The Royal Hospital

Rheumatology

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STAFFING
Dr. Humaid Awadh Humaid Al Wahshi, MD, MRCP, Sr. Consultant Rheumatologist & Unit Head
The unit also has 1 rotating Registrar, 2 rotating Resident Medical Officers and 2 Interns.

CLINICAL ACTIVITIES
This clinical unit manages all the collagen vascular disease cases referred from all over the country. These include a wide variety of conditions like systemic lupus, rheumatoid arthritis, polymyositis, dermatomyositis, juvenile chronic arthritis, systemic sclerosis, polymyalgia rheumatica, temporal arteritis, Takayasu's arteritis, Reiters disease, ankylosing spondlitis, etc. A significant number of systemic lupus patients with central nervous system and renal involvement present with unusual manifestations, many of which has been discussed at clinical meetings.

The unit has a bed complement of 12. Once the patients are discharged they are followed up in the unit's specialist referral clinic or discharged back to the Regional hospitals or health centres for further follow up.

The unit conducts clinics on Mondays and Wednesdays for medical and rheumatological cases. Patients who are on various immunosuppressive drugs like steroids, methotrexate, azathioprine, cyclosporine, etc are kept under close monitoring. Procedures like joint aspirations/injections are carried out in the clinic. On an average 300 patients are seen in the clinic per month. On emergency admission days, which is every 4th day, the Sr. Consultant and Sr. Registrar takes regular rounds at night seeing all the acute admissions together with other team members.

TEACHING AND OTHER ACTIVITIES
The senior members are actively involved in teaching 5th and 7th year medical students and doctors appearing for MRCP (UK) and MRCP (Ireland) examinations. The team is actively involved in organizing the MRCP examination in Oman for the last several years. The team members actively participate in regular case presentations, x-ray meetings, journal clubs and mortality meetings. The unit has also been providing a major input in the ACLS courses conducted by the Hospital.
 
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