Paul Chatrath CV


Education

1982 – 1989 Sevenoaks School, Sevenoaks, Kent

1989 – 1992 Sidney Sussex College, University of Cambridge

1992 – 1995 The London Hospital Medical College, University of London

Qualifications

June 1992 MA (Cantab) Master of Arts Honours Degree (Class 2-1) University of Cambridge

June 1995 MBBS Bachelor of Medicine, Bachelor of Surgery University of London

December 1998 MRCS Member of The Royal College of Surgeons of England

March 2000 DLO Diploma in Laryngology and Otology, The Royal College of Surgeons of England

April 2005 FRCS (ORL-HNS) Fellow of The Royal College of Surgeons of England Intercollegiate Examination in Otolaryngology

September 2006 MD Doctor of Medicine Higher Research Degree University of London

Present Post

Consultant Rhinologist/ENT Surgeon

March 2016 – Charing Cross Hospital (Imperial Healthcare NHS Trust)

Honorary Senior Lecturer, Anglia Ruskin University, Chelmsford (July 2012)

Previous Experience

Consultant ENT Surgeon

June 2008March 2016– Queen’s University Hospital NHS Trust, Essex

Locum Consultant

October 2006 – June 2008 – Royal Free Hospital, London

Specialist Registrar, ENT Surgery

Oct 2000 – October 2006 North Thames Higher Surgical Training Programme

August 2000 – October 2000 Great Ormond Street Hospital, London

Senior House Officer (SHO)

Aug 1996 – Aug 2000 Addenbrooke’s Hospital, Cambridge

Pre-Registration House Officer

August 1995 – February 1996 The Royal London Hospital NHS Trust, London

February 1996 – August 1996 St James’s University Hospital, Leeds, W. Yorkshire

Clinical Experience

Laryngology Microlaryngeal surgery, thyroplasty, botox injections for spasmodic dysphonia, pharyngeal pouch surgery

Paediatric ENT Adenotonsillectomy, grommet insertion, mastoid surgery, excision neck lumps, children’s voice disorders, neonatal and paediatric airway problems

Rhinology Septorhinoplasty after trauma, FESS including frontal sinus, CSF leak repair, endoscopic orbital decompression, SPA ligation

Facial Plastic Surgery Cosmetic rhinoplasty, excision & reconstruction of facial skin lesions, pinnaplasty

Otology & Balance Mastoid surgery (cortical, canal wall down and intact canal wall), myringoplasty, ossiculoplasty, tympanoplasty

Snoring/sleep apnoea Conventional LAUP, modern techniques including Coblation, Celon & Procut palatoplasty

Airway management Management of adult and paediatric airway compromise

Head & Neck Non-oncologic thyroid surgery, benign salivary gland surgery, excision neck lumps

Fellowships

(1) October – November 2006

Sinonasal malignancy

Ear reconstruction after excision of skin tumours

  • Academic Medical Center, Amsterdam, Netherlands
  • Dr G Nolste-Trenite, Professor W Fokkens, Dr Hade Vuyk

(2) December 2006 – January 2007

  • Laryngology / Airway Surgery
  • Royal National Throat, Nose & Ear Hospital

Audit & Management Experience

  • Clinical Audit Lead, Department of ENT, Queens University Hospitals’ NHS Trust
  • Member, CAPAG (Clinical Audit & Practice Advisory Group)
  • ENT-UK, Royal College of Surgeons of England
  • Trust Postgraduate Educational Supervisor for 3 FY2 trainees
  • Organisation of Advanced Life Support Courses
  • Service redesign
    • 18 week compliance – clinical 18 week champion for ENT
    • Day Surgery: Improved day surgical rates – an internal audit has demonstrated an increase in same day discharge from 30% to 75% over a 12 month period in line with Trust objectives
    • Operating list efficiency: Improved operating list efficiency by amalgamating morning and afternoon day surgery sessions into an all-day theatre list, thereby maximising theatre utilisation and minimising non-clinical time. Transfer to a three session theatre day has further increased productivity

Courses

The Complete Management Training Course, Royal Free Hospital, London

Promoting Clinical Governance Through Effective Leadership, Royal Free Hospital, London

MIAD Management & Leadership Course, Queen’s Hospital, Essex

 

Teaching Experience

Undergraduate Medical Students

  • Anatomy Demonstrator Post (including examining students in end of year exams)
  • Ongoing weekly teaching/assessment (small group and lecturing)
  • Final MBBS examination

Postgraduate Doctors

  • Advanced Life Support
  • MRCS & DLO Revision Courses
  • STEP Distance Learning Course / eSTEP moderator
  • A&E Induction Courses
  • Talks to local GPs

Nurses

  • Tracheostomy Study days (Great Ormond Street & Royal Free Hospitals)
  • Nurse Practitioner Conference, London (ENT Emergencies)

Other

  • Resuscitation Trainer, Fred. Olsen Cruise Lines
  • Supporting courses
  • April 1997 Advanced Life Support (ALS) Instructors’ Course
  • May–Sept 2006 Training the Trainers Course, Royal Free Hospital, London.
  • Jan 2007 Intercollegiate Surgical Curriculum Project (ISCP) update course, Royal Free Hospital, London

Research Experience

Higher Research Degree (MD): University of London (Sept 2006)

  • “Non-invasive brushing technique for the discrimination between benign and dysplastic laryngeal lesions”
  • Translational research including laboratory-based and clinically-applied studies

Examples of previous projects & application to clinical practice:

  • Comparison of paediatric CT scanning under sedation versus GA: protocol established cost-effectiveness of GA
  • MD: Surface brushings in diagnosing laryngeal lesions
  • Obviates the need for formal biopsy under GA in many cases
  • Clinically-based algorithm for predicting acoustic neuromas in patients with suspicious audiovestibular symptoms
  • Clinical Knowledge Summary (CKS): Management of Halitosis
  • Novel method for closure of CSF leaks using bone pâté

Publications

Total of 40 peer-reviewed published papers/books and 6 abstract/letters. Selection below:

Books

  • P Chatrath, O Rahim. MRCS: MCQs for the Surgical Membership. Blackwell Scientific Publications 1999
  • Readers Digest – “Your Body: Your Health”. Carroll & Brown publishers, 2001. Presentation and investigations for common ENT conditions

Review articles

  • CA East, P Chatrath. Otoplasty. ENT News 2006; 14(6): 53-55
  • A Sil, P Chatrath, DJ Gatland. Deafness in Vogt-Koyanagi-Harada syndrome. Journal of Laryngology & Otology 2006; 120: 416-418

Papers

  • A prospective audit of an important change for outpatient procedure coding in ENT: how we do it
  • Facial asymmetry
  • The Great Ormond Street Hospital (GOSH) Paediatric Cochlear Implant Programme 1992-2004: A Review of Surgical Complications
  • Endonasal endoscopic approach to the petrous apex: an image-guided quantitative anatomical study
  • Screening Patients with sensorineural hearing loss for vestibular schwannoma using a Bayesian classifier
  • Audit of doctors’ knowledge of major incident policies
  • A minimally invasive immunocytochemical approach to early detection of oral malignancy and dysplasia
  • Immunohistochemical estimation of cell cycle phase in laryngeal neoplasia
  • Aberrant expression of minichromosome maintenance protein-2 and Ki67 in laryngeal squamous epithelial lesions
  • Anti-soya antibodies and TrilucentTM breast implants
  • A review of the current management of infantile subglottic haemangioma, including a comparison of CO2 laser therapy versus tracheostomy
  • Subclinical presentation of massive retropharyngeal abscess
  • Controversies in ENT training
  • Anti-silicone antibodies and silicone containing breast implants

Presentations

International

  • European Rhinological Society, Tampere, Finland
  • AAO-HNS American Academy of Otolaryngology, Head & Neck Surgery, Los Angeles, USA
  • Dutch Otorhinolaryngological Research Society (ORS), Utrecht, Netherlands
  • European Rhinological Society, Istanbul
  • IFOS World Congress, Cairo, Egypt

National

  • European Laryngological Society, Nottingham
  • Clinical Audit & Practice Advisory Group (CAPAG), Royal College of Surgeons of England, London
  • British Rhinology Society, London
  • British Association of Clinical Otolaryngology (BACO), Birmingham
  • Royal Society of Medicine, London
  • Semon Club, Guy’s Hospital, London
  • Otorhinolaryngology Research Society (ORS) Spring Meeting, Birmingham
  • British Association of Paediatric Otolaryngology, Southampton
  • British Association of Clinical Anatomists Winter Meeting, Leeds
  • British Journal of Physiology Quarterly Meeting, Bristol

Prizes

Consultant

  • October 2009 First prize for best audit presentation
  • Annual Audit/Clinical Governance Competition, Queen’s Hospital

Specialist Registrar

  • April 2003 Stell Prize for best presentation
  • Otorhinolaryngology Research Society (ORS) Meeting, Birmingham
  • Dec 2003 Xomed-Treace Prize for best dissertation on a research topic
  • Otorhinolaryngology Research Society (ORS)
  • Sept 2005 First Prize in Resident’s Research Category for best dissertation
  • AAO-HNS American Academy of Otolaryngology, Los Angeles, USA
  • Sept 2005 Runners-up Prize for best poster
  • AAO-HNS, Los Angeles, USA
  • Nov 2005 Hartopp-Dixon Prize for best presentation
  • Royal National Throat, Nose & Ear Hospital (RNTNE), London
  • Sept 2006 First Prize for best presentation
  • European Laryngological Society Meeting, Nottingham
  • May 2007 Prize for best poster
  • British Rhinology Society Meeting, London

Final MBBS

  • June 1995 Proxime Accessit to the University of London Gold Medal
  • Three Distinctions: Pathology, Clinical Pharmacology, O&G
  • Merit in: Medicine
  • Sanofi Winthrop Prize in Clinical Pharmacology

Clinical course

  • Nov 1993 Distinction and Prize in Communication Skills & Ethics
  • Nov 1994 Prize in Epidemiology

Pre-clinical

  • June 1990 College Prize in Biochemistry

School

  • 1984 Scholarship to Sevenoaks School

Grants

  • July 1992 Wellcome Foundation Exhibition (Part II Anatomy Tripos)
  • Sept 2005 Lionel Colledge Memorial Foundation (RCS England)
  • April 2006 JLO Travelling Fellowship (Journal of Laryngology & Otology)
  • May 2006 Alice Maud Hall Travel Grant (North Thames Deanery, London)
  • Aug 2006 Royal Society of Medicine Travel Grant (Laryngology & Rhinology)

Courses Attended

Rhinology

  • Rhinology course, Munich, Germany
  • Approaches to the Anterior Skull Base, Charing Cross Hospital, London
  • Techniques in Facial Plastic Surgery, RNTNE, London
  • Rhinoplasty and Septal Surgery Course, RNTNE, London
  • Endoscopic Sinus Surgery Course, Cambridge

Laryngology

  • Phonosurgery Course, RNTNE, London
  • Paediatric ENT
  • Paediatric ENT Masterclass, Institute of Child Health, London
  • Advanced Paediatric Life Support Course – Recommended as Instructor

Otology

  • Temporal Bone Dissection Course, St Mary’s Hospital
  • Temporal Bone Dissection Course, Société D’Otologique Pratique, Paris
  • Glasgow Temporal Bone Dissection Course, Stirling Royal Infirmary

Head & Neck

  • Wigan ENT Dissection Course, Wigan
  • Head & Neck Dissection Course, St Bartholomew’s & Guy’s Hospitals
  • Thyroid & Parathyroid Course, Royal Free Hospital
  • British Head and Neck Course, RNTNE, London

General ENT

  • MRC Literature Evaluation Course, Royal Society of Medicine, London
  • Newcastle/Glasgow ENT Radiology Course

Others

  • European Computer Driving Licence (ECDL)
  • Basic Surgical Skills Course, RCS, England
  • Advanced Trauma and Life Support (ATLS) course
  • Advanced Life Support Instructors Course

Other Experience & Interests

  • Ship Surgeon, Fred. Olsen Cruise Lines – Three cruises: Hamburg 1997, Norway 1998, North Africa 1999
  • Good wine/food
  • Cycling
  • Rowing
  • Jogging