Specialist Senior Registrar
3 years of D.M. residency at the Gujarat Cancer Institute and Research Centre, Ahmedabad, Gujarat, India (September 2010 to September 2013).
- Running adult medical oncology outpatient visits twice a week, paediatric medical oncology outpatient visits twice a week, oncological emergency duties twice a week with duty in the bone marrow transplant unit once every 4-5 days for the the D.M. tenure. Daily inpatient bedside rounds (approximately 30-45 adults, 3-4 BMT recipients and 15-20 paediatric patients). Therapeutic and diagnostic procedures (Bone marrow biopsies / aspirations, fine needle aspirations, lumbar punctures, intra-thecal chemotherapy etc.) for two full days a week for adult patients and on OPD days for pediatric patients.
- Presented more than 60 lectures on various aspects of oncology in the inter and intradepartmental academic sessions and presented and discussed twelve clinical cases in clinical meetings.
- Active participation and attendance of the regular (weekly once) interdepartmental meets at the Institute with presentation of scientific data from journals as well as GCRI data on various aspects in the field of medical oncology and haematology.
- Active involvement in teaching and training of medical, dental, radiotherapy and physiotherapy undergraduates during their posting in the department of medical and paediatric oncology.
- In benign hematology, we had many patients of aplastic anemia and immune thrombocytopenic purpura. I have special interest in aplastic anemia patients and given antithymocyte globulin.
- Active participation as co-ordinator in one multicenter clinical trial conducted at GCRI.
Special skills and procedures in the discipline of Medical Oncology in the last 3 years [at the Gujarat Cancer and Research Institute (GCRI, Ahmedabad):
Management of various solid and haematological malignancies in both adult and paediatric patients. Well-versed with various frontline protocols like (a) BFM 90, and MCP 841, MSKCC protocols for Paediatric A.L.L. (b) BFM 93 for paediatric A.M.L. and “7+3” and high dose cytarabine protocols for adult A.M.L. (c) ABVD, COPP, LMB 96, NHL BFM protocol, hyper CVAD, CODOX-M/IVAC, for paediatric lymphomas (d) CHOP, R-CHOP, DHAP, MINE, ESHAP, R-ICE and GVD protocols for adult lymphomas (e) High dose Ifosfamide / Cyclophosphamide and High dose Methotrexate based regimens for sarcomas (soft tissue and bone). (f) BEAM, BuCy, HD Melphalan for stem cell transplants (g) conventional protocols like FAC, CMF, AT, AC –›T for breast cancer; Platinum-based regimens for lung, testicular and ovarian cancers; P+F, TPF, DCF for head and neck cancers; LV5FU, FOLFOX, FOLFIRI, CAPOX, CAPIRI etc. for colorectal cancers; concurrent chemo-radiation protocols for head and neck, esophageal and anal canal/rectal cancers (h) Experience with newer molecules like Rituximab, Cetuximab, trastuzumab, Bevacizumab, Bortezomib, Gefitinib, Everolimus etc. (i) management of febrile neutropenia (j) maintenance of chemoports, central catheters, PICCs, etc.
Lumbar punctures and intrathecal administration of chemotherapeutic agents (approx. 500 cases at GCRI, Ahmedabad)
Bone marrow aspirations and/or biopsies (>400 cases)
Ascitic fluid and pleural fluid tapping (> 350 cases)
FNAC from breast masses, lymph nodes, subcutaneous nodules, skin lesions etc (>200 cases).