General Surgery
 


General Surgery

The training programme in General Surgery at Aga Khan University Hospital was initiated in 1986.  In 1988 and again in 2003, the College of Physicians and Surgeons, Pakistan, approved the programme to fulfill the requirements to take its fellowship examination.

In April 1990, the Royal College of Physicians and Surgeons of Glasgow approved the programme for its fellowship examination.  In June 1992, the Royal College of Surgeons of Edinburgh gave approval to the programme for its fellowship examination.  After the recent changes in the examination structure of the royal colleges, the training in general surgery residency programme is still recognised for the MRCS examination.

This programme has graduated 59 surgeons to date; out of whom a majority are serving in various institutions all over Pakistan.

Objective

The goal of the programme is to provide supervised, structured and comprehensive training in General Surgery from which trainees would emerge as clinically and academically competent surgeons.

Duration of training

The General Surgery Residency Programme extends over five years, during which progressively increasing exposure and responsibilities are given to trainees, both in the operating room and in the pre-and post-operative management of patients.

Eligibility

  • MBBS or equivalent degree approved by the PM&DC, with 60 per cent or above marks in the final examination
  • One year internship with six months in Medicine and allied and six months in Surgery and allied disciplines
  • Candidates with FCPS Part one are preferred
  • Fresh graduates of less than four years are preferred

The candidates are short-listed based on the MCQs examination scores and the  parameters listed above.  Final selection is made after a set of interviews with the faculty.

Scope and content

Clinical training 

Years 1 and 2

As per CPSP requirement, all the residents undergo rotations of 18 months in general surgery, 3 months in orthopaedic and trauma, and the remaining 3 months in other specialties including urology/neurosurgery/plastic surgery/paediatric surgery/cardiothoracic surgery.  They are primarily involved with patient care in wards and clinics with some operating room exposure in General Surgery as well as the specialties.  During these two years, they have core curriculum seminars every week.  At the end of the Year 2 of training, the residents are eligible for intermediate module examination from CPSP.

Years 3 and 4

These residents have progressively increasing patient care responsibilities and operating room experience, which is more or less tailored to the residents' needs and levels of competence.  The residents in Year 3 spend most of their time in General Surgery.  Year 4 residents have an elective rotation in Cardiothoracic Surgery for 3 months and an optional three months extra mural rotation in General Surgery.

Year 5

This year is spent as Chief Resident with rotations in the General Surgery teams.  The chief residents are responsible for the overall management of the clinical service.  In addition to considerable independence in the operating room, they play a critical role in the learning experience provided to the students and junior residents.

Didactic content

In addition to the routine daily ward rounds by consultants of different services, weekly grand rounds, morbidity and mortality meetings, journal clubs, evidence based seminars, operative surgery sessions, residents’ research hour and service audits are held regularly. 

Evaluation

Of the six residents joining at Level I, three to four eventually complete the programme as chief residents.  Promotion to the next level is on the basis of continuous evaluation by the faculty and end of the year examinations.  A system of on-going workplace based assessment has also been recently introduced, where residents undertake mini-CEX and DOPS at regular intervals.

On-call duties

Each resident does an average of one night in four on-calls within the Hospital premises, although occasionally one night in three or two may be necessary.

Positions available

Depending on the availability, five to six positions for Level I residents are open from January 1 of each year.  Positions are advertised in leading national newspapers.

Administrative set-up

The residents rotate through four General Surgical services and various specialties including Paediatric Surgery, Orthopaedic Surgery, Urology, Neurosurgery, Cardiothoracic Surgery, and the Emergency Room.  In each of these areas, a senior resident has the overall responsibility for all the patients and is in close contact with the consultants concerned.  All junior residents are expected to work in close liaison with the respective senior residents and a meaningful learning experience is provided to the residents.  All the faculty members are part of the residency committee while Dr Rizwan Khan is the Programme Director.

Full-time Faculty

Professor and Chairman 

Dr Asad Jamil Raja 
MBBS Karachi; FRCS Edinburgh 

Professor 

Dr Shaista Masood Khan 
MBBS Karachi; FRCS Edinburgh 

Associate Professors

Dr Inam Pal 
MBBS Karachi; MSc London; FRCS England 

Dr Hasnain Zafar 
MBBS AKU; FRCS Glasgow 

Dr Rizwan Azami 
MBBS Karachi; MCPS, FCPS Pakistan 
Director - Postgraduate Surgical Education Committee

Assistant Professors 

Dr Rizwan Khan 
MBBS Punjab; FCPS Pakistan; FRCS Edinburgh and Glasgow 
Programme Director 

Dr Abdul Rehman Alvi 
MBBS Karachi; FCPS Pakistan, FRCS Glasgow 
Co-Director - Postgraduate Surgical Education Committee

Dr Tabish Chawla 
MBBS Punjab; FRCS Glasgow 

Dr Abida Sattar 
MBBS Karachi; MD; FACS; USA 

Dr Amir H. Shariff 
MBBS Karachi; MD; FACS; USA 

Dr Nazia Riaz 
MBBS Karachi; FCPS Pakistan; MRCS Glasgow

Dr Syed Yawar Mehdi
MBBS (Karachi); FRCS

Senior Instructors

Dr Irum Naz 
MBBS Karachi; FCPS Pakistan; MRCS Edinburgh 

Dr Zia-ur-Rehman 
MBBS Karachi; FCPS Pakistan

Part-time Faculty 

Dr Aamir M. Jafarey 
MBBS Karachi; FRCS Edinburgh; FCPS Pakistan 

Dr Fazal ur Rehman 
MBBS Karachi; FCPS Pakistan

Dr Irfan Daudi 
MBBS Karachi: FRCS Glasgow 

Dr Tahir Shafi Khan
MBBS Punjab; FRCS England 

Dr Turab Pishori 
MBBS; FCPS; FRCS 

Dr Ziad Sophie 
MBBS Karachi; DABS USA 

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How to Apply​