| Personal Details | Information |
|---|
| Full Name | Nadarajan Sudhakaran |
| Mobile | +6 013 3858555 |
| Email | surgery4kids@gmail.com |
| Date of Birth | 13th October 1971 |
| Marital Status | Married |
| Nationality | Malaysian |
| GMC (UK) Registration | 4193546 (Full); Specialist Register (Paediatric Surgery) |
| CCT Paediatric Surgery | October 2009; conferred 10th May 2010 |
| MMC No. Malaysia | 52998 |
| National Specialist Register | 129809 (November 2013) – Paediatric Surgery, Malaysia |
| FRACS (Paediatric Surgery, Australia) | 200030 |
| Indemnity | Medical Protection Society |
Education
| Period | Institution |
|---|
| 1990 – 1995 | University of Wales College of Medicine, Cardiff, UK |
| 1988 – 1990 | Davies’s College, Brighton, UK |
Personal Statement:
I am committed to a career in Paediatric Surgery, with interests in laparoscopic and thoracoscopic surgery. I will be actively involved in teaching and in creating an environment for training in minimally invasive surgery with the ultimate aim of expanding the use of minimally invasive surgery in paediatric practice throughout Malaysia.
Qualifications
| Year | Qualification |
|---|
| 2017 | FRACS (Paediatric Surgery), Australia |
| 2009 | FRCS (Paediatric Surgery), UK Intercollegiate Specialty Board |
| 2001 | MRCS, Royal College of Physicians and Surgeons Glasgow |
| 1995 | MBBCh, University of Wales College of Medicine |
Resuscitation
| Date | Course / Certification |
|---|
| August 2009 | APLS |
Learned Bodies
| Professional Membership / Fellowship |
|---|
| Royal College of Physicians and Surgeons Glasgow |
| Malaysian Association of Paediatric Surgeons |
| Fellow of the Australasian College of Surgeons |
Employment History
Current Employment
| Period | Position | Institution |
|---|
| Oct 2017 – Present | Consultant Paediatric Surgeon | Pantai Hospital, Kuala Lumpur & Prince Court Medical Centre, Malaysia |
Previous Employment
| Period | Position | Institution |
|---|
| Jan 2016 – Sep 2017 | Consultant Paediatric Surgeon | Gold Coast University Hospital, Australia |
| Dec 2012 – Present | Consultant Paediatric Surgeon | Prince Court Medical Centre, Kuala Lumpur, Malaysia |
| Aug 2012 – Nov 2014 | Associate Professor & Consultant Paediatric Surgeon | University Malaya Medical Centre |
| Mar 2010 – Jul 2012 | Consultant Paediatric Surgeon | St George’s Hospital, London, UK |
| Oct 2009 – Feb 2010 | Senior Registrar, Post Training | King’s College Hospital |
Higher Specialist Training in Paediatric Surgery
London Deanery — 2003–2009
| Period | Hospital / Institution | Supervisors / Consultants |
|---|
| Aug 2008 – Sep 2009 | King’s College Hospital | Prof. M. Davenport, Mr. S. Patel, Mr. N. Adi Ajayi, Mr. A. Desai |
| Aug 2007 – Jul 2008 | Great Ormond Street Hospital for Children | Mr. P. DiCoppi, Prof. A. Pierro, Mr. J. Curry, Mr. E. Kiely, Mr. D. Drake |
| Apr 2007 – Jul 2007 | University Hospital Lewisham | Mr. A. Keshtgar, Mr. M. Kader, Ms. D. Kufeji, Ms. M. Agrawal, Ms. C. Richards |
| Oct 2005 – Apr 2007 | St George’s Hospital | Mr. E. Nicholls, Mr. B. Okoye, Mr. K. Holmes, Mr. S. Capps, Ms. S. A. Boddy |
| Oct 2003 – Oct 2005 | University Hospital Southampton | Mr. R. Wheeler, Mr. D. Burge, Mr. H. Steinbrecher, Mr. P. Malone, Mr. M. Griffiths |
Paediatric Surgical Research Fellowship
| Period | Institution | Supervisors |
|---|
| Aug 2001 – Aug 2003 | John Radcliffe Hospital, Oxford | Mr. P. Johnson, Prof. D. Gray |
Non-Rotation Training Posts
| Period | Institution / Position | Supervisors / Consultants |
|---|
| Feb 2001 – Aug 2001 | Great Ormond Street Children’s Hospital — Paediatric Urology | Mr. D. Wilcox, Mr. P. Duffy, Mr. P. Cuckow, Mr. Ransley |
| Feb 2000 – Feb 2001 | Bristol Children’s Hospital — Paediatric Surgery SHO | Miss E. Cusick, Mr. G. Nicholls, Mr. R. Spicer, Miss L. Huskisson, Mr. D. Frank |
Paediatric Rotation — SHO
Children’s Hospital, University Hospital Lewisham, London
| Period | Rotation / Department |
|---|
| Aug 1999 – Feb 2000 | N.I.C.U. & P.I.C.U. |
| Feb 1999 – Aug 1999 | General Paediatrics & Paediatric Surgery |
| Aug 1998 – Feb 1999 | Paediatric Accident & Emergency |
Basic Surgical Training Rotation — SHO
Royal Gwent Hospital, Newport, Wales
| Period | Rotation | Consultant / Supervisor |
|---|
| Feb 1998 – Aug 1998 | Urology | Mr. R. L. Gower |
| Aug 1997 – Feb 1998 | General Surgery | Mr. C. A. Gateley |
| Feb 1997 – Aug 1997 | Accident & Emergency | Mr. F. Richardson, Mr. G. McCarthy |
| Aug 1996 – Feb 1997 | Orthopaedics | Mr. K. J. Tayton |
Pre-Registration
| Period | Hospital | Rotation |
|---|
| Feb 1996 – Aug 1996 | Royal Sussex Hospital, Brighton | Medical |
| Aug 1995 – Feb 1996 | Bronglais General Hospital, Mid Wales | Surgical |
Work experience
I have had excellent teachers, trainers and role models during my training years, both at the London deanery and prior to getting onto the rotation. I feel that this has given me the confidence in decision making skills and the technical skill required to take on the role of a Consultant Peadiatric Surgeon.
My work experience has been carefully structured to give me maximum exposure in dealing with children, both medically and surgically. The 18 months experience within paediatric medicine has given me the insight to appreciate a child’s need as a whole. I have acquired skills in elective and emergency procedures that I believe give me the edge in managing crisis scenarios and in initiating resuscitation whilst awaiting the medical paediatric input. I am more aware of the effects of chronic illness on a child’s education, social life and family dynamics.
I have the experience of working with teams that use different models of paediatric surgical outreach services. I believe in collaborative learning and actively contribute towards skill development across the surgical network.
I have extensive (operative/non-operative) experience in managing routine and complex paediatric Surgical and urological cases. This is reflected in my operative logbook. I use timely intervention, multidisciplinary input and clear management strategies, enabling me to function as an independent and effective surgeon. I am a keen laparoscopic surgeon. I have performed many common laparoscopic procedures such as fundoplications, hernia repairs, cholecystectomies, choleduochal anomalies, Pyeloplasties, appendicectomies, intussusception reduction and colectomies. I am comfortable conducting most thoracoscopic surgeries, having been involved with many cases with lung anomalies. discussing the wider needs of my patients with pediatricians and I regularly involve parents in discussions around their child’s management.
I am a dedicated team player who values working within a team. I respect each member through active listening, acknowledging his/her contributions and facilitating open communication. I strongly believe that by supporting people in feeling valued and respected, we enhance their self- esteem and accountability, fuelling better performance. Similarly, I address difficult situations early and sensitively by encouraging reflection, providing honest feedback and empowering theircontribution in action planning.
Successful teams have clear goals. They embrace independence and interdependence in their actions. I promote these through non-hierarchical leadership style, but by using clear role delineation to encourage a sense of ownership over tasks. I listen, practice congruence in communication and employ negotiation as methods to deal with difficult situations. I believe fair-play, non-judgment and treatment with dignity to be paramount in dealing with any difficulties within a team.
Clinical Governance
Being aware of the role of audit in benchmarking the standards of clinical care and improving patient experience, I have actively undertaken audit projects. I have used my audit projects to bring positive changes and effectiveness into delivery of services, and in developing further clinical management protocol and guidelines. Listed are the audit projects I have undertaken:
| No. | Audit Project | Date |
|---|
| 1 | Hepatic impairment using SMORF TPN | March 2015 |
| 2 | Efficiency and parental satisfaction of the rapid access tongue tie clinic | January 2010 |
| 3 | Audit of complication rates of patients with ventriculo-peritoneal shunts undergoing general surgical procedures | April 2008 |
| 4 | Audit of length of hospital stay and coding of procedures | July 2007 |
| 5 | Audit of negative appendicectomy rates in St George’s Hospital | May 2007 |
| 6 | Complications of Mitrofanoff conduits (retrospective 5-year study) | August 2005 |
| 7 | TPN prescription and monitoring in neonates | August 2002 |
| 8 | Outcome of Watson’s Fundoplication | February 2001 |
| 9 | Antibiotic prophylaxis for prostatic biopsy | August 1998 |
I use the principles of clinical governance (especially continued education, audit and clinical risk management) as steps towards providing high quality care. I participate in these in order to promote patient safety, service efficiency and parent/patient experience.
Management
I have managed the doctors rota for my faculty, and had the responsibility to maintain working time directive compliance. I oversaw the organisation of all paediatric surgical theatre lists (routine, emergency and extra), focusing on appropriate allocation of cases, availability of equipments (for laparoscopic procedures), timely preparation of patients and smooth running of the lists. Bed availability and cot occupancy are constant issues that interfere with surgical admissions, and I address these by timely discharge of patients, and by expatriation of care to local hospitals with organised follow-up through paediatric surgical outreach services. Where this is not an option, I support the local unit through close communication and advice.
Formal Management Courses Attended
| Date | Course / Training | Location / Institution |
|---|
| Jan 2010 | Management in Medicine Course | Keele University |
| May 2005 | Time Management Workshop | Southampton |
Courses Organised
| Date | Course / Programme | Location / Institution |
|---|
| 2005 | Paediatric Laparoscopic Course | Southampton |
| 2007 | UKCCSG/BAPS Paediatric Surgery Oncology Course | St George’s |
| March 2014 | Basic Paediatric Laparoscopic Skills Course | Alor Setar, Malaysia |
| February 2014 | Basic Paediatric Laparoscopic Skills Course | Yangon, Myanmar |
| November 2014 | Laparoscopic Skills Course – ASEAN Association of Paediatric Surgeons | Yangon, Myanmar |
| November 2014 | Basic Surgical Skills Course for Medical Students – University Malaya Silent Mentor Programme | University Malaya |
| June 2017 | Advanced Paediatric Thoracoscopic Course – Centre of Excellence in Minimal Access Surgery | Mumbai, India |
Teaching and education
I have teaching responsibilities towards medical students, post graduate trainees and all members of the multidisciplinary team, at St Georges Hospital, University Malaya and now at Gold Coast. These can be formal or opportunistic. I encourage collaborative learning within the team. In addition to organizing the departmental teaching programme and participating in induction programme, I also actively use morbidity and mortality review meetings to encourage reflection and for learning from experience.
I am passionate about teaching, especially with regards to skills acquisition. I conducted weekly laparoscopic training for registrars both at St Georges hospital and at University Malaya. I undertook regular assessment and appraisal for trainees in the Intercollegiate Surgical Curriculum Programme and use feedback assessment from trainees to continue to improve my teaching and training technique.
Formal Courses for Teaching, Training & Assessment
| Date | Course | Institution / Location |
|---|
| April 2009 | Teach the Teacher | King’s College Hospital |
| January 2009 | Training the Trainer | Royal College of Surgeons, England |
| 11 May 2010 | Managing Trainees in Difficulty Course | St George’s Hospital |
| 14 May 2010 | Training and Assessment in Practice Course | St George’s Hospital |
Formal Contributions Towards Teaching & Training
| Period | Teaching / Training Contribution | Institution / Location |
|---|
| — | Trainer for Paediatric Surgery Postgraduate Masters Programme and Lead for Laparoscopic Training | University Malaya |
| — | Lead Organiser for Paediatric Surgical Masters Examinations | University Malaya |
| 2013 – Nov 2014 | Undergraduate Medical Curriculum Reorganising Committee – Sydney University Integrated Course | University Malaya |
| 2012 – Nov 2014 | Final Year MBBS Lead Surgical Tutor | University Malaya |
| 2009 – 2012 | Trainer – Basic Surgical Skills Course | Royal College of Surgeons, London |
| 2009 – 2012 | Trainer – Basic Laparoscopic Skills Course | Royal College of Surgeons, London |
| 2008 – 2009 | Operative Surgery for Core Trainees | King’s College Hospital |
| — | Tutor for 3rd Year Medical Students in Specialized Study Module – Weekly Teaching | King’s College |
| — | Weekly Small Group Lecture in Paediatric Surgery for 4th Year Medical Students | King’s College |
| — | Lecturer for MBBS Course | St George’s Hospital |
| 2010 – 2012 | Examiner in MBBS Examinations | King’s College, London School of Medicine / St George’s Hospital |
| 2005 | BAPES Laparoscopic Course for Nurses | Southampton |
| 2005 | BAPES Basic Laparoscopic Skills Course | Southampton |
Invited Lectures
| Date | Meeting / Event | Topic | Location |
|---|
| Nov 2014 | ASEAN Association of Paediatric Surgery Meeting | Laparoscopic Assisted Repair of Anorectal Malformation | Yangon, Myanmar |
| Oct 2014 | Asian Association of Endoscopic and Laparoscopic Surgeons Meeting | Thoracoscopic Lung Resection for CCAM | Bali |
| 2013 | Indonesian Association of Paediatric Surgery Conference | MIS | — |
| June 2009 | Kent Neonatal Network Meeting | Surgery for Congenital Lung Anomalies | — |
| Aug 2009 | GGKT South London Neonatal Study Day | Antenatal and Postnatal Interventions for Congenital Lung Malformation | — |
| March 2010 | Child Health Surveillance Course for GP, Imperial College London | Surgical Problems | London, UK |
| 6 April 2010 | London Deanery Neonatal Study Day | NEC | London, UK |
Research Experience
Research Fellowship
| Details | Information |
|---|
| Job Title | Research Fellow |
| Institution | Oxford Radcliffe Hospital |
| Period | August 2001 – August 2003 |
| Research Title | Neogenesis of Insulin-Producing Tissue |
| Hypothesis | Adult pancreatic stem cells can be manipulated into producing insulin |
| Research Supervisors | Professor Gray and Mr Paul Johnson |
Research Experience & Skills
During my research fellowship, I developed expertise in research methodology, laboratory-based techniques and collaboration with technical experts in investigating research questions. I also developed skills in the critical appraisal of research papers, formulation of clinical questions, scientific writing and scientific presentations.
Publications
| No. | Publication |
|---|
| 1 | Duodenal Atresia Repair (Laparoscopic) — Gibson A, Sudhakaran N. Chapter in Color Atlas of Pediatric Anatomy, Laparoscopy and Thoracoscopy, McHoney M, Kiely E et al. Springer, 2017. |
| 2 | Vitello-intestinal Duct and Urachal Remnants — N. Sudhakaran and B. Okoye. Chapter in Rickham’s Textbook of Neonatal Surgery, 2017. |
| 3 | Tension Gastrothorax in Children: Introducing a Management Algorithm — Ng J, Rex D, Sudhakaran N, Okoye B, Mukhtar Z. J Pediatr Surg. 2013 Jul;48(7):1613–1617. |
| 4 | Fetal Surgery — Sudhakaran N, Sothinathan U, Patel S. Early Human Development (Best Practice Guidelines). 2012 Jan;88(1):15–19. |
| 5 | Congenital Lung Anomalies — Sudhakaran N, Davenport M. Current Respiratory Medicine Review. ISSN: 1573-398X, Vol. 7, No. 1, February 2011. |
| 6 | Appendicitis in Children — Sudhakaran N, Ade-Ajayi N. Surgery. 2009. doi:10.1016/j.mpsur.2009.10.010. |
| 7 | Chapter on Malrotation — Sudhakaran N. In Davenport M, Pierro A. Oxford Handbook in Specialist Surgery: Paediatric Surgery. 2009; ISBN 978-0-19-920880-7. |
| 8 | Nipple Pain at Presentation Predicts Success of Tongue-Tie Division for Breastfeeding Problems — Khoo AK, Dabbas N, Sudhakaran N, Ade-Ajayi N, Patel S. Eur J Pediatr Surg. 2009 Sep 11. |
| 9 | Adenocarcinoma at the Ureterosigmoidostomy Site in a 16-Year-Old: The Importance of Screening in Children — Smeulders N, Sudhakaran N, Wilcox DT, Ransley PG. J Pediatr Urol. 2008 Jun;4(3):234–235. |
| 10 | Watson Fundoplication in Children: A Comparative Study with Nissen Fundoplication — Wagener S, Sudhakaran N, Cusick E. J Pediatr Surg. 2007 Jun;42(6):1098–1102. |
| 11 | Development of a Novel Digestion Chamber for Human and Porcine Islet Isolation — Gray DW, Sudhakaran N, Titus TT, McShane P, Johnson P. Transplant Proc. 2004 May;36(4):1135–1138. |
| 12 | Extra Luminal Migration of Coin Misdiagnosed as Asthma — Persaud R, Sudhakaran N, Ong C, Dykes E, Bowder D. Emergency Medicine Journal. 2001 Jul;18(4):312–313. |
| 13 | Pitfalls of Gastric Intubation in Premature Infants — Sudhakaran N, Kirby C. J Paediatr Child Health. 2001 Apr;37(2):195–197. |
| 14 | Replace Fine Needle Aspiration Cytology with Automated Core Biopsy in Triple Assessment of Breast Cancer — D Clark, N Sudhakaran, C.A. Gateley. Ann R Coll Surg Engl. 2001;83(2):110–112. |
Presentations
| Date | Presentation / Topic | Conference / Meeting | Role / Location |
|---|
| Jan 2018 | Skill Acquisition and Transfer for Paediatric MIS in Malaysia | SELSMA | Invited Speaker |
| Apr 2017 | Minimal Access Surgery in Neonates | Perinatal Society of Malaysia | Invited Speaker |
| Mar 2015 | Congenital Lung Anomaly | Perinatal Society of Malaysia | Invited Speaker |
| Nov 2014 | Laparoscopic Assisted Repair of Anorectal Malformation | ASEAN Association of Paediatric Surgery Meeting | Yangon, Myanmar |
| Oct 2014 | Thoracoscopic Lung Resection for CCAM | Society of Endoscopic and Laparoscopic Surgeons of Asia / Association Meeting | Bali |
| Nov 2013 | Mastering the Masters Exams | Paediatric Surgery Postgraduate Symposium | — |
| Oct 2013 | Laparoscopic Assisted Repair for Hirschsprung’s Disease | Indonesian Association of Paediatric Surgeons Conference | Aceh — Invited Speaker |
| 2009 | Nipple Pain at Presentation Predicts Success of Tongue-Tie Division for Breastfeeding Problems | BAPS | Graz |
| Feb 2009 | Laparoscopic vs Open Pyloromyotomy: A Randomized Trial | London Regional Paediatric Surgery Meeting | — |
| 2006 | Thoracic Musculoskeletal Deformities in Children with Repaired Diaphragmatic Hernia | BAPS | Stockholm |
| 2004 | Learning Laparoscopic Surgery – A Trainee’s Perspective | BAPES-GECI | Paris |
| 2004 | Laparoscopic Assisted Double-Cuffed Tenckhoff Catheter Insertion: Is It Worth It? | BAPES-GECI | Paris |
| 2004 | An In-Vivo Method of Investigating Stimulation of Islet Growth and Its Use to Investigate the Effect of Hepatocyte Growth Factor | BAPS | Oxford |
| 2004 | Anatomical Distribution of Nestin-Positive Cells Within the Adult Pancreas | IPITA | Igls, Austria |
| 2003 | A Potential New Source of Stem Cells for Islet Transplantation in the Treatment of Juvenile-Onset Diabetes | BAPS | Estoril, Portugal |
| 2001 | Thoracoscopic Ligation of Apical Bulla and Pleurectomy | BAPES | Edinburgh |
| 1997 | Replace Cytology with Automated Core Biopsy in the Triple Assessment of Breast Cancer | Welsh Surgical Society Conference | — |
Courses Attended
In addition to generic study days and conferences
| Date | Course / Training |
|---|
| Oct 2010 | Level III: Child Protection Course |
| Aug 2010 | Single-Port Laparoscopic Course |
| Jan 2010 | Keele University Management Course |
| Sep 2008 | BAPU Course |
| May 2008 | Management of Fetal Anomalies |
| May 2008 | Simpson Smith Symposium |
| Mar 2008 | Neonatal and Laparoscopic Surgery Course — Prof. H.L. Tan / Prof. Pierro, Kuala Lumpur |
| Mar 2007 | Basic Paediatric Laparoscopic Course — Prof. H.L. Tan, Kuala Lumpur |
| Jan 2007 | UKCCSG/BAPS Paediatric Surgery Oncology Course |
| May 2005 | Time Management Workshop |
| Jul 2004 | International Paediatric Endoscopic Surgery Workshop, Leeds |
Interests
| Area | Interests |
|---|
| Personal Interests | Football, DIY and Cooking |