Colin Philip Shirley
MBChB, MRCP
CURRICULUM VITAE
Medico-legal work (all enquiries/correspondence) to:
Medico-Legal Secretary, SM Legal Services, High Pines, 71 Walsall Road,
Little Aston, Sutton Coldfield, Birmingham, B74 3BA
Tel: 0121 352 0517
Fax: 0121 353 9408
mls@smlegalservices.co.uk
www.smlegalservices.co.uk
GMC No.
MDU No.
4649391
319763F
Education and Qualifications
A’levels
Chemistry
Physics
Maths
A
A
B
1994-1999
University of Dundee Medical School at Ninewells Hospital.
Awarded MBChB with Honours
2002
Membership of the Royal College of Physicians
2007
CCT in Clinical neurophysiology
Prizes
Captain W. A. Low class memorial medal for top graduating doctor
Prize for top student in basic sciences
Employment
Sept 2009 - Present Consultant Clinical Neurophysiology, University Hospital
Birmingham
Jan 2008 – Aug 2009 Consultant Clinical Neurophysiology, University Hospital
North Staffordshire
Dec 2007 – Jan 2008 Locum Consultant Clinical Neurophysiology QEH B’Ham
Oct 2007 – Nov 2007 SpR Clinical Neurophysiology, City Hospital, Birmingham
June 2006 – Oct 2007 SpR Clinical Neurophysiology QEH B’Ham
March 2006-Jun 2006 Locum Consultant Clinical Neurophysiologist QEH
Dec 2006-March 2006 SpR Clinical Neurophysiology QEH B’Ham
Sept 2006 –Dec 2006 SpR Clinical Neurophysiology Childrens Hosp. B’Ham
June 2006 –Sept 2006 SpR Neurophysiology QEH/ City Hospital B’Ham
Nov 2005 –June 2006 SpR Neurophysiology, QE Hospital Birmingham
Nov 2004-Oct 2005
SpR Neurophysiology, University Hospital of North Staffs.
Nov 2003-Oct 2004
SpR Neurology, New Cross Hospital Wolverhampton (part of
West Midlands neurophysiology rotation)
Senior House Officer:
Aug 2003-Nov 2003 SHO Locum General Medicine
April 2003-Aug 2003 Cardiology/general medicine, Queens Hospital, Burton-onTrent
Feb 2003-April 2003 Health Care of the Elderly/general medicine, Queens Medical
Centre, Nottingham
Aug 2002-Feb 2003 Acute care of the elderly/general medicine, Queens Hospital,
Burton-on-Trent
Feb 2002-Aug 2002 Acute General Medicine, Vascular and Stroke Medicine,
Ninewells Hospital, Dundee
Aug 2001-Feb 2002 Acute General Medicine, Cardiology and Care of the Elderly,
Perth Royal Infirmary, Perth
Feb 2001-Aug 2001 Neurology and Neurological Rehabilitation, Ninewells and
Royal Victoria Hospitals, Dundee
Aug 2000-Feb 2001 General medicine, Infectious Diseases and Respiratory
Medicine, Kings Cross Hospital, Dundee
Pre-registration House Officer:
Feb 2000-Aug 2000 Neurosurgery/General Surgery – Pre-registration post,
Ninewells Hospital, Dundee
Aug 1999-Feb 2000 General Medicine with Haematology and Renal Medicine –
Pre-registration post, Ninewells Hospital, Dundee
Presentations
Various contributions to current regular neuroscience departmental teaching program
on aspects of clinical neurophysiology and epilepsy
West Midlands Epilepsy Forum
- The role of EEG and cEEG in status epilepticus
West Midlands Neurology Calman Day
- The role of long term EEG monitoring
Regional Audit Meeting:
- Current guidance on the use of MSLT
Queen Elizabeth Hospital Birmingham:
- An audit of MS symptom management using NICE
guidelines
New Cross Hospital Wolverhampton:
- Presentations at the SHO teaching sessions on LP and
subarachnoid haemorrhage
Russells Hall Hospital, Dudley:
- A presentation of a case of meningo-vascular syphilis
The American Heart Association’s International Stroke Conference, Phoenix, Arizona
Feb 2003 Poster presentations:
- Creatinine Clearance calculated from demographic and serum
variables is a long term prognostic indicator in stroke patients
- C-Reactive Protein dose not appear to be as strong a predictor
of outcome after acute stroke in a multivariate analysis with
other predictor variables
European Stroke Conference 2002:
- The TIME II index as a predictor of high risk stroke patients
(co-author but did not attend conference)
Regional Stroke Meeting:
- Recent advances in Acute Stroke management
Tayside Division of Medicine post-graduate meeting:
- Auto-immune disease as a presentation of HIV
- Alveolar lung tumours presenting as BOOP
- Liver mass as a presentation of gastro-intestinal TB
Audit
I have undertaken a number of audits including:
- Audit of outcomes following neurophysiological assessment
of ulnar neuropathy (onging)
- Evaluation of outcomes following assessment for patients
referred with suprascapular nerve lesions (ongoing)
- Supervised SpR audit of cardiovascular monitoring in
clinical neurophysiology practice
- An audit of the current use of MSLT in the West Midlands
- An audit of MS symptom management using NICE
guidelines
- Antibiotic prescribing for in-patients
- Management of seizures in an acute medical admissions
unit
- Antibiotic prescribing for patients with cystic fibrosis
Publications
Advanced multi-modal imaging in the pre-operative assessment of refractory epilepsy
patients, ILAE supplement 2010
Which demyelinating criteria should we use? – Poster/abstract accepted by the joint
British/Italian peripheral nerve society meeting, Trieste, Italy
A Benefit-Risk assessment of agents used in the secondary prevention of stroke Adis
International Journal of Drug Safety 2002;25(13):943-963
Creatinine Clearance calculated from demographic and serum variables is a long term
progonstic indicator in stroke patients Stroke 2003;34(1) (abstract)
C-Reactive Protein dose not appear to be as strong a predictor of outcome after acute
stroke in a multivariate analysis with other predictor variables Stroke 2003:34(1)
(abstract)
Co-author of a book “Managing Strokes and TIAs in Practice” – The Royal Society
Of Medicine Press, London – published 2003
I am currently working on a paper regarding spectral analysis of EEG in
encephalopathy. I am also working on the development of a trigger averaged multi
channel EMG recording clinical protocol for the investigation of propriospinal
myoclonus.
Other Postgraduate Research
I have been involved in a NIH sponsored drug trial into a new treatment for diabetic
small fibre neuropathy assessing patients with quantitative sensory testing and
conventional nerve conduction studies – results to be published
Undergraduate Research
Project researching the effects of tonic plantar flexion on the activity
state of Renshaw cells in the human spinal cord using the Bussel technique
Project to develop guidelines for the use of atorvastatin in cholesterol
lowering programmes
Management responsibilities
I currently provide clinical leadership for the diagnostic video telemetry program and
am working with colleagues to develop new processes for clinical report
dissemination and new referral systems. I have also previously arranged a regular
joint paediatric epilepsy/EEG meeting and a regular departmental EEG meeting for
difficult diagnostic cases and quality assurance.
Courses
2010
2010
2009
2009
2009
2008
2008
2008
2008
2007
2007
2006
2006
2006
2005
2005
2005
2005
2004/05
2004
2004
April 2001
Sept 2000
June 1999
Sleep study day, RCP Physicians as educators course,
1st West Midlands epilepsy workshop (co-chair)
Kings college Neuromuscular Course
ILAE meeting Sheffield
West Midlands Epilepsy Forum
Epilepsy Surgery Workshop, Sheffield
World Muscle Conference, Newcastle
Stimulation single fibre conference, GOH, London
Association of British Neurologist’s meeting, Dublin
“stepping up program” institute of clinical leadership
ATCN/BSCN meeting Stoke &Canterbury
ICCN meeting, Edinburgh
Intermediate Life Support Course
ATCN meeting, York
West Midlands epilepsy forum meetings (three times yearly)
Half day course on electrical safety and procurement
procedures in clinical engineering
Methods in mind conference – the current use of Magneto
Encephalography (MEG)
BSCN residential course at Wadham College, Oxford
British Society of clinical neurophysiology scientific meeting
(three times yearly) – and associated ATCN meetings
Epilepsy Masterclass, Keeble College, Oxford
Evidence Based Medicine Course, West Midlands Deanery
Short course on the teaching of medical students
Advanced Life Support Course
Short course on management theory
Teaching
As a consultant I continue to teach SpRs in neurophysiology and neurology as well as
medical student teaching. I continue to contribute to MRCP teaching in neurology and
general medicine where the opportunity arises. I have also contributed to the
undergraduate experiential learning experience as part of Keele medical school’s
teaching program. I continue to assist the student technicians with the medical
component of their undergraduate studies and with informal tutorials relating to their
degree course.
I have also recently co-organised the first West Midlands Epilepsy Workshop which
is due to run in July 2010 and am part of the faculty providing the epilepsy SSM at the
University of Birmingham.
As a SpR in neurology I have taken regular teaching sessions for 3rd and 5th year
medical students and have also under taken several teaching sessions with the PACES
membership candidates for both neurology and general medicine. I have also given
two lectures during the SHO teaching block (on lumbar puncture and subarachnoid
haemorrhage). I have contributed to the undergraduate teaching programme taking
tutorial groups in the 4th year neurology block in Dundee and have contributed to the
Special Study Module in Stroke Medicine
In the second year of my Senior House Officer rotation I also became involved in the
Pre-registration House Officer teaching programme.
Continuing Professional Development
I currently keep an up-to-date CPD diary with the royal college of physicians and
engage in the consultant annual appraisal process
Practical Procedures
During my postgraduate training I have gained experience in the following
procedures:
- A comprehensive range of nerve conduction studies and electromyography including
paediatric NCS/EMG
- Turns-amplitude analysis and multi-MUP analysis
- Volitional and stimulated single fibre studies (including paediatrics)
- Interpretation of standard and sleep deprived EEG (adult and paediatric)
- Specialist epilepsy clinic
- Intra-operative spinal cord monitoring (and spinal root monitoring with consultant
colleague)
- Monitoring during deep brain stimulation
- Video EEG telemetry
- Ambulatory EEG
- Quantitative sensory testing
- EMG guided botox and monitoring during ENT botox for dysphonia
- Non-EMG guided botox
- Interpretation of evoked responses
Also during general medicine:
- pleural aspiration
- chest drain insertion
- pleural biopsy
- ultrasound guided pleural biopsy (with radiologist)
- central line insertion
- endotracheal intubation
- ascitic tap/drain insertion - lumbar puncture
- arterial line insertion
- temporary pacing wire insertion
Medico legal Reports
I undertake nerve conduction studies and electromyography for the purposes of
medico-legal assessment where indicated by a referring clinician. The purpose of the
assessment is to provide objective assessment of nerve injury and to aid in defining
the presence and extent of peripheral nerve, plexus or nerve root injuries and where
necessary and possible to indicate the degree of or potential for nerve recovery. My
clinical work regularly involves the assessment of nerve and plexus injury following
trauma including blast injury and gun shot wounds and assessments where the
surgical repair of nerve injury is contemplated.