#CV Dr Facchini eng 2017 update HR

CURRICULUM VITAE

ET STUDIORUM

Dr. Fabrizio M. FACCHINI, MD

Last updated 02/01/2017

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PERSONAL DETAILS

Name Dr Fabrizio M. FACCHINI, MD

Date Of Birth April 26, 1967

Place Of Birth Ferrara – Italy

Marital Status Married, one daughter

Nationality Italian

Address 3, Via Vincenzo Lante – I 32100 Belluno (BL – Italy)Telephone Numbers Home +39 0437090081

Mobile +39 3203019928E-mail: [email protected]

Medical School8 years, includingmedical internees

25/10/1995 Graduation in Medicine & Surgery Mark 110/110University of Ferrara. Ferrara – I

Medical Specialisation School

28/10/1999 Specialisation in Respiratory Diseases Mark 50/50 + honourUniversity of Ferrara. Ferrara – I

Professional Qualifications

25/10/1995 Doctor in Medicine & Surgery (research postgraduate qualification)

1995 2nd session Italian Medicine State Exam (MRCP equivalent)University of Ferrara. Ferrara – I

28/10/1999 Master Doctor in Respiratory Medicine & Tysiology (research postgraduate qualification, MD)

CCT equivalent Obtained 28/10/1999 Respiratory Medicine

Professional Registration

24/01/96-08/08/1108/08/11-today

Full & Specialist Registration of the “Ordine dei Medici Chirurghi” of Ferrara (Italian GMC equivalent) - Reg. n. 3539Full & Specialist Registration of the “Ordine dei Medici Chirurghi” of Treviso (Italian GMC equivalent) - Reg. n. 5138

03/07/96 - 03/07/10 General Medical Council Full Registration n. 4316491

03/07/04 - 03/07/10 General Medical Council Specialist Registration n. 4316491

ProfessionalMembership

European Respiratory Society, memberSIP/IRS (Italian Respiratory Society), Triveneto Region SecretaryAIPO (Associazione Italiana Pneumologi Ospedalieri), Member

Current position Consultant Physician in Respiratory Medicine

Notice period My Trust requires a minimum 3 months notice

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mailto:[email protected]#_blank

SUMMARY OF MY CLINICAL EXPERINCES

General Medicine Experience

Education: I completed my Medical School in Italy, experience included internal medicine internee and professional training in medical, surgical & gynaecology wards before applying for the State Exam (MRCP equivalent). During my specialisation I received training in Allergology & Clinical Immunology, Cardiology, Geriatrics, Infective Diseases, Acute & Emergency Medicine, Internal Medicine, Sport Medicine, Oncology.

Experience: I have worked at a Consultant level for the Primary Care Trust, Accident and Emergency Unit, Internal Medicine Department. As Consultant in Respiratory Medicine I participate to the Medical Division on call rota for inpatients emergency and medical admission (1:13).

Respiratory Medicine

Education: my post graduate training lasted four years with progressive direct clinical responsibilities. It included clinical responsibilities in Respiratory Ward, Respiratory High Dependence Unit, Intensive Care Unit, Respiratory Medicine and Phthisiology Outpatient clinic, and Respiratory Physiology with excellent experience in practical procedures. Experience: I have worked in different hospitals at Consultant level in Respiratory and Respiratory & General Medicine in the past 16 years. This has given me the chance to lead and develop different services.

Recent Consultant PositionsFrom June 2010 to August 2016 I worked at Pieve di Soligo NHS Trust as Consultant in Respiratory Medicine. In addition to the clinical duties I was the led Physician for Clinical Risk, Diffuse Parenchymal Pulmonary Diseases (multidisciplinary), Prevention & Smoking Cessation Programs. My key job responsibilities included the following:* Providing direct medical services to inpatients (weekly rota, 20 patients, including NIV patients)* General Respiratory Medicine (unselected) Outpatient clinic* Acute Respiratory Medicine (unselected) Outpatient clinic & Interdepartmental consultations* Diffuse parenchymal lung diseases Outpatient clinic* Smoking cessation Outpatient clinic* Respiratory endoscopy including BAL, transbronchial pulmonary biopsy, conventional transbronchial needle aspiration* Pleural management including chest US guided Thoracentesis and Chest drainage management* Pulmonary function tests & Polysomnography medical reporting* General Medicine on call rota (1:13)* Participating in the development of medical services, including standard procedures, management of activities related to patient care, and standard procedures* Contributing towards the improvement of the efficiency of my department

From 01/09/2016 to 08/10/2016 August I worked at Weston Super Mare General Hospital (Weston Area Health NHS Trust) as Consultant in Respiratory Medicine. The position was temporary pending a substantive job, but I was offered a position in Dubai (UAE) that was more attractive in terms of career and service development, in addition to cultural reasons. While at Weston SM GH, my responsibilities included direct care to 12 inpatients (including NIV patients), General Respiratory Medicine (unselected) Outpatient clinic, Pulmonary function tests medical reporting, Specialist Referrals, junior Doctors supervision, contribution towards the improvement of the department (development of Respiratory Services and participation to the local Medical Education program).

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Current Consultant Position

From 09/10/2016 up today I work at Valiant Clinic (Meraas Helthcare, Managed by Houston Methodist Healthcare) as Consultant in Pulmonary Medicine.While awaiting for licensing to commence my clinical duties, I am organising the Pulmonary Medicine services that will be provided at the clinic, contributing to the selection of the equipment, writing clinical and procedures protocols, establishing collaboration with local hospitals.At Valian Clinic I will lead the Pulmonary Medicine Department offering a premium outpatient clinic that will include the following services:

* Pulmonary function test- Spirometry- Lung Volumes- Pulmonary Diffusion

* Oxygen assessment- 6 minutes walking test- Overnight oximetry- Arterial Blood Gas analysis- Capillary Blood Gas analysis- Hyperoxic test- Flight assessment

* Sleep Diagnostic- Overnight pulse-oximetry- Cardio-pulmonary polysomnography- CPAP and BiLevel titration

* Respiratory Endoscopy- Diagnostic endoscopy- Bronchial wash- Bronchial biopsy- Bronchial brush- Transbronchial needle biopsy

* Pleural fluid analysis (thoracentesis)

Under my lead Valiant Clinic will be a Philips Respironics Centre of Excellence for Pulmonary Medicine, thus we will provide Medical Education using the most advanced Philips Respironics Technology (provisional agreement submitted)

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POST SPECIALISATION PROFESSIONAL EXPERIENCEreverse chronological order

From To

10/2016 today Position * Consultant Physician in Pulmonary Medicine

Institute Valiant Clinic, Meraas Healthcare, managed by Houston Methodist13th Street, City Walk P.O. Box 414296 – Dubai (UAE)

Experience - Business case for Pulmonary Medicine equipment- Clinical protocols- Procedure protocols- Smoking cessation program- Clinical research protocol

09/2016 10/2016 Position * Locum Consultant Physician in Respiratory Medicine

Institute Weston super Mare General Hospital, Weston Area health NHS TrustGrange road Uphill, Weston-super-Mare BS23 4TQ, Somerset (UK)

Experience - Interdepartmental consultations- Respiratory ward- General Resp. Med. Clinic- Respiratory Endoscopy- Respiratory Physiology

06/2010 08/2016 Position * Consultant Respiratory Medicine

Institute ULSS 7 Pieve di Soligo, now ULSS 2 Marca Trevigiana NHS TrustVia S. Ambrogio in Fiera, n. 37 - 31100 Treviso (Italy)

Experience - General Medical on call rota (1 in 12)- Respiratory take & Interdepartmental consultations- Respiratory ward- General Resp. Med. Clinic- Smoking cessation Clinic- Interstitial lung diseases MDT & Outpatient Clinic (clinical lead)- Respiratory Endoscopy- Respiratory Physiology & Respiratory Sleep Disorders

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09/2009 03/2010 Position * Locum Consultant Respiratory & General Medicine

Institute Basildon and Thurrock University HospitalsNethermayne, Basildon SS16 5NL, Essex (UK)

Experience - General Medical take- Respiratory take & Interdepartmental consultations- Respiratory ward- General Resp. Med. clinic- Interstitial lung diseases MDT (clinical lead)- Lung Cancer MDT- Sleep and ILD clinic- Medical Thoracoscopy- Diagnostic Bronchoscopy


Institute Leeds Teaching HospitalsBeckett Street, Leeds LS9 7TF, West Yorkshire (UK)

Experience - General Medical take- Respiratory take and Respiratory Care Unit (NIV)- Respiratory ward- General Resp. Med. Clinic- Severe Asthma Clinic (clinical lead)- Lung Cancer MDT- ILD MDT- Diagnostic Bronchoscopy


Institute University Hospitals Coventry & Warwickshire NHS TrustClifford Bridge Road, Coventry CV2 2DX, Midlands (UK)

Experience - General Medical Take- General Resp. Med. clinic- Sleep Clinic- TB Clinic- Lung Cancer MDT- ILD MDT- Respiratory ward- Diagnostic Bronchoscopy- Non Invasive Ventilation (clinical lead)- Business protocols

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Institute Northern Lincolnshire & Goole NHS Foundation TrustCliff Gardens, Scunthorpe DN15 7BH, North Lincolnshire (UK)

Experience - General Medical Take- Resp. Med. clinic- Lung Cancer MDT- Respiratory ward- Diagnostic Bronchoscopy- Development of NIV hospital based service- Development of research protocols

11/2006 02/2007 Position * Locum Consultant in Respiratory & General Medicine

Institute ULSS 18 Rovigo, now ULSS 5 Polesana NHS TrustViale Tre Martiri 89, 45100 Rovigo (Italy)

Experience - General Medical Take (1 in 7)- General Pulmonology Clinic- Respiratory ward, including NIV- Respiratory home care, including NIV & tracheal cannula management- Diagnostic Bronchoscopy- Cardio-Pulmonary Sleep Studies (Home & Hospital Setting)

03/2005 10/2006 Position * Locum Consultant in Respiratory Medicine

Institute ULSS 22 Bussolengo, now ULSS 9 Scaligera NHS TrustVia Valverde, 42 - 37122 Verona (Italy)

Experience - General Medical Take (1 in 15)- General Pulmonology & TB Clinics- Respiratory ward, including NIV- Respiratory home care- Bronchoscopy with FNA & transbronchial biopsy- Nasal & Larynx-tracheoscopy- Gastro oesophageal pH-metry- Cardio-Pulmonary Exercise Testing- Cardio-Pulmonary Sleep Studies (Home & Hospital Setting)- Clinical Research protocols


Institute Bolzano, now Alto Adige NHS Trustvia Cassa di Risparmio 4, 39100 Bolzano – Bolzano (Italy)

Experience - General Pulmonology & TB Clinics- Respiratory home care (including ventilation via tracheal cannula)- Pulmonary Rehabilitation- Interstitial Lung Diseases- Cardio-Pulmonary Exercise Testing- Cardio-Pulmonary Sleep Studies (Home Setting)

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Institute Bressanone, now Alto Adige NHS Trustvia Cassa di Risparmio 4, 39100 Bolzano – Bolzano (Italy)

Experience - Pulmonology ward, including NIV- General Pneumology & TB Clinics- Respiratory home care, including NIV- Respiratory Endoscopy- Cardio-Pulmonary Sleep Studies (Hospital & Home Setting)

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07/2001 10/2001 Position * Locum Consultant in General Medicine

Institute S. Giuseppe Hospital, ULS Ferrara NHS Trustvia Cassoli, 30 - 44121 Ferrara (Italy)

Experience - Emergency medicine- Internal Medicine

12/2000 06/2001 Position * Private Consultant in Respiratory & General Medicine

Institute Eumed Private ClinicVia Maria Majocchi Plattis 5 int.2 – 44124 Ferrara (Italy)

Experience - Pulmonology clinic

05/2000 11/2000 Position * Locum Consultant Pulmonologist

Institute Ferrara University Hospitals NHS TrustVia Aldo Moro, 8 – 44124 Ferrara (Italy)

Experience - Pulmonology clinic- Pulmonology ward

03/2000 05/2000 Position * Locum Firs Aid Medical Officer (Consultant level)

Institute S. Camillo Hospital, Ferrara NHS Trustvia Cassoli, 30 - 44121 Ferrara (Italy)

Experience - Emergency medicine

10/1999 03/2000 Position * Locum Medical Officer (Consultant level)

Institute Medical Watch Service, Ferrara NHS Trustvia Cassoli, 30 - 44121 Ferrara (Italy)

Experience - Acute general medicine

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POSTGRADUATE PROFESSIONAL EXPERIENCEreverse chronological order

07/1997- Position * Specializing Doctor

10/1999 Institute University of Ferrara, Istituto di Malattie dell’Apparato Respiratorio& Azienda Arcispedale S. Anna, Divisione di Fisiopatologia RespiratoriaFerrara, I

Experience 2nd year: pathological anatomy & histopathology, respiratory physiopathology, cardio-pulmonary physiopathology, radiology, clinical immunology, diagnostic histopathology, clinical microbiology, clinical methodology, respiratory medicine3rd year: clinical methodology, respiratory endoscopy, respiratory medicine4th year: radiology , clinical methodology, respiratory endoscopy, respiratory medicine, internal medicine, cardiopulmonary critical care, thoracic surgeryClinical commitments in: - General Respiratory medicine OP Clinic; - TB clinic; - Lung Function Laboratory supervision & reports; - Allergology Clinic; - Respiratory Medicine (ABG, thoracentesis, chest drain insertion); Respiratory Day Hospital; - Departmental On call & General Medicine; - Respiratory High Dependency Unit; - Intensive Care Unit (ventilation, ALS, endotracheal intubation, CVC) - Cardiology; - Respiratory Endoscopy; - Respiratory Oncology;

06/1996- Position * Clinical & Research Fellow

06/1997 Institute University College London, Department of Thoracic Medicine - London

Experience - Sleep Apnoea Clinic- Lung Cancer Clinic- Severe Asthma Clinic- TB Clinic- Chest x-ray interpretation- Diagnostic & Interventional Bronchoscopy- Basic & Advanced Life Support- Research in Severe Asthma- Research in Lung Cancer

10/1995- Position * Specializing Doctor

05/1996 Institute University of Ferrara, Malattie dell’Apparato RespiratorioSezione di Fisiopatologia Sperimentale - Ferrara, I &Università degli Studi di Padova, Medicina del Lavoro - Padova, I

Experience Structured teaching and clinical experience:1st year: human anatomy, general & diagnostic histopathology, cardio-pulmonary physiology, general pathology, immunology & clinical immunology, microbiology, virology and clinical microbiology, clinical methodology, medical statistics, hygiene, respiratory medicineClinical commitments in: - General Respiratory medicine OP Clinic; - Lung Function Laboratory supervision & reports; - Allergology Clinic; - Respiratory Medicine (ABG, thoracentesis); General MedicineResearch commitments: - Lung Immunohistochemistry

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RESEARCH & PUBLICATIONS

Dissertations

1 Specialisation thesis: “Controlled cross over study on continuous subcutaneous

terbutaline infusion in severe asthma”

Author Dr FM Facchini, Relator Prof. A.Ciaccia

Institute of Respiratory & Infective diseases, School of Medicine & Surgery. University

of Ferrara, Academic Year 1998/99

2 Graduation thesis: “Mononuclear cells are raised in the mucousa of both central and

peripheral airways in smokers”.

Author FM Facchini, Relator Prof. L.M.Fabbri, Co-Relator Prof. R.Scolozzi.

Institute of Respiratory & Infective diseases, School of Medicine & Surgery. University

of Ferrara, Academic Year 1994/95

Chapters

1 F Facchini, F. TrevisanIn “Home Long-Term Oxygen Treatment, the additional value of telemedicine” RW Dal Negro, AI Golberg (eds), Springer (publisher) “From the National to the Regional Criteria for the Home long term Oxygen Therapy”, 2005

2 FM Facchini“Aspetti socioeconomici delle broncopneumopatie croniche ostruttive”.In: “ Broncopneumopatie croniche ostruttive” Adalberto Ciaccia, Leonardo M. Fabbri. Rassegna di patologia dell’apparato respiratorio. Edi Aipo Scientifica editrice. 1999; 39-47.

3 FM Facchini, SG Spiro“Chemotherapy in small-cell lung cancer. Is more better?”In: “Lung tumours. Fundamental biology and clinical management”. Lung biology in health and disease, Marcel Dekker Publisher. 1999; 124: 611-630.

4 FM Facchini, SG Spiro“Lung Cancer”The European Respiratory Society, ERS Learning Resource Centre, Medical Education Programmes. From Eur Res J 1998; 12(4).

5 LM Fabbri, G. Caramori, FM Facchini, A. Ciaccia“Anti-inflammatory treatments for asthma: past, present, future”In: “From genetics to quality of life. The optimal treatment and management of asthma”.

Proceedings of the XVth

World Congress of Asthmology. Montpellier, April 24-27, 1996.

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RESEARCH & PUBLICATIONSFull papers1 Ciaccia A, Ferrari M, Facchini FM, Caramori G, Fabbri L

“Pulmonary vasculitis”.Clin Rev All Immunol 1997; 15: 73-95.

2 Saetta M, Turato G, Facchini FM, Corbino L, Lucchini RE, Casoni G, Maestrelli P, Mapp CE, Ciaccia A, Fabbri LM“Inflammatory cells in the bronchial glands of smokers with chronic bronchitis”Am J Respir Crit Care Med 1997; 156(5): 1633-1639.

3 Lucchini RE, Facchini F, Turato G, Saetta M, Caramori G, Ciaccia A, Maestrelli P, Springall DR, Polak JM, Fabbri L, Mapp CE“Increased VIP-positive nerve fibres in the mucous glands of subjects with chronic bronchitis”Am J Respir Crit Care Med 1997; 156(6): 1963-1968.

4 Saetta M, Di Stefano A, Turato G, Facchini FM, Corbino L, Mapp CE, Maestrelli P, Ciaccia A, Fabbri LM“CD8+ T-lymphocytes in peripheral airways of smokers with chronic obstructive pulmonary disease”Am J Respir Crit Care Med 1998; 157(3 Pt 1): 822-826.

5 Spiro SG, Gower NH, Evans MT, Facchini FM, Rudd RM“Recruitment of patients with lung cancer into a randomised clinical trial: experience at two centres”Thorax 2000; 55: 463-46

6 Micheletto C, Visconti M, Tognella S, Facchini FM, Dal Negro RW“Aspirin Induced Asthma (AIA) with nasal polyps has the highest basal LTE4 excretion: a study vs AIA without polyps, mild topic asthma, and normal controls”Allerg Immunol (Paris). 2006 Jan;38(1):20-3.

7 Braido F, Baiardini I, Lacedonia D, Facchini FM, Fanfulla F, Molinengo G, Canonica GW“Sleep Apnea Risk in Subjects With Asthma With or Without Comorbid Rhinitis”Respir Care. December 2014; 59: 121851-1856

8 Baiardini I, Sorino C, Di Marco F, Facchini F“Smoking cessation, anxiety, mood and quality of life: reassuring evidencesMinerva Med. 2014 Nov 14; 105(Suppl 1 to n.5):15-21

9 Sorino C, Bellocchia M, Facchini F“The immunobiological role of Vitamin D in obstructive lung diseases and its clinical implication”Minerva Med. 2016. Jun;107(3 Suppl 1):12-9.

10 Ilaria Baiardini, Fabrizio Facchini, Manlio Milanese, Giuseppe Francesco Sferrazza Papa“Role and Challenges of Severe Asthma Services: Insights from the UK Registry”Minerva Med. 2016. In Press.

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Abstracts F Facchini, L De Lozzo, L Marino, F Braido, S Nardini

“Caregiver smoke and depression/anxiety state promote persistent Tobacco Smoking (TS) in Home Oxygen Therapy (HOT) patients”Eur Res J Sep 2014; 44 (Suppl 58)DOI: http://erj.ersjournals.com/content/44/Suppl_58/P4949

L De Lozzo, F Facchini, L Marino, S Angelotti, S Nardini“Tobacco smoking (TS) in home oxygen therapy (HOT). Preliminary data”Eur Res J. Sep 2013, 42 (Suppl 57)DOI: http://erj.ersjournals.com/content/42/Suppl_57/P2087

F Facchini, L De Lozzo,S Angioletti, L Marino,S Nardini“Pulmonary noxious exposure (PNE) and tobacco smoking (TS) in home oxygen therapy (HOT) patients”Eur Res J. Sep 2013, 42 (Suppl 57)DOI: http://erj.ersjournals.com/content/42/Suppl_57/P2088

C Micheletto, S Tognella, F Trevisan, FM Facchini, M Visconti, RW Dal Negro“Ispessimento della membrana basale ed infiammazione eosinofilica nei lievi asmatici con o senza poliposi nasale”7° Congresso Nazionale della Pneumologia, Firenze 04-07/10/2006.DOI: http://www.aimgroup.it/2006/uip/abstract/Abstract%20Comunicazioni%20Poster.pdf pag 178

FM Facchini, C Micheletto, S Tognella, F Trevisan, RW Dal Negro“Entità e persistenza della broncostruzione da manovra spirometrica forzata: caratteristiche cliniche di brittle asthma tipo I°”7° Congresso Nazionale della Pneumologia, Firenze 04-07/10/2006.DOI: http://www.aimgroup.it/2006/uip/abstract/Abstract%20Comunicazioni%20Poster.pdf pag 122

FM Facchini, C Micheletto, S Tognella, F Trevisan, RW Dal Negro“Prevedere l'asma bronchiale grave - intermittente (brittle, near-fatal): PD20FEV1 o delta FVC?”.7° Congresso Nazionale della Pneumologia, Firenze 04-07/10/2006.DOI: http://www.aimgroup.it/2006/uip/abstract/Abstract%20Comunicazioni%20Poster.pdf pag 121

C Micheletto, F Facchini, S Tognella, F Trevisan, RW Dal Negro“Enoxaparina non aumenta le complicanze emorragiche dopo l'esecuzione di biopsie polmonari transbronchiali (TBLB)”.7° Congresso Nazionale della Pneumologia, Firenze 04-07/10/2006.DOI: http://www.aimgroup.it/2006/uip/abstract/Abstract%20Comunicazioni%20Poster.pdf pag. 18

C Micheletto, F Facchini, S Tognella, F Trevisan, RW Dal Negro“Enoxaparin does not increase bleeding complications after transbronchial biopsy (TBLB)”.Eur Res J 2006; 28: 593sDOI: http://www.ers-education.org/home/browse-all-content.aspx?idParent=8699

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RESEARCH & PUBLICATIONS NH Gower, FM Facchini, MT Evans, SG Spiro, RM Rudd, RL Souhami

“Reasons for the poor recruitment of patients with lung cancer into randomised clinical trials (RCT): the experience of 2 centres in the Big Lung Trial (BLT)”Lung Cancer. August 1997; Volume 18 (Suppl. 1): 20DOI: http://dx.doi.org/10.1016/S0169-5002(97)89345-2

G Turato, F Facchini, C Cresci, M Piattella, CE Mapp, P Maestrelli, G Scano, A Ciaccia, LM Fabbri, M Saetta“Airflow limitation in smokers is associated with mononuclear cell infiltration in smokers”Eur Res J 1996; 9: 335s

RE Lucchini, F Facchini, M Saetta, P Maestrelli, DR Springall, JM Polak, LM Fabbri, CE Mapp“Neuropeptides in the airways of subjects with chronic bronchitis”Eur Res J 1996; 9: 290s.

FM Facchini et al.“Increased mononuclear cell infiltration in central and peripheral airways in subjects with COPD”.Am J Respir Crit Care Med 1996; 153 (4 part 2):

M Saetta, LM Fabbri, A Di Stefano, G Turato, F Facchini, M Pieno, G Caramori, A Santini, G Azzena, A Ciaccia “Mononuclear cell infiltration in central airways reflects that in peripheral airways in smokers”Eur Res J 1995; 8: 410s

PEER REVIEWS

Abstract revisione for “XV Congresso Nazionale della Pneumologia”Review date completed 13/07/2014

Journal: Thorax; Editor: Wisia Wedzicha; Manuscript Id: THORAX/2008/105239Review date completed: 09/11/2008

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RELEVANT CLINICAL COURSES

Postgraduate course on “Chest drain insertion” – AIMAR (SIP/IRS)

Postgraduate course on “Interventional pulmonology” - ATS

Postgraduate course on Videothoracoscopy”. University of Ferrara

“Course of Advanced Life Support” Ospedale Carreggi

“Training course on simulator for the treatment of the respiratory diseases” Simulearn

“Bronchoscopy/Thoracoscopy short course”

“Bedside Ultrasound Course” Kingston Hospital London

“Adult Resuscitation Training Update” Leeds teaching Hospitals

RELEVANT GOVERNANCE & MANAGEMENT COURSES

“Tools Of The Trade Training” Yorkshire Deanery

“Skills for Careers Guidance Course” Yorkshire Deanery

“Lean Awareness & Change Acceleration” General Electrics

“Process Improvement” General Electrics

COURSES AND MEETINGS

I regularly attend National & International meetings. Full list available at request.

LECTURES & TALKS

I regularly give lectures and talks in Regional and National meetings. Full list available at request

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CLINICAL GOVERNANCE

AUDITI recognise the value and importance of audit in medical practice as a strong tool applied for clinical service

development and improvement. During my Italian clinical experience Clinical Audits were planned if it was

felt there was need for an update on any specific clinical service or before or soon after the introduction of a

new clinical service.

- Diffuse parenchymal lung disease (Pieve di Soligo NHS Trust 2016, ongoing)

This ongoing audit of the first 24 months of sub speciality outpatients clinic on DPLD shows the feasibility

and sustainability of sub speciality clinic in a District Hospital, but also reveals a persistent discrepancy

between expected number of affected patients and patients who seek and receive medical care.

- Smoking habit and long term oxygen therapy (Pieve di Soligo NHS Trust 2014)

My team reviewed smoking habit, depression/anxiety status and caregiver smoking habit of patients on long

term oxygen therapy and found that about 8% of the trust patients are current smokers. This figure reflects

what is reported in the literature. Data analysis showed a link between patient depression/anxiety and care

giver smoking status and persistent smoking habit of patients on long term oxygen therapy

- Smoking cessation clinic for patients with cardio-vascular or respiratory disease (Veneto Region 2012-2013)

This multicenter audit confirmed the feasibility and efficacy of a dedicated service to treat cardiovascular

and respiratory patients for their persistent smoking habit. The audit confirmed a 30% efficacy of the

treatment at 1 year.

- Cardiopulmonary exercise test (CPET) (Bolzano NHS Trust 2005)

This audit revealed that, region wide, more than 100 patients/year could benefit CPET, including borderline

candidates for surgery and patients with exercise induce dyspnoea of unknown origin. As result a CPET

service was funded.

- Outpatient diagnostic investigations and CPAP prescription for OSAS (Bolzano NHS Trust 2004)

This audit evaluated the proportion of outpatient and inpatient diagnostic investigations and CPAP

prescriptions for OSAS. It was concluded that hospital admissions were not required for CPAP prescription

in the large majority of the cases. As result, domiciliary services funds were increased.

- Domiciliary Non Invasive Ventilation (Bolzano NHS Trust 2003)

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I participated on a clinical audit that showed that NIV domiciliary services were not uniform throughout the

autonomous province, depending mainly on the prescribing hospital, written carers instructions were not

always complete, and safety controls were not always recorded. As a result, the local NHS authority decided

to regulate NIV prescriptions, centralised NIV to the main regional hospital and standardised domiciliary

requirements.

- Home Oxygen Therapy (Bressanone NHS Trust 2002)

This audit revealed that inconsistent regular assessment of hospital prescription of home oxygen therapy led

unnecessary 30% LTOT prescriptions. As a result it was decided that all Trust home oxygen prescriptions

should have been communicated to the Respiratory Department for authorisation and planning of regular

assessment. LTOT was audited again after the change in the protocol with 0% unnecessary prescriptions.

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IMPROVING CLINICAL STANDARDS AND PRACTICE

Interstitial lung diseases (ILDs) Clinic & MDT MeetingTo ensure continuity of care for patients and improve MDT approach to ILDs, I organised a monthly dedicated clinic and local ILD-MDT meeting. This new organisation has been thereafter integrated with a Hub & Spoke regional organisation for IPF therapy prescription. Pieve di Soligo NHS Trust, Vittorio Veneto (TV) 2013-2016

Smoking cessation program for patients with smoke related diseasesA pilot project was launched for active treatment of tobacco dependence in patients with tobacco smoke diseases within the Veneto Region. The project was successful, but continuation of the clinic was not further funded. Pieve di Soligo NHS Trust, Vittorio Veneto (TV) 2011-2013

Interstitial lung diseases (ILDs) MDT MeetingI was asked to organise a regular MDT about ILDs. Despite previous attempts were not successful, stakeholder Consultants were involved in the organisation. Within 3 months Consultants in Respiratory Medicine, Radiology, Rheumatology and Thoracic surgery started meeting regularly and the ILD-MDT meeting became a regular appointment where to discuss ILD cases. Basildon & Thurrock University Hospitals, Basildon, 2009

Hospital & Domiciliary NIV Service for patients with type II respiratory failureI have been invited to develop and present a business case for NIV in the hospital and domiciliary setting to include the recently approved clinical guidelines for motor neuron disease. The business case is currently under final revision before submission. University Hospital Coventry & Warwickshire, Coventry, 2008

Departmental advisory panel for new respiratory physiology equipmentI was invited to lead the panel for the evaluation of the areas of clinical implementation of new non invasive equipment for the determination of cardiac output in respiratory medicine. Bussolengo NHS Trust, Bussolengo (VR – I), 2006

Provincial advisory committee for the revision of health regulations for NIVI was invited as technical advisor by the local political Health Authorities. A new health regulation for the implementation of NIV services in the autonomous province of Bolzano was developed. The new health regulation law was thereafter approved by the local parliament. Bolzano NHS Trust, Bolzano (I), 2003

Implementation of Sleep Breathing Disorders Clinic & CPAP ventilationAs the lead clinician, I set up a clinic, structured diagnostics services for sleep breathing disorders. A business case for CPAP prescription was approved and patients could finally be treated locally. Training was provided for nursing and paramedic colleagues. Bressanone NHS Trust, Bressanone (BZ – I), 2002

NIV for Domiciliary Respiratory ServicesAs the lead clinician I restructured the existing domiciliary services implementing domiciliary NIV. Activity was recorded on a database for monitoring and auditing quality and cost of the service. Bressanone NHS Trust, Bressanone (BZ – I), 2002

Hospital Committee for implementation of Respiratory EndoscopyI participated to the hospital committee who verified clinical risks & adherence to safety regulations of the respiratory endoscopy service. Bressanone NHS Trust, Bressanone (BZ – I), 2002

Implementation of Respiratory EndoscopyAs the lead clinician, I planned and set up a respiratory endoscopy service, nursing staff and paramedics were trained. The new service was started successfully. Bressanone NHS Trust, Bressanone (BZ – I), 2002

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DEVELOPING GUIDELINES

Trust guidelines for motor neuron diseasesAs respiratory Consultant with a special interest in NIV, I was invited to contribute to the multidisciplinary guidelines for patients with motor neuron diseases, with special attention to the respiratory pathway and modality of prescription of NIV. University Hospital Coventry & Warwickshire Hospitals NHS Trust, Coventry, 2008

Hospital guidelines for NIVAs most experienced Consultant in NIV, I supervised and contributed to the development of hospital guidelines for NIV in COPD patients with respiratory exacerbation and type II respiratory failure. Scunthorpe Teaching Hospital, North Lincolnshire & Goole NHS Trust, Scunthorpe, 2007

Trust guidelines for prescription and reporting of Cardiopulmonary Exercising TestingAs the lead clinician, I trained respiratory specialist nurses and implemented a protocol for prescription and reporting CPET. The service was started successfully. Bolzano NHS Trust, Bolzano (I), 2005

Trust guidelines for LTOT, NIV & Domiciliary Respiratory ServicesAs the lead clinician, I worked with my consultant, nursing and paramedic colleagues to implement national and local guidelines for LTOT, NIV and develop a structured domiciliary service. Bressanone NHS Trust, Bressanone (BZ – I), 2002

Trust guidelines for Respiratory EndoscopyAs the lead clinician, I adopted and planned and set up a respiratory endoscopy service, nursing staff and paramedics were trained. The new service was started successfully. Bressanone NHS Trust, Bressanone (BZ – I), 2002

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SUMMARY OF ADMINISTRATIVE & MANAGERIAL ROLES AT CONSULTANT LEVEL

Secretary of SIP/IRS (former AIMAR) Triveneto Arona (NO), 2015-2018

Scientific Directorate Member AIMAR Pescara 2014-2015

Member of the County Ethical Committee Treviso, 2013-today

Lead Consultant for Interstitial Lung Diseases, Smoking cessation and chronic respiratory diseases prevention, Clinical risk management Ospedale di Vittorio Veneto, 2010-today

Lead Consultant for Interstitial Lung Diseases Basildon & Thurrock University Hospitals, Basildon 2009-2010

Lead Consultant for Severe Asthma Leeds Teaching Hospitals, Leeds 2009

Referring Consultant for NIV University Hospital Coventry & Warwickshire, Coventry 2008

Lead Clinician for NIV Rovigo Hospital, Rovigo NHS Trust, Rovigo (I), 2007

Lead Clinician for Respiratory Domiciliary Services Trecenta Hospital, Rovigo NHS Trust, Rovigo (I), 2006

Lead Clinician for Sleep Breathing Disorders Bussolengo NHS Trust, Bussolengo (VR- I), 2006

Lead Clinician for Interstitial Lung Diseases Bolzano NHS Trust, Bolzano (I), 2005

Lead Clinician for Cardiopulmonary Exercising Testing Bolzano NHS Trust, Bolzano (I), 2005

Lead Clinician for Sleep Breathing Disorders Merano District, Bolzano NHS Trust, Merano (BZ – I), 2004-2005

Lead Clinician for Sleep Breathing Disorders Bressanone NHS Trust, Bressanone (BZ – I), 2002-2003

Lead Clinician for LTOT, NIV & Domiciliary Respiratory Services Bressanone NHS Trust, Bressanone (BZ – I), 2002-2003

Lead Clinician for Respiratory Endoscopy Bressanone NHS Trust, Bressanone (BZ – I), 2002-2003

APPROACH TO WORKING IN A TEAM

I believe that our profession requires the optimal collaboration of all figures participating in a unit to

improve patient care. I have a team orientated approach and I interpret my role within it as a guide &

coordinator

I give high relevance to good communication between the team members and I motivate and commit each

participating figure to achieve the prefixed goals.

I plan projects and new services taking into consideration the important experience present in a team.

Initially I discuss the idea with any stakeholder, supporting the project with data/audits, scientific evidence

and successful examples. Thereafter I write an initial protocol/business case and I discuss and re-design it

with the other participating professionals, taking in account scientific and organisational suggestions. I do

plan monitoring and auditing of the project to acknowledge & reinforce team results and address possible

further improvements.

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AREAS OF CLINICAL SKILLS

LUNG CANCER & RESPIRATORY ENDOSCOPYLung-cancer and mesothelioma are relevant conditions in my daily practice. My skills in respiratory endoscopy include conventional TBNA, TBB. I have basic experience in interventional bronchoscopy (Rigid bronchoscopy, Laser treatment, Brachytherapy) and EBUS

ASTHMA, COPD & PULMONARY PHYSIOLOGYI have research interests in asthma and COPD. My MD dissertation was based on brittle asthma. I led a tertiary referral Severe asthma clinic at University of Leeds. I have experience with allergy testing and immunotherapy. I also led a CPET service.

NON-INVASIVE VENTILATIONI trained 3 months in ICU and 2 years in Respiratory HDU. I led and organised hospital and domiciliary NIV services. NIV is a standard treatment for acute and chronic type II respiratory failure

SLEEP MEDICINEI have subspecialty interest. I developed and led the services.

DIFFUSE PARENCHIMAL LUNG DISEASESI am the lead Consultant for Interstitial lung diseases. I think is important to go beyond the term "fibrosis" and offer the new therapeutic opportunities to patients

INFECTIOUS DISEASE & TBI adapt the antibiotic strategy to the local epidemiology. TB has been a relevant part of my education and clinical experience.

BRIEF SUMMARY OF CLINICAL SKILLSLaryngoscopy, including Mueller testing ~ 50Bronchoscopy, including BAL, c-TBNA & TBB ~ 160/yearEBUS TrainingRigid bronchoscopy with laser 3Bronchoscopic brachitherapy 3Pleural aspiration > 70/yearManagement of chest drains ~ 10/yearThoracoscopy as first operator / assistant 2 / 12Tracheal cannula & tracheotomy management ~ 150NG tube insertion and gastric washing ~ 70ALS Certificate Obtained 2004Supervision and reporting of cardio-pulmonary exercise tests 10Non invasive ventilation settings > 50/yearManual full polysomnography sleep staging ~ 60Polysomnography interpretation > 150/yearArterial cannulation / Jugular CVC insertion 2 / 10Intubation ~ 30Thoracic ultrasound Routine, ~ 200/year

TEACHING EXPERIENCE

CURRENT POSITION

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As Consultant Pulmonary Medicine Physician in a Semi Governmental Private Clinic I do not have formal teaching duties to medical students or in training doctors, however I participate the clinic educational program and as Philips Respironics Centre of Excellence in Pulmonary Medicine we will provide education to visiting doctors/associated healthcare professionals using the most advanced equipment in sleep diagnostic and oxygen assessment.

COURSES AS A CLINICAL/EDUCATIONAL SUPERVISOR

UndergraduateUndergraduates on the ‘firm’ – teaching on history taking and examination skillsRegular weekly teaching on chest radiologyFormal teaching to 3rd year studentsFormal teaching on acute asthma management

FY1, FY2, Core Specialist Training (ST1-2) & As clinical supervisor, I undertake 1 hour per week teaching on medical conditions met in the ward. Formal teaching on respiratory physiology & management of respiratory conditions is also provided.

Specialist Registrars in Respiratory MedicineRespiratory endoscopy & Severe asthma training

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PAST TEACHING EXPERIENCE

1997-2000 History & clinical examination of patients with respiratory diseases, lung function tests, ABG, basics of non invasive ventilation, basic interpretation of Chest X Ray & CT of the lung

Medical Students, University of Ferrara

2000 Practice and advanced settings of non invasive ventilation Specialising Doctors, University of Ferrara

2001-2003 Full lung function testing; Bronchoprovocation test; Endoscopy Unit Management and Bronchoscopic procedures; ABG procedure & interpretation; Oxygen Cylinders, Concentrators & Fluid Oxygen management; CPAP & BiPAP nursing management; Tracheotomy management

Specialist Nurses, Bressanone NHS Trust

2003-2005 Pulse oximeter & polysomnographer setting; CPAP nursing management; Cardiopulmonary exercise test supervision

Specialist Nurses, Bolzano NHS Trust

Pulse oximeter monitoring; Polysomnography interpretation; Cardiopulmonary exercise test supervision & interpretation

Doctors, Bolzano NHS Trust

2005-2006 Pulse oximeter & polysomnographer setting & analysisCardiopulmonary exercise testing

Specialist Nurses, Bussolengo NHS Trust

Clinical simulation training GPs & Consultants

2007 General & Respiratory Medicine Jr & SpR Doctors,York-Hull Deanery

Bronchoscopy & bronchoscopic procedures SpR Doctors,Sheffield University

2008 Respiratory Medicine, Grand Round and in house Jr & SpR Doctors,West Midands Deanery

2009 Respiratory Medicine, Grand Round and in house Jr & SpR Doctors,Leeds Teaching Hospitals

2010 Respiratory Medicine, Grand Round and in house Jr & SpR Doctors,Basildon & Thurrock University Hospitals

2010-2016 Respiratory Medicine Nurses, GP DoctorsPieve di Soligo NHS Trust

09/2016 Respiratory Medicine, Grand Round and in house Junior and Senior Doctors,Weston Area NHS Trust

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LEISURE INTERESTS & OTHER EXPERIENCES

I have hobbyist interest in computer hardware & software, this is in addition to the excellent knowledge of MS Office & Open Office suite. I have good knowledge of dedicated clinical software like End Note, Electronic Medical Notes

While I was a university student I funded and led a local student association associated to the European Student Network AEGEE (Association des Etats Generaux des Estudiants de l’Europe)

I was elected as student representative at the University Council from 1990 to 1995 I worked as Journalist for two years before my graduation

LANGUAGES

I am Italian mother tongue. I speak fluent English and I have basic knowledge of German & Spanish.I am willing to learn other languages if needed.

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#CV Dr Facchini eng 2017 update HR

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