5sigma: The doctor is the leader of the health team. No matter how long an air hostess has been flying, she cannot become the pilot. The other health workers should go and write JAMB, obtain admission to study medicine and then become suitable candidates. Thing is,no matter how long the wind blows the mountain can never bow.enuf said!

Laalamed:
u got it wrong. doctors are not greedy. it is pharmacists that are. imagine pharmacists treating patients in their stores thus acting as doctors. pharmacists know both relevant and irrelevants drugs. however doctors know relevant drugs to patients care than pharmacists.

wengerjay: Hello Sir/Ma,u cant compare medicine with Nursing.Politics apart,my secondary school mates dat ended up studying medicine were the best in our secodary sch days,the very average ones studied nursing and i believe this is stil the trend these days.It is just unfortunate dat there is lawlessness in the land,a commercial driver can jst wake up one day and say he is a pilot in Nigeria,nobody wil challenge him.Govt shd visit other countries and see hw hospitals are being run their.We all know the truth and the truth is dat most of our best read medicine.

maclatunji: Only those with qualifications in Hospital Management should head hospitals if we want to be honest. A doctor with Hospital Management qualification would be attractive in my opinion. This does not mean it should be their exclusive position, other healthcare workers may rise to become Chief Administrators of hospitals.

Chief Medical Officer
From Wikipedia, the free encyclopedia
Chief Medical Officer (CMO) is the title used in many countries for the senior government official designated head of medical services, usually at the national level. The post is held by a physician who serves to advise and lead a team of medical experts on matters of public health importance.[1]
The post of Chief Medical Officer dates back to Victorian times.[2] The equivalent title may go under different names across countries, for example known as the Surgeon General in the United States and the Chief Public Health Officer in Canada.

sinie:
So what you are saying is doctors know about drugs than the drug experts themselves. That's just plain arrogance....

Samdurance:



Hahahahahahahahaha Best brain indeed. Doctors this days are pushed either by money or influence. Emdex is the Doctors Guide this days. Please don't make me laugh again. Doctors these days are really not capable of their jobs. Instead they lay their incapability to the Nurses and Lab. Scientists. So Bad.

plendil: The headship of hospitals should be left to medical doctors. That is the practice anywhere in the world.

centje: i agree with you.

Mr president set up a committee to travel to other countries,see how they run their health system and report back with recommendations. But somehow the non-doctors association (JOHESU) rejected the committee.

12 inches!:
I bliv the chief medical director in any hospital should be a doctor. Why? I jst feel it would be right. Most of the other members of the medical team do not know enuff to manage the hospital. The doctor is the only person that has a holistic view of medicine. Wait till u're facing a serious health challenge then u will understand how LOVELY doctors are. It is doctors that diagnose patients and tell nurses what to do. How do you put a nurse as CMD or a pharmacist or Dentist as CMD? I believe they are not well enuff grounded to take that post.

mintyx: Im enjoying this thread. Its filled with intelligent people, the ignoramus, the arrogant etc. I just want say something about a post by @Ziga that claims that doctors know more than druggist! I see that as a lie from the pit of hell!
A druggist researches on an ailment, mixes chemicals to produce a drug, tests the drug on laboratory animals and humans and based on his findings, he formulates the right dosage the drug can be used to achieve maximum result, the doctor uses it and the credit goes to him! Yeah i dont have a problem with doctors getting the credit but im just wondering how arrogance can blurr some folks vision not to see that a difference exist here. Im not a druggist though!

ziga:




If you knew anything about the medical field you wouldn't say this. Haba!!!

Fellonigerians:
Doctors should focus more on their oath and not on who runs a hospital...

adahib: If I may ask,is there any university whose vice chancellor isn't a professor(lecturer)? Has there ever been a case where NASU or SSANU produced a VC? Why should that of a hospital be any different? As much as i agree that the post of a CMD is mainly administrative,I will also like to point out that the basic requirement must be an MBBS/MBBCh/MD.many doctors may not be good administrators but those who have decided to be,should be mad CMD.
For those of you writing about the medical team,yes the other medivcal personnel are part of the team but guess who the head of the team is? yes,the doctor
No matter how long a nurse,pharmacist or laboratory scientist has been practicing,none of them can open a clinic.even if they do,they must front a doctor.
sincerely,there is no basis for this debate.just plenty bad belle.

sinie:
Excuse me. I know PLENTY about the medical field and I will say it again and again. If not for pharmacist's intervention most patients will go home with the drugs prescribed for the and 'poison' hemselves. If the pharmacist should document ever medication Error the doctors make in his. prescription. Ranging from wrong drug to wrong dose and interactions, I swear nobody will ever take a drug prescribed by a doctor without a pharmacist's advice. Just yesterday my sister was just talking casually about the drug she was placed on and I noticed that she taking the same drug both IV and tablet. I asked her to ask the doctor when he was giving her both IV and tablet @ the same time and when she asked him he said it was a 'mistake'. If that hospital was a standard hospital with a pharmacist on duty will such a 'mistake' have been made? That's just one out of millions of examples of ways pharms help doctors prevent 'mistakes' everyday. And you are claiming they are more knowledgeable aboùt drugs than pharms. Don't display your ignorance...
D

sinie:
Excuse me. I know PLENTY about the medical field and I will say it again and again. If not for pharmacist's intervention most patients will go home with the drugs prescribed for the and 'poison' hemselves. If the pharmacist should document ever medication Error the doctors make in his. prescription. Ranging from wrong drug to wrong dose and interactions, I swear nobody will ever take a drug prescribed by a doctor without a pharmacist's advice. Just yesterday my sister was just talking casually about the drug she was placed on and I noticed that she taking the same drug both IV and tablet. I asked her to ask the doctor when he was giving her both IV and tablet @ the same time and when she asked him he said it was a 'mistake'. If that hospital was a standard hospital with a pharmacist on duty will such a 'mistake' have been made? That's just one out of millions of examples of ways pharms help doctors prevent 'mistakes' everyday. And you are claiming they are more knowledgeable aboùt drugs than pharms. Don't display your ignorance...
D

sinie:
Excuse me. I know PLENTY about the medical field and I will say it again and again. If not for pharmacist's intervention most patients will go home with the drugs prescribed for the and 'poison' hemselves. If the pharmacist should document ever medication Error the doctors make in his. prescription. Ranging from wrong drug to wrong dose and interactions, I swear nobody will ever take a drug prescribed by a doctor without a pharmacist's advice. Just yesterday my sister was just talking casually about the drug she was placed on and I noticed that she taking the same drug both IV and tablet. I asked her to ask the doctor when he was giving her both IV and tablet @ the same time and when she asked him he said it was a 'mistake'. If that hospital was a standard hospital with a pharmacist on duty will such a 'mistake' have been made? That's just one out of millions of examples of ways pharms help doctors prevent 'mistakes' everyday. And you are claiming they are more knowledgeable aboùt drugs than pharms. Don't display your ignorance...
D

ziga:

It is ignorant that you will generalize based on your minute experience. If the argument is about who makes more mistakes , please lets start another thread.

We are talking about responsibilities here.

You clearly don't understand your duty as a pharmacist. You can NOT change a doc's prescription. because it is HIS prescription with HIS signature, and in most instances, you CAN NOT write a prescription as a pharmacist because your training is not enough in that aspect of medicine. If you have a problem with something that a doc wrote, you call him to clarify.

What you are practicing is the same reason for this argument. People do not stick to where their responsibilities end!!! You want to prescribe, Go to medical school. SIMPLE.

I don't know what kind of rules apply in the neck of the woods where u live!!!

If you are knowledgeable enough, you will know that sometimes medication doses are different depending on what you are trying to treat. But the pharmacist doesn't know what the prescription is for.

The level of ignorance on this thread is astounding!!!

sinie:
Its no more generalisation and definitely not Minute if its constant. I have worked in a teaching hospitals and don't even let me start on the mistakes I see EVERYDAY else we won't leave here. Your fellow doctors come into my pharmacy and ask ME what to write in their prescription. And YES I change doctors prescription ALL THE TIME. And if I feel the drug is wrong and the doctor refused to change it I DO NOT dispense it. Am not going to be responsible for causing a patient harm because of a doctor's arrogance. Am not going to say the name of the hospital I work cos of the anonymity of this forum but we pharmacist go to your clinical meetings to TEACH u guys HOW to write prescriptions. The clinical presentation from companies is just pharmacits teaching doctors about new drugs and advancements in medicine. When I worked in OnG pharmacy I TELL some ignorant doctors EVERYDAY what drugs and antibiotic a woman for CS should take. And yes if a doctors gives me a prescription that's wrong I tell him to change it. I don't care if his 'consultant' was the one that wrote it. Then he should tell his 'consultant' to change it.
Now all these is deviating from the issue which is 'should non doctors head hospitals' and the answer is a big yes. Don't confuse us with wikepidea entries. No one expects a nurse to be a Chief medical Officer or a doc to be a Chief Nursing officer. But who should he the hospital administrator. The 'CEO' of the hospital? the answer? Anyone with good administrative and managerial training. Shikena!!

frednest@yahoo.:
Everybody in medics are all medically inclined enough for one group to say they are jack of all trade. For God sake! Wat is medicine and surgery in health institution? Every dept in skol of medical science cut across each oda,that why everybody in different dept in medical skol pass through the core course of medicine and surgery,which is:physiology,biochemistry and anatomy which is the basic and core couses in medical skol, Clinicals are modification of these courses. If not for laws for each profession in health,if given the chance can't an Anatomist perform surgery?if a medical lab scientist can diagnose and and also know the specific drug so I wonder why doctors will say they know it all? When our hospitals were run by health administrative nigeria hospitals were competing then in Africa because the system were working. But now strike everyday,misdiagnoses,wrng prescription and death. Nigeria health is now ranked 52 in africa. Let health admin take over so that harmony will come to our health system.

ngozievergreen: I have listened to all the nonsense those in health sciences talked when i was in med sch and d only thing i can think of is Inferiority complex!

Yes. I hav heard dem talk worse things to d extent that i no longer know wen they talk sense. Y cant sb be proud of his profession other than aspiring to be like someone else. My radiography friend said nursing, medlab, etc wl start studying for 7yrs so that they wl be ascribed as 'doctors', and i told her we dont share same curriculum, if she likes, she can study rad for 20yrs, u can b a doctor. Medine incorporates all aspects of health science courses and in addition Medicine and Surgery!
now, how many doctors aspire to become addressed as nurse?

The nurses are even the worst of dem, they are ready to do anything to implicate a doc esp a house officer in d wards, i cant imagine a backbiter heading a hosp, d latter wl becum like a village women org.

I was givin a px hourly insulin yest till d sugar level became appreciable (and patient crises stopped), so that d nurses wl continue wth d admnistration, can u bliv none of the 8 nurses gave d insulin, throughout d early morning, stating that it shd start from morning which wl be convinient for them- so my patient should go bak to crises and maybe die because of convinience, abi? (whereas i hav been giving dt drug every hr frm 8am to 3am of dat morning). 2moro , if i becum the minister of health, i wl consider all these their numerous rantings. And hosps will be run on convinience alone.

Onyebuchi chukwu and mayb GEJ even have their time. As for me, if they go on strike, dey wl cum back to meet people that have replaced them.
And dont tell me am basing ma judgement on few situations cos if i start typing dem, my keyboard wl stop working.

Laalamed:
doctors do not own the hospitals yes i agree. but know that patients come to see doctors. doctors plan patients management ,admit patients and discharge as well. if other health professionals want to head hospitals let them start consulting. if u want administrators let administrators take over all other sectors viz engineering, pharmaceutical industries,education, power, bank etc.

Laalamed:
doctors do not own the hospitals yes i agree. but know that patients come to see doctors. doctors plan patients management ,admit patients and discharge as well. if other health professionals want to head hospitals let them start consulting. if u want administrators let administrators take over all other sectors viz engineering, pharmaceutical industries,education, power, bank etc.

ziga:

Well... from what you have admitted to here. Nigeria clearly has a lot of problems, and YOU ARE one of them.

With everybody trying to be a doctor, you are clearly the same as the quacks that come to you asking "what to write"

Naija is a mess. And the advise I give to anybody out there is to make sure you know the credentials of whoever is writing you a prescription. Human life means absolutely nothing there.

Back to the order of the day. I'm happy you have seen the light and now, you admit that the CMD should be a doctor.

Any smart organization can create a chief administrator/CEO position. As long as there are no duplication of responsibilities,and duties are clearly designated as per the person's training, that shouldn't be a problem