Department of Postgraduate Medical Education Admission Cycle 2014 Information for Interns, Residents and Fellows

The Aga Khan University (AKU)offers internship, residency and fellowship programmes for national and International medical graduates. These programmes offer an excellent training environment with close faculty supervision. In addition to training, students have access to Continuing Medical Education (CME) seminars, guest lectures by eminent scholars, and state-of-art library and audio visual facilities. AKU is open to all academically qualified candidates irrespective of gender, religion, race, creed, colour or domicile. Most of the residency and fellowship programmes are recognised by the College of Physicians and Surgeons, Pakistan (CPSP) and many are also recognised by the Royal Colleges in the United Kingdom. Internships at AKU which provide clinical experience under the supervision of senior faculty are recognised by the Pakistan Medical and Dental Council (PM&DC). All the training programmes start from January 1, 2014.

eligible to apply. MBBS graduates must be from an institution recognised by the PM&DC and must be provisionally registered with the PM&DC. Applicants are required to attempt an Admission Test aimed at evaluating application of knowledge in solving common clinical problems not specific to any specialty. Based on the Admission Test result, the applicant will be considered for an interview. Successful candidates will be offered a one-year contract: six months each in medicine and allied and surgery and allied specialties. Candidates will be required to submit all pending documents along with PM&DC registration (not submitted with the application form) by December 16, 2013. The deadline for submitting all documents including MBBS final year results and PM&DC provisional registration is December 16, 2013 after which candidates will not be considered for selection even if their applications have been processed and interviews have been conducted. Rotations will be allocated according to ranking on the final merit list. Those interns who successfully complete one-year Internship at AKU with good standing and are interested to pursue residency training at AKU will be exempted from taking the admission test for the residency programme. An academic certificate will only be awarded to students who complete the entire one-year programme.

Internship
All medical graduates, including those expecting their MBBS final results by end November, 2013 are

Applicants selected from training programmes in other institutions must submit a no objection certificate (NOC) or a copy of the resignation letter approved by the supervising consultant, before joining the training programme at AKU.

A candidate can apply for only one residency programme at a time.

Eligibility Requirement for Residency

General Individuals applying for a residency programme must fulfil the following conditions as applicable:

Residency
Applications are invited for the following residency programmes; 4-year programmes 3-year programme Adult Cardiology Cardiothoracic Surgery Clinical Haematology Community Medicine Dermatology Emergency Medicine Gastroenterology Family Medicine Nephrology Internal Medicine* Neurology Neurosurgery Pulmonary Medicine Obstetrics & Gynaecology Operative Dentistry Ophthalmology 5-year programmes Orthodontics Anaesthesiology Orthopaedic Surgery Chemical Pathology Paediatrics & Child Health Diagnostic Radiology Paediatric Surgery General Surgery Plastic Surgery Haematology Psychiatry Histopathology Radiation Oncology Microbiology Urology Otolaryngology/Head & Neck Surgery

Based on the current CPSP guidelines, candidates must take a decision about the Internal Medicine (IM) track they wish to join. i. Two year IM Residency Track ii. Four Year IM Residency Track After Induction in December, applications for changes will not be accepted. Hold an MBBS / BDS degree from an institution recognised by PM&DC. Have a valid registration with the PM&DC at least until December 2014. Candidates whose PM&DC license will be expiring in December 2013 are required to submit copies of their current license as well as their PM&DC license renewal application. One year experience as a house officer/intern with six months each in medicine and allied specialties and surgery and allied specialties. Registration with the research and training monitoring cell (RTMC), CPSP, as trainees for the relevant intermediate module will be preferred.

Programme Specific Eligibility Requirements

In addition to general requirements mentioned above, following are programme specific requirements: Programme Adult Cardiology Eligibility / Requirement FCPS Part I or equivalent; Two years of training in internal medicine; Eligible for intermediate module. Strong preference will be given to those candidates who have already cleared their intermediate module. FCPS Part I will be preferred. FCPS Part I or equivalent; 2 Years training in general surgery. FCPS Part I or equivalent. FCPS Part I; 2 years residency in medicine; Intermediate Module. FCPS Part I in community medicine. One year house job; FCPS Part I; 2-year training in medicine; Eligible for intermediate module. Strong preference will be given to those candidates who have already cleared their intermediate module. FCPS Part I in radiology. FCPS Part I will be preferred in medicine and allied, surgery and allied or anaesthesia. FCPS Part I will be preferred. FCPS / MRCP Medicine / ABIM or Part I. In case of FCPS part 1,two years' experience in internal medicine from a recognised institution with intermediate module (IMM) from CPSP . Should have passed MBBS after 2009 or later FCPS Part I in Surgery or equivalent 3

Anaesthesiology Cardiothoracic Surgery Chemical Pathology Clinical Haematology

Community Medicine Dermatology

Diagnostic Radiology Emergency Medicine Family Medicine Gastroenterology

General Surgery

Haematology Histopathology Internal Medicine

Microbiology Nephrology

Neurology

Neurosurgery Obstetrics/Gynaecology Operative Dentistry

FCPS Part I or equivalent. FCPS Part I or equivalent. Track I (4 Years) MBBS or equivalent degree approved by the PM&DC, with at least 58 per cent marks in the final examination; One year internship with six months in Medicine and allied and six months in Surgery and allied disciplines; FCPS Part I/MRCP Part I. Track II (2 years) Applicants after the completion of their internship and FCPS Part I will be considered for 2-year internal medicine training at AKU prior to core internal medicine training. MBBS or equivalent degree approved by the PM&DC. FCPS Part I. FCPS Part I or equivalent. FCPS Part I or equivalent; 2-year training in internal medicine; Eligibility for intermediate module. Strong preference will be given to candidates who have cleared their intermediate module. Track I FCPS Part I or equivalent; 2-year training in internal medicine; Eligibility for intermediate module. Strong preference will be given to candidates who have cleared their intermediate module. Track II Applicants after the completion of their internship and FCPS Part I will be considered for 2-year internal medicine training at AKU prior to core neurology training FCPS Part I or equivalent. FCPS Part I or equivalent. One year house job / internship in various subspecialties of dentistry. FCPS Part I. 4

Ophthalmology

Orthodontics Orthopaedic Surgery Otolaryngology/Head & Neck Surgery Paediatrics and Child Health Paediatric Surgery

FCPS Part I or equivalent. Preference will be given to those candidates having some experience in ophthalmology. One year house job / internship in various subspecialties of dentistry. FCPS Part I. FCPS Part I or equivalent. FCPS Part I is desirable FCPS Part I or equivalent. FCPS Part I or equivalent; Two years' training in general surgery; Eligible for intermediate module. Preference will be given to those candidates who have already cleared their intermediate module. FCPS Part I Two years residency in General Surgery, Eligibility for intermediate module. Strong preference will be given to candidates who have cleared their intermediate module. FCPS Part I or equivalent. FCPS Part I or equivalent; Two years' training in internal medicine; Eligible for intermediate module. Strong preference will be given to those candidates who have cleared their intermediate module. FCPS Part I in radiology. Preference will be given to candidates with FRCS / AFRCS / MRCS Part I or FCPS Part I. For PGY-III preference will be given to candidate having MRCS (Full) with exemption for IM and Part I or IM cleared.

Plastic Surgery

Psychiatry Pulmonary Medicine

Radiation Oncology Urology

Additional Information
Applicants for surgical specialties must clear their

Fellowship
Entrance into Fellowship (post-residency advanced training) will be offered in the following subspecialties this year: 1-year programmes Diagnostic Neuroradiology Neurovascular (Stroke) Obstetrics Anaesthesia Pain Management Vascular and Interventional Radiology Women Imaging 2-year programmes Adult Infectious Disease Clinical Neurophysiology and Electrodiagnostic Medicine Critical Care Medicine Diabetes, Endocrinology and Metabolism Gastrointestinal Surgery Gynae-Oncology Haematopathology Interventional Cardiology Molecular Pathology Neonatal Paediatrics Paediatric Critical Care Medicine Peripheral Vascular Surgery Uro-gynaecology & Pelvic Reconstructive Surgery

FCPS Part I in surgery and allied specialties before submission. Candidates may apply in one of the following two categories: a) Candidates who have already passed or who are eligible to sit for the intermediate module may enter the residency programme directly. b) Candidates who wish to apply for preliminary core training in General Surgery at Aga Khan University before applying to a surgery residency training programme. Applicants for Obstetrics and Gynaecology and Paediatrics and Child Health will have rotations at Aga Khan University Hospital campus as well as its off-campus sites in Karachi and Hyderabad. Applicants for Otolaryngology/Head and Neck surgery will rotate through General Surgery for six months during the five-year programme.

Flexible Residency Training Programme

The University has a flexible residency training programme in the fields of Anaesthesiology, Internal Medicine and Paediatrics Child Health for candidates who are unable to train full-time. Two positions in Paediatrics and one position each in Anaesthesiology and Internal Medicine are available. Women are encouraged to apply.

3-year programmes Medical Oncology Paediatric Cardiology Paediatric Haematology/Oncology* Paediatric Infectious Diseases Paediatric Neurology* * 3rd year optional A candidate can apply for only one fellowship programme at a time. There will be no admission test for entrance into fellowship training. Selection will be based on interviews.

Eligibility / Requirement
General Individuals applying for the fellowship programmes must have: An MBBS from an institution recognised by the PM&DC. A year of house job/internship, with six months each in medicine and allied disciplines and surgery and allied disciplines. Have a valid registration with the PM&DC at least until December 2014. Candidates whose PM&DC license will be expiring in December 2013 are required to submit a copy of their current license, as well as their license renewal application to PM&DC.

Programme Specific Eligibility Requirement

In addition to general requirement mentioned above; following are the programme specific requirement/eligibility: Programme Adult Infectious Disease Clinical Neurophysiology and Electrodiagnostic Medicine Requirement Three years of approved training in internal medicine; Successful completion of FCPS-II. Completion of at least three years of adult neurology training from a national or international training programme; Should be eligible to appear in FCPS neurology, American Boards in Neurology. 7

Critical Care Medicine

Diabetes, Endocrinology and Metabolism Diagnostic Neuroradiology Gastrointestinal Surgery

Gynae-Oncology

Haematopathology Interventional Cardiology

Medical Oncology

Molecular Pathology

Neonatal Paediatrics

FCPS Part I or equivalent examination; Four years of training in anaesthesia / medicine/ surgery/ pulmonology or nephrology, in an accredited and reputable programme; Candidates with FCPS Part II or equivalent in anaesthesia / surgery/ medicine/ nephrology or pulmonology will be preferred. Four years of approved training in internal medicine; Successful completion of FCPS / MRCP / Diplomate American Board of Internal Medicine or any other equivalent postgraduate qualification. Four years of training in radiology; FCPS Part II and one year experience in a clinical field other than internship/house job would be preferable. Four years of training in general surgery in an accredited and reputable programme; FCPS II or equivalent in general surgery. Completed structured residency training programme in Obstetrics & Gynaecology. FCPS Part II or MRCOG or equivalent qualification according to PM&DC. Four years of approved training in Histopathology (FCPS-II eligible). Candidates who have completed FCPS-II exam in Histopathology will be preferred. Three years of approved training in adult cardiology; Candidates with FCPS Part II in adult cardiology or equivalent diploma will be preferred. Three years of approved training in internal medicine; Successful completion of FCPS / MRCP / Diplomate American Board of Internal Medicine or equivalent. Four years of Residency in Haematology/ Histopathology/ Chemical Pathology/ Microbiology; Successful completion of FCPS Part I, and be at least eligible to appear in FCPS II. Four years of paediatrics residency training. Candidates with FCPS Part II in paediatrics will be preferred.

Neurovascular (Stroke)

Obstetrics Anaesthesia

Paediatric Cardiology Paediatric Critical Care Medicine Paediatric Haematology / Oncology Paediatric Infectious Disease Paediatric Neurology Pain Management Peripheral Vascular Surgery

Uro-gynaecology & Pelvic Reconstructive Surgery Vascular & Interventional Radiology Women Imaging

At least three years of neurology training from a national or international training programme; Should be eligible to appear in FCPS neurology; Extended research training is also an option and an interest or track record in research will be preferred. 4 years programe in anaesthesiology; Candidates eligible or have successfully acquired FCPS Part II or equivalent qualification in anaesthesia. Four years of paediatrics residency training. Successful completion of FCPS Part II in paediatrics. Four years of paediatrics residency training. Successful completion of FCPS Part II in paediatrics. Four years of paediatrics residency training. Candidates with FCPS Part II in paediatrics will be preferred. Four years of paediatrics residency training. Candidates with FCPS Part II in paediatrics will be preferred. Four years of paediatrics residency training. Candidates with FCPS Part II in paediatrics will be preferred. Completion of four to five years of training in anaesthesia FCPS Part II or eligible to appear in Part II or equivalent. Four years of training in General Surgery residency in an accredited and reputable programme; Candidates with FCPS II or equivalent in general surgery will be preferred. Completed residency programme in Obstetrics and Gynaecology from accredited institution; FCPS or MRCOG or equivalent in Obstetrics and Gynaecology. Four years of training in radiology; FCPS Part II; Experience in clinical field is desirable. Five years of Residency Training in Radiology Residency; FCPS Part II.

Admission Information
The application package is available from the Admission Office, Medical College, Aga Khan University, P .O. Box 3500, Stadium Road, Karachi 74800, Pakistan, for Rs150/- payable in cash or through a pay order/bank draft in favour of Aga Khan University drawn on a bank in Karachi and sent to the Admission Office. Application requests through email will not be accepted. The Admission Office is open from Monday to Friday, 9:00 am to 12:00 pm. Application material is also available online at www.aku.edu/mcpk/postgrad The completed application along with the nonrefundable application fee should be submitted to the Admission Office between 9:00 am 12:00 pm according to the following schedule: Early Bird Registration (all programmes): Last Date: Friday July 19, 2013, 4 pm Registration Fee: Rs. 2,500/Registration deadline after Friday July 19, 2013 (all programmes) Thursday August 1, 2013 Registration Fee: Rs. 5,000/-

Please clearly state the programme you intend to apply for. Applications received after August 01, 2013 will not be processed.

Admission Test
Applications will be scrutinised. Candidates meeting the eligibility criteria will be invited for the admission test for the internship and residency programmes. The test will be held in Karachi, Hyderabad and Rawalpindi on Saturday August 31, 2013. This test will be used to shortlist candidates for interviews in internship and all residency programmes. This test also comprises a section on English, which is designed to assess competence in the English language. Candidates should report for the test at the time and venue stated in the Admit Card. Candidates from outside Karachi, will not be paid TA/DA to attempt the admission test or attend interviews.

For further information, please call the Postgraduate Medical Education Office at 021 486 4546 / 486 4583 / 486 4534.

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Salary and Benefits

Interns will be offered a salary of Rs27,000/- per month. Residents will be offered a monthly salary according to their residency level: Resident I Rs. 42,000/Resident II Rs. 43,000/Resident III Rs. 44,000/Resident IV Rs. 45,000/Resident V Rs. 46,000/Fellows will be offered a monthly salary according to their level: Fellow I Rs. 70,000/Fellow II Rs. 75,000/Fellow III Rs. 80,000/In addition, an attractive benefits package will be provided. Initial appointment will be for a period of one year, renewable and subject to evaluation by faculty.

fellows from outside Karachi. Those who cannot be accommodated will be provided an outstation allowance.

Information for Applicants

Admission Test Centre Applicants should indicate one centre of their choice in the space provided in the application form. The time and venue of the test centres will be indicated on the admit card. In case candidates do not receive admit cards on time, they are advised and permitted to attempt the test at a convenient centre provided they present a photocopy of the application form, evidence of payment of application fee and a photo ID for identification. Discipline The University expects honesty from applicants. Dishonest behaviour during the test or violation of instructions given by the examiner will result in irrevocable disqualification of the applicant from the selection process. Test structure The duration of the test is three hours. The test paper consists of 120 multiple choice questions and

Accommodation
AKU does not take responsibility of providing accommodation to outstation candidates. It is subject to availability. Subsidised housing near the campus may be provided to interns, residents and

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all questions are compulsory. Applicants are advised not to guess answers. Each correct answer receives one point. Omitted questions do not get any points. 0.25 points will be deducted for every incorrect response. The Community Medicine Residency Test will cover competence in English, Mathematics and Common Clinical Problems. Duration of the exam will be one hour 30 minutes. T h e c a n d i d a t e s o f a d u l t c a r d i o l o g y, gastroenterology and pulmonary medicine residency programmes will be required to write a test consisting 50 specialty based MCQ's and 20 English MCQ's. Duration of the test will be one hour.

The University has not authorised any publication or preparatory classes for this test. Answer sheet The test will be answered on a single, printed answer sheet, which is scored by a computer. All answers must be marked with pencil. The answer sheet is extremely sensitive. Be absolutely sure before marking an answer and make a dark mark. If you wish to change the answer, erase it completely and then make a new mark. If the computer reads two marks, it will record a zero.

Name and identity of the candidate

At the beginning of the test, you will be asked to fill-in your name and application number on the answer sheet. An example is shown below:

Sample Answer Sheet

FORM NO. F-166 SCANTRON CORPORATION 1988 ALL RIGHTS RESERVED 4288-C99814 6

0 0 0 0 0 0 0 0 0 0

1 1 1 1 1 1 1 1 1 1

2 2 2 2 2 2 2 2 2 2 1 2

3 3 3 3 3 3 3 3 3 3

4 4 4 4 4 4 4 4 4 4

5 5 5 5 5 5 5 5 5 5

6 6 6 6 6 6 6 6 6 6 1 2

7 7 7 7 7 7 7 7 7 7

8 8 8 8 8 8 8 8 8 8

9 9 9 9 9 9 9 9 9 9 1 2

1
Write I.D. Number Here

IMPORTANT
SIDE
USE NO. 2 PENCIL ONLY

0 1 4 9

EXAMPLE:

A
I

B
F

ERASE COMPLETELY TO CHANGE

Application Number

NAME
Mark I.D. Number Here

Fariha Kausar AKU Internship / Residency 31 - 08 - 2013

2 1

TEST DATE
1

PERIOD
2

2014
1 2

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Answering multiple-choice questions

For every question, there are 4/5 choices and only one correct answer. To mark the answer sheet, darken the appropriate box with the pencil provided. For example, if 'C' is the correct answer, it should be marked:
A B C D E

of the following is most appropriate? Colonic biopsy to identify Giardia lamblia Culture of the oral cavity for Candida albicans Duodenal biopsy to identify Entamoeba Gastric aspirate to identify Mycobacterium avium-intracellulare E. Stool specimen to identify Cryptosporidium 3. Further studies to evaluate her HIV infection show the ratio of helper T lymphocytes to suppressor T lymphocytes to be 0.3. This occurs because HIV: A. Induces proliferation of helper T lymphocytes B. Induces proliferation of suppressor T lymphocytes C. Infects cells with CD-4 receptors D. Infects macrophages E. Stimulates the synthesis of leukotriene A. B. C. D.

Sample questions
A 34-year old woman has had severe watery diarrhoea for the past four days. Two months earlier, she had infectious mononucleosis. She abuses drugs intravenously and has antibodies to HIV in her blood. Physical examination shows dehydration and marked muscle weakness. 1. Laboratory studies are most likely to show: A. B. C. D. E. Decreased serum K+ concentration Decreased serum Ca++ concentration Increased serum HCO3- concentration Increased serum Na+ concentration Increased serum pH

2. In evaluating the cause of the diarrhoea, which

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Stadium Road, P .O. Box 3500, Karachi 74800, Pakistan Fax: +92 21 3493-4294; Tel: +92 21 3493-0051 E-mail: pgme@aku.edu