Profile

Tom Quick was educated at Manchester Grammar School (1989-96). In 1996 he was accepted at Magdalene College Cambridge. In 1999 he graduated in Art History with his MB exemptions before moving on to UCL Hospitals to complete his undergraduate medical training.

After Basic surgical training in London and Sydney (NSW, Australia) he completed his Orthopaedic training on the  renowned Bristol rotation. Whilst on rotation Tom was awarded the highest mark in a rotational FRCS mock  examination with formal recognition from his Director of Studies.

Subsequently Tom was awarded a twelve month Paediatric Orthopaedic fellowship at The Westmead Children’s Hospital in Sydney, Australia where he worked in a clinical and basic science capacity, in both general Paediatric Orthopaedics and upper limb Paediatric Surgery.

Tom then completed eighteen months of post FRCS fellowship at the famous Peripheral Nerve Injury Unit at the Royal National Orthopaedic Hospital at Stanmore.

Following this in April 2013, he was appointed as a Consultant Surgeon at RNOH

Since appointment at the RNOH Tom has been appointed honorary Consultant at both Great Ormond street Hospital for Sick Children in London and also Headley Court the Defence Medical Rehab Centre, Surrey.

Tom is an Honorary Senior Lecturer in the Institute of Musculoskeletal Science (UCL).
Tom is also the Head of Undergraduate Education in the Division of Surgery for the UCL Medical School.

Employment

Honorary Consultant, Defence Medical Rehabilitation Centre, Headley Court (2015-current)
Honorary Consultant Surgeon, Great Ormond Street, London (2015- current)

Interests

Tom’s professional interests include: Nerve injury in adults and children, Obstetric Brachial palsy, conditions of the growing shoulder and elbow, neuromuscular conditions of the paediatric and adolescent upper limb and surgical management of peripheral nerve pain states.

Tom is a keen swimmer, apiarist and rugby fan. He enjoys reading modern fiction, listening to electronica and drinking whisky. He has a young family and too little free time.

Clinical Experience

Tom has one of the largest obstetric palsy practices in the United Kingdom providing huge experience in this very focused field.

As part of providing a national referral service for Adult and paediatric brachial plexus and peripheral nerve injury Tom has a large experience of traumatic supra- and infra-clavicular plexal injury repair and reconstruction.

Microsurgical grafting, nerve transfer surgery and secondary reconstruction cases are managed through a rapid access clinic with structured follow up and rehabilitation programmes to support these patients.

Treatment of cocontraction is another area of clinical expertise in both adults and children where Tom has a focused interest.

Collaborations

James Philllips (jamesphillips.org) is a tissue engineer who works in the area of neuronal growth and Schwann cell and other neural elements and glia, as well as in the field of regenerative tissue design and material interfaces.

UCL division of Surgery (http://www.ucl.ac.uk/surgery) supports Tom’s research and education roles.

RNOH charity has been very generous in supporting Toms research vision from the very beginning. (http://www.rnohcharity.org)

Research projects

Outcomes
As we push to improve the outcomes for those with nerve injury it is important to understand what this means for patients. Which parts of the patients problems are most important to them?, how much improvement is noticeable? etc etc Tom is working towards providing the answers to these questions. if you feel you want to contribute please read the following document for more information (patient outcome leaflet) and contact nerveinjuryresearch@gmail.com

Cocontraction
Co-contraction is a problem where muscles have regained function after nerve injury but the nerves have wired two muscles with opposing actions together. This means that even though there has been nerve recovery the function hasn’t improved. For example if muscles bending and straightening the elbow are wired together it is impossible to properly bend the elbow to bring the hand to the mouth. Tom has had very good results in using botulinum toxin to ‘reset’ these co-contractions and is researching how this works, who it works best for and how we might improve the therapy. Tom has state of the art technology to assess and record both the force generated by a muscle group (with a static dynamometer) but also the effect of co-contraction with (bi-surface EMGs).

OBPP
Obstetric Brachial Plexus Palsy (OBPP or Erb’s palsy) is a very complicated nerve injury suffered at the time of birth. There are many factors of this condition that are far from fully understood. Tom is working on projects in a number of areas to improve the ability to understand treat and rehabilitate children, adolescents and young adults with this injury.

Nerve Injury Biology
There is a great deal of information about how the cells involved in nerve injury and repair work in animals, but how this translates to humans is not clear. As part of his MD(res) research Tom has developed a surgical model to investigate how human Schwann cells and macrophages respond to injury and regeneration. Tom is recruiting patients now to this project contact (nerveinjuryresearch@gmail.com) for further information.

Teaching

Tom teaches on a number of national training courses:

Tom also teaches UCL modules for BSc, MSc studies and has published book chapters:

He is both a surgical tutor and educational supervisor to Orthopaedic Training Registrars.

Education & Training

Tom is Head of Undergraduate Education for the Division of Surgery at UCL, has supervised BSc and MSc projects for UCL.Tom has run surgical simulation sessions and is on the Medical Education Committee at the Royal National Orthopaedic Hospital.

Tom trains 6 training Registrars per year from the Stanmore, Percivil Pott or Royal London training schemes and provides training to both rotational and non rotational basic surgical Trainees.