Bridging the Gap in Emergency Medicine in Pakistan

Saleem, Syed Ghazanfar; Haider, Kaniz Farwa; Salman, Saima; Samad, Lubna; Yasin, Zayed; Rybarczyk, Megan M.

doi:10.5811/westjem.2019.10.44502

Cited by 5 publications

(3 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although older literature based on patient perspectives has pointed out long waiting times, inadequate privacy and lack of information have often been reasons for dissatisfaction in Pakistani hospitals (29). This could likely be due to the recent interventions to improve emergency care in Pakistan(28,30). Nonetheless, the increased chances of a chronic visit being a negative experience could be due to the widespread burden of non-communicable diseases in Pakistan leading to more frequent visits, and thereby exhausting the patient or due to the lackluster quality of care provided for such ailments (31,32).…”

Section: Discussionmentioning

confidence: 99%

An Assessment of Public Experiences and Expectations with Physicians: A Cross Sectional Study from Karachi, Pakistan

Irshad,

Mahar,

Jahangir

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Although physicians are highly regarded members of society, patients are not always satisfied with their care, suggesting a mismatch between the public’s expectations and reality. Thus, the aim of this study was to determine the public’s expectations regarding roles and responsibilities of a physician, to assess patient experiences, and to evaluate factors associated with the two outcomes. Methods: A cross-sectional study was conducted via face-to-face structured interviews from July 14th to August 2nd, 2023, in Karachi, Pakistan. 424 consenting adults were approached and enrolled by visiting public spaces (malls, parks, hospitals, and residential buildings). The questionnaire consisted of sociodemographic characteristics, a modified Exceptional Good Doctor Likert, hospital visit information, and Patient Picker-15 (PPE-15) sections. The Likert and PPE-15 sections were scored through pre-decided criteria for expectations and experience, respectively, and categorized using a median cut-off into high and low expectations and negative and positive experiences, respectively for simple and multiple logistic regression. Results: A median score of 30.5/ 34 (IQR = 3.3) was found for expectations and 4/ 14 (IQR= 4) for experiences. Significant factors associated with high expectations were older age groups (OR=4.54 [1.18-17.50]) and higher monthly household incomes (0.40 [0.20-0.79]), while the odds of negative experiences were lower after visits to emergency departments (0.38 [0.18-0.84]) and private health care centers (0.31 [0.13-0.70]). Conclusion: These results suggest that the public has high expectations from physicians, however their experiences are not always positive. Initiatives to develop a patient-centric ethos are needed for which we outline recommendations to both the public and physicians respectively.

show abstract

Section: Discussionmentioning

confidence: 99%

An Assessment of Public Experiences and Expectations with Physicians: A Cross Sectional Study from Karachi, Pakistan

Irshad,

Mahar,

Jahangir

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…The program's curriculum is based on the College of Physicians & Surgeons of Pakistan (CPSP), the American College of Emergency Physicians (ACEP), and the African Federation of Emergency Medicine (AFEM) guidelines. In addition, input from EM professionals with experience in administering and delivering EM training in both first-world and lower-and middle-income country (LMIC) contexts was also incorporated [13] .…”

Section: Effortsmentioning

confidence: 99%

Emergency services in Pakistan: challenges, efforts, and recommendations: correspondence

Shaikh

Kumar

Aftab

et al. 2023

International Journal of Surgery: Global Health

View full text Add to dashboard Cite

“…Visiting international faculty complete an application and interview process with program leads to be selected for the to their personal teaching style and learner needs, keeping core content intact. Each block focuses on an organ system or topic (i.e., cardiovascular, trauma), 20 and each progresses from knowledge acquisition to application (Table S1 CPEM-C learners must also complete case and procedure logs with a suggested target number of procedures (Table S2). EM procedures that are currently feasible in TIH ED (e.g., adequate materials and space) were included and performed under supervision, adhering to the credentialling process of TIH.…”

Section: Local and Visiting International Facultymentioning

confidence: 99%

A 1‐year training program in emergency medicine for physicians in Karachi, Pakistan: Evaluation of learner and program outcomes

Kemmler

Saleem

Ali

et al. 2021

AEM Education and Training

Self Cite

View full text Add to dashboard Cite

Background: Pakistan has an underdeveloped and overburdened emergency care system, with most emergency departments (EDs) staffed by physicians not formally trained in emergency medicine (EM). As of January 2020, only nine Pakistani institutions were providing formal EM specialty training; therefore, a training program of shorter duration is needed in the interim. Methods: The Certification Program in Emergency Medicine (CPEM) is a 1-year training program in EM consisting of two arms: CPEM-Clinical (CPEM-C), which includes physicians from The Indus Hospital (TIH) ED, and CPEM-Didactic (CPEM-D), including physicians from EDs across Karachi. Both groups participate in weekly conferences, including didactics, small-group discussions, workshops, and journal clubs. CPEM-C learners also receive clinical mentorship from visiting international and TIH EM faculty. Both groups were assessed with preprogram, midterm, and final examinations as well as on clinical skills. Additionally, both groups provided regular feedback on program content and administration. Results: Twenty-five of the 32 initially enrolled learners completed the program in June 2019. Scores on a matched set of 50 questions administered in the pretest and final examination improved by an average of 15.1% (p < 0.005) for CPEM-C learners and 8.5% (p < 0.0005) for CPEM-D learners, with 93% of learners showing improvement. Clinical evaluations of CPEM-C and CPEM-D learners during the first and fourth quarters showed an average improvement of 1.1 out of 5 (p < 0.05) and 1.2 out of 9 (p < 0.0005) points, respectively. Learner evaluations of the program were overall positive. Conclusions: CPEM demonstrated significant improvement in test scores and clinical evaluations in both program arms. Evaluations also suggested that the program was

show abstract

Bridging the Gap in Emergency Medicine in Pakistan

Cited by 5 publications

References 1 publication

An Assessment of Public Experiences and Expectations with Physicians: A Cross Sectional Study from Karachi, Pakistan

An Assessment of Public Experiences and Expectations with Physicians: A Cross Sectional Study from Karachi, Pakistan

Emergency services in Pakistan: challenges, efforts, and recommendations: correspondence

A 1‐year training program in emergency medicine for physicians in Karachi, Pakistan: Evaluation of learner and program outcomes

Contact Info

Product

Resources

About