Friday, 13 March 2015

Traditional And Integrated System Of Medical Education In Pakistan

During conversation;

Friend: "What type of medical student you are. How on earth you are suppose to study PATHOLOGY in 1st year of medical school."

Yes! This is the sentence that i have heard hundreds of times during my stay at medical school. I wish making someone understand the difference between a traditional system and medical system would have been an easy thing.

In traditional system of medical education, students used to study anatomy, physiology and biochemistry in 1st two years irrespective of their system correlations while rest of subjects in next 3 years. This system is more oriented towards teacher student interaction.

In integrated system, the teaching is based upon student patient relation in which teacher acts like a facilitator.Five years of medical school are divided into two spirals of 2.5 years.

Spiral 1 : It consists of 70 percent basic sciences and 30 percent clinical sciences with integration of topics systematically. For example if we have started Cardiovascular system then we will study CVS from all basic sciences subjects and clinical sciences at the same time in the ratio of 70:30 respectively.

Spiral 2 : It consists of 70% clinical sciences and 30%  basic sciences with systemically integrated topics from various books.


Now a recent advancement has been introduced in this system in the shape of final year clerkship modules. Two spirals has been shrunken to 2 years each and final year has been given to fully patient oriented application of knowledge in Surgery, Medicine, Psychiatry, ENT, Eye, Derma, Gynae, Obs, Pediatrics, Anesthesia and Radiology.

This system has already been followed in Agha Khan University, Shifa Medical College and Islamic International Medical College. Various other colleges has started following this system. There are rumors that USMLE and PLAB exams will be taken only from those candidates who had been following this Integrated System.

Outcomes of this system will be better understood after many years when who students, followed this system, will be serving in hospitals and will be providing health care at greater level.

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