Fellowship under guidance of Dr H N Vijayendra for 1 month i.e from 1 August 2012 to 31 August 2012 for otology and lateral skull base surgeries. Did cadaver dissection during the fellowship programmer.

This section is written as a narrative in the first person as I feel that the heart and soul of being a good doctor cannot and should not be reduced to a series of bullet points.

My approach to professional excellence is simple. I treat people as I would like members of my own family to be treated. I do the very best I can for every patient referred to me.

I am approachable, friendly, and try to establish empathy early in a consultation. I believe in "getting it right first time". This means more than getting the diagnosis right. It means finding out what the patient hopes for and expects from treatment, and explaining the limitations and risks of surgery. Having explained treatment options in terms I hope the patient can understand, I check they have understood it. My policy is complete openness and honesty.

I keep up to date, and I learn from my patients. I know my own strengths and limitations. I don't hesitate to discuss difficult problems with colleagues, and refer on when necessary.

Though lucky enough to have "a good pair of hands" I always strive to improve my surgical skills. In theatre, I am a meticulous operator, though not one of the quickest. For emergencies, I am always available when on-call, and do not hesitate to come in even when not on-call if there is a problem with one of my patients. In clinics and in theatre, I stay as long as it takes.

I am grateful to all the colleagues I worked with during my three years of excellent postgraduate training in ENT- and fellowship in skull base surgery at kochi, Dr Janaki Sir and Dr Vijayendra Sir who gave me broad clinical experience and a sound basis for further professional development.

I am now in my 7th year of independent practice, and have built on this foundation a wealth of clinical experience and judgement, learned mostly from my patients, to whom I am most grateful for entrusting me with their lives and wellbeing.

This period my work was to assess the neurosurgical patient specifically the neuro-otological patient like cerebropontine angle tumour, pituitary macroadenoma, glomus tumour. I have assisted Neurosurgeon in these cases. I know how to insert evd, vp shunt. I have done individually the craniotomy and burr hole and in some of the cases I have exposed the sphenoid sinus for the pituitary tumour.

Thes is Hearing impairment and its management in a field camp.

• The Rhinology & DCR live surgical workshop at Rajkot Oct.-2003.
• Active Participation in `The Life Line Express` Nov.-Dec.2004.
• Attended live FESS workshop by Dr.Ajay Shah at Jamnagar on July2005.
• Attended 29th annual conference Oct.2005 at Diu.
• Attended National Update 2007 on Management of Advanced Stage Head and Neck Cancer at Goraj, Baroda Gujarat on 06/05/2007.
• Temporal Bone Dissection Course under guidance of Dr. Morwani at Nanavati hospital Mumbai
• Endoscopic Sinus Surgery Cadaveric Dissection course under guidance of Dr. M.V.Kirtane P.D.Hinduja hospital Mumbai
• Cochlear implant workshop and cadaveric Dissection course under guidance of Dr.M.V.Kirtane P.D.Hinduja hospital Mumbai
• Attended Cochlear implant workshop at Apollo hospital ahmedabad by Dr.Rajesh Vishwakarma
• Attended Endoscopic sinus surgery workshop at Apollo hospital ahmedabad by Dr.Thulsidas
• Attended workshop on middle ear surgery and cochlear implant at B.J.Medical college ahmedabad by Dr.Ravi Ramalingam and Dr.Vishwakarma
• Attended temporal bone cadaveric dissection course at V.S Hospital ahmedabad by Dr.Ajay Shah and Dr.Morwani
• Attended International conference at P.D.Hinduja hospital Mumbai on endoscopic skull base surgeries by Dr.Amin Kassam and Dr.Carrou, Dr.Nishit Shan and Dr.Devpujari
• Attended International conference at Hyderabad on Endoscopic nasal surgeries and skull base surgeries by Dr.P.J.Woormold and Dr.Sethi
• Attended International conference at Trichi on Endoscopic nasal surgeries and skull base surgeries by Dr.Amin Kassam and Dr.Carrou and Dr.Janakiram at E-Boss.
• Attended annual conference of Gujarat and did endoscoic cadaver dissection.
• Attended workshop at Rajkot on otology by Dr.Pushalkar and Dr.Vijayandra.
• Attended all CMEs and educational programmed held at local ENT association.
• Ongoing paper presentation work on a case of atypical foreign body in nose, on ectatic internal carotid artery, an ENT perspective and venous hemagioma of inferior turbinate.
• Tinnitus and management conference at Denmark
• ENT confluence 4 at Mumbai
• Attended workshop at L.G Hospital otology update by Dr. Mohan Kameshwaran and Dr. Indorewala
• Attended Banglore conference on otology organized by Dr. Mahadevia
• Assisted Dr Janaki Sir at Karamsad workshop and cadaveric dissection.
• Given lecture in CME on Endoscopic Skull Base Surgery as faculty at South Gujarat Otolaryngology associations Surat.
• As international delegate in sinus ballonplasty cadaveric dissection course at Bangkok