R Andra Malikiwi
Consultant Neonatologist
6 Maple St, Maidstone,VIC
Summary
I am a Neonatologist with a vast and comprehensive experience working in multiple level 6 perinatal centres across Ireland and Melbourne.
I have a strong passion and skills to deliver a high quality of clinical care whilst committed in supporting quality assurance and research activities as well as providing medical teaching and simulation training.
I have the right personality, experience and mindset to deliver outstanding care, to contribute to a highly motivated team and to build a positive and conducive working culture for your organization.
Overview
16
16
years of post-secondary education
12
12
years of professional experience
Work History
Locum Consultant Neonatologist
Mercy Hospital For Women
Heidelberg, VIC
06.2019 - 04.2021
- I was previously a member of the Mercy Nutrition Working Group. I was involved in the process of selecting and identifying the most appropriate ANZNN Neonatal Consensus Group PN Solution for the department. I have also contributed to the development and implementation of the latest nutritional and supplementation guideline.
- I took the lead role and provided support in the development of two new clinical guidelines (Management of Neonatal Seizure & Postnatal management of Antenatal Hydronephrosis) and a nursing procedure (Neurological Assessment in Neonates) guideline respectively.
- I was actively involved in the unit’s educational program by I providing resuscitation training support not only for new medical staffs at Mercy Hospital for Women but also in the form of regular bedside and formal tutorials to medical students, medical and nursing teams.
- I provided supervision and mentor support to basic and advanced paediatric trainees rotating at the hospital.
- I took the initiative to participate in a collaborative multi-center clinical trial (WHEAT: WithHolding or continuing Enteral feed Around blood Transfusion) that aims to investigate the practice surrounding red cell transfusion in preterm neonates. Ethics application for this study has been approved and the study will commence this year.
Locum Consultant Neonatologist
Western Health
Sunshine, VIC
08.2019 - 12.2020
- I provided clinical leadership to medical and nursing staff through daily ward rounds, out-of-hours on call service as well as in the weekly multidisciplinary meetings.
- I was involved in the unit’s educational program by providing clinical tutorials to medical students as well as the medical and nursing teams.
- I established a strong and respectful working relationship with the multidisciplinary team, provided adequate support to mothers and their partners and maintained a healthy and supportive relationship to parents and families of babies.
Neonatal Fellow
Monash Health, Royal Women Hospital
Melbourne, VIC
08.2012 - 01.2020
- I have previously taken the role as the Chief Neonatal Fellow at the Royal Women Hospital.
- I took lead in the development of multiple clinical guidelines across different perinatal centres: Management of post-haemorrhagic hydrocephalus (Royal Women’s Hospital; 2018), Exchange Transfusion protocol (revision:Monash Health; 2018) and Management of neonatal seizures (Monash Health; 2013)
- I have collaborated and published several research work in Neonatal medicine:
- Nutrition and BPD: A case-control study to investigate the relationship between growth, early nutritional and fluid support, and the likelihood of BPD in the current era of parenteral nutrition and early enteral feeding. I was the Principal Investigator, responsible for the ethics application, identifying patients, obtaining consent, data collection, statistical analysis and interpretation. I wrote the first draft of the manuscript and was responsible for editing subsequent versions. The manuscript has been published.(Malikiwi A, Wong F. Postnatal nutritional deficit is an independent predictor of bronchopulmonary dysplasia among extremely premature infants born at or less than 28 weeks gestation. Early Hum Dev 2019 Apr; 131:29-35. doi: 10.1016/j.earlhumdev.2019.02.005)
- Cardiovascular function and BPD: This study aimed to compare systemic arterial structure of preterm infants with severe BPD, to infants without BPD. I was a Co-investigator, responsible for identifying patients, obtaining consent. I facilitated the data collection process with echocardiographic interpretation with a senior colleague. This project resulted in two publications. (Sehgal A, Malikiwi A, Paul E, Tan K, Menahem S. A new look at bronchopulmonary dysplasia: postcapillary pathophysiology and cardiac dysfunction. Pulm Circ. 2016 Dec;6(4):508-515. doi: 10.1086/688641), (Sehgal A, Malikiwi A, Paul E, Tan K, Menahem S. Systemic Arterial Stiffness In Infants With Bronchopulmonary Dysplasia: A Potential Cause Of Systemic Hypertension. J Perinatol. 2016 Feb 25. doi: 10.1038/jp.2016.10.)
- PDA severity score to predict chronic lung disease or death: This was a multicentre prospective observational study in premature infants. As one of the centres participating in this study, I was involved in ethics application and data collection that was subsequently submitted to the principal investigator in Canada. This project resulted in a publication. (Afif EL-Khuffash, Adam T James, John D Corcoran, Patrick Dicker, Orla Franklin, Yasser N ELsayed, Joseph Y Ting, Arvind Sehgal, Andra Malikiwi, Andrei Harabor, Amuchou S Soraisham, Patrick J McNamara. A Patent Ductus Arteriosus Severity Score Predicts Chronic Lung Disease Or Death Before Discharge. J Pediatr. 2015 Dec;167(6):1354-1361.e2)
- Indomethacin vs ibuprofen for PDA closure: This was a retrospective cohort study comparing infants treated with intravenous indomethacin with infants who received intravenous ibuprofen lysine for PDA closure. I was responsible for the ethics application, identifying patients, obtaining consent, data collection, statistical analysis and interpretation. I wrote the first draft of the manuscript and was responsible for editing subsequent versions. This project resulted in a publication. (Malikiwi A, Roufaeil C, Tan K, Sehgal A. Indomethacin vs Ibuprofen: Comparison Of Efficacy In The Setting Of Conservative Therapeutic Approach. Eur J Pediatr. 2014 Oct 26)
PIPER Fellow
Royal Children Hospital
Melbourne, VIC
02.2016 - 07.2017
- I worked collaboratively with the local clinical teams and the PIPER transport service to provide a safe and efficient stabilisation and transfer of sick preterm and term infants to tertiary neonatal centres across Melbourne.
- I provided Facilitator support in multiple NeoResus (First Response & Advanced Resuscitation) programs across the state of Victoria.
Education
FRACP (Neonatal & Perinatal Medicine) - Neonatology
Royal Australasian College of Physicians
Australia 01.2014 - 01.2019
CSCST (Paediatrics) - Paediatrics And Child Health
Royal College of Physicians
Republic Of Ireland 07.2009 - 06.2014
MB BCh BAO BMedSc - Medicine
University College of Cork
Republic Of Ireland 09.1997 - 06.2003
Skills
Acute resuscitation & stabilization of preterm and term infants
Research
1. Malikiwi A, Wong F. Postnatal nutritional deficit is an independent predictor of bronchopulmonary dysplasia among extremely premature infants born at or less than 28 weeks gestation. Early Hum Dev 2019 Apr; 131:29-35. doi: 10.1016/j.earlhumdev.2019.02.005
2. Sehgal A, Malikiwi A, Paul E, Tan K, Menahem S. A new look at bronchopulmonary dysplasia: postcapillary pathophysiology and cardiac dysfunction. Pulm Circ. 2016 Dec;6(4):508-515. doi: 10.1086/688641.
3. Sehgal A, Malikiwi A, Paul E, Tan K, Menahem S. Systemic Arterial Stiffness In Infants With Bronchopulmonary Dysplasia: A Potential Cause Of Systemic Hypertension. J Perinatol. 2016 Feb 25. doi: 10.1038/jp.2016.10.
4. Sehgal A, Malikiwi A, Paul E, Tan K, Menahem S. Right Ventricular Function In Infants With Bronchopulmonary Dysplasia: Association With Respiratory Sequelae. Neonatology. 2016 Feb 18;109(4):289-296.
5. Afif EL-Khuffash, Adam T James, John D Corcoran, Patrick Dicker, Orla Franklin, Yasser N ELsayed, Joseph Y Ting, Arvind Sehgal, Andra Malikiwi, Andrei Harabor, Amuchou S Soraisham, Patrick J McNamara. A Patent Ductus Arteriosus Severity Score Predicts Chronic Lung Disease Or Death Before Discharge. J Pediatr. 2015 Dec;167(6):1354-1361.e2
6. Malikiwi A, Roufaeil C, Tan K, Sehgal A. Indomethacin vs Ibuprofen: Comparison Of Efficacy In The Setting Of Conservative Therapeutic Approach. Eur J Pediatr. 2014 Oct 26
7. Malikiwi A, Sasi A, Tan K, Sehgal A. Vasopressin As An Adjunct Therapy For Pulmonary Hypertension: A Case Report. Eur J Pediatr. 2014 Dec;173(12):1651-4
8. Malikiwi A, Elnazir B Asthma & Swimming: What’s The Verdict? Ir Med J 2012 Jun; 105(6): 166-7
9. Leahy TR, Malikiwi A, Cafferkey M, Butler KM Imported Childhood Malaria: The Dublin Experience 1999 – 2006 Ir J Med Sci 2009 Sep;178(3):329-32
Timeline
Locum Consultant Neonatologist
Western Health
08.2019 - 12.2020
Locum Consultant Neonatologist
Mercy Hospital For Women
06.2019 - 04.2021
PIPER Fellow
Royal Children Hospital
02.2016 - 07.2017
FRACP (Neonatal & Perinatal Medicine) - Neonatology
Royal Australasian College of Physicians
01.2014 - 01.2019
Neonatal Fellow
Monash Health, Royal Women Hospital
08.2012 - 01.2020
CSCST (Paediatrics) - Paediatrics And Child Health
Royal College of Physicians
07.2009 - 06.2014
MB BCh BAO BMedSc - Medicine
University College of Cork
09.1997 - 06.2003
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