Rhiannon Kelsall — Specialty Registrar (ST4), Respiratory Medicine
Manchester
Respiratory registrar six years out of medical school, fully GMC registered and MRCP(UK) complete, now in specialty training in the North West. Redesigned the trust escalation form for non-invasive ventilation, which took median time from blood gas to NIV from 4 hours 10 minutes to 96 minutes.
Experience
Specialty Registrar (ST4), Respiratory Medicine, Brackenmere NHS Foundation Trust · August 2025 – present
Tertiary respiratory unit. Registrar-of-the-week rota, bronchoscopy list and the pleural service.
- Redesigned the non-invasive ventilation escalation form after a 120-patient audit; median time from blood gas to NIV fell from 4 hours 10 minutes to 96 minutes.
- Holds the pleural list, performing about 90 ultrasound-guided aspirations and 30 indwelling catheter insertions a year.
- Organised the twice-weekly registrar teaching programme for 14 internal medicine trainees; attendance rose from 40% to 88% over two rotations.
- Rewrote the breathlessness pathway with the respiratory consultants, and it now runs unchanged at the three district sites in the network.
Internal Medicine Trainee (IMT1 to IMT3), Redhollow Teaching Hospitals NHS Trust · August 2022 – August 2025
Rotations in acute medicine, cardiology, gastroenterology, intensive care and care of the elderly.
- Held the medical registrar bleep on nights through IMT3, taking referrals for a 640-bed site with consultant cover by telephone.
- Cut the weekend discharge summary backlog from 61 outstanding to under 5 by moving the post-take round onto a structured proforma.
- Completed 34 supervised ascitic drains and 22 lumbar punctures, closing the full procedural portfolio a rotation ahead of schedule.
Foundation Doctor (FY1 and FY2), Elmsworth General Hospital · August 2020 – August 2022
- Introduced a weekend handover checklist on the surgical ward after an incident review; overnight jobs missed at handover fell from 14 a weekend to 3.
- Audited venous thromboembolism prophylaxis across 200 admissions and took prescribing compliance from 74% to 96% after a drug-chart redesign.
Education
- MBChB Medicine · University of Birmingham · September 2014 – July 2020
- BSc (Hons) Respiratory Science (intercalated) · University of Birmingham · September 2017 – June 2018
Skills
- Clinical: Acute medical take, Non-invasive ventilation, Pleural disease, Bronchoscopy (supervised), Home oxygen assessment, End-of-life care
- Procedural: Ultrasound-guided thoracocentesis, Chest drain insertion, Ascitic drainage, Lumbar puncture, Central venous access
- Beyond the ward: Clinical audit, Quality improvement (PDSA), Undergraduate teaching, Rota organisation, Serious incident review
Certifications
- GMC registered, full licence to practise (registration number on request) — General Medical Council
- MRCP(UK), all three parts — Federation of the Royal Colleges of Physicians
- Advanced Life Support Provider — Resuscitation Council UK
- Good Clinical Practice — NIHR Clinical Research Network
