Paediatrics and Child Health
 


​​Paediatrics and Child Health

The Residency Programme in Department of Paediatrics, division of Maternal and Child Health at the Aga Khan University Hospital was started in 1986.  Since then, the department has occupied a distinguished place in the history of AKU, with a continuous tradition of excellence in patient care, teaching and research.  Our aim is to provide every resident a comprehensive and broad-based foundation in Paediatrics so that they graduate as highly competent paediatricians, well equipped to begin a career in general paediatrics or join a subspecialty or academic fellowship. 

Skilled, dedicated faculty and strong subspecialty rotations attract a large number of nationwide and regional referrals.  As a result not only the patient load is well balanced but the residents gain experience in a wide spectrum of diseases. 

Throughout their four year training, residents gain a broad base of experience in general paediatrics, at secondary and tertiary care level, plus  exposure in neonatology, paediatric emergency medicine, paediatric intensive care and following subspecialties Cardiology, Haematology/Oncology, Infectious diseases, Neurology, Nephrology, Endocrinology and Paediatric surgery. 

The training is recognised by the College of Physicians and Surgeons, Pakistan for FCPS Part II and by the Royal College, UK, for MRCPCH Part II. 

Eligibility

  • MBBS or equivalent degree approved by the PM&DC
  • One year internship with six months in Medicine and allied (paediatrics will be given preference) and six months in Surgery and allied disciplines
  • FCPS Part I in Medicine and allied is mandatory 
  • Candidates are required to sit for an entry examination in August/September each year.  After the written examination, candidates are called for an interview before final selection for the programme.

Scope and content 

Clinical training 
Paediatric training is a graded experience offering more independence, teaching opportunities and supervisory roles as the resident progresses through training. 

Year 1 
Emphasis during the first year is on direct patient care and acquisition of the basic knowledge and technical skills essential for the care of both sick and well newborn, infants and children.  First year assignments include rotations to the off campus hospitals and at main campus  in  the general paediatric services  neonatology and Emergency Room.  The first year resident is the primary physician on all of the inpatient units and is expected to make daily work rounds, to collect and interpret data and gain experience in patient management under the supervision of senior residents and faculty. 

Year 2 
During the second year, resident's progress into a senior role assisting first year residents, helping students in clerking patients, they are assigned to general paediatric, ambulatory care, NICU and Emergency Room.  Second year is also the time when the residents are rotated through the subspecialty areas as part of their training.  They are assigned in the wards and are primarily responsible for the patients in the team.  They are expected to ensure that good quality medical records are being kept, to prepare for clinical presentations and to help in medical audit, mortality and morbidity meetings. 

Year 3 
This year is structured to permit the resident to function primarily in an independent  capacity and to further pursue specific career goals.  As a senior resident, he/she may be assigned rotations through all the inpatient areas of the department, ambulatory care and subspecialty rotations.  Residents are expected to exhibit leadership skills, independent decision-making and co-ordinate various ward activities. 

During this year, they are expected to submit their dissertation to fulfill the requirement of FCPS Part II Examination. 

Year 4 

During the fourth year, the resident spends more time in supervisory roles.  They are assigned to inpatient, ambulatory and intensive care unit.  An elective period in a subspecialty of the resident's choice is also part of the fourth year.  Flexibility in these rotations and elective assignment allows for individual preference and continued exploration of career goals. 

Their role includes teaching junior residents and students and co-coordinating postgraduate sessions.  They are also expected to give lectures and tutorials to students and undergraduates.

Off campus Hospitals rotations
Mandatory rotations at four off campus sites Garden, Karimabad, Kharader and Hyderabad are part of training during the first two years of residency which provides primary and secondary level of General  Paediatric Neonatolgy, ambulatory and emergency care rotations. 

Research 
The Department of Paediatrics, Maternal and Child Health has extensive clinical and outreach research programs that provide excellent opportunities for residents to pursue elective rotations at a senior level.  A wide variety of basic science research is continuously conducted throughout the department.  Residents are encouraged to participate in research projects conducted by our diverse faculty, throughout their residency. 

Didactic content 
The didactic portion of the curriculum is organised to present knowledge which comprises current and evidence based practices in paediatrics.  The teaching sessions include  comprises a patient care meeting, monthly grand rounds, journal club, case conferences, clinical seminars, long and short case discussions and postgraduate lectures.  In addition to these, there are perinatal and paediatric morbidity and mortality meetings, ICU and Radiology conferences.  Guest lectures by eminent paediatricians from Pakistan and overseas are arranged regularly.  It is the mission of our programme to produce excellent clinicians who are competent to face the challenges of entire range of paediatric population with competence and fundamental modalities of therapy currently available in this contemporary era. 

Fellowship 
Our fellowship programme recruits individuals interested in outstanding clinical care and multidisciplinary research.  We offer a wide variety of research and training opportunities that are tailored to their individual needs.  These fellowships support basic and clinical research education.  The Department of Paediatrics and Child Health is currently offering fellowship in Neonatology, Cardiology, Infectious diseases, Haematology-Oncology and Neurology. 

Evaluation 

Residents are evaluated by the faculty regularly.  In addition to continuous evaluation, multiple choice questions, slide test, tutorials and presentations are used for resident evaluation.  A Task Oriented Assessment of Clinical Skills (TOACS) format exam is also arranged every year to train residents and evaluate them on regular basis. 

On-call duties 

There is a one-in-four (or three) nights on-call and weekends on-call roster. 

One senior resident Year 1 or Year 2 is on night call in NICU to cover NICU, Labour Room and Operating Room.  One Year 3/4Resident works as a floater on night call and can be called to any area, i.e. ER, Ward, NICU or wherever the need arises.  One Year 3/ 4 resident is on call for Paediatric ICU.  Each area is supported by our on-call faculty members. 

Positions available 

Regular positions: 
There are 55 regular positions. 

Flexible Residency programme:
A flexible training programme was introduced to benefit those physicians who are unable to attain training because of the inability to adjust to fixed training hours because of well founded individual reasons.  Two positions are available. 

Administrative set-up 

Full-time Faculty 

Chairman Division of Maternal & Child Health 

Dr Zulfiqar A. Bhutta, T.I
MBBS (Peshawar); DCH (London); FRCP (Edinburgh); FCPS (Pakistan); FRCP CH (UK); PhD (Karolinska) 

Acting Chairman Division of Maternal & Child Health 

Dr Iqtidar Ahmad Khan
MBBS (Peshawar); DCH (Glasgow); MRCP,FRCP (Ireland); FRCPCH UK; Fellowship in Paediatric Nephrology, (Canada) 

Professor and Chairman Paediatrics & Child Health 

Dr Anita Zaidi
MBBS (AKU); MS Harvard
Diplomate American Boards of Paediatrics, Infectious Diseases, Pathology and Microbiology,(USA).

Professors 

Dr Mehnaz Atiq
MBBS (Marathwada); FCPS Paediatrics FCPS Paediatrics Cardiology (Pakistan), Fellowship in Interventional Paediatric  Cardiology (Canada) 

Associate Professors

Dr Shahnaz H. Ibrahim
MBBS (Karachi); FCPS (Pakistan);Clinical Fellowship in Paediatric Neurology, (Toronto) 

Dr Zehra Fadoo
MBBS (AKU); FAAP, (USA);
Diplomat American Board of Paediatrics, (USA); Fellowship in Paediatric Haematology and Oncology (USA)

Dr Anwarul Haque
MBBS (Karachi)
Diplomate, American Board of Paediatrics&Paediatrics Critical Care Medicine, (USA) 

Assistant Professors 

Dr Muhammad Sohail Salat
MBBS Karachi; FAAP(USA)
Diplomate American Board of Paediatrics (USA); Fellowship in Neonatology (USA) 

Dr Khalid Ahmed
MBBS(DOW)
Diplomat American Board of Paediatrics , Neurology, Special Qualification in Child Neurology
Psychiatry and Neurology USA. 

Dr Shakeel Ahmed
MBBS (Karachi); MCPS Paediatrics, FCPS Paediatrics (Pakistan); MRCPCH (UK), FRCPCH (Glassgow) 

Dr Syed Rehan Ali
MBBS (Karachi); DCH(Ireland); MRCP (Ireland); 

Dr Khadija Nuzhat Humayun
MBBS Karachi; FCPS Pakistan, Clinical fellowship in Paediatric Endocrinology,UK
Director Residency Program

Dr Arshalooz Jamila Rahman
MBBS Karachi
Diplomate, American Board of Paediatrics; Fellowship in Paediatric Nephrology ,USA
Coordinator Residency Program

Dr Maqbool Qadir
MBBS Karachi; FAAP (USA)
Diplomate American Board of Paediatrics, (USA); Fellowship in Neonatology (USA) 

Dr Sajid Bashir Soofi
MBBS Punjab; FCPS Pakistan 

Dr. Bushra Afroze
MBBS (Karachi); DCH (Karachi); MCPS (Pakistan), FCPS (Pakistan); Fellowship in Clinical Genetics and Metabolic Disorders, (Malaysia)

Dr. Babar Hasan
MD, FAAP, FACC, Diplomate American Board of Paediatrics, Diplomate American Board of Paediatric Cardiology

Dr. Shabina Ariff
MBBS, Karachi, FCPS (Paeds) FCPS (Neonatology)

Senior Instructors 

Dr Khalil Ahmed
MBBS; DCH; FCPS (Paediatrics); Fellowship in Neonatology UK 

Dr. Farah Naz
MBBS, Karachi, DCH,FCPS, Fellowship in Paeds Infectious Disease, AKU,
MSC in Epidemiology & Biostatics, AKU

Dr. Fatima Mir
MBBS (Peshawar), FCPS

Dr. Atika Sher Mohammad
MBBS

Dr. Heeramani Lohana
MBBS (Hyderabad), FCPS (Paediatric Medicine)

Dr. Anila Haroon
MBBS, DCH,FCPS, Fellowship in Neonatology

Dr. Noureen Afzal
MBBS, FCPS in Paediatrics

Geographic Full Time & Non Full Time Faculty 

Dr Abdul Gaffar Billoo
MBBS (Karachi); DCH (Glasgow); DTM&H (London), FRCP (Edinburgh) 

Dr Shaikh Qamaruddin Nizami
MBBS Peshawar; MCPS, FCPS Pakistan

Dr Adina Rihab Sheikh-Sajjad
MBBS AKU; LRCP, LRCS, LMSSA UK 

Dr Asma Fozia Qureshi
MBBS Karachi; DCH Glasgow; FCPS Pakistan 

Dr Durr-e-Samin Akram
MBBS Karachi; MPh Yale
Diplomate, American Board of Paediatrics; FAAP USA 

Dr Farhana Amanullah
MBBS AKU
Diplomate American Board of Paediatrics; Fellowship in Nephrology USA 

Dr Iqbal Ahmed Memon
MBBS Karachi; FRCP Canada
Diplomate, American Board of Paediatrics; Fellowship in Paediatric Gastroenterology; FAAP USA 

Dr Mohsin Ahmed
MBBS Dhaka; FRCP Glasgow; DCH London; MRCP Glasgow 

Dr Najam Z. Sheikh
MBBS Karachi; FAAP USA
Diplomate American Board of Paediatrics 

Dr Naseeruddin Mehmood
MBBS AKU; FAAP USA
Diplomate American Board of Paediatrics; Fellowship in Neonatology Canada 

Dr Parveen Mufti
MBBS Karachi
Diplomate, American Board of Paediatrics; FAAP USA 

Dr Salahuddin Shaikh
MBBS Karachi; DCH England; FRCP Glasgow; MRCP, FRCPCH UK 

Dr Sohail Thobani
MBBS Karachi
Diplomate, American Board of Paediatrics, Paediatric Gastroenterology and Nutrition USA; FAAP USA 

Dr Najam  Zafar Shaikh
MBBS Karachi
Diplomate, American Board of Paediatrics; FAAP USA 

Dr Zeenat Isani
MBBS Lahore; FCPS Pakistan; MRCP; FRCP UK 

Dr Zohair Ali Nanjiani
MBBS Karachi; Fellowship, Adult and Paediatric Neuromuscular Disorders, Electromyography, Adult Neurorehabilitation and Muscular Dystrophy Research USA​​

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