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Health care systems are always in reform status with the
advances in health care technologies and population growth, but
primary health care continue to be the corner stone in any
successful health care system. Saudi Arabia continues to struggle
like most of the countries to attract its medical school graduates
to adopt the speciality in front of invasive procedure oriented
specialties and income oriented choices, similar to North American
medical school graduates.
Saudi Arabia Chapter following the footsteps of ACP will address
issues related to health policies in Saudi Arabia, and share the
expert opinions in these areas of impact on health care reform in
Saudi Arabia, and the first topic selected was "Access to
health care; Promoting Primary Care", the current status of
PHC is center oriented and not physician oriented, so patient has
no fixed communication with one physician, and most patients like
to be seen directly in the tertiary care hospitals bypassing the
PHC, as there is no rules to enforce this chain of referrals.
Three prominent speakers participated in our first health policy
forum and focused on primary care from different angles of the
Deputy Minister, Family Physician and Health care activist.
We hope this activity to be the first in a chain of activities
to address major issues with impact on the practice of health care
in Saudi Arabia, and come up with recommendations.
Khalid A.Qushmaq MD, MHA, FACP.
Governor Khalid Qushmaq had a meeting with
Prof. Abdul Aziz Al Sayegh, Secretary General for Saudi Commission
for Health Specialist in his office on Monday Sep 3, 2012. Dr.
Qushmaq on behalf of ACP Saudi Arabia Chapter congratulated him for
his recent appointment as Governor of American College of Surgeons
in Saudi Arabia, and shared with him ACP Saudi Arabia Chapter
experience and achievements, and offered all help he needs in his
Prof. Al Sayegh
It was the first chapter activity to be held in health policy
issues, the activity was held in Al Faisal University, School of
Medicine, and the chapter invited 3 speakers which represented
different views of health care, the speakers were Dr. Ziad
Memish MD, FACP, Deputy Minister of health for public
health, Dr. Abdullah Alkhenizan, CCFP, ABHPM, MSc.
DCEpid. Professor, Al FAISAL University, Chairman
Department of Family Medicine and Polyclinic at King Faisal
Specialist Hospital and Research Center, and Mohammad
Alkhazim, PT, PhD & Academician and columnist writer
in health care issues.
Group picture of the speakers with ACP Chapter members
The first speaker was Dr. Abdullah Alkhenizan,
the objectives of his presentation were to highlight the importance
of primary health care (PHC) in the health care system, discuss the
challenges of primary health care in Saudi Arabia and highlight
suggested changes to improve primary health care in Saudi Arabia.
AlKhenizan gave a background on the current Status of PHC as per
Saudi Ministry of Health Stat Book 2010:
Al Khenizan mentioned that certified PHC Physicians are out of
practice for many reasons:
Al Khenizan shared the KFSHRC-Family Medicine Experience as
Al Khenizan's vision for the ideal model of PHC was described as
light at the end of the tunnel by fulfilling certain building
The presentation was concluded by the following
The audience during the forum presentations
Al Khazim presented Spotlight on Saudi Primary Healthcare
system. He started his presentation by discussing the Ultimate Goal
of PHC is to have the Highest Standard of Health Care with the
following criteria (AAAQ):
He argued: Does our healthcare system in general and PHC in
specific meet the high level of standards?
Al Khazim then shared the data concerning the total beds &
total PHC physicians available per 10,000 populations in different
regions of Saudi Arabia & PHC Physicians per center where there
is an average of 3 physicians per center.
Qualitative study, presents the opinions of 18 experts about
challenges facing Saudi healthcare services. 56% of the experts
said we do not have appropriate PHC! The major deficiencies were
manpower and misdistribution, lack of coordination and others.
Al Khazim's own perspective is that Saudi healthcare system is
focusing on treatment and/ or intervention rather than preventive,
no clear referral system exists among different levels of services,
lack of accessibility, under equipped and under staff centers with
no clear philosophy/system related to PHC/ family physician.
He highlighted the steps to fix PHC are as follows:
Finally, Dr. Ziad Memish, Deputy Minister of
Health addressed the Audience about the MOH strategy to promote
Primary care by building 2700 new centers, and the role of primary
care center achieved in Vaccination programs and answered the
Governor meeting with Prof. Khalid Kattan, Dean, School of
Medicine, Al Faisal University
Governor Khalid A.Qushmaq had a meeting with
Prof. Khalid Kattan, Dean, School of Medicine, Al
Faisal University in his office and discussed the proposed
collaborations between ACP Saudi Arabia Chapter and Al Faisal
University, and the support to be provided to ACP Saudi Arabia
Chapter medical student council from Al Faisal students
association. Prof. Kattan welcomed the collaboration and supported
all requirements to make it successful.
A medical intern is a term used for a physician-in-training who
has completed medical school. The intern has a medical degree, but
no license to practice unsupervised. As internship is the first
step in the medical career, CYP in collaboration with Associates
and Medical Students Councils conducted an interactive lecture by
Fadel A. AlRowaie, MD, FACP, FNKF, Chair of
CYP-KSA chapter titled " The Medical Internship: your first
step into the medical career".
The speaker addressed many aspects that are very important to
the newly graduated young physicians for example: job description
of the intern, the structure of the internship at KSA,
characteristics of the successful intern and proper documentations
While talking about choosing or organizing the clinical
rotations, Dr. AlRowaie discussed factors that influence medical
specialties selection in details.
Attendance was above expectation, the majority were medical
students, followed by interns, and a good number of residents. At
the end Dr. AlRowaie and Dr. Khalid
Qushmaq, ACP Governor Saudi Arabia Chapter answered all
questions from the audience with promise to continue this series of
lectures that guide the new generations of physicians into their
Governor and chairs of councils in a group picture with the chapter
Governor and Chair of Associate Council attending the activity
Congratulations to Mohammed Ahmed, MD, MACP,
Riyadh. He has been awarded Master of the College. To be considered
for Mastership, the candidate must have made a notable contribution
to medicine. This includes but is not limited to teaching,
outstanding work in clinical medicine (research or practice),
contributions to preventive medicine, improvements in the delivery
of health care, or contributions to medical literature.
The Saudi Arabia Chapter is pleased to welcome our new Fellows.