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Introducing the Middle
East Primary Care Quality Improvement Program
(MEQUIP)
Lesley Pocock
(1)
Abdulrazak Abyad (2)
(1) Lesley
Pocock, Publisher and Managing Director, medi+WORLD
International, World CME
Club of Budapest, Vice President, Multimedia
Medical University (MMU), Publisher, World Family
Medicine, Middle East Journal of Family Medicine,
Middle East Journal of Age and Ageing, Middle
East Journal of Business, Middle East Journal
of Nursing, Middle East Journal of Internal
Medicine
Middle East Journal of Psychiatry & Alzheimers
(2) A. Abyad, MD, MPH, MBA, AGSF, AFCHSE, CEO
Abyad Medical Center,
Chairman, Middle-East Academy for Medicine of
Aging, President, Middle East Association on
Age & Alzheimer's, Coordinator, Middle-East
Primary Care Research Network, Coordinator,
Middle-East Network on Aging, Editor, Middle-East
Journal of Family Medicine, Editor, Middle-East
Journal of Age & Aging, Editor, Middle-East
Journal of Nursing, Associate Editor, Middle
East Journal of Internal Medicine
Correspondence:
Lesley Pocock,
Publisher, medi+WORLD International, Australia
Email: lesleypocock@mediworld.com.au
Our time working on the MEJFM and various regional
and global postgraduate medical education projects
and strategies have seen standards, policies
and institutions in the Middle East and North
Africa greatly advance. However this is not
the situation in all regional countries and
there are still issues that affect all countries
of the region.
The needs range from Middle East and North
Africa trained doctors finding difficulty obtaining
employment in many regional and international
organisations, such as Medical schools and hospitals,
lack of ongoing postgraduate education (CME/CPD)
often required by these organisations and a
huge variation in standards and prior education
among practising doctors greatly affecting population
health in a range of countries.
Middle East Primary Care Quality Improvement
program (MEQUIP)
This program, rolling out November 1 is designed
to meet the needs stated above.
Sourced primarily from QA&CPD/QI&CPD
for (Australian) General Practitioners (GPs)
and Specialists and authored by educational
teams including Heads of University medical
departments, GP authors, postgraduate medical
educators and other health professionals, the
program offered has been customised and added
to, to meet the requirements of all global family
doctors. This includes the addition of disease
not found in first world education. e.g. leprosy,
TB, and medical education for where prevailing
socio-economic conditions may mean that doctors
do not necessarily have access to the latest
technology and patients may not be able to afford
therapies prescribed.
It also respects all cultures and religions.
We also recognise that in our current world
of travel and tourism that nowadays every doctor
everywhere needs to know everything.
Where material for such 'missing CME/CPD' does
not exist in developed world media education
we have commissioned this from first world educated
doctors who have practised a minimum of five
years in a developing nation, in consultation
with local doctors. For example our additional
education for Nepal CME was written by UK, Australian
and US doctors practising in Nepal in both rural
clinics and the main urban based hospitals.
Additional material has been developed by medical
educators from the Middle East for MEQUIP.
QA/QI&CPD standard education includes
and requires
QA&QI represents the latest in CME learning
formats with Information and Communications
technology (ICT), as the preferred delivery
model. The Quality Assurance (QA) aspect of
the programs assesses both the participating
doctor and the education itself through pre
and post tests and evaluation modules surrounding
the education. ICT is interactive and an enjoyable
and proven learning model.
Doctors are tested on Behaviours, Attitudes,
Skills, Knowledge and Systems in Medicine (on
each particular topic) therefore it is CME in
action. The aim of the Program generally is
Quality Improvement (QI) of Practice
We use Professional/Adult education whereby
the user compares their selected answers and
"authors" agree or disagree with their
choice and give them reasons why.
Participants/doctors are treated with respect
and the education encourages a whole health
and preventive health approach for patients.
Learning is 'case based' and each topic (e.g.
Cardiovascular disease) covers all presentations
in primary care, on that topic.
Figure 1: Sample National Programs
The MEQUIP program is further categorised as
Modules:
The Middle East Quality Improvement Program
(CME and CPD) Outline:
Modules
Emergency Medicine
Child Health Emergencies
Obstetrics and Gynaecology
Chronic Medical Disease
Mental Health
Dermatology
Infectious Disease
Geriatrics
Office Surgery
Diagnostic Processes
An examination CD is available for each of the
above Modules. This is available on Interactive
CD/DVD and allows the participant to sit the
exam as many times as required to achieve the
pass mark required. This is to allow the program
to be used as 'remedial CME/CPD', i.e. the aim
is to bring the participating doctors up to
standard, rather than penalise them. There is
a charge for this component to cover costs as
it is forwarded to each participant on CD/DVD,
however this is not compulsory, rather it is
available as an added component, for individual
doctors and groups of participating doctors,
The CME/CPD online is totally free to air.
Those who do participate in the exam module
are able to print their Certificate of Satisfactory
Completion from the CD itself once the required
pass mark is achieved. Results can also be directly
emailed to a governing body. As with the national
programs already used around the world the Examination
modules can be customised for national colleges
and other governing bodies.
Australian QI&CPD standards for both doctors
and Accredited Providers are available online
at:
https://www.racgp.org.au/education/qicpd-program/
All programs provided by medi+WORLD International
have been prior accredited at the highest category
CME points. We can add further case presentations
as required by the region.
The Program can be found online at the following
address:
www.mejfm.com/MEQUIP/index.htm
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EDUCATIONAL BACKGROUND OF THE PRINCIPLES |
Dr Abdulrazak Abyad
Chairman and Founder MEAMA
Dean MMU
Chief Editor
World Family Medicine
Middle East Journal of Family Medicine
Middle East Journal of Age and Ageing
Middle East Journal of Business
Middle East Journal of Nursing
Middle East Journal of Internal Medicine
Middle East Journal of Psychiatry & Alzheimers
Founder Middle East Primary Care Research Network
Founder, Middle-East Association on Aging and
Alzheimer's)
Founder, Middle East Network on Ageing Research
- MENAR
Lesley Pocock
Accredited Provider - Postgraduate Medical Education
Publisher and Editor
Applied Sciences of Oncology University Courseware
Publisher and Editor
World Family Medicine
Middle East Journal of Family Medicine
Middle East Journal of Age and Ageing
Middle East Journal of Business
Middle East Journal of Nursing
Middle East Journal of Internal Medicine
Middle East Journal of Psychiatry & Alzheimers
(Multimedia Titles - include interactive
education, animations, videos, scans etc as required
by topic)
Anaemia
Ano-rectal conditions
Art of General Practice
Asthma Action plans
Child Health Emergencies
Cardiovascular Disease - Prevention and management
Depression
Dermatology
Common problems in the management of Type 2 Diabetes
Diagnostic process
ECG Interpretation (Full library of ECGs and their
interpretations)
Geriatrics - Quality Care of the Aged
Hypertension & Heart Failure
Integrative medicine
Low Back Pain
Metabolic disturbances
Office procedures I
Office procedures II
Palliative Care
Parkinson's Disease and related movement disorders
Renal Disease
Sexually transmitted infections
Spirometry - how to perform and interpret
Stroke
Virtual consulting room
Women's Health I
Women's Health II
Figure 2: Sample multimedia title
The
program
will
be
run
out
under
the
guidance
of
a
Board
drawn
from
respected
and
accomplished
medical
educators
of
the
MENA
and
MESA
regions.
Academics,
practising
doctors
and
medical
students
may
make
free
use
of
the
programs,
and
all
are
welcome
to
submit
requests,
suggestions
and
ideas
as
well
as
educational
case
studies
and
resources
to
make
this
a
genuine
regional
cooperation
with
the
aim
to
lift
the
health
status
of
all
MENA
and
MESA
populations.
The
examination
modules
will
also
provide
a
cost
effective
formal
national
CPD
program,
with
full
reporting
of
national
data
and
statistics
for
those
countries
without
one.
This
is
a
genuine
initiative
born
out
of
mutual
respect,
a
quest
for
excellence
in
the
practice
of
medicine
and
regional
cooperation
in
the
spirit
of
Islam.
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