Meet Shyam Kelavkar, Core Medical Trainee
29 November 2018
This month we meet Shyam Kelavkar, Core Medical Trainee.
How long have you worked at the hospital?
This being my first job in the UK, I will be completing three
years in February 2019. I have been blessed to have the opportunity
to learn from Dr Guyler and Professor Grunwald initially as a
Clinical Fellow and later from Dr Balasubramaniam, Dr Day, Dr
Rathore and Dr Strickland as a Core Medical Trainee since August
What is an NG bridle?
I was introduced to the bridle or, as I like to call it, 'the
loop' while working with the stroke team. It's a string that ties
the Nasogastric (NG) tube in place. It has been traditionally used
in the stroke, department of medicine for the elderly (DME) and
critical care. Our project is about increasing the awareness and
thereby the use of the loop throughout the Trust. At the end of
phase one the overall awareness has increased to 92 per cent, which
was very low initially.
What does being shortlisted for the Junior Doctor
National QI Awards mean to you?
Quality Improvement (QI) Project is something that is fast
replacing the traditional audit process to help improve medical
practice. Recognition for any work at so many levels is not only
rare, but truly very humbling, to say the least. The QI on the Loop
has being recognised not only at the local and regional levels but
also at the National QI Meeting held at Cambridge last September.
It is one of the six QIs shortlisted for the Junior Doctor National
QI Awards at Leicester and is also selected at the Acute and
General Medicine Conference in London, which attracts an
What difference will it make to patients?
Research has shown the loop to lower NG misplacements, reduce
aspiration pneumonia and thus improve patient outcomes. It can
potentially to reduce the number of chest x-rays, avoid the need
for percutaneous endoscopic gastrostomy (PEG) insertions and a
better experience for the patient and family by reducing hospital
What do you like about working at Southend?
I love that it is a great community to work in, is friendly and
everyone is accessible and open. I just feel like it is like a big
family rather than an institution. This project would not be
possible without the help and support I got here.