About us

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 2017.

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 international audience.

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 stay.

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.