RMU Hub Spoke Program
Introduction
General Practitioners (GPs) form the backbone of primary healthcare in Pakistan. However, a structured, evidence-based training system for in-service GPs is lacking. To address this, Rawalpindi Medical University (RMU) launched the Hub and Spoke Program—a collaborative, decentralized training model to build GP capacity through academic linkages between RMU (hub) and healthcare facilities and practitioners in peripheral areas (spokes).
The healthcare landscape in Rawalpindi District faces significant challenges, particularly in the delivery of comprehensive and timely medical services in peripheral healthcare facilities. These challenges include a shortage of trained family physicians, inadequate diagnostic imaging equipment, and limited access to specialized medical consultations. These deficiencies lead to delayed diagnoses, increased patient loads at tertiary care centers, and suboptimal healthcare delivery in remote regions
RMU Pledge to Transform Healthcare:
Rawalpindi Medical University (RMU) is steadfast in its commitment to community service, recognizing the critical role healthcare institutions play in enhancing the well-being of society. The university’s extensive community outreach programs demonstrate this dedication, with faculty, students, and alumni consistently at the forefront of healthcare delivery across the region. Through its innovative Hub-and-Spoke model, RMU extends quality medical services and expertise to neighboring underdeveloped areas, addressing healthcare disparities and fostering a robust medical network
Objectives
- To enhance the knowledge and practical skills of GPs in managing common communicable and non-communicable diseases
- To build sustainable capacity in peripheral healthcare settings through targeted virtual and in-person training
- To ensure evidence-based practice among GPs through continuous professional development
- To strengthen health system linkages between tertiary care centers and community-based facilities
Program Design
Hub
Rawalpindi Medical University and affiliated teaching hospitals
spokes
THQ Pind Dadan Khan, THQ Kahuta, THQ Kotli Sattian, THQ Murree, THQ
Taxila and a network of General Physicians in Rawalpindi.
Implementation Mechanism
Program Design
Pilot Session Overview
Monitoring & Evaluation
Coordination Activities
Strengths & Limitations
Conclusion
The Hub and Spoke model by RMU provides a strategic, scalable platform for upgrading GP capacity across Punjab. It bridges academic institutions and field-based practitioners, offering structured training and system-wide integration for improved healthcare delivery at the primary level.
