Rathore Farooq A, Butt Aamir W, Soomro Nabila, Akhtar Noreen
Department of Rehabilitation Medicine, PNS Shifa Hospital, DHA II, Karachi 75500, Pakistan ; Department of Rehabilitation Medicine, Bahria University Medical and Dental College, Bahria University, DHA -II, Karachi ; Department of Rehabilitation Medicine, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.
Department of Rehabilitation Medicine, AFIRM, Rawalpindi, Pakistan.
Cureus. 2017 Jan 31;9(1):e1005. doi: 10.7759/cureus.1005.
Pakistan is one of the three countries in South East Asia that has an active postgraduate physical medicine and rehabilitation (PM&R) training program. College of Physicians and Surgeons Pakistan (CPSP) offers a four-year structured training program in PM&R. It consists of clinical teaching, lectures, rotations in other specialties, and writing a research dissertation. The aim of this survey was to provide an objective analysis of the current PM&R training program, including the facilities available for training, the participation of residents in academic activities, and their participation in different PM&R procedures. Hospital ethics committee approval was obtained. The questionnaire had sections on informed consent; basic demographics; the different components of residency training; and self-assessement of competence in different procedural skills. It was approved by the dean of PM&R at CPSP. There are six accredited training centers in Pakistan. Twelve residents are undergoing residency training at four different centers (Dec 2015). Key persons were nominated at each center to facilitate data collection. All residents (100% response rate) completed the survey. Almost all had read the CPSP training manual. Most had submitted the research dissertation. Training facilities varied across different centers, with the military center being the best equipped. The self-assessed competence of residents in different PM&R procedures varied among different centers, but overall it conformed to the competency levels specified in the training manual. Overall PM&R residency training in Pakistan is satisfactory, but there is a need to strengthen the weak areas and standardize the training across all centers in the country.
巴基斯坦是东南亚三个拥有活跃的研究生物理医学与康复（PM&R）培训项目的国家之一。巴基斯坦医师与外科医师学院（CPSP）提供为期四年的PM&R结构化培训项目。该项目包括临床教学、讲座、其他专科轮转以及撰写研究论文。本次调查的目的是对当前的PM&R培训项目进行客观分析，包括可用的培训设施、住院医师参与学术活动的情况以及他们参与不同PM&R程序的情况。已获得医院伦理委员会的批准。问卷包括知情同意部分；基本人口统计学信息；住院医师培训的不同组成部分；以及对不同程序技能能力的自我评估。该问卷经CPSP的PM&R系主任批准。巴基斯坦有六个经认可的培训中心。2015年12月，有12名住院医师在四个不同的中心接受住院医师培训。每个中心都指定了关键人员以协助数据收集。所有住院医师（回复率100%）都完成了调查。几乎所有人都阅读了CPSP培训手册。大多数人都提交了研究论文。不同中心的培训设施各不相同，军事中心设备最为齐全。不同中心的住院医师对不同PM&R程序的自我评估能力各不相同，但总体上符合培训手册中规定的能力水平。巴基斯坦的整体PM&R住院医师培训令人满意，但需要加强薄弱环节并在全国所有中心规范培训。
