WFME was looking at standards and not curriculum- Prof. David Gordon


 Plenary Session at JSMU during AEME conference

WFME was looking at standards and
not curriculum- Prof. David Gordon

Emergency Surgeons should be fully trained in clinical
management of weapon wounded patients - Dr. Nelson Olim

KARACHI: The plenary session during the AEME Conference on Medial Education on March 5th held at JSMU was chaired by Prof. G. Ashgar Channa Vice Chancellor SMBBMU Larkana along with Prof. Tariq Rafi Vice Chancellor of Jinnah Sindh Medical University. Prof. David Gordon President of World Federation for Medical Education was the first speaker.  Speaking on working nationally, regionally and globally, he gave details of functions of WFME and the support for accreditation. He pointed out that WFME was working in collaboration with many other bodies. We wish to make the bodies working in this region in the field of medical education stronger.  He made it clear that WFME was looking at standards and not curriculum. Standards are the frame work for accreditation. WHO is collaborating with us globally for accrediting medical schools? There is a recognition process. United States has declared that after 2023 no doctor from a school which is not accredited will be allowed to sit in USMLE exam or work in United States.  We are particularly concerned and wish to look at standards of medical education from countries which export doctors to the world in large number and this includes India, China, Brazil and Pakistan.

Prof. Tariq Rafi VC JSMU along with Prof. Glulam Ashgar Channa VC SMBBMU Larkana chairing the plenary
session during the AEME Conference on Medical Education held at JSMU on March 5, 2017.

Dr. Nelson Olim Senior Surgeon from International Committee of Red Cross Geneva was the next speaker. His presentation was on facing the challenge of war surgery. He stated that no medical school in the world was currently providing the product in which they were interested. We need super specialist with two years’ experience in surgery. They must be trained in emergency surgical techniques in different surgical specialties. In fact that is a super surgeon that we need. He or she must also know a bit of plastic surgery. For this we need people with right psyche, professionals who are motivated. They should be fully trained in clinical management of weapon wounded patients. We are starting this programme at Aga Khan University, ISRA University and Dow University of Health Sciences.  It is a forty hours module.

We would like to enroll surgeons doing residency. Then train them in surgical skills including military operations surgical training. They will have to add practical training. For this we wish to have cadaver Laboratory and simulation centers at various institutions in Pakistan, he added.

Prof. Masood Hameed former Vice Chancellor of DUHS gave details of the development programmes at their institution over the years. Referring to the earlier presentation on training of emergency surgeons he said that we need people with integrated quality who can do most of the surgical procedures. What we should plan is to integrate health and research and it should all come under one roof. Hospital should be under the administrative control of universities which is essential to implement integrated education.

Prof. Tariq Rafi and Prof. G.A. Channa Vice Chancellors of Jinnah Sindh Medical University Karachi and Shaheed
Mohtarma Benazir Bhutto Medical University Larkana respectively presenting mementoes to Mr.Shaukat Ali Jawaid,
Prof.Khalid Masood Gondal, Dr. Nelson Olim, Prof. Prof. David Gordon, Prof.Janet Grant and other speakers
at the Plenary Session during the AEME Conference on Medical Education at JSMU on March 5, 2017.

Prof. Khalid Masood Gondal Senior Vice President CPSP gave details of their residency programme integrating education, patient care and research. He also talked about the CPSP competency model. Dr. M.B.Bhargio from PPHI Sindh talked about reducing maternal mortality, neonatal mortality and child mortality by translating research into practice. He gave details of BHU Plus services under which they have established sixty labour rooms, number of anaemia clinics, provided structured training and school health service besides healthcare financing.

Mr.Shaukat Ali Jawaid Chief Editor Pakistan Journal of Medical Sciences talked about the role of Medical Editors in improving patient care. Speaking about the functions of press he said that it includes informing, education and guide. They are not just concerned with accepting and rejecting of papers submitted for publication but they also monitor the medical profession, take care of medical politicians and play their role in improving patient care. He then gave details how the first Diabetic Foot Care clinic was established at BIDE in 2006. Prior to that there was no comprehensive diabetic foot care available in the country. However, now there are over one hundred twenty diabetic foot care clinics functioning in Pakistan.  The editorial which he wrote in 2006 in Pakistan Journal of Medical Sciences, he said, which paved the way for the creation of comprehensive diabetic foot care services in Pakistan  was to shake the conscience of the medical profession.  Diabetic foot care he said has gone a long way in reducing the amputation rate in Pakistan ever since comprehensive diabetic foot care has become available.

He also pointed out that it has taken the medical profession lot many years to realize that one can be a good physician and good surgeon but not necessarily good teacher. Hence now we see many institutions starting Certificate Course and Masters Course in Medical Education. It has also now been made mandatory for all the teaching faculty in some of the countries including some institutions in Pakistan. Similarly it may take them another ten to fifteen years to realize that one can be a good physician and a good surgeon but not necessarily a Good Editor.  Medical Journalism is a combination of Science and Art which one has to learn. Journalology has now in fact emerged as an important discipline in its own right with so many sub-specialties.

Photographed during the AEME Conference on Medical Education held at Karachi
recently from (L to R) are Mr. Shaukat Ali Jawaid, Prof.
Nazeer Khan,
Dr. Masood Jawaid and Prof. Shahid Shamim.

Editing and publishing a good quality peer reviewed journal is a very stressful and frustrating job and one ends up annoying a lot many people. However, it is important that the Editors remain honest to the profession they have chosen and refrain from compromises, though they should be helpful to the authors and pursue an author friendly policy. It is also important that they monitor the medical profession and uphold profession ethics in their own working.

During the discussion Prof. Khalid Masood Gondal said that to train Emergency Surgeons CPSP can collaborate with ICRC and WHO. We can discuss and develop a three years curriculum for training these super specialists who are competent to undertake different procedures in all the surgical specialties. Prof Channa said that CPSP has been able to do a lot since it was autonomous and was not dependent on any government grant. That is the model which we need to follow if we wish our medical institutions to progress and prosper.

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