Tag: Doctors

  • Doctors suspend strike

    Doctors suspend strike

    Striking members of the Nigeria Medical Association (NMA) have suspended their strike.

    The NMA through its official twitter handle @nmanigeria announced the suspension of the seven weeks strike.

    “BREAKING!!! NMA rose from an Emergency Delegates Meeting and decided that the #NMAStrike be suspended with ALL Doctors resuming duties ISQ.

    ” This means that NO Doctor in the country would be victimised in whatever form as a result of participation in the #NMAStrike. Details later, “the association announced early Sunday morning.

    According to Esohe Blessing@dresoheblessing  the strike was suspended following the outcome of voting by members.

    Out of 265 total vote cast, 199 voted for suspension (75 %), 96 voted against. (24%) ,while persons abstained.

    A press conference to announce the suspension of the strike is to be addressed today (Sunday), August 24.

    Following the the refusal of the NMA to call off the strike earlier, the federal government sacked all resident doctors in the country and suspended the residency training.

    Details of the agreement with the government  is not yet clear at publication time.

  • Are they medical doctors or murderers?

    Perhaps a 300-Level Biochemistry student, identified as John, would not have died if the Nigerian Medical Association (NMA) is not on strike. John was allegedly poisoned by a friend at an off-campus hostel. He returned to his hostel in pains, vomiting blood. Immediately, he was rushed to the University of Benin Teaching Hospital (UBTH). On getting there, there was no medical personnel to attend to the dying student. Doctors were on strike, the symphathisers were told. No first aid was administered on him. The poor John was left to writhe in pain.

    He was then taken to the university Health Centre. Unfortunately, he gave up the ghost on the way. What a way not to die! What is the meaning of wickedness? How else can the brutality of mankind be felt?

    Just because of pride and administrative recklessness, innocent lives are being lost. The President is fighting tooth and nail to end terrorism and Ebola. Now, NMA is pursing another agenda.

    It was in grief that I wrote this piece about the ongoing doctors’ strike. If I had not lost a colleague, maybe I would not have given this article a thought.

    A philosopher had once advocated death for all men as solution to the mischief they have caused to the world. In his time, corruption was a norm and a way of life. In his own reasoning, he prescribed death as the solution to the trouble he faced.

    But it was evident that his solution was synonymous to the cynical attitude of the ostrich who buries his head below the sand in the site of trouble, while its other parts were exposed. This is the part that our Nigerian medical doctors have chosen to plough. The moment they really need their head to think, it is buried!

    Doctors, who swore to the Hippocratic Oath to save lives, are the ones snuffing life out of the people through their self-serving strike. Just at the time the nation needs them the most, the doctors turn their back. Threatened by terrorism and the gruesome Ebola, the medical doctors are sitting in their houses while scores are dying. This is exactly what an illiterate man would do and will be termed a murderer. The so-called elite doctors, under the guise of NMA, are doing the same thing, with full immunity. They are well exercising their right to murder!

    Since when did the NMA start passing by-laws for para-medical profession, such as Pharmacist Council of Nigeria (PCN) and other health workers association? Are these professions under the NMA? When will these doctors know that lives are more important than any other thing?

    They’ve shown gross irresponsibility, fatuous ferocity and crass insolence. Leaving your responsibility as a life saver, all in the guise of helping the patient, you are now sentencing them to their early grave. Has it ever been told where the police force go on industrial action? No matter how corrupt a police force could be, their importance can never be downplayed. They are ‘essential workers’. They know their place.

    They said pharmacists should not be called doctors. A pharmacist who graduated with a Bachelor in Pharmacy (Pham B) is not called a doctor, but those with a Pham D would be tagged doctors. They argued that Pham D would bring confusion to the hospital chain of command. Why have we not heard about the confusion in developed countries of the world were Pharm D certificates are also issued? This is nothing but a mere figment of their lustful imagination, driving them to a catastrophic, embarrassing and disappointing end.

    Who are mostly affected by these actions? The poor. This is simply because most rich people have their personal doctors and can also afford the exorbitant fees of private hospitals owned by these same doctors who are on strike!

    I began to ask myself whether our doctors are truly protectors of life as they claim, or merchants of death. I began to ask myself whether this group is humane or just a bunch of greedy wolves in sheep clothing. It’s really disheartening to know that the health and lives of the poor have been sold on the platform of individualism and overblown ego.

    Indeed, strikes are anti-medical profession; this is because the ultimate job of the doctor is to care for the sick and save lives, even in its tiniest form. I have painstakingly read the grievances the doctors tendered for the recent strike. They are not just selfish, but a sign of myopic thinking. Let it be known that whatever you have sown, that you shall reap.

     

    Ezekiel, 300-Level Pharmacy, UNIBEN

  • The A, B, C of  residency training

    The A, B, C of residency training

    Last week, the Federal Government suspended resident doctors for being on strike since July 1. The popular thinking is that there is more to the government’s action than it stated. OYEYEMI GBENGA-MUSTAPHA writes on the significance of residency training.

    Residency is a continuation of training after graduate school. It offers a platform for advancement in a medical or surgical training. It evolved in the late 19th century from brief and informal programmes for extra training in a special area of interest. A resident physician or resident or resident medical officer is a person who has received the title of “physician” (usually a D.O., M.D or foreign medical degree MBBS, MBChB, BMed) or in some circumstances, another health sciences terminal degree (such as psychology or dentistry) who practices medicine usually in a hospital or clinic. The definition of Residency varies worldwide by country and structure of the medical industry.

    A residency may follow the internship year or include the internship year as the first year of residency. The residency can also be followed by a fellowship, during which the physician is trained in a specialty or a sub-specialty. Successful completion of residency training is a requirement to practise medicine in many jurisdictions.

    Whereas medical school teaches physicians a broad range of medical knowledge, basic clinical skills, and limited experience practising medicine, medical residency gives in-depth training within a specific branch of medicine. A physician may choose a residency in anesthesiology, ophthalmology, dermatology, emergency medicine, family medicine, internal medicine, neurology, obstetrics and gynecology, pathology, pediatrics, plastic and reconstructive surgery, psychiatry, physical medicine and rehabilitation, radiology, radiation oncology, neurosurgery, Oral and Maxillofacial Surgery, surgery, or other specialties.

    A resident physician is more commonly referred to as a resident, senior house officer (in Commonwealth countries), or alternatively as a senior resident medical officer or house officer. Residents have graduated from an accredited medical school and hold a medical degree (MD, DO, DPM, MBBS, MBChB). The residents collectively are the house staff of a hospital. This term comes from the fact that resident physicians traditionally live the majority of their training “in house,” i.e., the hospital. Duration of most residencies can range from three years to seven years for a specialised field such as neurosurgery. A year in residency begins between late June to early July depending on the individual programme, and ends one calendar year later. A first-year resident is often termed an intern, although this term is quickly being changed to “first year resident”. Depending on the number of years a specialty requires, the term junior resident refers to residents that have not completed half of their residency. Senior residents are residents in their final year of residency. Some residency programmes refer to residents in their final year as chief residents (typically in surgical branches). Alternatively, a chief resident may describe a resident who has been selected to extend his or her residency by one year and organise the activities and training of the other residents (typically in internal medicine and pediatrics). If a physician finishes a residency and decides to further his or her education in a fellowship, he or she is referred to as a “fellow”. Post-residency physicians are referred to as attending physicians or consultants (in Commonwealth countries). However, the above nomenclature applies strictly only to educational institutes in whom the period of training is specified in advance.

    The implication majorly is that no trainee doctors would be available, at the moment throughout Federal instiutions. The attendant implications of this include the non training of the physician in a specialty or a sub-specialty and lack of in-depth training within a specific branch of medicine.

     

  • NMA hold protest against doctors’ sack

    NMA hold protest against doctors’ sack

    The Nigerian Association of Resident Doctors (NARD) under the auspices of the Nigerian Medical Association (NMA) has embarked on peaceful protest at the Lagos University Teaching Hospital to demand the reversal of Federal Government sack of 16,000 resident doctors across the country.
    The association is also asking the government to lift the ban on doctors’ residency training.
    Lagos State NMA chairman, Dr Tope Ojo said the only way forward is for Mr President to “unconditional” reverse the sacking of the doctors.
    He said this is step is important for NMA to continue to dialogue with the government, adding that doctors should not be threatened with sack.

  • ‘…doctors’ protest hypocritical’

    ‘…doctors’ protest hypocritical’

    The Federal Government has described the demonstration carried out by the Nigeria Medical Association (NMA) calling for the withdrawal of the suspension of residency doctors’ training programme as hypocritical.

    Government also described the said demonstration as unhealthy and uncalled for.

    The doctors yesterday in Abuja protested the Federal Government’ suspension of residency training programme for doctors, which is tantamount to sack.

    The doctors carrying placards called for immediate

    Reacting to the protest yesterday, Permanent Secretary Ministry of Health, Mr. Linus Awute, said the demonstration was uncalled for since there is no training going on in the last one month.

    Besides, Awute claimed that the doctors have been absent from work, so the Federal Government circular suspending residency training programme makes no difference.

    He stressed: “The resident doctors have been on self-imposed suspension for the past one month.”

    The Permanent Secretary also said it was an insult on Nigerians that the doctors would continue with the strike, while there is an emergency in the health sector, stressing that with the outbreak of Ebola, doctors in the country were expected to join hands with other health workers and government in tackling the issue.

    He also noted that the trekking doctors have also received their July salaries, including all allowances despite the fact that they did not do any work in the month of July.

    He stressed that the decision taken is in the interest of the health sector.

    He further described the demonstration as impunity.

    Awute, therefore, urged the doctors not to distract the government in its efforts towards tackling the Ebola virus.

  • Doctors in the house

    Doctors in the house

    Forty-one graduating medical students of the University of Calabar (UNICAL) took the Hippocratic Oath last week during their induction. STANLEY UCHEGBU (Accounting) and JOHNFRANKLIN UCHEGBU (400-Level Medical Radiography and Radiological Science) report.

    After six years of training, it was time for graduating medical students of the University of Calabar (UNICAL), Cross River State, to be certified as medical doctors. No fewer than 41 of them took the Hippocratic Oath at their induction at the International Conference Center last week.

    The graduates led a procession into the venue amid thunderous applause by guests, including parents and guardians. They looked resplendent in their well-tailored suits. They beamed with smile, perhaps heaving a sigh of relief after many years of training.

    The Vice Chancellor, Prof James Epoke, represented by his deputy on Academics, Prof Austin Obiekezie, described the graduates as “tear rubber” while declaring the ceremony open.

    The VC congratulated the doctors for surpassing the “difficult period”, which he said was part of the medical training before graduation. He also hailed their parents and sponsors for providing the resources to support the graduates throughout their stay in medical college.

    Prof Epoke advised the inductees to embrace hard work, noting that it was a virtue that could make them to reach the pinnacle of their career. He equally told them to stick to the guideline of the profession and bring ethics to bear when faced with difficult situation.

    The Provost of the medical college, Prof Saturday Etuk, said it was a long journey filled with anxiety and fears for the graduates, adding: “You have all successfully completed the first phase of training as the medical doctors.”

    He advised them not to betray the confidence reposed in them by involving in unethical practices that would portray the institution in bad light. He implored them to work hard in consonant with their training and to be good ambassadors.

    In his lecture entitled: Equations of life, guest lecturer and Pro-chancellor of Obafemi Awolowo University in Ile-Ife, Osun State, Prof Rowland Ndoma-Egba, said life was in two categories: compulsion and compunction.

    According to him, compulsion is when people obey the law, while compunction is individual’s perception and thinking of the law.

    He said: “Success in life is a product of attitude and aptitude, which one has ability to control. Attitude and aptitude have a component that must be done by compulsion. Attitude in compunction is a team work that is based on mutual respect, good communication skill, decent dressing and etiquette.”

    Speaking on ambition, achievement and frustration, Prof Ndoma-Egba said that frustration was in direct variation with ambition and achievement, adding that good ambition was a conqueror of frustration.

    While administering the oath on the physicians, representative of the Medical and Dental Council of Nigeria (MDCN), Dr Ogban Ikpoti, noted that the oath placed a moral burden on the graduates to live above board, stressing that they would be held accountable for whatever action they took in course of practice.

    Dean of Faculty of Clinical Sciences, Prof Maurice Asuquo, urged the graduates to reflect and ponder on the oath and be guided appropriately but its provision, adding that continuous education was the armour of a medical practitioner.

    Highlight of the event was award presentation to the best graduating student. The winner, Muriel Inyang, won Dr Bassey Kubiangha Education Foundation award, Samuel and Isabella Inyang Foundation award and Provost Prize.

    Other recipients of the award were the best students in first professional examination. They are Edochi Oka and Ugbe Beshikinashi.

    Muriel appreciated her parents for moral and financial support during her training in the college.

    Speaking on behalf of the graduates, Rita Oku, the class representatives, praised the management for providing a conducive learning environment for them. She also acknowledged the support and care of lecturers and staff of the college.

    A parent, Mr Alexander Utuobong, said he was proud of her daughter. He said: “For anyone to gain admission into any tertiary institution, there are a lot of hurdles one has to scale but in my own case, my daughter beats all odds all the way from Kogi State to secure admission without paying her way in. I don’t know anybody here, yet she was given admission on merit. I am happy that she has become a medical doctor.”

    Nworie Chinweuba, an inductee, said: “I feel elated that my dream to become a medical doctor has now been actualised.”

    Other graduates were full of appreciation to God, promising to be good ambassadors their alma mater.

  • ‘Ebola vaccine   could be rushed through for 2015’

    ‘Ebola vaccine could be rushed through for 2015’

    Hospitals in Europe are preparing for the possible spread of Ebola out of Africa as the World Health Organisation said a vaccine could be ‘rushed through’ by early next year.

    Doctors at the specialised quarantine unit at Berlin’s Charite hospital today showed off their readiness, amid news that two Germans could be carrying the deadly virus.

    One suspected victim was yesterday in isolation at a Hamburg hospital after coming down with a fever after a visit to Sierra Leone, where the virus has claimed 12 lives.

    Another, a German medical student currently in Rwanda, is said to be showing signs of the disease, though should he in fact have Ebola it is so far unclear whether he would be flown to Germany for treatment.

    Further east, soldiers from the Czech army Biological Defence Centre were also seen drilling for a possible Ebola outbreak in the Czech Republic.

    They practised infection control, setting up quarantine areas and treating dummy ‘patients’ in the fear that the virus could spread to Eastern Europe. Their centre near Jablonné nad Orlicí, close to the border with Poland, is one of the few prepared to deal with a possible Ebola outbreak in the region.

    And in China, border authorities have stepped up their infection control and quarantine facilities. As it rises to global economic dominance China has increased its trade with resource-rich African nations, increasing the possibility that an infected person could travel between the two countries.

    Fears of the spread of the disease are not entirely unfounded. In the past few days news has emerged of a Romanian man who has been put in isolation in a hospital in Bucharest that specialises in infectious diseases on suspicion of having contracted Ebola in Nigeria.

    And in Spain, officials said a Catholic priest infected with Ebola will be treated with an experimental drug already used on two repatriated Americans.

    The drug, called ZMapp, arrived at Madrid’s La Paz-Carlos III hospital, where the 75-year-old missionary was being treated in isolation, the health ministry said in a statement on Saturday.

    The Roman Catholic priest, Miguel Pajares, was one of three people who tested positive for Ebola at the Saint Joseph Hospital in Monrovia where he worked.

    Ebola symptoms are similar to those of flu, and include fever, weakness, muscle pain, headache, sore throat, vomiting, diarrhea, rash, and finally bleeding and death.

    The preparations came as the WHO said a potential vaccine for the Ebola virus is being tested on humans and could be ready for widespread use by early 2015.

    The hope for a breakthrough came as experts from affected countries prepared to meet this afternoon to discuss the use of experimental therapies for the illness.

    Ebola kills 90 per cent of people who catch it, Western victims who have been flown home to their native countries have been given a new and experimental drug called Zmapp that could offer better chances of survival.

    But doses of Zmapp are scarce, with a spokesman for the WHO telling MailOnline that at the moment there are just ‘a few doses of these drugs in Western labs’.

    There is currently no licensed cure or vaccine for Ebola, one of the deadliest known viruses, but Marie-Paule Kieny, assistant director-general of the UN health agency, told AFP she expected a vaccine to be rushed through.

    ‘I think it’s realistic’ to expect it to be available by 2015, said Ms Kieny.

    Jean-Marie Okwo Bele, vaccine chief at WHO, told French radio RFI on Saturday that British pharmaceutical giant GlaxoSmithKline appeared set to start clinical trials of a vaccine next month.

    He also said he was optimistic about making the vaccine commercially available.

    ‘Since this is an emergency, we can put emergency procedures in place … so that we can have a vaccine available by 2015,’ he was quoted as saying by AFP.

    Nearly 1,000 people have died so far in West Africa in the worst outbreak of Ebola ever.

    Health officials will meet for a video conference hosted by the WHO to discuss whether experimental treatments like Zmapp can be used in the efforts to contain the outbreak.

    Three of the world’s leading Ebola specialists have already called for the experimental drug to be offered to infected people in West Africa.

    Pointing out that the drug had been made available to Western patients before they were evacuated to their native countries, Peter Piot, who co-discovered Ebola in 1976, has said Africans should get the same chance.

    But WHO spokesman Fadéla Chaib told MailOnline that the main question was whether it was ethical to use treatments in the field that have never before been tested on humans.

    ‘If yes,’ she said, ‘who will get these very scarce treatments?’

    She denied suggestions that there was an inequality in access to the new drugs, saying that is was not a question of ‘white and black’.

    ‘How can you recommend using untested treatments on people in the middle of an outbreak?’ she asked. ‘We are talking about two people getting these treatments, but you don’t know what will happen if there are hundreds of people getting them.’

    She added that the potential side effects of Zmapp on the elderly, pregnant women and people with underlying conditions were not yet known.

    The race to find effective treatments for Ebola comes as governments in West Africa warned that people could begin starving as travel restrictions cause food shortages and soaring prices.

    ‘We are trying to cope,’ said Joseph Kelfalah, the mayor of Kenema, in an eastern district of Sierra Leone that is under strict quarantine along with nearby Kailahun, but he added that food prices were ‘escalating’.

    Under the country’s ‘Operation Octopus’, some 1,500 soldiers and police have been deployed to enforce the quarantines, turning people away at checkpoints and accompanying health workers searching for people who may have contracted the virus.

    ‘Only essential officials and food items are being allowed in after intensive searches,’ deputy police chief Karrow Kamara told AFP.

    Sierra Leone, Liberia and Guinea are the countries hardest hit by the epidemic, which the UN World Health Organization has called an international health emergency.

    Liberia has been particularly affected by food shortages since declaring its state of emergency on Wednesday. It, too, has deployed soldiers to restrict movement, notably from the worst-affected northern provinces to the capital Monrovia.

    Sando Johnson, a senator in the province of Bomi, northwest of Monrovia, said the restrictions were ‘severe’ and warned people would die of starvation if they are not relaxed.

    ‘My country has been completely quarantined because soldiers don’t allow anyone to get out of the area and they don’t allow anyone to go there,’ he told AFP by telephone.

    ‘A bag of rice that sold for 1,300 LD ($14; £9) is now selling for 1,800 LD. The poor people will die of hunger, for God’s sake.’

    Health workers have been tasked with raising awareness about the disease which causes fever and, in the worst cases, unstoppable bleeding.

    An emergency helpline set up by Liberia’s Ebola taskforce to provide information on the virus had received 1,800 calls by Friday.

    ‘Aside from lots of confusion, aside from sick persons, aside from the fact that we also want to create awareness, this call centre is there to create calm but to also disseminate information and to gather information that can be shared with the national task force,’ said Barkue Tubman, a spokesman for the centre in Monrovia.

    The virus is spread by close contact with an infected person through bodily fluids such as sweat, blood and tissue.

    In Sierra Leone, 10 motorcycle taxi drivers have been infected after unknowingly carrying Ebola patients, according to the president of the National Bike Riders Association, David Sesay.

    The two-wheeled taxis, which put rider and passenger in close contact, are an indispensable form of transport in remote areas of west Africa.

    Efforts to halt the epidemic have been stymied by ignorance, distrust of Westerners and false rumours.

    Nigerian President Goodluck Jonathan has warned against spreading false information ‘which can lead to mass hysteria, panic and misdirection’.

    Meanwhile, the disease appears to be spreading from its crucible in the West African countries of Guinea, Libera and Sierra Leone.

    The first ‘suspected case’ was reported in Senegal, where a 27-year-old man with Ebola-like symptoms was placed in isolation in a hospital in the north of the country. The man later tested negative for the virus, a health official said.

    Nigeria, West Africa’s richest and most-populous country, has reported 13 confirmed, probable or suspected cases of Ebola, whose incubation period ranges from two to 21 days.

    It suspended flights into the country by the Gambian national airline on Sunday, saying the company’s efforts to screen for the virus were ‘unsatisfactory’.

     

  • Doctors’ strike: NMA meets again

    Doctors’ strike: NMA meets again

    For the second time in a week, the leadership of the Nigerian Medical Association (NMA) has met to evaluate its members’ nationwide strike.

    It was learnt that the NMA leadership met yesterday to consider the possibility of ending the action, which has entered the 35th day.

    But sources at the meeting said the doctors were divided over the need to suspend the strike.

    The same scenario played out in their last meeting a week ago, where majority of the delegates, comprising leaders in the 36 states and the Federal Capital Territory (FCT), voted against the suspension of the strike.

    A media briefing, which was to hold yesterday, was put off for undisclosed reasons.

    NMA’s Secretary-General apologised to reporters to “bear with us. We will call you in 48 hours”.

    Doctors on government’s payroll are on strike to press home their insistence on leadership of teaching hospitals and medical centres, among other issues.

    Many patients have died since the action started.

    At the time of filing this report last night, the meeting, which started at 3pm, was still ongoing.

    The expectation was high yesterday that the strike might be suspended at the end of the meeting.

  • Re: Doctors and health sector crisis

    SIR: The article that has prompted this rejoinder appeared in The Nation of Friday 18 July, page 21. Written by one Odedeyi Adekunle, a pharmacist, it made an interesting reading.

    Commendably, he started off admitting the truth, in paragraph 4 of the article, which a lot of other health workers often deny. Hear him: “While it is true in ages past, that physicians were a Jack of all trades as far as treatment of the patient was concerned, the practice in the wisdom of practitioners (medical doctors) was later broken down into different disciplines for better efficiency and specialization”. The historical perspective of the evolution of surgical practice in the medical profession, for instance supports this fact. In ages past, the medical doctors who were trained in anatomy, physiology, biochemistry and the pathology etc, of the human being had to invite the barbers to the operating theatre where and when the need arose for an operation (surgery). These barbers were carefully guided by the medical doctors on where and how to cut through (do the surgery), until completion. Later, these barbers as it were, were incorporated into the medical training and this led to the beautiful art and science of surgery as we know today. In a similar manner, the wisdom of the ages past medical doctors informed the broken down into different disciplines of medical profession to other health workers-pharmacists, nurses, laboratory scientists, radiographers and physiotherapists etc, for better efficiency and specialization. But today in Nigeria, the invitees to the profession have not only risen against him that invited them all but have actually ganged up against him. How sad! In contemporary times, a medical doctor goes further after his/her initial medical certification, to specialize in such areas as pharmacy, laboratory sciences, radiology, physiotherapy, health administration/economics etc just as much as in other areas such as surgery, internal medicine, paediatrics, obstetrics and gynaecology among several others; with a bona fide right to practice in those areas and be appointed to fill any relevant position(s).

    Besides, professional leadership position is not just about personality, communication skills, human relations, resourcefulness and tactfulness etc, it is importantly also about the expert knowledge in training of the said leader. For instance, the training of an infantry soldier puts him ahead of other soldiers in expertise and thus he provides leadership in military as brigade commander, service chief and the like. Again, the training of a lawyer endows him/her with the requisite knowledge to be a leader in the justice and judiciary system: magistrates, judges, permanent secretaries, commissioners/ministers etc. Similarly, a non academic staff of a university can hardly be appointed a Vice-Chancellor of a university or a head of an academic department, no matter how highly educated. And so on. Thus with all due respect to other health workers, I keep wondering what quantum of expert knowledge would be available to the other health workers in the health sector to give directive(s) to the medical doctor(s) in health establishments.

    Where there is unhealthy competition or rivalry between the various groups of health workers, there is bound to be crisis. And where the government undertakes to set one group of health workers against another, there is no way peace can reign in the Nigerian health sector and more. Painfully in all these, it is the patients and indeed the nation that suffer. So the debate should shift from the blame game to the way forward in the overall interest of the patients and the nation.

    It is important that medical doctors that find themselves in positions of professional leadership need to imbibe an inclusive management style; recognize the rights of other health workers and carry most groups of health workers along, to minimize the frictions in such institutions. Doing otherwise certainly would not augur well either for the institution(s) or the medical profession.

    All said, the wind of crisis currently blowing through the health sector in Nigeria is certainly not doing any good to anyone. The various groups of health workers must have to close ranks, shun unhealthy rivalry and work together as a team (which is the hallmark of medical practice) in the overall interest of the patients and the nation.

    • Dr. Ufot Ekere

    Abuja

  • Doctors and crisis in health sector

    SIR: It is no longer news that there is serious crisis lingering in the health sector. This is as a result of constant threat by various professionals that constitute the core professions in this sector. Unlike judiciary, which enjoys the monopoly of lawyers as professionals trained to interpret and guide the constitution, the health sector is different; it is a sector where many professions team up and work as a team for the overall benefit of every patient.

    In 70s and early 80sin the health sector, there was little or no internal bickering among health professionals until the coming of the then minister of health, the late Professor Olikoye Ransome-Kuti under the military regime who changed the entire administrative system and policies in the sector, mandating physicians (medical doctors) to take absolute control of the sector. Since then, the health sector has been passing  through one crisis or the other, making Nigerian citizens including physicians  to seek better health care elsewhere outside the country.

    Presently, all the juicy positions in the health sector are being held by doctors starting from head of clinical services (CMAC), medical directors, commissioners, directors of public health to minister of health with jumbo salary packages more than other health workers, yet they not satisfied. It should be noted that every worker’s aim and desire is to reach the peak of his or her career wherever he or she works. Why is the health sector different? One profession has made it so difficult for others in the sector to progress despite being a government-owned institution. This is because physicians hold most of the vital positions in this sector, and so he who is given yam and knife at the same time needs no stress to decide how many pieces he will cut. It is disheartening and painstaking to see other health professionals with Masters/PhD in line with their professions, yet one professional with first degree (MBBS) automatically is being imposed as the head. It is unreasonable for an MBBS holder with a post-graduate qualification (consultants) be rated higher than a PhD holder who spent roughly not less than eight years, as the case may be for other health professionals.

    The role of clinical pathologists in the hospital is to interpret laboratory results to their colleagues (physicians) for proper understanding and treatment of patients and not to partake in running the test on the bench. The clamour by doctors to replace medical laboratory science practice with laboratory medicine (laboratory physicians) is needless. Medical laboratory science is known all over the world to be the practitioners of medical laboratory services. Besides, there are already trained medical laboratory professionals with an established act and license to control, regulate and practice. It is therefore unlawful for duplication of duties and profession, which will amount to nothing but waste of resources and energy. No wonder health sector is indeed in crisis and government seems not to understand where the problem is emanating from.

    Working in the hospital is quite risky for contagious diseases. All health professionals face equal risk hazard in the hospital since needle prick is common during surgery in the theatre and bleeding in the laboratory. For any hazard allowance to be paid, it must be across board. For physicians to demand separate hazard allowance for themselves alone is greedy and selfish.

    All the professionals working in the health sector are health workers. For physicians to brand other health professionals as health workers to the exclusion of themselves is wrong. Government should as matter of urgency put an end to this unnecessary discrimination and disparity between health workers. Equal opportunity should be given to every profession in the health sector to rise to the peak of their career. A seasoned administrator should be appointed to head our hospitals where all health professionals will be confined to their respective departments and units. This is only way sanity can be restored in health sector.

     

    • Emeka Opara,  

    Calabar, Cross River State