Dr Ihtisham Malik

Extensive experience in undergraduate and postgraduate medical education, with over four years serving as a Clinical Lecturer. Led curriculum planning and integration, delivering structured bedside, small-group, and case-based teaching with emphasis on patient-centred and practical clinical learning.

Developed and established dedicated Acute Medicine teaching programmes for NCHDs, focusing on clinical reasoning, acute assessment, safe prescribing, documentation standards, and decision-making in high-pressure environments.

Prioritised development of core clinical competencies including structured case presentations, diagnostic interpretation (ECG, ABG, imaging), evidence-based management planning, and safe inpatient care.

Actively mentored SHOs and registrars in preparation for MRCP and specialty membership examinations, contributing to both formative and summative assessments, workplace-based evaluations, and professional progression.

Committed to advancing medical education through future contributions to MRCP and SCE examinations and pursuing the FAIMER Fellowship (U.S.) to strengthen expertise in faculty development, educational leadership, and global health professions education.

I am a Consultant Endocrinologist and Acute Medical Assessment Unit (AMAU) Lead with 14 years of clinical experience, including 5 years in Diabetes and Endocrinology. I have successfully established a nationally recognized, award-winning Community Diabetes Service in Carlow–Kilkenny, aligning closely with the Sláintecare vision for integrated, patient-centred care.

At St. Luke’s General Hospital, Kilkenny, I led the redesign of Ireland’s busiest AMAU service, achieving significant improvements in same-day discharges, patient experience, and staff engagement. I have now been selected to lead the development of Same Day Emergency Care (SDEC) and Acute Floor services at University Hospital Kerry.

My leadership philosophy is grounded in quality improvement, patient safety, and co-production. I am deeply committed to delivering patient-centred care, driving service innovation, and fostering multidisciplinary learning and collaboration.

Offered Permanent Consultant Post, Naas General Hospital (2026) and Letterkenny University Hospital (2025); currently undergoing pre-employment clearance for the job in NGH

Selected (Competitive Interview) to Lead SDEC & Acute Floor Development, University Hospital Kerry:
Extended operational hours to enhance access
Implemented secure GDPR-compliant digital handover
Established DTA clinics for ED safety-netting & TIA follow-up
Transitioned 6 structured QI projects to Acute Floor consultants
Developed standardised clinical pathways
Introduced POC troponin & D-dimer for faster decision-making
Planning virtual dermatology & neurology pathways
Exploring AI-assisted ultrasound/POCUS integration

Led Rapid Improvement Event (RIE) in Diabetes Service: (Awarded Nationally)
40% reduction in acute diabetes clinic slots
Routine waits reduced from 14 → 11 months
Rapid-access waits reduced from 9 → 2 weeks
Significant gains in access, flow, and efficiency

Redesigned Ireland’s Busiest AMAU (St. Luke’s Hospital, Kilkenny):
20% reduction in admissions
Achieved despite 10–20% increase in attendances
Increased same-day discharges
Improved patient experience
Freed bed capacity for elective services

• SCE Geriatrics and Stroke Course 2026
• Scope Certification in Obesity 2025
• Practical diabetes technology and HCL course by Leicester diabetes NHS 2024
• Certified DAFNE Doctor NHS 2024
• Diabetes foot MDT Symposium Beaumont 2024
• Insulin Pump Course Cambridge NHS May 2023
• HSE Lean White Belt
• Advance Teaching Skills certification from Harvard Medical School 2021
• Certification in Diabetes is Primary by American Diabetes Association 2021

• Retrospective national cohort study of pregnancy outcomes for women with type 1 and type 2 diabetes mellitus in Republic of Ireland Christine Newman a,* , Aoife M. Egan b , Tomas Ahern c , Maisa Al-Kiyumi d , Siobhan Bacon e , Elgelani Bahaeldein f , Gabriela Balan d , Mary-Jane Brassill g , Emily Breslin e , Elizabeth Brosnan h , Louise Carmody a , Hilda Clarke i , Caroline Coogan Kelly j , Linda Culliney k , Recie Davern d , Maeve Durkan l , Kalthoom Elhilo m, Elizabeth Cullen d , Mairead Fenlon n , Pauline Ferry o , Ahmed Gabirf , Linda Guinan g , Geraldine Hanlon j , Marie Heffernan p , Tom Higgins q , Shu Hoashi r , Oratile Kgosidialwa k , Amjed Khamis o , Brendan Kinsley d , Breda Kirwan a , Anne James c , Pyeh Kyithar m, Aaron Liew i , Ihtisham Malik h , Linda Matthews c , Colm McGurk j , Cathy McHugh e , Yvonne Moloney s , Matt S Murphy p , Paula Murphy k , Dina Nagodra m, Eoin Noctor s , Marie Nolan q , Aislong O’Connor o , Emily O’Connori , Domhnall O’Halloran k , Linda O’Mahoney k , Triona O’Shea f , Eoin P. O’Sullivan l , Moby Petersf , Graham Robertsf , Hannorah Rooney j , Jayant Sharma m, Aoife Smyth d , Maria Synnott m, Bheesham Tarachand f , Marie Tighe e , Marie Todd h , Michael Towersf , Antoinette Tuthill k , Wan Mahmood d , Obada Yousif n , Fidelma P. Dunne PMID: 35709911 DOI: 10.1016/j.diabres.2022.109947
• Activation of PPCI Team in the Octogenarian and Nonagenarians Population:Real world single centre experience. Kumar, Rajesh O’Connor, Cormac Kumar, Jatinder Kerr, Brain Malik, Ihtisham Homer, Ciarrai Abbas, Syed Arnous, Samer Ullah, Ihsan Kiernan, Thomas ( submitted online and is presently being given full consideration for publication in Open Heart manuscript ID is openhrt-2021-001709.R1)
• Young at heart: Risk factor assessment of young adults (≤45) with st elevated myocardial infarction R Kumar, J Kumar, C O'Connor, N Sankhyan, I Malik, MN Shakoor, J Zaman, E Turner, A Buckley, A Maloney, S Arnous, T Kiernan
  Heart Oct 2019, 105 (Suppl 7) A36-A37; DOI: 10.1136/heartjnl-2019-ICS.46
• Progressive pseudorheumatoid dysplasia (PPRD) in siblings mimicking inflammatory arthropathy I. Malik ,S. Khan, Z. Afridi, Ann Rheum Dis, volume 77, supplement Suppl, year 2018, page A1657 DOI: 10.1136/annrheumdis-2018-eular.4376
• Provision of rheumatology services to 30 million people in north-western Pakistan (A Naïve Department With Huge Challenges) I. Malik,S. Khan, Z. Afridi ) Ann Rheum Dis, volume 77, supplement Suppl, the year 2018, page A1719 DOI: 10.1136/annrheumdis-2018-eular
• Pregabalin overdose causing sinus bradycardia – A rare complication Kumar R, Kumar J, Malik I, Pate G (2021) J Cardiovasc Med Cardiol 8(1): 007-009. DOI: https://dx.doi.org/10.17352/2455-2976.000160
• Frequency of dyslipidemia In Patients with sub-clinical hypothyroidism Dissertation submitted and accepted by College of physicians and surgeons Pakistan (CPSP)Pakistan.

• Autoimmunity behind the Mask: Identifying Latent Autoimmune Diabetes among Adults Diagnosed with Type 2 Diabetes Muhammad Zeeshan¹, Aoife O’Connor¹, Khadija Sharif¹, Muhammad A Janjua¹, Wasif Raza¹, Nisar A. Khan¹, Aidah Ilyas¹, Belinda Mitchell¹, Lucy Phelan¹, Farooq Khan¹, Ihtisham Malik¹ Endocrine Abstracts (2025) 115: Endocrine Abstracts (2025) 115: P16
• Diabetic Foot Disease Patterns and Use of Walking Aid: a retrospective, single center, observational descriptive study from a tertiary hospital Aoife O’Connor¹, Brian O’Halloran¹, Catherine MacAllister¹, Muhammad A Janjua¹, Muhammad Zeeshan¹, Khadija Sharif¹, Wasif Raza¹, Nisar A. Khan¹, Aidah Ilyas¹, Belinda Mitchell¹, Ihtisham Malik¹, Farooq Khan¹ Endocrine Abstracts (2025) 115: EP1
• Ketosis Prone Diabetes in the Caucasian Population – A Case Series Ihtisham Malik¹, Michael Lockhart¹, Farooq Khan¹, Niamh Horan¹ Endocrine Abstracts (2025) 115: PCR17
• Case Series: Management of Severe Hypertriglyceridemia in Pregnancy and Type 2 Diabetes Mellitus Ihtisham Malik¹, Nageen Naseer¹, Nagaveni Yuddandi¹, Farooq Khan¹ Endocrine Abstracts (2025) 115: PCR4
• Patient Reported Experience Survey of Care Delivered in Enhanced Community Care in Carlow/Kilkenny Dorothy Moore¹², Lisa Kennedy¹, Olive O’Grady¹, Mary O’Sullivan¹, Ciara Cuddihy¹, Hannah Scott¹, Rita Whelan¹, Reema Iqbal², Dr Farooq Khan², Dr Michael Lockhart¹², Dr Ihtisham Malik¹² Endocrine Abstracts (2025) 115: EP21
• Transforming Type 2 Diabetes Care through Rapid Improvement Event in Carlow/Kilkenny Dr Farooq Khan², Lisa Hennessy², Maura Dowling², Eimear Maher², Geraldine Hanlon², Aneyrose Xavier², Mirza Ahmad², Colm McGurk², Niamh Horan², Fiona Byrne², Martin Murphy², Eileen Joyce², Jennifer Ward², , Lisa Kennedy¹, Olive O’Grady¹, Mary O’Sullivan¹, Ciara Cuddihy¹, Hannah Scott¹, Rita Whelan¹, Dr Michael Lockhart¹², Dorothy Moore¹², Dr Ihtisham Malik¹² Endocrine Abstracts (2025) 115: EP20
• CR43 Case Series of Parathyroid Adenoma detection with 4D CT Parathyroid Abrar Ahmad1, Ihtisham Malik1, Ultan Healy 1, Vivek Raman3, Shu Hoashi1,2 (Accepted for poster presentation IES 2022and subsequent publication in the Irish Endocrine Society’s attached Journal publication.)
• CR13 Severe Diabetic Gastroparesis During Pregnancy: A Case Report Ihtisham Malik1, Abrar Ahmad1, AnnMarie Keogh1, Maeve Dempsey1, Yvonne Reidy1 , Murat Kirca2, Ultan Healy1, Sam Thomas3, Shu Hoashi1,4 (Accepted for poster presentation IES 2022 and subsequent publication in the Irish Endocrine Society’s attached Journal publication.)
• Glycaemic control in patients with Gestational Diabetes requiring betamethasone – a quality improvement project with intravenous insulin infusion protocol Ihtisham Malik DOI: 10.1530/endoabs.73.AEP195
• Does COVID cause diabetes? Malik I , Rafi A , Sheehy M, Healy U, Hoashi S Irish Journal of Medical Science (1971 -) (2021) 190 (Suppl 3):S77–S115 https://doi.org/10.1007/s11845-021-02557-8
• A Re-audit of basal (long-acting) insulin prescription in the management of Diabetic Ketoacidosis and its effect on length of hospital A Rafi, I Malik, B McDonnell, E Brosnan Irish Journal of Medical Science (1971 -) (2021) 190 (Suppl 3):S77–S115 https://doi.org/10.1007/s11845-021-02557-8
• An Audit of Relationship between Metformin Dosing and Micronutrients deficiency A Rafi, R Shah, I Malik, P Muthalagu Department of Medicine, Cavan General Hospital, Cavan, Ireland Irish Journal of Medical Science (1971 -) (2021) 190 (Suppl 3):S77–S115 https://doi.org/10.1007/s11845-021-02557-8
• Audit on glycaemic control in Gestational Diabetes Mellitus (GDM ) patients receiving corticosteroids I Malik, A Rafi, U Healy, S Hoashi Irish Journal of Medical Science (1971 -) (2021) 190 (Suppl 3):S77–S115 https://doi.org/10.1007/s11845-021-02557-8
• Causes of discrepancy between thyroid ultrasound reports and FNAC results in patients with thyroid nodules. Malik I, Amir Salman M (accepted for poster presentation at Pakistan endocrine society meeting 2024)
• Glucose Challenge test and COVID 19 Pandemic. Malik I, Amir Salman M (accepted for Oral presentation at Pakistan endocrine society meeting 2024)

• Led a successful RIE initiative at St Luke's General Hospital, Kilkenny, achieving a 40% reduction in acute service patients, improved patient redirection to appropriate care pathways, and a significant reduction in DNA/CNA rates. Additionally, spearheaded staff training and enhanced patient self-management support. Presented regionally and nationally.
• Prescription of VTE prophylaxis in IBD patients at the time of admission: A quality improvement project (MRH Mullingar)

      2026 Quality improvement and service developments projects in Progress

• Digital Handover System (Clinical Lead): Designed and implemented a secure, structured digital handover platform improving governance, continuity of care, and patient safety.
• Electronic Workflow Optimisation (T-Pro, AMAU): Enhanced clinical documentation and operational workflow within AMAU to improve efficiency and data accuracy.
• VTE Proforma & Prescribing Improvement: Introduced standardised VTE risk assessment and prescribing pathway to ensure safe, guideline-compliant anticoagulation.
• DNACPR Documentation Improvement: Improved quality and compliance of resuscitation documentation in line with national policy and governance standards.
• Patient Experience & Feedback Initiative: Established structured feedback mechanisms to inform service redesign and improve patient-centred care.
• Bons Mallow Transfer Pathway Redesign: Streamlined interdepartmental transfer processes, reducing delays and documentation gaps.
• Handover Quality & iPMS Tracking Improvement: Strengthened patient tracking systems to enhance clinical oversight and reduce governance risks.
• Point-of-Care Troponin Implementation (Acute Floor/SDEC): Led introduction of bedside high-sensitivity troponin testing, reducing turnaround time, enabling rapid ACS rule-in/rule-out, improving same-day discharge rates, reducing admissions, and enhancing acute flow within senior decision-maker–led pathways.

• Finalist Twice at Irish Healthcare awards 2025
• 1st Position and awarded for best use of process improvement methodology in health system at 11th Lean national Symposium Nov 2024
• Distinction in Certificate of Leadership for new Consultants RCPI
• 1st Position in business case writing in certificate in essential leadership for new consultants by RCPI 2024
• Awarded for best Poster Presentation in Medicine and 3rd Overall (Annual Research and Audit Day 2020 Awarded by Research and Audit Committee)

As Clinical Lead in Endocrinology and Diabetes for Carlow–Kilkenny, I established a Community Specialist Ambulatory Hub that transformed regional diabetes care through multidisciplinary triage meetings, structured referral pathways, and consultant-led weekly specialist clinics. This model improved access, reduced acute burden, and strengthened integration between primary and secondary care.

Alongside service development, I have over four years of academic leadership experience, organising and delivering structured teaching for junior doctors, interns, and undergraduate students. I established dedicated Acute Medicine teaching programmes to enhance clinical reasoning, bedside skills, and curriculum alignment.

My leadership extends beyond endocrinology. I am currently leading transformation of the Acute Floor and AMAU at University Hospital Kerry, implementing DTA pathways, structured GP referral systems, and seven concurrent quality improvement projects to optimise patient flow, governance, and same-day emergency care.

Previously, I coordinated national MDT services at Beaumont Hospital and contributed to the establishment of a rheumatology department serving 30 million people, now a CPSP-accredited centre for higher specialist training.

Over the past three years, I have delivered visible, system-wide leadership across multiple hospitals, driving quality improvement, multidisciplinary collaboration, and patient-centred innovation.

Building on this foundation, I now plan to pursue a PhD in Quality Improvement and Patient Safety, aligned with my service redesign work, prior academic engagement, and research collaboration through RCSI.