CLINICAL EXPERIENCE
Alfredo Fausto Tonsi have a broad general surgical experience and have focused on coloproctology for the past six years. The hospitals he has worked at have been busy and provided a good volume of work. He done nine continuous years of surgical on call as a registrar and 2 years as Consultant surgeon, and he feels capable in managing both trauma and general surgical emergencies.
Alfredo Fausto Tonsi has been able to develop his interests in coloproctology working in the role of a colorectal fellow at St. Marks’, St. Thomas and Frimley Park Hospitals. In the management of colorectal cancer and inflammatory bowel disease patients, Alfredo Fausto Tonsi recognises the importance of a multi-disciplinary team approach. He has involved in more of 4000 procedures as first operator including more than including more than 250 laparoscopic cholecystectomies.
Alfredo Fausto Tonsi has a wide experience of lower GI surgery and, I have performed over 200 laparoscopic colorectal resections as first operator. More recently, during my colorectal laparoscopic fellowships and as consultant surgeon, He has been responsible for the training of junior colorectal registrars in laparoscopic colorectal resections and colonoscopies.
Alfredo Fausto Tonsi is a keen endoscopist and have performed over a 1000 colonoscopies with many therapeutic and emergency procedures amongst these. He has an increasing experience of endoscopic polypectomy for large sessile polyps. He is also a certified colonoscopy trainer.
TEACHING and TRAINING
Alfredo Fausto Tonsi is particularly interested in teaching, and have found this to be a very rewarding part of my duties as a surgeon. He has examined St. George’s University medical students at the end of their clinical attachment and in their end of year OSCE.
Alfredo Fausto Tonsi has taught as part of faculty on Laparoscopic and basic surgical skills courses run by Royal College of Surgeons at St. Georges and MATTU Guildford. As Laparoscopic fellow at Medway, He enjoyed teaching junior registrars in theatre. He is a JAG accredited endoscopist trainer and recently become responsible of the surgical trainee endoscopy training at Medway Hospital.
As Consultant, Alfredo Fausto Tonsi is normally part of Faculty in Laparoscopic surgery courses such has the 4th Portsmouth TME Symposium Laparoscopic suturing & stapling Workshop and Student Surgical Skill Courses organised by Royal College of Surgeons.
AUDIT EXPERIENCE
Alfredo Fausto Tonsi has made audit presentations at most of the hospitals he has trained. In his experience carrying out audit projects and attending regular audit meetings he has learnt that well-constructed and thought out audit projects can be a powerful tool for improving the quality of care to patients, however poorly executed projects can be a wasted resource.
LEADERSHIP & MANAGEMENT
During his first three months as Consultant at Medway Maritime Hospital, he has introduced a Straight-to-Test pathway for the two-week urgent colorectal cancer referrals. This project showed that patients were investigated within two weeks from G.P referral, which improved the 31 and 62 cancer targets with a financial saving of nearly
£ 15.000 in the first two months. Those results attracted a CCG funding for the appointment of a part time Band 6 triage nurse as part of the Straight-to-Test team.
At Medway Hospital, he was also Principal Investigator for NeoART clinical trial. A national trial sponsored by St. George’s University to establish whether antimalarial drug has a role as neoadjuvant treatment to improve recurrence and overall survival rate in operable colorectal cancer patients.
As surgeon of the endometriosis multidisciplinary group at Medway Hospital, he has introduced the use of the ENZIAN classification for deep endometriosis. This classification proved to facilitate and improve communications between radiologists and surgeons.
Alfredo Fausto Tonsi is also member of the European Endometriosis League. As senior trainee, he introduced a new tattooing protocol in patients undergoing surgery for colorectal neoplasia at St. Georges University Hospital.
Alfredo Fausto Tonsi has a Postgraduate Certificate in Leadership and Management in Health from Kingston University Business School since 2012. This course gave him the opportunity to learn on how to manage people, budgets, information, marketing and quality, as well as how to navigate organisational change and think creatively. It also helped him to enhanced his leadership skills and gain a critical understanding of research into leadership and management.
Prior to undertake a career in surgery, Alfredo Fausto Tonsi was Medical Officer for Italian Air Force. In particular, Alfredo Fausto Tonsi was Unit Medical Officer for peacekeeping missions in Kosovo soon after the Balkan war. He was responsible for primary and emergency healthcare of 400 service personnel. He was treating a wide variety of people, from pilots, who must deal with the pressures of fast jet missions, to regiment gunners. As only medical office in the base, he was also responsible of the Aeromedical Evacuation Team.
INTERESTS
Alfredo Fausto Tonsi enjoys sport particularly skiing, trekking and cycling. He is a keen downhill and cross-country skier since the age of four, being from an area near the Italian Alps. Alfredo Fausto Tonsi still much enjoys the sport, although he has found himself frustrated with the need to take a plane before to get on the slopes. He enjoys playing the piano at home for personal relaxation. He has a young family, which keeps me busy, and we are enjoying outdoor activities such as trekking and mountain biking on the South Downs and on the exclusive spots of the National Trust.
CAREER AIMS
Alfredo Fausto Tonsi intends to continue and develop my interests in research and training, particularly in the field of rectal cancer, inflammatory bowel disorders, endometriosis and transanal techniques. He recognises the importance of working closely with management to achieve departmental and trust targets, in order to optimise patient care.
