Manal Saweris – MBBCh (Hons), MSc Trauma and Orthopedic, MRCS (England), MD Trauma and Orthopedics, FRCS Trauma and Orthopedics

Ayman Sorial

UNITED KINGDOM
Consultant Orthopaedic Surgeon Wrexham Maelor Hospital
Betsi Cadwaladr University Health Board
Examiner for University of Leeds Medical School
Educational Supervisor and Appraiser for GMC Revalidation

EGYPT
Head of the Orthopaedic Department Farid Habib Hospital
Visiting consultant Coptic and Greek community Hospitals

Education & Professional Qualifications

Qualifications

  • Diploma for RCS approved Clinical Hip Fellow
    November 2017 – The Royal College of Surgeons of England
  • FRCS Trauma and Orthopedics
    February 2017 – The Royal College of Surgeons of England
  • MD Orthopedic Surgery
    November 2009 – The supreme council of Egyptian Universities
  • MRCS
    December 2007 – The Royal College of Surgeons of England
    Membership number 1038362
  • MSc Trauma and Orthopedic Surgery
    November 1999 – Cairo University
  • MBBCh (Hons)
    December 1995 – Cairo University
    Graduated with Very Good with honors

Honors and Awards

  • MBBCh graduated with honors; grades very good to excellent throughout the 6 years of medical school.
  • Making the Difference Award; Harrogate and District NHS Foundation Trust November 2018.
  • First presented RCS fellowship certificate in RCS ceremony

Membership of Professional bodies

  • I am a member of the British Orthopaedic association
  • I hold Indemnity cover with the MDU

UK Clinical Experience

April 2020
Consultant Orthopaedic Surgeon Wrexham Maelor Hospital
Betsi Cadwaladr University Health Board
Successful application and interview process. Agreed date to start and job plan.

28th August 2018 to date
I am employed Full time in a permanent post as Specialty Doctor in Trauma and orthopedics (SAS) Harrogate and District NHS Foundation Trust.
Clinical supervisor; Mr John Mitchell, Consultant Hip and knee surgeon.

This post has given me the opportunity of further practice. I have had the opportunity to do elective independent lists within my field of experience which is lower limb arthroplasty and arthroscopy.

18th April 2018; Senior Clinical Hip Fellow
Clinical Supervisor Mr Mark Emerton/ Mr George Whitwell.
Chapel Allerton Hospital (Center of excellence) Leeds Teaching Hospitals
This is a senior fellowship in lower limb arthroplasty in preparation to apply for consultant posts in my subspecialty of choice. This was an excellent opportunity to have further exposure for lower limb arthroplasty and arthroscopy. MTC related hip trauma in Leeds General Infirmary Revision e.g. THR and ORIF of periprosthetic fractures as well as Total hip replacement for fracture.

6th November 2017 to 3rd April 2018
Spines surgery/ MTC Educational Supervisor; Mr Peter Loughenbury
Locum registrar for service Leeds Major Trauma Centre
This post provides further training in spine surgery as well as to complete my rotations to match the training rotation; with three dedicated days for degenerative and traumatic conditions of the spine.

1st May 2017 to 31st October 2017
(SAS) trauma and orthopaedics Knee Surgery;
Educational Supervisor; Mr David Duffy
Harrogate and District NHS Foundation Trust
This is a 6 month post supplementary to a previous 16 months post in knee surgery. During this post I had the opportunity to conduct elective theatre lists independently reflecting the progress in skills.

1st March 2017 to 31st April 2017
(SAS) trauma and orthopaedicsHand Surgery;
Educational Supervisor; Mr Andrew Collier
Harrogate and District NHS Foundation Trust
This is a post supplementary to a previous 6 months post in hand surgery. I have had adequate knowledge and experience through both initial and supplementary post for the management of different conditions of the hand and wrist.

30th August 2016 to 28th February 2017
(SAS) trauma and orthopaedics Orthopaedic Pediatric surgery;
Educational supervisor Mr Brian Scott
Harrogate and District NHS Foundation Trust
This is a 6 months post in Orthopaedic pediatric surgery, this is an excellent opportunity to work with Mr Brian Scott, Consultant pediatric orthopedic surgeon, who have had a regular clinics and theatre lists in Harrogate and district hospital through that period.

5th August 2015 to 3rd August 2016
Senior clinical Hip fellow;
Educational supervisor Mr Jonathan Conroy
RCS approved Fellowship Harrogate and District NHS Trust
I Have had a great opportunity for higher Specialty training in Hip surgery; one year of practice and learning focusing on;

  • Lower limb arthroplasty. Reconstructive hip and knee revision.
  • Hip Arthroscopy.

1st February 2015 to 31st July 2015
(SAS) trauma and orthopaedics Hand surgery;
Educational Supervisor; Mr Andrew Collier
Harrogate and District NHS Foundation Trust
This is a post in hand surgery. I have had adequate knowledge and experience through this post for the management of different conditions of the hand and wrist.

1st October 2014 to 31st January 2015
(SAS) trauma and orthopaedics Upper Limb Shoulder and elbow surgery
Educational Supervisor; Mr Charles Talbot
Harrogate and District NHS Foundation Trust
This is a post supplementary to a previous 10 months post in shoulder and elbow. Through the first post I have had the chance to train for arthroscopic shoulder surgery as well as management of different conditions of the shoulder and elbow; both traumatic and degenerative.

1st July 2014 to 30th September 2014
(SAS) trauma and orthopaedics Foot and Ankle Surgery;
Educational supervisor Mr Mark Farndon
Harrogate and District NHS Foundation Trust
This is a post supplementary to a previous 12months post in foot and Ankle surgery. I have had adequate knowledge and experience through this post in management of foot and ankle surgery.

1st September 2013 to 30th June 2014
(SAS) trauma and orthopaedics Upper Limb Shoulder and elbow surgery;
Educational supervisor Mr Charles Talbot
Harrogate and District NHS Foundation Trust
This is a post in shoulder and elbow surgery. I have had adequate knowledge and experience through this post in management of shoulder and elbow surgery.

1st February 2013 to 31st August 2013
(SAS) trauma and orthopaedics Foot and Ankle surgery;
Educational Supervisor Mr David Lavalette
Harrogate and District NHS Foundation Trust
This is a post in foot and Ankle surgery. I have had adequate knowledge and experience through this post in management of foot and ankle surgery, I have had a good opportunity to, during this post I reached a level of confidence to conduct elective lists of foot and ankle surgery.

1st August 2012 to 31st January 2013
(SAS) trauma and orthopaedics Foot and Ankle surgery;
Educational Supervisor Mr Mark Farndon
Harrogate and District NHS Foundation Trust
This is a post in foot and Ankle surgery. I have had adequate knowledge and experience through this post in management of foot and ankle surgery.

11th April 2011 to 31st July 2012
(SAS) trauma and orthopaedics Knee Surgery;
Educational supervisor Mr David Duffy
Harrogate and District NHS Foundation Trust
This is my first post in the UK, I have been assigned a permanent post in Harrogate and District NHS foundation trust, it has been an opportunity to understand the UK healthcare system. I Have had a good opportunity to polish my knee arthroplasty and arthroscopy skills.

Clinical Experience Egypt

Consultant experience;
2014 to date; Head of Trauma and orthopaedic department Farid Habib Hospital;

This is a private hospital in Obour city, I have joined as a shareholder; First to establish the trauma and orthopedics department and hence have interviewed and appointed other members.

I have been on the design board with Hanna Shawky architect firm and proud to have represented the medical team on the design board; I have used the UK health building notes as a design template.

Despite leaving Egypt I am still the head of the trauma and orthopaedics department and have kept my ties and have a full functioning multi displinary team conducting elective surgery through regular visits.

2009 to 2011; Consultant trauma and orthopaedic surgeon
Coptic Hospital/ Greek community hospitals.

These are well renowned hospitals in Cairo, I have worked as a contracted visiting consultant in both hospitals up to 2011.

1st August 2005 to 7th April 2011
Associate specialist in trauma and Orthopaedics.
Electricity Hospital (This is a teaching hospital in Cairo.)

This is a tertiary referral hospital, Orthopaedic staff includes six consultants with interest in Arthroplasty and arthroscopy, pediatric orthopedics, and foot surgery as well as spine surgery. There are four associate specialists (including myself); within the capacity of my work was assuming full clinical responsibility and I had admission rights.

1st March 2000 to 30th April 2005
Senior Hip Arthroplasty Fellow. Dar-ElShefa Hospital (Ministry of Health specialized centre for Joint Replacement /300 bed hospital)

This is a Ministry of health specialized tertiary referral center for Reconstructive and arthroscopic joint surgery. This hospital had access to bone bank services. Ttertiary referral center for failed Neck of Femur fracture surgery.

This is a higher training post mainly concerned with Reconstructive and arthroscopic joint surgery, under the supervision of Professor Ahmad Emad Radi, Professor of orthopaedics Ain Shams University and Minster of Health (Previously), Professor Amr Abdel-Hadi; consultant Orthopaedic surgeon (currently working in a diplomatic capacity Egyptian Embassy London).

24th May 1997 to 28th February 2000
Orthopedic surgery Resident Police Authority hospitals (Ministry of Interior Centrally based referral hospital for police officers and soldiers /300 bed hospital)

This is a training post in a tertiary referral hospital for workers within the ministry of Interior. This is a busy hospital where the majority of work was related to trauma.

1st March 1996 to 28th February 1997
Internship Cairo University Hospitals, this is consistent with FY1 training. Being done in one of the largest and most busy University Hospitals in Egypt; Cairo University Hospitals.

House Officer for one year performing 2 months rotations;

  • General medicine
  • General surgery
  • Gynecology and Obstetrics
  • Pediatrics
  • Emergency and orthopaedics
  • Radiodiagnosis

Competencies and Scope of Work

The scope of my work is broad and diverse given that I have worked in different settings both in my home country (Egypt) and the UK, I have been fully trained and acquired Consultant registration as well as working as a part time consultant in the Greek community hospital as well as the Coptic community hospital in Cairo, before coming to work in the UK, subsequently I have been through training in the UK equivalent to specialty training with a view to gain access to the specialist register through CESR application.

A- Elective surgery and management of degenerative conditions.

I have a specialist interest in Lower limb joints degenerative condition and joint reconstructive surgery, my clinical and research experience is extensive and built through practice in Egypt and UK;

  1. MSc Trauma and Orthopaedic surgery; qualifying dissertation:
    Aseptic Loosening in the Uncemented Femoral components.
  2. Fellowship trained in a Tertiary referral arthroplasty unit with excellent exposure in primary and revision reconstructive hip and knee surgery.
  3. MD trauma and Orthopaedic surgery; qualifying thesis:
    Cementless revision Total Hip arthroplasty; A prospective cohort study.
  4. UK experience at Senior registrar level with rotations in Knee surgery and RCS approved Senior Clinical Hip Fellowship.
  5. Second fellowship in UK; Senior Clinical Hip Fellow at Chapel Allerton Hospital.

My primary interest is Hip and knee reconstructive surgery through primary and revision arthroplasty as well as joint preservation surgery through arthroscopy/ correction of deformity. I have invested many years to maximize my exposure and experience weather in Egypt or the UK, having achieved many positions that have polished my clinical and surgical skills. I add to that excellent communication skills and ability to listen with empathy and I can deliver information for my patients in a clear and simple manner.

B- Trauma and emergency surgery

I- Traumatic Conditions
I am comfortable and confident to operate on complex fractures; I have the skills and experience to manage most cases, this does not preclude the need for subspecialty tertiary referrals within the same department or indeed referral to tertiary referral centers. As evidenced by my logbook;

  • Open reduction and Fixation of Clavicle Fractures.
  • Open reduction and Fixation of proximal humeral fractures.
  • Open reduction and Fixation of Humerus fractures.
  • Open reduction and Fixation of Intra-articular elbow fractures.
  • Open reduction and Fixation of intra-articular Distal radius fractures.
  • Management of most femoral fractures.
  • Management of Intra-articular fractures of the knee including tibial plateau fractures amenable to Open reduction and Fixation.

II- Acute Conditions
Management of acute conditions with minimally invasive techniques including arthroscopic management of joint sepsis including;

  • Shoulder arthroscopy
  • Hip arthroscopy
  • Knee arthroscopy
  • Ankle arthroscopy

I have also managed some rare presentations during my work in Harrogate and District Hospital;

  • Acute Atraumatic dislocation of the shoulder; case report submitted.
  • Gluteal compartment syndrome.

III- Neck of Femur Fractures

I hold a interest in management of neck of femur fractures, I perform Total Hip replacement with an excellent record of low complication rate. I take interest in the GIRFT principle which I believe is of most importance in elderly fragility fractures.

Logbook

I have held a logbook since starting to work in the UK; April 2011.

The number of procedures totals 2698 procedures.

The procedures in terms of frequency are as follows;

Cemented Total Hip Replacement 319 procedures. This is my main surgical interest; I have endeavored to excel. I regularly use templating which has helped me with pre-operative planning. I have received many compliments from patients whom I have operated upon. I am an expert user of cemented Exeter Hip replacement as well as Corail/Mararthon/Pinnacle Implants.

Total Knee Replacement 285 procedures. I have excellent experience with Nexgen Knee replacement as well as Vangaurd. As well as Uni Compartment knee replacement.

Knee Arthroscopic procedures (Menisectomy/ chondroplasty/diagnostic) 231 procedures. My logbook also reflects a broad interest in arthroscopic surgery;

Revision Hip and Knee arthroplasty; broad experience with over one hundred procedures done during training as well as during the course of MD thesis and after; I have excellent experience with restoration hip systems, Nexgen LCCK and others.

Hip Arthroscopy; I am fellowship trained in Hip Arthroscopy and have achieved independent operating level total of 16 procedures performed (independently performed +supervised) including debridement for femoro-acetabular impingement and labral repairs.

Shoulder Arthroscopy (ASD RCR /capsular release /anterior stabilization / debridement) total of 70 procedures

Ankle Arthroscopy (chondroplasty/debridement) total of 18 procedures.

Intracapsular fracture hemiarthroplasty; well over 100 procedures in the UK, more than 300 procedures in Egypt.

Academic achievements and Research

I am an accredited Medical school examiner for Leeds Medical school through formal training as well as accredited researcher through formal Good clinical practice course and training. Research projects as follows;

MD Thesis
Cementless revision Total Hip Arthroplasty
Presented May 2006 as part of the requirements for the fulfillment of the MD degree in orthopedic surgery. 25 cases of revision hip surgery with the use of cementless prosthesis and average 2 years follow up, discussed and accepted 2006.Benha University.

Dissertation
Aseptic loosening 0f cementless femoral stems
Presented as part of the requirements for the fulfillment of the MSc degree in Orthopaedic surgery. Discussed and accepted 1999. Cairo University

The FAIT trial
Prospective, randomized, double blinded, multicenter study.
Through my work as Clinical Hip fellow; I have been involved in the FAIT trail; a randomized, double blinded, multi-center trial. The aim to assess the effectiveness of hip arthroscopy compared to physiotherapy for patients suffering from femoro-acetabular impingement.

Publications and presentations

Management of haemarthrosis induced anterior shoulder dislocation with arthroscopic washout and haemostasis
Volume 21, June 2019, 10017
https://doi.org/10.1016/j.tcr.2019.100171

Computer Navigation in Total knee Arthroplasty
70th Egyptian Orthopaedic association annual International conference.
Cairo December 2018

Acute presentations of Crystal arthropathy; A retrospective cohort review.
12th International conference on Osteoporosis, Arthritis and Musculoskeletal disorders. London March 2019

Managerial and clinical governance Roles

I-Audit:
Audit for personal results (PROMs)Total Hip replacement for fracture.

This audit aimed at assessing the patient reported outcome measures for THR performed for acute fracture NOF. This is an audit of my own practice, with reference to PROM results for elective hip replacement. The outcome of the audit was favorable; with 96% Good to excellent outcome; well above national average.

Audit for high theatre temperature
The aim of audit was to ensure compliance with regulatory standards for ambient temperature in theatres.

Audit for complications of laxatives for post-operative patients
Supervised and mentored ward staff to address concerns weather use of laxatives was driving dehydration for post-operative and elderly patients.

Audit for the hot, swollen Joint Pathway
This is a large project retrospective assessment for 4 years weather the management of patients presenting with a hot swollen joint was compliant with national guidelines.

Audit for VTE
This audit aimed at assessing the compliance with guidelines for appropriate risk assessment for VTE for inpatients.

II-Re-Audit:
Re-Audit for the hot, swollen Joint Pathway
Closing the loop and assessment of the impact of the first audit.

Re-Audit for Orthopaedic VTE Thromboprophylaxis
Closing the loop and assessment of the impact of the first audit.

III-Service improvement activities;
Audit for Out of hours work for Orthopaedic middle grades; This audit aimed at assessing the unpredictable out of hours work and weather that was compliant with national guidelines.

IV-Participation in Steering groups and committees
I have represented the Orthopaedic department in the following managerial roles;

  1. The steering group for neck of femur fractures.
  2. The Thrombosis committee.

Teaching and training

I am an accredited trainer and assessor. I am also an appraiser for my trust.

I participate in regular weekly sessions for my department. I have also a long record of supervising trainees to conduct orthopaedic procedures as evidenced by a large track record of procedure-based assessments.

I am an educational supervisor through a formal accredited training program. March 2019

Formal feedback from the GMC for my CESR application commended an “Extensive teaching portfolio”, I have been given the task for assisting international medical graduated through their induction to work in the UK.

I have had excellent feedback from trainees and junior doctors as well as allied health professionals. I have been asked to teach again locally as well as internationally.

I have held teaching in Applied basic sciences for colleagues going through FRCS trauma and orthopaedics. I have also taught Anatomy for medical students and surgeons preparing for trauma and orthopaedics examinations (upper and lower Limb anatomy)

Courses attended

  • Educational supervisor training March 2019
    On-line course and face to face workshop
    Health education England
  • Introduction to Good Clinical Practice January 2019
    E-Learning course, Modules completed;
    Introduction to Research in NHS and other settings.
    Good clinical practice and standards in Research.
    Study Set-up and Responsibilities.
    Informed consent.
    Data collection and Documentation.
    Safety reporting.
  • Yorkshire Basic Science course
    Rotherham General Hospital
    15th July 2016
  • ATLS provider course
    St James University Hospital
    25th November 2015
  • ISHA Annual Conference
    Cambridge September 2015
  • Exeter Hip Academy
    Exeter 29-29th January 2013
  • Master Cadaveric course for Shoulder Arthroscopy
    Munich November 2014
  • Cadaveric Trauma Session
    Smith and Nephew surgical skills center. York
    7th May 2013
  • Medical Appraiser Training Course
    Edgecumbe Group
    26th September 2013
  • ATLS provider course
    St James University Hospital
    7-19 September 2011.
  • HELM.
    Harrogate Experience in Leadership and Management. Harrogate and District NHS Foundation Trust.
    Education centre 23rd and 30th April 2012.
  • AO
    Seminar with Workshop.
    September 1998
  • AFOR
    course and workshop on fixation of fractures of the pelvis and acetabulum
    February 2000

Conferences attended

  • Spine Surgery Nasser institute symposium on low back pain February 2000
  • The annual international congress of the Egyptian orthopedic association November 1998
  • The annual international congress of the Egyptian orthopedic association November 2000
  • The annual international congress of the Egyptian orthopedic association November 2001
  • The annual international congress of the Egyptian orthopedic association December 2002
  • AO course. Advances in fracture management. Seminar with Workshop. January 2003
  • SICOT/SIROT Annual International conference. September 2003
  • International Spine Surgery Course October 2003
  • The annual international congress of the Egyptian orthopedic association November 2004 combined with the 10th pan Arab orthopedic Association congress. November 2004
  • Egyptian Orthopedic Association /American Academy of Orthopedic Surgeons combined Instructional course lecture program (Pediatric Orthopedics and pediatric Spine) March 2005
  • Intra-articular injection workshop December 2006
  • The annual international congress of the Egyptian orthopedic association December 2006
  • The annual international congress of the Egyptian orthopedic association November 2007
  • The 3rd International hip resurfacing training course and 1st short stem and ceramic bearings training course. University of Alexandria. October 2008
  • The annual international congress of the Egyptian orthopedic association November 2008
  • Second International Arthroplasty course. 6th of October University. February 2009
  • The annual international congress of the Egyptian orthopedic association November 2009
  • The annual international congress of the Egyptian orthopedic association November 2010
  • The annual international congress of the Egyptian orthopedic association December 2018; I have successfully submitted a presentation (Computer navigation in total knee Arthroplasty).
  • 12th International conference on Osteoporosis, Arthritis and Musculoskeletal disorders. I have successfully submitted a presentation (Acute presentations of Crystal Arthropathy; A retrospective cohort review).
  • BOA conference 2019; Liverpool, ACC September 2019.

Health

I have adopted a healthy lifestyle since starting to work in the UK, I have always suffered from overweight (over 20 stones), yet this was an obstacle to achieve my goal to become a consultant in the UK. I have since lost 5 stones of weight. I have mild familiar hypertension which is well controlled.

Communication Skills

Excellent communication skills, commended for empathy and ability to explain to patients in simple language, I have always took pride in meeting patient expectations.

Probity and Trust

I have always enjoyed the trust of my colleagues and seniors, no concerns were raised ever about probity.

Hobbies

Walking; one of my favorite hobbies, enjoyed much of the natural landscape in the UK, e.g. the Cleveland way.

Table tennis; to quite a good level.

Fishing; preference to deep sea fishing.

Humanitarian work

I have always been involved with Medical charities back home; through my regular visits (22 in 8 years) I have an affiliation with charitable foundations (e.g. Copts in Need) where I would undertake free of charge medical consultations as well as perform orthopaedic procedures free of charge in my home country for those who cannot afford.

This work has been endorsed by charitable foundations.

References

Mr Mark Emerton

Consultant Orthopedic surgeon
Chapel Allerton Hospital; Leeds Teaching Hospitals
Mark.Emerton@nhs.net


Mr Jonathan Conroy

Consultant Orthopedic surgeon
Harrogate and district NHS Foundation Trust
Jonathan.conroy@hdft.nhs.uk


Mr John Mitchell

Consultant Orthopedic surgeon
Harrogate and district NHS Foundation Trust
John.mitchell@hdft.nhs.uk


Mr David Lavalette

Consultant Orthopedic surgeon
Harrogate and district NHS Foundation Trust
David.lavalette@hdft.nhs.uk


Mr Mark Farndon

Consultant Orthopedic surgeon
Harrogate and district NHS Foundation Trust
Mark.Farndon@hdft.nhs.uk


Mr David Duffy

Consultant Orthopedic surgeon
Harrogate and district NHS Foundation Trust
david.duffy@hdft.nhs.uk