Medical Profession in Pakistan has been infected with Commercialization and Corruption Virus-Prof. Kh. Saadiq Husain

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Many distinguished delegates from overseas attend CPSP Golden Jubilee Conference

Medical Profession in Pakistan has been infected
with Commercialization and Corruption
Virus - Prof. Kh. Saadiq Husain

There is a need to create balance between Medicine as
Science and Art to 
ensure inclusion of Ethics,
Communication Skills, emphasis on clinical skills

CPSP has preserved its institutional and academic
autonomy; its success story is spread
over decades-Prof. Zafar Ullah Chaudhry

KARACHI: Medical profession in Pakistan has been infected with Commercialization and Corruption virus. It is extremely important to create a balance between Medicine as Science and Medicine as Art. While in the first medicine is disease oriented, in the later it has to include subjects like ethics, communication skills, giving due emphasis on proper history taking and comprehensive physical examination with a humanistic touch. Medicine as science and art are the two wheels and it is extremely important that both these wheels are balanced and move in the same direction side by side complementing each other. This was stated by Prof.Kh.Saadiq Husain an eminent physician, former President of CPSP and Principal of King Edward Medical College. He was speaking at the 46th annual convocation of the CPSP held at Karachi on November 9th which was the last meeting in connection with the CPSP Golden Jubilee Celebrations.

The conference attracted many eminent medical personalities and office bearers from Colleges and Institutions from Bangladesh, UK, USA, Canada, Malaysia, South Africa, Saudi Arabia, India, Taiwan, Yemen and Sri Lanka who are involved in postgraduate medical education.
Medicine, Prof. Kh.Saadiq Husain said has made great strides in Pakistan as regards teaching training, patient care and we are proud of it. However, if we look back the facilities available in the 40s and 50s in medicine in this part of the world could be counted on finger tips. We used to have side room lab in the wards to do most of the basic investigations and tests and there was focus on the patient. Detailed history and meticulous physical examination was a routine. Patients had faith in doctors and when they saw doctor, they felt as if angels had come from Heavens to look after them. Over the years there has been explosion of knowledge, innovations in techniques and procedures. We have too many effective drugs, amazing instruments and gadgets to do investigational or therapeutic procedures. We have now advanced teaching facilities and improvements in process of learning which were not at all available in the past when we were medical students. However, the medical profession has paid a price for all these developments by deterioration in doctor patient relationship, no regards for professional ethics, clinical judgment is not given due importance and history taking, physical examination have all gone in the background becoming shorter and shorter. The doctors spend very little time with the patient and have no time to listen to them and their complaints. There is no interaction of doctors with the patients; they seldom offer sympathy which is moral boosting and offer hope and being more human which is all patient oriented.
Doctors have developed a habit of ordering lot of un-necessary investigations which are also very expensive. History taking and physical exam is not given due importance. There is a communication gap between the patient and the doctor and the human element of science which is an art has been altered. The result is that poor patients who cannot afford the expensive investigations and treatment stick with the Hakeem’s, homeopaths and practitioners of alternative medicine. This Commercialization and Corruption virus which he termed as “CC Virus” has created lot of problems. Medicine which once used to be a profession and a mission has now become an industry. Infected with this materialistic virus, the doctors are eager to make more and more within short span of time. He also revealed an interesting incident wherein a patient who complained of abdominal pain when went to a hospital in the richest country of the world with the most advanced healthcare system was referred for a CT scan which was normal. When the patient constantly complained of pain in the abdomen, a consultant was called in. He looked at the patient and during examination found lesions of herpes zoster all over his body. This is what goes on in the healthcare facilities all over the world these days. Addressing the audience Prof. Kh. Saadiq Husain said that you must remember that we are a poor nation and our patients cannot pay for these expensive investigations, hence you have to depend on your clinical judgment and order only essential tests and investigations. If you spend more time with the patient, listen to them attentively, 50% of the time you will get the diagnosis. Patients, Prof.Kh.Saadiq Husain said needs to be informed about their disease, diagnosis and prognosis, treatment, duration of treatment, period of rest, good health practices, and good nutrition as well as about self medication. You must provide moral support to the patient, give them reassurance, alley their apprehensions, talk with empathy and they will witness the miracles of this verbal medicine. There is much more to medicine than drugs, techniques and all this is possible with a human approach. 
He thanked the present CPSP Council for giving him this honour to be the chief guest on this historic occasion of CPSP Golden Jubilee conference. He also commended the leadership qualities of Prof. Zafar Ullah Chaudhry who has been able to develop a team, raised the status of the CPSP with innumerable facilities for advanced training, education programmes and it is now recognized and acknowledged the world over as the leading medical institution. Their team work has been acknowledged by the Fellows by electing them for the second term, he remarked.
Earlier in his welcome address Prof. Zafar Ullah Chaudhry thanked and acknowledged the presence of former Presidents of CPSP Prof. S.M.Rab, Prof. Ijaz Ahsan and Prof. M. Luqman, a number of eminent medical personalities from many countries of the world besides thanking Prof. Kh. Saadiq Husain for gracing the occasion as Chief Guest. In Pakistan we have very few institutions with success stories and CPSP is one of them. We lack behind many countries as regards provision of healthcare and adequate specialist manpower. CPSP has over the years, Prof. Zafar Ullah Chaudhry said, produced large number of specialists to meet the country’s needs and requirements. Starting in 1962, the founder President of CPSP Lt.Gen. W. A.Burki and the Presidents, Councilors which followed have all contributed a great deal towards the progress and development of this great institution. We now have over thirteen thousand Fellows, over eight thousand members. At present we have 159 accredited institutions, 2500 accredited supervisors and seventeen thousand trainees. Financial discipline and self reliance has played a vital role in our success story and we have been able to maintain and preserve our institutional and academic autonomy. Its fruits are now visible in the shape of increased recognition of CPSP all over the world.
He also referred to the well developed accreditation, curriculum and development of competency based residency programme by the CPSP, introduction of e log book for monitoring the trainees besides refresher courses, hands on workshops and extensive development work undertaken at all the regional centers of CPSP. Though we enjoy financial autonomy in CPSP but it does not mean that others cannot help us to promote postgraduate medical education in the country. Provincial governments, he said, can help us by upgrading the DHQ Hospitals for structured training of postgraduates and thereby providing specialist cover to the people. They can also sponsor faculty members to attend various CPSP workshops and grant leave to the faculty members who are selected by CPSP for short orientation courses overseas besides involving CPSP in all health policy and development issues. We are aware of the challenges we are facing and are likely to face in the coming days. We have not yet achieved perfection. Rapidly increasing number of the trainees, ensuring compliance by the trainees and supervisors with e log system is being looked into. We intend to start online exam for FCPS Part-I, he added.
The inaugural session was moderated by Prof. Ghulam Asghar Channa Registrar of the CPSP and later President CPSP conferred the Fellowship and Membership of the College on new graduates. Two hundred fifty Fellows and 83 Member in various disciplines of medicine were presented their degrees by the President, Councilors and Deans of various faculties.
The college council must be commended for having invited one of their own Fellows and a distinguished physician Prof. Kh. Saadiq Husain to be the chief guest on this occasion with the result that the proceedings started in time and went on smoothly. However, the differences among the fellows which had come up at the time of elections, it appears have not yet been resolved. The President CPSP is reported to have invited all the formal Presidents and Councilors to various functions during the Golden Jubilee celebrations but some of them did not turn up for reasons best know to them. It is time that every one should forget the past and start working for the development and progress of CPSP. 
An interesting scientific programme consisting of plenary sessions, invited speakers, panel discussion, workshops and sessions devoted to various disciplines provided an opportunity to the fellows to share their knowledge and experience with their colleagues and guests from overseas. Breakfast discussions on issues faced in respective disciplines and how to overcome them were also well attended. Detailed reports to follow.

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