Rotation of Postgraduates in different units and internal evaluation will help improve the training

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 Postgraduate ENT Education and the CPSP

Rotation of Postgraduates in different
units and internal evaluation will help
improve the training

KARACHI: Yet another interesting panel discussion during the recently held 24th National ENT conference was on Postgraduate ENT education and the CPSP. Prof. Farooq Umar was the moderator in this session while the main speaker was Prof.M. Amjad Prof. of ENT and a councilor of CPSP. Prof. Amjad pointed out that at present there are four hundred one ENT specialists with FCPS qualification while the number of those with MCPS diplomas was two hundred forty eight. The number of trainees at present was one hundred eighty three. Prior to the establishment of CPSP, universities were awarding the degrees of MS and MD while in 1950 DLO was also started by the Punjab University.
He further stated that there are various factors for decrease in the number of trainees in ENT which include economic reasons besides change in the pattern of the examination. Standard of training was not satisfactory and the time has come that trainees as well as the trainers both should be examined.
Prof. Tariq Rafi opined that the trainees should be rotated in different units as some units have much better facilities and certain procedures may not be undertaken in some of the units, hence the trainees must be provided an opportunity to have comprehensive training. It was also stated that the pass percentage of postgraduates in the Army is better as compared to other healthcare institutions simply because their training is much better. Once a centre is accredited, it must be inspected again after some time to ensure proper training. At present different centers have varying standard of training. Prof.Amjad opined that now we should look into the possibilities of starting FCPS in Head and Neck Surgery. Unfortunately there have been no new developments in this specialty in Pakistan. Very few centers have training facilities for FESS and Rhinoplasty, he asked? The number of females is now much more in the medical students besides shifting the ENT into fourth year has also affected it with the result that no bright students opt for this specialty as a career. Not only that even most of the teachers are also not interested in teaching and training. They are part time teachers and they were not making any worthwhile contributions. We have also failed to eliminate and remove the shyness of the students. Some of the postgraduates, Prof. Amjad said, were not prepared for the exam when they appear, they do not know how to take proper history from the patient. They are extremely deficient in clinical skills.
Prof. M. Jalisi suggested improvement of in house training and monitoring of the supervisors. All efforts should be made to ensure uniform standard of training. In house evaluation should be started. Prof. Iqbal Butt opined that the report by the supervisors should be given due importance by the CPSP authorities. The trainees should be asked to improve their selves or leave the training programme, rotation of the candidates in different units will be quite helpful. Prof. Mohibullah Khan said that it is a fact that some of the candidates may know the job, might also have good training but they cannot express them, are extremely poor in communication skills, hence they cannot convince the examiners and fail.

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