Farooq .A.Rathore Asst.Prof Department of Rehabilitation Medicine CMH Lahore Medical College Member , Executive committee AOSPRM Member, Disaster Relief Committee , ISPRM Member , Executive committee Paistan Society of Neuro-Rehabilitation
PMDC* Registered medical practitioners Registered dental practitioners
Total Physicians Registered WHO STATISTICS**
172289 14594
187973
Doctor to patient ratio in Pakistan 1:60,000 (1947)
1:1254 (2007)
* Pakistan Medical and Dental Council. Statistics [Internet] [Updated 28 March 2013] [Cited 24 April 2013]. Available from http://www.pmdc.org.pk/Statistics/tabid/103/Default.aspx ** Health system Profile Pakistan. Regional Health System Observatory-EMRO. World Health Organization; 2007
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PMDC Status of PMR?
Medical Colleges
Medical education in Pakistan
PMDC Status of PMR?
Medical Colleges
Medical education in Pakistan
CPSP
60 disciplines
PMR!
College of Physicians and Surgeons of Pakistan
Armed Forces Post Graduate Medical Institute
4 yrs structured training program
2 yrs structured training program
Pre-requisite- FCPS-1
Pre-requisite-None
Mandatory rotations in other disciplines
None
College of Physicians and Surgeons of Pakistan
Armed Forces Post Graduate Medical Institute
4 cities, 5 centers
AFIRM, Rawalpindi
Mandatory research workshops
None
Research Thesis or 02 research papers
One CPC
College of Physicians and Surgeons of Pakistan
Armed Forces Post Graduate Medical Institute
E-log book
None
None
Quarterly exams
Fellowship of CPSP
Grading Course Diploma
Discussions with PMR Supervisors and Residents
Methodology
Literature search
Personal experience and expert opinion
Literature
search
• Medline • Google scholar
• Ovid • Springerlink • Science Direct • Official websites --- CPSP, PMDC, MOH
Keywords ( Boolean Operators ) • Physical Medicine and Rehabilitation, Physiatrist,
Education, Pakistan, Under-graduate, post graduate,
residency, training, SWOT, analysis, strengths, weakness, opportunity, developing country, medical education
Limits • English language only , 1990 -2014
Strengths
Weaknesses
Opportunity
Threats
Diversity of the patients Exposure to a large number of patients
Opportunities for research and collaboration Early exposure to procedures and independent patient consultation Multiple roles to care for the disabled patients
Global recognition of Pakistani PMR fellowship
Strengths
Weaknesses
Opportunity
Threats
No exposure to PMR at the undergrad level
Lack of residents and training centers Lack of faculty / supervisors. Little research orientation at the level of senior faculty
Lack of uniformity among training programs Curriculum revision
Strength
Weakness
Opportunity
Threats
Clinical fellowships
Academic observership abroad
Collaborative research
Mentorship
Distance learning
Faculty and student exchange
Strength
Weakness
Opportunity
Threats
PMR education in Pakistan has advanced in the last fifteen years, resulting in better training, research publications , international collaborations and the strongest PMR residency program in the region. But there is still room for improvement.
Collaboration, continual self development and training is the key and can help to further strengthen PMR training in Pakistan and the SAARC region
Dr Ahmad Qureshi FCPS, North Carolina, USA
Residents and supervisors for their input and ideas
Faculty exchange programs
Visiting faculty programs
Join SAARC- Rehab Forum
Foreign examiners ?
Exchanging ideas – Standardization of PMR education
White Book on PMR education in SAARC ?
Interested in collaboration ? Exchange program? Copy of the presentation ? Send an email
[email protected]