Fellowship reports 2015-16

Dr Saman Fatah ST6 trainee, University Hospital of North Durham

I have found Medical Dermatology the most challenging and stimulating aspect of my training, requiring problem-solving skills to diagnose and optimise management in the face of multiple complaints and co-morbidities. This interest has been consolidated by clinical experience under the supervision of Drs Andrew Carmichael, Shyamal Wahie and Simon Meggitt and more recently in depth research experience in the DLE.

The BSMD fellowship was a magnificent experience and involved attending the following clinics/venues:

  1. Joint Lupus Dermatology clinic at Guy’s and St Thomas’ Hospitals; supervised by Professor David D’Cruz, Dr David McGibbon and Dr Emma Benton.
  2. Immunobullous Diseases clinic at Guy’s and St Thomas’ Hospitals; supervised by Dr Richard Groves and Dr Emma Benton, followed by further experience at immunodermatology laboratory under the supervision of Balbir Bhogal and Dr John Mee.
  3. Antiphospholipid Syndrome clinic at Guy’s and St Thomas’ Hospitals; supervised by Professor Beverley Hunt.
  4. Cutaneous Sarcoid clinic at King’s College Hospital; supervised by Dr Sarah Walsh.
  5. Cutaneous Lupus clinic at Chapel Allerton Hospital, Leeds; supervised by Professor Mark Goodfield.
  6. Through attendance at these specialised clinics I gained insight into the logistics of Medical Dermatology clinics and how experts approach and manage complex Medical Dermatological conditions. I now aim to incorporate the experience into the management of similar cases and be in a better position to offer a sub-specialty Medical Dermatology service. Additionally, the personal contacts made will allow me to network over challenging cases to improve the standard of Medical Dermatology care I provide at James Cook University Hospital, Middlesbrough, where I have recently been appointed a Consultant Dermatologist.

I am very grateful to all of the above clinicians for accommodating me in their highly sought after subspecialist clinics and to the generosity of BSMD Fellowship scheme, for providing such excellent opportunity.

Dr Arpita Debroy Kidambi ST5 trainee, Royal Hallamshire Hospital, Sheffield

I am very grateful to the British Society of Medical Dermatology for providing me with an excellent training opportunity to gain experience in two specialised areas of Medical Dermatology of my choice – lymphovascular disease and immunobullous/inherited blistering disorders.

I spent one week in lymphovascular medicine under the supervision of Dr Kristiana Gordon in St George’s Hospital, London. This involved attendance in specialist lymphoedema clinics, including the monthly paediatrics lymphoedema genetics clinic. I had the opportunity to observe how treatment is routinely carried out by lymphoedema specialist nurses on patients with varying degrees of lymphoedema and gained appreciation of current best practice, including potential investigations for lymphoedema management.

I am currently attending the Epidermolysis Bullosa (EB) Clinic at St John’s Institute, London under the supervision of Dr Emma Wedgeworth and Dr Jemima Mellerio. I have observed patients with varying severities of EB. It has allowed me to appreciate first-hand the multi-disciplinary approach taken towards these patients and increased my confidence in the assessment and general management of patients with EB and the potential complications arising. I look forward to on-going experience at these specialist EB clinics and am due to attend the Practical Paediatric EB for professionals course in the near future.

Once again, I would like to take this opportunity to thank the BSMD and the supervisors of each placement for a unique educational opportunity.

Fellowships awarded in 2014-15

These were awarded to Dr Catriona Sinclair and Dr Donal O’Kane.

Fellowship reports 2013-14

Donal O’Kane: ST6 trainee Dermatology, Belfast

My BSMD National Medical Dermatology Fellowship was an outstanding experience. Having had prior training in rheumatology and undertaken a PhD in scleroderma I was keen to gain further clinical experience in connective tissue disease, which was not available locally in Belfast. I arranged a four-week fellowship which was carried out between Royal Victoria Infirmary, Newcastle (Dr Simon Meggitt) and Royal Free Hospital, London (Dr Cate Orteu). This fellowship focused on sub-specialty clinics in scleroderma, lupus, and dermatomyositis. Several of these clinics were run jointly with other specialties. At the Royal Free Hospital, I also observed several systemic sclerosis and Raynaud’s clinics run by rheumatologists and complex psoriasis clinics led by Dr Sandy McBride.

I am very grateful to the BSMD for the experience that I gained during my Fellowship. In addition to enhancing my clinical experience in areas of personal interest, the BSMD fellowship provided me with insight on how to establish effective sub-specialty clinics with other specialties, and enabled me to develop important collaborations for my new career as a Consultant Dermatologist in Belfast.

Catriona Sinclair: ST5 trainee Dermatology, Edinburgh

My fellowship so far has involved an inspiring week spent shadowing the medical dermatology team at Guys and St. Thomas hospitals. This involved sitting in on a number of tertiary referral clinics in sub specialties such as hidradenitis suppurativa, immunobullous diseases, severe eczema and psoriasis. Having an opportunity to see patients with severe disease and the treatment options available to them from the multidisciplinary team has given me a great insight into optimal management of these complex patients.

I have also spent time with Dr. Simon Meggitt in the joint dermatology/rheumatology connective tissue disease clinic and the skin lupus clinic. Again, I saw a large variety of patients with a spectrum of disease severity. This gave me a great chance to see how joint clinics can function in practice as well as furthering my knowledge and increasing my confidence in the management of these complex diseases.

I am still to attend Dr. Lovell’s connective tissue disease clinic in Bath and will attend the ‘psoriasis from gene to clinic’ training course in December 2014.