Mohamed Elghouneimy

I am an emergency medicine physician at Benha Teaching Hospital.My duties include:

1-Emergency and trauma:
-Evaluation and primary management of the patients attending the A&E of Benha teaching hospital by early recognition of critically ill patients.
-Performing the basic bedside procedure (cannulation, ABG sampling, nasogastric tube insertion, and catheterization in addition to basic medical and surgical procedures, such as withdrawal of blood samples).
-performing basic suturing with the ability of doing all types of surgical sutures.
-ordering the necessary primary investigations, like x-rays, CT scans, FAST and ECG with the ability to interpret these investigations, reaching a provisional diagnoses and react with the appropriate emergency procedure for the benefit of my patient.
-Being part of a multidisciplinary team (MDT) which responds to Cases of cardiac arrest, supported by the knowledge and experiences gained by the ILS (Immediate life-support) course I had attended. And dealing with trauma patients according to the ATLS (Advanced Trauma Life Support) protocol by using the ( A B C D E ) approach to stabilize the patient and prepare him for the definitive specialized treatment.
-Communicating with my colleagues in different specialties ordering a documented consultation from them, giving a detailed history about my patient and the reason of the consultation.
-Documenting each case I see and fill in the progress notes in a detailed way.

2-Immediate care unit:
-Monitoring the vital signs and reviewing the medication according to recent protocol.
-Noticing the response of our patients to the management plan.
-Paying attention to pain management, and monitoring the patient's response to painkillers.
-Requesting follow up investigations.
-Dealing with any sudden deterioration in our patients with what i had learned from ILS (Immediate Life Support ) and CCrISP (Care of Critically Ill Surgical Patient) courses.
-Document any changes in the patient progress notes and sheet of medication.
-Communicating with my senior registrar, and keeping him updated with our patients' condition.

3- Teaching :
-Working for a teaching hospital in Egypt means that I have a duty in teaching junior staff and qualifying them to handle many situations in our specialty.
-Making sure that the junior physicians performing a procedure in a safe and effective way, then signing their logbooks regarding this procedure.

4- Research and audit:
-I am working on a research project.
-I did an audit to improve the level of medical service.

I started my job in El Nile insurance Hospital as a core surgical trainee which is the second largest hospital of the health insurance system in Cairo, and it is located on 2 highways. El Nile serve more than 100,000 patients per year and receive many RTA cases daily.

I was first on call, and i am responsible for 30 beds in general surgery department for 9 months. During residency, I had rotation in:

-Colorectal surgery
-Breast surgery
-Endocrine surgery
-Plastic surgery

General duties include:
1-Emergency and trauma:
-I was part of MDT which is responsible for assessing and managing ACUTE SURGICAL CASES
-taking a detailed history, performing physical examination, relevant investigations and preparing the patient for an emergency surgery if required (like appendectomy, chest intubation & tendon repair …..etc).
-Report any potential child abuse
-Informing the infection control department about any drug abuser patient.
-Performing different types of sutures
-Wound management
-Incision and drainage

On Call duties:
-During my emergency shift, I had to prepare patients for the next OT list. That involve pre-op assessment, investigations and patient fitness for surgery/anesthesia.
-Do the paperwork for patient's admission.

2-Elective surgery:
-Performing minor surgeries under supervision and independently
-Assisting in many open and laparoscopic surgeries (moderate and major surgeries)

3-Surgical ward duties:
-Prepare and present cases in the morning round.
-Making discharge summaries.
-Post-op follow up and wound care, including dressing and drains.
-Counseling the patients and their relatives regarding wound care at home.

4-Outpatient clinics:
-Doing surgical outpatient clinics under supervision of my consultant during which we are seeing patients with minor surgical ailments, follow up cases and patient referrals.
-Attending multidisciplinary meetings

5-Teaching experience:
-We have a weekly scientific meeting during which I should give a presentation about a Surgical topic.
-Supervising SHOs in many surgical procedures and teaching them about patient consultations, clinical examination and surgical management then signing their logbook.

6-Research and Audit:
-I am working on a research project.
-I did an audit to improve the level of medical service.

I started my job in Al Zhraa university Hospital as a plastic surgical visitor. It is a part time unpaid job for training. Al Zahraa is a medical edifice in the field of plastic surgery and has a burn center.
I was a plastic surgeon visitor " part time ". During residency I had rotation in:

1-Burn center
2-Reconstruction surgery
3-Aesthetic surgery

My duties include:

1-Emergency and trauma:
-I was part of MDT which is responsible for assessing and managing ACUTE SURGICAL CASES
-taking a detailed history, performing physical examination, relevant investigations and preparing the patient for an emergency surgery if required (like suturing a facial wound & primary tendon repair …..etc).
-Report any potential child abuse
-Informing the infection control department about any drug abuser patient.
-Performing different types of sutures
-Receiving burn patients, determining the type of burn, how it occurred and the time of it's occurrence then calculating the total body surface area of the burn. After that starting IV fluids and proper dressing of the wound with topical cream.
-I also order a consultation of another specialty if needed.

On Call duties:
-During my emergency shift, I had to prepare patients for the next OT list. That involve pre-op assessment, investigations and patient fitness for surgery/anesthesia.
-Do the paperwork for patient's admission.

2-Elective surgery:
-Performing minor surgeries under supervision and independently
-Assisting in many surgeries (moderate and major surgeries)

3-Surgical ward duties:
-Prepare and present cases in the morning round.
-Making discharge summaries.
-Post-op follow up and wound care, including dressing and drains.
-Counseling the patients and their relatives regarding wound care at home.

4-Outpatient clinics:
-Doing surgical outpatient clinics under supervision of my consultant during which we are seeing patients with minor surgical ailments, follow up cases and patient referrals.
-Attending multidisciplinary meetings

I am a general practitioner at Benha Teaching Hospital. My duties include rotation in:

1-general surgery department
2-pediatric medicine department
3-obstetrics and gynecology department
4-emergency medicine department
5-acute medicine department
6-internal medicine department

My duties include:

1-Emergency and trauma:
-Evaluation and primary management of the patients attending the ER
-Performing the basic bedside procedure (cannulation, ABG sampling, nasogastric tube insertion, and catheterization in addition to basic medical and surgical procedures, such as withdrawal of blood samples), and ordering primary investigations with the ability of interpretation of such investigations( ECG, X-Rays, CT scans and blood tests).
-Calling the responsible specialty resident, and giving him a brief history about the patient and my consideration regarding this history.

2-Outpatient clinics:
-According to the department which I have my round in, I should attend the outpatient clinic of that department which increased my experiences and skills in examination and evaluation patients in different specialties.
- I attended the outpatient surgery Clinic in which I performed some procedures " like incision and drainage of uncomplicated abscesses, ingrowing nail extractions, wart excision and circumcision".

-Covid 19
-I have a specific duty of receiving the suspected patients of covid 19 who have any respiratory symptoms and make a decision whether they are covid or not according to the hospital criteria.
-Doing that specific investigation of Covid for our patients.
-Admit Covid patients to our isolation department and complete the necessary paperwork for that.
-Organizing the transfer of Covid patients to other hospitals, if we don't have an empty bed for them.

I worked as a medical intern at Benha University Hospital for a years. During it, I had rotation in:

1-General surgery department
2-Internal medicine department
3-ENT department
4-Obstetrics and gynecology department
5-Pediatric medicine department
6-Anesthesia department

My duties, include:

1-Emergency and trauma:
-Evaluation and primary management of the patients attending the ER
-Performing the basic bedside procedure (cannulation, ABG sampling, nasogastric tube insertion, and catheterization in addition to basic medical and surgical procedures, such as withdrawal of blood samples, ordering primary investigations with the ability of interpretation of such investigations).
-Calling the responsible specialty resident, and giving him a brief history about the patient and my consideration regarding this history.

2-Ward duties:
-According to my round department, I should attend the morning round on the hospitalized patients, and present the cases and discuss them with with the consultant.

I spent a month of training at the orthopedic and trauma department at Policlinico Vittorio Emanuele University Hospital, Italy. During this months I observe the orthopedic resident reviewing the patients in ER, the ward and outpatient setting. I attended the clinical rounds and the discussions about the patients. Also I attended an OR round to observe the orthopedic surgical procedures.