₦airaland Forum

gameboi

It's been a while we corresponded. How're you doing?

Thewhizzkid1 Nice job you're doing here.


There's a lot of lessons on this thread for so many people to learn. But it breaks my heart that I see the wealth of information and experience that we've put in here and yet people still choose to make avoidable mistakes.

some lessons you have to learn from others. Others you have to learn for yourself.

happy weekend everyone.

Chartey:
OSCE has largely solved the problem of subjectivity.

Many schools still do not use OSCE. And most of those that do, it's a select few of the courses. OSCE should be introduced as the minimum and only standard of assessing medical students.

In my Part 3 Final Exam (Paediatrics), my long case was Recurrent Severe Anaemia secondary to Glucose-6-phosphate-dehydrogenase deficiency. In my short case, I was given an EBT Cross and asked to ventilate on EBT. I was given Resomal and asked to ventilate on PEM and I was given a lab form and asked to ventilate on "The Uremic Child".
I left the ward with deep thoughts and when I contrasted the cases I had with the cases some others had (resolving malaria, febrile convulsion, burns etc), it was just unfair.

But I passed.

When I went to Gynae, my case was Secondary Amenorrhea due to Hyperprolactinemia to rule out Asherman's syndrome (4 t. o. PS) and my Obs was RVD Positive pregnancy at Term. I did very well but some students had Normal pregnancy, infertility, ca cervix, etc - which are common scenarios.

I believe nuc should focus on standardising the current state of things rather than dabble into this unfertilized attempt at prolonging the suffering of medical and dental students.

omoarole:
My experience has been with Masters programs in Canadian Universities. Take any Masters program in any university there and visit their school of postgraduate studies. They squarely spell out the 3.3 in 4 point GPA. you can only make that if you got 70% in majority of your courses in school. And the unclassified part to the degree doesn't make it easier.
Another angle to it is that the medical school program does not inspire excellence......it just places emphasis on averageness, since all you have to do is just pass.
Not that the program is not hectic enough, but it leaves you with the mentality that you don't really have to be exceptional. At least, all you need to do is just pass.
I agree that they may need to overhaul the whole process, but I hope the older doctors in the profession won't be against the changes. Most people still feel the old landmarks shouldn't be removed.
Most schools are still doing the longform exams still, which worldwide has been judged to be it only subjective, but not in tandem with the new concept of evidence based medicine....

Does this hold true for American Universities? I intend to pursue a PhD in Neuroscience in two years time, I hope it won't affect my chances. It's very pathetic that we're made to suffer to learn and the grading system isn't sympathetic.

We still do the closed marking system for essay. You can't score above 70% on an essay question. Ironically, you can be given a zero. These are the things I believe NUC should focus on, instead of this balderdash

MedicalSamwise:
Here in Lautech u spend upto 10 or 11yrs studying MBBS.....well even if i have to spend 15yrs...i dnt carr!

Medicine is a calling, not just a course!!

It's first a course. Later it becomes a calling. How you spend the "course time" would determine if it would end up being a calling or a call-in.

Chartey:
Rumour is MDCN has rejected the NUC minimum requirements. The MDCN is the only council mandated by law to regulate medical education and it wasn't even consulted. The NUC obviously doesn't know its limits.

This is a welcome development. I sent a copy of this article to vanguard and daily sun. I'm yet to see it published. These issues need to be raised in public glare because it would ultimately affect everyone.

Most of the recommendations made by the nuc were devoid of palpable experience of medical undergraduate training. It's more theoretically valuable than practically reasonable.

abuhubaidah:
what are the signs of ovulation sir?

The signs of ovulation are subjective and vary with individuals. They include:

Increase basal body temperature
Increased normal vaginal discharge
Mid cycle pain
Breast fullness and tenderness

JuanDeDios:
Thank you. So B, C and D through sex and blood; A and E through kissing. Wahala dey o! What are the chances of transmission? Is it like, once you sleep with her you get it? Or are there factors like your immune system or natural resistance like we have them for HIV and TB?

A and E is transmitted via the foeco -oral route, especially in unhygienic conditions.

the chances of transmission depend on the infective dose, the immune status of the patient, the virulence of the infecting organism etc. Hepatitis B is very infective. The chances of infection varies and is multifactorial. Hepatitis A and E are self limiting. Hepatitis B,C, and D typically follow an asymptomatic chronic course and rarely can be devastatingly fulminating.

JuanDeDios:
I did. So is hep std or not? Which - A, B, C - is and which isn't?

Hepatitis B, C and D (especially B and D) are transmitted by the sexual intercourse with an infected person. It can also be transmitted by sharing of sharp objects, and transfusion of an infected blood.

Hepatitis A, and E are transmitted by the oral route, usually in unhygienic circumstances.

Recently there's Hepatitis F and G, but the literature on them is scanty and they're rare.

JuanDeDios:

Check my post again

Namzy:
Don't understand you

Check my post again

For the fertility, a semen analysis is okay for the male.

For the female, if she sees her menstrual period regularly and sees signs of ovulation monthly, she's good. Hormonal assays are expensive - the tests should be requested on the basis of the financial comfort of the patient. An hsg would do to check for structural issues.

Good article. Very worthy of front page.

Hepatitis is not a sexually transmitted disease (STD). The infective Hepatitis B, C and D variant can be sexually transmitted but are not STDs.

Addition :

According to the International Classification of Diseases, ICD 10, sexually transmitted diseases (now called STInfections) are infections that are PREDOMINANTLY transmitted by the sexual route. The ICD 10 is a catalogue system used by health providers to classify diagnoses, symptoms and procedures.

Even HIV that is transmitted by the sexual route (amongst other routes) is excluded by the ICD 10 as an STI. It is rather a technical term than a functional one, but it's profitable to point things out because you don't know who's reading and who's learning.

Jeffy1206:
For lovers of big batteries...


1

Description
Model: HOMTOM HT6
Highlight FDD-LTE 4G Band 1/3/7/20(Downstream:150Mbps; Upstream: 50Mbps), 5.0” HD Class Screen, gorilla glass, all around 2.5 curvature that adjust perfectly to the hand, metal silk-like back, slim body with 6250 mAh huge battery
Smart gestures+ Wake Gesture + 3 finger fast screenshot + Ultra effective power saving mode + fast charging(charge up to 75% within 30 minutes)+big capacity battery(powerful endurable battery)
Dimensions
Size (mm) 153.8*77.0*9.9 mm(L×W×H)
Hardware
Chipset MT6735P 64-Bit 1.0 GHz
Frequency(MHz) FDD-LTE Band 1/3/7/20 (B1:2100,B3:1800,B7:2600,B20:800MHz)
WCDMA 900/2100MHz & GSM850/900/1800/1900MHz
Sim card Support two Micro SIM
OS Android 5.1
GPS GPS (Dedicated GPS chip ), A-GPS
Hotknot Support
OTG Support
OTA Support
FM Radio Support
Bluetooth BT4.0
Sensor Light sensor , G-sensor , P-sensor, Gesture
Speaker 1511 BOX speaker
Network
3G WCDMA 3G (HSDPA 21Mbps,HSUPA 5.76Mbps), Support WIFI hotspot
4G/LTE FDD link Speed Downstream:150Mbps; Upstream: 50Mbps
EDGE Support
GPRS Support
EGSM Support
WAP Support
WI-FI Wi-Fi 802.11 b/g/n,Support Hotspot
Display
Main Display 5.5" HD 1280*720 IPS G+F Gorilla Glass
Touch Lens 5 Points capacitance touch panel
Camera
Main Camera SW13.0MP
Sub Camera SW5.0MP
Memory
RAM 2GB RAM LPDDR3
ROM 16GB
Available Memory 12.3GB
External Memory Micro SD card ( T-FLASH card), max32GB
Features
Smart gestures Contactless control. Direct calling. Contactless hands free mode
Wake Gesture Double tap: light the screen, Start the APP by gesture
Screenshot 3 finger fast screenshot
Ultra effective power saving mode Support
Flash Support
Batteries & IO
Capacity(mAh) 6250mAh made by BAK®
Talk Time 4320minutes
Standby Time 240Hours
Charger INPUT :100-240V, OUTPUT:9V-3000mA
Connector USB Micro 5Pin
Earphone jack 3.5mm
Others
Color Black
Language English, Spanish, Portuguese (Brazil), Portuguese (Portugal), Italian, German, French, Russian, Arabic, Malay, Thai, Greek, Ukrainian, Croatian, Czech, Simplified Chinese

Please is this device available for sale and delivery to Akwa Ibom? Cash ready.

I wonder why he can't make his greatgrandson Quilox Ambode replicate his great "genes". When a man is good, he's good. Leave your pathetic rhetorics out of it. Father ko, grandfather ni

The ones that are faster than jet, what have they achieved?

Direction is more important than speed.




"I find the great thing in this world is not so much where we stand, as in what direction we are moving: To reach the port of heaven, we must sail sometimes with the wind and sometimes against it - but we must sail, and not drift, nor lie at anchor."

Oliver Wendell Holmes, Sr.

Thewhizzkid1:
Quite busy now, coming back to fully read later. But Dr Lomaxx, I spotted a mistake in ur title. It should be "A MEDICAL STUDENT'S PERSPECTIVE" and not " A MEDICAL STUDENTS PERSPECTIVE ".

Thanks. Was a typo.

omoarole:
But you see, the course credit system isn't actually a bad thing. I've been thinking about that for a while now. I think if properly implemented, it will do a lot of good.
First, it will bring an end to the evil system of closed marking. This closed marking system has destroyed a lot of destinies. Do you know that you cannot qualify for most postgraduate programs in many countries of the world because of it? Many programs will require you to have at least a 3.3 out of 4 point GPA. When they see your transcript and calculate all your 50s and 60s, it just gets you nowhere. If you had distinction all through medical school, your calculated GPA will be just 2.8. They don't even understand the concept of closed marking.
But if we have a course credit based system, closed marking will end. Then, the possibility of scoring higher increases......

The credit system is a plus. Let me rephrase that. The credit system would be a plus. The problem is the implementation. We find it easier to implement retrogressive policies than the good ones.


An additional advantage is that medical students would graduate on time. It usually is painful when you're in 400 level struggling with Path and Pharm when someone you got admitted with in another department is halfway thru or almost done with service. My flatmate that just passed out from nysc was admitted the same year I was. plus he had an extra year in school.

Chartey:
Seun, Lalasticlala front page abeg.

The mods are more interested in a photo of a medical student that was reading in church.

Lagusta, Corper doctors are on Conmess step 1 right?

NYSC should be made optional. There are better things to do with one year than suffer for monthly peanuts of 15 k

cc: lalasticlala, Ishilove

Prolonging medical school training is not the answer. Currently, medical students inculcate the skills of history taking, physical examination, formulation of differential diagnosis and management plan for various problems. The skill of human resource management, leadership qualities and providing cost-effective care in rural areas is developed during the community medicine and family medicine postings. Students participate actively in the management of patients and these are re-enforced during the internship. It is mandatory to be at the emergency room to gain mastery of practical skills and problem solving ability which are recorded in the logbooks and assessed by the tutors.


The solution to the seemingly unending healthcare problems in Nigeria and the bid to ensuring that the Nigerian doctor is “globally prepared” is not totally in a prolonged duration of training. Those issues are beyond the scope of this article. Prolonging undergraduate medical training to try to fulfill this is unfair and unjust to the Nigerian medical student who is already on the brink of severe emotional stress, physical exhaustion and mental breakdown from the already rigorous nature of training in a system he/she is left at the mercy of those at the helm of affairs. Our policy makers should please try to achieve the same goals with the current timeframe.

Emaediong Akpan-Ekpo is a final-year medical student in the University of Uyo, Akwa Ibom State.

If we are to be sincere, we would realize that the state of medical education in Nigeria presents a scenario marked by wishful thinking rather than steps in the necessary direction. In 2004, Dr Liselotte N. Dyrbye and her colleagues at the Mayo Clinic College of Medicine did a survey on 545 medical students in the state of Minnesota. They discovered that 239(45%) of the students suffered from emotional exhaustion, depersonalization, a low sense of personal accomplishment and a progressive decline in mental health attributable to academic pressure, workload, sleep deprivation, exposure to patient death and suffering, student abuse with these factors increasing with more years of training. In a second study, it was discovered that 11% of students surveyed had suicidal thoughts and in a third study it was realized that those students that experienced burnout due to increased years of training had less empathy for patients.


It goes without argument that the problem of healthcare delivery in Nigeria is not a curriculum problem. It is often criticized that the graduates of Nigerian medical schools are not globally competitive, but statistics have proved otherwise. According to the Foundation for Advancement of International Medical Education (FAIMER) Short Report on “Nigerian Medical School graduates and the U.S Physician Workforce”, it was noted that “Nigeria has historically been considered as one of the leading countries in the export of physicians”. Five years ago, the Nigerian Health Journal reported that 2,392 and 1,529 Nigerian-trained doctors practice in the U.S and UK respectively. This means that 5 years ago, about 10% of doctors trained in Nigeria were absorbed in the U.S and UK alone. It would be insincere to note this statistic reflecting the contributions of Nigerian doctors to global healthcare and still put the cause of an uninspiring healthcare system on a ‘faulty’ curriculum.

Now that it has been correctly established that undergraduate medical training takes at least seven years to meet the minimum requirements leading to the award of the MBBS degree, it is also imperative to note some practical bitter experiences unrelated to the curriculum, and like most of other Nigerian problems, tied to a dysfunctional system and insensitivity of the government.


On successful completion of the sixth year, medical doctors are issued a provisional license to enable them practice under a very vigilant supervision during the internship. Unlike the medical school where one transits from one class to another in a short period of time, transiting from the final year to the internship year can take as little as three months (being the very least likely to occur) to as long as a year (being the most frequent occurrence), due to factors still not unrelated to a vibrant curriculum. Hence the logical questions to ask would be: Is the problem of quality healthcare delivery in Nigeria a curriculum problem or are there more determining factors? Most importantly, what would be the effect of this long duration of training on the Nigerian medical student? Does a long duration of training equate to better quality of training?

NUC PROPOSED SEVEN YEARS OF MEDICAL SCHOOL: A MEDICAL STUDENTS PERPECTIVE

It is no longer news that the National University Commission (NUC) has developed new Benchmark Minimum Academic Standards (BMAS) for the training of doctors in Nigerian Universities, with extension of the medical program to a 7 -year duration. It was further reported that the aim of the BMAS will address most of the challenges faced by the medical colleges in training doctors in Nigeria in a bid to make Nigerian doctors globally competitive and capable of contributing to Nigeria’s socio-economic development. While no one is attempting to dispute the genuine concern of policy makers towards improving medical education in Nigeria, there is an imperative need to resonate some very realistic issues that hold true in this regard.


To begin with, medical training in Nigeria is not currently 6 years. It is more than that, strikes exclusive. Undergraduate training in any discipline is incomplete without the award of the ensuing degree. For a student to be awarded a degree, he/she must meet the minimum requirements laid down for that degree. Medical training at the undergraduate level is only complete when one receives the MBBS degree. The first year to the sixth year comprises a 6 - year duration, after which the doctor proceeds for an internship. The MBBS degree is only received after a successful completion of internship. Can we now see that undergraduate medical training in Nigeria already takes at least seven years to complete?

I know some people have been trying to reach me for various reasons esp in the past week via whatsapp. This week has been very very hectic. A typical day begins by 8am, clinic and lectures till 6pm. I still have to go for call duty by 8pm and come back maybe 11pm. Actually I've been doing this for the past 7 weeks but this one was hell. Plus the phone I was using is no more.

My sincere apologies to everyone that tried to get across to me but couldn't. Another thing is, I don't maintain concentration on a chat. I don't chat, a lot of times. I prefer emails. Try sending me a mail. It's a lot better.

akin7686:

Pls Which app do you use for twitter?

Atogirl:
I've missed you in this thread Dr Lomaxx,hope everything is fine?

I've been okay. I just took a long break from NL.

Now in the USA, they have a system that works. No strikes and the curriculum is refined.

I was surprised that our curriculum in surgery is not drafted after MDCN minimum standard red book. But after the MRCS in UK. That's too much for undergraduate education. But I would not go into that.

Length of time for finishing undergraduate education in USA - 3.5/4 years.

Length of time for finishing medical school in USA - 4 years.

Total -8 years with one undergraduate degree and a medical degree. That's the length of time it takes to get MBBS degree in Nigeria.

When you finish medical school in USA, you have a 96% chance of doing internship and residency immediately.


Let them leave us where we are abeg. I'm sure that news was a fluke. No such thing is happening.