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Eric Garcetti Mayor

September 7, 2017

Honorable Members of the City Councilc/o City ClerkCity Hall, Room 395

Honorable Members:

Subject to your confirmation, I have appointed Dr. Amna Qazi to the Human Relations Commission for the term ending June 30, 2020. Dr. Qazi will fill the vacancy created by James Herr, who has resigned.

I certify that in my opinion Dr. Qazi is qualified for the work that will devolve upon her, and that I make the appointment solely in the interest of the City.

Sincerely,

7V-ERIC GARCETTI Mayor

EG:dlg

Attachment

COMMISSION APPOINTMENT FORM

Amna QaziHuman Relations Commission6/30/2020

Name:Commission: End of Term:

Appointee Information

1. Race/ethnicity: Asian Pacific Islander

2. Gender: Female

3. Council district and neighborhood of residence: 14 - Central

4. Are you a registered voter? Yes

5. Prior commission experience:

6. Highest level of education completed: Healthcare Leadership Cornell Certificate Program

7. Occupation/profession: Former Doctor

8. Experience(s) that qualifies person for appointment: See attached resume

9. Purpose of this appointment: Replacement

10. Current composition of the commission (excluding appointee):

Commissioner APC CD GenderEthnicity________

Asian Pacific Islander

Term End

Dela Cruz-Viesca, Melany

Ramirez, Marco________

South Valley

East LA

F 30-Jun-204

Latino M 30-Jun-1814

Khalsa, Nirinjan S.______

Morgan-Greene, Courtney

Solis-Moreno, Angelica

Rothman, Mark_________

OtherWest LA M 30-Jun-205

South LA African American F 30-Jun-2010

East LA Latina F 30-Jun1814

Central Caucasian M 30-Jun-1810

Gonzalez, Justine East LA Latina Non-Binary 30-Jun-2013

South LARussell, Rosa African American F 30-Jun-2010

South Valley

North Valley

Beserra-Nunez, Irma Latina F 30-Jun-205

Tovar, Irene Latina F 30-Jun-187

AMNA FAIZ QAZI, M.B.B.S.

Academic Qualification

May, 2013 Master Certificate in Health Care Leadership

Cornell University, New York

December, 2006 GMC, EnglandPLAB 1

December, 2002 MBBS Baharia University, Pakistan

May, 1997 Higher Secondary School Certificate

Sir Syed College Federal Board Pakistan

May 1995 Secondary School Certificate

Presentation Convent School Rawalpindi, Pakistan

Work Experience 7 years

• Awarded numerous CERTIFICATES for academic excellence throughout school life.• Participated in ALL PAKISTAN DEBATE CONTEST & won the trophy in that Contest.• Declared BEST COMPARER during five years of Medical College.

Clinical ExperienceSeptember 2009 - date Volunteer at New York Organ Donor Network, New York, NY

Worked on several performance improvement and research projects.

May 2009 - June 2010 Surgery Externship at Dyker Heights Clinic, Brooklyn, NYHands-on experience while taking care of surgical patients and assisting with several

procedures.

May 2006-Jan2008May'06-Dec'07 Chief Resident in Shifa International Hospitals, Islamabad

Department of Medicine

Jan'06-Apr'06 Attachment St. Thomas & Guys Hospital LondonAttachment in department of Medicine with Dr. Terry Gibbson

Nov'04-Jan'06, Medical Officer, Shifa International Hospital, Islamabad

Dec'04-Jan'05 Department of General Medicine• Attended the daily ward round• Participated in daily morning meetings.• Actively participated and presented clinical cases

Feb'05-April'05 Intensive Care Unit (ICU)• Attended the daily ward round• Performed procedures (Passing ETT Tube, CVP Lines, IJA Line, Pleural Tap and ABGs).• Learned fundamental Principals of Ventilators.• Presented Weekly ICU case report in Morning Meeting.

1

May'05-July'05 Department of General Medicine• Attended the daily ward round• Assisted in Diagnosing and treatment of Patients in OPD.• Participated in weekly Post Graduate Sessions.

Aug'05-Oct'05 Emergency Room• Confidently deal with the patients & their attendants in Emergency Room.• Assisted in Diagnosing and treatment of Patients in OPD.• Performed procedures (Pleural Tap, Chest Tube Insertion, Lumber Puncture, Back slab

and Minor Stitching.

Nov'05-Jan'06 Coronary Care Unit (CCU)• Attended the daily ward round• Attended the weekly Cardiology Meetings• Presented Weekly CCU case report in Morning Meeting.• Observed Angiographies & Angioplasty• Inserted temporary Pacemaker

10 Jan-June 03 House Physician, Pakistan Institute of Medical Sciences, Islamabad

Jan'03-Feb'03 Department of General Medicine• Attended the daily ward round• Assisted in Diagnosing and treatment of patients with consultants in the OPD• Actively participated and presented clinical cases• Participated in weekly post-graduate teaching session

Mar'03-Apr'03 Department of Cardiology• Attended the busy out patient clinic• Participated in ward rounds and presentation of cases in daily academic session• Performed and assisted procedures like, pericardiocentesis, CVP lines, temporary pacing,

pleural and peritoneal aspirations.• Assisted and learned fundamental principles of Echocardiography and Thallium scanning.

May'03-Jun'03 Department of Gastroenterology• Assisted in OPD. A&E and on call duties• Case presentation and audit• Managed acute emergencies and assisted procedure like Endoscopies• Performed procedures like Ascitic Tap and Liver Biopsy independently

Jul 03- Jan 04 House Surgeon, Pakistan Institute of Medical Sciences, Islamabad

Jul'03-Aug'03 Department of Ear, Nose, Throat• Admission of patients in the ward, assisted in OPD and on call duties• Work-up of patients for surgical operations• Case presentations in post-graduate classes• Performed procedures like tonsillectomy, emergency tracheotomy and nasal packing

under supervision

2

Sep'03-Jan'04 Department of General Surgery• In patient work, OPD & Preoperational work-up & Post-operation management of

patients• Assisted Major surgical procedures and attended A&E and on call duties• Performed procedures like care of ileostomies, minor stitching wound dressing• Assisted in procedures like excision of in-growing toe nails, sebaceous cysts

Professional Associations• Member Pakistan Medical & Dental Council

Presentation & PublicationsAssociation of anorexia nervosa with depression, Fawad Kaiser, Amna Syed, Amna Qazi, Rawal Med J Jun 2007;32:76-78

Type - II A Hyperlipdemia, Naveed Akhter, Ayesha Khalid, Amna Qazi, Submitted to Pakistan Journal Of Cardiology

Ovarian Hyperstimulation Syndrome, Amna Qazi, Aamir Nazir, Mah Parveen Qazi. Arsalan Ahmad, ready for submission

Poster presentation "Ovarian Hyperstimulation Syndrome," Amna Qazi, Aamir Nazir, Mah Parveen Qazi. Arsalan Ahmad presented in ICNR 2007 Delhi 9-10 March, 2007

Othello Syndrome in acute coronary syndrome, Fawad Kaiser, Amna Qazi, Rawal Med J Jun 2006;31:48-49

Participated and conducted a data in QUALITY CONTROL SURVEY of patient in Shifa International Hospital

Presented a Case Report on "PHAEOCHROMOCYTOMA" in Nephrology Conference in Shifa International Hospital, IslamabadAttended 1st NATIONAL CONFERENCE ON INFECTIOUS DISEASE at Shifa International Hospital.

Attended workshop on "PCR" in Shifa International Hospital.

Attended the workshop of PAKISTAN CARDIAC SOCIETY on UNSTABLE ANGINA / NON ST ELEVATION MYOCARDIAL INFARCTION.

Attended International Workshop for PHYSICAL THERAPIST ON ORTHOPEDIC AND TRAUMA REHABILITATION

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Eric Garcetti Mayor

September 7, 2017

Dear Dr. Qazi:

I am pleased to inform you that I hereby appoint you to the Human Relations Commission for the term ending June 30, 2020. In order to complete the process as quickly as possible, there are several steps that must be taken, many of which require visiting City Hall. If you require parking during these procedures, please call Claudia Luna in my office at (213) 978-0621 to make arrangements for you.

To begin the appointment process, please review, sign and return the enclosed Remuneration Form, Undated Separation Forms, Background Check Release and Information Sheet within one week of receiving this letter. These documents are necessary to ensuring the most efficient, open and accountable City government possible. Further, Mayor’s Office policy requires you to be fingerprinted as part of the background check that is done on all potential Commissioners. To do so, please bring this letter to the Background Unit of Employment Services Division, Personnel Department Building, 700 East Temple Street, Room 235, Los Angeles, California 90012. The division phone number is (213) 473-9343. Fingerprints must be taken within three working days from the receipt of this letter.

Under separate cover you will be receiving a packet from the City Ethics Commission containing information about the City’s conflict of interest laws and a copy of the State Form 700/Statement of Economic Interests. You are required to complete and return this form within 21 days of your nomination to the City Ethics Commission, 200 North Spring Street, City Hall, 24th Floor, Los Angeles, California 90012. Any inquiries regarding this form should be directed to Nicole Enriquez at the Ethics Commission at (213) 978-1960.

Dr. Amna Qazi September 7, 2017 Page 2

As part of the City Council confirmation process, you will need to meet with Jose Huizar, your Councilmember, and Councilmember Gilbert Cedillo, the Chair of the Immigrant Affairs, Civil Rights, and Equity Committee, to answer any questions they may have.You will be hearing from a City Council committee clerk who will let you know when your appointment will be considered by the Immigrant Affairs, Civil Rights, and Equity Committee. Sometime thereafter, you will be notified by the committee clerk when your appointment will be presented to the full City Council for confirmation. Once you are confirmed, you will be required to take the oath of office in the City Clerk’s Office in Room 395 of City Hall. Claudia Luna will assist you during the confirmation process if you have questions.

Commissioners must be residents of the City of Los Angeles. If you move at any point during your term, have any changes in your telephone numbers, or in the future plan to resign (resignation must be put in writing), please contact my office immediately.

Congratulations and thank you for agreeing to serve the people of Los Angeles.

Sincerely,

&ERIC GARCETTI Mayor

EG:dlg

Attachment I Dr. Amna Qazi September 7, 2017

Nominee Check List

I. Within three days:

Get fingerprinted to complete a background check.No appointment is necessary. Bring the Mayor’s letter to:Background Unit of Employment Services Division, Personnel Department Building, 700 East Temple Street, Room 235, Los Angeles, California 90012. Phone: (213) 473-9343.

II. Within seven days:

Mail or email the following forms to: Legislative Coordinator, Office of the Mayor, Office, City Hall, 200 N. Spring Street, Los Angeles, CA 90012 or email: Claudia.Luna@lacity.org.

Remuneration Form

Undated Separation Forms

Background Check Release

Commissioner Information Sheet/Voluntary Statistics

III. Within 21 days:

File the following forms with the City Ethics Commission. If you are required to file, you will receive these forms via email from that office.

Statement of Economic Interest (“Form 700”)IMPORTANT: The City Council will not consider your nomination until your completed form is reviewed by the Ethics Commission.

CEC Form 60

As soon as possible, the Mayor’s Office will schedule a meeting with you and:IV.

Your City Councilmember Jose Huizar

Councilmember Gilbert Cedillo, Chair of the Council Committee considering your nomination

Staff in the Mayor’s Office will assist you with these arrangements.