Dr Sergio Diez Alvarez
Associate Professor, School of Rural Medicine
Contact
| Email: | sergio.diezalvarez@ncahs.health.nsw.gov.au |
| Room: | Pat O'Shane Building (C13) |
Qualifications
Postgraduate Certificate in Medical Education (University of Dundee)
Postgraduate Diploma in Critical Care (Cardiff University)
Postgraduate Certificate in Clinical Ultrasound (Melbourne University)
Postgraduate Diploma in Diabetes (Cardiff University)
Fellowship of the Royal Australasian College of Physicians
Fellowship of the College of Medicine of South Africa
Bachelor of Medicine and Bachelor of Surgery MBBCh (cum laude) 1995, University of the Witwatersrand, Johannesburg, South Africa
Description:
I hope to develop educational skills by undertaking further studies in medical education education. I am currently enrolled in a Postgraduate Diploma in Medical Education with Dundee University UK leading to an MSc in medical education, and a Postgraduate Certificate in Internal Medicine with Edinburgh University, UK leading to an MSc in Internal Medicine
Affiliations
Registrations
Health Professions Council of South Africa (HPCSA) membership: MP 0451592
GMC UK 4299590
NSWMB Specialist General Medicine MPO 360500
AHPRA MED 0001207594
Irish Medical Council 319217
Memberships
Fellow of the College of Medicine of South Africa
Fellow of the College of Australasian Physicians
Member of American College of Physicians
Associate Member of Royal College of Physicians of Edinburgh
Areas of Teaching
I currently undertake undergraduate teaching at the University of New England and University of New South Wales. As the Director of Physician Education at the Coffs Harbour Health Campus I am involved in daily postgraduate teaching of a wide spectrum of topics relating to clinical medicine. I am involved in the delivery of Continuous Professional Development for General Practitioners in Regional and rural New South Wales.
Research interests
I am interested in the role of general and hospitalist medicine and the delivery of patient centered care in regional and rural settings. I have an interest in postgraduate distance education using internet platform.
Professional Development
Advanced Trauma Life Support (ATLS), South Africa
Advanced Cardiac Life Support (ACLS), South Africa
Harvard Endocrine Course, Harvard. Boston USA
Research Good Clinical Practice Course
Clinical Leadership Program – Modular – Clinical Excellence Commission
Clinical Trials Research (Title, protocol number, designation)
MIDI trial, Principal Investigator
PRESENT Trial, Principal Investigator
EXTRACT-TIMI 25 trial Principal Investigator
Post authorization survey of prophylaxis use of Clexane in patients who are bed-ridden due to debilitating medical illness XRP4563C/5021, Principal Investigator
PREDICT trial, Principal Investigator
5A Registry Trial, Principal Investigator
OPTIC Registry, Principal Investigator
Clinical Skills & Experience
The following is a comprehensive clinical skills curriculum over the last three years
Emergency and Critical Care
Cardioversion; Defibrillation; Central Venous Catheters; Cardiopulmonary Resuscitation; Endotracheal Intubation (including difficult airway management); Mechanical Ventilation (including SIMV and Pressure controlled ventilation); Arterial line insertion (radial & femoral); Swan Ganz catheter insertion; Interpretation of CVP monitoring, Arterial pressure monitoring, and Cardiac Output Calculation
Cardiovascular Medicine
Exercise Stress Test (Treadmill & Ergometer); Interpretation of Electrocardiogram (In- & Out-patient); Interpretation of Echocardiographic data, Aorto-peripheral angiograms, Venous & Arterial Doppler Investigations; Pericardiocentesis; Tilt Table Testing
Respiratory Medicine
Spirometry; Interpretation of Full Lung Function; Thoracocentesis; Closed Pleural Biopsy; Insertion of Intercostal Drain; Interpretation of Chest x-ray, CT scan examination of the lung, Ventilation-Perfusion Scans; Interpretation of Polysomnography study results
Renal Medicine
Renal Biopsy (ultrasound guided); Insertion of Hemodialysis catheter; Peritoneal dialysis Management; Hemodialysis Management (including CVVHD & Intermittent hemodialysis); Interpretation of Renal Ultrasound, Intravenous Pyelogram , Captopril Renogram & Renal Angiogram studies
Endocrine & Metabolic Medicine
Interpretation of Thyroid Isotope scan & Thyroid Ultrasound studies; Interpretation of dynamic Endocrine tests e.g. Synacthen Stimulation Test; Interpretation of DEXA scan results >50
Gastrointestinal Medicine
Percutaneous Liver Biopsy; Interpretation of x-ray (including Barium studies) and Ultrasound of the Abdomen Results, ERCP/MRCP results, Abdominal CT scan results, & 24hr oesophageal pH and pressure monitoring
Hematology/Oncology Medicine
Plasmapheresis; Bone Marrow Aspiration & Trephine
Neurology
Lumbar Puncture; Interpretation of Brain CT scan & MRI scan; Interpretation of the results of EMG, EEG & Nerve conduction studies
Rheumatology
Injection/ Aspiration of Knee joint; Interpretation of Isotope Bone Scan results
Dermatology
Skin Biopsy
Ethical & Legal Medicine
Brain Death Assessment; Medico-legal Reporting; Death Certification; Post Mortem Request & Interpretation
Awards
E J A Loerincz Scholarship 1991
Bob Cassel Prize Best Overall Performance in Medicine 1994
Best Intern Johannesburg Hospital 1996
Jock Gear Memorial Prize Best Registrar 2000
Certificate of Appreciation NAIDOC week 4-11 July 2010
Finalist Clinician of the Year 2010 HNEAHS
Runner Up Mid North Coast Local Health Network Quality Award 2011 – Creating better patient journeys – patient safety “Medical-surgical Liason Service improves patient journey”
Australian Medical Association Supervisor of the Year 2012
Publications
Papers and Congress Presentations/Abstracts
Out-of –Hospital Cardiac Arrest and therapeutic hypothermia at Armidale Rural Referral Hospital – Critical Care Conference in the Vineyards, Australia April 2009
Acute Pancreatitis as a Manifestation of Coxiella Burnetti – A case report. RACP Physicians Week, Sydney May 2009 (poster presentation)
Repolarisation electrocardiographic changes suggestive of cardiac ischemia in a patient with a distal oesophageal foreign body impaction – A review of the causes of non-cardiac T wave changes – RACP Physicians Week, Sydney May2009 (Finalist IMSANZ Young Investigator Award)
The Mother with cardiac Disease – Rural Special Interest Group 2nd Annual Meeting Australia, July 2009
Hepatic Complications in Pregnancy - Rural Special Interest Group 2nd Annual Meeting Australia, July 2009
Breast Cancer – Can we keep abreast of change? –AMCOM 2009 Australia August 2009
Hemorrhagic Pancreatitis as a cause of Unexpected sudden death syndrome – case presentation and review of the literature – IMSANZ Scientific Meeting 2010 Australia October 2010
New Proposed Staffing Model for Staff Specialists for Regional and Rural Hospitals - IMSANZ Scientific Meeting 2010 Australia October 2010
Economic impact of the introduction of on-site computer tomography scanning in a rural referral hospital – audit and cost benefit analysis - IMSANZ Scientific Meeting 2010 Australia October 2010
STEMI management – there is still scope for the art of medicine in a protocolised environment – A Critical Care Conference in the Vinyards 2011 Australia April 2011
Jazz, rhythm and blues – how an irregular rhythm is rocking our ICUs – A Critical Care Conference in the Vinyards 2011 Australia April 2011
A case of complex secondary prevention in stroke – it’s not always straight forward. Smart Strokes Conference 2011, Australia 2011
The road to vascular cognitive impairment – Cognitive impact of strokes on stroke survivors and their carers. Smart Strokes Conference 2011, Australia 2011
Medical-Surgical Liaison Service in Regional Centre – the role of the generalist in contributing towards a safe patient journey’ (accepted for abstract presentation IMSANZ 2011
National Congress Attended (Last Five years)
South African Critical Care Congress 2007, Sun City 2007
South African Endocrinology & Metabolism Congress 2005, Drakensberg 2005
South African Heart Association Congress 2005, Cape Town 2005
Diabetes and the Metabolic Syndrome in the new Millenium 11-12 October 2008 Sydney, Australia
Advanced Diabetes Pump Management 15 May 2009 Sydney, Australia
RACP Physicians Week 2009 17-20 May 2009 Sydney, Australia
Hypotheticals in Cardiology 4 June 2009 Sidney Australia
Novo Nordisk Regional Endocrine Weekend 4-5th July 2009 Terrigal Australia
Rural Special Interest Group 2nd Annual Meeting – Delivering Anasthesia in the Bush Hunter Valley Australia, 23-25 July 2009
AMCOM 2009 Armidale 8 August 2009
Advances in Atherosclerosis and its Management Melbourne 17 October 2009
2009 NSW Rural Physicians Clinical Meeting Sydney 24-25 October 2009
7th Annual SP/MSD Diabtes and Cardiovascular Symposium Sydney 31 October- 1st November 2009
34th ANZICS Annual Scientific Meeting Perth 29-31 October 2009
Dimensions 2010 Melbourne 4-5 February 2010
Chronic Renal Failure, hypertension & what GP need to know 16 February UNE Tamworth
Cardiovascular Specialist Symposium Sydney 20-21 February 2010
Cultural Respect Workshop Tamworth 13-14 July 2010
RACP-IMSNAZ congress Gold Coast 1-3 October 2010
Masterclass in Lipidology – Sydney October 2010
Masterclass in Diabetes & Vascular Disease – Melbourne November 2010
Dimensions 2011 – Melbourne 5-6th February 2011
International Congress Attended (Last Five years)
ESSICEM 2005 Brussels, Belgium 2005
Digestive Disease Week 2005 14-19 May 2005 Chicago, USA
15th European Congress of Clinical Microbiology and Infectious Diseases 2-5 April 2005 Copenhagen, Denmark
ESC Congress 2005 3-7 September 2005 Stockholm, Sweden
41st EASD Meeting 10-15 September 2005 Athens, Greece
XVI European Meeting on Hypertension 12-15 June 2006 Madrid, Spain
World Congress of Cardiology 2006 2-5 September 2006 Barcelona, Spain
57th American Association for the Study of Liver Disease 27-31 October 2006 Boston, USA
19th World Diabetic Congress 4-7 December 2006 Cape Town, South Africa
43rd EASD Meeting 17-21 September 2007 Amsterdam, The Netherlands
ESSICEM 2008 Brussels, Belgium 2008
12th Annual Update and Review of Internal Medicine 2008 19-24 October 2008 Santa Fe, USA
Chest (ACCP) 2008 25-30 October 2008 Philadelphia, USA
RCP London Advanced Medicine 2009 9-12 February 2009 London, UK
NNDU 2009 22-23 February 2009 Langkawi, Malaysia
WFSICCM 2009 28 August – 1September 2009 Florence, Italy
International Diabetes Federation 2009 18-22 October 2009 Montreal, Canada
International Society of Endocrinology Congress 2010 26-30 March 2010 Kyoto, Japan
European Society of Hypertension 2010 18-21 June 2010 Oslo, Norway
Update course in Elderly Medicine – 16-20 May 2011 Edinburgh, Scotland
Pulmonary Board Review 2011 30 Sep-4th Oct 2011 San Antonio, USA
Endocrine Board Review and Update course 2011 5-9th Oct 2011 Nashville, USA
International Diabetes Federation 2011 4-8 December 2011 Dubai, UAE