PM&DC should ensure continuity in its polices which should be evidence based-Prof. Lubna Baig

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 Proceedings of Medical Education Conference by FMHCMD-III

PM&DC should ensure continuity
in its polices which should be
evidence based-Prof. Lubna Baig

Artificial intelligence will transform the
future of medicine - Prof. Rukhsana Zuberi

LAHORE: Prof. Lubna Baig Pro Vice Chancellor of Jinnah Sindh Medical University from Karachi was the first speaker on Day-1 in one of the sessions during First International Medical Education Conference organized by FMHCMD in collaboration with NUR International University from November 30th to December 2, 2018. Dr. Ahmad Saeed was the moderator of this session which was chaired by Mr. Shaukat Ali Jawaid Chief Editor, Pakistan Journal of Medical Sciences. She talked about frequent changes in PM&DC and the state of medical education in Pakistan.

She discussed in detail the new development and what should not happen as well the need for reforms in medical education. She was of the view that we need high competency healthcare professionals to improve patient care. She discussed the historical background and the announcement by Word Federation of Medical Education regarding requirements for Residency training in USA after 2023 requiring mandatory recognition of medical schools by WFME and the global standards. The WFME she stated had not said that these standards were mandatory. The objective is to safeguard public health for which we need a stable PM&DC. We have been trying modular based curriculum and then came the integrated curriculum. For admission to medical colleges it is not the academic grades alone which should matter. With centralized admission policy the autonomy has gone. There are changes in examination regulations. She was of the view that PM&DC can set some guidelines but the medical university must have some autonomy. Healthcare professionals must have professional identity and they should be lifelong learners. Whatever reforms are introduced it must be evidence based. It is important to ensure continuality in policies which must be based on certain principles. We need to implement the standards set by the PM&DC, she added.

Prof. Charles Dochesty from Aga Khan University talked about advances in clinical simulation as an educational paradigm. Centre for Innovation in Medial Education (CIME) he stated was the most advanced healthcare teaching and learning centre in Pakistan. It supports students-centered, problem and team-based learning. CIME is transforming the pedagogy of medical education through technology enhanced clinical simulation and learning. By promoting innovation in research and bridging traditional boundaries between professions, this Centre fulfils the strategic vision of Aga Khan University serving as an unparalleled resource for the betterment of healthcare. He then gave details of the Clinical Simulation Educators Programme, Clinical Simulation Leadership Prgramme and Clinical Simulation Operators programme. We strictly adhere to ethical imperatives and ensure patient safety. The objective is to serve as a resource for this region. We intend to promote curriculum innovation. He also talked about TBL, PBL and IPL. We will work for incubation of ideas to its commercialization. We look at good ideas and then get it implemented. So far CIME, Prof. Charles stated has organized 520 workshops out of 1440 ideas put forward during 2018. We have a simulation dental laboratory. We have faculty on site but at a distance. We talk to them one to one while supervising these students. We have had workshops on medical errors, leadership skills, and communication skills. We have been working in the field of obstetrics, neurosurgery, cardiac surgery and echocardiography. There are quite a few challenges. We have developed cardiac surgery simulator and we are working on improving home birthing in the community environment.

Prof. Rukhsana Zuberi from Aga Khan University highlighted the new frontiers in medical education. She pointed out that today the learners are different. The way we practice medicine is different, the problems and our needs are different. She then referred to the Generation Alpha which consists of those born after 2010. Previously we used to have hard working students but the new medical students are creative. She also talked about the culture of fear, the mobile technology. They prefer visual communication and now work ethics are also different. Previously it was said that work comes first but now it is life which comes first. In the past we used to follow the rules but now it is said follow the rules which work. She emphasized the importance of good role models, mentoring and appropriate use of advancing technology. Artificial intelligence, she opined, will transform the future of medicine. Communication skills of the new generation are not good and we have to train them. She also talked about social accountability, partnering with health systems, adopting the evolving roles and mandated accreditation. There is a need to create a balance based on these golden principles.

She concluded by stating that today we have different learners and patient needs are also different. In future medical education will be provided at many locations. The students need mentoring and they want good role models and they will love to work for the community if they are used effectively. Dr. Ume Hani Binte Yousuf discussed how to use mobile App and also highlighted the reasons for academic failure.

Mr. Shaukat Ali Jawaid in his concluding remarks commended all the speakers for their excellent presentations, Prof. Lubna Baig and Prof. Rukhsana Zuberi in particular for highlighting some of the important issues that we face in medical education today. He laid emphasis on mastering the Clinical Skills which was unfortunately not being given much importance these days with the results that the fresh medical graduates and the younger generation of healthcare professionals has become slaves of modern gadgetry. Upholding professional ethics in every field, he further stated, was extremely important but unfortunately some of the faculty members were not doing what they are expected to do. Intellectual corruption is rampant in our medial institutions. He also laid emphasis on self monitoring and accountability by the medical profession because if it’s failed to do so, someone else will start monitoring them and also hold them accountable, something which has already started which will be extremely painful for them. Time has come that the healthcare professionals start naming and shaming the individuals and institutions which are involved in unethical practices so as to protect and safeguard the good image of the medical profession, he remarked.

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