Teaching and Medical Sciences have always been the noblest of professions but over the period of time have been losing their glory.

There have always been more patients than the number of trained medical staff particularly doctors. In the past most of the patients used to avail State provided medical facilities but then with increasing number of patients, the load on the private sector providing medical facilities has drastically increased. On other hand with the change in the teaching methodology, the provision of Medical Science educational training certification has also changed during this period.

Initially a medical graduate used to train in order to treat all types of patients but then with an increase in understanding in Medical Sciences, the higher level of certification was introduced in different specialties. For that, candidates have to earn experience with intensive study in a particular discipline before appearing in the examination. Since the examination is very competitive, only few manage to pass through. For training purpose, only State owned hospitals were recognized and hence all finances used to be provided by Government funding. However these specialists also offer services in the private sector. Private sector hospitals have never been comparably equipped, as State owned ones.

Corruption has played a significant role in keeping the process of updating in Government owned hospitals as per advancement in respective disciplines close to negligible. This has been the reason that Medical field in Pakistan has lost it accreditation from international organizations. In other words, a Pakistan trained medical expert has to pass the examination to be eligible to practice the profession in developed parts of the world.

Situation turned even more complicated with the emerging of revised methodology of training for higher qualifications in medical sciences at an international level. Pakistan in order to keep up with the pace also revised the training modules for awarding higher qualification in medical field. However nothing considerably was done to bring world class trained experts and to introduce them as trainers; medical experts from world class universities are usually unwilling to travel here whereas those who do come are rarely given opportunities to work in State owned hospitals. The second shortcoming is availability of latest equipments for diagnosis and treatment in State owned hospitals. The consequence of this prevailing situation is, that the expert medical staff get attached to private sector units that have been heavily charging patients for treatment whereas they are not being regulated for the margin of profit they have been earning hence even today State owned hospitals carry the major load for providing medical facilities.

The latest approach for training for specialty and later on for growth in the profession, attachment with research has been made mandatory. Since the State has permitted the private sector hospitals to get attached with private sector Medical Universities, it has become possible to do research as facilities available there are far advanced than most of the government owned hospitals.

Since these days research is made mandatory to progress in medical career but in Pakistan though this postulate of International criteria for training has been implicated but at the same time the adequately trained manpower and research supportive facilities are lacking. There are not mentionable numbers of funding organizations supporting medical research in Pakistan. Hence funding for doing research is the matter of great concern. Under the prevailing condition, expecting that standard of Medical education in Pakistan can be raised is like living in fool’s paradise.

In order to get financial support some experts share the project with pharmaceutical companies to finance them, in return they prescribe their medicines. Many hospitals have started offering competitive low rates for the diagnostic services merely because they can get more samples to support their ongoing research projects. However in order to compensate and to match the predicted profit, they raise the price of medical services that hospital offer. In order words, the patients are supposed to pay for the medical services they got as well as provide sample to work on for research purpose and general public is unaware of it.

In Pakistan, the concept of keeping medical history of patients and their related family members is not in practice and for having married in close families has made this population attractive to research because its easier to locate the genes that are linked with diseases. This arises a strong possibility that our tissues, genomic profile and traits running in the family are being experimented with, without our information and permission.

Having some understanding in Molecular Biology with a background of Research, I would recommend that medical history, genomic profile, family traits must be kept confidential and can only be shared with the permission of donors and all concerned with having their written permission for allowing to use it for research purpose after explaining the objective of study to be conducted on their sample. After the said study the sample are destroyed whereas the result and conclusion of the study should be shared with patient and all concerned. In legal terms the rights on tissues, genomic profile and family traits are conserved and should be kept confidential can only be shared with concerned patient and members. Any breach to this basic ethic of doing research can cancel the qualification conferred on all who are involved in doing unethical research and they should not be allowed to practice and teach anywhere.

In addition to increase in pool of world class trained medical experts, its equally important to establish an Independent Medical Research Regulatory Body meeting the International Standards guarding the Bio ethic and Safety issues of general public and ensure their well being on priority.

International organizations for supporting research need to be approached to get the research projects funded with the collaboration of International experts so by doing joint study both are benefitted by sharing the experiences but at every stage the patient and all concerned must be kept informed about the outcome of study and samples are destroyed at the end of said research.