How to improve the quality of Post-graduate medical education?

[摘要] Th e universally agreed expected outcome of Postgraduate Medical Education (PME) is that ‘a postgraduate trainee doctor will be able to practice independently and safely’ aft er completing his training. Are we successful in achieving this goal with full satisfaction? Th e answer to this question is in affi rmative if we consider the performance of Pakistani postgraduate doctors working in the country and Middle East. As a rule quality of any product is assessed by the response of consumers. Th e general public and employing authorities there are satisfi ed with the work of our doctors. Similarly, in Pakistan as well, people approve their performance. However, a deeper look into the matt er reveals that most of these doctors in the Middle East are working as midlevel health care providers, between consultants and residents, with very few employed as full fl edged consultants. Th is condition forces us to re evaluate our Postgraduate Medical Education in total, with the hope that corrective measures will lead to our doctors acquiring more slots of consultants away from their homeland as well. When we carefully analyze the standard of Postgraduate Medical Education in Pakistan on parameters described by the World Federation for Medical Education (WFME), we fi nd many variables like process, structure, content, expected outcome, structured training program, already exist in our system.1 However, when we thoroughly examine our Postgraduate Medical Education, we feel there is still considerable room for improvement at all levels.

[学科分类] 外科医学