Background: Empathy is one of the most vital parts of medical ethics that is a prerequisite for good clinical practice, yet the level of empathy of the doctors has not been up to the mark. Objective: To measure empathy of healthcare professionals during COVID-19 crisis Materials and Methods: This was a cross Sectional Study done in almost all public and private tertiary care hospitals of Peshawar. The study duration was 6 months (10 September 2021-10 Febuary 2022) after the approval of research proposal. The sampling method was non probability convenient sampling. The inclusion criteria were health professionals involved in the care of the COVID 19 patients like pulmonogists, physicians, trainee doctors, nurses and chest physiotherapists. Exclusion criteria were the doctors from other specialties who were not taking in the management of such patients. Empathy scale was used to collect responses of the participants .The data was analyzed using SPSS latest version Results: Significant association was seen between Consultants, Nurses and PGRs with that they were not interested in patient’s personal matters as these are not relevant to medical treatment. i.e. p-value <0.001. Significant association was seen between Consultants, Nurses and PGRs they Viewed things from patient’ perspectives might confuse me and make me too distracted to take the right clinical decision (cognitive). I.e. p-value=0. 026 Conclusion: The level of empathy did get affected to a colossal extent during the COVID-19 pandemic as reflected by the above results. Keywords: Empathy, COVID 19, healthcare professionals

Background of the Study: Safe patient care is the fundamental objective of every healthcare facility by the services provided by high performing healthcare providers with effective leadership skills. Leadership competencies are considered now as essential for all medical trainees, not only to face challenges at individual level but it also helps them solving certain institutional and interpersonal challenges. Aim: To assess the current leadership training needs of postgraduate medical resident undergoing training in different hospitals of the Pakistan. Methods: This was a cross-sectional online quantitative survey. A request link of online google survey form was sent to the residents through social media residents’ groups and through email addresses of residents to fill the form. Results: A total of 67 residents of all years completed the survey. Mean age of the residents was 30.63 ±3.87, with about 81% being male and 84% were getting done their residency training in specialty related to medicine and allied.  On a Likert scale (1 = strongly disagree, 3 = neutral, 5 = strongly agree), residents rated the importance of leadership skills in the clinical setting as high (4.15 of 5).

Background: There has been little attention to how organizational structure and leadership contribute to value in health care organizations, although general strategies for promoting value in health care organizations have been described. Objective: The current study aimed to assess the impact of doctors and non-doctor’s leadership on patient care in Pakistan. Methodology: In-depth interview were conducted in different hospitals of the Pakistan and a single instrumental case study approach was selected. For sample selection, a non-probability sampling technique called purposive or selective sampling technique was used. All extracted data was subjected to thematic analysis. Results: Participants were interviewed from all the provinces. Majority of the hospitals were managed by non-doctors. Adequate infrastructure, no appropriate laws, communication gap was observed in the current study. Conclusion: The current study shows that in Pakistan health care system upper-level management is comprised of non-technical professionals (non-doctors), and most of Pakistan's hospitals do not have adequate infrastructure, are not governed by appropriate laws, have a communication gap, are not adequately providing health care or doing so inadequately, have shortage of leadership, and upper level and lower level are interdependent.