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Dr. Azami graduated from Dow Medical College in 1973, did his MCPS in 1979, and his FCPS in 1983. He began by working as a Demonstrator in Anatomy and then trained in surgery at his Alma Mater. Dr. Rizwan Azami is a Surgeon who spent thirty years at the Aga Khan University, Karachi, with a variety of experiences. His surgical career started in earnest in 1985. He was one of a handful of surgeons responsible for creating the Surgical Department that was responsible for providing care and teaching undergraduate and postgraduate trainees of the University. In the initial period of his career at the Aga Khan University when there was not much clinical work he was responsible for setting up the operating rooms, the central sterilisation and supply systems, the training of the operating room technicians . In 1985 he developed and ran the Emergency Department. While he was there he developed the first Mass Accident Management Plan for the Emergency Department and the Hospital. In 1988 he went on to develop a general surgical practice and the surgical day care services that were subsequently used by the hospital to develop similar services in other specialties such as gastroenterology, lithotripsy / urology, oncology etc. On the educational side he was responsible for running the surgical residency program at the university for over a decade and a half. Since 2007 he has been involved at the College of Physicians and Surgeons, Pakistan as an elected Councillor and the National Director of Residency programs. His responsibility is overseeing the training of over 14,000 trainees in more than 60 specialties in 170 institutions over the country. He has been responsible for developing a remote evaluation and monitoring system based on modern IT technology. Other innovations to modify both training and evaluation are being debated and yet to be incorporated in the working of the institution. He is currently serving his second term as the Vice President of the College of Physicians and Surgeons, Pakistan. Having had all his education and training in this country he is extremely conscious of the economic constraints we face in the delivery of care and the practice of our specialties. The Western model of care is appropriate for the social and economic conditions prevailing there; he believes that while we may study those systems, adopting them in their entirety is not the way to go for us. We must be conscious of the cost of care and reduce it to the absolute minimum without compromising standards and safety for the sake of our people and our institutions. He believes that institutions that recycle and control wastage while ensuring quality service or care will be the ones with the longest life spans in our country and the best models to emulate or replicate.