zeezzy: hmmm.i pray everyone involved NMA,JOHESU,Govt solve these with a speed of light.They must not allow hospitals to be shut down,plssss.

bumfem:

"Doctors went on strike in lagos and ekiti, nurses covered effectively well without much ado.
who say docs are indispensable. Not all docs senseless though.I commend those that love the job not only for money but see it as a calling .
Many actually went to med schl to escape poverty.This informed there disdained attitude to colleague in other health profession.

Modern health care is delivered multidisciplinarily. Guess what, no one is a superman .We are all very important .Guess why Canada/UK continue to top best countries to live in.

NMA is creating it own healthcare protocol possible only in poverty ridden Africa."

femyodsky:

If I may ask, why did you decide to study medicine having practised as a nurse for that number of years.

cnwamo:

I could give you a million and one reasons centered around money, self, etc but there's no need to... Its personal

cnwamo:

I could give you a million and one reasons centered around money, self, etc but there's no need to... Its personal

Dr_OBD:

God bless you Acidosis. I am a medical doctor and didn't want to comment because there is no need to. This your statement is so correct. I don't think there is any doctor who is currently fighting to head pharmaceutical companies or the health sector. The health sector actually needs a multidisciplinary approach as the patient will be the biggest beneficiary. What NMA is fighting for is that doctors should be the head in the hospital environment, not in the pharmaceutical companies or NGOs. Actually one can become a consultant in any professional field, Business, marketing, etc. so other healthcare professionals should be allowed to become consultant, but with a well structured programme not to rival the medical doctors, but to add more value to the sector.
What most of you don't know is that in public hospitals (teaching hospitals in particular), before a lab result is released, it must be endorsed by a pathologist (who is a medical doctor), medical doctors (radiologist) interprets X-rays, Ultrasound results, MRI and CT scan. The job description is clear, but we all need each other.
In terms of renumeration, if you google the richest professionals in the US, UK, etc, you will find medical doctors (different specialties) topping the list. You can hardly find other health professionals on the list. Doctors don't earn the same amount with other health professionals anywhere in the world. But other health care professionals have the right to earn big as well.
In terms of medical school, yes, other health professionals take BASIC courses in anatomy, biochemistry and physiology but not as deep as a doctor (in Lagos, most hospitals employ auxiliary nurses, can we then call these auxiliary nurses real nurses and earn same as a registered nurse because they can give injections and dress wounds)?
I work in Lagos and most private hospitals are owned by doctors, those that are not owned by doctors must employ a doctor before they are given a licence to function, the disparity is even wider in private setting where doctors earn 100 naira, registered nurses earn 50 naira while the auxiliary nurses earn about 15 naira (they do most of the work).
Let's tell ourselves the truth, none of us will visit any centre if there is no doctor there. Yes, doctors make mistakes, but I can tell you that the mistake is everywhere.... Imagine a pharmacist who prescribed ciprofloxacin and fansidar to a pregnant woman before quickening which resulted in a miscarriage. Knowledge and experience is key. I will never go and start mixing different chemicals to produce a drug, that is not my field or area of specialization.

We should work together in the health sector. Take a clue from the public health team (anybody can become a public health expert), let's respect boundaries, doctors must respect other health workers, they must respect us as well.
Within the four walls of a hospital, the doctor is head, however the health sector is big enough for everybody, the pharmacist is the head in a pharmaceutical company, the engineer is the head of a biomedical tech, the nurses are care givers, sweet and always trained to assist the doctor so as to give patients the best of care.
I rest my case.

babat89:


Bros, U sound crappy. Since a doctor aint different u needn't be one naw. Abi?

femyodsky:

Okay, wish you all the best.

bumfem: I really do not know who to quote. There just too many lamentations on this thread by so call physicians.
This is where i do pity docs at times. Always want to shout at the roof top that they are king kong of the hospitals. A king that always remind the people that he is a king is no king at all.
I appreciate the guy that posted some links to support his view. I understand u struggle to provide those link that seem to help your bias point of view. The word is not ''medical consultant'' but ''consultant''. Go back to your search and educate yourself. Search consultant pharmacist or physiotherapist or nurses job. They are all clinic base.
Your problem is wickedness and greed. Consultant physician and consultant nurses or pharmacist do not mean the same thing. They got paid with diff. pay templates. If the govt is fine with that I wonder this lamentations from NMA.
That docs will go on strike is not really a big deal to many nigerians. Many of them already prefer private outfit to seek healthcare. Most primary and comp health care centers are covered well by nurses.
Wishing u good luck in yet another round of strike.

bumfem: I really do not know who to quote. There just too many lamentations on this thread by so call physicians.
This is where i do pity docs at times. Always want to shout at the roof top that they are king kong of the hospitals. A king that always remind the people that he is a king is no king at all.
I appreciate the guy that posted some links to support his view. I understand u struggle to provide those link that seem to help your bias point of view. The word is not ''medical consultant'' but ''consultant''. Go back to your search and educate yourself. Search consultant pharmacist or physiotherapist or nurses job. They are all clinic base.
Your problem is wickedness and greed. Consultant physician and consultant nurses or pharmacist do not mean the same thing. They got paid with diff. pay templates. If the govt is fine with that I wonder this lamentations from NMA.
That docs will go on strike is not really a big deal to many nigerians. Many of them already prefer private outfit to seek healthcare. Most primary and comp health care centers are covered well by nurses.
Wishing u good luck in yet another round of strike.

tunsmart: @bumfem,you really don't need to be too dogmatic about this,links were posted by the respondent to clarify and define the respective roles of the consultants in those other fields,stating clearly that they are not hospital based.The best you can do is to take the king king route and use the stupid tywin lannister quote.If you are so sure that consultant nurses work in hospitals abroad.Post your links,and we discuss from there,stop your insulting display of ignorance right in front of corrections.

eaglechild: Those clamouring to become consultants should please look at the way residency program is structured.

I hope they realise that they will need to do the following.

Establish colleges for different fields.

Establish faculties for different subspecialties.

Have trained "consultants" in different subspecialties.

Cease to become permanent members of staff of hospitals, and have their appointment terminated at the time of expiration of the program.

Undergo training a minimum of 4 years equivalent to at least a post PhD.(almost impossible given that their first degrees are not at par with MBBS). Involving novel clinical research.

Be ready to have their appointments terminated if they fail to pass college exams.

bumfem:
Hi guys.......since u ask for relevant link here you are. pls take time to study the result of these systematic reviews and meta-synthesis and get some education on clinic based consultant nurses,physiothetapists,pharmacist and lab scientists.
Then let us talk latter. Good day.day

http://www.ncbi.nlm.nih.gov/pubmed/21219527

http://www.wales.nhs.uk/sites3/home.cfm?orgid=890

http://www.researchgate.net/publication/49741134_Nurse_and_allied_health_professional_consultants_perceptions_and_experiences_of_the_role

http://www.researchgate.net/publication/44671615_Assessing_the_impact_of_nurse_and_allied_health_professional_consultants_deveg_an_activity_diary

bumfem:

ncerely doctors need not worry about other professional method of progression so far the appointment of consultancy are regulated by govt approved bodies.




More so, they are consultant in their various profession and not in medicine. If the govt that fund this regulatory bodies is fine with the standard set for appointment of consultancy so be it. I see no reason why NMA seem to be crying than the bereaved.

Consultancy are confer on other health professional in western world ,whose system we are trying to copy. I see no reason why NMA is not comfortable with this.

In modern medicine, lab investigations are far becoming sacrosant to making informed impression that drives appropriate care and also to be at safer side of the law medicolegally. Nigerian physicians do what they like and call it practice because there are no laws protecting our patient here or laws are not been enforced.

Off course, making correct diagnosis starts from history taking in other to enrich yourself in review of system and system review . In most cases in modern medical practice,data collection/lab investigation/and or imaging follows in other to make informed evaluation of the problem.

In fact NMA need to focus on improving nigeria healthcare index in africa not to talk of the world. And get busy instead of fighting who becomes what in hospital. Respects are earn and not by intimidation and share blackmail.

tunsmart: First and foremost, two of the links are repetition of one review,and secondly NONE of the research publications you posted indicated that those consultants were hospital based.All you ve done is to once again show that positions exist,which your respondent showed too with his links but he also clearly showed that they are not hospital based consultants. Also remember, he clearly stated at the beginning of his argument that our health/educational system like our other public systems ar3 modelled after the british's,not after the american system where the plethora of this non-hospital based consultants exist.