The Pioneer medical teachers at King Edward Medical College who were Role Models and inspiring


 The Pioneer medical teachers at King Edward Medical College who were Role Models and inspiring

Now we have brief-case Professors. Many Medical
College do not have patients in the wards

Pakistan should be made a democratic (in real meaning)
social welfare state as envisaged by the Quaid and
not the elitist state for the elites

Prof. Emeritus Lt. General Mahmud Ahmad Akhtar
Former Surgeon General Army/ DGMS (IS)

At Independence Pakistan inherited three medical colleges in the West Pakistan and one in the East Pakistan. In the West Pakistan King Edward Medical College was the oldest established in 1860, Dow Medical College, Karachi and Balak Ram Medical College at Lahore were the newly established medical colleges. Balak Ram Medical College was converted to “Fatima Jinnah Medical College” for women only. Dacca Medical College was also the newly established Medical College. Calcutta Medical College was the oldest medical college in India. Staff from the Calcutta Medical College helped in the establishment of the King Edward Medical College, Lahore.

Lt. Gen. (R) Mahmud Ahmad Akhtar

This article is written in the remembrance of medical teachers working in the earlier days of Independence. Indian non-Muslims and the British teachers left for their countries.

It was a common saying that all doctors in Pakistan are KEMCOLIANS the direct ones taught at the KEMC and the indirect ones taught by KEMCOLIAN doctors. From the lives and works of these teachers one can draw lessons and do introspection, “why the education got worse rather than improve”. Earlier medical teachers were true healers –They healed the patients, practiced holistic medicine rather than only treat the patients that to as ‘mono-organstic’. They were humane and practiced humane medicine rather than inhumane, commercial, manipulative, exploitative medicine. Kept in mind-cost-effectiveness. Used mostly clinical approach. Their role model was the famous teacher of medicine Colonel Amir Chand and the British teachers and Health-care personnel who worked with missionary zeal. By all means use modern gadgetry but do not misuse / over use it to the exclusion of humane approach. The equally applies to the lower education which has also gone worse.

 Anatomy Department

Prof. Fakhar-ud-din, Dr. Afzal, Assistant Professor were not holding post-graduate qualifications but had large experience ,and the teaching was based on learning facts/rote learning, there was no conceptual teaching/ learning, no clinical orientation, dissection on dead bodies was done regularly. Although demonstrators preparing for clinical post-graduate qualifications (surgery etc.) taught clinical application while doing dissections. There was an Anatomy Museum prepared by Professor Siddique former Professor of Anatomy at K.E.M.C (later Professor of Surgery). Earlier Prof. Siddique was the Professor of Anatomy enjoying international acclaim in Anatomy and so was the department. Prof. Siddique helped the department of Anatomy and the demonstrators working in the department of Anatomy lend support to the surgical out-doors. Earlier Prof. Amir-Ud-Din, Prof. Riaz-e-Qadeer and later Prof. Sardar Ali Sheikh worked as demonstrators in the Anatomy department before becoming surgeons. It was common in those days for doctors to work in the basic sciences departments and then switch to the clinical departments. They had good foundations of their specialties.

Physiology Department

In the physiology department Prof. Ghafar holding PhD, London qualification, had come from Madras (now Chennai). He was an excellent teacher and a man of high principles and convictions. In the first professional examination, a student - son of a prominent person failed. KEMCs Principal and the prominent political personalities of Punjab including a prominent Minister exerted a lot of pressure to get the student passed .Professor Ghafar bluntly refused and told them that if they passed everyone with no failure then he was ready for it.

The student did not pass in the physiology. Conceptual and practical teaching was given a lot of importance- Assistant Professors and demonstrators worked hard. There were excellent laboratories of biochemistry, histology and experimental physiology. Dr. Alamdar and Dr. Aziz were the Assistant Professors – they taught very well. Professor Ghaffar was also the in charge of hockey team and took keen interest. ECG machine was first time received in the department and Assistant Professor Aziz did ECGs for the department of medicine. There was generally good co-ordination between the Basic Sciences and the Clinical Sciences departments.

Pharmacology Department

In the third year Prof. Rabbani taught Pharmacology, dictated notes. The teaching and exams were based on rote learning, regurgitation of notes during exams was essential for passing. Out-moded and out-dated pharmacy practicals were done, like making ointments, mixtures, etc. At that time Pharmacology was still in a primitive stage. Dr. Zaidi Assistant Professor was a good teacher. Earlier Lt. Col. Ilahi Bakhsh was the Prof. of Pharmacology and Therapeutics. At that time there was no department of Clinical Pharmacology and Clinical Therapeutics as are now in the UK and other progressive countries headed by Physician specialists having units in the hospital like the sub-specialties of Cardiology Pulmonology Gastroenterology etc.

Pathology Department

In the fourth year Prof. Hameed, (PhD London later Principal) taught pathology based on concepts and clinical application. He created a lot of interest in the subject -practical teaching/ training was excellent. Bacteriology and Parasitology were taught very well. Virology was in infancy. Dr Majeed D.Bact London taught Bacteriology making concepts very clear. Bacterial diseases were very common causing a lot of mortality .There was a very well-developed museum which was an excellent source of teaching and learning. Earlier Prof. Muhammad Aslam Peerzada had been the Prof. of pathology. Later Prof. of Medicine and Clinical Medicine.

Forensic Medicine Department

Forensic medicine teaching was based on complete dictation and examination needed exact reproduction of notes for passing. It was absolute Rote learning.

Hygiene Department
(Now Community-Medicine)

Prof. Samad Shah (DSc London) was an excellent teacher of hygiene & created a lot of interest in the subject. For practical training, visits to public health facilities were arranged and demonstrations given. Communicable diseases like polio, dysenteries, cholera, measles, typhoid etc. were very common. Prof. Shah was the Dean of the Punjab Public Health Institute. He gave a lot of importance to the prevention of diseases and the promotion of health. There was a lot of stress on potable water, personal hygiene, sanitation, nutrition, immunisation/ vaccination etc.

Clinical Disciplines

In the days of the partition, trains full of injured and dead persons arrived from India and there were epidemics of cholera in the camps including the road side ones. Surgeons were working round the clock in the operation theaters and wards to save lives, and physicians along with their house-staff and students were working in the camps treating patients suffering from cholera epidemic. Many refugees died due to violence and epidemics. It was indeed a pathetic scene, refugees lying along the road-side .Public volunteers, doctors and students and nursing staff worked day and night.

Quaid-e-Azam in -spite of his serious sickness visited Walton Refugee camp and inquired about the welfare of refugees, Rehydration solution were prepared in large vessels (Degs) administer to Patients orally .There were not many IV fluids drip bottles. The Quaid asked the 5th year medical student, Mr. Latif who later became Brigadier in the Army Medical Corps “Young man how is work going on, “He replied Sir “very well”, Quaid said “keep it up”.

Department of Medicine

Lt. Col. Ilahi Bakhsh, (MD, MRCP London) was the Prof. of Medicine and Therapeutics (also the Principal). Before independence, he was the Pro. of Pharmacology. Col. Ilahi Bakhsh left for England at the age 16 to study Medicine at Guys Hospital, the University of London. At the age 43 he became the first Muslim to be appointed Principal of King Edward Medical College, Lahore. At independence entire British and Hindu faculty had left Pakistan .In those days Indian Medical Service (IMS) like the Indian Civil Service (ICS) was a very prestigious service. British qualified Indians and British doctors used to compete for the IMS jobs. Dr. Sher Malik, (MD, MRCP London) who was principal of the Glancy Medical college Amristar, wanted to be the principal of the KEMC -was appointed the Director of Health Services Punjab- an administrative job while Col. Ilahi Bakhsh got the job of KEMC, creating a bitter rivalry between Col. Sher and Col. Ilahi Bakhsh. Mian Mumtaz Daultana Finance Minister Punjab, later the Chief–Minister was the strong supporter of Col. Ilahi Bakhsh while Malik. Feroze Khan Noon later Chief- Minster supported Col. Sher. Malik. Their rivalry did not affect the teaching and the work of the departments and wards. A few students’ poor in studies took the personal advantage by indulging in backbiting. In those days, there were a few students who spent 8 to 12 years for the five year MBBS course. Col. Ilahi Baksh’s two sons were studying in the college- they came to the college riding bicycles and not by the father’s large Chrysler car.

During the terminal phase of Quaid-e- Azam’s illness, Col. Ilahi Bakhsh was engaged as Quaid’s consulting physician .Quaid was reduced to skin and bones yet he kept on working .At that time there were no anti- tuberculosis drugs except newly discovered injection streptomycin which was flown from UK, did not help in the advanced stage of disease, Col. Illahi Bakhsh published the book “Last days with the Quaid”-.Fatima Jinnah wrote the foreword. As usual in Pakistan, rumor mongering mills churned out baseless rumours.

Col. Illahi Bakhsh developed enormous reputation, treating Quaid-e-Azam. His private medical practice sky rocketed .He suffered from bronchial asthma -at that time effective treatment was not available. He could not get enough time to prepare his lectures, usually read his notes but gave full time to bedside teaching ,out-doors and indoors. He excelled in Pharmacology and Therapeutics, had good communication skill. At that time though there were a few drugs yet there was a Prof. of therapeutics and now with the explosion of drugs there is no chair of therapeutics .There is dire need to create departments , of Clinical Pharmacology ,Clinical therapeutics In the teaching Hospitals as recommended by the WHO- to reduce the therapeutic deficit. In medical education it is an established fact that enormous morbidity and even significant mortality is caused by the misuse of the drugs the iatrogenic disorders.

During the first martial-law regime, Military administrators holding the rank of Lt. Col. Commanding Army field units were appointed administrators of the medical colleges/ teaching Hospitals. At KEMC/Mayo hospital the administrator was, Col. Illahi Bakhsh’s student whom he had passed with leniency. The administrator issued many degrading orders- one was that the teachers would report to his office in the mornings and sign attendance registers. Col. Illahi Bakhsh sought for early retirement, his health deteriorated and he died at a young age of 57, while attending a meeting of “National Commission for Health reforms and Medical Education” at Rawalpindi. The appointment of military administrations was a blow to the health services- many doctors, including Professors resigned and went abroad. In the column of the “PULSE” I recently published the story of Professor Mohy-Ud-din who also left the country- became an international Anatomist and researcher. The second blow was given by Mr. .Bhutto who arbitrarily increased the admissions in the medical colleges to 200 to 500 students per year without providing matching facilities. In this respect, it is pertinent to point out that the British Governor Modi wished to increase the KEMC first year admission seats from 95 to 100. He invited Col. Illahi Bakhsh on tea (the practice at that time- the British respected academicians) .He put proposal to Col. Illahi Bakhsh who demanded enhancement of facilities which were provided next year and admission of students increased next year. There was the difference between the British rulers and the Pakistani authoritarian rulers /dictators and their created politicians and the stress on the standard and quality of education at that time and now the total neglect. At that time the matriculates could express very well in English. While now many MAs (English) and even lately many PHD’s can write a few sentence correctly.

Prof. Muhammad Aslam Peerzada: He was appointed Professor of Medicine and clinical medicine in charge of West medical ward (medical unit 2). He had MRCP and Diploma in Public Health. Earlier he had been a Prof. of Pathology at the KEMC. Having a good background of Pathology and Public Health which formed good foundations for teaching of clinical medicine and preventive medicine. His strongest asset was his incomparable command over the English language and the English literature. He was an orator par excellence. He had very strong analytical and critical mind, employed usefully in diagnosing diseases. His lectures and presentations at medical conferences drew large audiences- listened to with rapt attention. He had the art of using tone and tenor of his voice marvelously. His every teaching session lectures /bed-side teaching was a performance. Till today I remember his pearls of wisdom. I have not heard any medical teacher of his oration capability. In those days teaching aid facilities were not available. He used to vocally produce heart murmurs for teaching. .He used to quote quite often, Voltaire “Common sense is very uncommon”. He gave a lot of importance to Preventive Medicine. As an example, his opening remarks on typhoid Medicine lecture were “the resolution of the problem of typhoid lies in prevention – not in chloramphenicol”.

In 1940s, there was an All- India debate between doctors and lawyers at Lahore- Sir Shadilal the chief justice presiding. He won the debate with great honours. He did a limited practice saw only the referred cases- entertained his patients and attendants with tea/ cold drinks. He was strict disciplinarian, punctual. Once on a round, he spotted a patient admitted in his ward- having seen him as a, private patient at his residence- he returned his consultation fee. Quite often he used to pay evening visits to general wards also.

Prof. Col. Muhammad Zia- Ullah: He obtained his MRCP (London) in the first attempt, his theory papers were so good that he was exempted from Viva voce- a rare event. While appearing in clinical examination he finished his clinical cases with one set of examiners-the examiner while handing him over to the other set of examiners told them that this little man would surprise you and he did. He joined the Indian Army Medical Corps in 1940- posted to Middle East and then to Italian war of theatre. He got promotions swiftly to the ranks of Lt. Col. in 1943 and in 1945 to Colonel- a rare rank for Indians in those days .While viewing a movie in the cinema hall in uniform (usually during war) many officers including the British were looking at his rank-Col. Zia-Ullah told them “ I am also surprised”.

On demobilization, he was posted as M.O in charge HAZRO Hospital a small town near Rawalpindi- it hurt him- he said “My Colonelship is punctured”. After some protests, he was posted to Galancy Medical College Amritsar, as Assistant Professor of Medicine and later before the partition, transferred to KEMC as Assistant Professor of Medicine- clinical assistant of Professor Lt. Col. Illahi-Bakhsh.
He had a good command over English language and also was very well- versed in Urdu poetry. During his student days; he was a regular visitor of Allama Iqbal .He taught medicine making clear concepts .His well known words were like “ Anatomically heart lies between two lungs and physiologically (functionally) lungs lie between the two hearts- right and left. Normally lungs are dry - reduction of output by the left heart makes lung wet, edema of lungs- causing dyspnea cyanosis etc. Mediastinal masses- push able structures are pushed, collapsible structures are collapsed, erodible structures are eroded (bones, cartilages), and irritable structures (nerves) are irritated. He was not satisfied with the position/ work he was doing, He was posted to Fatima Jinnah Medical Colleges as Prof. and the head of department. At that time there was a fierce competition between Fatima Jinnah Medical College students and the KEMC. During the exams he had trouble with Lt. Col. Illahi Bakhsh - the dispute went up to the Punjab University Syndicate Later on he was transferred to KEMC as Prof. of Medicine and had some seniority problem - sought-early retirement, Students remember his teaching, was very friendly with students and many of his teaching session were punctuated with hilarious talks. He was not punctual. Col. Zia–Ullah saw poor patients without fee every Friday. There used to be a big crowd of poor patients at his residence cum clinic.

Prof. Ghulam Muhammad Khan Baloch: He did his MD Punjab with high commendation before partition. The MD Punjab was started in 1914- up to 1947 only 14 Scholars achieved this doctorate degree. Most, were non- Muslims only threer Muslims got MD- Prof. Yar Muhammad Khan, Prof. Yousuf and Dr.Baloch. Punjab University developed the MD on the pattern of UK MD at that time- The thesis was of PhD level( Punjab University calendar) theory exams in general medicine, special subject and Basic sciences, practical exams in these subjects a day for each –was done in details. According to the regulations of the Indian Medical Services, MD/ MS of any recognised University in the British Empire though equivalent to MRCP/ FRCS UK held first position until 1970s when F.C.P.S was placed in the first position by the PMDC.

Prof. Baloch was very hard –working, had a well- organised life, had an updated library of his own, received enormous number of journals, and was very well versed in his subjects. He regularly did research and wrote articles published in the Indian Medical Science and foreign journals. His research work and publications were well-admired. He was a complete physician and academician following the footsteps of the famous physician Col. Ameer Chand. He dominated the clinical meetings held at KEMC and F.J. College’s with his updated knowledge. He was not only well versed in the medical subjects but also in Urdu and Persian prose and poetry. He regularly spoke in the Halqe-Arbabe-Zok meetings at the Dyal Singh Library Hall Lahore. He was selected for training in cardiology at the London Institute of cardiology by the legendary cardiologist and physician Prof Paul-Wood- on the basis of his published research work ,While doing training at the institute, he sat in the MRCP London exam (hardly after three months of his arrival in UK) and passed the exam. A prominent British physician introduced him in one of the clinical meetings as the best “Diagnostician” from the other side of the Suez Canal. He remarked that in three months one does not settle in and get acquainted with the British culture but doctor Baloch straight away passed a difficult exam. On arrival at Lahore he introduced modern concepts of cardiology, He taught about three and four heart sounds - at that time only first and second sound were known at Lahore. Prof. Peerzada while passing by the side of East Medical Ward asked Col “ Zia Ullah” Do do you hear 3rd and 4th heart sounds- Col Zia Ullah jokingly said “ I do not even hear first and second sounds” you are talking of 3rd and 4th .Prof Peerzada responded that Dr. Baloch was an honest man and he believed him.

Prof. Baloch was appointed Prof. of medicine at the FJM College. Soon he was posted to newly established Nishter Medical College Multan where he set up the medical units, unfortunately he developed brain tumor and died at Mayo hospital in his forties. The Nation lost a brilliant physician, teacher a researcher -and a prominent literary personality. Professor Peerzada and Professor Baloch’s medical unit produced five M.Ds Punjab. Prof. Mushtaq Hassan who became Prof .of Medicine and prominent physician at Karachi, Dr. Rab Nawaz became a leading physician at NWFP (KPK). Prof. Rauf Khan Head of Department of Medicine at the Nishtar Medical College, Dr. Maula Karim Bakhsh Minhas who became a prominent cardiologist in the USA, Dr. Siddique who became Royal Saudi physician. . These MDS were presented to the PM Liaquat Ali Khan on his visit to the KEMC /Mayo Hospital .The P.M was very happy to meet locally produced specialist doctors.

Dr. Rauf Yousaf did his MRCP London in one year after doing house-job/post-graduate training under Professor Baloch. Professor Baloch was the visiting honorary consultant physician to CMH Lahore. He did limited private practice- only referred cases, kept immaculate record of patients. He was particularly admired for post graduate teaching. Professor Baloch was very helpful to the poor patients. Due to early passing away of Professor Baloch, the nation lost a brilliant clinician, a scientific researcher, with a lot of publications a great scholar and intellectual.

Prof. Major Chhutani MD (Pb): Before independence Prof. Chhutani was the Professor of Medicine at the Balak Ram Medical College- and a visiting physician to Ganga Ram Hospital. He was considered to be a very competent clinician, teacher and a researcher with a lot of publications.

Prof. Akhtar Khan (FRCP London): He became Prof. and Head of department of medicine Fatima Jinnah hospital on Prof. Baloch’s transfer to Nishtar Medical College Multan and after Prof. Baloch’s death, appointed Prof. of Medicine at Nishtar Medical College. Prof. Akhtar Khan was an excellent bedside teacher of medicine - had analytical and critical mind- excelled in differential diagnosis- would go to the minutest details of diagnostic problems. I had the privilege of attending his post graduate classes and learnt a lot from him. He was very hard working honest, strict disciplinarian, a man of high principles and convictions.

Comments: With my life-long experience of medical education/practice, I would place Prof. M.A Peerzada as a top lecturer/orator par excellence , teaching medicine conceptually , having analytical/ critical mind excelling as a diagnostician, Prof. Baloch excellent in up-dated knowledge, ideal for post-graduate teaching – clinician per excellence, pioneer in Cardiology –researcher of 1st order and excelled in publications of medical articles. In fact he was a complete physician and clinical scientist. Col. Ilahi Bakhsh excelled in therapeutics, had an art of good communication with patients, had a penchant for “spot diagnosis”. Col. ZiaUllah was a good teacher and communicator, was extremely intelligent, and had good command over English language and Urdu literature.

Paediatrics: It was a part of General Medicine. Professor Wasti did his MRCP Ireland in General Medicine and also obtained Diploma in Child Health. He was appointed clinical Assistant in Col. Illahi Bakhsh’s medical unit. Soon Dr. Rauf Yousaf with fresh MRCP was appointed as clinical assistant and Prof. Wasti was made Medical Officer of Paediatric out-door with no beds (indoor). He was terribly upset, virtually crying, saying that his student has been appointed in higher post and he has been pushed out at a junior doctor’s job. This was a part of politics played between Lt. Col. Illahi Bakhsh and Col. Sher Malik. After more than a year he got a ward and the rank of Assistant Professor of Paediatric, later Professor. Professor Wasti established full –fledged department of paediatrics. He was a pioneer in the discipline of paediatrics. He diagnosed a lot of cases of Polio-myelitis.

Dermatology: Dermatology was a minor subject in those days - usually covered by the Professors of medicine. It consisted hardly fifty diseases and a few ointments. There was an out-door department of venereal and skin diseases run under the care of Dr. Malik Hameed. Most of the patients at the department were of venereal diseases like syphilis and gonorrhea from the “Red-light” area, Syphilis was treated by intra-venous arsenic and bismuth injections- crude preparations with a lot of side-effects. Dr. Malik had no indoor facilities: Later Dr. Shabbir became Prof. of Dermatology and organised the department.

Psychiatry: There was no psychiatry department. The students were taken on rounds to the Mental Hospital run by the Medical supertendents- not well trained in psychiatry. The Military Hospitals had psychiatric departments and wards, Insulin and later electric convulsive “Shock Therapy” was commonly used. Later on the psychiatric departments were established. In many parts of the world, psychiatry has been well-integrated with the medicine right from the beginning. Every patient reports to the hospital with a physical disease and the psychological disturbance – fear, anxiety etc. Many of the physical diseases like diabetes –mellitus, heart diseases, strokes etc. are accompanied with depression etc. Therefore there should be complete integration from the beginning of Medical education. Human body cannot be divided into organs for healing each part is linked to one-another and to the mind. The need of the hour is to have healers rather than treatments only.

Psychology: At the KEMC the Head of the Psychology Department of the Govt College Lahore Prof. Qazi renowned in psychology used to deliver lectures on psychology to the medical students in the first and the final years. Behavioral science should be made a compulsory subject in the first two years of medical education. The students will also learn ethics, communication, patient-doctor relationship etc. Humanities, and liberal arts, sociology should be a part of the curriculum. It is being practiced at the Agha Khan University in Pakistan. A doctor should be a good human being have good knowledge and skills in the humanities, arts etc.- to make him/her humane and good healer . In olden days, teachers were good role models for the students.

Surgery: Prof. Amir-Ud-Din: On the surgical side Prof. Amir-Ud-Din was the Head of the surgical department. Earlier he was head of the surgical wing at the Galancy Medical College/Victoria Hospital Amritsar. He was a teacher par excellence both in the class-room and at bed-side. He was a master surgeon - a superb artist. He was very punctual, highly organised person-strict disciplinarian and a perfect administrator. He was endowed with rich empathy- looked after his patients, wards and departmental impeccably. He will reach lecture hall half an hour earlier - finalized his lecture’s preparation, enter the lecture at exact time -no one was allowed later. He was a perfect role model of time -keeping. Delivered his lecture- smoothly explained concepts very well -and then repeated the summary- was equally very good at bed-side - in the out-doors and in-doors .He worked in the operation theater from morning to evenings. He enjoyed immense respect and reputation. On teaching rounds, he would present pleasant smiling face to patients addressing “hazoor-Sir” while turning toward students will ask question with a stern face. During the exams he was very soft with students –offered drinks and encouraged students. His motto was “strict at teaching soft while examining” President Nixon in his auto-biography has written that in his experience, strict teachers produce better results. He was very philanthropic, - helping poor patients and poor students. He used to supply general ward patients free drinks. After retirement, he ran a ward at the Mayo Hospital paying expenses and working honourarily.

He was very humane and a true healer. After the ward rounds, he will sit with patients suffering from serious disease, at bedside benches and chat with them to uplift their morale. Once he was lecturing in the morning at the Amritsar Medical College and was informed about the passing away of his daughter- he completed his lecture and then left for home. The Punjab Govt. has established a new Medical College by his name at Lahore “Dr. Amir-ud-Din Medical College”. A Minister telephoned Prof. Amir –ud-Din asking him to see his daughter at his residence.Professor Amir-ud-Din told the Minister that he was busy with the patients and further-more it would be better if he examined his daughter at the hospital where all the facilities were available. The Minister was annoyed and threatened Prof. Amir-ud Din, rang Governor Kala-Bagh’s Secretary for an appointment. The Governor promptly came on lines and asked Professor Amiruddin about the problem and Professor Amiruddin narrated the whole episode. The Governor summoned the Minister, removed him from his cabinet - telling that he could find hundred individuals for the Ministerial job but cannot get one like Professor Amir-ud-Din in the country.

His son-in-law Dr. Ijaz who was fully trained at the U.S.A in chest surgery for over five years worked with him. He was fully trained in the chest surgery. Some cynics as usual made unfounded biased stories. Unfortunately in this country there are people who do not appreciate the enormous good done by many people but always spreading unfounded rumors to defame and be little there good work and contribution.
Prof. Riaze-Qadeer (FRCS): He was Prof. of clinical surgery (unit 2) - had also migrated from Amritsar Galancy Medical College. He was a very fast operator. He worked in the operation theatre on operation days from mornings to evenings, was known to be very bold surgeon- would even take high risk cases for surgery. He took a few lecturers and bedside teaching sessions of short durations. He was not well versed in administration and was not very punctual. He became the Principal of the college -committed an administrative error. The Governor of Punjab Nawab Kala Bagh took notice and issued him a letter of displeasure. Prof. Riaz Qadeer was very upset- was unable to cope with the situation, The Governor was informed about it by the Secretary Health. The Governor withdrew the letter and consoled Professor Qadeer - the matter ended. However the rumour mills of Pakistan churned out strange rumours of the Governor slapping Professor Qadeer and Professor resigning.

Pakistan has too much rumour- mongering. About Quaid-e-Azam, COL. Ilahi Bakhsh etc. without any basis - also spread by vested interests. Infact truth is in short supply in Pakistan.

That is one of the reasons of Pakistan’s lack of progress. While court cases finish in a few months in the European countries because the people do not tell lies, in Pakistan these take decades- recently a case was adjusted after a century because people do not tell the truth the only curse Allah has said-is on ‘liars’.

Prof. Siddiqui: He was Prof. of operative surgery in charge unit 3. He had many qualifications, M.A Anatomy, MS anatomy and surgery, FRCS (Eng. and Edin) DLO etc. . . . He had been Prof. of Anatomy at the KEMC - earlier at Lucknow Medical College. He was a genius, an excellent teacher- an artist- could draw excellent drawings, holding chalks, in both hands. He was hard working- worked from morning to evenings in the operation theater and took bed- side classes regularly- outdoors and indoors. Internationally he was more known as a celebrated Anatomist. He established KEMC Anatomy Museum, a great legacy of his. He was also a very good administrator – many times performed the duties of Medical Superintendent of the Mayo Hospital in addition to his own duties. As a Prof. of Anatomy he used to quite often help the department of surgery by working in the out-doors and indoors. He was a good writer and authored many articles. Later he moved to Dow Medical College, Karachi.
Prof. Sardar-Ali-Sheikh (MS) Punjab: He was Professor Siddiqui’s Assistant- very hard working conscientious teacher and surgical operator, later he became the Principal of the KEMC.
Dr. Wyne: He was MS and served as Assistant of Prof Amir-Ud -Din .He did bedside teaching of junior classes.

Prof. H.H. Mirza: He had qualifications of MS, FRCS was clinical Assistant of Professor Riaze-Qadir .He was a good surgeon and teacher. Later in the one unit set-up he became a Professor of Surgery. He worked hard from mornings to evenings.

Obstetrics & Gynaecology

Prof. Col.Sami MS (PB): He was Prof. of Obs/Gynae and in charge of the Lady Willington Hospital. He was whole heartedly devoted and dedicated to his patients and his specialty. While getting training in Obs/Gynae, the fifth year students had to stay for one month in the hospital premises to attend to obstetrics cases and emergencies. Prof. Sami was seen attending to the obstetric/Gynae emergencies day and night and doing his outdoor /indoor work and teaching regularly round the clock. He was living in the hospital premises and one would not know when did he take rest .He was extremely kind to his patients- had enormous empathy- female patients considered him a fatherly figure. He had very good relations with his staff mostly females. He provided help to the Obs/Gynae department of Fatima Jinnah Medical College led by Professor Bilquis Fatima MRCOG and her Assistant Dr. Asmat FRCS. He was often called to help in difficult cases. He was master of fistulae surgery and taught the art to many Obs/Gynaecologist. He was also visiting Obs/Gynae consultant to the Combined Military Hospital Lahore. He was an excellent bedside teacher, was least interested in private practice. He was the first President of the Pakistan Obs/Gynae society- truly a pioneer of Obs/Gynae in Pakistan. He trained many post graduates- produced MS Punjab Obs/Gynae, DGO Punjab and some obtained foreign qualifications.
Dr. Yousaf (M.S Punjab): He was assistant professor- later professor. He worked hard assisting Professor Sami. He was also very good teacher both in the classroom and at bedside. Was very kind to his patients.


Prof. Ramazan Ali Syed (DOMS London): He was the professor of ophthalmology and also the superintendent of boys hostels. He was very hard working- was an excellent Eye-Surgeon operating on patients from morning to evenings. He was a good bedside teacher.He used to deliver lectures like an ‘HAFIZ’ -speaking very fast without a pause, with his guaze fixed to the ground, was very kind to patients and students living in the hostels.

Dr. Alvi was assistant Professor- later became professor was a competent surgeon and a good teacher, was kind to his patients.

Ear, Nose and Throat

Professor Rasheed (DLO London): He was the professor of ENT. An excellent teacher, made concepts clear, was also an excellent hard working surgeon. He used to take extra classes before the exams .He had written a small book on ENT - made the subject easy to understand. He was a good clinician looked after his patients very well Dr. Nazir was assistant professor- later professor worked well as a clinician and surgeon.


Dr. Rustan Nabi: Head of the Dept. of Anesthesiology. He was known “Guru of the subject”. He provided good support to surgeons and trained many anesthetists.

Healthy competition between FJMC & NMC

There used to tough healthy competition between Fatima Jinnah Medical College and Nishtar Medical College.FJMC students Professor Nabia Hassan and Prof. Khalida A.K. Akhtar topped Punjab Universities exams. Later Nishtar Medical College Kept good standards. These three colleges were affiliated with the Punjab University.

Medical Teachers and Medical
Education Standards
(Then and Now):

The KEMC admitted only hundred students, the ratio of students and teachers was good MBBS (Punjab) University standard was equivalent to MBBS London. MD/ MS Punjab was dubbed golden MD/MS had also London and Edinburgh University standards. Teachers and students worked from mornings to evenings. The Motto was that the MBBS degree should be the strongest as to produce good promising primary care physicians who first see the patients -decrease the load on hospitals and also become competent secondary and tertiary specialists with wide knowledge and skills of the science and arts of the profession. In the evenings, chief nursing Matron Mrs. Tareen with her staff used to visit wards and clear wards of students. Students were very inspired by the teachers and thus keen to acquire knowledge and skills. There was a healthy competition among teachers –whatever the difference some of them had but all worked with devotion and dedication in patient care, education and mentoring. They were role models. They were true healers and humane. To illustrate the situation of fall of the medical education in Pakistan I would describe the history of the Army Medical College Rawalpindi Pakistan.

Army Medical College

In 1970s on becoming the Chief of Army staff General Zia-ul-Haq conceived the idea of forming an undergraduate Army medical college. India Turkey USA had one undergraduate Armed Forces Medical College, whereas, the UK had none. Most of the countries had post-graduate institutions producing specialists. Pakistan also had one- the Armed Forces Medical College (AFMC) now the Armed Forces Postgraduate Medical institute. (Now AFPGMI).

Ghulam Ishaq Khan the Secretary General Finance opposed the establishment of an undergraduate Medical College, arguing that there were many undergraduate medical colleges in the country and sufficient doctors were available for the Armed Forces. Furthermore a medical cadet taking the same benefits as the PMA-cadet -pay, messing etc. for five years costs a lot to the state.
During the arguments it was pointed out by the Army Medical Corps representative that the civilian medical colleges have now hundreds of students (increased by PM Bhutto) and do not get appropriate clinical training. Example was cited of the Aga Khan Medical College who only admitted hundred students per year and it‘s students got good clinical training and recognised as good doctors all over the world. This argument struck and the Prime Minister Mr. Bhutto ordered the release of funds for the establishment of the college.On this basis, the Army medical college was established.

The Army medical college was affiliated with the Quaid-e- Azam University, the best university in the country also amongst the best hundred universities in the world. The university had departments of Biology, Genetics, Social Sciences, Humanities, Arts, etc. Furthermore other medical Institutions like PIMS etc. were also affiliated with the university. The Army Medical College also developed many research projects in collaboration with the University. In the meanwhile private universities emerged based on commercial lines and the National University of Science and Technology (NUST) was established having the Army mechanical/ Electrical, Civil ,signals Engineering colleges but no medical institutions, Bio, Social Sciences, Humanities ,Arts departments etc. . The NUST University made efforts for the affiliation of the Army Medical College. I as the Principal of the Army Medical College opposed the move and affiliation did not take place. The Army Medical College made good progress, its graduate obtained good positions in the post graduate education/ exams. On becoming the Principal I introduced many reforms updated its curriculum syllabus on modern line of Integrated Medical Education. The Army Medical College graduates progressed and became next to the Aga Khan Medical College in obtaining post graduate qualifications in the clinical specialties and in the specialty of the medicine even got ahead of the Aga Khan Medical College in obtaining FCPS qualification.

After my retirement the Army medical college was affiliated with the NUST University and commercialized, hundreds of students were admitted - the standard plummeted in the clinical specialties. It is pertinent to point out that over 99% of the doctors opt for clinical specialties.

Now a string of medical colleges have been opened under the Army University “National University of Medical Sciences”. There is a concrete example of “how to destroy the medical education by commercialization” which is happening in Pakistan. Unfortunately the medical education has become a money grabbing business with terribly low standards reflected by the country’s lowest health indicators in the world- The highest mortality from still-births to the adult- deaths shortest lifespan, As an example in this region Sri Lanka has infant mortality rate 9/1000, Bangladesh, India, Nepal less than 40/1000 (coming down) while Pakistan is over 90/1000> Sri Lanka lifespan is 76.5 while Pakistan 56.5 the lowest.
Teachers used to do very minimal and ethical practice Lt. General C.K Hassan (DGMS Armed Forces) narrated a story. He was 5th year student - sought an appointment for a patient with the Prof. of ophthalmology (British). He fixed an appointment after a week, spent more than half an hour on examining the patient and declined fee - saying that it was his principle that if he could not help a patient, he would not charge fee. Those were the ethics. These days leaving aside physical examination, many do not even touch the patient and even do not listen to patient’s complaint’s - patient are not informed about Life-style therapies, correct use of drugs etc. . Furthermore most harmful aspect is our doctors including so- called specialists of ceasing reading on obtaining qualification- terribly harming the patients- there is no accountability - all the time consumed in medical business. In India in the public sector private practice not allowed only institutionalized. No affecting the patient care and education the system-the system in Vogue at the Agha Khan Medical College. In Pakistan in the public sector- in the Armed Forces and some civil Institutions local institutions so called institutional private practice has been introduced but it is unlimited affecting adversely the patient care and the medical education.

Our narcissist rulers both selected and elected (including dictators) live in their luxurious world- get treatment abroad or in the luxurious extremely expensive health-care institutions in the country- they have no idea of the local Public Health Care facilities. our rulers have the luxury having “personal physicians” while even most of the progressive countries do not indulge in such luxury, The rulers have all the luxuries for themselves and neglect badly the personal working in the health education and other departments with no proper service structure- facilities etc.

Sports and other Extra-curricular activities

Exams were absolutely fair -There was no concept of cheating etc. KEMC’s degree was recognised worldwide even in the USA -doctors got job straight-away – later the degrees lost their values – doctor had to undertake foreign exams etc. There were regular co-curricular activities, P.T period, Sports (indoor, outdoor) drama, debating clubs, musical sessions, guest speakers etc. There was a P.T instructor and physical trainer. The College teams competed in the university sports gala. Now with the mushrooming of private medical colleges- the standard of medical education has deteriorated tremendously. The raison deter is not imparting knowledge and education but making money. In many medical colleges, teachers live in other towns, visit the college/ hospital once a week to once a month so called brief –case Professors. Many Medical College do not have patients in the wards. On PMDC inspection’s fake patients are filled in. It is said that this is done with the connivance of the PMDC officials, Question papers are leaked out- fake external examiners are engaged. There are many private universities having their own medical colleges – holding exams and passing their students without any knowledge and skills. Many so –called doctors do not know how to take blood-pressure. In one of the South African universities it is written on the gate that no country can be destroyed by atomic bombs and missiles but- by cheating in the exams, Doctors who are the products of cheating will kill patients. This is what is happening in Pakistan. It is disheartening to read an article in the Pakistan Armed Forces Medical Journal revealing that the metabolic syndrome incidence higher in the Pak Armed Forces then the Saudi Arabian, Jordan and above all also India. This is quite reverse of the medical education on the birth of Pakistan.

KEMC Golden Jubilee

In 1960, the KEMC celebrated golden jubilee (hundred years), Old living Professors from India also participated Prof. Col. Amir Chand a former Professor of medicine came from Delhi. He was 75 staying at Flatties Hotel- came walking briskly to the college, President Ayub was presiding over the function. Professor Amir Chand received prolonged standing ovation. He was overwhelmed with emotion. He taught medicine from morning to evenings was an excellent teacher, clinician- used drugs (chemicals) appropriately laid a lot of stress on lifestyle therapy, including prevention and promotion of health- badly neglected these days.

Need for Turn–around for better

There is a dire need to bring turn round for the better to follow the foot- steps of old pioneer teachers. The legacy of old teachers has largely died down. Very few teachers now have a passion for teaching - rest have a lust for money .In my view the situation turned for the worse when the first generation of Quaid’s lieuts who took part in making of Pakistan comprising stalwarts like P.M Sehrawardy, Nazim-ud-Din, Tazim-ud-Din, Fazle Haq, Maulana Akram , Nishtar, Chundrigar. Mian Iftikha-ud-Din, Qayyum Khan and many others were eliminated and one unit was created (dismissing over two dozen Govts), launching Kings political parties and politicians who are still playing havoc with the Nation. Unfortunately Pakistan was involved in world power blocks and conflicts by the usurpers which are still continuing.

Many of the budding teachers of the earlier days of Pakistan became legends later in their life-times. In the old lot Professor Khawaja Sadiq Hassan has kept the legacy -still practicing ethically. Amongst the later ones there were few left. Professor Naseem-ullah at the RMC was teaching/ practicing like the old teachers, While examining MBBS students at the RMC in 1990’s, I saw a Professor examining a batch of students, taking hardly a minute or two to finish one long case-in half an hour he finished the job and left for his home for lunch at 12:30 P.M- while Professor Naseem-ullah and I finished the exam at 6 p.m. Professor Mahmood Ali Malik at KEMC was another example who taught and examined his students keeping the legacy of old teacher’s. Prof. Alaf Khan enjoyed high reputation of teaching students passionately and setting an example of ethical practice. In the foreign countries, some of the Pakistani doctors have done very well. As an example Dr. Nisar Ahmed working in the pathology department of University became an international authority in cytology- least working for money like many other who became financial Tycoons. There may be some more doing good job- but very few. This is indeed tragic. Let us hope for the turn round for the better. The Noble profession and the poor people deserve better.

In this region other countries are doing well. The newly emerged Bangladesh has taken turn around for the better- with good education and the health indicators getting far better than Pakistan( former West Pakistan) while it was far behind ,Pakistan. Agha Khan University has set very good example in this country. It is doable if we set our priorities right and make systems right by doing honest and sincere work. Pakistan should be made a democratic (in real meaning) social welfare state as envisaged by the founder and not the elitist state for the elites by the elites, and of the elites as done by the usurpers of power and their associates.