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continuing medical education for physicians Afghan

Continuing Medical Education (CME) is an important part of successful medical practice for better patient outcomes in any healthcare setting. CME improves, maintains and develops the skills and professional performance of physicians (Bellos, Bergqvist, Bockel, Palombo, and Wolfe, 2007). To implement the theoretical aspects of medical education in the practice after graduating from medical school, doctors need to “guidance to deliver quality care, and add to the” experts in experience. According to the Institute of Medicine (IOM) between classroom learning and problem solving skills in the clinical setting can lead to medical errors (Speicher and Kehrhahn, 2009). Practice under the instruction of the mentoring experience in a specialty field offers new doctors the opportunity to obtain a better patient outcome.

Collaboration in training and medical staff CME

by exchange of experiences has given positive results in several national and international academic agreements. Krym, Retezar and Scott (2009) studied the impact of international collaboration in the cultivation of emergency medicine (EM) practice in northern Romania, which experts from countries with mature systems of MS provided support for EM growth in Romania through knowledge transfer. Identify the scope of the operation of each organization is an important step in establishing priorities for medical education. Recognizing the need for different levels of training and knowledge among staff members in the same organization is also an important step before starting the CME (Speicher and Kehrhahn, 2009).

Krym et al., (2009) identified the importance of cultural diplomacy and sensitivity in the delivery of education for international health. The language and cultural differences in international collaboration should be recognized properly before starting an exchange program with the host country. Arrangement of local medical directors and staff is essential to overcome language barriers and getting familiar with the culture. International collaboration in education can be built between healthcare organizations in the form of direct meetings and distance education. The advanced technology and telecommunications can promote tele-education and mutual growth between individuals and organizations around the world.

Health Services in Afghanistan

Decades of war in Afghanistan destroyed the country’s infrastructure, which in turn in the health services and education and CME medical professionals have suffered considerable support. As quoted in Jalal (2009) of the World Health Organization (WHO) in 2005 reported that the ongoing war in Afghanistan has caused disparities in the equitable distribution of services, quality health care in the country. Fragmented health system in Afghanistan has jeopardized further access to essential health services for people in need of these services (Jalal).

Access to basic health services

to individuals in different parts of the world is the responsibility of local governments. Promoting equal access of individuals to basic health services requires collaboration between health professionals and health professionals. The World Health Organization (WHO, 2009) has recognized health in the 21st century as a shared responsibility, involving equitable access to basic health services and joint defense against transnational threats. The globalization of health care through tele-education is a new trend in healthcare delivery that would standardize the training of health professionals worldwide.

problems caused by lack of CME

The problem is that there is sustainable post-graduate CME Afghan medical program. Physicians who are involved in the treatment of civilian victims are overwhelmed by the burden of patients arriving at emergency rooms of hospitals only once during an explosion or similar situations that result in mass casualties. Barriers due to lack of CME for healthcare professionals in Afghanistan affects the diagnostic and therapeutic qualities. The lack of CME can cause difficulties in proper patient-physician interaction and methods of diagnosis. The formation of medical education requires not only the professional principles of medical treatment based on patient needs, but understanding the cultural and lingual diversity of patients and (Krym et al., 2009).

Problems with standardizing systems

educational resources throughout the country, the lack of pictures, and the lack of advanced technology to support laboratories for medical diagnostics are some of the factors causing obstacles in the delivery quality health care in Afghanistan. The doctor-patient interaction is an important aspect of providing quality services to patients who need to be included in a comprehensive program of CME for health professionals. All these factors must be adequately addressed in promoting a successful program of CME for physicians in a country with diverse populations, such as Afghanistan. Factors that must be addressed in a comprehensive CME are summarized below:

1. Problems with the standardization of educational systems throughout the country and the limited resources of the pictures.

Problem

with normalization of national education systems is an important part of the inequalities in the provision of quality health services in Afghanistan. Lack of appropriate tables within Afghanistan is the main reason behind this problem. Political turmoil has made highly qualified personnel to leave Afghanistan in recent years and some have died. Therefore, medical students were deprived of the necessary information during their school years and graduated with inferior education. Recent graduates with less education were appointed in clinics to treat patients, while there were no doctors trained to guide them properly. In recent years there have been recent medical schools in different provinces that lack of qualified cadres and do not meet educational standards;. These poor medical schools exacerbate existing problems of health education in Afghanistan

2. The lack of advanced technology in laboratories to support medical diagnosis.

Lack

tech laboratories to support the medical diagnosis is also one of the factors affecting the diagnostic accuracy of the patient. The lack of adequate diagnostic tolls in turn negatively affects treatment outcomes and patient. It is also necessary to have well-trained laboratory technicians to perform diagnostic tests on patient samples. To train laboratory technicians correctly, it is important to have a certification program for different diagnostic field under the supervision of qualified instructors in either Afghanistan or abroad. The only problem with sending individuals abroad for training is that Tran could not return to Afghanistan. A more feasible approach is that qualified instructors to train technicians in Afghanistan.

3. The doctor-patient interaction.

doctor-patient interaction based on the cultural orientation of patients is an important component of CME for physicians who need to be addressed by health professionals. The cultural sensitivity of health professionals can facilitate the diagnostic and therapeutic health services to patients, which in turn could lead to positive results in improving the patient’s cooperation in treatment and recovery process. One of the obstacles that occur in Afghanistan is examining a patient by a male doctor, because patients do not want to talk to a doctor or expose their bodies for adequate physical examination. Although sometimes family members, as a parent or sibling of the patient are present, it is difficult to investigate precise information on the patient’s menstrual cycle, pregnancy, or other specific gynecological problems. Therefore, inexperienced doctors should be trained to meet the needs of patients appropriately and accordingly.

Comprehensive CME program providers need to be aware of cultural diversity in sub-populations in the countries and find a solution to the obstacles in providing quality health care for these subpopulations. It is important that health care providers in Afghanistan, evaluate and analyze the cultural diversity in patient populations in Afghanistan. The results of this evaluation should be included in the training program for the CME program.

Provide a comprehensive program of CME for physicians may vary depending on the requirements of sub-population of each area and the capacity of each institution or hospital. For example, a large well-equipped hospital, with qualified staff could be the training of new doctors, while the professional staff could participate in international training programs and seminars to enhance your experience. The new doctors could turn to the formation of these large hospitals a certain amount of time and return to their original sites after the CME program is completed. The high level of medical hospitals across the country could also obtain CME in major hospitals with well trained and professional after completing the program back to its designated centers to educate your staff. Professional staff from major hospitals could also be invited to other hospitals to assess the state of health services in schools.

across the country CME programs in several parts of Afghanistan in the efficient amount of time, the direct contact of health professionals through tele-education seems another possibility that could facilitate contact and constant communication of health professionals in Afghanistan or the world. It is essential that the participants of the global health communication about having into account the cultural diversity of each area.

Conclusion

Problems with standardizing systems

educational resources throughout the country, the lack of pictures, and the lack of advanced technology to support laboratories for medical diagnostics are some of the factors that cause obstacles in providing quality health care in Afghanistan. CME is an important part of a successful medical practice for best patient outcomes in any medical environment that enhances, maintains and develops the skills and professional performance of physicians (Bellos et al., 2007). The doctor-patient interaction is an important aspect of providing quality services to patients who need to be included in a comprehensive program of CME for health professionals. Decades of war destroyed Afghanistan’s infrastructure, which in turn health services and education and CME for medical professionals have suffered considerable support. Providing an extensive program of CME for physicians may vary depending on the requirements of sub-population of each area and the capacity of each institution or hospital.

References

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, J., Bergqvist, D., Bockel, J., Palombo, D., & Wolfe, J. (2007). Europe continues

education medical

in vascular surgery: results at five years of conferences approved by the Union Européenne des Médecins Spécialistes Vascular Surgery Section of International Angiology, 26 (4), 361-6 Retrieved December 26, 2009 the Department of Health and ProQuest .. Complete Medical.

Jalal, Z. (2009) emergency medical systems:. Prehospital trauma care of landmines and explosive devices

blast injuries in Afghanistan. Ph.D. thesis, University of Phoenix, USA, Arizona. Retrieved April 17, 2010, from dissertations and theses @ University of Phoenix.

Krym, V., Retezar, R., & Scott, S. (2009). International partnerships to promote growth in

emergency medicine in Romania

CJEM: .. Journal of the Canadian Association of Emergency Physicians, 11 (6), 560-5 Retrieved December 25, 2009, ProQuest database

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World Health Organization (WHO, 2009). About WHO. Retrieved December 27, 2009, from

http://www.who.int/about/en/