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Medical colleges’ challenges and coping strategies in implementing accreditation standards in Pakistan

OBJECTIVES: To explore the challenges faced by medical colleges and coping strategies used in implementing accreditation standards by Pakistan Medical Commission during accreditation inspection 2019. METHODS: In this qualitative case study, four medical colleges and their affiliated hospitals from t...

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Autores principales: Gul, Fouzia, Mahboob, Usman, Wajid, Gohar, Sherin, Akhtar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9532652/
https://www.ncbi.nlm.nih.gov/pubmed/36246699
http://dx.doi.org/10.12669/pjms.38.7.6121
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author Gul, Fouzia
Mahboob, Usman
Wajid, Gohar
Sherin, Akhtar
author_facet Gul, Fouzia
Mahboob, Usman
Wajid, Gohar
Sherin, Akhtar
author_sort Gul, Fouzia
collection PubMed
description OBJECTIVES: To explore the challenges faced by medical colleges and coping strategies used in implementing accreditation standards by Pakistan Medical Commission during accreditation inspection 2019. METHODS: In this qualitative case study, four medical colleges and their affiliated hospitals from three cities in Khyber Pakhtunkhwa province of Pakistan were selected through purposive sampling. Data was collected through focus group discussions (FGD) through Open-ended questions, based on CIPP (context, input, process, and product) model. Each focus group comprised of Dean, the Director Department of Medical Education (DME) and the Medical Director of the hospital. Data were thematically analyzed and results were based on the CIPP model. RESULTS: Three themes identified were administrative challenges, accreditation challenges and resource challenges. The administrative challenges theme was further explained under subthemes of rules and regulation challenges, documentation and record challenges, and DME-related challenges. The accreditation-related challenges theme was explored in-depth with subthemes of accreditation process-related challenges, accreditation standards-related challenges and curriculum-related challenges. The resource challenges theme was described under sub-themes of infrastructure-related challenges, human resources and financial challenges. The commonest coping strategies adopted by medical colleges were establishing DME, emergency preparatory meetings of staff, and hiring staff on an emergency basis, to overcome administrative, accreditation and resource challenges respectively. Future suggestions for improving the accreditation process in the local context were highlighted. CONCLUSION: Main challenges identified were administrative challenges, accreditation challenges and resource challenges. Coping strategies by the medical colleges for these challenges are highlighted. The accreditation body should harmonize the process of accreditation with medical colleges and other stakeholders.
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spelling pubmed-95326522022-10-14 Medical colleges’ challenges and coping strategies in implementing accreditation standards in Pakistan Gul, Fouzia Mahboob, Usman Wajid, Gohar Sherin, Akhtar Pak J Med Sci Original Article OBJECTIVES: To explore the challenges faced by medical colleges and coping strategies used in implementing accreditation standards by Pakistan Medical Commission during accreditation inspection 2019. METHODS: In this qualitative case study, four medical colleges and their affiliated hospitals from three cities in Khyber Pakhtunkhwa province of Pakistan were selected through purposive sampling. Data was collected through focus group discussions (FGD) through Open-ended questions, based on CIPP (context, input, process, and product) model. Each focus group comprised of Dean, the Director Department of Medical Education (DME) and the Medical Director of the hospital. Data were thematically analyzed and results were based on the CIPP model. RESULTS: Three themes identified were administrative challenges, accreditation challenges and resource challenges. The administrative challenges theme was further explained under subthemes of rules and regulation challenges, documentation and record challenges, and DME-related challenges. The accreditation-related challenges theme was explored in-depth with subthemes of accreditation process-related challenges, accreditation standards-related challenges and curriculum-related challenges. The resource challenges theme was described under sub-themes of infrastructure-related challenges, human resources and financial challenges. The commonest coping strategies adopted by medical colleges were establishing DME, emergency preparatory meetings of staff, and hiring staff on an emergency basis, to overcome administrative, accreditation and resource challenges respectively. Future suggestions for improving the accreditation process in the local context were highlighted. CONCLUSION: Main challenges identified were administrative challenges, accreditation challenges and resource challenges. Coping strategies by the medical colleges for these challenges are highlighted. The accreditation body should harmonize the process of accreditation with medical colleges and other stakeholders. Professional Medical Publications 2022 /pmc/articles/PMC9532652/ /pubmed/36246699 http://dx.doi.org/10.12669/pjms.38.7.6121 Text en Copyright: © Pakistan Journal of Medical Sciences https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0 (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Gul, Fouzia
Mahboob, Usman
Wajid, Gohar
Sherin, Akhtar
Medical colleges’ challenges and coping strategies in implementing accreditation standards in Pakistan
title Medical colleges’ challenges and coping strategies in implementing accreditation standards in Pakistan
title_full Medical colleges’ challenges and coping strategies in implementing accreditation standards in Pakistan
title_fullStr Medical colleges’ challenges and coping strategies in implementing accreditation standards in Pakistan
title_full_unstemmed Medical colleges’ challenges and coping strategies in implementing accreditation standards in Pakistan
title_short Medical colleges’ challenges and coping strategies in implementing accreditation standards in Pakistan
title_sort medical colleges’ challenges and coping strategies in implementing accreditation standards in pakistan
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9532652/
https://www.ncbi.nlm.nih.gov/pubmed/36246699
http://dx.doi.org/10.12669/pjms.38.7.6121
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