Competency Evaluation Form

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    Competency Evaluation Form

    Contact Details Industry & Designation Qualifcations andCertifcations

    Name :DR MATIN AHMADKHAN

    Health Care (HIVMedicine !eneral Medicine""#u$lic Health

    M%%& 'M#H 'MM&c(HIVMed'#! Diploma inEpidemiolo)y' FamilyMedicine * Radio"dia)no+i+' Fello,+hip inHIV Medicine AmericanAcademy o- HIVMedicine &peciali+t(AAHIV&".&A

    Address:F/AT N0 !R"1 ' METR0T02ER /INE N0 "3 '4A4%/0CK 'DHATKIDIH'5AM&HED#.R5HARKHAND#IN "637887

    Health care (HIV Medicine Certifcations:79Medical Council o-India (%ihar Council o-Medical Re)i+trationRe) No : 1;7

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    Competency Evaluation Form

    otal !or" Exp:1? and year+

    Career goal:to lead and proide technical s0pport1 g0idance to projects , dealing/ith HIV"AIS 1 to 2e part of teamto strengtheninfrastr0ct0res andfacilities to perform s0ch pro3ects ,fororgani4ations of National

    /International rep0te

    Any otherInormation :At thi+ a)e(>8B andeperience I am ,ellplaced in my careerand the +ole rea+on I,ant to relocate that I,ant to $e involved,ith HIV 2or=eclu+ively 9&o theopportunity ha+ to $e

    +uGciently motivatin) ,or= and nance ,i+e&econdly I ,ant toempha+ie that I am aJualied HIV &peciali+tand not u+t trained,hich mo+t peoplecon-u+e9I am eJually eJuippedto handle pro)rammana)ement a+ ,ell a+

    patientmana)ement( Clinicalmana)ement treatment part

    #ocation Pre:Adacent to my +tate(5har=hand Ranchi'5am+hedpur 'Dhan$ad Kol=ata ( 2% a+ +uch '0di+ha (%hu$ene+h,ar'%ihar (#atnaNe, Delhi

    $"ills & Expertise:$%I##$Clinical (MedicalTreatment AnalyticalTeachin) * Re+earchTrainin) (Capacity $uildin)/eader+hip *Admini+trativeMonitorin) * Evaluation#re+entation *Communication (2ritten *Ver$al#ro)ram#roect

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    Competency Evaluation Form

    Mana)ement*oordinating"50ilding and +romoting partnerships

    EPE'I$EHIV Medicine(JualiedAnd it+ HR!"hi)h ri+=)roup+(C&2IVD.M&MTruc=er+Family Medicine(!eneral#ractice

    #u$lic HealthCommunityMedicine&eual MedicineCoun+elin)(Jualied#+ychiatry#ediatric+%iochemi+try

    Do( :1898>97

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    Competency Evaluation Form

    includin) the lo,e+t levelat #rimary health care inIndia and a$road99;9 Multita+=in) handledmultiplere+pon+i$ilitie+ta+=+ clinicaldutie+(0#DERIndoor9admini+trative' trainin)'teachin) multiple medical+u$ect+' pre+ented

    paper+' re+earch ,or=

    ExperienceCompany

    #ocation

    Designation

    Duration 'esponsi(ilities

    Achie,ements

    Exp-

    !ovt o-5har=hand Health

    #rimaryHealthcentre+

    Medical0Gcer IC

    73 EAR& *linical ---6+,Indoor, 7,Managerial,

    Administratie,

    !. Managed

    +H*s "*H*s /ith

    staff and reso0rce

    constraints in the

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    Competency Evaluation Form

    'Family2el-areandMedicalEducation

    andCommunityHealthcentre+(Re-erral unit+in ruralarea+o-5har=ha

    nd

    8inancial, +rogramManagment (of9ational +rograms),M" Actiities ,:raining

    Actiities,9 RecordKeepin) ' MCH *

    Immuniation'&chool Health'Interactin) ,ithNational *InternationalN!0+ $yprovidin)

    Technical *lo)i+tic +upport intheir RCH *Adol+cent +eualHealthpro)ramme+ a+per !ovt9Directive+ 'Coordinatin) ,ith+upervi+ory +ta* M0 at %loc=(#HC ,ee=ly andC9&9(CM0

    monthly ' HealthEducation (IEC

    r0ral areas of;har

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    Competency Evaluation Form

    i+ ta=in) place a+per )uideline+ in

    all MC DMC9

    ;9 En+ure +upply

    o- medicine+ *

    lo)i+tic+9

    >9 Meetin)

    (2ee=ly ,ith all

    +upervi+or+ to

    en+ure proper

    implimentation *

    +upervi+on9?9 TIme to time

    chec=in) o-

    MC+DMC+9

    9 .pdateRecord+ andcoordination ,ith&uperior oGcial+969 IEC (HeadEducation9

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    Competency Evaluation Form

    phones"electricity.

    &. *olla2orated/ith localleaders,teachers toengage them inhealth actiitiesto oercomestaff inade>0acyB.M0ltipleresponsi2ilities

    Exp/

    !ovt o-5har=hand Health'Family2el-areandMedicalEducation

    M!MMedicalColle)e'5am+hedpur

    #ecturer

    0e+ui,alent

    to A++t #ro-

    Deptt o-

    %iochemi+try

    *

    #ecturer0e+ui

    ,alentto A++t

    #ro- '

    Psychiatry 1

    Community

    2edicine3'A4

    )rade Nur+in)&chool' M!M

    Medical

    Colle)e'

    5am+hedpur

    *4oint

    Coordinator1

    #aramedical

    &tudie+' M!M

    Medical

    Colle)e'

    5am+hedpur"""

    78 year+? month+

    79Admini+trative1 9ClinicalLHo+pital Duty'ERand treatin) HIVB#atient+ '19Teachin) toM%%&' A4 !radeNur+in) *#aramedical+tudent+Lvarietyo- +u$ect+L%iochemi+try'Neurolo)y'#+ychiatry'CommunityMedicine' and#harmacolo)y o-HIVAID&

    399Trainin) andcapacity $uildin)Activitie+ tovariedaudience+ ';9Re+earchactivitie+"""helpin)

    collea)ue+ tocomplete their+ynop+e+' andthe+e+2or=in) ,ithN!0+ involved inprevention o- HIVin HR! (Hi)h Ri+=!roup+L

    79Did proect,or= inho+pital todecrea+e the+ti)maa)ain+t HIVpatient

    Trainednur+in)+ta';TH)rade+ta 9 doctor+on HIVAID&-or ,hich ,oninternationalacclaim9192rotetrainin) $oo=+aimed -ortrainin) o-doctor+ andparamedic+on HIV939Multiple

    re+pon+i$ilitie+9;9 &tarteddeptt o-paramedicalcour+e+ in thecolle)e andpreparedcour+e+ -or

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    Competency Evaluation Form

    C&2M&MIVD.>9Monitorin) andevaluation ,or=-or 5har=handAID& Control+ociety

    them andeven tau)htphy+ic+4 tophy+iotherapi+t under +tacrunch9>9#re+entedpaper+ atNationalcon-erence+?9 /ed themultidi+ciplina

    ry unit (MR.under ICMRand )ot+anctionedt,o proect+-rom ICMR99!ot the r+t in-ected HIVmotherdeliveredunder my+upervi+ion in

    the colle)eho+pital

    Exp5

    !ovt o-5har=hand Health'Family2el-areandMedical

    Education

    #atliputraMedicalColle)eDhan$ad

    Re+ident(Hou+ephy+icianin theDeptt+ o-Medicine'#ediatric+

    and#+ychiatry

    ?3O76month+

    Clinical 0#D'Indoor and ERTeachin)unior +tudent+0r)aniin)+eminar+#articipation in

    +ympo+ia#aperpre+entation

    79/earnt$a+icmedicalprocedure+even -rom+enior +tanur+e+ and

    technician+919-ormed a)roup amon)hou+e +tato help poorpatient+ li=ethat o-cancer+9

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    Competency Evaluation Form

    39Volunteered to doemer)encydutie+ o-otherdoctor+9

    Exp6

    Exp7

    !ovt o-5har=hand Health'Family

    2el-areandMedicalEducation

    !ovt o-&audiAra$Health&ervice+

    RaendraMedicalColle)e

    Ranchi5har=hand'no,calledRIM&4

    #HCC""#rimaryHealthCareCentreo-&audiAra$ia

    MedicaloGcer inthe deptt o-Radiolo)y

    tocomplete#! DiplomainRadiodia)no+i+

    Medical0Gcer IC

    7 year7 month

    7 year7 month

    Clinical 0#D'Indoor and ERTeachin)unior +tudent+

    0r)aniin)+eminar+#articipation in+ympo+ia#aperpre+entation

    *linical ---6+,Indoor, 7,Managerial,

    Administratie,+rogram Managment(of 9ational+rograms), M"

    Actiities ,:raining

    Actiities,9 RecordKeepin) ' MCH *

    Immuniation'

    providin)Technical *lo)i+tic +upport intheir RCH *Adol+cent +eualHealthpro)ramme+ a+per !ovt9Directive+ '

    79/earnt$a+icmedicalprocedure+

    even -romtechnician+919Formed a)roup amon)hou+e +tato help poorpatient+ li=ethat o-cancer+939Volunteered

    to doemer)encydutie+ o-otherdoctor+9

    792or=edunder +tacon+traint+19#ic=ed up,or=a$leAra$iclan)ua)e,ithin 3month+919 ,or=edunder multicultural

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    Competency Evaluation Form

    Coordinatin) ,ith+upervi+ory +ta* M0 at %loc=(#HC ,ee=ly andC9&9(CM0monthly ' HealthEducation (IEC

    environment939 Treated%rucello+i+4di+ea+e(common in&audi $utrare in ourcountry9

    Educational Details

    Pualication #hD (HIVMed

    M%%& M#H MM&c (HIVMed

    &pecialiation HIV Med Medical+u$ect+

    #u$licHealth

    HIV Medicine

    Name o- theuniver+ity

    .CNNicara)ua

    Ranchi.niver+ity'Ranchi

    .CNNicara)ua

    .CNNicara)ua

    ear o- #a++in) /i=ely to $ecompleted$y Dec187>

    786 1873 187;

    Q &cored #a++ >

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    Competency Evaluation Form

    Pro8ects 9andled i anyClient+ Nur+e+ *

    #aramedical +ta

    #eopleunder the

    $loc=#lat-orm Medical

    Colle)e#HC+ CHC&

    /an)ua)e+* tool+ .+ed

    En)li+hlan)ua)e

    Pue+tionnare'

    Intervie,+Trainin)

    9indi

    Re+pon+i$ilitie+

    Mentor'trainer '

    datacollector

    2entor1trainer 1

    datacollector

    De+criptiono- the#roect

    Todecrea+e

    the +ti)ma

    anddi+crimination a)ain+t

    HIV#ATIENT&

    in theho+pital

    NatonalHealth

    #ro)ram+

    li=epolio'RNTC# etc

    /ocation M!MMedicalColle)e

    Ho+pital

    #HC+CHC+

    Duration ? month+ Round theyearTeam &ie ? per+on+ 78"788

    Any other in-ormation ,ould li=e to provide:

    ACHIEVEMENTS A!A"#S $

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    Competency Evaluation Form

    %i&e Achievement Awar' for disting0ished serice to the society () IMA *In'ian Me'icalAssociation) ;amshedp0r 5ranch, ;har

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    Competency Evaluation Form

    (t+aamshe'pr IMA and 1A case Scenario ctting across 'i&&erent mo'alities o& HIVprevention; at ASICata 1

    5resente' a paper at ICM" New #elhi in March -4 which has (een approve' an'

    recommen'e' () them*Hman 5apilloma Virs an' Cervical Cancer8