Medical Education Commons^™

Impact Of Wellness Indicators On Intellectual Dimensions Of Medical Teachers Of Karachi: Findings From Cross Sectional Study, Rehana Rehman, Sadiqa Syed, Mehwish Hussain, Tayyab Raza Fraz, Saif Ullah Shaikh

Department of Biological & Biomedical Sciences

Objective: To measure impact of social, spiritual, occupational, physical, financial and emotional wellness on intellectual wellness of medical teachers.
Methods: The cross-sectional study was conducted at 8 medical universities in the Sindh province of Pakistan from January 2012 to December 2014, and comprised faculty members. Using a self-administered questionnaire, teachers' responses on physical, emotional, social, spiritual, intellectual, occupational and financial spokes of the wellness wheel that were graded on a 4-point Likert scale. Generalised linear models were executed to find the best predictive scores for intellectual wellness.
Results: Out of 300 subjects approached, 261(87%) returned the questionnaire fully completed. Of …

Teaching "Shock Pathophysiology" By Flipped Classroom: Views And Perspectives, Rehana Rehman, Satwat Hashmi, Rozmeen Akbar, Syeda Sadia Fatima

Department of Biological & Biomedical Sciences

Flipped classroom (FCR) is an active learning pedagogical method in which the students prepare prior to class using different modalities, for example, reading materials and videos, and afterward spend the time in class discussing the content and reinforcing the concepts. We chose to replace one problem-based case on "Shock" with flipped-style teaching in the respiration circulation module of a private medical university. Our objective was to use the clinical presentation of "Shock" to open a window to interrelate basic science concepts of cardiovascular physiology and pathology. It aimed to merge the case-based discussion with small-group discussions in the form of …

Family Medicine In Tanzania: Seize The Moment, Riaz Ratansi, Bernhard M. Gaede

Faculty of Health Sciences, East Africa

In the context of addressing the pressing health needs for the global population, the World Health Organization has repeatedly called for universal health coverage (UHC) to be prioritised by its member countries. This is to be achieved through a high-quality primary health care (PHC) approach that provides comprehensive and integrated generalist care as close to where people live as well as links the clinical care to health promotion and disease prevention. In this paper, we argue for the introduction of family medicines as a critical player in the healthcare system of Tanzania to strengthen the strategies towards UHC. The paper …

Changing Face Of Trauma And Surgical Training In A Developing Country: A Literature Review, Qamar Riaz, Sabah Uddin Saqib, Rehan Nasir Khan, Nadeem Ahmed Siddiqui

Department of Surgery Docs

Trauma continues to be the major cause of disability and death globally and surgeons are often involved in immediate care. However there has been an exponential decrease in the number of the trained trauma surgeons. The purpose of the current review article is to summarize the published literature pertaining to trauma education in postgraduate surgical training programmes internationally and in a developing country as Pakistan. Several electronic databases like MEDLINE, PubMed, Google scholar and PakMediNet were searched using the keywords 'trauma education' or 'trauma training' AND 'postgraduate medical education', 'surgery residency training', 'surgery residents' and 'surgeons'. The current training in …

Knowledge Gain Of The Non-Vascular Surgeons After Attending A Course On Traumatic Vascular Emergencies, Zia Ur Rehman, Muhammad Asad Moosa, Qamar Riaz

Department of Surgery Docs

Objective: To measure the effectiveness of the workshop in enhancing the knowledge and skills of the non-vascular surgeons in dealing with traumatic vascular emergencies.
Methodology: It was a Quasi-experimental pre-post design study conducted at Section of Vascular Surgery, Aga Khan University Hospital, Karachi (Pakistan) in February 2019. One-day workshop was conducted to enhance the knowledge and operative skills of the non-vascular surgeons in managing traumatic vascular emergencies. A written test and course evaluation survey were used to evaluate the effectiveness of the course in achieving the desired objectives.
Results: Total of 21 participants attended the workshop with mean age of …

Simulated Patient's Feedback To Improve Communication Skills Of Clerkship Students, Ayesha Aleem Qureshi, Tabassum Zehra

Department for Educational Development

Background: The changing trends of the society and revisions to medical education have changed the way medical students are trained to adroitly care for patients hence, patient centered care has become need of today's society and communication skills are imperative in developing patient physician relationship. Increasingly, simulations are being used to aid medical students to incorporate theoretical knowledge into practice. There are innumerable studies regarding communication skills in terms of reliability, validity and feasibility but no such study has been documented using simulated patient's feedback in improving communication skills in Pakistan. The aim of this study is to explore whether …

Revisiting Caroli Syndrome In A Tanzanian Patient, Casmir Wambura, Sharma, Munishi, Salim Suran

Faculty of Health Sciences, East Africa

Caroli disease and Caroli syndrome are two rare congenital diseases of the intrahepatic bileducts. Caroli syndrome is characterized by the saccular dilatation of intrahepatic bile ductsassociated with congenital hepatic fibrosis. It is rarely diagnosed in childhood. We herebydescribe a case of Caroli syndrome in a young Tanzanian female who had abdominal pain anddistension since childhood. Her history suggested the presence of portal hypertension possiblyfrom congenital hepatic fibrosis. The diagnosis was reached based on ultrasound, computedtomography (CT) scan of the abdomen, and magnetic resonancecholangiopancreatography (MRCP)

Challenges In Medical Journalism: Reflections From The Year Past, Saba Sohail

Department of Radiology

No abstract provided.

Empathy In Clinical Practice: A Qualitative Study Of Early Medical Practitioners And Educators, Sonia Ijaz Haider, Qamar Riaz, Roger Christopher Gill

Department for Educational Development

Objective: To explore the reasons for decline in empathy among physicians and to identify strategiesfor fostering empathetic clinical practice.
Methods: The qualitative study was conducted at the Aga Khan University Hospital, Karachi, from February to June 2017, and comprised focus group discussions involving separate sessions with medical students, residents and clinical teachers. Content analysis was used to analyse the verbatim transcripts for identification of codes which led to derivation of themes from the data. Consolidated criteria for reporting qualitative research was used to assess the quality of the study.
Results: Of the 109 subjects, 57(52.3%) were medical students, 30(27.5%) residents …

Cime Newsletter : January 2020, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Bye 2019, Hi 2020!
-Let’s start 2020 with some reflections on 2019
-News: December 2019 – January 2020
-CIME becomes South Asia’s first to receive SSH accreditation
-RE-ignite the SEARCH 2.0: Research Symposium
-Code Orange Activated @ CIME!
-Management of Common Dermatological Disorders
-Clinical Simulation Educators Programme
-Champions’ Conference 2.0
-AdAsia 2019

Teaching "Shock Pathophysiology" By Flipped Classroom, Syeda Sadia Fatima, Satwat Hashmi, Rehana Rehman, Rozmeen Akbar

Department of Biological & Biomedical Sciences

Objective: To assess usefulness of flipped style of teaching conducted as small-group format in Cardiovascular and Respiration module for Year-I undergraduate medical students at Aga Khan University.
Methods: The study was planned and conducted over a period of eight months from March to October 2017 including the time taken for planning, mock run, execution followed by analysis and dissemination. It was carried out at the Aga Khan University Medical College, Karachi. Pre and post test scores of students after flipped class room sessions was compared. Moreover, perception of students was assessed on Likert scale (0-4) by a pretested validated questionnaire. …

Cime Newsletter : November 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Pakistan Air Force Lands Again @ CIME
-SeeMe in Singapore!
-SeeMe in Finland!
-Healthcare Assistants refresh their skills
-SimMan takes drugs!
-Body Mechanics in Patient Moving and Handling
-Training in techniques of Continuous Renal Replacement Therapy (CRRT) Needs Simulation

Cime Newsletter : October 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-A perfect take-off for Pakistan Air Force (PAF) at CIME
-Bahadur Teachers saving lives in the classroom
-Victoria standardises the teaching of the birthing process
-HPS – the Human Patient Simulator - finds new users in CIME
-Finding Veins! No more pain and bruises that last for days
-Intended Consequences
-Surviving sepsis

Three-Dimensional Visualization Software Assists Learning In Students With Diverse Spatial Intelligence In Medical Education, Zehra Jamil, Amna A. Saeed, Sarosh Madhani, Safia Baig, Zahra Cheema, Syeda Sadia Fatima

Department of Biological & Biomedical Sciences

This study evaluated effect of mental rotation (MR) training on learning outcomes and explored effectiveness of teaching via three-dimensional (3D) software among medical students with diverse spatial intelligence. Data from n = 67 student volunteers were included. A preliminary test was conducted to obtain baseline level of MR competency and was utilized to assign participants to two experimental conditions, i.e., trained group (n = 25) and untrained group (n = 42). Data on the effectiveness of training were collected to measure participants' speed and accuracy in performing various MR activities. Six weeks later, a large class format (LCF) session was …

Cime Newsletter : August - September 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Impacting newborn care through simulation-based education
-Happy Healthcare Simulation Week 2019
-Clinical Simulation Educators Programme
-Common respiratory disorders diagnosed through simulation
-An interprofessional, physiotherapy led approach to mobilising orthopaedic patients
-Empowering bedside nurses in advanced hemodynamic monitoring
-Pre-Congress Workshops in CIME for the 40th Annual Congress of Ophthalmology 2019
-Basic and intermediate laparoscopy workshop

Concept Mapping: A Way Of Meaningful Learning For Medical Students, Rehana Rehman, Salman Siddiqi, Mukhtiar Baig

Department of Biological & Biomedical Sciences

Abstract are not provided by the author/publisher

Cime Newsletter : June - July 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Enhancing team leadership skills through simulation
-CIME’s first breech delivery workshop
-Surgical simulation workshop
-SONOGAMES
-Managing postpartum haemorrhage (PPH)
-Jugaad enabling a central line simulation
-Relieving urinary obstruction
-Got a housekeeping issue?

Cime Newsletter : May 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Clinical Simulation Educators Programme: Moving with the times
-Anaesthesiologist – a key role in the Management of Postpartum Haemorrhage
-Preparing for competence
-New born babies – beautiful but vulnerable
-Enhancing skills to improve patient satisfaction
-Students Educating Students

Blended Learning: Call Of The Day For Medical Education In The Global South, Zehra Jamil, Azra Naseem, Eman Rashwan, Sumrah Khalid

Department of Biological & Biomedical Sciences

Blended learning (BL) is an e-learning approach that combines the strengths of both online and face-to-face learning, creating meaningful interactions between students, teachers, and resources. This paper explores students’ expectations and satisfaction with, and participation in, a basic science course offered through BL approaches in an undergraduate medical education programme in Pakistan. Developmental anatomy (embryology) was redesigned as a BL course and offered to a hundred first-year students. Both online activities and technology-assisted face-to-face interactive discussions were used in each topic. Students’ expectations were gathered at the start of the course and perceptions regarding their satisfaction with the course was …

Cime Newsletter : March - April 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Tools in Critical Care Nursing
-SIMWARS
-Marching in step: Boot Camp for the New Private Wing
-Protecting our most vulnerable Pneumonia
-Clinical Simulation Educators Programme: Championing the Cause
-Artificial Intelligence?
-Be Prepared: Mass Casualty Incidents can happen at any time.

Designing Ethakul: A Mobile Just-In-Time Learning Environment For Bioethics In Pakistan, Azra Naseem, Kulsoom Ghias, Sohail Bawani, Mohammad Ali Shahab, Sameer Nizamuddin, Waqar Kashif, Kausar S. Khan, Tashfeen Ahmad, Murad Khan

Institute for Educational Development, Karachi

In developing countries such as Pakistan, bioethics has not been included in mainstream thinking in medical education. The authors’ experiences suggest that current methods of teaching bioethics are problematic as students are unable to translate theory to practice. Alternative pedagogies, such as just-in-time learning (JiTL) using mobile devices, may be able to foster the development and implementation of ethical reasoning among nurses, doctors, and medical and nursing students. This research was conceived to determine the effectiveness of mobile JiTL – anytime, anyplace learning through mobile devices – for teaching bioethics. After obtaining ethical clearance, a participatory design (PD) approach was …

Cime Newsletter : February 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Programmed to Deliver
-Interviewing a mental health client: A ‘How To’ workshop for nurses
-The Basics of Critical Care made interactive through simulation
-A Critical Care Toolkit for Nursing Students
-Managing Medical Emergencies in the Dental Chair
-Celebrating CIME’s Culture Day – any excuse to get dressed up!

Medical Doctors' Offline Computer-Assisted Digital Education: Systematic Review By The Digital Health Education Collaboration, Hayfaa Abdelmageed Wahabi, Samia Ahmed Esmaeil, Khawater Hassan Bahkali, Maher Abdelraheim Titi, Yasser Sami Amer, Amel Ahmed Fayed, Amr Jamal, Nasriah Zakaria, Amna Rehana Siddiqui, Monika Semwal

Community Health Sciences

Background: The widening gap between innovations in the medical field and the dissemination of such information to doctors may affect the quality of care. Offline computer-based digital education (OCDE) may be a potential solution to overcoming the geographical, financial, and temporal obstacles faced by doctors.
Objective: The objectives of this systematic review were to evaluate the effectiveness of OCDE compared with face-to-face learning, no intervention, or other types of digital learning for improving medical doctors' knowledge, cognitive skills, and patient-related outcomes. Secondary objectives were to assess the cost-effectiveness (CE) of OCDE and any adverse effects.
Methods: We searched major bibliographic …

Pick’S Disease And Subdural Haematoma: A Diagnostic Red Herring, Philip Adebayo, Funmilola Taiwo, Fatma Bakshi, Sunham Nur

Faculty of Health Sciences, East Africa

Frontotemporal dementia (FTD), otherwise known as Pick’s disease, is a clinically heterogeneous group of sporadic and familial neurodegenerative diseases. These conditions are characterized by dementia, behavioural and language dysfunction and loss of executive skills resulting from the degeneration of the frontal and temporal lobes. Although reversible causes of dementia are always sought during the evaluation of patients with progressive cognitive decline, the occurrence of a reversible aetiology may distract from evaluating for neurodegenerative causes of dementia. This report is about a 66-year old man with features of FTD and superimposed chronic subdural haematoma.

Cime Newsletter : January 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-As good as it gets ?
-Highlights of The Year 2018
-Trainee Healthcare Assistants get a refresher
-Enhancing skills to save lives
-Simulation Workshop on Management of Postpartum Haemorrhage
-Beyond The Boundary
-Simwars

Reviewers' Responses To Medical Research Articles, Saba Sohail, Jamshed Akhtar

Department of Radiology

Objective: To document the reviewers' responses in terms of reviewers' demographic and professional characteristics, promptness of reply, and duration of reply to the request to review medical research articles for a general biomedical research journal.
Study design: Cross-sectional, observational study.
Place and duration of study: Department of Publications, College of Physicians and Surgeons Pakistan (CPSP), from October to December 2015.
Methodology: Peer reviewed articles edited by a single staff editor were included. Editorials and correspondence were excluded. Manuscript category, discipline, and the total number of reviewers per manuscript were noted. Responses were divided into no response, regrets, and responded, i.e. …

Cime Newsletter : December 2018, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Training the Future Healthcare Leaders for the best!
-A collaborative approach to train the residents of the Department of Surgery, Section of Urology
-Training of Trainers
-Provost Talk on “Policymaking in Health”
-Certificate Course in Simulation-Based Cataract Surgery
-Identifying and managing patients at high risk in orthopaedics
-Management of Oncology Patients with Neutropenia
-Death and Dying Simulation Scenario

Cime Newsletter : November 2018, Cime

Centre for Innovation in Medical Education (CIME) Archives

-A Knowledge Enhancement and Skills Updating Workshop For 75 Infection Control Nurses and Staff
-Acquiring Skills, Knowledge and Confidence in Transurethral Resection of the Prostate and Transurethral Resection of Bladder – A Simulation Workshop
-A Pioneering Simulation Session for Nursing Year III Students
-A First Interdisciplinary Tracheostomy Workshop for AKU
-SimWars 2019
-The Department of Surgery holds a Mini Breast Surgery Symposium
-Staff in Action!

Kawasaki Disease: Two Case Reports From The Aga Khan Hospital, Dar Es Salaam-Tanzania, Mariam Noorani, Nuruddin Lakhani

Faculty of Health Sciences, East Africa

Background

Kawasaki disease is a common childhood vasculitis which may result in cardiovascular morbidity if not adequately treated. Its epidemiology in the African region is not well described. Its features may mimic other childhood infections and hemoglobinopathies and it is rarely diagnosed in the East African region. These are the first reports of this disease from Tanzania. Case presentation We present two cases of complete Kawasaki disease seen over a 2 year period and diagnosed as per the criteria defined by the American Heart Association. One child was and infant and the other a 3 year old. Both of them …

Comparison Of Undergraduate Educational Environment In Medical And Nursing Program Using The Dreem Tool, Salima Farooq, Rehana Rehman, Mehwish Hussain, Jacqueline Maria Dias

School of Nursing & Midwifery

Introduction: Educational environment (EE) in a health educational institute can bring about an enduring impact on the students' motivation, knowledge, critical thinking along with their social life. Therefore, identifying strengths and the need for change in the education environment is vital for the enhancement of the students' learning.
Objective: This study aimed to compare the perceptions of nursing and medical students about their EE in a private university, Karachi Pakistan.
Methodology: Data from two cross-sectional studies of 884 students from both medical and nursing schools of Aga Khan University was acquired and analyzed. EE was measured by …