Many medical teachers do not practice what they preach then how we expect doctors to behave ethically-Prof. Mughees Baig


 Proceedings of Second ICHPE 2018 by University of Lahore –VI

Many medical teachers do not practice what
they preach then how we expect doctors
to behave ethically-Prof. Mughees Baig

Most of our physicians have no leadership
experience- Prof. Majeed Chaudhry

VLE is a set of teaching and learning tools designed to
enhance students 
learning experience-Masood Jawaid

LAHORE: One of the scientific sessions during the Second ICHPE 2018 organized by University of Lahore from October 14-17th was devoted to “What the Experts Say”. It had nine presentation. Prof. Mughees Baig was the first speaker whose presentation was on “Professionalism should be taught or demonstrated”. He laid emphasis on altruism, accountability excellence, dignity and honour, integrity, respect for others. Physicians, he opined, sometimes fail to respect the patient and their families. We see the physicians blocking The Mall and Jail Road in Lahore in protest. Do this and Do not do that is the best model even today.

He was of the view that we need good role models, bed side teaching, simulated patients, and small group discussions. We teach students what is ideal but they learn from what is reality. One of the studies showed that in 47% of situations, students were forced to act unethically, 61% teachers were acting unethically. It is unfortunate that what we teach, we do not practice, and then how we expect the new generation of physicians to act ethically. He also referred to the unethical behaviour of the teachers. He then talked about abuse of power, arrogance, greed, impairment, failure to disclose conflict of interest and lack of conscientiousness among the teachers. There are numerous examples that with normal aging process, with tremors surgeons do not stop operating and do not hesitate over charging the patients, he added.

Dr. Sumera Badar moderating the session “What Experts have to say” during the Second ICHPE
organized by University of Lahore from October 14th to October 17th 2018. Speakers in the
session sitting on the Dais from (L to R) include Prof. Shahid Shamim, Dr. Asim Mahmood,
Prof. Mughees Baig, Prof. Tariq, Dr. Brekhna Jamil, Dr. Masood  
Jawaid, Shaukat Ali Jawaid,
Prof. Majeed Chaudhry, Prof. Idrees Anwar, Prof. Shahid Mahmud and Dr. Mahwish Arooj.

Prof. Asim Mahmood consultant neurologist from USA talked about quality assurance in healthcare in developing countries. He pointed out that over the years we have made significant progress. We had scarcity of resources and the quality of care is not good. It was Florence Nightingale who emphasized on quality of care in military hospitals, setting of standards and monitoring it. He laid emphasize on identifying the problem and then designing an appropriate transparent solution.

Dr. Masood Jawaid from Jinnah Sindh Medical University talked about the neglected power of learning in virtual learning environment. A virtual learning environment, he said, is a set of teaching and learning tools designed to enhance the student’s learning experience by including computers and internet in learning process. It includes curriculum mapping, internet link to outside curriculum, resources. VLE is focused on online learning delivery but support a range of uses like blended learning and flipped classrooms. Most universities in Pakistan, he said, has LMS installed but many of them are using this powerful tool at very minimum level. He was of the view that the potential of virtual learning must be used effectively. He then shared some examples of Blogs, Gamification and highlighted his personal experience in developing some of the virtual learning programmes.

Prof. Shoaib Hassan moderating one of the sessions during the Second ICHPE 2018
organized by University of Lahore held from October 14th to October 17th 2018.
Speakers in the session are sitting on the dais along with chairpersons.

Speaking about the Leadership Prof. A. Majeed Chaudhry from Lahore Medical and Dental College said that leadership is an art of leading. In Pakistan most of our physicians have no leadership experience, physicians are not good at listening either. It is the ability of empowering others which make the leaders great, he remarked.

Prof. Mohammad Tariq from AKU discussed learning in the clinical setting workplace with clinical teaching models. He emphasized the importance of good history taking, physical examination and professionalism. In the past we had excellent teachers. They were clinicians par excellence, had the diagnostic ability. With good history taking and physical examination, one can make the diagnosis in 73% of cases. Doctors must think at patients. Medidcine is learning at bedside and not in the class room only. During ward rounds, one should engage the whole team in learning, he added.

Prof. Shahid Shamim from DUHS Karachi highlighted the challenges and opportunities of Bioethics in medical education. He opined that the patients judge their physicians on their performance rather than science. Human touch is needed in patient care. We have virtual teachers but not teachers in real sense. We must find out who is teaching ethics in the medical colleges. Now we do have some trained qualified people who can be appointed as faculty members to teach medical ethics. We need to develop our own resources and Ethics should be recognized as a discipline. Integrated teaching can be there but we need to have Dept. of Medical Ethics and Units, teaching and assessment policy for medical ethics. There should be dedicated faculty qualified in bioethics, the people who are trained in medical background.

Mr. Shaukat Ali Jawaid Chief Editor Pakistan Journal of Medical Sciences highlighted the difference between Mentoring and Coaching. A mentor, he said is an established practitioner and respected peer who offers thorough and ongoing professional relationship with his or he mentee, opportunities to develop, stimulate and maintain their professional and personal development. Most of our medical teaches today work as coach and those who act as good mentors is a very rare commodity. In the field of scientific publishing, Editors, authors, reviewers can all work as Mentors, he added.

Dr. Brekhna Jamil spoke about experience of developing entrust able professional activities in dentistry. She opined that BDS curriculum is often ignored. She included Assistant Professors, Associate and Professors in the faculty of dentistry in her study. She also referred to chaos in supervision, safety of the patient, linking abilities with involvement in work. After training under supervision and appropriate assessment, these dentists should be able to work independently, she added.

Dr. Sumera Badar from Faisalabad Medical University made a presentation on Medical Institutions: Are we aiming for compliance or character. She was of the view that we must ensure quality standards, set safe practices. Competency can be motivated by learning. Character must be developed and not taught. She also referred to moral judgment, moral development can be continued. Right things should be taught at right time in right way. Faculty training has to become a role model, she remarked.

During the discussion it was highlighted that patient safety mattes a lot. At present it is very difficult to ensure integration between the IT department and subject experts in the medical institutions as regards faculty development. Intellectual capabilities remains a major barrier. We need to have better models for students. We also need more human resource. Recognition, accreditation and inspection are all different things.