety by
reducing the error by 50 %.
I have learnt teamwork, multidisciplinary collaboration and the importance of
simple measures to make a difference in patient safety in my department.

2 .Audit (2019)Title: Matching Michigan (MM) audit in Luton neonatal unit
Aim: To explore possible reasons for Bloodstream infections from central venous
catheters (CLABSI) and find preventable causes to reducing the incidence. To
achieve 100% compliance in filling MM forms
Method: A retrospective study where we looked into 30 Matching Michigan forms
for central lines insertion.
Results: showed reduced compliance of Matching Michigan and an increase in the
rate, which is still within the national rate
Recommendations:
Removal of central line in the earliest possible opportunity and using the matching
Michigan from reduced central line-related sepsis.
Changes suggested prompts to alert us when central lines are in too long. How to
deal with human factors. This was identified by a mini-survey I did to check with
staff involved in filling the Matching Michigan form
The consequence of this audit has been raising awareness and introducing
measures to reduce infection and improve patient safety. I did a lot of research
around this area and improved my knowledge
I have learnt leadership and mentorship. I had a lead role in the audit and
mentored one of the junior trainees. I have submitted the abstract to the European
congress of perinatal Medicine.

3.Audit (2018) Title: LOCSSIP (local safety standards for invasive procedures) for
chest drains
Aim: to improve documentation and patient safety through the use of (LOCSSIP)
aim at 100% compliance
Method: I looked into all chest drains inserted in Norwich hospital in the year 2017
Results: documentation of all parts of the LOCSSIP was reduced. And in some notes
not present
Recommendations: to encourage regular education and tackle human factors
involved with non-compliance.
The introduction of stickers as opposed to paper forms eased documentation.
I have improved patient safety by encouraging the use of the checklist in an
invasive procedure.
I have learnt to use the PDSA and how to use the smart method when planning my
aims.

4. Jaundice In CAU
Background; All jaundice baby's admitted to children assessment unit over six
months of age were included in the study
Aim
To see if we can reduce the admission of jaundice babies by introducing
transcutaneous bilrubinometer.
To check against NICE guidelines whether all babies had their bilirubin measured
and plotted on a chart
Method
A retrospective study in CAU data collected from CAU book and discharge letters
Result
Compliance was 100% in terms of checking bilirubin level and plotting them
Conclusion
Compliance was excellent. However, all babies had blood tests to measure bilirubin
level, and I suggested the use of transcutaneous bilirubinometer and guidelines
adopted from NICU.
The second stage is to introduce bilirubinometers in the community
This audit was presented in the audit meeting and was presented as an oral
presentation

5. Meningitis in Neonates: Role and interpretation of Cerebrospinal fluid
Background
Cerebrospinal fluid (CSF) parameters are used to diagnose meningitis in neonates.
The incidence of neonatal meningitis is 0.25 – 1.0 per 1000 live births. Meningitis is
often indistinguishable from septicaemia. Traumatic lumbar punctures (LP) are
frequent and complicate interpretation of CSF white cell counts (WCC).
Aim
Our objective is to determine the role and interpretation of CSF in the evaluation of
early and late-onset neonatal sepsis/meningitis in term (≥ 37weeks) and preterm (<
37weeks) babies with perinatal risk factors and clinical symptoms.
Method
A retrospective review of case notes of neonates who had LP performed as part of
early (≤72h) and late (> 72h) onset sepsis was undertaken between February 2017
and February 2018.
Results
Cell counts were available in 234 of 239 LP. 86 (38%) were traumatic. There was
1(0.5%) positive for GBS meningitis on Day 6 from 176 term babies. The baby
showed signs of severe sepsis with neurological signs.
Of the 166 term babies who had LP ≤72 hours for risk factors and clinical
symptoms, only 3 had positive blood cultures with no evidence of meningitis. In
preterm babies, 2(3.1%) had meningitis. Median WCC with traumatic LP was 6 in
term, 14 in preterm compared to 2 in term and 6 in preterm with non-traumatic LP.
Conclusion
In term babies, LP should not be undertaken during sepsis screen for perinatal risk
factors without signs of severe septicaemia, neurological signs or clinical
deterioration. Adjusted WCC in traumatic tap does not aid in the diagnosis of
meningitis.
This audit was accepted as an oral presentation in 7th Congress of the European
Academy of Paediatric Societies, EAPS 2018 in Paris

6. Capillary blood gas audit 2015- Burjeel hospital
The objectives:
To see if we are complying to the guidelines and to see how many babies had
hypernatremic dehydration and if there is a need to revise our guideline based on
the audit finding
Methodology
All babies should be weighed at 24hrs of age to check the percentage of weight loss
Aim of the guideline is to identify babies with hypernatremic dehydration and take
corrective action. Hypernatremia was defined as a sodium level >146mmol/L. The
audit period was from January 2016 –June 2016
Results
Eighty-one babies had a weight loss of > 4% in the audit period and required CBG.
Hypernatremia was not detected in any of the 81 babies who have lost >4%
on day

1. Weight loss is more common in females, babies born by LSCS and babies in zone
weight loss of >7% is more among exclusively breastfed babies. Weight loss of < 7
% is seen in babies on mixed feeding
Recommendation and the implemented changes
If a baby loses > 4% weight in the first 24 hrs. in the postnatal ward, my suggestion
is to assess the baby clinically, support feeding and reweigh the next day. We
changed our practice by deciding that a cbg on day one is not required.

7. Respiratory syncytial virus audit 2015-2016 -Burjeel hospital
The objectives:
This was to audit our practice after opening a new service in our baby clinic for
preterm babies at risk of RSV Palivizumab
The methodology:
All babies who received Palivizumab from October 2015-April, 2016.
Data was collected looking into the demographics, our guidelines, how many
babies got RSV despite prophylaxis, problems encountered during this year.
Results:
We had 41 babies. 27-30 weeks - 8 babies 30-32 weeks- 8 babies 32-35 weeks- 25
babies No mortality. Morbidity; 3 RSV positive babies two females one male.
Recommendation and the implemented changes
To meet with insurance representatives to try to include inpatient prophylaxis as a
separate DRG. To Meet with the laboratory to assess RSV season. To consider Vial
sharing
To check and organise availability for 50mg vials. Parent's feedback about our
service. Better data collection prospective rather than retrospective
To overcome Lengthy procedure by less paperwork

8. Gentamicin Audit 2015-Burjeel Hospital
Objectives
Implement Care Bundle for gentamicin to ensure patient safety
By achieving 100% compliance of the care bundle.
Methodology
Nurses were trained individually on how to use the care bundle
It was carried out over a whole month. Data was collected and analysed weekly
Results
We achieved 100% twice in our weekly data.
Recommendation
The reasons for not achieving 100% compliance were identified and
the care bundle was implemented as a routine.

9. Asthma Audit – 2002
Carried out in Mid Staffordshire Hospital.
The objectives:
The aim of the audit was to Asses and improved our practice in dealing with
asthma.
The methodology
I collected the data by interviewing patients and their parents and using a
proforma in addition to reviewing medical records.
Results:
Areas of concerns were identified. We recommended adhering to the BTS asthma
guidelines, particularly concerning O2 supplementation, appropriate use of
antibiotics and the need for CXR.
Recommendation and the implemented changes
We emphasised the need to ascertain that patients and parents, particularly newly
diagnosed, understood the correct inhaler technique and their indication. The
audit was presented in clinical governance meeting, and our recommendations
were adopted. This audit gave me a clear understanding of asthma guidelines and
introduced me to how to conduct and audit cycle.

Neonatal courses

•2020 COVID -19 neonatal webinar
•2019 Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III)
• 2016 NRP (neonatal resuscitation program)
• April 2009 Neonatal Life Support
• May 2009 Peninsula Neonatal Network Ventilation Course

•November 2010 Neonatal cranial ultrasound
• March 2010 Paediatric and infant critical care Transport course

• November 2019 Paediatric prescribing principles
• December 2017 CPRR course
• September 2017 PALS (paediatrics advanced life support)
• January 2014 Child mental and behavioural health
• February 2013 Child development course
• September 2009 Advanced Paediatric Life Support
• June 2009 Child protection evidential training day
• March 2002 Child health surveillance course

• Reason Neonatal conference 2020 –June 2020
•33rd International conference in neonatology and perinatology London UK November 2019
• 5th international neonatal conference Abu Dhabi 2015
• 6th international neonatal conference Abu Dhabi 2016
• 2nd international neonatology association conference Vienna 2016

July 2011 Professional skill course
May 2012 Presentation skill course

I enjoy reading and travelling

Dr Jean Egyepong -neonatal consultant
Address: Luton and Dunstable University hospital
Lewsey Road, Luton, Bedfordshire, LU4 0DZ.
Telephone: 07799064894
Email: Jean.Egyepong@ldh.nhs.uk
Dr Maria Karam- neonatal consultant
Address: Luton and Dunstable University hospital
Lewsey Road, Luton, Bedfordshire, LU4 0DZ.
Telephone: 07833722160
Email: Maria.Karam@ldh.nhs.uk