APPENDIX C - INVESTIGATORS CV SUMMARY RESEARCH PROTOCOL NO:

Name of the Dr. Sameer Pathan Corp. No:

Investigator: (if HMC staff)
Title: A Double-Blinded, Randomized, Placebo-Controlled Trial, comparing the safety and Efficacy of
Per-rectal Diclofenac Versus Intramuscular Diclofenac, In Renal Colic Pain Management
Primary spathan@hamad.qa Section:
Email:
Secondary Hospital/ Hamad General Hospital
Email: Institution
Phone: Department: Emergency Department
Phone: Bleep:
Mobile: Fax:

1. Professional Qualification

Highest make selection Year: Institute: Country

Degree: :
If other:

Specialty: Sub Specialty:

2. Publications: Total No. in each Category

Full Manuscripts: Abstracts: Other(s):
List the 5 most recent and relevant publications
Title Journal Volume Year Date

3. CITI Completion History

COMPULSORY Date of
Citi Modules Username CITI Curriculum Completion Report Issued
Y/N Completion
HIPS Yes
BMR No
SBR No
GCP No
Laboratory
Researchers No

Biosafety
Course No

select

Signature: Date:

AppendixC_Investigators CV Summary_v07Jul15 Page 1 of 1