She is an advanced oncology certified nurse (AOCN) and a PhD candidate in the Faculty of Nursing at the University of Toronto (Canada). Karima is vice-president of professional practice and Chief Nursing Executive of Toronto Rehabilitation - Canada's largest academic hospital specialising in adult rehabilitation and complex continuing care. She has cross appointments to the Faculties of Nursing at the University of Toronto and to McMaster University. Karima's funded research programs focus on symptom management and quality of life in cancer patients. Her research training has focused on clinical trials and evaluation of individualised educational interventions for management of cancer symptoms. She is currently developing and testing evidence-based support and education interventions during radiation therapy for gynaecological cancers.