₦airaland Forum

dechriscool:
The gang up against doctors is not only by allied health workers but also by some Nigerians. I did a post about how JOHESU members beat up Doctors at NAUTH just to registered their graviances against doctors in course o f this their strike .That post didn't see the day light.

However,the disparity in salary structure between doctors and JOHESU members can't be overemphasized.Read the statement of facts below to guard on the activities in the hospital

THE PATIENT COMES TO THE HOSPITAL TO SEE THE DOCTOR.

There are three group of people in the Hospital worldwide;

1. Doctor
2. Patients
3. Hospital support staff.

-A patient comes to a medical emergency unit rushed by his relatives.
-The DOCTOR sends for his file/folder to be retrieved by the MEDICAL RECORDS STAFF.
-The DOCTOR takes history from PATIENT and examines the PATIENT.
-The DOCTOR makes a diagnosis (or set of diagnosis-differential diagnosis).
-The DOCTOR asks the PHARMACIST to supply the drugs for the particular disease.
-The DOCTOR asks the NURSE to administer the drugs.
-The DOCTOR asks the PATIENT to go to Radiology department to do an X-RAY/CT-SCAN.
-The DOCTOR in the Radiology department (RADIOLOGIST) asks the RADIOGRAPHER to do the X-ray. The DOCTOR in the Radiology department (RADIOLOGIST) interprets the X-ray and writes a report to be taken to the DOCTOR in the Emergency.
-The DOCTOR in the Emergency unit uses the X-ray report to further treat the patient.
-The DOCTOR sends the PATIENT to the laboratory to do some tests.
-The DOCTOR in the laboratory (PATHOLOGIST) asks the LABORATORY SCIENTIST or LABORATORY TECHNICIAN to do the test or do the test himself if necessary.
The DOCTOR in the laboratory (PATHOLOGIST) interprets the report and sends the patient back to the doctor in the emergency.
-The DOCTOR evaluates the patient and asks for more drugs from the PHARMACY for the NURSE to administer.
-The DOCTOR admits the patient to the ward if patient is not good to go or discharges the patient if he is good.
-THE DOCTOR in the ward keeps on seeing the patient and evaluating his needs. THE DOCTOR calls for the assistance of the NURSE, PHARMACIST, LABORATORY SCIENTIST/TECHNICIAN, RADIOGRAPHER when the need arises.
But there is always a need for the DOCTOR to be in CONTACT with the progress of the patient.
-THE DOCTOR DISCHARGES the PATIENT home or CERTIFIES him dead as the case may be.

IT BEGINS WITH THE DOCTOR and PATIENT from admission and ends with DOCTOR and PATIENT on discharge from the hospital.

1. DOCTORS WORLDWIDE are LEADERS of the health sector in the best of centers.
-Google LIST OF BEST HOSPITALS IN THE WORLD.
A list of many hospital according to ranking would come up.
-Take the first 5, or 10, or 20 hospitals ONE BY ONE.
-For each hospital Google it's leadership.
-All would show you that the doctor is the head.
The CEO/CHIEF EXECUTIVE OFFICER of all the hospitals have MD or MBBS as their basic qualification. (Most of these doctors have no any other non-medical qualification).

PLEASE GOOGLE FOR YOURSELF
-THE BEST HOSPITALS in the world.
-Then LEADERSHIP OF EACH HOSPITAL.

2.)DOCTORS ARE PAID FAR BETTER THAN OTHER SUPPORT STAFF WORLDWIDE.
This pay gets far different when the DOCTOR is a SPECIALIST: CONSULTANT (UK/INDIA) or an ATTENDING PHYSICIAN (USA).

Google the best hospitals in the world and the salary of the workers.

Google for yourself.
Do not be fed with lies.

3.) CAREER PROGRESSION for DOCTORS.
Doctors have two pathways for progression in Nigeria:
i. NORMAL CIVIL SERVICE where you are promoted to the next grade after every 3years.
ii. POSTGRADUATE MEDICAL EDUCATION, where you enroll into residency and is only promoted after rigorous academic and practical training and passing of professional examinations.
After NYSC the doctor pays heavily to write an exam called primaries. After the primaries he/she undergo extensive training as a REGISTRAR and after 3-5years write the PART 1 exams to become a SENIOR REGISTRAR. After another 3-5years he writes another exam to become a FELLOW/CONSULTANT. Each of PART 1 and 2 exams advance the doctor only one grade level (e.g Part 1 exam after 3-5 years moves a DOCTOR from grade 12 to 13. Part 2 after another 3-5moves a doctor from grade 13-14).
The pass rate of these exams generally is between 10-30%.
Its difficult to progress through the postgraduate pathway. You may spend more than 6years without promotion.

GOOGLE THE TRUTH.

THE DRAMA PLAYING IN THE

MrBigiman:
It's already that way dude. Moreover a nurse cannot be specialist in Oncology, she makes no single decision the specialist does. Even if she has spent 20years, a Senior registrar who has spent 3 yrs in oncology should earn more. A Doctor trumps every other person in the hospital, the hospital was built for him and patients troop in to see him. All other thrashy workers should do his bidding or resign. If they want to be doctors they should have passed Jamb. 90% of Lab scientist filled in Medicine at one time or the other for God sake, so also 98% of male BSC Nurses, the non graduate nurses went to nursing school because they were too dumb to pass Jamb, today they want to be on the same salary scale as Doctor. Pure stupidity!

MrBigiman:
What Johesu wants is that if a nurse reaches level 15, then she and a Cardiologist at that level should earn the same pay, who does that? That what putting them at the same scale would mean.

blowjohn:
And ur talking.
And ur talking!
It's not funny o.
U spend 7 to 13 years in medical school learning about the human body ....later one person who can't even manage a diabetic wants to be ur boss!

Afrocentric:
you are right. The idiots almost killed me at LUTH

shullamite:
At least its clear where the problem in the health sector is coming from now. The doctors don't want other staff to enjoy a little increament of salary even after government has increased their slararies more than Three times in in four years. This is just a case of wickedness and man's inhumanity to man. The doctors are not the employer of labour but they are telling government what to do. It's a case of eating alone and wanting other people to die of hunger even though there is excess food to serve everybody. Let the world see how wicked the doctors are in Nigeria.

Let me tell you the truth early this year the government of Canada increased doctors salary but the doctors refused the increament and told the government to use the money to pay other health workers and improve the facilities in the hospitals for patients to enjoy. But in Nigeria the case is opposite.

emmanuelex1:
They even killed my dad thinking I will not know but luckily one the colleague revealed the error while blaming his colleague without knowing I am the son. They were lucky that I did not record it, hence I took no legal action as advised by our family lawyer. I hope to president this country some day just to deal with them thoroughly. I have a master plan already in my mind.

obstead200:
nonsense!!!
I no be doctor. Non of my family members are doctors. In fact some of them are johesu members. But I agree fully with the doctors on this. RELATIVITY IS SACROSANCT.

If u wanna be treated like a doctor, then just go and become a doctor!! Make we just stop all this ego and arm twisting. That is what is taking us backwards in this country.

Aa a chartered accountant and a masters degree holder with over a decade professional experience, I will find it very annoying if someone who has a mere B.sc accounting plus few years experience is placed on the same level and salary scale as myself in an office. The same situation applies here

chuksbogus:
You are not informed .Medicine and Nursing are different professions . A nurse is a consultant in surgical nursing not a consultant in surgery. Its the duty of the Dr to do the surgery and its the duty of the nurse to prepare that patient for surgery and nurse that patient to health after the surgery !! So I don't see why Drs should be fighting over noting. I don't blame them they are judge in their own case

bornolowu:
someone finishes the PHD from a university calls himself a doctor as he has finished his doctorate degree..the world has come to accept this terms but they are all borrowed words from medicine so also is the word consultant.

Hairyrapunzel:
Thank God the end of the book said pharmacy and patient assessment in pharmacy Not community health or medical or surgical management of a patient.
The patient will still have to see the medical doctor.
Pharmacists in Nigeria feel they are medical doctors because they assess patients who have been diagnosed and are already put on a treatment plan by medical doctors in the pharmacy.
You don't touch patients skin and you say you are equivalent to a medical doctor who doesnt perform surgeries. You guys are funny in Nigeria.

kowalsky:
I'll won't dignify your senseless banter with a detailed response. But note this.

They're good Nigerian doctors making giant strides everyday.

That the average Nigerian like you is battered by poverty and can't afford healthcare services, ergo forcing them to turn the way of 'chemists' is no fault of the Nigerian doctor.

When chemists start handling cases of heart attacks, remind me to accord them all the accolades they deserve.

Hairyrapunzel:
Eyaaa. Since you don't know that it's the doctors duty to make diagnosis and draw a treatment plan know now. Stop propagating falsehood. Do you know how to grade murmurs ? Can you confirm someone dead and give a death certificate? Do you know the uses of a sphygmomanometer? Do you even know the uses of a stethoscope? You don't know jack about management of a patient.

borrelia:
When I read this JOHESU vs Doctors thing, I just laugh. How will you expect a doctor who has spent like 13-14 years in training as a CONSULTANT to be addressed and have equal benefits with someone who has years of experience. Think about it. So, if a consultant draws out a treatment plan for his/her patient, a nurse who has years of experience can change it because he/she now answers the name CONSULTANT. in the long run, is patients that will suffer it.

shullamite:
At least its clear where the problem in the health sector is coming from now. The doctors don't want other staff to enjoy a little increament of salary even after government has increased their slararies more than Three times in in four years. This is just a case of wickedness and man's inhumanity to man. The doctors are not the employer of labour but they are telling government what to do. It's a case of eating alone and wanting other people to die of hunger even though there is excess food to serve everybody. Let the world see how wicked the doctors are in Nigeria.

Let me tell you the truth early this year the government of Canada increased doctors salary but the doctors refused the increament and told the government to use the money to pay other health workers and improve the facilities in the hospitals for patients to enjoy. But in Nigeria the case is opposite.

Elueme:
I wish u could digest the NMA position before posting this crap..
NMA is not against pay rise for anybody but ask that relativity be sacrosanct according to international best practice.. A doctor with several academic battering and fellowship struggle cannot be on same salary scale with a nurse or pharmacist.. forget the age and all, the quality of service isn't same irrespective of how old one has been in service. We must learn to respect professionalism in this country.
Johesu was formed to hang up against the doctors in the health sector because they feel with their strength they can arm twist the government.. Some of it's demands ate briddled with ego, jealousy and desire to reap where one didn't sow. The door is wide open for any who wishes to study medicine. No following short cut, go back to school and be accorded same status.

bornolowu:
the fault with this is that a laboratory scientist cannot make a diagnosis (trust me there are serious conditions that require the expertise of a doctor to diagnose ) a lab scientist is not trained enough to make diagnosis ...same for a radiographer etc.. for example optometrist own stores everywhere where they claim to treat eye conditions, but unfortunately, they can only cut you glass for refractive errors . They direct the patient tto go meet the ophthalmologist . There is no need duplicating profession. As it is everwhere in the world, if you want to make diagnosis, lead a department o hospital, go to the university, study medicine and surgery as same goes everywhere in the world, nigeria will not be different.

Hairyrapunzel:
Can't other healthcare workers negotiate terms with government without hinging their demands on what doctors are getting?
The cycle continues. Hope they paid April salary?

Freddonance:
My dear, a pharmacist knows less than 1/1000 of what a doctor knows.
when doctors are discussing medicine a pharmacist will comprehend far less than one tenth(1/10) of what is discussed that is if he will understand it at all. The gap of knowledge between a doctor & a pharmacist is immeasurable.

ubergold:
This is very similar to what is going on in higher institutions. Non academic staffs feel they should have equal pay and benefits forgetting that both of them get their qualifications through different level of work. I find it funny that NMA had to release this memo for the employer (Govt) to be aware. Their request for relativity is common sense. A doctor goes through many rigors to be able to practice, just like a lecturer has to Keep upgrading himself and publish papers in order to keep his job so they can't be on the same level with other medical personnel

MrBigiman:
Shame on Johesu!

CSTR1003:
wetin concern you?
na you go pay am?

dechriscool:
The gang up against doctors is not only by allied health workers but also by some Nigerians. I did a post about how JOHESU members beat up Doctors at NAUTH just to registered their graviances against doctors in course o f this their strike .That post didn't see the day light.

However,the disparity in salary structure between doctors and JOHESU members can't be overemphasized.Read the statement of facts below to guard on the activities in the hospital

THE PATIENT COMES TO THE HOSPITAL TO SEE THE DOCTOR.

There are three group of people in the Hospital worldwide;

1. Doctor
2. Patients
3. Hospital support staff.

-A patient comes to a medical emergency unit rushed by his relatives.
-The DOCTOR sends for his file/folder to be retrieved by the MEDICAL RECORDS STAFF.
-The DOCTOR takes history from PATIENT and examines the PATIENT.
-The DOCTOR makes a diagnosis (or set of diagnosis-differential diagnosis).
-The DOCTOR asks the PHARMACIST to supply the drugs for the particular disease.
-The DOCTOR asks the NURSE to administer the drugs.
-The DOCTOR asks the PATIENT to go to Radiology department to do an X-RAY/CT-SCAN.
-The DOCTOR in the Radiology department (RADIOLOGIST) asks the RADIOGRAPHER to do the X-ray. The DOCTOR in the Radiology department (RADIOLOGIST) interprets the X-ray and writes a report to be taken to the DOCTOR in the Emergency.
-The DOCTOR in the Emergency unit uses the X-ray report to further treat the patient.
-The DOCTOR sends the PATIENT to the laboratory to do some tests.
-The DOCTOR in the laboratory (PATHOLOGIST) asks the LABORATORY SCIENTIST or LABORATORY TECHNICIAN to do the test or do the test himself if necessary.
The DOCTOR in the laboratory (PATHOLOGIST) interprets the report and sends the patient back to the doctor in the emergency.
-The DOCTOR evaluates the patient and asks for more drugs from the PHARMACY for the NURSE to administer.
-The DOCTOR admits the patient to the ward if patient is not good to go or discharges the patient if he is good.
-THE DOCTOR in the ward keeps on seeing the patient and evaluating his needs. THE DOCTOR calls for the assistance of the NURSE, PHARMACIST, LABORATORY SCIENTIST/TECHNICIAN, RADIOGRAPHER when the need arises.
But there is always a need for the DOCTOR to be in CONTACT with the progress of the patient.
-THE DOCTOR DISCHARGES the PATIENT home or CERTIFIES him dead as the case may be.

IT BEGINS WITH THE DOCTOR and PATIENT from admission and ends with DOCTOR and PATIENT on discharge from the hospital.

1. DOCTORS WORLDWIDE are LEADERS of the health sector in the best of centers.
-Google LIST OF BEST HOSPITALS IN THE WORLD.
A list of many hospital according to ranking would come up.
-Take the first 5, or 10, or 20 hospitals ONE BY ONE.
-For each hospital Google it's leadership.
-All would show you that the doctor is the head.
The CEO/CHIEF EXECUTIVE OFFICER of all the hospitals have MD or MBBS as their basic qualification. (Most of these doctors have no any other non-medical qualification).

PLEASE GOOGLE FOR YOURSELF
-THE BEST HOSPITALS in the world.
-Then LEADERSHIP OF EACH HOSPITAL.

2.)DOCTORS ARE PAID FAR BETTER THAN OTHER SUPPORT STAFF WORLDWIDE.
This pay gets far different when the DOCTOR is a SPECIALIST: CONSULTANT (UK/INDIA) or an ATTENDING PHYSICIAN (USA).

Google the best hospitals in the world and the salary of the workers.

Google for yourself.
Do not be fed with lies.

3.) CAREER PROGRESSION for DOCTORS.
Doctors have two pathways for progression in Nigeria:
i. NORMAL CIVIL SERVICE where you are promoted to the next grade after every 3years.
ii. POSTGRADUATE MEDICAL EDUCATION, where you enroll into residency and is only promoted after rigorous academic and practical training and passing of professional examinations.
After NYSC the doctor pays heavily to write an exam called primaries. After the primaries he/she undergo extensive training as a REGISTRAR and after 3-5years write the PART 1 exams to become a SENIOR REGISTRAR. After another 3-5years he writes another exam to become a FELLOW/CONSULTANT. Each of PART 1 and 2 exams advance the doctor only one grade level (e.g Part 1 exam after 3-5 years moves a DOCTOR from grade 12 to 13. Part 2 after another 3-5moves a doctor from grade 13-14).
The pass rate of these exams generally is between 10-30%.
Its difficult to progress through the postgraduate pathway. You may spend more than 6years without promotion.

GOOGLE THE TRUTH.

THE DRAMA PLAYING IN THE

emmanuelex1:
They even killed my dad. I hope to president this country some day just to deal with them thoroughly. I have a master plan already in my mind.

Freddonance:
My dear, a pharmacist knows less than 1/1000 of what a doctor knows.
when doctors are discussing medicine a pharmacist will comprehend far less than one tenth(1/10) of that is if he will understand it at all. The gap of knowledge between a doctor & a pharmacist is immeasurable.

MrBigiman:
Nothing like equity. Doctors lay down their youth and all to practice for humanity. A thoroughly bleeped lab gal who cohabited through out her nondemanding 5years wants to be on the same scale as him. Mention a single sane country where doctors are one the same scale as pharmacist, nurses and lab Scientist. You have ur internet, use it. If u show me any advanced country with that model, then I will immediately switch sides. If not, shame on u and all Johesu members.