Saira Azeem
Ras Al Khaimah,UAE
Summary
With an MBBS Degree and Extensive Work Experience of 7 Years After 1 Year of House Job Equivalent to UK FY1, I hold Full Registration with a license to practice in UK, UAE & Pakistan . My Experience Involves Working in a Busy Emergency Department of Large Specialized Public Sector Hospital in UAE which is also AHA accredited Stroke Excellence Centre and In-Patient Ward of Specialized Hospital Setups where I have had extensive opportunity to groom multi-disciplinary Team work Ethic and Communication. I have passed ACLS equivalent to ALS, as well as BLS & PALS. I have contributed to improvement of Healthcare Quality by performing Audits, Quality Improvement Projects and research work.
Overview
12
12
years of professional experience
5
5
years of post-secondary education
Work history
General Practitioner - EM
Ibrahim Bin Obaid Ullah Hospital
Ras Al Khaimah, United Arab Emirates
09.2022 - Current
- 3 Years of Extensive Work Experience in Emergency Medicine Department of a Specialized Public Hospital which is an AHA Accredited Stroke Excellence Centre and Diamond Award Holder from World Stroke Organization.
- Reception and Triage of New Patients according to ESI
Detailed History & Examination of Patient with due urgency - Initiation of treatment with targeted investigations and Due Follow Up of Investigations and Interpretation. E.g CT scans, MRI, ECG, ABGs, Xray’s, Septic Markers, Electrolytes, Cardiac Enzymes, Ultrasound, Kidney Function Tests, Liver Function Tests, Urine Dip Sticks and Routine Blood Investigations.
- Preliminary Diagnosis, Initial Management and Involvement of relevant specialty team and frequent Multidisciplinary Communication/Consultations. Presenting the case to the relevant specialty consultant and Accompanying through the consultation for support and Carrying Out Orders. Patient Admission, if necessary, in ICU/HDU/Ward etc.
- Assessment, Identification and Declaration of Emergency Response Codes like Stroke Code, STEMI Code, Rapid Response Team Code, DKA Code and Code Blue etc.
Proficiently - Independently performing procedures like IV Cannulation, Central Venous Catheterization, Blood Sampling, Foleys Catheterization, NG Tube Insertion, Ascitic Tapping, Non-Invasive Ventilation, Sutures, ECG and its interpretation, Bedside Ultrasound etc
- Life Saving Procedures involving High quality CPR, Cardioversion/Shocks if required
- Frequent handling of Emergency Cases like CVA/Stroke, Acute Coronary Syndrome Like Myocardial Infarction, Cardiac Arrythmias, Diabetic Keto-Acidosis, Pulmonary Edema, Sepsis, Geriatric Patients with Multi Comorbid, ESRD patients, patients with Sickle Cell Disorder, Pain management.
- Our hospital bears a Specialized Geriatric Wing, We Receive a Large Turnover of Geriatric Patients. I am Extremely proficient in my IPS with Geriatric Patients. I have been Appreciated by My Management Multiple Times over my Counselling of Geriatric Cases involving Treatment Refusal/Reluctance.
- Frequent Communication with Geriatric Specialty for tailored management of Geriatric Emergencies.
- Excellent Interpersonal Skills involving Counselling of Patients including Reluctant/Refusing Patients, Angry/Distressed Patients, Breaking Bad News
- Maintaining Comprehensive Patient Notes on Electronic Centralized Patient Management Database System including Detailed History, Examination Findings, Investigation Interpretation and Procedures/Medications administered and Further Plan of Care for Good Liaison
Discharging Patients with Proper Safety Netting, - With Over 100 Cases of Stroke Management and more than 50 efficient deliveries of Thrombolytic therapy, I prize myself over my Skill In Stroke Management
- Multiple Appreciations from Management for Early Identification and Activation of Stroke Code leading to Timely Management and Treatment.
- Prescriptions and Any Referrals if Required. Writing E-Discharge Summaries, Death Certificates
- Informal Teaching of the Interns and Final year Students of MBBS
- Rota Management for the Team & Performing Role as Shift Lead on Night/Evening Shifts
- Audits & QIP for Enhancement of Patient Care, Facilitating JCI Certification Audits.
- Taking Part in presentations for CME, Attending & Organizing In House Trainings.
- Taking part in Multidisciplinary Meetings for Protocol Enhancements and Quality Control
General Practitioner - EM & In-Patient
RAK Hospital
Ras AL Khaimah, UAE
03.2020 - 09.2022
- 2.5 years of work Experience including Extensive Work in Accident & Emergency with 2 Rotations of 6 Months Each in In-Patient Department involving Out of Hours Shifts including Afternoon and Night Shifts.
- During my In-Patient Experience i worked in Neurology department and handled Admitted Stroke Cases following Treatment Plan, Daily progress Review and case discussions with neurologist and physio therapist
- During My Rotation in the Ward, I was responsible for Receiving Patients, Taking Detailed History, Examination, Carrying Out the Investigations and Initial Treatment, Carrying Out Orders and Treatment Plan as advised by the admitting Specialist.
- Writing & Maintaining Drug Charts, Detailed Daily Progress Notes, Investigation Follow Ups.
- Daily Review of Admitted Patients with necessary Follow Ups & Modifications in Plan of Care if required.
- Active Participation in daily Consultant-Led Ward Rounds and presenting the Cases during the rounds.
- Daily Wound Dressing for Post-Op/Surgical Patients, Patients with Bed Sores.
- Multi-Disciplinary Consultations as required. Communication with Surgical Units, Infection Control Department, Pain Management Team etc.
- Issuing Discharge Summaries, Medical Reports, Discharge Prescriptions, Sick Notes, Birth Notification and Transfer Summaries.
- During My Work in A&E, I handled Emergencies including Accidents, Adult/Pediatric Trauma, OBS-Gynecological Emergencies, Medical & Surgical Emergencies
- My responsibilities involved receiving the patient, History Taking, Examination, Conducting Required Investigations and Initial Management of both Surgical and Medical Cases.
- Performing emergency procedures such as Suturing the Wounds, Incision & Drainage of Small Abscess, Identifying Simple Fractures and Applying Back-Slab, foreign body removal etc.
- Review and Interpretation of Investigation results and consultation with relevant specialties and admission if necessary.
- Handling Cases Like Acute Coronary Syndrome, Stroke, DKA, Dengue, GI Bleeds, Acute Abdomen, Ectopic Pregnancies, Sub Arachnoid Hemorrhage, lacerations, Fractures, /Stab Wounds, Blunt Injuries, Fall/Trauma, acute glaucoma, corneal abrasions, foreign bodies in ENT, DVT, TB and other infectious diseases.
- I Worked Extensively as a front Liner during Covid Era. I was awarded Certificate of Excellence by the Hospital for my Work during toiling pandemic time.
- Presented Multiple Cases/Topics in Hospital CME Meetings.
- Informal Teaching to Interns including History Taking, Patient Examination, ECG Interpretation, IV Cannulation , Interpretation of Investigation results
- Organized and attended multiple Blood Donation Camps for venesection.
General Practitioner - EM & In-Patient
Riphah International Hospital
Islamabad Pakistan, Pakistan
05.2017 - 05.2018
- 1 Year Job Involving Regular Rotation between Inpatient Ward and Emergency Department.
- My responsibilities In the Ward Involved, Reviewing the Admitted patients, Maintaining Daily Progress Notes, Interpretation of Investigation Results
- Presenting the Cases in the Consultant-Led Ward Rounds. Carrying Out Orders as advised by the Attending Physician.
- Involving & Communicating with Multi-Disciplinary Specialties as required.
- Performing Procedures like Suture/Drain removal, Daily Dressing Change & IV Cannulation, Blood Sampling, NG & Foleys Insertion pleural and ascitic Tapping.
- Writing Discharge Summaries & Discharge Prescriptions, Transfer Summaries, Medical reports and Referrals
- My Responsibility during ER Rotation Involved receiving Patients, Triage, History Taking, Examination, Initial Management and Treatment, Running Necessary Investigations, Investigation Interpretation, Initial Diagnosis and involving the relevant Specialty for further Management and Admission if needed.
- Attending Surgical Emergencies with lacerations, suturing and dressing. Foreign Body Removal etc.
- Delivering Life Saving Resuscitation
- Handling Geriatric Cases for both Emergencies and Ward. Bed Sore Assessment and Care, Daily Dressing, Taking Swab Cultures from Wounds and Peg Tube, Changing foleys catheter. Involving Physiotherapist for mobility. Taking Dietician Consultation for tailored diet plans. Following VTE prophylaxis, reviewing Poly Pharmacy for Drug Interactions.
- Organizing and Participating in Public Welfare Health Camps in remote/rural areas providing free medical assessment and preliminary treatment, providing vouchers for free investigations and medication to the underprivileged.
General Practitioner - GP
Soan Medical & Dental Complex
Rawalpindi, Pakistan
10.2014 - 10.2015
- Working as a Medical Officer for in ward patients. Receiving Patients, History Taking, Examination, Carrying Out Orders from specialists
- Maintaining Detailed Notes, Drug Charts, Discharge Summaries and referrals.
- Actively taking part in Consultant-Led Rounds
- Performing Blood Sampling, IV Cannulation and Wound Dressing, NG/Foleys Insertion and ECG.
- Taking Part in CME Meetings
House Physician
Fauji Foundation Hospital
Rawalpindi, Pakistan
10.2013 - 10.2014
- Completed my one Year of House Job which is equivalent to Foundation Year of NHS.
- During my 6 Months as House Physician, i Spent 6 Weeks in Pediatrics, 6 Weeks in Oncology and 12 Weeks in Internal Medicine.
- During my 6 Months as House Surgeon, i worked in General Surgery Department for 12 Weeks, 6 weeks in neurosurgery and 6 weeks in ENT.
- My Responsibilities as House Officer Involved, history Taking, Examination, Basic Procedures, Ward Rounds, Participating in Case Presentation during Round
Coordinating with multiple specialties, Carrying Out Orders given by attending physicians. - Performing Simple Procedures like IV Cannulation, Blood Sampling, Administering IV Medications, NG & Foley Insertion, Dressing Change, Suture Removal.
being part of resuscitation team. - Writing Detailed Patient History, Examination Findings, Discharge Summary, Referrals, Prescriptions, maintaining Drug Charts, Sick Notes.
- Attending Ward Rounds and involvement in detailed case discussions and case presentations for CME.
- Attended and Assisted Many Surgeries like Appendectomy and Cholecystectomy, tonsillectomy, radical mastectomy, FESS & Septoplasty, bronchoscopy, endoscopy and colonoscopy.
Education
Bachelor of Medicine & Bachelor of Surgery -
Dow University of Health Sciences
04.2008 - 05.2013
Skills
- ENGLISH LANGUAGE COMMUNICATION
- COMPUTER & IT SKILLS
- TEAM WORK
- TIME MANAGEMENT
- PATIENT COUNSELLING
- INTERPERSONAL SKILLS
Registration & Licensure
General Medical Council UK - Full Registration with a license to Practice
GMC # 7908252
Ministry of Health & Prevention UAE - Full Registration with a License to Practice
MOH # D59474
Pakistan Medical & dental Council - Full Registration with a License to Practice
PMDC # 64491-S
Procedure Proficiency
- Capable of Independently performing a wide variety of Procedures like IV Cannulation, Central Venous Catheterization, Blood Sampling, Foleys Catheterization, NG Tube Insertion, Ascitic Tapping, Pleural Tapping, Non-Invasive Ventilation, Sutures, ECG and its interpretation, Bedside Ultrasound and Life Saving Procedures involving High quality CPR, Cardioversion/Shocks if required. Suturing the Wounds, Incision & Drainage of Small Abscess, Identifying Simple Fractures and Applying Back-Slab, foreign body removal etc.
- Experience of assisting Endoscopy, Performed Coloscopy under supervision and Inserted Peg Tube Under Supervision
Professional Trainings & Courses
- Basic Life Support
- Advanced Cardiac Life Support
- Paediatric Advanced Life Support
Audits & QIP
- STEMI Audit instances of Delay in Urgent PCI Arrangement for STEMI Cases was identified, Analysis revealed causes involved ECG Delay by Nursing Staff, Delay in Physician Assessment. As a remedial Action, a Policy was established for Nursing Staff to Ensure ECG of patients complaining of chest pain Within Ten Minutes of Arrival and Physician to Assess the ECG within 15 Minutes. This Significantly reduced the Door to Balloon Time. Re-Audit verified the Positive Impact.
- Stroke Audit, instances of missing the thrombolysis Window were identified because of delays originating from multi-disciplinary Interaction and response. Therefore A Urgent Response Code was Established with clearly communicated guidelines to a Specifically drafted Multi-disciplinary Stroke Team. Upon Arrival of a Suspected Stroke Patient, After Initial Assessment by Emergency Physician, Stroke Code is Announced, The Patient is directly taken to the CT and the Stroke Team takes Over. Since Implementation of Stroke Code, reaudits revealed not even a single instance of Missing the Thrombolysis window.
Research
- Factors Influencing Non-Urgent Emergency Department Visits - A review of Causes & Impact
- Identification of Communication Issues between Patients and Nursing Staff in Triage of Emergency Department
Teaching Experience
- Informally teaching the Interns and Final year MBBS Students, History Taking, Thorough Examination, ECG Interpretation, Simple Procedures like IV cannulation, Drug Charting etc.
- Delivered multiple presentations and case studies to Interns, Final year Students and Colleagues on topics like Stroke, Pulmonary Edema, DKA, ascites.
- Currently completing online medical teaching Course from Oxford ( Teach The Teachers)
Timeline
General Practitioner - EM
Ibrahim Bin Obaid Ullah Hospital
09.2022 - Current
General Practitioner - EM & In-Patient
RAK Hospital
03.2020 - 09.2022
General Practitioner - EM & In-Patient
Riphah International Hospital
05.2017 - 05.2018
General Practitioner - GP
Soan Medical & Dental Complex
10.2014 - 10.2015
House Physician
Fauji Foundation Hospital
10.2013 - 10.2014
Bachelor of Medicine & Bachelor of Surgery -
Dow University of Health Sciences
04.2008 - 05.2013
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