Critical Care Medicine | Global Clinical Pathway

Dr. Rahul Parajuli

ECFMG-certified physician with intensive care experience in Level 3 ICU settings, committed to high-quality patient care, multidisciplinary teamwork, and evidence-informed clinical practice.

  • Kathmandu, Nepal
  • USMLE Step 1, Step 2, and Step 3 cleared
  • Focused on critical care excellence and AI in health

About

I currently serve as an ICU Medical Officer at HAMS Hospital, Kathmandu, where I manage complex critical care cases and support coordinated care delivery in high-acuity environments. My core procedural skills include ventilator management, ACLS/BLS application, central venous and dialysis catheter insertion, basic POCUS, and infection prevention protocols.

Alongside clinical practice, I actively participate in research exposure and scientific meetings, with a long-term goal of contributing to globally connected, innovation-driven care models. My training pathway combines bedside experience with international standards through ECFMG certification and USMLE completion.

Core Competencies

ICU-focused competencies across acute care delivery, bedside procedures, and patient-safe multidisciplinary practice.

Critical Care & Resuscitation

  • Critical Care Management
  • Ventilator Support
  • ACLS & BLS Response

Procedural & Bedside Skills

  • Central Line Procedures
  • Dialysis Catheter Insertion
  • Point-of-Care Ultrasound (Basic)

Safety & Team Collaboration

  • Infection Control
  • Cross-Cultural Communication

Clinical & Professional Experience

Clinical Observer UPMC, Maryland, USA

Jul 2025 - Present

Observed ICU workflow, multidisciplinary rounds, bedside communication strategy, and procedural decision pathways in a US hospital system.

Clinical Observer Carolina Kidney Associates, North Carolina, USA

Sep 2025

Joined nephrology-focused clinical observation to strengthen continuity-of-care understanding for critical and renal care intersections.

In-charge Medical Officer HAMS Hospital, Kathmandu

Oct 2023 - Mar 2025

Led scheduling, team coordination, policy execution, and crisis response while supporting quality and safety standards in ICU operations.

Medical Doctor (ICU) HAMS Hospital, Nepal

Jan 2022 - Mar 2025

Delivered high-acuity patient care, coordinated with specialists, and supported protocol-aligned interventions in Level 3 ICU practice.

Research and Projects

In Progress

ICU Quality Improvement Pathways

Structured review of escalation timing, ventilator protocol adherence, and multidisciplinary response quality in critical care workflows.

Protocol Stage

Point-of-Care Ultrasound Workflow Integration

Practice-focused project on integrating basic POCUS observations into daily rounds and rapid bedside decision communication.

Planned

AI-Assisted Clinical Documentation

Concept project on improving clarity, traceability, and handoff continuity with AI-aware documentation standards.

Teaching, Mentorship, and Volunteering

Teaching

Supports peer learning in ICU procedural readiness, protocol consistency, and practical bedside communication habits.

Mentorship

Encourages structured preparation pathways for trainees pursuing international clinical standards and exam milestones.

Volunteering

Active in community and medical welfare organizations, including Nepal Red Cross Society and regional medical support initiatives.

Licenses & Certifications

Education & Exam Milestones

Medical Degree

Licensed through Nepal Medical Council (NMCLE pathway).

ECFMG Certification

USMLE Step 1 and Step 2 completed as part of ECFMG pathway.

USMLE Step 3

Successfully passed, strengthening readiness for advanced clinical systems and standards.

Professional Organizations