Thursday, May 6, 2010

Khyber Medical University and DAWN’s Collaborative Panel Discussion/Dialogue on Medical Ethics

Theme: Providing Ethical Health Services in a Challenging Environment

Recently several serious cases of medical negligence have been reported and debated nationwide in Pakistan. The case of Huma Akram – wife of cricketer Waseem Akram and of young Imanae Malik focused attention on the issues of the competence of the medical profession in the country, its moral values and the need for oversight and regulation. The inquiry committees instituted to probe the Huma Akram and Imanae cases raised questions on issues ranging from the highly unbecoming and ruthless conduct of doctors to the utter lack of professional acumen among them (http://pakteahouse.wordpress.com/2009/12/18/tackling-medical-malpractice-in-pakistan-law-media-and-society/). In other words they questioned the professionalism of doctors in Pakistan.

In this era of corporatisation, and an environment which encourages self-protective and self-interest-promoting behaviours, concerns about professionalism in medicine have arisen in the developed countries as well. In these countries medical academic institutions are now actively teaching and experimenting with ways and means of teaching professionalism to students and trainees. In addition, licensing and certifying bodies are attempting to assess the professionalism of practicing physicians on an ongoing basis. Medical educators are being urged to consider the attribute of altruism in making admission decisions and enhance moral development in health professionals. Three organizations of North America and Europe, ABIM Foundation, ACP–ASIM Foundation, and European Federation of Internal Medicine have jointly prepared a charter titled ‘Medical Professionalism in the New Millennium: A Physician Charter’, to guide physicians and health care providers to practice medicine ethically and professionally.

The debate on the issue in Pakistan, has been extremely subjective and polarised and except for reactive actions ordered by the government against some individuals directly involved in the two cases, no critical analysis has been undertaken and hence no informed solutions have emerged. The opportunity created by the reporting of these cases for highlighting, debating and finding solutions for the several serious ethical issues related to health care in Pakistan, is thus being lost. More significantly, if the situation is not tackled effectively, the instant dissemination of news of medical negligence and malpractice by news media is likely to lead to the creation of a breach in the trusting physician and patient relationship, with serious consequences for the health care system and the wellbeing of the people of Pakistan.

The issue is multidimensional and demands a broad-based analysis and discussion. First and foremost, the medical profession needs to look inwards and honestly and sincerely identify the deficiencies and gaps in its systems of training and its interaction with the people. Having taken on the responsibility of caring for their fellow humans during sickness when they are at their most vulnerable and of advising and guiding them on how to be healthy, they are expected to develop and demonstrate higher moral standards and altruism than professionals of other fields. They are required to fully abide by their oath of “doing no harm”. It is time therefore for the medical profession to deliberate on what is preventing them from practicing ethical medicine and to develop evidence-informed solutions for responding to the issues and constraints of the existing system.

The media is another major player in the issue under discussion. Besides its role in promoting prosocial change, in the existing conditions of health care in which systems and instruments of accountability are not in place, it has the added responsibility of providing an avenue to the people for registering their complaints and grievences. While responding to this need of the people, it has to be aware that trust and confidence are the critical underpinings of doctor patient relationships. It must therefore ensure its reporting will not lead to the generalization of individual incidences to the whole profession of medicine in the country.

The newly established Khyber Medical University has been assigned the role of leadership of the field of health professionals’ training and education in the Khyber Pukhtunkhwa province. The university is cognizant of the current gaps in health professionals’ training in the province including the absence of the subject of ethics at all levels of the training system. The situation which has arisen out of the reporting of the recent incidences of medical negligence in Pakistan, has prompted the university to take on the issue on priority basis.

A Panel Discussion is being organized on Thursday, May 13, 2010 in the PGMI Auditorium, Lady Reading Hospital, Peshawar, to initiate a dialogue on the issue and develop preliminary recommendations for consideration for implementation and /or further discussion. A key collaborating partner in this activity is the Center for Bioethics and Culture (CEBEC), of the Sindh Institute of Urology and Transplantation (SIUT), Karachi. Prof. Farhat Moazzam, Director of the centre and Prof Aamir Jafarey, senior faculty member will key participants in the discussion.

Those interested in participating, please contact:

Dr. Tasleem Akhtar FRCP
Consultant Research and Development
Khyber Medical University Peshawar

Phone: 0919217696, 03009727217
Email; tasleem.akhtar@gmail.com, akhtar_tasleem@hotmail.com



Panel Discussion:
Medical Ethics in Pakistan
Tentative Programme

Theme: Practicing Ethical Medicine in a Challenging Environment

Click here to know about the programme of panel discussion

Monday, May 3, 2010

Situation Vacant

Applications are invited from Pakistani citizens on prescribed form available on KMU website: here for the following vacant positions in the Institute of Basic Medical Sciences (I.B.M.S) KMU, Peshawar:

Post:   Programme Director / Professor (I.B.M.S.)
(Anatomy, Physiology,
Biochemistry, Pharmacology,
Forensic Medicine, chemical pathology,
Hematology, Histopathology,
Microbiology, Molecular biology)

BPS:  21

Requirements:  Ph.D. in the relevant field from a HEC recognized University / Institution
15 years teaching / research experience in HEC recognized university or a post graduate institution or professional experience in the relevant field in a national or international organization.
Applicant must have 12 publications (with at least 3 publications in last 5 years) in HEC / PM&DC recognized journals.s
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Post(s):  Dy. Programme Director / Associate Professor (I.B.M.S.)
(Anatomy, Physiology,
Biochemistry, Pharmacology,
Forensic Medicine, chemical pathology,
Hematology, Histopathology,
Microbiology,
Molecular biology)

BPS: 20

Requirements:   Ph.D. in the relevant field from an HEC recognized University / Institution. The applicant should have 10 years teaching / research experience in HEC recognized university or a post graduate institution or professional experience in the relevant field in a national or international organization.
He or She must also have 8 publications (with at least 2 publications in the last 5 years) in HEC / PM&DC recognized journals.

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Post(s):  Course Coordinator / Assistant Professor
(I.B.M.S.)
(Anatomy, Physiology,
Biochemistry, Pharmacology,
Forensic Medicine, chemical pathology,
Hematology, Histopathology,
Microbiology,
Molecular biology)
BPS:  19

Requirements:  PhD in the relevant field from a HEC recognized university / Institution or equivalent degree awarded after 18 years of education as determined by the HEC. No experience required OR
Master’s Degree (Foreign) or M.Phil. (Pakistan) or equivalent degree awarded after 18 years of education in the relevant field from an HEC recognized University / institution with 4 years teaching / research experience in a recognized university or a post-graduate Institution or professional experience in the relevant field in a National or international organization.
The applicant should have also published Two research publications in HEC / PM&DC recognized journals.
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Post:  Computer Lab Manager / Teaching Assistant (I.B.M.S.)
BPS:  17
Age:  25 - 35
Requirements:  First Class (B-Grade) M.Sc. Computer Science / MSIT, with no 3rd Division in the academic career from a HEC recognized University / Institution.

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Post:  PS to Programme Director/Head of Departments (I.B.M.S.)
BPS:  16
Age:  25 - 30
Requirements:  BBA. / BCS. / BA. from an HEC recognized institution with (05) years experience as Personal Assistant / Stenographer; and Shorthand Speed of 100 w.p.m. and Typing Speed of 60 words per minute in English.
(Preference will be given to candidates having above qualifications with D.I.T.)
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Post:  Office Assistant-cum-Computer Operator (I.B.M.S.)
BPS:  14
Age:  25 - 30
Requirements:  BCS with typing speed of 40 words per minute in English, OR
at least 2nd Division in B.A. / B.Sc. with D.I.T. and typing speed of 40 words per minute in English with (03) years office experience in government or semi government / autonomous bodies.
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Post: Naib Qasid (I.B.M.S.)
BS:  2
Age:  20 - 30
Requirements:  Matric with 5 years experience in the relevant field.
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Post: Chowkidar (I.B.M.S.)
BPS:  2
Age:   20 - 30
Requirements:  Matric with 5 years experience in the relevant field.


Application along with recent passport size photograph, educational testimonials, experience certificates and copy of computerized National Identity Card along with a bank receipt of Rs: 500/- for BPS-16 and above, Rs: 150/- for BPS 07 – 14, nonrefundable, duly deposited in (Account No. 1450-8, National Bank of Pakistan, Hayatabad Township Br: (1759) Peshawar) in favour of Khyber Medical University, should reach office of the undersigned on or before
15-05-2010, before office closing hours.
Applicants for the post of Naib Qasid & Chowkidar at serial No.7 &8 are exempted from application processing fee.
Three sets of publications along with a bank receipt (same bank and account No. as mentioned above) of Rs: 2500/- for Associate Professor and Rs: 3500/- for Professor, as Research Publications Evaluation Fee is to be submitted by the applicant along with his/her application for each post separately.
In-service candidates should apply through proper channel. They must submit NOC from their concerned Departments / Institutions along with their respective application forms (within one month time from the last date fixed for receipt of application forms in KMU).
Age relaxation of 10 years shall be admissible for the employees of Govt:, Semi Govt: or autonomous bodies on the basis of actual service rendered in the respective bodies.
Selection shall be made in the manner prescribed by the University. Only short listed candidates will be called for test/ interview.
No TA/DA shall be admissible for appearing in test & interview.
Separate application form is to be submitted for each post, which, should reach to KMU, Peshawar in due date & time.
Incomplete application form or application received after the due date shall not be acceptable.

Note:Errors are liable to rectification by the University. The Competent Authority reserves the right to increase / decrease or cancel the number of post(s).