The health system in Egypt

A brief overview of the medical educational system in Ain Shams University and the health care system in Egypt

Overview: • Egypt is a developing country.• The Population of Egypt is about 83,386,739 as of July 1st. 2014.• Egypt’s population is equivalent to 1.15% of the total world population.• 44% of the population live in Urban areas.• 25.2% of population are below poverty line.• The median age in Egypt is 25.5 years.

Male

71.3Female

75.4World Rank

88

Life Expectancy:

• Top 3 causes of death: Coronary heart disease (21.73%),Stroke (14.37%) & Liver disease (7.34%)

• Infant Mortality Rate: 20.84 deaths/1000 Live births

The Medical health system:

Primary

Secondary

Tertiary

Public:

Private: ClinicsHospitalsPharmacies

The Tertiary health care system (University hospitals): Ain shams university hospital

Ain Shams university hospital (El-Demerdash hospital) was founded by ElDemerdash Pasha at 1931. It’s located at Abbaseya square, easily accessible by all means of transportations. Divided into 4 major specialty hospitals, each has its own facilities, OPCs, blood bank, and profitable units (Burn, toxicology and

psychiatric unit)+Dentistry hospital. Number of beds per each facility: inconclusive. Access to the hospital: Direct or by referral. Fees: Free, patient only pays for prescription charge. Funded by governmental taxes.

Japan (Kameda) EgyptHospital access Direct Direct/ReferralWaiting time Short LongHospital beds 13.7/1000 Inconclusive (1.7/1000)Fees 30% Free+prescription charges (University

hospital)

Doctors’ working hours

Average of 72hrs/week Junior resident: 120-140 hrs/weekSenior residents: 70 hrs/weekStaff (assistant prof/prof: 40-50 hrs/week)

Insurance Universal Public health insurance (Separate hospitals)Private workers insurance

IT Computerized system Paper based (Computerized system being newly implemented)

Investigations & tests

Mainly done by residents Done by the residents or the house officersSome tests are done by the lab

Consultations Requested electronically or emergency calls

Direct request

Imaging Easily done A request of approval is required from the radiologist in most cases

Family consultation/meeting

Necessary Not often done

Infection control Strict Average

Patient flow Moderate Heavy

The Medical educational system (Ain Shams university): Years of study: 6 years + Internship year Number of students per class year: Average of 1600 Number of medical schools: 21 Number of medical graduates: Average of 10,000 doctors annually

Year1• Physiology, Histology, Biochemistry & Anatomy • English, Human rights & Computer

Year2• Physiology, Histology, Biochemistry & Anatomy (Cont.)• Behavioral science

Year3• Pharmacology, Microbiology, Pathology, Parasitology

Year4• Ophthalmology, ENT, Community medicine, Forensics & Toxicology

Year5• Internal Medicine• Pediatrics

Year6• Surgery• OBGYN

Year 7 • Internship (Training)

Post Graduate path: House officer/intern

Junior Resident(2 years)

GP(1-2 years)

GP/Resident(1-2 years)

Senior Resident

(3 years)

Assistant

Professor

Professor

Resident (3 years)

Specialist

Consultant

Resident (3 years)

Specialist

Consultant

CME (Continuing medical education) List of options:

Masters (first part)

Masters(second)

PHDEgyptian board

USMLE

Australian boardCanadian board

PLABMRCS/MRCP..etc

Standard:

International

The internal medicine department: The hospital consists of 5 floors, each of 3-4 departments. Each department (subspecialty) covers the ER once a week. The clinics open for 6 days a week from 9am to 2pm.

The plastic surgery department:

Located at the surgical hospital. The doctors are on call on daily basis for ER consultations. There are at least 5 major operations on the daily list+ OPC

(minor) operations + Emergency operations. The average rate of admission is about 3-5 cases/day. The department is of 5 wards and about 35 beds. Post explosive hand injuries are the common emergency

cases.