Internal Medicine
 


Internal Medicine

Aga Khan University has been the pioneer institute for initiating structured medical residency programmes in Pakistan.  These programmes are role models for other programmes.  The Internal Medicine Residency Programme is the largest and one of the major strengths of the University.

Department of Medicine

The mission of the Department of Medicine at Aga Khan University Medical College is to strengthen the discipline of internal medicine and its subspecialties, and to positively impact the diagnosis, treatment and control of diseases affecting the populations it serves.  The department is committed to excellence in undergraduate and postgraduate medical education, to training primary health care professionals, to clinical, epidemiological and basic science research that expands the frontiers of medical knowledge, and to the provision of caring service to affected patients and their families.

The postgraduate teaching activities of the Department of Medicine includes a structured internal medicine residency programme.

Internist

The graduates of the residency programme in internal medicine are internists or general medical specialists.

The internist

  • Is an expert in the assessment, diagnosis and management of general medical problems
  • Is capable in the management of acute unselected medical emergencies and the management of patients in a holistic way
  • Values the continuing care of all patients, irrespective of the nature of the patient's complaint
  • Is trained in all of the major medical subspecialties as well as intensive care, palliative care, therapeutics and toxicology, and behavioural science
  • Is trained in some aspects of clinical biochemistry, immunology, microbiology, radiology and nuclear medicine
  • Formulates a total evaluation of the patient and prioritises treatment, which may include surgery
  • Coordinates the care for all patients and involves other specialists as required
  • Functions in clinical, counselling, educating, leadership and management roles

Postgraduate examination results

The Internal Medicine Residency Programme at AKU started in 1987.  To date, 122 candidates have graduated from this programme.  The main aim of the residents in the residency programme is to gain adequate medical knowledge, clinical skills and professional attitude to enable them to function as an excellent internist.  In addition, an important objective is to gain credentials through their postgraduate exam in due course of time.

The results of our candidates in FCPS and MRCP are commendable.  This is due to extensive structured interactive learning opportunities provided to the residents during their training.  Most of our graduates are working at leading positions in the country.  A large number of the graduates are serving as faculty in our own institute.

Goals and objectives

The internal medicine residency programme is a four-year structured training programme, offering clinical training in general medicine and medical subspecialties, adherent to the requirement of the College of Physicians and Surgeons of Pakistan.

It is designed to provide academic environment, formal teaching and broad clinical experience to the trainee, necessary to become an excellent general medical specialist/internist.

At the end of training, the resident is able to:

  • Acquire the ability to care for a wide range of clinical problems
  • Perform thorough and comprehensive history and physical examination in an effective manner
  • Document patient's history, physical examination and progress, clearly and concisely in the medical record
  • Present the relevant history and physical findings in a coherent and precise manner
  • Formulate complete problem list from the initial data, and prepare an effective diagnostic and therapeutic plan

Residents are given graded responsibility for patient care during their years of residency.  The senior resident is able to demonstrate a level of knowledge, clinical skills, technical skills and attitudes consistent with independent consulting practice.  The residency programme provides adequate opportunities for residents to gain skills in the all the common and emergency procedures.  The resident functions within the context of a team approach to patient care.

The residents are given provision of an appropriate balance of inpatient, outpatient, critical care and ambulatory training experiences.  Residents have sufficient exposure to each of the recognised medical subspecialties so as to become fully familiar with the role and contribution of each to effective patient care.  In the residency programme, methods are in place of careful and fair evaluation of residents performances.

Appropriate feedback, guidance, and counselling are given to assure proper development in all areas of training and professional behaviour.

Curriculum

Core curriculum

During the four years of residency training the core curriculum is covered through formal core lectures, clinical rotations, tutorials, problem-based learning, grand rounds, morning report, journal club, mortality and morbidity meetings, practice guidelines, bedside examinations and group discussions.

Clinical Rotations

As per CPSP requirements (see residency manual).

Teaching and learning strategies

Core Lectures ​ Weekly
Grand Rounds Weekly
Morning Report Twice a week
Journal Club Twice a month
Mortality and Morbidity Monthly
Grand Round by Resident Monthly
Residents Hour Weekly
Professors Lecture Monthly
Clinicopathological Conference Monthly
PGME Lectures Twice a month
Clinical Practice Guidelines Monthly
Synopsis discussion forum Monthly
Internal medicine audit Monthly
Teaching Ward Rounds Daily
FCPS-II COURSE Yearly
Subspecialty Teaching Sessions Twice a week
Dedicated long case examination sessions Monthly
Dedicated short case examination sessions Monthly
Clinic Assignments 1-2 clinics a week
ACLS Course Once in residency

Evaluation and feedback

  • Monthly continuous in-training evaluation
  • Annual in-service/in-training examination (a three-hour postgraduate mock examination)
  • Objective structured clinical examination (OSCE)
  • MCQs
  • A comprehensive yearly two-week, FCPS-II Course for senior residents
  • Annual residents' appreciation evening

Duration of training

The programme comprises four years of training.

Eligibility

  • MBBS or equivalent degree approved by the PM&DC, with 58 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
  • FCPS Part I/MRCP Part I

Candidates are required to sit for entry examination of medicine residency held in September each year.  Selected candidates are then called for an interview to further assess their motivation, leadership potential, communication skills, ambition and clinical judgment.  Successful candidates are selected for the programme.

On-call duties

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

Positions available

The Department of Medicine has 50 resident positions at present.  There are 12-14 first-year positions available each year.

Administrative set-up

The Departmental Residency Committee is mandated to oversee all aspects of the Internal Medicine Residency Programme and to ensure that it conforms to the goals and objectives of the residency programme.

This committee is responsible for the development, implementation and review of the postgraduate curriculum.

The committee is responsible for the general administration of the programme, which includes recruitment and selection of residents, teaching and rotation of residents and interns in general medicine and medical subspecialties inpatient and ambulatory care, supervision, counselling, evaluation and advancement of residents and interns.  The committee is responsible for maintaining resident's personnel records.

The Chair of the Committee is the residency programme director, Dr Muhammad Tariq.

Full-time faculty

Professor and Chairman

Dr Saeed Sadiq Hamid
MBBS Punjab; FRCP London and Ireland ; FACP, FACG USA
Gastroenterology
Distinguished University Professor Emeritus

Dr Camer W. Vellani
MBBCh; MD Wales

Professors

Dr Abdul Jabbar
MBBS Karachi ; FRCP London
Diabetes & Endocrine

Dr Javaid Ahmed Khan
MBBS Karachi; FRCP Edinburgh
Pulmonary Medicine

Dr Mohammad Ataullah Khan
MBBS Sindh; FRCP London; FACP USA
Cardiology

Dr Najmul Islam
MBBS Karachi ; FRCP London
Endocrinology, Diabetes and Metabolism

Dr S. Hasnain Ali Shah
MBBS Punjab; MD, FRCP Edinburgh; FACG USA
Gastroenterology

Dr S. M. Wasim Jafri
MBBS Karachi ; FRCP London, Edinburgh and Glasgow; FACP, FACG USA
Gastroenterology

Dr Tazeen Jafar
MBBS AKU; MPH Harvard
Diplomate American Boards of Internal Medicine, Nephrology and Paediatrics
Nephrology

Dr Jaweed Akhtar
MBBS UK ; ABIM, FRCP Edinburgh; FACP USA
Diplomate American Boards of Internal Medicine and Medical Education
Diabetes & Endocrine

Dr Saad Shafqat
MBBS AKU; PhD Harvard
Diplomate American Boards of Psychiatry and Neurology
Neurology

Dr Shahab Abid
MBBS Karachi ; FCPS Pakistan ; FRCP Edinburgh
Gastroenterology

Dr Mohammad Khurshid
MBBS (Karachi); D.Path (UK); FRCPath (Haematology); FISH (London).

Associate Professors

Dr Syed Ather Hussain MD
MBBS, MSc Epidemiology & Biostatistics ( USA )
Diplomate American Boards of Internal Medicine & Nephrology

Dr Mohammad Wasay
MBBS Karachi; FRCP Edinburgh
Diplomate American Boards of Psychiatry, Neurology and Neuro-imaging
Neurology

Dr Sajid Dhakam
MBBS AKU; FACC, FSCAI
Diplomate American Boards of Internal Medicine, Cardiovascular Diseases and Interventional Cardiology
Cardiology

Dr Ahmed Suleman Haque
MBBS Karachi ; MRCP UK
Pulmonary Medicine

Dr Ali Bin Sarwar Zubairi
MBBS Karachi
Diplomate American Boards of Internal Medicine, Pulmonary Disease and Critical Care Medicine
Pulmonary Medicine

Dr Ayeesha Kamal
MBBS AKU
Diplomate American Boards of Psychiatry, Neurology and Vascular Neurology; Fellow of the American Heart Association
Neurology

Dr Mughis Sheerani
MBBS Karachi ; MD Utah
Diplomate American Boards of Psychiatry and Neurology
Neurology

Dr Muhammad Tariq
MBBS Karachi ; MRCP UK
Internal Medicine
Director Postgraduate Programmes

Dr Nehal Masood
MBBS Karachi
Diplomate American Boards of Internal Medicine and Medical Oncology
Oncology

Dr Shahid Javed Hussain
MBBS Punjab
Diplomate American Boards of Internal Medicine, Pulmonary Disease and Critical Care Medicine
Pulmonary Medicine

Dr Salman Naseem Adil
MBBS (Karachi); FCPS.

Assistant Professors

Dr  Aamir Hameed
MBBS Punjab; FCPS (Internal Medicine and Cardiology) Pakistan
Cardiology

Dr Bhojo Asumal Khealani
MBBS Sindh; FCPS (Neurology) Pakistan
Neurology

Dr Fatehali Tipoo
MBBS Karachi ; FCPS Medicine; FCPS Cardiology Pakistan
Cardiology

Dr Hafiz M. Mehmood Riaz
MBBS Punjab; FCPS Pakistan
Internal Medicine

Dr Javed Majid Tai
MBBS Karachi ; FCPS (Medicine and Cardiology) Pakistan
Cardiology

Dr Javed Yakoob
MBBS Karachi ; PhD Central South University , China
Gastroenterology

Dr Muhammad Irfan
MBBS Karachi ; FCPS Pakistan
Pulmonary Medicine

Dr Muhammad Junaid Patel
MBBS Karachi ; MD USA
Diplomate American Board of Internal Medicine
Internal Medicine

Dr Sohail Abrar Ahmed Khan
MBBS Karachi ; FCPS Pakistan
Cardiology

Dr Syed Faisal Mahmood
MBBS, AKU: Residency in Internal Medicine, Chicago ; Fellowship in Infectious Diseases, USA
Diplomate, American Boards of Internal Medicine and Infectious Diseases, USA
Infectious Diseases

Dr Syed Muhammad Baqir
MBBS Karachi ; FCPS Pakistan
Emergency Medicine

Dr Waqaruddin Kashif
MBBS Karachi

Diplomate American Board of Internal Medicine, Nephrology and Critical Care Medicine
Nephrology

Dr Aysha Almas
MBBS Karachi ; FCPS Pakistan (Medicine); MSc Clinical Research AKU
Internal Medicine

Dr Farheen Ali
MBBS Karachi
Diplomate American Boards of Internal Medicine and Infectious Diseases
Infectious Diseases

Dr Qamar Masood
MBBS (Karachi), FACP, FACE (USA); Diplomate American  Boards of Internal Medicine, Endocrinology, Diabetes and Metabolism (USA).

Dr Muhammad Usman Shaikh
MBBS (Punjab); FCPS .

Dr Hashir Majid
MBBS (AKU); Diplomate, American Boards of Internal Medicine, Pulmonary Diseases and Critical Care Medicine (USA).

Dr Murtaza M. Kazmi
MBBS (AKU); Diplomate, American Boards  of Internal Medicine and  Pulmonary Diseases (USA)

Dr Adnan Jabbar
MBBS, PhD (Immunology), Diplomate American Boards of Internal Medicine and Medical Oncology.

Dr Faisal Wasim Ismail
MBBS (Karachi); FCPS Medicine, FCPS Gastroenterology; MACG (USA).

Senior Instructors

Dr Sadia Masood
MBBS; FCPS Dermatology

Dr Sadia Tabassum
MBBS; FCPS Dermatology

Dr Fariha Sadiq Ali
MBBS; MRCP (UK) Cardiology

Dr M. Nasir Rahman
MBBS; FCPS Medicine; FCPS Cardiology; Fellowship in Interventional Cardiology (AKUH).

Dr Asma Ahmed
MBBS (Karachi); MRCP (UK); Certificate in Diabetes & Endocrinology (RCP, UK).

Dr Azra Rizwan
MBBS, FCPS (Medicine), Fellowship in Diabetes & Endocrinology (AKU), MSc Clinical Research (AKU)

Dr Om Parkash
MBBS (Sindh); FCPS Medicine ; FCPS Gastroenterology , MSc Clinical Research (AKU), MACP, MACG (USA).

Dr Amna Subhan
MBBS; FCPS Medicine ; MACG (USA); MSc Clinical Research (AKU).

Dr Munira Shabbir Moosajee
MBBS (Karachi); Diplomate, American Board of Internal Medicine (USA); Fellowship in Haematology and Oncology (USA).

Dr Yasmin Abdul Rashid
MBBS (Bahawalpur); FCPS

Dr Saadia Tabassum
MBBS; FCPS Dermatology.

Dr Sara Sajid
MBBS (AKU); Diplomate, American Board of Internal Medicine (USA).

Dr. Kiren Habib
MBBS, FCPS (Internal Medicine)

Dr Muhammad Abdul Mabood Khalil
MBBS (Peshawar); FCPS; Fellowship in Nephrology (Singapore).

Dr Hafeez Ahmed

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