Conference for Medical Professionals, Providers, Educators, Administrators and Policy Makers

March 4-5, 2020

organized by Higher Education Commission (HEC) in collaboration with Association of Physicians of Pakistani Descent of North America (APPNA) and Rawalpindi Medical University (RMU)

Venue: Rawalpindi Medical University, Rawalpindi

Building Primary Care Capacity: 's Critical Need

Message from APPNA President 2020

I would like to welcome all our honorable guests and delegates to “Building Primary Care Capacity: Pakistan's Critical Need” conference. I am very thankful to Vice Chancellor Prof. Dr. Muhammad Umar and Tariq Banuri, Chair, Higher Education Commission for cohosting and supporting this endeavor. I am deeply indebted to Dr. Shahid Raq, Chair, APPNA MERIT, Dr. Danish Bhatti, Chair of Meeting Agenda and Dr .Babar Rao, Chair APPNA host committee, for their hard work and seless dedication as they have spent countless hours putting the exciting conference program together. The goal of the conference is to foster training programs and policies for comprehensive development of Family Medicine across Pakistan. Family Medicine physicians should be a Dr. Naheed Usmani key component of making Pakistan's healthcare system more effective, including under new health insurance card schemes. We hope we will make signicant progress towards that outcome with this conference.

APPNA, which represents 18,000 physicians of Pakistani origin in US/Canada, undertakes volunteer work across Pakistan in healthcare, education, philanthropy and disaster relief. APPNA MERIT, APPNA's committee for transfer of medical education and research expertise to Pakistan, beams live weekly lectures on the latest medical advances in various elds to 30-plus Pakistani medical universities and colleges. MERIT has also helped develop new specialties in Emergency Medicine/Critical Care, Pediatric Oncology, and Child Psychiatry by assisting Pakistan's College of Physicians and Surgeons, with curriculum, requirements. and visiting faculty. MERIT has specic initiatives in Neurology and ICU at Khyber medical university, and online and onsite teaching on Movement Disorders with medical societies. APPNA physicians also fund hundreds of need-based scholarships for medical students in Pakistan, provide medicines to indigent patients, send corneas to restore sight to the blind, hold free medical camps, volunteer during disasters like earthquakes and oods, fund water and school projects, and have provided mobile units and telemedicine services to deliver medical services in underserved areas.

APPNA experts attending the conference will include Family Medicine faculty from US/Canada training programs, including Residency program directors. They will present the curriculum and structure of Family Medicine training in US/Canada and participate in design workshops to help Pakistan's participating teaching institutions develop primary care training. APPNA can also offer training curriculum for Pakistan, online training modules and visiting faculty volunteers who can serve onsite for development of Family Medicine training.

This conference is another volunteer effort by APPNA to help transform medical care in Pakistan. If successful, the development of Family Medicine training could improve healthcare for all Pakistanis. Pakistan Zindabad!

1 Building Primary Care Capacity: Pakistan's Critical Need

Message from Chairman HEC

It is a great pleasure to welcome all distinguished guests and delegates to the Innovative Collaborative Design Conference entitled “Building Primary Care Capacity: Pakistan's Critical Need”, organized jointly by the Higher Education Commission (HEC) of Pakistan, the Association of Physicians of Pakistani-descent of North America (APPNA), and Rawalpindi Medical University to be held on March 4-5, 2020 at Rawalpindi Medical University, Rawalpindi.

The goal of the conference is to foster training programs and policies for comprehensive development of Family Medicine across Pakistan. Family Medicine physicians should be a key component Tariq Banuri of making Pakistan's healthcare system more effective, besides investing in public health and initiating a comprehensive training program for nurses.

The conference will bring together family medicine practitioners, academicians, policy makers, leadership of healthcare systems at the federal and provincial levels as well as international experts from US/Canada including residency program directors. The conference is also consistent with the steps taken recently by the HEC to enhance the quality and relevance of the system of education in the country.

The conference is planned to include well-crafted plenary sessions including speakers and panelists that will be followed by breakout sessions to prioritize and highlight signicant recommendations. We hope we will make signicant progress towards Capacity Building in Primary Care in Pakistan and this conference will prove to be a rst step in achieving that objective.

2 Building Primary Care Capacity: Pakistan's Critical Need

Message from Vice Chancellor, Rawalpindi Medical University

It gives me immense pleasure to write this message for APPNA Merit Conference in collaboration with Rawalpindi Medical University, Higher Education Commission and Ministry of National Health and Regulation Pakistan. This joint endeavor is highly appreciated and welcomed by Rawalpindi Medical University faculty.

This conference will be the foundation stone for family medicine in Pakistan which will ultimately improve the healthcare delivery system in Pakistan. Conference will also provide policy framework and training model of Family Medicine in Pakistan. This is honor for Prof. Muhammad Umar (S.I) me and Rawalpindi Medical University to be the part of this mega event.

Finally, I welcome all the delegates to the beautiful campus of Rawalpindi Medical University and I wish great success to this conference.

3 Building Primary Care Capacity: Pakistan's Critical Need

Message from Agenda Committee

We are extremely pleased to put together this highly Innovative Collaborative Design Conference entitled “Building Primary Care Capacity: Pakistan's Critical Need”. This working conference is designed to create a dialogue between all stakeholders in Family Medicine, to give everyone a voice and gain from collective wisdom. The conference is aimed at creating practical and prioritized recommendations in the form of a 'White paper”.

The Working sessions are designed as interactive sessions with brief condensed summary talks acting as starting point for the Q&A with session panelists. All the points provided in talks and panel discussions will be noted down to be used in the Design workshops that are modeled after Stanford d.School Design Method that will prioritize the essential points of debate. It will be implemented as breakout sessions of 7-10 participants per group.

We conducted a pre-conference Delphi Method Analysis using surveys and Zoom meeting with 40 Physician leaders in Family Medicine from US, Canada, UK and Pakistan, thorough organized debate on various challenges and Opportunities. The Whie paper will be built on the model of SWOT analysis (Strengths, Weakness, Opportunities and Threats) which is a solid model of development and planning of any program with various stakeholders and participants. .

The conference will also provide an excellent platform to develop a framework for long term relationships between Pakistani institutions and international faculty through the aegis of APPNA, which represents 18,000 physicians working in various medical disciplines including Family Practice in the USA and Canada.

Danish Bhatti MD FAAN Co-Chair APPNA MERIT Director International Neurology Program University of Nebraska Medical Center, Omaha NE

Dr. Zain ul Abdin Director General (R&D), Higher Education Commission, Pakistan

Mr. Fazal Abbas Maken Consultant, Higher Education Commission, Pakistan

4 Building Primary Care Capacity: Pakistan's Critical Need

List of Participating Medical Universities from Pakistan

(Institutions with Department of Family Medicine represented in the Conference is marked with *)

Ÿ Ÿ * Ÿ Baqai University Ÿ Dow University of Health Sciences* Ÿ FMH College of medicine* Ÿ of Health Sciences* Ÿ Jinnah Medical University* Ÿ King Edwards Medical University* Ÿ Khyber Medical University* Ÿ National University of Medical Sciences* Ÿ National University of Science and Technology Ÿ Nishtar Medical University Ÿ Rashid Latif Hospital Ÿ Rawalpindi Medical University Ÿ Shifa college of Medicine* Ÿ University of Health Sciences* Ÿ Ÿ Ziauddin University

List of Represented Organizations and Institutions

Ÿ AMC Alumni Association Ÿ College of Physicians and Surgeons of Pakistan Ÿ Director General Health, ICT Ÿ Directorate of Medical Services (Inter Services) Ÿ Higher Education Commission Pakistan Ÿ IGNITE-National ICT R&D Fund (Ministry of IT) Ÿ Indus Hospital Network Ÿ Medical Emergency Resilience Foundation (MERF) Ÿ National Institute of Health Ÿ Ÿ Pakistan Nursing Association KPK Ÿ PASHA-Pakistan Software Houses Association Ÿ Prime Ministers Health Care Reform Task force Ÿ Provincial Health Ministries Ÿ Shaukat Khanum Memorial Cancer Hospital and Research Centre Ÿ Specialized Healthcare & Medical Education Department Ÿ United States Agency for International Development (USAID) Pakistan

5 Building Primary Care Capacity: Pakistan's Critical Need Day – I Date: Wednesday, March 4, 2020 Time: 08:00 AM – 04:30 PM Venue: Rawalpindi Medical University, Rawalpindi - Pakistan Registration Time: 08:00 AM – 09:00 AM Guests to be seated Time: 09:00 AM – 09:20 AM Inaugural Plenary Session

Time Slot: 09:20 AM – 11:00 AM

Time Slot Speaker Title / Topic Designation & Department

09:20 to 09:30 AM Recitation from the Holy Quran & National Anthem

09:30 to 09:35 AM Prof. Muhammad Welcome Remarks VC, RMU Umar 09:35 to 09:40 AM Dr. Shahid Raq Opening Comments Chairman APPNA MERIT 09:40 to 09:55 AM Tariq Banuri HEC Role in Promoting Chairman, HEC Family Medicine Education 09:55 to 10:10 AM Dr. Naheed Role of APPNA President, APPNA Usmani Collaboration for Pakistan 10:10 to 10:25 AM Dr. Faisal Sultan PM Health Care Task Vision Keynote Speaker on Family Medicine 10:25 to 10:40 AM Dr. Zafar Mirza Revamping Health Care State Minister for System to Support Family Health Medicine

10:40 to 11:00 AM Address by the Chief Guest

11:00 to 11:20 AM TEA BREAK

6 Building Primary Care Capacity: Pakistan's Critical Need

Working Session – I

Time Slot: 11:30 AM to 01:00 PM Session Title: Family Medicine Policy Framework including Career Planning Session Chair: Dr. Yasmeen Rashid, Provincial Health Minister, Punjab Session Co-Chair: Mr. Allah Baksh Malik, Federal Secretary for NHRC, Ministry for National Health Services, Regulation and Coordination Moderator: Dr. Naheed Usmani, President APPNA 2020

Time Slot Speaker Title / Topic Designation & Department

11:45 to 11:55 AM Mr. Jalil Khan Incentives for Training HoD, Family Medicine, Programme for General Khyber Medical University, Practitioners Peshawar

12:00 to 12:55 PM Panel Discussion

Prof. Marie Panelist 1 HoD, Jinnah Sindh Medical Andrades University,

Mr. Adil Panelist 2 Dean AKU Haider

Prof. Arshad Panelist 3 Vice Chancellor, Khyber Javaid Medical University, Peshawar

12:55 to 01:00 PM Session Closing Remarks

01:00 to 02:00 PM Lunch Break

7 Building Primary Care Capacity: Pakistan's Critical Need

Working Session – II

Time Slot: 02:00 PM to 03:30 PM Session Title: Family Medicine Curriculum and Training Models Session Chair: Mr. Taimur Saleem Khan Jhagra, Provincial Health Minister, KPK Moderator: Mr. Zahid Raq, Immediate Past President RMCAANA

Time Slot Speaker Title / Topic Designation & Department

02:00 to 02:15 PM Ms. Naureen Raq US Model of Training MERIT FP Lead Family Physicians

02:15 to 02:30 PM Mr. Nasir Shah Current State of Convener, National Curriculum and Training Family Medicine Models in Pakistan Committee

02:30 to 03:25 PM Panel Discussion

Prof. Saima Iqbal Panelist 1 HoD Family Medicine, Shifa

Ms. Unab Khan Panelist 2 HoD Family Medicine, Aga Khan University, Karachi

Prof. Saira Afzal Panelist 3 HoD Family Medicine, King Edward Medical University, Lahore

03:25 to 03:30 PM Session Closing Remarks

8 Building Primary Care Capacity: Pakistan's Critical Need

Design Workshop – I

Time Slot: 03:30 PM to 04:15 PM Venue: Syndicate Hall and 4 Rooms in front of the Syndicate Hall

Time Slot Speaker Title / Topic Group

03:30 to 03:50 PM Breakout Session - I Family Medicine Policy Group - I Framework including Group - II Career Planning

03:50 to 03:55 PM Break

03:55 to 04:15 PM Breakout Session - II Family Medicine Group - III Curriculum and Training Group - IV Models

04:15 to 04:30 PM Prof. Umar / Closing Remarks All breakout Dr. Naheed Usmani participants

04:30 to 07:00 PM Break

9 Building Primary Care Capacity: Pakistan's Critical Need

Day – II Date: Thursday, March 5, 2020 Time: 09:00 AM – 05:00 PM Venue: Rawalpindi Medical University, Rawalpindi - Pakistan Working Session – III

Time Slot: 09:00 AM to 10:30 AM Session Title: Health Care Systems & Role of Technology Session Chair: Barrister Nabeel Ahmad Awan, Secretary, Specialized Healthcare & Medical Education Department, Punjab Moderator: Mr. Babar Rao, APPNA MERIT Speaker Title / Topic Designation & Department Prof. Muhammad Umar Welcome Remarks VC, RMU Mr. Babar Rao Opening Comments

Time Slot Speaker Title / Topic Designation & Department 09:00 to 09:15 AM Fizza S. Gillani Health Care Systems APPNA Health Care and Role of Technology and HIV Lead Technology 09:15 to 09:30 AM Mr. Danish Bhatti Embracing the Digital MD FAAN Revolution in APPNA MERIT Learning: eLearning Co-Chair

09:30 to 10:25 AM Panel Discussion

Maj. Gen. Saleem Panelist 1 Principal, Army Medical Ahmad Khan HI(M) College, Rawalpindi

Prof. Musarrat-ul- Panelist 2 Medical Education Rashid Husnain Latif Hospital

Dr. Mustafa Kamal Panelist 3 VC, Nishtar Medical Pasha University, Multan

10:25 to 10:30 AM Session Closing Remarks

10:30 to 10:50 AM Tea Break

10 Building Primary Care Capacity: Pakistan's Critical Need

Introduction to Design Workshops Time Slot: 10:50 AM to 11:00 AM Working Session – IV

Time Slot: 11:00 AM to 12:30 PM Session Title: Preventive Care in Family Medicine Session Chair: Mr. Zahid Ali Abbasi, Provincial Secretary Health, Government of Sindh Session Co-Chair: Maj. Gen. Aamer Ikram, Executive Director, National Institute of Health Moderator: Mr. Ejaz Khan, Family Medicine, HSA

Time Slot Speaker Title / Topic Designation & Department

11:10 to 11:25 AM Tehmina Overview of Chair Family Medicine, NYU Munir Kazmi Comprehensive Preventive Abu Dhabi, UAE Care and Environmental Health

11:25 AM to 12:25 PM Panel Discussion

Maj. Gen. Panelist 1 DG Medicine MH / CMH, Imran Fazal Rawalpindi

Prof. Panelist 2 VC, Shifa Tameer-i-Millat Muhammad University, Iqbal Khan

Mr. Ajmal Panelist 3 Special Secretary, Primary Bhatti and Secondary Health, Punjab

11:25 PM to 12:30 PM Session Closing Remarks

11 Building Primary Care Capacity: Pakistan's Critical Need

Design Workshop - II

Time Slot: 12:30 PM to 01:20 PM Venue: Syndicate Hall and 4 Rooms in front of the Syndicate Hall

Time Slot Speaker Title / Topic Designation & Department

12:30 to 12:50 PM Breakout Session - I Preventive Care in Group - I Family Medicine Group - II

12:50 to 12:55 PM Break

12:55 to 01:15 PM Breakout Session - II Health Care Group - III Systems and Role Group - IV of Technology

12:30 to 02:00 PM Lunch Break

12 Building Primary Care Capacity: Pakistan's Critical Need

Working Session – V

Time Slot: 02:00 PM to 03:30 PM Session Title: Public Private Partnerships Session Chair: Dr. Naheed Usmani, President APPNA Session Co-Chair: Lt. Gen. (R) Syed Muhammad Imran Majeed, VC, NUMS Moderator: Mr. Shahid Raq, Chair, APPNA MERIT

Time Slot Speaker Title / Topic Designation & Department

02:00 to 02:25 PM Lt. Gen. (R) Syed Successful Model of VC, NUMS Muhammad Imran Majeed PPP in Primary Care

02:25 to 03:25 PM Panel Discussion

Mr. Zafar Zaidi Panelist 1 Dean Family Medicine, Indus Hospital

Prof. Muhammad Amir Panelist 2 Principal, Shifa College of Medicine

Mr. Shah Miran Panelist 3 Chief Executive MERF

03:25 to 03:30 PM Session Closing Remarks

13 Building Primary Care Capacity: Pakistan's Critical Need

Working Session – VI

Time Slot: 03:30 PM to 05:00 PM Session Title: Strengthening Nursing Care Session Chair: Prof. Rafat Jan, President, Pakistan Nursing Council Moderator: Ms. Bushra Dar, President APPNA Minnesota Chapter

Time Slot Speaker Title / Topic Designation & Department

03:30 to 04:00 PM Robin Masood Role of Nursing in APPNA Deligate Sheikh Primary Care

04:00 to 04:55 PM Panel Discussion

Prof. Zia-ul-Haq Panelist 1 Dean, Pro-VC, Khyber Medical University

Ms. Shaheen Ghani Panelist 2 President, Pakistan Nursing Association

Ms. Rehana Elahi Panelist 3 PM Health Care Taskforce

04:55 to 05:00 PM Session Closing Remarks

05:00 to 05:30 PM Coference Closing Session

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