Ratodero, Sindh: The College of Physicians and Surgeons Pakistan (CPSP) has not yet recognized Shaheed Benazir Bhutto Medical University of Larkana for training of MCPS/FCPS-II due to shortage and non-availability of required staff and equipment in the respective departments of Chandka Medical College & Hospital.
The CPSP team carried out physical inspection of CMC & H departments in December 2011 and notified the shortcomings & deficiencies in Anaesthesiology, Dermatology, Forensic Medicine, Neurosurgery, Orthopaedic Surgery, Psychiatry, Otorhinolaryngology (ENT) and Pulmonary departments.
Accordingly a letter was written by the Registrar of CPSP to Vice Chancellor, BBMU requesting for rectifying the deficiencies. Ultimately, the Director of postgraduate studies, BBMU, wrote a circular letter to each of the Chairman of the above departments informing them about the CPSP inspection team decision that the accreditation has been deferred till rectification of deficiencies as pointed out by CPSP.
The incharge, Department of Anaesthesiology of CMC, Dr. Ahmed Uddin Soomro, who joined in August 2012, wrote a letter addressed to Medical Superintendent of Chandka Hospital requesting to provide at least 5 doctors to run operation theatres in proper way according to the recommendations of CPSP. He further urged to provide 10 Staff Nurses, 2 for every station because recovery rooms will be started in every operation theatre as per direction of CPSP and also provide 10 anaesthesia technicians, 2 for every station to look after the equipment of anaesthesia and help assist anaesthetist.
He further said that anaesthesia and surgical ICU are presently working separately and such work is not happening elsewhere all around the world therefore both should be joined together for proper management and better outcome of patients as well as for the training of postgraduates of anaesthesia in future.
The deficiencies pointed out by CPSP include inadequate teaching staff as there are 7 surgical blocks and 29 operation theatres which are looked after by four consultants with MCPS and 11 medical officers. Availability of learning resources and teaching aids & library facilities are inadequate. Number & variety of indoor cases, paramedical supportive staff and emergency services are inadequate.
They also pointed out deficient specialty specific equipment which include anaesthesia machine with ventilator, monitors for recovery room, maintaining basic Capnogram pressure, deficient intubation kit, magill, ICU, Laryngo scope, resuscitation trolley, Neonatal resuscitation cart, central suction & sterilization, dirty and clean sterilize zone.
The CPSP inspection team has also objected to the design of the operation theatres and has asked that OT is required to be redesigned according to guideline. N2O, defibrillation monitors equipment are lacking according to the number of OTs and number of cases.
The CPSP has also asked for proper disposal facility of infected/parts of limbs/linen in infected & septicaemia cases. This is the case of just one department. This shows that the administrators of CMC and Hospital posted by the government here since last over decade lack proper knowledge and did not procure required instruments & equipment or they misused funds for which they must be taken to task forthwith and requirements of CPSP inspection team must be fulfilled immediately enabling the doctors doing post-graduation to carry out their trainings in a proper way.