Dr Yumna Zainab

• Observed daily ward rounds, handovers and management plans for acute and chronic respiratory conditions.
• Understood the importance of collaborative work of doctors, nurses, physiotherapists and other healthcare workers in bringing the best possible outcome for patients.
• Gained exposure to various lung procedures like ultrasound guided pleural tap and pleurodesis.
• Learned the protocols for non-invasive ventilation and oxygen therapy.
• Attended multidisciplinary team meeting for lung cancer patients as well as pleural and lung cancer clinic.
• Learned different systems used in the daily work like Trakcare, Hepma and PACs.
• Followed junior doctors while carrying out the round orders like prescriptions, referrals, discharge letters and death certificates etc.
• Familiarised with the NHS Care pathways and documentation standards.

• Conducted thorough dermatological assessments for about 25 patients each day in the outpatient department, including detailed history taking and physical examinations of skin, hair, and nails, and presented these cases to the Consultant to manage the patients.
• Accompanied the Consultant to the City Hospital, Multan to review the admitted patients in Dermatology Ward.
• Performed various dermatologic procedures, such as skin biopsies, cryotherapy, electrocautery, and excision of skin lesions.
• Managed the patients' concerns regarding aesthetics and performed an average of 10 advanced procedures each day such as laser treatments, PRPs, melasma needling, etc.
• Educated and counseled patients on lifestyle modifications, skincare, disease prevention, and treatment compliance.

• Gained insight into process of triage and initial assessment in the Rapid Assessment and Treatment (RAT) area.
• Shadowed junior doctors through entire patient assessment process, ABCDE approach and observed diverse range of cases presented to consultants and their corresponding management plans.
• Attended daily handovers conducted by medical team, gaining an understanding of the communication and transition processes between shifts.
• Attended regular teaching sessions, aimed at enhancing clinical knowledge and skills including basic Echocardiography, gallbladder ultrasound, ECG, and approach for Domestic violence.

• Learned the clerking including history-taking, physical examinations, and initial management plans.
• Actively participated in case presentations to consultants before ward rounds and gained knowledge through discussions and teaching sessions.
• Observed essential clinical procedures with adherence to protocols and aseptic techniques.
• Noted detailed documentation practices, including patient interactions and procedures.
• Familiarized myself with NHS computerized systems for prescriptions, electronic referrals, tracking blood reports, radiology tests, and making discharge summaries.
• Accompanied the team in emergency code situations and learned importance of early response and team coordination.

General Medicine:

• Managed patient care from admission to discharge, including daily examinations, monitoring and follow-up in the wards as well as managed cases in the busy outpatient department under senior supervision.
• Managed the long working hours of around 60 hours/week including 30 hour shifts.
• Discussed cases with the Consultants, carried out ward rounds and implemented round orders independently.
• Assisted in managing a wide range of medical emergencies, including performing CPR in A&E.

Anaesthesia & ICU:

• Monitored and managed critical patients on ventilators in the ICU with the team.
• Conducted thorough pre-operative assessments and participated in anaesthesia induction including general, regional, and local anaesthesia.
• Performed multiple Spinal Anaesthesia and Endotracheal intubations under Consultant supervision.
• Monitored intraoperative progress and post-operative recovery, particularly in the High Dependency Unit (HDU).

General Surgery:

• Assisted in various elective and emergency surgeries and carried out wound management.
• Skilled in basic surgical steps of draping, patient positioning, skin incisions, suturing, cautery, drain placement and removal.
• Attended the teaching sessions carried out in the wards for case discussions and for improving the ongoing care for patients

Obstetrics & Gynaecology:

• Conducted thorough pre-natal assessments including maternal health and checking fetal development in the out-patient department.
• Performed Obstetric Ultrasounds under the guidance of the seniors.
• Monitored daily progress of admitted patients and handled their management plans as per Consultant's orders.
• Participated in multiple spontaneous vaginal deliveries, Cesarean sections and other gynaecological surgeries such as hysterectomies, laparoscopies, and other procedures for conditions like fibroids, endometriosis, or ovarian cysts.