Breadth of Emergency Medical Training in Pakistan

Lin, Janet; Ahmed, Saroosh; Brander, Caroline

doi:10.1017/s1049023x12001859

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…15,16 This results in few graduates pursuing family medicine and emergency medicine as their career choices. 15,16 An increase in the selection of these specialties for postgraduate education has been shown to occur after their introduction as medical school clerkships. 4 Research opportunities, which can improve clinical outcomes and scientific productivity, 17 were also considered vital for undergraduate students.…”

Section: Discussionmentioning

confidence: 99%

“…To produce competent physicians, most participants in our study deemed it necessary to have a separate module on family medicine in UGME and to make the emergency medicine curriculum well defined. Literature suggests a huge gap between the demand and supply of certified family and emergency physicians in Pakistan, owing to insufficient knowledge regarding these specialties in undergraduate education 15,16 . This results in few graduates pursuing family medicine and emergency medicine as their career choices 15,16 .…”

Section: Discussionmentioning

confidence: 99%

“…Literature suggests a huge gap between the demand and supply of certified family and emergency physicians in Pakistan, owing to insufficient knowledge regarding these specialties in undergraduate education 15,16 . This results in few graduates pursuing family medicine and emergency medicine as their career choices 15,16 . An increase in the selection of these specialties for postgraduate education has been shown to occur after their introduction as medical school clerkships 4 .…”

Section: Discussionmentioning

confidence: 99%

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Undergraduate Medical Education Curriculum Reforms in Pakistan: A Mixed Methods Study of Academic Leadership Perspectives

Bakhshi,

Afzal,

Merchant

et al. 2024

Acad Med

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Purpose Periodic revision of undergraduate medical education (UGME) curricula is an essential part of evidence-based educational practices. Pakistan’s national UGME curriculum, last updated in 2005, was reviewed, and recommended updates were made in 2022. The authors explore academic medical school leaders’ perspectives about the proposed reforms, gaps within the existing curriculum, and how to ensure the reform implementation is effective, collaborative, and feedback-driven. Method Using a mixed methods approach, data were collected from April to July 2022. Academic leadership (principals, who could designate vice principals or medical educators) at all medical schools across Pakistan (n = 117) were invited. Agreement with each of 20 proposed reforms was measured via a survey employing a Likert scale. A semistructured interview guide expanded on the survey questions with probes. Results Eighty-eight survey responses, from private (59; 67.0%) and public (29; 33.0%) institutions, were obtained (75.2% response rate). Participants recommended most of the proposed reforms. The 3 reforms that received the highest agreement were teaching professionalism as an integral part of the curriculum (83; 94.3%), mandating bedside procedural skills training (80; 90.9%), and including patient safety in the UGME curriculum (79; 89.8%). Including multidisciplinary tumor boards and surgical oncology had the lowest agreement (26; 29.5%). Fifteen interviews were conducted, which revealed 3 major themes: perceptions about changes to the curricular content, limitation of human and financial resources as barriers to reform implementation, and recommendations for effective implementation of an updated curriculum. Conclusions The findings reflect an overall positive attitude of academic medical school leadership toward the 20 proposed UGME curriculum reforms, which could aid with on-the-ground implementation. However, major limitations, such as a lack of trained faculty and financial resources, must be addressed. The authors propose future research on the resources required for implementing UGME reforms and the reforms’ impact after national implementation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Undergraduate Medical Education Curriculum Reforms in Pakistan: A Mixed Methods Study of Academic Leadership Perspectives

Bakhshi,

Afzal,

Merchant

et al. 2024

Acad Med

View full text Add to dashboard Cite

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“…The hospital's ED provides high-quality tertiary care that is comparable to that provided in emergency rooms in the United States. The ED has a structured triage, separate pediatric and adult EDs, a resuscitation bay, and a fasttrack area, and is fully furnished with contemporary amenities [11] .…”

Section: Effortsmentioning

confidence: 99%

Emergency services in Pakistan: challenges, efforts, and recommendations: correspondence

Shaikh

Kumar

Aftab

et al. 2023

International Journal of Surgery: Global Health

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“…With an ever-increasing patient load, teams are working longer and for more rigorous hours. The capacity of the doctors and staff to care for patients is compromised, and care providers struggle to meet international medical standards, even at Karachi's finest institutes [2]. This also holds true for the rest of the country.…”

Section: Introductionmentioning

confidence: 99%

Satisfaction Levels of Medical Attendants at a Pakistani Emergency Department

Ashraf

Hassan

Iqbal

et al. 2020

Cureus

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Introduction Healthcare services all over Pakistan are facing an ever-growing patient flow. Rapid urbanization and a population boom are mainly responsible for this phenomenon. This is most evident in the emergency department. Not only are the patients in dire need of medical management but they require it within a certain time frame lest it is too late. It is difficult in such situations to deliver satisfactory services. Many studies have analyzed satisfaction levels in doctors, nurses, postgraduates, and patients in the emergency department. But little data is available on the satisfaction levels of attendants that accompany the patients most of the time. Attendants are an integral part of the doctorpatient relationship and their perspective may offer some insight into the shortcomings and issues afflicting the system, especially with regards to emergency medicine.

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Breadth of Emergency Medical Training in Pakistan

Cited by 4 publications

References 7 publications

Undergraduate Medical Education Curriculum Reforms in Pakistan: A Mixed Methods Study of Academic Leadership Perspectives

Undergraduate Medical Education Curriculum Reforms in Pakistan: A Mixed Methods Study of Academic Leadership Perspectives

Emergency services in Pakistan: challenges, efforts, and recommendations: correspondence

Satisfaction Levels of Medical Attendants at a Pakistani Emergency Department

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