Two third of patients can be diagnosed with good history and physical examination-Prof.Tariq


Proceedings of ICHPE 2019 by University of Lahore-III
Two third of patients can be diagnosed
with good history and physical
Internship has been suggested just like house job for
Masters in Medical Education-Prof.Shahid Malik
We must learn how to ask right questions
to the patients - Ahsan Sethi

LAHORE: Prof. Junaid Sarfraz Registrar National University of Medical Sciences alongwith Prof. Ashfaq Ahmad, Mr.Shaukat Ali Jawaid and Dr.Brekhna Jamil chaired the first symposium during the ICHPE 2019 organized by University of Lahore on December 5,2019. Prof.Shahid Malik was the first speaker in this session which was devoted to” Students Centered learning meets patient’s care”.

Prof. Shahid Malik pointed out that while students centered teaching improved patient care, what about other forms of teaching i.e. one to one learning, and powerful tools of individual learning. Discipline based learning is more difficult for teachers. We need role models to plan and assess all these i.e. students model, problems based learning, inter professional learning etc. General Medical Council says we have to come up with patient centered scenarios to ensure patient safety. In Tomorrow’s Doctors, feedback is taken from all those who come in contact with the doctors which includes patients, nurses, technicians, paramedics etc. One also has to look at the pros and cons of student’s involvement. Internship has been suggested for Masters in Medical Education just like house job. Faculty is dependent on trained individuals. He concluded his presentation by stating that we need full time clinical teachers besides involving the retired teachers. Clinicians will find it difficult to fulfil their role as teachers. All the required ingredients are there but we need to utilize all the facilities available properly.

Dr. Zafar Mirza Advisor to the Prime Minister on Health presenting mementoes to Prof
Vishna Devi Nadaraja Vice Chancellor International Medical University from Malaysia and
Dr. Muhammad Saif ul Bahri Yousaf from University Sains Malaysia during the inaugural
session of the ICHPE 2019 organized by University of Lahore from 4-6th, December 2019.

Dr. Ahsan Sethi from Khyber Medical University was the next speaker who described the futuristic approaches in context to clinical learning. He pointed out that medicine was changing and we are seeing new healthcare systems. There have been too many advances in medical sciences. In the past doctors used to have authority over the patients and they took decisions which were never challenged and patients were never involved in their treatment. With the start of integrated curriculum, spiral curriculum accompanied with professionalism a new change is taking place. Now too much information is available online. There are more than sixty thousand known diagnosis and more than six thousand established medical interventions and it is difficult to keep pace with the fast developments taking place. We must learn how to ask the right question to the patient? Explain to the students to become lifelong learners and get authentic information. Previously we were provided the information in which we were interested. Now we learn about personalized learning and electives core curriculum.

During the discussion it was pointed out that we need to find out what and how the students wish to learn? They get second life in medicine. Role of students in medical education also came under discussion as they are now considered as partners, they are no more clients. We need to opt for full, part time and visiting faculty to overcome the shortage of teachers. Online consultation for certain diseases has some advantages. Artificial intelligence and Robots are playing an important role in healthcare delivery system in many developed countries of the world.

Prof. Muhammad Tariq from Aga Khan University Karachi in his presentation on “Patient care training can lead to students centered learning approaches” highlighted the importance of clinical skills, history taking and physical examination. He was of the view that almost two third of the diseases can be diagnosed with good history and proper physical examination which will also help in deciding what further investigations are needed. If care provided is not documented, care is not provided. He discussed in detail the diagnostic approach, importance of ward rounds, bedside teaching, daily morning report, learning by observing and participation. In the morning meeting, one should identify patients for teaching based on morning report from senior residents. Other staff can take care of other patients.

Invited Guest Speakers photographed along with Mr. M.A. Rauf Patron of University of
Lahore, Prof. Shahid Malik Dr. Mahwish Arooj Vice Principal
UCMD and other senior
faculty members on the last day of the ICHPE 2019.

Bedside learning and Bedside teaching is valuable but it is underutilized. One gets learning points from each patient. Morning report is an extremely effective teaching activity. He concluded his presentation by saying that patient care training and students centered learning are closely linked which cannot be separated. Wad rounds are mainstay of patient care. Morning reports offer many advantages in teaching as well as patient care.

Summing up the presentations Prof. Juniad Sarfraz said that medical school is part of the university and teaches should be full time. Mr. Shaukat Jawaid commended the speakers and said that learning clinical skills were extremely important but unfortunately they are not being taught in many of our medical schools and they are not given the importance which they deserve. Prof. Ashfaq also thanked the speakers for their informative presentations.