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¡¡¡¡dr ____________ (mbbs)

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¡¡¡¡personal details :

¡¡¡¡name : dr _________________

¡¡¡¡address: ___________________

¡¡¡¡email: _______________________

¡¡¡¡date of birth: _______________________

¡¡¡¡age: ________

¡¡¡¡marital status : _________

¡¡¡¡sex : ________

¡¡¡¡nationality: ________

¡¡¡¡medical registration :

¡¡¡¡full registered with ___________ medical council which is affiliated to medical council of _____________.

¡¡¡¡registration no.: ________

¡¡¡¡registration date : _________

¡¡¡¡qualifications :

¡¡¡¡professional qualifications :

¡¡¡¡posgraduate studies:______________

¡¡¡¡qualification obtained:________________________

¡¡¡¡year completed:________________________________

¡¡¡¡universtiy of education organization:__________________________________

¡¡¡¡basic qualifications :

¡¡¡¡undergraduation studies

¡¡¡¡________________________________________________________________________

¡¡¡¡high school studies

¡¡¡¡________________________________________________________________________

¡¡¡¡educational achievements:

¡¡¡¡first class marks in english in state a level examination 1976.

¡¡¡¡secured 25th rank out of 15,000 girl candidates in state medical entrance examination 1978.

¡¡¡¡english test:

¡¡¡¡ielts (academic module) date 23/05/2002 with following bands:

¡¡¡¡listening:8.0, reading:6.5, writing:8.0, speaking:7.0,

¡¡¡¡(overall band:7.5)

¡¡¡¡or

¡¡¡¡oet date with following subtests:

¡¡¡¡listening:b, reading:b, writing:b, speaking:b

¡¡¡¡clinical skills and experience

¡¡¡¡statement of skills and experience:

¡¡¡¡i worked for 8 months in out patient department of hospital ________. i was involved in diagnosis and treatment of day to day general out patient problems. referred serious and high risk cases to respective specialities after initial management and with prior appointment. also conducted follow-up clinics for diabetes, asthma, hypertension, psychiatry patients under supervision of respective specialists. mainly involved in gp and family practice.

¡¡¡¡i was actively involved in cme and teaching programme.

¡¡¡¡at hospital _____ i worked in the department of medicine for 8 months. i was mainly involved with clerking, relevant investigations, presentation to specialist and management of acute emergencies and chronic cases. i did on call duties on 1 : 4 rota basis.

¡¡¡¡subsequently, i worked in outpatient department of hospital _____ for 16 months. i was mainly involved in gp & community based practice same as hospital ________________.

¡¡¡¡general-practice:

¡¡¡¡i was actively doing general practice and resumed the same after returning from __________. my gp clinic is located in outskirts of the city. this is the first point contact clinic where i am doing treatment for routine day-to-day problems, follow-up of chronic cases, minor surgical procedures under la, nebulizer for asthmatic patients, advice for male & female contraceptives, emergency contraception, iucd ion, its follow-up removal / change, gynaecological examination carried out for routine-problems.

¡¡¡¡breast-examination:

¡¡¡¡includes a) teach women breast self examination on regular basis b) clinical examination & c) advice for mammography, fnac, etc. counseling about menopause and care for elderly and ageing women its related problems, advice for estrogen replacement therapy & hrt.

¡¡¡¡____ hospital & research centre, _______________

¡¡¡¡this is a modern hospital of town having various departments including radiology & pathology. it has an attached college of nursing. i have worked for 3 years in this hospital as chief medical officer. i was mainly involved in in-patient care, ward duties and post operative care in obstetrics & gynaecology, surgery, medicine and paediatrics. i was mainly involved in conducting gp clinic. i was involved in teaching programme and cme.

¡¡¡¡the surgery hospital, ________________

¡¡¡¡this is a well equipped hospital with radiology and pathology facilities. i worked as resident medical officer for 4 years in all major specialties. also conducted gp clinic on daily basis

¡¡¡¡__________ hospital & research centre, _______________

¡¡¡¡it is another well equipped hospital of town. i worked in this hospital for a period of 4 years as a resident medical officer in o & g under supervision of o & g consultant. i did clerking of cases, ward rounds, conducted antenatal clinics, labour and assisted in surgical work to the consultant. i did on call duties twice a week.

¡¡¡¡also i was independently conducting family planning & pap smear clinics, iucd ion. i was actively involved in cme.

¡¡¡¡___________ hospital (________________ hospital), ___________ is the biggest hospital of central _____. it is a 1000 bedded hospital attached to mgm medical college, _________. it is a tertiary care hospital having various departments including 24 hours radiology, pathology, blood bank and casualty. i took rotating training in all major specialties and their allied branches plus preventive and social medicine posting.

¡¡¡¡teaching experience

¡¡¡¡actively involved in teaching undergraduates and nursing staff during my internship and residency.

¡¡¡¡imparted community health education during internship in preventive and social medicine as well as during residency.

¡¡¡¡practical procedures

¡¡¡¡- i/v cannulation / venepuncture

¡¡¡¡- bladder catherterisation

¡¡¡¡- air way management

¡¡¡¡- suturing

¡¡¡¡- wound debridement and care

¡¡¡¡- incision and drainage of abscess

¡¡¡¡- cpr / bls

¡¡¡¡- assisted - lscs - 1000 approximately

¡¡¡¡- tah / bso - 200 approximately

¡¡¡¡- tubal ligation - 500 approximately

¡¡¡¡- appendicectomy

¡¡¡¡- laparotomy

¡¡¡¡- conducted independently normal labour, episiotomy suturing.

¡¡¡¡- speculum examination, pap smear.

¡¡¡¡conference, seminar & workshop

¡¡¡¡attended regional seminar on child survival and safe motherhood organized by ______ medical association ; sponsored by ministry of health & family welfare, government of _______ in october 1995.

¡¡¡¡attended workshop on safe abortions, sponsored by fogsi (federation of obstetrics & gynaecological societies of ______), ministry of health & family welfare (government of _______) and who ; organized by indore obstetrics & gynaecology society of indore, india + department of o+g, mgm medical college _______, india on 8th december 2001.

¡¡¡¡attended two days workshop for orientation on medical audit in january 2005 organised by ________________ voluntary health association.

¡¡¡¡computer awareness

¡¡¡¡competent in basic computer programmes like ms words, ms excel and ms powerpoint and internet.

¡¡¡¡communication skills

¡¡¡¡- can communicate effectively with patients.

¡¡¡¡- involved in social activities with staff and colleagues to improve interpersonal skills.

¡¡¡¡managerial / organizational skills

¡¡¡¡- was selected as house captain for yellow house in school days.

¡¡¡¡- co-ordinator in school magazine committee.

¡¡¡¡- prefect in girls medical hostel.

¡¡¡¡clinical audit

¡¡¡¡involved in auditing clinical work of junior medical officer and paramedical staff.

¡¡¡¡hobbies

¡¡¡¡- practising yoga and pranayam and interested in teaching to others.

¡¡¡¡- listening to light indian music.

¡¡¡¡- reading newspapers, magazines and health articles.

¡¡¡¡references: will be provided when requested.

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