PM&DC will have a separate section for Medical Education-Justice Shakirullah Jan


 Pledges to restore the Glory of PM&DC as a regulatory body

PM&DC will have a separate section for
Medical Education - Justice Shakirullah Jan

Reforms initiated in structure of PM&DC, Curriculum, Faculty
appointment, Registration of foreign qualifications & experience,
Admission policy, Revision of inspection Performa and
TORs for recognition of medical journals

Dept. of Medical Education should be established at each
medical, dental institution headed by qualified
medical educationist-Gohar Wajid

From our correspondent

PESHAWAR: Medical Educationists struggling for the formal recognition medical education as a new discipline by the regulatory bodies successfully realized their dream on April 20th when Justice (Retd) Shakirullah Jan the President of interim set up of Pakistan Medial & Dental Council announced that Medical Education will have a separate section at the PM&DC. He made this announcement while addressing the participants of the 6th International Conference on Health Professional Education & Research organized by the Institute of Health Professional Education and Research of Khyber Medical University from April 19-21st 2018. Theme of the conference was “Towards Excellence in Health Professions Educations & Research” and it attracted a large number of medical educationists from all over the country besides two delegates from overseas Dr. Gohar Wajid a noted medical educationists and Technical Officer from World Health Organization WHO EMRO Cairo besides and Dr. Muhammad Al-Eraky from Egypt.

Founder Vice Chancellor of KMU Prof. Daud Khan presenting a memento to Justice (R) Shakirullah Jan
President PM&DC at the inaugural session of Health Professions Education conference held at
Khyber Medical University on April 20th 2018. Also see on left is Prof. Arshad Javed VC KMU
and Dr. Gohar Wajid.

Continuing Justice Shakirullah Jan also stated that a separate section of Medical Journals has already been established and medical editors have been given due representation in the new set up. This conference, he further stated has come at a very fortunate time when the PM&DC is in the process of reforms in medical curriculum and introducing a series of educational interventions aimed at improvement of medical education in Pakistan. It was high time that we address the problems pertaining to medical education in the country and bring reforms that can help our graduates step into the future. PM&DC, Justice Shakirullah Jan said has the vision of advancement in medical education and it fully supports the KMU in such academic activities. The progress which the KMU has made in the recent past is very impressive. This university has a broad portfolio of postgraduate programs and I must appreciate its vision to launch more programmes and to look into introducing modular teaching system across all its affiliated medical colleges. He commended the efforts being made by the present Vice Chancellor of KMU Prof.Arshad Javed, his passion and commitment to this institution. He was instrumental in taking up the cases of KIMS and KIDS recognition wit PM&DC and breaking the deadlock over impending issues of these colleges.

Continuing Justice Shakirullah Jan said that the PM&DC has been a victim of fragile setups and a quality of system in place is something really worrisome which has forced us to identify in our set up. He then hastened to add that no solution lies in blaming individuals and institutions but to get to the point at which problems actually initiate. We intend to promote institutons imparting quality medical education and produce graduates of great repute who perform brilliantly both at home and abroad. Hence, we have taken up the challenge to bring revolution in the system and help to establish a governing body of excellence. Such problems are universal and one should be prepared to strive to explore ways of solving and overcoming such crisis. PM&DC is boldly dealing with all these issues and he assured the medical profession that they will come upto the expectations of medical and dental profession.

Invited guest speakers at the 6th International Conference on Health Professions Education
photographed with President PMDC Justice (Retd) Shakirullah Jan after the inaugural session.
Also sitting alongwith him on the dais are from (L to R) Dr. Gohar Wajid, Prof. Arshad Javed
VC KMU and Prof. Daud Khan founder VC of KMU who was the Guest of Honour on this occasion.

Giving details of the reforms which the new PM&DC set up has initiated, he mentioned the following:

  1. PM&DC Amendments Bill 2018.
  2. Curriculum reforms in MBBS and BDS.
  3. Revised regulations regarding appointments of faculty for medical and dental colleges.
  4. Mechanism regarding Registration of postgraduate foreign qualifications and experience at PM&DC.
  5. Steps to review quality of education being imparted by private medical and dental colleges.
  6. Review of admission regulations.
  7. Revised Inspection proforma regarding undergraduate medical and dental college’s institutons.
  8. Reforms in medical journalism and revision of Terms of Reference for recognition of medical journals.
  9. Administrative reforms at PM&DC structural level.

Medical profession has been calling for such reforms since long and the present council is in the phase of implementing these revised guidelines in a progressive manner that is acceptable to the whole medical and dental professionals in the country. Prof.Arshad Javed VC KMU is shouldering the heavy professional workload at PM&DC and giving his expert input in the ongoing reforms process. With his professional help and guidance of Vice Chancellors of public sector medical universities in all the four provinces of Pakistan and in federal capital territory, we will succeed in streamlining this premier statutory regulatory body.This conference he hoped will achieve its objective and provide a professional platform to the medical educationists to share their professional skills, expertise and achievements with the wider medical educationists community, he added.

President PM&DC Justice (Retd) Shakirullah Jan alongwith Prof. Arshad Javed VC KMU performing
the opening ceremony of the PM&DC office at Khyber Medical University on April 20, 2018.

Prof. Daud Khan the founder Vice chancellor of KMU who was the Guest of Honour on this occasion in his speech said that let me share a piece of information that I derived from an unstructured and crude piece of research that I conducted. I asked a question from a number of very senior scholars and practitioners in the following professions.

  1. Social and economic sciences.
  2. Science and technology including engineering.
  3. Divinities.
  4. Agriculture sciences
  5. Political sciences and
  6. Management sciences.

The question was that “Is it true that your education and training pyramid stand on the three Pillars i.e. Knowledge, PS Skills and Affective domain. Their reply was that No, we have never heard of these domains. As experts in medical education, you are thus engaged in a Prophetic profession. You are playing the noblest role in a very noble profession. Hence, we in medical profession are lucky that our professional pyramid is standing on these three important pillars for which we owe, all of you and your ancestors a deep gratitude and a very loud thank you. However, let us for a change look inwards and see if we have really reached our full potential in this immensely important field. We need to thank God Almighty and you all that at least we in medical profession have a cup. But what we must know is how full or how empty is this Cup? Or in your language you will rightly call it “Capacity gap analysis”.

Continuing Prof.Daud Khan asked that in terms of knowledge, skills and affective domain, do we ensure equity and justice among the three fundamental domains. Do we really spend as much time and energy on the affective domain that we do on the knowledge and skill domains? Do we really have comparable well-structured and well defined strategies for affective domain? If so, why do we face the frequently recurring public uproar against us? Is it not a clear manifestation of the unjustified neglect of the affective domain?

Dr. Ahsan Sethi, Dr. Tariq from AKU, Dr. Brekhna Jamil, Prof. Rehan Khan Ahmad Khan and
Dr. Usman Mehboob Director of IHPER photographed during the 6th Int. Conference
of Health Professions Education held at
KMU from April 19-21, 2018.

To ensure our lifelong commitment to learning, Prof. Daud Khan stated, we have coined two beautiful abbreviations; CME and CPD. Would you agree that we need to add a third one and call it CED (Continuous Ethical development). Imagine the consequences if we fail to do this. What will happen when major transplant surgery become routine, when genetic engineering becomes a norm, when public has easy access to test tube babies and surrogate mothering at tertiary level hospitals; Social chaos and Ethical disaster. It is heartening to note that the name medical education has been changed to health profession education. However, this change of name, he opined, should now widely open the doors and invite teachers and trainers from Allied health sciences, Nursing, Pharmacy, physical health sciences and community and family health sciences. If we believe in the concept of health delivery through a team, then all these cadres must be well versed in the basic principles of Health Professions education. Currently we know it is not happening. The modern name of Health in terms of health delivery, practice and management, he further stated has changed from health to comprehensive health which encompass the four important well defined actions i.e. Prevention, Promotion, Medical or Surgical interventions and Rehabilitation. Just take the example of an enormous challenge posed by two important NCDs, Diabetes and Trauma. Imagine the disaster we as a nation are about to face if we do not address it in a comprehensive manner, Prof.Daud Khan added.

One serious dilemma that we, Prof.Daud Khan stated, face in health institutions at all levels, whether engaged in training or health delivery is serious lack of basic management skills. Today you can’t entrust even a small training institute to an individual without adequate knowledge of Learning Management System, but how many principles of medical, nursing and allied health institutions have post graduate degrees in Health Profession Education, he asked.

Medical/Health Profession Education is growing but still only vertically. Even in medical schools across the country, less than 10% of the faculty possess a certificate in HPE. There is an urgent need to address this issue. One simple solution which he suggested could be that we divide the two years Master course into in to three compulsory phases:

Phase1. Six months certificate course in basic fundamentals of HPE F/B evaluation as an Senior Registrar or Senior Lecturer.

Phase-2. Six months compulsory diploma course as an Assistant professor F/B evaluation.

Phase 3. One year compulsory course including the writing of thesis F/B evaluation as an Associate Professor. By the time he /she is a professor, everyone will have a master degree in HPE which will have a tremendous long term sustainable impact on HHRD.

This well designed product of your major efforts must possess the following traits.

  1. Excellence in knowledge, wisdom and skills in the concerned fields.
  2. Excellent communication and management skills.
  3. Commitment to lifelong learning; CME, CPD and CED.
  4. Commitment to lifelong R&D
  5. Always committed to sharing knowledge, wisdom and skills with the new generation.
  6. Possess excellent leadership traits and skills; Honesty, integrity, initiative, patience, tolerance, perseverance, humility and interpersonal respect.
  7. Is always kind, caring and compassionate.

Prof. Arshad Javed Vice Chancellor of KMU in his address said that technical developments have transformed every aspect of life, hence we must equip ourselves with standard knowledge and research. We need to move with the international world and improve ourselves generating new discoveries to improve quality of life. Numerous pre and post conference workshops are part of the conference which is being attended by over four hundred faculty members and postgraduates.

Picture on left shows Justice Shakirullah Jan President PM&DC presenting mementoes to Dr. Gohar
Wajid and Prof.Arshad Javed VC KMU while on extreme right Justice Shakirullah Jan is presenting another
memento to Prof. Arshad Javed.

Prof. Gohar Wajid in his Keynote presentation on How to approach at World Federation of Medical Education standards with Medial Education in Pakistan suggested that it is extremely important that the Department of Medical Education should be established at each medical and dental institution which must be headed by qualified medical educationists. He also talked about the challenges faced by the PM&DC and the need for meaningful reforms. Medical Schools must have autonomy to work on accreditation standards and providing curriculum was not the job of PM&DC. They should have facilities for Design, Assess and Evaluation and Accreditation. It should produce guidelines which these medical institutions can implement. Medical students, he said, were more important than teachers hence they should also be involved in curriculum development but some faculty members do not like it but time has come that we need to correct our perspectives. Referring to his discussions with the PM&DC, he said that so far we have developed standards and 50% of work on guidelines has also been accomplished. Now we have to think how we are going to implement these guidelines, he remarked.

Dr. Usman Mahboob Director of IHPER in his welcome address said that KMU was established in 2011 and later numerous institutes were established. It has undertaken many initiatives in medical education and research. IHPER is training specialists for the last eight years, he added.

© Professional Medical Publications. All rights reserved.