Organization plan Shaukat Khanam Memorial

Cancer Hospital and Research centre

By: Habiba Arif Shahzaib Khan Naveed Imtiaz Amna Iqbal Murtaza Waqas Abbas Atif To: Sir.Asif Iqbal.

Introduction
Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH&RC) is a state-of-the-art cancer centre located in Lahore, Pakistan. It is a project of the Shaukat Khanum Memorial Trust, which is a charitable organization established under the Societies Registration Act XXI of 1860 of Pakistan. The institution is the brainchild of Pakistani cricket superstar, Imran Khan. The inspiration came after the death of his mother, Mrs. Shaukat Khanum, from cancer. Imran Khan made a nation-wide appeal for the collection of funds from a match between Pakistan and India on November 10, 1989 at Gaddafi Stadium, Lahore which raised Rs. 2,902,600. This was followed by a series of more than 50 successful fund-raisers held throughout the world. Pakistan's win under Imran's captaincy in the 1992 cricket world cup in Melbourne helped fundraising efforts. He was able to collect one and a half million pounds in just six weeks after the World Cup when the same amount had taken 2 years to collect earlier. He donated his entire prize money of 85,000 pounds for the project. In 1994 when the project required more financing for the ongoing construction, Imran Khan launched a mass contact campaign in which he toured 27 cities in the country and collected Rs. 120 million. During the entire campaign for the construction of the hospital, over a million individual donors from ordinary citizens to the rich and famous pitched in. Designing and execution of the master plan was overseen by Dr. Nausherwan K. Burki, MB, PhD, FRCP, FCPS, FCCP, of the University of Kentucky Medical Center, Lexington, Kentucky, USA in collaboration with an international team of cancer physicians and research workers. Designing and architectural services were provided by Arrasmith, Judd & Rapp, and Architects in Health Planning of Louisville, Kentucky, USA. Architectural details were handled by Messrs. Nayyar Ali Dada & Associates of Lahore. Local engineering was performed by Messrs. Progressive Consultants, Lahore. Ground was broken in April 1991 and the hospital opened its doors on December 29, 1994.

Vision of Shaukat Khanam Memorial Cancer Hospital & Research Centre

Mission Statement of Shaukat Khanam Memorial Cancer Hospital & Research Centre
To act as a model institution to alleviate the suffering of patients with cancer through the application of modern methods of curative and palliative therapy irrespective of their ability to pay, the education of health care professionals and the public and perform research into the causes and treatment of cancer.

Function of the Program

At the commencement of every organization, there are certain aspects which are kept in mind while making the organization plan. In case of SKMCH&RC, we will elaborate some important functions in terms of livelihood, education, health & facility of financial assistance which SKMCH&RC is providing to the needy people across the country.

1. Livelihood:

2. Education:
SKMCH&RC is a research centre as well. It provides the facility of education and training to its staff members in the field of medical & clinical department to enhance the knowledge & efficiency. Some of major courses offered by SKMCH&RC are discussed below.

(A). RESIDENT TRAINING PROGRAM

The Department of Internal Medicine at Shaukat Khanum Memorial Hospital has Resident Training Program in Medicine. This program is approved for training for the Fellowship of the College of Physicians and Surgeons of Pakistan (FCPS) and also is approved for the Membership of the Royal College of Physicians (MRCP). Residents in the program are exposed to broad based training in internal medicine. There is an extensive outpatient experience with clinics in Gastroenterology, Hepatology, Pulmonary Medicine, Infectious Diseases, Endocrinology, Nephrology and Internal Medicine. Outpatient experience in general outpatient medicine is provided in the employee health clinic.Residents also rotate through the intensive care unit which provides extensive experience in critical care medicine of medical, surgical and pediatric patients as well as experience in critical care cardiology. Residents also rotate through the inpatients and also rotate through the Consultation service. In the inpatients they gain experience in the inpatient care of medical patients and on the Consultation service gain extensive experience of providing subspecialty inpatient consultations in Gastroenterology, Hepatology, Infectious Disease and Pulmonary Medicine.Residents are also trained in a wide range of medical procedures including central venous lines and chest tubes.There is an extensive formal teaching program for residents. There are formal didactic lectures in all specialties three times a week. There is a daily tutorial or multiple choice question teaching session everyday. There is journal club once a week where new published articles are reviewed. Residents are trained to do literature searches and to utilize the internet effectively to solve clinical problems. Supervisor Dr. Mansur Javaid

(B)FELLOWSHIP IN HEMATOLOGY
The Department of Pathology, Shaukat Khanum Memorial Cancer Hospital & Research Centre (SKMCH&RC) is pleased to invite applications for one year advanced fellowship position in hematology starting July 01, 2008. SKMCH & RC is a comprehensive and modern cancer care facility fully equipped and staffed to diagnose and manage all types of cancer. The hospital has a team of UK- and US-trained pathologists who provide stateof- the- art diagnostic facilities to its cancer patients. The hematology section is divided into wet hematology dealing with CBC's and peripheral smears, bone marrow section, analytic flowcytometry, coagulation and transfusion medicine. These areas are equipped with state-of-the-art equipment and staffed by quality conscious technologists and supervisors. The department participates in College of American Pathology (CAP) proficiency testing. A variety of malignant and non malignant hematological cases are seen on daily basis. An average of 2300 bone marrow trephine biopsies, 700 flowcytometric analyses, 150000 CBCs, over 2000 apheresis procedures and about 5000 coagulation profiles are evaluated annually. These cases do not only come from the in-house physician referral services, but are also greatly contributed by outside referrals through our nationwide collection centers. The fellow is expected to participate in routine sign-outs which will give them exposure to a vide variety of hematological disorders. Special emphasis will be given to areas where majority of trainees do not get formal training. These areas include flowcytometry, molecular hematology, immunohistochemistry and aphaeresis procedures. The fellows will be given exposure to stem cell transplantation. The department of pathology places emphasis on intradepartmental and interdepartmental consultation skills development. Fellows are required to conduct lymphoma and leukemia conferences in multidisciplinary settings. Participation in research activities is encouraged

(C).FELLOWSHIP IN PAEDIATRIC ONCOLOGY

KMCH & RC is a comprehensive and modern cancer care facility fully equipped and staffed to treat all types of cancer. Close to 300 new paediatric cancer patients are registered annually. The hospital has a team of UK- and UStrained physicians who provide state of the art diagnostic, treatment and support facilities to its cancer patients. There is a multi- disciplinary approach to cancer treatment at the hospital. All Paediatric cancer patients are treated by teams of medical, radiation and surgical oncologists. The hospital is, therefore, ideally suited for a postgraduate training programme in Paediatric Oncology. We offer a unique learning experience that will prepare the selected candidates to become well trained, highly qualified paediatric oncologists of international standard. In addition, there is a strong emphasis on research, with a number of cancer treatment trials in progress at any time. Fellows will be trained in various aspects of Paediatric Oncology including in- and out-patient management of complex cancer patients, management of oncologic emergencies, radiation oncology, cancer radiology, supportive care and research methodology. The fellowship training period is 3 years.

(D)FELLOWSHIP IN BODY IMAGING

In the course of Body Imaging, commenced July 2008 at Shaukat Khanum Hospital & RC, Lahore. SKMCH&RC is a state-of-the-art tertiary care cancer centre besides a major hospital providing non-cancerous service as well. The selected individual will be exposed to complex and challenging general & oncology cases at two sites. The Department of Radiology and its satellite centre are equipped with 1.5T & open MRI systems (DTI & spectroscopy), multi detector CT's including two 64-channel units fully cardiac capable, an interventional suite, High-end ultrasound, gamma cameras and CR system including mammography. Our cyclotron and CT/PET would be functional by the end of this year. The hospital information system and Radiology information system (RIS) rely on PACS in this film less department. The fellow may also participate in Breast imaging including MR and intervention.

(E)FELLOWSHIP IN CLINICAL ONCOLOGY

The hospital has a team of UK- and US-trained physicians who provide state of the art diagnostic, treatment and support facilities to its cancer patients. There is a multi-disciplinary approach to cancer treatment at the hospital. All cancer patients are treated by teams of medical, clinical, radiation and surgical oncologists. The hospital is, therefore, ideally suited to offer postgraduate training programs in Medical Oncology, Clinical Oncology & Pediatric Oncology. We offer a unique learning experience that will prepare the selected candidates to become well trained, highly qualified oncologists of international standard. In addition,

there is a strong emphasis on research, with a number of cancer treatment trials in progress at any time. Fellows will be exposed / trained to all the various aspects of medical, clinical & pediatric oncology including in- and out-patient management of complex cancer patients, management of oncologic emergencies, radiation oncology, surgical oncology, cancer radiology, supportive care and research methodology. The fellowship training period is 3 years for Medical & Pediatric oncology. Clinical Oncology training will be over 5 years. Fellows who perform very well during their training may be offered an additional year of training at an affiliated institution in the US or the UK, which will be arranged by SKMCH & RC. The hospital is committed to train medical and allied health professionals and is recognized by the College of Physicians and Surgeons of Pakistan for training in a number of disciplines including medical & radiation oncology. We are offering a unique opportunity for comprehensive training in all aspects of non-surgical oncology. During the initial four years, trainees will be expected to successfully complete parts I and II of the FRCR exam, conducted by the Royal College of Radiologists, London, UK. In the final year, after completion of part II FRCR, site specialist training will be provided. On successful completion of training, a certificate will be issued by the institution confirming Completion of Specialist Training.

(F)FELLOWSHIP IN MEDICAL ONCOLOGY

Shaukat Khanum Memorial Cancer Hospital & Research Centre is pleased to invite applications for Fellowship position in Medical Oncology. The hospital has a team of UK and US trained physicians who provide state of the art diagnostic, treatment and support facilities to its cancer patients. There is a multi- disciplinary approach to cancer treatment at the hospital. All cancer patients are treated by teams of medical, clinical, radiation and surgical oncologists. The hospital is, therefore, ideally suited to offer postgraduate training program in Medical Oncology. We offer a unique learning experience that will prepare the selected candidates to become well trained, highly qualified oncologists of international standard. In addition, there is a strong emphasis on research, with a number of cancer treatment trials in progress at any time. Fellows will be exposed / trained to all the various aspects of medical oncology including in- and out-patient management of complex cancer patients, management of oncologic emergencies, radiation oncology, surgical oncology, cancer radiology, supportive care and research methodology. The fellowship training period is 3 years.

Fellows who perform very well during their training may be offered an additional year of training at an affiliated institution in the US or the UK, which will be arranged by SKMCH & RC. Training will involve rotation in different disciplines of medical oncology. As part of its mission statement, the hospital is committed to train medical and allied health professionals and is recognized by the College of Physicians and Surgeons of Pakistan for training in a number of disciplines. Close to 5000 new cancer patients are seen annually. Fellows who successfully complete the required training and succeed in obtaining the FCPS in Medical Oncology will be eligible for appointment at a consultant level at SKMCH & RC.

3. Health Facilities for Employees

4. Micro Financing Facilities for Employees

Work flow Analysis

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