Dr. Faheem Ali Nanjiani,
Associate Specialist in EM
St Georges Healthcare NHS Trust, London UK
Telemedicine / Remote Teaching of real clinical cases.
At the beginning of the year 2020, I was requested, by an IMI coordinator, to hold a course on Emergency, related subjects for final year students and house officers in Pakistan. My advice to her was that instead of holding a one off course, we should arrange an online learning session on a regular basis. After conducting an online presentation on ‘Approach to Emergency Department patients, in which 60 students & doctors participated, I started holding ‘ClinicalExperience Workshops’ (online interactive problem-based learning sessions) for a group of 4-6 final year medical students.
Since then, the number of students and junior doctors has kept on increasing, and at present, we have 27 students/ junior doctors in that group. In approximately a year, I have held over 60 ninety-minute sessions on topics including Chest pain, Dyspnoea, Abdominal pain, Upper GI bleeding, Lower GI bleed, seizures, and ENT and Eye emergencies.
The format of these sessions is such that one candidate roleplays as a doctor and another one a critic. l present myself, as a patient and then the junior doctor/ students ask me questions that they would ask a patient. Following this, they would do a virtual examination and I would give answers to what were the findings. This would be followed by investigations – some of which – such as ECG and X-rays – I would show them online, and others – like blood results – would be given by myself. They would then come up with a differential diagnosis. After discussing further tests to confirm the diagnosis, they would be asked about the management of that condition.
These exercises were highly appreciated by the participating students and doctors. With the success of this type of learning, the same workshops were held for final year students and junior doctors of Kufa Medical College and Karbala Medical College in Iraq. I intend to continue with these sessions and would like to help doctors in Pakistan and Iraq to come to the United Kingdom and get training in the field of their interest. I think by holding the teaching sessions, they get somewhat familiar to how medicine is practiced in the west but the real test would come when they actually practice what they have been taught.
Faheem Ali Nanjiani
These exercises were highly appreciated by the participating students and
doctors. With the success of this type of learning, the same workshops were held for final year students and junior doctors of Kufa and Karbala Medical Colleges.