Department of Postgraduate Medical EducationAdmission 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.
Internship
All medical graduates, including those expecting their MBBS final results by end November, 2013 are
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.
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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.
Residency
Applications are invited for the following residency 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 DentistryOphthalmology
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
4-year programmes
A candidate can apply for only one residency programme at a time.
Eligibility Requirement for Residency
GeneralIndividuals applying for a residency programme must fulfil the following conditions as applicable:
¡ 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 Trackii. Four Year IM Residency TrackAfter 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 l i cense wi l l be e xpir ing 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.
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Programme Specific Eligibility Requirements
In addition to general requirements mentioned above, following are programme specific requirements:
FCPS Part I or equivalent;Adult Cardiology 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.
Anaesthesiology FCPS Part I will be preferred.Cardiothoracic Surgery FCPS Part I or equivalent;
2 Years training in general surgery.Chemical Pathology FCPS Part I or equivalent.Clinical Haematology FCPS Part I;
2 years residency in medicine;Intermediate Module.
Community Medicine FCPS Part I in community medicine. Dermatology 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.
Diagnostic Radiology FCPS Part I in radiology.Emergency Medicine FCPS Part I will be preferred in medicine and allied, surgery and allied or
anaesthesia.Family Medicine FCPS Part I will be preferred.Gastroenterology 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.
General Surgery Should have passed MBBS after 2009 or later FCPS Part I in Surgery or equivalent
Programme Eligibility / Requirement
Haematology FCPS Part I or equivalent.Histopathology FCPS Part I or equivalent.Internal Medicine 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.
Microbiology FCPS Part I or equivalent.Nephrology 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.
Neurology Track IFCPS 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 IIApplicants 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
Neurosurgery FCPS Part I or equivalent.Obstetrics/Gynaecology FCPS Part I or equivalent.Operative Dentistry One year house job / internship in various subspecialties of dentistry.
FCPS Part I.
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Ophthalmology FCPS Part I or equivalent.Preference will be given to those candidates having some experience in ophthalmology.
Orthodontics One year house job / internship in various subspecialties of dentistry.FCPS Part I.
Orthopaedic Surgery FCPS Part I or equivalent.Otolaryngology/Head & FCPS Part I is desirableNeck SurgeryPaediatrics and Child Health FCPS Part I or equivalent.Paediatric Surgery 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.
Plastic Surgery 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.
Psychiatry FCPS Part I or equivalent.Pulmonary Medicine 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.
Radiation Oncology FCPS Part I in radiology.Urology 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.
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Additional Information
¡ Applicants for surgical specialties must clear their 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.
Fellowship
Entrance into Fellowship (post-residency advanced training) will be offered in the following subspecialties this year:
1-year programmesDiagnostic NeuroradiologyNeurovascular (Stroke)Obstetrics AnaesthesiaPain ManagementVascular and Interventional RadiologyWomen Imaging
2-year programmesAdult Infectious DiseaseClinical Neurophysiology and Electrodiagnostic MedicineCritical Care MedicineDiabetes, Endocrinology and MetabolismGastrointestinal SurgeryGynae-OncologyHaematopathologyInterventional CardiologyMolecular Pathology Neonatal PaediatricsPaediatric Critical Care MedicinePeripheral Vascular SurgeryUro-gynaecology & Pelvic Reconstructive Surgery
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3-year programmesMedical OncologyPaediatric CardiologyPaediatric Haematology/Oncology*Paediatric Infectious DiseasesPaediatric 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
GeneralIndividuals 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:
Adult Infectious Disease Three years of approved training in internal medicine;Successful completion of FCPS-II.
Clinical Neurophysiology Completion of at least three years of adult neurology training from aand Electrodiagnostic national or international training programme;Medicine Should be eligible to appear in FCPS neurology, American Boards in
Neurology.
Programme Requirement
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Critical Care Medicine 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.
Diabetes, Endocrinology Four years of approved training in internal medicine;and Metabolism Successful completion of FCPS / MRCP / Diplomate American Board of
Internal Medicine or any other equivalent postgraduate qualification.Diagnostic Four years of training in radiology;Neuroradiology FCPS Part II and one year experience in a clinical field other than
internship/house job would be preferable.Gastrointestinal Surgery Four years of training in general surgery in an accredited and reputable
programme;FCPS II or equivalent in general surgery.
Gynae-Oncology Completed structured residency training programme in Obstetrics & Gynaecology.FCPS Part II or MRCOG or equivalent qualification according to PM&DC.
Haematopathology Four years of approved training in Histopathology (FCPS-II eligible). Candidates who have completed FCPS-II exam in Histopathology will be preferred.
Interventional Cardiology Three years of approved training in adult cardiology;Candidates with FCPS Part II in adult cardiology or equivalent diploma will be preferred.
Medical Oncology Three years of approved training in internal medicine;Successful completion of FCPS / MRCP / Diplomate American Board of Internal Medicine or equivalent.
Molecular Pathology 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.
Neonatal Paediatrics Four years of paediatrics residency training.Candidates with FCPS Part II in paediatrics will be preferred.
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Neurovascular (Stroke) 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.
Obstetrics Anaesthesia 4 years programe in anaesthesiology;Candidates eligible or have successfully acquired FCPS Part II or equivalent qualification in anaesthesia.
Paediatric Cardiology Four years of paediatrics residency training.Successful completion of FCPS Part II in paediatrics.
Paediatric Critical Care Four years of paediatrics residency training.Medicine Successful completion of FCPS Part II in paediatrics.Paediatric Haematology / Four years of paediatrics residency training.Oncology Candidates with FCPS Part II in paediatrics will be preferred.Paediatric Infectious Four years of paediatrics residency training.Disease Candidates with FCPS Part II in paediatrics will be preferred.Paediatric Neurology Four years of paediatrics residency training.
Candidates with FCPS Part II in paediatrics will be preferred.Pain Management Completion of four to five years of training in anaesthesia
FCPS Part II or eligible to appear in Part II or equivalent.Peripheral Vascular Surgery 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.
Uro-gynaecology & Pelvic Completed residency programme in Obstetrics and Gynaecology from Reconstructive Surgery accredited institution;
FCPS or MRCOG or equivalent in Obstetrics and Gynaecology.Vascular & Interventional Four years of training in radiology;Radiology FCPS Part II;
Experience in clinical field is desirable.Women Imaging Five years of Residency Training in Radiology Residency;
FCPS Part II.
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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 non-
refundable 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.
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
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
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.
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Sample Answer Sheet
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WriteI.D.
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MarkI.D.
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USE NO. 2 PENCIL ONLY
I FEXAMPLE:
ERASE COMPLETELY TO CHANGE
A B C D E
IMPORTANT
Application Number
NAME
TEST
DATE PERIOD
SIDE0
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FORM NO. F-166 SCANTRON CORPORATION 1988ALL RIGHTS RESERVED
4288-C998- 14 6
Fariha Kausar
AKU Internship / Residency
31 - 08 - 2013 2014
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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:
of the following is most appropriate?
A. Colonic biopsy to identify Giardia lamblia
B. Culture of the oral cavity for Candida albicans
C. Duodenal biopsy to identify Entamoeba
D. 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
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:
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. Decreased serum K+ concentration
B. Decreased serum Ca++ concentration
C. Increased serum HCO3- concentration
D. Increased serum Na+ concentration
E. Increased serum pH
2. In evaluating the cause of the diarrhoea, which
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Stadium Road, P.O. Box 3500, Karachi 74800, PakistanFax: +92 21 3493-4294; Tel: +92 21 3493-0051
E-mail: [email protected]