ABSTRACT
A universal challenge faced by developing countries these days is the inequitable distribution of health professionals, which compromises the capacity of the health system to deliver efficient and effective health care. Availability of reliable data on medical graduates is important for health planning and development of policies and plans dealing with health workforce labour market. To determine the proportion of medical graduates who remained affiliated with the profession three to six years after graduation from a private medical school, To find out the specialty selection and practice location of these graduates, and to determine the association between their gender and affiliation with the profession. A cross-sectional study was undertaken at the Lahore Medical and Dental College from March to May 2014 selecting graduates through convenience sampling. The graduates were contacted through e-mail, Facebook and telephone. After obtaining voluntary informed consent from the respondents, a pre-tested structured questionnaire was used to collect information.The data was recorded and analysed using the statistical package for social sciences version 16.0. Chi-square test is used to test statistical significance between respondent's gender and their affiliation with the medical profession at p = 0.05. A large proportion 98[88%] of medical graduates remained affiliated with the profession. Those who didn't pursue it were all females [p = 0.05]. Majority 86[88%] were located in Pakistan. A greater proportion worked in the tertiary health care facilities 65[94%]. The popular specialty being pursued was medicine 24[24%]. Female medical graduates should be provided opportunities for part time work.Medical schools should provide early and prolonged exposure of students to primary health care facilities, in order to increase their uptake of rural postings
Subject(s)
Humans , Male , Female , Physicians , Professional Practice Location , Cross-Sectional Studies , Surveys and QuestionnairesABSTRACT
Of 156 patients with acute appendicitis, seen during 24 months, 21 had perforated. Age over 30 years especially in males, duration of symptoms over 48 hours, pulse rate on admission exceeding 1007 minute, generalised abdominal tenderness, leucocyte count in excess of 10,000 mm3 and a neutrophilia in excess of 70 percent, characterized patients with appendicular perforation. The rate of complications was five times greater and the mean hospital stay nearly twice as much in the perforated group