Snow Leopard ( Panthera uncia ) is native to mountain ranges of Central and South Asia, where it occurs from 3,000–4500 m elevation. The species is enlisted as “Endangered” by IUCN and its populations are reportedly declining. In the current study, we compared the past and current distribution ranges of the species using spatial analysis. We used Quantum Geographical Information System (QGIS) software to reconstruct and quantify its past distribution range and compare with its current one. Snow leopard was found more widely distributed in the past having a distribution range of approximately 10.47 million km 2 against the current 3.20 million km 2 . Range contraction of the species approximates 69%. A total of 719 terrestrial protected areas of Asia (out of total 7209) had this species in the past whereas at current, only 311 protected areas support this species. The results emphasize escalating conservation efforts to save its remaining distribution range.

Faculty are considered to be the backbone of any institute and their training and development are necessary for progressive growth of an educational organization. This necessity has been the focus of a lot of medical education research, resulting in a number of faculty development models concentrating on the methodology of program planning and implementation. Such models are mostly linear considering faculty development to be a onetime measure. However, there exists a clear distinction between faculty development and faculty training and in its true sense faculty development should emphasize on individual faculty growth over the long term synonymously with direct short-term goals related to faculty work. This idea encouraged us to develop a new model for FD to reinvent the way we approach faculty development and consider FD as a continuous cyclical process, rather than just a linear model. We conducted a qualitative study based on phenomenological observations, leading to the development of the 5x2 backward planning model. The model essentially consists of the following interchangeable stages; Decide stage (focused on decisions related to the context of the program and the kind of faculty attending it) Define stage( concerned with defining the needs of the program and its objectives); Design stage (concentrates on design of the material and the methods of delivery for the identified objectives); Direct stage ( directing both the learning and development of faculty and establishing a community of practice) lastly, the Dissect stage (focusing on scrutinizing the fulfillment of the objectives and the developmental KPIs.)

Background Competency based curricula across the globe stress on the importance of effective physician patient communication. A variety of courses have been used to train physicians for this purpose. However, few of them link competencies with practice resulting in confusions in implementation and assessment. This issue can be resolved by treating certain specific patient communication related tasks as acts of entrustment or entrustable professional activities (EPAs). In this study, we aimed to define a competency-based framework for assessing patient physician communication using the language of EPAs. Methods A modified Delphi study was conducted in three stages. The first stage was an extensive literature review to identify and elaborate communication related tasks which could be treated as EPAs. The second stage was content validation by medical education experts for clarity and representativeness. The third stage was three iterative rounds of modified Delphi with predefined consensus levels. The McNemar test was used to check response stability in the Delphi Rounds. Results Expert consensus resulted in development of 4 specific EPAs focused on physician-patient communication with their competencies and respective assessment strategies all aiming for level 5 of unsupervised practice. These include Providing information to the patient or their family about diagnosis or prognosis; Breaking Bad news to the patient or their family; Counseling a patient regarding their disease or illness; Resolving conflicts with patients or their families. Conclusions The EPAs for Physician-patient communication are a step toward an integrative, all-inclusive competency-based assessment framework for patient-centered care. They are meant to improve the quality of physician patient interaction by standardizing communication as a decision of entrustment. The EPAs can be linked to competency frameworks around the world and provide a useful assessment framework for effective training in patient communication. They can be integrated into any post graduate curriculum and can also serve as a self-assessment tool for postgraduate training programs across the globe to improve their patient communication curricula.

Introduction: Childhood obesity is increasing in Pakistan, and it mostly occurs when there is more energy-rich food intake and not enough physical activity. Not realizing the dangers, parents often encourage the children to eat as much as possible and whatever is preferred by the child. Objective: To assess the level of awareness of school-going children of Peshawar about the risks and complications of childhood obesity. Materials & Methods: It was a descriptive cross-sectional study conducted in two private schools of Peshawar, Khyber Pakhtunkhwa, from April - July 2017, where data were collected through consecutive sampling of all available children of classes 7 to 10. Questionnaires contained open and closed-ended questions. Data were entered in SPSS 22 and Microsoft Excel, and analyzed for descriptive statistics. Results: Majority of children (83%) were aware of the meaning of obesity and 72% knew that obesity is an illness, and it can cause problems in their bodies. Most children (65%) thought obesity caused high cholesterol levels in the body, and 56% children thought that obesity could be controlled by exercise. Conclusion: Majority of the school children were aware of obesity and its risks and complications.

educational environment they experience. It contributes to their overall wellbeing, satisfaction with their education and future aspirations of the students. The educational environment is a dynamic entity and is continuously evolving. It is a measurable element that has the potential to improve the quality of education itself. It is recommended that routine assessment of the educational environment should be a policy of an institution's educational practice. Diversity in medical student's demographics have further strengthened this need. The improvements that are being made in medical curricula also call for a periodic reassessment of the educational environment. DREEM inventory is a validated, widely used tool to assess the learning 5 environment especially in medical field. Wah Medical College is a private sector medical college in Punjab Pakistan. For almost 15 years, the college remained affiliated with one of the largest public sector universities of the country. Students, at the college