Muhammad Abdul Moheymun

GENERAL SURGERY (60Beds)

• Examining patients and making diagnoses to determine the need for surgery in OPD and Emergency.
• Reviewing patients' medical history and planning the best procedure for treatment on daily basis.
• Evaluating and advising patients on the risk involved with having surgery.
• Performing surgical procedures to prevent or correct injury, disease, deformities, and patient function while adhering to regulatory and ethical protocols.
• Following established surgical techniques during surgery.
• Prescribing preoperative and postoperative treatments and procedures.
• Ensuring sterility in the operating room, and all equipment and instruments.
• Directing and coordinating activities of hospital staff for proper patient care.
• Overseeing all treatments prior to and post-surgery, and identifying associated risks.
• Coordinating follow-up meetings with patients and monitoring their health condition after surgery or treatment.
• Leading trauma team in emergency and following ATLS protocols to deal patients suffering from Road traffic accidents, surgical emergencies , head injuries, poly trauma, burn and mechanical injuries etc.

• Contributing clinical expertise to patient care and providing guidance to junior physicians.
• Performing administrative duties and risk management.
• Ensuring the highest standards in patient care are maintained.
• Verifying complex diagnoses and facilitating treatment plans.
• Hiring, supervising, and mentoring healthcare professionals and collaborating with consultants.
• Managing allocated budgets and identifying areas of improvement in inpatient care.
• Keeping informed on advancements in the field and contributing to medical research programs.
• Ensuring compliance with healthcare regulations and safety standards.
• Reporting to senior management, as well as liaising between administrative and medical staff.
• Ensuring consistent and accurate medical recordkeeping practices.
• Inspecting and updating patients' charts.
• Diagnosing common ailments such as colds, flu, and diabetes.
• Administering medication topically, orally, and via intravenous or intramuscular injections.
• Prescribing apt medications and lifestyle alterations.
• Collecting fluid and tissue samples and sending these to laboratories for further testing.
• Referring patients to specialists for further testing and treatment, if needed.

•General Surgery (68 beds)

May 2018 – July 2018 My responsibilities as a House surgeon in the department of General Surgery included:
• Reviewing in-patient beds allocated to me.
• Presenting cases in the morning round.
• Following up on round orders.
• Maintaining patient files and records.
• Requesting and chasing patient investigations.
• Making discharge summaries.
• In the OT, I observed major surgeries and assisted in minor surgeries. I learnt stitching and suturing along with surgical techniques used in open and laparoscopic surgeries. To name a few – Cholecystectomy, Appendectomy, Herniotomy and mesh repair, Diabetic foot surgery, Knee amputation and Thyroid surgeries.
• Attending patients in the recovery room and ICU.
• Post-op ward round.
• Post-op wound care including dressing and drains.
• Counselling the patients and attendants regarding wound care at home.
• In the OPD we saw patients with minor surgical ailments, follow up cases and patient referrals.
• During my long calls – every fifth day, I had to prepare patients for the next OT list. This involved pre-op assessment, investigations and patient fitness for surgery/anesthesia.
• In the ER, we managed patients in teams based on ATLS guidelines. Trauma, Renal Colic, Fractures, Ac. Cholecystitis, Ac. Appendicitis, Intestinal Obstruction, Hernias, Abscess and Foreign bodies.
• We had a weekly teaching session and a monthly surgical meeting. • I had the opportunity to teach medical students’ patient consultations, clinical examinations and surgical management according to ATLS guidelines.
• Anesthesia August 2018 – October 2018
My morning duties as a House Officer in Anesthesia had three parts. I spent one month each in Surgical OT, Gynecological OT and Intensive Care Unit. During this period, I was involved in the following under supervision:
• Preoperative assessment
• Induction of anesthesia
• Maintenance of anesthesia - monitoring patient's vital signs during surgery and making necessary adjustments.

• Recovery state - monitoring and administering essential drugs during recovery.

• I was able to perform the following procedures independently and under supervision when needed;

 Insertion of peripheral IV

 Mask ventilation

 laryngeal mask airway insertion

 Endotracheal tube (ETT)

 Passing CVP line

 Spinal anesthesia

 Epidural anesthesia (assisted)

• I had a call, once a week, in presence of a senior colleague. We used to attend calls from different departments and asses’ patients on list the next day for fitness regarding anesthesia point of view. We were also involved in many emergency surgeries.

• I also got a chance to attend the procedures of nerve blocks for chronic pain management of patients done by the Head of Department. We used to have classes every week regarding the recent developments and guidelines in the field of anesthesia. I was also asked to teach final year medical students during this period regarding the basics of this field and most commonly used drugs.

• Internal Medicine (66 beds)

November 2018 – January 2019

My duties in the department of Internal Medicine included the following:

• Attending the morning handover.

• Taking patient history, performing relevant clinical examinations, making differentials and formulating a management plan.

• Discussing patients with the consultant before the ward round.

• Attending the ward round; presenting cases and noting down the orders.

• Following orders from the rounds, this included the following:

 Small procedures like blood sampling, IV cannulation, NG tube or urinary catheter insertion.

 Clerking.

 Making drug charts.

 Monitoring vitals

 Requesting imaging scans.

 Chasing reports.

 Making referrals to other departments.

 Making discharge summaries.

 Answering phone calls from other departments.

 Documenting everything in patient files.

 Counselling the attendants regarding care at home.

• We had OPD weeks where we patient consultations along with the Trainee Residents – Endocrinology OPD, Hematology Clinic, General OPD.

• In the ER we worked in teams led by a Consultant which included a batch leader and Trainee residents. I had the opportunity to see a wide range of patients with medical illnesses. To name a few – Ac. coronary syndrome, Heart failure, DKA, Stroke, Meningitis, Pneumonia, Asthma and COPD exacerbation, Upper GI Bleed, Gout, Ac. Renal failure, Gastroenteritis, Electrolyte Imbalance, Poisoning and overdose, other Infectious and Hematological diseases.

• I had a ward call every fourth day where we looked after inpatients from 8 medical bays (60 beds) in a team of 2 House officers and 2 Trainee residents with an on-call consultant along with Nurses and allied Health staff.

• We had weekly teaching sessions and a medicine meeting every 2 weeks.

• I had the opportunity to teach medical students’ patient consultations, clinical examinations, drug prescription and the basics of formulating a management plan.

• We had frequent presentations on drugs by officials from the Pharmaceutical Industry (Dosages, Drug Interactions, clinical Trials and new Research).

• Pulmonology (20 beds)

February 2019 – April 2019

A normal day in the department of Pulmonology consisted of;

• Morning handover

• Preparing the allocated beds for morning round which included a detailed clinical examination, discussing X rays with a senior, making differential diagnosis and a probable management plan. Presenting cases in the ward round.

• Following up on orders from the consultant.

• Writing discharge summaries.

• Demonstrating the correct use of inhalers to the relevant patients. Counselling patients with COPD and other diseases regarding smoking cessation.

• Taking ABGs, teaching breathing exercises, performing 6minute walk test were also a part of my morning duty in ward.

• I had ward calls, once a week, where I had to look after patients from 2 bays (22 beds) with the help of a senior colleague and nursing staff. During my rotation I was involved in managing patients with a range of diseases. To name a few, Tuberculosis, Asthma (exacerbation),COPD, Interstitial Lung Disease, Lung Cancer, Pulmonary hypertension and others.

• In the OPD, I got a chance to manage patients with minor pulmonary issues such as long-standing history of chest pain, cough with sputum, allergic asthma etc. under supervision of a consultant.

• Besides routine care of pulmonary indoor, emergency and OPD patients, I also attended and assisted many pulmonary interventional procedures including but not limited to thoracic ultrasonography, intercostal tube thoracostomy, pleural biopsies and drainage, ABGs analysis, non- invasive ventilation, aerosol therapies, bronchoscopies and medical thoracoscopies.

• I also attended lectures on every weekend from the Head of Department Pulmonology on X rays, HRCTs and most recent guidelines related to the field.