Kiana Mansouri

• Led a first-cycle clinical audit at Princess Alexandra Hospital NHS Trust (Aug 2019 – Jan 2024) to evaluate compliance with British Society of Haematology (BSH) guidelines on the use of irradiated blood components.
• Assessed transfusion practices for patients at risk of transfusion-associated graft-versus-host disease (TA-GvHD), optimized appropriate use and reduced unnecessary use of resources.

• Conducted comprehensive psychiatric assessments and Mental State Examinations (MSE), including risk assessment for suicide, self-harm, and harm to others, ensuring timely escalation to senior clinicians when required.
• Initiated and monitored psychotropic medications (antidepressants, antipsychotics, mood stabilisers) under consultant supervision, reviewing treatment response and managing potential side effects.
• Participated in multidisciplinary team (MDT) meetings and ward rounds, collaborating with consultants, psychiatric nurses, psychologists, and social workers to develop patient-centred management plans.
• Managed admissions, crisis presentations, and discharge planning, ensuring accurate clinical documentation and coordination with community mental health services for continuity of care.

Emergency Medicine:

• Performed initial assessment, stabilisation, and management of acutely unwell patients in the Emergency Department.
• Conducted investigations, initiated treatment plans, and referred patients appropriately to specialty teams.
• Actively participated in resuscitations, trauma calls, and multidisciplinary teamwork to ensure timely and safe patient care.

OBS/GYNAE:

• Managed antenatal, postnatal, and gynaecology inpatients alongside approximately 100 outpatients per week under consultant supervision.
• Actively participated in emergency presentations including ectopic pregnancy, miscarriage, antepartum haemorrhage, and pre-eclampsia, developing rapid assessment and escalation skills.
• Assisted in labour ward management, including initial assessments, CTG interpretation, and supporting safe vaginal deliveries under senior supervision.
• Performed routine gynaecological and obstetric examinations, initiated treatment plans, and provided clear explanations to patients and families during often sensitive situations.
• Medicine Rotation:
• Managed an average of 20 inpatients and 120 outpatients per week with varied acute and chronic conditions under consultant supervision.
• Took part in emergency admissions and initial assessments, honing triage and prioritisation skills.
• Initiated treatment during acute presentations, demonstrating my ability to stabilise patients and escalate care appropriately when required.
• Maintained accurate clinical documentation and ensured clear, compassionate communication with patients, their families and my colleagues.

Psychiatry Rotation:

• Managed an average caseload of inpatients and outpatients presenting with mood disorders, psychosis, substance misuse, and acute behavioural disturbances under consultant supervision.
• Conducted initial psychiatric assessments, mental state examinations, and risk assessments, contributing to safe triage and formulation of management plans.
• Initiated and monitored pharmacological treatments, while coordinating with community teams and crisis services to ensure continuity of care.

Infectious Diseases Rotation:

• Gained experience in managing infections and initiating appropriate antimicrobial therapy to over 30 inpatients, contribution to timely discharge and reduced length of stay.
• Recognised early signs of sepsis, contributed to patient stabilisation, and escalated care when necessary.
• Promoted antibiotic stewardship through appropriate antibiotic prescribing and regular treatment reviews.

• Observed antenatal care, deliveries, and outpatient procedures including colposcopies.
• Attended and reviewed multidisciplinary case discussions for complex obstetric and gynaecological cases.

• Gained hands-on insight into NHS clinical pathways and importance of professional developments within NHS.
• Conducted a clinical audit and presented findings at weekly teaching sessions, emphasising the quality improvement activities.
• Attended consultant-led ward rounds, outpatient clinics and MDT meetings, improving knowledge of the local guidelines and NHS system.
• Observed rapid assessment and understood referral pathway and discharge planning in same-day emergency care unit (SDEC).

Psychiatry – UD Medical Centre, Debrecen, Hungary | Apr 2023 – May 2023 (5 weeks)

• Clerked with patients with mood disorders, psychosis, and anxiety under senior supervision.
• Took part in care planning during multidisciplinary team meetings.

General Surgery – UD Medical Centre, Debrecen, Hungary | Mar 2023 – Apr 2023 (4 weeks)

• Contributed to patient admission clerking and peri-operative preparation.
• Assisted surgical procedures and supported daily post-operative ward care, including documenting patient’s progress and medication review.

General Surgery – Bajcsy-Zsilinszky Hospital, Budapest, Hungary | Mar 2023 (1 week)

• Attended surgical teams during ward rounds and assisted emergency procedures in a fast-paced setting.
• Obstetrics & Gynaecology – Borsod-Abaúj-Zemplén County Hospital, Miskolc, Hungary | Feb 2023 – Mar 2023 (5 weeks)
• Took part in antenatal ward rounds and outpatient clinics.
• Aided deliveries, including caesarean sections, and participated in postnatal care.

Internal Medicine – Centro Hospitalar Universitário de Coimbra (CHUC), Portugal | Nov 2022 – Jan 2023 (14 weeks)

• Attended ward rounds by presenting patient histories and contributing to daily progress notes.
• Performed procedures, such as ABG, venepuncture and monitoring vital signs.
• Paediatrics – CHUC, Coimbra, Portugal | Sept 2022 – Nov 2022 (7 weeks)
• Conducted routine paediatric assessments and contributed to daily ward rounds.
• Contributed to fluid and nutrition planning, including tube feeds and IV hydration strategies.
• Neurology – UD Medical Centre, Debrecen, Hungary | Aug 2022 – Aug 2022 (4 weeks)
• Performing neurological examinations and clerking of new admissions.
• Attended neuroimaging reviews and multidisciplinary case discussions.