3 7 L E A M I N G T O N T E R R A C E, E D I N B U R G H, E H 1 0 4 JS P H O N E 0 7 7 3 9 4 8 2 6 9 8 E - M A I L S G M O L Y N E U X @ G M A I L. C O M M R S A M U E L M O L Y N E U X M B B S, B M E D S C I ( H O N S ), M R C S, M S C ( D I S T I N C T I O N ) PERSONAL DETAILS Age: 38 Date of Birth: 31 st January 1977 Nationality: British GMC No.: 6057122 CURRENT POST Consultant in Trauma and Orthopaedic Surgery with a specialist interest in Hand and Wrist Trauma, New Royal Infirmary of Edinburgh. PROFESSIONAL QUALIFICATIONS QUALIFICATION INSTITUTION DATE FRCS Tr&Orth Royal College of Surgeons, Edinburgh Feb 2012 MSc(Distinction) Evidence University of Teesside Nov 2009 Based Orthopaedics MRCS(Ed) Royal College of Surgeons, Edinburgh Nov 2005 ATLS Instructor Royal College of Surgeons, England June 2011 ATLS Royal College of Surgeons, England Sept 2010 MBBS Newcastle Medical School June 2002 BMedSci (Hons) Newcastle Medical School June 2001 CLINICAL ACTIVITY I am employed full time in a substantive post in Trauma and Orthopaedics by NHS Lothian consisting of a trauma and an elective practice. In trauma I take part in a 1 in 8 on call rota for general trauma with a specialist interest in wrist and hand injury, upper limb injury and pelvic / acetabular fractures. My elective practice consists of reconstructive and general hand surgery, sports upper limb surgery and soft tissue knee procedures/ arthroscopy. I also have a specific clinical and research interest in exertional (exercise induced) compartment syndrome of the leg. MEDICO-LEGAL EXPERIENCE I have experience writing reports for both defender and pursuer including in the areas of personal injury, fractures, road traffic accidents, work injury and whiplash. In 2013 I completed the core skills in medico-legal report writing course with Professional Solutions learning and development. 1
MANAGEMENT AND LEADERSHIP ACTIVITY 1. I am the lead clinician for mortality and morbidity review in orthopaedic trauma department. This involved setting up a new monthly meeting coordinating a review of all difficult, interesting, problematic or complicated cases that occur in the department. A review of total numbers of cases and departmental activity is also included. 2. Infection control liaison for orthopaedic trauma department. This involves taking a lead role in infection prevention on wards, in theatre and in the outpatient department. I coordinate with the microbiology and infection control departments to ensure best practise within the orthopaedic department. I also lead the orthopaedic response to crises such as any Clostridium dificile outbreaks and the treatment of patients with multiply resistant bacterial strains. 3. Educational supervisor for medical students and junior doctors. I have multiple medical students and junior doctors whom I supervise and teach on a regular basis. 4. Training Programme Lead at Royal Infirmary of Edinburgh. I coordinate training for Orthopaedics within this large teaching hospital. I assign clinical attachments, oversee the rotas and assign study leave. I also ensure extra support for trainees in difficulty and am involved in initiating disciplinary processes where necessary. 5. Director of the annual Edinburgh International Trauma Symposium. This annual conference attracts around 200 delegates from around the world. I have coordinated a new and successful format for the symposium over the past year which has seen the number of attendees increase along with the educational quality and level of feedback. 6. ATLS instructor. I teach advanced trauma life support to doctors of all levels on a regular basis. 7. Core Skills in Orthopaedic Surgery instructor. This annual course is aimed at teaching junior trainees the skills they need to successfully negotiate a training programme and maximise the quality of care they provide from outpatient procedure through to complex surgery. 8. Tutor on the Masters in Orthopaedic Surgery Course (University of Edinburgh). This annual distance learning course attracts candidates from around the world. I lead the teaching for the trauma module. The aim is to provide a consultant level of understanding of simple and complex trauma and to provide students with the skills needed to reason their way through difficult and unusual clinical situations. PREVIOUS ORTHOPAEDIC EXPERIENCE POST SUPERVISOR / INSTITUTION DATES Fellow in Orthopaedic Trauma Mr P O Brien July 2012 to July 2013 Vancouver General Hospital ST7 Upper Limb Trauma Mr C Oliver Apr 2012 to June 2012 2
ST7 Lower Limb Trauma ST7 Lower Limb Arthroplasty ST6 Foot and Ankle ST6 Hand Surgery ST6 Paediatric Orthopaedics ST5 Lower Limb Arthroplasty ST5 Spinal Surgery ST5 Lower Limb Trauma ST4 Upper Limb and Trauma ST4 Lower Limb Arthroplasty ST3 General Orthopaedic Rotation Senior SHO Orthopaedics Senior SHO Orthopaedics SHO Orthopaedics Mr J Keating Mr G Lawson Mr J. McKinley, Ms J McEachan Queen Margaret Hospital, Dunfermline Mr A Murray Royal Hospital for Sick Children, Edinburgh Mr I Annan Mr JNA Gibson Mr T. White,. Mr J. Reid, Ms M. McQueen and Mr C. Court-Brown,. Mr P. Gaston. Mr I. Brenkel Queen Margaret Hospital, Dunfermline. Mr S. Jones Wansbeck General Hospital Mr. A. Gower University Hospital North Durham Prof. A. McCaskie Freeman Hospital, Newcastle Feb 2012 to Apr 2012 Aug 2011 to Feb 2012 May 2011 to Aug 2011 Feb 2011 to May 2011 Aug 2010 to Feb 2011 Feb 2010 to Aug 2010 Oct 2009 to Feb 2010 Aug 2009 to Oct 2009 Feb 2009 to Aug 2009 Aug 2008 to Feb 2009 Aug 2007 to Aug 2008 Feb 2007 to Aug 2007 Aug 2006 to Feb 2007 Aug 2005 to Feb 2006 OTHER PREVIOUS EXPERIENCE POST SUPERVISOR / INSTITUTION DATES SHO Urology Sunderland Royal Hospital Feb 2006 to Aug 2006 SHO General Surgery / ITU Royal Victoria Hospital, Newcastle Feb 2005 to Aug 2005 SHO Accident and Emergency North Tyneside General Hospital Feb 2005 to Aug 2005 Prosector in Anatomy Oxford University Feb 2004 to Aug 2004 RMO Emergency Medicine / ITU PRHO Rotation Anaesthetics / General Surgery / Medicine Concord Repatriation Hospital, Aug 2003 to Feb 2004 Sydney, Australia North Tyneside General Hospital Aug 2002 to Aug 2003 3
AWARDS / PRIZES 1. Distinction in Masters (MSc) in Evidence Based Orthopaedics, University of Teesside, Jul. 2009. 2. Best Overall Student MSc in Evidence Based Orthopaedics, University of Teesside, Jul 2009. 3. Best Overall Student MSc in Evidence Based Medicine (umbrella term for all specialist Evidence Based MSc Courses), University of Teesside, Jul 2009. 4. JIP James Medal for Best Performance in Annual Orthopaedic Exams, South East Scotland Deanery, Dec 2008. 5. JIP James Medal for Best Performance in Annual Orthopaedic Exams, South East Scotland Deanery, Dec 2010. 6. First Prize Edinburgh Orthopaedics Registrar s Research Forum 2010 for Dissectoview a new technique for minimally invasive fasciotomy of the lower limb. 7. Finalist National Orthopaedic Conference, Oct 2012. Pre-operative changes in haemoglobin in hip fracture patients. One of four posters selected as finalists. POSTERS/PRESENTATIONS 1. Ulnar neuropathy following distal humerus fracture fixation. Podium presentation at the American Academy of Orthopaedic Surgeons, Feb 2015. 2. Pre-operative changes in haemoglobin in hip fracture patients. Poster presentation (national finalist), National Orthopaedic Conference, London. 3. The hidden blood loss after hip fracture. Poster presentation, Orthopaedic Trauma Association Annual Conference, Minneapolis. 4. Acute compartment syndrome of the forearm. Podium presentation. Orthopaedic Trauma Association Annual Conference, Minneapolis (non-presenting author). 5. Outcomes after Pipkin fractures of the femoral head. Poster presentation, Orthopaedic Trauma Association Annual Conference, San Antonio, Texas. 6. Epidemiology and outcomes of open distal radial fractures. Podium presentation, European Federation of National Associations of Orthopaedics and Traumatology (EFORT) Annual Congress, Madrid. 7. A randomised controlled trial of endoscopic versus microdiscectomy with two year follow up. Podium presentation, BritSpine Annual Conference, Liverpool. 8. Outcomes of open distal radius fractures. Podium presentation, British Orthopaedic Association Annual Conference, Liverpool. 4
9. Predictors of length of stay after total hip replacement. Podium presentation. British Orthopaedic Association Annual Conference, Liverpool. 10. Outcomes after lateral release. Poster presentation, British Orthopaedic Association Annual Conference, Liverpool. 11. Predictors of poor outcome after unilateral hip arthroplasty. Poster presentation, International Society of Orthopaedic Surgery and Trauma (SICOT) Annual Conference, Hong Kong. 12. Outcomes after lateral release during knee replacement. Poster presentation, EFORT Annual Congress, Nice. 13. Predictors and outcomes of lateral release during knee replacement. The experience in Fife. Oral presentation, Roy Petrie Memorial Prize Meeting, Dunfermline. 14. Outcomes of distal tibial fractures treated using the LISS locking plate; a case series. Oral presentation, University Hospital North Durham Annual Research meeting, Durham. 15. Patient perspectives on research priorities. Oral presentation. PPP Healthcare annual research meeting, Glasgow. 16. The use of in-depth interviews as a means of investigating patient priorities for research. Podium presentation, Northern Deanery Research Society Annual Conference. PUBLICATIONS Theses 1. The use of in-depth interviews to investigate patient priorities in ulcerative colitis. Newcastle Medical School, BMedSci Thesis. 2001. 2. Predictors and Outcomes of Lateral Release During Total Knee Replacement in Fife, Scotland Between 1996 and 2008. University of Teesside. MSc Thesis. 2009. Papers 1. Predictors and outcomes of lateral release in total knee arthroplasty: a cohort study of 1859 patients. Molyneux SG, Brenkel I. Knee. 19(5): 688-691. Oct. 2012. 2. Acute compartment syndrome of the forearm. Duckworth AD, Mitchell SE, Molyneux SG, White TO, Court-Brown C, McQueen M. JBJS(Am). 24(10): e63. May 2012. 3. Positioning for elbow fixation in young children. Cowie JG, Molyneux SG, Murray AW. Annals of the Royal College of Surgeons, England. 93(8): 650-651. 4. The hidden blood loss after hip fracture. Smith GH, Tsang J, Molyneux SG, White TO. Injury. 41(7):911-3. Jul 2010. 5
5. The use of in-depth interviews to investigate patient priorities our experience with ulcerative colitis. Molyneux SG, Collins J, Welfare M. European Journal of Gastroenterology & Hepatology. 18(9):939-944. 2006. Abstracts / Letters 1. A randomised controlled trial of endoscopic versus microdiscectomy with two year follow up. Molyneux S, Spens HJ, Gibson JNA. JBJS (Br). 94-B. Supp. 85. 2012. 2. Epidemiology and outcomes of open distal radial fractures. Molyneux S, Tan M, McQueen M. JBJS (Br). 93-B. Supp II 168. 2011. 3. Cognitive impairment may affect outcomes after surgery for fracture of the hip. JBJS (Br). E-letter. Sep 2006. RESEARCH IN PROGRESS 1. A novel technique for minimally invasive lower limb fasciotomy for compartment syndrome the Dissectoview endoscopic dissector. This project has involved both cadaveric and animal research. In cadavers we developed a new research model for compartment syndrome in trauma and assessed the feasibility of the dissection technique in human anatomy. I am the project licence holder for the animal research which has involved refining the technique in sheep to assess its feasibility in living tissue and in particular in the presence of haemorrhage. 2. The influence of radiological deformity and frailty on outcome in geriatric distal radius fractures. A prospective study comparing radiological parameters, a validated measure of frailty and functional outcome scores in 250 patients at Vancouver General Hospital. 3. Fractures of the Radius: Radiological and Clinical Evaluation (FORRCE Trial). I am the Chief Investigator for this prospective randomised controlled trial. This trial is looking at the outcomes after the treatment of distal radius fractures with plates, k-wires and non-bridging external fixators. We aim to rectruit 500 patients over a 5 year period. AUDITS 1. Follow up following hip replacement for trauma. New Royal Infirmary of Edinburgh, 2015. 2. Anticoagulation following hip replacement for trauma. New Royal Infirmary of Edinburgh, 2014. 3. Adherence to prescription guidelines for antibiotics in orthopaedic trauma patients. New Royal Infirmary of Edinburgh, 2014. 4. Excess bed occupancy as a result of musculoskeletal infection in orthopaedic cases a repeat audit., Nov 2011. 5. Excess bed occupancy as a result of musculoskeletal infection in orthopaedic cases a repeat audit., May 2010. 6
6. The use of anticoagulants in patients admitted to the Trauma Unit. Edinburgh Royal Infirmary, March 2009. 7. Excess bed occupancy as a result of musculoskeletal infection in orthopaedic cases., Oct. 2008. 8. Findings during exploration for suspected torsion of the testis. Sunderland Royal Hospital, June 2006. 9. Appropriateness of general practitioner referrals to the breast service under the two week rule. Royal Victoria Infirmary, Newcastle, June 2005. 10. The management of nausea in patients using post-operative patient controlled analgaesia. North Tyneside General Hospital, Nov 2003. 11. The prescription of aspirin in patients with known heart disease. Church View Medical Practice, Sunderland, May 2002. COURSES ATTENDED 1. Wrightington Tips and Tricks in Hand Surgery July 2015. 2. Advanced IM Nailing Masterclass Nov 2014. 3. ICAS Hand and Wrist Fracture and Arthroplasty Masterclass June 2014. 4. AONA Pelvis and Acetabular Fixation May 2013. 5. COFAS Foot and Ankle Feb 2013. 6. AONA Fellows Cadaver Course Oct 2012. 7. ATLS Instructor Course June 2011. 8. ATLS Course Sept 2010. 9. Approaches to the shoulder girdle a cadaveric workshop. Oct 2009. 10. Basic Sciences in Orthopaedics. Aug 2009. 11. Exeter Hip Symposium. Feb 2009. 12. BOA Annual Conference. Oct 2008. 13. BOTA Annual Conference. June 2008. 14. Basic Skills in Hand Surgery. June 2008. 15. AO Principles of Operative Fracture Management. June 2007. 16. Basic Principles of Knee Replacement. Oct 2006. 17. Core Skills in Hip and Ankle Surgery. Nov 2006. 18. Core Skills in Operative Orthopaedics. May 2006. 19. ATLS. May 2006. 20. Basic Surgical Skills Course. June 2003. 21. Advanced Life Support. Oct 2002. 7