Change the mindset of those who matter & who are sitting somewhere else-Prof. Daud Khan

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 Health Professions Education & Research Conference at KMU

Change the mindset of those who matter &
who are sitting somewhere else-Prof. Daud Khan

Convince & negotiate with them to let the doctors
run and manage medical institutions

Accreditation standards approved by PM&DC ensures patient
safety and social accountability- Prof. Arshad Javed

PESHAWAR: Prof. Daud Khan founding Vice Chancellor of Khyber Medical University has urged the healthcare professionals to change the mindset of those who matter and who are not here but sitting somewhere else. You need to negotiate and convince them to let the doctors who are blessed with leadership a nd management skills to run and manage the medical institutons without any political interference. He was speaking at the concluding session of the 7th International conference on Health Professions Education and Research organized by Khyber Medical University from 19-21st March 2019.

Khyber Medical University, he said, has made tremendous progress over the years due to the dedicated efforts of its leadership Prof. Arshad Javed the current Vice Chancellor and Prof. Hafeezullah Khan the former Vice Chancellor. He urged the university to engage in research, health advocacy besides training of user friendly human resource. We are still learning our skills on live patients. A large number of patents and their attendants visit the Accidents & Emergency Center in hospitals and we often see fights between the doctors and patients. At the time of independence we had just two medical colleges and six specialists. Almost 80% of the staff migrated but then we have made tremendous progress. Today we do have Islands of excellence but they are not going to meet the needs of over two hundred twenty million people. Doctors have the knowledge, they understand the problems and they are blessed with leadership and management skills. We need to identify our weaknesses and bridge the gaps. Medical profession need to do advocacy with the government to empower them and monitor them. Doctors have the necessary knowledge and skills but they need to negotiate with them to bring a change. You need to sit with the government, continuously feed them, and follow them. Only then they will be able to change the mindset of those who matter who are not listening because they are not here but they are sitting somewhere else. We have the talent to run and manage the medical institutons to provide high quality health services, he added.

Earlier in his welcome address Dr.Ahsan Sethi said that the theme of the conference was Health Professions Education in changing times and it provided an opportunity to the students to present their work. He also announced that shortly we intend to start PhD in Medical Education. The scientific programme of the conference included fifteen keynote presentations and five hundred eighty one participants had registered for the conference.

Inaugural Session

Prof.Mohammad Aurangzeb Chief Executive of Lady Reading Hospital was the chief guest in the inaugural session on March 19th 2019. Dr. Usman Mahboob Director of Institute of Health Professions Education and Research in his welcome address stated that IHPE&R started nine years ago. This is our seventh annual conference.

Vice Chancellor of Khyber Medical University Prof.Arshad Javed in his address stated that Khyber Medical University was playing a leading role in Health Professions Education and Research in Paksitan. The changes being witnessed are unpredicted hence it is important to keep abreast with the changes taking place. Doctors in general and clinicians in particular should involve themselves in medical education and research. Formal training in research was not considered important a decade ago as we used to give too much importance to clinical practice while going through training programme for our degrees. Now Certificate Course in Medical Education has been made compulsory for all the faculty members by the PM&DC. Teacher is more than a subject expert. They are role models. I have myself enrolled as a student in this course and learnt how small group discussions matter. I have learnt the importance of objective analysis, subjective assessment. PM&DC curriculum committee, he stated, has developed accreditation standards and has also defined the minimum standards for accreditation. It encourages self Evaluaiton among institutons to ensure patient safety and social accountability. These standards have been approved by the PM&DC which has been recognized by World Federation of Medical Education. Now all medical colleges in the province will start modular course from this year. He hoped that the new PM&DC leadership will continue to work with the same curriculum committee. We have organized seventeen workshops in thirteen medical colleges on integrated curriculum, he added.

Dr.Gohar Wajid from Egypt made a presentation on District based approach to opening of new medical colleges. This was based on MHPE Thesis by Dr. Saima Rafique. It gave details of geographic distribution of medical colleges which showed that in all the four provinces, there are many medical colleges in a few major cities of the provinces but there was no medical college in various districts. He laid emphasis on evidence based policy making for opening of new medical colleges. It was pointed out that during the last ten years, fifty new medical colleges have been established which give admission to twenty thousand students. However, we are still not producing enough doctors for Pakistan. India has four hundred four medical colleges, USA has one hundred eighty-four, Brazil has two hundred sixty two, China has one hundred sixty two while Pakistan has one hundred fourteen medical colleges which have been recognized and approved till March 2019. By the Year 2030 we will need seventeen new medical colleges if there is no increase in our population. Medical colleges, he stated, should be a part of the health delivery set up. He emphasized the importance of societal perspective, social accountability and equitable distribution for new medical colleges. We need a national strategic assessment. Medical colleges and teaching hospitals also improve primary health care in the areas where they are located. They also improve accessibility of specialized care, provide better job opportunities and thus become a part of economic development. This also strengthens the relationship between the local community and the healthcare professionals. It also supports health research in the area.

Continuing Dr. Gohar Wajid said that at present Punjab has fifty five, Sindh fifteen and Khyber PK ten private medical colleges. In the province of Punjab most of these private medical colleges were located in Lahore, Rawalpindi, and Faisalabad. Lahore has twenty one and Rawalpindi seven medical colleges whereas there are many districts in Punjab where there is no medical college. The same is true of Sindh province where Karachi has seven medical colleges and in Khyber PK Peshawar has nine and Abbottabad four medical colleges. The Government Dr.Gohar Wajid opined, need to have a clear policy which should be evidence based for opening of new medical colleges to ensure overall development throughout the country.

Prof. Mohammad Aurangzeb addressing the participants said that we need a full time department of health professions education in every institution. While the West has made numerous innovations, we did not do it. Even today we do not have a standard Family Medicine training programme. At present it is not possible for the government to provide paid jobs to all the postgraduates. Reforms are needed and they are worth trying. Every year almost five hundred postgraduates are inducted and training slots are not available to absorb all the postgraduates. All those who pass FCPS Part-I wish to be inducted but we cannot do it anymore. Hence we need to see what the way forward is? We have no money and no training slots. He was of the view that the private medical colleges should also have a postgraduate training progamme and absorb these Postgraduates. Now we have revised the MOU with these private medical colleges. Some doctors are also being sent out of the province for training. There are lot of issues which needs to be addressed, he remarked.

Prof. John Boulet from FAIMER and ECFMG USA also briefly addressed the meeting and said such plateforms provide us opportunities to learn and re-learn. Theme of the conference, he opined, was timely. To ensure economic development in the country, we need to promote the research culture, improve collaboration with other institutions. KMU is blessed to have a strong academic leadership which will promote the health of the people.

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