Work Experiences

CONTENTS OF TRAINING

IN PREVIOUS JOBS:

Having completed my House job training in busy professional units of Khyber Teaching Hospital, Peshawar, I gained extensive experience in both General Medicine and General Surgery by encountering a large number of patients with various illnesses.

Learning their management on ward rounds and acquiring skills in Out-Patient Department. In addition to getting first hand experience in a very busy accident and Emergency Department.

I worked as Resident Physicians in Medical Oncology at Shaukat Khanam Memorial Cancer, Hospital and Research Center, Lahore. I was exposed to many trained Physicians, Oncologists, Intensivests, Nuclear Physicians and Radiation Oncologists.

I joined the busiest Postgraduate Medical Institute, Lady Reading Hospital, Peshawar as a Postgraduate Trainee in Nephrology. To fulfil the requirements for Fellowship in Nephrology. To fulfil the requirements for Fellowship in Nephrology I did my postgraduate training in General Medicine for two years, six months in Pediatrics Nephrology and three years in Adult Nephrology which includes three month postgraduate training in Radiology, Six months postgraduate training in Renal Transplantation.

Nephrology was a newly established discipline in Lady Reading Hospital, Peshawar in 1990. I was a second Postgraduate trainee in nephrology. I was performing additional duties of registrar of the Nephrology unit at the same time. This had been an extremely busy job, involving round the clock on-call duty. The clinical workload was heavy with admissions from accident and emergency department, via general practitioners and from outpatient’s clinics.

In addition to the inpatients care of all kinds of medical and nephrology cases, i used to attend the accident & emergency department regularly. The job also involved full participation in running hemodialysis unit. I was actively involved in the intensive care unit. During this training, I became familiar with most of the techniques in general medical practice, i.e. pleural biopsy, chest intubations, bone marrow aspiration and biopsy, lumber puncture etc.

In renal medicine, I got experience in vascular access, acute peritoneal dialysis, CAPD, kidney biopsies, PCN insertion, ante grade pyelography, CAVH, hemodialysis, hemo-filtration and plasmapherasis and pre transplant patient preparation of the patients and post transplant look after of the patients.

I also had administrative duties like organizing duty rota, participating in the CPCs etc. At the end of my training, I completed my full fellowship in Nephrology from College of Physicians and Surgeons, Pakistan.   

AS SENIOR REGISTRAR: I was supervised and remained under guidance of Professor of Nephrology for 5 years. The job involved an active participation in emergency take, looking after renal patients, organizing ward rounds, outpatients departments, clinical meetings, bed-side teaching to the postgraduate students, preparation of the transplant patients and care of the transplant patients and management of the post transplant complications.

I was responsible to run hemodialysis services and provide peritoneal dialysis facilities. I had to perform scheduled kidney biopsy, ante-grade pyelography, ultrasound guided cyst aspiration and Percutaneous nephrostomy. Training and supervision of the junior medical and paramedical staff was also one of my responsibilities.

As Senior Registrar, i was not confined to my job at Lady Reading Hospital only but I had an opportunity to establish, run and supervise the dialysis units at Mardan, Kohat and Bannu Districts, which are still providing the life saving facilities of hemodialysis to patients suffering from both acute and chronic renal failure.

After competing on open merit with zeal courage, I was selected as an Assistant Professor & Department of Nephrology at Center of Kidney Diseases, Hayatabad Medical Complex, Peshawar. I was given the challenging task of establishing the unit in the newly constructed building by Workers Welfare Board.

Today unit is started functioning with 15 hemodialysis machines and1 CRRT machine-which is the first in the province for acute renal replacement for ICU patients. There is a well-equipped renal replacement therapy section providing hemodialysis, peritoneal dialysis, CAPD and CAVH. As a token of our professional hard work the unit is recognized for postgraduate training in Nephrology by CPSP.

Experience in renal Transplant Nephrology:

I have been instrumental and driving in the development of transplant services in our hospital. The first live related renal transplant was done in 1998 at Lady reading Hospital to which I provided pre & post transplant nephrology care. So far, I have been in the nephrology team for all the transplants performed in the two teaching hospitals.

I am also Supervisor for postgraduate training in Nephrology by the College of Physicians and Surgeons, Pakistan.

My job include thrice a week OPD, daily ward round, once a week general club, twice a week presentation in clinic-pathological conference.

I also guide trainees in selection and supervision of their research project for fellowship exam, which is a prerequisite by CPSP.  

I am presently Paper Setter, Examiner and Supervisor for FCPS Nephrology with CPSP and with Quaid Azam University, Islamabad as Paper Setter and Examiner for MD Nephrology.