A Quantitative Observational Cross

A quantitative observational cross-sectional study was conducted simultaneously at Combined Military
Hospital Lahore Medical College & Institute of Dentistry (CMH LMC &IOD) and King Edward Medical
University (KEMU), Lahore, Pakistan. CMH LMC & IOD is a private sector institute whereas KEMU is a
public sector university. The study was conducted over a period of 8 months.
The eligibility criteria included male and female final year MBBS students and post graduate trainees
within 2 years of their graduation. Two hundred and ten participants were selected using non-probability
convenient sampling (105 from each medical college) over a period of 6 months. Students who did not
consent to be included in the study and whose questionnaires were incomplete were excluded from the
study. The response rate was 89%. The research investigates the interplay among public versus private
university settings, gender differences (boys versus girls), and academic levels (undergraduate versus
postgraduate) to examine their individual influence on their experience of having performed IAE.
Data from the subjects was obtained through a self-designed questionnaire after informed consent. The
questionnaire was developed based on a scientific literature review. Initially, it was pilot tested on 12
students and changes in the response format were done according to the feedback of the pilot sample.
The questionnaire was further reviewed, and the quality of the included questions was verified.
Cronbachk alpha test was applied to check the validity and reliability of the questionnaire before being
used for data collection, and it gave a value of 0.80 hence deeming it relatively reliable.
With a confidence level of 95% on a population size of 300 and 5% margin of error, the sample size was
calculated using the following formula (based on central limit theorem) n = Z²1 -ᵅ/2 p(1-p) / d² to be 187.
All information collected was entered and analyzed through of IBM SPSS 23. Descriptive statistics was
employed to measure the frequencies and Pearson Chi-squared test was used to evaluate the
association between different variables. During the analysis, the statistical significance level was
considered as P<0.05.
The study was approved by the Ethical Review Committee of CMH LMC & IOD. Given population was
approached by the researchers and were informed about the research details. Essential guidelines were
provided. Informed consent was taken from the participants and were told that their confidentiality will be
ensured and the data will be used for research purpose only. All reasonable steps were taken to ensure
that any potential risks to the participants were mitigated as much as possible.
Emergency medicine captivates me for its thrilling pace and immediate impact. The urgency
and unpredictability fuel my passion, offering a dynamic environment where quick decisions
save lives. It's the realm of instant results, where swift actions directly alter outcomes. The
adrenaline rush of swiftly resolving critical situations aligns with my desire for hands-on,
impactful work. In emergency medicine, each moment counts, presenting a challenge that
drives me to stay sharp, adaptable, and dedicated. The ability to make an immediate, tangible
difference in people's lives is an exhilarating and deeply fulfilling aspect that continues to draw
me toward this field. I believe I am a good addition to your team because I possess the
following qualities:
1)Training Credentials:
I meet this job's essential criteria because I have a registered MBBS degree and full GMC
registration. I also possess certificates for ALS, BLS, and ACLS from my home country. I plan
on attending ALS training by Resus Council UK and ATLS training by the Royal College of
Surgeons UK as soon as I land in the UK after landing a job. I am currently studying for my
MRCS exam, which I plan on taking in the upcoming months.
2) Experience in Emergency Medicine:

I rotated in Emergency Medicine throughout my General Surgery rotation and General
Medicine rotations during my foundation year training. Furthermore, I have been working in
the ER at my current job for the past 3 months, therefore I am fairly confident in my ability to
handle most emergencies - such as myocardial infarctions, GI bleeding, GI disorders, trauma
etc.
3) Clinical Governance Experience:

To my credit, I engage with Clinical Governance on a daily basis. This is evidenced by the two
QIPs I have completed thus far and an audit that I am currently in the midst of. My QI Projects
have yielded a 100% improvement in the knowledge and skills of the relevant areas, whilst my
audit aims to standardize the ordering of CT scans in a tertiary care teaching hospital in
Lahore. This commitment to constantly ameliorating patient care and ensuring that the high
standard of patient care is upheld perfectly mirrors the ethos of Barts Health NHS Trust.
4) Communication Skills:
My communication skills, a cornerstone of my practice, encompass empathy, clarity, and
adaptability, enabling me to connect profoundly with patients, convey intricate medical
information effectively, and collaborate seamlessly within multidisciplinary teams. In addition,
my proficiency in Urdu, English, and Punjabi allows me to interact with patients of many
different backgrounds and nationalities. My exceptional performance in my IELTS test (Band
8/9) is a testimony to my fluency in the English Language. The amalgamation of these
qualities not only elevates my performance but also contributes significantly to the holistic and
collaborative healthcare environment I inhabit.
5) Proficiency in IT:
My proficiency in Microsoft Word, Excel, PowerPoint, and Hospital Management Systems
complements my role as a junior doctor in emergency medicine. I regularly update patients'
electronic data, which ensures accurate and accessible medical records, crucial for
comprehensive care. Efficient use of these tools streamlines communication, facilitating clear
documentation and presentation of treatment plans. This tech literacy enables quick retrieval
of pertinent information during consultations, optimizing decision-making processes.
Moreover, my adeptness in Hospital Management Systems aids in navigating complex
healthcare networks, ensuring seamless coordination of care for elderly patients with multiple
ailments. These skills amplify productivity, and organization, and ultimately contribute to
enhanced patient outcomes in Emergency Medicine.
6) Commitment to Professional Development:

As a junior doctor, I'm dedicated to continuous professional growth, regularly updating my
knowledge and refining my skills to deliver optimal patient care. Embracing lifelong learning, I
engage in ongoing education, attending conferences, and staying abreast of medical
advancements. Currently, I plan on pursuing the MRCEM Part A Examination, as I believe it
would enrich my expertise in evidence-based emergency care. I commit substantial time to
studying, integrating the latest research into practice, and ensuring the highest standard of
care delivery. By investing in my development, I aim not just to pass examinations but to
deepen my understanding, contributing effectively to the evolving landscape of healthcare with
a focus on evidence-based, patient-centered practice.
7) Care, Compassion, and Equity

My approach as a junior doctor is anchored in empathy, fostering a caring and compassionate
environment crucial in Emergency Medicine. Understanding the unique vulnerabilities of
patients necessitates empathy, ensuring not just surgical and medical treatment but also
emotional support. Embracing patients from diverse backgrounds, religions, and sexual
orientations is fundamental. Upholding equity in care cultivates trust, enabling open dialogue
and personalized approaches that respect individual values and preferences. This inclusive
stance enriches patient-doctor relationships, ensuring tailored care that honors their dignity,
cultural nuances, and specific needs, ultimately contributing to better outcomes in the ER.
8) Adherence to Trust Values:

I'm naturally drawn to the University Hospitals Sussex NHS Foundation Trust's values of
inclusion, respect, and communication because they echo my inherent qualities. Inclusion
reflects my belief in embracing diversity, valuing every perspective, and fostering an
environment where all voices are heard. Respect aligns with my core principle of honoring
differences and treating others with empathy and dignity. Communication resonates with my
inclination to connect ideas and people, facilitating understanding and collaboration. These
values mirror my essence, igniting a passion for creating spaces where individuals feel valued
and empowered. They not only guide my interactions but also fuel my commitment to
nurturing harmonious and understanding relationships.
9) Conclusion:
I believe I am a good candidate for this position because I possess full GMC registration, and
I'm wholeheartedly committed to expanding my expertise and knowledge by diligently
preparing for the MRCEM exam. I have carried out two Quality Improvement Projects in the
past and am currently carrying out another one. I already have 2 publications and a third one
in process, and I'm deeply passionate about medical research and eagerly aspire to delve
deeper into conducting further studies in the field. Although I do not have NHS experience, I
have read the job description carefully and have been carrying out the same tasks in my home
country since I started my intern year. Moreover, I have my CREST form signed by a certified
consultant. I'm hopeful to join this esteemed hospital as I deeply admire its values,
considering it a beacon of excellence in healthcare and an institute aligned with my
professional ethos.

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A quantitative observational cross-sectional study was conducted simultaneously at Combined Military

2) Experience in Emergency Medicine:

3) Clinical Governance Experience:

6) Commitment to Professional Development:

7) Care, Compassion, and Equity

8) Adherence to Trust Values:

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