MAYOWAAK: Eleven per cent of the children that die in the world yearly are from Nigeria. Bukola Adebayo writes on the issue involved.


http://www.punchng.com/health/help-nigeria-has-600-paediatricians-for-40million-children/

ngozievergreen: Some of u are talking off point. What concerns facilities with the number of pediatricians? No matter wat, if doctors dont want to specialise in paediatrics, they wont do so, whether dey see facilities or not. Sb said all docs should know how to manage simple children ailments but in a govt hosp, all children are treated by the available pediatricians not docs from another specialty.
Now, starting from medical sch(4th mbbs,pediatrics), my colleagues and I swore we werent going into paediatrics. The consultants cum examiners were so strict on students(ranging from academic expectations to dressing-dont wear this, wear this). Go ask around, the highest number of failures/resits/repeats recorded in med sch are from paediatrics, dat dept is scary abeg.
Housejob can be enjoyable if u are lucky but there is this background 'being on your toes' because children are delicate. Mistake is costly plus d constant monitoring involved.
Common Finding their veins to set lines on them is usually difficult, is it not scary?

Is it post graduate exams? (for those dat finally decide to specialise there o), triple what the medical students pass thru and u wl get wat obtains in post grad. They fail ppl very easily so they dont churn out enough consultants. In my sch, there were only 7 consultants in paediatrics bfr i graduated. (used to b 6 for 5yrs o)- is it not scary?
Those in paediatrics now are ppl that really like children a lot, odawise it aint attractive. Its not as if its more lucrative dan oda specialties in private practice.
In conclusion, it has nothing to do with facilities/govt but examiners that enjoying failing ppl.
Now the hospital capacities for gynaecologists are fully occupied in Nig but does that mean they have more equipments? No , but Gynae examiners will pass u easily and u become a consultant there, hence the rush and of course,its lucrative too

ngozievergreen: Some of u are talking off point. What concerns facilities with the number of pediatricians? No matter wat, if doctors dont want to specialise in paediatrics, they wont do so, whether dey see facilities or not. Sb said all docs should know how to manage simple children ailments but in a govt hosp, all children are treated by the available pediatricians not docs from another specialty.
Now, starting from medical sch(4th mbbs,pediatrics), my colleagues and I swore we werent going into paediatrics. The consultants cum examiners were so strict on students(ranging from academic expectations to dressing-dont wear this, wear this). Go ask around, the highest number of failures/resits/repeats recorded in med sch are from paediatrics, dat dept is scary abeg.
Housejob can be enjoyable if u are lucky but there is this background 'being on your toes' because children are delicate. Mistake is costly plus d constant monitoring involved.
Common Finding their veins to set lines on them is usually difficult, is it not scary?

Is it post graduate exams? (for those dat finally decide to specialise there o), triple what the medical students pass thru and u wl get wat obtains in post grad. They fail ppl very easily so they dont churn out enough consultants. In my sch, there were only 7 consultants in paediatrics bfr i graduated. (used to b 6 for 5yrs o)- is it not scary?
Those in paediatrics now are ppl that really like children a lot, odawise it aint attractive. Its not as if its more lucrative dan oda specialties in private practice.
In conclusion, it has nothing to do with facilities/govt but examiners that enjoying failing ppl.
Now the hospital capacities for gynaecologists are fully occupied in Nig but does that mean they have more equipments? No , but Gynae examiners will pass u easily and u become a consultant there, hence the rush and of course,its lucrative too

Lagusta:

everybody wants to be a surgeon, because of the money, money mentality!!!!!

jay2k: nd who told u suregry pays more dan peadiatry ?? Leave talk joooor nd Go tell ur senate president nd im oga ur president to pass nd implement properly d health bill,,pay Drs well nd geant dem good service condition,,nd also encourage medical education....u will c d change u desire kkk

Lagusta:

no no no no no no no!!!!

You got it all wrong!!!!

Thats where doctors make mistakes, by always following the band wagon...

After passing the primaries, you can sit at home for about three years before getting a slot as a registrar, then you undergo series of training, insults and bossing around for about five years before you are priviledged to go for your part 1 fellowships, if luckily you pass, you endure another five years as a senior registrar before going for your fellowship part 2, note that this is for only the faculty of surgery!!!

The faculty of obs and gynae is even better, but equally stressful...

And this occurs if you didnt fail any exam ooo, which is not usually the case, as politics is also applied!!!

Whereas in pediatrics, within seven years max, you are a consultant, its easier, but not lucrative, thats the irony behind it... The same goes for psychiatry, pathology...

ngozievergreen: Some of u are talking off point. What concerns facilities with the number of pediatricians? No matter wat, if doctors dont want to specialise in paediatrics, they wont do so, whether dey see facilities or not. Sb said all docs should know how to manage simple children ailments but in a govt hosp, all children are treated by the available pediatricians not docs from another specialty.
Now, starting from medical sch(4th mbbs,pediatrics), my colleagues and I swore we werent going into paediatrics. The consultants cum examiners were so strict on students(ranging from academic expectations to dressing-dont wear this, wear this). Go ask around, the highest number of failures/resits/repeats recorded in med sch are from paediatrics, dat dept is scary abeg.
Housejob can be enjoyable if u are lucky but there is this background 'being on your toes' because children are delicate. Mistake is costly plus d constant monitoring involved.
Common Finding their veins to set lines on them is usually difficult, is it not scary?

Is it post graduate exams? (for those dat finally decide to specialise there o), triple what the medical students pass thru and u wl get wat obtains in post grad. They fail ppl very easily so they dont churn out enough consultants. In my sch, there were only 7 consultants in paediatrics bfr i graduated. (used to b 6 for 5yrs o)- is it not scary?
Those in paediatrics now are ppl that really like children a lot, odawise it aint attractive. Its not as if its more lucrative dan oda specialties in private practice.
In conclusion, it has nothing to do with facilities/govt but examiners that enjoying failing ppl.
Now the hospital capacities for gynaecologists are fully occupied in Nig but does that mean they have more equipments? No , but Gynae examiners will pass u easily and u become a consultant there, hence the rush and of course,its lucrative too

Pzone: When you read some people's comments, you immediately recognize that they're either medical students(probably final year, who cares) or just fresh out of med school. Claiming to be able to manage all conditions and do all the surgeries cos you graduated from a particular school and generalizing that any doctor that can't do all these is a bad one is preposterous. I'm sensing what is called I.G.G(initial gra gra), wanting to prove that you know all about the practice, have answers to every questions, ignorantly forcing your myopic opinion on other people who are actually practicing, who most likely know more than you, reacting to every comment where your name is mentioned. Here's a piece of advice, Let your initial gra gra resolve in this acute phase because if it becomes chronic, you'll end up becoming a bad doctor. Its not just knowing the stuffs that make you a good doctor, but most importantly knowing your limit. Take it easy!

Lagusta:

firstly, thank you for calling me ignorant

secondly, please explain why my comment was that bad....

Lagusta:

**yawns**

havent you heard of hazard allowance

Oh, i forgot, you arent even a doctor, smh smd

ballabriggs:

Nonsense and trash again. What did Jona and Alams do as Governors of Bayelsa for eight years to improve Bayelsa's health system is the question?

If those states had done enough, Lagos will have enough resources to even pay each Doctor N50 million per annum. However with the exploding population, Lagos is strained and forced to conserve and pick up the bits, forced to work on a limited budget.

Lagos has a free health policy for children, Bayelsa cannot even afford to buy condoms to reduce the spread of HIV. Meanwhile Alams has hidden the health money for onward removal from his belle in Germany.

What did Jona and Alams do in Bayelsa over 8 years? Answer now or forever shut up..

Lagusta:

no no no no no no no!!!!

You got it all wrong!!!!

Thats where doctors make mistakes, by always following the band wagon...

After passing the primaries, you can sit at home for about three years before getting a slot as a registrar, then you undergo series of training, insults and bossing around for about five years before you are priviledged to go for your part 1 fellowships, if luckily you pass, you endure another five years as a senior registrar before going for your fellowship part 2, note that this is for only the faculty of surgery!!!

The faculty of obs and gynae is even better, but equally stressful...

And this occurs if you didnt fail any exam ooo, which is not usually the case, as politics is also applied!!!

Whereas in pediatrics, within seven years max, you are a consultant, its easier, but not lucrative, thats the irony behind it... The same goes for psychiatry, pathology...

Lagusta: ^^^^^^ i refer to your first post...

You see, an MBBS graduate must know some basic stuff about common illnesses and how to manage them...

If a doctor cannot treat malaria, acute diarrhea, typhoid, etc in children, that doctor is a dangerous doctor

if a doctor cannot perform some simple surgeries like appendectomy, herniorraphy and if possible a laparotomy, then he is a useless doctor...

In fact, if an ordinary doctor cant perform a caesearean section, he is doomed!!!

All these do not need specialists, its only in severe cases like cancers, "hole in the heart", and other congenital anomalies do we need the skilled hands of a specialist...

Lagusta:

no no no no no no no!!!!

You got it all wrong!!!!

Thats where doctors make mistakes, by always following the band wagon...

After passing the primaries, you can sit at home for about three years before getting a slot as a registrar, then you undergo series of training, insults and bossing around for about five years before you are priviledged to go for your part 1 fellowships, if luckily you pass, you endure another five years as a senior registrar before going for your fellowship part 2, note that this is for only the faculty of surgery!!!

The faculty of obs and gynae is even better, but equally stressful...

And this occurs if you didnt fail any exam ooo, which is not usually the case, as politics is also applied!!!

Whereas in pediatrics, within seven years max, you are a consultant, its easier, but not lucrative, thats the irony behind it... The same goes for psychiatry, pathology...

jedisco:


There are alot of things wrong with not just your statement but more importantly your mindset.

It's not a matter of what you think you can do but what you've been adequately trained to do.

In as much as I don't want to generalize, but you can walk into any Teaching Hospital and see the havoc done by some GP's with this your mindset. Bizarre complications arising just because someone thought there was no need to refer this 'easy' procedure he was not adequately trained to perform.


I cannot imagine taking any relative in need of a surgery to a GP. Infact a woman who is more likely to be delivered via caesarean section should attend her ANC under a consultant-led unit.


Like it or not, this jack of all trade mentality always brings more harm than good.

Lagusta: Initial gra gra abi

I comment my reserve....

Ekpekus: While it is true paediatrics is singled out here, it should be stated clearly that the number of qualified doctors to patients is even more alarming. When you visit a typical government owned general hospital you will understand, not even talking about a teaching hospital.
Back to the issue of few paediatricians, many doctors detest paediatrics because of their experience during med skool or house job. Even the few residents are frustrated by the so called examiners @ the colleges be it national or west africa.
So you can deduce why they are few.
#my1cent

pazienza:

Ehe! The above post is very close to what my medical friends told me.

Ngozi, so you are a medical doctor, that's good, it's not easy o!

lagcity:

oh my God! so Ngozi is a physician! shocking. how many Yoruba people have you "accidentally" killed?

Lagusta:

i did not say other specialties should manage children's ailments oooo, i am talking about post NYSC doctors, or medical officers... What are they there for, jst look and refer abi!!!

I had one lecturer in pediatrics, this guy is so good!!! He has a private hospital, and he performs surgeries there, just appendectomy and herniorraphy, but at least they are still surgeries...

And of course, alot of gynecologists still manage children's diarrhea, typhoid, etc, with all the calculations, miligrams per kilogram per day stuff, in how many divided doses, they still know the rudiments!!!

So what are we saying, nigerian doctors are just lazy, thats all....

I dont know of your own school ooo, but here in ilorin, the highest rate of failures, resits, repeats and withdrawals are in 400L pathology and pharmacology, not pediatrics. I for once didnt have a resit in pediatrics

And i am still waiting for that guy that called me ignorant to prove his worth

ngozievergreen:
how una go dey fail pathology and pharmacology kwanu? These are theoretical courses nah, abi una no sabi read/ know book? But pediatrics have both theoretical and clinical aspects, worst of all is the presence of stingy consultants dat call demselves examiners.



Ok o, go and ask questions in oda schools.(aside unilorin of course) . In all SE/SS schools, 2nd MB is even more challenging than both pharmac/pathology combined. Nobody withdraws because of them unless sb with Olodo gambiensis occulta.

Pzone: Babe, you're hilarious. Well all I can say is Unilorin's path & pharm postings were designed to crush students, and yes, even brilliant meds students get crushed year in year out. I guess it has something to do with reducing the people that progress to 500L 'cos they're not supposed to graduate more than 150doctors each year and many at times, you find over 250 students getting to 400Level. So you see what am sor?

Deep4321: [b][/b]


HI, First i am sorry if i am inter fairing in your topic. Yes i agreed with you. I have been to Nigeria and have observed a lot of single specialty private hospitals. What these people need to do to come up with multi superficiality hospital. I have come across with lot of good doctors in Nigeria and we are still in touch. I have been in touch with some business men in Nigeria and we are planning to come with some hospital in Nigeria. We are also in the process of tieing up with university in Enugu to help more and more medical students. We are also in the process to conduct some program for the post graduate doctors. This topic really help me to know the requirement in Nigeria. I will definitely propose to train more n more pediatricians. Thanks