Prof. M. Daud Khan
Dec.17. 2013
 Aim
at creating the best possible
learning and teaching / mentoring
environment for medical
students/graduates to enable &
empower them to translate their
dreams into realities.
Partnership:
Based on Trust
Students
Faculty
Parents
 Focus
on emerging concepts
in medical education & clinical
practice.
 Focus on strategies on how to
adopt best practices in PIMC
A highly motivated
and responsible
doctor, equipped with
necessary knowledge,
skills and attitudes ,
committed to life
long learning and
application of
knowledge;
to meet the current
and emerging global
needs of patients and
populations in a Kind
, Caring and
Compassionate
manner
We will try to educate students to
become outstanding clinicians who have
the skills and passion to improve the
health of the world’s people through
research, innovation, and leadership.
A set of basic competencies expected from a
competent medical graduate ; Physician of 21 st
Century”
Effective Communication.
Basic clinical skills.
Using science to guide Diagnosis, Management,
Therapeutics & prevention.
Lifelong Learning.
Self-Awareness, Self –Care & Personal Growth.
The social & Community Contexts of Health Care.
Moral reasoning& Ethical judgment.
Problem Solving.
Professionalism
Leadership & Role Recognition.
The Knowledge Triangle
Attitude
(Affective domain)
Knowledge
(Cognitive domain)
Skills
(Psychomotor
domain)
Acquisition of
Knowledge,
skill and
attitude
Methods and
processes of
adult learning
Evaluation
LMS
Stages of
Maturation
Inter
dependence
Dependence
Dependence
Knowles six principles:
1.
Adults are internally motivated and self
directed
2. Adults bring life experiences and
Knowledge to new learning environments.
3. Adults are goal oriented
4. Adults are relevancy oriented
5. Adults are practical
6. Adult learners like to be respected
Types 0f adult learners
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Active learners
Reflective learners
Theoretical learners
Pragmatic learners
Andragogy
Pedagogy
• Learner is Raw
• Learner is
Dependent
• Curriculum is well
structured and
rather rigid
• Students are
Subject centered
• Learning is not logic
or relevance
oriented
• Learner is
experienced
• Learner is
Independent
• Curriculum is more
flexible and
learning is need
based
• Students are
performance
centered
• Learning is logic
and relevance
oriented
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Learning objective.
Lecture plan and instructional strategies.
Expected outcomes
Tutorial and small group discussions
Seminars
Symposia's
Class room environment
Self directed learning
Active learning
Library
Feed back
Evaluation ( formative
E- learning
And
Summative)
“I never try to teach my
students any thing.
I only try to create an
environment where
they can learn”
Albert Einstein
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Student-centred ---Teacher-centred
Problem-based---- Information-oriented
Integrated -----Discipline-based
Community-based ----Hospital-based
Elective ----Uniform
Systematic ---Apprenticeship
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Anytime learning
Any where learning
Any number of times learning
Customized to level of assimilation
Individual or group learning
Interactivity based learning – active learning
Enables group discussion across
geographical barriers.
Adaptability and flexibility of the system
1.
2.
3.
Must learn
Useful to learn
Interesting / Nice to learn

Education in the largest
sense is any act or
experience that has a
formative effect on the
mind, character or
physical ability of an
individual. In its technical
sense, education is the
process by which society
deliberately transmits its
accumulated knowledge,
skills and values from
one generation to
another.

A right to education has been created and
recognized by some jurisdictions: since 1952,
Article 2 of the first Protocol to the European
Convention on Human Rights obliges all
signatory parties to guarantee the right to
education. At world level, the United Nations'
International Covenant on Economic, Social
and Cultural Rights of 1966 guarantees this
right under its Article 13.
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Teachers need to understand a subject
enough to convey its essence to students.
While traditionally this has involved lecturing
on the part of the teacher, new instructional
strategies such as team-based learning put
the teacher more into the role of course
designer, discussion facilitator, and coach
and the student more into the role of active
learner, discovering the subject of the course.
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Is a relatively
permanent change in
behaviour that comes
about as a result of a
planned experience
Results from the
interaction between
what we already
know, new
information we
encounter, and what
we do as we learn
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Technology offers
powerful learning
tools that demand
new skills and
understandings of
students, including
Multimedia, and
provides new ways to
engage students,
such as Virtual
learning
environments.
Broadband
network
Link medical schools,
hospitals, public
health centers
For
Tele-education
Telehealth
Bio-informatics
Research Grid
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Approach to patient.
Greetings and introduction
Permission for Hx taking and examination
History taking and examination:
Present illness
Past illness
Listen patiently
F.H
&
Personal Hx
carefully
Record
Socio economic history
Clarify
Cross questions
According to Causes:
 Infectious/ Communicative diseases
 Non Infective Diseases( NCDs)
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 Life style Diseases
 Deficiency Diseases
 Hereditary Diseases
 Genetic Diseases
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General physical Examination:
Level of consciousness, level of Orientation,
Any sign of Pain and agony.
Pulse, BP, Skin color, cyanosis, anemia,
jaundice, facial appearance, swellings, neck
veins, pitting edema.
Lymph nodes
Data collection, synthesis and analysis
arriving at History based DX
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Exam. Of GIS
Exam. Of RS
Exam. Of CVS
Exam. Of NS
Exam. Of GUS
Sensory organs
Data Synthesis, Analysis and arriving at
Provisional DX
Basic data:
 Urine
 CBE
 Other system based essential investigations
( Lab., Radiological, Ultrasonic, 3 Ds, etc.)
 Data Synthesis
 Data Analysis
 Arriving at Final Dx.
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Create a strong habit f co relating your patient
S/S , and clinical findings with the typical book
picture of the disease.
Note the steps of medical intervention.
Note the steps of emergency treatment
Note the indications and steps taken for surgical
intervention
Explanation to patients /family and The consent
form
Carefully read the details of surgical intervention
and co relate it with details in the book
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Emergency
Non Emergency
Indoor
Out door
Ambulatory/ non Ambulatory
Criteria for admission
Criteria for special care, ICU, Isolation
Treatment
plan
Discharge
&
Prognosis
Follow up
Monitoring
progress
In Partnership with
Patient/ Family
Consent form
Invasive
Non Invasive
Urgency
Safe
Efficient
Effective
Affordable
Prognostication
Preventive strategy
Discharge & Follow up
 Home treatment
 Domiciliary support
 Letter to primary physician
 Follow up
 Transport support
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Record keeping
 Statistical analysis
 Research
 Publication
 Quality Assurance
 Internal Audit
 External audit
 Cost Analysis
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Quantity
Quality
Customer’s satisfaction
Bereavement
Empathy
Kindness
Compassion
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Monthly Mortality conference
Analytical review
Negligence
Errors of Judgment
Letigations
Lessons learnt
Quality management
The
point is not
to predict the
future but to
prepare for it and
to shape it
Dr.T.V.Rao MD
People
consistently
overestimate the
effect of short term
change and
underestimate the
effect of long term
change.
Ian
Morrison, former president of the
Institute for the Future
Dr.T.V.Rao MD
If
you think that
you can run an
organisation in the
next 10 years as
you've run it in the
past 10 years
you're out of your
mind."CEO, Coca Cola
Dr.T.V.Rao MD
Old
world:
Doctors
practice
primarily as
individuals
New
world:
Doctors
work
predominantl
y in teams
Dr.T.V.Rao MD
Old
world:
Source of
knowledge
is expert
opinion
New
world:
Source of
knowledge is
systematic
review of
evidence
The Learner Is the Center
To providing medical education programs that are
responsive to the needs of physicians and that
offer opportunities for ongoing intellectual
stimulation and professional renewal.

Medical informatics
has been also defined
as the field that
"concerns itself with
the cognitive,
information
processing, and
communication tasks
of medical practice,
education, and
research, including
information science
and the technology to
support these tasks

Medical informatics is
the rapidly developing
scientific field that deals
with resources, devices
and formalized methods
for optimizing the
storage, retrieval and
management of
biomedical information
for problem solving and
decision making.
Edward Shortliffe, M.D., Ph.D. What
is medical informatics? Stanford
University, 1995.
48
Data collection:
Data
-History
-Physical examinations
-Laboratory and other tests
Information
Decision
making
Patient
Therapy
plan
Planning
Diagnosis/assessment

The site contains the
greatest collections of
information on diseases
and conditions on the
Net. It spans the globe
and provides interactive
chats and forums for
experts and patients to
come together. This site
not only directs you to
outside sources, but also
takes each topic and
gives you the rundown
from top to bottom.

Find the best doctors
and provide the best
content on a site that
others can access free
of charge. Founded by
a man who was
diagnosed with an
inoperable tumor and
wanted the best
doctors to treat him,
he set out to empower
other patients through
information.

his site is specifically
designed to give you
disease-related
information through
what it calls channels.
It's one of the most
interactive medical
portals on the Net,
offering chats,
discussion forums,
and clinical trials. This
site enables you to
access the world of
medicine in seconds.

This government
portal opens the world
of Internet medicine.
Whether it's through
tools such as libraries,
online journals, or
medical dictionaries or
hot topics that might
interest you, this site
delivers quickly and
with reliability. A big
bonus of the site is
that it also provides
content in Spanish.

t's important for a portal
to "have it all." This one
is a good example.
Whether it's drug
information, a medical
dictionary, or a rundown
on a long list of diseases
and conditions,
Intelihealth is your
gateway to top-notch
information. It doesn't
hurt to have Harvard
Medical School's
consumer health
information tied to the
site.

Contain the leading
collection of health
research institutes in
the world. Whether the
topic is allergy and
infectious disease or
cancer, this is your
gateway to health
information. You'll find
the latest in research
and well-written fact
sheets and brochures
that reach out to
inform all.

One of the most heavily
marketed portals on the
Net, this site stands up
to most of the hype. It's
nicely divided for
different audiences,
ranging from patients
and doctors to physician
assistants to health
teachers. It has a robust
television service that
allows you to watch
broadcasts on different
health topics.
Thank You