Internal Medicine Health Worker
Resume:
Curriculum Vitae
Abdul Rahman Abdullah Salim
Al-Yamani
B.Sc., M.D., OMSB-IM, CCM/Neuro-CC
Personal Information
Sure Name: Al-Yamani
First Name: Abdul Rahman
Nationality: Oman
Gender: Male
Place Of Birth: Sohar, Oman
Date of Birth: 16/09/1985
Marital status: Married
Passport No.: JZ8744017
National ID No.: 08790189
Staff No.: 53642
E-mail Address: ******.***@*****.***
Home-country Postal Address: Al-Humbar, P.O. Box: 551, P.C 311, Sohar, Sultanate of Oman
Contact Number: Cell No.: +968********
Qualifications
Institute
Degree
From
To
McGill University
Canada
Neurocritical Care Fellowship
July 2018
July 2019
McGill University Health Centre
Canada
Adult Critical Care Medicine Fellowship
July 2017
July 2018
Oman Medical Specialty Board (OMSB)
Specialty certificate
Internal Medicine
August 2011
June 2016
Oman Medical Specialty Board (OMSB)
Certificate of Completion of training
Internal Medicine
August 2011
December 2015
College of Medicine and Health Science
Sultan Qaboos University - Oman
M.D.
Medicine
June
2007
June
2010
College of Medicine and Health Science
Sultan Qaboos University - Oman
B.Sc.
Health Sciences
September 2003
May
2007
Clinical Experience, Residency and Fellowship
Current position:
Intensivist / Neurointensivist and Internist Specialist / Acting Consultant: Ministry of Health, Sohar Hospital, Oman: 29th July 2019 to Present
Duties:
Conducting intensive care unit (ICU) morning round on daily basis based on latest updates in management of critically ill patients and creating a daily management plan
Coordinating continuous optimal management in all patients in ICU and is to be immediately available as requested
Coordinate the extended daily review of ICU patients by ICU team members along with providing immediate expertise opinion in ICU management
Determine the need for subspecialty consultation as required and help coordinating these consultations
Consults as required for ward patients being considered for transfer to ICU
Provide medical and surgical critical care to patients with medical and surgical conditions
conducting weekly combined ICU-ID antimicrobial stewardship round with Infectious Diseases team and clinical pharmacists to ensure rational and appropriate use of antibiotics in patients admitted to ICU
Provide neuro-critical care to patients with neurocritical conditions
Work in multidisciplinary position with neurosurgeons, neurologists to provide care to patients with wide spectrum of diseases critically affecting nervous system in ICU sittings with collaborative team management
Active participation in non-clinical duties including education, multidisciplinary meetings, and quality assurance activities (an active member of morbidity & mortality committee and a member of regional medical technical committee)
Follow all hospital policies and procedures
Comply with all hospital standards and policies pertaining to acceptance, eligibility, admission processes, consultation, daily patient care and patient transfer to medical/surgical wards or to other hospitals
Ensure appropriate patients’ preparation for procedures and performs procedures as indicated in signed clinical form
Actively participate in educational activities and training of residents/ interns and medical students rotating in the unit
create departmental admission protocols that required sophisticated ICU management to deliver quality of care to patients admitted to unit including vasopressors/inotropes infusion protocols, heparin infusion protocol for variable indications, continuous renal replacement therapy protocols and Traumatic brain injury admission pre-set orders
Doing 3rd ICU on-call (Consultant) duties 7-10 duties per month independently
diagnosing and treating the wide spectrum of medical disorders that present acutely to hospital emergency rooms and acute medical units, referring for specialist opinion and care as appropriate
diagnosing and treating the wide spectrum of medical conditions that are referred to medical outpatient clinics
Having comprehensive rounds to in-patient wards twice daily for five days a week 2 weeks per month. Alternates with the other consultant internists in covering 3rd on-call duties for 24 hours.
Performing clinical procedures as required and participating in different committees as required (e.g., morbidity and mortality committee, regional medical technical committee)
Planning the policy of work in the department along with sharing with administration, through staff meetings in making plans for the work of the hospital in general
handle the broad and comprehensive spectrum of illnesses that affect adults and shows expertise in diagnosis and treatment of chronic illness, promotion, and disease prevention
Customize a treatment plan unique to each patient’s symptoms and diagnosis
Prescribe medication as part of a treatment plan in accordance to updated guidelines, and perform drug and disease utilization reviews on a regular basis to ensure quality treatment of patients and to avoid any drug and/or therapy adverse interactions
Interact with patients, exploring their queries and explaining complicated medical terminology clearly and effectively to patients
Participates in the improvement of quality of patient care
Participates in the major disaster plan of the hospital, as indicated
Participates in and/or actively supports approved research
Carries out full range of inpatient and outpatient clinical duties as assigned by the Head of the department in accordance with individually approved clinical privileges
Provides the highest attainable standard of medical care for the patients
Apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness
Being an active instructor of Fundamental Critical Care Support (FCCS) Provider Course that has been conducted at Oman Medical Specialty Board (OMSB)
Teaching medical students / residents rotating in ICU / Medical wards with great attention to use and appraise latest medical evidence and applying it to patients’ clinical in-hospital course
Work experience:
Critical Care Medicine/neurocritical care fellow: McGill University, Montreal, Canada: 5th July 2017 to 28th July 2019
Duties:
demonstrate detailed knowledge of the specialist aspects of critical illness
demonstrate competencies in the safe application of equipment, careful monitoring, judicious use of drugs, and the coordinated provision of multidisciplinary care for effective organ system support
demonstrate ability to recognize, resuscitate, and stabilize patients sustaining, or at risk of, cardiopulmonary arrest or other life-threatening disturbances
demonstrate working knowledge of applied clinical physiology and homeostasis and the ability to recognize, prevent, and treat single or multiple organ failure
demonstrate basic understanding of physiology, pathophysiology, and pharmacology as they pertain to the critically ill patient
demonstrate both basic and applied knowledge of the following: respiratory dysfunction, cardiovascular dysfunction, neurological dysfunction, neuromuscular dysfunction, renal dysfunction, gastrointestinal dysfunction, hepatic dysfunction
Demonstrate both basic and applied knowledge of the following disorders: hematological/oncologic disorders, metabolic-endocrine disorders, trauma, septic Illness, intoxication and/or burns
Demonstrate both basic and applied knowledge of the following health issues: nutritional Support, pharmacotherapy, transplantation, end of life issues, critical illness in pregnancy
Demonstrate proficiency in the following technical skills: airway, breathing, circulation, CNS, renal, gastrointestinal and nutrition
establish relationships with patients/families; effective listening, obtaining and synthesizing relevant history from patients/families/communities; and discuss appropriate information with patients/families and the healthcare team
consult effectively with other physicians and health care professionals along with effective contribution to interdisciplinary team activities
allocate available health care resources wisely, work effectively and efficiently in a health care organization, utilize information technology to optimize patient care
life-long utilize personal resources effectively to balance patient care, learning needs, and outside activities
identify the important determinants of health affecting patients and contribute effectively to the improved health of patients and communities
facilitate the learning of patients/families, house staff/students and other health professionals, contribute to the development of new knowledge; and develop, implement, and monitor a personal continuing education strategy
deliver the highest quality care with integrity, honesty, and compassion exhibit appropriate personal and interpersonal professional behaviors, and practice medicine ethically consistent with the obligations of a physician
Provide high quality clinical care and assessments of critically ill patients with neurological disorders, including diagnostic evaluation, treatment, management, counseling and social intervention
Work effectively with multidisciplinary teams oriented to the care of these patients; and develop the capacity to pursue an academic/research career focusing on neurological dysfunction in critically ill patients
Develop the capacity to teach others in the methods and concepts used in the care of critically ill patients with neurological disorders
Quality patient care by identifying and implementing best medical practices for acute neurological disorders that are consistent with current scientific knowledge, and that promote compassionate care and respect for patient-centered values
Professional collaboration by providing a forum for communication, collaboration, and exchange of ideas between physicians and allied healthcare professionals within different specialties who care for neurocritically-ill patients
Advocacy by making the case to patients, policy makers and other healthcare professionals that complex, life-threatening neurological diseases are best cared for by a multidisciplinary team with special expertise in neurocritical care
Provide scientifically based, comprehensive and effective diagnosis and management for patients with: Brain Death, Coma, Encephalopathies and Delirium, Herniation Syndromes, Hydrocephalus, Intracranial hemorrhages, Cerebral Venous Thrombosis, Acute anterior circulation ischemic stroke, Brainstem Infarction, Cerebellar Infarction, Hemispheric Infarction, Acute Spinal Cord Syndromes, Cerebral Blood Flow and Hypoperfusion, Cerebral Metabolism and Oxygen Demand, Cerebral Edema, Syncope, Brain Abscess, Encephalitis, Meningitis, Traumatic Brain Injury, Traumatic Spinal Cord Injury, Status Epilepticus, Guillain-Barre’ Syndrome, Myasthenia Gravis
Obtain a complete neurological history from adults obtaining a collateral history where necessary
Perform an appropriate physical examination
Determine whether a patient's symptoms and signs are the result of a disorder related to the field of neurocritical care
Formulate an appropriate localization, differential and provisional diagnosis of the life-threatening
To review detailed, practical anatomy of the central nervous system, the ventricular system and the spinal cord illness in question
Outline an appropriate plan of laboratory investigation
Outline an appropriate therapeutic plan
Exhibit appropriate clinical judgment in outlining a differential diagnosis and an investigative and therapeutic plan, taking into account matters such as the patient's age, general health, risk and cost of investigative procedures, risk and cost of therapeutic interventions, and epidemiology of the disease
Recognize that effective use of time requires planning
Develop speed as well as accuracy in clinical skills
Educate, be able to generate and access information and be available as a resource person to counsel patients effectively on neurological disorders
Develop criteria for evaluating neurological literature
Critically assess the neurological literature using these criteria
Be familiar with the design of experimental and observational studies, especially randomized controlled trials
include the patient in discussions concerning appropriate diagnostic and management procedures
Scope of work/training:
The fellowship has improved my clinical knowledge and has improved my practical skills in different fields in critical care medicine and neurocritical care.
I worked in the four ICU departments (Royal Victoria hospital (RVH), Montreal General Hospital (MGH), Jewish General hospital (JGH) and Montreal Neurological institute and hospital (MNI)) in Montreal in Canada with many board-certified intensivists with different interests in various fields of critical care medicine and neurocritical care. I got 7-10 on-call duties/month during 1st year of the fellowship training and I had been involved in management of critically ill patients with various critical illnesses that required intensive care medicine with multidisciplinary teamwork. I had excellent opportunity to do many airway related ICU procedures including endotracheal intubation by direct laryngoscopy/glidescope-assisted or by fibro-optic guidance. I did fiberoptic bronchoscopy on many occasions during fellowship training for different indications including atelectasis, pulmonary secretions clearance, lung/lobar collapse, bronchoalveolar lavage in pneumonia, percutaneous tracheostomy guidance, investigation for hemoptysis, and difficult airway intubation. I had excellent opportunity to do as many as central venous catheters insertion, arterial lines insertion, Swan-Ganz catheters insertion, chest drains insertion, transcutaneous pacing and cardioversion. I was involved in management polytrauma patients in Trauma ICU at MGH along with management of acutely ill patients with medical/surgical illnesses and neurocrtitical illnesses at RVH/JGH/MGH and MNI with great focus in last year of fellowship on management of neurocritical illnesses including: aneurysmal subarachnoid hemorrhage with spectrum of related complications, intracerebral hemorrhage, acute ischemic stroke, meningitis/encephalitis/brain abscess, transverse myelitis, acute peripheral weakness (including Guillain Barré syndrome, myasthenia gravis), status epilepticus, spinal shock, cerebral edema, hydrocephalus, coma, management of intracranial pressure, brain death and its related considerations such as organ donation. I had great chance to manage patients with other forms of intracranial hemorrhage other than aneurysmal subarachnoid hemorrhage including epidural hemorrhage, subdural hemorrhage, parenchymal hemorrhage (supratentorial, brainstem, cerebellar), intraventricular hemorrhage. I had chance to manage patients with cerebral venous sinus thrombosis secondary to different aetiologies requiring intensive care. I had great chance to apply current guidelines about management of anticoagulation in neurocritical illnesses.
I had great chance to closely manage external ventricular drain (EVD) along with its weaning process after discussion with concerned neurosurgeons. I had managed many patients with complicated course of aneurysmal subarachnoid hemorrhage along with application of milrinone infusion protocol in management of cerebral vasospasm. I had great chance to do many lumbar punctures on neuro-critically ill patients along with placement of lumbar drain for certain indications in neurocritical care. I was part of ‘CODE STROKE’ team in MNI involved in early assessment and management of acute stroke along with management of airway, breathing and circulation of patients presenting to emergency room with acute stroke beside shared decision with other team members about indications and administration for/of thrombolysis or going to angiography suite for thrombectomy. I had great exposure to diagnose and manage different acute ischemic stroke syndromes involving anterior circulation and posterior circulation including acute anterior cerebral artery occlusion, acute carotid artery occlusion, acute middle cerebral artery occlusion, acute basilar artery occlusion brainstem infarction, cerebellar infarction and hemispheric infarction. I had chance to interpret and discuss with neuroradiologists about different nervous system imaging done for admitted patients in the neuro-ICU.
I had great chance to conduct and be part of many family meetings about neurocritical serious illness information delivery / prognosis and goals/level of care determination along with shared decision making of end of life. I had done neurological determination of death (NDD) on many patients along with initiation process of organ donation for eligible selected patients by Transplant Quebec organization. I had a great opportunity to present interesting cases/up-to-date literature presentations in ICU/neuro-ICU department activities including:
Management of aneurysmal subarachnoid hemorrhage in ICU settings
Management of atraumatic intracerebral hemorrhage in ICU settings
Status epilepticus: definitions and updated management guidelines including new advances
Coma in diffuse carcinomatous / meningiomatous (leptomeningeal disease) cerebral vasculitis (presented in Mortality/morbidity meeting)
During fellowship, Fellows had weekly teaching session / journal club to discuss landmark articles published in world’s top medical journals about management of critically ill patients mentored by board certified intensivist.
I had attended monthly stroke grand round and weekly neurology round during the full year of neurocritical care fellowship. I was doing 6-8 on-home-call per 28 days period including 2 weekends per month in last year of the fellowship. I solidified my administrative skills in managing residents and medical students’ issues during my fellowship training.
Internal Medicine Senior Medical Officer / Acting Specialist: Ministry of Health, Sohar Hospital, Oman: 1st September 2015 to 30th June 2017
Duties:
handle the broad and comprehensive spectrum of illnesses that affect adults and shows expertise in diagnosis and treatment of chronic illness, promotion and disease prevention
lead in-patient round in hospital with junior doctors and actively discussing conditions in details in up-to-date manner
conduct general medicine outpatient clinics twice per week
see in-patients' referrals from other specialties comprehensive care of associated chronic medical illnesses
conduct medical pre-operative risk assessment (cardiac and respiratory) for high risk patients going for major surgeries
undertake in-house on calls following patients in medical high dependency and coronary care unit (CCU)
assess patients in emergency room along with junior doctors and formatting a proper plan based on problems list
conduct presentations about current up-to-date guidelines about various medical diseases for different body systems
attend quality assurance and quality management meetings on monthly basis with quality department
perform different diagnostic procedures to diagnose various medical illnesses (abdominal paracentesis, pleural tapping, lumbar puncture, joint aspiration, chest tube insertion, central line insertion, arterial line insertion, ABG sampling)
demonstrate skills of diagnostic reasoning in the management of patients with complex problems, non-specific symptoms, atypical presentations and multi-system disorder
participating as active member of quality assurance and quality management of different arrays of health services and attending related workshops organized by ministry of health
Scope of work:
I was working as an acting specialist for the medical team. I was doing frequent night duties along the daily regular responsibilities of leading the team and doing ward rounds, interacting with patients and their relatives, as well as managing sick patients in emergency department once being consulted. In addition, I was doing Sunday/Thursday CCU & ICU rounds along with daily medical ward rounds and also doing on call duties as 2rd on call.
Residency and Internship:
OMSB Internal Medicine Resident year 4: August 2014 - August 2015
complete 4th year of residency training in internal medicine at the following institutes: Sultan University Hospital (SQUH), Royal Hospital (RH) and Armed Forces Hospital (AFH)
finish training as following: 4 weeks in radiology department, 8 weeks in chest medicine, 8 weeks in acute medicine, 4 weeks in clinical hematology, 4 weeks in outpatient department, 4 weeks in endocrinology ambulatory care in Endocrine/diabetes center, 4 weeks in medical consult care in Armed Forces Hospital and 8 weeks in Dermatology and venereal medicine. I passed end of year exam, OSCE exam. I have passed OMSB part 2 written exam on 24th October 2015.
Duties:
total independent functioning in establishing diagnosis and management of patients with undifferentiated multisystem disease process
modify differential diagnosis and care plan based on clinical course and data available
independent performance of variable technical procedures related to in-patients practice in internal medicine
recognize the role of inter-professional health care providers in the provision of holistic patient directed care
demonstrate ability to judge patients care based on best available up-to-date resources and evidence
emphasize on medical practice based on disease-specific guidelines
support colleagues and other trainees through careful proper handover of patients' issues
apply patient safety standards in daily practice
maintain patients’ confidentiality
teaching medical students at bedside as well as demonstrating the way of performing physical examination, interpretation of ECG, chest X-rays and ABG along with supervising the work of interns and junior residents
OMSB Internal Medicine Resident year 3: August 2013 – July 2014
did third year of residency training in Sultan University Hospital, Royal Hospital including the following: 16 weeks in acute medicine, 4 weeks in gastroenterology, 4 weeks in nephrology, 4 weeks in ICU, 4 weeks in medical outpatient department & 4 weeks in Emergency department. I passed end of year exam.
I had finalized my residency research project is about patterns of antimicrobial prescribing in tertiary care hospital in Oman
Duties:
independent functioning in establishing diagnosis and management of patients with undifferentiated multisystem disease process
prioritizing differential diagnosis and evidence based approach to investigations and management of various medical illnesses related to Cardiovascular, respiratory, gastro-intestinal systems as well as rheumatological, hematologic, neurologic, nephrologic, infectious, oncologic and geriatric diseases.
Showing competencies in performance of variable technical procedures related to in-patients practice in internal medicine
Effective communications with other team members
Effective consults other specialty services
Communicates with other health teams as part of multidisciplinary team
Recognizes contributing factors that can lead to medical errors
Actively participating in teaching during rounds and educational activities such as journal clubs
OMSB Internal Medicine Resident year 2: August 2012 –August 2013
complete 2nd year of residency training at Sultan University Hospital, Armed Forces Hospital and Royal Hospital including the following: 32 weeks in acute medicine, 4 weeks in dermatology, 4 weeks in Coronary care unit, 4 weeks in ICU & 4 weeks in Emergency department. I had passed written end of year exam and clinical exam with good score. I passed end of year exam and clinical exam with good score. I passed OMSB part 1 exam. I had started my residency research project which is about antimicrobial stewardship in tertiary care.
Duties
use available data including interview, physical examination and preliminary laboratory data to define each patient's central problem(s) and develop differential diagnosis
know common presentations and principles of inpatients management of most important clinical problems related to Cardiovascular, respiratory, gastro-intestinal systems as well as rheumatological, hematologic, neurologic, nephrologic, infectious, oncologic and geriatric diseases.
completes variable technical procedures related to in-patients practice in internal medicine in safe and effective manner with support as needed
provide effective gathering of history from patients and their families and provide clear and accurate detailed consultations and progress notes
OMSB Internal Medicine Resident year 1: August 2011 – August 2012
complete first year of residency training at Sultan University Hospital & Royal Hospital including the following: 32 weeks in acute medicine, 4 weeks in infectious disease, 4 weeks in Coronary care unit, 4 weeks in ICU & 4 weeks in Emergency department. I had passed written end of year exam and clinical exam with good score.
Duties
perform a thorough and proper history taking and accurate physical examination on patients with common medical problems
integrate past and current clinical information to arrive at a problem-oriented, prioritized differential diagnosis
initiate accurate plan for common medical problems
understand appropriate follow up of patients including tests results and radiological investigations and medications use
demonstrate efficacy to manage urgent complaints under supervision
perform common diagnostic procedures under supervision
effectively communicate with patients and their advocates
demonstrate proficiency in use of verbal and nonverbal communications skills with colleagues, staff nurses and paramedics
work as active member of a team
Remain accountable for patients’ safety and wellbeing
Additional Clinical Experience
Internship: August 2010 –July 2011
Aug 2010 – Nov 2010: pediatrics, Sohar Hospital
Dec 2010 – Mar 2011: Surgery, Sultan Qaboos university hospital
Apr 2011 – July 2011: general medicine, Royal Hospital
Job Profile
Establishing high standards of application of critical care medicine and neurocritical care with readily availability for consults
Encouraging all staff to have a clear mission and vision of the intensive care unit along with stimulating them to reach out our short- and long-term objectives
Working as a leader to keep ICU at high level by implementing model of maximum potential / role model
Focusing on outcomes rather than process and on job roles rather than job description
Educating and supervising all medical staff working in ICU to ensure optimal care
Ensuring a safe working environment for the patients and staff and to provide continuous support to achieve our goals
Minimizing risks and to ensure safe practice for patients and staffs
Promoting wellness in the professional environment
Managing of overcrowding and finding various possible solution based on our limited resources with cooperation with health authority in the hospital and governorate.
Continuously revising and updating departmental polices and guidelines
Continuously encouraging all medical staffs to attend all concerning workshops and conferences to keep up to date in their medical and critical care medicine knowledge
Improving patient-doctor communication in the unit and making sure that interdepartmental communication is optimal to improve patient care and flow
Making sure that sick patients are managed by a right doctor in the right time
Ensuring adequate staffing that can manage the department at any single time and provide backup in case of patients overflow or any acute staff shortage
Conferences & Symposia
Conference / Symposium
Date
Location
Hospitalist and resuscitationist Conference
2019
Montreal - Canada
13th Gulf Heart Association Conference
2017
Muscat – Oman
Updates on practical issues in Internal Medicine
2016
Sohar – Oman
Oman International Anesthesia and Critical Care conference
2014
Muscat – Oman
Muscat 3rd COPD update
3rd advanced general medicine conference (RCP-UK)
GERD day
2013
2nd advanced general medicine conference (RCP-UK)
neuro-endocrine tumor day
9th Gulf Heart Association conference
2012
Health Worker & Viral Hepatitis symposium
2011
Liver Diseases in Pregnancy symposium
1st advanced general medicine conference (RCP-UK)
2010
In-service training Courses and Workshops
Course/Workshop Title
Organizer
Date
Fundamental Critical Care Support (FCCS) Provider Course
Oman Medical Specialty Board – Oman
2021
Acute Critical Events simulation (ACES)
Royal College of Physicians and Surgeons – Toronto - Canada
2017
Emergency Point of Care Ultrasound (ePOCUS)
McGill emergency Medicine – Montreal – Canada
2017
Health Care Accreditation Professional
Ministry of Health – Oman in collaboration with Accr. Canada Int.
2016
ACLS Provider Course, AHA
Oman Medical Specialty Board
2015
McMaster International Review course in Internal Medicine MIRCIM
McMaster University – Canada
(held in Krakow – Poland)
ECG in emergency workshop
Oman Heart Association - Oman Mayo clinic - USA
In-service training Courses and Workshops (Cont'd)
Course/Workshop Title
Organizer
Date
2015
2014
Advanced health advocacy workshop
Oman Medical Specialty Board – Oman
Medical Professionalism workshop
Oman Medical Specialty Board - Oman
Health advocacy workshop
Oman Medical Specialty Board – Oman
Canadian Medical association - Canada
Resident as a teacher for R3 workshop
Oman Medical Specialty Board - Oman
Communication skills part 2 for R3 workshop
Oman Medical Specialty Board - Oman
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