organogram of pgmi kpk · prosctus, syllabi, courses and conduct of examinations 2017 & onward...

P RO S C T US , S Y L L AB I , C O UR S E S AN D CO ND UC T O F E X A M IN AT I ONS 2 0 1 7 & ON W ARD

POSTGRADUATE MEDICAL INSTITUTE, PESHAWAR

1

ORGANOGRAM OF PGMI KPK

Associate Dean

DEAN

Academic

Section

Establishme

nt Section

Administration Section

TMO

Section

Account

Section

Dy Dean

Director Medical

Education

Chair Person

IREB

Research

Registrar

Academic

Registrar

Main Deanery Sub Deanery (For all Hospitals of KPK)

Director

Library

Director

Research

Director

Academic

Associate Dean



2

PROSPECTUS OF POSTGRADUATE MEDICAL INSTITUTE,

HAYATABAD PESHAWAR,

KHYBER PAKHTTUNKHWA

FOR THE YEAR 2017 and onwards.



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CONTENTS

Page 1. Preface

2. Foreword

PART-I: INTRODUCTION TO PGMI:

Vision, Mission and Values of PGMI

About PGMI

PGMI Faculty

Libraries of PGMI

Publications of PGMI

Administration of PGMI

PGMI Committees

PART-II: STATUTES AND REGULATIONS:

Section-A General Statutes and Regulations KMU

Section-B Rules and Regulations of PGMI

PART-III: DIPLOMAS AND DEGREES OF PGMI:

Diploma in Child Health (DCH)

Diploma in Gynecology and Obstetrics (DGO)

Diploma in Ophthalmology (DO)

Diploma in Laryngo-otology (DLO)

Diploma in Clinical Pathology (DCP)

Diploma in Anesthesiology (DA)

Diploma in Medical & Radiological Diagnosis (DMRD)

Diploma in TB and Chest Diseases (DTCD)

Diploma in Clinical Dentistry (DCD)

PART-IV:

CPSP Rules and Regulations Sub-office College of

Physicians & Surgeons Pakistan, Peshawar Centre.

Statutes for Induction Into Training Slots of

Part-II FCPS Training Programme of PGMI

Criteria for the Foreign Students into Postgraduate

Courses

PART-IV: APPENDICES:

Guidelines for Supervisors

Evaluation Proforma for TMOs

TMOs Affidavit for PGMI



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PART-I

INTRODUCTION

TO PGMI



5

Vision, Mission and Values of PGMI

ABOUT PGMI

DEPARTMENT OF PUBLICATIONS

ADMINISTRATION

COMMITTEES



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MESSAGE OF THE DEAN

eeping in view the enhanced specialized health care needs of the province and the severe shortage of

specialists to meet those needs, the Government of Khyber Pakhtunkhwa decided to establish a separate and

independent postgraduate Medical institute at Lady Reading Hospital. Peshawar in 1984 with the following

objectives:-

1. To prepare and train postgraduate doctors towards attaining higher postgraduate qualifications enabling them to provide high quality specialist care to the people of the province at district and sub district level.

2. To establish a provincial center of excellence which could offer the highest quality tertiary health care services to the people of the province.

3. To promote research in all fields of health in the province.

The staff of Postgraduate Medical Institute (PGMI) accepted this challenging task with firm determination

and total commitment. Despite major obstacles including lack of adequate infrastructure, manpower and

equipment, the staff and students of Postgraduate Medical Institute worked extremely hard and converted the

dream of Postgraduate Medical Institute in the province into a reality. The institute now stands recognized as

a premier teaching and training institute by P.M.D.C, College of Physicians & Surgeon of Pakistan, Khyber

Medical University, Peshawar and the Royal Colleges of UK and Ireland. The institute celebrated its 32 year

of existence in 2016.

Dean and staff of Postgraduate Medical Institute can rightly claim that Postgraduate Medical Institute has not

only served the health needs of the province as major Human Resource Development (HRD) center, but has

also succeeded and introducing a culture of research among faculty as well as postgraduates students. Such

research is now regularly published in a respectable Journal of Postgraduate Medical Institute (JPMI) and in

many other national and international medical journals. PGMI hold Institutional Review Board (IRB) status it

is the only ethics committee in KPK registered with Department of Health and Human Services (DHHS)

USA.

PGMI is the only institute of its kind in the country which inducts, monitors, pay and certifies every single

postgraduate trainee in and out side the province in recognized Postgraduate training institutes. We hope and

pray that the next ten years will witness further major successful strides towards achieving the goals of

postgraduate medical education.

PGMI has is own Medical Education Department which is structured according to WHO standards, staffed by

professionally trained and qualified faculty members. PGMI Peshawar is the only public sector institute which

has fellow of the FAIMER (Foundation for Advancement of International Medical Education & Research

Institute). The PGMI journal IS one of the best journals in the country recognized by PM&DC and it is the

2nd best journal of Pakistan declared by South Asian Cochrane Network.

PGMI Peshawar has established Department of Evaluation for Trainees and Supervisors. The Department will

conduct quarterly mock exams in the shape of MCQs, SEQs, TOACs & OSCEs. The trainees will be assed

and counseled after this evaluation.

The revision and updating of this important document was made possible because of the long hours and

dedicated work by the prospectus committee which comprised of Professor Abid Jameel, Associate Professor

Sahibzada Mahmood Noor, Assistant Professor Sobia Sabir Ali, Dr. Farida Mufti Deputy Dean, Dr. Mumtaz

Muhammad Academics Registrar and Mr. Irshad Khaliq. On behalf of the teaching staff and students, I would

like to thank them all for their time and devotion.

Prof. Dr. Riaz Anwar Khan

Dean

Postgraduate Medical Institute,

Hayatabad Peshawar

K



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FOREWORD

his prospectus shall apply to all the postgraduate courses offered by PGMI in 2017 and onwards unless

changed.

The Secretary Health KPK/Dean PGMI/ Academic Council of PGMI have the right to make changes in the

rules and regulations, fee structure, syllabus, curriculum and examination for any course as and when required

or asked to do so by the Pakistan Medical and Dental Council or Khyber Medical University at any time

during the course of studies with the approval of the competent authority without prior notification. Ignorance

of these rules and regulations shall not be considered an excuse.

The Secretary Health KPK/ Dean/ Academic Council of PGMI, Hayatabad do not take any responsibility for

any omission or error in the compilation of this Prospectus.

T



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VISION, MISSION AND VALUES OF PGMI

VISION: To be the leader in providing highest quality postgraduate medical education in Pakistan by using

innovative teaching and learning methodologies and research based knowledge focused on needs of the

province.

MISSION

To provide state of the art postgraduate training facilities in medical field in the province at par with

international standards.

To ensure professionally trained, ethical, competent and caring specialists in all major and minor

specialties of medicine and surgery in order to overcome manpower deficiency in health sector thereby

contributing to health care service in the country

To foster ethical and need based research culture that focuses on local issues

To inculcate professionalism in trainees and produce future leaders in medical field.

OBJECTIVES

Structured training program shall be implemented in all teaching units in line with CPSP/International

Accrediting Agencies regulations and shall be observed and evaluated by Director Academics,

Director Medical Education and Academic Inspection team of PGMI.

Workplace based assessment methodologies with feedback (Mini-CEX, DOPS and MSF) shall be

introduced in all teaching units

Clinical Skills Labs under completion phase will give high skill professional training to the upcoming

specialists in the province/country to cope with international standards.

CORE VALUES

- Ethical and professional behavior

- Respect for patients and their families

- Respect for faculty, peers and sub-ordinate staff

- Humanism and humility

- Integrity and trustworthiness

- Quest for excellence in the field of medicine and research



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PART-I

ABOUT PGMI

History / background

- Medical profession is one of the fastest growing fields. Its demands are increasing day by day and

it is the need of the hour to keep pace with the changing world of medicine. Previously doctors of

this province would go to teaching institutes of other provinces for the sake of training and

specialization. That was costly and cumbersome. Looking at the diverse and ever increasing

teaching and training needs of the province, the provincial Government of Khyber Pakhtunkhwa

decided to establish a postgraduate medical institute within the province. The morning of October

1984, was glistening with the crown of the long awaited dream come true. Lady Reading Hospital,

Peshawar, being the oldest and the most prestigious medical facility of the province, was given the

honor to host the prestigious Postgraduate Medical Institute. The main objectives of PGMI are:

- (i) Teaching and training, (ii) Promotion of research and (iii) Improvement of patient care and

professional ethics. During phase I, the institute started clinical diplomas including DGO, DCH,

DLO, DA, DCP, DO, DMRD, DTCD and the degrees of M. Phil radiology, MS Ophthalmology,

MS Orthopedics, MD Neurosurgery and MD Cardiology. The FCPS training program was added

in Phase II. PGMI started in 1984 with 90 postgraduate medical trainees training for Diploma

courses from University of Peshawar and FCPS/MCPS courses from College of Physicians and

Surgeons of Pakistan (CPSP). With the passage of time the will of young doctors to receive

postgraduate training and degrees increased and so did the number of applicants for training slots

at PGMI which stood at 2973 in 2016. PGMI is affiliated to Khyber Medical University, Peshawar

for the award of degrees and diplomas and recognized/accredited by College of Physicians and

Surgeons of Pakistan for the award of FCPS and MCPS diplomas in various specialties. Number of

degrees and diplomas offered by PGMI is as follows:

- FCPS 34 subjects

- MCPS 13 subjects

- Diploma Courses 12 subjects

PGMI acts as the main body for the selection and distribution of Trainee Medical Officers for FC PS as well as

MCPS and Diploma training programs. All the training records and salary/stipend records of TMOs are

maintained by PGMI head office located at Hayatabad, Peshawar.

Postgraduate trainings are offered at:

Lady Reading Hospital (LRH), Peshawar (constituent of PGMI).

Hayatabad Medical Complex (HMC), Peshawar. (Constituent of PGMI).

Khyber Teaching Hospital (KTH), Peshawar

Khyber College of Dentistry (KCD), Peshawar

Ayub Teaching Hospital (ATH), Abbottabad

Bacha Khan Medical College Mardan

Bannu Medical College, Bannu

Gomal Medical College, Dera Ismail Khan

Saidu Groups of Hospitals. Swat

Combined Military Hospital, Peshawar

Private Hospitals in and outside KPK recognized by CPSP for postgraduate training.



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ADMINISTRATION OF CENTRAL SECRETERIATE OF PGMI

The PGMI is administered by the following administrative structure.

The Dean, PGMI while having the overall administrative and academic responsibilities is assisted by the

following officials.

A. Academic Administration

Associate Dean

Director Medical Education

Deputy Dean

Director Library and Publications

Academic Registrar

Research Registrar

Technical and support staff

B. Ministerial Administration.

TMO Section.

Establishment Section

Account Section

The following committees provide advice and assist in the management of the PGMI:

Academic Council

Executive Committee

Medical Education Department

Selection and induction board.

Research and Development Board.

Library /Publications committee.

PGMI Institutional Research & Ethics Board (IREB)

Prospectus Committee



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PGMI COMMITTEES ACADEMIC COUNCIL Dean PGMI (Chairman)

All Associate Deans from constituents & affiliated teaching Hospitals

All In charges of units LRH & HMC constituent of PGMI

Dy: Dean (Secretary)

ACADEMIC COUNCIL The Academic Council is the Supreme decision making body of PGMI.

The Academic Council will determine the requirements of medical education in the light of rules and

regulations of Pakistan Medical and Dental Council, College of Physicians and Surgeons of Pakistan, Higher

Education Commission, Khyber Medical University, Peshawar and other Universities in the country and abroad

and various Colleges abroad.

It discusses ways and means to improve the standard of Postgraduate teaching and training and research

facilities in all Departments / Units of the Institutes

It makes policy for award of scholarships, fee structure, fee concession, education policy, curriculum,

syllabus, distribution of duties, vacation and other activities of the Institutes

It encourages, supervises and monitors medical research at the Institute.

It considers ways and means to improve the Library services of the Institute.

It considers any question referred to it by the Govt. or any educational authority and report its opinion or

Recommendations.

II. EXECUTIVE COMMITTEE

Dean, PGMI Chairman

Associate Dean PGMI Member

Deputy Dean Member

Director Academics of PGMI Member

I/C TMO Section Secretary

The Executive Committee of PGMI keeps a regular check on the continuity of the academic activities in

various teaching units and also discusses problems faced by the faculty or trainees. It also scrutinizes all

issues for referral to academic council.

III. DEPARTMENT OF MEDICAL EDUCATION (DME)

Prof: Abid Jameel Director Medical Education

Dr. Sahibzada Mahmood Noor Deputy Director

Dr. Shahid Ayub Deputy Director

Dr. Sobia Sabir Ali Deputy Director

In line with the latest trends internationally, PGMI has a well established Department of Medical Education

(DME). DME has its own infrastructure and is housed in PGMI. It works under the overall supervision of

Dean and is headed by Director Medical Education who is assisted by a Deputy Director and other faculty

members. PGMI takes pride in the fact that all the members of DME are qualified in Health Professions

Education (HPE) and have been trained in HPE from reputable institutions of the country.

DME is helping PGMI with CME/CPD activities. DME organizes workshops and symposia for TMOs and

faculty in order to improve their communication skills, ethics, professionalism and other soft skills.

DME of PGMI is not only training TMOs and faculty of its own institution but also of other undergraduate

and postgraduate medical institutions of the province by conducting regular workshops for them.



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XI. PGMI RESEARCH AND DEVELOPMENT (R&D) CELL.

Prof. Mumtaz Ali Director Research,

Dr. Farooq Ahmad Member

Dr. Sumera Yasmeen Member

Dr. Mian Mukhtarul Haq Member

Dr. Mumtaz Muhammad Secretary

XIII. JOURNAL OF POSTGRADUATE MEDICAL INSTITUTE (JPMI)

Prof. Mohammad Hafizullah Patron

Prof. Arshad Javaid Editor-in-Chief

Prof. Aamir Bilal Executive Editor

Dr. Mohammad Irfan Managing Editor

Prof. Sadaqat Jabeen Member editorial board

Dr. Mumtaz Khan Member editorial board

Dr. Mumtaz Ali Member editorial board

Dr. Zafar Ali Managing Editor

Dr. Zahid Nazar Member editorial board

Dr. Akhtar Shireen (KUST) Member editorial board

Dr. Saeed Farooq (UK)

Dr. Lelia Duley (UK)

Dr. Paul Jones (UK)

Dr. Martin Partridge (UK)

Dr. Uma M Irfan (USA)

Dr. Sajad ur Rehman (Qatar)

XVI. PROSPECTUS COMMITTEE

Professor Dr. Abid Jameel Chairman

Dy: Dean Dr. Farida Mufti Member

Academic Registrar Dr. Mumtaz Muhammad Member

Mr. Irshad Khaliq I/CTMO Section Member



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ACADEMIC ACTIVITIES

In 32 years of its existence, PGMI has grown into a model teaching institute of this province. There are

multipal teaching hospitals with highly qualified faculty imparting training to postgraduate students of PGMI

all of the units are recognized by the CPSP for formal training of FCPS Trainees. Besides the degree courses,

some of the units are also offering diploma courses such as DCH, DGO, DO, DLO, DCP, DA, DTCD,

DMRD, besides DCD in Orthodontics, Periodontics, Paedodontics and Operative Dentistry.

All of the teaching units have a “Minimum Mandatory Teaching Program” for the trainees. The salient

features of the mandatory teaching program include teaching rounds, grand rounds, interactive lectures by

the faculty members, departmental CPC presented by the TMOs, journal clubs, case presentations (both short

and long), besides departmental audit, mortality meetings and intradepartmental meetings. Mini-CEX and

DOPS shall be started soon in PGMI.

A PGMI DME looks into the quality of the presentations of each unit and suggests changes / improvements,

as and when needed. Besides the major CPC, there is one medicine and allied and a surgical and allied CPC

on different days of the week. All the TMOs and faculty members are required to attend these CPCs.

PGMI also regularly organizes seminars, symposia and workshops on common and important subjects.

These activities are adorned by the tireless efforts of the teachers of PGMI. The institute also invites eminent

speakers and authorities from abroad to speak on important subjects. The institute also supports and

participates in the CPSP workshops being conducted for the trainees and teachers of the PGMI.

In collaboration with the CPSP Regional office, pre-examination intensive Courses for FCPS Part II are

regularly organized annually by the Departments of Medicine, Surgery and Gynae Obstetrics. Many trainees

from all over the country attend these courses. Other departments of PGMI shall soon be offering similar

courses in other specialties.

PGMI is also involved in the academic affairs of CPSP. Many of the teachers are members of various

faculties of CPSP and are also examiners for MCPS and FCPS examinations.

Nearly all the academic units of the PGMI are regularly involved in organizing National and International

conferences in Peshawar. These conferences are heavily attended and contribute a lot to the academic beauty

of our institute.



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LIBRARIES OF PGMI

ibrary is the backbone of every teaching institute. It is this facility which provides a place of easy reference both for teachers and

students of the institute, besides providing an ideal place for the purpose of study. To keep abreast with the very fast day to day

developments taking place in the field of medicine, the induction of new facilities into libraries has become mandatory to enable

the readers a swift reference to the international literature. That is why there is a very strong emphasis on the introduction of

computer technology into these stations of learning. The students and faculty members of PGMI, Khyber Pakhtunkhwa, are lucky to have

state of the art libraries with latest medical journals, textbooks and computers with internet connection in teaching hospitals.

PUBLICATIONS OF PGMI THE JOURNAL OF PGMI (www.jpgmi.edu.pk)

he “JPMI” is the official Journal of Postgraduate Medical Institute, Peshawar, Pakistan and

was started in 1986. It is a peer reviewed, quarterly journal recognized by PMDC and HEC

in category X. It is also indexed in WHO Index Medicus (IMEMR), Index Copernicus,

Index Academicus, Global Health, EMBASE, EMBASE/Excerpta Medica Netherlands, WHO

IMEMR Current Contents, Index Copermicus Poland, SCOPUS, CAB Abstract and Global

Health, UK, International Serials Data System of France, Pakmedinet, Open-J gate India,

Directory of Open Access Journals, Google Scholar and ISC index Iran by ISSN. It is dedicated

to encourage and facilitate research at all levels and in all fields of medicine.

With advancing time, the standard of articles being published in JPMI is continuously improving

and today the journal stands at par with many of its contemporaries in the country and the region

at large.

It considers for publication original research articles on all topics pertaining to various disciplines

of medicine. Its goal is to provide the reader reports of original research conducted nationally and

internationally, original clinical observations accompanied by analysis and discussion, critical

reviews, case reports with discussions and feedback on articles in the form of letters to editors.

The journal is intended primarily for those in the health professions, researchers, practitioners,

educators, administrators and medical students. It especially encourages local research, which has

international application and contributes positively to the knowledge of disease and problems not

commonly encountered in the West.

L

T



15

PART-II

STATUES AND REGULATIONS

Section-A:

General Statues and Regulations

Section-B:

PGMI Rules and Regulations for Diplomas



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PART-II SECTION-A

General Statutes and Regulations (Khyber Medical University)

(Also see the Individual Diploma/Degrees Section for Variations in these General Statutes and Regulations)

Those General Statutes and regulations which are Common to various diploma and degree courses are given

in this chapter Others relating specifically to different courses are given in the relevant chapters.

GENERAL RULES AND REGULATIONS FOR PGMI DIPLOMA COURSES:

1. The courses of various Diplomas shall be for a period of two years each starting in January of each

year. MD and MS courses will be of five years duration.

2 The courses shall be held at the institutions affiliated with Postgraduate Medical Institute, Peshawar

3. The arrangement of accommodation will be the trainee’s own responsibility.

4. No stipend shall be paid to Diploma/MCPS students, {except DMRD (4 Seats) DCP (8 Seats) and DA

(16 Seats) per two years}. For these three paid diplomas Govt: Employees seeking training in PGMI

shall obtain E.O.L from Govt: to make them eligible for stipend from PGMI.

5. Candidate once enrolled by PGMI against stipendiary slots and has completed the training will not be

considered against the stipendiary slot for Diploma/MCPS course.

6. All the Govt: Servants registered for training in PGMI shall have to obtained E.O.L

7. English shall be the medium of instruction and examination

7. If seat of these stipendary diploma got vacant due termination or resignation of any candidate, that will

be refilled on the recommendation of I/C of diploma course.

Eligibility:

The admission to the above Diploma / Degree courses shall be open to any candidate who.

i. Is a medical graduate of one of the Universities recognized and registered by PM&DC.

ii. Is currently registered with Pakistan Medical and Dental Council as a Medical Practitioner. Foreign

candidates must be registered with the medical registration authority of that country If the

candidate has received training in Pakistan then he must be registered with PMDC.

iii. Candidate should must Produce Registration of PGMI before induction as TMO.

iv. Has done one year Resident House Job in a recognized teaching Institution in the relevant specialty or

in medicine and allied or surgery and allied (as applicable) or one year of rotational training in medical

and allied or surgical and allied disciplines (as applicable), Or, having subsequent to graduation done

at least one year practical experience as Registrar / Medical Officer in the specialty in a teaching

Institute / District Headquarters Hospital or other recognized hospital under the supervision of a

specialist, Has good moral and professional character.

vi. All civil servants applying for the training of FCPS would have to get Extra

Ordinary Leave from Government and will be paid stipend by PGMI if selected.

vii. All trainees would fill affidavit to serve periphery after completion of their training.



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Admission

1. Application for all the courses will be invited by the Dean. Postgraduate Medical Institute. Peshawar

through an advertisement in the press to reach the office by a specified date and time. Applications

received after the due date will not be entertained.

2. The required documents, duly attested by a competent authority as mentioned in the application

form, must accompany the application form. Incomplete application forms will not be accepted.

3. Applicants for various Diploma / Degree course shall undergo a written test in the form of multiple

choice questions (75 marks) with in their respective specialty. To be considered for admission, at

least 50% marks need to be obtained.

4. The applicants will have to appear before selection committee formed by the Dean. Postgraduate

Medical Institute. Peshawar for an interview which will carry 25 marks. Interview marks will be added

to the total.

5. The decision of the selection committee will be final.

Adjustment of Merit Marks for admission to PGMI Courses:

1 Maximum marks for academic performance are 45 for merit. These merit marks shall be calculated

as under:

MARKS IN PROFESSIONAL EXAMINATION MERIT MARKS

50% to 59% 20

60% to 69% 30

70% to 74% 40

75% or above 45

2. For Diploma courses, 2.5% marks shall be deducted for each additional attempt in each professional

examination prior to making a final total of marks.

3. For Diploma courses, one year complete house job.

4. Adhoc employees can also apply for admission to these courses but they have either to provide E.O.L

or resign from Adhoc service.

5. Final categorization of adhoc and permanent Government service shall be made at the time of interview.

6. No candidate undergoing training shall engage in any government or private service or private practice

during the course. Strict disciplinary action will be initiated against those TMOs who get involved in private

practice and 2nd

job during their training. This may result in termination of their training.

7. In case of vacancy due to non-availability of a suitable in service candidate only one vacancy shall be filled

from amongst the private candidates found otherwise suitable, in addition to the fixed quota in each

specialty.

8. Applications from Federal Government Autonomous and Semiautonomous bodies and Armed Forces shall

be filled from amongst the private candidates found otherwise suitable in addition to the fixed quota in

each specialty (if any).

9. In service candidates selected for training shall be posted against the Trainee Medical Officer posts and

shall be considered on duty.



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10 The number of seats, both in services and private candidates, for various Diploma/ Degree courses are 6.

11. Candidates will be admitted to reserve Seats, for all other Diplomas for 3 reserved seats. Reserved seats

are: 1 for Baluchistan, 1 for Armed Forces and 1 for foreign candidates). In case no suitable candidate is

available from the reserved quota then the vacant seat will be filled from amongst the private candidates

on the basis of merit.

12. Training and examination.

a. Candidate for examination must have completed and written a research project assigned to him by Head of

the Department at least three months before the examination Candidates can only appear in the final

examination if their research project is approved by the supervisor/Head of the Department.

b. All candidates are required to complete a log book during their training period duly attested by the relevant

head of department.

c. Internal assessment of all candidates is mandatory and shall be conducted by their departmental faculty

every six months and report submitted to the Department of Medical Education of PGMI.

d. At the end of the course, an examination shall be held by Khyber Medical University. Peshawar at

Postgraduate Medical Institute, Peshawar There shall be no supplementary examination.

e. The maximum number of attempts for the Diploma and MD/MS examinations shall be four in a time

period of three years after completion of the course. This rule shall apply to all Diplomas as well as

MD/MS courses of PGMI.

f. Success in the Diploma examination shall lead to the award of Diploma in the relevant specialty by

Khyber Medical University, Peshawar.

g. Successful candidates in the Diploma / Degree examinations shall be placed in two categories as under:

Pass “Ordinary’ if the candidate has passed and obtained less than 80% marks in the aggregate of all the subjects.

h. Pass “With Distinction” if the candidate has passed and obtained 80% or more marks in the aggregate of

all the subjects.

i. The examination for the above Diplomas/Degree shall be open to any candidate who has undertaken

training in the relevant specialty during an academic term of two years for Diploma (continuous

attendance) and of two to five years for degree courses (as applicable) in Postgraduate Medical

Institute, Peshawar and has attended a minimum of 80% of the course lectures, demonstrations, ward

round and other academic activities.

j. Candidate falling short of lectures or clinical demonstrations above this percentage shall be permitted to

appear in the next examination if they make up the deficiency.

k. A candidate who, though qualifying for the examination does not appear in the examination or fails in

the examination may be permitted to appear at any subsequent examination as a private candidate within

a period of three years of qualifying for the examination.

l. No trainee/candidate will be allowed to sit in the examinations unless he/she has successfully completed

all mandatory workshops by PGMI and KMU as detailed below

• Research Methodology and Bio-statistics

• Clinical Research Orientation and Project writing

• Professionalism including Communication Skills

• Bio-ethics

m. Any candidate not fulfilling any of the criteria of the below will not be allowed to sit in the examination.

o Attendance more than 80%

o Mandatory workshops

o NOC/Recommendation from Supervisor

o Upto date log book



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n. Examinations Fees:

i. Every candidate shall forward his application for admission to the examination to the Controller of

Examination, Khyber Medical University Peshawar through the Dean, Postgraduate Medical Institute

Peshawar thirty days before the commencement of the examination accompanied by the prescribed

examination fee.

ii. The examination fees for various Diploma / Degree courses held by Khyber Medical University, Peshawar

at Postgraduate Medical Instituted, Peshawar shall be as follows (this fee structure may be changed as

and when required):

KMU Affiliation Retention fee Rs. 5000/per year

University (KMU) Registration Fee: Rs. 1000/-

Theory paper fee (per paper) Rs. 500/-

Practical/viva fee (perviva/practical) Rs. 500/-

Detailed Marks Certificatecharges (KMU) Rs. 300/-

Thesis examination fee(PhD)(KMU) Ps 10000/-

Transcript fee (KMU) Rs. 1000/-

Re-totaling charges (KMU) Rs. 1500/-

Re-evaluation charges Rs. 3000/-

Degree/Diploma charges Rs. 5000/-

Duplicate Diploma/Degreecharges Rs. 5000/-

Admission fees for PGMI:

1 The following fees and subscriptions are payable at the time of admission to Diploma. Masters, MD/MS,

and other courses conducted at Postgraduate Medical Institute, Peshawar this is subject to change as and

when required/deemed necessary by PGMI or KMU.

• Certificate courses (Enquire form Dean’s office)

• PG Diploma: Rs. 20000/- per diploma (full course)

• MCPS Rs. 20000/- per full course

Masters Rs. 20000/- per annum

• M Phil Rs. 25000/- per annum

• MD/MS Rs. 30000/- per annum

. Observership Rs. 10000/- per quarter

2. Prospectus fee will be Rs. 1500/- payable to PGMI

3. Admission Fee once paid, 75% and 50% of the fee will be refunded if the withdrawal from the course is

made within one week and one month respectively.

Annual Retention Fee:

Annual Retention Fee Payable to KMU:

An annual retention fee is charged by KMU from all trainees as under. All trainees will have to pay the annual

retention fee per year to PGMI to be paid to KMU annually (in addition to admission fee and examination

fee):

1. Annual retention fee for M Phil/PhD: Rs. 25000/- per student per year

2 Annual retention fee for Masters/Diploma: Rs. 5000/- per student per year

(Annual retention fee and examination fee for MD/MS will be decided by KMU/PGMI and communicated later on)

(NB: for variations in these statutes, rules and regulations please also see the respective individual

Diploma/Degree section). The annual retention fee may be changed by KMU.



20

PART – III

DIPLOMAS AND

DEGREES OF PGMI



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Diploma in Child Health (DCH)

Diploma in Gynecology and obstetrics (DGO)

Diploma in Ophthalmology (DO)

Diploma in Otolaryngology (DLO)

Diploma in Clinical Pathology (DCP)

Diploma in Anesthesiology (DA)

Diploma in Medical & Radiological Diagnoses (DMRD)

Diploma in Medical Oncology (D Once)

Diploma in TB and Chest Diseases (DTCD)

Diplomas in Clinical Dentistry (DCD)



22

DIPLOMA IN CHILD HEALTH (DCH)

COURSE DURATION: TWO YEARS

1. Course

Paper – A

1. Neonatology

2. Diseases of the children

a. Infection

b. Diseases of gastrointestinal tract, cardiovascular system, nervous system, genitor-urinary

system, endocrines, musculoskeletal system, respiratory system, eye and nose & throat.

c. Genetics and dysmorphology

d. Hematology

e. Oncology

f. Allergy and Immunology.

Paper - B

1. Epidemiology

2. Nutrition

3. Growth and development

4. Preventive and social pediatrics.

2. Log Book (25 marks) During 24 months of training candidate must have performed the following diagnostic and

therapeutic procedures, duly entered in a log book.

i. Case histories 300

ii OPD attendants 50

iii Presentations on Departmental CPCs 10

iv Presentations on Journal Club 10

v Intravenous Cannulations 500

vi. Lumber Punctures 50

vii Bone Marrow Aspirations 10

viii. Paracentesis (Pleural/Peritoneal) 30

ix. ECG technique and interpretation 50

x Fundoscopic examinations 50

xi. Exposure to techniques like sub-dural taps, fluoroscopy, and ultrasound guided biopsies

of liver, spleen, kidneys and jejunal biopsy.



23

Note:

The course of study and the outlines of examination prescribed by the Academic Council as prescribed

in the syllabus may be changed by the Academic Council and approved by the syndicate, KMU,

as and when found necessary. Such changes however, shall be notified at least one year before

the date of commencement of the examination in which they will become effective.

Research Project

Candidate must have completed and written a research project assigned to him by his/her

Supervisor/Head of the Department, at least three months before the final examination.

Candidates can only appear in the final examination if their Research Project is approved by

the Supervisor/Head of the Department.

5. Internal assessment

The overall performance and conduct of a DCH trainee shall be “constantly” assessed though the

Faculty and Medical Staff of the concerned Paediatric Units, and duly marked. This internal

assessment shall be confidential.

Note: The marks for the (1) log book, (2) Research Project (3) internal assessment shall be forwarded

to the Khyber Medical University for incorporation in the overall result of the final DCH examination.

6 Examination

1. There shall be one examination each year

2. There will be no supplementary examination.

3. Success in examination will lead to the award of Diploma in Child Health by Khyber

Medical University.

4. The examination will be conducted in one part.

Components of Examination

A) Paper A (100 marks)

a. Written paper in neonatology and diseases of children.

b. There shall be 6 short essay of 10 marks each and 20 MCQ/EMQ of 40 marks.

c. Time allocated shall 3 hours.

One hour for MCQ and

Two hours for the Essay questions.

B) Paper B (100 marks)

a. Written paper in nutrition, epidemiology, preventive and social pediatrics and growth and development.

b. There shall be 6 short essay question of 10 marks each and 20 EMQ/MCQ of 40 marks.

c. Time allocated shall 3 hours.

One hour for MCQ and

Two hours for the Essay questions.



24

C) Clinical Examination

a. OSCE/TOACS 100 marks

b. Short cases 50 marks

c. Long cases 50 marks

Grand total 200 marks

OSCE will include recognition of Photographs, X-ray’s, Slides, ECG, CT scan, Data and Special Reports

interpretation.

Books and Journals Books

Books

a Text book of Pediatrics by Vaughan and Mackay

b Practical Pediatrics problems by H Hutchison

c Tropical Pediatrics by Jelliffe

d Medical care of Newborn babies by Pamela Davis

e Text book of Pediatrics by Illingworth Signs and symptoms of diseases of childhood by Illingworth

g Any other books recommended by the teachers from time to time

Journals

a Archives of diseases in childhood, BMJ Publishing Group, London

b Pediatrics by American Academy of Pediatrics

c Journal of Pediatrics. Mosby-Year Book inc. St Louis

d. BMJ

e Lancet. The Lancet Limited, London

f JPMA. Pakistan Medical Association, Karachi

g New England Journal of Medicine Pakistan Pediatric Journal, Pakistan Pediatric Association Lahore

Indian Journal of Pediatrics.

i. Journal of Postgraduate Medical Institute (JPMI). Peshawar



25

DIPLOMA IN GYNAECOLOGY AND OBSTETRICS (DGO)


Curriculum

1. The course shall consist of following subject.

i Anatomy, Embryology , Physiology of reproductive organs

ii Normal pregnancy, abnormal pregnancy, normal labour, abnormal Labour abnormal puerperium,

obstetrics procedures and problems of Newborn.

iii Menstruation normal and its disorders, abortion ectopic pregnancy Trophoblastic tumor, genital

tract infections and vaginal discharges, genital prolapsed, benign and malignant tumors of vulva,

vagina, cervix, uterus, ovaries, infertility and contraception.

iv During two years of training in the department of Gynae & Obstetrics each student should have

Performed at least the following.

a 40 Gynaecology out patient session

b 60 Antenatal clinic sessions

c 50 Normal deliveries

d 10 Caesarean Sections

e 10 Forceps deliveries

f 10 Vacuum deliveries

g 5 Breech deliveries

h 2 Abdominal hysterectomies for ruptured uterus

i 2 Anterior and posterior operations

j 5 Sessions of ultrasonography

k 3 Session of hystero-salphinography

l 5 Session at family planning clinic

m 5 Laparoscopic procedures



26

Component of Examination

Written

Paper: A: (Obstetrics)

a Written paper in clinical obstetrics. It shall also contain questions relating to Anatomy, Embryology,

Physiology, Pathology and neonatal pediatrics

b There shall be 6 short essay questions of 10 marks each and 20 MCQ’s of one best type of 40 marks

with a total of 100 marks.

c Time allowed shall be 3 hours.

Paper; B; (Gynecology)

a Written paper in clinical Gynaecology. It shall also contain question relating to family planning

radiology, Radiotherapy, Oncology.

b There shall be 6 short essay questions of 10 marks each and 20 MCQ’s of one best type MCQ of 40

marks with a total of 100 marks.

c Time allowed shall be 3 hours.

Practical Objective Structured Oral and practical Examination: a It shall include TOACS/ OSCE of 100 marks

b Two long cases of 100 marks each ( one obstetric and one gyneacology)

c OSCE will include recognition of photographs, X-ray’s Scans, Data and special report

interpretations and examination of clinical skills on models

A. Recommended book and journals

Books

a Obstetrics by Ten Teachers Seventeenth edition Geoffrey vp Chamberlain .

b Jeff Coat,s Principles of gynaecology . Fifth edition VR Tondall.

c Dewhurst,s text Book of Obstetrics and |gynecology for Postgraduates Sixth Edition D. Keith

Edmonds.

d Current Obstetrics and gynaecology. Diagnosis and Treatment Ralph C Benson.

e Shaw’s Text Book of Operative Gynecology.

F Progress in Obstetrics and Gynecology. Edited by John Studd.

G Medical Disorders in Obstetrics Practice. Medical de Swiet.



27

Journals

a British journal of Obstetrics and Gynecology.

b Lancet

c Journal of College of Physicians and Surgeons of Pakistan.

d Journal of PMRC



28

DIPLOMA IN OPHTHALMOLOGY (DO)

COURSE DURATION: 2 YEARS

STATUTES:

Course Duration: Two (2) Years.

1. Curriculum:

The course shall consist of the following subjects.

1.1 Anatomy, Embryology and Histology of the visual apparatus (including the contents of orbit, anterior

and middle cranial fossae, the bones in the neighborhood there of and the central nervous system

related to vision.

1.2 Physiology of vision.

1.3 Elementary, Physiological, and Ophthalmic Optics.

1.4 Ophthalmic Medicine, Ophthalmic Surgery and Ophthalmic Pathology.

Syllabus

4.1 PAPER A (Total 100 marks)

4.1.1 Written paper in Anatomy, Histology, Embryology and Physiology of visual apparatus including

contents of the orbit, anterior and middle cranial fossae the bones in the neighborhood there of and

nervous system related to vision. This paper will also include elementary optics, ophthalmic optics and

refraction.

4.1.2 There shall be two sections.

I. 8 short essay questions of 7.5 marks each (Total 60 marks)

II. 20 MCQ (one best type) of 2 marks each (Total 40 marks).

4.1.3 Time allocated shall be.

Section I. (2 hrs 20 min)

Section II (Time 40 min).

4.2 PAPER B (Total 100 marks)

4.2.1 Written paper in Ophthalmic Medicine including Medial Ophthalmology, Community

Ophthalmology, and Neuro-Ophthalmology.



II. 20 MCQ (one best type) of 2 marks each (Total 40 marks)




4.3 PAPER C (Total 100 marks)

4.3.1 Surgical Ophthalmology including general principles of asepsis, sterilization and management of

shock and cardiac arrest and Ophthalmic Pathology.




29


II. 20 MCQ (one best type) of 2 marks each (Total 40 marks)




D. 4.4 Objective Structured Oral and Practical Examination (Total 200 marks)

E. It shall consist of the following parts

4.4.1 Long case 50 marks

4.4.2 OSCE 100 marks

4.4.3 Refraction 50 marks

BOOKS

1. Anatomy of the eye and orbit.

a. Eugene Wolff. Blackwell Scientific Publication, London.

2. Physiology of the Eye.

a. Adler’s 9th

ed. 1992, Mosby year Book; St. Louis

b. Davson’s 4th

ed. 1980, Churchill Livingstone Edinburgh.

3. Pathology of the Eye.

a. Greers 4th

ed. 1989, Blackwell Scientific Publication, Oxford.

4. Refraction of the Eye.

a. Sir Stuart Duke Elder. 9th

ed. 1978, Churchill Livingstone, Edinburgh.

b. Elkington. 3rd

ed 2000. Blackwell Scientific Publication, London.

5. General Ophthalmology.

a. Frank Newell 8th

ed. 1996. The C.V Mosby Company, St Louis, USA.

6. Text Book of Ophthalmology

a. Jack J Kanski 4th

ed. Butterworth-Heinemann, Oxford, UK.

7. Neuro-Ophthalmology.

a. David Cogan Vol- I & II. Charles L Thomas Publisher Spring Field, Illinios.

8. Basic and Clinical Science Course by American Academy of Ophthalmology, Publisher American

Academy of Ophthalmology, San Francisco

9. Others books recommended by teachers from time to time.



30

JOURNALS

1. Archives of Ophthalmology. American Medical Association, Chicago.

2. American Journal of Ophthalmology. Elsevier Science Inc. Los Angeles.

3. British Journal of Ophthalmology. BMJ Publishing Group, U.K.

4. Eye. Nature Publishing Group, U.K.

5. Ophthalmology: Lippincott-Williams and Wilkins, Los Angeles.

6. Pakistan Journal of Ophthalmology. OSP Office, Egarton Road, Lahore.

7. Journal of Postgraduate Medical Institute. PGMI, LRH, Peshawar.

8. Other journals recommended by teachers from time to time.



31

DIPLOMA IN LARYNGO-OTOLOGY (DLO)


Course

Paper – A

1. Anatomy of the ear, nose, oral cavity Tracheo bronchial tree, larynx, oesophagus Para nasal sinuses.

And their development.

2. Blood supply nerve supply and lymphatic drainage of the ear, nose, throat, larynx and Para nasal

sinuses.

3. Gross anatomy of the neck

4. Detail anatomy of the thyroid and salivary gland.

5. Physiology of hearing, balance, deglutition, larynx, nose and para nasal sinuses.

Paper – B

1. Diseases of the external ear, middle ear and internal ear.

2. Diseases affecting the nose, and paranasal sinuses.

3. Surgical procedures on external ear, middle ear and internal ear.

4. Surgical procedures on the nose and paranasal sinuses.

5. Artificial aids for hearing.

6. Audiology

7 Hearing and vestibular tests.

Paper - C

1. Diseases affecting the oral cavity nasopharynx, oropharynx, hypo pharynx and the surgical procedures

performed on them.

2. Diseases affecting the Larynx, trachea. Bronchi. Esophagus and the surgical procedures performed on

them.

3. Diseases affecting the Thyroid, salivary gland and neck and the surgical procedures performed on

them.

4. Endoscopic examination of the esophagus. trachea and bronchi and the surgical procedures performed

on them.



32

During 24 months of training candidate must have independently performed the following diagnostic and

therapeutic procedures, duly entered in a log book.

S. No DIAGNOSTIC PROCEDURES Total case

1 Routine radiology for ENT Head & Neck 60

2 CT Scan and MRI interpretation 30

3 Contrast medium studies of oesophagus 12

4 Performs and interprets audiogram and tympanogram 30

THERAPEUTIC PROCEDURE TOTAL CASE

1 Nasogastric intubation 24

Tracheostomy 18

3 Anterior nasal packing 60

4 Posterior nasal packing 06

5 Nasal cautery 30

6 Proof puncture/ Antral lavage 24

7 Draining of abscesses 30

8 Syringing of ear / Aural Toilet 60

Removal of visible foreign bodies 30

Endoscopic removal of foreign body under GA 18

Manipulation of nasal fractures 18

Nasal polypectomy 18

Turbinal surgery 18

Intranasal antrostomy 18

Caldwell-sinus antrostomy 18

Direct laryngoscopy and biopsy 18

Oesophagoscopy and biopsy 18

Cortical mastoidectomy 18

Adenoidectomy 18

Tonsillectomy 30

EUM and myringotomy 12

Endotracheal intubation 12

Septal surgery 30

Incision and drainage of pharyngeal abscesses 04

Paper - A

a. A written paper in anatomy, physiology and embryology of the ear, nose, throat, Head and Neck region.

b. There shall be 6 question of 10 marks each and 20 MCQs of 40 marks.

c. Time allocated shall be 3 hours.



33

Paper-B

a. A written paper in diseases of the ear. nose. paranasal sinuses. artificial aids for hearing. audiology.

Hearing and vestibular test.

b. There shall be about 06 essay questions of 10 marks each and 20 MCQ of 40 marks.


Paper - C

a. A written paper in diseases of the oral cavity. nasopharynx, oropharynx. hypopharynx, larynx, trachea,

bronchi, oesophagus, thyroid. salivary glands, Neck and Endoscopic examination of oesophagus.

trachea and bronchi.

b. There shall be 6 essay question of 10 marks each and 20 MCQ of 40 marks.


CLINICAL EXAMINATION


b Short cases 25 marks


d. Grand total 150 marks

OSCE will include recognition of Photographs. X-ray's. M.R.L and CT scan, instruments.

Audiological Reports interpretation and patient consent and counseling.

BOOKS

a) Anatomy from standard textbooks of Anatomy by RJ Last, Churchill Living Stone, Edinburgh.

b) Text Book of Physiology by Hollinshead W. Henry, Harper and Row Hagarstown.

c) Scott Brown Text Book of Otolaryngology.

d) Stell and Marran, Head and Neck Surgery

e) Mawsons Diseases of the ear, Edward Arnold, Ludman.

f) Paperella and Shumrick. Textbook of Otolaryngology, WB Saunders, Philadelphia.



34

DIPLOMA CLINICAL PATHOLOGY (DCP)


1. The course shall consist of instructions and training in clinical pathology lasting for two years,

starting from January each year.

The examination shall be held once a year in June.

The oral and practical parts of the examination shall be held In the Department of clinical

Pathology Postgraduate Medical Institute, Peshawar.

2. The following subjects shall be taught in the course.

i. Morbid Anatomy and Histopathology Study of Systematic Pathology Histological Techniques,

Cutting and Staining, Exfoliative Cytology and Staining, Museum Mounting and Post-mortem,

Histo-Pathological and Cytological Diagnosis.

ii. Microbiology and serology: Bacteriological techniques, staining, Cultivation. Agglutination tests,

Care of Laboratory Animals, Systematic study of Bacteria, Bacteriology of Water and Mild, Sensitivity

of Bacteria to various Drugs Immunology / Serology Study of Immunological Disorders and

Diagnostic Methods.

iii. Chemical Pathology. Theory and Practice of Chemical Investigations of Blood, Urine, CSF other Body Fluids and Excreta Biochemical Investigations for Biochemical Disorders, Special Techniques and Tests of Functions of various organs and working knowledge of chemistry analyzer.

iv. Haematology including Blood Banking Study of Erythropoesis and Haemotological Disorders, Basic Hematological Procedures. Morphological Hematology, Investigations of all types of Anemia, Hemorrhagic Disorders and Leukemia, Blood Groups and Blood group Anti-bodies, Rh. grouping and Cross Matching Tests; Bone Marrow Aspiration, Staining and Examination and working knowledge of haematology analyzer and coagulation analyzer.

3 The DCP course Incharge shall assigned each candidate a research project In any chosen specialty approved by the Incharge of that specialty in first year and shall complete and submit his / her project three months before the examination.

4 The candidates of DCP shall be working In the different disciplines of Pathology as per following schedule.

i. Hematology / Blood banking

ii. Chemical Pathology

iii. Microbiology

iv. Histopathology

Examination:

1. There shall be a total of four written papers. one In each subject. There shall be short essay questions and MCOs/EMOs In each paper (all questions compulsory) and shall carry maximum of 75 marks. The duration of each paper shall be three hours.

2. The practical and oral examination shall be conducted separately In each of the four subjects, and shall include the examination of pathological material followed by written report and Viva Voce The Objective Structured Practical and Oral Examination (OSCE and OSPE). In each subject shall carry maximum of 75 marks. Outline of the examination shall be as follow: i. Morbid anatomy and Histopathology: a. One written paper (MCQs/EMQs) (Paper-A) = 75 marks b Practical and oral examination (OSCE/OSPE) = 75 marks Total = 150 marks



35

ii. Microbiology and Serology: a. One written paper (MCQs/EMQs) (Paper-A) = 75 marks b Practical and oral examination (OSCE/OSPE) = 75 marks

Total = 150 marks iii. Chemical Pathology

a. One written paper (MCQs/EMQs) (Paper-A) = 75 marks b Practical and oral examination (OSCE/OSPE) = 75 marks Total = 150 marks iv Hematology including Blood Banking a. One written paper (MCQs/EMQs) (Paper-A) = 75 marks

b Practical and oral examination (OSCE/OSPE) = 75 marks Total = 150 marks v. Viva on Research Project in any chosen specialty = 50 marks Grand total = 650 marks

Books of Histopathology:

a. Robbins Pathological basis of dieses by Ramzi S.Cortan. Vinay Kumar Stanley L. Robbins.

b. General Pathology J.B Watter, M.S Israel

c Textbook of histopathology: Maximow Bloom

Journals of Histopathology:

a. American Journal of Surgical Pathology.

b. Achieves of Pathology.

c. International Journal of Cancer.

Books of Haematology

b. Practical Hematology Daci, JV.

c. Clinical Hematology Wintrobe M. Authors. Lee. Boggs. Bithe Athens.

d. Postgraduate Hematology, A.V. Hoffbrand.

e. Blood Athors, James, H Jandi

e. Clinical Hematology in Medical Practice D. Gruchy

f. Hematology: Athors, Williams, beutler, Beuler, Erslev Lihman.

Journal of Hematology

a. British journal of haematology

b. Blood

Books of Pathology

a. Practical Clinical 1st and 2

nd Edition by Harold Variley)

b. Clinical Chemistry in Diagnosis and Treatment by John F. Zilva

c. Microanalysis in Medical Biochemistry, By I.D.P Wooton.

d. ABC of Interpretive Laboratory Data by Seymour Bakerman.

e. Lecture Notes on Clinical Chemistry By L.G Whitby

f. Lynch’s Medical Laboratory Technology by Raphael

g. A Short Text Book of Chemical Pathology by D.N Baron

h. Clinical Chemistry by Teitz.

i. A Text Book of Biochemistry International Edition by Lubert Stryer.



36

BOOKS OF MICROBIOLOGY AND IMMUNOLOGY

1. Medical Microbiology:

By Jawetz. Melnick and Adlberg’s.

2. Medical Microbiology and Immunology:

By Warren E. Levinson, Ernest Jawetz.

3. Bailey and Scott’s Diagnostic Microbiology:

By Syney M. Finegold, William J. Martin.

4. Zinssev Microbiology:

By Wolfgains K. Joklik, Hiladap While H. & D. Bernard Amos.

5. Manual of Clinical Microbiology:

By Edwin H. Lennette, Albert Baloons and William J. Hansler

6. Essential Immunology:

By Ivan Roitt

7. Mackie and McCartney, Practical Medical Microbiology :

By J.G. Collce, J.P Duguid, A.G Fraser

and B.P. Marmocose.

JOURNALS OF MICROBIOLOGY AND IMMUNOLOGY

1. American Journal of clinical Microbiology.

2. Journal of P.M.R.C

3. Journal of Postgraduate Medical Institute, Peshawar.



37

DIPLOMA IN ANAESTHESIOLOGY (DA)


1. The course shall last for two years starting from January each year.

2. The examination shall be held once a year in the month of May/June.

3 The oral and practical parts of the examination shall be held in the Department of Anaesthesia

and Medical/Surgical ward, Postgraduate Medical Institute, Peshawar

4. The following subjects shall be taught in the course

i. Anatomy and Physiology relevant to Anaesthesia.

ii Pharmacology of Anaesthesia Drugs.

iii. Fundamental of Physics, related to Anaeshtesiology.

iv. Applied Anaeshtesiology (General and Regional).

a. Candidate must have completed and written a research project assigned to him/her by his/her

supervisor/Head of the Department at least three months before the final examination.

Candidates can only appear in the final examinations if their research project is approved by the

supervisor/Head of the Department

2. Course:

1. The Course shall last for two Years from January each year. The course will consist of basic sciences

(anatomy, physiology. pharmacology, physics, clinical measurements, statistics, resuscitation and

equipment) and clinical anesthesiology (intensive care, pain management and related aspects of

internal medicine and general surgery).

2. During the entire period of training, postgraduate student will be required to work full time, in the

department of anesthesiology & intensive care at the PGMI HMC / LRH and affiliated hospitals i.e.

KTH & ATH to get the practical training in anesthesia and will have to follow the schedule of

teaching and training given by the department from time to time.

3. The post graduate student will be required to attend a minimum of 80% of all the lectures, tutorials

and practical individually.

3. Examinations:

The DA annual examination will be held once a year in the month of May/June or as determined by the

Academic Council PGMI or Khyber Medical University.

2. Examination Criteria:

A candidate will be allowed to appear in the examination if he or she fulfils the following requirements.

• Has completed two years full time residency training in anesthesiology.

• Has obtained satisfactory reports for the three monthly periodical tests.

• Has administered anesthesia to at least 250 patients, during the period of training, to the entire

satisfaction of and certified by the I/C , department of anesthesiology & Intensive care.

• Completed one workshop on BCLS & ACLS

Completed arid got approved research project on a subject allotted to him/her by his! Her

supervisor and completed his/her log book.



38

DIPLOMA IN MEDICAL & RADIOLOGICAL DIAGNOSIS (DMRD)


1. Course

Course shall consist of two Parts (Part-I and Part II) for a period of two years. Six months for Part-I and 18

months for Part-II.

Part-I

Electromagnetic Radiation, Radioactivity, Production of X-rays, Tube rating, measurement of X and Gamma

rays, interaction of X-rays with the patient, The Radiological image, The image receptor, Scattered radiation,

Radiation protection, Quality assurance, Radionuclide imaging, Computed Tomography, Principles of

diagnostic ultrasound, Magnetic Resonance Imaging, Contrast media, Radiological & Cross-sectional

anatomy as required in ultrasound, CT & MRI,

Radiography and positioning,

Checking of film quality & observing various procedures

Nuclear Medicine (Production and commonly used radionuclide, radioactive decay, detection equipment,

quantification, commonly used diagnostic procedures)

Part-II

Following subjects of Radiology shall be covered.

Musculoskeletal Radiology,

Hepato-biliary and Gastro-intestinal Radiology

Genito-urinary and Gynecology obstetrics

Pulmonary and Cardiovascular

Central nervous system and head & neck

Small parts including breast, thyroid, eye, testes, etc.

3. Log Book

Completed Log book should be submitted before Part II Exam.

4. Research Project

Candidate must have completed and written a research project assigned to him/her by his/her supervisor/Head

of the department at least three months before the final examination. Candidates can only appear in the final

examinations if their research project is approved by the supervisor/Head of the department.

5. Internal assessment

Internal assessment by the faculty every six months.



39

DIPLOMA IN CHEST DISEASES TUBERCULOSIS (DTCD)

COURSE DURATION: TWO YEARS Course

1 The course shall consist of the following subjects:

2. Applied anatomy, Pulmonary physiology, Pathology and Pharmacology related to respiratory

system research Methodology, Biostatics, Ethics and Epidemiology.

i Non-Tuberculous respiratory infection

ii. Airways disorder

iii. DPLDS

iv. Pleural Diseases

v. Respiratory Neoplasm’s

vi. Environmental Lung Diseases

vii. Pulmonary Vascular Diseases

3. Pulmonary and Extra Pulmonary TB-MDR TB

4. The course of study and the outlines of examination prescribed by the Board of Postgraduate studies as

prescribed in the syllabus maybe changed by the said board arid approved by the syndicate as when found

necessary. Such changes however, shall be notified at least ore year before the date of commencement of

the examination in which they will become effective.

Log Book

During 24 months of training candidate must have performed the following diagnostic and therapeutic

procedures, duly entered in a log book.

i. Pleural Aspiration: Diagnostic 50

ii. Pleural Aspiration: Therapeutic 30

iii. Plecral Biopsy = 30

iv. Tube thoracostomy = 50

v. Spirometry = 20

vi. Pleurodesis = 50

vii. Inhaler technique/Spacer technique 50

viii. Sputum for AFB /Side Preparation 10

ix. Arterial puncture for ABG 20

x. Nebulization Application/Technique = 20

xi. Appling and Setting Oxygen via flow meter 50

xii. Recording and reporting T.B forms in TB Control Programme in Chest OPD =20

xiv Health education and recording Peak-flow in Asthma /COPD/Smoking cassation. Clinic in

Chest OPD =10

xiv. Exposure to techniques like, ultrasound guided biopsies of chest wall tumors, bronchoscopy.

Thoracoscopy, TGV

COMPONENTS OF EXAMINATION

• Paper A (100 marks)

• Written paper in Non TB Respiratory infections, airways Diseases, DPLDS, Pulmonary Vascular

Diseases. Environment Diseases.

• Thee shall be 6 short essay questions of 10 marks each and 20 MCQ/EMQ of 40

marks with total of 100 marks.

• Time allocated shall be 3 hours.



40

Paper B

a. Written paper covering all aspects of pulmonary and Extra Pulmonary TB, MDR TB.

b. Thee shall be 6 short essay questions of 10 marks each and 20 MCQ/EMQ of 40

marks with total of 100 marks.


• Objective Structured Oral and Practical Examination

It shall consist of tie following pans.


b. Short cases 50 marks


Grand Total 200 marks

OSCE will include recognition of Photographs, X-ray’s. Slides, ECG, CT Scan. Data and Special

Reports interpretation.

Examination Conduct:

I There shall be 2 sets of examiners, two from PGMI and two from and outside institution. The examiners

will be selected by the controller Examinations, Khyber Medical University, Peshawar, in consultation

with the Head Department of Pulmonology, Postgraduate Medical Institute, Lady Reading Hospital,

Peshawar.

2. The short essay questions and MCQS in written papers will be shared on 50% basis both for setting and

marking purposes by the internal and external examiner.

3. The minimum number of passing marks to pass this examination shad he 60% in theory component and

60% in oral and practical component separately. The aggregate pass marks shall be 60%. A candidate who

secures 80% marks or above shall be declared to have passed with distinction.

4. Head department of Pulmonology, PGMO will be the convener of examination.

5. The board of examiners shall arrange the result of written, clinical, practical and oral in a consolidated

form and send it as soon as possible but not later than seven days after the completion of the examination

to the Controller of Examination for formal declaration.

6. The candidates shall be eligible for four consecutive examination within a period of three years after

the completion of the course.

Recommended Books and Journals

Text Books

a. Current Diagnosis and Treatment in Pulmonary Medicine.

b. Crofton and Douglas Text Book of Respiratory Diseases.

c. Synopsis of the Diseases of Chest.

Journals:

1. Thorax (BTS)

2. Chest

3. International Journal of TB

4. Chest Clinics of North America.

5. Pakistan Journal of Chest Medicine

6. Respiratory Medicine.



41

DIPLOMAS OFFERED BY KHYBER COLLEGE OF DENTISTRY


1 The D.C.D course will be offered in the following subjects:-

(A) Orthodontics

(B) Periodontology

(C) Operative Dentistry

(D) Paedodontics

2-Duration of Course:

The duration of D.C.D Courses will be two years. All D.C.D Courses are structured in two parts:

i. Part I is structured for the 1st calendar year. The candidate shall undertake training in basic

medical sciences, research methodology, biostatistics, oral biology, dental jurisprudence and medical

ethics.

ii. Part II is structured for 2nd

calendar year. The candidate shall undergo training to achieve

educational objectives of the specialty through theoretical knowledge and clinical skills.

3-Scheme of Courses:

A summary of two years Diploma in Clinical Dentistry (D.C.D) is presented as under:

Subjects Final Examination

Part-1 • Anatomy, Physiology, Biochemistry,

General Pathology & Pharmacology

• Research Methodology &

Biostatistics

• Oral Biology, Dental Jurisprudence

&Medical Ethics

• At the end of 1st year

• Written:

Paper 1: Anatomy, Physiology,

Biochemistry, General

Pathology, Pharmacology,

Paper 2: Oral Biology,

Dental Jurisprudence

Medical Ethics

Part-II • Advanced professional education in

specialty of admission.

•Compulsory rotation in related fields.

• At the end of 2nd

year

• Written:

Problem based questions in the

subject

Paper 1: Four long essay questions

Paper 2: Ten short essay questions

• Oral & Practical / Clinical

Long case / short cases / OSCE



42

4-Rotations:

Year Duration

(Months)

Operative

Dentistry Orthodontics Periodontology Paedodontics

1 2 Prosthodontics Periodontology Restorative

Dentistry Orthodontics

2

1

Periodontology

Paedodontics

Orthodontics

Restorative

Dentistry

1 Paedodontics Oral Surgery Oral Surgery Oral Surgery

FEE & OTHER SUBSCRIPTIONS:

FIRST YEAR

PGMI Dues: 20,000

Students Fund:

Basic sciences honourarium to KMC teachers,

materials, instruments, stationary, library, litigation

and university registration etc. 240,000

Total: 260,000

SECOND YEAR

PGMI Dues: 20,000

Students Fund:

Materials, instruments, log books, stationary,

Library, litigation and university retention fee etc. 240,000

____________________________________________________________________

Total: 260,000



43

STATUTES FOR INDUCTION INTO TRAINING SLOTS OF FCPS PART-II TRAINING

PROGRAMME PGMI, KHYBER PUKHTUNKHWA

1. APPLICATIONS

1. Applications for all the posts shall be invited by the Dean, PGMI through an advertisement in the

press in April/May for induction in the training course twice a year i.e July and January each year.

The last date for submission of applications shall be definite. No applications shall be accepted

after the due date.

2. Applications must be made on the specific admission form in Prospectus available from the Dean’s

office, PGMI, Hayatabad, Peshawar.

3. Applications should be delivered personally or posted through a registered post to the Dean’s office

at PGMI, HMC well in advance. Receipt should be obtained at the time of personal delivery.

2. DOCUMENTS REQUIRED

The following documents duly attested by a grade-18 officer or above, must accompany the application

form.

a. MBBS Degree

b. CNIC

c. House Job Certificate

d. Three Attested Photographs (passport size)

e. Proof of passing FCPS Part 1 Examination / Exemption from FCPS Part 1 Examination.

f. Domicile.

g. PSC (Public Service Commission) Selection Letter (for government servants only).

h. Government Notification Letter for the present appointment.

i. PMDC registration certificate.

j. Academic Certificate (with detailed marks and attempts in all MBBS professional examinations).

k. Character certificate &

l. Surety bond/TMO affidavit.

m. Affidavit from all TMOs to serve in the periphery for a period of three years after completion of

their training. These surety bonds should have two witnesses both of them should be Govt:

servants.

n. All government doctors seeking training through PGMI must get their Extra Ordinary Leave (EOL)

approved by the competent authority.

o. Certificate of PGMI confirming the candidate registration with PGMI at the time of taking

their FCPS-I examination.

p. Incomplete application forms or application with incomplete required documents shall not be

entertained.



44

3. AWARD OF MERIT MARKS FOR INDUCTION

1. The merit marks shall be taken as an aggregate percentage of all professional examinations comprising the

MBBS degree.

EXAMPLE

1st Prof. Examination 700/1000 = 70%

2nd Prof. Examination 650/1000 = 65%

3rd Prof. Examination 600/1000 = 60%

4th Prof. Examination 700/1000 = 70 %

Aggregate percentage = 66.25%

2. 2.5% marks shall be deducted for each additional attempt in each Prof. Examination i.e. if the first

professional examination is passed on 2nd attempt and 70% marks obtained, it will be counted as 67.5%.

EXAMPLE

1st Prof. Examination 700/1000 = 70%

Less 2.5% Marks 2.5%

--------------------

= 67.5%

4. SELECTION AND RELATED MATTERS

The selection will be done by the selection and induction board of PGMI

1. The applicant shall appear before the selection board of PGMI on the given date and time.

2. A candidate will not be considered in absentia until he/she is represented by a person who holds an

authority letter duly signed by the candidate.

3. The CPSP Rule of only 4+4 TMOs per unit shall be strictly observed, except for the units specified

by the CPSP to have 06 TMOs which includes:

Gynae/Obst.

Radiology

Pathology

Anaesthesiology

The trainees will be the responsibility of the Head of Department to be distributed to different supervisors

present in the unit.

Final rules and regulations of PM&DC for postgraduate medical training shall apply.

4. Candidates shall be selected for all clinical units in all teaching hospitals on merit. The list of

clinical units in the PGMI constituent and affiliated hospitals are shown in the table, (page 53). The

number of candidates selected for a unit shall depend on the available slots.

5. Candidate selected for a clinical unit shall not be allowed to change their supervisor, unit or

specialty except in special circumstances like transfer/retirement of a Supervisor or any other valid

reason. A special committee for this purpose will meet periodically to process each application.

6. A candidate selected for a particular hospital will not be allowed to change the hospital of the

initial selection.



45

7. A candidate having completed his training in one specialty shall be allowed to undertake training in another specialty

only after passing the FCPS-II examination in the parent specialty.

8. Candidates completing training in a specialty and passing the FCPS examination and wishing to do Sub-specialization

in a related field shall be considered for selection without fulfilling the three years mandatory period of Government

service between two training periods.

9. Repeat admission in the same course shall not be allowed.

10. Maximum joining time will be 02 weeks after which the seat shall be declared as vacant and will be filled from the

waiting list on merit.

11. The period of training will not be extended beyond the normal period of the course as decided by the CPSP.

12. The Trainees shall not be allowed to engage in any sort of Private Practice / Private Job. Their training shall be

terminated if found involved in such practice.

13. Foreign candidates who do not have Detailed Marks Certificate (DMC) shall only be allowed 60% marks on the merit

list.

14. All TMOs must submit the required affidavits before commencement of their training. The Affidavits will be specified

by PGMI.

15. TMOs must attend the “Orientation Session” at the start of their training.

16. TMO shall not be awarded Course Completion Certificate unless he/she has successfully completed mandatory

workshops as prescribed by PGMI.

17. 1% quota for disable candidate. (There will be a separate merit list for this category)

18. TMO selected for Private Medical Institutes would not be considered for induction in the

Clinical units of PGMI for any session. However if their resignation is duly accepted by their

Employer they will be entertained. Mandatory rotation can be allowed if their Institution does

not have the particular subspecialty.

i. All civil servants applying or the training of FCPS training would have to get Extra

Ordinary Leave from Government and will be paid stipend by PGMI if selected.

ii. All trainees would fill affidavit to serve periphery after completion of their training.

iii. Those FCPS TMOs who are already working with PGMI and are applying again for another center in next induction,

resignation must be submitted to PGMI one month prior through the supervisor and Incharge of the unit. The

resignation shall be notified by PGMI prior to induction.

iv.Those who want to switch or change specialty during training will have to refund the received stipend from the time of

induction in previous specialty.

v. In case of family/other enmity or any family problem is not a valid reason for change to another institution. Change of

institution will not be allowed, including the reasons mentioned above. Only in case of serious threat to life if a

proper FIR is presented the application will be considered on case to case basis.

vi. In case of any left over vacant slots in any training programme, no further induction will be done. The slots will go to next

induction.

vii. No waiting list will be maintained.

viii. Mandatory rotations will not be allowed in Private Sector Hospitals and outside KPK, if specialty is available in public

sector hospital of KP.

ix. Mandatory Rotation in other hospital will not be allowed if specialty for rotation is available in the parent hospital.

x. Spouses/children of Armed Forces of Pakistan shall be allotted training slot on merit in the general merit list at the time of

induction. They have to present posting orders of spouse/parents in the time of induction.



46

Job Description of TMOs

Job is full time and residential. (Accommodation of trainees will not be responsibility of PGMI.)

Private practice or private job is not allowed for trainees since training is stipendiary and full time.

Fully responsible for patients care assigned to them by the supervisor/HOD and emergency cover at any

time.

Responsible for the mandatory CPD activities that includes, but is not limited to, attendance at CPC,

Ward educational sessions, mandatory structured program of PGMI. In addition, TMO’s must also

actively participate in symposia and workshops at least 3 per year.

Maximum 30 day leave per year.

No stipend or pay for extra leaves which have to be compensated for at the end of training.

Every TMO has to submit annual performance evaluation report.

Every TMO must produce evaluation Performa after completion of rotation in various units. (download

Proforma)

Administrative control will be under respective Hospital administration.

Mandatory rotation, recommended by Supervisor shall be routed through Director Academics.

All the correspondence with PGMI shall be through Director Academics.

. APPELLATE COMMITTEE:

The following committee will consider different cases of disciplinary matters and academic related

matters pertaining to TMOs.

1. Dean PGMI as Chair Person

2. Regional Director CPSP

3. 02 Senior Professors of PGMI

4. Supervisor of the concerned Trainee.

5. Director DME.

5. LEAVE ISSUES

1. According to CPSP rules, a maximum leave period of 15 days will be allowed every 06 months.

This leave may be availed for few days at a time or for the full / remaining period of 15 days

entitlement. If all of this leave is not availed during a period of six months, the remaining leave will

not be carried over to next six months of the year.

2. The training period is considered as stipendiary and so normal government rules regarding sick

leave / casual leave / earned leave etc do not apply.

3. In case of sickness or absence exceeding 15 days (total period of leave of all kinds taken in six

months) will have to be completed prior to certification as completion of training for that year.

However no stipend or pay shall be paid by PGMI for the excess leaves.

4. According to CPSP rules 12 weeks maternity leave without stipend shall be allowed once during

the whole training. The candidates shall, however, complete this shortage by undertaking

additional training equal to the leave period availed. The candidates shall inform the RTMC before

proceeding on leave.

6. MIGRATION FROM OTHER INSTITUTIONS

1. Candidates undergoing training at other hospitals, outside the jurisdiction of PGMI will be allowed to join

the course at PGMI as fresh candidates only on dates of selection of any given year and their resignation

duly accepted by their present employers.

2. He or she would be required to produce proof that he/she had been selected for training in a structured

training program recognized for the above purpose by the college (CPSP).



47

Candidates undergoing training in the institutions within the jurisdiction of PGMI will not be allowed to

migrate from one institution to another. However Supervisors within the same institution may be changed

in prescribed manner.

3. Candidates should apply through proper channel.

4. The candidate will be allowed to compete with other TMOs if he / she is willing to forego his original

training slot or want to change specialty.

5. PGMI will allow mandatory rotation in hospitals other than the one for which a candidate may have been

selected initially provided that specialty of mandatory rotation is not available in hospital of initial

selection.

6. Rotation programme shall be routed through Supervisors.

7. Accommodation.

Very limited accommodation is available in different hospitals. Trainees are advised to arrange their own

Accommodation. The criteria of providing accommodation is the responsibility of each hospitals

administration.

8. Academics.

The Deanary will provide the guide lines for dissertation, mandatory rotations, internal evaluation and E.log to

the supervisor from time to time.

9. ROLE OF DEANARY

1. The training rules and regulations will be updated by / modified by Secretary of Health/Dean

PGMI/ Executive Committee/Academic Council, PGMI, as and when required.

2. Decision of Dean regarding all affairs of the trainees will be final.

10. REGULATIONS FOR FCPS DISSERTATION:

See Rules and Regulations of CPSP.

============= ============================= ==============================



48

DIPLOMA COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN (MCPS)

DURATION OF TRAINING = 2 YEARS

1. Application for MCPS in various Specialties will be invited through advertisement once a year. Application will be selected after

the written test and interview by Head of Department in their respective units. Final list of selected candidates will be send to

Deanery of PGMI. The diploma is conducted in all those disciplines, which are recommended by the CPSP.

2. A maximum of four candidates per unit are selected.

3. All the General Rules and Regulations of PGMI and CPSP are applicable to the MCPS candidates.

4. The examinations form shall be sent to the CPSP Karachi through the Dean’s Office.

5 No stipend is paid to MCPS trainees

6 Fee structure is described in the relevant section (currently PKR. 30,000/- for Pakistani nationals per full

course and USD 2000/- per year for foreign nationals, including NADRA Card holders)

7. The rules on deposit of fee are the same for other diplomas.

8 All civil servants applying for the MCPS training would have to get Extra Ordinary Leave

From Government.

9. All candidates are required to submit Affidavit as laid down by PGMI.



49

TRAINING PROGRAMME

MCPS in clinical disciplines: The PGMI offers training for MCPS in thirteen clinical disciplines which are listed below:

Anaesthesia Clinical Pathology

Community Medicine Dermatology

Diagnostic Radiology Family Dentistry

Family medicine Obstetrics and Gynaecology

Ophthalmology Oto-rhimo laryngology

Paediatrics Psychiatry

Pulmonology

Training in each discipline takes place under the supervision of a CPSP approved supervisor according to the minimal requirements of

training identified by the relevant CPSP specialist faculty.

Eligibility to enter training

MBBS (BDS for family dentistry)

Completion of one year house jobs recognized by the PMDC.

Once those Candidates will be allowed to join any training in PGMI who have appeared in written and oral test. No lateral entries

will be allowed.

Left over vacancies will be for next induction.

Training Program:

Rules:

1. No change in MCPS & Diploma will be allowed Training Program will be considered to have started after notification from the

Dean office for the Particular Programme switching to another programme in between is not allowed.

2. Incase of any left over vacant slots in ay training programme, no further induction will be done apart from those who are on

waiting list.

3. Only those candidates will allow joining any training programme in PGMI, who have appeared in written and oral test. No lateral

entries will be allowed.

4. left over vacant seats will be for next induction.

Duration:

Two years structured training under an approved supervisor after registration with RTMC and completion of other requirements as

specified in the CPSP prospectus “Requirement for training program in MCPS” of the respective discipline”.

Log Book

The trainees must obtain a log book and get it signed routinely by the immediate supervisor. A complete and duly certified log book will be

part of the requirement of sitting in the MCPS examination.

Workshops:

The candidate for the MCPS have to participate in mandatory workshops organized by the CPSP as part of their mandatory requirements.

Disciplines in which three workshops are mandatory

Anaesthesialogy Family Medicine

Clinical Pathology Paediatrics

Community Medicine Psychiatry

Dermatology Pulmonology

Diagnostic Radiology



50

The three workshops are

1. Introduction to computer and Internet

2. Communication Skills

3. Research Methodology, Biostatics and Dissertation writing

Disciplines in which four workshops are mandatory

Family Medicine Obstetrics & Gynaecology

Ophthalmology Otorhino Laryngology

The four workshops are:

1. Introduction to computer and internet.

2. Communication skills

3. Research methodology, Biostatistics and Dissertation writing

4. Primary surgical skills.

PGMI WORKSHOPS

All MCPS selected trainees are required to attend the workshops arranged by DME of PGMI.

Eligibility to sit in the Examination

Completed two years structured and supervised Training in a Training slot.

Certificate of attendance of mandatory workshops.

Duly filled and certified log book

Fulfillment of all other requirements as laid down in the relevant prospectus of CPSP.

Details about written and oral/clinical examination of each subject are given in the notification of CPSP inviting application for

sitting in the examination and in the relevant prospectus of CPSP which can be obtained from its regional office in Peshawar.



51

CRITERIA FOR FOREIGN STUDENTS

INTO POSTGRADUATE COURSES

1. MBBS or equivalent qualification.

2. Registration of qualification with PMDC

3. Proof of passing FCPS Part I exam / Exemption from FCPS Part-I examination.

4. 3 Passport size recent colored photographs.

5. Surety Bond/TMO affidavit

6. House job for one year.

7. Preference will be given to those who have additional experience in concerned specialty.

8. Certificate of proficiency in English preferably confirmed by Pakistan Embassy in the country of domicile.

9. Admission fee 2000 American Dollars per year to be paid in advance. No exemption for any foreigner even with NADRA

Afghan or other refugee card or NADRA registration. Installments will not be allowed.

10. Fee once deposited will not be refunded

11. 12. The candidate will have to provide names of at least two referees when applying for admission. Clearance relevant

wetting/security agencies will be required before joining.

13. Selection will be made by the selection committee composed by the Dean PGMI.

14. Trainee will be responsible for his/her boarding and transportation.

15. Life and health insurance will be the candidate’s own responsibility.

16. No change of specialty will be allowed once selection is made.

17. The detailed particulars of the candidates will have to be submitted to the Dean PGMI by 1st October for the courses starting on

1st January next year.

18. No remuneration will be given for service provided by the trainee during the course of training.

19. All the rules and regulations of FCPS part-II training program of PGMI shall apply equally to the foreign candidates.

20. Foreign students will abide by the rules and regulation of PGMI as well as all the laws of Government of Pakistan, a breach of

which can lead to their expulsion from the course without reimbursement of the amount / fees which has been paid by them at the

time of admission. Furthermore, they will be debarred from admission in any course for at least five (5) years.

21. Valid student visa from Pakistan Embassy in home country and registration with NARA/NADRA



52

PART-V

APPENDICES

Guidelines for supervisors

A. Minimal mandatory teaching program

The supervisor will ensure to implement minimal teaching /training program which includes the

following;

1. Teaching rounds two per week.

2. Weekly journal club and mortality meetings

3. Weekly long case presentation

4. Two short cases per week

5. Monthly one to one interaction with TMOs (discussion about synopsis/dissertation and progress of

training).

6. OT cases /training (if applicable)

7. Interactive lectures twice a year by each supervisor.

B. Synopsis/dissertation & educational activities

The supervisor will ensure that the trainee should:

1. Submit the synopsis within six months of starting training in parent specialty.

2 Submit dissertation one year before the completion of training.

3 Attend C.P.Cs, Symposia, seminars and conferences.

4. Attend mandatory workshops during the training period.

C. Discipline/attendance/log book

1. Attendance registers for morning and afternoon to ensure the punctuality and attendance of TMOs.

2 A minimum of one in three on call rota for trainees.

3 Weekly signature of log books (Mandatory submission of photocopy of log book pages for the

corresponding period along with proforma). CPSP is now introducing the programme of elog where

all log books will be maintained on line.

D. Assessment

1. Written assessment (Short essay questions and one best type MCQs) once in six months.

2 Long case and TOACS twice a year (Local faculty members from other hospitals to be examiners).

3. Devise course outline for six months in coordination with Director Academics



53

POSTGRADUATE MEDICAL INSTITUTE HAYATABAD, PESHAWAR

Evaluation Proforma for FCPS II Trainees Part A

(To be filled by the candidate)

Evaluation period: Year 1 2 3 4 5 Quarter: 1 2 3 4

Name: ………………………………. Date of passing FCPS Part-I ….……….

Date of starting training: ………… Date of Registration with CPSP and No:…………………

Primary specialty: ………………………… Supervisor:.………………………

Unit: ………………………. Hospital:……………………………………………

Current specialty during rotation: …………………. Supervisor:………………

Unit: …………………. Hospital:…………………………………………………

Other mandatory rotations completed:

1……………………………………………………………………………………

2……………………………………………………………………………………

3……………………………………………………………………………………

4……………………………………………………………………………………

5…………………………………………………………………………………………………

Mandatory workshops attended with dates:

1:……………………………………………………………………………………....

2:……………………………………………………………………………………

3: ………………………………………………………………………………………

4: ………………………………………………………………………………………

Topic selected for

dissertation:………………………………………………………………………………………………………

…………………………………………………………

Synopsis sent to CPSP with date: ……………………….approval date: …………………………

Progress of dissertation: in preparation/ sent to CPSP date: ……..…………. / returned for correction/ rejected

/ approval date: ………………………………..

Intermediate module: not yet attempted/ attempted but failed/ passed with date……………..



54

Part B

(To be filled in by supervisor)

Attendance percentage in CPC: Attendance percentage in Interactive lectures: ………

Other remarks……………………….…………………………………………………………………

……………………………………………………………………………………………………………………

……………………………………………………………………………………………………

Counseled or any warning given during the assessment period:

……………………………………………………………………………………………………………………

…………………………………………………………………………………………………..

Recommended to continue training: Yes / No

Name of supervisor: ………………Signature:…….................Date: …………

Name of Trainee: ………………….Signature: … ..................Date: …………

Excellent Good Fair Poor

A: Knowledge

Theoretical

Procedural

Clinical

Computer and IT skills

B: Clinical skills

History taking

Physical examination

Diagnostic skills

Operative skill (if applicable)

Patient management

C: Academic activities

Case presentations

Lectures

Research

Participation in conferences, symposia & Journal club

Presentation in symposia and conferences

D: Attitude

Attendance in academic activities

Punctuality

Self motivation

Communication Skills

Ethics

Hard Working

Accessibility

E: Relationship

Seniors

Colleagues

Nursing and paramedical staff

Patients and attendants



55

Remarks by Director Academics: …………………………………………………………………………………………

……………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………

……………………………………………………………………………………………

…………………………………………………………………………………………

Recommended to continue training: Yes / No

Signature: ……………………………….… Date: ……………………………

……………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………

…………

Suitable to continue training: Yes / No

Signature: ………………………………… Date:……………………………



56

Affidavit to be submitted on Judicial Stamp Paper by TMO selected for Postgraduate training in

Postgraduate Medical Institute, Peshawar.

I ---------------------------S/D/O----------------------resident of ------------------------------------------ hereby solemnly affirm on oath that: I shall abide by all the rules and regulations of PGMI, KMU, CPSP, PMDC and HEC as and when applicable to me. Rules and regulation of PGMI shall be overriding on all others. I also pledge that: I shall be regular and punctual throughout my training period and endeavor to attend all the CPCs, Interactive lectures, symposia, seminars, workshops etc as part of my structured training program. Attendance below 80% will lead to termination of my training and I shall be liable to refund of all stipend received by me.

I shall carry out my duties and patient care with utmost responsibility and sincerity.

I shall treat all my patients, colleagues and peers with utmost respect and dignity.

I shall observe good medical practices and abide by all principles of medical ethics and professionalism.

I shall not discriminate against anyone on the basis of race, ethnicity, religion, sex, color or caste and shall not express my political or religious

beliefs to others.

I shall maintain discipline and understand that in case of any breach of discipline I shall be liable for strict disciplinary action. I shall not

demand for accommodation if it is not available and shall not resort to any kind of protest or strike.

I shall not indulge in any kind of independent private practice during my training period as my training is full time.

I shall make utmost efforts to improve my professional skills by self-learning and attending seminars, lectures and all mandatory workshops.

I shall not indulge in any sort of politics during my training and shall not resort to any sort of strike or industrial action and shall not join any

political association, organization or trade union.

I shall be answerable to my Supervisor and Head of the Department and Dean in all matters pertaining to academics or discipline.

I shall not use my post or profession to unduly pressurize others for any kind of favour and shall not take any action that shall bring my profession

into disrepute.

I understand that my training may be terminated at any time by PGMI/KMU for breach of any of the regulations.

I shall not involve my self in any kind of intimate or other improper relationship with my patients or their attendants and hospital staff as long as

they are under my care or remain my colleagues. According to CPSP& PGMI rules, maximum of thirty (30) days leave is allowed in one academic year. Extra leaves over and above the allowed thirty (30) days leave period are not allowed. Maternity leave & Hajj leave will be allowed with stipend (as per Government rules) but this deficiency has to be completed after the training period without stipend.

If I joined Unit /Hospital other than allotted to me by the Dean PGMI or insist on changing the specialty, unit or hospital to me, my TMO ship will

be terminated.

I will not be allowed to change my hospital underany circumstances to which my initial selection is done, and my specialty given to me at the time

of induction. I will not apply for migration and this will also be applicable to the specialty for my mandatory rotation if available in the institution

of my initial induction.

I will be liable to refund the stipend received from PGMI, if I am reinducted in a speciality, for which my previous training is not acceptable by

CPSP.

If I am selected on a slot which is due to be vacant in due to be vacant in due course of time, I shall not demand stipend during that period neither I

shall take matter to any court of law. If I did my TMO ship will be terminated automatically.

I shall compulsorily serve for three years in the district of my domicile and in case of non-availability of a post in the district of domicile; I shall

serve for three years in the rural area allocated to me by the Government.

I have read and understood the prospectus of PGMI thoroughly and will abide by the all rules and regulation laid down there-in and any rules and

regulations made by PGMI or KMU thereafter. The decision of the Dean in any matter shall be final and I will not challenge it on any other forum

or in any court of law.

Those who join the training program for even one day (part/full) shall be liable to be posted under section 7(3) of the Act.

Affidavit shall accompany application for TMO-ship.

Applicant with out affidavit shall not be entertained.

Signature of TMO----------------------------------

Name----- -------------- ---- --Father’s Name-------- ---------

NIC No: -----------------------------------------------------------

Address:---------------------------------------------

TMO FCPS/MCPS/Diploma in __________

Gazzated Officer

Signature ----------------------------------

Name ---------------------------------------------------

Father’s Name ----------------------------------------------------

CNICNo: --------------- Address: --------------------------------------------------

Gazzated Officer

Signature --------------------------------------

Name --------------------------------------------------------

Father’s Name ---------------------------------------------------------

CNIC No: -------------------------- Address: ----------------------------------------------

The issue of subspecialty/initial induction outside KP with regards to CM directives has to be explored further

organogram of pgmi kpk · prosctus, syllabi, courses and conduct of examinations 2017 & onward...

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