phantomm: now you are posting like the barcanista I know. what are the obnoxious demands.let me tackle them individually. why is 100k too much for hazard?

@nmanigeria: 1. That the Circular on Deputy Chairman Medical Advisory C'ttee remains status quo and maintained. #NMAStrike
WHY?

@nmanigeria: 2. That all Health Workers shld attain the height of their careers (GL17) w/out the title Directors' in hospital setting. #NMAStrike

Why should a Civil Servant denied the privilege of being a "Director" when he has attained the rank? How does this affect the Medical practice?

@nmanigeria: 3. That GL 12(CONMESS 2) MUST BE SKIPPED for Medical and Dental Practitioners. #NMAStrike

What's their reason? Didn't they negotiate and agreed on the CONMESS structure few years ago?

@nmanigeria: 4. The title 'Consultant' confers ownership of the patient on the Specialist Doctor and shldnt be used by any other health worker #NMAStrike
Having read "Detailed" explanation by Med. Docs, I see POINT here. However, the Docs should TELL us the WHY and encourage others to adopt and follow ONLY INTERNATIONAL Standard if they want to attain the "Consultant" Rank. This will promote the respective professions and health sector. Also the Govt should "DEFINE" boundaries of those professionals that has successfully attained "Consultant rank" in order not to have conflict in the workplace.

@nmanigeria: 5. Relativity in health sector is sacrosanct. The NMA hereby demands for immediate implementation of the Jan 3rd, 2014 circular. #NMAStrike
What's the Circular?

@nmanigeria: 6. That Govt shld expedite the passage of the National Health Bill and extend Universal Health Coverage to 100% of Nigerians.... #NMAStrike

This is just a sympathy ploy... Already the Senate(Or Reps has passed the NH Bill(As Amended by the relevant stakeholders in the sector)

@nmanigeria: The current NHIS only covers 30% of Nigerians which is inadequate. 1kobo/sec call extra of Telecomm charges is a source of CHIF. #NMAStrike


@nmanigeria: CHIF is the Community Health Insurance Fund as prescribed by the Nigerian Medical Association, earlier in the year. #NMAStrike

Good but NOT Worth Striking for at the expense of patients health
@nmanigeria: 7. Surgeon-General of the Federation MUST be appointed with immediate effect as pronounced by President Goodluck Jonathan. #NMAStrike

No way... We already have Two Health Ministers as well as other Leaders. What will be the function of SGF? What if other Professionals start Advocating for their? Public Relations General of the Federation, Pharmacist General of the Federation, Engineer General of the Federation, Marketing General of the Federation, Teacher General of the Federation... NEVER ending Generals of The Federation

@nmanigeria: 8. That the Entry point of House Officer shld be corrected to CONMESS 1 Step 4 while Registrar/Med Officer is CONMESS 3 Step3. #NMAStrike

Why again? You NEGOTIATED the Present structure with Musa Yaradua

@nmanigeria: 9. That Clinical Duty Allowance for Honorary Consultants should be increased by 90% of CONMESS. #NMAStrike

Why? As 8 Above

@nmanigeria: 10. That Specialist allowance be adjusted as contained in the 2009 collective bargaining agreement. #NMAStrike

If It has been agreed on, I support. But not worth striking for

@nmanigeria: 11. Hazard Allowance must be at least N100,000 per month for Medical Doctors. #NMAStrike

No way...We are crying that Recurrent Expenditure is an alarming HIGH... 30-40k is fair

@nmanigeria: 12. Immediate release of the circular on rural posting, teaching and other allowances which MUST include House Officers. #NMAStrike

You can't use MUST when negotiating... Between more details?
@nmanigeria: 13. Immediate withdrawal of the CBN circular authorising the MLSCN to approve licences for importation of Invitro Diagnostics. #NMAStrike

No way, the CBN or MLSCN is not an apendage of Physicians. You should GO to Court to challenge their decision IF you feel you have a case. NOT WORTH striking...

@nmanigeria: 14. Immediate release of Circular on retirement age for Medical Doctors as agreed with the Federal Government. #NMAStrike

Well This I agree but "NOT necessarily immediate and NOT worth striking for"
@nmanigeria: 15. That the FG release the agreed templates on appointment of Resident Drs +Funding framework and Overseas clinical attachment. #NMAStrike

This the govt should do but NOT worth striking for

@nmanigeria: 18. That the FMOH directive on NARD-FMC Owerri issue be effected immediately. #NMAStrike

What IF it is not in the INTEREST of the public?

@nmanigeria: 19. That the orchestrated intimidation, harassment and physical assault of Doctors by Lab Scientists must stop. #NMAStrike

Go to court or report erring personnel to the appropriate quarters. Govt didn't ask anyone to fight you

@nmanigeria: 20. The endless circle of incomplete salary payment to our members in hospitals hinged on personnel cost shortfalls must stop. #NMAStrike
This is not peculiar to ONLY Physicians

@nmanigeria: 21. That Universal applicability of all circulars on the remuneration and conditions of service for Doctors must be guaranteed. #NMAStrike

This is repitition

@nmanigeria: 22. That Govt shld as a matter of urgency set up a Health Trust Fund for upgrading of all hospitals in Nigeria. #NMAStrike

SO ON POINT but It doesnt worth srtiking

@nmanigeria: 23. That position of Medical Director/CMD must be occupied by a Medical Doctor as in the Act establishing tertiary Hospitals. #NMAStrike

Why? CMD/MD is an Administrative office. It is the prerogative of the employer to appoint person that he feels has the [b]competence to occupy it. It is not an EXCLUSIVE preserve of a particular group[/b]

Inkredible: Ur opinion though. But those Nurses, their head dey dia. On rounds eh, questions r thrown to anyone. I don't see how those who can't provide answers r "less knowledgeable". But shouldn't dey be " more knowledgeable" than student nurses?

What were u doing in the hospital if i may ask?
Were u a patient or a patient relative, or do u work in the hospital?
Because ur manner of speech seem to be portraying that you were just observing things....
I assume u are a patient [since u said u were present durin rounds only patients are allowed even their relatives are sent out except in special instances],

[/b]who admitted u
Who diagnosed u
Who is treating u
Who prescribed ur drugs
Who monitors ur progress
Who will discharge u
..........A DOCTOR[b]

I wonder if u allowed the "brilliant student nurse to do all of the above?

barcanista:

@nmanigeria: 1. That the Circular on Deputy Chairman Medical Advisory C'ttee remains status quo and maintained. #NMAStrike
WHY?

@nmanigeria: 2. That all Health Workers shld attain the height of their careers (GL17) w/out the title Directors' in hospital setting. #NMAStrike

Why should a Civil Servant denied the privilege of being a "Director" when he has attained the rank? How does this affect the Medical practice?

@nmanigeria: 3. That GL 12(CONMESS 2) MUST BE SKIPPED for Medical and Dental Practitioners. #NMAStrike

What's their reason? Didn't they negotiate and agreed on the CONMESS structure few years ago?

@nmanigeria: 4. The title 'Consultant' confers ownership of the patient on the Specialist Doctor and shldnt be used by any other health worker #NMAStrike
Having read "Detailed" explanation by Med. Docs, I see POINT here. However, the Docs should TELL us the WHY and encourage others to adopt and follow ONLY INTERNATIONAL Standard if they want to attain the "Consultant" Rank. This will promote the respective professions and health sector. Also the Govt should "DEFINE" boundaries of those professionals that has successfully attained "Consultant rank" in order not to have conflict in the workplace.

@nmanigeria: 5. Relativity in health sector is sacrosanct. The NMA hereby demands for immediate implementation of the Jan 3rd, 2014 circular. #NMAStrike
What's the Circular?

@nmanigeria: 6. That Govt shld expedite the passage of the National Health Bill and extend Universal Health Coverage to 100% of Nigerians.... #NMAStrike

This is just a sympathy ploy... Already the Senate(Or Reps has passed the NH Bill(As Amended by the relevant stakeholders in the sector)

@nmanigeria: The current NHIS only covers 30% of Nigerians which is inadequate. 1kobo/sec call extra of Telecomm charges is a source of CHIF. #NMAStrike


@nmanigeria: CHIF is the Community Health Insurance Fund as prescribed by the Nigerian Medical Association, earlier in the year. #NMAStrike

Good but NOT Worth Striking for at the expense of patients health
@nmanigeria: 7. Surgeon-General of the Federation MUST be appointed with immediate effect as pronounced by President Goodluck Jonathan. #NMAStrike

No way... We already have Two Health Ministers as well as other Leaders. What will be the function of SGF? What if other Professionals start Advocating for their? Public Relations General of the Federation, Pharmacist General of the Federation, Engineer General of the Federation, Marketing General of the Federation, Teacher General of the Federation... NEVER ending Generals of The Federation

@nmanigeria: 8. That the Entry point of House Officer shld be corrected to CONMESS 1 Step 4 while Registrar/Med Officer is CONMESS 3 Step3. #NMAStrike

Why again? You NEGOTIATED the Present structure with Musa Yaradua

@nmanigeria: 9. That Clinical Duty Allowance for Honorary Consultants should be increased by 90% of CONMESS. #NMAStrike

Why? As 8 Above

@nmanigeria: 10. That Specialist allowance be adjusted as contained in the 2009 collective bargaining agreement. #NMAStrike

If It has been agreed on, I support. But not worth striking for

@nmanigeria: 11. Hazard Allowance must be at least N100,000 per month for Medical Doctors. #NMAStrike

No way...We are crying that Recurrent Expenditure is an alarming HIGH... 30-40k is fair

@nmanigeria: 12. Immediate release of the circular on rural posting, teaching and other allowances which MUST include House Officers. #NMAStrike

You can't use MUST when negotiating... Between more details?
@nmanigeria: 13. Immediate withdrawal of the CBN circular authorising the MLSCN to approve licences for importation of Invitro Diagnostics. #NMAStrike

No way, the CBN or MLSCN is not an apendage of Physicians. You should GO to Court to challenge their decision IF you feel you have a case. NOT WORTH striking...

@nmanigeria: 14. Immediate release of Circular on retirement age for Medical Doctors as agreed with the Federal Government. #NMAStrike

Well This I agree but "NOT necessarily immediate and NOT worth striking for"
@nmanigeria: 15. That the FG release the agreed templates on appointment of Resident Drs +Funding framework and Overseas clinical attachment. #NMAStrike

This the govt should do but NOT worth striking for

@nmanigeria: 18. That the FMOH directive on NARD-FMC Owerri issue be effected immediately. #NMAStrike

What IF it is not in the INTEREST of the public?

@nmanigeria: 19. That the orchestrated intimidation, harassment and physical assault of Doctors by Lab Scientists must stop. #NMAStrike

Go to court or report erring personnel to the appropriate quarters. Govt didn't ask anyone to fight you

@nmanigeria: 20. The endless circle of incomplete salary payment to our members in hospitals hinged on personnel cost shortfalls must stop. #NMAStrike
This is not peculiar to ONLY Physicians

@nmanigeria: 21. That Universal applicability of all circulars on the remuneration and conditions of service for Doctors must be guaranteed. #NMAStrike

This is repitition

@nmanigeria: 22. That Govt shld as a matter of urgency set up a Health Trust Fund for upgrading of all hospitals in Nigeria. #NMAStrike

SO ON POINT but It doesnt worth srtiking

@nmanigeria: 23. That position of Medical Director/CMD must be occupied by a Medical Doctor as in the Act establishing tertiary Hospitals. #NMAStrike

Why? CMD/MD is an Administrative office. It is the prerogative of the employer to appoint person that he feels has the [b]competence to occupy it. It is not an EXCLUSIVE preserve of a particular group[/b]

I dey drive.when I reach house.

barcanista:

@nmanigeria: 23. That position of Medical Director/CMD must be occupied by a Medical Doctor as in the Act establishing tertiary Hospitals. #NMAStrike
Why? CMD/MD is an Administrative office. It is the prerogative of the employer to appoint person that he feels has the [b]competence to occupy it. It is not an EXCLUSIVE preserve of a particular group[/b]

There is already an administrative post THE DIRECTOR OF ADMINISTRATION in a hospital which is open to all units, the chief medical director CMD is for doctors alone. Just like doctors should not contest to be CHIEF NURSING OFFICER, nurses shldn't also contest to be CHIEF MEDICAL DIRECTOR everyman to his own.

phantomm: easy there tiger. I just gave you an example.please don't go shoving your complex down my throat. y'all feel intimidated by every thing that comes out a doctors mouth(or should i say fingers in this case)

becareful, u just commited a fallacy.

heykims:
Yes

and hope u knw Biochemist can also specialize there?

olrotimi: imagine ur joy at 'knowing some medical terminologies'. You probably were withdrawn from medical schl at yr 3 & dat ur wisecrack of cerebral cortex & limbic system which you find xo amusing was most likely what ur neuroanatomy lecturer used to yab u guys in class.

do u knw who he is?

yomi007k:
Who thought d nurse how 2 set d line?

see question.

WHAT, ANOTHER DOCTORS’ STRIKE? A PHYSICIAN OPINION

With due respect to my teachers, senior colleagues and
colleagues, the call for downing of tool by the doctors is needless
having read the ratio in which the strike was called upon.
Over the years, having worked within and outside Nigeria both in
clinical and public health domains, I am strongly obliged to state
that the nation’s health drawbacks are essentially caused by
doctors who ordinary are meant to be the leaders of the health
team. It suffices to state that, while it is true that the leadership
of the health team is like a birth right, their roles and
responsibility are equally a birth right, only when these are
aligned that we can claim the leadership of the heath team. Come
to think of the request placed before the federal government, It is
sad to note that the issues are quite petty and trivial to culminate
to such a decision that will result to irreversible consequences
and loss of lives.
As a medical doctor with over fourteen years experience, I have
never had a course to question if I am the head of any health
team where I found myself as the most senior doctor or the only
doctor in a collection of health practitioners in a health mission,
for the simple reason that, I know my bound and appreciated that
even the weakest link in my team count. I will also not pursue
vanity to a disreputable feat. The posture and activities of my
colleagues both at the public and private sectors is appalling,
such that it has left some of us who have seen our shortfalls and
have made or shown some resentment to it are seen as deviance.
We must note that what we think and promote is what can endear
us or otherwise to the good books of the government, other health
workers and the general public.
For me, I am not surprised at the backlash we receive from other
supposedly team mates in the hospital. Looking critically at their
opposition to us, you will naturally find out that something is
wrong with us as doctors, if not, how could we have lose the
confidence of all our team mates including non medic such as the
ward attendance, administration staff etc? The truth of the matter
is that, if we change our corrupt and indiscipline posture, we will
naturally occupy our rightful place. Take for instance, the Heads
of Hospitals and many health agencies are being led by the
doctors, most of which their hall mark is characterized by
kickbacks, high contract inflation even to outright thieving of
public funds. Our colleagues will promise heaven and earth to be
appointed as heads of organizations, but as soon as they get
there, their best friends and new found colleagues are the finance
and admin managers and the procurement practitioners.
I have survived several heartbreaks from my colleagues (very
senior) in the past and have vowed never to listen to their
germane-less advocacy for headship of the health team. From
national assignments to international and so many other clinical/
public health engagement I have found myself, one of the most
recent once was in a supposed tertiary institution headed by a
doctor anyway, where doctors no matter your rank should go to
the record office and queue up for prescription paper being
issued by an officer below the rank of a record officer. I have also
been to an organization where patients are dying in troops for
simple reason of lack of machine to run tests for a certain class
of patients visiting a specialty clinic. Another one was a
jamboree organization where names are submitted arbitrarily for
ad-hoc jobs that needs some level of expertise, yet competency
was dropped into the bin and meritocracy upheld.
The peak of my heartbreak was when I worked in one of a
supposed tertiary institution where in a bid to save patient life, a
doctor rushed to the theatre to get an oxygen as a last point
where such equipment are unarguably handy, could not find one,
and we watch the man die. Here, I am not saying the man
couldn’t have died, but could have died gracefully, and with some
human effort. One can count on and on the rots in organizations
headed by doctors.
Now my question is, of what value is the appointment of a
DCMAC adds to the already CMD and CMAC that has been
exclusively for doctors? How does the work of a doctor become(?)
affected by the appointment of the most senior health practitioner
to direct the activities of his other colleagues as a director or
how does your work being affected if a health practitioner has
reached a level of expertise in his field and he is refer to as a
consultant”.
It is quite worrisome to hear that my colleagues have down tool
for the simple reason that the post of a Surgeon General is yet to
be filled, even when the two ministerial slots are occupied by
them. I believe that the hazards’ allowance be review, but
doctors especially our Consultants most justify the little that has
been paid by actively and routinely availing themselves in the
daily routines of the hospital instead of turning attainment of
Consultant in the hospital as a gateway to truancy ; my
colleagues certainly know what I mean.

We are already fast losing our respect from the government and
the general public, and in recent time even from our colleagues
whose disposition is for the good of man.
Let me also use this opportunity to congratulate our President
who has just assumed office and to urge him to be steadfast in
his decision where reasoning should take over precedent than
mere emotions and sentiment. Accept my unalloyed loyalty.
This piece is a wakeup call to my colleagues to look up within us
and appreciate the rots and imbroglio our actions and in-actions
has brought to this noble profession and the health sector in
general; as the only way to solve the problem of a leopard
wanting to be called a lion can only be addressed by a change of
behaviour of the supposed “LION”

Abdullahi Baba Abdul is former UN medical personnel in Trinidad
and Tobago;

phantomm: @ the bolded. i hope you know that radiographers are the ones who 'photograph' the patients.the radiologists who are the doctors in that department interprete the results..
in the labs ,the lab technologists do the bench work or test the samples.the onus still lies on the pathologist who is a doctor to ratify the results.
my brother these allied professionals are attaching undue importance to themselves.they are not that important.

U just wrote selfish rubish.
Allow physiotherapist to be consultants in physiotherapy, pharmacist become consultant pharmacist etc and drs become consultant surgeons, cardiologists etc how does that stop or affect a doctor
Is our health care better than that of uk, USA ??

NMA and co, are just being egocentric, wicked, selfish, deceptive and unreasonable.

PharmGreg:
and hope u knw Biochemist can also specialize there?

...yea they could but will be limited coz they have no clinical background..

kennylawal: I swear all una never sick, na why u dey run mouth. If you wife wan born, carry am go lap radiology, physiotherapy or wetin u call am. All you hypocrites. If all johesu drop there work, doctors will do them, can they do doctors job. A doctor would hav done a posting in all those johesu fields as student too. they are working, respect. But the doctor and sirgeon are the most important experts in patient care. If you wana be like a doctor too, go take a jamb form and see that medical school no be beans

dis up thr is part of d public misinformatn upon wc d nigerian drs have fed so fat for far too long,a lot has to b done to properly inform n educate in masses on distinct responsibility of each profession.What is d business of a dr with a woman dat wan born biko?in one word,pls tell wat d mid-wives are being paid for. I await ur response if it will ever come.

Its shame that pple to be medical doctors wit litle or no fare wit develop unfounded of others. If l may ask, what are the the doctors afraid of? compitation? hmm. I belive ppl should aspire to the top of their career provided they trained and retrained

theexpected:

There is already an administrative post THE DIRECTOR OF ADMINISTRATION in a hospital which is open to all units, the chief medical director CMD is for doctors alone. Just like doctors should not contest to be CHIEF NURSING OFFICER, nurses shldn't also contest to be CHIEF MEDICAL DIRECTOR everyman to his own.

Oh really? Well the public won't know such position exist. And Since it does, I agree with the NMA on that. The Chief MEDICAL Director Should be a Medic... As long as the Dir. Admin is open to all.

You Meds need to fine tune and polish your demands. From the Outside some of them look obscene... But with what i've been getting so far, they are legitimate. However, I still insist that there are better ways in pressing home your demand without striking.


BTW:It seems JOHESU are not telling us some things.

YourHealthlabs: WHAT, ANOTHER DOCTORS’ STRIKE? A PHYSICIAN OPINION

With due respect to my teachers, senior colleagues and
colleagues, the call for downing of tool by the doctors is needless
having read the ratio in which the strike was called upon.
Over the years, having worked within and outside Nigeria both in
clinical and public health domains, I am strongly obliged to state
that the nation’s health drawbacks are essentially caused by
doctors who ordinary are meant to be the leaders of the health
team. It suffices to state that, while it is true that the leadership
of the health team is like a birth right, their roles and
responsibility are equally a birth right, only when these are
aligned that we can claim the leadership of the heath team. Come
to think of the request placed before the federal government, It is
sad to note that the issues are quite petty and trivial to culminate
to such a decision that will result to irreversible consequences
and loss of lives.
As a medical doctor with over fourteen years experience, I have
never had a course to question if I am the head of any health
team where I found myself as the most senior doctor or the only
doctor in a collection of health practitioners in a health mission,
for the simple reason that, I know my bound and appreciated that
even the weakest link in my team count. I will also not pursue
vanity to a disreputable feat. The posture and activities of my
colleagues both at the public and private sectors is appalling,
such that it has left some of us who have seen our shortfalls and
have made or shown some resentment to it are seen as deviance.
We must note that what we think and promote is what can endear
us or otherwise to the good books of the government, other health
workers and the general public.
For me, I am not surprised at the backlash we receive from other
supposedly team mates in the hospital. Looking critically at their
opposition to us, you will naturally find out that something is
wrong with us as doctors, if not, how could we have lose the
confidence of all our team mates including non medic such as the
ward attendance, administration staff etc? The truth of the matter
is that, if we change our corrupt and indiscipline posture, we will
naturally occupy our rightful place. Take for instance, the Heads
of Hospitals and many health agencies are being led by the
doctors, most of which their hall mark is characterized by
kickbacks, high contract inflation even to outright thieving of
public funds. Our colleagues will promise heaven and earth to be
appointed as heads of organizations, but as soon as they get
there, their best friends and new found colleagues are the finance
and admin managers and the procurement practitioners.
I have survived several heartbreaks from my colleagues (very
senior) in the past and have vowed never to listen to their
germane-less advocacy for headship of the health team. From
national assignments to international and so many other clinical/
public health engagement I have found myself, one of the most
recent once was in a supposed tertiary institution headed by a
doctor anyway, where doctors no matter your rank should go to
the record office and queue up for prescription paper being
issued by an officer below the rank of a record officer. I have also
been to an organization where patients are dying in troops for
simple reason of lack of machine to run tests for a certain class
of patients visiting a specialty clinic. Another one was a
jamboree organization where names are submitted arbitrarily for
ad-hoc jobs that needs some level of expertise, yet competency
was dropped into the bin and meritocracy upheld.
The peak of my heartbreak was when I worked in one of a
supposed tertiary institution where in a bid to save patient life, a
doctor rushed to the theatre to get an oxygen as a last point
where such equipment are unarguably handy, could not find one,
and we watch the man die. Here, I am not saying the man
couldn’t have died, but could have died gracefully, and with some
human effort. One can count on and on the rots in organizations
headed by doctors.
Now my question is, of what value is the appointment of a
DCMAC adds to the already CMD and CMAC that has been
exclusively for doctors? How does the work of a doctor become(?)
affected by the appointment of the most senior health practitioner
to direct the activities of his other colleagues as a director or
how does your work being affected if a health practitioner has
reached a level of expertise in his field and he is refer to as a
consultant”.
It is quite worrisome to hear that my colleagues have down tool
for the simple reason that the post of a Surgeon General is yet to
be filled, even when the two ministerial slots are occupied by
them. I believe that the hazards’ allowance be review, but
doctors especially our Consultants most justify the little that has
been paid by actively and routinely availing themselves in the
daily routines of the hospital instead of turning attainment of
Consultant in the hospital as a gateway to truancy ; my
colleagues certainly know what I mean.

We are already fast losing our respect from the government and
the general public, and in recent time even from our colleagues
whose disposition is for the good of man.
Let me also use this opportunity to congratulate our President
who has just assumed office and to urge him to be steadfast in
his decision where reasoning should take over precedent than
mere emotions and sentiment. Accept my unalloyed loyalty.
This piece is a wakeup call to my colleagues to look up within us
and appreciate the rots and imbroglio our actions and in-actions
has brought to this noble profession and the health sector in
general; as the only way to solve the problem of a leopard
wanting to be called a lion can only be addressed by a change of
behaviour of the supposed “LION”

Abdullahi Baba Abdul is former UN medical personnel in Trinidad
and Tobago;

I knew it. You dont work in Nigeria. You are oblivious of the realities on ground.

Acidosis:

You are an illiterate.

A University Bursar/Accountant, Reigistrar and Librarian all belong to NASU.
They are bosses in their fields already..

Lol, like an average "literate" Nigerian who thinks NASU is all about gate keepers, carpenters etc

and you are the bigger illiterate... the hospitals also have directors of admin, chief nurse, chief pharmacist etc with deputies and they are bosses in their areas too. dont rule out NASU a similar union with a condescending wave of the hand, chaos is coming... anybody can be anything now, i can even demand to be a gateman if i wish, it shouldnt be restricted to only security men, we are being marginalised

armadeo:



If everyone goes back to write jamb most of you Will still end up where u are and reform johesu

hahahaha...let me first educate you that i am a medical student in one of Nigeria's best fed universities so you can NEVER intimidate me..learn to address issues as they are and not sentimentally...JOHESU is over-ambitious but the NMA is also greedy..

onyxo76: if a chief mortuary attendant becomes the cmd today, will you as a medical lab scientist take orders from him?

we're talking abt the medical field here, and senior Medical officers for that matter. Attendants to the best of my knowledge are junior workers. But if a pharmacist or any other specialist reads up to Phd level and is made a Consultant, I think thats ok. Or are they supposed to be redundant perpetually?

eduxerxes: In Summary,

(1) FG should not appoint non-doctors as chief medical director.
Is this not selfishness ? Is it only doctors that work in the hospital? why will they go on strike for this selfish
reason and suffer patients ?
(2) Only doctors should be made consultants-
other workers who work in the hospital no matter their qualification should not be made a consultant?
-Is this not the height of wickedness and selfishness by doctors?
So if a staff of the hospital have Ph.D, he should not be a consultant when their mates working at other places are consultants ?
(3)Only doctors should be made directors---
Ladies and gentlemen, the law says anyone on level 15 is a director in the civil service--- so why will doctors say that only them should be made directors and other workers who
rise to level 15 should not be made a
directors ?
(4)Level skipping---they want doctors to also skip levels like other- now these bunch of murderers called doctors wants to enjoy wђã†̥ others are enjoying but they dont want
others to enjoy what they are enjoying----
it is based on these reasons & more that they went on strike-----
Check out more here:

www.nairaland.com/1795086/nma-strike-doctors-wicked-must

My brother, I tire o. No doubt africa is not developing.

How is this fair, that a graduat of optometry eg, will never become a director or a consultant in optometry irrespective of how many years he has been in service or how much he furthers his studies.

There is God o!!

1.what is medical advisory comittee
The Medical Advisory Committee (MAC) is accountable to the Board of Directors

The Committee is in place to promote the highest standards of medical care throughout the hospital. Through its subcommittees, the MAC monitors and approves initiatives for improving the quality of care provided to patients and their families. The MAC provides general supervision over the practice of medicine, dentistry and midwifery in the hospital and is an important link to addressing issues that impact Credentialed Professional Staff members (physicians, dentists and midwives) clinically and professionally.

The MAC makes recommendations to the Boards of Directors concerning matters prescribed by the Public Hospitals Act including:

The quality of care provided in the Hospital by the Credentialed Professional Staff;
The By-Laws respecting any Credentialed Professional Staff;
The clinical and general rules regarding the Credentialed Professional Staff;
Privileges granted to each member of the Credentialed Professional Staff;
Appointment and reappointment to the Credentialed Professional Staff; and,
The dismissal, suspension or restrictions of privileges of any member of the Credentialed Professional Staff.

The MAC assists and advises the Board and the Chief Executive Officer in carrying out the requirements of the Western Affiliation Agreements as they apply to the Credentialed Professional Staff. The MAC also facilitates the development and maintenance of Rules and Regulations, Policies and ethical guidelines and procedures related to the roles of the Credentialed Professional Staff.

the MAC in many countries has many roles including regulating clinical training,clinical services,admin and finance,e.t.c
in many teaching hospitals there are 2 dcmacs 1 for clinical services and the 2nd for clinical training.in my opinion these 2 are okay but indications are rife that sectors like finance may need its own deputy cmac.
afterall in many other ministries not as important as health a director has multiple deputies.

2. i have no problem with appointing directors for the other depts e.g director,nursing services,director pharmaceutical services and so on BUT NMAs position just like the issue of consultancy is that it definitely will cause conflicting treatment for our patients and induce anarchy

3.skipping for johesu and not for docs will erode further the relativity

4.i agree with you 100% here

5.the circular in which the federal govt corrected the errors in the 2009 circular and partially restored relativity

6.30% coberage by NHIS is not enough!! health insurance is not worth striking for? are you kidding me because you can afford it??

7.the public health department should be put under a surgeon general.that post has to be created. theres is attorney-general of the fed,accountant-general and surveyor-general.why should health be different.even in US they have two ministers and a surgeon general

8.this is the correction of the error in the yaradua circular.remeber that as at that time we hadnt seen the CONHESS circular to compare.

9. its even too small.remember that honorary consultants are paid by ministry of education.they are ASUU members.
10.so what do you suggest they do when agreements are not kept to??

iiiyyyk:

U just wrote selfish rubish.
Allow physiotherapist to be consultants in physiotherapy, pharmacist become consultant pharmacist etc and drs become consultant surgeons, cardiologists etc how does that stop or affect a doctor
Is our health care better than that of uk, USA ??

NMA and co, are just being egocentric, wicked, selfish, deceptive and unreasonable.

our society is too backward for the above reasoning.thats why NMA is saying no. please attack me logically and not emotionally.thanks

armadeo:


Define big. Pls state a figure

There was a thread sometime back where corpers were complaining about the big gap between what doctor corp members earn and what others earn. Housemanship too is very close to 100k if not more.

11.100k hazard is too small. when it comes to doctors you remember we have a bloated recurrent expenditure.tell that to your senators. hazard generally for healthcare professionals shouldnt be less than 150k.

12.what is wrong with the word 'must' when your leaders are too dumb to be reasoned with.

13.the pathologists should tackle this.dont know what to say.

14. not worth striking for ALONE.
15.this is one of the most important because it addresses TRAINING. definitely worth striking for.

16.how is owing resident doctors in owerri for months fair? and what do you mean by 'what if is not in the interest of the public'?
19.so the govt should turn a blind eye and should not be held responsible for security? even when the doctors remained cool in the midst of violence?


20.please where else does it happen that i am paid 85% of my salary in january,90% in february,92% in march BUT i gave you 100% service. very funny.

Omonoba1: hahahaha...let me first educate you that i am a medical student in one of Nigeria's best fed universities so you can NEVER intimidate me..learn to address issues as they are and not sentimentally...JOHESU is over-ambitious but the NMA is also greedy..

I don't need to intimidate you, You are already intimidated. that's your problem not mine. medical student. go and read your books.

eduxerxes: we're talking abt the medical field here, and senior Medical officers for that matter. Attendants to the best of my knowledge are junior workers. But if a pharmacist or any other specialist reads up to Phd level and is made a Consultant, I think thats ok. Or are they supposed to be redundant perpetually?

iiiyyyk:

My brother, I tire o. No doubt africa is not developing.

How is this fair, that a graduat of optometry eg, will never become a director or a consultant in optometry irrespective of how many years he has been in service or how much he furthers his studies.

There is God o!!

if he reads up to Phd level he becomes a doctor, nobody is arguing that. after all there are professors in all the Fields been touted by johesu. look simply put an issue is the term consultant. The medical doctor who is a consultant is the head of a medical unit in the specialty of his choice, IE he is a specialist. this Johesu members who want to be consultants i have asked before what is it you want to do as consultants that you aren't doing now.
why the need to be called something else.do msc phds and rise to the top of their careers.

an optometrist id given the title Dr of optometry on graduation and they have their roles in the setting. An optometrist can also go ahead to have msc and phd too, in an academic setting rise to become a professor. so what are we saying.

is this all about CMD.

21.it is not repetition. your government has been known to carry out policies in certain places to the exclusion of others. tomorrow you might hear just the FMCs are having problems with funding

22.its not worth striking for abi? so worth is actually worth striking for to you we strike for money,you then ask why dont we strike for better equipments in the hospitals.....nigerians and hypocrisy!!!

23.apart from position of CMD,there is a position of director of admin(DA)....its open to all. but in my opinion,position of CMD should be open to anybody with some sort of MANAGEMENT training.

amedave: no body is against there growth, the issue is a medical team should be headed by a Doctor, note doctor's are not called consultant because of PhD only, do you know that most teaching hospitals don't have pharmacy student? how do you expect a pharmacist to head in that situation?? pls let these people tell us the truth, even in advance country how many times have u heard a pharmacist is heading an operation/surgery team. OK doctor done strike let them fill the void if they can

Pharmacists consultants are not based on PhD but on completion of residency programme in the postgraduate college of pharmacy, do you know that exists in Nigeria?

amedave: I don't think you know anything about medical school in Nigeria, before these people start complaining they should first review medicine curriculum. in my school a medics does everything an anatomist, physiologists, medical biochemist all do in four years you as a medic do them in just 18 months and expected to be more grounded read more than 3 different authors for each. now tell me what can any of these do DAT they can't do?. in clinical it still follows you do different postings so you have idea about everything. this curriculum was design for the doctor to head because he has idea in almost all field. so if they don't want it they should review the curriculum, I don't tink is the pharmacist that prescribes drugs for you when you go to the hospital do they? plssss Nigerian s let's leave cheap sentiments

Have you also taken time to review the curriculum of the Pharmacy Schools? All those courses you mentioned they also take, so don't come here and start forming superiority. You prescribe drug because that is your duty as it is the duty of the pharmacist to ensure that what you prescribed is the right drug for the right patient. So why are you guys fighting tooth and nail to prevent him from becoming a specialist in that field? So that you can keep covering your asses when you kill people by prescribing wrong drugs or wasting patient's money?

Consultant is only an English term for a specialist in a field, and we have them in other fields that are not even medically related. I don't know why some educated "illiterates" would think it is only the prerogative of the Medical Doctors. I write with so much passion because some old consultant in a private practice who didn't see the need for a Pharmacist prescribed the wrong drug that eventually led to the demise of my Mum. Until Nigerians begin to sue and demand huge settlements from you guys like they do in Western Countries you'll not take other people serious.

barcanista:
Oh really? Well the public won't know such position exist. And Since it does, I agree with the NMA on that. The Chief MEDICAL Director Should be a Medic... As long as the Dir. Admin is open to all.
You Meds need to fine tune and polish your demands. From the Outside some of them look obscene... But with what i've been getting so far, they are legitimate. However, I still insist that there are better ways in pressing home your demand without striking.
BTW:It seems JOHESU are not telling us some things.

U begining to see reaosn with NMA ba? [/b] y is JOHESU fighting to be CHIEF MEDICAL DiIRECTOR when they can be DIRECTOR of ADMINISTRATION? [b]


Y leave their [/b]CHIEF nURSING OFFICER [b] post to fight for someone else's

Th ething is, doctors are busy, if not for the strike, i asure u no doctor would be on nairaland trading blames these JOHESU guys do shifts, doctors do not

A nurse would do morning shift and go home a house officer will be in the hospital from morning till night running helter skelter doing d jobs of messengers and nurses because they are no where to be found and ur OGA CONSULTANT does not want to hear story.

eph12:
There was a thread sometime back where corpers were complaining about the big gap between what doctor corp members earn and what others earn. Housemanship too is very close to 100k if not more.

LOL. Let me let you in on a little secret all corper docs earn less than what they earn has house officers. in most cases up to 60% reduction you can take that to the bank.

FD_enigma: An Analysis of JOHESU (cont'd):

Medical Laboratory Scientists (Technologists?)

These are the arrow-heads of JOHESU. As a group, they have the free time, the resources and the lack of professionalism and empathy for suffering patients needed to start this controversy.

These staff are usually not university trained as their programmes are run by accredited teaching hospitals. They obtain memberships and fellowships of the institutes of Laboratory Science(or Technology) allowing them to work in Pathology laboratories.

Virtually all of these folks had the ambition of being medical doctors but could not meet the requirements.

In better countries than Nigeria, laboratories are headed by research scientists (in research institutes) and by consultant pathologists (in hospitals). Research scientists are typically Ph.D holders while consultant pathologists are medical doctors with postgraduate specializations in Pathology.

In Nigeria, they are quick to claim they do all the work in the laboratories o government hospitals. In their private practices, most masquerade as doctors, prescribing antibiotics and other drugs after spurious "Typhoid" tests.

Having grown wings, they fired the first salvo by declaring their right to perform accreditation for all labs in Nigeria including side-labs in private hospitals.

The next issue was preventing resident doctors in training from accessing the labs to carry out procedure (yet they claim they do all the work).

It got to the point, doctors were physically harassed and hounded by the Police and SSS on the instigation of these technologists. Luckily, most security agencies quickly washed their hands off this matter.

Nigeria is not the only country running a teaching hospital system. Let's look at the successful models in other countries and make things work. We shouldn't persons without direct involvement in patient care add to the many problems already facing our healthcare system.

hmmmmm,what can I say than to tell u to keep basking in the euphoria of ur delusion and idiocy.These same ppl were the ones u went humbly to to teach u many of the fings u knw today.This is d hallmark of trainees as I cn bet ur stl a student,but then hw do u reconcile this when even ur consultant pathologist cnt alter an ounce of all u spewed here coupled with d fact that these scientists av practically held d so called drs by hand,lifted them n showed the path to fulfilment in d medical field making them eternally greatful to d ones u av callously labelled technicians.Do continue in ur idiocy and we shall whr it lands u.

s!s! afrika:
u are soundiing hurt and pained. Take a chill pill. Laffing hard. And pls, go and operate a CT, MRI or even Xray. Make d films also. U can do d work of a radiographer shey? Even as house officers, nurses teach u how to set IV lines cos u blockheads arre too dumb to knw how to in ur entire 6yrs. Na me send u repeat? Spending 7 years aint mafault, u chose d route nd u must bear d brunt. And pls, go to d pharmacy and compound d extemporaneous preps. U can do a pharmacist work now? Empty tank

dont know about what you know but the radiologists i know operate their machines, it's part of the training... they also need time to go over the images and interprete so someone has to fill the void inbetween...simple, and voila, it's a radiographer . a nurse never taught anyone i know how to set an iv line... u were a bigger blockhead in the first place to be where u are, now you are bitter, deal with it... and make sure you push your kids into medicine as usual ...loool
one of their big chief's son in medical lab whatever was my intern so many years ago... dude was hiding through out because we wanted to know why dad didnt allow junior to follow him, sure he will be proud of his dad now