Nephrology
 


Nephrology

Nephrology is the branch of medicine concerned with the care of patients with kidney disease and disorders of fluid and electrolyte metabolism.

The section of Nephrology at AKUH, Karachi has earned a reputation for excellence in outcomes-focused patient care.  The large number and variety of cases treated by the service is indicative of our ability to deliver comprehensive and quality health care.

The Nephrology Residency Programme at AKU was launched in 2006 to meet the needs of research, education, and patient care, in the field of Nephrology.

Objective

The Nephrology residency programme is structured to provide outstanding academic and clinical experience producing competent consultant nephrologists.  The programme is designed to provide opportunities including strong clinical training with an eye towards developing the comprehensive cognitive and procedural skills that are fundamental to nephrology.  In addition, in-depth training in applied and basic research to foster the trainee's development into an independent researcher in the areas of nephrology is provided.

The specific goals of the programme include formal instruction, clinical experience, and opportunities to acquire expertise in a wide variety of renal, hypertensive and fluid-electrolyte disorders.  They also include special experiences in various forms of Renal Replacement Therapies including Hemodialysis, Peritoneal Dialysis and Kidney Transplantation.

Much of the learning about disease, the acquisition of technical skills and acquisition of professional attitudes comes through the very close one-on-one supervised patient care during the clinical year.  Methods of evaluation, diagnosis, management and cost effectiveness are integral parts of the work done by the resident-faculty team.

Clinical experience in the field of dialysis, extracorporeal therapies and renal transplantation will entail supervised involvement in decision making for patients undergoing these therapies and during pre and post transplant care.  Clinical research is an integral part of the overall activities of the section of Nephrology.  The diverse clinical and research materials that are available at AKUH allow for clinical research in a variety of areas.  Trainees will be encouraged to avail this learning opportunity and pursue individual or collaborated longitudinal research projects during their training period.

Duration of training

Nephrology Residency Programme is a three year structured training programme with one to two resident in each year.

Eligibility

  • MBBS or equivalent degree approved by the PM&DC
  • One year internship with six months in Medicine and allied and six months in Surgery and allied disciplines
  • FCPS Part I/MRCP Part I
  • Two year training in a medicine residency programme recognised by the College of Physicians & Surgeons of Pakistan

Scope and content

Clinical training
During the three 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
Clinical rotations are structured over a period of three years as per CPSP requirements:

Year 1 Rotation
Months (12)

  • Inpatient Service   6
  • Research    2
  • Urology    1
  • Paediatric Nephrology  1
  • Pathology    1
  • Vascular Surgery   1

Year 2 Rotation
Months (12)

  • Inpatient Service   4
  • Research    2
  • Urology    1
  • Radiology    1
  • Dialysis Unit    4

Year 3 Rotation
Months (12)

  • Inpatient Service   4
  • Research    4
  • External Elective   3
  • Radiology    1

Research opportunities
The trainees are strongly encouraged to pursue clinical/epidemiological research related to nephrology.  Existing large population-based studies led by faculty provide a valuable platform for resident projects for mentored-research.  In addition, many opportunities are available for courses in research.

Teaching schedule and conferences

  • Morning reports and residents bedside teaching - every Monday through Friday for trainees on inpatient service (daily rounds)
  • Medicine Grand Rounds (Monday mornings)
  • Professor's lecture (Wednesday mornings)
  • Residents core tutorials (first Tuesday of the month)
  • Residents hour (second Tuesday of the month)
  • Research forums (third Tuesday of the month)
  • Morbidity and Mortality meetings (fourth Tuesday of the month)
  • Journal club (every alternate Thursday)
  • PGME organised lectures and conferences
  • Special lectures

Evaluation

  • Weekly case presentations
  • Six monthly reviews of the logbook and evaluation of performance
  • Monthly continuous in-training evaluation
  • Annual In-service/In-training exam comprising of MCQs and Objective Structured Clinical Examination (OSCE)

On-call duties

Usual working hours are Monday through Friday 8:00 am to 5:00 pm.  Weekend coverage is divided between trainees so that they cover one or two weekends per month.  Currently, we do not have a mandatory night call system but this be implemented in the near future with residents taking calls in-hospital every fourth night.

Positions available

One resident will be recruited every year.

Administrative set-up

Full-time Faculty

Professor

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

Associate Professor

Syed Ather Hussain MD
MBBS, MSc Epidemiology & Biostatistics USA
Diplomate American Boards of Internal Medicine & Nephrology
Head, Section of Nephrology

Assistant Professor

Waqar Kashif MD
MBBS; Diplomate American Boards of Internal Medicine & Nephrology;
Fellowship Critical care Medicine USA
Programme Director

Senior Instructors

Dr. Muhammad Abdul Mabood Khalil
MBBS (Peshawer); MCPS Medicine; FCPS Medicine & Nephrology
ISN Fellowship Nephrology Singapore
Programme Coordinator

Dr Muhammad Abdul Mabood Khalil
MBBS Peshawer, MCPS Medicine
FCPS Medicine & Nephro, ISN Fellowship Nephro

Dr Sonia Yaqub
MBBS (Lhe),
FCPS Nephrology,

Part-time Faculty

Dr. Absar Ali MD
MBBS Karachi
Diplomate American Boards of Internal Medicine and Nephrology

Dr Mansoor A. Shah
MBBS Karachi; MRCP UK

Dr Arshad Ahmad
MBBS Karachi
Diplomate American Board of Internal Medicine

Dr Iffat Hamid Yazdani
MBBS & MD India

Related Links

How to Apply