Kuwait Institute for

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Kuwait Institute for

  1. 1. Kuwait Institute for Medical Specialization Ministry of Health, Kuwait Kuwait Institute for Medical Specialization (KIMS) is the authority of the Ministry of Health, State of Kuwait, that is responsible for planning all aspects of postgraduate training of medical and other health professionals in Kuwait. It organises the internship training of recently qualified medical graduates, and speciality level and continuing education programmes for all health professionals. In fulfilling its aim of providing speciality level training in the different fields of medicine, KIMS has established a number of Faculties and Committees, which initiate and coordinate postgraduate training. They are in Internal Medicine, Surgery, Paediatrics, Obstetrics & Gynaecology, Family Medicine, Laboratory Medicine, Radiology, Nuclear Medicine, Anaesthesia and Radiology, and Dentistry. This booklet gives an outline of the training programme in Laboratory Medicine. Registration in the programmes is open to doctors practising in Kuwait as well to those based in institutions in the other GCC countries subject to availability. Interested readers are requested to contact KIMS, for additional information on the programme described here, or for details of other activities organised in the speciality.
  2. 2. TABLE OF CONTENTS Introduction --------------------------------------- 1 Diploma ------------------------------------------- 2 MRCPath Programme --------------------------- 2 Objectives ----------------------------------------- 3 Admission to Programme ----------------------- 4 Training Programme ----------------------------- 5 Monitoring of Programme and Programme Effectiveness ----------------------- 7
  3. 3. INTRODUCTION Laboratory Medicine serves a central role in all fields of medical science - patient care, medical education and basic and applied health research. Rapid advances in various scientific technology make this role all the more important and crucial. Since patient management strategies are largely determined by the exact pathological abnormalities and the stage of the disease, for proper patient care the clinician has to lean heavily on advice from Consultants in laboratory medicine and constantly interact with them. Opinions by specialists in different branches of laboratory medicine are essential in proper diagnosis, management and prognosis of diseases encountered in the entire spectrum of community health care - primary to tertiary. In any health care team therefore, specialists in laboratory medicine constitute a vital component. As in other branches of clinical medicine, specialization in laboratory medicine to higher specialist level (consultant) requires spending adequate time in a properly structured residency training programme of acceptable international standard. Currently, Kuwait Institute for Medical Specialization, KIMS makes available in Kuwait such a programme recognised by the Royal College of Pathologists (RCPath) of the UK. Physicians in the programme are eligible to appear at the RCPath. examinations and for the award of the MRCPath.
  4. 4. DIPLOMA The specialization diploma in different fields of laboratory medicine is called Membership of the Royal College of Pathologists, UK (MRCPath.), and is offered by the College in the following areas of specialization: • Chemical Pathology* • Clinical Immunology* • Forensic Pathology/Medicine • Genetics • Haematology* • Histocompatibility • Histopathology* including cytopathology • and paediatric pathology • Microbiology * • Neuropathology • Oral pathology • Toxicology • Transfusion Medicine* • Veterinary pathology • Virology *approved programmes in Kuwait. The MRCPath is recognised internationally for appointment to consultant staff position in high level tertiary care hospitals, academic institutions and research organisations. MRCPATH PROGRAMME The MRCPath Programme is a 5-year high level apprenticeship training geared to develop professionally qualified physicians who practise as consultants in various fields of laboratory medicine in tertiary care hospitals, academics and as researchers. The first three years of training is at a general specialist level and is certified by success in a Part I examination
  5. 5. comprising a set of theory papers which the candidate must pass to be eligible to later sit the practical and oral examinations in the UK. Successful candidates at the Part I examination are admitted as Diplomates of the Royal College of Pathologists and are eligible for appointment as Senior (specialist) Registrar in the UK. The last two years of training is at a Higher Specialist level. At this time the candidate may opt to train in a subspecility or go on a research tract usually along a subspeciality, or train further as a general specialist. The programme is completed by a Part II examination that comprises Orals and Practicals. Candidates who successfully pass the Part II examinations are admitted as Members of the Royal College of Pathologists and are appointable as Consultants in the UK. The MRCPath is thus an Exit Specialist Diploma, awarded on Completion of general and Higher Specialist Training. The MRCPath holder thus possesses sufficient clinical, scientific information, statistics, epidemiological and administrative skills to function as a Consultant. Pathologist. OBJECTIVES At the end of the 5-year of training in the MRCPath programme the physician will : 1. Possess enough skill and knowledge to correctly diagnose most diseases using laboratory techniques in his/her own speciality. 2. Be able to advise on the optimal management of diseases on the basis of the laboratory results and findings 3. Be able to advise on the correct and optimal use of laboratory tests, their interpretation and limitations
  6. 6. 4. Have sound knowledge of the etiology, pathogenesis, pathology and sequelae of diseases in the area of specialty 5. Understand the importance of research in the practice of medicine and the contribution of laboratory medicine to research. 6. Be competent in organising, administering and monitoring the quality of the particular laboratory services. ADMISSION TO PROGRAMME A. Requirements Medical graduates of Kuwait University and other recognised universities who have completed the Internship training as specified by KIMS after graduation are eligible to apply for admission into the programme. Prior experience in the speciality of Laboratory Medicine or any other Clinical Speciality is not mandatory. B. Selection After review of the applications short-listed candidates will be interviewed as arranged by the Selection Committee of KIMS Faculty of Laboratory Medicine. C. Training Centre Staff of the Departments of Pathology and Microbiology of the Faculty of Medicine Kuwait University direct and supervise the training at the laboratories of the Mubarak Al-Kabeer Teaching Hospital. However trainees are obliged to rotate through laboratories in other hospitals recognised by the RCPath for training purposes: Amiri, Sabah,
  7. 7. KCCC, Ibn Sina. TRAINING PROGRAMME The MRCPath Programme in Kuwait is a residency programme and residents are required to work as full- time laboratory physicians throughout their training period and get trained on the job rather than through formal teaching courses. Learning should be achieved in a continuous stepwise but all-round manner with acquirement of skills and expertise through personal experience, exposure to experience of seniors in the field and simultaneous reading of texts and literature. Continuous documentation of experience is mandatory and for this purpose all residents are supplied with Log Books in which they record their training experience. The Training Record must be kept safely and up to date. 1.1. Working hours 1.1.1 Working hours are normally those of the Faculty of Medicine - that is 8 AM to 4 PM Saturday through Wednesday. Residents are, however on mandatory emergency or call duties as for other physicians. 1.1.2 Vacation time is as for other Ministry of Public Health employees subject to the approval of the Head of the Training Unit and the Director of the Programme. Records of duty attendance and vacation time are maintained. 1.2. Professional Training 1.2.1 Rotational postings in subspecialties and elsewhere are organised by the consultants in the specialty as per guidelines of the RCPath.
  8. 8. 1.2.2 The principal modus of teaching and learning is on-the-job experience and case discussions with Senior Registrars and consultants, supplemented by relevant day-to-day reading of general and specialised texts. 1.2.3 Attendance at all professional intra- and interdepartmental conferences is mandatory since these are ideal learning experiences. 1.2.4 Residents in Haematology, Clinical Immunology and Chemical Pathology have direct responsibility for patient care and are required to attend clinics and perform ward duties. Residents in these specialities are encouraged to spend rotational periods in internal medicine or paediatrics, and to acquire or, already hold basic specialist certificates in these areas eg. MRCP. 1.3. Academic Exposure 1.3.1 Residents are required to attend and actively participate in Journal Clubs, Seminars, Symposia, Special Courses, Guest Lectures and other academic activities organised or, recommended by the Department. 1.3.2 Resident doctors are required to attend practical classes for medical students as honorary demonstrators and wherever possible participate in graduate lectures and seminars.
  9. 9. 1.4. Research Exposure Participation in research projects of consultants and faculty staff is to be greatly encouraged. Whenever possible residents who have passed the Part I examinations will be encouraged to take a project for a PhD/MD dissertation along with their Higher Specialist training. MONITORING OF PROGRAMME AND OF PROGRAMME EFFECTIVENESS Continuous monitoring of learning and other achievements of all residents is undertaken by supervising consultants and results reported regularly to the Council of the Faculty of Laboratory Medicine. 2.1. In addition to the on-job assessment of residents each training unit conducts periodic written practical and oral examinations based on the general pattern of the MRCPath examinations for each resident doctor. 2.2. The first year of training is probationary and new entrants into the programme are required to achieve satisfactory performance during this period. Residents whose performances are unsatisfactory may have to leave the programme. 2.3. Resident doctors in the programme are required to leave: a. On successful completion of Parts I and II examinations. b. If they fail to pass the Part II examinations after 8 years. c. If they fail to pass the Part I examinations after 5 years. d. If the performance in the first year of probation is unsatisfactory.
  10. 10. 1.4. Research Exposure Participation in research projects of consultants and faculty staff is to be greatly encouraged. Whenever possible residents who have passed the Part I examinations will be encouraged to take a project for a PhD/MD dissertation along with their Higher Specialist training. MONITORING OF PROGRAMME AND OF PROGRAMME EFFECTIVENESS Continuous monitoring of learning and other achievements of all residents is undertaken by supervising consultants and results reported regularly to the Council of the Faculty of Laboratory Medicine. 2.1. In addition to the on-job assessment of residents each training unit conducts periodic written practical and oral examinations based on the general pattern of the MRCPath examinations for each resident doctor. 2.2. The first year of training is probationary and new entrants into the programme are required to achieve satisfactory performance during this period. Residents whose performances are unsatisfactory may have to leave the programme. 2.3. Resident doctors in the programme are required to leave: a. On successful completion of Parts I and II examinations. b. If they fail to pass the Part II examinations after 8 years. c. If they fail to pass the Part I examinations after 5 years. d. If the performance in the first year of probation is unsatisfactory.

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