adeoladrg:

Okay, I graduate from a pharmacy school, undergo the compulsory internship and NYSC. Then I got a job in a teaching hospital. While at that, I applied to the West African Postgraduate College of Pharmacy for a specialty in say Paediatrics or CVD. I spend 6 years undergoing the process and graduate from the college.

I noticed you medical doctors are emphasizing the nursing home thing, that's misplaced thinking. The advent of consultant pharmacy started in nursing home, yes! But the roles of consultant pharmacists have since expanded.

You said this urself:

Consultant Pharmacists are now practicing in a
wide variety of other settings, including subacute
care and assisted living facilities, psychiatric
hospitals, hospice programs, and in home and
community-based care --

Go to YouTube and see what obtains, and let me clear another misconception you guys have held on tightly to.

Been a consultant pharmacist doesn't destroy the doctor-patient link. The doctor everywhere is the owner of the patient, as u like to say it. It only makes pharmacist more knowledgeable and be a force in his specialty. Never have I seen or heard that a consultant pharmacist changed a prescription, never! It's not allowed. You guys never even bothered to ask what the synergistic effect takes place. The practice is to confer recommendations on the prescription(myt be change in dose or suggest a more effective drug or delete an unnecessary drug, or correct drug interactions, suggest alternative therapy and lot of other things) with good reason and document the intervention. I tell you what? A doctor must therefore be cocksure of his prescription b4 the pharmacist comes to scrutinize. Those documented interventions are even more dangerous for the arrogant doctors cos if anything worse happens to the patient and the consultant pharmacist decides to publish his recommendation that wasn't taken by the doctor, he could lose his job or even his license.

Meanwhile, it's feel different when a doctor seeks an opinion from a consultant pharmacist, other than an ordinary pharmacist who just dispenses.

That's the reality of things. Our doctors want to boss everything, now tell me how this is unnecessary and won't help patient care.

Yes.....you should be a Consultant.
But in the Nigerian setting, it's a whole kettle of fish and YES, a Consultant Pharmacist has changed the prescription of a Medical Consultant.
What's are the other 20 states in US still waiting for since you told us what's obtainable in 30 states.
Your wikipedia said they practice in Pharmacies so I don't get it. Every profession keeps agitating for broader relevance in the scheme of things which isn't wrong actually but I'm wondering the reason for this sudden rush to open Internet pages and tell us what's obtained in a far advanced settings compared to our rural settings.
Personally don't see anything wrong with a Pharm D as you'd need it for a career advancement in the US.
Don't think we're ripe for the Consultancy here though.
NB - that's my personal opinion though

adeoladrg: And why hasn't it caused confusion in the other climes?

Nigeria is different from other climes. Besides we shld nt copy everytin we see elsewhere, wen ll other climes ever copy us. We shld do things dt will work in our own environment. Doctors r d captains in d health industry n their training r d broadest, having a consultant pharmacist is needless bc it ll lead to a situation where he ll b contesting doctors prescriptions so who is d boss. Nw dts d confusion we r talking abt.

infolekan:

Yes.....you should be a Consultant.
But in the Nigerian setting, it's a whole kettle of fish and YES, a Consultant Pharmacist has changed the prescription of a Medical Consultant.
What's are the other 20 states in US still waitng fe

That shouldn't be. There is a better way to hurt a doctor like I explained.

If there is a functional and effective post graduate college of pharmacy and you become a consultant pharmacist only after undergoing such training, why not? The Nurses should also get a post grad. College and med lab scientists too. Only after this will I agree.

If a CONSULTANT Pharmacist do all the above! What now does a PHARMACIST do? Educate us.

Pls jes STFU,ain't dere pharmacist with a Phd in clinical pharmacy
I find dis new development by pharmacist rather disappointing ,must u bear d title of being a consultant in a teaching hospt setting!
Most pharmacist in nigeria ve now restricted dere scope 2 d dispensation of drugs,I find dis again so disappointing

speckless: I wonder what kind of spirit that has descended on Nigerian pharmacist of this days. can't imagine an Indian pharmacist thinking this way struggling with doctors in the hospital where their main role is actually a dispenser?
it was initially a title fight pharm wazobia, now they want to be Dr pharm so and so, of late consultant pharm Dr..........
You guys should get busy and focus on drug manufacturing and research.
we are still waiting for oral insulin hmmm.

We all fight for international best practices, if it coincides with your ego, then it's your cup of tea.

Dispensing is the traditional role of pharmacists, not anymore!

goofed

Nigeria is falling apart! Are these not issues that are supposed to have been decided long time ago by both medical association, health ministry, leadership organizations of medical institutions etc?

And what is it with Nigeria and titles? Only in Nigeria do one find Eng. So & So, Pharm. this & that etc. Meanwhile theire work is in shambles.

Mmmm :-Xsomething is really wrong

ogawisdom:

Nigeria is different from other climes. Besides we shld nt copy everytin we see elsewhere, wen ll other climes ever copy us. We shld do things dt will work in our own environment. Doctors r d captains in d health industry n their training r d broadest, having a consultant pharmacist is needless bc it ll lead to a situation where he ll b contesting doctors prescriptions so who is d boss. Nw dts d confusion we r talking abt.

I thought I explained that part in my first post on this thread. If you find any pharmacist change a prescription, you have the right to report him to PSN or WAPCP. Pls reread my post.

Raymondenyi:
I have read tru ur argument; it is lucid, cogent n convincing; n if I say u anything short of an intellectual, den I'll be doing d general public a grave injustice...
But yet; u rightly wrote something up there; U unequivvocally agreed, dat "d doctor statutorily owns d patient" n its d prerogative of the doctor to invite any specialist to review or co -manage d patient as d case mmay be; now under dat same premise. : Don't U think, u should raise diust or stir up any battle (whether legal or otherwise) If dat same Doctor (who owns d patient) choose not to allow dat program, or incorperate any other consultant, cus he strongly believes it 'll do no good 4 his patient.?

Thank you.


See ehn! Only doctors abroad know the value of a pharmacist. One of the very channels to optimize a patients medication is to have a pharmacist around and not just a pharmacist, a consultant pharmacist who has undergone residency in the aspects that correlates to the patients illness.

That said, a doctor cannot determine whether or not he wants a pharmacist, the hospital system places him to fill that optimization role. You know most times, a lot of drugs prescribed are unnecessary but in naija theres no expert to optimize and it results in waste of money, drug burden, adverse effects and the likes.

For doctors to go on strike because of this, sir! It's inimical to the rights of the patients.

bigass:

When did pharmacist become a title?. You are Mr Sesan Kareem.

how else would a bigass who have sampled all dikcs around reason if not this way? If u must mess arounds with dikcs, chose d ones dat won't fukcc away d useful parts of ur brain. No offence, slutty slut.

sisiafrika: how else would a bigass who have sampled all dikcs around reason if not this way? If u must mess arounds with dikcs, chose d ones dat won't fukcc away d useful parts of ur brain. No offence, slutty slut.

i love big dikcs.is your father endowed?

bigass:

When did pharmacist become a title?. You are Mr Sesan Kareem.

Thank you.

That is why we keep emphasizing that Nigeria is not ripe for this "consultancy" tag applied to non-doctors in the health industry of Nigeria.

Our craze for title is gluttonous, imagine titles like pharm, Arch, Alh. Etc which have no place in saner climes are being paraded here with ignominy.

The truth is that we are just not ripe for this ill-wind in the health sector.

ogawisdom:

Nigeria is different from other climes. Besides we shld nt copy everytin we see elsewhere, wen ll other climes ever copy us. We shld do things dt will work in our own environment. Doctors r d captains in d health industry n their training r d broadest, having a consultant pharmacist is needless bc it ll lead to a situation where he ll b contesting doctors prescriptions so who is d boss. Nw dts d confusion we r talking abt.

but we must be quick to copy their salary structure?

BluIvy: Nigeria is falling apart! Are these not issues that are supposed to have been decided long time ago by both medical association, health ministry, leadership organizations of medical institutions etc?

And what is it with Nigeria and titles? Only in Nigeria do one find Eng. So & So, Pharm. this & that etc. Meanwhile theire work is in shambles.

Mmmm :-Xsomething is really wrong

If you see this as a bid to acquire titles, you might be correct cos it's an abysmal Nigerian thinking. But I wonder why you didn't look at how it benefits the patients. Why?

matify:

Thank you.

That is why we keep emphasizing that Nigeria is not ripe for this "consultancy" tag applied to non-doctors in the health industry of Nigeria.

Our craze for title is gluttonous, imagine titles like pharm, Arch, Alh. Etc which have no place in saner climes are being paraded here with ignominy.

The truth is that we are just not ripe for this ill-wind in the health sector.

A qualitative study of causes of prescribing errors
among junior medical doctors in a Nigeria in-
patient setting
Adetutu A Ajemigbitse 1, Moses K Omole2, Ogugua
F Osi-Ogbu 3, Wilson O Erhun 4
1 Department of Pharmacy, National Hospital
Abuja, University of Ibadan, Ibadan, Nigeria
2 Department of Clinical Pharmacy and Pharmacy
Administration, University of Ibadan, Ibadan,
Nigeria
3 Department of Medicine, National Hospital Abuja,
Federal Capital Territory, Ile Ife, Nigeria
4 Department of Clinical Pharmacy and Pharmacy
Administration, Obafemi Awolowo University, Ile Ife,
Nigeria


Aims: The aims of this study were to identify and
understand the factors underlying prescribing
errors in order to determine how to prevent them.
Materials and Methods: A prospective qualitative
study that involved face-to-face interviews and
human factor analysis in a Tertiary Referral
Hospital in Central Nigeria, from July 2011 to
December 2011.
Pharmacists in the study hospital prospectively
reviewed prescription orders generated by doctors
in selected wards (male and female medical,
pediatric and the private wing wards) and identified
prescribing errors. The 22 prescribers involved in
the errors were interviewed, and given
questionnaires to discover factors causing the
errors. A model of human error theory was used to
analyze the responses.
Results: Responses from the doctors suggest that
most errors were made because of slips in
attention. Lack of drug knowledge was not the
single causative factor in any incident. Risk factors
identified included individual, team, environment,
and task factors. Junior doctors were affected by
the prescribing habits of their seniors.
Organizational factors identified included
inadequate training/experience, absence of
reference materials and absence of self-awareness
of errors. Defenses against error such as other
clinicians and guidelines were absent or deficient,
and supervision was inadequate.
Conclusions: To reduce the risk of prescribing
errors, a number of strategies addressing
individual, task, team, and environmental factors
such as training of junior doctors, enforcing good
practice in prescription writing, supervision, and
reviewing the workload of junior doctors must be
established. Aims: The aims of this study were to
identify and understand the factors underlying
prescribing errors in order to determine how to
prevent them.
Materials and Methods: A prospective qualitative
study that involved face-to-face interviews and
human factor analysis in a Tertiary Referral
Hospital in Central Nigeria, from July 2011 to
December 2011.
Pharmacists in the study hospital prospectively
reviewed prescription orders generated by doctors
in selected wards (male and female medical,
pediatric and the private wing wards) and identified
prescribing errors. The 22 prescribers involved in
the errors were interviewed, and given
questionnaires to discover factors causing the
errors. A model of human error theory was used to
analyze the responses.
Results: Responses from the doctors suggest that
most errors were made because of slips in
attention. Lack of drug knowledge was not the
single causative factor in any incident. Risk factors
identified included individual, team, environment,
and task factors. Junior doctors were affected by
the prescribing habits of their seniors.
Organizational factors identified included
inadequate training/experience, absence of
reference materials and absence of self-awareness
of errors. Defenses against error such as other
clinicians and guidelines were absent or deficient,
and supervision was inadequate.
Conclusions: To reduce the risk of prescribing
errors, a number of strategies addressing
individual, task, team, and environmental factors
such as training of junior doctors, enforcing good
practice in prescription writing, supervision, and
reviewing the workload of junior doctors must be
established.


This is the reason for more knowledgeable pharmacists. Now tell me again how unripe we are for consultant pharmacists.

Olanight: Pls jes STFU,ain't dere pharmacist with a Phd in clinical pharmacy
I find dis new development by pharmacist rather disappointing ,must u bear d title of being a consultant in a teaching hospt setting!
Most pharmacist in nigeria ve now restricted dere scope 2 d dispensation of drugs,I find dis again so disappointing

d same way most nigerian doctors have reduced demselves to paracetamol prescribers, so so disapointing. Mis diagnosis upon mis diag.... Stfu already and face ur work

blinzho69: If a CONSULTANT Pharmacist do all the above! What now does a PHARMACIST do? Educate us.

its difficult to educate a bias and egocentric mind. If u insist, visit google.

sisiafrika: d same way most nigerian doctors have reduced demselves to paracetamol prescribers, so so disapointing. Mis diagnosis upon mis diag.... Stfu already and face ur work

Unnecessary surgery, wrong prescription, and always referring patients to India.

Only if they took half of the energy they exude hating fellow health professionals to improve their practice, we won't be wasting our money on Indiana trips.

matify:

Thank you.

That is why we keep emphasizing that Nigeria is not ripe for this "consultancy" tag applied to non-doctors in the health industry of Nigeria.

Our craze for title is gluttonous, imagine titles like pharm, Arch, Alh. Etc which have no place in saner climes are being paraded here with ignominy.

The truth is that we are just not ripe for this ill-wind in the health sector.

but we are ready to earn same as US doctors? Ready for surgeon general? Ready for specialized plate number? Double standard comes to mind.

adeoladrg:

Unnecessary surgery, wrong prescription, and always referring patients to India.

Only if they took half of the energy they exude hating fellow health professionals to improve their practice, we won't be wasting our money on Indiana trips.

u can say dat again and again. Dey are threatned and dis is just d beginning. Gone are d days of lording and worshiping, thank God for InfoTech.

bigass:

i love big dikcs.is your father endowed?

. I'm not surprised. Isn't it ur type dat rape male patients? Just don't infect ur patients with HIV nd odas.

if patients call U doctor in a hospital, will U explain to them that U arent? or will U assume the mantle the way all other hospital workers including cleaners do? its illegal U know, abi na because we no dey talk? U know our population is not very educated, and our professionals and auxillaries are not very scrupulous. if U are really interested in better service delivery, U should be asking the government for better equipment and improved training. u should not be asking for rank wey no get work. this is just a lust for power. thats all. if the general public knew U like we know U they would be as worried as we are. there is nothing doctors would like more than to leave non-medical work to others. it is tedious and without glamour, if to say dem fit do am we for leave am for dem naa, wetin dey inside? but they cant. like i said b4, WE KNOW THEM!! right from medical school to house-manship and beyond. we know what they are all about. JOHESU are not mature enough for wot they want. the nation is not ready for wot they want. they will use it to cause chaos in our health system. its not everything you see you copy. we should be careful wot we adopt from other countries. wot they will do and escape, we will do and get stuck, whether political, economic etc. their systems are designed in such a way that if other countries copy, they are destroyed. that is why they foist democracy on others because they know U cant cope with it at that point in time. is china democratic? pls why should we carry smthing they didnt even force us to carry and use it to harm ourselves? finally we wish we could leave it all to you so that you can mess it all up, so that everyone can see, but unfortunately we are part of the hospital setup and we would be a major part of your f##k up, so that is why we cant.

bigass:

When did pharmacist become a title?. You are Mr Sesan Kareem.

Ignoramus! You're still living in the '80s.

sisiafrika: how else would a bigass who have sampled all dikcs around reason if not this way? If u must mess arounds with dikcs, chose d ones dat won't fukcc away d useful parts of ur brain. No offence, slutty slut.

Very distasteful.

eazydoc: if patients call U doctor in a hospital, will U explain to them that U arent? or will U assume the mantle the way all other hospital workers including cleaners do? its illegal U know, abi na because we no dey talk? U know our population is not very educated, and our professionals and auxillaries are not very scrupulous. if U are really interested in better service delivery, U should be asking the government for better equipment and improved training. u should not be asking for rank wey no get work. this is just a lust for power. thats all. if the general public knew U like we know U they would be as worried as we are. there is nothing doctors would like more than to leave non-medical work to others. it is tedious and without glamour, if to say dem fit do am we for leave am for dem naa, wetin dey inside? but they cant. like i said b4, WE KNOW THEM!! right from medical school to house-manship and beyond. we know what they are all about. JOHESU are not mature enough for wot they want. the nation is not ready for wot they want. they will use it to cause chaos in our health system. its not everything you see you copy. we should be careful wot we adopt from other countries. wot they will do and escape, we will do and get stuck, whether political, economic etc. their systems are designed in such a way that if other countries copy, they are destroyed. that is why they foist democracy on others because they know U cant cope with it at that point in time. is china democratic? pls why should we carry smthing they didnt even force us to carry and use it to harm ourselves? finally we wish we could leave it all to you so that you can mess it all up, so that everyone can see, but unfortunately we are part of the hospital setup and we would be a major part of your f##k up, so that is why we cant.

As in, this sums up the whole ish.

...

annoymous:
Very distasteful.

ur opinion wasn't sought, no one asked for ur input, neither was ur observation nor evaluation requested. Do well to pocket them. Thanks

adeoladrg:

I thought I explained that part in my first post on this thread. If you find any pharmacist change a prescription, you have the right to report him to PSN or WAPCP. Pls reread my post.

If d doctors prescription is final in all medical conditions then why call a pharmacist a consultant. Wat role exactly is he expected to play or is he looking for titles without role. I believe we r on d same page nw

sisiafrika: but we are ready to earn same as US doctors? Ready for surgeon general? Ready for specialized plate number? Double standard comes to mind.

I, for one, am not interested in customized plate numbers and don't see the point of surgeon general and I'm sure a lot of doctors share my stand. But I don't see the point of johesu wanting to be called consultants. If you want to study further, fine. Everybody understands when they hear the 'attending' in US - very unambiguous. It helps because the patient knows who has the greatest responsibility in his care but when you start having 5 different consultants, it becomes chaotic. Of course nobody wants to earn as much as US doctors in Nigeria, that would be just plain selfish and senseless. Lastly, the even more disastrous effects of these issues are the unseen ones. All these doctors that you call names and say are no good are leaving the shores of this country and are doing well in the UK, US etc and are so not coming back meaning taxpayers money spent on training these doctors are wasted. The only losers in the long run are the average Nigerians or you think JOHESU cares about us?