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      • Assessing Service Quality in Public and Private Medical Schools of Pakistan: a faculty`s perceptive

        ( Faisal Khurshid ),( Muhammad Usman Awan ),( Samia Ayyub ) 한국품질경영학회 2015 한국품질경영학회 학술대회 Vol.2015 No.2

        Purpose: Higher education institutions operated by public and private possession, differ in the methods for administration and decision making. Stakeholders of each sector experience a different proposition of benefits and services. As the role of propelled and satisfied faculty in conferring quality education is imperative so this study is devoted to the faculty concerns and issues. The reason for this paper is to analyze, examine and compare the service quality perceived by the faculties of both public and private sector medical schools geographically located within Punjab, which is the largest province (with 60% of Population) of Pakistan. Methodology: A survey instrument based on the recommendations of Waugh, R. F. (2002) and Owlia & Aspinwall (1996) was customized and contextualized to assess the service quality dimensions. Five dimensions included in the final instrument are listed below Tangibility: Physical appearance and infrastructure such as building equipments Content: The degree of significance of schooling material to the student needs Competence: The proficiency and knowledge of faculty members Reliability and Responsiveness: Availability of safe and reliable administrative suggestion Assurance and Empathy: Experience the courtesy and assurance while interacting with school administration. Non-Probability Purposive Convenience sampling was utilized to collect data from 349 faculty members of 10 different medical schools of Punjab. The independent sample t-test was employed in this study to identify the difference in perceived service quality of public and private sector medical school. Findings: Results of the independent sample t-test show that academic staff members perceive three dimensions Content , Reliability and Responsiveness, Assurance and Empathy significantly different in public and private medical schools (p<0.05) whereas in case of Tangibility, and Competence faculty members difference in opinion is statistically insignificantly in case of Tangibility and Competence (p>0.05). Originality of Paper: This is the first exertion in medical schools settings to quantify and compare the service quality perceived by faculty members which are main determinant of overall quality of higher education. This paper may be used for improving managerial/ administrative practices and can likewise be utilized a base for further research in related fields.

      • Accuracy of Frozen Section Analysis of Sentinel Lymph Nodes for the Detection of Asian Breast Cancer Micrometastasis - Experience from Pakistan

        Hashmi, Atif Ali,Faridi, Naveen,Khurshid, Amna,Naqvi, Hanna,Malik, Babar,Malik, Faisal Riaz,Fida, Zubaida,Mujtuba, Shafaq Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.4

        Background: Intraoperative sentinel lymph node biopsy has now become the standard of care for patients with clinically node negative breast cancer for diagnosis and also in order to determine the need for immediate axillary clearance. Several large scale studies confirmed the diagnostic reliability of this method. However, micrometastases are frequently missed on frozen sections. Recent studies showed that both disease free interval and overall survival are significantly affected by the presence of micrometastatic disease. The aim of this study was to determine the sensitivity and specificity of intraoperative frozen section analysis of sentinel lymph nodes (SLNs) for the detection of breast cancer micrometastasis and to evaluate the status of non-sentinel lymph nodes (non-SLNs) in those patients subjected to further axillary sampling. Materials and Methods: We performed a retrospective study on 154 patients who underwent SLN biopsy from January 2008 till October 2011. The SLNs were sectioned at 2 mm intervals and submitted entirely for frozen sections. Three levels of each section submitted are examined and the results were compared with further levels on paraffin sections. Results: Overall 40% of patients (62/154) were found to be SLN positive on final (paraffin section) histology, out of which 44 demonstrated macrometastases (>2mm) and 18 micrometastases (<2mm). The overall sensitivity and specificity of frozen section analysis of SLN for the detection of macrometastasis was found to be 100% while those for micrometastasis were 33.3% and 100%, respectively. Moreover 20% of patients who had micrometastases in SLN had positive non-SLNs on final histology. Conclusions: Frozen section analysis of SLNs lacks sufficient accuracy to rule out micrometastasis by current protocols. Therefore these need to be revised in order to pick up micrometastasis which appears to have clinical significance. We suggest that this can be achieved by examining more step sections of blocks.

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