Assistant Professor
Resume:
Application Form
Consultant Nephrologist & General Physician ULHG2023/P05
SECTION A – MEDICAL CONSULTANT APPLICATION
You must complete the application form in full. Please read the “Campaign Information Booklet” for further details before you begin the application form.
Position for which you are applying :
CONSULTANT NEPHROLOGIST & GENERAL PHYSICIAN
Closing date and time:
5pm Friday 2nd June 2023
Return Application forms to:
Consultant Nephrologist & General Physician in Limerick with UL Hospitals Group - Rezoomo
Anticipated Interview Date:
TBC
Informal Enquiries
Dr Liam Casserly,
Consultant Nephrologist
Department of Nephrology / Dialysis Unit
University Hospital Limerick
Email: adxliw@r.postjobfree.com TEL: 061 48 5153
SECTION B – PERSONAL DETAILS (as used on Irish Medical Council / other Medical Council Documents)
Surname
Arshad
Forename
Ahmad Ammar
Are you included as a Specialist in the Specialist Division of the Register of Medical Practitioners maintained by the Medical Council of Ireland? *see note on eligibility below
NO
Speciality
NEPHROLOGY
IMC Registration Number
NO
*Note on eligibility: A candidate cannot be appointed as a Medical Consultant unless she/he is registered as a Specialist in the Specialist Division of the Register of Medical Practitioners maintained by the Medical Council of Ireland. Successful candidates must be registered as a Specialist in the relevant Speciality on the Speciality Division of the Register of Medical Practitioners within 180 days of the day of interview. Please see the “Campaign Information Booklet” for further details on this.
If you are not currently registered on the Specialist Division of the Register of Medical Practitioners maintained by the Medical Council of Ireland, please advise:
(i) When will you be eligible to be registered?
(ii) What date was your application submitted or will be submitted to the Medical Council of Ireland?
I SHALL APPLY FOR IMC REGISTERATION ONCE I GET APPROVAL OF JOB
Address for Correspondence
Shahzad Bashir Hospital, Khadim Ali Road Sialkot,Punjab, Pakistan
Mobile telephone number
(Please note you will be contacted by text and voice mail to this number)
Work telephone number
+92523301101-3
E-mail Address
(Please note you will be contacted by email)
adxliw@r.postjobfree.com
European Economic Area (EEA)
Are you an EEA National?
(EEA National are nationals of the following countries: Austria, Belgium, Croatia, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, The Netherlands, Portugal, Spain, Sweden, United Kingdom, Cyprus, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Malta, Poland, Slovakia, Slovenia, Norway, Iceland, Liechtenstein, Switzerland, Bulgaria and Romania)
NO
Current Contractual Status:
Are you currently a HSE employee?
IF YES to above please state if under permanent or temporary contract
NO
''Click here and type Permanent or Temporary"''
If you reside overseas do you require a SKYPE interview?
NO
If yes, please provide your SKYPE ID
''Click here and type''
Please note, that due to limited resources, we cannot guarantee that all requests for SKYPE interview will be met. We will prioritise applicants who would otherwise have to undergo an inordinately long journey as well as prohibitive costs to attend an interview in person. For further information on SKYPE interview requests, please see the “Candidate Information Booklet”.
In order to help us gauge the efficiency of our advertising strategy for this recruitment campaign, we would appreciate if you indicated below where you saw the campaign advertised. More than 1 indication is permitted.
HSE Website
Word of mouth – my manager/colleague
Notification from HSE Talent Pool
PublicJobs.ie
Notification from Public Jobs/ Public Appointments Service
YES
Advertised in Sunday Independent, Irish Independent, Irish Medical Times, British Medical Journal
Websites
YES
Other – please say which:
SECTION C –ACADEMIC QUALIFICATIONS & TRAINING
Applicants should note that information they supply in this section will play a central part in the eligibility and short listing process. The decision to include your application in the next stage of the selection process may be determined based on the information you supply here and other parts of the application form. Please see the “Candidate Information Booklet” for more information on this process.
University/Medical School Name
OSH STATE UNIVERSITY
Address of University/Medical School
OSH STATE UNIVERSTIY,CITY OSH, KYRGYZYSTAN
Date of graduation
07/07/2007
Primary medical qualification
Doctor of Medicine (M.D) as Equivalent to MBBS(PAKISTAN)
Overall grade achieved
GRADE (B)
Further Academic / Professional Qualifications
In this section please detail your attainment of further qualifications, completion of specialist training, fellowships etc.
Full Title of Qualifications (e.g. Postgraduate Degree/ Diploma)
Awarding Body
Date of Qualification
Full address at which you resided
F.C.P.S NEPHROLOGY
College of Physicians & Surgeons of Pakistan
26-11-2018
Hostel of Post Graduate Medical Institiute Shaikh Zayed Hospital Lahore (SZPGMI)
INTERMEDIATE MODULE EXAMINATION (IN Subject of Medicine)
College of Physicians & Surgeons of Pakistan
20-04-2016
Hostel of Post Graduat Medical Institiute Shaikh Zayed Hospital Lahore (SZPGMI)
''Click here and type qualifications''
''Click here and type awarding body''
''DD / MM / YY''
''Click here and type Address''
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''Address line 3''
''County''
''Country''
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''County''
''Country''
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''Click here and type Address''
''Address line 2''
''Address line 3''
''County''
''Country''
Skill Courses e.g. ACLS, ATLS, BLS etc
Name of Course
Location & Provider of Course
Date
Research Methodology, Biostatistics & Dissertation Writing
CPSP Lahore
17th Jun 2014 to 20th Jun 2014
Communication Skills
CPSP Lahore
3rd Jul 2014 to 5th Jul 2014
Introduction to Computer & Internet
CPSP Lahore
19th Aug 2014 to 23rd Aug 2014
BLS
CPSP Lahore / Sialkot Medical Complex (thrice)
Last done 2 and half yr back (expired)
Certificate Course in Medical Teaching
Sialkot Medical College (University of Health Sciences)
09-03-23
Post Graduate Nephrology Course
Department of Nephrology (SZPGM I)
20-11-2015 TO 22-11-2015
''Click here and type name of course''
''Click here and give location''
''DD / MM / YY''
''Click here and type name of course''
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''Click here and type name of course''
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SECTION D – EMPLOYMENT HISTORY
Please see “Candidate Information Booklet” for further details on what is taken into consideration in this section.
Beginning with the most recent (i.e. current or most recent employment position) please list all previous employment, in reverse chronological order.
Applicants should note that information they supply in this section will play a central part in the eligibility and short listing process. If there are any breaks in employment dates please briefly outline what was the reason for non employment in this period e.g. travelling, personal leave. No period of time should be unaccounted for.
Employment 1
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
Imran Idrees Teaching Hospital, Sialkot, Punjab
Head of Department
Assistant Professor Of Nephrology
Consultant Nephrologist
Nephrology
''e.g. Mr Joe Bloggs''
26-01-2021
28 months
Nephrology Out door 3 days in a week (Mon to Wed)
In Door of Nephrology Department including Male and Female Nephro Wards, Nephro ICU (Thu to Sat)
In Door Consultations of other departments 3 days in a week (Thu to Sat)
Dialysis Department Round (Thu to Sat)
CLINICAL SESSIONS OF MBBS STUDENTS Scheduled by College are being managed during Indoor Duty Hours.
Lectures for MBBS Students are being Managed during OPD days
'Outline reason for leaving the post here"
Living in my Home Town (Sialkot)
Employment 2
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
Imran Idrees Teaching Hospital, Sialkot, Punjab
Senior Registrar
Nephrology and Medicine
Prof. Dr. Mansoor Hassan
22-01-2019 TO 25-01-2021
24 months
Nephrology OPD 3 Days in week.
Ward rounds of General Medicine Ward that included patients of Renal diseases as well.
All the Patients with kidneys diseases were admitted under General Medicine Department at that time.
Our Separate Nephrology ward, Nephrology ICU was established 2 years back.
'Outline reason for leaving the post here"
My Home
Employment 3
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
Shaikh Zayed Hospital (SZPGMI)
Medical Officer (extension of Training)
NEPHROLOGY
Prof. Waqar Ahmad
15-01-2018 to 14-07-2018
6 months
Indoor Nephrology ward and ICU
Post Renal Transplant Care
Dialysis centre
My Post graduation training was ended in 30-12-2017, and my final FCPS 2 Exam was in AUGUST-SEPTEMBER 2018.
I Decided to stay in touch with patients rather than sitting home. Meanwhile I was preparing for my exam under kind supervision of my Teachers.
Hostel of Shaikh Zayed Hospital
Employment 4
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
Shaikh Zayed Hospital (SZPGMI)
Trainee Registrar
Nephrology
Prof .Waqar Ahmad
Associate Prof. Dr. IbaduRehman
Associate Prof. Dr. Matin Akram
31-12-2014 to 30-12-2017
36 months
According to departmental trainee schedule I was rotated to following department, I can provide experience certifivates
Nephrology OPD
Indoor Nephrology male and female wards
Kidney Transplant ward
Dialysis Center
Radiology
Kidney ICU
'Outline reason for leaving the post here"
Sheikh zayed hospital hostel
Employment 5
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
Shaikh Zayed Hospital (SZPGMI)
Trainee Registrar
General Medicine
Prof.Ziaullah (late)
18-05-2012 to 31-12-2014
30 months
I worked in following departments during my General Medicine Training, can provide experience Certificate
General Medicice (indoor, out door, ICU)
Cardiology
Neurology
Pulmonology
I then moved to Nephrology speciality
Shaikh Zayed Hospital Hostel
Employment 6
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
Social Security Teaching Hospital
Sialkot
Medical Officer
Medicine and Allieds
Dr. Touqeer Ahmad
Dr. Shabir Jenjua
07-09-2009 to 30-05-2012
32 Months
General Medicine ward and OPD
Pulmonology ward and OPD
Casualty Medical Officer
(Dates are mentioned in experience certificate)
I was inducted in Post-Graduation Training programme, Sheikh Zayed Post Graduate Medical Institute Lahore in end of May 2012. And joined there.
My Home Town
Employment 7
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
Department of cardiology Sialkot Medical Complex
SHO
Cardiology
Dr. Sohail Tufail
15-01-2011 to 15-07-2011
7 months
Worked in Coronary care Unit
Dealt with All kind of Cardiac Emergencies
Learnt to Insert Temporary Pacemakers as well.
Sialkot medical complex is a 150 bedded trust hospital, pioneer Hospital in establishing a proper Coronary Care Unit in district Sialkot under supervision of Dr. Sohail Tufail.
Due to keen interest in cardiology and lack of experience in cardiac section of medicine, I decided to work here. Meanwhile I was working as Regular Medical officer in social Security hospital. So I worked in two shifts during this period.
Morning shift in coronary care unit and evening shift in social security teching hospital
I started to prepare for exam (FCPS part 1) and had to leave 1 job
Home
Employment 8
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
Children Hospital and institute of child Health
House officer
Paediatric Surgery
Prof. Muhammad Afzal Shaikh
09-06-2008
08-06-2009
Pre op care
Post op care
Assisting surgeries
Acute Paediatric surgical emergencies
Assisted in paediatric surgery
Hostel of same hospital
Employment 9
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
''Click here and type Information''
''Grade''
''Speciality''
''Name Consultant''
''dd/mm/yr''-
''dd/mm/yr''
''xx''
''Outline main duties here, as relevant to the post"
'Outline reason for leaving the post here"
''Detail address at which you resided during this period"
Employment 10
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
''Click here and type Information''
''Grade''
''Speciality''
''Name Consultant''
''dd/mm/yr''-
''dd/mm/yr''
''xx''
''Outline main duties here, as relevant to the post"
'Outline reason for leaving the post here"
''Detail address at which you resided during this period"
Employment 11
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
''Click here and type Information''
''Grade''
''Speciality''
''Name Consultant''
''dd/mm/yr''-
''dd/mm/yr''
''xx''
''Outline main duties here, as relevant to the post"
'Outline reason for leaving the post here"
''Detail address at which you resided during this period"
Employment 12
Clinical Site
(If overseas please also indicate country)
Position Held Grade/ Level
Specialty
Supervising Consultant(s) (if applicable)
From – To
Months in post
''Click here and type Information''
''Grade''
''Speciality''
''Name Consultant''
''dd/mm/yr''-
''dd/mm/yr''
''xx''
''Outline main duties here, as relevant to the post"
'Outline reason for leaving the post here"
''Detail address at which you resided during this period"
SECTION E – SUPPLEMENTARY INFORMATION
Please see the “Candidate Information Booklet” for more information on this section. In this section please outline any other relevant information to support your application. Information you provide here may be taken into account during the short listing process for this role.
In this section you can highlight experience including clinical practice, teaching experience, audit and management experience as relevant to this role.
In this section you can also detail any publications and research you have been involved in.
As I did my 1 year house job in paediatric surgery due to some certain reasons, I always felt deficient in Mediacal and allied, I extended my house job for 3 months in adult medicine. Unfortunately I am not able to find that experience certificate; I am trying this to be reissued by the Hospital.
During My Post Graduation Training I worked in an another Hospital as a regular Employee under Punjab Govt. (PESSI- Nawaz Sharif Social Security Teaching Hospital) on evening and night shifts to meet My financial Burdens.
Worked in Pulmonology, Cardiology and Nephrology and Emergency Departments. ( total 6 year duration)
Experience of these above mentioned JOBs is not mentioned here. Bcoz I lost that certificates. I am trying for re issuance for experience certificated by relevant departments.
General Declaration
It is important that you read this Declaration carefully and then sign it in the space below.
Part 1: Obligations Placed on Candidates who participate in The Recruitment Process.
The Public Service Management (Recruitment and Appointments) Act 2004 and Public Service Management (Recruitment and Appointments) Amendment Act 2013 makes very specific provisions in relation to the responsibilities placed on candidates who participate in recruitment campaigns and these are detailed in Section 4 of the Code of Practice issued under the Act.
These obligations are as follows:
Any canvassing by or on behalf of candidates shall result in disqualification and exclusion from the recruitment process. Candidates shall not:
knowingly or recklessly make a false or a misleading application
knowingly or recklessly provide false information or documentation
canvass any person with or without inducements
impersonate a candidate at any stage of the process
knowingly or maliciously obstruct or interfere with the recruitment process
knowingly and without lawful authority take any action that could result in the compromising of any test material or of any evaluation of it
interfere with or compromise the process in any way
Any person who contravenes the above provisions, or who assists another person in contravening the above provisions, shall be guilty of an offence.
It is the policy of the HSE to report any such above contraventions to An Garda Siochana.
In addition, where a person found guilty of an offence was or is a candidate at a recruitment / selection process, then, in accordance with the Public Service Management (Recruitment and Appointments) Act 2004 and Public Service Management (Recruitment and Appointments) Amendment Act 2013.
where he / she has not been appointed to a post, he / shall be disqualified as a candidate; and
where he / she has been appointed as a result of that process, he / she shall forfeit that appointment
Part 2
Declaration: “I declare that to the best of my knowledge and belief there is nothing in relation to my conduct, character or personal background of any nature that would adversely affect the position of trust in which I would be placed by virtue of my appointment to this position. I hereby confirm my irrevocable consent to the Health Service Executive to the making of such enquiries, as the Health Service Executive deems necessary in respect of my suitability for the post in respect of which this application is made.
I hereby accept and confirm the entitlement of the Health Service Executive to reject my application or terminate my employment (in the event of a contract of employment having been entered into) if I have omitted to furnish the Health Service Executive with any information relevant to my application or to my continued employment with the Health Service Executive or where I have made any false statement or misrepresentation relevant to this application or my continuing employment with the Health Service Executive.
Furthermore, I hereby declare that all the particulars furnished in connection with this application are true, and that I am aware of the qualifications and particulars for this position. I understand that I may be required to submit documentary evidence in support of any particulars given by me on my Application Form. I understand that any false or misleading information submitted by me will render me liable to automatic disqualification or render me liable to dismissal, if employed.”
Failure to sign application will render it invalid[1].
Signed:
(Name of Applicant)
Date:
REFERENCES
Please give three referees (including your current employer). One of these referees should be your present or most recent supervising consultant. Please ensure that the referees you provide are from a clinical perspective. We retain the right to contact all previous employers.
Do you wish us to contact you prior to contacting your referees? Yes / No
1. Name and Job Title of Referee: Prof. Dr. Mansoor Hassan ( Professor of Medicine)
Dates From-To (11-25-2019 till to date)
Professional Relationship to Candidate: Supervisor in Medicine and Allied while I was working as senior Registrar
Clinical Site & Postal Address: Imran Idrees Teaching Hospital Sialkot .
Telephone Contact Details: Mobile: +923********* Landline: 052*******
Email Address: adxliw@r.postjobfree.com
2. Name and Job Title of Referee: Abad ur Rehman (Associate Prof. Nephrology)
Dates From-To ( 05-11-2019 till to date )
Professional Relationship to Candidate: Supervisor while I was training in Nephrology ward (SZPGMI)
Clinical Site & Postal Address: Head of Department Punjab institute of cardiology
24 A, Judicial Society Phase 1 Thokar Niaz Baig Lahore Pakistan
Telephone Contact Details: Mobile: +923********* Landline:
Email Address:
3. Name and Job Title of Referee: Dr. Haroon Ayoob (Assistant prof of Nephrolgoy)
Dates From-To (MM/YY- MM/YY): 06-06-2019-20 till to date
Professional Relationship to Candidate: completed post-graduation trainee together
Clinical Site & Postal Address: HEAD OF DEPARTMENT INDUS HOSPITAL LAHORE
IF ANY OF MY REFREE DOESN’T RECEIVE CALL, PLEASE CALL ON WHATSAPP AS WELL OR LEAVE VOICE NOTE.OR EMAIL
THANKS
Telephone Contact Details: Mobile: +923********* Landline:
Email Address: adxliw@r.postjobfree.com
NOTES
Before you return this application form, please ensure you have completed all sections of the form.
Please do not send any qualifications, training certificates or references with this form. We will request these from you at a later date in the selection process, as appropriate to your candidature. Please see “Candidate Information Booklet” for further details.
[1] If you are submitting your application form via email we will accept the application form unsigned but you will be required to sign the Declaration at interview should you be invited to one.
Contact this candidate