SİNAN CEM ŞAHİN

• After completing my general surgery assistant training, I was assigned by the Ministry of Health to work as a general surgery consultant at Varto State Hospital. As the only general surgery consultant in the district, I try to provide all health services as much as I can.
• During my duty for managing an out-patient clinic;

-Assesses and prioritises GP and inter-departmental referrals and deals correctly with inappropriate referrals
-Assesses new and review patients using a structured history and a focused clinical examination to perform a full clinical assessment, and determines the appropriate plan of action, explains it to the patient and carries out the plan
-Carries out syllabus defined practical investigations or procedures within the out-patient setting
-Adapts approach to accommodate all channels of communication (e.g. interpreter), communicates using language understandable to the patient, and demonstrates communication skills with particular regard to breaking bad news. Appropriately involves relatives and friends -Takes co-morbidities into account
-Requests appropriate investigations, does not investigate when not necessary, and interprets results of investigations in context

-Selects patients with urgent conditions who should be admitted from clinic -Manages potentially difficult or challenging interpersonal situations, including breaking bad news and complaints
- Completes all required documentation
- Makes good use of time
- Uses consultation to emphasise health promotion
As the only general surgery consultant in the district, I evaluate all surgical emergencies that apply to the emergency room.
-Promptly assesses acutely unwell and deteriorating patients, delivers resuscitative treatment and initial management, and ensures sepsis is recognised and treated in compliance with protocol.
For managing ward rounds and in-patients;

-Identifies at the start of a ward round if there are acutely unwell patients who require immediate attention
-Ensures that all documentation (including results of investigations) will be available when required and interprets them appropriately
I perform the operation by taking an active role in all stages from elective surgery planning to postoperative care until discharge.
Even though I am currently a single working general surgery consultant, I would like to add that I know what teamwork means and I can't wait to be a part of a team.

• Analyzed patients' medical histories, medication allergies, physical conditions and examination results to determine best procedure.
• Performed regular rounds to check on patients' following surgery, discuss patient condition and coordinate care.
• Ordered and analyzed tests such as x-rays, CT scans and MRIs to help diagnose wide range of medical conditions.
• Reviewed test results and identified abnormal findings.
• Recommended and designed plans for treatment.
• Performed preventive and elective surgeries.
• Conducted medical research on various diseases and methods of treatment.
• Designed treatment plans for patients.
• Making the pre-operative preparations of the patients completely
• Inform patients about surgical procedures, possible complications and obtain their consent
• Postoperative service care; vital signs, fluid replacement and appropriate antibiotic therapy
• Wound care
• Pathology result follow-up
• Outpatient services
• Daily local procedures
• 1st assistant in major surgeries
• Discharge preparation and recommendations
• Performed minor, outpatient surgical procedures.

• Provide primary health care approximately 250 patients in every nightshift
• Responding to simple emergencies
• Treatment of various common diseases
• Emergency response and cardio-pulmonary resuscitation
• Refer patients to specialist if necessary
• Demonstrated proper techniques for cardiopulmonary resuscitation and first aid.
• Supported standards of medical care by adhering to policies and procedures.
• Used medical equipment and comprehended severity of injury.
• Monitored patient condition and communicated findings to nursing staff.
• Ordered vaccinations to immunize patients from communicable diseases.
• Advised patients on diet, hygiene and methods for disease prevention.
• Referred patients to specialists or other practitioners for treatment.

• Internship in Ankara University Faculty of Medicine, the most prestigious and busiest tertiary care hospital in Turkey
• It was founded in 1945, being the first centre of its kind in the country, and now has grown to accept up to 600.000 patients in the outpatient clinic, hospitalizing 35.000 patients, performing 15.000 operations a year.
• Rotated in the following in the departments of General Surgery, Obstetrics and Gynecology, Pediatrics, Emergency, Family Medicine, Nephrology, Rheumatology, Dermatology and Psychiatry
• My responsibilities were as follows: 1) Recorded detailed medical histories and wrote prescriptions. 2) Management of out-patients as well as in-patients. 3) Performed minor procedures independently including Arterial Blood Gas Sampling, IV Cannulation, Urinary Catheter, Blood Pressure Measuring.
• Sorted and organized files, spreadsheets, and reports.