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: aduh2n@r.postjobfree.com

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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