Awais Amjad Malik
Services Hospital
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Annals of medicine and surgery | 2016
Awais Amjad Malik; Samiullah Bhatti; Abubakar Shafiq; Romaisa Shamim Khan; Usman Ismat Butt; Syed Muhammad Bilal; Huma Sabir Khan; Muhammad Kashif Malik; Mahmood Ayyaz
Objective To assess the presence of burnout among surgical residents working at various public sector hospitals in Pakistan. Design A survey based on MBI was used to assess the presence of burnout. Residents were grouped into Group A (Burn out) or Group B (No burn out). Pearson Test was used to see any correlation between different variables and burn out. A p value of <0.05 was taken as significant. Setting/participants A cross sectional survey of all the surgical residents at various public sector hospitals in Lahore was done. Results A total of 133 residents responded to our questionnaire. 74% respondents were male and 26% were female. All residents showed a very high level of burnout. 50.4% residents had high levels of burn out on the EE category, 49.6% in the DP category and 53.4% residents had low levels on the PA scale. When assessed for overall burn out 57.9% residents had overall burnout. Males were more prone to develop burnout. Job dissatisfaction was the most prevalent reason for burn out. Owning a smartphone was significantly associated with development of burnout. Awareness regarding the burnout syndrome and having children were two factors which had a protective effect against burnout syndrome. Marriage, working hours, financial conditions, smoking and consumption of coffee/tea had no effect on development of burnout syndrome. Conclusion There is high prevalence of burnout among the surgical residents in our hospitals. Unsatisfactory training is the number one reason for development of this syndrome.
Jcpsp-journal of The College of Physicians and Surgeons Pakistan | 2018
Sadaf Batool; Awais Amjad Malik; Hassaan Bari; Irfan ul Islam; Faisal Hanif
Option for borderline resectable pancreatic cancer is pancreaticoduodenectomy (PD) with vascular resection and reconstruction. We would like to share our experience of vascular reconstruction. First patient was a 51-year male with pancreatic head carcinoma, involving posterior wall of portal vein (PV) and replacing right hepatic artery (RHA). Along with PD, he underwent PV and RHA resection and reconstruction. Second case was a 33-year female who had distal pancreatic cyst and PV-splenic vein junction involved by tumor. Distal pancreatectomy+splenectomy and PV primary resection-reconstruction was done. Third case was a 72-year male with pancreatic neck adenocarcinoma involving PV-SMV junction. Subtotal pancreatecomy+splenectomy was done along with PV-reconstruction via splenic vein patch graft. Fourth case was a 77-year male with cystic pancreatic head mass involving PV. PD with resection and reconstruction of portal vein was done. Fifth case was a 35-year female with peri-ampullary tumor replacing RHA, coursing through the pancreatic parenchyma. So RHA was resected and reconstructed in an end-to-end fashion. Vascular resection-reconstruction can be done in borderline pancreatic cancer patients, and a considerable survival benefit can be achieved.
Asian Pacific Journal of Cancer Prevention | 2017
Awais Amjad Malik; Namra Urooj; Romaisa Shamim; Mariam Salim; Razia Bano; Zulqurnain Chaudhry; Huma Majeed Khan; Amina Iqbal Khan
Objective: To determine the impact of the trial on surgeon practice patterns at our institution. Methodology: A comparison of patients undergoing surgery for early breast cancer before and after the implementation of the new guidelines was done. We adopted the new guidelines in April 2015. Patients meeting Z0011 inclusion criteria were identified. For group A (Pre Z0011) patients operated between Jan to Dec 2013 were studied. And for Group B (Post Z0011) patients operated between July 2014 to Jun 2015 were included. Clinicopathologic data were compared between the two groups. Results: There were 318 patients with clinical T1-2 tumors planned for breast conservation. 68% patients had T1 tumor and 32% had T2. 92% of the patients had IDCa. There were 150 patients in the pre-Z0011 group and 168 post-Z0011. 68% of the patients in Group A were ER+ve while 70% in group B. 38 (25.7 %) patients were sentinel lymph node (SLN) positive in the pre-Z0011 group versus 34 (21 %) post-Z0011 (p = 0.392). Before Z0011 100 % (38/38) of SLN-positive patients underwent axillary node dissection (ALND) versus 17 % (6/34) after Z0011 (p < 0.01). Median no of SLNs identified in group A were 1.3 and group B were 1.4. There was a decrease in median operative times of the two groups (80 vs. 60 min, p < 0.01). There was a significant decrease in the overall hospital stay of sentinel lymph node positive patients in between the two groups (2.1 days vs 1.3 days p value < 0.01). Conclusions: Implemention of Z0011 guidelines has resulted in significant short term advantages in terms of reduced axiilary dissections, shorter operative times and shoter hospital stays.
Journal of Pakistan Medical Association | 2009
Abdullah Ladha; Romaisa Shamim Khan; Awais Amjad Malik; Sana Farooq Khan; Beenish Khan; Irum Nawaz Khan; Samiullah; Waleed Tallat Kayani; Sarah Saleem
Jcpsp-journal of The College of Physicians and Surgeons Pakistan | 2014
Huma Sabir Khan; Awais Amjad Malik; Shadab Ali; Awais Naeem
Journal of Pakistan Medical Association | 2014
Faisal Shabbir; Mahmood Ayyaz; Muhammad Waris Farooka; Asad Ali Toor; Hassan Sarwar; Awais Amjad Malik
Journal of Pakistan Medical Association | 2015
Asad Ali Toor; Muhammad Waris Farooka; Mahmood Ayyaz; Hassan Sarwar; Awais Amjad Malik; Faisal Shabbir
Journal of Pakistan Medical Association | 2015
Mahmood Ayyaz; Muhammad Waris Farooka; Awais Amjad Malik; Ahsan Y. Khan; Rashid Mansoor; Asad Ali Toor; Khokhar Ha
Journal of Pakistan Medical Association | 2015
Awais Amjad Malik; Isnain Hg; Ahsan Y. Khan; Asad Ali Toor; Allah Nawaz; Rashid Mansoor; Shamim R; Mahmood Ayyaz
Jcpsp-journal of The College of Physicians and Surgeons Pakistan | 2015
Awais Amjad Malik; Mahmood Ayyaz; Muhammad Farooq Afzal; Abrar Ashraf Ali; Romaisa Shamim; Ruqayya Khan; Huma Sabir Khan; Awais Naeem; Samiullah Bhatti