Excessive use of medical technology has lowered our clinical judgment, adversely affected doctor-patient relationship & ethics

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Medical Education Conference at FJMC

Excessive use of medical technology has
lowered our clinical judgment, adversely
affected doctor-patient relationship & ethics

Advances in technology should be used judiciously when needed
rather than for making money & it should help us rather
than ruling us-Prof. Kh. Saadiq Husain

Medical Profession should have achievable
focused objectives-Kh.Ahmad Hasan

Faculty development is institution’s responsibility and we
have also involved students in medical education
programmes - Prof. Sardar Fakhar Imam

LAHORE: This is an era of technology. We have multimedia presentations, video conferencing facilities, smart phones and internet for those who are keen to learn but at the same time we are also paying a heavy price in practical medicine. Ultrasound CT, MRI and Pet Scans might have helped diagnose and treat many patients but at the same time their over use has lowered our standard of clinical judgment, adversely affected doctor-patient relationship and ethics. Technology should be judiciously used when needed rather than for making money and efforts should be made to learn from each other’s experience. This was stated by Prof. Kh.Saadiq Husain, an eminent physician, former Principal of King Edward Medical College and former President of College of Physicians & Surgeons Pakistan. He was delivering his inaugural address at the 6th International Medical Conference organized by Fatima Jinnah Medical College for Women at its campus from February 7-9th 2014. Building the Link Between Theory and Practice in Medical Education. Where Does SAARAC Stand? was the theme of the conference which attracted a large number of physicians interested in medical education besides some invited guest speakers from India, Nepal, Sri Lanka and Bangladesh.

Kh. Ahmad Hasan along with Prof. Kh.Saadiq Husain chairing the
inaugural 
session of 6th Int. Conference on Medical Education held
at FJMC Lahore recently. Also sitting on the Dais from (L to R) are
Prof.Aamar Zaman Khan and Prof.Sardar Fakhar Imam
Principal FJMC on extreme right.

Speaking on evolution of medical education in Pakistan, Prof. Kh.Saadiq Husain said that he was a medical student at the time of partition. In those days traditional modes of teaching were used and I still remember our professor writing on a black board in the class room which was 15 feet by 5 feet. When we reached to attend the class at 7.30 AM in the morning in winter, the professor had just finished writing on the board and he must have been there at 6.30m AM. At the time of partition, there was a mass exodus of all the teachers. We used to have Professors, Clinical Assistants and Demonstrators. There were no Associate Professors or Assistant Professors. One teacher used to teach more than one subject. Prof.MAH Siddiqui used to teach Anatomy and then Surgery in final year, Prof.Col.Ellahi Bakhsh used to teach Pharmacology and then Medicine in final year. Similarly Prof. Peerzada used to teach Pathology and then Clinical Medicine in Final Year. There used to be no postponement of examinations. Classes were never suspended and we never missed a class. Dedication to a cause was that mattered most. He was of the view that teachers should be interested to give and pass on knowledge while the students should also be eager to learn. There used to be lot of emphasis on bedside teaching which was a British legacy. We used to have small group of students involved in interaction.


Participants of the Pre-conference Workshop on Medical Writing held
at FJMC photographed along with Prof. Sardar Fakhar Imam Principal 
FJMC, Prof. Aamir Zaman Khan and the facilitators of the workshop 
Mr. Shaukat Ali Jawaid and Dr. Masood Jawaid.

Continuing Prof. Kh.Saadiq Husain said that even in those days some of the lecture rooms used to be over filled with students standing but in some lecture rooms, half the seats used to be empty and it was all dependent on the ability of the teachers. Some of the medical teachers used to be excellent in communication skills than others. Communication between the teachers and students used to be good and poor in some cases. In early 70s, we attended a WHO workshop on teaching on to learning. In mid 70s, the emphasis shifted to how much the students have learnt. Then we had the postponement of examinations, strikes with the consent of some teachers. Whether the students have learnt or not, no body used to bother. Student were facilitated to learn and the role of teacher shifted to being a Facilitator. We must not teach only what we know was taught to me throughout and it should not be your GIOs. The emphasis shifted from teachers to students. We went to Dundee in UK for training in medical education and then went to Shiraz in Iran. Late Prof. Rose Madan was the real Rose. There used to be department of medical education at Dow Medical College and CPSP at Karachi and at two institutions in Lahore.

 

Prof. Khalid Masood Gondal, DGIR, CPSP, presenting a shield to
Khawaja Salman Rafique, Advisor to Chief Minister Punjab on
Health on the World Cancer Day at CPSP Regional Center Lahore.
Prof. Muhammad Arshad Cheema, Prof. Abul Fazal Ali Khan, and
Prof. Zafar Ali Chaudhry are also present on the occasion.

Then those of us, who were trained overseas, went to other medical institutions in the country to train other colleagues so that the entire medical faculty was exposed to the advancements in medical educaiton. Departments of medical education were established and we had a series of workshops. What was the impact of these workshops? We wanted to have a trickle down effect on to the students so that what the teachers had learnt in the workshops was implemented. We had clinical check list and OSCE before the students went on to the medical wards. Interactive learning of students was promoted and they had to pass the check list and OSCE.

We wished to have some changes in the examination system. I as Dean of Board of Studies in Punjab University proposed to have 25% MCQs. The committee had Principal and two faculty members from each medical college but they short down this proposal and did not approve it. We are proud of the CPSP and their contribution to promote the postgraduate medical education and training which needs to be commended. Now they are also involved in training of Health Processionals Education. Communication Skills was one area which was not given due importance in our days. Training of students should be based on dealing with the patients throughout their career. A doctor, Prof. Kh. Saadiq Husain, opined should be able to discuss with the patient disease, diet, and his personal and social problems. He or She should be able to discuss these issues at patient’s intellectual level and emotions. Every patient has a different emotional state. This is an important requirement in medical education hence communication skills is being given much more attention these days, he added.

Picture on left shows Principal FJMC Prof. Sardar Fakhar Imam presenting a mementoes to Kh. Salman
Rafique Health Advisor to CM Punjab. Also present on the occasion are invited guest speakers from Nepal
Prof. Jagdish Prasad Agrawal and Prof. Indika Karunathilake from Sri Lanka. On right photographed during
the conference from (L to R) are Prof. Aamar Zaman Khan, Mr. Shaukat Ali Jawaid,
Prof. Sardar Fakahr Imam and Dr. Masood Jawaid from Pakistan Journal of Medical Sciences.

Khawaja Ahmad Hasan Advisor to the Chief Minister Punjab who was the chief guest on this occasion said that doctors should have achievable focused objectives. He further stated that make sure that what you teach to the students is also implemented. His advice to the medical profession was that remain loyal to the profession you have chosen and serve with devotion. Listen to the patient carefully and ensure judicious use of medical technology. He also disclosed that while at Aitcheson College, he was class fellow of Sardar Fakhar Imam. He was a left arm spinner in our Cricket Team and a very successful bowler. I also wanted to become a doctor but could not get admission in the medical college as I had one mark short. But now while working with the Chief Minister Punjab, it gives me immense satisfaction that I am able to serve the public. The CM himself was trying his best to provide maximum relief to the public working overtime and making sure that he inspects the progress of various development schemes himself, he remarked.

Photograph from (L to R) shows Prof. Javed Gardezi presenting a mementoe to Prof. A. Majeed Chaudhry
while Prof. Majeed Chaudhry is presenting Mementoe to Mr.Shaukat Ali Jawaid and
Dr. Mariam Fatima during the 6th Int. Medical Education Conference held at FJMC recently.

Prof. Sardar Fakhar Imam Principal of Fatima Jinnah Medical College in his address said that they have involved the medical students not only in workshops but also in other scientific programme of the medical education conference. It is the responsibility of the institution to develop the faculty and we are doing our best to train those teachers who are willing to be trained through workshops and such conferences.
Prof. Aamir Zaman Khan the moving spirit behind this academic activity in his introductory remarks highlighted the aims and objectives of the conference and emphasized that we need to find local solutions to our problems. That is why we have selected this theme of the conference i.e. Building the Link Between Theory and Practice in Medical Education: Where does SAARC Stand? The scientific programme included seven pre-conference workshops on February 6th 2014 and the facilitators included Prof. Rita Sood from India, Prof.Indika Karunthilake from Sri Lanka, Prof. Mahfuzar Rehman from Bangladesh, Prof. Jagdish Prasad Agrawal from Nepal, Prof. Mowadat H.Rana, Dr. Amina Ahmad and Prof.Tayyab, Mr. Shaukat Ali Jawaid and Dr. Masood Jawaid from Pakistan. There were three memorial lectures in the memory of late Prof. Shujat Ali Khan, late Prof. Nabiha Hassan and late Prof.Rose K. Madan which were delivered by Prof.Rita Sood, Prof.Mowadat H. Rana and Prof.Majeed Chaudhry. Prof. Aamir Zaman Khan also hosted a dinner reception for the conference faculty including invited guest speakers from overseas which was also attended by Prof. Maj. Gen. M. Aslam Vice Chancellor of UHS, Prof. Shaukat Mahmood Principal AIMC, Prof. Majeed Chaudhry, Prof S. A. Naqvi, Prof. Hamid Hussain, Prof. Javed Gardezi and some other senior faculty members from medical institutions from Lahore.

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