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Systems of Medical Practice

Systems of Medical Practice. Dr. Rubina Salma Yasmin MBBS, MCPS, M.Phil (Forensic Medicine). Systems of Medical Practice. Systems of Medical Practice Allopathic System Homeopathic System Tibb / Hikmat Ayurvedic System. Systems of Medical Practice. Allopathic System:

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Systems of Medical Practice

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  1. Systems of Medical Practice Dr. Rubina Salma Yasmin MBBS, MCPS, M.Phil (Forensic Medicine)

  2. Systems of Medical Practice • Systems of Medical Practice • Allopathic System • Homeopathic System • Tibb/Hikmat • Ayurvedic System

  3. Systems of Medical Practice Allopathic System: • It is the most authentic system of medical practice. • This system is based on scientific principles. • There is continuous scientific research going on in this system • It is the modern system and recognized all over the world.

  4. Systems of Medical Practice • Medical colleges and medical universities are the teaching facilities of this system. • MBBS – F.Sc 1st class + 5 years in medical college & one year House Job in a Teaching hospital. • BDS – F.Sc 1st class + 4 years in a dental college & one year House Job .

  5. STATUTE LAWS OF MEDICAL PRACTICE • STATUTE LAWS OF MEDICAL PRACTICE • The medical practice is regulated by various statute laws.

  6. STATUTE LAWS OF MEDICAL PRACTICE • Medical and dental degree Ordinance 1980 • Allopathic system (Prevention of misuse act- 1962) • PMDC Ordinance 1962 • Drug Act 1976 • Dangerous drug Act 1930 • Provincial laws e.g. HRA (Health Regulatory Authority)

  7. STATUTE LAWS OF MEDICAL PRACTICE • Drug Act 1976: • This act is concerned with registration of drugs produced locally • or imported and marketed • This act has modernized the drug legislations in accordance with the recommendations of World Health Organization.

  8. STATUTE LAWS OF MEDICAL PRACTICE Specific objectives of Drug Act 1976: • Marketed drugs whether produced locally or imported are of required quality. • New drugs are adequately tested and evaluated for both safety and efficacy before their intended use. • Medical practitioners are kept fully informed about the properties of the drugs i.e. their desired and undesired effects.

  9. STATUTE LAWS OF MEDICAL PRACTICE • Term of approval of any product can be modified or the product can be withdrawn from use after marketing on the bases of additional information. • There is also control over advertising to prevent or discourage misuse by medical profession and public.

  10. STATUTE LAWS OF MEDICAL PRACTICE Some of the sections of the act are concerned with the • a. Constitution of Central Licensing Board • b. Constitution of Registration Board • c. Standing Drugs Committees

  11. STATUTE LAWS OF MEDICAL PRACTICE • Dangerous Drug Act 1930: • This act deals with misuse of drugs having potential for abuse (addiction). • Abuse of drug means that drug is taken apart from its medicinal use. • Dangerous drugs are drugs of addiction. • These are prescribed only when needed.

  12. STATUTE LAWS OF MEDICAL PRACTICE • Drugs having potential for misuse: • Main groups which are misused and require stricter control are Coca, Opiatesand Amphetamines. • Drug addiction or drug dependence.

  13. STATUTE LAWS OF MEDICAL PRACTICE Strategic measures to prevent abuse of dangerous drugs: • Punishing severely those who indulge in illegal transportation of such drugs. (Recent amendments in Dangerous Drug Rules have prescribed severe punishment like death penalty). • Providing treatment centers. • Restricting availability of such drugs to those who are predisposed to their abuse.

  14. STATUTE LAWS OF MEDICAL PRACTICE • Addiction of any kind is “haram” in Islam. • Faith in Allah and obedience to His commands in this respect is the best hope.

  15. STATUTE LAWS OF MEDICAL PRACTICE • Medical And Dental Degree Ordinance 1980: • - Defining scientific medical and dental systems identifying authorities having right of conferment of medical degree / diploma. • - Prohibiting unauthorized conferment of medical degrees and diplomas and falsely assuming or using medical or dental title.

  16. STATUTE LAWS OF MEDICAL PRACTICE • Scientific medical and dental system in law means a Allopathic system which includes medicine, surgery, obstetrics/ gynecology and dentistry. • Only universities can grant degrees/diplomas. Universities which are established by act of legislature. • Provincial or federal universities and CPSP.

  17. STATUTE LAWS OF MEDICAL PRACTICE • Allopathic system (Prevention of misuse act 1962) • -It defines RMP,(Registered with PMDC). • -It prevents misuse of allopathic system.

  18. STATUTE LAWS OF MEDICAL PRACTICE • Use of word Doctor (The title Dr. can only be used by a medical practitioner duly registered with PM&DC. • -False degrees/diplomas of allopathic system. • Performing surgical procedures except injections/incision of boils. • Prescribing any dangerous drug specified in the rules.

  19. STATUTE LAWS OF MEDICAL PRACTICE • Proceedings for contravention of the act is initiated by drug inspector (drug act 1940) • - Court – Magistrate 1st class. • - Punishment 1 year imprisonment or fine of Rs.2000/- or both.

  20. PAKISTAN MEDICAL AND DENTAL COUNCIL Dr. Rubina Salma Yasmin MBBS, MCPS, M.Phil (Forensic Medicine)

  21. PAKISTAN MEDICAL AND DENTAL COUNCIL (PM&DC) • It is a statutory body of medical practitioners established by Pakistan Medical and Dental Council Ordinance 1962. • The council consists of • Elected members • Nominated members

  22. PAKISTAN MEDICAL AND DENTAL COUNCIL (PM&DC) • All these members of the council have a specific term of office. • The term of an elected member is five years. • Term of nominated members is as long as they hold a specific office that enables them to be member. • The legal member who is either an ex-judge of a High Court or Supreme Court is nominated by the Chief Justice of Pakistan.

  23. CONSTITUTION OF PAKISTAN MEDICAL AND DENTAL COUNCIL

  24. PM&DC • PM&DC amendment Oridinence 2015 • . ConStitutionand Composition of the Counet1."'-{I) The Federal • Government shall, by notification in the official Gazette, constitute a Council . • consisting of the following members, namely:- .

  25. PM&DC • (a) one member each from the Senate and the National Assembly • to be nominated by the Chairman or, as 'the' caSe may be, the • Speaker from amongst the members of the respective House; ,

  26. PM&DC • (b) Secretary, Health Department of each Province shall be ex-officio member or the respective Health Departments may • nominate the next senior officer of the Health Department'of ' • each Province, to represent it; ,. .,' . ,

  27. PM&DC • (c) Director - General Health of the controlling Ministry as ex-officio member; • (d) Surgeon General of the Armed Forces Medical Services as • ex-officio member; • (e) four members to be nominated by the Federal Government;

  28. PM&DC • (f) one member, belonging to the legal profession; to be' nominated by the Chief Justice of Pakistan; , • (g) two members from the field of social service and philanthropy, • with particular reference to patient welfare,to be nominated by . • the Federal Government"Having international standing' and • good repute with experience of at least fifteen years in the • field;

  29. PM&DC • (h) one member each from every Province to be elected from • amongst themselves by the faculties' of all' public sector Pakistan Universities including their constituent and affiliated colleges.

  30. PM&DC • (i). one member each from every province to be elected from amongst themselves by the faculties of all private sector Pakistan universities including their constituent and affiliated colleges.

  31. PM&DC • j) one member from each province,Federally Administered • Tribal Areas (FAT A) and Islamabad Capital Trritory,to be • elected amongst themselves by the registered medical • practitioners;

  32. PM&DC • k) one member from each province,Federally Administered • Tribal Areas (FAT A) and Islamabad Capital Trritory,to be • elected amongst themselves by the registered dental • practitioners.

  33. Objectives of PM&DC Proficiency of medical profession. Medical register and medical registration. Maintenance of medical standard. (over see professional conduct of registered medical practitioner)

  34. Objectives of PM&DC • Proficiency of the medical profession • Evaluating the courses of studies of medical qualification • Prescribing minimum qualifications of medical teachers • Inspecting medical institutions and examinations.

  35. Objectives of PM&DC • Evaluating the courses of studies of medical qualification • The courses of studies are evaluated for standard, quantum and duration. • Prescribing minimum qualifications of medical teachers. • The medical institutions are inspected for available teaching facilities. This includes number of teachers, qualifications of teachers and teaching methods

  36. Objectives of PM&DC • Inspecting medical institutions and examinations. • The examinations are viewed with regard to the qualification and the teaching experience of the examiners and the examination methods • The PM&DC is fully empowered to grant recognition to a medical institution or refuse recognition

  37. Objectives of PM&DC • The council sends the inspection committees to evaluate the teaching facilities and examination arrangements of the medical institution for the purpose of recognition

  38. Objectives of PM&DC • Medical register and medical registration • Medical Register • It contains the names of all the available medical practitioners in the country • Its preparation and keeping it up to date is an important duty of the Council • The medical register is a public document and is open to inspection by the public.

  39. Objectives of PM&DC • Medical register and medical registration • Medical Register • The medical register has two portion • First Portion. It contains the names of medical practitioners who possess only the basic medical qualification i.e. MBBS. or BDS. • They are the ordinary medical practitioners.

  40. Objectives of PM&DC • Medical register and medical registration • Medical Register • Second Portion. It contains the names of medical practitioners who have also acquired additional medical qualification after attaining the basic medical qualification. • They are the specialists as they possess qualification in a specific subject in addition to the basic qualification.

  41. Objectives of PM&DC • Medical register and medical registration • Medical Registration • Medical Registration can be obtained by submitting an application supported with requisite fee and certificates of medical qualification, good character and citizenship. • Registration to practice medicine once granted is not to be taken away unless disciplinary action taken or registration not renewed.

  42. Objectives of PM&DC • Maintenance of medical standard.(oversee professional conduct of registered medical practitioner) • THE PM&DC critically observe the professional conduct of a registered medical practitioner. • It is expected that a medical practitioner must conduct himself professionally in consistent with the noble tradition of the medical profession.

  43. Objectives of PM&DC Continued • If the disciplinary committee of the council finds that a medical practitioner is guilty of professional misconduct then his name can be suspended or removed all together.

  44. PM&DC Committees of the PM&D Council • Executive Committee • Disciplinary Committee • Curriculum Committee • Dental Education Committee • Standing Recognition Committee

  45. PM&DC • National Examination Board Committee (NEB) • Postgraduate Medical Education Committee • Journal Committee. • Anti Quackery Committee.

  46. PM&DC Registered Medical Prationer (RMP) Registration with the council grants RMP the following privileges (rights) • Seeking of employment against job or permission for independent practice. • Issuing of medical certificate for judicial and administrative purposes. • Prescription of dangerous drugs. • Charging for medical services rendered.

  47. PM&DC The RMP privileges are attached with the following obligations (duties) • To notify to the council change of address with in a period of 30 days of the change. • Not using any name, title, description or abbreviation indicating that he possesses additional qualification which is not conferred on him e.g. writing of RMP, RDS, FCPS 1. after MBBS or BDS. • Obligation to the state like certification, reporting and court attendance.

  48. THE PAKISTAN MEDICAL AND DENTAL COUNCIL OATH “ In the name of ALLAH, most gracious and merciful. I solemnly pledge that I shall abide by the principles laid down in the code of medical ethics of the Pakistan Medical and Dental Council. I further make solemn declaration that: • I consecrate my life to the service of humanity • I will give to my teachers the respect and gratitude which is their due

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