Currently I am in my home country Pakistan working as an SHO/Medical officer in the ICU and ED, and in the process of initiating my next job in the UK. Apart from working as a medical doctor I also teleconsult on the side and write medical pieces for prowrites.io (a platform for medical writing including blogs and MCQ Banks). Pakistan is a third world country with it's own healthcare challenges and due to that I have always longed to work and specialise in the UK at the same time provide my utmost level of commitment to the NHS. I also have an extensive three months clinical attachment (clinical experience) done in the UK done this year in 2023 where I learned the NHS working system learned EPRs and my duties in general as a junior doctor.  


This is my previous work and experience hx in a nut shell:

A) Pakistan RAILWAY Genreal hospital Fy1:

Completed three-month rotations each in:

General Medicine; Emergency, ICU, Ward/IPD, OPD
Paediatrics; Paediatric Emergency, NICU, WARD/IPD, OPD
General Surgery; Emergency, OT (Minor & Major), IPD, OPD
Orthopedics; Emergency, OT (Major), IPD, OPD

Duties involved clerking i.e taking history and performing relevant examinations and ruling out acute/emergency conditions and escalating properly while requesting investigations and delivering appropriate management after discussion with my seniors.

Skills I learned and mastered include  intravenous line, catheterisation, nasogastric tube insertion, IV/IM/SC injections adults and paediatric, arterial blood gases, wound care, sutures to name a few. I have gone about it in more details below.
 
1) Medicine:

Acquired proficiency in essential medical procedures, including IV, IM, SC injections, Venipuncture, ABG analysis, IV cannulations, urinary catheterization, nasogastric tube insertion, interpretation of basic ECGs, and Paracentesis.
Demonstrated competence in recognizing and responding to medical emergencies, adhering to established protocols and guidelines.
Gained expertise in patient prioritization based on the severity of their conditions and the principles of triage.
Developed a comprehensive understanding of the ABCDE approach and its practical application.
Acquired proficiency in performing cardiopulmonary resuscitation (CPR).
Mastered the skills required to handle unconscious patients according to the ALS algorithm.
Assisted in and observed procedures such as Intubations, central venous catheter (CVC) insertions, and chest tube placements.

2) Surgery:

Conducted thorough pre-operative and post-operative patient assessments under the direct supervision of experienced surgical professionals.
Gained invaluable insights into the surgical field through observations of various surgical procedures.
Acquired competence in fundamental surgical techniques, including simple interrupted and continuous stitching.

3) Paediatrics:

Developed the ability to swiftly recognize and respond to pediatric emergencies.
Conducted assessments of child development and growth.
Demonstrated proficiency in the diagnosis and treatment of common pediatric conditions.

4) Orthopaedics:

Actively participated in Orthopaedics clinics, enhancing exposure to musculoskeletal disorders and their management.
Gained practical experience by observing and assisting in orthopedic surgeries, including instrument handling and patient positioning.
Effectively managed trauma patients in the Emergency Department under the direct supervision of experienced Orthopaedic professionals.

These experiences reflect a comprehensive foundation in various medical disciplines and practical skills, demonstrating a commitment to professional growth and development in the healthcare field.


As a junior doctor, I also covered ward rounds with respective consultants and did independent ward rounds as well out of sheer interest and to talk to patients regarding any questions, queries or problems they may have (for example financial problems, surgery related queries etc)

During this period of 12 months my work hours in a week were around 80 with atleast 2 24-hr on calls.



B) Iffat anwar medical Complex hospital:


I was working as an SHO/Medical Officer responsible for the A&E/Emergency department, where I provided acute management and care to patients from various medical specialties like (but not limited to) medicine, surgery, orthopedics, ENT, and eye/ophthalmology.

My usual duties involved patient triage, clerking, i.e., taking histories, performing relevant examinations, ruling out acute or emergency conditions, ordering and interpreting diagnostic tests and bloodwork, and escalating properly while delivering appropriate management in line with set hospital protocols and standards.

This hospital, while providing me with great opportunities to learn, was at the same time shortstaffed, with a reduced number of doctors and nurses. This led to a number of occasions where I had to take on the role of my junior colleagues and nurses with attempts at not only cannulating or gaining intravenous access to patients but also giving medications and injectables myself, along with overall patient vitals monitoring and input output charting. This gradual widening of my duties helped me better understand the roles of my colleagues and their day-to-day challenges. This was an opportunity for me to hone the skills I had learned previously, and I took full advantage of it.

I was given some administration duties as well, along with my clinical role. In short, I had to make sure that our hospital was in line with the policies set by Punjab Health Care (PHC) (the regulating authority). This included fire alarm protocols, infection and waste control, COVID, thalassemia, hepatitis, and dengue awareness sessions (teaching informal) .

My duty was 48 hours weekly, but sometimes an emergency on call led to 56 hours.



C) BRADFORD royal infirmary hospital OBSERVERSHIP post:

I undertook an extensive three-month Clinical Attachment in Acute Medicine, Radiology, and General Surgery departments. Such extensive attachments are not usually granted as most clinical attachments range from 4 to 6 weeks, I requested the HR and my Clinical Supervisor to allow me a duration of 12 weeks so that I could actually learn, practice and develop reflexes as a junior doctor when seeing a patient while observing Gmc's good medical practice. 

Things I did:
Observed colleagues and consultants, actively participating in daily handovers, ward rounds, and patient assessments.
Started the day at 8 o'clock attending the handover where patients were assigned to the team by the Consultant.
Engaged in clinical tasks with my colleagues, observed daily patient management, prescription of various medications, and the ordering of diagnostic tests (CT, echo, ultrasound) on the ICE desktop.
Documented blood test and culture results on the ICE desktop's continuation sheet and filled out admission proformas for new patients.
Performed procedures such as blood draws, inserted IV cannulae, and foley's catheterisation under supervision.
Participated in critical situations in the A & E, recovery area, and operating theatre, securing airways, resuscitating patients, and arranging transfers.
Assessed post-op patients in the recovery area, informing the Consultant about high-risk patients' status for potential ICU transfers.
During the Radiology rotation, witnessed various scans (MRIs, CTs), guided biopsies, and day-case procedures such as barium meals.
Learned about Multi Disciplinary Team Approach and attended multiple meetings.
Observed *evidence based medicine* in line with CKS NICE guidelines.


D) AL RAzi hospital:

Currently working in the ICU (and sometimes in the ED department) as an SHO/Medical Officer.

Coming back from the UK after my PLAB 2 examination and the extensive 3 months of clinical attachment, I started seeing and managing patients with a newer perspective in line with CKS-NICE guidelines and focused on practicing evidence-based medicine. 

My work hours per week are 48 hours and sometimes increase if I take any locum shifts.

Duties include (apart from basic duties) management of emergency cases, including trauma, cardiac emergencies, and acute illnesses and informing respective teams and/or Consultants.
-Collaborating with senior medical staff, nurses, and other healthcare professionals to
develop and execute patient care plans.
- Documenting patient medical histories, treatment plans, and progress notes in medical
records.
- Providing patient education on medical conditions, treatment options, and follow-up care.
- Starting immediate resuscitation and calling the resuscitation team when needed
-done informal ultrasound training with radiologist
Along with my clinical role, I decided to participate in administrative roles as well and also conduct audits (no published research yet but have done research at undergraduate level that even led to me winning first prize at national undergraduate research competition in 2018) that could potentially improve the working of the hospital for both the employees and the patients. As of now I have conducted two of them. I manage the staff rota here as well on a weekly basis. Due to the unhindered trend of prescribing antibiotics to patients here in Pakistan (and my present hospital as well) and the rise in antibiotic resitance in patients, I am currently working with physicians and consultants to prescribe Abx when indicated only in line with CKS-NICE guidelines as well as local evidence based guidelines in order to better improve patient prognosis.
Fluent in English with a previous IELTS band score of 7.5, and holding an additional bachelor's degree in English alongside my work experience in the UK, I am well-versed in the language requirements outlined in the job advertisement. I possess effective communication skills both in written and spoken English. My experiences have honed my ability to discuss treatment options with patients and establish fruitful working relationships with multidisciplinary colleagues.


TRAINING COURSES ATTENDED: 

A) BLS; Basic Life Support
Riphah International University Pakistan Railway Hospital - Rawalpindi, Pakistan
2 days
2022

B) ACLS, Advanced Cardiovascular Life Support
Riphah International University Pakistan Railway Hospital - Rawalpindi, Pakistan
4 days
2022

C) Trauma Management Course
Collaboration of Riphah International University & University Hospital of Morecambe bay NHS Foundation Trust UK
1 day
2022

D) IHI Patient Safety Course
IHI Open-School, Riphah International University Pakistan Railway Hospital - Rawalpindi, Pakistan
1 year
2022

E) Rapid IV Access 10th Undergraduate Medical Research Conference
Peshawar Medical College Undergraduate Medical Research Skill Station Training, Peshawar, Pakistan
2 days
2017

F) E-Course on Identification and Management of Under Five Pneumonia as Part of A study titled: 'A pedagogical research on use of an online learning platform by final year medical students on under five pneumonia'
Maternal, Neonatal & Child Health Research Network (MNCHRN), Islamabad, Pakistan
1 week
2020

G) Mechanical Ventilation for COVID-19
Harvard Medical School, Boston, USA
1 week
2020

H) WEST YORKSHIRE (WYMA) ANNUAL EDUCATIONAL MEETING On SGLT2 Inhibitors Masterclass
Bradford, Uk
1 day
2023  

AUDITS:

A
Antibiotic Prescribing Audit for Improved Patient Outcomes at a local hospital
Date
08/11/2023
Aim & measure of the change
The objective of the audit was to assess and enhance the antibiotic prescribing practices at Al Razi Abu Dhabi Group Hospital in Lahore, Pakistan. The focus was on aligning prescription behaviors with established guidelines, such as CKS-NICE guidelines and local evidence-based guidelines, to ensure judicious use of antibiotics and combat the rising antibiotic resistance among patients.
Conclusions/Actions
Action:
Implemented targeted training, reinforced guideline adherence, and improved communication among healthcare providers. Introduced a real-time antibiotic prescribing surveillance system (manual) and conducted regular feedback sessions based on audit findings.

Conclusion:
The audit catalyzed transformative changes, ensuring evidence-based antibiotic prescribing practices. Ongoing improvements uphold patient well-being amid increasing antibiotic resistance.
Change of details

B
Handwashing Compliance Audit for Enhanced Infection Control
Date
08/09/2023
Aim & measure of the change
Evaluate and enhance handwashing practices among healthcare providers at Al Razi Abu Dhabi Group Hospital Lahore Pakistan, ensuring adherence to established infection control protocols. The goal is to minimize the risk of healthcare-associated infections by improving hand hygiene compliance.
Conclusions/Actions
Implemented targeted hand hygiene education, improved accessibility to handwashing facilities, and reinforced a culture of accountability. Ongoing monitoring and feedback mechanisms were established to ensure sustained compliance, minimizing infection risks, and enhancing the overall safety of patients and healthcare providers at Al Razi Abu Dhabi Group Hospital.
Change of details

C
Infection Prevention and Control Audit for Patient Safety at a Local Hospital IAMC
Date
10/10/2022
Aim & measure of the change
To assess and enhance infection prevention and control measures at Iffat Anwar Medical Complex Hospital Lahore in line with Punjab Health Care (PHC) standards, ensuring a safe environment for patients and preventing healthcare-associated infections.
Conclusions/Actions
Implemented targeted improvements in hand hygiene, PPE use, and environmental cleaning supervised by PHC staff and IAMC Medical Superintendent . Enhanced isolation precautions, waste management, and vaccination compliance. Ongoing education and training initiatives solidified infection prevention practices, ensuring a safer healthcare environment for patients at IAMC.


Undergraduate research award: 
Awarding body:
11th Undergraduate Medical Research Conference, Peshawar Medical College

1st Position RACE Documentary Competition "Dengue & Us"

Year received
2018


JOB ADVERT Person specification Description Essentail and Desirable Criterias:

Qualifications / Registration
Essential criteria
Medical degree Full GMC (General Medical Council) Registration
Advanced Life Support training (e.g. ALS/APLS/ATLS/NLS or equivalent)
Desirable criteria
ALS/ACLS
EPLSAPLS
ATLS/ETC
MRCEM Primary
Ultrasound training
Clinical Experience
Essential criteria
Completion of UK Foundation programme OR FY2 equivalent post in a relevant specialty in the UK for at least 6 months OR NHS Clinical attachment in Emergency Medicine
Appropriate level of clinical judgement relevant to experience
Aware of limitations and willing to seek help when needed
Desirable criteria
Emergency Medicine Experience
Acute medicine, Anaesthetics, ITU or paediatric experience
Communication Skills
Essential criteria
Excellent written and verbal communication skills with team members, patients, and relatives
Personal Attributes
Essential criteria
Ability to work in a team and co-operate with all staff Enthusiasm, positive attitude & ability to work under pressure
Desirable criteria
Committed to career development in Emergency Medicine
Experience/Training
Essential criteria
Successful completion of FY2 competencies or equivalent experience
Desirable criteria
Committed to career development in Emergency Medicine

^I am applying for Junior Clinical Fellow in Emergency Medicine - Milton Keynes University Hospital NHS Foundation Trust, With all the information I have shared about myself and the Person specification/job description from the job advert description itself, write an extensive *atleast 1400* word supporting statement highlighting my experience especially one gained of the NHS in bradford skills etc and especially highlight how I fullfil each essential and desirable criterias for this job, also explain how I am perfect for this position since I Have done BLS/ACLS courses can do ultrasound and have worked in emergency post and look to pursue a career in emergency medicine, and if necessary rephrase this in a proffesional manner as needed (not too much).