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Name
Peter John FINCH |
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Marital
status Married with three children |
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High
School Hamilton, Bulawayo, Rhodesia (Zimbabwe) |
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GCE
results (AEB) O level - 7 x grade 1, 1 grade 2 |
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A
level - 4 x grade A |
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S
level - 2 x grade 2 |
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Medical
School St. Thomas' Hospital, London
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Scholarships
Rhodesian Government Scholarship, St. Thomas' Hospital Scholarship |
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Prizes
Class prize, Rhodesian Young Scientists Exhibition, St. Thomas' Hospital
Dermatology prize |
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Qualifications
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MBBS
(Honours) 1980 University of London |
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MRCP
(UK) 1983 |
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MD
1988 University of London |
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FRCP
1996 |
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Accreditation
GIM and Gastroenterology 1991 RCP |
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Appointments
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01/08/80 - 31/01/81
House Physician to Dr C Bartley, M Webb Peploe and D Coltart, St. Thomas'
Hospital |
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01/02/81 - 31/07/81
House Surgeon to Mr H Hill and M Solan, Frimley Park Hospital, Surrey |
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01/08/81 - 31/07/82
Senior House Officer to Dr G Summers, R Taylor and C Booth, Kidderminster
General Hospital, Worcestershire |
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01/08/82 - 31/07/84
Medical Registrar to Dr S Brennan, C Hardisty and F Ryan, Northern General
Hospital, Sheffield |
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01/08/84 - 14/06/86
Research Registrar to Dr F Ryan, Northern General Hospital, Sheffield. Trent
Regional Health Authority research grant. |
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15/06/86 - 30/11/87
Gastroenterology Registrar to Dr I Gilmore and A Morris, Royal Liverpool
Hospital, Liverpool |
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01/12/87 - 07/03/92
Lecturer in Medicine, Department of Biochemical Medicine and Senior Medical
Registrar to Prof. T Northfield and Dr J Maxwell, St. George's Hospital,
London, and Dr D Holdstock, Ashford General Hospital, Middlesex |
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08/03/92 - Present
Consultant Physician and Gastroenterologist, St Peter's Hospital NHS Trust,
Chertsey |
Experience
Clinical
I
introduced open access endoscopy, which has been welcomed by local General
Practitioners, shortly after my arrival at St Peters Hospital in March 1992 and
formalised an open access endoscopy system in September 1993. I have seen a
significant rise in the referral rate to the hospital with repatriation of a
number of referral practices including significant Fund Holding GP workload. I
currently receive an average of 2100 new GP referrals each year.
I
have also introduced a number of non-endoscopic investigations including breath
Hydrogen testing, 13C breath urea testing, and oesophageal function testing
including oesophageal manometry with 24 hour pH testing, and solid state biliary
manometry. In collaboration with the Nuclear Medicine Physician, I have
introduced SeHCAT scanning to assess bile salt homeostasis and TcHMPAO white
cell scanning.
Multidisciplinary
meetings
In
collaboration with Surgical, Radiological and Histopathologist colleagues, I
have instituted a weekly multidisciplinary Gastrointestinal meeting for case
presentation and discussion as well as for teaching of junior staff.
Administration/Committees
I
was responsible for implementing a computerised discharge summary system in the
Medical CMU (Aries), and have since developed my own computerised system and PAS
interface (PASINT) to facilitate both inpatient and outpatient secretarial work,
as well as allowing acquisition of diagnostic and other data for audit, research
and retrieval purposes.
I represent the Medical CMU on the Blood
Transfusion and the Drugs and Therapeutics Committee. I represent the Hospital
Consultants on the Information Strategy Group,
and the Nutrition Steering Group in St Peter's Hospital, and the South West
Thames Local Research and Ethics committee.
Teaching
I am
responsible for training a (Calman) Specialist Registrar and the post is
recognised by the Regional Monospeciality Subcommittee for Gastroenterology as
suitable for training to a level of year 4/5 (in view of specialised ERCP
training experience available). I teach on the SHO and HO protected teaching
timetable and also on the MRCP teaching course at St Peters. I have elective
medical students allocated to my firm for teaching for most of the year.
Memberships
I am
a member of the British Society of Gastroenterology and the British Association
for the Study of the Liver. I attend the BSG, the American Digestive Diseases
Week, and European Gastroenterology Week on an annual basis, maintaining
Continuing Medical Education.
Research
I am
currently undertaking a number of sponsored clinical trials involved in the
areas of eradication therapy for Helicobacter Pylori, treatment of reflux
oesophagitis, and irritable bowel syndrome. I am also undertaking pure research
studies in the areas of hepatic steatosis (electrical bioimpedance analysis,
ultrasound computer image analysis and a study measuring carnitine levels in
steatosis) and am developing static and ambulatory manometry systems for
oesophageal, biliary, and colonic motility.
Research
- MD thesis
I
spent two years at the Northern General Hospital, Sheffield, supported by
Sheffield Gastric Cancer Research fund and a Trent Regional Health Authority
research grant performing the work for an MD thesis entitled "Lactic
Dehydrogenase and beta-Glucuronidase in the human stomach, with special
reference to gastric cancer" which was awarded by the University of London
in August 1988.
This
involved measurement of tissue enzymes from resected stomachs and grading
histopathology and also testing 450 patients from a general endoscopy population
in order to evaluate this technique as a screening test for gastric cancer and
in order to identify a group at increased risk from gastric cancer. I also
investigated vital dye staining of stomachs both in resected stomachs and at
endoscopy in order to localise and quantify intestinal metaplasia.
Original
papers
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Quayle AR. Finch
P. Rogers K. Cystadenoma of the pancreas--an unusual presentation. European
Journal of Surgical Oncology. 11(1):51-4, 1985 Mar. |
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Tayler D, Finch
P, Vincent R. Linear phase filtering - a new approach to distortion free
electrocardiograms. In: Computers in cardiology IEEE 1985; pp283-6. |
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Finch PJ. Rogers
K. Williams GT. Beta-glucuronidase, LDH and LDH isoenzyme levels and
screening for gastric cancer. European Journal of Surgical Oncology.
12(3):253-6, 1986 Sep. |
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Finch P, Tayler
D. Data capture for Fourier analysis. Electronics and Wireless World 1987;
93: 323-4. |
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Finch PJ. Ryan
FP. Rogers K. Holt S. Gastric enzymes as a screening test for gastric
cancer. Gut. 28(3):319-22, 1987 Mar. |
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Finch PJ, Gilmore
IT. A multi-user personal computer endoscopy unit filing system. In:
Computers in Gastroenterology, Vicary FR (Ed), Springer Verlag, London
Berlin Heidelberg New York 1988; ch 8: pp51-6. |
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Finch PJ.
Ransford R. Hill-Smith A. Thromboembolism and air travel [letter]. Lancet.
2(8618):1025, 1988 Oct 29. |
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Finch PJ. Rogers
K. Holt S. Carcinoma of breast presenting as gastric cancer: diagnosis by
immunoperoxidase staining patterns. Journal of the Royal College of Surgeons
of Edinburgh. 34(4):225-6, 1989 Aug. |
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Finch PJ. BASEX -
a BASIC extension language. Your Commodore 1989; April: 58-59, 67-72. |
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Finch PJ,
Belstead J. Impact of Heathrow Airport on a District General Hospital.
Travel Medicine Int 1989:150-2. |
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Finch PJ.
Fallowfield ME. A non-parametric grading system for intestinal metaplasia:
correlations with gastric tissue enzymes. Journal of Pathology.
158(4):297-301, 1989 Aug. |
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Finch PJ. Haddock
J. Grundy A. Duodenal pseudotumour: a silent impacted common bile duct
calculus. Postgraduate Medical Journal. 65(768):794-6, 1989 Oct. |
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Finch PJ. Millard
FJ. Maxwell JD. Risk of tuberculosis in immigrant Asians: culturally
acquired immunodeficiency? Thorax. 46(1):1-5, 1991 Jan. |
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Finch PJ, Millard
FJC, Maxwell JD. Risk of tuberculosis in immigrant Asians - Culturally
acquired immunodeficiency? Thorax 1991: 46; 544 (letter). |
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Finch PJ. Ang L.
Colston KW. Nisbet J. Maxwell JD. Blunted seasonal variation in serum
25-hydroxy vitamin D and increased risk of osteomalacia in vegetarian London
Asians. European Journal of Clinical Nutrition. 46(7):509-15, 1992 Jul. |
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Finch PJ. Ang L.
Eastwood JB. Maxwell JD. Clinical and histological spectrum of osteomalacia
among Asians in south London. Quarterly Journal of Medicine. 83(302):439-48,
1992 Jun. |
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Petroni ML.
Jazrawi RP. Ahmed HA. Finch PJ. Dormandy J. Northfield TC. Cholesterol
nucleation time measurement in nasobiliary or nasoduodenal bile. Comparison
with surgical bile. Scandinavian Journal of Gastroenterology. 28(9):803-8,
1993 Sep. |
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Seal EC. Creagh
MF. Finch PJ. Gallstone ileus: a new role for abdominal computed tomography.
Postgraduate Medical Journal. 71(835):313-5, 1995 May. |
Presentations
and Abstracts
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Jahn-Teller
distortion in transition metal ligand fields. Finch PJ. Rhodesian Young
Scientist Exhibition, Salisbury 1973. Awarded First Prize in section 1,
class D. |
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Estimation of LDH
and beta-glucuronidase in gastric juice as a routine screening test for
gastric cancer - a preliminary communication. Finch PJ, Ryan FP, Rogers K,
Holt S. British Society of Gastroenterology, Liverpool 1984. Abstract: Gut
1984; 25: A1187. |
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A simple computer
filing system for endoscopy records. Finch PJ. North of England
Gastroenterology Society, Manchester 1985. |
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Multi-channel
ambulatory ST segment mapping. Tayler D, Finch P, Vincent R. Biological
Engineering Society, Cambridge 1985 |
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Linear phase
filters for improved electrocardiographic signal processing. Tayler D, Finch
P, Vincent R. Biological Engineering Society, Cambridge 1985 |
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Gastric enzymes
in the assessment of gastritis. Finch PJ. Gastritis Symposium, Sheffield
1985. |
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Variations in
tissue enzyme levels in relation to gastric cancer. Finch PJ, Rogers K,
Williams GT. British Society of Gastroenterology, Lancaster 1986. Abstract:
Gut 1986; 27: A633. |
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A multi-user PC
endoscopy filing system. Finch PJ, Gilmore IT. Computers in Gastroenterology,
London 1987. |
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Increased risk of
TB among Hindu Asians in London: an effect of vegetarianism and vitamin D?
Finch PJ, Millard FJC, Maxwell JD. Medical Research Society, Leeds 1989.
Abstract: Clin Sci 1989; 21: 9. |
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Vegetarian diet
is the major risk factor for osteomalacia in London Asians. Finch PJ, Ang L,
Colston K, Maxwell JD. ASBMR/ICCRH joint meeting, Montreal 1989. Abstract: J
Bone and Mineral Research 1989; 4: S158. |
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Review of Asian
TB in S.W. London over 15 years - effect of ethnicity, migration and time
trends. Finch PJ, Millard FJC, Maxwell JDM. Clinical Infection Society,
Liverpool 1989. |
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Goggin PM, Ahmed
H, Hawkins EA, Marrero JM, Finch PJ, Corbishley CM, Northfield TC. Gastric
juice urea as a diagnostic test of Helicobacter pylori (HP) infection.
British Society of Gastroenterology, Warwick 1990. Abstract: Gut 1990; 31:
A600. |
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Goggin PM,
Marrero JM, Jazrawi RP, Finch PJ, Yu CW, Northfield TC. Effect of
Campylobacter pylori on gastric mucosal hydrophobicity in man. Physiology
Society London 1990. Abstract: J Physiol 1990; 422: 85P. |
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Medical audit of
gastro-intestinal bleeding. Finch PJ, Northfield TC. South West Thames Gut
Club, July 1990. Awarded first prize and travel bursary. |
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A simple
questionnaire as a method of reducing workload from open access endoscopy.
Marrero JM, Jazrawi RP, Goggin PM, Finch PJ, Northfield TC. British Society
of Gastroenterology, Southampton 1990. Abstract: Gut 1990; 31: A1205. |
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Audit of two
firms using computerised discharge summaries. Finch PJ. 40th Workshop in
Clinical Decision Systems, Royal College of Physicians, April 1991. |
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Vitamin D
receptors can be measured in endoscopic duodenal biopsies. Finch PJ, King J,
And L, Maxwell JD. First United European Gastroenterology Week, Athens
September 1992. Abstract: Hellenic J Gastroenterol 1992; 5: 82. |
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Duodenal Vitamin
D Receptor concentration and bone density after polya gastrectomy. Medical
Research Society, London November 1992. Abstract: Clin Sci 1992; 83: 11P |
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Bone density and
efferent loop duodenal vitamin D receptor concentration after polya
gastrectomy. Finch PJ, Ang L, King J, Maxwell JD. Abstract: J Endocrinol
1992; 135: 107P |
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www.finchpj.co.uk 