Pulmonary Medicine offers complete diagnostic evaluation and clinical management of all respiratory disorders for inpatient and outpatient services.
Pulmonary Medicine Residency Programme at Aga Khan University is an adult Pulmonology training programme accredited by the College of Physician and Surgeons (CPSP) in Pakistan and was established at AKU in 1999. The programme aims at providing comprehensive training in all aspects of pulmonary and critical care medicine. The stress is on producing academically qualified and highly competent professionals who are current in their knowledge and clinical practice skills. It offers high-level training under the supervision of motivated specialists in this field. AKUH has eight Pulmonary and critical care specialists and one Allergist/Immunologist, with varying interests in different respiratory diseases including tuberculosis, asthma and COPD, allergy and immunology, interstitial lung disease, sleep apnea, non-invasive ventilation and critical care medicine.
The equipment and facilities available for training at this institution (e.g. modern sleep lab, well-equipped bronchoscpy suite, pulmonary function lab, respiratory special care unit offering non-invasive ventilation and ICU) are the latest and state-of-the-art. There is a close liaison with the Department of Radiology, Cardiology and Cardiothoracic Surgery at AKU which is an essential component of a good training programme in this field. This programme offers organised structured training, availability of state-of-the-art equipment and a system of provision of quality care.
Goals and objectives
The overall goal of the Pulmonology Residency Programme is to train highly qualified pulmonologists who will contribute substantially to this field through exemplary patient care, original research, and teaching.
The trainee will achieve this goal through the following objectives:
- Become proficient in the clinical diagnosis and medical treatment of acute and chronic respiratory diseases including life-threatening illnesses
- Become proficient in the selection, performance, and evaluation of procedures necessary for the morphologic and physiologic assessment of pulmonary diseases
- Develop a comprehensive knowledge of the pathophysiology of adult respiratory disorders through self-study and formal workshops, lectures, and seminars offered as part of the training programme
- Acquire effective teaching and communicating skills in Pulmonology
- Understand the psychosocial aspects of respiratory diseases, develop skills in counseling, and become knowledgeable of the ethical issues related to respiratory diseases
- Develop the administrative skills necessary to operate a Pulmonology facility including knowledge of staffing needs, unit management, programme development, and grant proposals
- Acquire the necessary research skills to design, conduct, evaluate, and prepare for publication a clinical or laboratory based research project through experience, mentoring, and formal courses in research design, biostatistics and epidemiology
Duration of training
The Pulmonary Medicine Residency is a three-year training programme.
- MBBS or equivalent degree approved by PM&DC
- One year internship with six months in Medicine and Allied and six months in Surgery and Allied disciplines
- FCPS (Medicine) Part I or MRCP Part I is mandatory. FCPS Part II or equivalent diploma (e.g. MRCP or Diplomate ABIM) is preferred
- Two years approved training in Internal Medicine
Scope and content
Skills and clinical training
The programme will emphasize heavily on clinical and practical skills in evaluating patients with pulmonary diseases. The resident will be able to perform procedures such as pleural aspiration and biopsy, chest tube insertion, and fiberoptic bronchoscopy. The resident will be able to manage critically-ill patients in special care units and ICU independently. S/he will be able to conduct independent pulmonary clinics and to counsel patients regarding ways to prevent pulmonary diseases. The trainee will be able to teach and supervise the junior residents, interns and medical students rotating in Pulmonary Medicine.
The resident will be taught at the bedside and also in the form of formal lectures and seminars. S/he will actively participate in teaching ward rounds and clinics, journal club, Pulmonary-Radiology session and other conferences. The resident will also participate in other teaching activities such as medical grand round, presentation of clinical practice guidelines and mortality and morbidity meetings.
Research opportunities are a major strength of this training programme. The resident will participate in clinical and/or basic research under the supervision of a faculty member. Approximately 20 months of training will be devoted to the acquisition of research skills. Numerous opportunities for clinical research exist. Residents interested in clinical research are encouraged to pursue master's level training in statistics or epidemiology.
The trainees will be in almost daily contact with one or more faculty members. The faculty member will give regular feedback to the residents and to the Programme Director/Coordinator. The Programme Director or Coordinator will discuss the performance with each trainee every three to four months. When necessary, the Programme Director/Coordinator will discuss the performance of the trainee with them more frequently than the above schedule and will provide appropriate counseling. Consistent inability on the part of the trainee to meet the required standard would lead to discontinuation from the training programme. There are two formal examinations held per year for their formal assessment.
We have eight training positions.The programme is fully established with six residents in training at present.
There are six full-time and three part-time faculty members in the section of Pulmonary and Critical Care Medicine. In addition to clinical and teaching responsibilities, these faculty members have administrative responsibilities and research interests.
Professor Javaid A Khan
MBBS Karachi; FRCP Edinburgh.
Dr Ali Bin Sarwar Zubairi
MBBS Karachi; Diplomate American Boards of Internal Medicine, Pulmonary and Critical Care Medicine, USA
Dr Shahid Javed Husain
MBBS Lahore; Diplomate American Boards of Internal Medicine, Sleep Medicine, Pulmonary and Critical Care Medicine USA
Dr Ahmed Suleman Haque
MBBS Karachi; MRCP UK; FRCP UK; FCCP.
Dr Muhammad Irfan
MBBS Karachi; FCPS (Med), FCPS (Pulmo) Pakistan
Dr Hashir Majid
MBBS Karachi; Diplomate American Boards of Internal Medicine, Sleep Medicine, Pulmonary and Critical Care Medicine USA
Dr Erfan Hussain MD, FACP, FCCP
Director, Adult Critical Care Services
Diplomate American Boards of Internal Medicine, Pulmonary Disease, and Critical Care Medicine
Dr Murtaza Muhammad Kazmi
MBBS Karachi; Diplomate American Boards of Internal Medicine and Pulmonary (USA)
Dr Nisar Ahmed Rao
MBBS Karachi; FCPS Pakistan
Dr Asif Ali Imam
MBBS Karachi; Diplomate, American Boards of Internal Medicine, Allergy and Immunology USA