|Year : 2014 | Volume
| Issue : 3 | Page : 232-233
Concept of "Teaching Hospital"
Shyam K Parashar
Department of Surgery, College of Medicine, University of Dammam, Dammam, Saudi Arabia
|Date of Web Publication||11-Oct-2014|
Shyam K Parashar
Department of Surgery, College of Medicine, University of Dammam, Dammam
|How to cite this article:|
Parashar SK. Concept of "Teaching Hospital". Saudi J Med Med Sci 2014;2:232-3
Primary role of hospitals, public or private is that of providing optimum medical and health-care facilities to the community.
Such facilities usually follow a pyramid system with primary care centers and hospitals as the broad base of the pyramid and the super specialty and tertiary care hospitals at the top of the pyramid. Secondary care hospitals fall in the middle of the pyramid.
Basically, all these hospitals and centers are also used for clinical teaching and training for students of medical, nursing and allied health science colleges.
Since primary function of these general and specialist hospitals is to provide service, teaching, training and research takes a back seat. This is unfortunate.
Moreover, such institutions are ill-equipped for the requirement of teaching and training, by virtue of their ill-prepared infrastructure, manpower and administrative motivation. Eventual casualty therefore is the teaching and training programs.
So far, all such institutions have been divided in three categories only; that is primary, secondary and tertiary care hospitals/centers.
It is our strong opinion that none of these three categories individually are able to meet the requirements of a teaching and training hospital.
A teaching hospital should be an independent category and should be inclusive of all these categories of health-care service.
Clinical teaching for undergraduate students and clinical training for interns and residents require patients of all three levels. Not only the quality, but quantity of patients is also important for a large number of students and trainees. A teaching hospital should not restrict clinical service and admissions for patients classified by gender, nationality or social status.
In addition to these, a teaching hospital should meet the additional requirements of space, up-to-date audio-visual facilities and easy access to E-learning. It is our observation that most of the hospitals designated or accredited for teaching and training lack most of these facilities. Large group of students are being taught either in corridors, nursing rooms and visitors areas. Most of them do not find enough sitting space or chairs and have to stand for hours or even sit on the floor in prayer rooms. Audio-visual equipment is invariably either non-functioning or malfunctioning. Maintenance of space and facilities is of extremely poor standard.
Out-patient clinics and operating rooms complex have no designated teaching area. Very few have closed circuit television (CCTV) facilities.
In view of these observations, it is suggested that a "teaching hospital" should provide the following facilities:
- Teaching space should be available for small groups of students (8-10). Such teaching rooms should be available on each floor of the hospital and should be equipped with state of the art audiovisual facilities.
- Sufficient personnel should be available for maintenance of the rooms and equipment.
- Insufficient clinical material makes it mandatory to adopt teaching by televised demonstrations or scenario based virtual teaching. It may be useful to install CCTV in each room of the floors, controlled by the head nurse. A teacher can demonstrate to the whole group the correct examination techniques through CCTV. An additional advantage would be the surveillance of patients in the room by a single nurse at the console of the nursing station.
- Any hospital without experimental research laboratory cannot boast of being a teaching hospital. This requirement has to be met for being accredited as a teaching hospital.
In summary, administration should establish an independent category of "a teaching hospital," attached to every complex of medical, nursing and allied health science colleges.
Administration, funding and policies and procedures of such a teaching hospital/institution should be quite different and independent of the present three categories as classified by the ministry of health. Ideally such teaching hospitals are part of the University Administration under the Ministry of Education and Higher studies.