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Shifa International Hospital offers a unique
opportunity
for graduating medical students and post FCPS-I
trainees to acquire the art and science of the practice
of medicine in a structured house-job and residency
program. At Shifa, we have a predominantly North
American trained and U.K and CPSP qualified group
of highly experienced professionals vast experience
in leading healthcare systems of the world. We believe
that we are ideally placed to train the future physicians
of the Pakistani healthcare system. Shifa International
Hospital only accepts online applications. (LINK) If you are interested in joining this unique model of learning 21st century health sciences while maintaining cultural values, this is the institution for you. Please review all policies and procedures of our postgraduate program, and send your online application to the Coordinator of Medical Education, Medical Staff Affairs, Shifa International Hospital. Applications will only be accepted online. (link to app) Once again, we thank you for your interest in our program, and shall make every effort within our means (Insha-Allah) to ensure a comprehensive training program suited to your needs Coordinators of postgraduate training:
GOALS
OF THE SHIFA POSTGRADUATE PROGRAM
We will attempt to denounce through practice and
preaching, wherever possible, apathy, immorality,
HIRING PROCEDURES
1. EQUAL OPPORTUNITY EMPLOYER
a. All three interviewers approve
OR: DUTIES OF THE POST GRADUATE TRAINEES 1. The postgraduate trainees must familiarize themselves with the policies and procedures of the postgraduate program at Shifa International Hospital.when they join the program. 2. The first and foremost duty of the postgraduate trainee is to follow the goals and dictates of the Shifa International Hospital postgraduate trainee program. Whereas to acquire knowledge and skills may be an important aspect of their training, it is imperative that they also learn humanistic and moralistic values. Residents at all times are expected to be respectful to patients, patients relatives, consultants / faculty, colleagues, paramedical, and administrative staff. All residents, fellows and house officers will work at both SIH and SFCHC wings during their training periods and treat each patient’s life as a sacred trust and with utmost respect and care. 3. The postgraduate trainee must be cognizant of the fact that he/she is an employee of the institution and hence a representative of the same. The rules and regulations of the institution must be followed in word and spirit. The postgraduate trainee must not act or speak in a manner detrimental to the institution.. 4. Proper and detailed documentation is the responsibility of the postgraduate trainee. Thorough housestaff documentation that demonstrates a proper chain of events may be constructed in retrospect as required. 5. Patient contact is an essential part of all postgraduate training. It is of the utmost importance that the trainee should treat the patient empathically and develop a relationship with the patient during the period of contact allowing improved insight into patient problems. 6. Punctuality is of paramount importance. It is mandated that the postgraduate strictly follow time tables and schedules as delineated. All assigned work must be completed in a certain timeframe to allow continuity of healthcare. 7. The postgraduate trainee must act as a supervisor for house officers, as well as junior postgraduate trainees. All assessment and intervention by such junior staff must be carefully monitored and corrected where needed, and all documentation by them must be carefully assessed and cross-signed. 8. The postgraduate trainee is required to remain academically updated . He/she is required to be prompt with his/her presentations. It is necessary that they perform satisfactorily during their inservice assessment to ensure continuity in the program. 9. The postgraduate trainee must follow all guidelines of the College of Physicians and Surgeons, Pakistan and stay updated regarding changes in their requirements and recommendations including:
a. Choosing a supervisor 10. Communication with consultants is necessary to enhance patient care. Although the primary physician is technically in charge of the patient, their contact with the patient is limited. The resident is in a primary position to monitor patient progress and enhance patient care wherever possible through astute observation as well as timely suggestions and interventions. 11. It is necessary that the residents perform their duties as required. Failure to do so may initiate disciplinary action against the trainee as outlined in disciplinary procedures. 12. All residents will evaluate FCPS Supervisors quarterly (4 / year) and return evaluation forms to Director PG Education. 13. Residents / Fellows / House Officers shall work in the hierarchical structure. Matters pertaining to Day-to-Day discipline should be reported to Coordinator Medical Education who shall seek the Director Education's advice as and when necessary. 14. Residents / Fellows / House Officers are also entitled to mutual respect from all categories above. There shall be zero tolerance for indecent behavior, use of intoxicants, assault or abusive language. 15. Resident paging response:
Stat: Immediate (Less than 1 minute)
16. Residents are expected to be on their assigned floors at all times from 08:00 am - 09:00 am and between 10:00 am – 1:00 pm / 2:00 pm – 4:00 pm. Any visit off the floor should be informed to the Charge Nurse, Unit Receptionist and fellow residents. 17. All Resident notes should be legible and in S-O-A-P or problem oriented form, with particular emphasis on vital signs, significant complaints, physical examination, lab data and assessment and plan. Supervisors may randomly sample progress notes for compliance.
18. Discharge
Summaries should be complete and medication cross
checked with MAR (Medication Administration Record)
and consultants before discharge. Patient’s
Diagnosis, MR Number, and ICD-Diagnosis codes should
be typed in by the resident and saved in MIS files.
Date of Admission Follow-up appointment date(s). It is advised that the above is discussed with the consultant directly or by phone before summary is given to patient’s relatives. Once instructed by consultant to discharge patient, the above should be completed within one hour maximum.
BENEFITS/PRIVILEGES OF POSTGRADUATE
TRAINEES
DISCIPLINARY
PROCEDURES
1. INITIATION OF DISCIPLINARY
ACTION
1. Dereliction of duties
Such a reference must be received
in writing on designated forms to the Director of
Postgraduate training program. 3. PROCEDURE FOR DISMISSAL Three such UNSATISFACTORY decisions will result in initiation of a disciplinary hearing against the postgraduate trainee. Such a disciplinary hearing will be conducted by a committee comprising of the Director of Medical Education, Program Director of the concerned specialty, and the Medical Director or designee of his choice. The postgraduate trainee may be:
a. Suspended temporarily from the
program CODE OF CONDUCT
1.
PROFESSIONAL CONDUCT EVALUATION AND FEEDBACK 1. A process of regular evaluation is in effect, ensuring feedback from both the supervisors and trainees. The evaluation will be extensive and multifaceted with an emphasis on learning, interest, motivation, willingness to perform, commitment to the organization, personal hygiene, grooming, and discipline. 2. Monthly evaluation for all residents will be done by postgraduate faculty/supervisors with whom the resident has worked during that particular month. The evaluation forms will be handed out to the faculty by the 30th of each month and will have to be completed and sent back to the office of Medical Education by the 1st of the next month. Similar evaluation forms will also be available to the residents on a quarterly basis to allow feedback regarding teaching and training by particular faculty. 3. A biannual evaluation of all residents will be conducted by the Program Directors with an emphasis on weak points and deficiencies, and ways and means to overcome the same. Such an evaluation by the Program Director will also be inclusive of input from the Chief Resident. At this point the evaluations will be signed by the residents recording their appraisal. 4. A biannual discussion with the residents by the Director of Medical Education of the performance in general as well as re-evaluation with specific emphasis on evaluations received over the past six months will be conducted. This will include the annual (end-of-year) evaluation. Remedial measures will be instituted for deficiencies. 5. A yearly mock FCPS test, mimicking the entire pattern of the exam, wil be held. A minimum pass score will be considered essential to obtain a satisfactory evaluation during the yearly evaluation. CHIEF RESIDENT 1. Each major specialty will have a Chief Resident. 2. The Chief Resident for the particular specialty will be nominated by the Program Director for that specialty taking into consideration seniority, personality, performance and commitment. 3. Such a nomination will be for a period of one year, renewable at the end of this period if approved by both the Program Director and Director of Medical Education. 4. The Chief Resident will be available preferably via telephone even during offduty hours to ensure smooth functioning of the service. 5. The duties of the Chief Resident will be inclusive, of but not limited to
a. Organization of the duty roster
for the residents of his particular specialty and
ensuring that such a duty roster is strictly adhered
to; 6. The Chief Resident will report to the respective Program Director. 7. The Chief Resident will maintain monthly liaison with the Director of Medical Education. 8. The Chief Resident may file, as needed, a reference against a resident. The reference will be in duplicate and will address both the Program Director and the Director of Medical Education. This reference will, after due process, be added to the personal file of the resident. 9. The Chief Resident will also be subject to a biannual evaluation by the Program Director. 10. The Chief Resident may also be liable for dismissal from his position by the Program Director in consultation with Director of Medical Education / Coordinator of Medical Education if policies and procedures are grossly violated. 11. The Chief Resident will be allowed a reduction in his duties as compared to other residents. However, the number of his duty hours will never be reduced to less than half of other residents of his/her postgraduate year. 12. The Chief Resident will be allowed a monthly allowance of Rs. 500 for his/her extra duties. POLICIES AND PROCEDURES (Click to View Procedure Diagram) Daily academic activity planning will be done by the Program Directors in consultation with academic unit heads with the following guidelines: -
a) Academic year is January-December. Consultants wishing to communicate with residents as a group may contact Medical Staff Affairs (Ext. 3342) to be accommodated on the agenda to include:
1- Educational Strategies;
2. Saturday 3rd week 09:00am-10:00am
3. Wednesday 09:00am –
10:00am
4. Monday, Tuesday, Thursday,
Friday 09:00 am – 10:00am All residents are expected to be back on floors at 10:00am. (Residents on OPD duty should leave at 09:30am). One subspeciality day, e.g. Medicine (Thursday), Surgery (Monday), will be set aside for 2 FCPS fellow presentations with respective Program Directors or designated supervisors conducting the report. When final year SCM subinterns are rotating; morning report should have two 25-minute presentations. (One by student, one by resident).
5. Weekly 2pm to 3pm.
Medicine – Monday afternoon
For example, pediatrics schedule is
as follows:
7. Longitudinal Clinic SCM Faculty will be the final authority for Resident / House Officer discipline during clinics.
The timings are as follows:
8. Sub-Specialty Fellow Clinics
CARDIOLOGY: 2:00pm - 4:00pm Wednesday One preceptor / FCPS Supervisor will be available to guide residents / fellows. 9. INPATIENT DUTIES / ROUNDS
MEDICINE
AND PEDIATRICS
FCPS-I (PG II, III, IV)
Monday to Thursday 12:00- 1:00pm (or
Alternatively afternoon) teaching rounds mutually
convenient for supervisor / residents.
SURGERY AND OB/GYN
ACADEMIC
UNITS
(P-II) PAEDIATRICS: (B3-NICU)
(OG-I) OBSTETRICS GYNECOLOGY:
(G-1)
B-BLOCK
Academic Unit Head: Associate Prof.
Nasir Khokhar
(OG-II) OBSTETRICS GYNECOLOGY: (B3)
A-BLOCK For PG’s and House Officers, barring specialty electives and ICU / ER, each trainee should preferably spend two consecutive months with each assigned academic unit. Academic unit heads will be responsible for teaching activities on their units. Call schedules will be made by chief residents and co-signed by program director or program coordinator. Medical Education Coordinator will facilitate as and when required. If the Director of PG Education is involved, his / her decision shall be binding. PROGRAM DIRECTORS AND DIRECTORS OF POSTGRADUATE EDUCATION With effect from January 2004, all Program Directors / Program Coordinators of FCPS-approved specialties and Director Postgraduate Education will be approved for one year. Beginning January 2004, new Program Directors may be reappointed for a second year. All those completing more than one year in December 2004 shall be replaced under the rotatory plan in January 2005. Some specialties will have Program Coordinators instead of Program Directors. The Following appointments are being made for the year 2005.
* To be activated once trainees on board. For more information, please contact Office, Medical Staff Affairs or pgme@shifa.com.pk. |
