MR Habib Charfare MBBS, DNB, FRCS, FRCS(Gen)
Aug 2013 PG Cert, Med Edu (University of Beds)
Nov 2000 FRCS (Gen), Intercollegiate Board Examination, Edinburgh
Feb 1993 FRCS, Glasgow, U.K.
Nov 1991 DNB, Diplomate of the National Board of Examinations, New Delhi, India
Jan 1989 MS, Bombay University
Dec 1985 MBBS, Bombay University
- Distinction and first class in preclinical
- Distinction in ENT and Ophthalmology at final MBBS
- Postgraduate merit scholarship by Bombay University from 1986 - 1989
Full Registration - No. 4171069
18 April 2005: Consultant Surgeon and Clinical lead Breast
Breast/ endocrine and laparoscopic Surgery)
Editorial Board of British journal Medical practitioners
February 2005 – March 2005: Clinical Fellow
Royal Hallamshire hospital
Supervisor: Mr B Harrison
October 2004-11-22 SpR Surgery
Ipswich Hospital, Ipswich
Supervisors: Mr T J Archer/ Miss C Mortimer
October 2003 to Sep 2004 SpR Surgery/ Breast & Endocrine Unit
Addenbrookes Hospital, Cambridge
Supervisors: Mr AD Purushotham/ Mr G Wishart
Mr P Forouhi
October 2002 to September 2003 SpR Surgery/ Breast/Endocrine & General Surgery
Norfolk & Norwich
Supervisors: Mr. DNL Ralphs/ Mr. SD Scott
October 2001 to September 2002 Research Fellow/ Cambridge Breast Unit
Supervisor: AD Purushotham
October 1998 to September 2001 Staff Grade Surgeon
Supervisors: Mr. R Foley/ Mr D Skipper
Mr A Eldin/ Mr. Parsons
Mr M Callam
November 1997 to September 1998 SpR Surgery/ Breast and HPB Surgery
Luton & Dunstable Hospital
Supervisors: Mr M Pittam/ Miss S Cheslyn-Curtis
October 1996 to September 1997 SpR Surgery/ Breast, Endocrine & General Surgery
Norfolk & Norwich Hospital
Supervisors: Mr DNL Ralphs/ Mr SD Scott
June 1996 to September 1996 SpR Surgery/ HPB Unit
Supervisors: Mr NV Jamieson/ Mr PJ Friend
October 1993 to May 1996 SpR Surgery/Breast, Endocrine/ GI/ Vascular Surgery
Medway Hospital, Gillingham, Kent
Supervisors: Mr DI Beeby/ Mr. O Khan
Mr. RW Hoile/ Mr. CM Butler
Mr. PJ Webb
- Charfare H, MacLatchie E, Bradley M, Eadie C, Burnet K, Chapman D et al. Comparison of different methods of assessing cosmetic outcome following breast-conserving surgery and factors influencing cosmetic outcome. British Journal of Medical Practitioner 2010;3(1):310
- Ypsilantis E, Charfare H, Wassif WS. Intraoperative PTH Assay during Minimally Invasive Parathyroidectomy May Be Helpful in the Detection of Double Adenomas and May Minimise the Risk of Recurrent Surgery. Int J Endocrinol. 2010;2010:178671
- Charfare H, Limongeli S, Purushotham AD. Neoadjuvant chemotherapy in breast cancer. Published Br J Surgery 2005; 92 (1): 14- 23
- Charfare H, Cheslyn-Curtis S. Selective cholangiography in 600 patients undergoing Laparoscopic cholecystectomy with 5-year follow up for residual bile duct stones. Ann R Coll Surg Eng 2003; 85: 167-73
- Groot-Wassink T, Deo H, Charfare H, Foley R. Laparoscopic excision of urachus. Surg Endosc 2000; 14 (7): 680- 1. Epub 2000 May 22
- Charfare H, Undre AR. Acute Eosinophilic Cholecystitis - A Case Report with review of world literature. Jaslok Hospital Journal 1992; 16 (3): 21-24
- Weling S, Charfare H. Carcinoma breast arising in a fibroadenoma- a case report with review of literature. Jaslok Hospital Journal 1991; 15 (4): 36-37
- Charfare H, Chhaya N, McFarlane I, Wishart GC. Total Parathyroidectomy without autotransplantation for secondary hyperparathyroididsm. British J Surg 2005; 92 (suppl 1): 33
- I Mcfarlane, Chhaya N, Charfare H, Wishart GC. Intraoperative parathyroid hormone measurement predicts cure following total parathyroidectomy for renal hyperparathyroidism. British J Surg 2005; 92 (suppl 1): 131
- Charfare H, Cheslyn-Curtis S. Role of Endoscopic Retrograde Cholangioraphy in Laparoscopic cholecystectomy. Experience with 600 cases in a DGH. British J Surg 1999; 86 (1):39
4) Charfare H
, Cheslyn-Curtis S. Role of Endoscopic Retrograde Cholangiography in laparoscopic cholecystectomy. Experience with 500 cases in a DGH. Gut
- R Badiani, D Murariu, H Charfare: Breast lesions of uncertain malignant potential (B3): Outcomes in a district general hospital, poster and presentation at the Association of Breast Surgery meeting in Manchester 2016
- Charfare H, Chhaya N, McFarlane I, Wishart GC. . Total Parathyroidectomy without autotransplantation for secondary hyperparathyroidism ASGBI meeting.Glasgow, April 2005
- Charfare H, Ralphs DNL.
Surgical treatment of breast cancer as a day case. A questionnaire based survey of 92 patients.
East of England Surgical Club meeting: Bury St Edmunds, May 2004
- Charfare H, Purushotham AD.
Comparison of methods of assessing cosmetic outcome following breast-conserving surgery.
Annual International Breast Cancer meeting. Nottingham, September 2003
- Charfare H, Cheslyn-Curtis S.
Role of ERC in patients undergoing laparoscopic cholecystectomy. Experience with 600 cases. Association of Surgeons of Great Britain & NI meeting Brighton, May 1999
- Charfare H, Cheslyn-Curtis S.
Role of ERC in laparoscopic cholecystectomy. Experience with 500 cases in a DGH.
Poster presentation at the BSG meeting Glasgow, March 1999
5) Charfare H
, Cheslyn-Curtis S.
Management of bile duct stones in the era of laparoscopic cholecystectomy. Experience with 140 ERCs. East Anglia Surgical Club Bedford, April 1999
Selective use of Duplex Scan in the management of varicose veins. Review of 100 cases.
East of England vascular society Great Yarmouth, April 1998
7) Charfare H
Sir Gerald Townsley lecture on Treatment of liver tumours: Experience at the Memorial Sloan Kettering Cancer centre under Prof. L. Blumgart. Medway Hospital, Feb 1996
Audit and research:
Principle investigator for the following trials
2) Mammo 50
- National audits that I participate in: BAETS audit BCCOM audit Screen detected breast cancer audit
- Loco-regional recurrence following breast conservation in a DGH: study of 600 cases- ongoing
- Outcomes following neoadjuvant chemotherapy, review of 90 patients at Bedford hospital, ongoing
- Management of acute pancreatitis: BSG guidelines
This audit was carried out on 30 patients initially in 2007 followed by a re-audit in 2009. most of the audit criteria according to BSG guidelines were carried out, there was lot of delay in cholecystectomy following an attack of pancreatitis. This was recognised in the first audit but there was no evidence of significant improvement in the re-audit. The need for early cholecystectomy was recognised and surgeons agreed to look at their practice.
- Outcomes following oesophagectomy
To compare the outcomes following oesophagectomy at Bedford hospital with the literature in the spirit of clinical governance and to improve outcomes
: In hospital mortality comparable with the published literature. Five year survival following oesophagectomy was 6%. High splenectomy rates (40%) at the time of surgery. Difficult to ascertain reasons for this. Chest complications 48% compared with 20%. Difficult to define what constituted chest infection. Incomplete data and hence prospective audit planned.
- Outcomes following defunctioning ileostomy
The aims were to establish complications rates following formation and reversal of defunctioning ileostomy and to improve practice
: Complications post reversal of ileostomy were comparable with published literature. Hospital stay following primary operation and reversal of ileostomy was much longer than expected and this was discussed with discharge planning team, stoma nurses and social services.
- National breast reconstruction Audit (East Anglian pilot).
This pilot project was carried out jointly between Addenbrooke’s and James Pagets hospital to determine patient satisfaction following reconstruction, complication rate, information given to patients and type of reconstruction project carried out.
Outcome: Patients were highly satisfied with their reconstruction (85%). Adequate information was given to the majority so that they could make an informed choice about the procedure and complication rates were low. Based on this audit a national breast reconstruction audit is planned.
- Completed PG Cert Med Education from University of Bedfordshire, Aug 2013
- I am a recognised teacher for the University of Cambridge and I teach Cambridge medical students on the firm (tutorials/ case presentations)
- I teach and have directed CCrISP (care of the critically ill surgical patient) course held at Bedford hospital 1-2 time per year
- I am a recognised SLN biopsy for breast cancer instructor
- Bedside teaching for surgical SHO before clinical MRCS
- Teaching surgical techniques to SHOs and HOs.
- Examining phase 1 medical students for OSCE
- Organisation of weekly tutorials for surgical junior doctors at Medway Hospital.
At all stages of my career I have been involved with teaching medical students, house officers and SHOs and I find it an enjoyable experience which helps maintain my knowledge.
I also provide teaching and training opportunities to my junior surgical colleagues, giving opportunistic teaching as a regular feature of my working day, and supervising operative procedures. I have also been involved in support and supervision of nurse practitioners as their clinical role expands.
Clinical lead Breast Services Bedford Hospital
I have been a clinical lead in breast surgery for the last 6 years and during this time we have made several improvements to the breast service including one stop clinics (for all patients), availability of breast care nurses (increased from 2 to 3 full time), introduction of sentinel node biopsy and availability of breast reconstruction on site with the appointment of a new locum plastic surgeon. Because of increase in number of referrals, I also made a case for a middle grade doctor to help with clinic who is in post for 2 years. The breast service received good outcome at the most recent peer review and screening services review.
Clinical risk lead for general surgery and urology:
As the clinical risk lead, I was involved with assessing mortality and morbidity following surgery and discuss any lessons learnt with the directorate in the audit meetings.
for FY1 and FY2/ core trainees and I am involved with organising training opportunities for both medical students and junior colleagues.
Clinical Audit lead: For 4 years from Aug 2005 to Dec 2009
Sep 2017 ATLS course, Bedford Hospital
Jan 2017 Partial breast reconstruction with chest perforator flaps, Peterborough breast unit
Oct 2016 Breast reconstruction surgery, Cadaveric training day, University Glasgow
Feb 2016 Speciality skills in breast surgery: Principles in breast reconstruction (lev 1) Royal College of Surgeons, London
Sep 2013 Component separation for abdominal wall reconstruction with biodesign, freeman Hospital, Newcastle
March 2012 Masters workshop on laparoscopic incisional and ventral hernia repair, MATTU at Guildford, Surrey
Feb 2011 Advanced laparoscopic biliary surgery course, Royal infirmary, Edinburgh
March 2010 Advanced laparoscopic course, bile duct exploarion, Colchester General Hospital
June 2008 National hernia symposium, focus on inguinal hernia, Cavendish Conference centre, London
November 2007 Ethicon laparoscopic hernia masterclass, Queens medical centre, Nottingham
March 2007 CCriSP instructor Course, Royal College of Surgeon’s of England
October 2006 Laparoscopic incisional hernia repair, European surgical institute, Hamburg, Germany
December 2004 Key advances Masterclass in management of thyroid cancer, Royal College of Pathology, London
February 2004 Changing roles- preparing for a consultant post, Swynford paddocks hotel, New Market
March 2004 Training the trainer course. Addenbrookes hospital, Cambridge
March 2003 Advanced management of breast disease, The Royal College of surgeons of England
November 2002 ATLS at Bedford Hospital, Bedford
March 1999 Laparoscopic Upper I course at the European Surgical Institute in Hamburg, Germany
April 1998 Surgery of the Liver and Bile Ducts, Royal College of Surgeons of England.
April 1997 Liverpool Hepatobiliary Masterclass, The Royal Liverpool University Hospitals, Prescot Street, Liverpool, U.K.
November 1995 Clinical Observer At The Memorial Sloan Kettering Cancer Centre At New York Under Prof. L.H. Blumgart.
June 1995 ATLS, St George's Hospital, London, U.K.
June 1995 Laproscopic Hernia Repair, Hull Royal Infirmary, Kingston
Upon Hull, U.K.
June 1995 Basic ERCP for Doctors, Leicester General Hospital,
September 1994 Advanced Colorectal Workshop, St Marks Hospital, London
January 1994 Essential Laparoscopic Surgery, Ninewells Hospital, Dundee
Professor Alfred Cushieri
Hobbies and Extracurricular Activities
I enjoy reading, fitness, cycling and eating out. I also enjoy playing various sports particularly cricket and badminton.
As a consultant general surgeon with special interest in Breast and Endocrine and laparoscopic surgery, I deliver evidence based quality care to my patients and participate in research and audit. This will enable me to be up to date with the current management of different surgical conditions and also reflect upon my practice. I have enjoyed teaching and training junior colleagues throughout my medical career and I completed the certificate of medical education course from University of beds and as a consultant I am actively involved with teaching undergraduate medical students from University of Cambridge and also in training junior doctors.
I regularly teach on the Bedford CCrISP course for last 8 years and have directed the course 3 times.
In the long term, I wish to focus more on providing high quality Breast service and get involved with oncoplastic breast surgery.
Tel:07535502085 | 01234 247414