Education
September 2007 - December 2015
Shiraz University of Medical Sciences
Medicine
MD
Fars, Iran
GPA 3.31
September 2021 - June 2023
Fairleigh dickinson University
Global Health and Human Services
Ms
Vancouver, British Columbia
GPA 3.33
Exams
September 2023
CELPIP
- Listening 12
- Speaking 11
- Reading 11
- Writing 11
October 2018
Academic IELTS
- Listening 8.5
- Speaking 7.5
- Reading 7.0
- Writing 7.0
November 2024
Medical Council of Canada Qualifying Examination
- Pass
May 2025
Medical Council of Canada National Assessment Collaboration
- Pass
May 2025
Licentiate of the Medical Council of Canada
- Number 167385
Internships
March 2013 - April 2013
Outpatient Medicine (I) (4 weeks)
Gynecology & General Surgery
September 2013 - October 2013
Outpatient Medicine (II) (4 weeks)
Internal Medicine & Pediatrics
April 2013 - May 2013
Community Medicine (4 weeks)
Epidemiology, Population & Public Health
May 2013 - July 2013
Obstetrics & Gynecology (8 weeks)
Emergencies, Prenatology, Labour & Delivery
July 2013 - September 2013
Pediatrics (8 weeks)
Pediatric Emergencies, Neurology & Gastroenterology
October 2013 - November 2013
Psychiatry (4 weeks)
Psychiatric emergencies & Mental disorders
November 2013 - January 2014
Internal Medicine (4 weeks)
Inpatient care General & Rheumatology wards
January 2014 - March 2014
Emergency Medicine (8 weeks)
Poisonings, Overdoses & First line screenings
March 2014 - April 2014
General Surgery (I) (4 weeks)
Inpatient pre & post-op Care, OR
May 2014 - July 2014
General Surgery (II) (4 weeks)
ER, Colo-rectal & Urology wards
April 2014 - May 2014
Thesis & Dissertation (4 weeks)
Regression modeling for identification of factors affecting trauma mortality
Clinical Experience
August 2019 - October 2020
General Physician in Energy Industry
Petro Orim Kish Company
- Iran
- Hormozgan
- Kish Island
- Provided comprehensive medical care for employees within the energy sector, focusing on treating injuries, addressing common outpatient complaints, and ensuring the safe transportation of emergencies.
- Managed healthcare needs, occupational risk factors across two drilling units in collaboration with safety officers, serving a workforce of 400 employees.
April 2018 - November 2018
Internal Medicine Ward General Physician
Namazi Hospital
- Iran
- Fars
- Shiraz
- Facilitated inpatient care of critical oncology patients with a team of 2 attending physicians and 10 nurses.
- Reviewed diagnostic plans, laboratory and imaging studies with specialist attending physicians and followed up on progression of therapeutic procedures.
August 2016- April 2017
Emergency Department General Practitioner
Public Hospital
- Iran
- Kurdistan
- Saqqez
- Conducted triage and provided initial assessments for medical and surgical emergencies within a fast-paced 20-bed emergency department, servicing a community of 200,000 individuals
- Formulated and executed diagnostic plans to ensure prompt treatment for diverse presenting cases in close collaboration with on-call specialist supervisors.
April 2016 - December 2017
Military General Physician (Return of Service)
Iranian military ground forces
- Iran
- Kurdistan
- Saqqez
- Implemented prevention strategies, early diagnosis & treatment plans for common presenting diseases in a population of 3000 military personnel/families at an Iranian military ground-forces base
- Performed minor procedures including wound sutures & debridement, abscess drainage, fracture stabilization and splinting, foreign body removal.
- Provided medical training to military personnel on topics including first aid, CPR, common injuries and diseases during training & combat.
January 2016 - April 2016
Family Physician/Primary Health Care Consultant
Kamfirooz Health Home
- Iran
- Fars
- Shiraz
- Monitored health status of an under-served population of 10,000 by diagnosing and treating medical conditions, performing minor surgical procedures, stabilizing emergencies for safe referral.
- Conducted periodic health & hygiene inspections of schools, assisted in family planning, assessed adherence to vaccination protocols, monitored high risk pregnancies & care of chronic condition.
Peer Reviewed Publications
2018
Injury Patterns among Various Age and Gender Groups of Trauma Patients in southern Iran: A cross-sectional study.
Medicine.
Shahram Bolandparvaz, Mahnaz Yadollahi, Hamid Reza Abbasi, Mehrdad Anvar.
Abstract
background: Administrative data from trauma referral centers is invaluable for studying the epidemiology of injuries. This study examined injury patterns in Shiraz, focusing on age and gender distribution among trauma victims using data from the trauma research center.
methods: A cross-sectional, registry-based study included adult trauma patients aged 15 and older who sustained injuries from traffic accidents, violence, or unintentional incidents. Data from three hospital administrative databases provided information on demographics, injury mechanisms, affected body regions, injury details, hospitalization outcomes, and nosocomial infections. Injury Severity Scores (ISS) were calculated by converting ICD-10 injury diagnosis codes to AIS-98 severity codes. Patients were analyzed by age and gender.
results: The study included 47,295 trauma patients, with a median age of 30 years (IQR: 24–44), of whom 73.1% were male (M/F ratio: 2.7:1). The most common injury mechanisms for males were car and motorcycle accidents, while females were primarily affected by falls and pedestrian accidents (P < .01). With increasing age, transportation-related injuries declined, and unintentional injuries became more common. Young men experienced more severe head injuries, while elderly women had more severe extremity injuries. Although injury severity was similar between genders, elderly patients had significantly higher ISS. Nosocomial infection rates were not influenced by age or gender, but elderly men showed a notably higher mortality rate. Male gender and age over 65 were associated with higher injury incidence, longer hospital stays, and increased in-hospital mortality.
conclusion: Data from this trauma center highlighted that older age and male gender were key risk factors for severe injuries, extended hospitalizations, and mortality following trauma. Establishing a regional trauma surveillance system could support further research into injury patterns and preventive strategies.
2017
Time Distribution of Injury-related in-hospital Mortality in a Trauma Referral Center in Southern Iran (2010–2015).
Medicine.
Hamidreza Abbasi, Shahram Bolandparvaz, Mahnaz Yadollahi, Mehrdad Anvar, Zahra Farahgol.
Abstract
background: In Iran, no studies have specifically addressed the timing of trauma deaths or the factors influencing time of death following injuries. This study examined the timing and distribution of trauma-related deaths in an urban major trauma referral center from 2010 to 2015, focusing on victims' injury characteristics.
methods: This cross-sectional study analyzed adult in-hospital trauma deaths caused by traffic accidents, falls, and violence-related injuries. Data on injury characteristics and time from admission to death were collected from three hospital databases. Mortality timing was analyzed in relation to baseline variables such as age, injury mechanism, and injured body region.
results: A total of 1,117 trauma-related in-hospital deaths (mean age 47.6 ± 22.2 years, 80% male) were analyzed. Deaths showed a bimodal distribution: 41.6% occurred within the first 24 hours, and 27.7% occurred between the 7th day and the first month. Older patients (over 65) were more likely to die after 24 hours (P = .031). Early deaths were more common in firearm-related injuries (70%) and assault-related injuries (48%), while late deaths were predominant in falls (67%) and motorcycle accidents (66%) (P < .001). Thoracic injuries accounted for 57% of early deaths, compared to 37% for central nervous system injuries (P < .001). From 2010 to 2015, the proportion of late deaths decreased significantly from 68% to 54% (P < .001).
conclusion: Trauma mortality in Shiraz follows the traditional trimodal pattern, with one prehospital peak and two in-hospital peaks, influenced by age, injury mechanism, and injured body region. Although the observed pattern reflects a less advanced trauma care system compared to mature systems, the transition toward a bimodal distribution suggests improvements in care quality.
2017
Analysis of Shahid Rajaee Hospital Administrative Data on Injuries Resulting from Car Accidents in Shiraz, Iran: 2011-2014 Data.
Chinese Journal of Traumatology.
Mahnaz Yadollahi, Aida Ghiassee, Mehrdad Anvar, Hale Ghaem, Mohammad Farahmand.
Abstract
background: Administrative data from trauma centers could serve as potential sources of invaluable information while studying epidemiologic features of car accidents. This cross-sectional analysis aimed to evaluate patients injured in car accidents in terms of age, gender, injury severity, injured body regions, and hospitalization outcomes over four years (2011–2014).
methods: The study accessed the hospital registry at Shiraz Trauma Research Center and merged admissions data with discharge information. A total of 27,222 car accident patients aged over 15 years with ICD-10 external causes of injury codes (V40.9-V49.9) were analyzed. Injury severity scores and injured body regions were determined by converting ICD-10 injury codes to AIS-98 severity codes using an electronic algorithm. Binary logistic regression was applied to examine independent variables' contributions to in-hospital mortality.
results: Men accounted for 68.9% of the injuries with a male-to-female ratio of 2.2:1. The population's average age was 34 ± 15 years, with 77.2% in the 15–45 age group. Head and neck were the most commonly injured body regions (39.0%), followed by extremities (27.2%). ISS was calculated for 48.3% of patients, 80.9% of whom had severity scores below 9. There were 332 ICU admissions (1.2%) and 422 in-hospital fatalities (1.5%). Key predictors of mortality included age above 65 years (OR = 7.4, 95% CI: 5.0–10.9), ISS above 16 (OR = 9.1, 95% CI: 5.5–14.9), thoracic injury (OR = 7.4, 95% CI: 4.6–11.9), and head injury (OR = 4.9, 95% CI: 3.1–7.6).
conclusion: Hospital administrative databases could reliably provide epidemiologic reports on car accident severity and outcomes. Enhancing the quality of database recordings is a critical step toward comprehensive injury surveillance in Fars, Iran.
2016
Logistic Regression Modeling for Evaluation of Factors Affecting Trauma Outcome in a Level I Trauma Center in Shiraz.
Iranina Red Crescent Medical Journal.
Mahnaz Yadollahi, Mehrdad Anvar, Haleh Ghaem, Shahram Bolandparvaz, Shahram Paydar, Fateme Izianloo.
Abstract
background: Injury-related mortality is preventable, making the identification of factors that negatively influence trauma outcomes a critical step in reducing the burden of injuries.
objectives: This study aimed to identify independent risk factors for early (within 48 hours) and late (beyond 48 hours) in-hospital mortality among adult trauma patients with similar injury characteristics and severity treated at Shahid Rajaee (Emtiaz) Hospital during 2013 and 2014.
methods: A cross-sectional study was conducted on adult trauma patients (age ≥ 15 years) injured through traffic accidents, violence, or unintentional incidents. Data on demographics, injury mechanisms, injured body regions, injury descriptions, hospitalization outcomes, and nosocomial infections were extracted from three hospital administrative databases. Injury Severity Scores (ISS) were calculated by mapping ICD-10 injury diagnosis codes to AIS-98 severity codes. Multiple logistic regression models were used to determine independent predictors of early and late mortality.
results: The study included 47,295 hospitalized patients (male-to-female ratio: 2.7:1) with a median age of 30 years (IQR: 23–44). The crude mortality rate was 1% (454 deaths), with 52% of deaths occurring within 48 hours of hospital admission. Nosocomial infections developed in 1% of patients during hospitalization. Key predictors of early trauma death included thoracic injury (OR 8.5, 95% CI: 4.7–15.2), ISS over 16 (OR 6.4, 95% CI: 3.6–11.4), and age over 65 years (OR 5.1, 95% CI: 3.0–8.8). For late deaths, independent risk factors were hospital-acquired infections (OR 12.7, 95% CI: 8.9–18.1), age over 65 years (OR 7.4, 95% CI: 4.5–12.1), and ISS over 16 (OR 14.6, 95% CI: 6.2–34.3).
conclusion: Age, injury severity, injured body regions, and hospital-acquired infections significantly influence trauma outcomes. Recognizing these factors is vital for monitoring trauma care quality and improving outcomes. Resource allocation should prioritize trauma prevention and reducing in-hospital complications to enhance patient care.
2016
Does Implementation of ISO Standards in Hospitals Improve Patient Satisfaction?
Journal of Health Management and Informatics.
Vahid Keshtkar, Meisam Bazgir, Mehrdad Anvar.
Abstract
background: Patient satisfaction is a critical indicator of healthcare quality and has been a focus of attention globally over the past two decades. Numerous projects have been conducted to evaluate patient perceptions of healthcare, particularly in hospital settings.
methods: This study assessed the satisfaction of 402 patients hospitalized in teaching hospitals affiliated with Shiraz University of Medical Sciences. Patient satisfaction was measured using a translated and modified version of the KQCAH questionnaire, which consists of 44 questions divided into seven categories: Respect and Caring, Effectiveness and Continuity, Appropriateness, Information, Efficiency, Meals, First Impression, and Staff Diversity. Patients completed the questionnaire at discharge after providing written informed consent.
results: The overall patient satisfaction scores ranged from 66.5 to 77.5 across the hospitals. ISO-certified hospitals did not consistently outperform uncertified hospitals in total patient satisfaction scores. However, one ISO-certified hospital achieved significantly higher satisfaction scores across all dimensions compared to other hospitals included in the study.
conclusion: The application of ISO standards alone does not appear to significantly improve patient satisfaction in hospitals affiliated with Shiraz University of Medical Sciences. Further strategies may be needed to enhance the quality of care and patient experience.
2015
Epidemiologic Study of Trauma Patients Admitted to a Level 1 Trauma Center in Shiraz: One Year Survey.
Razavi International Journal of Medicine.
Haleh Ghaem, Shahram Paydar, Mehrdad Anvar, Mahnaz Yadollahi, Parsa Ravanfar.
Abstract
background: Traumatic injuries represent a major global health burden, and Iran is among the top five deadliest countries for trauma. However, there is limited research on the descriptive epidemiology of trauma in the country.
methods: This descriptive cross-sectional study analyzed trauma patients admitted to Shahid Rajaee Trauma Hospital (a level I trauma center in Shiraz) from March 2011 to March 2012. A total of 21,542 patients were included, and data were analyzed based on age, gender, month of admission, and injury mechanisms, which included motorcycle collisions, car-pedestrian accidents, car-car accidents, falls from height, stab wounds, and gunshot injuries.
results: The mean age of the 21,542 patients was 36.0 ± 17.2 years, with 76.7% (16,524) being male. The male to female ratio was 3.3:1, and men were significantly younger than women (mean age 33.7 ± 16.6 vs. 43.6 ± 19.2 years). There were 1,492 patients older than 60 years, making up 6.92% of the total population. Of the patients, 7.9% (1,699) required cardiopulmonary cerebral resuscitation (CPCR), with a 2:1 male-to-female ratio. Among those requiring CPCR, falls were the leading cause of injury in elderly patients, while car accidents were the primary cause in younger patients.
conclusion: Traumatic injuries affect all age groups, but the highest risk is among young men. Preventive strategies should target this demographic, especially by focusing on traffic-related trauma. Given the higher number of injuries in mid-spring and late summer, authorities should implement preventive measures, particularly by revising traffic regulations during these periods.
Research Experience
(2020-2021)
Community Medicine Project Assistant Manager.
Assisted in designing electronic questionnaires and data analysis for a university-affiliated endeavour related to the prevalence of hooka smoking and cessation strategies in Shiraz.
(2016-2019)
Student Consultant at Shiraz Bone & Joint Research Center, Shiraz, Iran.
Assisted in formulating/refining research questions, interpreting results and drafting three observational studies.
- Comparison of Core Muscles Endurance in Sited Occupied Staff and Non-Sited Occupied Staff of SUMS.
- Intermediate Treatment Results of The Patients with Congenital Dislocation of The Hip Referred to Shiraz Orthopedic Clinics.
- Relationship Between Radiographic Markers of Normal Tibiofibular Syndesmosis and Subjects' Demographics.
(2015-2019)
Research Assistant at Shiraz Trauma Center, Shiraz, Iran
Identified potential use of trauma center & EMS administrative databases in studying epidemiological patterns of injuries.
- Risk factors of mortality in nosocomially infected traumatic patients in a trauma referral center in Southern Iran.
- One-month Survival Following Road Traffic Accidents in a Level-I Trauma Center, Parametric versus Semi-Parametric Survival Models.
(2018-2019)
Data Analysis Advisor at Shiraz Neonatology Research Center
Contributed to model development in quantifying risk of catheter-related blood stream infections in neonatal intensive care units.
Presentations
October - 2012
Students’ Role in Promoting Quality of Education
Student Panel, Tehran
2nd National Conference of Education Development Centers
May - 2011
Students’ Attitude towards Online Peer/Assisted Learning
Paper Presentation, Mashhad
3rd National Conference on Medical Education
September - 2010
Pitfalls of Adhering to Current Homogeneous Medical Education Curricula in Iran
Oral Presentation, Tabriz
First National Conference on Pathology of Medical Education
November - 2009
Creativity & Educational Excellence
Workshop Presenter, Tehran
11th National Conference on Medical Education