Department of Medicine - Riyadh

Division of Nephrology

Ten Consultant Nephrologist providing expert care in Renal diseases and Allied conditions, in and outpatients including dialysis units. Multidisciplinary care with the exchange of information with various experts through patient oriented conferences. Regional hospital with full laboratory and radiology facility, serving many patients. Supplied via medical school with students, interns, with residency training programs and Nephrology fellowship program.

Teaching basic and clinical Nephrology to fellows, Residents, Interns, Students and nurses including basic, Clinical, Laboratory, Radiological, Clinical pharmacology of Renal drugs and dealing with dialysis machines and patients. Continuing education via textbooks, Journal clubs and ongoing teaching bedside. Rounds, Morning reports and teaching patient care rounds. Preparation Candidates for MD Arab Board and Saudi Board exams. Participating in Resident Selection and MD examinations. Actively participating in General Internal Medicine, Patient care and teaching. Fellowship Training program in Nephrology. Some of division members are Professors and assistant professor in King Saud bin-Abdulaziz University for Health Sciences and participate in lectures, tutorials, student Selection and examination.

Scope of Services

The Nephrology section has ten Consultants and one associate consultant providing care to approximately average over inpatients with renal diseases. The section services approximately —outpatients per month in Nephrology and —- in the dialysis units including peritoneal dialysis.

Procedures

• Dialysis line insertion and Removal.
• With IR Division commencing AVF creation through intervention Radiology.
• Interpreting various laboratory tests, Renal pathology and various imaging and other Diagnostic test and procedures.
• Supervisor and supply chemotherapy and Plasma exchange to selected renal patients.

Contact Nephrology Division

Email: medneph@mngha.med.sa

Phone: +966-11-8011111 Ext. 11725

Infectious Diseases Division

The division delivers high-quality patients care within the mission, vision, and objectives of the Ministry of National Guard Affairs. It supports medical education and training and promotes researches and community health care. The Division of Infectious Diseases in KAMC- Riyadh provides around-the-clock inpatient care, including four infectious disease consultation services to Intensive care unit patients, solid organ transplant, bone marrow transplant, hematological malignancy, and other medical and surgical services, as well as outpatient care.

The infectious disease division service includes diagnosis and management of an extensive range of infections for both immunocompetent and immunocompromised populations, caring for thousands of patients annually. Our group specializes in transplant-associated infection, HIV/AIDS and antimicrobial resistant infections.

Infectious Diseases Department Capacity

Infectious Diseases (ID) division provide inpatient consultation service. More than 5,000 patients seen in 2020 by 4 consultation teams, each is divided to 2 subunits. In addition to the night call to cover consultation and referrals in KAMC, KASCH and different primary health care centers around the clock. Active patients in the ID list is 80-120 per day as per the annual ID report in 2020.

Outpatient Clinics: 10 clinics covering general Infectious diseases and specialty clinics (Transplant ID, HIV). More than 3000 patients referral in 2019. During COVID-19 pandemic, virtual clinics have been activated to provide patients care and ID service. See the ID referral criteria.

Inpatient Service: People living with HIV infection. Hospitalized patients with COVID-19 infections during the early stage of pandemic (March-August 2020)

Antimicrobial Stewardship/Utilization team: Automatic referrals for Antibiotics co-sign (1499 referrals Jan-Sep 2021), Home IV Antibiotics referral (214 referrals in Jan-Sept 2021). Weekly rounds in conjunction with Department of Control and Prevention in the clinical area where demand and use of antimicrobial agents is high.

Division Staffs. see faculty section for short biographies and area of interest.

Infectious Diseases Scope of Services

• Acute and chronic infectious diseases
• Febrile patients, specifically presenting in association with rash or as fever of unknown origin
• Mycobacterial infections
• Sexually transmitted diseases
• Infections in travelers, including people coming for the Hajj and Umrah
• Healthcare-associated infections
• Specific infectious diseases in pregnant patients
• Infections in surgery and gynecology patients
• Skin and soft tissue infections: cellulitis, diabetic foot infection, wound infections, and pressure ulcers
• Infections occurring after burns and extensive trauma
• Infections in the intensive care unit
• Infections occurring as a result of emerging pathogens
• Bacteremia, sepsis, and septic shock
• Respiratory diseases: community- or healthcare-associated pneumonia, empyema
• Zoonotic infections: Brucellosis
• Cardiovascular infections: endocarditis
• Gastrointestinal diseases: gastroenteritis, intra-abdominal infections
• Urinary and genital tract infections
• CNS: meningitis/encephalitis
• Bone and joint infections
• Medical device-related infections: lines, prostheses, ventilator, urinary catheter, shunts, hardware

provide education for medical students, residents, fellows and practicing physicians.

Participate in local, national and international efforts to enhance and promote patients care in the field of infectious diseases

Division member serve as educators, mentors, and policy advisors to study and manage infectious diseases.

Clinical Programs in Infectious Diseases

• HIV unit: Dr Ebrahim Mahmoud
• Transplant ID program: Dr Mohammed Bosaeed
• Antimicrobial Stewardship: Dr Alsaedy / ID clinical pharmacists

Contact Infectious Diseases Division

Email: AlOtaibiAl5@MNGHA.MED.SA, saedyab@mngha.med.sa

Phone: +966-11-8011111 Ext. 17595

Division of Endocrinology

The Division of Endocrinology, Department of Medicine is composed of 10 highly qualified consultants with various subspecialty interests. The services provide outpatients, admissions, consults services, education and research. Endocrinology service serving up to 28,000 patients a year as per official statistics in 2020 including 10,000 patients seen with diabetic educators.

The disease pathology is diverse that includes but not limited to complicated diabetes, thyroid cancer, pituitary adenomas, adrenal masses, metabolic bone diseases amongst others. The division provides high quality services administered in subspecialty focused clinics like insulin pump, thyroid cancer, pituitary, lipid, osteoporosis, calcium and metabolism and diabetes clinics. Each consultant is conducting 4 clinics a week.

The division is providing extensive training in endocrinology and diabetes as a major site for SCFHS accredited Fellowship Training Programs in the country. More than tens of graduated fellows have already graduated from our centre and are now full consultants serving the country in various regions.

Research is of prime importance for the division with several published publications every year. It is focus of involvement and education for junior staff, fellows, residents and students.

The Division welcomes all residents and rotating Fellows and rotating residents from other institutions, who take one or maximum of 2 to 3 months endocrinology rotation during their training program.

The Division of Endocrinology & Metabolism provides excellent inpatient and outpatient care to patients with variable endocrine disorders. Our endocrinology specialists are experts in the latest diagnostic and therapeutic approaches offered both in Endocrinology and in Diabetes.

Department Capacity

The Division of Endocrinology, Department of Medicine is composed of 10 highly qualified consultants with various subspecialty interests each consultant have 4 clinics per week. The services provide outpatients, admissions, consults services, education and research.

Scope of Services

• Pituitary disorder workup.
• Thyroid disorder workup.
• Parathyroid disorder workup.
• Workup for Radiation therapy to thyroid cancer patients.
• Continuous glucose monitoring.
• Insulin pump management for Diabetic patients.
• LDL paresis for familial hypercholestemia.

Clinical Programs

• Adult Fellowship Training Program: Dr Samerah Al Shehri
• Adult Diabetes Fellowship Training Program: Dr Ahmed Al Sumaily

Contact Endocrinology Division

Email: EndoMed@mngha.med.sa

Phone: +966-11-8011111 Ext. 17477

Division of Neurology

The neurology division at King Abdulaziz Medical City (KAMC) provides comprehensive neurological services, engages in undergraduate and postgraduate teaching & training and actively participate in research.

There are currently 14, well qualified, full time consultants plus 2 university consultant. All consultant neurologists have subspecialty training and/or interests in a specific neurology sub-specialty area (cerebrovascular diseases, clinical neurophysiology, epilepsy, movement disorders, neuromuscular disorders and/or sleep medicine). Majority of the full time consultants are affiliated with King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS) with 1 staff at associate professor level, 1 full professor and the rest are assistant professors. The Neurology Residency Training Program (NRTP) currently consists of 30 neurology resident. Our NRTP is approved/accredited by the SCHS to recruit 7 new residents each year. We also have Stroke Fellowship Program and newly approved Clinical Neurophysiology Service Fellowship Program.

The division members provide comprehensive in-patient neurology and stroke services, consultation service, epilepsy monitoring unit assessment and intra-operative monitoring. Other related procedures include Botox therapy as well as different neurophysiological procedures such as electroencephalograms (EEG), evoked potentials (EP), nerve conduction studies (NCS), repetitive nerve stimulation (RNS) and electromyography (EMG) studies are performed on routine basis.

Division of Neurology Capacity

The neurology division staff do total of 60 service months per year. These are divided as 12 months in in-patient neurology unit, 12 months stroke unit, 24 months neurology consultation (2 teams in each month) and 12 months in epilepsy monitoring unit and EMG/EEG service. Plus, Clinic 403 Infusion coverage.

We have approximately 1200 admissions to neurology and stroke units yearly. The average daily number of new consultations was 15. The neurophysiology procedures i.e. nerve conduction studies, electromyography and electroencephalograms are covered by the appropriate staff on weekly rotation basis.

There are in-patient neurological and stroke beds in ward 23 plus there are access beds, as appropriate, in other wards including those in the neuro-intensive care unit (NICU). Easy access to state of the art interventional neuroradiology is available 24/7. Advanced radiology services are easily available at all times. Finally in-patient rehabilitation is available as per protocol.

The neurology division staff do total of 60 service months per year. These are divided as 12 months in in-patient neurology unit, 12 months stroke unit, 24 months neurology consultation (2 teams in each month) and 12 months in epilepsy monitoring unit. Plus, Clinic 403 Infusion coverage.

There are in-patient neurological and stroke beds in ward 23 plus there are access beds, as appropriate, in other wards including those in the neuro-intensive care unit (NICU). Easy access to state of the art interventional neuroradiology is available 24/7. Advanced radiology services are easily available at all times. Finally in-patient rehabilitation is available as per protocol.

Division of Neurology Scope of Services

• Inpatient Service
• General Neurology
• Stroke
• Outpatient Service
• General Neurology Clinic
• Stroke
• Movement Disorder
• Multiple Sclerosis
• Epilepsy
• Neuro Opthalmology
• Neuro Immunology
• Botox Injection
• Infusion Service
• CNS outpatient and Inpatient Service
• Epilepsy Monitoring Service

Contact Neurology Division

Email: Medneuro1@mngha.med.sa

Phone: +966-11-8011111 Ext. 13450

Pulmonology Division

Division of Pulmonology

Division of Pulmonology provides a wide range of therapeutic, diagnostic, technical and education services to all individuals under the umbrella of King Abdulaziz Medical City, Ministry of National Guard Health Affairs. Our vision is to establish innovative standard of state of the art pulmonary care. That keeps abreast of all new changes in the field of pulmonary medicine and adopt it in our institution for the benefit our patients. Also establish strong educational and training opportunities for our, students, residents, fellows and health care professionals. To establish a very strong subspecialties clinics and protocols with clinical indicators to assess our delivered care. To conduct research in respiratory disease aimed to study respiratory disease/issues related to our community and to translate new development into both daily clinical practice and to rich training environment for the young physician at different level of training and subspecialties.

Division of Pulmonology Capacity

The Pulmonary Service in pulmonary ward (Ward 8) has capacity of 20 beds.

The Pulmonary service is one of the busiest providing consultation services of average 10-15 consultations in a day covering ER, Medical Wards, Surgical Wards, ICU, Cardiac and KASCH.

The Pulmonary section members actively follow and manage all pulmonary patients enrolled in Home Care Program.

The Pulmonary Service attends to KAMC chronic ventilated patients in other facilities (Al Hayyat National Hospital).

Recognized center for pulmonary fellowship training program.

The Pulmonary Services has 10 consultants, 1 assistant consultant, 1 staff physician and fellows.

Prof. Hamdan Al Jahdali, Division Head
Prof. Mohammed Al Moamary
Dr. Abdullah Al Harbi
Prof. Mohammed Al Ghobain
Dr. Mohammed Khan
Dr. Majed Al Ghamdi
Dr. Mohammed Al Oraini
Dr. Hajar Al Hayyan
Dr. Sami Al Yami
Dr. Ahmed Al Mutairi
Dr. Nahla Osman
Dr. Abdelkarim Saad

Fellows

The Sleep Disorder Center staffs
Prof. Hamdan Al Jahdali, Director
Dr. Ahmed Al Mutairi, Consultant
Mr. Hassan Kacace, Chief Sleep Lab
Ms. Cheong Peng, Certified Polysomnography Technologist
Ms. Sheree Pedregosa, Polysomnography Technologist I (KASCH)
Ms. Jenelyn Miag Ao, Polysomnography Technologist II (KASCH)

Division of Pulmonology Scope of Services

The existing scope of pulmonary services includes but not limited to:

• Inpatient Pulmonary Service – covered by pulmonary consultant, staff physicians, assistant consultant and fellow or resident
• Pulmonary Consultations - covers all consultation from other services at any time including ER, ICU, Cardiac, Trauma and KASCH. This service is covered by consultant and one assistant consultant or fellow
• Outpatient Pulmonary clinics (KAMC-ACC)

Prof. Hamdan Al Jahdali – General Pulmonary, Sleep Medicine, Pulmonary TB, MPD Pulmo/Sleep
Prof. Mohammed Al Moamary – General Pulmonary, MPD Pulmonology
Dr. Abdullah Al Harbi – General Pulmonary, Pulmonary Hypertension
Dr. Mohammed Khan – General Pulmonary, Interstitial Lung Diseases, MPD Pulmonary
Dr. Majed Al Ghamdi – General Pulmonary, Lung Cancer screening/nodules/mass, MPD Pulmonary
Prof. Mohammed Al Ghobain – General Pulmonary, Severe Asthma, MPD General Pulmonary
Dr. Mohammed Al Oraini – General Pulmonary
Dr. Hajar Al Hayyan – General Pulmonary, Severe Asthma
Dr. Sami Al Yami – General Pulmonary, Interstitial Lung Diseases
Dr. Ahmed Al Mutairi – General Pulmonary, Sleep Medicine

Pulmonary Screening Clinic

Pulmonary Physiology Laboratory – well equipped with all required necessary procedures in any tertiary care facilities. Our laboratory is equipped with Full Pulmonary Function laboratory, walking pulse oximetry tests, and ABG facilities. These tests and procedures are available for referrals from other services. Our laboratory is also equipped with other sophisticated procedures, these test includes; methacholine provocation test, exercise induced asthma procedures, overnight pulse oximetry studies, and cardio-pulmonary exercise test.

Sleep Disorders Center - Currently, we have only one bed for sleep study. All our sleep technicians are certified polysomnographist. We perform average 5-6 overnight sleep study per week and 1-2 daytime sleep study per week. Active home sleep study program.

Pulmonary Rehabilitations – The first Pulmonary Rehabilitation established in the Kingdom. There is concise and updated policy and procedures about all the procedures and the process of pulmonary rehabilitation. The pulmonary rehabilitation service covers both inpatients and outpatients pulmonary cases with chronic pulmonary disease.

Bronchoscopy and interventional u/s bronchoscopy – Pulmonary physicians are privileged to perform Bronchoscopy procedures.

Chronic Ventilated Patients – this service covers other service and ICU patients.

Outside KAMC Facility team for Chronic ventilated patients – weekly visit by multidisciplinary team headed by Pulmonary consultant with representatives from Nursing Services, Respiratory Services, and Rehabilitation Services.

Adult Pulmonary Fellowship Training Program – recognized by Saudi Commission For Health Specialties.

Clinical Programs in Pulmonology

• Sleep Disorder Center: Dr. Majed Al Ghamdi
• Pulmonary Rehabilitation Program: Dr. Hajar Al Hayyan
• Severe Asthma: Dr. Sami Al Yami / Dr. Mohammed Khan
• Interstitial Lung Diseases: Dr. Abdullah Al Harbi
• Pulmonary Hypertension: Prof. Hamdan Al Jahdali
• Pulmonary TB: Dr. Majed Al Ghamdi
• Lung Cancer-Pulmonary nodules/mass Screening: Prof. Hamdan Al Jahdali

Contact Pulmonology Division

Email: medpulmo@mngha.med.sa

Phone: +966-11-8011111 Ext. 17597

Division of Rheumatology

Seven Consultant Rheumatologists providing expert care in Rheumatic diseases and allied conditions, in and outpatients, Consultants for patients and referring physicians, and also Consultations to the physiatrists, physical and occupational therapists and orthopedic surgeons.

Multidisciplinary approach with the exchange of information with various experts through patient oriented conferences. Regional Hospital with full laboratory and x-ray facility, serving many patients. Supplied via medical school with students, interns, with residency training programs and Rheumatology Fellowship program.

Teaching basic and clinical Rheumatology to Fellows, students, interns, residents, nurses and therapist including basic, clinical, laboratory, radiological and clinical pharmacology of antirheumatic drugs and rehabilitation. Continuing education via textbooks, journal clubs and ongoing teaching bedside. Rounds, morning reports and teaching patient care rounds. Preparing Candidates for MD Arab Board and Saudi Board exams. Participating in Residents Selection and MD examinations. Actively participating in General Internal Medicine, patient care and teaching. Fellowship Training Program in Rheumatology. Some of division members are Assistant Professors in King Saud Bin Abdulaziz University for Health Sciences and participate in lectures, tutorials, student selection and examination.

Rheumatology Scope of Service

The Rheumatology section has seven Consultants and one associate consultant provide care to approximately average over 250 inpatients with rheumatic diseases. The Section serves approximately 900 outpatients per month in Rheumatology.

Procedures

• Various joints diagnostic and therapeutic injection and aspiration.
• Various soft tissue injection
• Interpreting various laboratory tests and various x-rays and other diagnostic procedures.
• Supervise and supply chemotherapy and anti TNF treatment to selected rheumatology patients.

Teaching Activities in Rheumatology

• Teaching basic and clinical Rheumatology and Internal Medicine to students, interns, residents, fellows, nurses and therapists.
• Various lectures, tutorials and journal clubs to students, residents, fellows and therapists.
• Participate in hospital continuing medical education, preparatory courses for Internal Medicine, both theoretical and clinical.
• Participate in Saudi Journal Club for Rheumatology.
• Participate in Saudi and Pan Arab academic activities.
• Participate and chair national conferences in rheumatic disease.

Rheumatology Fellowship

The division started the program in October 2001. It is 2 years training program and our division is also a part of Saudi Board for Rheumatology teaching and fellowship. Since 2008 our training program became a part of Saudi joint Rheumatology fellowship training program that supervised and regulated by Saudi commission of health specialties.

Research Projects in Rheumatology

The division is active in research in different aspects of Rheumatic diseases.

Staff adjustment According to needs

The consultant is always present in outpatient clinic.
All consultation should be seen by consultant on-call.
Bed Capacity: 5

Contact Rheumatology Division

Email: medicine1@mngha.med.sa

Phone: +966-11-8017209

Fax: +966-11-804229 / 14212

Division of Gastroenterology

Six Consultant Gastroenterologist providing an expert care in Gastroenterology diseases and allied conditions, in and outpatients. Each consultant has 2 clinics per week & 2 endoscopy sessions. IBD Clinic. Supplied via medical school with students, interns, with residency training programs and Gastroenterology Fellowship program.

Teaching basic and clinical Gastroenterology to Fellows, students, interns, residents, nurses and therapist. Continuing education through textbooks, journal clubs and ongoingbedside teaching. Activities include patient care rounds, morning reports, and teaching rounds. The division also organizes GI Grand Rounds, Gastroenterology Radiology Sessions, and Gastroenterology Pathology Sessions. Participating in Residents Selection and MD examinations. Actively participating in General Internal Medicine, patient care and teaching. Fellowship Training Program in Gastroenterology. Some of division members are Assistant Professors in King Saud Bin Abdulaziz University for Health Sciences and participate in lectures, tutorials, student selection and examination.

Division of Gastroenterology Scope of Service

The Gastroenterology section has six Consultants and 4 Associate Consultants also, one Assistant Consultant & one staff physician besides 3 technicians and 12 Nurses, provide care to approximately average over 250 inpatients with diseases of Gastrointestinal Tract. The Section serves approximately 800 outpatients per month in Gastroenterology. The division of Gastroenterology performing more than 40 procedures delay.

Type of performed procedures are Diagnostic & Therapeutic Endoscopy.

• Gastroscopy
• Colonoscopy
• Sigmoidoscopy
• ERCP
• Single/double Balloon enteroscopy
• Ultrasound Gastroscopy
• Capsule Endoscopy

Teaching Activities in Gastroenterology

• Teaching basic and clinical Gastroenterology and Internal Medicine to students, interns, residents, and fellows.
• Various lectures, tutorials and journal clubs to students, residents, fellows and therapists.
• Participate in hospital continuing medical education, preparatory courses for Internal Medicine, both theoretical and clinical.
• Participate and chair national conferences in Gastroenterology disease.

Gastroenterology Fellowship

It is 3 years training program and our division is also a part of Saudi Board for Gastroenterology teaching and fellowship.

Research Projects

The division is active in research in different aspects of Gastroenterology diseases.

Staff adjustment According to needs

The consultant is always present in outpatient clinic.

All consultation should be seen by consultant on-call.

Contact Gastroenterology Division

Email: medicine1@mngha.med.sa

Phone: +966-11-8017209 Ext. 15681

Fax: +966-11-804229 / 14212

Division of Geriatric Medicine

The Division of Geriatric Medicine at NGHA was established in January 2006. The division continues to grow, with a mission that remains the same to become the Center of Excellence in the region in providing a comprehensive care for older adults and for training the future Geriatricians. Today, the division provides care for the inpatient and outpatient older adults population through an inpatient Complex Discharge Unit (24) with 20 beds and ten outpatient clinics, including seven general geriatrics and three specialties for dementia and falls. Our outstanding faculty provide high-quality, patient centered care and a multidisciplinary approach to all older adults and their families to maintain their function and wellbeing in the community.

Department Geriatric Medicine Capacity

• Inpatient unit (Complex Discharge Ward) with a capacity of 20 beds.
• Inpatient Consultation
• Outpatient clinics – 12 clinics and two more clinics will open soon – total of 12 clinics per week (9 geriatrics)
• Transitional Care – To manage medically stable patients that require a prolonged hospital stay for medical reasons (e.g., I.V. antibiotic, Geriatric Rehab, infected bedsores, etc.)
• Long Term Care – To supervise the KAMC-Riyadh long-term patients and chronic ventilated patients at Riyadh/Care National Hospital (RNH/CNH) and Riyadh Care Hospital (RCH).
• Teaching and Training for Residents, Interns, and Medical Students.
• Research

Geriatric Medicine Scope of Services

• Cognitive impairment (Delirium/ Dementia)
• Mood Disorder
• Recurrent falls and mobility disorders
• Incontinence assessment
• Polypharmacy and medication management
• Frailty and sarcopenia
• Complex medical conditions
• Goals of care
• Pressure ulcers
• Feeding and Nutrition
• Failure to thrive and malnutrition
• Social support and family education

Training Programs in Geriatric Medicine

Geriatric Medicine Fellowship

Program Director: Dr. Raneem Milyani

Contact Geriatric Medicine Division

Email: medgeria@mngha.med.sa

Phone: +966-11-8011111 Ext. 13056