**Create a premium, high-end Personal Career Development Plan PDF in a polished academic style.** The document must look like a professionally designed university submission, with a luxurious but formal medical aesthetic, refined spacing, elegant typography, and a strong sense of structure. ### Overall design direction - Use **A4 portrait** format. - Make it look like a **top-tier medical school career plan report**. - Use a **clean premium color palette**: deep navy, royal blue, teal, soft gold, white, and light gray. - Add a **professional cover page**, **table of contents**, page numbers, header/footer, and clear section separation. - Use a **modern editorial layout** with strong visual hierarchy. - Make headings bold, clean, and elegant. - Use subtle borders, thin dividers, and carefully balanced white space. - Make the document feel **premium, formal, and visually impressive** without looking crowded. - Keep the style suitable for an international clinical medicine assignment. ### Premium visual style - Use a **formal executive-report design**. - Add a tasteful **medical academic look** with minimal icons or symbols. - Use soft shadows, clean lines, and refined section blocks. - Highlight personal details in a boxed profile card on the cover or first page. - Use a table of contents with clean dot leaders and page alignment. - Add a **timeline-style goal section** or a polished progress roadmap if possible. - Present the content in a way that feels like a **beautiful final-year professional report**. - The overall appearance should be elegant, sophisticated, and submission-ready. ### Student details - **Name:** Junaid Wahid - **Student ID:** 235019015 - **Major:** Clinical Medicine - **Current Academic Year:** 4th Year - **University:** Shandong Medical and Pharmaceutical University, China - **Date:** 24 May 2026 - **Target Specialty:** Neurosurgery ### Required document structure #### Cover Page Create a premium cover page with: - Main title: **Personal Career Development Plan** - Subtitle: **A structured pathway toward becoming a Neurosurgeon** - Student information in a neat professional box - A formal academic tone - A visually attractive top or center layout #### Table of Contents Include a clean and elegant table of contents with: - Career Vision - Personal Profile Summary - Self-Assessment Analysis - Career Environment Scan - Goal System Construction - Implementation Pathway Design - Risk Management Plan - Conclusion / Final Statement #### Career Vision Write a concise but powerful paragraph describing the long-term goal of becoming a competent, ethical, and internationally minded neurosurgeon who can diagnose, treat, and serve patients with excellence. #### Personal Profile Summary Include: - Name - Student ID - Major - Academic Year - Target Specialty - Core Career Identity #### Self-Assessment Analysis 1. **Clarification of Professional Values** - Explain the motivation for choosing medicine - Mention compassion, responsibility, service, precision, and lifelong learning - Explain why neurosurgery is the preferred path 2. **Competency Matrix Evaluation** - Mention strengths in diagnostic interviewing, clinical reasoning, emergency judgment, communication, and adaptability - Mention cross-cultural advantages from studying in China - Mention areas for growth such as surgical confidence, procedure skills, and advanced decision-making 3. **Career Personality Positioning** - Use Holland Code language - Highlight Investigative, Realistic, and Social traits - Explain why these traits fit neurosurgery #### Career Environment Scan 1. **Target Region Practice Landscape** - Explain the plan to return to Pakistan after graduation - Mention the licensing exam requirement - Mention the FCPS route toward neurosurgery - Also mention international alternatives such as USMLE, PLAB, AMC, and other foreign licensing exams 2. **Industry Trend Analysis** - Mention AI-assisted diagnosis, digital imaging, modern surgical planning, wearable monitoring, and evidence-based medicine - Explain why modern neurosurgeons need adaptability, technical literacy, and continuous professional development #### Goal System Construction 1. **Short-Term Goals: Before Graduation** - Strengthen clinical courses and core medical knowledge - Improve case presentation, history taking, and clinical reasoning - Complete in-depth case reports - Improve English medical communication and academic reading 2. **Mid-Term Goals: Five Years After Graduation** - Complete licensing and enter specialist training - Build clinical discipline, surgical understanding, and decision-making - Participate in research and mentorship - Gain exposure to tertiary hospital practice 3. **Long-Term Goals: Ten Years After Graduation** - Become a qualified neurosurgeon - Serve patients in Pakistan - Contribute to advanced surgical care - Build academic and cross-border professional collaboration #### Implementation Pathway Design 1. **Academic Preparation Phase: During Studies** - Improve one weakness each semester - Focus on surgical anatomy, ECG interpretation, emergency response, and case analysis - Join research and learn from mentors 2. **Credentialing Phase: One to Two Years After Graduation** - Prepare for the licensing exam - Build a structured study system - Prepare documents and certificates in advance - Keep alternative pathways open 3. **Specialization Phase: Three to Five Years After Graduation** - Build strong neurosurgical knowledge and operative skill - Attend conferences and workshops - Observe experienced neurosurgeons - Build presentations and academic experience #### Risk Management Plan 1. **Major Risk Response** - Licensing exam failure: add extra preparation time and transitional work options - Policy or visa changes: maintain flexibility with two pathways - Burnout: maintain balance, health, and discipline 2. **Dynamic Evaluation Mechanism** - Review progress every quarter - Revise the plan yearly with mentors or senior doctors #### Conclusion / Final Statement End with a strong and polished conclusion stating that becoming a neurosurgeon requires dedication, academic excellence, ethical responsibility, research awareness, and lifelong learning. ### Writing style - The writing should be **formal, intelligent, and motivational**. - Keep it clear and professional, but not too plain. - Make the content sound like an excellent final-year medical student submission. - Maintain consistency, balance, and refinement throughout. - Make the final result feel like a **premium printed PDF**. ### Final output instruction Provide the response in a **beautifully structured document format**, ready to paste into Word, Google Docs, Canva, or any PDF design tool and export as a professional PDF. *** **Also create the content with a luxury academic presentation style: centered cover page, boxed personal details, dot-leader table of contents, refined section headers, timeline visuals, and clean editorial spacing.** Make me a pdf
ls /home/daytona/workspace/ 2>/dev/null || echo "workspace is empty or does not exist"
mkdir -p /home/daytona/workspace/career-plan && python3 -c "from reportlab.lib import colors; print('ReportLab OK')"
~/career-plan/build_pdf.py
#!/usr/bin/env python3
"""
Premium Personal Career Development Plan PDF
Junaid Wahid – Clinical Medicine – Shandong Medical and Pharmaceutical University
"""
from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.units import mm, cm
from reportlab.lib.styles import ParagraphStyle, getSampleStyleSheet
from reportlab.lib.enums import TA_LEFT, TA_CENTER, TA_RIGHT, TA_JUSTIFY
from reportlab.platypus import (
BaseDocTemplate, PageTemplate, Frame, Paragraph, Spacer,
Table, TableStyle, HRFlowable, PageBreak, KeepTogether,
NextPageTemplate, FrameBreak
)
from reportlab.platypus.flowables import Flowable
from reportlab.pdfgen import canvas
from reportlab.graphics.shapes import Drawing, Rect, Line, Circle, String, Polygon
from reportlab.graphics import renderPDF
import os
# ─── COLOR PALETTE ────────────────────────────────────────────────────────────
NAVY = colors.HexColor("#0D1B3E") # deep navy
ROYAL = colors.HexColor("#1A4A8A") # royal blue
TEAL = colors.HexColor("#0A7EA4") # medical teal
GOLD = colors.HexColor("#B8922A") # soft gold
GOLD_LIGHT = colors.HexColor("#D4AF37") # gold accent
WHITE = colors.white
LIGHT_GRAY = colors.HexColor("#F4F6FA") # soft background
MID_GRAY = colors.HexColor("#C8D0DC") # divider
DARK_GRAY = colors.HexColor("#4A5568") # body text
PALE_BLUE = colors.HexColor("#E8EFF8") # section bg tint
TEAL_LIGHT = colors.HexColor("#E0F3FA") # teal tint
# ─── PAGE DIMENSIONS ──────────────────────────────────────────────────────────
PAGE_W, PAGE_H = A4 # 595.28 x 841.89 pt
MARGIN_L = 2.2 * cm
MARGIN_R = 2.2 * cm
MARGIN_T = 2.5 * cm
MARGIN_B = 2.2 * cm
BODY_W = PAGE_W - MARGIN_L - MARGIN_R
OUTPUT = "/home/daytona/workspace/career-plan/Junaid_Wahid_Career_Development_Plan.pdf"
# ─── STYLES ───────────────────────────────────────────────────────────────────
def make_styles():
base = getSampleStyleSheet()
cover_title = ParagraphStyle(
"CoverTitle",
fontName="Helvetica-Bold",
fontSize=26,
leading=34,
textColor=WHITE,
alignment=TA_CENTER,
spaceAfter=6,
)
cover_subtitle = ParagraphStyle(
"CoverSubtitle",
fontName="Helvetica",
fontSize=12,
leading=18,
textColor=colors.HexColor("#A8C4E8"),
alignment=TA_CENTER,
spaceAfter=4,
)
cover_info = ParagraphStyle(
"CoverInfo",
fontName="Helvetica",
fontSize=10,
leading=16,
textColor=WHITE,
alignment=TA_CENTER,
)
cover_label = ParagraphStyle(
"CoverLabel",
fontName="Helvetica-Bold",
fontSize=8.5,
leading=14,
textColor=GOLD_LIGHT,
alignment=TA_LEFT,
letterSpacing=1.5,
)
cover_value = ParagraphStyle(
"CoverValue",
fontName="Helvetica",
fontSize=10,
leading=15,
textColor=WHITE,
alignment=TA_LEFT,
)
toc_heading = ParagraphStyle(
"TOCHeading",
fontName="Helvetica-Bold",
fontSize=11,
leading=20,
textColor=NAVY,
alignment=TA_LEFT,
)
toc_entry = ParagraphStyle(
"TOCEntry",
fontName="Helvetica",
fontSize=10.5,
leading=22,
textColor=DARK_GRAY,
alignment=TA_LEFT,
)
toc_sub = ParagraphStyle(
"TOCSub",
fontName="Helvetica",
fontSize=9.5,
leading=18,
textColor=colors.HexColor("#6B7A96"),
leftIndent=18,
alignment=TA_LEFT,
)
sec_num = ParagraphStyle(
"SecNum",
fontName="Helvetica-Bold",
fontSize=8,
leading=12,
textColor=GOLD,
alignment=TA_LEFT,
letterSpacing=2,
spaceAfter=2,
)
sec_heading = ParagraphStyle(
"SectionHeading",
fontName="Helvetica-Bold",
fontSize=16,
leading=22,
textColor=NAVY,
spaceBefore=4,
spaceAfter=10,
)
sub_heading = ParagraphStyle(
"SubHeading",
fontName="Helvetica-Bold",
fontSize=11.5,
leading=17,
textColor=ROYAL,
spaceBefore=10,
spaceAfter=6,
)
body = ParagraphStyle(
"BodyText",
fontName="Helvetica",
fontSize=10,
leading=16.5,
textColor=DARK_GRAY,
alignment=TA_JUSTIFY,
spaceAfter=8,
)
bullet = ParagraphStyle(
"BulletText",
fontName="Helvetica",
fontSize=10,
leading=16,
textColor=DARK_GRAY,
leftIndent=18,
bulletIndent=6,
spaceAfter=4,
alignment=TA_LEFT,
)
caption = ParagraphStyle(
"Caption",
fontName="Helvetica-Oblique",
fontSize=8.5,
leading=12,
textColor=colors.HexColor("#8896A8"),
alignment=TA_CENTER,
)
profile_label = ParagraphStyle(
"ProfileLabel",
fontName="Helvetica-Bold",
fontSize=8.5,
leading=13,
textColor=TEAL,
letterSpacing=1,
)
profile_value = ParagraphStyle(
"ProfileValue",
fontName="Helvetica",
fontSize=10.5,
leading=15,
textColor=NAVY,
)
timeline_label = ParagraphStyle(
"TimelineLabel",
fontName="Helvetica-Bold",
fontSize=10,
leading=14,
textColor=WHITE,
alignment=TA_CENTER,
)
timeline_body = ParagraphStyle(
"TimelineBody",
fontName="Helvetica",
fontSize=9,
leading=14,
textColor=DARK_GRAY,
alignment=TA_LEFT,
spaceAfter=3,
)
conclusion = ParagraphStyle(
"Conclusion",
fontName="Helvetica-Oblique",
fontSize=10.5,
leading=18,
textColor=NAVY,
alignment=TA_JUSTIFY,
leftIndent=10,
rightIndent=10,
)
return dict(
cover_title=cover_title, cover_subtitle=cover_subtitle,
cover_info=cover_info, cover_label=cover_label, cover_value=cover_value,
toc_heading=toc_heading, toc_entry=toc_entry, toc_sub=toc_sub,
sec_num=sec_num, sec_heading=sec_heading, sub_heading=sub_heading,
body=body, bullet=bullet, caption=caption,
profile_label=profile_label, profile_value=profile_value,
timeline_label=timeline_label, timeline_body=timeline_body,
conclusion=conclusion,
)
# ─── DECORATIVE FLOWABLES ─────────────────────────────────────────────────────
class GoldDivider(Flowable):
def __init__(self, width=None, thickness=1.2):
Flowable.__init__(self)
self._width = width
self.thickness = thickness
self.height = self.thickness + 4
def wrap(self, availWidth, availHeight):
self.width = self._width or availWidth
return self.width, self.height
def draw(self):
c = self.canv
c.setStrokeColor(GOLD)
c.setLineWidth(self.thickness)
c.line(0, 2, self.width, 2)
class NavyTealDivider(Flowable):
"""Two-tone decorative divider: navy left 60% + teal right 40%"""
def __init__(self, width=None):
Flowable.__init__(self)
self._width = width
self.height = 3
def wrap(self, availWidth, availHeight):
self.width = self._width or availWidth
return self.width, self.height
def draw(self):
c = self.canv
split = self.width * 0.65
c.setStrokeColor(NAVY)
c.setLineWidth(2)
c.line(0, 1.5, split, 1.5)
c.setStrokeColor(TEAL)
c.setLineWidth(2)
c.line(split, 1.5, self.width, 1.5)
class SectionHeaderBlock(Flowable):
"""Colored block with section number + title"""
def __init__(self, number, title, width=None):
Flowable.__init__(self)
self.number = number
self.title = title
self._width = width
self.height = 38
def wrap(self, availWidth, availHeight):
self.width = self._width or availWidth
return self.width, self.height
def draw(self):
c = self.canv
# Background gradient simulation: navy full bar
c.setFillColor(NAVY)
c.roundRect(0, 0, self.width, self.height, 4, fill=1, stroke=0)
# Gold left accent strip
c.setFillColor(GOLD)
c.rect(0, 0, 5, self.height, fill=1, stroke=0)
# Section number
c.setFillColor(GOLD_LIGHT)
c.setFont("Helvetica-Bold", 8)
c.drawString(14, self.height - 14, self.number)
# Title
c.setFillColor(WHITE)
c.setFont("Helvetica-Bold", 15)
c.drawString(14, 10, self.title)
class SubSectionBar(Flowable):
"""Subtle left-accent bar for sub-sections"""
def __init__(self, title, width=None):
Flowable.__init__(self)
self.title = title
self._width = width
self.height = 26
def wrap(self, availWidth, availHeight):
self.width = self._width or availWidth
return self.width, self.height
def draw(self):
c = self.canv
c.setFillColor(PALE_BLUE)
c.roundRect(0, 0, self.width, self.height, 3, fill=1, stroke=0)
c.setFillColor(TEAL)
c.rect(0, 0, 4, self.height, fill=1, stroke=0)
c.setFillColor(ROYAL)
c.setFont("Helvetica-Bold", 11)
c.drawString(12, 8, self.title)
class ProfileCard(Flowable):
"""Boxed personal info card"""
def __init__(self, data, width=None):
Flowable.__init__(self)
self.data = data # list of (label, value) tuples
self._width = width
self.row_h = 22
self.pad = 14
self.height = self.pad * 2 + self.row_h * len(data) + 10
def wrap(self, availWidth, availHeight):
self.width = self._width or availWidth
return self.width, self.height
def draw(self):
c = self.canv
h = self.height
w = self.width
# Outer border
c.setStrokeColor(TEAL)
c.setLineWidth(1.2)
c.roundRect(0, 0, w, h, 6, fill=0, stroke=1)
# Header strip
c.setFillColor(NAVY)
c.roundRect(0, h - 30, w, 30, 6, fill=1, stroke=0)
c.rect(0, h - 30, w, 15, fill=1, stroke=0) # flatten bottom corners
c.setFillColor(GOLD_LIGHT)
c.setFont("Helvetica-Bold", 9)
c.drawCentredString(w/2, h - 20, "STUDENT PROFILE")
# Alternating row backgrounds
y = h - 30
for i, (label, value) in enumerate(self.data):
row_y = y - self.pad - (i + 1) * self.row_h
if i % 2 == 0:
c.setFillColor(PALE_BLUE)
c.rect(1, row_y, w - 2, self.row_h, fill=1, stroke=0)
# Left accent dot
c.setFillColor(TEAL)
c.circle(12, row_y + self.row_h / 2, 2.5, fill=1, stroke=0)
# Label
c.setFillColor(TEAL)
c.setFont("Helvetica-Bold", 8)
c.drawString(22, row_y + self.row_h / 2 + 2, label.upper())
# Value
c.setFillColor(NAVY)
c.setFont("Helvetica", 10)
c.drawString(w * 0.42, row_y + self.row_h / 2 + 2, value)
# Bottom gold line
c.setStrokeColor(GOLD)
c.setLineWidth(1.5)
c.line(10, 6, w - 10, 6)
class TimelineFlowable(Flowable):
"""Horizontal timeline with 3 phases"""
def __init__(self, phases, width=None):
Flowable.__init__(self)
self.phases = phases # list of (label, years, bullets)
self._width = width
self.height = 140
def wrap(self, availWidth, availHeight):
self.width = self._width or availWidth
return self.width, self.height
def draw(self):
c = self.canv
n = len(self.phases)
col_w = self.width / n
line_y = self.height - 30
# Backbone line
c.setStrokeColor(MID_GRAY)
c.setLineWidth(2)
c.line(col_w * 0.5, line_y, self.width - col_w * 0.5, line_y)
phase_colors = [NAVY, ROYAL, TEAL]
for i, (label, years, bullets) in enumerate(self.phases):
cx = col_w * i + col_w * 0.5
# Connector line segment
if i > 0:
c.setStrokeColor(phase_colors[i])
c.setLineWidth(2)
c.line(col_w * i, line_y, cx, line_y)
# Circle node
c.setFillColor(phase_colors[i % len(phase_colors)])
c.circle(cx, line_y, 14, fill=1, stroke=0)
c.setFillColor(WHITE)
c.setFont("Helvetica-Bold", 8)
c.drawCentredString(cx, line_y - 3, str(i + 1))
# Label box
box_w = col_w - 12
box_x = cx - box_w / 2
c.setFillColor(phase_colors[i % len(phase_colors)])
c.roundRect(box_x, line_y + 18, box_w, 22, 3, fill=1, stroke=0)
c.setFillColor(WHITE)
c.setFont("Helvetica-Bold", 8.5)
c.drawCentredString(cx, line_y + 26, label)
# Years subtitle
c.setFillColor(GOLD)
c.setFont("Helvetica-Bold", 7.5)
c.drawCentredString(cx, line_y + 43, years)
# Bullet content below
text_y = line_y - 30
for bullet in bullets[:3]:
c.setFillColor(TEAL)
c.circle(col_w * i + 14, text_y + 3, 2, fill=1, stroke=0)
c.setFillColor(DARK_GRAY)
c.setFont("Helvetica", 7.5)
# Wrap text manually
words = bullet.split()
line = ""
x_start = col_w * i + 20
for word in words:
test = line + " " + word if line else word
if c.stringWidth(test, "Helvetica", 7.5) < col_w - 28:
line = test
else:
c.drawString(x_start, text_y, line)
text_y -= 10
line = word
if line:
c.drawString(x_start, text_y, line)
text_y -= 13
class RiskTable(Flowable):
"""Clean risk management table"""
def __init__(self, rows, width=None):
Flowable.__init__(self)
self.rows = rows
self._width = width
self.row_h = 36
self.height = 30 + self.row_h * len(rows)
def wrap(self, availWidth, availHeight):
self.width = self._width or availWidth
return self.width, self.height
def draw(self):
c = self.canv
col1 = self.width * 0.32
col2 = self.width * 0.68
y = self.height
# Header
c.setFillColor(NAVY)
c.rect(0, y - 28, self.width, 28, fill=1, stroke=0)
c.setFillColor(GOLD_LIGHT)
c.setFont("Helvetica-Bold", 9)
c.drawString(10, y - 18, "RISK FACTOR")
c.drawString(col1 + 10, y - 18, "MITIGATION STRATEGY")
y -= 28
for i, (risk, mitigation) in enumerate(self.rows):
bg = PALE_BLUE if i % 2 == 0 else WHITE
c.setFillColor(bg)
c.rect(0, y - self.row_h, self.width, self.row_h, fill=1, stroke=0)
# Left border accent
c.setFillColor(TEAL if i % 2 == 0 else ROYAL)
c.rect(0, y - self.row_h, 3, self.row_h, fill=1, stroke=0)
# Grid lines
c.setStrokeColor(MID_GRAY)
c.setLineWidth(0.4)
c.line(0, y, self.width, y)
c.line(col1, y, col1, y - self.row_h)
# Risk text
c.setFillColor(NAVY)
c.setFont("Helvetica-Bold", 9)
c.drawString(10, y - 14, risk)
# Mitigation text (wrap)
c.setFillColor(DARK_GRAY)
c.setFont("Helvetica", 8.5)
words = mitigation.split()
line = ""
ly = y - 13
for word in words:
test = line + " " + word if line else word
if c.stringWidth(test, "Helvetica", 8.5) < col2 - 20:
line = test
else:
c.drawString(col1 + 10, ly, line)
ly -= 11
line = word
if line:
c.drawString(col1 + 10, ly, line)
y -= self.row_h
# Bottom border
c.setStrokeColor(NAVY)
c.setLineWidth(0.8)
c.line(0, y, self.width, y)
# ─── PAGE TEMPLATES ───────────────────────────────────────────────────────────
class CoverPageCanvas:
"""Draws the full cover page background"""
@staticmethod
def draw(c, doc):
c.saveState()
w, h = A4
# Deep navy full background
c.setFillColor(NAVY)
c.rect(0, 0, w, h, fill=1, stroke=0)
# Royal blue upper band (hero)
c.setFillColor(ROYAL)
c.rect(0, h * 0.52, w, h * 0.48, fill=1, stroke=0)
# Teal diagonal accent strip
c.setFillColor(TEAL)
path = c.beginPath()
path.moveTo(0, h * 0.52)
path.lineTo(w, h * 0.52)
path.lineTo(w, h * 0.48)
path.lineTo(0, h * 0.50)
path.close()
c.drawPath(path, fill=1, stroke=0)
# Gold horizontal rule lines
c.setStrokeColor(GOLD)
c.setLineWidth(1.5)
c.line(30, h * 0.50 - 2, w - 30, h * 0.50 - 2)
c.setStrokeColor(GOLD_LIGHT)
c.setLineWidth(0.5)
c.line(30, h * 0.50 - 6, w - 30, h * 0.50 - 6)
# Medical cross watermark (subtle)
c.setFillColor(colors.HexColor("#162558"))
cross_cx, cross_cy = w * 0.85, h * 0.75
cw, ch = 60, 60
c.rect(cross_cx - 8, cross_cy - ch/2, 16, ch, fill=1, stroke=0)
c.rect(cross_cx - cw/2, cross_cy - 8, cw, 16, fill=1, stroke=0)
# Decorative circles
c.setStrokeColor(colors.HexColor("#1E3A6E"))
c.setLineWidth(1)
c.circle(w * 0.1, h * 0.78, 55, fill=0, stroke=1)
c.circle(w * 0.1, h * 0.78, 40, fill=0, stroke=1)
c.circle(w * 0.1, h * 0.78, 25, fill=0, stroke=1)
c.setStrokeColor(colors.HexColor("#1E3A6E"))
c.circle(w * 0.88, h * 0.85, 40, fill=0, stroke=1)
# University banner at top
c.setFillColor(colors.HexColor("#0A1530"))
c.rect(0, h - 55, w, 55, fill=1, stroke=0)
c.setFillColor(GOLD_LIGHT)
c.setFont("Helvetica-Bold", 9)
c.drawCentredString(w/2, h - 22, "SHANDONG MEDICAL AND PHARMACEUTICAL UNIVERSITY")
c.setFillColor(colors.HexColor("#A8C4E8"))
c.setFont("Helvetica", 8)
c.drawCentredString(w/2, h - 36, "Faculty of Clinical Medicine · International Education Department")
# Gold top border
c.setFillColor(GOLD)
c.rect(0, h - 4, w, 4, fill=1, stroke=0)
# Bottom area: info box background
c.setFillColor(colors.HexColor("#0A1530"))
c.roundRect(30, 28, w - 60, h * 0.46 - 40, 8, fill=1, stroke=0)
c.setStrokeColor(TEAL)
c.setLineWidth(1)
c.roundRect(30, 28, w - 60, h * 0.46 - 40, 8, fill=0, stroke=1)
# Thin gold bottom strip
c.setFillColor(GOLD)
c.rect(0, 0, w, 4, fill=1, stroke=0)
c.restoreState()
class InnerPageCanvas:
"""Draws header/footer on inner pages"""
@staticmethod
def draw(c, doc):
c.saveState()
w, h = A4
# Header: navy bar
c.setFillColor(NAVY)
c.rect(0, h - 32, w, 32, fill=1, stroke=0)
# Gold top edge
c.setFillColor(GOLD)
c.rect(0, h - 3, w, 3, fill=1, stroke=0)
# Header text
c.setFillColor(colors.HexColor("#A8C4E8"))
c.setFont("Helvetica", 7.5)
c.drawString(MARGIN_L, h - 20, "Personal Career Development Plan · Junaid Wahid · 235019015")
c.setFillColor(GOLD_LIGHT)
c.setFont("Helvetica-Bold", 7.5)
c.drawRightString(w - MARGIN_R, h - 20, "Clinical Medicine · Neurosurgery")
# Footer
c.setFillColor(PALE_BLUE)
c.rect(0, 0, w, 26, fill=1, stroke=0)
c.setStrokeColor(TEAL)
c.setLineWidth(0.6)
c.line(MARGIN_L, 26, w - MARGIN_R, 26)
c.setFillColor(DARK_GRAY)
c.setFont("Helvetica", 7.5)
c.drawString(MARGIN_L, 9, "Shandong Medical and Pharmaceutical University · May 2026")
# Page number
c.setFillColor(NAVY)
c.setFont("Helvetica-Bold", 8)
c.drawRightString(w - MARGIN_R, 9, f"Page {doc.page}")
c.restoreState()
def on_cover_page(canvas_obj, doc):
CoverPageCanvas.draw(canvas_obj, doc)
def on_inner_page(canvas_obj, doc):
InnerPageCanvas.draw(canvas_obj, doc)
# ─── DOCUMENT BUILD ───────────────────────────────────────────────────────────
def build_pdf():
S = make_styles()
# Frame for cover (full bleed, content positioned manually)
cover_frame = Frame(
MARGIN_L, MARGIN_B + 15,
PAGE_W - MARGIN_L - MARGIN_R,
PAGE_H - MARGIN_T - MARGIN_B,
id="cover"
)
inner_frame = Frame(
MARGIN_L, MARGIN_B + 30,
PAGE_W - MARGIN_L - MARGIN_R,
PAGE_H - MARGIN_T - MARGIN_B - 40,
id="inner", leftPadding=0, rightPadding=0,
topPadding=0, bottomPadding=0
)
doc = BaseDocTemplate(
OUTPUT,
pagesize=A4,
leftMargin=MARGIN_L,
rightMargin=MARGIN_R,
topMargin=MARGIN_T,
bottomMargin=MARGIN_B,
title="Personal Career Development Plan",
author="Junaid Wahid",
subject="Clinical Medicine - Neurosurgery Career Plan",
)
cover_template = PageTemplate(id="Cover", frames=[cover_frame], onPage=on_cover_page)
inner_template = PageTemplate(id="Inner", frames=[inner_frame], onPage=on_inner_page)
doc.addPageTemplates([cover_template, inner_template])
story = []
# ── COVER PAGE ────────────────────────────────────────────────────────────
# Title area (placed in upper half)
story.append(Spacer(1, 4.8 * cm))
story.append(Paragraph("Personal Career Development Plan", S["cover_title"]))
story.append(Spacer(1, 0.3 * cm))
story.append(Paragraph(
"A Structured Pathway Toward Becoming a Neurosurgeon",
S["cover_subtitle"]
))
story.append(Spacer(1, 0.2 * cm))
# Gold decorative line under subtitle (drawn as thin HR)
story.append(HRFlowable(
width=BODY_W * 0.5, thickness=1, color=GOLD_LIGHT,
hAlign="CENTER", spaceAfter=6
))
story.append(Spacer(1, 0.2 * cm))
story.append(Paragraph(
"Clinical Medicine · 4th Year · International Program",
S["cover_info"]
))
story.append(Spacer(1, 1.1 * cm))
# Profile box data
profile_data = [
("Student Name", "Junaid Wahid"),
("Student ID", "235019015"),
("Major / Program", "Clinical Medicine (MBBS)"),
("Academic Year", "4th Year"),
("Target Specialty","Neurosurgery"),
("University", "Shandong Medical and Pharmaceutical University"),
("Submission Date", "24 May 2026"),
]
story.append(ProfileCard(profile_data, width=BODY_W))
# Page break → go to Inner template
story.append(NextPageTemplate("Inner"))
story.append(PageBreak())
# ── TABLE OF CONTENTS ─────────────────────────────────────────────────────
story.append(SectionHeaderBlock("CONTENTS", "Table of Contents", width=BODY_W))
story.append(Spacer(1, 0.5 * cm))
toc_items = [
("01", "Career Vision", "3"),
("02", "Personal Profile Summary", "3"),
("03", "Self-Assessment Analysis", "4"),
("04", "Career Environment Scan", "5"),
("05", "Goal System Construction", "6"),
("06", "Implementation Pathway Design", "7"),
("07", "Risk Management Plan", "8"),
("08", "Conclusion / Final Statement", "9"),
]
toc_sub_items = {
"03": [
"3.1 Clarification of Professional Values",
"3.2 Competency Matrix Evaluation",
"3.3 Career Personality Positioning",
],
"04": [
"4.1 Target Region Practice Landscape",
"4.2 Industry Trend Analysis",
],
"05": [
"5.1 Short-Term Goals: Before Graduation",
"5.2 Mid-Term Goals: Five Years After Graduation",
"5.3 Long-Term Goals: Ten Years After Graduation",
],
"06": [
"6.1 Academic Preparation Phase",
"6.2 Credentialing Phase",
"6.3 Specialization Phase",
],
"07": [
"7.1 Major Risk Response",
"7.2 Dynamic Evaluation Mechanism",
],
}
for num, title, page in toc_items:
# Build dot leader row
dot_count = 60
# Use a Table for dot leaders
num_para = Paragraph(f'<font color="#B8922A"><b>{num}</b></font>', S["toc_entry"])
title_para = Paragraph(f'<font color="#0D1B3E"><b>{title}</b></font>', S["toc_entry"])
dots_para = Paragraph(
'<font color="#C8D0DC">' + '.' * dot_count + '</font>',
ParagraphStyle("dots", fontName="Helvetica", fontSize=9, leading=22, textColor=MID_GRAY)
)
page_para = Paragraph(
f'<font color="#1A4A8A"><b>{page}</b></font>',
ParagraphStyle("pg", fontName="Helvetica-Bold", fontSize=10, leading=22, alignment=TA_RIGHT)
)
toc_row = Table(
[[num_para, title_para, dots_para, page_para]],
colWidths=[1.2 * cm, 8.5 * cm, None, 1.2 * cm],
hAlign="LEFT"
)
toc_row.setStyle(TableStyle([
("VALIGN", (0, 0), (-1, -1), "MIDDLE"),
("LEFTPADDING", (0, 0), (-1, -1), 2),
("RIGHTPADDING", (0, 0), (-1, -1), 2),
]))
story.append(toc_row)
# Sub-items
if num in toc_sub_items:
for sub in toc_sub_items[num]:
story.append(Paragraph(f"<font color='#6B7A96'>› {sub}</font>", S["toc_sub"]))
story.append(Spacer(1, 2))
story.append(Spacer(1, 0.4 * cm))
story.append(NavyTealDivider(width=BODY_W))
story.append(Spacer(1, 0.2 * cm))
story.append(Paragraph(
"This document has been prepared as a formal academic submission in fulfilment of the "
"Personal Career Development Plan requirement for the Clinical Medicine programme.",
S["caption"]
))
story.append(PageBreak())
# ─── HELPER: section + subsection ─────────────────────────────────────────
def section(num, title):
story.append(Spacer(1, 0.15 * cm))
story.append(SectionHeaderBlock(num, title, width=BODY_W))
story.append(Spacer(1, 0.35 * cm))
def subsection(title):
story.append(Spacer(1, 0.2 * cm))
story.append(SubSectionBar(title, width=BODY_W))
story.append(Spacer(1, 0.25 * cm))
def body(text):
story.append(Paragraph(text, S["body"]))
def bullet(text):
story.append(Paragraph(
f'<bullet><font color="#0A7EA4">•</font></bullet>{text}',
S["bullet"]
))
def spacer(h=0.3):
story.append(Spacer(1, h * cm))
def gold_div():
story.append(GoldDivider(width=BODY_W))
story.append(Spacer(1, 0.2 * cm))
# ─── 01 CAREER VISION ────────────────────────────────────────────────────
section("01", "Career Vision")
body(
"The central ambition driving this career plan is to become a highly competent, ethically grounded, "
"and internationally minded neurosurgeon capable of diagnosing and treating the full spectrum of "
"neurological and neurosurgical conditions with skill, precision, and compassion. Neurosurgery "
"represents one of the most demanding yet profoundly meaningful disciplines in clinical medicine, "
"sitting at the intersection of advanced scientific knowledge, exceptional technical skill, and "
"deep human responsibility. The long-term vision is not merely to attain a surgical qualification, "
"but to build a career defined by genuine patient service, continuous scientific engagement, and "
"a commitment to improving neurosurgical care in Pakistan and beyond."
)
body(
"This vision is shaped by the belief that the best physicians are those who remain learners throughout "
"their professional lives, who hold their patients' welfare above all institutional pressures, and who "
"pursue excellence not for recognition but out of a sincere duty to serve. The journey described in "
"this document is guided by that belief at every stage, from the final years of medical school through "
"to independent specialist practice."
)
gold_div()
# ─── 02 PERSONAL PROFILE SUMMARY ─────────────────────────────────────────
section("02", "Personal Profile Summary")
profile_rows = [
["Full Name", "Junaid Wahid"],
["Student ID", "235019015"],
["Major", "Clinical Medicine (MBBS International Program)"],
["Academic Year", "Fourth Year"],
["Target Specialty", "Neurosurgery"],
["University", "Shandong Medical and Pharmaceutical University, China"],
["Core Identity", "Aspiring neurosurgeon, evidence-based clinician, cross-cultural practitioner"],
]
tbl = Table(
profile_rows,
colWidths=[4.5 * cm, BODY_W - 4.5 * cm],
hAlign="LEFT"
)
tbl.setStyle(TableStyle([
("BACKGROUND", (0, 0), (0, -1), PALE_BLUE),
("BACKGROUND", (1, 0), (1, -1), WHITE),
("TEXTCOLOR", (0, 0), (0, -1), TEAL),
("TEXTCOLOR", (1, 0), (1, -1), NAVY),
("FONTNAME", (0, 0), (0, -1), "Helvetica-Bold"),
("FONTNAME", (1, 0), (1, -1), "Helvetica"),
("FONTSIZE", (0, 0), (-1, -1), 9.5),
("LEADING", (0, 0), (-1, -1), 15),
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("BOX", (0, 0), (-1, -1), 1, TEAL),
("INNERGRID", (0, 0), (-1, -1), 0.4, MID_GRAY),
("LEFTPADDING", (0, 0), (-1, -1), 10),
("RIGHTPADDING", (0, 0), (-1, -1), 10),
("TOPPADDING", (0, 0), (-1, -1), 6),
("BOTTOMPADDING", (0, 0), (-1, -1), 6),
("VALIGN", (0, 0), (-1, -1), "MIDDLE"),
]))
story.append(tbl)
spacer(0.3)
gold_div()
# ─── 03 SELF-ASSESSMENT ANALYSIS ─────────────────────────────────────────
section("03", "Self-Assessment Analysis")
subsection("3.1 Clarification of Professional Values")
body(
"The decision to pursue medicine arose from a deeply personal recognition of the value of human "
"life and the profound difference that a skilled, caring physician can make in moments of vulnerability. "
"From early clinical exposure, it became clear that medicine demands not only intellectual rigour but "
"also an enduring commitment to compassion, responsibility, and service. These values have been "
"reinforced through years of academic training, clinical observation, and cross-cultural experience "
"in China, where exposure to a high-volume, technologically advanced healthcare environment has "
"broadened both clinical perspective and professional aspiration."
)
body(
"Neurosurgery was identified as the preferred specialty because it combines the highest levels of "
"diagnostic precision with the most direct and consequential forms of therapeutic intervention. "
"Conditions of the brain and spinal cord affect every dimension of a patient's existence, from "
"movement and cognition to identity itself. The opportunity to intervene meaningfully in such cases, "
"guided by evidence and surgical mastery, represents the highest expression of what it means to be "
"a physician. The specialty also demands lifelong learning, technical refinement, and research "
"engagement, all of which align with a deeply held commitment to professional excellence."
)
subsection("3.2 Competency Matrix Evaluation")
body(
"An honest evaluation of current competencies reveals a set of meaningful strengths alongside "
"clearly identified areas for further development. The following matrix summarises this assessment:"
)
comp_data = [
["STRENGTH AREA", "LEVEL", "NOTES"],
["Diagnostic History Taking", "Strong", "Systematic, patient-centred approach"],
["Clinical Reasoning", "Strong", "Hypothesis-driven differential thinking"],
["Emergency Judgment", "Developing","Improving with simulation experience"],
["Medical Communication", "Strong", "Effective in English and Mandarin contexts"],
["Cross-Cultural Adaptability","Excellent", "Sustained by 4 years of study in China"],
["Surgical Procedural Skills", "Early-stage","Requires structured supervised exposure"],
["Advanced Decision-Making", "Developing","Growing through case study and mentorship"],
["Research Literacy", "Moderate", "Evidence appraisal skills actively developing"],
]
comp_tbl = Table(
comp_data,
colWidths=[6.0 * cm, 3.0 * cm, BODY_W - 9.0 * cm],
hAlign="LEFT"
)
comp_tbl.setStyle(TableStyle([
("BACKGROUND", (0, 0), (-1, 0), NAVY),
("TEXTCOLOR", (0, 0), (-1, 0), GOLD_LIGHT),
("FONTNAME", (0, 0), (-1, 0), "Helvetica-Bold"),
("FONTSIZE", (0, 0), (-1, -1), 8.5),
("FONTNAME", (0, 1), (-1, -1), "Helvetica"),
("TEXTCOLOR", (0, 1), (-1, -1), DARK_GRAY),
("ROWBACKGROUNDS",(0, 1), (-1, -1), [WHITE, PALE_BLUE]),
("BOX", (0, 0), (-1, -1), 1, NAVY),
("INNERGRID", (0, 0), (-1, -1), 0.4, MID_GRAY),
("LEFTPADDING", (0, 0), (-1, -1), 8),
("RIGHTPADDING", (0, 0), (-1, -1), 8),
("TOPPADDING", (0, 0), (-1, -1), 5),
("BOTTOMPADDING", (0, 0), (-1, -1), 5),
("VALIGN", (0, 0), (-1, -1), "MIDDLE"),
("ALIGN", (1, 0), (1, -1), "CENTER"),
]))
story.append(comp_tbl)
spacer(0.2)
subsection("3.3 Career Personality Positioning")
body(
"Using the Holland Occupational Codes (RIASEC) framework as a reference point, the dominant "
"personality profile can be characterised as <b>Investigative (I), Realistic (R), and Social (S)</b>. "
"The Investigative dimension reflects an inherent drive to analyse, question, and understand complex "
"systems, a trait directly applicable to the diagnostic reasoning and research demands of neurosurgery. "
"The Realistic dimension captures a preference for concrete, hands-on problem solving and technical "
"mastery, which aligns closely with the precision and procedural nature of surgical practice. The "
"Social dimension reflects a genuine orientation toward patient care, communication, and the relational "
"dimensions of medicine that are too often undervalued in highly technical specialties."
)
body(
"This combination of traits supports a career in neurosurgery precisely because the specialty requires "
"not only technical excellence and intellectual depth, but also the capacity to engage meaningfully "
"with patients and families during periods of extreme vulnerability. A neurosurgeon who lacks the "
"social dimension risks becoming technically proficient but humanly absent, a deficit that this career "
"plan is explicitly designed to guard against."
)
story.append(PageBreak())
# ─── 04 CAREER ENVIRONMENT SCAN ──────────────────────────────────────────
section("04", "Career Environment Scan")
subsection("4.1 Target Region Practice Landscape")
body(
"Upon completion of the MBBS programme, the plan is to return to Pakistan, where there exists both "
"a significant need for well-trained neurosurgical specialists and a structured pathway toward "
"specialist qualification. The first step upon return will be to sit and pass the <b>Pakistan Medical "
"and Dental Council (PMDC)</b> licensing examination, which is a mandatory requirement for any "
"internationally trained graduate seeking registration to practice in Pakistan."
)
body(
"The primary specialist training route is the <b>Fellowship of the College of Physicians and Surgeons "
"Pakistan (FCPS)</b> in Neurosurgery, which involves a structured multi-year residency programme at "
"an accredited training institution. This route is the most recognised and accessible pathway within "
"Pakistan, and preparation for its Part I examination will begin well before graduation."
)
body(
"Parallel to the domestic pathway, international options will remain under active consideration. "
"These include the <b>United States Medical Licensing Examination (USMLE)</b> for those seeking "
"residency training in the United States, the <b>Professional and Linguistic Assessments Board (PLAB)</b> "
"examination for the United Kingdom, and the <b>Australian Medical Council (AMC)</b> examination "
"for Australia. Maintaining awareness of these alternative pathways ensures resilience and flexibility "
"in the face of policy changes or limited domestic training opportunities."
)
subsection("4.2 Industry Trend Analysis")
body(
"The landscape of modern neurosurgery is being reshaped by a convergence of technological, "
"analytical, and educational forces that a new generation of surgeons must be prepared to engage "
"with from the earliest stages of their careers. Key developments include:"
)
bullet("Artificial intelligence applications in neuroimaging analysis, tumour segmentation, and preoperative surgical planning")
bullet("High-resolution digital imaging modalities including functional MRI, diffusion tensor imaging, and intraoperative neuronavigation")
bullet("Minimally invasive and endoscopic neurosurgical techniques that require refined technical training beyond traditional open surgical exposure")
bullet("Wearable and implantable monitoring technologies for postoperative neurological surveillance and remote patient management")
bullet("A global shift toward evidence-based medicine, requiring all clinicians to engage critically with primary literature and clinical guidelines")
spacer(0.2)
body(
"These trends collectively reinforce the need for the modern neurosurgeon to be not only a skilled "
"technical operator but also a technically literate, data-informed, and research-engaged clinician. "
"Continuous professional development will be a non-negotiable component of long-term career success, "
"and this plan is designed with that reality explicitly in mind."
)
story.append(PageBreak())
# ─── 05 GOAL SYSTEM CONSTRUCTION ─────────────────────────────────────────
section("05", "Goal System Construction")
# Timeline visual
timeline_phases = [
(
"SHORT-TERM",
"Before Graduation (2026)",
[
"Strengthen core clinical knowledge",
"Master case presentation skills",
"Complete in-depth case reports",
]
),
(
"MID-TERM",
"1–5 Years Post-Graduation",
[
"Complete licensing (PMDC/FCPS Part I)",
"Enter specialist training programme",
"Engage in clinical research",
]
),
(
"LONG-TERM",
"5–10 Years Post-Graduation",
[
"Qualify as a neurosurgeon",
"Serve patients in Pakistan",
"Build academic collaborations",
]
),
]
story.append(TimelineFlowable(timeline_phases, width=BODY_W))
spacer(0.3)
subsection("5.1 Short-Term Goals: Before Graduation")
bullet("Achieve thorough command of all core clinical medicine subjects, with particular depth in neurology, anatomy, and pharmacology")
bullet("Develop proficiency in structured case presentation, systematic history taking, and clinical reasoning frameworks")
bullet("Complete at least two substantive case reports or clinical analyses to build research writing skills")
bullet("Strengthen English academic reading and medical communication for international professional engagement")
bullet("Begin preparatory review of FCPS Part I neurosurgery content and USMLE Step 1 foundations")
bullet("Seek mentorship from attending physicians with experience in surgery or neurology")
spacer(0.2)
subsection("5.2 Mid-Term Goals: Five Years After Graduation")
bullet("Successfully complete the PMDC licensing examination and secure full registration to practice in Pakistan")
bullet("Enter and progress through a recognised FCPS neurosurgery training programme at an accredited tertiary institution")
bullet("Build surgical discipline through structured exposure to operative neurosurgery under senior supervision")
bullet("Participate in hospital-based or multicentre clinical research and contribute to at least one peer-reviewed publication")
bullet("Establish mentorship relationships with senior neurosurgeons and gain exposure to subspecialty areas")
bullet("Attend relevant national and international conferences to build professional networks and academic awareness")
spacer(0.2)
subsection("5.3 Long-Term Goals: Ten Years After Graduation")
bullet("Attain full qualification as a Fellow in Neurosurgery (FCPS or equivalent international fellowship)")
bullet("Establish an independent clinical practice providing high-quality neurosurgical care to patients across Pakistan")
bullet("Contribute to the advancement of neurosurgical standards through research, teaching, and institutional engagement")
bullet("Build cross-border professional collaborations, particularly with institutions in China, to facilitate knowledge exchange")
bullet("Serve as a mentor and educator for the next generation of surgical trainees")
gold_div()
story.append(PageBreak())
# ─── 06 IMPLEMENTATION PATHWAY DESIGN ────────────────────────────────────
section("06", "Implementation Pathway Design")
subsection("6.1 Academic Preparation Phase: During Studies (2024–2026)")
body(
"The immediate academic phase is focused on systematic consolidation and targeted improvement. "
"A structured study programme will be adopted in which one identified weakness is addressed "
"each semester, ensuring continuous measurable progress rather than diffuse effort. Priority "
"areas include:"
)
bullet("Surgical anatomy: deep review of neuroanatomy, spinal column structure, and cranial nerve pathways")
bullet("Electrocardiogram interpretation and cardiac emergencies as part of comprehensive clinical readiness")
bullet("Emergency medicine principles including airway management, resuscitation protocols, and trauma response")
bullet("Structured case analysis through systematic review of real clinical cases with attending supervision")
bullet("Active engagement with research methodology to build the skills required for postgraduate research")
spacer(0.2)
body(
"Mentorship will be sought actively and maintained consistently. Learning from attending physicians, "
"senior residents, and international faculty will supplement formal curriculum delivery and accelerate "
"professional maturity."
)
subsection("6.2 Credentialing Phase: One to Two Years After Graduation (2026–2028)")
body(
"The credentialing phase is a period of focused preparation and formal examination. A structured "
"daily study system will be established from the final months of the undergraduate programme, "
"ensuring no gap between graduation and active preparation for licensing."
)
bullet("Systematic PMDC examination preparation using approved study guides, past papers, and clinical case banks")
bullet("Simultaneous preparation of all required documentation including transcripts, internship certifications, and reference letters")
bullet("Parallel study of FCPS Part I neurosurgery content to reduce time to specialist training entry")
bullet("Maintenance of at least one international pathway (USMLE Step 1) as a contingency option")
bullet("Engagement in supervised clinical work during internship to consolidate practical skills and build professional references")
spacer(0.2)
subsection("6.3 Specialization Phase: Three to Five Years After Graduation (2028–2031)")
body(
"The specialisation phase marks the transition from licensed general practitioner to surgical trainee, "
"and demands the greatest investment of focus, time, and professional commitment."
)
bullet("Building a comprehensive theoretical foundation in neurosurgical pathology, neuroradiology, and operative principles")
bullet("Acquiring structured operative exposure through supervised participation in increasing complexity of neurosurgical procedures")
bullet("Attending neurosurgery-specific workshops, cadaveric dissection courses, and simulation training programmes")
bullet("Observing and learning from experienced neurosurgeons in tertiary referral centres, including potential international elective placements")
bullet("Developing academic presentation skills through conference presentations and departmental case discussions")
bullet("Initiating an original research project appropriate for publication in a peer-reviewed surgical journal")
gold_div()
story.append(PageBreak())
# ─── 07 RISK MANAGEMENT PLAN ─────────────────────────────────────────────
section("07", "Risk Management Plan")
subsection("7.1 Major Risk Response")
risk_rows = [
("Licensing Exam Failure",
"Allocate additional preparation time of 3–6 months; consider transitional clinical or research roles; maintain financial planning to support extended preparation period."),
("Policy or Visa Changes",
"Maintain active preparation on two parallel licensing pathways (PMDC + USMLE or PLAB); keep documentation current for multiple jurisdictions."),
("Burnout & Mental Health",
"Implement structured rest cycles; maintain physical activity, social connection, and mindfulness practices; seek formal support when early warning signs appear."),
("Limited Training Positions",
"Build a broad professional network early; seek positions at multiple institutions simultaneously; consider fellowship opportunities abroad if domestic slots are limited."),
("Financial Constraints",
"Research scholarship and bursary options proactively; plan postgraduate finances before graduation; explore employer-sponsored training arrangements."),
("Technology Skill Gap",
"Engage in self-directed digital learning; seek training in neuronavigation and imaging software during residency; attend relevant technology workshops."),
]
story.append(RiskTable(risk_rows, width=BODY_W))
spacer(0.3)
subsection("7.2 Dynamic Evaluation Mechanism")
body(
"A career plan of this scope requires not only strong initial design but also a disciplined "
"ongoing process of review and revision. Rigid adherence to a fixed plan in the face of changing "
"circumstances would be counterproductive; the plan must instead be treated as a living document "
"that responds intelligently to new information and evolving conditions."
)
eval_data = [
["REVIEW FREQUENCY", "REVIEW FOCUS", "KEY ACTIONS"],
["Quarterly", "Goal progress", "Track milestones; identify gaps; adjust study schedule"],
["Annual", "Full plan revision", "Review with mentor; update pathways; revise timelines"],
["Post-Examination", "Results analysis", "Identify weak areas; plan targeted remediation"],
["Career Transitions","Strategic realignment","Consult senior advisors; reassess international options"],
]
eval_tbl = Table(
eval_data,
colWidths=[3.8 * cm, 4.0 * cm, BODY_W - 7.8 * cm],
hAlign="LEFT"
)
eval_tbl.setStyle(TableStyle([
("BACKGROUND", (0, 0), (-1, 0), ROYAL),
("TEXTCOLOR", (0, 0), (-1, 0), WHITE),
("FONTNAME", (0, 0), (-1, 0), "Helvetica-Bold"),
("FONTSIZE", (0, 0), (-1, -1), 8.5),
("FONTNAME", (0, 1), (-1, -1), "Helvetica"),
("TEXTCOLOR", (0, 1), (-1, -1), DARK_GRAY),
("ROWBACKGROUNDS",(0, 1), (-1, -1), [WHITE, PALE_BLUE]),
("BOX", (0, 0), (-1, -1), 1, ROYAL),
("INNERGRID", (0, 0), (-1, -1), 0.4, MID_GRAY),
("LEFTPADDING", (0, 0), (-1, -1), 8),
("RIGHTPADDING", (0, 0), (-1, -1), 8),
("TOPPADDING", (0, 0), (-1, -1), 5),
("BOTTOMPADDING", (0, 0), (-1, -1), 5),
("VALIGN", (0, 0), (-1, -1), "MIDDLE"),
]))
story.append(eval_tbl)
spacer(0.3)
gold_div()
story.append(PageBreak())
# ─── 08 CONCLUSION ────────────────────────────────────────────────────────
section("08", "Conclusion / Final Statement")
body(
"This career development plan has been constructed with care, honesty, and a genuine sense of "
"long-term purpose. It is grounded in a clear professional vision, supported by an honest "
"assessment of current capabilities, informed by an understanding of the clinical environment, "
"and organised around a realistic and achievable sequence of goals."
)
body(
"Becoming a neurosurgeon is one of the most demanding ambitions a medical student can hold. "
"It requires years of rigorous academic preparation, sustained surgical training, and the kind "
"of personal discipline that does not waver under pressure or fatigue. It requires, above all, "
"an unwavering commitment to the patient, whose life may depend on the quality of judgment "
"exercised in the operating theatre. That responsibility is understood, and it is embraced."
)
body(
"The academic formation received at Shandong Medical and Pharmaceutical University, combined "
"with the cross-cultural experience of studying and working in China, has laid a strong "
"foundation for the career described in this document. The years ahead will demand more, but "
"the direction is clear, the commitment is firm, and the motivation is genuine."
)
spacer(0.3)
# Final quote box
quote_data = [[
Paragraph(
'"The practice of medicine is an art, not a trade; a calling, not a business; '
'a calling in which your heart will be exercised equally with your head."',
S["conclusion"]
)
]]
quote_tbl = Table(
quote_data,
colWidths=[BODY_W],
hAlign="CENTER"
)
quote_tbl.setStyle(TableStyle([
("BACKGROUND", (0, 0), (-1, -1), PALE_BLUE),
("BOX", (0, 0), (-1, -1), 1.5, GOLD),
("LEFTPADDING", (0, 0), (-1, -1), 20),
("RIGHTPADDING", (0, 0), (-1, -1), 20),
("TOPPADDING", (0, 0), (-1, -1), 14),
("BOTTOMPADDING", (0, 0), (-1, -1), 14),
]))
story.append(quote_tbl)
spacer(0.2)
story.append(Paragraph(
"— Sir William Osler",
ParagraphStyle("quoteattr", fontName="Helvetica-BoldOblique", fontSize=9,
textColor=GOLD, alignment=TA_RIGHT)
))
spacer(0.4)
gold_div()
# Signature block
sig_data = [
[
Paragraph("<b>Student Name:</b> Junaid Wahid", S["body"]),
Paragraph("<b>Student ID:</b> 235019015", S["body"]),
Paragraph("<b>Date:</b> 24 May 2026", S["body"]),
]
]
sig_tbl = Table(sig_data, colWidths=[BODY_W / 3] * 3, hAlign="LEFT")
sig_tbl.setStyle(TableStyle([
("VALIGN", (0, 0), (-1, -1), "TOP"),
("LEFTPADDING", (0, 0), (-1, -1), 0),
("RIGHTPADDING", (0, 0), (-1, -1), 10),
]))
story.append(sig_tbl)
spacer(0.3)
story.append(Paragraph(
"Submitted in partial fulfilment of the career development requirements for the "
"Clinical Medicine programme, Shandong Medical and Pharmaceutical University, China.",
S["caption"]
))
# ── BUILD ─────────────────────────────────────────────────────────────────
doc.build(story)
print(f"PDF created: {OUTPUT}")
print(f"File size: {os.path.getsize(OUTPUT):,} bytes")
if __name__ == "__main__":
build_pdf()
cd /home/daytona/workspace/career-plan && python3 build_pdf.py 2>&1
python3 -c " from pypdf import PdfReader r = PdfReader('/home/daytona/workspace/career-plan/Junaid_Wahid_Career_Development_Plan.pdf') print(f'Pages: {len(r.pages)}') for i, p in enumerate(r.pages): txt = p.extract_text() first = txt[:80].replace('\n',' ') if txt else '(empty)' print(f' Page {i+1}: {first}') "
Junaid Wahid Career Development Plan
PDF Document · PDF
- Full deep navy + royal blue background with teal diagonal accent strip
- University banner at the top with gold top border
- Centered main title and italic subtitle
- Boxed student profile card with alternating row shading, teal accent dots, and a gold bottom rule
- Subtle medical cross watermark and decorative concentric circles
- Number + title + dot leader + page number layout
- Sub-entries for multi-section chapters
- Two-tone navy/teal divider at the bottom
- Each section opens with a navy block header strip with a gold left accent and white title
- Sub-sections use pale blue bars with a teal left accent
- All body text is justified with refined spacing
- Section 03 includes a full competency matrix table (navy header, alternating rows)
- Section 04 has a bullet-point industry trend list
- Section 05 features a horizontal 3-phase timeline graphic (Short / Mid / Long term) with colored nodes and bullet content
- Section 06 has structured implementation phases with bulleted action items
- Section 07 has a custom risk management table with a navy header and alternating rows, plus an evaluation frequency table
- Section 08 closes with an Osler quotation in a gold-bordered pale blue box and a three-column signature block
Just change the first cover page coloring and layout to more beautiful layout and colors and make pages less than now, merge contents sub headings closer and don't let more spaces in between each section
- Redesign the cover with a much more beautiful, modern layout and richer color treatment
- Tighten all spacers throughout the inner content
- Reduce TOC sub-heading leading
~/career-plan/build_pdf.py
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CoverPageCanvas.draw method with the new luxury design:~/career-plan/build_pdf.py
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cd /home/daytona/workspace/career-plan && python3 build_pdf.py 2>&1
python3 -c " from pypdf import PdfReader r = PdfReader('/home/daytona/workspace/career-plan/Junaid_Wahid_Career_Development_Plan.pdf') print(f'Total pages: {len(r.pages)}') "
Junaid Wahid Career Development Plan
PDF Document · PDF
- New diagonal split-panel layout: deep near-black navy on the left, rich midnight blue in the center, a vivid royal blue slash stripe, a thin teal sliver, and a deep violet panel on the right
- Glowing concentric circle motif on the right panel with a bright teal center node
- Subtle ghost medical cross icon in the right panel
- Title is now left-aligned and large (30pt), with an institution tag line above it in letter-spaced teal caps
- Gold left-aligned rule under the title, followed by the subtitle in soft steel blue
- A rounded pill badge showing "4TH YEAR · CLINICAL MEDICINE" in teal
- "TARGET SPECIALTY / Neurosurgery" label pair in gold near the bottom of the hero zone
- Student ID and date in a semi-transparent strip at the very bottom of the left panel
- Gold top border strip + teal accent line at page bottom
- Body font reduced to 9.5pt with tighter leading (15pt vs 16.5pt), cutting several lines per page
- Bullet spaceAfter cut from 4pt to 2pt
- Section header block height: 38pt → 30pt
- Sub-section bar height: 26pt → 21pt
- All spacer() calls tightened throughout
- TOC sub-entry leading cut from 18pt to 13pt, entries from 22pt to 18pt
- Result: 13 pages → 11 pages
Some words or headings are overlaping each other and the color grading in cover page is still not good, make cover page light coloring combination and make every heading clear and non overlaping on other part, also don't give so much space between each part like you have left page 7 and page later than that empty which is not good, take the other part starts just after one ends and Don't leave empty pages with just one or two sentences given. Do it professionally one final
~/career-plan/build_pdf.py
#!/usr/bin/env python3
"""
Premium Personal Career Development Plan PDF – Final Version
Junaid Wahid · Clinical Medicine · Shandong Medical and Pharmaceutical University
"""
from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.units import cm
from reportlab.lib.styles import ParagraphStyle
from reportlab.lib.enums import TA_LEFT, TA_CENTER, TA_RIGHT, TA_JUSTIFY
from reportlab.platypus import (
BaseDocTemplate, PageTemplate, Frame, Paragraph, Spacer,
Table, TableStyle, HRFlowable, PageBreak, KeepTogether, NextPageTemplate
)
from reportlab.platypus.flowables import Flowable
import os
# ═══════════════════════════════════════════════════════════════════════════════
# COLOR PALETTE
# ═══════════════════════════════════════════════════════════════════════════════
# Inner pages – deep professional
NAVY = colors.HexColor("#0D1B3E")
ROYAL = colors.HexColor("#1A4A8A")
TEAL = colors.HexColor("#0A7EA4")
GOLD = colors.HexColor("#B8922A")
GOLD_LIGHT = colors.HexColor("#D4AF37")
WHITE = colors.white
MID_GRAY = colors.HexColor("#C8D0DC")
DARK_GRAY = colors.HexColor("#4A5568")
PALE_BLUE = colors.HexColor("#EBF1FA")
# Cover page – light, airy, sophisticated
CV_WHITE = colors.HexColor("#FFFFFF")
CV_CREAM = colors.HexColor("#F7F4EF") # warm ivory background
CV_LIGHT = colors.HexColor("#EDF2FA") # pale blue-white
CV_NAVY = colors.HexColor("#0D1B3E") # deep navy text
CV_ROYAL = colors.HexColor("#1A4A8A") # royal blue accent
CV_TEAL = colors.HexColor("#0A7EA4") # teal
CV_GOLD = colors.HexColor("#B8922A") # gold
CV_GOLD_L = colors.HexColor("#D4AF37") # bright gold
CV_STEEL = colors.HexColor("#5A7BAA") # muted steel blue
CV_BORDER = colors.HexColor("#CBD8EC") # soft border
# ═══════════════════════════════════════════════════════════════════════════════
# PAGE LAYOUT
# ═══════════════════════════════════════════════════════════════════════════════
PAGE_W, PAGE_H = A4 # 595.28 × 841.89 pt
ML = 2.0 * cm
MR = 2.0 * cm
MT = 2.2 * cm
MB = 2.0 * cm
BW = PAGE_W - ML - MR # body width ≈ 511 pt
OUTPUT = "/home/daytona/workspace/career-plan/Junaid_Wahid_Career_Development_Plan.pdf"
# ═══════════════════════════════════════════════════════════════════════════════
# STYLES
# ═══════════════════════════════════════════════════════════════════════════════
def styles():
def S(name, **kw):
return ParagraphStyle(name, **kw)
return {
# ── Cover ──────────────────────────────────────────────────
"cv_tag": S("cv_tag", fontName="Helvetica-Bold", fontSize=7.5,
textColor=CV_TEAL, alignment=TA_LEFT, letterSpacing=2,
leading=12, spaceAfter=4),
"cv_title": S("cv_title", fontName="Helvetica-Bold", fontSize=32,
textColor=CV_NAVY, alignment=TA_LEFT, leading=40,
spaceAfter=2),
"cv_sub": S("cv_sub", fontName="Helvetica", fontSize=12,
textColor=CV_STEEL, alignment=TA_LEFT, leading=18,
spaceAfter=6),
"cv_label": S("cv_label", fontName="Helvetica-Bold", fontSize=7.5,
textColor=CV_TEAL, letterSpacing=1, leading=11),
"cv_value": S("cv_value", fontName="Helvetica", fontSize=10,
textColor=CV_NAVY, leading=14),
# ── TOC ────────────────────────────────────────────────────
"toc_main": S("toc_main", fontName="Helvetica-Bold", fontSize=10.5,
textColor=NAVY, leading=17, spaceAfter=1),
"toc_sub": S("toc_sub", fontName="Helvetica", fontSize=9,
textColor=DARK_GRAY, leading=13, leftIndent=16,
spaceAfter=1),
"toc_pg": S("toc_pg", fontName="Helvetica-Bold", fontSize=10,
textColor=ROYAL, alignment=TA_RIGHT, leading=17),
# ── Body ────────────────────────────────────────────────────
"body": S("body", fontName="Helvetica", fontSize=9.5,
textColor=DARK_GRAY, leading=15, alignment=TA_JUSTIFY,
spaceAfter=5),
"bullet": S("bullet", fontName="Helvetica", fontSize=9.5,
textColor=DARK_GRAY, leading=14, leftIndent=14,
spaceAfter=2),
"caption": S("caption", fontName="Helvetica-Oblique", fontSize=8,
textColor=colors.HexColor("#8896A8"),
alignment=TA_CENTER, leading=11),
"quote": S("quote", fontName="Helvetica-Oblique", fontSize=10,
textColor=NAVY, leading=16, alignment=TA_JUSTIFY,
leftIndent=8, rightIndent=8),
"quote_attr": S("quote_attr", fontName="Helvetica-BoldOblique",
fontSize=8.5, textColor=GOLD,
alignment=TA_RIGHT, leading=12),
}
# ═══════════════════════════════════════════════════════════════════════════════
# CUSTOM FLOWABLES (all geometry validated — NO overlapping text)
# ═══════════════════════════════════════════════════════════════════════════════
class SectionBar(Flowable):
"""Navy header bar with gold left accent. Fixed height = 28 pt."""
H = 28
def __init__(self, num, title, w=None):
Flowable.__init__(self)
self.num = num
self.title = title
self._w = w
self.height = self.H
def wrap(self, aw, ah):
self.width = self._w or aw
return self.width, self.height
def draw(self):
c = self.canv
w, h = self.width, self.height
# Navy background
c.setFillColor(NAVY)
c.roundRect(0, 0, w, h, 4, fill=1, stroke=0)
# Gold left strip
c.setFillColor(GOLD)
c.rect(0, 0, 5, h, fill=1, stroke=0)
# Round-rect overlap to keep left corners rounded with strip hidden
c.setFillColor(NAVY)
c.rect(5, 0, 6, h, fill=1, stroke=0)
# Number tag (top-right, small)
c.setFillColor(GOLD_LIGHT)
c.setFont("Helvetica-Bold", 7)
c.drawRightString(w - 8, h - 10, self.num)
# Title centred vertically
c.setFillColor(WHITE)
c.setFont("Helvetica-Bold", 13)
c.drawString(14, (h - 13) / 2, self.title)
class SubBar(Flowable):
"""Pale-blue subsection bar with teal left strip. Fixed height = 20 pt."""
H = 20
def __init__(self, title, w=None):
Flowable.__init__(self)
self.title = title
self._w = w
self.height = self.H
def wrap(self, aw, ah):
self.width = self._w or aw
return self.width, self.height
def draw(self):
c = self.canv
w, h = self.width, self.height
c.setFillColor(PALE_BLUE)
c.roundRect(0, 0, w, h, 3, fill=1, stroke=0)
c.setFillColor(TEAL)
c.rect(0, 0, 4, h, fill=1, stroke=0)
c.setFillColor(ROYAL)
c.setFont("Helvetica-Bold", 10)
# Centre text vertically: baseline at (h - 10) / 2
c.drawString(12, (h - 10) / 2, self.title)
class GoldRule(Flowable):
"""Thin gold horizontal rule."""
def __init__(self, w=None, t=1.0):
Flowable.__init__(self)
self._w = w
self.t = t
self.height = self.t + 3
def wrap(self, aw, ah):
self.width = self._w or aw
return self.width, self.height
def draw(self):
self.canv.setStrokeColor(GOLD)
self.canv.setLineWidth(self.t)
self.canv.line(0, 1, self.width, 1)
class TwoToneRule(Flowable):
"""Navy + teal two-tone divider."""
def __init__(self, w=None):
Flowable.__init__(self)
self._w = w
self.height = 3
def wrap(self, aw, ah):
self.width = self._w or aw
return self.width, self.height
def draw(self):
c = self.canv
s = self.width * 0.65
c.setLineWidth(2)
c.setStrokeColor(NAVY)
c.line(0, 1.5, s, 1.5)
c.setStrokeColor(TEAL)
c.line(s, 1.5, self.width, 1.5)
class ProfileCardCover(Flowable):
"""
Light-theme profile card for cover page.
Uses only canvas primitives — no Paragraph inside draw().
Height is computed from row count.
"""
ROW_H = 22
HEADER = 26
PAD = 10
def __init__(self, rows, w=None):
Flowable.__init__(self)
self.rows = rows # [(label, value), ...]
self._w = w
self.height = self.HEADER + self.PAD + self.ROW_H * len(rows) + self.PAD + 4
def wrap(self, aw, ah):
self.width = self._w or aw
return self.width, self.height
def draw(self):
c = self.canv
w = self.width
h = self.height
rh = self.ROW_H
hdr = self.HEADER
pad = self.PAD
# Outer card: white fill, teal border
c.setFillColor(CV_WHITE)
c.setStrokeColor(CV_BORDER)
c.setLineWidth(1.2)
c.roundRect(0, 0, w, h, 6, fill=1, stroke=1)
# Header strip (navy)
c.setFillColor(CV_NAVY)
c.roundRect(0, h - hdr, w, hdr, 6, fill=1, stroke=0)
# Square off bottom of header strip
c.setFillColor(CV_NAVY)
c.rect(0, h - hdr, w, hdr / 2, fill=1, stroke=0)
# Header text
c.setFillColor(CV_GOLD_L)
c.setFont("Helvetica-Bold", 8.5)
c.drawCentredString(w / 2, h - hdr + (hdr - 8.5) / 2, "STUDENT PROFILE")
# Gold rule under header
c.setStrokeColor(CV_GOLD)
c.setLineWidth(1)
c.line(0, h - hdr, w, h - hdr)
# Rows
y_top = h - hdr - pad
for i, (label, value) in enumerate(self.rows):
ry = y_top - (i + 1) * rh
# Alternating row background
if i % 2 == 0:
c.setFillColor(CV_LIGHT)
c.rect(1, ry, w - 2, rh, fill=1, stroke=0)
# Teal dot
dot_y = ry + rh / 2
c.setFillColor(CV_TEAL)
c.circle(10, dot_y, 2.2, fill=1, stroke=0)
# Label (left half)
c.setFillColor(CV_TEAL)
c.setFont("Helvetica-Bold", 7.5)
c.drawString(18, dot_y - 3.5, label.upper())
# Value (right half, starts at 42%)
c.setFillColor(CV_NAVY)
c.setFont("Helvetica", 9.5)
# Truncate value to fit — measure width and clip
val = value
max_w = w - w * 0.42 - 12
while c.stringWidth(val, "Helvetica", 9.5) > max_w and len(val) > 4:
val = val[:-1]
if val != value:
val = val[:-1] + "…"
c.drawString(w * 0.42, dot_y - 3.5, val)
# Row separator
c.setStrokeColor(CV_BORDER)
c.setLineWidth(0.4)
c.line(1, ry, w - 1, ry)
# Bottom gold accent line
c.setStrokeColor(CV_GOLD)
c.setLineWidth(1.5)
c.line(8, 5, w - 8, 5)
class TimelineBlock(Flowable):
"""
Three-column horizontal timeline.
All text drawn with canvas — no risk of overflow.
Fixed height = 130 pt.
"""
H = 130
def __init__(self, phases, w=None):
Flowable.__init__(self)
self.phases = phases # [(title, years, [bullet, ...]), ...]
self._w = w
self.height = self.H
def wrap(self, aw, ah):
self.width = self._w or aw
return self.width, self.height
def draw(self):
c = self.canv
n = len(self.phases)
w = self.width
cw = w / n
line_y = self.H - 24
col_colors = [NAVY, ROYAL, TEAL]
# Backbone line
c.setStrokeColor(MID_GRAY)
c.setLineWidth(1.8)
c.line(cw * 0.5, line_y, w - cw * 0.5, line_y)
for i, (title, years, bullets) in enumerate(self.phases):
cx = cw * i + cw * 0.5
col = col_colors[i % len(col_colors)]
# Node circle
c.setFillColor(col)
c.circle(cx, line_y, 13, fill=1, stroke=0)
c.setFillColor(WHITE)
c.setFont("Helvetica-Bold", 9)
c.drawCentredString(cx, line_y - 4, str(i + 1))
# Label pill above node
pill_w = cw - 16
pill_h = 19
pill_x = cx - pill_w / 2
pill_y = line_y + 17
c.setFillColor(col)
c.roundRect(pill_x, pill_y, pill_w, pill_h, 4, fill=1, stroke=0)
c.setFillColor(WHITE)
c.setFont("Helvetica-Bold", 8)
c.drawCentredString(cx, pill_y + (pill_h - 8) / 2, title)
# Years below pill
c.setFillColor(GOLD)
c.setFont("Helvetica-Bold", 7)
c.drawCentredString(cx, pill_y + pill_h + 3, years)
# Bullet points below backbone
bx = cw * i + 6
by = line_y - 22
max_bw = cw - 14
for blt in bullets[:3]:
# Dot
c.setFillColor(TEAL)
c.circle(bx + 4, by + 3, 1.8, fill=1, stroke=0)
# Text — wrap manually
c.setFillColor(DARK_GRAY)
c.setFont("Helvetica", 7.5)
words = blt.split()
line_text = ""
tx = bx + 10
for word in words:
test = (line_text + " " + word).strip()
if c.stringWidth(test, "Helvetica", 7.5) <= max_bw - 10:
line_text = test
else:
if line_text:
c.drawString(tx, by, line_text)
by -= 9
line_text = word
if line_text:
c.drawString(tx, by, line_text)
by -= 11
if by < 4:
break
class RiskRow(Flowable):
"""Single risk table row — canvas only, no text overflow."""
H = 34
def __init__(self, risk, mitigation, bg, w=None):
Flowable.__init__(self)
self.risk = risk
self.mitigation = mitigation
self.bg = bg
self._w = w
self.height = self.H
def wrap(self, aw, ah):
self.width = self._w or aw
return self.width, self.height
def draw(self):
c = self.canv
w = self.width
h = self.height
col1 = w * 0.32
# Background
c.setFillColor(self.bg)
c.rect(0, 0, w, h, fill=1, stroke=0)
# Left accent
c.setFillColor(TEAL)
c.rect(0, 0, 3, h, fill=1, stroke=0)
# Column divider
c.setStrokeColor(MID_GRAY)
c.setLineWidth(0.4)
c.line(col1, 0, col1, h)
# Bottom border
c.line(0, 0, w, 0)
# Risk label (bold, wraps in col1)
c.setFillColor(NAVY)
c.setFont("Helvetica-Bold", 8.5)
self._draw_wrapped(c, self.risk, 8, col1 - 10, h, "Helvetica-Bold", 8.5, NAVY)
# Mitigation text
c.setFillColor(DARK_GRAY)
self._draw_wrapped(c, self.mitigation, col1 + 6, w - col1 - 10, h, "Helvetica", 8, DARK_GRAY)
def _draw_wrapped(self, c, text, x, max_w, cell_h, font, size, color):
c.setFillColor(color)
c.setFont(font, size)
words = text.split()
lines = []
cur = ""
for word in words:
test = (cur + " " + word).strip()
if c.stringWidth(test, font, size) <= max_w:
cur = test
else:
if cur:
lines.append(cur)
cur = word
if cur:
lines.append(cur)
total_h = len(lines) * (size + 2)
start_y = (cell_h - total_h) / 2 + (size + 2) * (len(lines) - 1)
for ln in lines:
c.drawString(x, start_y, ln)
start_y -= (size + 2)
# ═══════════════════════════════════════════════════════════════════════════════
# PAGE CANVASES (header / footer / cover background)
# ═══════════════════════════════════════════════════════════════════════════════
def cover_canvas(c, doc):
"""Light, elegant cover page — cream/white with navy+gold accents."""
c.saveState()
w, h = A4
# ── Background: clean ivory-white ─────────────────────────────────────
c.setFillColor(CV_CREAM)
c.rect(0, 0, w, h, fill=1, stroke=0)
# ── Top hero bar (navy, tall) ──────────────────────────────────────────
hero_h = h * 0.46
c.setFillColor(CV_NAVY)
c.rect(0, h - hero_h, w, hero_h, fill=1, stroke=0)
# Teal diagonal slice at the bottom edge of hero
import math
path = c.beginPath()
path.moveTo(0, h - hero_h)
path.lineTo(w, h - hero_h)
path.lineTo(w, h - hero_h - 28)
path.lineTo(0, h - hero_h - 8)
path.close()
c.setFillColor(CV_TEAL)
c.drawPath(path, fill=1, stroke=0)
# Thin gold line above the teal slice
c.setStrokeColor(CV_GOLD_L)
c.setLineWidth(1.5)
c.line(0, h - hero_h, w, h - hero_h)
# ── Decorative circle cluster — top-right of hero ──────────────────────
ocx, ocy = w * 0.80, h - hero_h * 0.40
for r, alpha in [(110, 0.05), (80, 0.07), (52, 0.09), (28, 0.12)]:
fc = colors.Color(1, 1, 1, alpha=alpha)
c.setFillColor(fc)
c.setStrokeColor(colors.Color(1, 1, 1, alpha=0.15))
c.setLineWidth(0.7)
c.circle(ocx, ocy, r, fill=1, stroke=1)
# Bright teal centre
c.setFillColor(CV_TEAL)
c.circle(ocx, ocy, 8, fill=1, stroke=0)
# ── Subtle grid lines on hero (horizontal) ────────────────────────────
c.setStrokeColor(colors.Color(1, 1, 1, alpha=0.05))
c.setLineWidth(0.4)
for yy in range(int(h - hero_h + 20), int(h), 22):
c.line(0, yy, w, yy)
# ── University banner at very top ─────────────────────────────────────
c.setFillColor(colors.Color(0, 0, 0, alpha=0.30))
c.rect(0, h - 48, w, 48, fill=1, stroke=0)
c.setFillColor(CV_GOLD_L)
c.setFont("Helvetica-Bold", 9.5)
c.drawCentredString(w / 2, h - 22, "SHANDONG MEDICAL AND PHARMACEUTICAL UNIVERSITY")
c.setFillColor(colors.HexColor("#90BAE8"))
c.setFont("Helvetica", 8)
c.drawCentredString(w / 2, h - 36, "Faculty of Clinical Medicine · International Education Department · China")
# Gold top edge
c.setFillColor(CV_GOLD)
c.rect(0, h - 4, w, 4, fill=1, stroke=0)
# ── Bottom section: ivory/white ────────────────────────────────────────
# Subtle vertical teal accent stripe on the left edge (bottom half)
c.setFillColor(CV_TEAL)
c.rect(0, 0, 4, h - hero_h - 28, fill=1, stroke=0)
# Light geometric rectangle behind profile card area
c.setFillColor(CV_WHITE)
c.setStrokeColor(CV_BORDER)
c.setLineWidth(0.8)
c.roundRect(ML - 4, MB - 4, w - ML - MR + 8, h * 0.385, 6, fill=1, stroke=1)
# ── Gold bottom bar ────────────────────────────────────────────────────
c.setFillColor(CV_GOLD)
c.rect(0, 0, w, 4, fill=1, stroke=0)
c.setFillColor(CV_TEAL)
c.rect(0, 4, w, 2, fill=1, stroke=0)
c.restoreState()
def inner_canvas(c, doc):
"""Header + footer for all inner pages."""
c.saveState()
w, h = A4
# Header bar
c.setFillColor(NAVY)
c.rect(0, h - 28, w, 28, fill=1, stroke=0)
c.setFillColor(GOLD)
c.rect(0, h - 3, w, 3, fill=1, stroke=0)
c.setFillColor(colors.HexColor("#A8C4E8"))
c.setFont("Helvetica", 7.5)
c.drawString(ML, h - 18, "Personal Career Development Plan · Junaid Wahid · 235019015")
c.setFillColor(GOLD_LIGHT)
c.setFont("Helvetica-Bold", 7.5)
c.drawRightString(w - MR, h - 18, "Clinical Medicine · Neurosurgery")
# Footer
c.setFillColor(PALE_BLUE)
c.rect(0, 0, w, 22, fill=1, stroke=0)
c.setStrokeColor(TEAL)
c.setLineWidth(0.6)
c.line(ML, 22, w - MR, 22)
c.setFillColor(DARK_GRAY)
c.setFont("Helvetica", 7.5)
c.drawString(ML, 7, "Shandong Medical and Pharmaceutical University · May 2026")
c.setFillColor(NAVY)
c.setFont("Helvetica-Bold", 8)
c.drawRightString(w - MR, 7, f"Page {doc.page}")
c.restoreState()
# ═══════════════════════════════════════════════════════════════════════════════
# BUILD
# ═══════════════════════════════════════════════════════════════════════════════
def build():
S = styles()
cover_frame = Frame(ML, MB, BW, PAGE_H - MT - MB, id="cover",
leftPadding=0, rightPadding=0,
topPadding=0, bottomPadding=0)
inner_frame = Frame(ML, MB + 26, BW, PAGE_H - MT - MB - 26 - 28,
id="inner",
leftPadding=0, rightPadding=0,
topPadding=0, bottomPadding=0)
doc = BaseDocTemplate(
OUTPUT, pagesize=A4,
leftMargin=ML, rightMargin=MR,
topMargin=MT, bottomMargin=MB,
title="Personal Career Development Plan",
author="Junaid Wahid",
subject="Clinical Medicine – Neurosurgery Career Plan",
)
doc.addPageTemplates([
PageTemplate(id="Cover", frames=[cover_frame], onPage=cover_canvas),
PageTemplate(id="Inner", frames=[inner_frame], onPage=inner_canvas),
])
story = []
# ─────────────────────────────────────────────────────────────────────────
# COVER PAGE
# ─────────────────────────────────────────────────────────────────────────
# Push title into hero zone (top navy bar occupies top 46% of page)
# Frame starts at bottom; hero top = PAGE_H − 48(banner) − hero_h(≈387pt)
# We push down from frame top, so spacer = total frame height − hero content
# Frame top edge (from bottom) = PAGE_H - MT = 841.89 - 62.36 = 779.5
# Hero bottom (from page bottom) = PAGE_H - 48 - hero_h ≈ 841.89 - 48 - 387 = 406
# So space to push title into hero = frame_h - (frame_top - hero_bottom)
# Frame height = PAGE_H - MT - MB ≈ 779.5 - 56.7 = 722.8
# title should start near hero_bottom from frame bottom → from frame top: ~373 pt down
frame_h = PAGE_H - MT - MB
hero_h = PAGE_H * 0.46
banner = 48
# title_top_from_page_bottom ≈ PAGE_H - banner - hero_h + 20 (inside hero near bottom)
title_y_from_bottom = PAGE_H - banner - hero_h + 60
push = frame_h - (title_y_from_bottom - MB)
story.append(Spacer(1, push))
# Tag line
story.append(Paragraph("CLINICAL MEDICINE · INTERNATIONAL PROGRAM", S["cv_tag"]))
story.append(Spacer(1, 4))
# Title (light color — drawn over navy hero)
title_style = ParagraphStyle("ct2", fontName="Helvetica-Bold", fontSize=32,
textColor=WHITE, alignment=TA_LEFT,
leading=40, spaceAfter=2)
story.append(Paragraph("Personal Career", title_style))
story.append(Paragraph("Development Plan", title_style))
story.append(Spacer(1, 4))
story.append(HRFlowable(width=BW * 0.44, thickness=1.5,
color=CV_GOLD_L, hAlign="LEFT", spaceAfter=6))
sub_style = ParagraphStyle("csub2", fontName="Helvetica", fontSize=11.5,
textColor=colors.HexColor("#90C4E8"),
alignment=TA_LEFT, leading=18)
story.append(Paragraph(
"A Structured Pathway Toward Becoming a Neurosurgeon", sub_style))
# Gap between hero and profile card
story.append(Spacer(1, 28))
# Profile card (light theme)
profile_rows = [
("Student Name", "Junaid Wahid"),
("Student ID", "235019015"),
("Major / Program", "Clinical Medicine (MBBS)"),
("Academic Year", "4th Year"),
("Target Specialty", "Neurosurgery"),
("University", "Shandong Medical and Pharmaceutical University"),
("Submission Date", "24 May 2026"),
]
story.append(ProfileCardCover(profile_rows, w=BW))
# Transition to inner template
story.append(NextPageTemplate("Inner"))
story.append(PageBreak())
# ─────────────────────────────────────────────────────────────────────────
# HELPERS
# ─────────────────────────────────────────────────────────────────────────
def sec(num, title):
story.append(Spacer(1, 6))
story.append(SectionBar(num, title, w=BW))
story.append(Spacer(1, 6))
def sub(title):
story.append(Spacer(1, 5))
story.append(SubBar(title, w=BW))
story.append(Spacer(1, 5))
def body(text):
story.append(Paragraph(text, S["body"]))
def blt(text):
story.append(Paragraph(
f'<bullet><font color="#0A7EA4">•</font></bullet>{text}',
S["bullet"]))
def sp(pts=5):
story.append(Spacer(1, pts))
def rule():
story.append(GoldRule(w=BW))
story.append(Spacer(1, 4))
# ─────────────────────────────────────────────────────────────────────────
# TABLE OF CONTENTS
# ─────────────────────────────────────────────────────────────────────────
sec("", "Table of Contents")
toc_entries = [
("01", "Career Vision", "2"),
("02", "Personal Profile Summary", "2"),
("03", "Self-Assessment Analysis", "3"),
("04", "Career Environment Scan", "4"),
("05", "Goal System Construction", "5"),
("06", "Implementation Pathway Design", "6"),
("07", "Risk Management Plan", "7"),
("08", "Conclusion / Final Statement", "8"),
]
toc_subs = {
"03": ["3.1 Professional Values", "3.2 Competency Matrix", "3.3 Career Personality"],
"04": ["4.1 Target Region Landscape", "4.2 Industry Trends"],
"05": ["5.1 Short-Term Goals", "5.2 Mid-Term Goals", "5.3 Long-Term Goals"],
"06": ["6.1 Academic Preparation", "6.2 Credentialing Phase", "6.3 Specialization Phase"],
"07": ["7.1 Risk Response", "7.2 Dynamic Review"],
}
for num, title, pg in toc_entries:
row = Table(
[[
Paragraph(f'<font color="#B8922A"><b>{num}</b></font>', S["toc_main"]),
Paragraph(f'<b>{title}</b>', S["toc_main"]),
Paragraph(
'<font color="#C8D0DC">' + '.' * 55 + '</font>',
ParagraphStyle("dots", fontName="Helvetica", fontSize=9,
leading=17, textColor=MID_GRAY)),
Paragraph(f'<font color="#1A4A8A"><b>{pg}</b></font>', S["toc_pg"]),
]],
colWidths=[1.0 * cm, 8.0 * cm, None, 0.9 * cm], hAlign="LEFT"
)
row.setStyle(TableStyle([
("VALIGN", (0, 0), (-1, -1), "MIDDLE"),
("LEFTPADDING", (0, 0), (-1, -1), 2),
("RIGHTPADDING", (0, 0), (-1, -1), 2),
("TOPPADDING", (0, 0), (-1, -1), 0),
("BOTTOMPADDING",(0, 0), (-1, -1), 0),
]))
story.append(row)
if num in toc_subs:
for s_item in toc_subs[num]:
story.append(Paragraph(f"› {s_item}", S["toc_sub"]))
story.append(Spacer(1, 1))
sp(5)
story.append(TwoToneRule(w=BW))
sp(3)
story.append(Paragraph(
"Prepared as a formal academic submission — Clinical Medicine Programme, "
"Shandong Medical and Pharmaceutical University, China.", S["caption"]))
sp(8)
# ─────────────────────────────────────────────────────────────────────────
# 01 CAREER VISION
# ─────────────────────────────────────────────────────────────────────────
sec("01", "Career Vision")
body(
"The central ambition driving this plan is to become a highly competent, ethically grounded, "
"and internationally minded neurosurgeon capable of diagnosing and treating the full spectrum "
"of neurological conditions with skill, precision, and compassion. Neurosurgery sits at the "
"intersection of advanced scientific knowledge, exceptional technical skill, and profound human "
"responsibility. The long-term vision is not merely to attain a surgical qualification, but to "
"build a career defined by genuine patient service, continuous scientific engagement, and a "
"commitment to improving neurosurgical care in Pakistan and beyond.")
body(
"This vision is shaped by a belief that the best physicians remain learners throughout their "
"professional lives, holding their patients' welfare above all institutional pressures and "
"pursuing excellence not for recognition but out of a sincere duty to serve. Every stage of "
"the journey described in this document is guided by that belief.")
rule()
# ─────────────────────────────────────────────────────────────────────────
# 02 PERSONAL PROFILE SUMMARY
# ─────────────────────────────────────────────────────────────────────────
sec("02", "Personal Profile Summary")
p_data = [
["Full Name", "Junaid Wahid"],
["Student ID", "235019015"],
["Major", "Clinical Medicine (MBBS International Program)"],
["Academic Year", "Fourth Year"],
["Target Specialty", "Neurosurgery"],
["University", "Shandong Medical and Pharmaceutical University, China"],
["Core Identity", "Aspiring neurosurgeon · evidence-based clinician · cross-cultural practitioner"],
]
tbl = Table(p_data, colWidths=[4.2 * cm, BW - 4.2 * cm], hAlign="LEFT")
tbl.setStyle(TableStyle([
("FONTNAME", (0, 0), (0, -1), "Helvetica-Bold"),
("FONTNAME", (1, 0), (1, -1), "Helvetica"),
("FONTSIZE", (0, 0), (-1, -1), 9),
("LEADING", (0, 0), (-1, -1), 14),
("TEXTCOLOR", (0, 0), (0, -1), TEAL),
("TEXTCOLOR", (1, 0), (1, -1), NAVY),
("ROWBACKGROUNDS",(0, 0), (-1, -1), [PALE_BLUE, WHITE]),
("BOX", (0, 0), (-1, -1), 1, TEAL),
("INNERGRID", (0, 0), (-1, -1), 0.4, MID_GRAY),
("LEFTPADDING", (0, 0), (-1, -1), 8),
("RIGHTPADDING", (0, 0), (-1, -1), 8),
("TOPPADDING", (0, 0), (-1, -1), 5),
("BOTTOMPADDING", (0, 0), (-1, -1), 5),
("VALIGN", (0, 0), (-1, -1), "MIDDLE"),
]))
story.append(tbl)
sp(5)
rule()
# ─────────────────────────────────────────────────────────────────────────
# 03 SELF-ASSESSMENT ANALYSIS
# ─────────────────────────────────────────────────────────────────────────
sec("03", "Self-Assessment Analysis")
sub("3.1 Clarification of Professional Values")
body(
"The decision to pursue medicine arose from a deeply personal recognition of the value of "
"human life and the profound difference a skilled, caring physician can make in moments of "
"vulnerability. From early clinical exposure it became clear that medicine demands not only "
"intellectual rigour but also an enduring commitment to compassion, responsibility, and service. "
"These values were reinforced through years of academic training and cross-cultural experience "
"in China, where exposure to a high-volume, technologically advanced healthcare environment "
"broadened both clinical perspective and professional aspiration.")
body(
"Neurosurgery was identified as the preferred specialty because it combines the highest levels "
"of diagnostic precision with the most direct and consequential forms of therapeutic intervention. "
"Conditions of the brain and spinal cord affect every dimension of a patient's existence — "
"from movement and cognition to identity itself. The specialty demands lifelong learning, "
"technical refinement, and research engagement, all of which align with a deeply held "
"commitment to professional excellence.")
sub("3.2 Competency Matrix Evaluation")
comp = [
["STRENGTH AREA", "LEVEL", "NOTES"],
["Diagnostic History Taking", "Strong", "Systematic, patient-centred approach"],
["Clinical Reasoning", "Strong", "Hypothesis-driven differential thinking"],
["Emergency Judgment", "Developing", "Improving with simulation experience"],
["Medical Communication", "Strong", "Effective in English and Mandarin"],
["Cross-Cultural Adaptability","Excellent", "4 years of study in China"],
["Surgical Procedural Skills", "Early-stage","Requires structured supervised exposure"],
["Advanced Decision-Making", "Developing", "Growing through case study and mentorship"],
["Research Literacy", "Moderate", "Evidence appraisal actively developing"],
]
ct = Table(comp, colWidths=[5.6 * cm, 2.8 * cm, BW - 8.4 * cm], hAlign="LEFT")
ct.setStyle(TableStyle([
("BACKGROUND", (0, 0), (-1, 0), NAVY),
("TEXTCOLOR", (0, 0), (-1, 0), GOLD_LIGHT),
("FONTNAME", (0, 0), (-1, 0), "Helvetica-Bold"),
("FONTNAME", (0, 1), (-1, -1), "Helvetica"),
("FONTSIZE", (0, 0), (-1, -1), 8.5),
("LEADING", (0, 0), (-1, -1), 13),
("TEXTCOLOR", (0, 1), (-1, -1), DARK_GRAY),
("ROWBACKGROUNDS",(0, 1), (-1, -1), [WHITE, PALE_BLUE]),
("BOX", (0, 0), (-1, -1), 1, NAVY),
("INNERGRID", (0, 0), (-1, -1), 0.4, MID_GRAY),
("LEFTPADDING", (0, 0), (-1, -1), 7),
("RIGHTPADDING", (0, 0), (-1, -1), 7),
("TOPPADDING", (0, 0), (-1, -1), 4),
("BOTTOMPADDING", (0, 0), (-1, -1), 4),
("VALIGN", (0, 0), (-1, -1), "MIDDLE"),
]))
story.append(ct)
sub("3.3 Career Personality Positioning")
body(
"Using the Holland Occupational Codes (RIASEC) framework, the dominant profile is "
"<b>Investigative (I), Realistic (R), and Social (S)</b>. The Investigative dimension "
"reflects an inherent drive to analyse and understand complex systems — directly applicable "
"to the diagnostic reasoning demands of neurosurgery. The Realistic dimension captures a "
"preference for concrete, hands-on problem-solving and technical mastery, aligning closely "
"with the procedural nature of surgical practice. The Social dimension reflects a genuine "
"orientation toward patient care and the relational dimensions of medicine that remain "
"essential even in highly technical specialties.")
sp(5)
rule()
# ─────────────────────────────────────────────────────────────────────────
# 04 CAREER ENVIRONMENT SCAN
# ─────────────────────────────────────────────────────────────────────────
sec("04", "Career Environment Scan")
sub("4.1 Target Region Practice Landscape")
body(
"Upon completion of the MBBS programme the plan is to return to Pakistan, where both a "
"significant need for well-trained neurosurgical specialists and a structured specialist "
"training pathway exist. The first mandatory step is passing the <b>PMDC licensing "
"examination</b> for registration as a medical practitioner. The primary specialist route "
"is the <b>FCPS in Neurosurgery</b> through the College of Physicians and Surgeons Pakistan, "
"involving a multi-year accredited residency. Parallel international options — <b>USMLE</b> "
"(USA), <b>PLAB</b> (UK), and <b>AMC</b> (Australia) — will remain under active "
"consideration to ensure flexibility in the face of policy or capacity changes.")
sub("4.2 Industry Trend Analysis")
body("Modern neurosurgery is being reshaped by several converging forces that new surgeons must engage with from day one:")
blt("AI-assisted neuroimaging analysis, tumour segmentation, and preoperative surgical planning")
blt("High-resolution modalities: functional MRI, diffusion tensor imaging, and intraoperative neuronavigation")
blt("Minimally invasive and endoscopic neurosurgical techniques requiring refined training beyond open surgery")
blt("Wearable and implantable monitoring technologies for postoperative surveillance and remote management")
blt("A global shift toward evidence-based medicine requiring critical engagement with primary literature")
body(
"These trends reinforce the need for a modern neurosurgeon to be technically literate, "
"data-informed, and research-engaged. Continuous professional development is non-negotiable.")
sp(5)
rule()
# ─────────────────────────────────────────────────────────────────────────
# 05 GOAL SYSTEM CONSTRUCTION
# ─────────────────────────────────────────────────────────────────────────
sec("05", "Goal System Construction")
tl_phases = [
("SHORT-TERM", "Before Graduation",
["Strengthen core clinical knowledge", "Master case presentation", "Complete case reports"]),
("MID-TERM", "1–5 Yrs Post-Grad",
["Pass PMDC / FCPS Part I", "Enter specialist training", "Engage in research"]),
("LONG-TERM", "5–10 Yrs Post-Grad",
["Qualify as neurosurgeon", "Serve patients in Pakistan", "Build collaborations"]),
]
story.append(TimelineBlock(tl_phases, w=BW))
sp(8)
sub("5.1 Short-Term Goals: Before Graduation")
blt("Achieve thorough command of core clinical subjects with depth in neurology, anatomy, and pharmacology")
blt("Develop proficiency in structured case presentation, history taking, and clinical reasoning")
blt("Complete at least two substantive case reports to build research writing skills")
blt("Strengthen English academic reading and medical communication for international engagement")
blt("Begin preparatory review of FCPS Part I content and USMLE Step 1 foundations")
blt("Seek mentorship from attending physicians with surgical or neurology experience")
sub("5.2 Mid-Term Goals: Five Years After Graduation")
blt("Successfully complete the PMDC licensing examination and secure full registration")
blt("Enter and progress through a recognised FCPS neurosurgery training programme")
blt("Build surgical discipline through structured exposure to operative neurosurgery under supervision")
blt("Participate in clinical research and contribute to at least one peer-reviewed publication")
blt("Attend national and international conferences to build networks and academic awareness")
sub("5.3 Long-Term Goals: Ten Years After Graduation")
blt("Attain full qualification as a Fellow in Neurosurgery (FCPS or equivalent international fellowship)")
blt("Establish an independent clinical practice providing high-quality neurosurgical care in Pakistan")
blt("Contribute to neurosurgical standards through research, teaching, and institutional engagement")
blt("Build cross-border professional collaborations — particularly with institutions in China")
blt("Serve as a mentor and educator for the next generation of surgical trainees")
sp(5)
rule()
# ─────────────────────────────────────────────────────────────────────────
# 06 IMPLEMENTATION PATHWAY DESIGN
# ─────────────────────────────────────────────────────────────────────────
sec("06", "Implementation Pathway Design")
sub("6.1 Academic Preparation Phase: During Studies (2024–2026)")
body(
"A structured study programme will address one identified weakness each semester, ensuring "
"continuous measurable progress. Priority areas include surgical anatomy, ECG interpretation, "
"emergency medicine principles, and structured case analysis. Mentorship from attending "
"physicians and senior residents will supplement formal curriculum delivery.")
blt("Deep review of neuroanatomy, spinal column structure, and cranial nerve pathways")
blt("Emergency medicine: airway management, resuscitation protocols, and trauma response")
blt("Active engagement with research methodology to build postgraduate research capacity")
sub("6.2 Credentialing Phase: One to Two Years After Graduation (2026–2028)")
body(
"A structured daily study system will be established from the final months of the "
"undergraduate programme, ensuring no gap between graduation and active licensing preparation.")
blt("Systematic PMDC exam preparation using approved study guides, past papers, and case banks")
blt("Preparation of all documentation: transcripts, internship certifications, reference letters")
blt("Parallel study of FCPS Part I content to reduce time to specialist training entry")
blt("Maintenance of USMLE Step 1 preparation as a contingency international pathway")
sub("6.3 Specialization Phase: Three to Five Years After Graduation (2028–2031)")
body(
"This phase marks the transition from licensed practitioner to surgical trainee and demands "
"the greatest investment of focus and commitment.")
blt("Comprehensive theoretical foundation in neurosurgical pathology, neuroradiology, and operative principles")
blt("Structured operative exposure through supervised participation in progressively complex procedures")
blt("Workshops, cadaveric dissection courses, and simulation training programmes")
blt("Potential international elective placements at neurosurgical centres of excellence")
blt("Original research project appropriate for publication in a peer-reviewed surgical journal")
sp(5)
rule()
# ─────────────────────────────────────────────────────────────────────────
# 07 RISK MANAGEMENT PLAN
# ─────────────────────────────────────────────────────────────────────────
sec("07", "Risk Management Plan")
sub("7.1 Major Risk Response")
# Risk table header
hdr = Table(
[[Paragraph("<b>RISK FACTOR</b>", ParagraphStyle("rh", fontName="Helvetica-Bold",
fontSize=8.5, textColor=GOLD_LIGHT, leading=12)),
Paragraph("<b>MITIGATION STRATEGY</b>", ParagraphStyle("rh2", fontName="Helvetica-Bold",
fontSize=8.5, textColor=GOLD_LIGHT, leading=12))]],
colWidths=[BW * 0.32, BW * 0.68], hAlign="LEFT"
)
hdr.setStyle(TableStyle([
("BACKGROUND", (0, 0), (-1, -1), NAVY),
("LEFTPADDING", (0, 0), (-1, -1), 8),
("RIGHTPADDING", (0, 0), (-1, -1), 8),
("TOPPADDING", (0, 0), (-1, -1), 5),
("BOTTOMPADDING", (0, 0), (-1, -1), 5),
("VALIGN", (0, 0), (-1, -1), "MIDDLE"),
]))
story.append(hdr)
risk_rows = [
("Licensing Exam Failure",
"Allocate 3–6 months extra preparation; maintain financial planning; consider transitional clinical/research roles.",
PALE_BLUE),
("Policy or Visa Changes",
"Maintain two parallel pathways (PMDC + USMLE or PLAB); keep documentation current for multiple jurisdictions.",
WHITE),
("Burnout & Mental Health",
"Implement structured rest cycles; maintain physical activity and social connection; seek formal support early.",
PALE_BLUE),
("Limited Training Positions",
"Build professional network early; apply to multiple institutions; consider fellowship opportunities abroad.",
WHITE),
("Financial Constraints",
"Research scholarships and bursaries proactively; plan finances before graduation; explore employer-sponsored training.",
PALE_BLUE),
("Technology Skill Gap",
"Pursue self-directed digital learning; seek neuronavigation and imaging software training during residency.",
WHITE),
]
for risk, mit, bg in risk_rows:
story.append(RiskRow(risk, mit, bg, w=BW))
# Bottom border of table
story.append(HRFlowable(width=BW, thickness=0.8, color=NAVY,
hAlign="LEFT", spaceAfter=6))
sub("7.2 Dynamic Evaluation Mechanism")
body(
"A career plan of this scope requires disciplined ongoing review. Rigid adherence to a fixed "
"plan in the face of changing circumstances would be counterproductive; the plan must respond "
"intelligently to new information and evolving conditions.")
eval_data = [
["FREQUENCY", "FOCUS AREA", "KEY ACTIONS"],
["Quarterly", "Goal progress", "Track milestones; identify gaps; adjust study schedule"],
["Annual", "Full plan review", "Revise with mentor; update pathways; reset timelines"],
["Post-Exam", "Results analysis", "Identify weak areas; plan targeted remediation"],
["Transitions", "Strategic realign", "Consult senior advisors; reassess international options"],
]
et = Table(eval_data, colWidths=[3.5 * cm, 3.8 * cm, BW - 7.3 * cm], hAlign="LEFT")
et.setStyle(TableStyle([
("BACKGROUND", (0, 0), (-1, 0), ROYAL),
("TEXTCOLOR", (0, 0), (-1, 0), WHITE),
("FONTNAME", (0, 0), (-1, 0), "Helvetica-Bold"),
("FONTNAME", (0, 1), (-1, -1), "Helvetica"),
("FONTSIZE", (0, 0), (-1, -1), 8.5),
("LEADING", (0, 0), (-1, -1), 13),
("TEXTCOLOR", (0, 1), (-1, -1), DARK_GRAY),
("ROWBACKGROUNDS",(0, 1), (-1, -1), [WHITE, PALE_BLUE]),
("BOX", (0, 0), (-1, -1), 1, ROYAL),
("INNERGRID", (0, 0), (-1, -1), 0.4, MID_GRAY),
("LEFTPADDING", (0, 0), (-1, -1), 7),
("RIGHTPADDING", (0, 0), (-1, -1), 7),
("TOPPADDING", (0, 0), (-1, -1), 4),
("BOTTOMPADDING", (0, 0), (-1, -1), 4),
("VALIGN", (0, 0), (-1, -1), "MIDDLE"),
]))
story.append(et)
sp(5)
rule()
# ─────────────────────────────────────────────────────────────────────────
# 08 CONCLUSION
# ─────────────────────────────────────────────────────────────────────────
sec("08", "Conclusion / Final Statement")
body(
"This career development plan has been constructed with care, honesty, and a genuine sense "
"of long-term purpose. It is grounded in a clear professional vision, supported by an honest "
"assessment of current capabilities, informed by an understanding of the clinical environment, "
"and organised around a realistic and achievable sequence of goals.")
body(
"Becoming a neurosurgeon is one of the most demanding ambitions a medical student can hold. "
"It requires years of rigorous academic preparation, sustained surgical training, and the "
"personal discipline that does not waver under pressure or fatigue. It requires, above all, "
"an unwavering commitment to the patient, whose life may depend on the quality of judgment "
"exercised in the operating theatre. That responsibility is understood, and it is embraced.")
body(
"The academic formation received at Shandong Medical and Pharmaceutical University, combined "
"with the cross-cultural experience of studying in China, has laid a strong foundation for "
"the career described in this document. The years ahead will demand more — but the direction "
"is clear, the commitment is firm, and the motivation is genuine.")
sp(6)
# Quote box using Table (safe — no custom Flowable)
qt = Table(
[[Paragraph(
'"The practice of medicine is an art, not a trade; a calling, not a business; '
'a calling in which your heart will be exercised equally with your head."',
S["quote"])]],
colWidths=[BW], hAlign="LEFT"
)
qt.setStyle(TableStyle([
("BACKGROUND", (0, 0), (-1, -1), PALE_BLUE),
("BOX", (0, 0), (-1, -1), 1.5, GOLD),
("LEFTPADDING", (0, 0), (-1, -1), 14),
("RIGHTPADDING", (0, 0), (-1, -1), 14),
("TOPPADDING", (0, 0), (-1, -1), 10),
("BOTTOMPADDING", (0, 0), (-1, -1), 10),
]))
story.append(qt)
sp(3)
story.append(Paragraph("— Sir William Osler", S["quote_attr"]))
sp(8)
story.append(GoldRule(w=BW))
sp(5)
# Signature row
sig = Table(
[[
Paragraph("<b>Student:</b> Junaid Wahid", S["body"]),
Paragraph("<b>ID:</b> 235019015", S["body"]),
Paragraph("<b>Date:</b> 24 May 2026", S["body"]),
]],
colWidths=[BW / 3] * 3, hAlign="LEFT"
)
sig.setStyle(TableStyle([
("VALIGN", (0, 0), (-1, -1), "TOP"),
("LEFTPADDING", (0, 0), (-1, -1), 0),
("RIGHTPADDING", (0, 0), (-1, -1), 6),
]))
story.append(sig)
sp(3)
story.append(Paragraph(
"Submitted in partial fulfilment of the career development requirements — "
"Clinical Medicine Programme, Shandong Medical and Pharmaceutical University, China.",
S["caption"]))
# ─────────────────────────────────────────────────────────────────────────
doc.build(story)
size = os.path.getsize(OUTPUT)
print(f"✓ PDF saved → {OUTPUT}")
print(f" Size: {size:,} bytes")
if __name__ == "__main__":
build()
cat > /home/daytona/workspace/career-plan/build_pdf.py << 'PYEOF' #!/usr/bin/env python3 """ Premium Personal Career Development Plan PDF – Final Version Junaid Wahid · Clinical Medicine · Shandong Medical and Pharmaceutical University """ from reportlab.lib.pagesizes import A4 from reportlab.lib import colors from reportlab.lib.units import cm from reportlab.lib.styles import ParagraphStyle from reportlab.lib.enums import TA_LEFT, TA_CENTER, TA_RIGHT, TA_JUSTIFY from reportlab.platypus import ( BaseDocTemplate, PageTemplate, Frame, Paragraph, Spacer, Table, TableStyle, HRFlowable, PageBreak, KeepTogether, NextPageTemplate ) from reportlab.platypus.flowables import Flowable import os # ─── COLORS ─────────────────────────────────────────────────────────────────── NAVY = colors.HexColor("#0D1B3E") ROYAL = colors.HexColor("#1A4A8A") TEAL = colors.HexColor("#0A7EA4") GOLD = colors.HexColor("#B8922A") GOLD_LIGHT = colors.HexColor("#D4AF37") WHITE = colors.white MID_GRAY = colors.HexColor("#C8D0DC") DARK_GRAY = colors.HexColor("#4A5568") PALE_BLUE = colors.HexColor("#EBF1FA") CV_CREAM = colors.HexColor("#F7F4EF") CV_WHITE = colors.HexColor("#FFFFFF") CV_LIGHT = colors.HexColor("#EDF2FA") CV_NAVY = colors.HexColor("#0D1B3E") CV_TEAL = colors.HexColor("#0A7EA4") CV_GOLD = colors.HexColor("#B8922A") CV_GOLD_L = colors.HexColor("#D4AF37") CV_STEEL = colors.HexColor("#5A7BAA") CV_BORDER = colors.HexColor("#CBD8EC") # ─── LAYOUT ─────────────────────────────────────────────────────────────────── PAGE_W, PAGE_H = A4 ML = 2.0 * cm MR = 2.0 * cm MT = 2.2 * cm MB = 2.0 * cm BW = PAGE_W - ML - MR OUTPUT = "/home/daytona/workspace/career-plan/Junaid_Wahid_Career_Development_Plan.pdf" # ─── STYLES ─────────────────────────────────────────────────────────────────── def mk_styles(): def S(n, **kw): return ParagraphStyle(n, **kw) return { "toc_main": S("toc_main", fontName="Helvetica-Bold", fontSize=10.5, textColor=NAVY, leading=17, spaceAfter=1), "toc_sub": S("toc_sub", fontName="Helvetica", fontSize=9, textColor=DARK_GRAY, leading=13, leftIndent=16, spaceAfter=1), "toc_pg": S("toc_pg", fontName="Helvetica-Bold", fontSize=10, textColor=ROYAL, alignment=TA_RIGHT, leading=17), "body": S("body", fontName="Helvetica", fontSize=9.5, textColor=DARK_GRAY, leading=15, alignment=TA_JUSTIFY, spaceAfter=5), "bullet": S("bullet", fontName="Helvetica", fontSize=9.5, textColor=DARK_GRAY, leading=14, leftIndent=14, spaceAfter=2), "caption": S("caption", fontName="Helvetica-Oblique", fontSize=8, textColor=colors.HexColor("#8896A8"), alignment=TA_CENTER, leading=11), "quote": S("quote", fontName="Helvetica-Oblique", fontSize=10, textColor=NAVY, leading=16, alignment=TA_JUSTIFY, leftIndent=8, rightIndent=8), "q_attr": S("q_attr", fontName="Helvetica-BoldOblique", fontSize=8.5, textColor=GOLD, alignment=TA_RIGHT, leading=12), } # ─── FLOWABLES ──────────────────────────────────────────────────────────────── class SectionBar(Flowable): H = 28 def __init__(self, num, title, w=None): Flowable.__init__(self) self.num, self.title, self._w = num, title, w self.height = self.H def wrap(self, aw, ah): self.width = self._w or aw return self.width, self.height def draw(self): c = self.canv w, h = self.width, self.height c.setFillColor(NAVY) c.roundRect(0, 0, w, h, 4, fill=1, stroke=0) c.setFillColor(GOLD) c.rect(0, 0, 5, h, fill=1, stroke=0) c.setFillColor(NAVY) c.rect(5, 0, 4, h, fill=1, stroke=0) if self.num: c.setFillColor(GOLD_LIGHT) c.setFont("Helvetica-Bold", 7) c.drawRightString(w - 8, h - 10, self.num) c.setFillColor(WHITE) c.setFont("Helvetica-Bold", 13) c.drawString(14, (h - 13) // 2, self.title) class SubBar(Flowable): H = 20 def __init__(self, title, w=None): Flowable.__init__(self) self.title, self._w = title, w self.height = self.H def wrap(self, aw, ah): self.width = self._w or aw return self.width, self.height def draw(self): c = self.canv w, h = self.width, self.height c.setFillColor(PALE_BLUE) c.roundRect(0, 0, w, h, 3, fill=1, stroke=0) c.setFillColor(TEAL) c.rect(0, 0, 4, h, fill=1, stroke=0) c.setFillColor(ROYAL) c.setFont("Helvetica-Bold", 10) c.drawString(12, (h - 10) // 2, self.title) class GoldRule(Flowable): def __init__(self, w=None, t=1.0): Flowable.__init__(self) self._w, self.t = w, t self.height = self.t + 3 def wrap(self, aw, ah): self.width = self._w or aw return self.width, self.height def draw(self): self.canv.setStrokeColor(GOLD) self.canv.setLineWidth(self.t) self.canv.line(0, 1, self.width, 1) class TwoToneRule(Flowable): def __init__(self, w=None): Flowable.__init__(self) self._w = w self.height = 3 def wrap(self, aw, ah): self.width = self._w or aw return self.width, self.height def draw(self): c = self.canv s = self.width * 0.65 c.setLineWidth(2) c.setStrokeColor(NAVY); c.line(0, 1.5, s, 1.5) c.setStrokeColor(TEAL); c.line(s, 1.5, self.width, 1.5) class ProfileCardCover(Flowable): ROW_H = 22; HEADER = 26; PAD = 8 def __init__(self, rows, w=None): Flowable.__init__(self) self.rows, self._w = rows, w self.height = self.HEADER + self.PAD + self.ROW_H * len(rows) + self.PAD + 4 def wrap(self, aw, ah): self.width = self._w or aw return self.width, self.height def draw(self): c = self.canv w, h = self.width, self.height rh, hdr, pad = self.ROW_H, self.HEADER, self.PAD # Card bg c.setFillColor(CV_WHITE) c.setStrokeColor(CV_BORDER) c.setLineWidth(1.2) c.roundRect(0, 0, w, h, 6, fill=1, stroke=1) # Header c.setFillColor(CV_NAVY) c.roundRect(0, h - hdr, w, hdr, 6, fill=1, stroke=0) c.setFillColor(CV_NAVY) c.rect(0, h - hdr, w, hdr // 2, fill=1, stroke=0) c.setFillColor(CV_GOLD_L) c.setFont("Helvetica-Bold", 8.5) c.drawCentredString(w / 2, h - hdr + (hdr - 8) // 2, "STUDENT PROFILE") c.setStrokeColor(CV_GOLD) c.setLineWidth(1) c.line(0, h - hdr, w, h - hdr) # Rows y_top = h - hdr - pad for i, (label, value) in enumerate(self.rows): ry = y_top - (i + 1) * rh if i % 2 == 0: c.setFillColor(CV_LIGHT) c.rect(1, ry, w - 2, rh, fill=1, stroke=0) dot_y = ry + rh / 2 c.setFillColor(CV_TEAL) c.circle(10, dot_y, 2.2, fill=1, stroke=0) c.setFillColor(CV_TEAL) c.setFont("Helvetica-Bold", 7.5) c.drawString(18, dot_y - 3.5, label.upper()) c.setFillColor(CV_NAVY) c.setFont("Helvetica", 9.5) max_w = w - w * 0.42 - 12 val = value while c.stringWidth(val, "Helvetica", 9.5) > max_w and len(val) > 4: val = val[:-1] if val != value: val = val[:-3] + "..." c.drawString(w * 0.42, dot_y - 3.5, val) c.setStrokeColor(CV_BORDER) c.setLineWidth(0.4) c.line(1, ry, w - 1, ry) c.setStrokeColor(CV_GOLD) c.setLineWidth(1.5) c.line(8, 5, w - 8, 5) class TimelineBlock(Flowable): H = 125 def __init__(self, phases, w=None): Flowable.__init__(self) self.phases, self._w = phases, w self.height = self.H def wrap(self, aw, ah): self.width = self._w or aw return self.width, self.height def draw(self): c = self.canv n, w = len(self.phases), self.width cw = w / n line_y = self.H - 22 cols = [NAVY, ROYAL, TEAL] c.setStrokeColor(MID_GRAY) c.setLineWidth(1.8) c.line(cw * 0.5, line_y, w - cw * 0.5, line_y) for i, (title, years, bullets) in enumerate(self.phases): cx = cw * i + cw * 0.5 col = cols[i % len(cols)] # Node c.setFillColor(col); c.circle(cx, line_y, 12, fill=1, stroke=0) c.setFillColor(WHITE); c.setFont("Helvetica-Bold", 9) c.drawCentredString(cx, line_y - 4, str(i + 1)) # Label pill above pw, ph2 = cw - 18, 18 px = cx - pw / 2 py = line_y + 15 c.setFillColor(col) c.roundRect(px, py, pw, ph2, 4, fill=1, stroke=0) c.setFillColor(WHITE); c.setFont("Helvetica-Bold", 7.5) c.drawCentredString(cx, py + (ph2 - 8) // 2, title) # Years c.setFillColor(GOLD); c.setFont("Helvetica-Bold", 6.5) c.drawCentredString(cx, py + ph2 + 2, years) # Bullets below bx = cw * i + 5 by = line_y - 20 mw = cw - 12 for blt_txt in bullets[:3]: c.setFillColor(TEAL) c.circle(bx + 4, by + 3, 1.6, fill=1, stroke=0) c.setFillColor(DARK_GRAY); c.setFont("Helvetica", 7.2) words = blt_txt.split() ln = "" tx = bx + 10 for word in words: test = (ln + " " + word).strip() if c.stringWidth(test, "Helvetica", 7.2) <= mw - 10: ln = test else: if ln: c.drawString(tx, by, ln); by -= 9 ln = word if ln: c.drawString(tx, by, ln) by -= 11 if by < 4: break class RiskRow(Flowable): H = 32 def __init__(self, risk, mit, bg, w=None): Flowable.__init__(self) self.risk, self.mit, self.bg, self._w = risk, mit, bg, w self.height = self.H def wrap(self, aw, ah): self.width = self._w or aw return self.width, self.height def draw(self): c = self.canv w, h = self.width, self.height c1 = w * 0.32 c.setFillColor(self.bg); c.rect(0, 0, w, h, fill=1, stroke=0) c.setFillColor(TEAL); c.rect(0, 0, 3, h, fill=1, stroke=0) c.setStrokeColor(MID_GRAY); c.setLineWidth(0.4) c.line(c1, 0, c1, h); c.line(0, 0, w, 0) def draw_wrapped(text, x, max_w, fn, fs, col): c.setFillColor(col); c.setFont(fn, fs) words = text.split() lines = []; cur = "" for wd in words: test = (cur + " " + wd).strip() if c.stringWidth(test, fn, fs) <= max_w: cur = test else: if cur: lines.append(cur) cur = wd if cur: lines.append(cur) tot = len(lines) * (fs + 2) sy = (h - tot) / 2 + (fs + 2) * (len(lines) - 1) for ln in lines: c.drawString(x, sy, ln); sy -= (fs + 2) draw_wrapped(self.risk, 8, c1 - 10, "Helvetica-Bold", 8, NAVY) draw_wrapped(self.mit, c1+6, w-c1-10, "Helvetica", 7.8, DARK_GRAY) # ─── PAGE CANVASES ──────────────────────────────────────────────────────────── def cover_canvas(c, doc): c.saveState() w, h = A4 # Ivory-white full background c.setFillColor(CV_CREAM) c.rect(0, 0, w, h, fill=1, stroke=0) # Navy hero top panel hero_h = h * 0.47 c.setFillColor(CV_NAVY) c.rect(0, h - hero_h, w, hero_h, fill=1, stroke=0) # Teal angled slice at hero bottom edge path = c.beginPath() path.moveTo(0, h - hero_h) path.lineTo(w, h - hero_h) path.lineTo(w, h - hero_h - 24) path.lineTo(0, h - hero_h - 10) path.close() c.setFillColor(CV_TEAL) c.drawPath(path, fill=1, stroke=0) # Gold rule above teal slice c.setStrokeColor(CV_GOLD_L) c.setLineWidth(1.5) c.line(0, h - hero_h, w, h - hero_h) # Subtle horizontal rule lines on hero c.setStrokeColor(colors.Color(1, 1, 1, alpha=0.04)) c.setLineWidth(0.3) for yy in range(int(h - hero_h + 18), int(h - 48), 20): c.line(0, yy, w, yy) # Concentric circle motif — top-right hero ocx, ocy = w * 0.78, h - hero_h * 0.45 for r, al in [(105, 0.04), (76, 0.06), (50, 0.09), (28, 0.13)]: c.setFillColor(colors.Color(1, 1, 1, alpha=al)) c.setStrokeColor(colors.Color(1, 1, 1, alpha=0.12)) c.setLineWidth(0.6) c.circle(ocx, ocy, r, fill=1, stroke=1) c.setFillColor(CV_TEAL) c.circle(ocx, ocy, 7, fill=1, stroke=0) c.setFillColor(WHITE) c.setFont("Helvetica-Bold", 6) c.drawCentredString(ocx, ocy - 2.5, "+") # University banner at very top c.setFillColor(colors.Color(0, 0, 0, alpha=0.28)) c.rect(0, h - 46, w, 46, fill=1, stroke=0) c.setFillColor(CV_GOLD_L) c.setFont("Helvetica-Bold", 9.5) c.drawCentredString(w / 2, h - 20, "SHANDONG MEDICAL AND PHARMACEUTICAL UNIVERSITY") c.setFillColor(colors.HexColor("#90BAE8")) c.setFont("Helvetica", 8) c.drawCentredString(w / 2, h - 34, "Faculty of Clinical Medicine · International Education Department · China") # Gold top trim c.setFillColor(CV_GOLD) c.rect(0, h - 3, w, 3, fill=1, stroke=0) # Left teal vertical accent strip (lower half only) lower_top = h - hero_h - 34 c.setFillColor(CV_TEAL) c.rect(0, MB - 4, 4, lower_top - MB + 4, fill=1, stroke=0) # White card area behind profile card card_h = ProfileCardCover.ROW_H * 7 + ProfileCardCover.HEADER + ProfileCardCover.PAD * 2 + 4 card_y = MB - 4 c.setFillColor(CV_WHITE) c.setStrokeColor(CV_BORDER) c.setLineWidth(0.8) c.roundRect(ML - 4, card_y, w - ML - MR + 8, card_h + 6, 6, fill=1, stroke=1) # Gold bottom trim c.setFillColor(CV_GOLD) c.rect(0, 0, w, 4, fill=1, stroke=0) c.setFillColor(CV_TEAL) c.rect(0, 4, w, 2, fill=1, stroke=0) c.restoreState() def inner_canvas(c, doc): c.saveState() w, h = A4 # Header c.setFillColor(NAVY) c.rect(0, h - 28, w, 28, fill=1, stroke=0) c.setFillColor(GOLD) c.rect(0, h - 3, w, 3, fill=1, stroke=0) c.setFillColor(colors.HexColor("#A8C4E8")) c.setFont("Helvetica", 7.5) c.drawString(ML, h - 18, "Personal Career Development Plan · Junaid Wahid · 235019015") c.setFillColor(GOLD_LIGHT) c.setFont("Helvetica-Bold", 7.5) c.drawRightString(w - MR, h - 18, "Clinical Medicine · Neurosurgery") # Footer c.setFillColor(PALE_BLUE) c.rect(0, 0, w, 22, fill=1, stroke=0) c.setStrokeColor(TEAL) c.setLineWidth(0.6) c.line(ML, 22, w - MR, 22) c.setFillColor(DARK_GRAY) c.setFont("Helvetica", 7.5) c.drawString(ML, 7, "Shandong Medical and Pharmaceutical University · May 2026") c.setFillColor(NAVY) c.setFont("Helvetica-Bold", 8) c.drawRightString(w - MR, 7, f"Page {doc.page}") c.restoreState() # ─── MAIN BUILD ─────────────────────────────────────────────────────────────── def build(): S = mk_styles() cover_frame = Frame(ML, MB, BW, PAGE_H - MT - MB, id="cover", leftPadding=0, rightPadding=0, topPadding=0, bottomPadding=0) inner_frame = Frame(ML, MB + 26, BW, PAGE_H - MT - MB - 54, id="inner", leftPadding=0, rightPadding=0, topPadding=0, bottomPadding=0) doc = BaseDocTemplate( OUTPUT, pagesize=A4, leftMargin=ML, rightMargin=MR, topMargin=MT, bottomMargin=MB, title="Personal Career Development Plan", author="Junaid Wahid", subject="Clinical Medicine – Neurosurgery Career Plan", ) doc.addPageTemplates([ PageTemplate(id="Cover", frames=[cover_frame], onPage=cover_canvas), PageTemplate(id="Inner", frames=[inner_frame], onPage=inner_canvas), ]) story = [] # ── COVER ──────────────────────────────────────────────────────────────── # Frame total height = PAGE_H - MT - MB ≈ 722 pt # Hero bottom from page bottom = PAGE_H - hero_h - 34 (teal slice) = 841.89 - 395.7 - 34 ≈ 412 # We want title ~60 pt above hero bottom = 472 from page bottom # From frame bottom (= MB = 56.7): 472 - 56.7 = 415 # Push from top: 722 - 415 = 307 push_to_title = (PAGE_H - MT - MB) - (PAGE_H - PAGE_H*0.47 - 34 + 60 - MB) story.append(Spacer(1, max(push_to_title, 10))) tag_st = ParagraphStyle("tag", fontName="Helvetica-Bold", fontSize=7.5, textColor=CV_TEAL, letterSpacing=2, leading=12, spaceAfter=4) story.append(Paragraph("CLINICAL MEDICINE · INTERNATIONAL PROGRAM", tag_st)) story.append(Spacer(1, 4)) t_st = ParagraphStyle("ct", fontName="Helvetica-Bold", fontSize=31, textColor=WHITE, alignment=TA_LEFT, leading=39, spaceAfter=2) story.append(Paragraph("Personal Career", t_st)) story.append(Paragraph("Development Plan", t_st)) story.append(Spacer(1, 5)) story.append(HRFlowable(width=BW * 0.44, thickness=1.5, color=CV_GOLD_L, hAlign="LEFT", spaceAfter=6)) sub_st = ParagraphStyle("cs", fontName="Helvetica", fontSize=11, textColor=colors.HexColor("#90C4E8"), alignment=TA_LEFT, leading=17) story.append(Paragraph("A Structured Pathway Toward Becoming a Neurosurgeon", sub_st)) story.append(Spacer(1, 24)) profile_rows = [ ("Student Name", "Junaid Wahid"), ("Student ID", "235019015"), ("Major / Program", "Clinical Medicine (MBBS)"), ("Academic Year", "4th Year"), ("Target Specialty","Neurosurgery"), ("University", "Shandong Medical and Pharmaceutical University"), ("Submission Date", "24 May 2026"), ] story.append(ProfileCardCover(profile_rows, w=BW)) story.append(NextPageTemplate("Inner")) story.append(PageBreak()) # ── HELPERS ────────────────────────────────────────────────────────────── def sec(num, title): story.append(Spacer(1, 5)) story.append(SectionBar(num, title, w=BW)) story.append(Spacer(1, 5)) def sub(title): story.append(Spacer(1, 4)) story.append(SubBar(title, w=BW)) story.append(Spacer(1, 4)) def body(txt): story.append(Paragraph(txt, S["body"])) def blt(txt): story.append(Paragraph( f'<bullet><font color="#0A7EA4">•</font></bullet>{txt}', S["bullet"])) def sp(p=5): story.append(Spacer(1, p)) def rule(): story.append(GoldRule(w=BW)) story.append(Spacer(1, 4)) # ── TABLE OF CONTENTS ──────────────────────────────────────────────────── sec("", "Table of Contents") toc_data = [ ("01","Career Vision","2"), ("02","Personal Profile Summary","2"), ("03","Self-Assessment Analysis","3"), ("04","Career Environment Scan","4"), ("05","Goal System Construction","5"), ("06","Implementation Pathway Design","6"), ("07","Risk Management Plan","7"), ("08","Conclusion / Final Statement","8"), ] toc_subs = { "03": ["3.1 Professional Values","3.2 Competency Matrix","3.3 Career Personality"], "04": ["4.1 Target Region Landscape","4.2 Industry Trends"], "05": ["5.1 Short-Term Goals","5.2 Mid-Term Goals","5.3 Long-Term Goals"], "06": ["6.1 Academic Preparation","6.2 Credentialing Phase","6.3 Specialization Phase"], "07": ["7.1 Risk Response","7.2 Dynamic Review"], } dot_st = ParagraphStyle("dots", fontName="Helvetica", fontSize=9, leading=17, textColor=MID_GRAY) for num, title, pg in toc_data: row = Table([[ Paragraph(f'<font color="#B8922A"><b>{num}</b></font>', S["toc_main"]), Paragraph(f'<b>{title}</b>', S["toc_main"]), Paragraph('<font color="#C8D0DC">' + '.'*55 + '</font>', dot_st), Paragraph(f'<font color="#1A4A8A"><b>{pg}</b></font>', S["toc_pg"]), ]], colWidths=[1.0*cm, 7.8*cm, None, 0.9*cm], hAlign="LEFT") row.setStyle(TableStyle([ ("VALIGN",(0,0),(-1,-1),"MIDDLE"), ("LEFTPADDING",(0,0),(-1,-1),2), ("RIGHTPADDING",(0,0),(-1,-1),2), ("TOPPADDING",(0,0),(-1,-1),0), ("BOTTOMPADDING",(0,0),(-1,-1),0), ])) story.append(row) if num in toc_subs: for si in toc_subs[num]: story.append(Paragraph(f"› {si}", S["toc_sub"])) sp(1) sp(5) story.append(TwoToneRule(w=BW)) sp(3) story.append(Paragraph( "Prepared as a formal academic submission — Clinical Medicine Programme, " "Shandong Medical and Pharmaceutical University, China.", S["caption"])) sp(8) # ── 01 CAREER VISION ──────────────────────────────────────────────────── sec("01","Career Vision") body("The central ambition driving this plan is to become a highly competent, ethically grounded, " "and internationally minded neurosurgeon capable of diagnosing and treating the full spectrum " "of neurological conditions with skill, precision, and compassion. Neurosurgery sits at the " "intersection of advanced scientific knowledge, exceptional technical skill, and profound human " "responsibility. The long-term vision is not merely to attain a surgical qualification, but to " "build a career defined by genuine patient service, continuous scientific engagement, and a " "commitment to improving neurosurgical care in Pakistan and beyond.") body("This vision is shaped by a belief that the best physicians remain learners throughout their " "professional lives, holding their patients' welfare above all institutional pressures and " "pursuing excellence not for recognition but out of a sincere duty to serve.") rule() # ── 02 PERSONAL PROFILE SUMMARY ───────────────────────────────────────── sec("02","Personal Profile Summary") pd2 = [ ["Full Name","Junaid Wahid"], ["Student ID","235019015"], ["Major","Clinical Medicine (MBBS International Program)"], ["Academic Year","Fourth Year"], ["Target Specialty","Neurosurgery"], ["University","Shandong Medical and Pharmaceutical University, China"], ["Core Identity","Aspiring neurosurgeon · evidence-based clinician · cross-cultural practitioner"], ] pt = Table(pd2, colWidths=[4.0*cm, BW-4.0*cm], hAlign="LEFT") pt.setStyle(TableStyle([ ("FONTNAME",(0,0),(0,-1),"Helvetica-Bold"), ("FONTNAME",(1,0),(1,-1),"Helvetica"), ("FONTSIZE",(0,0),(-1,-1),9), ("LEADING",(0,0),(-1,-1),13), ("TEXTCOLOR",(0,0),(0,-1),TEAL), ("TEXTCOLOR",(1,0),(1,-1),NAVY), ("ROWBACKGROUNDS",(0,0),(-1,-1),[PALE_BLUE,WHITE]), ("BOX",(0,0),(-1,-1),1,TEAL), ("INNERGRID",(0,0),(-1,-1),0.4,MID_GRAY), ("LEFTPADDING",(0,0),(-1,-1),7), ("RIGHTPADDING",(0,0),(-1,-1),7), ("TOPPADDING",(0,0),(-1,-1),4), ("BOTTOMPADDING",(0,0),(-1,-1),4), ("VALIGN",(0,0),(-1,-1),"MIDDLE"), ])) story.append(pt) sp(5); rule() # ── 03 SELF-ASSESSMENT ANALYSIS ────────────────────────────────────────── sec("03","Self-Assessment Analysis") sub("3.1 Clarification of Professional Values") body("The decision to pursue medicine arose from a deeply personal recognition of the value of " "human life and the profound difference a skilled, caring physician can make in moments of " "vulnerability. From early clinical exposure it became clear that medicine demands not only " "intellectual rigour but also an enduring commitment to compassion, responsibility, and service. " "These values were reinforced through years of training and cross-cultural experience in China, " "where exposure to a high-volume, technologically advanced healthcare environment broadened " "both clinical perspective and professional aspiration.") body("Neurosurgery was identified as the preferred specialty because it combines the highest levels " "of diagnostic precision with the most direct and consequential forms of therapeutic intervention. " "The specialty demands lifelong learning, technical refinement, and research engagement — all of " "which align with a deeply held commitment to professional excellence.") sub("3.2 Competency Matrix Evaluation") comp = [ ["STRENGTH AREA","LEVEL","NOTES"], ["Diagnostic History Taking","Strong","Systematic, patient-centred approach"], ["Clinical Reasoning","Strong","Hypothesis-driven differential thinking"], ["Emergency Judgment","Developing","Improving with simulation experience"], ["Medical Communication","Strong","Effective in English and Mandarin"], ["Cross-Cultural Adaptability","Excellent","4 years of study in China"], ["Surgical Procedural Skills","Early-stage","Requires structured supervised exposure"], ["Advanced Decision-Making","Developing","Growing through case study and mentorship"], ["Research Literacy","Moderate","Evidence appraisal actively developing"], ] ct = Table(comp, colWidths=[5.4*cm, 2.6*cm, BW-8.0*cm], hAlign="LEFT") ct.setStyle(TableStyle([ ("BACKGROUND",(0,0),(-1,0),NAVY), ("TEXTCOLOR",(0,0),(-1,0),GOLD_LIGHT), ("FONTNAME",(0,0),(-1,0),"Helvetica-Bold"), ("FONTNAME",(0,1),(-1,-1),"Helvetica"), ("FONTSIZE",(0,0),(-1,-1),8.5), ("LEADING",(0,0),(-1,-1),13), ("TEXTCOLOR",(0,1),(-1,-1),DARK_GRAY), ("ROWBACKGROUNDS",(0,1),(-1,-1),[WHITE,PALE_BLUE]), ("BOX",(0,0),(-1,-1),1,NAVY), ("INNERGRID",(0,0),(-1,-1),0.4,MID_GRAY), ("LEFTPADDING",(0,0),(-1,-1),7), ("RIGHTPADDING",(0,0),(-1,-1),7), ("TOPPADDING",(0,0),(-1,-1),4), ("BOTTOMPADDING",(0,0),(-1,-1),4), ("VALIGN",(0,0),(-1,-1),"MIDDLE"), ])) story.append(ct) sub("3.3 Career Personality Positioning") body("Using the Holland Occupational Codes (RIASEC) framework, the dominant profile is " "<b>Investigative (I), Realistic (R), and Social (S)</b>. The Investigative dimension " "reflects an inherent drive to analyse and understand complex systems — directly applicable " "to the diagnostic reasoning demands of neurosurgery. The Realistic dimension captures a " "preference for hands-on problem-solving and technical mastery, aligning closely with the " "procedural nature of surgical practice. The Social dimension reflects a genuine orientation " "toward patient care, ensuring the human dimension of medicine is never overlooked even in " "a highly technical specialty.") sp(5); rule() # ── 04 CAREER ENVIRONMENT SCAN ─────────────────────────────────────────── sec("04","Career Environment Scan") sub("4.1 Target Region Practice Landscape") body("Upon completion of the MBBS programme the plan is to return to Pakistan, where both a " "significant need for well-trained neurosurgical specialists and a structured specialist " "training pathway exist. The first mandatory step is passing the <b>PMDC licensing examination</b> " "for registration as a medical practitioner. The primary specialist route is the <b>FCPS in " "Neurosurgery</b> through the College of Physicians and Surgeons Pakistan, involving a multi-year " "accredited residency. Parallel international options — <b>USMLE</b> (USA), <b>PLAB</b> (UK), " "and <b>AMC</b> (Australia) — will remain under active consideration to ensure flexibility.") sub("4.2 Industry Trend Analysis") body("Modern neurosurgery is being reshaped by several converging forces that new surgeons must engage with:") blt("AI-assisted neuroimaging analysis, tumour segmentation, and preoperative surgical planning") blt("High-resolution modalities: functional MRI, diffusion tensor imaging, intraoperative neuronavigation") blt("Minimally invasive and endoscopic techniques requiring training beyond traditional open surgery") blt("Wearable and implantable monitoring technologies for postoperative neurological surveillance") blt("A global shift toward evidence-based medicine requiring critical engagement with primary literature") body("These trends reinforce the need for a modern neurosurgeon to be technically literate, " "data-informed, and research-engaged. Continuous professional development is non-negotiable.") sp(5); rule() # ── 05 GOAL SYSTEM CONSTRUCTION ────────────────────────────────────────── sec("05","Goal System Construction") tl = [ ("SHORT-TERM","Before Graduation", ["Strengthen core clinical knowledge","Master case presentation","Complete in-depth case reports"]), ("MID-TERM","1–5 Yrs Post-Grad", ["Pass PMDC / FCPS Part I","Enter specialist training","Engage in research"]), ("LONG-TERM","5–10 Yrs Post-Grad", ["Qualify as neurosurgeon","Serve patients in Pakistan","Build academic collaborations"]), ] story.append(TimelineBlock(tl, w=BW)) sp(7) sub("5.1 Short-Term Goals: Before Graduation") blt("Thorough command of core clinical subjects with depth in neurology, anatomy, and pharmacology") blt("Proficiency in structured case presentation, history taking, and clinical reasoning") blt("Complete at least two substantive case reports to build research writing skills") blt("Strengthen English academic reading and medical communication for international engagement") blt("Begin preparatory review of FCPS Part I content and USMLE Step 1 foundations") blt("Seek mentorship from attending physicians with surgical or neurology experience") sub("5.2 Mid-Term Goals: Five Years After Graduation") blt("Complete the PMDC licensing examination and secure full registration to practice in Pakistan") blt("Enter and progress through a recognised FCPS neurosurgery training programme") blt("Build surgical discipline through supervised exposure to operative neurosurgery") blt("Participate in clinical research and contribute to at least one peer-reviewed publication") blt("Attend national and international conferences to build networks and academic awareness") sub("5.3 Long-Term Goals: Ten Years After Graduation") blt("Attain full qualification as Fellow in Neurosurgery (FCPS or equivalent international fellowship)") blt("Establish independent clinical practice providing high-quality neurosurgical care in Pakistan") blt("Contribute to neurosurgical standards through research, teaching, and institutional engagement") blt("Build cross-border professional collaborations — particularly with institutions in China") blt("Serve as mentor and educator for the next generation of surgical trainees") sp(5); rule() # ── 06 IMPLEMENTATION PATHWAY DESIGN ───────────────────────────────────── sec("06","Implementation Pathway Design") sub("6.1 Academic Preparation Phase: During Studies (2024–2026)") body("A structured programme will address one identified weakness each semester. Priority areas: " "surgical anatomy, ECG interpretation, emergency medicine, and structured case analysis. " "Mentorship from attending physicians and senior residents will supplement formal curriculum.") blt("Deep review of neuroanatomy, spinal structure, and cranial nerve pathways") blt("Emergency medicine: airway management, resuscitation protocols, and trauma response") blt("Active engagement with research methodology to build postgraduate research capacity") sub("6.2 Credentialing Phase: One to Two Years After Graduation (2026–2028)") body("A structured daily study system will be established from the final months of the " "undergraduate programme, ensuring no gap between graduation and active licensing preparation.") blt("Systematic PMDC exam preparation using approved study guides, past papers, and case banks") blt("Preparation of all required documentation: transcripts, internship certificates, references") blt("Parallel study of FCPS Part I content to reduce time to specialist training entry") blt("Maintenance of USMLE Step 1 preparation as a contingency international pathway") sub("6.3 Specialization Phase: Three to Five Years After Graduation (2028–2031)") body("This phase marks the transition from licensed practitioner to surgical trainee and demands " "the greatest investment of focus, time, and professional commitment.") blt("Comprehensive theoretical foundation in neurosurgical pathology, neuroradiology, and operative principles") blt("Structured operative exposure through supervised participation in progressively complex procedures") blt("Workshops, cadaveric dissection courses, and simulation training programmes") blt("Potential international elective placements at recognised neurosurgical centres of excellence") blt("Original research project appropriate for publication in a peer-reviewed surgical journal") sp(5); rule() # ── 07 RISK MANAGEMENT PLAN ─────────────────────────────────────────────── sec("07","Risk Management Plan") sub("7.1 Major Risk Response") # Table header row rh_tbl = Table([[ Paragraph("<b>RISK FACTOR</b>", ParagraphStyle("rh", fontName="Helvetica-Bold", fontSize=8.5, textColor=GOLD_LIGHT, leading=12)), Paragraph("<b>MITIGATION STRATEGY</b>", ParagraphStyle("rh2", fontName="Helvetica-Bold", fontSize=8.5, textColor=GOLD_LIGHT, leading=12)), ]], colWidths=[BW*0.32, BW*0.68], hAlign="LEFT") rh_tbl.setStyle(TableStyle([ ("BACKGROUND",(0,0),(-1,-1),NAVY), ("LEFTPADDING",(0,0),(-1,-1),8), ("RIGHTPADDING",(0,0),(-1,-1),8), ("TOPPADDING",(0,0),(-1,-1),5), ("BOTTOMPADDING",(0,0),(-1,-1),5), ("VALIGN",(0,0),(-1,-1),"MIDDLE"), ])) story.append(rh_tbl) risk_rows = [ ("Licensing Exam Failure", "Allocate 3–6 months extra preparation; maintain financial planning; consider transitional clinical roles.", PALE_BLUE), ("Policy or Visa Changes", "Maintain two parallel pathways (PMDC + USMLE or PLAB); keep documentation current for multiple jurisdictions.", WHITE), ("Burnout & Mental Health", "Implement structured rest cycles; maintain physical activity; seek formal support at early warning signs.", PALE_BLUE), ("Limited Training Positions", "Build professional network early; apply to multiple institutions; explore fellowship opportunities abroad.", WHITE), ("Financial Constraints", "Research scholarships proactively; plan postgraduate finances before graduation; explore employer-sponsored training.", PALE_BLUE), ("Technology Skill Gap", "Pursue self-directed digital learning; seek neuronavigation and imaging software training during residency.", WHITE), ] for risk, mit, bg in risk_rows: story.append(RiskRow(risk, mit, bg, w=BW)) story.append(HRFlowable(width=BW, thickness=0.8, color=NAVY, hAlign="LEFT", spaceAfter=5)) sub("7.2 Dynamic Evaluation Mechanism") body("A career plan of this scope requires disciplined ongoing review. The plan must respond " "intelligently to new information and evolving conditions rather than being followed rigidly.") ev = [ ["FREQUENCY","FOCUS AREA","KEY ACTIONS"], ["Quarterly","Goal progress","Track milestones; identify gaps; adjust study schedule"], ["Annual","Full plan review","Revise with mentor; update pathways; reset timelines"], ["Post-Exam","Results analysis","Identify weak areas; plan targeted remediation"], ["Transitions","Strategic realign","Consult senior advisors; reassess international options"], ] et = Table(ev, colWidths=[3.4*cm, 3.6*cm, BW-7.0*cm], hAlign="LEFT") et.setStyle(TableStyle([ ("BACKGROUND",(0,0),(-1,0),ROYAL), ("TEXTCOLOR",(0,0),(-1,0),WHITE), ("FONTNAME",(0,0),(-1,0),"Helvetica-Bold"), ("FONTNAME",(0,1),(-1,-1),"Helvetica"), ("FONTSIZE",(0,0),(-1,-1),8.5), ("LEADING",(0,0),(-1,-1),13), ("TEXTCOLOR",(0,1),(-1,-1),DARK_GRAY), ("ROWBACKGROUNDS",(0,1),(-1,-1),[WHITE,PALE_BLUE]), ("BOX",(0,0),(-1,-1),1,ROYAL), ("INNERGRID",(0,0),(-1,-1),0.4,MID_GRAY), ("LEFTPADDING",(0,0),(-1,-1),7), ("RIGHTPADDING",(0,0),(-1,-1),7), ("TOPPADDING",(0,0),(-1,-1),4), ("BOTTOMPADDING",(0,0),(-1,-1),4), ("VALIGN",(0,0),(-1,-1),"MIDDLE"), ])) story.append(et) sp(5); rule() # ── 08 CONCLUSION ──────────────────────────────────────────────────────── sec("08","Conclusion / Final Statement") body("This career development plan has been constructed with care, honesty, and a genuine sense " "of long-term purpose. It is grounded in a clear professional vision, supported by an honest " "assessment of current capabilities, informed by an understanding of the clinical environment, " "and organised around a realistic and achievable sequence of goals.") body("Becoming a neurosurgeon is one of the most demanding ambitions a medical student can hold. " "It requires years of rigorous academic preparation, sustained surgical training, and the " "personal discipline that does not waver under pressure or fatigue. It requires, above all, " "an unwavering commitment to the patient, whose life may depend on the quality of judgment " "exercised in the operating theatre. That responsibility is understood, and it is embraced.") body("The academic formation received at Shandong Medical and Pharmaceutical University, combined " "with the cross-cultural experience of studying in China, has laid a strong foundation for " "the career described in this document. The years ahead will demand more — but the direction " "is clear, the commitment is firm, and the motivation is genuine.") sp(6) qt = Table([[Paragraph( '"The practice of medicine is an art, not a trade; a calling, not a business; ' 'a calling in which your heart will be exercised equally with your head."', S["quote"])]], colWidths=[BW], hAlign="LEFT") qt.setStyle(TableStyle([ ("BACKGROUND",(0,0),(-1,-1),PALE_BLUE), ("BOX",(0,0),(-1,-1),1.5,GOLD), ("LEFTPADDING",(0,0),(-1,-1),14), ("RIGHTPADDING",(0,0),(-1,-1),14), ("TOPPADDING",(0,0),(-1,-1),10), ("BOTTOMPADDING",(0,0),(-1,-1),10), ])) story.append(qt) sp(3) story.append(Paragraph("— Sir William Osler", S["q_attr"])) sp(8) story.append(GoldRule(w=BW)) sp(5) sig = Table([[ Paragraph("<b>Student:</b> Junaid Wahid", S["body"]), Paragraph("<b>ID:</b> 235019015", S["body"]), Paragraph("<b>Date:</b> 24 May 2026", S["body"]), ]], colWidths=[BW/3]*3, hAlign="LEFT") sig.setStyle(TableStyle([ ("VALIGN",(0,0),(-1,-1),"TOP"), ("LEFTPADDING",(0,0),(-1,-1),0), ("RIGHTPADDING",(0,0),(-1,-1),6), ])) story.append(sig) sp(4) story.append(Paragraph( "Submitted in partial fulfilment of the career development requirements — " "Clinical Medicine Programme, Shandong Medical and Pharmaceutical University, China.", S["caption"])) doc.build(story) sz = os.path.getsize(OUTPUT) print(f"PDF saved: {OUTPUT}") print(f"Size: {sz:,} bytes") if __name__ == "__main__": build() PYEOF echo "Written OK"
cd /home/daytona/workspace/career-plan && python3 build_pdf.py 2>&1
python3 -c " from pypdf import PdfReader r = PdfReader('/home/daytona/workspace/career-plan/Junaid_Wahid_Career_Development_Plan.pdf') print(f'Total pages: {len(r.pages)}') for i, p in enumerate(r.pages): t = p.extract_text() or '' preview = t.replace('\n',' ')[:90] print(f' pg {i+1}: {preview}') "
Junaid Wahid Career Development Plan
PDF Document · PDF
- Warm ivory-cream background for the entire lower half — clean, bright, and professional
- Deep navy hero panel at the top (46% of page height) with a teal angled slice at its bottom edge — elegant and distinct from earlier dark versions
- Concentric circle motif in the top-right of the hero with a teal core and a small plus symbol
- University banner as a semi-transparent dark overlay at the very top with gold title text
- Title text ("Personal Career" / "Development Plan") rendered as white 31pt bold type inside the navy hero — perfectly readable, no overlap
- A gold rule under the title, followed by a soft steel-blue subtitle
- Profile card sits on a clean white card area in the bottom half, with navy header strip, alternating pale-blue rows, teal dot accents, and a gold bottom line
- Left teal vertical stripe, gold bottom bar, teal accent line — refined and restrained
- All custom Flowables (SectionBar, SubBar, ProfileCard, Timeline, RiskRow) rewritten with precise canvas geometry — text is vertically centred using computed baselines, not guessed positions
- The RiskRow Flowable uses a proper
_draw_wrappedmethod that measures string width before drawing each line - No Paragraph objects are placed inside
draw()methods — zero risk of ReportLab frame overflow
- All
PageBreakcalls between sections removed — content flows continuously from one section directly into the next - Spacers between sections reduced to 4–5 pt (from 15–35 pt)
- Body font tightened to 9.5pt / 15pt leading, bullets to 14pt leading with 2pt spaceAfter
- Section bars reduced to 28pt height, sub-bars to 20pt height
- Result: 7 tight, content-filled pages (cover + 6 inner pages)
Thank you
What is your max limit of creating files
/home/daytona/workspace/ has disk space limits (typically several GB), so very large files or thousands of files could eventually hit that ceiling.- PDFs (ReportLab, or via LibreOffice/pandoc)
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Is there any free daily max limit
- Checking the platform's pricing or FAQ page
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Thank you, how about you access ecg? I use you after i saw video of someone using as ecg interpreter
- Take a photo of the ECG printout, or have a digital ECG image file
- Attach/upload the image directly in the chat
- I can see and analyse it
- Assess rate and rhythm
- Identify P waves, PR interval, QRS complex, QT interval, ST segments, T waves
- Spot findings like ST elevation/depression, bundle branch blocks, axis deviation, hypertrophy patterns, arrhythmias (AF, SVT, heart blocks, VT, etc.)
- Give a structured interpretation in a clinical format
- Explain findings in simple terms if needed
- Replace a qualified clinician's formal report
- Access ECG machines directly or pull data from hospital systems
- Guarantee accuracy on very poor quality or heavily distorted images
- Make sure the image is clear and well-lit
- Include all leads if possible (standard 12-lead)
- Mention any clinical context (age, symptoms, medications) — this greatly improves interpretation quality
Generate practice ECG cases for self-study
What format do you want the practice cases in? · What difficulty level? · How many cases?
cat > /home/daytona/workspace/career-plan/build_ecg.py << 'PYEOF' #!/usr/bin/env python3 """ ECG Practice Cases PDF – 20 Mixed-Level Cases for Self-Study """ from reportlab.lib.pagesizes import A4 from reportlab.lib import colors from reportlab.lib.units import cm from reportlab.lib.styles import ParagraphStyle from reportlab.lib.enums import TA_LEFT, TA_CENTER, TA_JUSTIFY, TA_RIGHT from reportlab.platypus import ( BaseDocTemplate, PageTemplate, Frame, Paragraph, Spacer, Table, TableStyle, HRFlowable, PageBreak, NextPageTemplate, KeepTogether ) from reportlab.platypus.flowables import Flowable import os # ── COLORS ──────────────────────────────────────────────────────────────────── NAVY = colors.HexColor("#0D1B3E") ROYAL = colors.HexColor("#1A4A8A") TEAL = colors.HexColor("#0A7EA4") GOLD = colors.HexColor("#B8922A") GOLD_L = colors.HexColor("#D4AF37") RED = colors.HexColor("#C0392B") GREEN = colors.HexColor("#1A7A4A") ORANGE = colors.HexColor("#C07020") PALE_BLUE = colors.HexColor("#EBF1FA") PALE_RED = colors.HexColor("#FDECEA") PALE_GRN = colors.HexColor("#E6F5ED") PALE_ORG = colors.HexColor("#FEF3E6") MID_GRAY = colors.HexColor("#C8D0DC") DARK_GRAY = colors.HexColor("#4A5568") WHITE = colors.white PAGE_W, PAGE_H = A4 ML, MR, MT, MB = 1.8*cm, 1.8*cm, 2.0*cm, 1.8*cm BW = PAGE_W - ML - MR OUTPUT = "/home/daytona/workspace/career-plan/ECG_Practice_Cases.pdf" DIFF_COLORS = { "Beginner": (colors.HexColor("#1A7A4A"), colors.HexColor("#E6F5ED")), "Intermediate": (colors.HexColor("#B8922A"), colors.HexColor("#FEF3E6")), "Advanced": (colors.HexColor("#C0392B"), colors.HexColor("#FDECEA")), } # ── STYLES ──────────────────────────────────────────────────────────────────── def S(n, **kw): return ParagraphStyle(n, **kw) STYLES = { "title": S("title", fontName="Helvetica-Bold", fontSize=22, textColor=WHITE, alignment=TA_CENTER, leading=30), "sub": S("sub", fontName="Helvetica", fontSize=11, textColor=colors.HexColor("#90BAE8"), alignment=TA_CENTER, leading=16), "case_num": S("cn", fontName="Helvetica-Bold", fontSize=13, textColor=WHITE, alignment=TA_LEFT, leading=18), "diff": S("diff", fontName="Helvetica-Bold", fontSize=8, textColor=WHITE, alignment=TA_CENTER, leading=12, letterSpacing=1), "label": S("lbl", fontName="Helvetica-Bold", fontSize=8.5, textColor=TEAL, leading=12, letterSpacing=0.5), "value": S("val", fontName="Helvetica", fontSize=9.5, textColor=NAVY, leading=14), "body": S("body", fontName="Helvetica", fontSize=9.5, textColor=DARK_GRAY, leading=15, alignment=TA_JUSTIFY, spaceAfter=4), "bullet": S("blt", fontName="Helvetica", fontSize=9.5, textColor=DARK_GRAY, leading=14, leftIndent=12, spaceAfter=2), "ans_head": S("ah", fontName="Helvetica-Bold", fontSize=10, textColor=WHITE, leading=14), "ans_body": S("ab", fontName="Helvetica", fontSize=9.5, textColor=NAVY, leading=15, alignment=TA_JUSTIFY, spaceAfter=3), "ans_key": S("ak", fontName="Helvetica-Bold", fontSize=10.5, textColor=RED, leading=16), "caption": S("cap", fontName="Helvetica-Oblique", fontSize=7.5, textColor=colors.HexColor("#8896A8"), alignment=TA_CENTER, leading=10), "hdr_note": S("hn", fontName="Helvetica-Oblique", fontSize=8, textColor=colors.HexColor("#90BAE8"), alignment=TA_RIGHT, leading=12), "toc": S("toc", fontName="Helvetica", fontSize=9.5, textColor=DARK_GRAY, leading=16, spaceAfter=1), "toc_hdr": S("toch", fontName="Helvetica-Bold", fontSize=9.5, textColor=NAVY, leading=16, spaceAfter=1), } # ── FLOWABLES ───────────────────────────────────────────────────────────────── class SectionBar(Flowable): def __init__(self, text, bg=NAVY, fg=WHITE, h=26, w=None): Flowable.__init__(self) self.text, self.bg, self.fg = text, bg, fg self.height, self._w = h, w def wrap(self, aw, ah): self.width = self._w or aw return self.width, self.height def draw(self): c = self.canv c.setFillColor(self.bg) c.roundRect(0, 0, self.width, self.height, 4, fill=1, stroke=0) c.setFillColor(GOLD); c.rect(0, 0, 4, self.height, fill=1, stroke=0) c.setFillColor(NAVY); c.rect(4, 0, 3, self.height, fill=1, stroke=0) c.setFillColor(self.fg); c.setFont("Helvetica-Bold", 12) c.drawString(12, (self.height - 12) // 2, self.text) class GoldRule(Flowable): def __init__(self, w=None): Flowable.__init__(self) self._w = w; self.height = 3 def wrap(self, aw, ah): self.width = self._w or aw; return self.width, self.height def draw(self): self.canv.setStrokeColor(GOLD); self.canv.setLineWidth(1) self.canv.line(0, 1, self.width, 1) class ECGWaveform(Flowable): """ Draws a schematic ECG strip as pure canvas graphics. shape = one of the 20 case patterns defined by key. """ H = 88 PATTERNS = { # (baseline_y_ratio, segments) # segments: list of (dx, dy) relative moves in waveform units # waveform units: 1 unit = approx 6pt x, 10pt y # Each pattern represents one cardiac cycle repeated 3x on a 3-lead look "normal": [(2,0),(0.5,0),(0.3,1),(0.3,-1),(0.2,0), # P (0.3,0),(0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.3,0), # QRS (0.5,0),(0.4,0.8),(0.5,-0.8),(0.3,0)], # T "afib": [(2,0),(0.15,0.3),(0.1,-0.2),(0.1,0.15),(0.1,-0.1),(0.1,0.2), # fib baseline (0.1,-0.1),(0.3,0), (0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.3,0), (0.6,0),(0.4,0.8),(0.5,-0.8),(0.6,0)], "vt": [(0.5,0),(0.2,2),(0.25,-1.5),(0.2,2),(0.25,-2),(0.2,1.5), (0.2,-2.5),(0.25,2),(0.2,-1.5),(0.25,2),(0.2,-1),(0.5,0)], "stemi": [(2,0),(0.3,0.8),(0.4,-0.8),(0.3,0), (0.15,-1.2),(0.12,4.5),(0.12,-4),(0.1,1),(0.3,0), (0.6,1.2),(0.5,0.2),(0.4,-1.4),(0.3,0)], # elevated ST "lbbb": [(1.5,0),(0.3,0.8),(0.35,-0.8),(0.3,0), (0.1,-0.5),(0.15,1.5),(0.15,-1.5),(0.15,1),(0.15,1.5), (0.15,-2.5),(0.3,0),(0.5,0),(0.3,0.6),(0.4,-0.6),(0.4,0)], "rbbb": [(1.5,0),(0.3,0.8),(0.35,-0.8),(0.3,0), (0.1,-1),(0.12,3.5),(0.12,-3),(0.1,0.8),(0.12,1.5), (0.12,-1.5),(0.2,0),(0.5,0),(0.35,0.7),(0.4,-0.7),(0.4,0)], "heart_block_1": [(2,0),(0.35,0.8),(0.45,-0.8),(0.6,0), # long PR (0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.3,0), (0.5,0),(0.4,0.8),(0.5,-0.8),(0.3,0)], "heart_block_3": [(1.5,0),(0.35,0.8),(0.4,-0.8),(1.2,0), # P with no QRS (0.35,0.8),(0.4,-0.8),(0.5,0), (0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.5,0), (0.35,0.8),(0.4,-0.8),(0.3,0)], "svt": [(0.5,0),(0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5), (0.3,0),(0.3,0.5),(0.3,-0.5), (0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.3,0), (0.3,0.5),(0.3,-0.5), (0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.3,0)], "vfib": [(0.3,0),(0.2,2.5),(0.2,-2),(0.2,1.5),(0.2,-3),(0.2,2), (0.2,-1.5),(0.2,3),(0.2,-2.5),(0.2,1.5),(0.2,-2), (0.2,2.5),(0.2,-2),(0.2,1),(0.2,-1.5),(0.2,2),(0.2,-2.5)], "wpw": [(1.5,0),(0.3,0.7),(0.35,-0.7),(0.2,0), (0.08,0.5),(0.12,-2),(0.12,3.5),(0.12,-3.5),(0.1,1.5),(0.3,0), (0.5,0),(0.4,0.8),(0.5,-0.8),(0.35,0)], "stemi_inf": [(1.5,0),(0.3,0.8),(0.35,-0.8),(0.3,0), (0.15,-1),(0.12,3.5),(0.12,-4.5),(0.12,0.8),(0.3,0), # ST dep in leads (0.6,1.0),(0.5,0.3),(0.4,-1.3),(0.3,0)], "pacemaker": [(0.6,0),(0.05,3),(0.05,-3),(0.4,0), # pacing spike (0.1,-0.8),(0.12,3.2),(0.12,-3.2),(0.1,0.8),(0.5,0), (0.4,0.6),(0.5,-0.6),(0.3,0)], "pvcs": [(1.5,0),(0.3,0.7),(0.35,-0.7),(0.2,0), (0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.3,0), (0.15,-2),(0.2,5),(0.2,-5),(0.15,2.5),(0.5,0), # PVC (0.4,0.6),(0.4,-0.6),(0.4,0)], "hyperkalemia": [(1.5,0),(0.15,0.3),(0.15,-0.3),(0.3,0), # flat P (0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.3,0), (0.3,0),(0.2,2.5),(0.2,-2.5),(0.4,0)], # tall peaked T "hypokalemia": [(1.5,0),(0.35,0.8),(0.4,-0.8),(0.3,0), (0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.3,0), (0.5,-0.5),(0.2,0.3),(0.2,-0.3),(0.3,0), # U wave (0.3,0.5),(0.4,-0.5),(0.3,0)], "pe": [(1.5,0),(0.3,0.8),(0.35,-0.8),(0.3,0), (0.1,-1),(0.12,3.8),(0.12,-3.2),(0.1,0.8),(0.3,0), # S1Q3T3 pattern (0.3,0.8),(0.5,-0.8),(0.3,-0.5),(0.2,0.5),(0.3,0)], "long_qt": [(1.5,0),(0.35,0.8),(0.4,-0.8),(0.3,0), (0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.3,0), (0.9,0),(0.35,0.9),(0.45,-0.9),(0.3,0)], # long QT, late T "mobitz2": [(1.8,0),(0.35,0.8),(0.4,-0.8),(0.4,0), (0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.3,0), (0.35,0.8),(0.4,-0.8),(0.4,0), # P without QRS (0.35,0.8),(0.4,-0.8),(0.3,0), (0.1,-1.5),(0.15,4),(0.15,-4),(0.1,1.5),(0.3,0)], "lqts_torsades": [(0.4,0),(0.15,2.5),(0.15,-2),(0.15,1.5),(0.15,-3), # rotating axis (0.15,2),(0.15,-1.5),(0.15,3),(0.15,-2.5),(0.15,1.5), (0.15,-3.5),(0.15,3),(0.15,-2),(0.15,1),(0.15,-1.5), (0.15,2.5),(0.15,-2.5),(0.15,1.5),(0.15,-1)], } def __init__(self, pattern_key, w=None): Flowable.__init__(self) self.key = pattern_key self._w = w self.height = self.H def wrap(self, aw, ah): self.width = self._w or aw return self.width, self.height def draw(self): c = self.canv w, h = self.width, self.height # Grid background c.setFillColor(colors.HexColor("#FFF8F8")) c.roundRect(0, 0, w, h, 4, fill=1, stroke=0) # Grid lines grid_col = colors.HexColor("#FFCCCC") c.setStrokeColor(grid_col) c.setLineWidth(0.3) # Large squares every 20pt for x in range(0, int(w)+1, 20): c.line(x, 0, x, h) for y in range(0, int(h)+1, 20): c.line(0, y, w, y) # Thin squares every 4pt c.setLineWidth(0.15) for x in range(0, int(w)+1, 4): c.line(x, 0, x, h) for y in range(0, int(h)+1, 4): c.line(0, y, w, y) # Thick 5mm lines c.setStrokeColor(colors.HexColor("#FFAAAA")) c.setLineWidth(0.5) for x in range(0, int(w)+1, 20): c.line(x, 0, x, h) for y in range(0, int(h)+1, 20): c.line(0, y, w, y) # Baseline base_y = h * 0.42 c.setStrokeColor(colors.HexColor("#CC0000")) c.setLineWidth(1.5) segs = self.PATTERNS.get(self.key, self.PATTERNS["normal"]) # Scale: fit 3 cycles across width total_dx = sum(s[0] for s in segs) x_scale = (w - 20) / (total_dx * 3 + 2) y_scale = (h * 0.35) cx = 10.0 cy = base_y c.moveTo(cx, cy) for _ in range(3): for dx_u, dy_u in segs: nx = cx + dx_u * x_scale ny = base_y + dy_u * y_scale c.lineTo(nx, ny) cx = nx cy = ny cy = base_y c.stroke() # Lead label c.setFillColor(colors.HexColor("#CC0000")) c.setFont("Helvetica-Bold", 7) c.drawString(4, h - 10, "Lead II") # Calibration pulse cal_x = w - 22 c.setStrokeColor(colors.HexColor("#CC0000")) c.setLineWidth(1) c.moveTo(cal_x, base_y) c.lineTo(cal_x, base_y + y_scale * 0.5) c.lineTo(cal_x+8, base_y + y_scale * 0.5) c.lineTo(cal_x+8, base_y) c.stroke() c.setFillColor(colors.HexColor("#AA0000")) c.setFont("Helvetica", 6) c.drawString(cal_x - 2, base_y - 8, "1mV") # ── PAGE CANVASES ───────────────────────────────────────────────────────────── def cover_bg(c, doc): c.saveState() w, h = A4 # Dark background c.setFillColor(NAVY); c.rect(0, 0, w, h, fill=1, stroke=0) # Teal left strip c.setFillColor(TEAL); c.rect(0, 0, 6, h, fill=1, stroke=0) # ECG grid watermark c.setStrokeColor(colors.Color(1,1,1,alpha=0.04)) c.setLineWidth(0.4) for x in range(0, int(w)+1, 20): c.line(x,0,x,h) for y in range(0, int(h)+1, 20): c.line(0,y,w,y) # Schematic ECG wave on cover (decorative) c.setStrokeColor(colors.Color(0.2,0.8,0.6,alpha=0.15)) c.setLineWidth(2) base = h * 0.30 pts = [(0,0),(40,0),(46,10),(50,40),(54,-30),(58,12),(62,0), (80,0),(88,8),(96,-8),(100,0),(130,0),(136,10),(140,40), (144,-30),(148,12),(152,0),(170,0),(178,8),(186,-8),(190,0),(230,0), (236,10),(240,40),(244,-30),(248,12),(252,0),(270,0),(278,8),(286,-8),(595,0)] c.moveTo(pts[0][0], base) for px, py in pts[1:]: c.lineTo(px, base+py) c.stroke() # Gold top + bottom c.setFillColor(GOLD); c.rect(0,h-4,w,4,fill=1,stroke=0) c.setFillColor(GOLD); c.rect(0,0,w,4,fill=1,stroke=0) # Banner c.setFillColor(colors.Color(0,0,0,alpha=0.3)) c.rect(0, h-52, w, 52, fill=1, stroke=0) c.setFillColor(GOLD_L); c.setFont("Helvetica-Bold", 9) c.drawCentredString(w/2, h-22, "ORRIS · CLINICAL MEDICINE STUDY SERIES") c.setFillColor(colors.HexColor("#90BAE8")); c.setFont("Helvetica", 8) c.drawCentredString(w/2, h-36, "Prepared for: Junaid Wahid · 4th Year Medical Student · Neurosurgery Track") c.restoreState() def inner_bg(c, doc): c.saveState() w, h = A4 c.setFillColor(NAVY); c.rect(0, h-26, w, 26, fill=1, stroke=0) c.setFillColor(GOLD); c.rect(0, h-3, w, 3, fill=1, stroke=0) c.setFillColor(colors.HexColor("#A8C4E8")); c.setFont("Helvetica", 7.5) c.drawString(ML, h-18, "ECG Practice Cases for Self-Study · Junaid Wahid · Clinical Medicine 4th Year") c.setFillColor(GOLD_L); c.setFont("Helvetica-Bold", 7.5) c.drawRightString(w-MR, h-18, "Orris Study Series") c.setFillColor(colors.HexColor("#EBF1FA")); c.rect(0, 0, w, 20, fill=1, stroke=0) c.setStrokeColor(TEAL); c.setLineWidth(0.5); c.line(ML, 20, w-MR, 20) c.setFillColor(DARK_GRAY); c.setFont("Helvetica", 7.5) c.drawString(ML, 6, "For educational purposes only — not a substitute for clinical judgment") c.setFillColor(NAVY); c.setFont("Helvetica-Bold", 8) c.drawRightString(w-MR, 6, f"Page {doc.page}") c.restoreState() # ── CASE DATA ───────────────────────────────────────────────────────────────── CASES = [ { "num": 1, "diff": "Beginner", "title": "The Steady Beat", "vignette": "A 22-year-old healthy medical student undergoes a pre-employment ECG. She has no symptoms, no past medical history, and takes no medications.", "findings": [ ("Rate", "72 bpm"), ("Rhythm", "Regular"), ("P waves", "Upright, before every QRS, uniform morphology"), ("PR interval", "160 ms (normal: 120–200 ms)"), ("QRS width", "80 ms (normal: <120 ms)"), ("QT interval", "380 ms (QTc 410 ms — normal)"), ("ST segments", "Isoelectric — no elevation or depression"), ("T waves", "Upright and symmetric in all leads"), ("Axis", "Normal (+60°)"), ], "diagnosis": "Normal Sinus Rhythm (NSR)", "explanation": "All intervals are within normal limits. P waves precede every QRS, the rate is 60–100 bpm, and the rhythm is regular. Recognising a normal ECG is as important as identifying abnormalities — it sets the baseline for all pattern recognition.", "key_points": [ "Rate 60–100 bpm with regular rhythm = sinus rhythm", "Every P wave followed by QRS at constant PR = normal AV conduction", "QTc <440 ms (men) / <460 ms (women) = normal QT", "Isoelectric ST segments and symmetric T waves = no ischaemia", ], "pattern": "normal", }, { "num": 2, "diff": "Beginner", "title": "The Irregular Pulse", "vignette": "A 68-year-old man with hypertension and type 2 diabetes presents with 2 days of palpitations and mild breathlessness. Pulse is 88 bpm and irregularly irregular.", "findings": [ ("Rate", "88 bpm (ventricular rate)"), ("Rhythm", "Irregularly irregular — no pattern to irregularity"), ("P waves", "Absent — replaced by chaotic fibrillatory baseline (f-waves)"), ("PR interval", "Not measurable"), ("QRS width", "90 ms (narrow — normal)"), ("ST segments", "No significant changes"), ("T waves", "Normal morphology"), ], "diagnosis": "Atrial Fibrillation (AF)", "explanation": "AF is the most common sustained cardiac arrhythmia. The hallmark is absent P waves replaced by an irregular, chaotic baseline and an irregularly irregular ventricular response. With a narrow QRS, conduction through the ventricles is normal (no bundle branch block or accessory pathway). Management priorities: rate/rhythm control and anticoagulation (CHA₂DS₂-VASc score).", "key_points": [ "Absent P waves + irregularly irregular rhythm = AF until proven otherwise", "Narrow QRS confirms normal ventricular conduction", "Ventricular rate can be fast, normal, or slow depending on AV node", "Always assess stroke risk with CHA₂DS₂-VASc before cardioversion", ], "pattern": "afib", }, { "num": 3, "diff": "Beginner", "title": "Chest Pain and Elevation", "vignette": "A 55-year-old male smoker presents to the emergency department with crushing central chest pain radiating to the left arm for 90 minutes. He is diaphoretic. BP 140/90.", "findings": [ ("Rate", "94 bpm"), ("Rhythm", "Regular — sinus rhythm"), ("P waves", "Normal"), ("PR interval", "160 ms"), ("QRS", "100 ms — narrow"), ("ST segments", "2–3 mm convex (tombstone) ST elevation in leads II, III, aVF"), ("Reciprocal", "ST depression in leads I and aVL"), ("T waves", "Hyperacute T waves in inferior leads"), ("Q waves", "Developing in lead III"), ], "diagnosis": "Inferior STEMI (ST-Elevation Myocardial Infarction)", "explanation": "ST elevation ≥1 mm in two or more contiguous inferior leads (II, III, aVF) with reciprocal depression in the lateral leads (I, aVL) indicates an acute inferior STEMI, typically from RCA (right coronary artery) occlusion. This is a time-critical diagnosis — door-to-balloon time <90 minutes is the target. Always perform right-sided ECG leads (V3R, V4R) to rule out right ventricular infarction.", "key_points": [ "Inferior STEMI: ST elevation in II, III, aVF → RCA territory", "Reciprocal ST depression in I and aVL confirms the pattern", "Always do right-sided leads to exclude RV infarction", "Hyperacute T waves may precede frank ST elevation", ], "pattern": "stemi", }, { "num": 4, "diff": "Beginner", "title": "The Young Athlete", "vignette": "A 19-year-old male footballer collapses on the pitch. Bystander CPR started. Paramedics record the following rhythm on arrival.", "findings": [ ("Rate", "~220 bpm"), ("Rhythm", "Regular, very rapid"), ("P waves", "Not identifiable — buried in T waves or absent"), ("QRS", "100 ms — narrow"), ("ST/T", "Difficult to assess at this rate"), ("R-R interval","Very short, regular (~270 ms)"), ], "diagnosis": "Supraventricular Tachycardia (SVT) — most likely AVNRT", "explanation": "SVT presents with a sudden-onset regular narrow-complex tachycardia at rates 150–250 bpm. In AVNRT (AV nodal re-entry tachycardia), the most common form, P waves are often buried in or immediately after the QRS. First-line management: vagal manoeuvres → IV adenosine 6 mg (then 12 mg). If haemodynamically unstable, synchronised DC cardioversion.", "key_points": [ "Regular narrow-complex tachycardia >150 bpm = SVT until proven otherwise", "P waves buried in QRS or retrograde = AVNRT", "Adenosine is both diagnostic and therapeutic", "Wide-complex regular tachycardia = treat as VT until proven otherwise", ], "pattern": "svt", }, { "num": 5, "diff": "Beginner", "title": "The Slow Heart", "vignette": "A 74-year-old woman with a history of hypertension and previous MI presents with dizziness and near-syncope. Her resting pulse is 38 bpm. She takes no rate-limiting medications.", "findings": [ ("Rate", "Atrial rate ~80 bpm; Ventricular rate ~38 bpm"), ("Rhythm", "P waves regular; QRS regular — but NO relationship between them"), ("P waves", "Normal morphology, regular, rate ~80"), ("PR interval", "Completely variable — P and QRS march independently"), ("QRS", "130 ms — wide, LBBB morphology (escape rhythm)"), ("ST/T", "Secondary repolarisation changes"), ], "diagnosis": "Complete (Third Degree) Heart Block", "explanation": "Third-degree AV block is characterised by complete dissociation between atrial and ventricular activity. The atria and ventricles beat independently. The ventricular rate is maintained by a junctional or ventricular escape rhythm (the lower, the wider the QRS). This is a medical emergency — pacing is required. Common causes: inferior MI, Lyme disease, drug toxicity, fibrosis (Lenègre disease).", "key_points": [ "P waves and QRS completely independent = complete heart block", "Ventricular escape rate: junctional 40–60 bpm (narrow); ventricular 20–40 bpm (wide)", "Inferior MI can cause transient complete heart block (usually reversible)", "Treatment: transcutaneous → transvenous → permanent pacemaker", ], "pattern": "heart_block_3", }, { "num": 6, "diff": "Intermediate", "title": "Wide and Dangerous", "vignette": "A 61-year-old man with ischaemic cardiomyopathy (EF 25%) presents with syncope. He is pale, BP 85/50, cool peripheries. Rhythm strip obtained.", "findings": [ ("Rate", "~180 bpm"), ("Rhythm", "Rapid, regular"), ("P waves", "Not visible — may be dissociated"), ("QRS", "160 ms — broad, bizarre morphology"), ("Concordance", "Positive concordance across precordial leads"), ("Fusion beats","Occasional capture/fusion beats noted"), ("BP", "85/50 mmHg — haemodynamically compromised"), ], "diagnosis": "Ventricular Tachycardia (VT)", "explanation": "A regular wide-complex tachycardia in a patient with structural heart disease is VT until proven otherwise. Features supporting VT over SVT with aberrancy: AV dissociation, fusion/capture beats, concordance (all precordial leads point same direction), QRS >160 ms, northwest axis. This patient is haemodynamically unstable — immediate synchronised DC cardioversion (200J biphasic) is indicated. Never give verapamil to a wide-complex tachycardia.", "key_points": [ "Wide-complex tachycardia + structural heart disease = VT until proven otherwise", "AV dissociation, fusion beats, concordance all favour VT", "Haemodynamically unstable → immediate synchronised DC cardioversion", "NEVER give verapamil for wide-complex tachycardia", ], "pattern": "vt", }, { "num": 7, "diff": "Intermediate", "title": "The Broad Complex", "vignette": "A 48-year-old woman with hypertension presents with dyspnoea on exertion for 3 months. No chest pain or syncope. BP 155/95. ECG obtained.", "findings": [ ("Rate", "78 bpm"), ("Rhythm", "Regular sinus rhythm"), ("P waves", "Normal"), ("PR interval", "180 ms"), ("QRS", "148 ms — broad"), ("Morphology", "Broad notched R in I, aVL, V5, V6; deep S in V1 ('W' in V1, 'M' in V6)"), ("ST/T", "Discordant ST changes (opposite to main QRS deflection)"), ], "diagnosis": "Left Bundle Branch Block (LBBB)", "explanation": "LBBB is defined by QRS ≥120 ms with a broad, notched R in lateral leads (I, aVL, V5-V6) and a deep S or QS in V1. The William Morrow mnemonic: 'WiLLiaM' — W in V1, M in V6 for LBBB. New LBBB in the context of acute chest pain should be treated as STEMI equivalent. LBBB makes ST analysis unreliable; use the Sgarbossa criteria for STEMI diagnosis in the presence of LBBB.", "key_points": [ "LBBB: QRS ≥120 ms, 'W' in V1, 'M' in V5-V6 (WiLLiaM mnemonic)", "RBBB: 'M' in V1, 'W' in V5-V6 (MoRRow mnemonic)", "New LBBB + acute chest pain = STEMI equivalent → activate cath lab", "Sgarbossa criteria for ischaemia within LBBB pattern", ], "pattern": "lbbb", }, { "num": 8, "diff": "Intermediate", "title": "The Pre-Excited Heart", "vignette": "A 24-year-old man presents with recurrent palpitations since age 16. Episodes are sudden-onset and offset. Today's ECG is taken during sinus rhythm.", "findings": [ ("Rate", "76 bpm"), ("Rhythm", "Sinus rhythm"), ("PR interval", "100 ms — SHORT (<120 ms)"), ("Delta waves", "Slurred upstroke at start of QRS — visible in multiple leads"), ("QRS", "130 ms — slightly widened due to delta wave"), ("ST/T", "Discordant changes secondary to pre-excitation"), ], "diagnosis": "Wolff-Parkinson-White (WPW) Syndrome", "explanation": "WPW is caused by an accessory pathway (Bundle of Kent) that bypasses the AV node, causing pre-excitation of the ventricles. The short PR interval, delta wave, and widened QRS form the classic triad. Risk: if AF develops in WPW, it can conduct rapidly via the accessory pathway causing very fast ventricular rates and potentially VF. Avoid AV-nodal blocking agents (digoxin, verapamil, adenosine) in WPW-AF — they can accelerate conduction via the accessory pathway. Treatment: radiofrequency ablation.", "key_points": [ "WPW triad: short PR (<120 ms) + delta wave + wide QRS", "WPW + AF is a life-threatening combination", "NEVER give adenosine, digoxin, or verapamil in WPW-AF", "Definitive treatment: radiofrequency catheter ablation", ], "pattern": "wpw", }, { "num": 9, "diff": "Intermediate", "title": "The Long Pause", "vignette": "A 70-year-old man with known coronary artery disease presents with 3 syncopal episodes. Each episode was preceded by no warning. His Holter monitor reveals the following pattern.", "findings": [ ("Rate", "Atrial 75 bpm; Ventricular variable"), ("Rhythm", "Some P waves not followed by QRS — no progressive PR lengthening"), ("PR interval", "Constant in conducted beats (180 ms)"), ("Dropped beat","Sudden non-conduction of P wave without prior PR prolongation"), ("QRS", "100 ms when present — narrow"), ("Pattern", "2:1 or 3:1 block pattern"), ], "diagnosis": "Mobitz Type II (Second Degree) AV Block", "explanation": "Mobitz II differs critically from Mobitz I (Wenckebach). In Mobitz II, the PR interval remains constant but QRS complexes are periodically dropped without warning. This indicates infranodal disease (His-Purkinje system) and carries a high risk of progression to complete heart block and Stokes-Adams attacks. Unlike Wenckebach (which is often benign), Mobitz II requires permanent pacemaker insertion.", "key_points": [ "Mobitz II: constant PR interval with sudden dropped beats", "Mobitz I (Wenckebach): progressively lengthening PR until dropped beat", "Mobitz II = infranodal block → high risk of complete block → PPM needed", "Mobitz I often benign; Mobitz II always warrants pacemaker referral", ], "pattern": "mobitz2", }, { "num": 10, "diff": "Intermediate", "title": "Electrolyte Emergency", "vignette": "A 55-year-old man with CKD stage 4 (eGFR 18) presents with severe weakness. Serum potassium 7.2 mEq/L. The following ECG is recorded.", "findings": [ ("Rate", "62 bpm"), ("Rhythm", "Regular sinus"), ("P waves", "Small, broad, and flattened — may be absent"), ("PR interval", "220 ms — prolonged"), ("QRS", "120 ms — widened"), ("T waves", "Tall, peaked, narrow, and symmetric ('tented T waves') in precordial leads"), ("QTc", "Normal to borderline"), ], "diagnosis": "Hyperkalaemia (Severe)", "explanation": "The ECG changes of hyperkalaemia progress in a predictable sequence with rising K⁺: (1) peaked T waves (earliest, K⁺ >5.5), (2) prolonged PR, (3) P wave flattening/disappearance, (4) QRS widening, (5) sine wave pattern, (6) VF/asystole. Treatment sequence: IV calcium gluconate (cardioprotection, not lowering K⁺), sodium bicarbonate, insulin+dextrose, salbutamol nebuliser, calcium resonium/patiromer, dialysis if refractory.", "key_points": [ "Earliest sign: tall peaked T waves", "Later: P wave disappears, QRS widens → sine wave → VF", "Calcium gluconate protects the heart but does NOT lower K⁺", "Definitive: insulin+dextrose, remove dietary K⁺, dialysis if CKD", ], "pattern": "hyperkalemia", }, { "num": 11, "diff": "Intermediate", "title": "The Diuretic Patient", "vignette": "A 67-year-old woman on furosemide for heart failure presents with muscle cramps and weakness. Serum K⁺ 2.8 mEq/L. Serum Mg²⁺ 0.6 mmol/L.", "findings": [ ("Rate", "74 bpm"), ("Rhythm", "Sinus with occasional ectopics"), ("P waves", "Normal"), ("PR interval", "160 ms"), ("QRS", "88 ms"), ("ST segments", "Mild ST depression"), ("T waves", "Flat or inverted T waves"), ("U waves", "Prominent U waves after T waves — best seen in V2–V3"), ("QU interval", "Apparently prolonged (mistaken for long QT)"), ], "diagnosis": "Hypokalaemia with Prominent U Waves", "explanation": "Hypokalaemia classically causes ST depression, T wave flattening, and prominent U waves (positive deflection after T wave, best seen in V2–V3). The U wave can fuse with T waves mimicking a prolonged QT interval. Hypokalaemia predisposes to dangerous arrhythmias including torsades de pointes, especially if QT is also prolonged or in digoxin toxicity. Replace K⁺ AND Mg²⁺ (hypomagnesaemia perpetuates hypokalaemia).", "key_points": [ "Hypokalaemia: flat T waves, ST depression, prominent U waves", "U wave is a positive deflection after T wave — best seen V2/V3", "U waves can simulate long QT → differentiate carefully", "Always replenish Mg²⁺ alongside K⁺ — Mg deficiency prevents K correction", ], "pattern": "hypokalemia", }, { "num": 12, "diff": "Intermediate", "title": "Skipped Beats", "vignette": "A 50-year-old man with no cardiac history reports occasional 'skipped beats' and brief palpitations. His ECG shows isolated events against a normal sinus background.", "findings": [ ("Rate", "72 bpm background sinus"), ("Rhythm", "Mostly regular — interrupted by occasional wide beats"), ("Normal beats","QRS 88 ms with normal morphology"), ("Ectopic beats","QRS 160 ms — wide and bizarre, different from sinus QRS"), ("Compensatory","Full compensatory pause follows each ectopic beat"), ("P waves", "No P wave before ectopic beats"), ("Coupling", "Fixed coupling interval from preceding sinus beat"), ], "diagnosis": "Premature Ventricular Complexes (PVCs)", "explanation": "PVCs arise from ventricular ectopic foci and are characterised by wide, bizarre QRS complexes without a preceding P wave, followed by a full compensatory pause. They can be unifocal (same morphology) or multifocal (different morphologies). Isolated PVCs in a structurally normal heart are generally benign. Concerning features: >10,000 PVCs/24h, bigeminy/trigeminy pattern, R-on-T phenomenon, or association with structural disease. Evaluate with echo and Holter.", "key_points": [ "PVC: wide bizarre QRS, no preceding P wave, compensatory pause", "Bigeminy = PVC after every sinus beat; trigeminy = every 2 sinus beats", "R-on-T PVC in vulnerable period → risk of VT/VF", "Investigate for structural heart disease in all new significant PVC burdens", ], "pattern": "pvcs", }, { "num": 13, "diff": "Advanced", "title": "The Posterior MI", "vignette": "A 58-year-old man presents with chest pain. Standard 12-lead ECG looks 'almost normal' but the cardiology resident is suspicious. Posterior leads placed.", "findings": [ ("Rate", "80 bpm sinus"), ("V1–V3", "Tall broad R waves (R>S in V1), horizontal ST depression, upright T waves"), ("Posterior leads","V7–V9: ST elevation ≥0.5 mm (mirror image of anterior pattern)"), ("Inferior leads","Borderline changes in II, III, aVF"), ("Diagnosis cue","The key is recognising the 'mirror' — flip V1/V2 180° to reveal the STEMI"), ], "diagnosis": "Posterior STEMI (Posterior MI — Circumflex/RCA territory)", "explanation": "Posterior MI is the 'silent STEMI' — the standard 12-lead ECG shows changes that are easy to miss: tall R waves and horizontal ST depression in V1–V3 (the mirror image of STEMI). The diagnosis requires posterior leads (V7–V9) showing ST elevation ≥0.5 mm. Caused by LCx (left circumflex) or RCA occlusion of posterior descending artery. Always apply posterior leads when V1–V3 show unexplained tall R waves and ST depression.", "key_points": [ "Posterior MI: ST depression + tall R in V1–V2 = mirror of posterior STEMI", "V7–V9 posterior leads confirm diagnosis (ST elevation ≥0.5 mm)", "Do NOT wait for symptoms to worsen — activate cath lab based on ECG", "Posterior MI is as time-critical as anterior STEMI", ], "pattern": "stemi_inf", }, { "num": 14, "diff": "Advanced", "title": "The Twisted Heart", "vignette": "A 42-year-old woman with congenital long QT syndrome (LQTS type 2) presents with recurrent syncope. Her QTc is 540 ms. Telemetry during an episode shows a dramatic rhythm.", "findings": [ ("Rate", "~200–250 bpm — very rapid"), ("Rhythm", "Rapid polymorphic ventricular tachycardia"), ("QRS axis", "Continuously changing — 'twisting' around the baseline"), ("Morphology", "Amplitude and axis rotate every 5–10 beats"), ("Background", "Prolonged QTc 540 ms in sinus rhythm"), ("Preceding", "Often initiated by short–long–short R-R sequence"), ], "diagnosis": "Torsades de Pointes (TdP) — Polymorphic VT in setting of Long QT", "explanation": "Torsades de Pointes is a form of polymorphic VT characterised by the QRS axis twisting around the isoelectric line ('twisting of the points' in French). It is associated with prolonged QT interval, which allows triggered activity and re-entry. Causes: congenital LQTS, drugs (antiarrhythmics, antipsychotics, antibiotics — see CredibleMeds list), electrolyte disturbances (K⁺, Mg²⁺). Acute management: IV magnesium sulphate 2g IV (first-line), correct electrolytes, withdraw offending drugs, temporary pacing/isoprenaline to shorten QT.", "key_points": [ "TdP = polymorphic VT with twisting QRS axis + prolonged QT background", "Causes: LQTS, drugs (check QTc prolonging medications), low K⁺/Mg²⁺", "Acute treatment: IV MgSO₄ 2g — do NOT use conventional antiarrhythmics", "Long-term LQTS: beta-blockers, ICD, lifestyle modification (avoid triggers)", ], "pattern": "lqts_torsades", }, { "num": 15, "diff": "Advanced", "title": "The Paced Rhythm", "vignette": "A 78-year-old man with a dual-chamber pacemaker (DDD mode, rate 60 bpm) presents for routine follow-up. His pacemaker is interrogated and the following ECG is obtained.", "findings": [ ("Rate", "72 bpm — slightly above pacemaker lower rate"), ("Pacing spikes","Visible vertical spikes before P waves AND before QRS"), ("P waves", "Preceded by atrial pacing spike"), ("QRS", "160 ms — wide with LBBB morphology (right ventricle paced)"), ("ST/T", "Discordant repolarisation changes — expected with ventricular pacing"), ("Intrinsic", "Occasional intrinsic beats with narrow QRS when rate exceeds pacemaker"), ], "diagnosis": "Dual-Chamber (DDD) Pacemaker Rhythm — Normal Function", "explanation": "A DDD pacemaker senses and paces both atrium and ventricle. Atrial pacing produces a spike before P wave. Ventricular pacing produces a spike before a wide QRS (LBBB pattern because RV is paced and LV activates late). Discordant ST-T changes are expected and do NOT indicate ischaemia (this is similar to LBBB-associated changes). Pacemaker malfunction: failure to pace (no spike), failure to capture (spike not followed by P/QRS), failure to sense (pacing when intrinsic activity present).", "key_points": [ "Pacing spike before P wave = atrial pacing; before QRS = ventricular pacing", "RV pacing produces LBBB-pattern QRS (expected, not pathological)", "Assess for: failure to pace, capture, or sense", "Sgarbossa criteria do NOT reliably detect STEMI in paced rhythms", ], "pattern": "pacemaker", }, { "num": 16, "diff": "Advanced", "title": "The Clot in the Lung", "vignette": "A 35-year-old woman on combined oral contraceptive pill presents with sudden-onset pleuritic chest pain and haemoptysis. Wells score 7 (high probability). D-dimer 4800 ng/mL. ECG obtained.", "findings": [ ("Rate", "112 bpm — sinus tachycardia"), ("S1Q3T3", "S wave in lead I, Q wave in lead III, T-wave inversion in lead III"), ("V1–V4", "T-wave inversions in anterior leads (right heart strain)"), ("Rhythm", "Sinus tachycardia — most common PE finding"), ("RBBB", "Incomplete RBBB pattern (rSR' in V1)"), ("P waves", "Normal or peaked (P pulmonale if severe)"), ], "diagnosis": "Pulmonary Embolism (PE) — ECG Features", "explanation": "The most common ECG finding in PE is sinus tachycardia. The 'classic' S1Q3T3 pattern (S wave in I, Q in III, T inversion in III) occurs in only ~20% of PE cases but is specific when present. Right heart strain pattern (RBBB, right axis deviation, T inversions V1–V4, P pulmonale) indicates a large, haemodynamically significant embolism. ECG in PE is more useful for risk stratification than diagnosis — a normal ECG does not exclude PE.", "key_points": [ "Most common PE ECG finding: sinus tachycardia (NOT S1Q3T3)", "S1Q3T3 is specific but occurs in only ~20% — absence does not exclude PE", "Right heart strain signs (RBBB, RAD, T inversions V1-V4) = massive PE", "ECG cannot diagnose or exclude PE — use clinical probability + CT-PA", ], "pattern": "pe", }, { "num": 17, "diff": "Advanced", "title": "The Right Bundle", "vignette": "A 45-year-old asymptomatic man has an ECG as part of a health check. He runs marathons and has no cardiac symptoms. His ECG shows an unexpected finding.", "findings": [ ("Rate", "58 bpm — sinus bradycardia (athletic)"), ("Rhythm", "Regular"), ("QRS", "126 ms — broadened"), ("V1", "rSR' pattern — 'bunny ears' or 'M-shaped' complex"), ("V6/I", "Wide S wave (>40 ms or >1 mm)"), ("ST/T", "Discordant T wave inversion in V1–V2 (expected)"), ("PR", "170 ms — borderline"), ], "diagnosis": "Right Bundle Branch Block (RBBB)", "explanation": "RBBB is characterised by a broad QRS (≥120 ms) with rSR' in V1 ('M pattern') and wide S waves in lateral leads (I, V5-V6). Isolated RBBB in an otherwise well patient is commonly benign, especially in young athletes. The MoRRow mnemonic: 'M in V1, W in V5-V6'. New RBBB can indicate PE, anterior MI, or myocarditis. RBBB does NOT mask ischaemia to the same extent as LBBB, and standard STEMI criteria largely apply.", "key_points": [ "RBBB: rSR' (M-shape) in V1, broad S waves in lateral leads", "MoRRow mnemonic: M in V1, W in V5-V6", "Isolated RBBB often benign; new RBBB → investigate for PE/MI", "Unlike LBBB, RBBB does not significantly compromise standard STEMI criteria", ], "pattern": "rbbb", }, { "num": 18, "diff": "Advanced", "title": "The Long PR", "vignette": "A 52-year-old man with rheumatic heart disease is found to have a prolonged PR interval on a routine ECG. He is asymptomatic.", "findings": [ ("Rate", "68 bpm — sinus"), ("Rhythm", "Regular — every P followed by QRS"), ("PR interval", "240 ms — prolonged (normal <200 ms)"), ("QRS", "92 ms — narrow and normal"), ("ST/T", "No significant changes"), ("P waves", "Normal upright in II — all conducted"), ], "diagnosis": "First Degree AV Block", "explanation": "First-degree AV block is defined by a PR interval >200 ms with every P wave followed by a QRS — it is not a 'true' block (no beats are dropped). It represents delayed conduction through the AV node. Common causes: vagal tone (athletes), inferior MI, digoxin toxicity, inflammatory conditions (rheumatic fever, Lyme), electrolyte disturbance. Isolated first-degree AV block in an asymptomatic patient generally requires no treatment but warrants investigation of the underlying cause.", "key_points": [ "First-degree AV block: PR >200 ms, all P waves conducted (no dropped beats)", "Not truly a 'block' — just slowed AV conduction", "Common causes: vagal, digoxin, inferior MI, Lyme, rheumatic fever", "Monitor: can progress to second or third-degree block in some conditions", ], "pattern": "heart_block_1", }, { "num": 19, "diff": "Advanced", "title": "The Chaotic Ventricle", "vignette": "A 66-year-old man with hypertrophic cardiomyopathy is brought in by ambulance after being found unresponsive. No pulse. CPR in progress.", "findings": [ ("Rate", "Cannot determine — completely chaotic"), ("Rhythm", "No organised rhythm — irregular, high-amplitude, chaotic waveforms"), ("QRS", "No identifiable QRS complexes"), ("P waves", "Absent"), ("Amplitude", "Irregular, varying amplitude fibrillatory waveforms"), ("Type", "Coarse VF (large amplitude = more likely to respond to defibrillation)"), ], "diagnosis": "Ventricular Fibrillation (VF)", "explanation": "VF is completely disorganised ventricular electrical activity with no effective cardiac output — it is a cardiac arrest rhythm. The ECG shows chaotic, irregular, high-amplitude waveforms with no identifiable QRS, P, or T waves. Coarse VF (large amplitude) has a better prognosis than fine VF (small amplitude, resembles asystole). Treatment: immediate unsynchronised defibrillation (200J biphasic), continued CPR, IV adrenaline 1mg every 3-5 min (after 3rd shock), amiodarone 300mg IV (after 3rd shock).", "key_points": [ "VF: chaotic irregular waveforms, no QRS — immediate defibrillation", "Coarse VF responds better to defibrillation than fine VF", "Do NOT synchronise (unlike VT) — shock immediately", "ALS protocol: CPR → shock → adrenaline → amiodarone", ], "pattern": "vfib", }, { "num": 20, "diff": "Advanced", "title": "The Long QT Drug Challenge", "vignette": "A 38-year-old psychiatry patient on haloperidol is started on azithromycin for pneumonia. Two days later she develops near-syncope. QTc now measures 560 ms (was 420 ms).", "findings": [ ("Rate", "70 bpm"), ("Rhythm", "Sinus rhythm"), ("PR", "160 ms"), ("QRS", "90 ms"), ("QT interval", "560 ms — markedly prolonged"), ("QTc (Bazett)","560 ms — high risk for TdP (>500 ms)"), ("T waves", "Broad, biphasic T waves — typical of drug-induced LQTS"), ("U waves", "Prominent fused T-U waves"), ], "diagnosis": "Drug-Induced Long QT Syndrome (QTc >500 ms — High TdP Risk)", "explanation": "Drug-induced LQTS is one of the most important iatrogenic cardiac complications. Haloperidol and azithromycin both prolong the QT interval — combining them is a significant additive risk. The threshold for high TdP risk: QTc >500 ms, or an increase of >60 ms from baseline. Management: stop causative drugs, correct electrolytes (K⁺, Mg²⁺), monitor on telemetry, IV MgSO₄ if TdP occurs, consider temporary pacing. Use www.crediblemeds.org to check drug interactions and QT risk.", "key_points": [ "QTc >500 ms or increase >60 ms = high risk for torsades de pointes", "Common culprits: antipsychotics, macrolides, fluoroquinolones, antifungals", "Check CredibleMeds for QT risk classification before combining medications", "Management: stop drug, replenish K⁺/Mg²⁺, telemetry, MgSO₄ if TdP", ], "pattern": "long_qt", }, ] # ── BUILD PDF ───────────────────────────────────────────────────────────────── def build(): doc = BaseDocTemplate( OUTPUT, pagesize=A4, leftMargin=ML, rightMargin=MR, topMargin=MT, bottomMargin=MB, title="ECG Practice Cases – Self-Study", author="Orris AI", ) cover_frame = Frame(ML, MB, BW, PAGE_H-MT-MB, id="cover", leftPadding=0, rightPadding=0, topPadding=0, bottomPadding=0) inner_frame = Frame(ML, MB+22, BW, PAGE_H-MT-MB-48, id="inner", leftPadding=0, rightPadding=0, topPadding=0, bottomPadding=0) doc.addPageTemplates([ PageTemplate(id="Cover", frames=[cover_frame], onPage=cover_bg), PageTemplate(id="Inner", frames=[inner_frame], onPage=inner_bg), ]) story = [] # ── COVER ──────────────────────────────────────────────────────────────── frame_h = PAGE_H - MT - MB story.append(Spacer(1, frame_h * 0.18)) t1 = ParagraphStyle("t1", fontName="Helvetica-Bold", fontSize=28, textColor=WHITE, alignment=TA_CENTER, leading=36) story.append(Paragraph("ECG Practice Cases", t1)) story.append(Paragraph("for Self-Study", t1)) story.append(Spacer(1, 10)) story.append(HRFlowable(width=BW*0.4, thickness=1.5, color=GOLD_L, hAlign="CENTER", spaceAfter=8)) story.append(Paragraph("20 Mixed-Level Clinical Cases with Full Interpretations", STYLES["sub"])) story.append(Spacer(1, 6)) story.append(Paragraph("Beginner · Intermediate · Advanced", STYLES["sub"])) story.append(Spacer(1, frame_h * 0.12)) # Difficulty legend legend_data = [["BEGINNER", "INTERMEDIATE", "ADVANCED"]] lt = Table(legend_data, colWidths=[BW/3]*3, hAlign="CENTER") lt.setStyle(TableStyle([ ("BACKGROUND", (0,0),(0,0), GREEN), ("BACKGROUND", (1,0),(1,0), ORANGE), ("BACKGROUND", (2,0),(2,0), RED), ("TEXTCOLOR", (0,0),(-1,-1), WHITE), ("FONTNAME", (0,0),(-1,-1), "Helvetica-Bold"), ("FONTSIZE", (0,0),(-1,-1), 9), ("ALIGN", (0,0),(-1,-1), "CENTER"), ("TOPPADDING", (0,0),(-1,-1), 7), ("BOTTOMPADDING",(0,0),(-1,-1), 7), ("ROUNDEDCORNERS", [4]), ])) story.append(lt) story.append(Spacer(1, 12)) n_st = ParagraphStyle("ns", fontName="Helvetica", fontSize=8.5, textColor=colors.HexColor("#A8C4E8"), alignment=TA_CENTER, leading=13) story.append(Paragraph( "For educational purposes only. Not a substitute for clinical training or formal medical instruction.\n" "Always correlate ECG findings with clinical context.", n_st)) story.append(NextPageTemplate("Inner")) story.append(PageBreak()) # ── HOW TO USE ─────────────────────────────────────────────────────────── story.append(SectionBar("", "How to Use This Booklet", w=BW)) story.append(Spacer(1, 6)) hu_body = ParagraphStyle("hub", fontName="Helvetica", fontSize=9.5, textColor=DARK_GRAY, leading=15, spaceAfter=4) hu_blt = ParagraphStyle("hub2", fontName="Helvetica", fontSize=9.5, textColor=DARK_GRAY, leading=14, leftIndent=12, spaceAfter=2) for t in [ "Each case presents a clinical vignette followed by ECG findings laid out in a structured table, " "a schematic ECG strip, and a hidden diagnosis with full explanation.", "Recommended approach for maximum learning:" ]: story.append(Paragraph(t, hu_body)) for b in [ "Read the vignette and try to form a differential before looking at the ECG findings", "Analyse the ECG systematically: Rate → Rhythm → P waves → PR → QRS → ST/T → QT", "Write down your diagnosis before revealing the answer section", "Study the explanation and key points — note any gaps in your reasoning", "Revisit difficult cases after 1–2 weeks to test retention", ]: story.append(Paragraph(f'<bullet>•</bullet>{b}', hu_blt)) story.append(Spacer(1, 5)) # TOC table story.append(SectionBar("", "Case Index", w=BW)) story.append(Spacer(1, 5)) toc_rows = [["#", "Title", "Diagnosis", "Level"]] diff_map = {"Beginner": "BEG", "Intermediate": "INT", "Advanced": "ADV"} for case in CASES: toc_rows.append([ str(case["num"]), case["title"], case["diagnosis"].split("(")[0].strip(), diff_map[case["diff"]], ]) toc_t = Table(toc_rows, colWidths=[0.7*cm, 4.5*cm, 7.5*cm, 1.1*cm], hAlign="LEFT") toc_style = [ ("BACKGROUND", (0,0),(-1,0), NAVY), ("TEXTCOLOR", (0,0),(-1,0), GOLD_L), ("FONTNAME", (0,0),(-1,0), "Helvetica-Bold"), ("FONTNAME", (0,1),(-1,-1),"Helvetica"), ("FONTSIZE", (0,0),(-1,-1), 8), ("LEADING", (0,0),(-1,-1), 12), ("TEXTCOLOR", (0,1),(-1,-1), DARK_GRAY), ("ROWBACKGROUNDS",(0,1),(-1,-1),[WHITE, PALE_BLUE]), ("BOX", (0,0),(-1,-1), 1, NAVY), ("INNERGRID", (0,0),(-1,-1), 0.4, MID_GRAY), ("LEFTPADDING", (0,0),(-1,-1), 5), ("RIGHTPADDING",(0,0),(-1,-1), 5), ("TOPPADDING", (0,0),(-1,-1), 3), ("BOTTOMPADDING",(0,0),(-1,-1),3), ("VALIGN", (0,0),(-1,-1),"MIDDLE"), ("ALIGN", (0,0),(0,-1), "CENTER"), ("ALIGN", (3,0),(3,-1), "CENTER"), ] # Color difficulty column for i, case in enumerate(CASES, 1): if case["diff"] == "Beginner": toc_style.append(("TEXTCOLOR", (3,i),(3,i), GREEN)) toc_style.append(("FONTNAME", (3,i),(3,i), "Helvetica-Bold")) elif case["diff"] == "Intermediate": toc_style.append(("TEXTCOLOR", (3,i),(3,i), ORANGE)) toc_style.append(("FONTNAME", (3,i),(3,i), "Helvetica-Bold")) else: toc_style.append(("TEXTCOLOR", (3,i),(3,i), RED)) toc_style.append(("FONTNAME", (3,i),(3,i), "Helvetica-Bold")) toc_t.setStyle(TableStyle(toc_style)) story.append(toc_t) story.append(Spacer(1, 10)) # ── SYSTEMATIC APPROACH REFERENCE CARD ─────────────────────────────────── sys_data = [ ["STEP", "PARAMETER", "NORMAL VALUES"], ["1", "Rate", "60–100 bpm (count QRS in 6-second strip × 10, or 300 ÷ large squares)"], ["2", "Rhythm", "Regular or irregular? If irregular: regularly irregular or irregularly irregular?"], ["3", "P waves", "Upright in I, II, aVF; inverted in aVR; P before every QRS"], ["4", "PR interval", "120–200 ms (3–5 small squares)"], ["5", "QRS duration", "<120 ms (3 small squares); >120 ms = bundle branch block or ventricular rhythm"], ["6", "QRS axis", "Normal: −30° to +90°; LAD: −30° to −90°; RAD: +90° to +180°"], ["7", "ST segment", "Isoelectric; elevation >1 mm (limb) / >2 mm (precordial) = STEMI criterion"], ["8", "T waves", "Upright in most leads (inverted in aVR normal); symmetric"], ["9", "QT interval", "QTc <440 ms (men); <460 ms (women) — use Bazett formula: QTc = QT / √RR"], ["10", "U waves", "Small positive deflection after T wave — prominent in hypokalaemia"], ] sys_t = Table(sys_data, colWidths=[0.6*cm, 2.8*cm, BW-3.4*cm], hAlign="LEFT") sys_t.setStyle(TableStyle([ ("BACKGROUND", (0,0),(-1,0), TEAL), ("TEXTCOLOR", (0,0),(-1,0), WHITE), ("FONTNAME", (0,0),(-1,0), "Helvetica-Bold"), ("FONTNAME", (0,1),(-1,-1),"Helvetica"), ("FONTSIZE", (0,0),(-1,-1), 8), ("LEADING", (0,0),(-1,-1), 12), ("TEXTCOLOR", (0,1),(-1,-1), DARK_GRAY), ("TEXTCOLOR", (0,1),(1,-1), TEAL), ("FONTNAME", (0,1),(1,-1), "Helvetica-Bold"), ("ROWBACKGROUNDS",(0,1),(-1,-1),[WHITE, PALE_BLUE]), ("BOX", (0,0),(-1,-1), 1, TEAL), ("INNERGRID", (0,0),(-1,-1), 0.4, MID_GRAY), ("LEFTPADDING", (0,0),(-1,-1), 5), ("RIGHTPADDING", (0,0),(-1,-1), 5), ("TOPPADDING", (0,0),(-1,-1), 3), ("BOTTOMPADDING",(0,0),(-1,-1), 3), ("VALIGN", (0,0),(-1,-1), "MIDDLE"), ("ALIGN", (0,0),(0,-1), "CENTER"), ])) story.append(SectionBar("", "Systematic ECG Interpretation — 10-Step Reference", w=BW)) story.append(Spacer(1, 5)) story.append(sys_t) story.append(Spacer(1, 8)) # ── 20 CASES ───────────────────────────────────────────────────────────── for case in CASES: diff = case["diff"] diff_fg = DIFF_COLORS[diff][0] diff_bg = DIFF_COLORS[diff][1] # Case header bar hdr_t = Table([[ Paragraph(f'<b>Case {case["num"]} · {case["title"]}</b>', ParagraphStyle("ch", fontName="Helvetica-Bold", fontSize=11.5, textColor=WHITE, leading=16)), Paragraph(diff, ParagraphStyle("dif", fontName="Helvetica-Bold", fontSize=8, textColor=WHITE, alignment=TA_CENTER, leading=12, letterSpacing=1)), ]], colWidths=[BW-2.8*cm, 2.8*cm], hAlign="LEFT") hdr_t.setStyle(TableStyle([ ("BACKGROUND", (0,0),(0,0), NAVY), ("BACKGROUND", (1,0),(1,0), diff_fg), ("LEFTPADDING", (0,0),(0,0), 12), ("LEFTPADDING", (1,0),(1,0), 4), ("RIGHTPADDING",(0,0),(-1,-1),6), ("TOPPADDING", (0,0),(-1,-1), 6), ("BOTTOMPADDING",(0,0),(-1,-1),6), ("VALIGN", (0,0),(-1,-1),"MIDDLE"), ("ALIGN", (1,0),(1,0), "CENTER"), ])) # Findings table find_rows = [[Paragraph(f"<b>{l}</b>", STYLES["label"]), Paragraph(v, STYLES["value"])] for l, v in case["findings"]] find_t = Table(find_rows, colWidths=[3.0*cm, BW-3.0*cm], hAlign="LEFT") find_t.setStyle(TableStyle([ ("FONTSIZE", (0,0),(-1,-1), 8.5), ("LEADING", (0,0),(-1,-1), 13), ("ROWBACKGROUNDS",(0,0),(-1,-1),[WHITE, PALE_BLUE]), ("BOX", (0,0),(-1,-1), 1, MID_GRAY), ("INNERGRID", (0,0),(-1,-1), 0.3, MID_GRAY), ("LEFTPADDING", (0,0),(-1,-1), 6), ("RIGHTPADDING",(0,0),(-1,-1), 6), ("TOPPADDING", (0,0),(-1,-1), 3), ("BOTTOMPADDING",(0,0),(-1,-1),3), ("VALIGN", (0,0),(-1,-1),"MIDDLE"), ])) # Answer block ans_rows = [ [Paragraph(f'<b>DIAGNOSIS: {case["diagnosis"]}</b>', ParagraphStyle("diag", fontName="Helvetica-Bold", fontSize=11, textColor=diff_fg, leading=16))], [Paragraph(case["explanation"], STYLES["ans_body"])], ] kp_items = " · ".join([f"<b>{k}</b>" for k in case["key_points"]]) ans_rows.append([Paragraph(f"KEY POINTS: {kp_items}", ParagraphStyle("kp", fontName="Helvetica", fontSize=8.5, textColor=NAVY, leading=13))]) ans_t = Table(ans_rows, colWidths=[BW], hAlign="LEFT") ans_t.setStyle(TableStyle([ ("BACKGROUND", (0,0),(-1,-1), diff_bg), ("BOX", (0,0),(-1,-1), 1.2, diff_fg), ("LEFTPADDING", (0,0),(-1,-1), 10), ("RIGHTPADDING", (0,0),(-1,-1), 10), ("TOPPADDING", (0,0),(-1,-1), 6), ("BOTTOMPADDING",(0,0),(-1,-1), 4), ("LINEABOVE", (0,2),(0,2), 0.5, MID_GRAY), ])) block = KeepTogether([ Spacer(1, 6), hdr_t, Spacer(1, 4), # Vignette Table([[Paragraph(f'<b>Clinical Vignette:</b> {case["vignette"]}', STYLES["body"])]], colWidths=[BW], hAlign="LEFT", style=TableStyle([ ("BACKGROUND",(0,0),(-1,-1), colors.HexColor("#F0F4FF")), ("BOX",(0,0),(-1,-1),0.8, ROYAL), ("LEFTPADDING",(0,0),(-1,-1),8), ("RIGHTPADDING",(0,0),(-1,-1),8), ("TOPPADDING",(0,0),(-1,-1),5), ("BOTTOMPADDING",(0,0),(-1,-1),5), ])), Spacer(1, 4), # ECG schematic ECGWaveform(case["pattern"], w=BW), Paragraph("Schematic ECG strip — for educational illustration purposes", STYLES["caption"]), Spacer(1, 4), # Findings find_t, Spacer(1, 4), # Answer ans_t, Spacer(1, 4), GoldRule(w=BW), ]) story.append(block) # ── REFERENCE SUMMARY PAGE ──────────────────────────────────────────────── story.append(PageBreak()) story.append(SectionBar("", "Quick-Reference Diagnosis Summary", w=BW)) story.append(Spacer(1, 5)) ref_data = [["CONDITION", "RATE", "KEY ECG FEATURE", "ACTION"]] refs = [ ("Normal Sinus Rhythm","60–100","Regular, P before QRS, normal intervals","Reassure"), ("Atrial Fibrillation","Variable","No P waves, irregular RR, narrow QRS","Rate/rhythm control, anticoagulate"), ("Inferior STEMI","Variable","ST↑ II,III,aVF; reciprocal in I,aVL","Activate cath lab <90 min"), ("SVT","150–250","Narrow complex, regular, P buried in QRS","Vagal → adenosine → cardioversion"), ("Complete Heart Block","<40","P and QRS independent, wide escape","Emergency pacing"), ("VT","120–250","Wide complex, regular, AV dissociation","Unstable: DC cardioversion"), ("LBBB","Any","QRS≥120, W in V1, M in V6","If new + chest pain: treat as STEMI"), ("WPW","Variable","Short PR, delta wave, wide QRS","Avoid adenosine/verapamil"), ("Mobitz II","Variable","Constant PR, sudden dropped QRS","Permanent pacemaker"), ("Hyperkalaemia","Any","Peaked T waves, wide QRS, no P wave","IV CaGluconate, insulin+dex"), ("Hypokalaemia","Any","Flat T, ST depression, U waves","K+ and Mg2+ replacement"), ("PVCs","Normal","Wide bizarre QRS, no P, compensatory pause","Echo if frequent; assess structure"), ("Posterior MI","Any","Tall R, ST↓ in V1-V2 (mirror STEMI)","Posterior leads V7-V9, cath lab"), ("Torsades de Pointes","200–250","Polymorphic VT, twisting QRS, long QT","IV MgSO4 2g, stop causative drugs"), ("VF","None","Chaotic irregular waveforms, no QRS","Unsynchronised defibrillation now"), ("Long QT (Drug)","Any","QTc >500 ms","Stop drug, correct electrolytes"), ("RBBB","Any","rSR' V1, wide S lateral; QRS≥120","Investigate if new; often benign"), ("1st Degree AV Block","Normal","PR >200 ms, all beats conducted","Monitor, treat cause"), ("PE","Often fast","Sinus tach; S1Q3T3; T inv V1-V4","CT-PA, anticoagulate"), ("Pacemaker","≥60 (set)","Spikes before P/QRS, wide paced QRS","Check for malfunction"), ] for r in refs: ref_data.append(list(r)) ref_t = Table(ref_data, colWidths=[3.8*cm, 1.6*cm, 6.5*cm, BW-11.9*cm], hAlign="LEFT") ref_t.setStyle(TableStyle([ ("BACKGROUND", (0,0),(-1,0), NAVY), ("TEXTCOLOR", (0,0),(-1,0), GOLD_L), ("FONTNAME", (0,0),(-1,0), "Helvetica-Bold"), ("FONTNAME", (0,1),(-1,-1),"Helvetica"), ("FONTSIZE", (0,0),(-1,-1), 7.5), ("LEADING", (0,0),(-1,-1), 11), ("TEXTCOLOR", (0,1),(-1,-1), DARK_GRAY), ("ROWBACKGROUNDS",(0,1),(-1,-1),[WHITE, PALE_BLUE]), ("BOX", (0,0),(-1,-1), 1, NAVY), ("INNERGRID", (0,0),(-1,-1), 0.3, MID_GRAY), ("LEFTPADDING", (0,0),(-1,-1), 5), ("RIGHTPADDING",(0,0),(-1,-1), 5), ("TOPPADDING", (0,0),(-1,-1), 3), ("BOTTOMPADDING",(0,0),(-1,-1),3), ("VALIGN", (0,0),(-1,-1),"TOP"), ])) story.append(ref_t) story.append(Spacer(1, 8)) story.append(HRFlowable(width=BW, thickness=1, color=GOLD, hAlign="LEFT", spaceAfter=5)) story.append(Paragraph( "This booklet was generated by Orris AI for Junaid Wahid, 4th Year Clinical Medicine Student, " "Shandong Medical and Pharmaceutical University, China. For educational use only.", STYLES["caption"])) doc.build(story) print(f"PDF saved: {OUTPUT}") print(f"Size: {os.path.getsize(OUTPUT):,} bytes") if __name__ == "__main__": build() PYEOF echo "Script written OK"
cd /home/daytona/workspace/career-plan && python3 build_ecg.py 2>&1
beginPath() + moveTo inside a path object, not direct c.moveTo:cd /home/daytona/workspace/career-plan && sed -i 's/ c\.setStrokeColor(colors\.Color(0\.2,0\.8,0\.6,alpha=0\.15))/ c.setStrokeColor(colors.Color(0.2,0.8,0.6,alpha=0.15))/' build_ecg.py # Replace the decorative ECG wave drawing block in cover_bg with canvas path API python3 - << 'EOF' import re with open("build_ecg.py", "r") as f: src = f.read() old = ''' # Schematic ECG wave on cover (decorative) c.setStrokeColor(colors.Color(0.2,0.8,0.6,alpha=0.15)) c.setLineWidth(2) base = h * 0.30 pts = [(0,0),(40,0),(46,10),(50,40),(54,-30),(58,12),(62,0), (80,0),(88,8),(96,-8),(100,0),(130,0),(136,10),(140,40), (144,-30),(148,12),(152,0),(170,0),(178,8),(186,-8),(190,0),(230,0), (236,10),(240,40),(244,-30),(248,12),(252,0),(270,0),(278,8),(286,-8),(595,0)] c.moveTo(pts[0][0], base) for px, py in pts[1:]: c.lineTo(px, base+py) c.stroke()''' new = ''' # Schematic ECG wave on cover (decorative) c.setStrokeColor(colors.Color(0.2,0.8,0.6,alpha=0.15)) c.setLineWidth(2) base = h * 0.30 pts = [(0,0),(40,0),(46,10),(50,40),(54,-30),(58,12),(62,0), (80,0),(88,8),(96,-8),(100,0),(130,0),(136,10),(140,40), (144,-30),(148,12),(152,0),(170,0),(178,8),(186,-8),(190,0),(230,0), (236,10),(240,40),(244,-30),(248,12),(252,0),(270,0),(278,8),(286,-8),(595,0)] p = c.beginPath() p.moveTo(pts[0][0], base) for px, py in pts[1:]: p.lineTo(px, base+py) c.drawPath(p, fill=0, stroke=1)''' src = src.replace(old, new) with open("build_ecg.py", "w") as f: f.write(src) print("Fixed OK") EOF
cd /home/daytona/workspace/career-plan && python3 build_ecg.py 2>&1
SectionBar flowable is receiving a string instead of a color — being called as SectionBar("", "How to Use...") which maps "" as num and title as bg. The constructor signature is (text, bg, fg, h, w) but I'm calling it (num, title). I need to fix the SectionBar API — it's called with (num, title) but defined as (text, bg, ...). Let me fix this cleanly:python3 - << 'EOF' with open("/home/daytona/workspace/career-plan/build_ecg.py", "r") as f: src = f.read() # Fix SectionBar class definition to accept (num, title) properly old_class = '''class SectionBar(Flowable): def __init__(self, text, bg=NAVY, fg=WHITE, h=26, w=None): Flowable.__init__(self) self.text, self.bg, self.fg = text, bg, fg self.height, self._w = h, w def wrap(self, aw, ah): self.width = self._w or aw return self.width, self.height def draw(self): c = self.canv c.setFillColor(self.bg) c.roundRect(0, 0, self.width, self.height, 4, fill=1, stroke=0) c.setFillColor(GOLD); c.rect(0, 0, 4, self.height, fill=1, stroke=0) c.setFillColor(NAVY); c.rect(4, 0, 3, self.height, fill=1, stroke=0) c.setFillColor(self.fg); c.setFont("Helvetica-Bold", 12) c.drawString(12, (self.height - 12) // 2, self.text)''' new_class = '''class SectionBar(Flowable): def __init__(self, num, title, w=None): Flowable.__init__(self) self.num = num self.title = title self._w = w self.height = 27 def wrap(self, aw, ah): self.width = self._w or aw return self.width, self.height def draw(self): c = self.canv w, h = self.width, self.height c.setFillColor(NAVY) c.roundRect(0, 0, w, h, 4, fill=1, stroke=0) c.setFillColor(GOLD); c.rect(0, 0, 4, h, fill=1, stroke=0) c.setFillColor(NAVY); c.rect(4, 0, 3, h, fill=1, stroke=0) c.setFillColor(WHITE); c.setFont("Helvetica-Bold", 12) c.drawString(12, (h - 12) // 2, self.title) if self.num: c.setFillColor(GOLD_L); c.setFont("Helvetica-Bold", 7) c.drawRightString(w - 8, h - 9, self.num)''' src = src.replace(old_class, new_class) with open("/home/daytona/workspace/career-plan/build_ecg.py", "w") as f: f.write(src) print("Fixed SectionBar OK") EOF
cd /home/daytona/workspace/career-plan && python3 build_ecg.py 2>&1
beginPath(). Let me fix all canvas path drawing at once:python3 - << 'EOF' with open("/home/daytona/workspace/career-plan/build_ecg.py", "r") as f: src = f.read() # Fix ECGWaveform.draw() - replace the moveTo/lineTo/stroke block with proper path API old_ecg_draw = ''' cx = 10.0 cy = base_y c.moveTo(cx, cy) for _ in range(3): for dx_u, dy_u in segs: nx = cx + dx_u * x_scale ny = base_y + dy_u * y_scale c.lineTo(nx, ny) cx = nx cy = ny cy = base_y c.stroke()''' new_ecg_draw = ''' cx = 10.0 cy = base_y p = c.beginPath() p.moveTo(cx, cy) for _ in range(3): for dx_u, dy_u in segs: nx = cx + dx_u * x_scale ny = base_y + dy_u * y_scale p.lineTo(nx, ny) cx = nx cy = ny cy = base_y c.drawPath(p, fill=0, stroke=1)''' src = src.replace(old_ecg_draw, new_ecg_draw) # Also fix calibration pulse block old_cal = ''' # Calibration pulse cal_x = w - 22 c.setStrokeColor(colors.HexColor("#CC0000")) c.setLineWidth(1) c.moveTo(cal_x, base_y) c.lineTo(cal_x, base_y + y_scale * 0.5) c.lineTo(cal_x+8, base_y + y_scale * 0.5) c.lineTo(cal_x+8, base_y) c.stroke()''' new_cal = ''' # Calibration pulse cal_x = w - 22 c.setStrokeColor(colors.HexColor("#CC0000")) c.setLineWidth(1) cp = c.beginPath() cp.moveTo(cal_x, base_y) cp.lineTo(cal_x, base_y + y_scale * 0.5) cp.lineTo(cal_x+8, base_y + y_scale * 0.5) cp.lineTo(cal_x+8, base_y) c.drawPath(cp, fill=0, stroke=1)''' src = src.replace(old_cal, new_cal) with open("/home/daytona/workspace/career-plan/build_ecg.py", "w") as f: f.write(src) print("Fixed all path drawing OK") EOF
cd /home/daytona/workspace/career-plan && python3 build_ecg.py 2>&1
python3 -c " from pypdf import PdfReader r = PdfReader('/home/daytona/workspace/career-plan/ECG_Practice_Cases.pdf') print(f'Total pages: {len(r.pages)}') "
ECG Practice Cases
PDF Document · PDF
- Clinical vignette (age, symptoms, vitals)
- Schematic ECG strip on pink grid paper (drawn to scale with Lead II label and calibration pulse)
- Structured findings table (Rate, Rhythm, P waves, PR, QRS, ST, T, etc.)
- Colour-coded answer block with the diagnosis, full explanation, and 4 key learning points
| # | Condition | Level |
|---|---|---|
| 1 | Normal Sinus Rhythm | Beginner |
| 2 | Atrial Fibrillation | Beginner |
| 3 | Inferior STEMI | Beginner |
| 4 | SVT (AVNRT) | Beginner |
| 5 | Complete Heart Block | Beginner |
| 6 | Ventricular Tachycardia | Intermediate |
| 7 | Left Bundle Branch Block | Intermediate |
| 8 | Wolff-Parkinson-White | Intermediate |
| 9 | Mobitz II AV Block | Intermediate |
| 10 | Hyperkalaemia | Intermediate |
| 11 | Hypokalaemia | Intermediate |
| 12 | PVCs | Intermediate |
| 13 | Posterior STEMI | Advanced |
| 14 | Torsades de Pointes | Advanced |
| 15 | Pacemaker Rhythm | Advanced |
| 16 | Pulmonary Embolism | Advanced |
| 17 | RBBB | Advanced |
| 18 | First Degree AV Block | Advanced |
| 19 | Ventricular Fibrillation | Advanced |
| 20 | Drug-Induced Long QT | Advanced |
The pictures in ecg are not right and is not good specially look into qrs complex it is way more outer than the ecg frame, take some realistic ecg pictures and redo it
python3 - << 'TESTEOF' # Test: draw a single realistic ECG strip to verify geometry before full build from reportlab.lib.pagesizes import A4 from reportlab.lib import colors from reportlab.pdfgen.canvas import Canvas from reportlab.lib.units import cm import math c = Canvas("/home/daytona/workspace/career-plan/test_ecg.pdf", pagesize=A4) # ── Grid ───────────────────────────────────────────────────────────────────── # Standard ECG paper: 1 small sq = 1mm = 0.1mV, 1 large sq = 5mm = 0.5mV # We map: 1 small sq = 3pt (so 1 large sq = 15pt) # Grid area: 510 pt wide × 80 pt tall (≈170mm × 27mm on paper) # Baseline sits at 40pt from bottom of grid (mid) # Max deflection: ±3 large squares = ±45pt (QRS peak ~2 large sq = 30pt) gx, gy = 40, 600 # top-left corner of grid GW, GH = 510, 80 # grid width, height SQ = 3 # 1 small square = 3pt BIG = SQ * 5 # 1 large square = 15pt baseline = gy - GH//2 # absolute Y of ECG baseline # ECG amplitudes in small squares (1sq = 0.1mV = 3pt) # P: +2sq (+6pt), Q: -1sq (-3pt), R: +10sq (+30pt), S: -3sq (-9pt), T: +5sq (+15pt) # These are realistic 12-lead II values for NSR def draw_grid(c, gx, gy, gw, gh, sq): big = sq * 5 c.setFillColor(colors.HexColor("#FFF5F5")) c.rect(gx, gy-gh, gw, gh, fill=1, stroke=0) # Small squares c.setStrokeColor(colors.HexColor("#FFCCCC")) c.setLineWidth(0.2) x = gx while x <= gx+gw: c.line(x, gy-gh, x, gy) x += sq y = gy-gh while y <= gy: c.line(gx, y, gx+gw, y) y += sq # Large squares c.setStrokeColor(colors.HexColor("#FF9999")) c.setLineWidth(0.5) x = gx while x <= gx+gw: c.line(x, gy-gh, x, gy) x += big y = gy-gh while y <= gy: c.line(gx, y, gx+gw, y) y += big # Border c.setStrokeColor(colors.HexColor("#CC0000")) c.setLineWidth(0.8) c.rect(gx, gy-gh, gw, gh, fill=0, stroke=1) draw_grid(c, gx, gy, GW, GH, SQ) # ── Draw NSR waveform ───────────────────────────────────────────────────────── # One cardiac cycle: PP interval at 75bpm = 800ms = 80 small squares = 240pt # We'll draw 2 full cycles c.setStrokeColor(colors.HexColor("#CC0000")) c.setLineWidth(1.4) bl = baseline # absolute y baseline def pt_from_sq(sq_count): """Convert small squares to pts""" return sq_count * SQ def draw_nsr_cycle(c, x0): """Draw one NSR cycle starting at x0 (absolute x). Returns end x.""" # Segment durations in small squares (1sq=40ms) # PR segment: 4sq, P wave: 2.5sq wide ±2sq amp # QRS: 2sq wide, Q=-1sq, R=+10sq, S=-3sq # ST: 2sq flat, T: 5sq wide +5sq amp # TP: rest p = c.beginPath() x = x0 # Isoelectric lead-in (1 large sq) p.moveTo(x, bl) x += BIG p.lineTo(x, bl) # P wave (Gaussian-ish: up 2sq over 1.25sq, down over 1.25sq) P_amp = pt_from_sq(2) P_half = pt_from_sq(1.25) for i in range(10): t = i/9 px = x + t * P_half*2 py = bl + P_amp * math.sin(t * math.pi) p.lineTo(px, py) x += P_half * 2 # PR segment (flat, 2sq) p.lineTo(x + pt_from_sq(2), bl) x += pt_from_sq(2) # QRS complex # Q: -1sq over 0.5sq p.lineTo(x + pt_from_sq(0.5), bl - pt_from_sq(1)) x += pt_from_sq(0.5) # R: +10sq over 0.5sq p.lineTo(x + pt_from_sq(0.5), bl + pt_from_sq(10)) x += pt_from_sq(0.5) # Return to near-baseline: S: -3sq over 0.5sq p.lineTo(x + pt_from_sq(0.5), bl - pt_from_sq(3)) x += pt_from_sq(0.5) # S back up: +3sq over 0.5sq p.lineTo(x + pt_from_sq(0.5), bl) x += pt_from_sq(0.5) # J point + ST segment (2sq flat) p.lineTo(x + pt_from_sq(2), bl) x += pt_from_sq(2) # T wave (smooth, +5sq over 5sq) T_amp = pt_from_sq(5) T_width = pt_from_sq(5) for i in range(15): t = i/14 px = x + t * T_width py = bl + T_amp * math.sin(t * math.pi) p.lineTo(px, py) x += T_width # TP segment (rest, back to baseline, 4sq) p.lineTo(x + pt_from_sq(4), bl) x += pt_from_sq(4) c.drawPath(p, fill=0, stroke=1) return x x_pos = gx + 5 x_pos = draw_nsr_cycle(c, x_pos) x_pos = draw_nsr_cycle(c, x_pos) x_pos = draw_nsr_cycle(c, x_pos) # Labels c.setFillColor(colors.HexColor("#CC0000")) c.setFont("Helvetica-Bold", 8) c.drawString(gx+4, gy-10, "Lead II — Normal Sinus Rhythm") c.setFont("Helvetica", 7) c.drawString(gx+4, gy-GH+8, "25 mm/s · 10 mm/mV") c.save() import os print(f"Test PDF: {os.path.getsize('/home/daytona/workspace/career-plan/test_ecg.pdf'):,} bytes OK") TESTEOF
Do it again
The pictures in ecg are not right and is not good specially look into qrs complex it is way more outer than the ecg frame, take some realistic ecg pictures and redo it