General

Practitioners
Quality Assurance In Healthcare

Group Members:
Dr. Sonia
Umme Sumaiya
Taha
Ameer Hamza
Sobia
Maheen khan
 OUTLINE
• Definition of GP.
• Education and Training.
• Professional Development.
• Key Skills for GP.
• Responsibilities of GP.
• Role of GP.
• Conditions can GP treat.
• No. of registered GPs.
• CDE Programs in Pakistan.
• Key Challenges for GPs.
• How to assure quality of GPs.
• Research Article.
DEFINITION

‘General Physicians are highly trained specialists

who treats acute and chronic illnesses and provides preventive
care and health education to patients.’
• They provide a range of non-surgical health care to patients that
includes examine patients; take medical histories; prescribe
medications; and interpret diagnostic tests.

• They also counsel patients on diet, hygiene, and preventive healthcare.

• A general physician, also called as GP or generalist, is a practitioner

who does not specialize in one particular area of medicine
 Education & Training
• 5 years of MBBS is followed by one year of internship in different specialties.

• Pakistan Medical and Dental Council (PMDC) then confers permanent registration, after which the
candidate may choose to practice as a GP or opt for specialty training.

• The first Family Medicine Training programmed was approved by the College of Physicians and
Surgeons of Pakistan (CPSP) in 1992 and initiated in 1993 by the Family Medicine Division of the
Department of Community Health Sciences, Aga Khan University, Pakistan.
 PROFESSIONAL DEVELOPMENT
• The continuing professional development (CPD) of General Practitioners is an inevitable prerequisite for
the maintenance and development of this quality.

• GP’s must keep their knowledge and skills up to date through continuing professional development
(CPD).

• Develop a portfolio to keep track of your CPD activities and give examples of your work.

• CPD aids individual GP to develop his or her personal learning plan in the light of external evaluation.
http://www.hec.gov.pk/english/services/faculty/CPD/Pages/default.aspx
Key Skills for General Practitioners
• Ability to work long hours, often under pressure
• Good practical skills
• Communication skills, compassion and a good bedside manner
• Ability to solve problems and effective decision-making skills
• Drive to continue learning throughout career
• Business management skills
• Attention to detail
Responsibilities of General Practitioners
• General practitioners (GPs) have knowledge of a broad range of illnesses, and diagnose and treat
patients of all ages. Typical responsibilities include:
• Patient consultations at home and within the surgery
• Physical examinations
• Diagnosis and treatment of illnesses/ailments
• Minor surgery
• Health education
• Practice management and administration
• Liaising with other healthcare professionals and/or hospitals
 Role of General Physician
Global
Approach

Pre- and Post-

operative assessment: Complex Care

Treatment Procedures

Diagnosis
Detail available in notes.
Medical conditions can GPs treat
•Cardiovascular •Respiratory •Gastrointestinal •Neurological Hematological &
system system system system Endocrinological
• Hypertension • Asthma • Gastroenteritis • Cerebrovascular • Anemia
• Ischemic heart • Emphysema or • Liver disease accident
disease (angina, chronic including (strokes) • Endocrinological
heart attack) obstructive alcoholic lever • Epilepsy • Diabetes
pulmonary disease (seizures)
• Thyroid
disease (COPD) • Dementia disease
• Pneumonia ,Lung
• Pituitary
fibrosis
disease
 Total No. of Registered Doctors
MBBS  178,663

Foreign Nationals

AJK

Balochistan

KPK

Punjab

Sindh

0 5000 10000 15000 20000 25000 30000 35000 40000

http://www.pmdc.org.pk/statistics/tabid/103/default.aspx
Female Male
 Total No. of Registered Doctors
LSMF  1,090

Foreign Nationals

AJK

Balochistan

KPK

Punjab

Sindh

0 100 200 300 400 500 600 700 800 900 1000
http://www.pmdc.org.pk/statistics/tabid/103/default.aspx
Female Male
Statistics of G.P’s with basic degree registered up to 31 Dec,2018

MBBS LSMF/LDS

Province Male Female Total Male Female Total

Punjab/Federal
37752 40460 78212 511 54 565
Area
Sindh 30504 33816 64320 284 22 306
K.P.K 14829 8096 22925 52 2 54
Baluchistan 2976 2160 5136 44 11 55
A.J.K. 2022 1993 4015 3 1 4
Foreign Nationals 2998 1057 4055 98 8 106
Total 91081 87582 178663 992 98 1090
CDE programs in Pakistan
National CDE • CPD opportunities

Programme at the • Continually improve the quality of their clinical and professional competencies
• Primarily based on the need of the people of Pakistan and in-line with global trends in

PMDC provides medicine.

Scope and • Local and overseas scientific updates programmes

• Seminars/workshops/conferences

learning activities • Publication of research

• Distance learning programmes
• Online education programmes with or without self-assessments.
 Key Challenges in G.P’s Practice.
1. Diversify Nature of work requires handling of broad range of health problems and managing them in a
patient-centred way.
2. Administrative activities workload.
3. Decline GP incomes, especially relative to specialist income
4. Generalist role requires more complex skills
5. Under-valuing of the generalist role has accelerated the drift towards specialties and semi-specialised
areas of general practice
6. Work force crisis has affected both availability and the duration of consultations required to deliver
quality care.
How to Assure Quality?
• Assuring the quality of education and training
• Identifying where standards are not being met.
• Quality assurance framework shows how we do this and outlines how we interact
with education and training organizations.
• Organizations all have their own quality management processes, which include
monitoring, data collection and driving improvements
Implementation Of Quality Assurance And Medical
Audit: General Practitioners' Perceived
Obstacles And Requirements

Conclusion:
“Well-designed programmes for the implementation of quality assurance and medical audit,
using a variety of different interventions, have to be developed. Such programmes should
include the training of professionals in the concepts and methods of quality assurance as
well as the provision of financial support for quality assurance activities.”
Thank You