Muhammad Ahmad Manzoor

My four-week clinical attachment in Respiratory Medicine at William Harvey Hospital provided me with valuable experience in the understanding and management of common respiratory conditions, including COPD, asthma, pneumonia, interstitial lung disease (ILD), and pulmonary embolism.

Additionally, it enhanced my ability to recognize and manage acute respiratory emergencies such as ARDS, status asthmaticus, and tension pneumothorax, as well as interpret key respiratory symptoms like dyspnea, cough, hemoptysis, and chest pain.

Through this attachment, I have developed strong skills in focused respiratory history-taking, chest X-ray interpretation, and arterial blood gas (ABG) analysis. Moreover, I gained hands-on experience in the use of inhalers, nebulizers, oxygen therapy, and non-invasive ventilation, further strengthening my clinical acumen in respiratory care.

During my four-week clinical attachment at William Harvey Hospital in A&E, I gained valuable hands-on experience in Emergency Medicine, enhancing my clinical skills, decision-making, and teamwork in a high-pressure environment. My key learning outcomes included:

• Patient Assessment & Triage: Ability to assess and prioritize patients based on severity, ensuring efficient resource allocation.
• Rapid Decision-Making: Developing diagnostic reasoning for undifferentiated patients and making timely clinical decisions.
• Airway & Emergency Management: Proficiency in airway management (intubation, bag-mask ventilation) and critical procedures like IV access, arterial line placement, and central venous catheterization.
• Procedural Skills: Experience in wound care, suturing, chest tube insertion, and fracture management.
• Comprehensive Patient Evaluation: Mastery of the ABCDE approach for primary and secondary assessments.
• Acute Emergency Management: Exposure to the management of cardiac arrest, trauma, sepsis, and respiratory failure using evidence-based interventions.
• Therapeutic Interventions: Understanding the use of emergency medications, fluid resuscitation, and advanced resuscitation techniques.
• Effective Communication & Teamwork:Conducting structured handovers using tools like SBAR. Collaborating with multidisciplinary teams, including nurses, paramedics, and specialists.
• Resilience & Working Under Pressure: Adapting to the fast-paced and unpredictable nature of emergency medicine while maintaining patient-centered care.

During my attachment, I actively participated in a clinical audit assessing IV cannulation in patients presenting to A&E. The audit aimed to evaluate the necessity of IV cannulation, minimizing unnecessary insertions, reducing patient distress, and optimizing resource utilization within the healthcare system. This experience reinforced my commitment to evidence-based practice and quality improvement initiatives.

During my 4-week clinical attachment in the Cardiology department at Queens Hospital Burton, I gained valuable insights into the NHS working environment. I observed the patient journey from presentation in the emergency department to discharge or referral to appropriate specialties. Shadowing various consultants, registrars, clinical fellows, and residents, I learned to communicate with patients in a more patient-centered manner and address their concerns effectively. I observed various procedures such as Per Cutaneous Intervention, Cardiac stress test, Echocardiography, ABGS, Intubation and catheterization and back slab applications. Additionally, I attended daily handovers where patient summaries were given to the on-call consultant. This experience provided me with an understanding of working in a busy department, where different team members work cohesively to ensure optimal performance. Overall, my time at Queens Hospital Burton was highly productive and enriched my knowledge, which I look forward to incorporating into my future patient management practices.

Managed medical and surgical wards, ensuring smooth operations.

Managed patient treatment during preoperative and postoperative phases.

Supervised emergency room operations during scheduled shifts.

• Covered lead medical doctor during absences to provide continuity of care and management.
• Responded to health emergencies in remote locations, providing critical medical services in resource-limited settings.
• Oversaw facilities maintenance, keeping spaces functional, professional and compliant with standards.
• Collaborated with department heads to develop quality improvement plans for operational enhancement.

Delivered comprehensive lessons in Anatomy, Physiology, and Biochemistry and demonstrated clinical skills.

• Kept students engaged and alert throughout lessons by creating educational and inspiring lesson plans
• Carried out mock examinations, including theory, practical and vocational, to obtain an understanding of student progress.
• Provided feedback to students on their work, offering constructive criticism and guidance for improvement.

Clinical Rotations & Experience General Medicine (3-Month Rotation) General Surgery (3-Month Rotation) Additional Skills & Attributes

As an enthusiastic MBBS graduate, I have gained extensive house job experience across multiple disciplines, including General Medicine, Pediatrics, and Surgery. I have developed strong clinical skills, patient management expertise, and a commitment to providing high-quality care.

I have demonstrated proficiency in:

• Utilizing electronic health record (EHR) systems to streamline patient information management.
• Educating patients and families on self-care strategies and disease prevention.
• Prescribing and administering curative treatments and preventive measures.
• Bridging medical knowledge with effective patient care, ensuring holistic treatment approaches.
• Leading patient case presentations in multidisciplinary meetings to facilitate collaborative care.
• Performing minor surgical procedures, including suturing wounds and cannula insertions, under supervision.
• Coordinating discharge planning, ensuring smooth patient transitions from hospital to home or rehabilitation.
• Participating in daily ward rounds, providing insights and contributing to patient care improvements.
• Explaining test results to patients, reducing anxiety by outlining clear plans of action.

During my rotation in General Medicine, I played a pivotal role in the daily management and assessment of admitted patients, ensuring comprehensive care. My responsibilities included:

• Meticulously documenting daily patient progress notes and executing treatment plans formulated by consultants and post-graduate residents.
• Performing procedures, including blood draws, catheterization, arterial blood gas (ABG) sampling, and administration of blood products.
• Coordinating diagnostic imaging procedures and promptly addressing day-to-day patient concerns.
• Ensuring timely medication administration, monitoring hourly vital signs, and supervising patient care.
• Outpatient exposure, assisting in the management of chronic conditions such as diabetes and hypertension.
• Gaining experience in managing diverse medical conditions, including hepatitis, COVID-19, diabetic ketoacidosis (DKA), Guillain-Barré syndrome (GBS), sepsis, and thalassemia while fulfilling emergency department duties.

During my General Surgery rotation, I actively participated in history-taking, emergency care, patient examinations, ward rounds, and outpatient responsibilities. My experience included:

• Assisting in emergency surgeries, including: Appendectomies Laparotomies Mastectomies Laparoscopic cholecystectomies and vascular repair surgeries.
• Developing a strong foundation in perioperative patient care, including pre-operative evaluations, post-operative monitoring, and wound care.
• Spending one month in the Surgical Emergency Department, where I learned: Patient triage and initial management Conducting relevant investigations Performing procedures, such as blood collection, cannula insertion, catheterization, ABG analysis and intubation.

My six-month rotation in Pediatrics medicine and surgery provided invaluable experience in managing pediatric patients and addressing parental concerns with effective communication. Key learning experiences included:

• Managing pediatric emergencies, including pneumonia, meningitis, and dehydration, in the Pediatric Emergency Department.
• Educating and reassuring parents, helping them understand their child’s medical condition and treatment plan.
• Assisting in Pediatric Surgery, observing and assisting in: undescended testis surgery,appendectomies,cleft palate repairs and intussusception
• Performing minor surgical procedures, including suturing minor injuries sustained by children after trauma.
• Strong clinical acumen with the ability to make evidence-based decisions.
• Effective communication and teamwork, ensuring smooth coordination within multidisciplinary teams.
• Proficiency in basic computer skills, including medical documentation and patient record management.