1. Curriculum Vitae
NADEEM AHMAD
General, Hepatobiliary and Transplant Surgeon
Personal Information:
Date of Birth: Sep 4, 1954
Marital status: Married
Address:
854, Street 26, G-9/1, Islamabad, Pakistan
Phone:
00966531271699/00923005117823
Email: <n_ahmad_2000@yahoo.co.uk>
Passport No: QV1155582
Qualifications: FCPS
1987
Fellow of College of Physicians and Surgeons of Pakistan
MCPS
1984
Member of College of Physicians and Surgeons of Pakistan
MBBS
1978
Nishtar Medical College Multan, Pakistan
Awards
Fellowship in Transplantation (UK)
2005
Fellowship in Transplantation ( SMC, Korea)
2013
Medical Registration Pakistan Medical & Dental Council
Reg. No.10491-P
General Medical Council, UK
Full registration
Ref No. 5153094
Saudi Commission for Health Specialties
Issue No:2015003632 (under process)
2. Current
Appointment
Additional
Assignments
during above
period
Consultant Renal Transplant Surgery
Department of Surgery
King Salman Armed Forces Hospital (NWAFH), Tabuk, Saudi Arabia.
Nov 2014 to date
Chairman Department of Surgery, Dean Faculty of Surgery &
Allied
Shaheed Zulfiqar Ali Bhutto Medical University, PIMS, Islamabad.
2013 - 2014
Professor, Consultant Surgeon, Head Department of General
Surgery & Head of Hepatobiliary Surgery& Organ Transplant
Unit.
Pakistan Institute of Medical Sciences, Islamabad.
March 2012 to Sept 2014
Professor, Consultant Surgeon & Head Unit II
Department of General Surgery, Pakistan Institute of Medical Sciences,
Islamabad.
November 10, 2005 to March 2012
Pakistan Institute of Medical Sciences (PIMS), Islamabad
Visiting Surgeon, HPB Department
Royal Free NHS Trust Hospital, London
September 13, 2013 to October 18, 2013
The Royal Free Hospital has one of the leading Hepatobiliary surgery
units in the UK adopting multidisciplinary approach to the surgical
disorders of liver, bile duct, gal bladder and pancreas. I thus had
exposure to whole range of operative procedures related to the field
including liver transplantation. I was in particular associated with
Professor Moseemo Malgo,
the senior consultant of the unit.
Visiting Surgeon, Organ Transplant Center
Samsung Medical Center (SMC), Seoul, South Korea.
June 18, 2013 to June 30, 2013
Visiting Surgeon, Liver Institute
Kings College Hospital, London
April 14, 2009 – May 14, 2009
October 1, 2006 – October 31, 200
June 7, 2005 to November 30, 2005
Clinical Fellow, Transplantation
November 1, 2004 to November 30, 2005
Department of Transplantation
Guy s Hospital , London‟
Previous Posts: Associate Professor / Consultant Surgeon
October 20, 1998 - October 27, 2004 and November 9, 2005 to Jan
2006
Assistant Professor / Consultant Surgeon
Feb 1990 to Aug 1991; May 1993 to Jan 1996; Jan 1998 to Oct 1998
Associate Surgeon
Feb 1988 to Jan 1990
General Surgery, Quaid-e-Azam Postgraduate Medical College/
3. Pakistan Institute of Medical Sciences, Islamabad, Pakistan.
Assistant Prof General Surgery/ Visiting Surgeon
Jan 1996 to Dec 1997, Aug 1991- May 1993
Postgraduate Medical Institute, Services Hospital, Lahore
Lahore General Hospital, Lahore
Registrar, General Surgery
Feb 1986 to Feb1988
Pakistan Institute of Medical Sciences, Islamabad, Pakistan
Registrar General Surgery
Jan 1982 to Feb1986
Federal Government Services Hospital, Islamabad, Pakistan
Medical Officer General Medicine
June 1981 to Jan 1982
Federal Government Services Hospital, Islamabad, Pakistan
Resident Orthopedics and Trauma
March 1980-Jun 1981
Rawalpindi General Hospital, Rawalpindi, Pakistan
Resident General Surgery
Aug 1979 to Mar 1980
Rawalpindi General Hospital, Rawalpindi, Pakistan
Resident Intensive Care Unit
March 1979 to Aug 1979
Rawalpindi General Hospital, Rawalpindi, Pakistan
Medical Officer Accident and Emergency Department
Feb 1979 to March 1979
Rawalpindi General Hospital Rawalpindi, Pakistan
Demonstrator Anatomy
Jan 1979 to Feb 1979
Rawalpindi Medical College, Rawalpindi, Pakistan
House Surgeon Paediatric Surgery Jan 1978 to Dec 1978 Nishtar
Hospital Multan Pakistan
4. Experience:
A. HEPATOBILIARY SURGERY AND ORGAN
TRANSPLANTATION:
My present assignment involves leadership role in establishing the super
specialty of Hepatobiliary surgery and organ transplantation at PIMS.
It entails putting in place the necessary infrastructure, arranging human
resource and providing facilities for the advanced surgical and critical care of
the patients with complex disorders of liver, bile ducts, gall bladder, pancreas
and portal venous system, and those undergoing kidney and liver
transplantation.
l. Hepatobiliary Surgery
Since 2007, when our unit at PIMS took up the super specialty of
hepatobiliary surgery, the major case load of our unit had been related to the
surgical disorders of liver, gallbladder, bile ducts, pancreas, spleen and portal
venous system. I thus have been regularly performing hepatectomies,
segmental resections of liver, bile duct reconstructions, pancreatectomies and
portosystemic shunts. In addition are the routine procedures like laparoscopic
& open cholecystectomies, spleenectomies, and drainage of liver abscesses,
excision of choledochal & liver cysts, and management of liver trauma. I am
also involved in the preoperative assessment of potential candidates for liver
transplantation, of living donors, and long term care of patients who have had
liver transplant abroad and are back in Pakistan.
II. Kidney Transplantation:
I have vast experience in kidney transplantation, within and outside the
country. I have participated in over 500 kidney transplants in the last eight
years. At Guys Hospital, London, I participated in about fifty kidney
transplants and donor Nephrectomy, twenty five of which were performed
laparoscopic ally. The rest of the transplants have been done by me at PIMS
and private facilities. I also attended kidney transplants session at Samsung
Medical Center, Seoul and Royal Free Hospital, London during my recent visit
to these centers. Currently, I am the Head of the surgical team conducting
kidney Transplantation at PIMS.
III. Liver Transplantation:
At Kings College Hospital, London, I have participated in about 80 liver
transplants which include deceased and living donor liver transplants. It
included, conventional and piggy-back whole liver transplant, reduced liver,
split liver and auxiliary transplants. Amongst the living donor transplants are
left lateral segment, right lobe and left lobe transplants. I also have exposure to
the pediatric liver transplantation.
I have played a pivotal role in lying down the foundation of the liver transplant
program at PIMS. As part of the pilot project, we did first ever living donor
liver transplant at PIMS in May 2012.
My recent visits to liver transplant units of Royal Free Hospital, UK and
Samsung Medical Center, Seoul, further my experience in liver
transplantation.
5. IV. Pancreatic Transplantation:
I have participated in ten pancreatic transplants at Guys Hospital London.
Technically, eight were with urinary bladder drainage and two with enteric
drainage.
V. Organ Retrieval Surgery:
Along with the living donor nephrectomies and hepatectomies mentioned
above, I am well versed with the over all management of deceased donors and
the operative technique of retrieving livers, kidneys and pancreas. I have also
participated in retrieval surgery on non-heart beating donors.
B. GENERAL SURGERY:
I have been dealing deals with a wide variety of routine and complex elective
and emergency surgical problems related to GIT, endocrines, breast, soft
tissues, peripheral vessels and thorax. The disorders include difficult
malignancies, uncontrolled surgical infections, large fascial defects, organ
ischaemias, and polytrauma. Procedures such as mastectomies, colectomies,
abdominoperineal resections, gastrectomies, thyroidectomies, radical
excisions of soft tissue tumors, block dissections, esophageal resections and
reconstructions; have been frequently performed by me of under my
supervision. In our unit, on a typical elective list, about three forth of the
operations performed have been the major ones. Amongst the emergencies,
non- traumatic abdominal emergencies have been the commonest, followed by
abdominal and chest trauma, the latter two mostly due to roadside accidents
and civilian violence. At least half of our admitted cases have been acutely ill.
The unit also has had the experience of mass disaster management on quite a
few occasions; it managed many war and bomb blast casualties during the war
in Afghanistan.
Working as Assistant Professor General Surgery at the Postgraduate Medical
Institute (PGMI) Lahore with its attached tertiary care hospitals also widened
my experience in the management of routine and complex general surgery
cases of the types mentioned above.
C. MINIMALLY ACCESS SURGERY.
I am well experienced in routine and advanced laparoscopic surgery, for
which I have attended many workshops and training programs. I have
performed over five hundred laproscopic cholecystectomies. I have also
performed laparoscopic bile duct explorations, adhenolysis, appendisectomies,
hernia repairs, hemicolectomies, abdominoperineal resections and rectopexies.
Pre
Fellowship
Training:
I started my residency in pediatric surgery at Nishtar Hospital, Multan, under
Prof Abdul Hameed FRCS. It lasted for one year. It involved learning the
basic principles of surgery and management of children of twelve years and
below with surgical problems. It covered their pre & postoperative care, fluid,
electrolyte & nutritional balance, venous access, esophageal, endotracheal&
chest intubations, lumber puncture, urethral catheterization, dressings,
applying bandages & casts, and critical care & cardiopulmonary resuscitation.
I also learned to perform procedures like
6. circumcision, incision drainage of abscess, wound debridement, and suturing
of lacerations. I was also trained in procedures like herniotomy, cut back for
imperforate anus, and vesicolithotomy. I also assisted operations like
myotomy for hypertrophic pyloric stenosis, trans anal pull through,
operations for oesophagel /billiary atresias, hypospadias repair,
ureterosigmoidostomy, soft tissue release for TEV, tendon release/transfer,
repair of cleft lip/palate, orchidopexy, and excision of meningocele.
My next residency was in ICU/CCU, Rawalpindi General Hospital,
Rawalpindi, for six months, under Dr Hafeez Akhtar MRCP. Here I learned
the basics of critical care, such as, monitoring in critical patients, bedside
interventions, supportive therapies for major organ dysfunctions,
cardiopulmonary resuscitation, and the care of dying.
Thereafter, I worked in general surgery in the same hospital for six and a half
months under Dr Rashid Khan FRCS. Along with typical general surgery
cases, the unit also dealt with patients of trauma and burns, and those with
urological and vascular problems.
Later, I worked for about 15 months in the orthopaedic department of the
hospital headed by Prof Aslam Piracha FRCS. Being one of the few
orthopaedic units in the city at that time, it had a busy outpatient on alternate
days with per session attendance around 100 and round the clock emergency.
Here I learned closed reduction and immobilization of fractures and
dislocations and assisted open reduction and internal fixation of fractures,
correction of bony and soft tissue deformities, joint replacements and
amputations.
My formal pre-fellowship training comprised of working as training registrar
(Medical Officer officially) general surgery for four years at FGSH
(Polyclinic), Islamabad followed by two years at PIMS, Islamabad. My
supervisors were Prof SH Khan FRCS, Dr Inam-ul Haq Shami FCPS,
Professor Ghayyour H Ayub FRCS and Prof Mohammad Shafique FRCS.
Here I learned the management of a wide range of surgical problems
including those related to orthopaedic, urology, neurosurgery, plastic surgery
and trauma. I have to attend in- patients, two outpatient clinics per week; my
on-call rota was 1 in 4 or 1 in 3. During the period, I refined my skills in
bedside procedures, and was trained in performing procedures like drainage
of abscesses, excision & biopsies of skin, soft tissue lumps and lymph nodes,
injection of haemorrhoids, sigmoidoscopy, ligations & striping of varicose
veins, appendicectomies, repair of hernias, and feeding gastrostomies/
jejunostomies. Under supervision, I also performed operations like
cholecystectomy, gastrojejunostomy, thyroid lobectomy, gut resection and
anastomosis, prostatectomies, and haemrrhoidectomies. I also assisted the
whole range of other major operations carried out by the consultants,
colectomies, gastrectomies, abdominoperineal resections, pancreatectomies,
total thyroidectomies, modified radical mastectomies, vascular
reconstructions, oesophagectomies, and thoracotomies.
.
During above period, I also wrote a dissertation on the “Management of Long
Bones Fractures” and participated in a study on the conservative treatment of
acute appendicitis
During my training period, I also attended intensive courses for preparation of
fellowship examination in surgery, organized by College of Physicians and
Surgeons, Pakistan and King Edward Medical College, Lahore.
7. Workshops/Seminars
Conferences attended:
Advanced Trauma Life Support (ATLS).
Saudi Heart Association, Tabuk, Aug 2015.
Basic Life Support (BLS). Saudi Heart
Association, Tabuk, Dec 2014.
National Conference on Neuro-endocrine
Tumors, Islamabad. April 2014.
Seminar on Deceased Organ Donation.
Rawalpindi. Jan 2014
European Society of Organ Transplantation
(ESOT) Conference. Vienna, 2013.
Radionuclide Therapy Symposium. September
2013. London
Annual Congress International Liver
Transplant Society. Sydney.2013.
National Conference on Transplantation,
2012. Rawalpindi
Bio Surgery Training. Egypt. 2010
International Conference on Critical care
and Nutrition. 2007, Singapore.
International Conference on Surgical
Infections. Kulalampur, Malaysia. 2007.
European Society of Organ Transplantation
(ESOT) Conference, Prague, 2007.
British Transplant Society Congress – March
2007. Manchester
Workshop on advanced laparoscopic skills –
February 2007.Karachi
Annual Symposium 2007 PIMS, Islamabad
Middle East Transplant Society (MESOT)
Congress – November 2006. Kawait.
International ―Liver Master Class‖ 2006.
PIMS Islamabad
Congress 2006, Pakistan Society of
Gastroentrology, Rawalpindi
Symposium 2006, PIMS, Islamabad.
8. Work shop on organ retrieval for
transplantation.2005. Cambridge
European Society of Organ Transplantation
(ESOT) Conference. 2005. Geneva
Learning Statistics using SPSS workshop –
April 2005. Guy’s Hospital London.
ATLS course – April 2005. Addenbrooke’s
Hospital, Cambridge.
Work shop on Non Verbal Communication.
2005. London
British Transplant Society Congress – April
2005. Belfast.
Living Donor Course – March 2005. St Thomas
Hospital London.
Workshop on ―Introduction to Computers
and Internet‖ –May 2004. Islamabad
Workshop on ―Research Methodology,
biostatics and medical writing‖—Mar 2002.
Islamabad
Workshop on ―Communication skills‖—Mar
2002
Workshop on “Total Nutrition Therapy”----
May 2000.
Workshop on ―Objective Structured Clinical
Examination‖----March 2000
Workshop on ―Development and
Administration of MCQs & Essay
Questions‖---- Feb.2000
Workshop on ―Educational Planning and
Evaluation‖ ------- September 1999.
National Symposium on ―Recent Advances in
the Management of Carcinoma of Breast.‖ October
2003
Conference 2003, Society of Surgeons Pakistan.
Conference on ―Current Issues in Renal
Transplant‖. April 2003
9. Conference 2001, Society of Surgeons, Pakistan.
---- Rawalpindi, January 2001
Fourth Congress of Nephrology, Urology,
Transplantation, Society of SAARC Countries.
Karachi--- February 9 – 11, 2001.
SIUT Fourth International Symposium on
Urology, Nephrology and Transplantation------
Karachi, February 11-13, 2001
Congress 2000. “Current surgical practice”
Jointly bye College of Physicians & Surgeons
Pakistan and Royal College of Surgeons Edinburgh.
Karachi--- March 2000.
Conference Society of Surgeons ―Recent
advances in gastroenterology, carcinoma breast and
surgery‖.Rawalpindi. --- October 1999.
Symposium & Workshop on
―Oncology/Breast carcinoma‖. Rawalpindi ---
February 1999.
Congress 96 “Moving points in Medicine and
Surgery” Jointly by College of Physicians and
Surgeons Pakistan and Royal College of Physicians
and Surgeons Glasgow. Lahore---January 1996
Congress 93 “Meeting health care
10. challenges in 21st Century College of
Physicians and Surgeons Pakistan. Karachi.
December 1993
Teaching
Responsibilities:
I have been on the Faculty of Federal Medical College, Islamabad,
2012 to 2014 as Professor & Head of Department of General
Surgery. In that capacity, I have been organizing the teaching
program of the undergraduate in General Surgery. It included their
clinical teaching in the wards and outpatient, orientation to
operative surgery in operation theatre and learning of surgical
practice by lectures and interactive sessions. Our department
PIMS also runs the postgraduate teaching program for FCPS in
Surgery (awarded by College of Physicians & Surgeons, Pakistan)
and Masters in Surgery [MS](awarded by Quaid-e-Azam
University, Islamabad). The training posts of our department are
accredited for the Fellowship examinations of all the Royal
Colleges of Surgeons of UK and Ireland.
As member of the teaching faculty of the hospital, I am actively
involved in the teaching program for postgraduate surgical trainees
in our hospital. In this capacity I have been doing two teaching
ward rounds each week and supervise the audit projects of the
residents working in my unit. Clinical meetings of the unit are held
twice weekly. Their format includes case presentations by the
trainee residents, topic discussions, and surgical audit. We also
have monthly journal club that provides the opportunity for
developing the skills for the critical appraisal of research articles.
The grand round of surgical department happens once a week in
which we make our presentation on our turn; it comes every sixth
time. Each surgical resident undertakes one clinical study as part of
the eligibility requirements for the Fellowship examination of the
College of Physicians and Surgeons of Pakistan.. The students are
also encouraged to participate in workshops on basic surgical
skills, computer usage, communication skills and research
methodology that are held on regular basis under the auspices of
College of Physicians & Surgeons, Pakistan and are facilitated by
the hospital faculty members.
I have also been an examiner in the Fellowship Examination in
General Surgery of the College of Physicians and Surgeons of
Pakistan since August 2004.
11. 1
Research
studies • Out come in multiple kidney transplants.
• Demogrphics of Living kidney donors
• Does nephrectomy of failed graft improves survival of
subsequent graft?
• Living related versus living unrelated kidney transplantaation
• Diabetic foot ----risk factors and determinants of outcome.
• Audit of pre-operative hospital stay of patients in department of general
surgery PIMS.
• Nosocomial infections in a Department of General Surgery -. Point
prevalence studies.
• Quality of life assessment in patients with colonic interposition for
corrosive esophageal strictures
• Triple assosis of assessment in the diagnosis of Carcinoma breast
• Audit of pre- operative hospital stay of surgical patients
• Soft tissue sarcoma---analysis of thirty-five cases.
• Role of ultrasund, PCR, and serology in the diagnosis of abdominal
tuberculosis.
• Biliary manometry in deciding about bile duct exploration during
cholecystectomy.
• Exteriorized primary repair of colonic perforations
• Needle Biopsy of palpable prostatic cancer
• Inguinal versus high retro-peritoneal ligation of varicocele
• Open reducation of long bones fracture
Publications:
M. A Khan, S Jamal, R Rashid, N. Ahmad Quality of Life
Assessment in Patients with Stoma
in Muslim Population.Ann.PIMS. 2011; 7(4): 223-228.
Does nephrectomy of allograft influence graft survival in kidney re-
transplantation?
Neph,Dial,Trans 2008
Outcome in multiple kidney transplants. Transpl Proc 2007
Living unrelated donor kidney transplantation – a good alternative to
living related donor
Transplantation. J Roll C Edin. 2006
Sentinel Node Localization in Breast Carcinoma. JCPSP. Vol.15.
2005.
12. Role of Biliary Manometery in Decision Making about Bile Duct
Exploration during
cholecystectomy. J Surg. Vol 27. 2004
Portal hypertension due to choledochal cyst. JCPSP.April 2002
Ultrasound guided percutaneous drainage of abdominal
abscesses. JMPA Feb.2000.
Cancer chemotherapy in surgical practice. J Surg. Vol.15 &
16.1998
Antibiotics in Surgery. J Surg. Vol.13 & 14.1997.
Exteriorized primary repair of colonic injuries. J Surg.Vol.
15.1999.
Needle biopsy of palpable prostatic carcinoma. J Surg.
Vol.10.1995.
Ruptured choledochal cyst as a cause of peritonitis. JPMA.
Vol.44. 1994.
Sphincter saving surgery for low-lying recatal carcinoma using
circular staples-
PIMS experience. J Surg Vol.8 & 9. 1994.
Inguinal approach versus high retroperitoneal approach in the
surgical treatment
of varicocele.J Surg.Vol.6 & 7. 1993.
Peptic ulcer disease-current status. Leading review article .J
Surg.Vol 2.1991.
Carcinoma breast-current status J Surg.Vol.1. 1990.
Choledochal cyst causing portal hypertension. JPMA. 2002
1
* JPMA, JCPSP & J. Surg are peer reviewed journals
13. Presentations
Surgical strategies in Pancreatic Neuro-endocrine Tumors. National
Conference on Neuroendocrine Tumors. Islamabad. 2014
Does nephrectomy influence graft survival in kidney re-
transplantation? Poster presentation British Transplant Society
Conference. Manchester 2007.
Factors influencing graft outcome in kidney re-transplantation
PIMS Symposium 2007
Outcome in multiple kidney transplants. Poster presentation.
MESOT Conference 2006. Kuwait.
Current issues in solid organ transplantation. PIMS Symposium.
2006
Repeating transplantation again and again – Is it worth doing?
Poster presentation. British Transplant Society Conference.
Edinbrough 2006.
Demographic characteristics in living donor renal transplants.
Poster presentation. European Transplant Society Conference. Geneva.
2005
Living unrelated donor kidney transplantation – a good alternative
to living related donor transplantation. Poster presentation. British
Transplant Society Conference. 2005. Belfast.
Nosocomial infections in surgical patients: repeated point
prevalence studies. Seminar. NORI. 2004
Colonic interposition for intractable corrosive induced esophageal
strictures. Annual Conference Pakistan Society of Surgeons.
2004.Rawalpindi
Nosocomial infections in surgical patients – repeated point
prevalence studies. PIMS Symposium. Islamabad. 2004
Triple assessment in the diagnosis of carcinoma breast. National
Conference on Breast Cancer. Islamabad. 2003
Surgical
Audit
I was involved in developing the purpose-built software for computer
based audit of our unit in PIMS, Islamabad. I have also been
organizing the audit meetings of the unit. I supervised a study in our
unit about the audit of process on preoperative hospital stay. I have
been regularly participating in the Audit meeting of the Transplant
Unit at Guy s Hospital, London and the General Surgery Unit at‟
PIMS, Islamabad.
Management
Skills
As head of the surgical team at PIMS, I have to evolve strategies for
efficient working of the unit and optimum utilization of human and
material resources. It also requires balancing clinical, administrative
and academic activities in terms of time and space.
14. IT Skills: I am quite efficient in the use of
1 Microsoft Word
2 Excel
3 Power Point
4 SPSS
5 Internet
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