App 168473554 22292078 6562873 ALL

Job ref: MS6562873 Job title: General Surgery and Urology (FY1 or Equivalent)
Application for employment
Application for: General Surgery and Urology (FY1 or Job ref: MS6562873
Equivalent) Closing date: 29-Sep-2024
Application submitted: Application ID: 168473554
Applicant: Atiya Siddique
Personal details
Answers given in this part of the form are to help the Recruitment Centre to manage your application.
If you have any difficulty completing this form please ask someone to help you.
We would like to take this opportunity to thank you for applying.
Personal details
Title Dr
Forename Atiya
Middle name(s)
Surname Siddique
Address House #197
City / town Mian muhammad town mirpur

County Pakistan
Country Pakistan
Postcode 10250
Email atiya.siddique36@gmail.com
Work telephone
Mobile telephone 03165512767
Home telephone
UK National
Insurance number
First available date available anytime
for employment
Preferred Full time
employment type
Relationships
If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship:
Not applicable
Rehabilitation of Offenders Act 1974 (as amended)
The Rehabilitation of Offenders Act 1974 helps rehabilitated ex-offenders back into work by allowing them not to declare criminal convictions after the rehabilitation period has elapsed
and the convictions become 'spent'. During the rehabilitation period, convictions are referred to as 'unspent' convictions and must be declared to employers.
The organisation aims to promote equality of opportunity and is committed to treating all applicants equally and fairly based on their skills, experience and ability to fulfil the duties of
the role being applied for.
Suitable applicants will not be refused positions because of criminal record information of other information declared, where it has no bearing on the role (for which you are applying)
and no risks have been identified against the duties you would be expected to perform as part of that role.
During the rehabilitation period you are required to declare current 'unspent' criminal convictions or cautions (including reprimands and final warnings).
You are not legally required to provide any information about criminal offences that have become spent. Certain criminal offences can be regarded as spent after a specified
rehabilitation period as outlined by the Rehabilitation of Offenders Act 1974.
Answering 'yes' to the question below will not necessarily bar you from appointment. This will depend on the information you provide and the position you are applying for.
Application: 168473554 [Vacancy: 6562873] Page 1 of 20

Do you have any UNSPENT convictions as outlined in the Rehabilitation of Offenders Act 1974?
This includes any unspent convictions that may have been issued in any other country, where it would be an equivalent offence in England and Wales.
It also includes all unspent convictions or Summary Hearings that have been issued under military law while serving in the Armed Forces in the UK or any other
country, where it would be an equivalent offence in England and Wales.
You are not required to disclose any information in relation to convictions that have become SPENT. In these circumstances you should select NO to this question.
No
You have two options
on how to disclose
this information.
You can disclose your record separately together with any statement detailing your unspent conviction or Summary
Hearing.
A member of the recruitment team will contact you and advise what steps you need to take to submit your details
separately.
Please provide details of the conviction or Summary Hearing including the date and sentence administered in the space below
Do you have any UNSPENT cautions, reprimands or final warnings as outlined in the Rehabilitation of Offenders Act 1974?
This includes any unspent cautions, reprimands or final warnings that may have been issued in any other country, where it would be an equivalent offence in England
and Wales.
It also includes all unspent cautions that have been issued under military law while serving in the Armed Forces in the UK or any other country, where it would be an
equivalent offence in England and Wales.
You are not required to disclose any information in relation to cautions, reprimands or final warnings that have become SPENT. In these circumstances you should
select NO to this question.
No
on how to disclose
this information.
You can disclose your record separately together with any statement detailing your caution, reprimand or final
warning.
A member of the recruitment team will contact you and advise what steps you need to take to submit your details
separately.
Please provide details of the cautions, reprimands or final warnings including the date and sentence administered in the space below
Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended)

The role you have applied for is exempt from the provisions normally afforded to individuals under the Rehabilitation of Offenders Act 1974. This means that the employer can
obtain a standard or enhanced disclosure through the Disclosure and Barring Service (DBS) under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as
amended) and, in certain circumstances, the Police Act 1997.
Enhanced disclosures may include other relevant non-conviction information held on police databases, at the discretion of the police or Chief Constable of the relevant police
force.
Before you complete this form, it is important for you to read the highlighted note in the section below.
If you have a criminal record and are unsure about what might be revealed about you as part of a DBS check, or the type of information you should consider declaring when
completing this form, the following links to guidance will help provide more clarity:
The simple guide to filtering (Unlock) at: http://hub.unlock.org.uk/knowledgebase/filtering-simple-guide/
Practical guidance on the DBS filtering rules (NACRO) at: http://www.nacro.org.uk/resettlement-advice-service/support-for-individuals/
Do you have any convictions that are not protected (i.e. eligible for filtering) as outlined in the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as
amended) (the Exceptions Order)?
It also includes all convictions or Summary Hearings that have been issued under military law while serving in the Armed Forces, either in the UK or any other country,
where the equivalent offence in England and Wales is not protected.
You are not required to disclose any information in relation to the above if ALL convictions are protected (i.e. eligible for filtering) as outlined in the Exceptions Order. In
these circumstances you should select NO to this question.
This requirement is regardless as to whether any conviction is spent or remains unspent.
No
on how to disclose
this information.
Please provide details of the conviction or Summary Hearing including the date and sentence administered in the space below.
You can disclose your record separately together with any statement detailing your unspent
conviction or Summary Hearing. A member of the recruitment team will contact you and advise
what steps you need to take to submit your details separately.
Page 2 of 20 Application: 168473554 [Vacancy: 6562873]

Do you have any cautions, reprimands or final warnings that are not protected (i.e. eligible for filtering) as outlined in the Rehabilitation of Offenders Act 1974
(Exceptions) Order 1975 (as amended) (the Exceptions Order)?
It also includes all cautions, reprimands or final warnings that have been issued under military law while serving in the Armed Forces, either in the UK or any other
country, where the equivalent offence in England and Wales is not protected.
You are not required to disclose any information in relation to the above if ALL convictions are protected (i.e. eligible for filtering) as outlined in the Exceptions Order. In
these circumstances you should select NO to this question.
This requirement is regardless as to whether any caution, reprimand or final warning is spent or remains unspent.
No
on how to disclose
this information.
Please provide details of the caution, reprimand or final warning, including the date and reason administered in the space below
You can disclose your record separately together with any statement detailing your unspent
conviction or Summary Hearing. A member of the recruitment team will contact you and advise
what steps you need to take to submit your details separately
Pre-screening: Internal/external
Before being given access to the online application form, the applicant was asked the following.
Are you currently an employee of Croydon Health Services NHS Trust?

No
Pre-screening: Immigration
Before being given access to the online application form, the applicant was asked the following.
Choose your immigration status

I do not have a visa or right to work in the UK
Please supply details of any permit currently held including number, validity and expiry date

Application questions
Details entered in this part of the form will be made available to the shortlisting panel. Please make sure that you have read the job description and person specification before
completing the application form, and ensure that your answers clearly and honestly demonstrate how your skills and experience are relevant to the post for which you are applying.
Education & Professional Qualifications
Please list your qualifications from University onwards in date order (up to 11 with most recent first). Please also indicate subjects currently being studied
and the expected year of qualification. In the grade/result column for courses not yet completed, please state 'in progress'. All information disclosed on
this application will be subject to verification.
Subject/Qualification Place of study Grade/Result Year obtained
MRCS part A Royal College of Surgeons of Edinburgh Awaiting results 2024
PLAB General medical council Pass 2023
OET B 2022
MBBS University of health sciences Lahore Pass 2020
Relevant Training Courses Attended
Please list clinical, management and leadership, research, teaching, professional etc courses you have attended over the past 3 years, in date order (up
to 7 with most recent first). Please include courses in progress or approved for attendance in the near future and the expected date of completion. If you
have completed a professional course which you believe to be relevant to this post, which falls outside the 3 year limit, please include it. All information
disclosed on this application will be subject to verification.
Year
Course title Training provider Duration completed
Advanced Cardiac life support NHCPS 1 DAY 2024
Workshop on team strategies and tools to enhance performance and

Health services academy Islamabad 1 DAY 2024
patient safety
Mohi-ud-din Islamic Medical College,

Workshop on Research designs 1 DAY 2023
Mirpur AJK

Workshop on Leadership styles 1 DAY 2023
Mirpur AJK

Workshop on Research publications 1 DAY 2023
Mirpur AJK
Basic life support and Advanced cardiac life support American Hearts Association 3 DAYS 2022
Online course on Writing a medical research paper UPMED 7 DAYS 2022
Membership of Professional Bodies
Please provide details regarding any relevant professional registrations or memberships. This information will be subject to a satisfactory check.
Please indicate your professional registration status

I have current UK professional registration relevant for this post

Professional body
General Medical Council ~ Registered with Licence
Please provide details below
Membership / Registration number
7982172
Expiry / renewal date
11/01/2025
Fitness to Practise
Are you currently subject to a fitness to practise investigation and/or proceedings of any nature by a regulatory or licensing body which may
have a bearing on your suitability for the position you are applying for?
This may include any fitness to practise investigation and/or proceedings of any nature that are being undertaken by a regulatory or licensing
body in any other country.
No
If you have answered YES above, please provide the reasons given for the investigation and (where applicable) the details of any warnings,
conditions or sanctions (including limitations, suspension or any other restrictions) that apply to your professional registration and, the name
and address of the regulatory or licensing body concerned.
Have you ever been removed from the register, or have conditions or sanctions been placed on your registration, or have you been issued
with a warning by a regulatory or licensing body in the UK or in any other country?
You are not required to disclose any information in relation to the above where any right to appeal has been upheld and where that appeal has
resulted in your case being fully exonerated. In these circumstances you should select NO to this question.
No
If you have answered YES above, please provide details of any conditions or sanctions (including limitations, suspension or any other
restrictions) that apply to your registration and/or any warnings issued, where relevant, and the name and address of the regulatory or
licensing body concerned.
In your current or any previous employment, have you had restrictions placed on your clinical practice as part of the revalidation process?
No
If applicable, please provide details of any restrictions you may have.
NHS Service
Please confirm what

you believe to be
your effective start
date of continuous
NHS service (if
applicable).
Months since most Not applicable
recent employment
ended (if applicable)
Employer/activity history
Please record below full details of all your continuous employment history, beginning with your current or most recent employer and working backwards chronologically. If there are
any gaps in your employment please ensure a full explanation is given at end of the ‘Employment History’ section.
IMPORTANT: If you are currently working within an NHS organisation but through an agency, please ensure you name the agency as your employer and not the NHS organisation
you are currently contracted to.
Employer name Javid Iqbal Ch.

Employer address Mian Muhammad Road, Mirpur (AK) Pakistan
Type of business Private
Name of Javid Iqbal Ch.
educational or
clinical supervisor
Reporting to (job Consultant General and orthopedic surgeon
title)
Email drjavidiqbal1@gmail.com
Telephone +923335457413
Your job title Medical Officer (SHO Equivalent)
Start date April 2023
End date
Grade SHO Equivalent
Salary
Specialty General Surgery
Sub specialty (if
applicable)
Hospital/Base Javid Medical Complex, Mirpur AJK

Contract type Other

Please provide
details below:
Contract duration
(months)
Reason for leaving
(if applicable)
Brief description of Currently I work as a Medical Officer in the General Surgery department in my local town. My
your duties & major responsibilities are:
responsibilities • Conducting thorough history taking, physical examinations, investigations, conducting inter-
hospital transfers, making referrals, and managing discharges under supervision.
• Ensuring patients' preoperative assessment and informed consent for surgery.
• Intra-operative assistance, adhering to strict aseptic techniques, assisting in surgical
instrument handling.
• Monitor patients for post operative complication.
• Educate patients about post-operative care, provided guidance on wound care.
• Explain medication compliance, discussed dietary instructions, and emphasized the
importance of physiotherapy.
• Encounter numerous acute surgical emergencies, including acute abdomen, traumatic
injuries, gastrointestinal perforations, appendicitis, cholecystitis, bowel obstructions, peptic
ulcer disease, pancreatitis, hemorrhoids, anal fissure, diverticulitis, fibroadenoma, goiter,
GERD, IBD, varicose veins, ganglion cyst and postoperative complications, under senior
supervision.
• Part of emergency response and code blue teams.
• Collaborate with multidisciplinary teams to discuss optimal treatment approaches and share
medical knowledge.
• I am proficient in clinical procedures such as venipuncture, IV cannulation, arterial blood
sampling, arterial blood gases, blood culture sampling, blood transfusion, per-rectal
examination, wound closure and aseptic dressing, suture removal, drain removal,
nasogastric tube insertion, foley’s catheterization, and bedside ECG recording.
• Additionally, I have assisted in complex procedures under supervision, such as central
venous catheterization, endotracheal intubation, chest tube insertion, paracentesis, and
lumbar puncture.
• My experience aligns closely with the responsibilities outlined for this position in the surgery
department. I am dedicated to providing high-quality care to surgical patients and am eager
to contribute my skills and expertise to your team.
Employer name Usman Anjum

Employer address Sector D4 new industrial area mirpur azad kashmir
Name of Usman Anjum
educational or
clinical supervisor
Reporting to (job Professor Doctor
title)
Email usmanziyai@gmail.com
Telephone +92 3125776119
Your job title Demonstrator
Start date March 2022
End date March 2023
Salary 60,000 PKR
Specialty Pathology
Sub specialty (if
applicable)
Hospital/Base Mohi-ud-din Islamic medical college Mirpur, AJK
Contract type Fixed Term
Please provide
details below:
Contract duration
(months)
Reason for leaving
(if applicable)

Brief description of Main Roles & Responsibilities:

your duties & In my role as a demonstrator at Mohi-ud-Din Islamic Medical College, Mirpur AJK, I played a
responsibilities vital role in shaping the next generation of medical professionals within the pathology
department. My responsibilities were to:
• Instruct third and fourth-year undergraduate MBBS students through group discussions,
case-based learning, problem-based learning, and interactive sessions.
• Lead practical classes and demonstrations in Pathology laboratories, ensuring hands-on
learning experiences.
• Evaluate student performance in both theory and practical exams (OSPE).
• Contributed to designing and implementing the Pathology curriculum.
• Collaborated with faculty members to achieve departmental objectives and to enhance
teaching methodologies.
• Provide support to students, ensuring their academic and personal well-being.
• Design and execute projects to enhance educational opportunities and student
engagement.
• Attend weekly team meetings to discuss departmental progress and initiatives.
• Assist in supervising students during extra-curricular activities, promoting holistic student
development.
Employer name Huddersfield Royal Infirmary

Employer address Acre Street Huddersfield West Yorkshire HD3 3EA
Type of business
Name of DR YAQOOB GHUMRO
educational or
clinical supervisor
Reporting to (job CONSULTANT DOCTOR
title)
Email yaqoob.ghumro@cht.nhs.uk
Telephone 07913540210
Your job title CLINICAL OBSERVER
Start date December 2023
End date February 2024
Grade
Salary
Specialty ACUTE AND GENERAL MEDICINE
Sub specialty (if
applicable)
Hospital/Base
Please provide
details below:
Contract duration
(months)
Reason for leaving
(if applicable)
Brief description of I completed a 6-week attachment in the acute and general medicine unit at Huddersfield
your duties & Royal Infirmary, UK. During this time, I:
responsibilities • Attended consultant ward rounds and multidisciplinary team meetings.
• Participated in handover sessions to ensure continuity of care and treatment planning.
• Conducted history-taking and clinical examinations under supervision.
• Observed emergency admission protocols, medication chart updates, consent taking,
discharge summaries, and inter-hospital transfers and referrals.
• Attended teaching sessions on clinical practice, evidence-based medicine, and professional
development.
• Observed and assisted with procedures such as blood sampling, IV cannulation,
nasogastric tube insertion, lumbar puncture, pleural tap, ascitic tap, and blood culture
sampling.
• Gained proficiency in Electronic Patient Records (EPR) and adhered to patient care
protocols.
• Developed communication, teamwork, and relationship-building skills with diverse
healthcare professionals.
This clinical observer experience has been invaluable for my future work as a doctor in NHS.
Employer name Javid Iqbal Ch.

Employer address Mian Muhammad Road, Mirpur (AK) Pakistan

Name of Javid Iqbal Ch.

educational or
clinical supervisor
Reporting to (job Consultant General and orthopedic surgeon
title)
Email drjavidiqbal1@gmail.com
Telephone +923335457413
Your job title Medical Officer (SHO Equivalent)
Start date May 2021
End date March 2022
Salary
Sub specialty (if
applicable)
Hospital/Base Javid Medical Complex, Mirpur AJK
Please provide
details below:
Contract duration
(months)
Reason for leaving
(if applicable)
Brief description of I worked an SHO in one of the busiest private hospitals in my local town. My major
your duties & responsibilities were to:
responsibilities • Conduct thorough history taking, physical examinations, investigations, conducting inter-
hospital transfers, making referrals, and managing discharges under supervision.
• Ensuring patients' preoperative assessment and informed consent for surgery.
• Intra-operative assistance, adhering to strict aseptic techniques, assisting in surgical
instrument handling.
• Monitor patients for post operative complication.
• Educate patients about post-operative care, provided guidance on wound care.
• Explain medication compliance, discussed dietary instructions, and emphasized the
importance of physiotherapy.
• Encountered numerous acute surgical emergencies, including acute abdomen, traumatic
ulcer disease, pancreatitis, hemorrhoids, anal fissure, diverticulitis, fibroadenoma, goiter,
supervision.
• Part of emergency response and code blue teams.
• Collaborate with multidisciplinary teams to discuss optimal treatment approaches and share
medical knowledge.
sampling, arterial blood gases, blood culture sampling, blood transfusion, per-rectal
examination, wound closure and aseptic dressing, suture removal, drain removal,
nasogastric tube insertion, Foley's catheterization, and bedside ECG recording.
• Additionally, I have assisted in complex procedures under supervision, such as central
lumbar puncture.
Employer name Divisional headquarters teaching hospital, Mirpur AJK

Employer address ALLAMA IQBAL RD, NEW MIRPUR CITY AJK 10250
Type of business GOVERNMENT
Name of Dr Shazia Saeed
educational or
clinical supervisor
Reporting to (job Consultant supervisor
title)
Email
Telephone +925827921457
Your job title HOUSE OFFICER (Foundation Year 1 Equivalent)
Start date May 2020
End date July 2020
Grade Foundation training
Salary 33500 PKR
Specialty Gynaecology & obstetrics
Sub specialty (if
applicable)
Hospital/Base Divisional headquarters teaching hospital, Mirpur AJK


Please provide
details below:
Contract duration
(months)
Reason for leaving
(if applicable)
Brief description of During the Gynaecology and obstetrics rotation, I used to:
your duties & • Conduct thorough history taking, physical examinations, investigations, conducting inter-
responsibilities hospital transfers, making referrals, and managing discharges under supervision.
• Engage actively in MDT meetings to discuss patient care strategies, contributing obstetric
expertise and integrating inputs from specialists such as neonatologists, anesthesiologists,
and midwives to optimize patient outcomes.
• Manage normal vaginal deliveries under supervision, ensuring adherence to best practices
in obstetric care and promoting maternal and neonatal safety.
• Conduct thorough antenatal and post-natal assessments, integrating clinical findings with
patient history to develop personalized care plans and ensure optimal maternal and fetal
health outcomes.
• Provide essential support during cesarean sections, participating in surgical procedures,
closure techniques, and post-operative patient monitoring.
• I have encountered and managed many obstetric and gynecological emergencies,
including pre-eclampsia, eclampsia, postpartum hemorrhage, ectopic pregnancy, breech
delivery, obstructed labor, preterm labor, severe hyperemesis gravidarum, endometriosis,
polycystic ovary syndrome (PCOS), fibroids, complications during vaginal deliveries and
cesarean sections, and various menstrual disorders under senior supervision.
• Perform various procedures such as venipuncture, IV cannulation, arterial blood sampling,
blood culture sampling, Foley’s catheterization, fetal monitoring, ultrasound scans and fetal
blood sampling.
• I have also assisted in complex procedures under the supervision of senior doctors,
including cesarean sections, vaginal deliveries, dilatation and curettage (D&C),
hysteroscopy, laparoscopy, and cervical cerclage.
• Establish rapport with patients, families, and healthcare team members, effectively
communicating treatment plans, risks, and benefits to ensure informed decision-making and
patient satisfaction.
• Adhere to hospital policies, ethical guidelines, and regulatory standards, prioritizing patient
safety, confidentiality, and dignity in all interactions and procedures.

Name of Dr Faisal G Bhopal
educational or
clinical supervisor
title)
Email
Telephone +925827921457
Start date August 2020
End date October 2020
Salary 33500 PKR
Sub specialty (if
applicable)
Please provide
details below:
Contract duration
(months)
Reason for leaving
(if applicable)

Brief description of During my surgical rotation, I used to:

your duties & • Conduct thorough history taking, physical examinations, investigations, conducting inter-
responsibilities hospital transfers, making referrals, and managing discharges under supervision.
• Participate in surgical ward rounds, MDT meetings, and case discussions, contributing to
treatment plans and optimizing patient outcomes through collaborative decision-making.
• Responsible for the comprehensive management of patients undergoing surgical
procedures, including preoperative assessment, perioperative care, and postoperative
monitoring to promote optimal recovery outcomes.
• Encountered numerous acute surgical emergencies, including acute abdomen, traumatic
ulcer disease, pancreatitis, haemorrhoids, anal fissure, diverticulitis, fibroadenoma, goitre,
supervision.
• Perform minor surgical procedures, such as suturing minor lacerations, I&D of abscesses,
minor wound repairs, and applying aseptic dressings, adhering to sterile techniques and
patient comfort under supervision.
• Perform various procedures such as venepuncture, IV cannulation, arterial blood sampling,
arterial blood gases, blood culture sampling, blood transfusion, per-rectal examination,
wound closure and aseptic dressing, suture removal, drain removal, nasogastric tube
insertion, foley’s catheterization, and bedside ECG recording.
• Additionally, I have assisted in complex procedures under supervision, such as
appendectomy, hernia repair, cholecystectomy, lumpectomy for fibroadenoma of breast,
wedge excision of an IGTN, and incision and drainage (I&D) of abscesses, ensuring patient
safety and procedural efficiency.
• Maintain strict adherence to hospital policies, ethical guidelines, and regulatory standards
in all aspects of patient care and professional conduct, prioritizing patient safety and
confidentiality.

Name of Dr Iftikhar Ahmed
educational or
clinical supervisor
title)
Email
Telephone +925827921457
Start date November 2020
End date January 2021
Salary 33500 PKR
Specialty Pediatrics
Sub specialty (if
applicable)
Please provide
details below:
Contract duration
(months)
Reason for leaving
(if applicable)

Brief description of I had rotation in the Paediatric Department where I used to:
your duties & • Take comprehensive patient histories, perform thorough physical examinations, conduct
responsibilities inter-hospital transfers, make referrals, and manage discharges under supervision.
• Participate in daily ward rounds with consultants, multidisciplinary team meetings, and
handover sessions to ensure continuity of care between shifts.
• I have encountered and managed many pediatric medical emergencies, including
bronchiolitis, acute asthma exacerbation, anaphylaxis, sepsis, diabetic ketoacidosis (DKA),
dehydration, febrile seizures, acute gastroenteritis, meningitis, pneumonia, and respiratory
distress, under senior supervision. Additionally, I have experience with managing chronic
pediatric conditions such as asthma, type 1 diabetes, eczema, and various congenital and
infectious diseases.
• Collaborate with the pediatric team in the Pediatric Intensive Care Unit (PICU), Neonatal
Intensive Care Unit (NICU), and Children's Ward, providing comprehensive care to critically
ill children and neonates, ensuring high standards of patient safety and care.
• Perform initial assessment of newborns, identifying and managing early health issues.
• Acquired competency in the holistic management of pediatric patients across various
settings, including emergency care, wards, and outpatient clinics.
• Perform procedures such as venipuncture, IV cannulation, arterial blood sampling, arterial
blood gases, blood culture sampling, nasogastric tube insertion, Foley’s catheterization,
bedside ECG recording and newborns assessment.
• I have assisted in complex procedures under the supervision of senior doctors, including
central venous catheterization, endotracheal intubation, chest tube insertion, paracentesis,
and lumbar puncture.
• Maintain strict adherence to hospital policies, ethical guidelines, and regulatory standards
in all aspects of patient care and professional conduct, prioritizing patient safety,
confidentiality, and quality of care.
• Educate parents and families on managing pediatric conditions and preventive health
practices.

Name of Dr Tariq Masood
educational or
clinical supervisor
title)
Email
Telephone +925827921457
Start date February 2021
End date April 2021
Salary 33500 PKR
Specialty General Medicine
Sub specialty (if
applicable)
Please provide
details below:
Contract duration
(months)
Reason for leaving
(if applicable)

Brief description of I worked in the General Medicine Department where I:

your duties & • Took comprehensive patient histories, thorough physical examinations, inter-hospital
responsibilities transfers, referrals, and discharges under supervision.
• Manage patients in the wards, attending ward rounds, coordinating with various specialties
for multidisciplinary input, and addressing patient and family concerns with empathy and
professionalism.
• Acquired competency in the holistic management of Emergency Room (ER), wards, and
outpatient clinics.
• I encountered many acute medical emergencies, including myocardial infarction, stroke,
sepsis, anaphylaxis, asthma exacerbation, pulmonary embolism, diabetes, HHS, diabetic
ketoacidosis (DKA), acute renal failure, acute gastrointestinal bleeding, celiac disease,
cancers, gallbladder and biliary disease, GERD, Hepatitis B, Hepatitis C, IBS, hypertensive
emergency, pneumothorax, and acute poisoning or overdose, under senior supervision.
• Maintain medical records and daily progress notes, ensuring accurate documentation of
patient status, treatments, and any notable events for senior review and continuity of care.
sampling, arterial blood gases, blood culture sampling, nasogastric tube insertion, Foley’s
catheterization, and bedside ECG recording.
• I assisted in complex procedures under the supervision of senior doctors, such as central
lumbar puncture.
• Actively participated in departmental meetings, case discussions, and educational
sessions, contributing to continuous learning and professional development.
• Developed strong interpersonal and communication skills, effectively collaborating with
healthcare professionals, patients, and their families to provide holistic and patient-centered
care.
Gaps in Employment
Please provide in this section explanations for any gaps in your employment history (chronologically, most recent first). For any gaps in
employment of 6 months or more over the past 5 years, please include contact details of your professional mentor or educational supervisor,
who can verify the reason for the gap and if necessary provide you with an appropriate reference for the period not worked.
I do not have any significant gaps in employment and I am eager to start my NHS career without any delays.
Supporting Information
Elements of this section may not apply to you or the post for which you are applying. Please be reassured that your application will only be measured against the essential and
desirable criteria set down in the published person specification. If you have nothing to insert in a specific (specialist) section, please select 'not applicable' and the detail of that section
will be hidden on the form.
Declaration of Practical Experience

Please list your practical experience that is relevant to the post applied for up to a maximum of 8. This should refer to verifiable Log Book/Portfolio Evidence which will need to be
presented by all appointed candidates. Please list the most recent first.
Number of recorded procedures or interventions completed:

Practical experience Under senior supervision Independently
IV CANNULATION AND BLOOD SAMPLING 10-15 100+
ABGs 8-10 100+
ECG 2-5 100+
NASOGASTRIC TUBE INSERTION 5-10 50+
URETHERAL CATHETERIZATION 5-6 50+
ASCITIC TAP 8-10 50+
IM and SC injections 5-6 100+
Please briefly describe the extent of your proficiency and experience in the procedures highlighted above, along with any particular clinical
skills/experience/special interests you possess that you may wish to highlight.
I am fairly proficient in the above mentioned procedures and interventions and always open lo learn more. I have good communication skills which
enables me to address a wide range of people with different levels of understanding and different cultural backgrounds both in clinical and non-
clinical environment. I am also confident in addressing complex issues and able to think laterally to find solutions. Being very organized myself, I am
able to deal with difficult situations through teamwork, self-discipline and tenacity
In the context of this post, in reflecting on your own skills and abilities, are there any areas where you might seek further development and
support?
During the course of my clinical experience, even though I have developed a good a practice and effective communication skills. I have not had much

opportunity undertake research work. It is important to develop research skills in order to understand the evidence that we pass our practice on. As
such I am keen to develop my understanding of research further by attending teaching sessions and enrolling myself in research methodologies.
Teaching
If applicable, please briefly describe both formal and informal teaching you may have undertaken, the main topics taught, your audience (numbers and composition) and which
teaching methods you have used. If you have attended formal training or courses on teaching, please identify them here, and include any feedback you may have received about
your teaching skills.
Do you have any Yes

relevant formal and
informal teaching
experience?
Please provide details about your teaching experience
During foundation training I conducted interactive teaching sessions for medical students in the ward about history-taking and bedside examinations. I
used to arrange small 15–20-minute sessions in the ward on how to carry out examinations, what findings to look for, and how to elicit them. I
educated them about the significance of patient consent, confidentiality, and honesty in healthcare.
One day a few students of final year MBBS told me that they want to learn how to operate ECG machines and interpretation of ECG strip. I guided
them about how to perform ECG and the basics of ECG interpretation. I also advised them when to ask for senior help in cardiac patients. During
routine ward duties I allowed students to observe and learn about blood sampling and IV cannulation procedures. During the COVID-19 pandemic, I
taught staff nurses, nursing students, and junior doctors about PPE, including the correct sequence of donning and doffing, handwashing steps, and
sanitization methods.
I possess two years experience of teaching undergraduate medical students. I teach them about disease aetiology, pathogenesis, histology,
diagnosis and management in small group discussions, case-based learning, problem-based learning, and large group interactive sessions. This
experience is a source of two-way learning and professional development. Along with that I had the opportunity to teach undergraduate medical
students of MBBS for a year.
Do you hold any particular qualifications in teaching?
No
Management of Change
If applicable, please briefly describe changes (including audits and quality improvement projects) you may have personally undertaken over the past 5 years and wish to highlight.
Include the aim and outcome, whether you led the change independently or worked under the supervision of a senior. Please list the most recent first up to a maximum of 5.
Do you wish to Yes

highlight any
changes you've
personally
implemented in the
past 5 years?
Description of Intravenous cannulation according to guidelines

change
Date 01/07/2021
Aim & measure of To enhance patient safety and care through improving compliance with best practices and
the change reducing complications.
Conclusions/Actions I organized workshops and training sessions on IV cannulation according to guidelines.
Following the implementation of these interventions, a follow-up audit conducted three
months later revealed a significant increase in compliance rates and a reduction in
complications.
Of the change/audits/projects you have undertaken, which has been of most value, and why?
I completed a Quality Improvement Project (QIP) focused on " Intravenous cannulation according to guidelines ". In this project, I was actively
involved in an audit aimed at assessing the staff. This led to a significant increase in compliance rates and a reduction in complications. I am currently
leading two more audits regarding "Hand Hygiene Among Health Care Workers Of Mohi-ud-din teaching hospital" and "Scrub Technique Before
Surgery"
Describe the impact of a change initiated by you on wider members of your team.
I conducted an initial audit, observing staff using a standardized checklist. I identified gaps in compliance and areas needing improvement, providing
valuable baseline data. Then implemented several interventions to address the issues. This included organizing workshops and training sessions.
Following the implementation of these interventions, a follow-up audit conducted three months later revealed a significant improvement in compliance
rates.
Research
If applicable, briefly describe any research projects you have undertaken over the past 5 years, the research aim and outcome, whether you initiated and led the research
independently or worked under the supervision of a senior. Please list the most recent first up to a maximum of 5.
Do you wish to No
provide details of any
research undertaken
in the last 5 years?
Please summarise your main learning point from an effective audit/quality improvement project you have undertaken.
Do you hold any particular qualifications in research?
Publications in Peer Reviewed Journals
If you wish, please list up to 6 of your publications in peer reviewed journals. Please list the most recent first.
Do you wish to No
publications in peer
reviewed journals?

Presentations
If you wish, please give details of up to 6 presentations you have made. Please list the most recent first.
Do you wish to Yes

presentations you
have made?
Title Preoperative antibiotic prophylaxis

Type Local
Year presented 2020
Title Acute Appendicitis and cholecystitis

Type Local
Year presented 2022
Title Vascular Tumors

Type Local
Year presented 2023
Title Paget's disease

Type Local
Year presented 2023
Title Duchene muscular dystrophy

Type Local
Year presented 2023
Title
Type Local
Year presented 2024
Prizes or Other Academic Distinctions

If you wish, please give details of up to 6 prizes or other academic distinctions you have received. Please list the most recent first.
Do you wish to Yes

prizes or other
academic
distinctions you have
received?
Awarding body Medicine department of Divisional headquarters teaching hospital, Mirpur AJK
Description and Most Competent House Officer Certificate
purpose of award
Year received 2021
Management and Leadership Experience
Please highlight experience you may have which is relevant to this post, not necessarily limited to professional activities.
As a medical student, I was part of photography club intended for medical students where we encourage, collect and organize the photographs and
paintings by students to print them in college magazine. During foundation training I was given the duty of Rota making many times because of my
leadership and communication skills with colleagues. A professional example from my previous experience was when a patient was brought
unconscious to the A&E with cardiac arrest. I took in charge and divided task among staff and colleagues. One team immediately started with chest
compression. Another team secured IV access. I assigned one of team to ventilate and another to set up the defibrillator so as to assess the rhythm,
while a senior was informed. During the emergence of Covid-19, our hospital recognized the need to update and reinforce protocols for donning and
doffing personal protective equipment (PPE) to ensure the safety of healthcare workers and prevent the spread of the virus. I was responsible for

ensuring implementation of revised protocols and adherence among the staff during my shift. I conducted a thorough assessment of the existing
protocols to identify areas for improvement and ensure alignment with the latest guidelines from public health authorities.
Team Working
Describe situations where you have been involved in working in a team, not necessarily limited to professional activities.
During my MBBS, I had the opportunity to lead my class during sports week as a Class Captain. We collaborated with each other and won the
tournament.
As an SHO I gained valuable experience of working within a team by coordinating with a team of nurses, doctors, pharmacists, physiotherapists, and
paramedical staff. Whenever the A&E becomes busy (which is on most days) after I am done with my patient care and paperwork, I would offer to
help out my colleagues with tasks such as IV cannulation or calling up a senior, or chasing a report/sending blood. Even though we all received an
equal load of patients, I felt helping others create this culture of being there for my fellow teammates and working towards our common goal of
delivering good care to the patient. Without saying my colleagues help me out whenever my hands are too full.
I am also part of a blood and welfare society, where my team and I arrange blood donations for needy patients and provide financial assistance to
support their medical needs. I also had the experience of being part of emergency response team where I learned how to prioritize the tasks and
work efficiently under pressure.
Supporting information
In this section you need to demonstrate that you have read the published person specification and how you meet the essential and (where relevant) desirable criteria for this
particular post, if this has not been fully covered in the previous sections.
Please include your reasons for applying and take the opportunity to highlight your particular talents and strengths, (what you feel you can personally offer - what is
unique to you - what sets you apart from your peers).
Please DO NOT include personal details or duplicate information already provided elsewhere in your application.
I am enthusiastic to apply at Croydon Health Services NHS Trust because I meet all the essential and most of the desirable criteria for this position
and possess the relevant expertise to excel in this role. My clinical attachment in the NHS has given me an in-depth understanding of the daily
responsibilities of a junior doctor, ensuring I can transition smoothly into a clinical role in NHS. I have remained actively engaged in clinical practice
throughout my career, consistently showing my dedication to ongoing professional development.
Qualification:
I hold a Bachelor of Medicine and Bachelor of Surgery (MBBS) degree, providing me with a robust foundation in medical knowledge and clinical
practice. Having successfully completed PLAB 2, I have secured full registration with the General Medical Council (GMC) and obtained a valid license
to practice in the United Kingdom. I have taken MRCS part A and am awaiting results.
Clinical Experience:
With nearly four years of post-graduate clinical and teaching experience, I believe I am an ideal candidate for the job. During my tenure as an FY1
and SHO, I have managed a wide range of acute and chronic surgical conditions, both independently and under supervision. I am well-versed in
taking comprehensive patient histories, performing thorough physical examinations, conducting inter-hospital transfers, making referrals, and
managing discharges under supervision.
In my previous roles, I participated in daily ward rounds with consultants, discussing cases and updating care plans. I attended handover sessions to
ensure continuity of care between shifts and worked collaboratively with a multidisciplinary team (MDT) that included nurses, physiotherapists,
pharmacists, and social workers to provide holistic patient care. I am fully acquainted with initial stabilizing protocols in the ER and know my
limitations, understanding when to seek senior help. I have encountered numerous acute surgical emergencies, including acute abdomen, traumatic
injuries, gastrointestinal perforations, appendicitis, cholecystitis, bowel obstructions, pancreatitis, diverticulitis, hemorrhoids, anal fissure,
fibroadenoma, goiter, GERD, IBD, varicose veins, ganglion cyst and postoperative complications, under senior supervision.
I am proficient in clinical procedures such as venepuncture, IV cannulation, arterial blood sampling, arterial blood gases, blood culture sampling,
blood transfusion, per-rectal examination, wound closure and aseptic dressing, suture removal, drain removal, nasogastric tube insertion, Foley's
catheterization, and bedside ECG recording. Additionally, I have assisted in complex procedures under supervision, such as central venous
catheterization, endotracheal intubation, chest tube insertion, paracentesis, and lumbar puncture. My prior experience aligns closely with the
responsibilities outlined for this position in the surgery department. I am dedicated to providing high-quality care to surgical patients and am eager to
contribute my skills and expertise to your team.
NHS Experience:
My clinical attachment in Huddersfield Royal infirmary provided me with a comprehensive understanding of the routine duties of a junior clinical
fellow. I attended consultant ward rounds and multidisciplinary team meetings. I enhanced my diagnostic skills through supervised history-taking and
clinical examinations on patients. I observed procedures such as arterial and venous blood sampling, blood culture sampling, IV cannulation, lumbar
punctures, pleural taps, ascitic taps, and nasogastric tube insertion. I also attended multiple teaching sessions further enhancing my clinical
knowledge. I observed emergency admission protocols, how to update medicine charts, take consent, make discharge summaries, and handle
interhospital referrals. For instance, I observed the protocols for transferring a patient with suspected colon malignancy to another trust's oncology
department. On another occasion, I assisted in obtaining consent for an endoscopy, explaining the procedure, risks, and benefits to the patient. My
communication and teamwork skills significantly developed during this period. For example, I facilitated communication between an elderly Asian
patient and the medical staff by acting as a translator. These experiences have been invaluable and have thoroughly prepared me for a future career
as a doctor in the NHS.
Teaching Experience:
I have one year of experience teaching undergraduate medical students. I frequently delivered teaching sessions to students through small group
discussions, case-based learning, problem-based learning, and interactive sessions. I conduct and evaluate student performance in both theory and
practical exams (OSPE). This teaching experience has been a source of mutual learning. During foundation training, I supervised medical students
providing guidance and support on history-taking, bedside examinations, and clinical procedures.
Continuous Professional Development:

I am committed to the ongoing professional development and continuously seek opportunities to enhance my skills and knowledge. I have completed
BLS and ACLS certifications by the American Heart Association and recently renewed my ACLS certification with NHCPS to further enhance my
ability to handle emergencies and resuscitation scenarios effectively.
Clinical Governance:
I possess comprehensive clinical governance skills acquired through attending various courses, conducting quality improvement projects, and
teaching medical undergraduates and hospital staff. For example, during a busy outpatient clinic session, I integrated risk management into my
practice. I made the mistake of not labelling a blood sample, causing inconvenience to the patient and requiring resampling. Acknowledging my error,
I adhered to the principles of duty of candour, admitted the mistake, apologized, escalated, and rectified it under supervision. This event emphasized
the importance of transparent communication, learning from mistakes, and prioritizing patient well-being, reinforcing the integration of risk
management for enhanced healthcare quality.
Communication Skills:

I am proficient in both written and spoken English, as demonstrated by my success in the OET and PLAB exams. My effective communication skills
extend to all levels of staff, patients, and relatives, and are further enhanced by my multilingual abilities in English, Urdu, and Punjabi, allowing me to
provide holistic and patient-centered care. Additionally, my two years of teaching experience have honed my communication skills and given me
confidence of public speaking.
Audit:
I have a keen interest in medical audit and a solid understanding of the principles of evidence-based audit and Clinical Governance. I completed a
Quality Improvement Project (QIP) focused on "Intravenous Cannulation According to Guidelines," which significantly improved compliance rates. My
participation in various audits and QIPs, including those I am currently leading on "Hand Hygiene Among Health Care Workers" and "Scrub
Technique Before Surgery," demonstrates my commitment to maintaining high ethical and professional standards.
Leadership, Management, and Teamworking:

During my foundation training, while on night duty in a busy emergency department, I took on a leadership role as part of the emergency response
team. I organized the available staff into teams and efficiently divided tasks among them. This proactive approach ensured the smooth running of the
ER, and we managed every patient effectively. This experience sharpened my ability to perform effectively under pressure, prioritize tasks, and
consistently deliver high-quality clinical care. I have experience supervising undergraduate medical students in extracurricular activities, ensuring
discipline and fostering teamwork among them. I was in charge of the photography section of my college's literary society, where I compiled and
edited the photography section of the college magazine. This opportunity significantly enhanced my management skills.
Personal Skills and Attributes:

In addition to my clinical skills, I have developed proficiency in various IT skills, including PowerPoint, Word, Excel, and Microsoft Office, and have a
good typing speed. I am a reliable doctor who understands the importance of involving seniors in patient care. My excellent communication skills,
punctuality, and firm belief in the significance of time management for patient safety and care further support my qualifications. I have the ability to
manage challenging situations and work productively under pressure in multidisciplinary teams. I am a strong advocate for equality and diversity, and
I take responsibility for my actions, decisions, and behaviors' in delivering safe, high-quality patient care. I participated in teaching sessions and
clinical tutorials to enhance my medical knowledge and skills.
Dedication and Commitment to Trust Values:

As I embark on the journey to contribute to your esteemed institution, I am compelled to express how firmly I believe in working together as a team,
being inclusive, compassionate, and respectful towards both colleagues and patients. Safety is a top priority for me, and I am dedicated to
maintaining a safe environment for all while continuously seeking opportunities for improvement. I am committed to demonstrating the Trust's values
of being professional, compassionate, respectful and safe. I can reassure you that I will adhere to the Trust values, policies, and GMC code of
conduct to ensure patient safety and the smooth running of the department. These principles form the foundation of my approach to patient
interactions and medical responsibilities. My commitment to these values ensures a patient-centered, respectful, and accountable approach in every
aspect of my medical practice.
Conclusion:
In conclusion, I am thrilled about the prospect of joining the team and contributing my skills to enhance patient care and clinical outcomes. My
experiences, communication abilities, commitment to ethical practice, and dedication to personal and departmental growth position me well for this
role. The condition of occasionally stepping up during emergencies resonates with my commitment to go above and beyond for my patients' well-
being. As a doctor, I am dedicated to offering on-call services, including during unsocial hours when healthcare demands arise unexpectedly. I am
grateful for your time and consideration regarding my application.

References
References
If you are successful, prior to appointment, we will take up as many references as needed to cover all activities, including periods of employment and full time education,
that you have undertaken over the past three years. Any offer will be subject to these being satisfactory. Please ensure that you provide full contact details for your Employer/Line
Managers or Course Tutors for each activity. Please include their work email address where possible to avoid any unnecessary delays.
If during the last three years you have any periods in which you have not been in either employment or full-time education please provide details of someone who can provide a
character reference for you to cover this period. Character references should be provided by a person of standing in the community such as a Teacher, Health Care Professional (i.e.
Doctor, Physiotherapist, Registered Nurse), Minister of Religion, Police Officer or Solicitor. Character references should only be used in EXCEPTIONAL circumstances to cover
periods of time when you have not been in either employment or education.
Please use the "Add another" button below to add as many referees as required to meet the above requirements. Periods that referees cover may overlap but there should
not be any gaps over the past three years.
Referee's title Dr
Referee's first Javid
name(s)
Referee's surname Iqbal Ch.
Referee's Javid Medical complex
organisation name
Job title Consultant general & orthopedic surgeon
How do they know Employer / Line Manager
you?
Address 1 Mian Muhammad Road, Mirpur (AK) Pakistan
Address 2
Address 3
City / Town Mirpur AJK
County / State Pakistan
Postcode 10250
Country Pakistan
Telephone no.
Mobile no. +92 333 5457413
Email address drjavidiqbal1@gmail.com
Can the referee be No
approached prior
to the interview?
Period this May 2021
reference covers
from:
Period this September 2024
reference covers
to:
What name will the
referee know you
by if different from
your current
name?
Why has your
name changed?
Referee's title Professor

Referee's first Muhammad Usman
name(s)
Referee's surname ANJUM
Referee's Mohi-ud-Din Medical College, Mirpur AJK
organisation name
Job title Professor of Pathology

you?
Address 1 Sector D4,New Industrial Area, Mirpur AJK
Address 2
Address 3
City / Town Mirpur AJK
County / State Pakistan
Postcode 10250
Country Pakistan
Telephone no. 05827468666
Mobile no. +92 3125776119
Email address usmanziyai@gmail.com
approached prior
to the interview?
Period this March 2022
reference covers
from:
Period this April 2024
reference covers
to:
What name will the
referee know you
your current
name?
Why has your
name changed?
Referee's title Dr
Referee's first Yaqoob
name(s)
Referee's surname Ghumro
Referee's HUDDERSFIELD ROYAL INFIRMARY
organisation name
Job title CONSULTANT ACUTE MEDICINE
you?
Address 1 Huddersfield Royal Infirmary
Address 2 Acre Street
Address 3
City / Town Huddersfield
County / State
Postcode HD3 3EA
Country United Kingdom
Telephone no. +44 1484 342000
Mobile no. 07913540210
Email address yaqoob.ghumro@cht.nhs.uk
approached prior
to the interview?
Period this December 2023
reference covers
from:
Period this February 2024
reference covers
to:
What name will the
referee know you
your current
name?
Why has your
name changed?

Equal opportunities
Equal opportunities
NHS organisations recognise the benefits of having a diverse workforce and therefore welcome applications from all sections of the community. In addition to this, under the
provisions of the Equality Act 2010, all NHS organisations are required to demonstrate that their recruitment processes are fair and that they are not discriminating against or
disadvantaging anyone because of their age, disability, gender reassignment status, marriage or civil partnership status, pregnancy or maternity, race, religion or belief, sex or
sexual orientation. Therefore a series of questions need to be raised in order to ascertain who is applying for each position and to ensure that no one is being unfairly
discriminated against or disadvantaged.
This section of the application form will be detached from your application form and will not be used as part of the selection process nor will it be seen by anybody who is
interviewing you. The information collected is only used for monitoring purposes in an anonymised format to assist the organisation in analysing the profile and make up of
individuals who apply, are shortlisted for and appointed to each vacancy. In this way, they can check that they are complying with the Equality Act 2010.
The Equality Act 2010 protects people against discrimination on the grounds of:
• their age and sex.

• their race which includes colour, nationality, ethnic or national origin.
• their religion or belief, including a lack of any belief.
• their sexual orientation, be it bisexual, gay, heterosexual and lesbian.
The Equality Act 2010 also protects people who are married or in a civil partnership.
Equality and Diversity Monitoring
Please state your date of birth

07/03/1996
Please indicate your gender
Female
Please indicate the option which best describes your marital status:
Single
Please indicate your ethnic origin
ASIAN or ASIAN BRITISH - Pakistani
Which of the following options best describes how you think of yourself?
Heterosexual or Straight
Please indicate your religion or belief
Islam
Disability
The Equality Act 2010 protects disabled people - including those with long term health conditions, learning disabilities and so called "hidden" disabilities
such as dyslexia. If you tell us that you have a disability we can make reasonable adjustments to ensure that any selection processes - including the
interview - are fair and equitable.
According to the definition of disability do you consider yourself to have a disability?

No
Please identify the category which applies to you or other type of disability. People may experience more than one type of impairment, in
which case you may indicate more than one. If none of the categories apply, please mark 'Other'.
If you have a disability, do you wish to be considered under the Guaranteed Interview Scheme if you meet the minimum criteria as specified in
the Personal Specification?
No
Reasonable adjustments will be made available should you be invited to interview.
How did you learn of this vacancy?
Please state where you first saw this post advertised

HealthJobsUK.com / NursingNetUK.com
Declaration
The information in this application form is true and complete. I agree that any deliberate omission, falsification or misrepresentation in the application form will be grounds for rejecting
this application or subsequent dismissal if employed by the organisation. Where applicable, I consent that the organisation can seek clarification regarding professional registration
details.
I agree to the above declaration Yes

Next Steps
Once you submit the form your application will be available to the Employer. However, you will be able to update your "Personal Information" should any of your contact details
change.
All your application forms (submitted or not) can be viewed under "Applications" when you are signed in.
Privacy notice
Privacy notice
Your data is being collected by Croydon Health Services NHS Trust, whose privacy notice can be found here.
The data controller for this information is Croydon Health Services NHS Trust. This application tracking system is provided by Civica UK Ltd
(https://www.civica.com/en-gb/product-pages/trac/) as a data processor.
To make an enquiry, a request for your personal information held as part of this process, or to arrange for any mistakes to be corrected, you may
contact either the team who are handling your application or the Data Protection Officer (ch-tr.infogov@nhs.net).
https://www.croydonhealthservices.nhs.uk/privacy-policy

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Job ref: MS6562873 Job title: General Surgery and Urology (FY1 or Equivalent)

Application for employment

City / town Mian muhammad town mirpur

Rehabilitation of Offenders Act 1974 (as amended)

Application: 168473554 [Vacancy: 6562873] Page 1 of 20

Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended)

The simple guide to filtering (Unlock) at: http://hub.unlock.org.uk/knowledgebase/filtering-simple-guide/

Practical guidance on the DBS filtering rules (NACRO) at: http://www.nacro.org.uk/resettlement-advice-service/support-for-individuals/

This requirement is regardless as to whether any conviction is spent or remains unspent.

Page 2 of 20 Application: 168473554 [Vacancy: 6562873]

Are you currently an employee of Croydon Health Services NHS Trust?

Choose your immigration status

Application: 168473554 [Vacancy: 6562873] Page 3 of 20

Subject/Qualification Place of study Grade/Result Year obtained

MRCS part A Royal College of Surgeons of Edinburgh Awaiting results 2024

PLAB General medical council Pass 2023

MBBS University of health sciences Lahore Pass 2020

Relevant Training Courses Attended

Advanced Cardiac life support NHCPS 1 DAY 2024

Workshop on team strategies and tools to enhance performance and

Mohi-ud-din Islamic Medical College,

Mohi-ud-din Islamic Medical College,

Mohi-ud-din Islamic Medical College,

Online course on Writing a medical research paper UPMED 7 DAYS 2022

Membership of Professional Bodies

Please indicate your professional registration status

Page 4 of 20 Application: 168473554 [Vacancy: 6562873]

Please confirm what

Employer name Javid Iqbal Ch.

Application: 168473554 [Vacancy: 6562873] Page 5 of 20

Contract type Other

Employer name Usman Anjum

Page 6 of 20 Application: 168473554 [Vacancy: 6562873]

Brief description of Main Roles & Responsibilities:

Employer name Huddersfield Royal Infirmary

Employer name Javid Iqbal Ch.

Application: 168473554 [Vacancy: 6562873] Page 7 of 20

Name of Javid Iqbal Ch.

Employer name Divisional headquarters teaching hospital, Mirpur AJK

Page 8 of 20 Application: 168473554 [Vacancy: 6562873]

Contract type Fixed Term

Employer name Divisional headquarters teaching hospital, Mirpur AJK

Application: 168473554 [Vacancy: 6562873] Page 9 of 20

Brief description of During my surgical rotation, I used to:

Employer name Divisional headquarters teaching hospital, Mirpur AJK

Page 10 of 20 Application: 168473554 [Vacancy: 6562873]

Employer name Divisional headquarters teaching hospital, Mirpur AJK

Application: 168473554 [Vacancy: 6562873] Page 11 of 20

Brief description of I worked in the General Medicine Department where I:

Declaration of Practical Experience

Number of recorded procedures or interventions completed:

IV CANNULATION AND BLOOD SAMPLING 10-15 100+

ABGs 8-10 100+

ECG 2-5 100+

NASOGASTRIC TUBE INSERTION 5-10 50+

URETHERAL CATHETERIZATION 5-6 50+

ASCITIC TAP 8-10 50+

IM and SC injections 5-6 100+

Page 12 of 20 Application: 168473554 [Vacancy: 6562873]