We need to start a social accountability drive, motivate and mobilize all stake holders-Prof. Junaid Sarfraz

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Symposium on Redefining the role of DME at ICHPE 2019
We need to start a social accountability
drive, motivate 
and mobilize all stake
holders-Prof. Junaid Sarfraz
DME at UOL has so far trained 400 participants during
29 
workshops. 160 doctors have done Masters in
Medical 
Education-Mahwish Arooj

LAHORE: Prof. Rukhsana Zuberi alongwith Prof. Lubna Baig and Prof. Shahid Shamim chaired the symposium devoted to “ Redefining the role of DME” during the ICHPE 2019 organized by University of Lahore held from December 4-6th 2019. Dr. Tayyaba Azhar was the moderator of this session.

Prof. Syed Shoaib Hassan in his presentation traced the history of the development of Departments of Medical Education in the country which dates back to 1970. The departments of medical education were established at King Edward Medical College, Fatima Jinnah Medical College, and Liaquat Medical College while Dept. of DME was established at CPSP in 1978. He also recalled the contributions in this field by numerous eminent medical personalities which included late Prof. Fazal Elahi, Prof.Naeem Jafary, and Prof.M. Younus, Prof. Rose Madan, Prof.Kh.Saadiq Hussain, Dr. Chohan, Dr.Sajid, Prof.Sirajul Haque and Dr.Syeda Kausar Ali and others.

Prof. Usman Mahboob form Khyber Medical University talked about finding the silver bullet for the wicked problems of medical education departments. He pointed out that we have ill-defined problems which are too complex to be solved by traditional methods. Solutions are there but the decisions can be good and bad. These wicked problems are unique. He then gave examples of these wicked problems like medical college admission process. He suggested that let us learn from our failures and encourage ownership of problems.


Dr. Mahwish Arooj alongwith Prof. Kamran Rector of University of Lahore presenting a
memento to Prof.Khalid Masood Gondal Vice Chancellor of KEMU who was the
chief guest at the concluding session of ICHPE 2019.

Dr. Mahwish Arooj from UCMD in her presentation defined the functions of Dept. of Medical Education and gave details of the CARE concept which stands for Centre for Advanced Research and Education. It covers curriculum, assessment, faculty development, training programmes, CME and educational evaluation programmes. We at the DME, she said, are involved in curriculum development, curriculum review, E learning since long. An assessment cell was created in 2017. We organized Core Workshops, advanced workshops, orientation workshops and so far we have trained four hundred participants during 29 workshops. We have also trained one hundred sixty doctors who have completed their Masters in Medical Education. Some of the challenges we face are that we the medical educationists are taken for granted. We need to develop E Assessment and students development programmes.

Prof. Junaid Sarfraz talked about Steering the Medical Education Department. He discussed at length should the regulators impose their decisions or they should be collaborating in education. He further stated that it was for the first time that during 2019, the PM&DC had trained inspectors which visited various medical and dental colleges for inspection. High stakes were involved and we expected national ranking of various institutions. Facilitation role was provided by CMH and LMC. NUMS conducted the MDCAT test 2020 in seventeen cities at hundred venues. We need to start a social accountability drive, motivate and mobilize all stake holders, simplify, entrust, give responsibility to institutions and ensure compliance, he added.

Prof. Gulfreen Waheed Principal Avicenna Medical College discussed the role of medical educators and medical educationist in shaping the DME. She pointed out that for all this, there has to be a team which should consist of medical educators, educational management. At present there is no internal motivation for research. It is all done under compulsion as required by PM&DC for promotion purposes. The solution lies in good training programmes by the Dept. of Medical Education. Medical Teachers and Medical Educationists should join hand and work together. They all should be working in harmony. We need to train more medical educators and they should be the part of the same team, hence they all should work together, she added.

Prof. Rukhsana Zuberi in her concluding remarks said that now Certificate in Medical Education has become mandatory for all medical teachers. They should work together with educators and educationists. Prof. Lubna Baig remarked that the Dept.of Medical Education should be headed by a full time medical educationist.

Entrepreneurship in Health
Professions Education

In the next session moderated by Dr.Ahsan Sethi, Dr. Masood Jawaid spoke about Entrepreneurship with innovations among Health Professions Educations for which we all should be ready. Prof. Shahid Shamim talked about “Bridging education-innovation gap in healthcare”. We can make use of Electronic Health Records, Telemedicine, TeleHealth. We can use portable technology. Real time location system and wireless communication can work wonders. Universities have a role in increasing knowledge and aim at transfer technology, social uplifting. They also have a primary role in innovation and research. He also referred to the Golden Triangle featuring Higher Education, Academic Research and Industrial Growth.

What the Experts Say Session

This session was jointly chaired by Dr. Masood Jawaid alongwith Prof. Farrukh Iqbal and Prof. Mughees Baig. Prof. Azhar Rashid was the first speaker who spoke about the missing piece in students centered medical education perception belief. He talked about the changing knowledge, techniques and the society, changes in curriculum and teaching strategy. He then referred to the Flexner Report in United States which brought a revolutionary change in medical education in USA. He described in detail the desired traits of teacher, Harden role of Teachers wherein they are supposed to role models, information provider, facilitator, and assessor. He also referred to the fear of unknown saying that people are committed but they are not involved more in private sector. Public sector does not provide resources. Let us look at the basic science as well as clinical teachers, are they motivated, are the resources being provided satisfactory? Medical Education teachers demand more. There is a policy making team and teaching stream. There is no resistance. We need to initiate changes and address these issues. Unknown generates fear. Change the concept, the resistance and disbelief. The challenges we face are in the transition period. Are we addressing the intrinsic motivation of teaches, he asked? Transition part of change, evolution require patience, holistic approach. We do not need anybody to monitor. Every institution, he stated, should have a Dept.of Medical Education and they should be provided standardized resources.


Members of the organizing committee of ICHPE 2019 photographed alongwith Prof.
Shahid Malik, Prof. Rehan Khan, Dr. Mahwish Arooj and others
at the end of the conference on December 6th 2019.

Mr. Shaukat Ali Jawaid Chief Editor of Pulse International in his presentation “Listen to Mr. Zameer Hussain” highlighted the unethical practices among the medical profession In the past and even at present there is no dearth of good, kind hearted, God fearing physicians who believe and practice ethical medicine. However, Corruption and Commercialization virus has infected a vast segment of healthcare professionals and this CC virus has become an epidemic. Prof.Kh.Saadiq Husain’s autobiography “Reflections “has one full chapter devoted to CC Virus, he added. Pharmaceutical trade and industry all over the world sponsors CME, academic activities including medical conferences but they follow professional ethics. However, in Pakistan, since there is no monitoring and accountability, the unethical practices have crossed all limits. For some organizing a conference has become a money making business. He urged the healthcare professionals to listen to their conscience and organized all academic activities at medical institutions as far as possible. Even if they have to organize such functions at hotels, even then try to minimize the conference expenditures as it is all paid for by the poor patients in the form of high cost of services and drugs.


Dr. Saima Chaudhry’s presentation was about “Who you are”. She was of the view that HCPs should become the Person they decide to be and the world will adjust. We all must have personal strategic plan. Decide about your Vision which should keep you motivated throughout your life. Sometime one is not feeling well at home and this is reflected in our attitude at offices.

Prof. Shahid Malik in his concluding remarks said that we must disassociate the home environment from the office environment and we can do it. Prof. Junaid Sarfraz said we need to provide funds to the DME and efforts should be made to uphold professional ethics as highlighted in Shaukat Jawaid’s presentation. Dr.Masood Jawaid remarked that we need to have a proper database and Dept.of Medical Education can generate data regarding the number of workers, quality of their work, we must think and have personal development plans, he added.