Proceedings of KEMU’s 40th Annual
International Online symposium

LAHORE: King Edward Medical University in collaboration with APPNA Merit and KEMCAANA hosted webinar on Primary healthcare and family medicine. In this symposium, launch of new initiatives of basic and advanced courses for Primary healthcare physicians were announced by the Vice Chancellor King Edward Medical University Prof. Khalid Masood Gondal. The chair of APPNA Merit was Dr Shahid Rafique and the co-chair was Prof Saira Afzal.

In her address Prof. Saira Afzal highlighted the competency based curriculum for primary healthcare physicians at King Edward Medical University and quality assurance mechanisms. Dr Tariq Mahmood Mian President Pakistan Academy of Family Physicians highlighted the importance of continuous medical education and professional development opportunities among family physicians. President APPNA 2020 Prof Naheed Usmani said that COVID-19 was a challenging situation. Family Medicine, she opined, is not organized fully in Pakistan according to the needs of this specialty integrated with community health. Our cone is reversed for equitable healthcare services. We are visiting Pakistan to volunteer for children hospital, INMOL, Shaukat Khanum and other institutions. We developed many initiative including COVID-19 classes online. We have online academy, for family physicians, ultrasound technology, Nursing care, ICU care and primary healthcare practices. Volunteerism for primary health care services shall be a good initiative.

Prof. Khalid Masood Gondal welcomed the guests, speakers, alumni associations, participants in the webinar and told about new initiatives of Medical Education, courses of Family physicians and Telemedicine. New fellowship programs emergency medicine, ICU, stroke Medicine, breast oncology, and infectious diseases. Faculty of King Edward Medical University, he said, has contributed in Corona Expert Advisory Group, guidelines and more than 100 research projects. We regularly have webinars, and teaching through Google classrooms. Successful endeavour of JCAT examination is exemplary and conducted with all standard operating procedures for COVID-19 in place. The strengthening of prevention programs and family medicine is commendable effort.

The keynote speaker Dr. Umair Shah, Secretary Health Washington State mentioned about COVID-19 PUBLIC HEALTH RESPONSE. He said we as a society should do collectively to assure the condition in which people can be healthy globally. Public health is where people live, learn, work, worship, and play. Healthy people make healthy Community. He talked about the factors in health local, state, national context and public prevention of pandemic.

During COVID-19 there was incredible outcry of challenges. Stages of COVID-19 monitoring were developed around the world and Covid-19 threat level systems were adopted. COVID-19 Dashboard is the innovative solutions for surveillance.

Mr. Shafqat Mahmood Federal Education Minister appreciated KEMU faculty for fighting COVID-19 pandemic. He also praised the efforts of Dr. Faisal Sultan Special Assistant to PM on health who worked hard and ensured quality assurance mechanisms of medical education. He reiterated the fact that the specialists are contacted first even if consultation are not required. The challenges include different curricula in different government schools, private schools and madrasa. Problems of terrorism is faced because of difference in perceptions. Single curriculum, development is in process. COVID-19 has sensitized to the need of online classes. This webinar zoom is an excellent opportunity to interact with each other. Technology is the game changer in education. Our children learning can be enhanced by technology. Difficulties and challenges always bring an opportunity.

Dr. Ayesha Aslam moderated session on neuroimaging. Dr. Burhan presented on neuroimaging and interesting findings in spinal cord for primary healthcare physicians. Dr. Taimoor Khan discussed acute emergencies in brain. Panelists Prof Ahsan Nauman and Prof Mahjabeen Tafazzul discussed various presentations of unconscious patients and acute emergency situation with the background knowledge of neurosciences.

The next session “Altered mental state in patients” was moderated by Dr Sohail Niazi and panelists were Prof Yar Muhammad, Dr Naureen Rafique, Dr Maryam Morten and Dr Muhammad Nasir. The discussion on acute emergency situation and altered mental state was very informative and interesting.

Prof. Ali Madeeh Hashmi was the moderator of the last session on psychiatry. Prof Muhammad Aslam President ELECT KEMCAANA 2021 talked about depression in primary care practices. Response, remission and relapses. Manic episode, suicide risks, anxiety disorders, emotional and panic disorders. Higher rate of suicide attempts and suicide ideation. Myocardial infarction closely resembles panic attack. Psychosis may be primary or secondary. Delusions, paranoia, mental disorders, Suicide rate are increasing. Suicide Risk assessment is crucial for primary healthcare physicians. Living situation, current intent and plan needs documentation. Substance and drug abuse has increased the risk of suicide. Lack of social support is another risk factor. Bimodal risk more in young age than in old age. Firearms are the main suicidal method followed by poisoning. Mitigation of Risk factors is a challenge. Safety of patients and others is top priority in psychiatry.

Prof. Ali Hashmi said that many psychotropic are being advised without validated tools being used for correct diagnosis. Medicine should be advised with psychological support. Importance of research is phenomenal in this aspect. Prof. Imran Khawaja talked about crisis oriented therapy. Crisis in China means danger and opportunity. Therapy leads a person to take opportunity and decrease his danger. Crisis an intense state of inner turmoil. History and development of crisis oriented therapy are important. Empty nest syndrome, retirement, adolescence, COVID-19 situation can cause crisis. Last straw effect is explained. Phenomena include perception, catastrophe, black and white thinking are also emphasized. About 4-6 weeks can lead to chronic crisis. Crisis intervention in office setting are of paramount importance. Psychological reactions to crisis. Tools include time lines, support network map, wheel and spoke formulation.

During questions and answers sessions further information on pathology of crisis management, suicide in students and Covid pandemic was provided. (PR)

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