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CURRICULUM
VITAE
vascular.co.nz>curriculum vitae
Clinical
I have extensive
clinical and operative experience in all areas of vascular surgery including the
management of varicose veins,
chronic venous disease and leg ulceration.
In addition to the treatment of venous disease, vascular surgery involves the
management of all major arterial problems except those involving the heart.
This includes the management of
aortic aneurysms (swollen arteries) and aortic
occlusive disease (blocked arteries), carotid artery disease and the prevention
of strokes, and peripheral vascular disease
in which hardening of the arteries
to the legs causes pain on exercise. As about 30% of patients with
vascular disease also have diabetes, managing patients with the vascular
complications of diabetes is an important aspect of vascular surgery. This
can particularly include the management of patients with peripheral vascular
disease and diabetic foot ulcers.
The management of arterial problems in particular involves a close relationship
with radiologists. With radiological colleagues I have many years experience in the
radiological
treatment of vascular disease including the use of
angioplasty, stenting and
thrombolysis.
I have been involved in the treatment of patients with renal failure for 19 years. These patients require haemodialysis, and
vascular access surgery for
these patients is a crucial part of their treatment. I am experienced in primary, secondary and complex vascular access
procedures and also in the use of implantable
access ports for patients with cystic fibrosis and brittle asthma. In New Plymouth
this work will support the local
renal/dialysis unit.
My
general surgical practice requires skills in evaluation and treatment of
a wide range of surgical conditions including hernias, skin cancers, breast
disease, gallstones, intestinal disease including cancer and general abdominal
problems. A significant proportion of general surgical work includes
emergency surgical management of acute abdominal pain, trauma, infections and
bleeding.
Research
Study to examine effect of distance from radiotherapy facilities
on patient choice of surgical procedure in breast cancer treatment.
Previously supervised two surgical research fellows in a surgical research programme collaborating with Warwick
University examining the role of homocysteine in vascular disease, both in
laboratory based studies and in patients. Examined the effect of homocysteine on the cells lining the blood vessels.
This also led on to studies examining the role of thrombophilia in arterial
disease including the prevalence of factor V Leiden in patients with arterial
disease.
MD examining the role of lining artificial grafts with human endothelial cells.
Audit
There is an extensive, active and on-going audit programme which takes place at Base Hospital and has included audits of colorectal surgery,
cholecystectomy, appendicectomy, surgery in patients over the age of 80 years, skin graft audit, pancreatitis, sentinel node biopsy in breast cancer, paediatric surgery in the provinces and trauma management. Other topics have included upper gastro-intestinal bleeding, intestinal obstruction, ERCP, anastomoses, vascular and DVT prophylaxis. Many of these audits have led to presentations at national meetings and publications in surgical journals. Contributor to RACS breast audit.
All
surgical procedures performed at Base Hospital are reviewed at a regular audit
meeting.
Surgical performance can be assessed by using a scoring system (POSSUM) that
includes the severity of the operation and the general health of the
patient. This system may be used to predict the risks of surgery for
patients and this may be compared with the actual outcomes for individual
patients to obtain a measure of surgical performance. I use this system to
monitor my performance for all major vascular surgery. All vascular
surgery is also submitted to the Otago national audit. A presentation on this work was given in Melbourne at the Annual Australasian Vascular Society meeting and was published in the ANZJ Surgery.
Patient related outcomes for venous disease are assessed using a customised proforma and the Aberdeen Varicose Vein questionnaire. A prospective audit of the leg ulcer clinic is also taking place.
Teaching
Throughout my career in the UK I was involved in teaching.
Birmingham Heartlands is a university teaching hospital and consequently there
was a major undergraduate teaching role.
Postgraduate surgical trainer for basic and higher surgical trainees on the
vascular surgical firms, teaching operative and clinical skills.
Demonstrator on vascular workshops and surgical skills
courses, and study days.
Lecturer on both undergraduate and postgraduate curricula.
At Taranaki Base Hospital we have junior and senior surgical trainees, trainee interns (senior medical students) and elective medical students. Presently the hospital representative on the higher surgical training committee and local supervisor of training. Organise weekly education meetings
which include the surgical journal club, pathology, morbidity and mortality and case presentations at Base Hospital.
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Henderson N, Fancourt M, Kyle SM, Gilkison W, Mosquera D. Skin grafts: a rural general surgical experience. ANZJ Surg 2009; 79(5) :362-66.
Gollop SJ, Mosquera D, Fancourt M, Gilkison W, Kyle SM. Why women in Taranaki choose mastectomy over breast conservation. ANZJ Surg 2009; 79: 604-609.
Davenport E, Fancourt M, Kyle SM, Gilkison W, Mosquera D. Sentinel lymph node biopsy in Taranaki: a prospective audit in a provinicial NZ hospital. NZ Med J 2009; 122: 45-56.
Peng S, Fancourt M, Kyle SM, Gilkison W, Mosquera D. Paediatric surgery performed by general surgeons: a provinicial New Zealand experience. ANZJ Surg 2008; 78: 662-664.
Nichols K, Prytherch D, Fancourt M, Kyle SM, Gilkison W, Mosquera D. Risk adjusted general surgical audit in octogenarians. ANZJ Surg 2008; 78: 990-994.
Mosquera D, Chiang N Gibberd R. V-POSSUM risk adjusted evaluation of surgical performance. ANZJ Surg 2008; 78: 535-539.
Gollop S, Fancourt M,
Gilkison W, Kyle S, Mosquera D. A prospective audit of colorectal
resections in a peripheral public hospital. ANZJ Surg 2006; 76: 817-820.
Sykes TCF, Morris A, Mosquera D. Vitamins C and
E attenuate homocysteine and adenosine induced apoptosis by inhibiting hydrogen
peroxide generation. Brit J Surg (abst) 2003; 90: 628-629.
Sykes TCF, Morris A, Mosquera D. Nitric
oxide mediates the attenuation of homocysteine-adenosine-induced apoptosis by
vitamin B12 supplementation. Brit J Surg (abst) 2002; 89: 657.
Burt CG, Little JA, Mosquera DA. The effect
of age on radiocephalic fistula patency. J Vasc Access 2001; 2: 60-63.
Sykes TCF, Bradbury AW, Mosquera DA. Apoptosis and vascular disease. Eur J Vasc
& Endovasc Surg 2001; 2001; 22(5): 98-106.
Burns P, Mosquera DA, Bradbury A. Thrombophilia and peripheral arterial disease.
Eur J Vasc & Endovasc Surg 2001; 22(2): 98-106.
Sykes TCF, Molostov G, Morris A, Mosquera D. Homocysteine induced apoptosis in
human vascular endothelium is inhibited by vitamin B6, B12, and folate. Brit J
Surg 2001(abst); 88(Suppl 1): 4.
Caldwell S, Burns P, Haggart P, Bradbury A, Mosquera D. Association between
hyperhomocysteinaemia and abdominal aortic aneurysm. Brit J Surg 2001 (abst);
88: 609.
Caldwell S, Burns P, Haggart P, Bradbury A,Mosquera D. Association between hyperhomocysteinaemia and abdominal aortic
aneurysm. Brit J Surg 2001 (abst); 88: 609.
Sykes TCF, Molostov G, Morris A, Mosquera D. Homocysteine induces apoptosis
in human vascular endothelium. Brit J Surg 2001 (abst); 88: 748-749.
Sykes T, Fegan C, Mosquera D. Thrombophilia, polymorphisms and vascular disease.
J Molecul Pathol 2000; 53: 300-306.
Caldwell S, Martin G, Reid S, Fegan C, Mosquera D. Prothrombotic abnormalities
in patients undergoing infrainguinal angioplasty. Brit J Surg 1999 (abst); 86
Suppl 1: 25-26.
Subramanian S, Mosquera D. Duplex ultrasonography versus angiography in the
assessment of internal carotid artery disease. Brit J Surg 1998 (abst); 85:
1561.
Caldwell S, McCarthy M, Martin S, Hilton A, Bartlett W, Jones A, Mosquera D.
Hyperhomocysteinaemia, peripheral vascular disease and neointimal hyperplasia in
elderly patients. Brit J Surg 1998 (abst); 85: 709.
Mosquera DA, Manns R, Duffield R. Phlebography in the management of recurrent
varicose veins. Phlebology 1995; 10: 19-22.
Mosquera D, Quayle J. Bascom's operation for pilonidal sinus. J Roy Coll Phys
1995; 88: 45P-46P.
Mosquera D, Goldman M. Autopsy and audit in general surgery. Surgery 1995;13:7.
Mosquera DA, Goldman M. Surgical audit without autopsy: tales of the unexpected.
Ann Roy Coll Surg Eng 1993; 75: 115-117.
Mosquera DA, Gibson SP, Goldman M. Vascular access surgery: a two year study and
comparison with the Permcath. Nephrol Dialysis Transpl 1992; 7: 1111-1115.
Mosquera DA, Garner C, Paterson I, Goldman MD. The mechanism of neutrophil
adhesion to reperfused endothelium. Brit J Surg 1992 (abst); 79: 443.
Gibson SP, Mosquera DA, O'Donnell MJ, Odurny A. Streptokinase in the treatment
of innominate vein thrombosis in association with a haemodialysis catheter.
Preservation of a precious arterio-venous fistula. Nephrol Dialysis Transpl
1991; 6: 206-208.
Gibson SP, Mosquera DA. Five years experience with the Quinton Permcath for
vascular access. Nephrol Dialysis Transpl 1991; 6: 269-274.
Mosquera D, Goldman M. Endothelial Cell Seeding. Brit J Surg 1991; 78: 656-660.
Mosquera DA, Goldman M. An unusual variant of the Hypothenar Hammer Syndrome.
Brit J Indust Med 1988; 45: 568-569.
Mosquera DA, Walker SJ, McFarland JB. Stomal Sclerotherapy. J Roy Coll Surg Ed
1988; 33: 337.
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Liddle S, Mosquera D. The Taranaki leg ulcer clinic. Vascular Society NZ, New Plymouth 2010.
Van Rij S, Mosquera D. Vascular workload in a provinicial New Zealand hospital. Vascular Society NZ, New Plymouth 2010.
Van Rij S, Mosquera D. Risk adjusted vascular surgical audit - making it simpler. Vascular Society NZ, New Plymouth 2010.
Wright D, Fancourt M, Gilkison WG, El-Haddawi F, Kyle S, Mosquera D. Simple interventions improve adherence to thromboprophylaxis guidelines, Australasian College of Phlebology, Auckland Feb 2010.
Nichols K, Prytherch D, Fancourt M, Kyle SM, Gilkison W, Mosquera D. Risk adjusted general surgical audit in octogenarians. RACS Conjoint Annual Scientific Congress, Hong Kong, May 2008.
Chiang N, Fancourt M, Kyle SM, Gilkison W, Mosquera D. Management of acute pancreatitis: perspective from a district hospital. NZ Annual General Surgeons Meeting, Bay of Islands, April 2008.
Davenport E, Fancourt M, Kyle SM, Gilkison W, Mosquera D. Sentinel lymph node biopsy in Taranaki: a prospective audit in a provinicial NZ hospital. NZ Annual General Surgeons Meeting, Bay of Islands, April 2008.
Foliaki A, Fancourt M, Kyle SM, Gilkison W, Mosquera D. Trauma, a provincial hospital experience. NZ Annual General Surgeons Meeting, Bay of Islands, April 2008.
Chiang N Gibberd R, Mosquera D. V-POSSUM risk adjusted evaluation of surgical performance. ANZSVS annual vascular meeting, Melbourne, 2007.
Gollop SJ, Mosquera D, Fancourt M, Gilkison W, Kyle SM. Why women in Taranaki choose mastectomy over breast conservation. Gyrus-ACMI Surgico prize winning paper, RACS Annual meeting, Christchurch 2007.
Henderson N, Fancourt M, Kyle SM, Gilkison W, Mosquera D. Skin grafts: a rural general surgical experience. Awarded best free paper. NZ Association of General Surgons, Napier 2007.
Peng S, Fancourt M, Kyle SM, Gilkison W, Mosquera D. Paediatric surgery performed by general surgeons: a provinicial New Zealand experience. NZ Association of General Surgons, Napier 2007.
R. Tapper, D. Mosquera, W. Gilkison, S. Kyle, M. Fancourt. A
Prospective Audit of Appendicectomies in a Rural Hospital and its Effect on
Practice. Royal Australasian College of Surgeons NZ Annual Scientific Meeting,
Hamilton, 2005.
Gollop S, Kyle S, Gilkison W, Fancourt M, Mosquera D. Delayed presentation of
colorectal cancer in a district general hospital - a prospective audit. Royal
Australasian College of Surgeons NZ Annual Scientific Meeting, Auckland, 2004.
Mosquera DA. All POSSUMs are equal? NZ Society Vascular Surgery Annual
meeting, Dunedin, Feb
2004.
Sykes TCF, Morris A, Mosquera DA. Vitamins C and E attenuate homocysteine and
adenosine induced apoptosis by inhibiting hydrogen peroxide generation. Society
of Academic and Research Surgery, Leeds 2003.
Rehman A, Bradbury A, Mosquera D. Are amputees occupying too many acute
surgical beds for too long?. Midland Vascular Surgical Society, Nottingham,
March 2002.
Sykes TCF, Morris A, Mosquera D. Nitric oxide mediates the attenuation of
homocysteine-adenosine-induced apoptosis by vitamin B12 supplementation. Society
of Academic and Research Surgery Jan 2002 London.
Sykes TCF, Molostov G, Morris A, Mosquera D. Attenuation of
homocysteine-adenosine-induced apoptosis by vitamin B12 supplementation. Midland
Vascular Surgical Society, Nottingham, 2001.
Burt CG, Little JA, Mosquera DA. The effect of age on
radiocephalic fistula patency. 2nd meeting of the International Vascular Access
Society, London, 2001.
Williams DJ, Eardley K, Gannon MXG, Bradbury A, Mosquera DA. Workload
implications of a renal access service. Midland Vascular Surgical Society,
Nottingham, 2001.
Caldwell S, Burns P, Haggart P, Bradbury A, Mosquera D. Is there an association
between hyperhomocysteinaemia and abdominal aortic aneurysms? Vascular Surgical
Society of GB & I, Annual meeting, London, 2000.
Sykes TCF, Molostov G, Morris A, Mosquera D. Homocysteine induces apoptosis in
human vascular endothelium. Surgical Research Society, Cork 2000.
Salaman R, Goldman M, Mosquera D, Henderson J, Gannon MX. Results of aortic
endovascular stenting. West Midlands Surgical Society, Burton, 1999.
Subramanian S, Mosquera D. Duplex ultrasonography versus angiography in the
assessment of internal carotid artery disease. Surgical Research Society, Dublin
1998.
Caldwell S, Martin G, Reid S, Fegan C, Mosquera D. Prothrombotic abnormalities
in patients undergoing infrainguinal angioplasty. Midlands Vascular Surgical
Society, Derby, 1999.
Mosquera DA, Quayle JB Early experience with Bascom's technique for pilonidal
sinus.
Coloproctology Section, Royal Society of Medicine, London, 1993.
Mosquera DA, Manns R, Duffield RG. Phlebography in the management of recurrent
varicose veins. Royal Society of Medicine, Venous Forum, London, December 1993.
Mosquera DA, Garner C, Paterson I, Shearman C, Goldman MD. The mechanism of
neutrophil adhesion to reperfused endothelium. 17th European Conference on
Microcirculation, London, July 1992.
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D Mosquera. Amputation audit. Birmingham Vascular and
Endovascular Masterclass. January 2002.
D Mosquera. Thrombophilia. Mercian Vascular Group. Forest of Arden, Birmingham,
May 2001.
D Mosquera. Vascular perspective on the management of the diabetic foot.
Challenges to chronic wound management, Birmingham, September 2000.
D Mosquera. The prevalence and significance of thrombophilia in vascular
patients. Edinburgh Vascular and Endovascular Masterclass, January 2000.
S Caldwell, D Mosquera. Homocysteine, the clinicians perspective. Kilmer McCully
Homocysteine seminars September 1999.
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Vascular Society of New Zealand, New Plymouth 2010 (Local convenor)
Australasian College of Phlebology, 13th Annual Scientific Meeting, Auckland Feb 2010
Vascular 2009, Sydney, Oct 2009.
Laparoscopic General Surgery Intensive Course, Asia Ircad Taiwan, Oct 2009.
VSNZ meeting Tauranga, 2009.
Australasian College of Phlebology, Gold Coast, September 2008.
Vascular Society of New Zealand AGM, Queenstown, February 2008.
Otago Vascular Diagnostics, Venous disease & management, Queenstown, February 2008.
25th Annual UCLA Symposium: A comprehensive review and update of what's new in vascular and endovascular surgery.
Beverley Hills, September 2007.
Australasian College of Phlebology, September 2006,
Queenstown.
NZ Society of Vascular Surgery February 2006 Wellington.
Second National Conference on Diseases of the Breast, November
2005, Auckland.
Australian and New Zealand Society for Vascular Surgery Meeting, September 2005, Sydney.
Definitive surgical trauma care course (DSTC), August
2005, Auckland.
NZ Association of General Surgeons Annual
Meeting, Gisborne, 2005.
Northern Vascular Group Meeting, Ultrasound guided foam sclerotherapy and
endovenous laser treatment of varicose veins. Auckland,
November 2004.
Royal Australasian College of Surgeons NZ
Scientific Meeting, Auckland 2004.
NZ Royal Australasian College of Surgeons Scientific Meeting, Melbourne 2004.
NZ Society Vascular
Surgery, Dunedin, Feb 2004.
Vascular 2003,
Melbourne, Oct 2003.
Vascular 2002, Brisbane, 2002.
Thoracic outlet syndrome, Royal Society of Medicine, London,
2001.
Lymphoedema conference, Leicester, 2001.
Vascular Surgical Society of GB and Ireland, London, 2000.
Microvascular Surgery Course, London, November 2000.
Surgical Research Society, Cork, 2000.
Vascular surgery masterclass, Edinburgh, 13/14 January 2000.
Vascular access surgery, Frankfurt, 20/21 October 1999.
Aortic endovascular stent course, Nottingham, 23/24 September 1999.
Surgical audit, Royal College of Surgeons, London, 5th May 1999.
Vascular surgical course, Santa Monica, USA, October 1996.
Fundamentals of Laparoscopic Surgery, Dundee, 1993.
Advanced Trauma and Life Support, Stoke, 1993.
Sclerotherapy workshop. Prof G Fegan, Telford, April 1993.
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Society Membership and Committees
Head of Department of Surgery, Taranaki Base Hospital.
Taranaki rep, NZ Higher Surgical training committee.
Royal Australasian College of Surgeons
Royal College of Surgeons
of England
Society of Academic and Research Surgery (SARS, previously SRS)
New Zealand Medical Council (31212)
Vocational scopes
Vascular Surgery -is
the diagnosis and treatment (operative and non operative, including endoluminal
techniques and interventional procedures) of patients with disorders of: blood
vessels (arteries and veins outside the heart and brain) and the lymphatic
system. It also includes the management of trauma and surgical access to the
vascular system.
General Surgery -is a broadly based specialty which includes the diagnosis
and treatment (operative and non operative) of patients with disorders of: colon
and rectum, upper gastro-intestinal organs, breasts, endocrine organs, skin and
subcutaneous structures, blood vessels including varicose veins and the head and
neck region. It also includes the early and ongoing management of trauma.
Medical Protection Society
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B.Sc. Hons (2.1) Medical Cell Biology & Biochemistry,
Liverpool (1980).
M.B.Ch.B.
Liverpool (1983).
F.R.C.S. London (1988).
M.D. Birmingham (1993) by thesis.
F.R.A.C.S. (2004)
Certificate of Completion of Specialist Training (CCST)
London (1995).
The Effective Manager -
Open University Business School (1989)
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Cons Gen & Vascular Surgeon,
Taranaki Base Hospital, New Plymouth, New Zealand (2002-present).
Cons Gen & Vascular Surgeon, Birmingham Heartlands & Solihull NHS Trust
& Hon Clinical Senior Lecturer, Univ of Birmingham (1995-2002)
Senior Surgical Registrar, Walsgrave Hospital, Coventry (1994-5)
Specialist Surgical Registrar, Birmingham Heartlands Hospital (1993-4)
Specialist Surgical Registrar, Princess Royal Hospital, Telford (1992-3)
Specialist Surgical Registrar, Sandwell DGH, Birmingham (1992)
Hon. Research Fellow in Vasc Surgery, East B'ham Hospital, Univ. of Birmingham
(1989-92).
Paediatric surgical registrar, Alder Hey Hosp., Liverpool (1989).
Surgical registrar, Clatterbridge Hospital, Wirral (1988-9).
Surgical registrar, Royal Liverpool Hospital (1987-8).
Senior surgical house officer, East Birmingham Hospital (1986-7).
Senior house officer in Accident & Emergency/ITU, Hope
Hospital, Manchester (1985-6).
Lecturer in Anatomy, University of Manchester (1984-85)
House Officer, Whiston hospital, Liverpool (1983-84).
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Last updated
Friday, 1 October, 2010 8:42 AM
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