omatynx:
The blood of all innocents that has and are still losing their lives because of these selfish humans will be on their head. Their are other better ways this can be done. The so called government officials dont use your services, they go abroad.

May Gods justice prevail on these doctors that swore an oath to save lives but for selfish gain has seen lots of life lost for minor causes.

I am already affect....its quite painful.....

Doctors are working, nobody is dying! Go to the Hosp pls

Hairyrapunzel:

When it is time to go to court, you will say the doctor owns the patient.

Intl best practices! I have a pharmacist friend in Aus who was suspended and penalized for dispensing a drs prescription to a patient. The drug was wrong for the patient and he did not query it. Not only d dr but the pharm was also penalized!

Hairyrapunzel:


The current head of WHO is a biologist na what difference does it make. WHO is an organization not an institution. WHO is concerned about international public health and not hospital leadership in countries
This man self will not even be qualified to be a johesu member in Nigeria. He can't even work in Nigerian Hospitals thanks to johesu branch of medical lab scientists.
The surgeon general is an anaesthesiologist and is a medical doctor. No dey lie. Propagandist.
You don't even know what the WHO is and you say you want to lead the health team. Quack doctor.

I sorry for you because you can never learn. At least search engines could have helped you

DABMarkNig2019:

I sorry for you because you can never learn. At least search engines could have helped you

She's right you know.

Hairyrapunzel:


The current head of WHO is a biologist na what difference does it make. WHO is an organization not an institution. WHO is concerned about international public health and not hospital leadership in countries
This man self will not even be qualified to be a johesu member in Nigeria. He can't even work in Nigerian Hospitals thanks to johesu branch of medical lab scientists.
The surgeon general is an anaesthesiologist and is a medical doctor. No dey lie. Propagandist.
You don't even know what the WHO is and you say you want to lead the health team. Quack doctor.

So what's the difference between organization and institution? So WHO supervising and pioneering policies of the healthcare systems around the world that even ranked NMA led health sector very low in the whole world-187 out of 190 countries. I see you are daft and there is no need arguing further because your mind is already closed to information. I am a proud physiotherapist and I love what I do. I support JOHESU fully because they are fighting for the enthronement of efficient and effective health sector.

Thanks18:


So what's the difference between organization and institution? So WHO supervising and pioneering policies othe healthcare systems around the world that even ranked NMA led health sector very low in the whole world-187 out of 190 countries. I see you are daft and there is no need arguing further because your mind is already closed to information. I am a proud physiotherapist and I love what I do. I support JOHESU fully because they are fighting for the enthronement of efficient and effective health sector.

Johesu is fighting for equal pay with doctors but are hiding under the guise of fighting for efficient and effective health sector. They want good health sector yet they pose as medical doctors in Nigeria doing what's not their job.
That's how one pharmacist said they can prescribe drugs using kalo or trial and error because they are medical doctors who don't perform surgeries. You guys are the reason Nigeria ranks low in healthcare delivery and the reason is that you claim to see patients yet you don't know jack about diseases.
Do your job the right way and see if Nigeria will not rank high in healthcare delivery. Johesu make up the quacks doctors in Nigeria. Even cleaner dey claim doctor. Be killing Nigerians everyday.

thedondada:



She's right you know.

okay.

DABMarkNig2019:

I sorry for you because you can never learn. At least search engines could have helped you

See somebody that has learnt and he keeps spreading lies. Quack doctor.

Deniceone:

Intl best practices! I have a pharmacist friend in Aus who was suspended and penalized for dispensing a drs prescription to a patient. The drug was wrong for the patient and he did not query it. Not only d dr but the pharm was also penalized!

At the end of the day both doctor and pharmacist penalized. Not the pharmacist alone. The doctor is always held accountable for his prescription. The pharmacist had a right not to dispense the drug and contact the doctor yet he chose not to do so. He dispensed knowing the drug was wrong. In this case he was not supposed to dispense and was also meant to call the doctor who sent the patient.
A pharmacist can never be penalized alone in these kind of cases. The doctor always goes down.
It is still the doctor's patient because he is charge of managing the case.
This is where team work comes into play. If a pharmacist doesn't feel a prescribed drug is not right, the doctor is contacted and it is at the doctor's discretion to review the prescription. If the pharmacist is not still convinced he has the option of not dispensing gbam.

Hairyrapunzel:

Johesu is fighting for equal pay with doctors but are hiding under the guise of fighting for efficient and effective health sector. They want good health sector yet they pose as medical doctors in Nigeria doing what's not their job.
That's how one pharmacist said they can prescribe drugs using kalo or trial and error because they are medical doctors who don't perform surgeries. You guys are the reason Nigeria ranks low in healthcare delivery and the reason is that you claim to see patients yet you don't know jack about diseases.
Do your job the right way and see if Nigeria will not rank high in healthcare delivery. Johesu make up the quacks doctors in Nigeria. Even cleaner dey claim doctor. Be killing Nigerians everyday.

You making sense

The funny thing is that...most people will just open their mouth to say what they don't know about. Let's bring it out of hospital to a normal job environment. We have a cleaner, his supervisor, the typist, a PA and the boss for example. Will it be right for the supervisor of the cleaner to strike because he is not getting equal pay as the PA? Or the typist saying, we are all equal here, I want to have thesame pay as the boss?? Let's think out of the box. Millions r dying everyday on wot is not even supposed to be. Whether we like it or not, the major reason for this strike is simple.... OJUKOKORO. They want to be their own boss and stop getting orders from doctors with the equal salaries as evidence. We need to wake up.

can one call a Nigerian trained doctor to his error?

Hairyrapunzel:


At the end of the day both doctor and pharmacist penalized. Not the pharmacist alone. The doctor is always held accountable for his prescription. The pharmacist had a right not to dispense the drug and contact the doctor yet he chose not to do so. He dispensed knowing the drug was wrong. In this case he was not supposed to dispense and was also meant to call the doctor who sent the patient.
A pharmacist can never be penalized alone in these kind of cases. The doctor always goes down.
It is still the doctor's patient because he is charge of managing the case.
This is where team work comes into play. If a pharmacist doesn't feel a prescribed drug is not right, the doctor is contacted and it is at the doctor's discretion to review the prescription. If the pharmacist is not still convinced he has the option of not dispensing gbam.

DABMarkNig2019:

You are only an Internet fighter who doesn't read or make research. Maybe you are leaving in denial however google can be your friend too. I can't argue with you because i know you people were taught the act of self deception.
If it pleases you, google non medical prescribers and get to know what international best practices is. NMA is afraid of seeing this happening in Nigeria so the name calling. Your insinuation that pxcists knows nothing about diseases and diagnosis can best be left to your imagination.

Pharmacists don't know jack about diseases and their management na. They can't diagnose diseases cos it's not their job to do so. Have you been to those countries to know what's obtainable? Be there doing quackery and keep killing people. You don't even know your job description. Be lying anyhow because you want people to see you as a medical doctor when you are a pharmacist.
Apart from OTC'S pharmacists can't prescribe any other drug in developed countries. You don't prescribe for what you don't know. Pharm D only has business with an individual that has a prescription already. This individual is confirmed by doctors to be ill, the illness given a name by doctors and treatment plan given by a doctor. If the treatment plan contains drugs being prescribed, then the pharmacist dispenses. Don't be lying to unsuspecting people because your lecturers have always put it in your head that you can do what a physician does

Hairyrapunzel:

Pharmacists don't know jack about diseases and their management na. They can't diagnose diseases cos it's not their job to do so. Have you been to those countries to know what's obtainable? Be there doing quackery and keep killing people. You don't even know your job description. Be lying anyhow because you want people to see you as a medical doctor when you are a pharmacist.
Apart from OTC'S pharmacists can't prescribe any other drug in developed countries. You don't prescribe for what you don't know. Pharm D only has business with an individual that has a prescription already. This individual is confirmed by doctors to be ill, the illness given a name by doctors and treatment plan given by a doctor. If the treatment plan contains drugs being prescribed, then the pharmacist dispenses. Don't be lying to unsuspecting people because your lecturers have always put it in your head that you can do what a physician does

I understand that truth is always bitter and difficult to swallow.
when you grow up quote me up.

DABMarkNig2019:

I understand that truth is always bitter and difficult to swallow.
when you grow up quote me up.

The truth is really bitter for you to swallow. Prescribing specialist for disease you know nothing about. When you know you are wrong accept it. Quack doctor. When it's your family you take them to the hospital yet you want to kill non family members. You still have not mentioned a developed country where pharm D holders diagnose and prescribe drugs that are not OTC's.

"NUC" AND CURRICULUM REVIEWS: CAREER PROGRESSION OR CARICATURE OF MEDICINE:
"DOCTORING" NIGERIANS TO DEATH!

By DR. KAYODE O.V.

"The world is a dangerous place not because of those who do evil, but because of those who look on and do nothing" (Albert Einstein).

It was about few years ago when I went to one of the pharmacies in town to get some drugs. There were so many people on the queue including Nursing mothers and their apparently ailing children (that is what is in vogue now, mothers with very ill children parading drug stores instead of hospitals).

I had just finished paying when I realized the woman behind me was carrying a grunting child (the child was having laboured breathing) while still asking for more medications. In her words: "the child never get better o, infact he still dey cough and no dey sleep well at night. Na so so 'hun - hun' he dey do". I moved away as if I was leaving the store but I realized the attending shop owner (a Pharmacist by the way) was trying to give another rounds of bottled drugs. I was unsure of what to do. This is Nigeria where any attempt to introduce yourself and help as a doctor is perceived as pride so I tried to move on.

Here is a child who needs supplemental Oxygen and intravenous antibiotics at the least, being stuffed with oral drugs. No one tries that in developed climes selling antibiotics on the counter without prescription. Yet we want to copy those concepts that soothe us from UK or US while ignoring what made those novel ideas work.

Going further, I managed to slow down momentarily at the second thought and quickly made a side turn towards the woman while her child drugs were being put together. " Madam, I said , take this child to the hospital, he needs serious medical attention."
What a joke I was. She didn't move an inch, instead looked at me for a split of seconds and then turned to pay for her drugs.

And of course, the shop owner was so displeased that he was trying to get my identity. That is the kind of health system Nigeria operates. No regulation whatsoever and you are wondering why we still lead the mortality packs? And that is the fault of the doctors?

Whereas you cannot get a dose of antibiotics in US or UK unless prescribed, you can have dozens on the counter here in Nigeria just by naming the drugs verbally at any chemist or pharmacy stores. And who cares?

That is the country that wants to empower more non-medically qualified as consultants.

My country now has decided to offer Medical laboratory scientists: Doctor of Medical laboratory science (MLS -D) as a 6 - year undergraduate course! Magical!

Even in Britain, Ireland and USA which we always like to "copy copy" as an example of international standard, MLS - D is a postgraduate degree.

More than 10years ago, MLS was a 4- year course and then within few years of starting this degree of a course that used to be a diploma, it was "updated" to a 5 - year course. See career progression o!

And May this year, MLS is now a 6- year course with more courses from Medicine and Surgery being added to their curriculum! More Pharmacology and therapeutics, more Embryology and more dissection in gross anatomy as an undergraduate of MLS!

National Universities Commission (NUC) - U na weldone o! Is this a Medical student curriculum or what? I read that document and I knew Nigeria has missed it again!

Prof. Abubakar Rasheed of the NUC sir, creating a pseudo - medical degree in the name of curriculum update in a country that loves empty titles and quackery is the worst thing to do for humanity in this part of the world. This is a major blunder sir and I don't know which global University you are copying sir.....How did you get this job sir?

Every health allied course now strives to do internship and to upgrade their curriculum thus extending their years in Schools in the name of career progression. It is highly noted.

No one becomes a medically qualified doctor by wishes, it is by going to a medical school. Neither, does the number of years one spends in a particular school equate the knowledge acquired in that school to practicing medicine.

Otherwise, Catholic Priests would have been the most qualified for the job of practicing medicine, spending 9 straight years learning Philosophy, Theology and doing Pastoral work. Albeit they are doctors of souls, Priests like that know their self - worth and what they have been called to do!

Prof Rasheed Abubakar should be ready to upgrade other allied health sciences in the nearest future really:

Undergraduate students of Nursing, Physiotherapy, Radiography, Pharmacy, Generator technicians and students studying Transport management with love for hospital work should get ready to have 1 or 2 extra years without having carry- overs, it is a year of career progression!

It is interesting to note that doctoral programme in clinical laboratory in UK is just becoming popular as a postgraduate degree! (You can search the web please). Here Nigeria is starting a doctorate undergraduate degree....incurable madness. Who cursed this nation? Oh Flora, oh Lugard: you did more harm than good really!

Ours is faulty amalgamation.

What else?

The politicians are so happy presently, they have given us something to chew for a very long time. At this time when we should be scouting for better leadership, we are cocooned into myriads of requests on career progression: Consultancy, Postgraduate fellowship like a a sandwiched programme, curriculum extension, equity. Only in this already asphyxiating health care sector? Incredible.....

Should Britain have been operating full of flaws like this, President Buhari and his political appointees would have stayed behind from London Doctors!

Or is it the London Scientists Doctor they were seeing? Very inundating I must say.

While we praise and salute the courage of those Nurses, Pharmacists, Technicians and other respected health care workers who have travelled far and near. Who are exposed to international practice of appointments and promotions, who understands the ethics and formidable roles they play without being undermined as part of the health team, we would not allow pretentious individuals pass their unfounded claims as the truths uncontrollably!

Therefore, for all those vituperations and absurdities I have read and witnessed since this JOHESU brouhaha started, I have these to say:

While exposure level to international practice by various individuals determines their responses to different posts on the social media and other public domains, such responses also reflect the cerebral complacency and one's neuronal maturation dictated by circumstances of birth vis-à-vis: severely jaundiced or not; asphyxiated or well oxygenated at birth?

Some experience both disasters at birth and thus making further engagements on issues like this a tempestuous calamity.

Never argue with an inept!

What meaningful discussion can one hold with an autistic child who is always in his or her own world: fantasizing and conjuring! If you know, you know!

There is also the theory of redefining terms as ingredients or part of this career progression attempts or is it elongation?

Such attempt of redefining known language or terminologies is similar to someone with waves of ideas as occurs in neologisms of cerebro-vascular accident or of frontal lobe lesions in central nervous system tumours or hysteria of "transmission transmission" aetiology! Such people can thus go to any length to discredit facts but that does not invalidate the truth!

For better understanding of these tirades: How do you explain that someone defining medical students as all students who attend the faculty of health sciences namely, the Nursing students, the Pharmacy students, the students of Radiography and other what have you.

Lumping Medical students who study medicine to become physicians with allied health sciences is the height of delusion. At this age when Google or Wikipedia is so handy, may such ailing souls receive healing soon enough!

This is all in the name of rewriting the history to sell the "equity theory". " Ko joo o" Frog and toads are different, just drop it.....

If we had decided to let go of all the frenzies about equity of pay and not equality of work. How a generator technician should have pay parity with the Pharmacists or the gatemen with the hospital legal team is what I have not been able to wrap around my torso. It doesn't worth my brain really.

But how do you then reconcile the NUC curriculum update of MLS -D with international practices of Universities worldwide?

When there are increasingly less doctor - patient ratio in Nigeria, NUC decided to give us more Dr of Medical laboratory sciences. What a home goal!

"Itsorite" By the time we finish our politics and sentiments in the health sector, government hospitals would be a very good monument!

Every silence is a consent, we are done keeping it cool therefore!

For the more we had kept mute, the more we have been "jostled by the buncombe, and deafening gobbledygook of information persistently flooding our screens, it is time we spoke for posterity's sake.

After all, it is the era of self reporting journalism as we shift from our primary roles of caring for the sick masses to inflicting further pains on already drained citizens. The citizens too cannot feign ignorance of these caricature of a health system or it will be fatal.

For the Medically qualified ones, stand tall and maintain your ethics. Be happy you are being copied....no one copies an idiot! But guide the profession well to the admiration of the Ancestry Hippocrates!

Meanwhile, Kudos to the selfless team of Irrua Doctors who saved the 19 victims of road crash. Either JOHESU members were there or not, no human life is worth loosing. You guys have further corroborated that medicine is more of empathy than spineless emotions. Thank you.

In closing, the political quandary and quagmires of the present Nigeria's clinical state cannot be sorted out even by the best of hands working tirelessly in the best ICU, yet the only song that has filled our ears has been creating parallel promotions and alternatives to studying Medicine in dissimilar fields.

No sensible homo sapien is against career progression because human minds abhor monotonous. But requesting for such career progression must never be by using entirely divergent career templates. That is to say the least ambiguous, fraudulent, chaotic unfounded and counter productive.

The Federal government must rise up against all these multi - hydra requests and caricature of career progression and equity or Nigeria slips further down the line in health indices!

But apparently, its may be none of the FG business; German and London doctors are waiting!

By that time we are done keeping quite, Codeine and tramadol abuse will be the least of our problems that time; antibiotics resistance from proliferation of quacks will be small compare to Ebola hemorrhagic disease!

Abeg! Call me the Consultant HOSPITAL driver with all due respect I need to leave this place NOW!

Never ending health crisis

GL 1
GL 2. CONHESS 1
GL 3. CONHESS 2
GL 4. CONHESS 3
GL 5 CONHESS 4
GL 6 CONHESS 5
GL 7. CONHESS 6
GL 8 CONHESS 7
GL 9 CONHESS 8
GL10 CONHESS 9 CONMESS 1
GL12 CONHESS 10 CONMESS 2
GL13 CONHESS 11 CONMESS 3
GL14 CONHESS 12 CONMESS 4
GL15 CONHESS 13 CONMESS 5
GL16 CONHESS 14 CONMESS 6
GL17 CONHESS 15 CONMESS 7

For the benefits of those asking us what is really happening currently in the tertiary health sector. The conflict centres around MONEY and LEADERSHIP positions which in turn is link to money. Other confounders are gross indiscipline, ego, lack of job description, failure of supervision and conflict of interest. As a whole, it is a systemic failure needing urgent, radical and wholistic repair to prevent complete collapse.

There are currently two salary structures in the public tertiary hospitals in Nigeria. They are called CONMESS for medical doctors and CONHESS for all other hospital workers including those in the administration and accounts. CONMESS was born on 29/09/2009 via the circular SWC/S/04/S.410/220 while the CONHESS was born on 08/12/2009 through the circular SWC/S/04/S.410/Vol.II/349 of National Salary Income and Wages Commission (NSIWC) respectively. Both the two salary structures are consolidated and derived from the traditional grade level (GL) system as shown above. Note that there is no GL 11 in the traditional grading system for all civil servants which is taken care of in both CONMESS and CONHESS, hence the APPARENT lack of level skipping in them.

The States and local government councils are still using the traditional grading system and pay less than the FG. To my knowledge only Yobe State has just started paying health workers exactly as the FG!

I will be using the traditional grade level system for ease of understanding. Very very few people including those in the Accountant General of the Federation's office easily comprehend the interrelationship of the 3 salary scales.

Between 1998-2013, doctors and any other hospital worker of equivalent level had identical basic salary while between 2009-2013 they had identical basic salary, hazard and teaching allowances. The differences were in call allowances where doctors earned higher and specialist allowance to medical consultants or specialists on GL 15-17 only. Note that doctors on GL 15-17 that are not specialists are not PAYED specialist allowance. In 2014 relativity was restored where the basic salary of doctors became 20-50% higher than equivalent levels of other hospital workers from GL 13-17 only. There had always been differential pay relativity between doctors and other health workers from 1960 to 1998 at various ratios. In the years 1998-2013 that was when relativity was lost. When it was restored in 2014, the conflict resolution compromise was to forgo 25 years of arrears.

After graduation from medical school, a doctor practices for 12 consecutive months under supervision of a specialist or a very senior doctor of no less than GL 15 before given licence to practice independently. These group of doctors are called house officers. Pharmacists, degree nurses and medical lab scientist have similar program and they are called interns. They are employed at GL 10 for doctors and GL 9 for the other 3 until around 2013-2014 except for degree nurses that started internship around 2016-2017. Both earn salary for one year only because of the services they offered, but they are not regular staff and hence not the entry points in to civil service.

The entry points (post NYSC) for doctors in to civil service were GL 12, pharmacists GL 10, medical laboratory scientists GL 10, degree nurses GL 9 and non degree nurses GL 8 in the tertiary public hospitals. In contrast entry point for degree holders in other ministries is GL 8. In 2013 the National Industrial Court of Nigeria (NICN) passed a judgement for skipping of GL 12 for health workers on CONHESS ie any other hospital worker except doctors. So the entry point of pharmacists, medical lab scientists (and degree nurses around 2017-2018) still remains GL 10 with skipping of GL 12 around 2013-2014. In view of this, the entry point of doctors now shifted to GL 13 between 2016-2017. Other health workers are variously employed at GL 8-9.

Medical doctors can pursue their post graduate studies through Residency Training Program (RTP) or traditional postgraduate degrees of MSc and PhD otherwise they join the public service like any other degree holder. Doctors that join the RTP in tertiary and teaching hospitals are called Resident doctors. They gain entry only after passing an exam with a pass rate of 35-45% and average waiting time of 2-4 years. They are doctors under training to become specialists. They are temporary staffs throughout the training and get promoted only after passing exams, 2-4 years after starting the program in the first stage and 3-5 years in the second stage. This is a privilege enjoyed by 15-25% per exam. The specialist exams are conducted twice a year in Ibadan and Lagos. Other health workers including specialist medical doctors are permanently employed in the hospital. The latter are also University lecturers for teaching, research and supervision of undergraduate and postgraduate students including non doctors.

Medical doctors with first degree in the University are employed as Lecturer II similar to PhD holders while every other degree holders are employed as Graduate Assistants, in the military doctors occupy the rank of equivalent of army Lieutenant and 2nd lieutenant in others, DSP and ASP in police, in Custom and Immigration same, SIO1 and SIO2 in DSS respectively.

The other aspect is that of leadership.

a) At present both the substantive and State ministers are medical doctors (prerogative of Mr President).

b) The following are departments in the Federal Ministry of Health (FMOH), ii, iii and iv are headed by medical doctors http://www.health.gov.ng/index.php/department/84-departments.

i) Department of Procurement with two divisions; capital and recurrent.

ii) Department of Family Health with five divisions; Child Health, Gender adolescent school and elderly care, Health promotion, Nutrition and Reproductive Health.

iii) Department of Health Planning Research and Statistics.

iv) Department of Public Health with eight divisions; Non-communicable diseases, Neglected Tropical diseases, Occupational health and safety, Port health services, National Tuberclosis and Leprosy Control Programme, National Malaria elimination programme, HIV AIDS and Epidemiology services.

v) Department of Finance and Accounts.

vi) Department of Human resources.

vii) Department of Food and drug services.

c) The following are agencies under FMOH http://www.health.gov.ng/index.php/department/79-the-ministry. Agencies i, iii and iv are headed by medical doctors.

i) National Primary Health Care Development Agency (NPHCDA).

ii) National Agency for Food & Drugs Administration and Control (NAFDAC).

iii) National Health Insurance Scheme (NHIS).

iv) National Institute of Medical Research (NIMR).

d) All the chief executives of tertiary hospitals are specialist medical doctors (Act of the National Assembly). There are 13 Federal Specialty Hospitals, 21 Federal Medical Centres and 22 Federal Teaching Hospitals http://www.health.gov.ng/index.php/department/83-parastatals.

e) The following are directorates in the tertiary hospitals

i) Director of Clinical Services and Training/Chairman Medical Advisory Committee headed by specialist medical doctor. There are divisions like 2 deputies headed by specialist medical doctors, (deputy) director nursing headed by a nurse, (deputy) director pharmacy headed by a pharmacist.

ii) Director of Administration headed by an administrator with divisions that include establishments, account and supply, audit, expenditure, works, nutrition, kitchen, laundry, security, etc.

f) Headship of clinical departments, clinical and training laboratories in the tertiary hospitals for teaching, training and research of undergraduate and postgraduate students. They are all headed by specialist medical doctors/unversity lecturers and in the laboratories they are also called Pathologists with units headed by optometrists, radiographers, medical scientists, technicians etc.

In my opinion the solutions to the unending crisis in the health sector are mainly,

1. Implementation of the Presidential Committee of Experts on Inter-Professional Relationship in the Public Health Sector report by Yayale Ahmed committee submitted to FG on 19/12/2014.

2. Invitation of "foreign" experts like PricewaterhouseCoopers and Agenda for Change for proper job evaluation and placement.

3. Consideration for law amendments and the movement of all tertiary hospitals under affiliated universities. They also have their issues, but they seem to be relatively more stable. There is high academic loss in the current setting.

4. Strengthen and make wholistic coverage the National Health Insurance Scheme (NHIS), and then privatise all tertiary hospitals. Both LGA, States and FG shall concentrate in primary and secondary health care services especially the former. In my limited opinion, this is the best long term solution to our low quality health care services in Nigeria. There shall also be active support for purely private investments in health. The investors will decide who heads or leads who, what, which and how.

5. Positions of leadership in the FMOH, parastatals and its agencies can be tackle by the FG as it deems fit.

You can correct me where I erred. May God forgive my mistakes.

Aknowledgement: Dr N.L. Orhue, my friends in other climes.

ibrahim Toli
doctoli@gmail.com

Hairyrapunzel:


The current head of WHO is a biologist na what difference does it make. WHO is an organization not an institution. WHO is concerned about international public health and not hospital leadership in countries
This man self will not even be qualified to be a johesu member in Nigeria. He can't even work in Nigerian Hospitals thanks to johesu branch of medical lab scientists.
The surgeon general is an anaesthesiologist and is a medical doctor. No dey lie. Propagandist.
You don't even know what the WHO is and you say you want to lead the health team. Quack doctor.

DABMarkNig2019:

Let me name it for you.
It is the mighty world health organisation. It has a biologist as the head. And also for your information the surgeon general of the United States of America who is in charge of public health and health institutions of the nation is a nurse.
I don't know who gave you people this superior and I know it all mentality.

Yes
You are right, the current surgeon general of US is an anaesthesiologist by name Jerome Adam.But mind you before Jerome Adam, a Nurse was the US Surgeon General named Sylvia Trent-Adam in 2017. And if this happens in Nigeria, NMA with their large foul mouth and pseudo literacy will shouting every where- best international practices

https://en.wikipedia.org/wiki/Sylvia_Trent-Adams
she was in acting capacity ( as she was deputy) until a new surgeon general was appointed.... a doctor

tsquaure:
https://en.wikipedia.org/wiki/Sylvia_Trent-Adams
she was in acting capacity ( as she was deputy) until a new surgeon general was appointed.... a doctor

Does it makes any difference. Tell me the difference and why didn't the POTUS make appointment than appointing a nurse which bad belle people here tag NMA will make a noise. she's a nurse, and her name is in the list of US Surgeon General period. Just like Mrs. Virgi Etiaba who is the first female Governor in Nigeria after Obi had issues.

Thanks18:


Does it makes any difference. Tell me the difference and why didn't the POTUS make appointment than appointing a nurse which bad belle people here tag NMA will make a noise. she's a nurse, and her name is in the list of US Surgeon General period. Just like Mrs. Virgi Etiaba who is the first female Governor in Nigeria after Obi had issues.

by your same argument, she should have retained the job but alas she returned to her original job as deputy once a anesthesiologist was appointed

Minister of Health, minister of state for health, HODs of depts in FMOH, CMD, CEMAC, deputy CEMAC are all medical doctors but in the top efficient health system in the world, A nurse(Sylvia Trent) was appointed US surgeon general and her name included in the list of US surgeon generals. What's wrong with Nigeria?Just as the great Ikemba once said: "Having a dialogue with my country men is like having a dialogue with the deaf; it requires a great deal of repetition, a great deal of shouting and a great deal of gesticulation. In spite of all these efforts, you still run the risk of being misunderstood" I think late Ojukwu was right after all

tsquaure:
by your same argument, she should have retained the job but alas she returned to her original job as deputy once a anesthesiologist was appointed

It is a White lie

Thanks18:
Minister of Health, minister of state for health, HODs of depts in FMOH, CMD, CEMAC, deputy CEMAC are all medical doctors but in the top efficient health system in the world, A nurse(Sylvia Trent) was appointed US surgeon general and her name included in the list of US surgeon generals. What's wrong with Nigeria?Just as the great Ikemba once said: "Having a dialogue with my country men is like having a dialogue with the deaf; it requires a great deal of repetition, a great deal of shouting and a great deal of gesticulation. In spite of all these efforts, you still run the risk of being misunderstood" I think late Ojukwu was right after all

Thanks18:


It is a White lie

abeg how is this a white lie refer to wikipedia not written by tsquaure
https://en.wikipedia.org/wiki/Sylvia_Trent-Adams

tsquaure:
abeg how is this a white lie refer to wikipedia not written by tsquaure
https://en.wikipedia.org/wiki/Sylvia_Trent-Adams

From the link shown, she was not the only non physician to be appointed as surgeon general in US. Even a veterinarian and one other nurse had attained such positions. but can this happen in Nigeria? all the past and current ministers of health and ministers of state of health from 80s till date are all physicians with the resultant decay and rot in the sector. I repeat till Nigeria start appointing capable and competent hands drawn from all stakeholders(- JOHESU and NMA) with rich resume and track records to manage and lead our health sector from primary to tertiary level, we will still be witnessing a gigantic failed health system in the whole wide world.

Thanks18:


From the link shown, she was not the only non physician to be appointed as surgeon general in US. Even a veterinarian and one other nurse had attained such positions. but can this happen in Nigeria? all the past and current ministers of health and ministers of state of health from 80s till date are all physicians with the resultant decay and rot in the sector. I repeat till Nigeria start appointing capable and competent hands drawn from all stakeholders(- JOHESU and NMA) with rich resume and track records to manage and lead our health sector from primary to tertiary level, we will still be witnessing a gigantic failed health system in the whole wide world.

a nurse who is also a doctor richard carmona.
robert whitney a vet doctor in acting capacity for 3month until another doctor was appointed
.

Hairyrapunzel:

This is where team work comes into play. If a pharmacist doesn't feel a prescribed drug is not right, the doctor is contacted and it is at the doctor's discretion to review the prescription. If the pharmacist is not still convinced he has the option of not dispensing gbam.

Meaning the patient belongs to every member of the health team. if your mistake costs the patient, you go down for it! Patient belongs to everybody and to nobody!

tsquaure:
a nurse who is also a doctor richard carmona.
robert whitney a vet doctor in acting capacity for 3month until another doctor was appointed
.

You are just repeating the statement of fact I Marshall out while ignoring the salient solution I proffered.
Are we in a HIGH SCHOOL DEBATE?
At this point, I rest my case

Deniceone:

Meaning the patient belongs to every member of the health team. if your mistake costs the patient, you go down for it! Patient belongs to everybody and to nobody!

The patient belongs to the doctor. Don't deceive yourself. You cannot do anything to a Patient if the doctor doesn't say so. He decides what kind of drug the patient gets and you dispense it. He decides the treatment suitable for the patient. Anything that happens to a Patient. He takes responsibility. You people have still not said the developed country pharmacists prescribe drugs that are not OTC's.

Deniceone:

Entry level differs from internship(housemanship?). Dr!

Sir/Ma...
Whether entry level is counted before or after internship is not my business..
My business is with the wrong figures the person quoted.. There's no way a post internship lab scientist or pharmacist earns less than an intern scientist or pharmacist...