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Should Non-doctors Head health Institutions? - Health (8) - Nairaland

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Re: Should Non-doctors Head health Institutions? by wengerjay(m): 5:50pm On May 03, 2013
Lawlessness in the nation,imagine a Lab scientist collecting a sample for high vaginal swab(HVS),a procedure meant to be done by the Doctors only.O ga o
Re: Should Non-doctors Head health Institutions? by JoannaSedley(f): 5:57pm On May 03, 2013
^^ so delusional. Only for doctors indeed. Please stop parading ignorance.
Re: Should Non-doctors Head health Institutions? by pathology(m): 7:54pm On May 03, 2013
@ wenger, i dont think you know what u re saying or thinking, it is high vaginal swab,is dokita trained to collect the sample, lets know the part of your trainig that says so,.jack of all trade master of none.
Re: Should Non-doctors Head health Institutions? by Nobody: 9:36pm On May 03, 2013
New Drug
Approval Process
FDA Approvals
It takes on average 12 years and over
US$350 million to get a new drug
from the laboratory onto the
pharmacy shelf. Once a company
develops a drug, it undergoes around
three and a half years of laboratory
testing, before an application is made
to the U.S. Food and Drug
Administration (FDA) to begin testing
the drug in humans. Only one in 1000
of the compounds that enter
laboratory testing will ever make it to
human testing.
If the FDA gives the green light, the
"investigative" drug will then enter
three phases of clinical trials:
Phase 1 uses 20-80 healthy volunteers
to establish a drug's safety and
profile. (about 1 year)
Phase 2 employs 100-300 patient
volunteers to assess the drug's
effectiveness. (about 2 years)
Phase 3 involves 1000-3000 patients in
clinics and hospitals who are
monitored carefully to determine
effectiveness and identify adverse
reactions. (about 3 years)
The company then submits an
application (usually about 100,000
pages) to the FDA for approval, a
process that can take up to two and a
half years. After final approval, the
drug becomes available for physicians
to prescribe. At this stage, the drug
company will continue to report cases
of adverse reactions and other clinical
data to the FDA.
The research-based pharmaceutical
industry currently invests some US$
12.6 billion a year in new drug
development. Historically, the drug
development figure doubles every five
years.
www.drugs.com/fda-approval-process.html

that is no way pharmacists would develop or sell drugs without input of physcians and pathologists. that is the headache of phatmacists now.
Re: Should Non-doctors Head health Institutions? by Nobody: 9:41pm On May 03, 2013
A laboratory director is a member of
a laboratory staff who is responsible
for overseeing operations at the
laboratory and any related facilities.
People in this position tend to have
a great deal of training and
experience, especially if they are
supervising labs which engage in
complex tasks, brand new research,
or work with dangerous substances.
A well-qualified laboratory director
can usually find work anywhere, and
employment prospects in this field
are quite good in many regions of
the world.
To become a laboratory director, a
candidate must usually be a medical
doctor or hold a PhD, depending on
the type of lab. In addition to
fulfilling these educational
requirements, laboratory directors
also need to have practical lab
experience, with labs usually
preferring at least three years of
experience. Many laboratory
directors are drawn from the
existing staff of a lab when a
previous laboratory director steps
down, as high-ranking staff
members have experience and
familiarity with the lab.
The laboratory director is
responsible for overseeing staffing
in the laboratory, hiring appropriate
people to fill positions, conducting
regular performance reviews,
scheduling lab staffers, and
confirming that staff members are
fully qualified and competent.
Depending on the nature of the
work the lab does, the laboratory
director may also need to run
background checks on staff
members to conform with
government standards which are
designed to keep labs safe and
secure.
Laboratory directors also oversee
budgeting and research initiatives in
a lab. While they may encourage
people in the lab to seek grants and
assistance and to develop research
projects, they must also balance the
needs of the lab itself, which can
require judicious scheduling of
equipment and personnel.
Laboratory directors also set policies
in the lab, make sure that staff
members are informed of lab
policies, and confirm that policies
are being followed.
The clinical laboratory director also
deals with issues such as patient
confidentiality, ethics in clinical trials ,
and meeting the needs of people
who require the services of the lab.
Lab directors are also concerned
with quality control in the lab,
security of the lab facilities, and
keeping the lab current with industry
and government standards. Failure
to follow government mandates may
cause a lab to be downgraded,
which will mean that it will not be
able to handle as many materials.

m.wisegeek.com/what-does-a-laboratory-director-do.htm

some stupid fellow would say doctors have no role to play in laboratory.
Re: Should Non-doctors Head health Institutions? by azaros: 10:14pm On May 03, 2013
Its unfortunate dat tday wit d lots of advancement in health some bdy can stil proudly hold him/her self out before d public to say he/she is more important in a team of professionals as it affect healthcare delivery. As a matter of fact d patient whom is focal point of every staff of healthcare delivery center come to d hosp. for d services renderd in d hospital. And d services needed by any patient dat requires health care comes frm diferent professionals not just one profession. Interms of team leader in service delivery dis depends on d patients problem, if related to physiotherapy=physiotherapist, drug relat=Pharmacist, etc it should b noted dat cross carpetin and jack of all trade principle by any profession connot joblessnes nd i believe if we borrow from d developed world present practice of healthcare all profession in healthcare wil b overwhelmed wit responsibilities and fufilment. For d headship of health care facilities any person with sound managerial skill and profile should serve d purpose.
Re: Should Non-doctors Head health Institutions? by Nobody: 10:59pm On May 03, 2013
azaros: Its unfortunate dat tday wit d lots of advancement in health some bdy can stil proudly hold him/her self out before d public to say he/she is more important in a team of professionals as it affect healthcare delivery. As a matter of fact d patient whom is focal point of every staff of healthcare delivery center come to d hosp. for d services renderd in d hospital. And d services needed by any patient dat requires health care comes frm diferent professionals not just one profession. Interms of team leader in service delivery dis depends on d patients problem, if related to physiotherapy=physiotherapist, drug relat=Pharmacist, etc it should b noted dat cross carpetin and jack of all trade principle by any profession connot joblessnes nd i believe if we borrow from d developed world present practice of healthcare all profession in healthcare wil b overwhelmed wit responsibilities and fufilment. For d headship of health care facilities any person with sound managerial skill and profile should serve d purpose.
if that is ur position health facilities should be classified: nurses hospital,doctors hospital,physiotherapy hospital, pharmacist hospital,laboratory scientists hospital. intertedepence should be stopped. all professional should be allowed to anything they like to patient there would be strong legal system that would protect patients. let malpractice be handled by lawyers. let see who will survive doctors or allied health professionals. behold medical specialities.

The following chart lists the approved
specialty and subspecialty certificates
in which the ABMS Member Boards
can offer certification.
General Certificate(s)
Subspecialty Certificates
American Board of Allergy and
Immunology
Allergy and Immunology
No Subspecialties
American Board of Anesthesiology
Anesthesiology
Critical Care Medicine
Hospice and Palliative Medicine
Pain Medicine
Pediatric Anesthesiology 1
Sleep Medicine
American Board of Colon and Rectal
Surgery
Colon and Rectal Surgery
No Subspecialties
American Board of Dermatology
Dermatology
Dermatopathology
Pediatric Dermatology
American Board of Emergency
Medicine
Emergency Medicine
Emergency Medical Services2
Hospice and Palliative Medicine
Internal Medicine-Critical Care
Medicine
Medical Toxicology
Pediatric Emergency Medicine
Sports Medicine
Undersea and Hyperbaric Medicine
American Board of Family Medicine
Family Medicine
Adolescent Medicine
Geriatric Medicine
Hospice and Palliative Medicine
Sleep Medicine
Sports Medicine
American Board of Internal Medicine
Internal Medicine
Adolescent Medicine
Adult Congenital Heart Disease3
Advanced Heart Failure and
Transplant
Cardiology
Cardiovascular Disease
Clinical Cardiac Electrophysiology
Critical Care Medicine
Endocrinology, Diabetes and
Metabolism
Gastroenterology
Geriatric Medicine
Hematology
Hospice and Palliative Medicine
Infectious Disease
Interventional Cardiology
Medical Oncology
Nephrology
Pulmonary Disease
Rheumatology
Sleep Medicine
Sports Medicine
Transplant Hepatology
American Board of Medical Genetics
Clinical Biochemical Genetics*
Clinical Cytogenetics*
Clinical Genetics (MD)*
Clinical Molecular Genetics*
Medical Biochemical Genetics
Molecular Genetic Pathology
American Board of Neurological
Surgery
Neurological Surgery
No Subspecialties
American Board of Nuclear Medicine
Nuclear Medicine
No Subspecialties
American Board of Obstetrics and
Gynecology
Obstetrics and Gynecology
Critical Care Medicine
Female Pelvic Medicine and
Reconstructive Surgery1
Gynecologic Oncology
Hospice and Palliative Medicine
Maternal and Fetal Medicine
Reproductive Endocrinology/Infertility
American Board of Ophthalmology
Ophthalmology
No Subspecialties
American Board of Orthopaedic
Surgery
Orthopaedic Surgery
Orthopaedic Sports Medicine
Surgery of the Hand
American Board of Otolaryngology
Otolaryngology
Neurotology
Pediatric Otolaryngology
Plastic Surgery Within the Head and
Neck
Sleep Medicine
American Board of Pathology
Pathology-Anatomic/Pathology-
Clinical*
Pathology - Anatomic*
Pathology - Clinical*
Blood Banking/Transfusion Medicine
Clinical Informatics1
Cytopathology
Dermatopathology
Neuropathology
Pathology - Chemical
Pathology - Forensic
Pathology - Hematology
Pathology - Medical Microbiology
Pathology - Molecular Genetic
Pathology - Pediatric
American Board of Pediatrics
Pediatrics
Adolescent Medicine
Child Abuse Pediatrics
Developmental-Behavioral Pediatrics
Hospice and Palliative Medicine
Medical Toxicology
Neonatal-Perinatal Medicine
Neurodevelopmental Disabilities
Pediatric Cardiology
Pediatric Critical Care Medicine
Pediatric Emergency Medicine
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Hematology-Oncology
Pediatric Infectious Diseases
Pediatric Nephrology
Pediatric Pulmonology
Pediatric Rheumatology
Pediatric Transplant Hepatology
Sleep Medicine
Sports Medicine
American Board of Physical Medicine
and Rehabilitation
Physical Medicine and Rehabilitation
Brain Injury Medicine 4
Hospice and Palliative Medicine
Neuromuscular Medicine
Pain Medicine
Pediatric Rehabilitation Medicine
Spinal Cord Injury Medicine
Sports Medicine
American Board of Plastic Surgery
Plastic Surgery
Plastic Surgery Within the Head and
Neck
Surgery of the Hand
American Board of Preventive
Medicine
Aerospace Medicine*
Occupational Medicine*
Public Health and General Preventive
Medicine*
Clinical Informatics1
Medical Toxicology
Undersea and Hyperbaric Medicine
American Board of Psychiatry and
Neurology
Psychiatry*
Neurology*
Neurology with Special Qualification
in Child Neurology*
Addiction Psychiatry
Brain Injury Medicine 4
Child and Adolescent Psychiatry
Clinical Neurophysiology
Epilepsy2
Forensic Psychiatry
Geriatric Psychiatry
Hospice and Palliative Medicine
Neurodevelopmental Disabilities
Neuromuscular Medicine
Pain Medicine
Psychosomatic Medicine
Sleep Medicine
Vascular Neurology
American Board of Radiology
Diagnostic Radiology*
Interventional Radiology and
Diagnostic Radiology* 3
Radiation Oncology*
Medical Physics*
Hospice and Palliative Medicine
Neuroradiology
Nuclear Radiology
Pediatric Radiology
Vascular and Interventional Radiology
American Board of Surgery
Surgery*
Vascular Surgery*
Complex General Surgical Oncology4
Hospice and Palliative Medicine
Pediatric Surgery
Surgery of the Hand
Surgical Critical Care
American Board of Thoracic Surgery
Thoracic and Cardiac Surgery
Congenital Cardiac Surgery
American Board of Urology
Urology
Female Pelvic Medicine and
Reconstructive Surgery1
Pediatric Urology
*Specific disciplines within the
specialty where certification is offered
Re: Should Non-doctors Head health Institutions? by JoannaSedley(f): 9:19am On May 04, 2013
^^ you're proliferating this thread with junks. Please lay down your arguments without refering to irrelevancies, cos it's making this thread boring.
The important of doctors in the management of patients cannot be over-emphasised, what about management of paper work concerning other professionals in the system;you study that in school too? Somethings doesn't add up here?
Re: Should Non-doctors Head health Institutions? by Nobody: 9:19am On May 04, 2013
mintyx:

I know you did psychology in medical school and ought to understand these things. By mere reading your post, it gave me a peek view on the type of person you are.... See lady i work in a hospital and even though i know there are difficult people to work with(nurses included) Fact remains that people treat you to some an extent the way you present yourself. I dont mean to insult you but should know what im saying its true. If you "show" a gateman that you are a "doctor" well God bless your soul anyday you come to work late and try to manouvre your way to excape Servicom! He will definitly show you how important the gate man work is!
When i told the insulin stuff to the other docs in d morning, they all laughed and said , thats how nurses do', so does that mean all my fellows dont present demselves well too. Wat r u evn talkin abt? U think i hav time for nurses? Mtchew

This is the reason their rantings are not granted at the higher bodies. They shd relax,let me get to that top first. Mere looking @ me wl make them know the kind of complaints to be be laid, to head institutions wl be d last of them! Onyebuchi chukwu has their damn time
The ppl i like their attitude to an extent are the med lab scientists. They are graceful in my sight.
Re: Should Non-doctors Head health Institutions? by Nobody: 9:20am On May 04, 2013
mintyx:

I know you did psychology in medical school and ought to understand these things. By mere reading your post, it gave me a peek view on the type of person you are.... See lady i work in a hospital and even though i know there are difficult people to work with(nurses included) Fact remains that people treat you to some an extent the way you present yourself. I dont mean to insult you but should know what im saying its true. If you "show" a gateman that you are a "doctor" well God bless your soul anyday you come to work late and try to manouvre your way to excape Servicom! He will definitly show you how important the gate man work is!
When i told the insulin stuff to the other docs in d morning, they all laughed and said , thats how nurses do', so does that mean all my fellows dont present demselves well too. Wat r u evn talkin abt? U think i hav time for nurses? Mtchew

This is the reason their rantings are not granted at the higher bodies. They shd relax,let me get to that top first. Mere looking @ me wl make them know the kind of complaints to be be laid, to head institutions wl be d last of them! Onyebuchi chukwu has their damn time
The ppl i like their attitude to an extent are the med lab scientists. They are graceful in my sight.
Re: Should Non-doctors Head health Institutions? by JoannaSedley(f): 10:13am On May 04, 2013
^^ well, with the comment and attitude, ignorantly you just gave one of the major reasons why doctors shouldn't head any health institutions.
Re: Should Non-doctors Head health Institutions? by azaros: 10:23am On May 04, 2013
Its only an individual wit gud administrative track recorded dat is needed to head any institution. D gtn askd is as gud as saying only political science professionals b allowed into politics or b elected as d president. So headship of health institutions should b open to all dat has d merit
Re: Should Non-doctors Head health Institutions? by frednestyahoo: 12:19pm On May 04, 2013
dmalam:
Hypertension, hyperlipidaemia, "changn drugs" & savin life by a lab scientist.....u r funny dude, pls check ur facts very well, u sim half baked.
its like u dnt have knowledge of coronary heart disease or coarctation of aorta,so in that case u should go bck to skol. The consultant was treating symptom and ignoring the root.
Re: Should Non-doctors Head health Institutions? by ziga: 12:27pm On May 04, 2013
frednest@yahoo.:
its like u dnt have knowledge of coronary heart disease or coarctation of aorta,so in that case u should go bck to skol. The consultant was treating symptom and ignoring the root.

Please, stop exposing your ignorance!!!

Stop it!!!
Re: Should Non-doctors Head health Institutions? by Nobody: 5:28pm On May 04, 2013
frednest@yahoo.:
its like u dnt have knowledge of coronary heart disease or coarctation of aorta,so in that case u should go bck to skol. The consultant was treating symptom and ignoring the root.
what is link between coarctation of aorta and coronary heart disease? hyperlipidaemia? mr man u need brain transplant.
Re: Should Non-doctors Head health Institutions? by Nobody: 5:30pm On May 04, 2013
azaros: Its only an individual wit gud administrative track recorded dat is needed to head any institution. D gtn askd is as gud as saying only political science professionals b allowed into politics or b elected as d president. So headship of health institutions should b open to all dat has d merit
ministerial appointment can be opened to all sorts of people with administerial skills. but cmd should still be reserved for doctors.
Re: Should Non-doctors Head health Institutions? by Nobody: 6:05pm On May 04, 2013
www.voxeu.org/article/should-physicians-manage-hospitals

from the link above physcians manage hospitals better than non-physcians.
Re: Should Non-doctors Head health Institutions? by Nobody: 6:19pm On May 04, 2013
Physician as Hospital Chief
Executive Officer
Robert E. Falcone, MD
Department of Surgery, The
Ohio State University School of
Medicine, Columbus
Bhagwan Satiani , MD, MBA
Department of Surgery, The
Ohio State University School of
Medicine, Columbus,
bhagwan.satiani@osumc.edu
Abstract
The vast majority of hospitals in the
United States today are led by
nonphysicians. This is in sharp
contrast to the turn of the 20th
century, when over a third of the
hospitals in the United States were
physician led. As the pendulum
swings back from lay leader to
clinician leader, there is a strong and
appropriate opportunity for
physicians to reinsert themselves into
a leadership role. In fact, the time has
perhaps never been more
appropriate than today. In a health
care system that is complex, troubled,
and challenging, the physician CEO
brings a unique set of skills to the
business of medicine. The successful
physician leader, however, must
understand the business of medicine
as well as or better than he or she
understands the practice of medicine.
Training, developing, and equipping
our future physician leaders with the
necessary skill sets will be one of
medicines' many challenges as it
expands into the 21st century.


ves.sagepub.com/content/42/1/88.short

even in developed countries physcians would soon chase administators out of hospital management.
Re: Should Non-doctors Head health Institutions? by Nobody: 6:23pm On May 04, 2013
frednest@yahoo.:
its like u dnt have knowledge of coronary heart disease or coarctation of aorta,so in that case u should go bck to skol. The consultant was treating symptom and ignoring the root.

i stil dey laf.....half baked!!! cntinue exposin ursef....
hypertension na symptom ko? and the root of hypertension na CHD/ hyperlipidaemia ko? u sabi dr wrk wella....

so wen u c prson wt hypertension u go fst do lipid profile, if hyperlipidaemia dey, u go treat hyperlipidaemia fst since its d root of d "symptom" (hypertension) abi??


Joker, u r funny!!!!

u fit kill ur uncle wt dis ignorant practice oooo

1 Like

Re: Should Non-doctors Head health Institutions? by Nobody: 9:06pm On May 04, 2013
Laalamed:
what is link between coarctation of aorta and coronary heart disease? hyperlipidaemia? mr man u need brain transplant.
Dont mind him, there is no connection. He just talked trash which is a reason non doctors shdnt head d health institution
Coarctation is a congenital hrt dx, has nothing to do wth hyperlipidemia.
Re: Should Non-doctors Head health Institutions? by frednestyahoo: 9:08pm On May 04, 2013
a.) THE ROOT CAUSES OF DISHARMONY AMONGST HEALTH WORKERS AND AMONGST PROFESSIONAL GROUPS IN THE HEALTH SECTOR IN NIGERIA.

Appointment of Minister for Health as the birthright of doctors in Nigeria.

Deficiencies of Decree 10 of 1985 now cap 436 LFN 2004.

Discriminatory salaries and wages in the Health Sector

Illegal and unlawful strike action by doctors.

Imbalances in the directorate structure of the Federal Ministry of Health (FMOH).

Unprofessional and hostile disposition of doctors to the team approach

The poor implementation of the National Health Insurance Scheme (NHIS).

Unlawful appointments in regulatory agencies of government

Non adherence to the rules setting up the Drug Revolving Fund (DRF).

Poor implementation of interventionist­ health agencies.

A) APPOINTMENT OF MINISTER FOR HEALTH AS THE BIRTHRIGHT OF

DOCTORS IN NIGERIA.

At the height of the last ministerial nomination and screening, the Nigeria Medical Association (NMA) had taken a parochial and insulting position that one of its own must be appointed at the helm of the Federal Ministry of Health (FMOH) because according to it, this was a global practice. The NMA went further to threaten the then Acting President that it would ground the health sector if its position was not adhered to. This arrogant stance has polarized the health sector which has culminated in the formation of the Assembly of Healthcare Professional Associations and Unions and the setting up of this committee.

Section 147(1) & (2) of the 1999 constitution of the Federal Republic of Nigeria is very clear as to how Ministers are appointed. Section 42 (1) a & b also compels a right to freedom from discrimination on the basis of Community, Ethnic Group, Place of Origin, Sex, Religion, Political Opinion etc.

It is important to state that the headship of the Health Sector is not vested in medical doctors contrary to the claims of the NMA.

The Situation in other Countries

In the United States of America (USA), Kathleen Sebelius was sworn in as the 21st Secretary of Department of Health and Human Services (equivalent to our own Minister of Health) on April 28th, 2009. She is a former Governor of Kansas State, holds a Bachelor Decree of Arts and Masters in Public Administration.­ Donna Shalala and Tommy Thompson were health ministers in Bill Clinton’s and G.W. Bush’s administrations­ respectively. They are neither medical doctors nor healthcare professionals.

In the United Kingdom (U.K), the immediate past Secretary of Health was Rt. Honourable Andy Burnham who holds a Master of Arts (MA) Decree in English Language.

In Japan Akira Nagatsuma who was appointed in 2009 as Minister of Health, is not a Medical Doctor. In India the Minister of Health, Mr. Ghulan Azad is not a medical doctor, he holds a M.Sc. Decree in Zoology.

These are countries Nigerians are travelling to, in large numbers, for medical attention while the Nigerian healthcare service has been ranked 192 out of 198 countries by the World Health Organization under the leadership of Medical doctors.

In Africa, Botswana has been rated by the World Health Organization as having the best national healthcare service. The current Minister of Health in Botswana is an Accountant, and he took over from Mrs. Motsumi, a Nurse, who was Health Minister from 2003-2009. Earlier on, Mrs. Phumaphi, a Nurse, was the Minister of Health from 1989-2002. It is noteworthy that since her independence in 1966, no medical doctor has been appointed Health Minister in Botswana.

In Nigeria, the tenure of many non-Medical Doctors at the helm of Federal Ministry of Health witnessed stability and harmony as epitomized by the leadership of late Aminu Kano, Admiral Patrick Koshoni, Admiral Jubril Ayinla, Prince Julius Adelusi-Adeluyi­, Prof A. B. C. Nwosu and lately Prof Eyitayo Lambo. Perhaps it is appropriate to also remind this committee that Doctors have, at different times,
led other Ministries that are not related to Health. Prof. Jubril Aminu was at different times Education and Petroleum Minister only recently incumbent Ondo State, Governor Dr. Segun Mimiko was
Housing Minister in the Obasanjo Government. In these capacities these eminent Doctors enjoyed the support of other core professionals in these different non-health Ministries.

In the immediate past dispensation, the two Ministers in charge of the Federal Ministry of Health were medical doctors in a multidisciplina­ry set up such as Health, the first in the History of this Nation and yet there was no threat from the other stakeholders in the Health Sector.

The general perception on why doctors want to continue to be Minister of Health is to maintain the hegemony of an unjust entry level in the civil service and discriminatory salary scales which they always get when doctors are Ministers of Health
Re: Should Non-doctors Head health Institutions? by mintyx(m): 9:28pm On May 04, 2013
Laalamed: Physician as Hospital Chief
Executive Officer
Robert E. Falcone, MD
Department of Surgery, The
Ohio State University School of
Medicine, Columbus
Bhagwan Satiani , MD, MBA
Department of Surgery, The
Ohio State University School of
Medicine, Columbus,
bhagwan.satiani@osumc.edu
Abstract
The vast majority of hospitals in the
United States today are led by
nonphysicians. This is in sharp
contrast to the turn of the 20th
century, when over a third of the
hospitals in the United States were
physician led. As the pendulum
swings back from lay leader to
clinician leader, there is a strong and
appropriate opportunity for
physicians to reinsert themselves into
a leadership role. In fact, the time has
perhaps never been more
appropriate than today. In a health
care system that is complex, troubled,
and challenging, the physician CEO
brings a unique set of skills to the
business of medicine. The successful
physician leader, however, must
understand the business of medicine
as well as or better than he or she
understands the practice of medicine.
Training, developing, and equipping
our future physician leaders with the
necessary skill sets will be one of
medicines' many challenges as it
expands into the 21st century.


ves.sagepub.com/content/42/1/88.short

even in developed countries physcians would soon chase administators out of hospital management.

Hey at least you said something that made sense here that in developed countries, non physicians head the health sector and thier health sector is the best! Compare it with Nigeria that its health sector has been held hostage by doctors. The consequence is that in terms of healthcare services, we are ranked 192 out of 198 countries by the
World Health Organization. Dont blame it on poor funding like the current minister keep using as an excuse, it is just a case of a square peg in a round hole!
Re: Should Non-doctors Head health Institutions? by JoannaSedley(f): 9:41pm On May 04, 2013
Hian!!!!!!
Re: Should Non-doctors Head health Institutions? by frednestyahoo: 9:44pm On May 04, 2013
dmalam:

i stil dey laf.....half baked!!! cntinue exposin ursef....
hypertension na symptom ko? and the root of hypertension na CHD/ hyperlipidaemia ko? u sabi dr wrk wella....

so wen u c prson wt hypertension u go fst do lipid profile, if hyperlipidaemia dey, u go treat hyperlipidaemia fst since its d root of d "symptom" (hypertension) abi??


Joker, u r funny!!!!

u fit kill ur uncle wt dis ignorant practice oooo
you dnt know wat u talkin about,if only u know u wil understand better why statins have to come in. I leave u to wallow up in ur ignorance
Re: Should Non-doctors Head health Institutions? by Nobody: 10:50pm On May 04, 2013
frednest@yahoo.:
you dnt know wat u talkin about,if only u know u wil understand better why statins have to come in. I leave u to wallow up in ur ignorance

i stil dey laf....let me corrct u ko
1.Hypertension is not a symtom.

2.U dnt hv to do a lipid profile bfr u commence treatmnt of establishd hypertension.

3.Lipid profile is nt an investigation to diagnose hypertension. Its gud u do it!!!

3 u can put in statin if thr is hyperlipidemia but it is nt a substitute fr antihypertensivs.
Re: Should Non-doctors Head health Institutions? by frednestyahoo: 7:35am On May 05, 2013
dmalam:

i stil dey laf....let me corrct u ko
1.Hypertension is not a symtom.

2.U dnt hv to do a lipid profile bfr u commence treatmnt of establishd hypertension.

3.Lipid profile is nt an investigation to diagnose hypertension. Its gud u do it!!!

3 u can put in statin if thr is hyperlipidemia but it is nt a substitute fr antihypertensivs.
of course its symptomless but in a case were by the symptom of its complications(atherosclerosis)arises. Atleast u and I know that some cases of hypertension may be cured by eradicating the cause. Mind u,it was never said dat statin took d place of antihypertensiv
Re: Should Non-doctors Head health Institutions? by Nobody: 9:47am On May 05, 2013
frednest@yahoo.:
of course its symptomless but in a case were by the symptom of its complications(atherosclerosis)arises. Atleast u and I know that some cases of hypertension may be cured by eradicating the cause. Mind u,it was never said dat statin took d place of antihypertensiv
oga, treating hyperlipidaemia wl nt cure hypertension n vice versa...
so u sayin dt hyperlipidaemia is the root of hypertension is totally nt true, and a dr who commenced antihypertensiv on a patient witout doin a lipid profile is nt killing d patient, tho doin it may be of hlp..

not ol hypertensiv patient hv hyperlipidaemia...

thy cm togeda wt dm/impaired blood glucose under metabolic syndrome..

Pls doin a lipid profile is a bit xpensiv, u do it wen thr r indication (risk factors)....
I repeat ,u can not use it to diagnose hypertension; and u can not use it to determine wen to start treatng hypertension....
Re: Should Non-doctors Head health Institutions? by ziga: 6:24pm On May 05, 2013
dmalam:
oga, treating hyperlipidaemia wl nt cure hypertension n vice versa...
so u sayin dt hyperlipidaemia is the root of hypertension is totally nt true, and a dr who commenced antihypertensiv on a patient witout doin a lipid profile is nt killing d patient, tho doin it may be of hlp..

not ol hypertensiv patient hv hyperlipidaemia...

thy cm togeda wt dm/impaired blood glucose under metabolic syndrome..

Pls doin a lipid profile is a bit xpensiv, u do it wen thr r indication (risk factors)....
I repeat ,u can not use it to diagnose hypertension; and u can not use it to determine wen to start treatng hypertension....

U no suppose dey give the ignorant lab scientist free lessons.

If him wan become doctor, make he go medical school.

I swear little knowledge is worse than no knowledge.

That is the problem with us Nigerians. Too many cooks. Abeg, make nurse stick to him job, make pharmacist stick to him job. Same goes for Doctors, Dentists, Med lab scientist etc.

And the doctor coordinates all of the care. He has the widest perspective and is the head of the team.
Re: Should Non-doctors Head health Institutions? by Nobody: 7:36pm On May 05, 2013
frednest@yahoo.:
Medical lab scientist tells Doctors wat to do. Imagine a case of an innocent patient with high BP met a consultant dat prescribed drugs for her,but she insisted for a test but he turned it down,but the woman was not satisfy and went straight to d lab and got tested and her result shows dat she has hyperlipidaemia,and went to dat same hospital but unfortunately she didn't meet d consultant but met d Reg. In fact,the Reg almost fainted and apologize on his behalf and tell her to cancel dat drug that d consultant wrote and prescribed another drug. So tell me who is now supreme in patient diagnosis? Who is now saving lives? Doctors claim dey know laboratory cos they did it skol common interpretation of lab result they cannot,now they are sending Resident doctors in pathology to come and learn how to do lab test from med lab scientist. Med lab scientist said no unless they go back to skol and read med lab science,they said dey are going on strike. Do your profession and leave others profession alone,jack of all trade but master of none.

this post stil dey mek me laf....lol,

LAB SCIENTIST its nt difficlt becmn a dr, its jst 6yrs+ .....u can do it, yes u can!!!

Whr & wen did drs ask LAB SCIENTIST to teach em lab test.

u can only demontrate sm test to undergraduate "drs",

Thr r cnsltnts in ol d labs dt teach residents....
Histopath(whr u mek d slides for d drs to read em n mek diagnoses),
Chempath( whr u run d samples fr d drs thr to interpret),
Haematology/immunology, and same fr microbiology......

how do u mek diagnoses fr drs.?... except if u r doin it @ d PHC to hlp d CHEWS.

jst bcs u use arrows to indicate increase or decrease of a particular variable (LDL) does nt in anyway equate u to a dr...

Stop deceivn ursef n stop deceivn ppl..ka ji ko?
Re: Should Non-doctors Head health Institutions? by Samdurance(m): 9:54pm On May 05, 2013
dmalam:

this post stil dey mek me laf....lol,

LAB SCIENTIST its nt difficlt becmn a dr, its jst 6yrs+ .....u can do it, yes u can!!!

Whr & wen did drs ask LAB SCIENTIST to teach em lab test.

u can only demontrate sm test to undergraduate "drs",

Thr r cnsltnts in ol d labs dt teach residents....
Histopath(whr u mek d slides for d drs to read em n mek diagnoses),
Chempath( whr u run d samples fr d drs thr to interpret),
Haematology/immunology, and same fr microbiology......

how do u mek diagnoses fr drs.?... except if u r doin it @ d PHC to hlp d CHEWS.

jst bcs u use arrows to indicate increase or decrease of a particular variable (LDL) does nt in anyway equate u to a dr...

Stop deceivn ursef n stop deceivn ppl..ka ji ko?


Who are the Doctors that read slides?
MBBS is not and can never be a Consultant.
No MBBS graduate can read a slide so dont equate urself to that.
U are still growing up thats why U have this Pride. Those that have attain heights has no Ego.
Boys and Girls U need to grow up. Medicine is not a one-man show.
Re: Should Non-doctors Head health Institutions? by Samdurance(m): 10:06pm On May 05, 2013
Laalamed:

threatened by technician parading themselves as doctors and scientists.? very soon automated analyzers would take over ur job. very soon lab assistants to man machine. better go and find something to do or go to ur village and be treating ur family.

Hahahahahahahahahahahahahahaha. So thats ur prayers. I just know wat is wrong wit U. You are scared and wishing they never exist. My advice for U is go and develop ur career and forget about pressure of the unknown. U will only get frustrated.
I cant argue or exchange words wit U cos its not worth it.
I have never had problems wit Doctors I work wit because we learn from each other and anyone coming wit Pride I shelve.
So just do ur best and leave the rest.
And stop wishing wishes that is irrelevant. Whether U like it or not the Medical Lab Scientist are there to handle the same machines U are talking about.lol wink
Re: Should Non-doctors Head health Institutions? by Nobody: 10:47pm On May 05, 2013
Samdurance:


Who are the Doctors that read slides?
MBBS is not and can never be a Consultant.
No MBBS graduate can read a slide so dont equate urself to that.
U are still growing up thats why U have this Pride. Those that have attain heights has no Ego.
Boys and Girls U need to grow up. Medicine is not a one-man show.
I pity u, whr is d pride? i tokd abt drs generaly not only d mbbs holders ,btw mbbs is wht u can neva hv, sorry lab attendant, u nid mor thn lab wrk to achieve it..Its a statemnt of fact...

thy r drs doin residency in ol d lab fields ( thy read slides), its obvios u dnt hv a degree, this thread is fr d intellctuals..jst go n cntinue cleanng d lab instrumnts.

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