Extended Curriculum Vitae Stevan Raynier Bruijns [email protected]Last updated: 27-Jul-16 General information GENERAL INFORMATION I have been a qualified emergency physician since 2008 and was one of the first students to hold a degree in Emergency Medicine in South Africa. I am dual registered as a specialist in South Africa and the United Kingdom. My interests include quality improvement, emergency care development and research access in African low resourced settings. My current role as an academic researcher, educator, and journal editor allows me to address many of these interests directly. I am a person of action and like for things I do to be useful to others. This is strongly reflected in my outputs. I have a strong sense of purpose that greatly influences my desire to improve the world around me. Besides my regular appointment, I volunteer clinical service at Khayelitsha Hospital. Khayelitsha is a deprived, largely informal community, within Cape Town's city borders - although a million miles away in terms of resources. Its emergency centre is the front door of one of the busiest district hospitals in the region, dealing with more than 3000 new patients (mainly trauma and infectious disease) a month. I am married with two children aged one and four and also have four very naughty chickens that like to raid the vegetable patch. FAVOURITE QUOTES: • There is no limit to what you can accomplish if you don't care who gets the credit. Ronald Reagan • If you're not prepared to be wrong, you'll never come up with anything original. Ken Robinson • It always seems impossible until it is done. Nelson Mandela Education EDUCATION My highest degree is a Ph.D. obtained under the supervision of Prof Lee Wallis and the legendary (now retired) Dr. Henry Guly, one of the great English clinician/ researchers of the previous generation. Examiners included Prof Peter Cameron, then president of the International Federation for Emergency Medicine and currently the most published emergency physician in the world (from Scopus). Prof Wallis is currently the most published emergency physician in the region and the 14 th most published in the world (also from Scopus). From To Institution Degree Major Jan 1994 Dec 1999 University of Pretoria MBChB n/a Jan 2001 Oct 2001 Colleges of Medicine of South Africa DipPEC Emergency Medicine Jan 2002 Dec 2006 University of Cape Town MPhil Emergency Medicine
I have been a qualified emergency physician since 2008 and was one of the first students to hold a degree in Emergency Medicine in South Africa. I am dual registered as a specialist in South Africa and the United Kingdom. My interests include quality improvement, emergency care development and research access in African low resourced settings. My current role as an academic researcher, educator, and journal editor allows me to address many of these interests directly. I am a person of action and like for things I do to be useful to others. This is strongly reflected in my outputs. I have a strong sense of purpose that greatly influences my desire to improve the world around me. Besides my regular appointment, I volunteer clinical service at Khayelitsha Hospital. Khayelitsha is a deprived, largely informal community, within Cape Town's city borders - although a million miles away in terms of resources. Its emergency centre is the front door of one of the busiest district hospitals in the region, dealing with more than 3000 new patients (mainly trauma and infectious disease) a month. I am married with two children aged one and four and also have four very naughty chickens that like to raid the vegetable patch.
FAVOURITE QUOTES:
• There is no limit to what you can accomplish if you don't care who gets the credit. Ronald Reagan
• If you're not prepared to be wrong, you'll never come up with anything original. Ken Robinson
• It always seems impossible until it is done. Nelson Mandela
Education
EDUCATION
My highest degree is a Ph.D. obtained under the supervision of Prof Lee Wallis and the legendary (now retired) Dr. Henry Guly, one of the great English clinician/ researchers of the previous generation. Examiners included Prof Peter Cameron, then president of the International Federation for Emergency Medicine and currently the most published emergency physician in the world (from Scopus). Prof Wallis is currently the most published emergency physician in the region and the 14th most published in the world (also from Scopus).
From To Institution Degree Major
Jan 1994 Dec 1999 University of Pretoria MBChB n/a
Jan 2001 Oct 2001 Colleges of Medicine of South Africa DipPEC Emergency Medicine
Jan 2002 Dec 2006 University of Cape Town MPhil Emergency Medicine
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Jun 2011 Royal College of Emergency Medicine FRCEM Emergency Medicine
Jan 2009 Dec 2013 University of Cape Town PhD Emergency Medicine
Licences & certificates
LICENSES & CERTIFICATION
I hold specialist registration (emergency medicine) in two countries.
Date Description
Jan 2000 Health Professions Council of South Africa (internship)
Jan 2001 Health Professions Council of South Africa (community service: MP0524565)
Jan 2002 Health Professions Council of South Africa (independent practice: MP0524565)
May 2008 Health Professions Council of South Africa (Specialist Register Emergency Medicine: MP0524565)
Jul 2011 General Medical Council (Specialist Register Emergency Medicine: 6092314)
Principal positions held
PRINCIPAL POSITIONS HELD
From To Institution Position Department
Jan 2000
Dec 2000
Cecelia Makiwane Hospital, Eastern Cape, SA
Intern Paediatrics, Obstetrics, Surgery, Anaesthetics and Orthopaedics
Jan 2001
Dec 2001
GF Jooste Hospital, Western Cape, SA
Community service Medical Officer
Emergency Medicine
Jan 2002
Jun 2002 Victoria Hospital, Western Cape, SA
Senior Medical Officer Emergency Medicine
Jul 2002
Dec 2003
Groote Schuur Hospital, Western Cape, SA
Senior Medical Officer Emergency medicine, Cardiology, Cardiac ICU, Respiratory unit and Respiratory ICU
Jan 2004
Jun 2005 GF Jooste Hospital, Western Cape, SA
Principal Medical Officer and HOD
Emergency Medicine
Aug Sep Morecambe Bay Hospitals Locum staff grade Emergency Medicine
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From To Institution Position Department
2005 2005 NHS trust, UK
Oct 2005
May 2006
Morecambe Bay Hospitals NHS trust, UK
Locum staff grade Emergency Medicine
Jul 2006
Jan 2008
Plymouth Hospitals NHS trust, UK
Staff Grade Emergency Medicine
Feb 2008
Oct 2011
Plymouth Hospitals NHS trust, UK
Associate Specialist Emergency Medicine
Nov 2011
Jun 2014 Plymouth Hospitals NHS trust, UK
Consultant Emergency Medicine
Jul 2014
Current University of Cape Town Senior lecturer Division of Emergency Medicine
Other positions held concurrently
OTHER POSITIONS HELD CONCURRENTLY
From To Institution Position Department
Jan 2005
Jun 2014
University of Cape Town Honorary lecturer/ Executive committee (ex officio)
Division of Emergency Medicine
Jul 2014
Current Khayelitsha Hospital Consultant (volunteer) Emergency Medicine
Jan 2011
Current African Federation of Emergency Medicine
Editor in Chief African Journal of Emergency Medicine
Employment history (gaps in experience)
• 29/5/2006 till 2/7/2006: Break between contracts as described above. Travelled back to RSA to renew Visa and work permit
• 6/9/2005 till 16/10/2005: Break in locum contract in line with locum requirement for Morecambe Bay Hospitals NHS trust. Time used to complete Masters (MPhil) dissertation
• 1/7/2005 till 31/7/2005: Relocation to the United Kingdom. Also attended and presented at TSSA congress in Durban, South Africa
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Teaching and mentoring
TEACHING AND MENTORING
Teaching
TEACHING
TEACHING SUMMARY
My teaching accomplishments involve faculty, national and international activities. On a faculty level, I am involved in undergraduate and postgraduate teaching. Undergraduate teaching involves shop floor, microteaching of Stellenbosch University medical students during my clinical day, as well as leading Special Study Module students from the University of Cape Town in a research project. I have done the latter annually since my appointment, taking on mentorship of three students the first year and ten in 2016. I have acted as an external examiner for final year medical students at the Malawi College of Medicine and have an appointment for the next three years. On a postgraduate level, I am a convener and teacher on the Clinical Emergency Care module for the MPhil in Emergency Medicine. I redesigned the course from the ground up on taking over two years ago. As a result, the Clinical Emergency Care module has been the first in the division to embrace student-directed learning offered through the Vula platform. I place a high emphasis in the module on stimulating students’ critical thinking and engage students on pre-determined topics through regular contact sessions (fortnightly), open-ended assignments, and access to factual source material. The highlight for me thus far was a student (a paramedic by day) that suggested in her assignment that the Well’s criteria could be utilised in the prehospital sector to determine transport to an appropriately resourced facility (a higher Well’s score would suggest advanced diagnostics may be required). In the most recent feedback from the course, students unanimously agreed to the question: Do you think this lecturer should be recommended for promotion for good teaching? The module will now be used as an example for other modules in the division. I have been appointed as an external examiner for the MMed (emergency medicine) exams (including dissertation orals) by the Muhimbili University of Health and Allied Sciences, Tanzania. I micro teach postgraduate students on the shop floor during my clinical hours, contribute annually to MMed exam preparation workshops and teach quarterly at the MMed formal teaching sessions. I also act as an instructor on the South African Triage Scale train the trainers’ course. I co-developed this course with Dr.Pauline Louw (emergency physician, Paarl Hospital) and it is based on the Generic Instructors Course (from the Advanced Life Support group) of which I used to be an instructor. I carry a heavy supervisor load. In order to cope with the demands of a small divisional faculty and a large group of MMed students, I introduced group-supervision. I am also mentoring less experienced faculty in their supervisory roles to improve our supervisory capacity. In the short time I have been with the University of Cape Town, I have had two masters degrees and one doctoral degree submitted for examination. I am particularly proud of my first Ph.D. student, who handed in his thesis for examination exactly two years after starting. Here is some feedback I received from my postgraduate module’s students:
• I really value the way this module has completely changed my approach towards clinical review and the clinical interactions I have with patients and students. During this module, I had the opportunity to be exposed to pertinent controversies regarding various conditions and their treatments. This ideally has changed the manner in which I think and the way in which I conduct clinical review sessions at the College of Emergency Care
• First contact session covered everything in an organized fashion and the follow-up web sessions were excellent to cover things as we went along. Gave us opportunity to ask questions or voice concerns.
• Feedback comments directly on the submitted assignment allows you to see exactly where you went wrong and in some cases right! This was particularly helpful to ensure your understanding of readings was interpreted correctly and you didn't miss the entire point of the topic. It was relevant and helpful.
• He is the "coolest" lecturer I have so far come across in the programme! He is very approachable, and very responsive as
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well.
• He is very enthusiastic, stimulates the students to think, and inspires the students by considering their viewpoints even when those viewpoints are not absolutely correct. His believe in me as student motivated me to work even harder!
FORMAL TEACHING
From To Description
Jun 2006
Jan 2008
Departmental Junior Doctors training programme, Emergency Department Plymouth Hospitals NHS Trust (trainer): four to six times per year
Jan 2008
Jun 2014
Year 4 and 5 clinical teacher (Peninsula Medical and Dental School, UK): four to six times per year
Jan 2009
Jun 2014
Adult Life Support instructor: once to twice a year
Jan 2010
Current Advanced Paediatric Life Support instructor: once to twice a year
Jan 2011
Jun 2014
Generic Instructors Course instructor: once to twice a year
Jan 2010
Jun 2014
Simulation instructor: once to twice a year
Jan 2008
Jun 2014
Departmental Junior Doctors training programme, Emergency Department Plymouth Hospitals NHS Trust (trainer, coordinator, and programme lead): weekly (excluding holidays)
Jan 2015
Current Fundamentals of Emergency Care course instructor: once a year
Jan 2015
Current Clinical emergency care module (MPhil emergency medicine) co-convener (adult section)
Jul 2015
Aug 2015
Special Study Module supervisor for three undergraduate students
Jul 2016
Aug 2016
Special Study Module supervisor for ten undergraduate students
INFORMAL TEACHING
From To Description
2004 Current Shop floor micro-teaching: undergraduate trainees, junior doctors and specialist trainees (approximately
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10 to 20% of my clinical time is spent on microteaching at the bedside
2008 Current Point of care Emergency Ultrasound trainer (South Africa CEM)
Mentoring
MENTORING
MENTORING SUMMARY
My mentoring role has sharply increased since my appointment at the University of Cape Town. A key part of my academic role in the division involves mentorship. I have several formal and informal mentorship roles at present. My formal mentorship roles are listed below and regard mainly formal student research supervision. My informal mentorship roles include coordination, advice, and research planning assistance rendered to the other 20 registered Ph.D. students as well as prospective Ph.D. students. This is done through direct contact sessions, monthly group mentoring sessions (including peer mentoring) and through closed social media groups (Hangouts, Facebook, and WhatsApp).
FORMAL MENTOR ROLES
From To Description
Jan 2009
Jun 2014
Accredited NHS appraiser (including 360 appraiser): I completed approximately 12 appraisals annually
Jan 2012
Jun 2014
Educational supervision: 1 trainee
Jun 2013
Jun 2014
Clinical supervision: 1 trainee
MMED STUDENTS MENTOR/ SUPERVISOR
From To Description
Jan 2011
Dec 2012 Research supervisor: Rob Kalebka, Supervisor for MMed thesis (completed). Rob is currently a Specialty doctor in the NHS. The results of his thesis were published.
Jan 2015
Mar 2016 Research supervisor: David Morris, Supervisor for MMed thesis (in progress). David is currently a trainee in emergency medicine
Jun 2015
Mar 2017 Research supervisor: Cobus Wiese, Supervisor for MMed thesis (in progress). Cobus is currently a trainee in emergency medicine
Jun 2015
Mar 2017 Research supervisor: Diulu Kabongo, Supervisor for MMed thesis (in progress). Diulu is currently a trainee in emergency medicine
Jun To finish Research supervisor: Crispin Kibamba, Supervisor for MMed thesis (in progress). Crispin is currently a
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OTHER MASTERS STUDENTS MENTOR/ SUPERVISOR
Ph.D. STUDENTS MENTOR/ SUPERVISOR
2015 2017 trainee in emergency medicine
Jun 2015
Mar 2017 Co- supervisor: Sian Geraty, Supervisor for MMed thesis (in progress). Sian is currently a trainee in emergency medicine
Dec 2015
To finish 2017
Research supervisor: Johard Beukes, Supervisor for MMed thesis (in progress). Johard is currently a trainee in emergency medicine
Dec 2015
To finish 2017
Research supervisor: Paul Muganda, Supervisor for MMed thesis (in progress). Paul is currently a trainee in emergency medicine
Dec 2015
To finish 2017
Co- supervisor: Alyshah Alibhai, Supervisor for MMed thesis (in progress). Alyshah is currently a trainee in emergency medicine
Dec 2015
To finish 2017
Co- supervisor: Ramadhan Chunga, Supervisor for MMed thesis (in progress). Ramadhan is currently a trainee in emergency medicine
Jan 2016
To finish 2017
Research supervisor: Vanessa Naidoo, Supervisor for MMed and MPhil thesis (in progress). Vanessa is currently a trainee in emergency medicine and is completing her MPhil at the same time
From To Description
Jan 2015
Dec 2015
Research supervisor: Yaseen Khan, Supervisor for MCliniEpi thesis (completed). Yaseen is currently director of The Open Medicine Project of South Africa (http://openmedicineproject.org/)
Jan 2015
Jun 2016 Research supervisor: Megan Banner, Supervisor for MSc thesis (completed). Megan is currently freelancing for the African Federation for Emergency Medicine
Jun 2015
To finish 2017
Research supervisor: Hein Weeber, Supervisor for MSc thesis (in progress). Hein is currently a medical officer for Khayelitsha hospital emergency centre
Dec 2015
To finish 2017
Research supervisor: Kirsty Cohen, Supervisor for MPhil thesis (in progress). Kirsty is currently a consultant in emergency medicine at New Somerset Hospital, Cape Town South Africa
Jun 2015
Mar 2017
Research supervisor: Emanuel Ahiable, Supervisor for MSc thesis (in progress). Emanuel was awarded an NRF postgraduate research grant for his study concerning local emergency centre overcrowding
From To Description
Jul 2014
Jul 2016 Research supervisor: Enrico Dippenaar, Supervisor for Ph.D. thesis (under examination). Enrico is currently a flight paramedic for Abu Dhabi Aviation
Although technically a young researcher (I was Y-rated by the NRF in 2015) I have been productive publication wise. I published ten papers over the last three years (and was the first author on six) and am currently the second most published author in emergency medicine on the continent (from Scopus/ Scival). I also publish fairly often in the lay media. I participate regularly in both national and international conferences by contributing papers/ posters and through invitation as keynote or workshop faculty. The most recent workshops were all research related. I have co-organised eight conferences (five international) as described in the professional activities section. I have been the editor-in-chief of the African Journal of Emergency Medicine since 2011. The journal has shown significant growth under my stewardship. In addition, I regularly review for international publications. I have a particular interest in research systems as it pertains to improving access to emergency care in resource-limited environments. My past research involved deriving the Cape Triage Scale, better known in its current form as the South African Triage Scale. The South African Triage Scale is currently the national triage system for several African countries, including South Africa, and was also rolled out as the triage system of choice by Doctors-without-borders. My Ph.D. research considered innovative ways to interpret vital signs in terms of major trauma. More recently I developed an interest in African emergency care research trends. It is my view that as Africans we should bolster our own knowledge economy by supporting quality, local African publications and publishing open access. I hope to reveal that more could be done to maximise local publication capacity and to provide equitable access to international literature.
Achievements
Jan 2015
Mar 2017
Research mentor: Eddie Callachan, mentor for authoring first two papers for Ph.D. thesis (both accepted). Eddie is currently a flight paramedic for Abu Dhabi Aviation
Jan 2015
Jul 2016 Research mentor: James Vassallo, mentor for authoring first paper for Ph.D. thesis (accepted). Jamie is currently an officer in the Royal Navy and research fellow in the NHS
Jan 2015
To finish 2019
Research supervisor: Simpiwe Sobuwa, Supervisor for Ph.D. thesis (in progress). Simpiwe is currently a lecturer at the Durban University of Technology. Simpiwe was awarded a Thuthuka grant at the end of 2015
Jun 2015
To finish 2018
Research supervisor: Andrew Makkink, Supervisor for MSc/ Ph.D. thesis (in progress). Andrew has applied to convert his MSc into a Ph.D. He is currently a lecturer at the University of Johannesburg
Jan 2016
To finish 2019
Research supervisor: Michael McCaul, Supervisor for Ph.D. thesis (in progress). Michael is currently an adviser at the Stellenbosch University Biostatistics unit
Jan 2016
To finish 2020
Research supervisor: Abdelmonim (Monim) Abdelrahman, Supervisor for Ph.D. thesis (in progress). Monim is currently working for the Saudi Arabian military
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ACHIEVEMENTS
NRF rating: Y2
Scopus h-index: 5
Citation index: 218 citations by 164 documents
Google Scholar profile h-index: 7
Google citation profile: 392 citations (288 citations since 2011)
I am the second most published author in African emergency care, just behind Prof Wallis (source: Scopus)
First author Senior author Other author Total
5 years 25 6 12 43
Lifetime 32 6 16 54
Publications
PUBLICATIONS
PEER REVIEWED
First author Senior author Other author Total
5 years 6 2 5 13
Lifetime 11 2 7 20
(* Also presented at a conference)
1. Bruijns SR, Banner M, Jaquet G. Improving Publication Quality and Quantity for Acute Care Authors from Low- and Middle-Income Settings. Ann Emerg Med. 2017;69(4):462-8*
2. Ahiable E, Lahri S, Bruijns SR. Describing the categories of people that contribute to an Emergency Centre crowd at Khayelitsha hospital, Western Cape, South Africa. Afr J Emerg Med. 2017; DOI: http://dx.doi.org/10.1016/j.afjem.2017.04.004*
3. Wiese JGG, Van Hoving DJ, Hunter L, Lahri S, Bruijns SR. Poor adherence to Tranexamic acid guidelines for adult, injured patients presenting to a district, public, South African hospital. Afr J Emerg Med. 2017; DOI: https://doi.org/10.1016/j.afjem.2017.04.006*
4. Callachan EL, Alsheikh-Ali AA, Chandrasekhar-Nair S, Bruijns S, Wallis LA. Outcomes by Mode of Transport of ST Elevation MI Patients in the United Arab Emirates. West J Emerg Med. 2017;18(3):349-355
5. Vassallo J, Smith JE, Bruijns SR, Wallis LA. Major incident triage: a consensus-based definition of the essential life-saving interventions during the definitive care phase of a major incident. Injury. 2016;47(9):1898-902
6. Callachan EL, Alsheikh-Ali AA, Bruijns S, Chandrasekhar-Nair S, Wallis LA. Utilization and perceptions of emergency medical services by patients with ST-segment elevation myocardial infarction in Abu Dhabi: a multicentre study. Heart Views. 2016;17(2):49-54 *
7. Callachan EL, Alsheikh-Ali AA, Bruijns SR, Wallis LA. Physician perceptions and recommendations about pre-hospital emergency medical services for patients with ST-elevation acute myocardial infarction in Abu Dhabi. Journal of the Saudi Heart Association. doi:10.1016/j.jsha.2015.05.005*
8. Bruijns SR, Guly HR, Wallis LA. Vital signs during and following ambulance transfer. Eur J Emerg Med. 2014;21(2):136-8*
9. Bruijns SR, Guly HR, Bouamra O, Lecky F, Wallis LA. The value of the difference between ED and prehospital vital signs in predicting outcome in trauma. Emerg Med J 2014;31(7):579-82*
10. Bruijns SR, Guly HR, Bouamra O, Lecky F, Wallis LA. The value of traditional vital signs, shock index and age-based markers in predicting trauma mortality. J Trauma Acute Care Surg. 2013 Jun;74(6):1432-7*
11. Bruijns SR. Guly HR, Wallis LA. Effect of spinal immobilisation on heart rate, blood pressure and respiratory rate. Prehosp Disaster Med. 2013 Jun;28(3):210-4*
12. Kalebka RR, Bruijns SR, Van Hoving DJ. A survey of attitudes towards patient substance abuse and addiction in the Emergency Centre. African Journal of Emergency Medicine. 2013;3(1):10-7
13. Bruijns SR, Guly HR, Bouamra O, Lecky FE, Wallis LA. Heart rate and systolic blood pressure in patients with minor to moderate, non-haemorrhagic injury versus normal controls. Emerg Med J. 2013 Nov;30(11):901-5*
14. Bruijns SR. Data protection of images taken in the emergency department made easy with a webcam. Emerg Med J. 2011 Nov;28(11):997
15. Bruijns SR, Hicks A. Achalasia: An unusual Cause of Airway Obstruction. Emerg Med J. 2009;26:148
16. Bruijns SR, Engelbrecht D, Lubinga W, Wells M, Wallis LA. Penetrating the acoustic shadows: Emergency ultrasound in South African emergency departments. S Afr Med J. 2008;98:932-4
17. Bruijns SR, Burch VC, Wallis LA. A prospective evaluation of the Cape triage score in the emergency department of an urban public hospital in South Africa. Emerg Med J. 2008;25:398-402
18. Bruijns SR, Burch VC, Wallis LA. Effect of introduction of nurse triage on waiting times in a South African emergency department. Emerg Med J. 2008;25:395-7*
19. Gottschalk SB, Wood D, De Vries S, Wallis LA, Bruijns S, On behalf of the Cape Triage Group: The Cape Triage Score: a New Triage System for South Africa. Proposal from the Cape Triage Group. Emerg Med J 2006;23:149-153
20. Wallis LA, Gottschalk SB, Wood D, Bruijns S, De Vries S, Balfour C: The Cape Triage Score - a Triage System for South Africa. S Afr Med J 2006;96:53-56
BOOKS AND CHAPTERS
First author Senior author Other author Total
5 years - 2 - 2
Lifetime 1 2 - 3
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1. Section editor: internal medicine: Welzel T, editor. Emergency Medicine Guidance for the Western Cape. Cape Town: ISBN: 9780620629423, 2016
2. Section editor: emergency dermatology in: Wallis LA, Reynolds TA, editors. AFEM handbook of acute and emergency care. Cape Town: Oxford University Press Southern Africa, 2013. ISBN: 9780199056071
The conference abstracts listed below are the presented abstracts that have not been published as full-text papers. The table above contains the tally for all presentations - including subsequently published material which is described elsewhere:
1. Cape Town, South Africa, eResearch conference 2017
• Banner M, Jaquet G, Bruijns SR. Identifying, understanding, and addressing challenges faced by authors publishing Emergency Medicine research in sub-Saharan Africa (poster)
• Bruijns SR, Maesela M, Sinha S, Banner ME. Poor local access to African emergency care publications without publisher subscription, a cross-sectional study (poster)
2. Cape Town, South Africa, International Conference on Emergency Medicine 2016
• Bruijns S. There has been an awakening; publication sources in African emergency care. F1000Research 2016, 5:1140 (poster) (doi: 10.7490/f1000research.1112098.1)
• Bruijns S. Emergency medicine publication impact and habits between different. F1000Research 2016, 5:1139 (poster) (doi: 10.7490/f1000research.1112097.1)
• Bruijns S. Collaboration in African emergency care research, quality and quantity of publications. F1000Research 2016, 5:1138 (poster) (doi: 10.7490/f1000research.1112096.1)
• Makkink A, Stein C, Bruijns S and Gottschalk S. Emergency Centre handover: what is actually important? F1000Research 2016, 5:1404 (poster) (doi: 10.7490/f1000research.1112351.1)
3. Exeter, UK: College of Emergency Medicine UK annual scientific meeting (9 to 11 September 2014)
• House RH, Bruijns SR, Smith JE. Winning the RAT race: The Impact of a Rapid Assessment and Treatment Service (RATS) on Emergency Department Flow and Performance (poster)
NON-PEER REVIEWED
First author Senior author Other author Total
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5 years 9 1 3 13
Lifetime 9 1 5 15
1. Bruijns S. 2016 International Conference on Emergency Medicine Abstracts. Academic Emergency Medicine. 2017;24(4):500
2. Dippenaar E, Bruijns S. Triage is easy, said no triage nurse ever. International Emergency Nursing. 2016;29:1-2
3. Bruijns SR. Junk food and the rise of acute coronary syndrome in Africa. African Journal of Emergency Medicine. 2013;3(3):101
4. Bruijns SR, Wallis LA. Submission for publication made easy. African Journal of Emergency Medicine. 2013;3(2):49
5. Bruijns SR, Wallis LA. The rise of the frequent attender. African Journal of Emergency Medicine. 2012;2(4):141-2
6. Jacquet G, Levine A, Bruijns SR, Wallis LA. Global Emergency Medicine Literature Review, Tanzania and adopting delegates. African Journal of Emergency Medicine. 2012;2(3):95-6
7. Bruijns SR, Green R, Wallis LA. Sepsis as a cause of rising health care casualties in Africa. African Journal of Emergency Medicine. 2012;2(2):47-8
8. Brysiewicz P, Bruijns SR, Wallis LA. Pepper soup for the emergency care workers’ soul (a remedy for the annual end of year festive paradigm). African Journal of Emergency Medicine. 2011;1(4):145-6
9. Yusuf S, Bruijns SR. Abstracts: International research. African Journal of Emergency Medicine. 2011;1(3):104-7
10. Bruijns SR. Abstracts: Development of Emergency Medicine in the world’s developing regions. African Journal of Emergency Medicine. 2011;1(3):99-100
11. Bruijns SR, Wallis LA. A dual-language policy for the African Journal of Emergency Medicine. African Journal of Emergency Medicine. 2011;1(3):97-8
12. Bruijns SR, Wallis LA. Emergency medicine, an opportunity to re-imagine a speciality in Africa. African Journal of Emergency Medicine. 2011;1(2):49-50
13. Bruijns SR, Wallis LA. Africa should be taking responsibility for emergency medicine in Africa. African Journal of Emergency Medicine. 2011;1(1):1-2
14. Wells M, Bruijns SR, On behalf of the College of Emergency Medicine of South Africa. Emergency Ultrasound in South Africa, Part 1- Credentialing for Emergency Ultrasound. Available at: http://www.collegemedsa.ac.za (Accessed: 10 November 2010)
15. Wells M, Bruijns SR, On behalf of the College of Emergency Medicine of South Africa. Emergency Ultrasound in South Africa, Part 2- Emergency Ultrasound Resource Document. Available at: http://www.collegemedsa.ac.za (Accessed: 10 November 2010)
LAY & MULTIMEDIA PUBLICATIONS (9)
1. Bruijns SR. The altruistic author: making your research visible without breaking the bank or the law. Global Emergency Medicine Academy blog. http://saem.org/gema/publications/gema-member-blogs
2. Bruijns SR. There is no standard like gold standard. #bad-EM blog. http://badem.co.za/there-is-no-standard-like-gold-standard/
3. Bruijns SR. The Best of AfJEM. Emergency Medicine News & Articles, Emergency Physicians International. http://www.epijournal.com/articles/128/the-best-of-afjem
4. Bruijns SR. Supporting African EM Just Got a Lot Easier. Emergency Medicine News & Articles, Emergency Physicians International. http://www.epijournal.com/articles/114/supporting-african-em-just-got-a-lot-easier
5. Bruijns SR. Chest pain of suspected cardiac origin. http://derriforded.weebly.com/junior-doctors-podcasts.html
7. Bruijns SR. Syncope in the ED. http://derriforded.weebly.com/junior-doctors-podcasts.html
8. Bruijns SR. Head Injuries. http://derriforded.weebly.com/junior-doctors-podcasts.html
9. Bruijns SR. The Emergency Physician in Africa. Podcast. http://harriscpd.co.uk/wordpress/archives/author/stevan
REPORT OF WORK IN THE MEDIA (4)
1. Critical Care News. More resources needed for EM in SA. 2016. http://webreach7-0.co.za/Medical/CriticalCare/CriticalCare_May_2016/mobile/index.html#p=18
2. Independent Online/ Argus. Emergency medicine in SA needs a lifeline. 2016. http://www.iol.co.za/dailynews/news/emergency-medicine-in-sa-needs-a-lifeline-2011926
3. Bruijns SR. Why emergency care in Africa needs to become a specialised course. The Conversation- Africa. 2016. https://theconversation.com/why-emergency-care-in-africa-needs-to-become-a-specialised-course-56730
4. Sanguine. Interview: African solutions to African problems: An interview with Stevan Bruijns. http://www.ecssa.org.za/images/sanguine/2015/2015-1.pdf
5. Delta signs for shock trauma. http://stemlynsblog.org/delta-signs-for-shock-trauma-st-emlyns/
SIGNIFICANT PUBLICATIONS
1. First, original papers on the Cape Triage Scale that later became the South African Triage Scale has made a huge impact on emergency care not only in South Africa but in many other low and middle-income countries in and outside Africa. It has been the topic of several higher degrees. It was a simple idea that made a huge impact on safety, quality, and efficiency without significant cost:
a. Bruijns SR, Burch VC, Wallis LA. A prospective evaluation of the Cape triage score in the emergency department of an urban public hospital in South Africa. Emerg Med J. 2008;25:398-402 (55 citations)
b. Bruijns SR, Burch VC, Wallis LA. Effect of introduction of nurse triage on waiting times in a South African emergency department. Emerg Med J. 2008;25:395-7 (46 citations)
2. The crux of my Ph.D. findings. Vital signs are elusive predictors of outcome in trauma, but combining them does improve their accuracy. Given that vital signs are often the only objective tests that can be performed in a low resource setting it is worth working out how they can be fully exploited to deliver maximal benefit:
a. Bruijns SR, Guly HR, Bouamra O, Lecky F, Wallis LA. The value of traditional vital signs, shock index and age-based markers in predicting trauma mortality. J Trauma Acute Care Surg. 2013 Jun;74(6):1432-7 (43 citations)
b. Bruijns SR, Guly HR, Bouamra O, Lecky F, Wallis LA. The value of the difference between ED and prehospital vital signs in predicting outcome in trauma. Emerg Med J 2014;31(7):579-82 (6 citations)
c. Bruijns SR. Guly HR, Wallis LA. Effect of spinal immobilisation on heart rate, blood pressure and respiratory rate. Prehosp Disaster Med. 2013 Jun;28(3):210-4 (5 citations)
3. A very personal paper on a topic close to my heart published in the top journal of my specialty. I firmly believe that we are responsible for creating the knowledge economy in Africa. Yet local journals are passed over for international or foreign journals. The result is that like the proverbial brain drain, local knowledge also leaves. And since local access to information is restricted by high cost, locally produced work are never fully appreciated locally:
a. Bruijns SR, Banner M, Jaquet G. Improving Publication Quality and Quantity for Acute Care Authors from Low- and Middle-Income Settings. Ann Emerg Med. 2016. doi: 10.1016/j.annemergmed.2016.09.011. [Epub ahead of print]
Invited presentations
INVITED PRESENTATIONS (21, with 19 in the last 5 years)
INTERNATIONAL (7, with 7 in the last 5 years)
Year Organisation Topic
2015 World Congress on Disaster and Emergency Medicine, Cape Town
Research, resourcefulness and resources
2015 Global Health Conference, Botswana Research, resourcefulness and resources
2016 Swedish Society for Emergency Medicine Conference, Sweden
• Starting a journal in a research naive setting
• Research with limited resources, there is an app for that
• Innovations in emergency medicine in South Africa: making the most of what you have
2016 International Conference on Emergency Medicine, Cape Town
Conducting emergency care research in low resource settings
2016 European Congress on Emergency Medicine 2016, Vienna, Austria
Diary of a wimpy journal - lessons from navigating publication adolescence
NATIONAL (9, with 7 in the last 5 years)
Year Organisation Topic
2009 Emergency Medicine in the Developing World Conference, Cape Town
2016 Emergency Care Society of South Africa conference, Cape Town
The most important skill you'll need to be successful in research- critical thinking
REGIONAL AND OTHER (5, with 5 in the last 5 years)
Year Organisation Topic
2012 Pentrauma conference, Plymouth, UK • Acute care in Africa
• Starting a journal or an academic newsletter
2013 Majoring on minors conference, Plymouth, UK Future of minors in emergency medicine
2013 Acute Care Common Stem (year 1 to 3) training day, Plymouth, UK
Stuff we seldom think about regarding trauma and trauma care
2016 Brave African Discussions in Emergency Medicine symposium, Stellenbosch
End of life care does not mean end of health care
Research in progress
RESEARCH IN PROGRESS
• Developing a Discriminator based Triage System for the Identification of Acutely ill or Injured Patients that Present to a Selection of Outpatient Clinics with Bhakti Hansoti (PhD), Karen Jennings (City of Cape Town) and Tsepo Motsohi (UCT)
• Estimated trauma associated blood loss versus availability of emergency blood products at a district-level public hospital in Cape Town with Hein Weeber (MSc) and Sa’ad Lahri (Khayelitsha EC)
• A prospective descriptive study into management and outcomes of ST-elevation Myocardial infarction at Victoria Hospital's Emergency Centre with Crispin Kibamba (MMed) and Jacques Malan (Victoria EC)
• Availability of acute care resources to treat patients presenting with acute coronary syndrome/ sepsis/ acute stroke/ major trauma in Africa: a self-reported survey of acute care providers with Johard Beukes (MMed), Ramadhan Chunga (MMed), Alysha Alibhai (MMed), Paul Muganda (MMed) and Clint Hendrikse (Mitchells Plain EC)
• A Description of the Most Common Presenting complaints, their Priority and corresponding Linked Diagnosis at Mitchells Plain and Khayelitsha Emergency Centres with Vanessa Naidoo (MMed/ MPhil) and Michael McCaul (SUN)
• Patient waiting times within public emergency centres in the Cape Town Metropole with Kirsty Cohen (MPhil)
• A critical realist study into the emergence and absence of academic success among students enrolled in the Bachelor of Emergency Medical Care in South Africa with Simpiwe Sobuwa (Ph.D.) and Bernie Millar (CPUT)
• An exploration of handover practices between prehospital care providers and the emergency centre with Andrew Makkink (MSc/ Ph.D.) and Chris Stein (UJ)
Curriculum Vitae: Stevan Raynier Bruijns
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• Evaluation of the use of smartphone messaging applications as a telemedicine aid for clinical emergency care (specifically acute coronary syndrome) in low-resourced settings with Monim Abdelrahman (Ph.D.)
• Development of a pre-hospital clinical practice guideline for South Africa with Michael McCaul (Ph.D.), Mike Clarke and Taryn Young (SUN)
Research funding
RESEARCH FUNDING (over last 5 years: R821 000)
INSTITUTIONAL FUNDING
• Early Career Researcher grant 2015 (value R50 000)
• URC travel grant to attend the 2015 World Congress on Disaster and Emergency Medicine (value R10 000)
• URC travel grant to attend the 2016 African Conference on Emergency Medicine (value R10 000)
NATIONAL FUNDING
• NRF Innovation Masters Scholarship for 2015 (Emmanuel Ahiable, MSc student, main applicant): I supervise Emmanuel on his MSc (value: R80 000). It could not have happened to a nicer guy.
• NRF Thuthuka 2016 (Simpiwe Sobuwa, Ph.D. student, main applicant): I supervise Simpiwe on his Ph.D. (value: R 6000)
• NRF rated researcher: Y2 (since 2016) (value: R40 000 pa for 5 years)
• DST - NRF conference fund (Prof Wallis main applicant): For 2016 International Conference on Emergency Medicine. The application was largely built on the back of the Supadel programme (value: R400 000)
INTERNATIONAL FUNDING
• Fogarty grant 2016: to attend a mentorship workshop in Johannesburg (value: R25 000)
• Fogarty grant 2016 (Bhakti Hansoti, Ph.D. student, main applicant): I am the local principal investigator for the project funded by this grant (value: US$14 000 ≈ R200 000)
Research awards
RESEARCH AWARDS
I was awarded a Cum Laude for my MPhil dissertation. This research project, regarding front room triage, resulted in two peer-reviewed publications and a new triage scale that is currently used in emergency centres across South Africa and many other parts of Africa. This research embodies my research philosophy of simplicity. A simple to use tool, used to make a dramatic improvement on quality, safety, and efficiency. I’d like more research to be this way.
Refereeing for international journals
REFEREEING FOR INTERNATIONAL JOURNALS
I review between approximately six to eight times a year for a variety of international journals.
From To Role, Organisation (Activity)
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2009 Current Ad hoc referee: Emergency Medicine Journal
2010 2012 Ad hoc referee: Journal of Emergencies, Trauma and Shock
2010 Current Ad Hoc referee: South African Medical Journal
2015 Current Ad hoc referee: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
2015 Current Ad hoc referee: Injury
2015 Current Ad hoc referee: European Journal of Emergency Medicine
2016 Current Ad hoc referee: BMJ Global Health
2016 Current Ad hoc referee: Journal of Clinical Nursing
Leadership & Management
LEADERSHIP & MANAGEMENT
University service
UNIVERSITY SERVICE
HEALTH SCIENCES FACULTY
I have provided regular support to the committee, contributing to discussions surrounding publication, thesis examination templates, and our research processes in the division (see below). I have also advocated for a greater level of independence from the Department of Surgery in making research decisions; mainly given the stark differences between emergency medicine and surgery as specialties.
From To Service Role
2014 Current Professional Masters Committee, UCT Member
DIVISION OF EMERGENCY MEDICINE
I have largely built on the successes of my predecessor, Dr. Niel van Hoving. I strongly feel that one of the key elements of promoting masters (or any other) level university research, one has to curb the bureaucratic processes involved to the minimum. I established an online submission service, not only for the Emergency Medicine Division Research Committee submissions but also for submissions to the Human Research Ethics Committee and Postgraduate Office via the division’s secretary. On a committee level, through my role as chair, I promote a supportive approach from reviewers as oppose to a critical one. I introduced faculty reviewer roles, where joint staff that was previously more preoccupied with clinical work were able to contribute to research. I encourage and mentor joint staff supervisors with the aim to increase the division’s research capacity. All of these initiatives seem to be paying off with submissions and research approvals doubling between
2014 and 2015 (see research outputs for 2015). I operate an open door policy for any researcher interested in emergency care. I engage trainees on the shop floor regarding their research topics in order to see how the Emergency Medicine Division Research Committee and the research process can support them. My aim is to provide a safe research zone within the division where researchers – especially junior researchers - are not afraid to get involved, nor get tied up in red tape.
From To Service Role
2007 Current Emergency Medicine Division Executive Committee
Ph.D. coordinator and research lead
2014 Current Emergency Medicine Division Research Committee, UCT (EMDRC)
Chair
(The EMDRC is a Sub-committee to Surgical Departmental Research Committee)
SERVICE AT OTHER UNIVERSITIES
I have recently become involved with external supervision and have travelled to Blantyre and Dar Es Salaam. Not only do I love working with trainees, but this is also an opportunity to talk about research and the importance thereof for the specialty in Africa.
From To University Role
2016 Current Malawi College of Medicine, Blantyre, Malawi
External examiner (medical undergraduate)
2016 Current Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
External examiner (emergency medicine postgraduate)
2014 Current Stellenbosch University Research supervisor
Community & public service
COMMUNITY & PUBLIC SERVICE
I have a keen interest in quality improvement, emergency care development and research access in African low resourced settings. My community and public services are directly reflective of these interests. None of the services listed below are currently salaried roles.
From To Service Role
2009 Current Supadel (support a delegate) programme
Founder and lead (see Contributions to diversity section)
2011 Current Author assist (publication mentorship for novice authors from low or middle-income
Founder and lead (see Contributions to diversity section)
2014 Current Thursday shift and call at Khayelitsha Hospital Emergency Centre
In order to stay current in emergency care practice, cultivate a feel for the direction of the specialty locally and maintain credibility with the trainees, I volunteer as a consultant at Khayelitsha Hospital Emergency Centre. It has the added personal benefit of bringing me up close and personal with patients – an honour I would not be able to separate myself from, despite my main academic role. Likely due to association, the emergency centre has a strong research culture with many of my students involved in projects based at Khayelitsha. I am aware that my presence also helps the two resident specialists to focus on administrative tasks that they otherwise cannot. The volunteer role thus has both direct and indirect impact on maintaining and improving quality, safety, and efficiency in the emergency centre.
2016 Current Western Cape Government- Health Department
Regional triage service development lead. Formal triage training ceased mid-2015 when the then triage coordinator resigned. This resulted in triage standards dipping with the associated risks to patients. Triage has always been close to my heart ever since I derived the prototype for the South African Triage Scale. In my role, I have established a training committee to reboot training, as well as established a larger oversight committee to oversee triage audit, triage scale updating and triage innovation. My aim is to provide a trainers’ network throughout the region that can take responsibility for training at local facilities in an Advanced Life Support course model. Once established I would like to maintain a steady state of trainers in the region that can see to formal provider and refresher courses. I am working with a tremendous team made up of a group of five nurses and doctors, all employed by the Western Cape Government.
Contributions to diversity
CONTRIBUTIONS TO DIVERSITY
SUPADEL
Supadel (or support a delegate: http://www.afem.info/get-involved/support-a-delegate/?id=81) is a unique AFEM initiative that I founded and currently lead. It sponsors the attendance of delegates from low and middle-income countries at AFEM-affiliated conferences on African soil. The programme has been operational since 2009, and in this time has allowed numerous Emergency Care professionals (without the financial means) to attend high-quality acute care conferences throughout the continent. It operates on a peer-to-peer sponsorship model; conference delegates or other donors financially support their peers from African low and middle-income countries either by adding a sponsorship (usually as a proportion of their registration fee) to their conference registration fee or by donating securely online through one of two crowdfunding sites. To date Supadel has been offered at 7 conferences, enabling around 350 delegates to raise just over a million rand in order to sponsor 146 mainly black African delegates (including nurses, clinicians, and prehospital staff). Gender ratios were split equally with white delegates making up less than 3% of sponsored delegates. This was intentional, in order to focus the effort on native African delegates. Many Supadel alumni have used this opportunity to increase their involvement in African emergency care; two joined the executive board of the African Federation for Emergency Medicine this year. A large portion of the supernumerary trainees with the division are Supadel alumni. Supadel uplifts disadvantaged, African, emergency care staff and provides access to education in the form of conferences, adding the benefit of networking to the mix.
Author Assist (http://www.afjem.com/author-assistance.html) is a publication mentorship service for novice authors from low and middle-income countries that I found in my role as editor-in-chief of the African Journal of Emergency Medicine. It is the aim of the African Journal of Emergency Medicine to be representative of all parts of the African continent. I recognised fairly early in the journal’s journey that many African emergency care researchers are disadvantaged in the available range of journals into which they can publish as well as lack the skills to present their research in an acceptable scientific format that deserves publication. So I devised Author Assist: following the rejection of interesting but poorly written manuscripts, AfJEM uses a team of experienced volunteers (Author Assistants) to help mentor and improve the quality of manuscripts before peer-review submission. Users of Author Assist are mainly black African researchers from elsewhere in Africa. The vast majority of resubmitted papers go on to be published- reversing 1 in every 4 reject decisions. I am proud to say that one Author Assist alumni is now an editor of the journal and another has recently published in one of the top three journals in emergency medicine. Author Assist uplifts disadvantaged, novice, African authors and provide them with the confidence to publish. See featured publications too.
Clinical activities
CLINICAL ACTIVITIES
CLINICAL ACTIVITIES SUMMARY
My clinical activities in my volunteer consultant role at Khayelitsha Hospital emergency centre include shop floor management and direct patient care, leading ward rounds, review of radiology and laboratory reports and clinical administration (i.e. complaints, department flow, etc.). I also perform the on call service.
This largely reflects my clinical duties at Plymouth Hospitals NHS Trust, with a few differences. During my time there - and since clinical care was my full-time role - I worked on and introduced improvement strategies for front door nurse triage, established a rapid assessment and treatment zone (see YouTube clip: https://youtu.be/84XbQK9RhHA) within the emergency centre and negotiated out-of-hours primary care diversion for appropriate, low-risk patients. This was performed as part of my minor illness and injury lead role. The innovations listed above improved efficiency, safety and quality of care for patients with minor illness and injury. Interestingly, with regards to rapid assessment and treatment, waiting time was seen to reduce for patients in the major illness and injury stream too. I was the Ultrasound lead with responsibility for maintaining standards for use of ultrasound within the emergency centre setting. Finally, I devised a paediatric drug calculation tool, specific to Plymouth Hospitals NHS Trust that was used to improve safety and quality around medication use in paediatric resuscitation and critical care. A local audit led by me showed that length provided a better estimate of weight than age did. As a result, the calculation tool incorporated length based calculations.
I was involved in the following formal audit/ service improvement projects during my time at Plymouth Hospitals NHS Trust:
1. House RH, Bruijns SR, Winning the RAT race: The Impact of a Rapid Assessment and Treatment Service (RATS) on Emergency Department Flow and Performance. 2013 to 14
2. Miles J, Bruijns SR. Audit of the management of Pulmonary Emboli by the Derriford Emergency Department. Derriford Emergency Department. February to May 2011
3. Bruijns SR, Cook A, West M, McConnachie C. Audit of Minors Triage. Derriford Emergency Department. September to October 2010.
4. Bruijns SR, McCall H, Shaw A. Paediatric weight according to length or age audit. Derriford Hospital Emergency Department. March to October 2009
5. Bruijns SR, Fletcher A. Validity of APLS weight estimation formula for weight estimation of children in Derriford Emergency Department. December 2007 to January 2008
6. Bruijns SR, Ghisel A. Audit of laboratory requests from the Emergency Department. August to November 2006
Clinical services
CLINICAL SERVICES
My first appointment as a doctor was as an Intern/ houseman at Cecelia Makiwane Hospital in the Eastern Cape, South Africa. My community service year was conducted at GF Jooste Hospital emergency centre. I was only meant to do six months but enjoyed emergency medicine so much I swapped with another medical officer to remain for the whole year. The next two years coincided with an emergency medicine college being founded in South Africa and the first degree launching at the University of Cape Town (I was one of the first four students to enrol)
From To Organisation Role
Jan 2002
Dec 2003
Various services in Western Cape: Emergency medicine, Cardiology, Cardiac ICU, Respiratory unit and Respiratory ICU
Senior Medical Officer level: Full-time clinical
Jan 2004
Jun 2005
GF Jooste Hospital Emergency Centre, Western Cape, SA Principal Medical officer level: Full-time clinical
Aug 2005
May 2006
Morecambe Bay Hospitals NHS trust, UK Locum Staff grade level: Full-time clinical
Jul 2006
Jun 2014
Plymouth Hospitals NHS trust, UK Staff grade, Associate Specialist and Consultant level: 80% clinical workload
Jul 2014
Current Khayelitsha Hospital Emergency Centre, Western Cape, SA Consultant level: Thursdays (including on call). This is currently a voluntary role
Societies & professional organisations
SOCIETIES & PROFESSIONAL ORGANISATIONS
Memberships to professional organisations
MEMBERSHIPS TO PROFESSIONAL ORGANISATIONS
From To Organisation Role
Nov 2009 Current African Federation for Emergency Medicine Founding member
Oct 2007 Current Emergency Medicine Society of South Africa Member
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Service to professional organisations
SERVICE TO PROFESSIONAL ORGANISATIONS
From To Organisation Role
Jul 2004 Dec 2008 Emergency Medicine Society of South Africa
South African Triage Group committee member
Jun 2006 Dec 2007 Emergency Medicine Society of South Africa
EMSSA 2007 conference local organising committee
Oct 2007 Dec 2011 College of Emergency Medicine, SA Co-authored SA national emergency ultrasound guidelines, Ultrasound subcommittee
Jun 2008 Dec 2009 Emergency Medicine Society of South Africa
EMSSA 2009 conference local organising committee and Supadel (support a delegate sponsorship programme lead)
Jun 2010 Dec 2011 Emergency Medicine Society of South Africa
EMSSA 2011 conference local organising committee and Supadel (support a delegate sponsorship programme lead)
Jun 2011 Dec 2012 African Federation for Emergency Medicine
AfCEM 2012 Ghana conference local organising committee and Supadel (support a delegate sponsorship programme lead)
Jan 2011 Current African Federation for Emergency Medicine
Editor in Chief, African Journal of Emergency Medicine
Jan 2011 Current African Federation for Emergency Medicine
Board Member
Jun 2012 Dec 2013 Emergency Medicine Society of South Africa
EMSSA 2013 conference local organising committee and Supadel (support a delegate sponsorship programme lead)
Jun 2013 Dec 2014 African Federation for Emergency Medicine
AfCEM 2014 Ethiopia conference local organising committee and Supadel (support a delegate sponsorship programme lead)
Jan 2014 Jun 2015 Emergency Medicine Society of South Africa
EMSSA/ WCDEM 2015 conference local organising committee and Supadel (support a delegate sponsorship programme lead)
Jan 2015 Jun 2016 Emergency Medicine Society of South Africa
ICEM2016 conference local organising committee and Supadel (support a delegate sponsorship programme lead)
Jun 2015 Current African Federation for Emergency AfCEM 2016 conference local organising committee
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Medicine and Supadel (support a delegate sponsorship programme lead)
Other creative activities
OTHER CREATIVE ACTIVITIES
University of Cape Town Division of Emergency Medicine webmaster (www.emct.info)
African journal of Emergency Medicine webmaster (www.afjem.com)
I completed the MPhil (emergency medicine) degree Cum Laude
Jul 2010
Membership of the Order of St. Lazarus
Order of St. Lazarus
I was awarded membership for the following voluntary services:
• Supadel project lead (support a delegate sponsorship programme, since 2009, see Contributions to diversity section)
• State of Macedonian Acute Care Facilities 2007 report: Invitation by a UK charity (Running on wheels) to assess acute care facilities in Skopje and surrounds, resulting in summary report allowing sourcing of appropriate medical equipment for use in acute care services.
Editorial board
EDITORIAL BOARD
AFRICAN JOURNAL OF EMERGENCY MEDICINE
I have held the position of editor-in-chief of the African Journal of Emergency Medicine since its founding in 2011. I am responsible for the day to day editing, allocation of the workflow (editors and reviewers), issue planning, copy-editing, advertising and issue compilation. My aim has been focussed on achieving indexing with the Department of Higher Education and Technology, Medline (PubMed) and Science Citation Index (impact factor). This required a focus on the qualitative and quantitative growth of the journal. The African Journal of Emergency Medicine is currently the only emergency care text from Africa. It outpaces other, stronger international journals on publishing African emergency care content; it published 20% of all African emergency care outputs of the last five years, with 46 other journals having published the rest. Qualitative and quantitative indices have grown substantially and the African Journal of Emergency Medicine is currently a second quartile journal on international rankings (from a fourth quartile journal only two years ago. It was indexed in 2016 with the Department of Higher Education and Technology, and the Emerging Science Citation Index (the last step before impact factor allocation). Although a large proportion of our authors are non-African, this demographic is shifting towards greater African representation. Through careful negotiation with our society, the African Federation for Emergency Medicine and the publisher we have managed to maintain a hybrid open access journal (free to access, free to publish). This not only helped provide access for an African audience but also for African researchers. We employ a journal based mentorship scheme to help struggling authors (Author Assist). I have published on the latter and it is also described in the Contributions to diversity section.
