Standard 6 - Curriculum Management

Standard 6 – Curricular Management

(Conforms to Standards 6.1, 6.2, 6.3, 6.4 & 6.5)

 

General:

Avicenna Medical College has studied and achieved the implementation of the policy of Higher Education Commission (HEC) and also studied in detail the Medical Education Manual issued by the Pakistan Medical & Dental Council as a consequence of coordination and alignment of HEC, PM&DC and UHS. However, the task is made much easier since the University, for the purpose of uniformity of its constituent colleges, has issued syllabus, table of specifications and specified the reading material and has prescribed/recommended the books on the subject.

 

The Academic Council

Pakistan Medical & Dental Council accreditation standards in Regulations of 2012 vide clause 21 demands the existence of Academic Council with the primary task to determine Institutional Academic Policies, Curricular delivery techniques with the responsibility to determine and provide scenarios and appropriate patient access with clear learning objectives in each discipline. Academic Council shall function as a supervisory and oversight body. (Authority – The gazette of Pakistan of 26th January, 2012 Page 9)

 

Study Boards and Curriculum

Study boards and Curriculum Committee are required to be formed by the institution to ensure that there are mechanisms for direct Faculty involvement in decisions related to educational programs its delivery and evaluation. (Authority – The Gazette of Pakistan 26th January 2012 – Clause 22)

 

Curriculum Management and Delivery

The curriculum shall be as laid down by the Council. The institution shall be governed by the statutes, regulations, rules framed by the Council from time to time including general scheme of studies , duration of courses, the medium of instructions and' examinations, detailed syllabi for examinations and the condition under which students shall be admitted to examinations. (Authority – The Gazette of Pakistan 26th January 2012 – Clause 35)

 

Roles and Responsibilities

There is integrated institutional responsibility for the overall management, delivery and evaluation of the- curriculum and quality assurances. The Principal and the faculty shall ensure the effective delivery and implementation of the components of the curriculum and quality assurances. The Principal or Dean shall be provided sufficient resources and authority to fulfill this responsibility. (Authority – The Gazette of Pakistan 26th January 2012 – Clause 36)

 

Confidentiality of Student Record

It is the responsibility of the institution concerned to keep the student records confidential and available only to members of the faculty and administration on a need to know basis. Laws concerning confidentiality of record need to be kept in view. Students are to be allowed to review and challenge their records if there is a valid reason for it (Authority – The Gazette of Pakistan 26th January 2012 – Clause 37)

 

Academic Atmosphere

The program of MBBS and BOS education are to be conducted in an environment that fosters the intellectual Challenge and spirit of inquiry appropriate to a community of scholars. Institutions shall make available sufficient opportunities for MBBS and BDS students and faculty to participate in research and other scholarly activities including continuing medical and dental education and professional development programs .The faculty shall encourage and support student participation in these activities. (Authority – The Gazette of Pakistan 26th January 2012 – Clause 38)

Note: The above are the guidelines for HEC and PM&DC regarding the curriculum and its management. These guidelines have been taken as principles and curriculum management at Avicenna Medical College are made to conform to the above.

 

Curriculum Management at Avicenna Medical College

Curriculum Management at Avicenna Medical College is achieved by having an efficient infrastructure that affords the achievement of the objectives of the curriculum.

 

The Curriculum Committee:

The curriculum affairs at Avicenna Medical College are managed, controlled, monitored and reviewed by the Curriculum Committee. The Committee consists of all the HODs of the Departments and is headed by the Principal of the College. The Curriculum Committee is composed of:

Sr.

Name

Designation

1

Prof. Dr. Gulfreen Waheed (MHPE)

Chairperson Committee

Principal & ME Expert

2

Prof. Dr. Rehana Shahid

HOD Anatomy

3

Prof. Dr. Binyamin Ahmed

HOD Physiology

4

Prof. Dr. Zubair Ahmed

HOD Biochemistry

5

Prof. Dr. Rubina Hafeez

HOD Pathology

6

Prof. Dr. Najma Naz

HOD Pharmacology

7

Prof. Dr. Zainab Perveen

HOD Forensic Medicine

8

Prof. Dr. Rana Muhammad Akhtar Khan

HOD Community Medicine

9

Prof. Dr. Luqman Ahmed

HOD Medicine

10

Prof. Dr. Mehmood Alam

HOD Surgery

11

Prof. Dr. Nuzhat Parveen Khwaja

HOD Obs & Gynae

12

Prof. Dr. Mariam Waheed

HOD Paediatrics

13

Prof. Dr. M. Ayub Khan

HOD ENT

14

Prof. Dr. Khalid Mehmood

HOD Ophthalmology

15

Assistant Prof. Dr. Fatima Aslam

HOD Behavioral Sciences / Psychiatry

 

Other Stakeholders:

Other members of the Faculty are also encouraged to give their feedback and the following members of the Faculty prefer to attend and are a part of the Curriculum Committee

 

1

Prof. Dr. Abdul Sami Qazi

HOD Radiology

2

Assistant Prof. Dr. Abeer Fahad

HOD Dermatology

3

Prof. Dr. Anayat Araen

HOD Anaesthesia

4

Prof. Dr. Talat Bashir

HOD Orthopaedics

 

Organogram

The above Curriculum Committee is specified in Standard 4 – Curriculum Organization. The curriculum is controlled by the Curriculum Committee and it works under the Academic Council which is responsible to take all Academic Decisions at Avicenna Medical College. Organogram of the Academic setup is attached as Annexure-A.

 

Since the curriculum is a set course, involving subject content, teaching & learning methods and assessments and the guidelines of the PM&DC and UHS are explicit so, the contents of the syllabus and curriculum are seldom changed. Therefore keeping itself in alignment with the directives of the PM&DC, Avicenna Medical College has adhered to the directives and has only made changes in the conduct of it in the form of interventions that in fact augment the wishes and desires of the PM&DC as well as UHS.

 

A perusal of the institutional organogram (Attached as Annexure-B) shows that the Board of Governors is the decision making body, the Executive Committee implements the decision of the Board of Governors. However, at the institutional level, the Academic Council is the decision making body for all academic matters. The Academic Council duties, responsibilities are available in Standard 4 – Curriculum Organization as well as Standard 10 – Governance. Handling of academic issues is mainly done by the Curriculum Committee (details in Standard 4 – Curriculum Organization). The Curriculum Committee in fact is assisted by the following committees:

  1. Assessment Committee
  2. Program Evaluation & Review Committee
  3. Curricular Management Committee

 

TORs of Curriculum Committee:

Section 1:  Regular Meetings - The Curriculum Committee meets on the second Tuesday of every month at 11:30 AM-1:00 PM. Additional meetings and workshops are scheduled as necessary.

 

Section 2:  Quorum - A quorum is 2/3rd of the voting committee.  The Curriculum Committee may meet without a quorum for the purposes of discussion.

 

Section 3:  Discussion - In the interest of time and efficient decision-making, discussion of agenda items is restricted to members of the committee and the presenting parties.  Visiting members of the college community may not participate in discussion of agenda items, unless invited by the Chair.

Section 5:  Voting Procedure - Decisions are made by majority vote, after establishing a quorum.  Voting is conducted by a show of hands, voice vote or by ballot as requested.

Section 6:  Order of Business

  • Roll Call
  • Approval of minutes of previous meeting
  • Review of the agenda
  • Review of Status Report
  • Public Comments
  • Unfinished tasks
  • New decisions and recommendations
  • Announcements
  • Adjournment

 

The Curriculum Committee uses Standard Operating Procedures, as needed, to facilitate the compliance to recommendations and to maintain cooperation and collegiality. Standard Operating Procedures, authorities, TORs, responsibilities of Curriculum Committee are attached as Annexure-C.

 

Section 1:  Agendas - Agendas are set and published one day before the committee meeting.  Items are submitted in writing to the Committee Chair seven days before the committee meeting.  The Committee Chair reviews all agenda items and determines if they are within the scope of the committee’s authority.  If the item is not to be included on the committee agenda, the Committee Chair returns the request to the originator with the reason for not including the item.

 

Section 2:  Minutes and the Duties of the Recorder - The recorder for the Curriculum Committee is the Assistant and supporting staff to the Director DME, is not a member of the committee and may not participate in discussion of agenda and performs duties as:

  • Receives items and prepares the agenda in consultation with the chair
  • Prepares and distributes agenda prior to the meeting
  • Records the minutes during the meeting, prepares and distributes the minutes
  • Distributes the paperwork, planners, time tables and approved curriculum changes for course and program changes to the members and the relevant departments.
  • Maintain record keeping of the committee’s printed documents in appropriate folders
  • Prepares and distributes academic year end reports of the committee’s activities

 

Section 3:  Reports - The Curriculum Committee maintains an ongoing record of its meetings, which remain on file, both in electronic and hard copy form, in the DME Office.  The Committee prepares and distributes a year-to-date report twice annually.

 

Section 4:  Communication - The Curriculum Committee utilizes varied and appropriate forms of communication to keep the college community informed of their work.  The Committee keeps an up-to-date binder of committee documents in the office of Department of Medical Education.  Committee meeting minutes and year-to-date reports are posted in the Public Folders.  The Chair gives Committee updates at the Academic Council Meetings and Executive Committee Meetings.

 

The Curriculum Committee as shown in the organogram is assisted by the Assessment Committee for the purpose of Assessment and the Program Evaluation Committee to Monitor the program and suggest changes.

 

Assessment Committee

Assessment Committee is a subcommittee of the Curricular Committee approved by the Principal. The composition of assessment committee as is under:

  1. Prof. Dr. Gulfreen Waheed                     (MHPE) Chairperson Committee
  2. Prof. Dr. Rehana Shahid                         HOD Anatomy
  3. Prof. Dr. Zubair Ahmed                          HOD Biochemistry
  4. Prof. Dr. Rubina Hafeez                          HOD Pathology
  5. Prof. Dr. Luqman Ahmed                                   HOD Medicine
  6. Prof. Dr. Mehmood Alam                                   HOD Surgery
  7. Prof. Dr. Nuzhat Parveen Khwaja         HOD Obs & Gynae

 

Terms of Reference of Assessment Committee

Background and Purpose

Avicenna Medical College has a duty to ensure that our medical graduate have achieved a safe and satisfactory standard of performance in all the elements of medical practice. The institute is affiliated with UHS and follows the curricula provided by UHS according to standards set by the PM&DC and HEC. According to the UHS curriculum the medical studies of MBBS are spread over five years to ensure that basic sciences knowledge, skill and attitudes are mastered in the first three years before moving on to more advanced clinical sciences topics in the last two years. Assessments are designed as Annual Professional Examinations conducted by the UHS in its premises. Since medicine is not simply a theoretical subject, teaching and learning covers knowledge, skills and attitudes so assessment must therefore do the same and Oral Examination with weightage equal to the theory exams are included in the prof exams and conducted at the institute.

 

Correspondingly, the internal assessments at Avicenna Medical College are built throughout the academic year of each professional year of MBBS course, this process is efficiently conducted by the Assessment Unit of the Department of Medical Education under the management of the Director Medical Education and its standard setting and performance is overseen by the Assessment Committee.

 

The Purpose of Assessment Committee is to develop and implement an overarching strategic and systematic approach to assessment of the students throughout the academic year that fits with the rest of the curriculum and is aligned with the learning outcomes. The Assessment Committee works to promote an integrated culture of assessment consistent with the mission of Avicenna Medical College to produce medical practitioners possessing passable knowledge, skills and attitudes of a safe doctor.

 

Scope of Assessment Committee

The Assessment Committee provides leadership for the development, standard setting, implementation review of the assessment of student learning at Avicenna Medical College in line with the guidelines provided by the HEC, PM&DC and UHS. The committee carries out a focused effort on improving the quality and scope of assessment of student learning at Avicenna for the courses. In developing standard setting, implementation and reviewing the assessment methods. The Assessment Committee consider validity, reliability, generalizabitly, feasibility, fairness, educational impact, cost effectiveness, acceptability and defensibility of the internal assessment system which includes both formative and summative assessments.

 

The Assessment Committee is designed to foster communication between the basic sciences / clinical department and DME to facilitate its access to student learning. The committee is charged to coordinate assessment at the institutional level for all the courses being conducted at Avicenna Medical College including MBBS, FCPS/MCPS, BSc (generic) Nursing, Certified Nursing Assistances and the Allied Health Sciences courses. The Assessment Committee represent all the academic and co-curricular areas in articulating and Integrated assessment program and provide feedback and assistance to the faculty conducting the academic program to enhance the DME support for the internal formative and summative assessment.

 

Role and Responsibilities of Assessment Committee

The Assessment Committee has the authority and responsibility of oversight of the educational curriculum in collaboration of the Curriculum Committee both working under the umbrella of the DME to align the assessment of student learning outcomes in the curriculum for each topic, session and course. Assessment Committee is responsible for the overall design, management integration, standard setting, evaluation and review of the formative and summative internal assessment and submission of the internal assessment of the entire academic year of each session and course to the UHS to be included as 10% in annual prof exam result of both the theory and oral exams. The following items are the responsibility of the Assessment Committee:

  1. Assist various basic sciences and clinical science departments to develop assessment strategies, policies, procedures and guidelines for the formative and summative assessments to be conducted over the academic year.
  2. In consultation with the faculty, develop assessment programs, plan and organize in accordance with the academic calendar at the beginning of each academic year and determine timeline for discussion and approval of the new and revised assessment strategies.
  3. Manage the development, designing and standard setting of MCQs and SEQs question bank with answer keys for marking in collaboration with the faculty of the respective department
  4. Develop, maintain and review the OSCE bank with collaboration of the faculty of respective department.
  5. Perform item analysis and provide feedback to the concerned faculty on the quality of items.
  6. Plan, organize and manage the conductance and invigilation of all examinations conducted in the examination halls of Avicenna Medical College.
  7. Plan and organizer and manage the printing and marking of the assessment question papers and answer sheets in the secure area of Assessment unit of the DME.
  8. Perform tabulation, scanning and reporting of all kinds of examination results.
  9. Maintain and archive records of previous exams as per the policy of the institution.
  10. Plan, organize and manage formative feedback sessions for the students with the faculty and discussions on the individual student’s progress.
  11. Plan, organize and design workshops for faculty training on development of assessment methods such as MCQs, SEQs, OSPE and workplace based assessment (WPBA).

The standard operating procedures of the Assessment Committee are attached as Annexure-C.

 

Program Evaluation Committee

Avicenna Medical College has formulated a program evaluation and review committee which carries out constant monitoring of the program and suggests changes if any in any of the categories as under:

  1. Changes in the conduct of instructions of any subject.
  2. Changes in allocation of hours.
  3. Changes in time duration.
  4. Changes in mode of instructions – theory, practical, tutorial and on-patient training
  5. Changes in program in terms of location or postponements 
  6. Holding of special study classes for the development of concepts where required.

 

Organization of Program Evaluation Committee

Academic decisions at Avicenna Medical College are taken by Academic Council. The Academic Council also monitors and oversees the functions of the Curriculum Committee, Assessment Committee as well as the Program Evaluation and Review Committee. This Committee works on a two tire function and consists of the following:

  1. Prof. Dr. Rehana Shahid                         HOD Anatomy
  2. Prof. Dr. Binyamin Ahmed                     HOD Physiology
  3. Prof. Dr. Zubair Ahmed                          HOD Biochemistry
  4. Prof. Dr. Rubina Hafeez                          HOD Pathology
  5. Prof. Dr. Najma Naz                               HOD Pharmacology
  6. Prof. Dr. Zainab Perveen                                    HOD Forensic Medicine
  7. Prof. Dr. Rana M Akhtar Khan              HOD Community Medicine
  8. Prof. Dr. Luqman Ahmed                                   HOD Medicine
  9. Prof. Dr. Mehmood Alam                                   HOD Surgery
  10. Prof. Dr. Nuzhat Parveen Khwaja         HOD Obs & Gynae
  11. Prof. Dr. Mariam Waheed                       HOD Paediatrics
  12. Prof. Dr. M. Ayub Khan                          HOD ENT
  13. Prof. Dr. Khalid Mehmood                     HOD Ophthalmology
  14. Assistant Prof. Dr. Fatima Aslam                       HOD Behavioral Sciences / Psychiatry
  15. Student Members

The class representatives from all classes (three from each class) attend the program evaluation and review sessions for the items that pertains to their class. The list of CRs is as follows:

  1. 1st Year: Laibah Zakariya, Asim Dildar
  2. 2nd Year: Uswah, Abdullah Altaf
  3. 3rd Year: Ali, Fatima
  4. 4th Year: Fatima Zahid, Salman Masood
  5. 5th Year: Sameer, Ayesha

 

Every HOD has an appropriate assistant who helps and does the main monitoring, receives and processes all review requests for consideration by the program evaluation committee.

 

The Program Evaluation Committee maintains and oversight of the conduct of the Curriculum being a Committee composed of HODs and their assistants as well as the student CRs of each class, the role of the program evaluation committee is the affect the expression and delivery of the curriculum in every aspect.

 

The Program Evaluation Committee is responsible for the regular evaluation of the curriculum as put up by their assistants and the CRs of every class.

 

Curriculum Management Committee

The Curriculum Management Committee works under the Curriculum Committee and consists of the following members:

Prof. Dr. Rehana Shahid                         HOD Anatomy and Incharge Basic Sciences

Dr. Nabila Habib                                     Focal Person Anatomy

Dr. Afsheen                                              Focal Person Physiology

Dr. Yasir Ali                                             Focal Person Biochemistry

Dr. Majid Rauf                                         Focal Person Pathology

Dr. Mehwish                                            Focal Person Pharma

Dr. Sabtain Fazli                                      Focal Person Forensic Med

Dr. Tabassum Masood                             Focal Person Community Medicine

Dr. Luqman Ahmed                                HOD Medicine & Incharge Clinical Sciences

Dr. Usman Amir                                      Focal Person Medicine

Dr. Yasmin                                               Focal Person Surgery

Dr. Amna                                                 Focal Person Obs & Gynae

Dr. Aneela Zarin                                      Focal Paediatrics

Dr. Nighat                                                Focal Person ENT

Dr. Tariq Parvez Khan                            Focal Person Ophthalmology

Assistant Prof. Dr. Fatima Aslam                       HOD Behavioral Sciences / Psychiatry

 

The perusal of the above would indicate that the program management committee consist of one HOD each from the basic and the clinical sciences along with a focal person from each department. The focal person are all of the status of Assistant Professors and are responsible for coordination between their department and DME besides others.

 

Functioning

The Curriculum Management Committee is expected to achieve the aims and objectives of the Curriculum Committee

 

Avicenna Medical College has developed standard operating procedures for the curriculum committee involving scope, role and TORs of the subject committee. It also outlines the selection and duties & responsibility of the Chair as well as the members and the system of attendance beside specifying the details of conduct of a curriculum committee session. 

 

Review & Information to Stakeholders:

The incorporation of the curriculum committee and other stakeholders and the importance given to the students on student feedback helps review of the curriculum and most importantly the conduct of the curriculum in the meetings.

 

Avicenna Medical College has an informal system of getting the feedback as any student can walk into the office of the Chairman and give his/her feelings about any difficulty without being identified as such. The Chairman ensures that the feedback from the student is passed on to the Principal who makes an assessment of the feedback provided and if need be, the issue is taken up in the Curriculum Committee Meeting for review and necessary action.

 

The Curriculum Committee since its incept has through series of meetings framed the method of conduct of the medical education for each department as given in the link below:

http://www.pmdc.org.pk/LinkClick.aspx?fileticket=EKfBIOSDTkE%3D

 

Terms of Reference Curriculum Management Committee

The Curriculum Management Committee coordinates all efforts with various echelons for the smooth running of the program which has been formulated and agreed to and approved by the Curriculum Committee. The availability of the focal persons from each department ensures that the departmental point of view is considered valid in all aspects of the management of the program. The areas of operation and coordination of the curriculum management by the committee is with the following:

  1. The Department of Medical Education: Coordination with this department is in terms of:
    1. The printing of the program of the current and the next week along with the tasking of the faculty.
    2. Tasking of the faculty for various instructional commitments
    3. Printing and display on the display boards the details of subject and the references to the prescribed book and chapters.
    4. Coordinate the allocation of spaces with the faculty. In terms of the following commitments:
  1. The formation of batches in each class for the purpose of practicals, clinical classes, evening classes and emergency room classes.
  2. Tests and examinations
  3. Key discussions
  4. Lectures
  5. Tutorial classes
  6. Practicals
  7. Clinical “on-patient training” classes
  8. Evening Emergency classes
  9. Conduct of Evening education support classes
  10. Formation of the pink (weak) and red (very weak) list and their schedule for the evening
    1. Receipt of test/exam papers form DME and its issuance to the concerned faculty for conduct and invigilation.

Note: Avicenna Medical College has adequate infrastructure for the management of the curriculum and for this purpose it has the following facilities maps of which have been attached as shown:

  1. Examination halls                                         3
  2. Lecture halls                                                 5
  3. Tutorial Rooms (basic sciences)                   10
  4. Tutorial Rooms (clinical sciences)                12
  5. Skill labs                                                        2
  6. eLibrary and digital library facility
  7. Coordination with the Curriculum Committee: The Curriculum Management Committee monitors in coordination with the DME and ensures that the program is as per the policy laid down by the Curriculum Committee. For this they coordinate with each department being a group of focal persons representing all departments.
  8. Coordination with the Faculty: The following coordination is carried out with the respective faculty through the institution of the focal person:
    1. The marking of the test/exam papers
    2. The contents and conduct of practicals and practical examinations
    3. The conduct of tutorial and the tasking of the relevant faculty
    4. The formulation of the OSPE by each department and ensuring the laying of the OSPE and its conduct.
    5. The formulation of the OSCE by each department and ensuring the laying of the OSCE and its conduct.
    6. The holding of key discussions and advise to students on the mistakes that they have made and how to avoid them.
    7. The receipt of the feedback forms / review forms from the faculty and students getting them processed from the Principal for action by the concerned department.
  9. Coordination with the Hospital Administration: This coordination entails:
    1. The availability of the tutorial rooms for small group discussion and their allocation to the department concerned.
    2. The availability of the OSPE halls and allocation to the department concerned.
    3. The Organization of the teaching areas in the out-patient department and ensuring their optimum use.
    4. The holding of evening classes for “on-patient training” classes
    5. The allocation of emergency duty to batches
    6. The coordination for exposure to the students of the following areas
      1. Operation Theatre
      2. Labor Room
      3. Out-patient Department
      4. Intensive Care Unit (medical & Surgical)/Cardiac Care Unit

 

Study Guides:

The University of Health Sciences has in 2019 called upon a few colleges including Avicenna Medical College to be a part of a pilot plan for system based learning as is in vogue internationally. Avicenna Medical College recognizes that sooner or later, it has to shift over to the integrated curriculum.  Study guides have already been formulated for the integrated curriculum. The study guides are also available on eLibrary of Avicenna Medical College at http://digital.avicennamch.com. These are also available at the college bookshop.

Copy/Log book

Copies for the practicals are made in the basic sciences as a record of the practical performed by the student. The log books and the skills log books are for the clinical sciences. Each department has specified a logbook where all the clinical work is entered and authenticated. The clinical skills copy are for fourth and the fifth year and these have the details of the clinical skills conducted and acquired by the students.

 

Laboratory / Practical Rotation:

The average intake of the course is 150. Except for the central lectures and discussions, all other discussions are done in batches as follows:

  1. Anatomy, Physiology & Biochemistry – Course is divided into 3 batches of 50 each for the practicals (Lab & Dissection Hall) and the rotation is done within the week as 3 lab/practical commitments are planned for each week. 
  2. Pharmacology, Pathology, Forensic Medicine & Behavioral Sciences - Course is divided into 4 batches of 35-40 each for the practicals (Lab) and the rotation is done within the week as 3 lab/practical commitments are planned for each week. 
  3. Eye, ENT, Community Medicine & Special Pathology - Course is divided into 4 batches of 35-40 each for the practicals/clinical and the rotation is done within the week as 3 lab/practical/clinical commitments are planned for each week.
  4. Medicine, Surgery, Gynae & Paeds - Course is divided into 6 batches of 25 each for the clinical training. The rotation is done every six weeks and there are two batches for Medicine & Surgery and 1 batch each for Gynae/Obs & Paeds. Each batch gets a concentrated dose of the subject involved and rotation is done every six weeks.

The final year clinical training in the hospital runs for 36 weeks (rotation every 6 weeks)