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Nairaland Forum / Nairaland / General / Health / Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? (29149 Views)
NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU / Strike: "JOHESU is Selfish, They don't know what they want" must read!! / Federal Health Workers Under The Umbrella Of JOHESU Embark On Indefinite Trike (2) (3) (4)
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Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by careerwoman(f): 5:01pm On May 23, 2018 |
Hairyrapunzel: As in ehhh.. I remember the case of an anaethetist technician in a federal hospital who owned a hospital in town. He removed someone's kidney thinking it was an intrabdominal tumour. The patient deteriorated and was finally brought to the federal hospital. The mistake was too grievous to behold that an investigation had to be launched immediately on the status of the said hospital in town. I do not know what finally became of him but I'm pretty sure he got away easily (Na Nigeria we dey).. I think ignorance and myopic mindset is also the problem in this country. I have been addressed a nurse many times in clinic while the male nurse I was working with was referred to as the doctor. It was irritating given that I had to politely correct almost all the patients that came into that clinic. The male nurse laughed it off as a joke and subconsciously started overdoing what he was supposed to do. This got me thinking, "it's absolutely possible for any man working in the hospital be it a cleaner, porter or ward maid to pose as a doctor in the society to get extra bucks." Many quacks in the community have not passed through the rigorous medical training. 2 Likes |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Gliding(m): 6:15pm On May 23, 2018 |
sogodihno: Really? When there's litigation, guess who gets hacked. It's always the Doctor, except in rare circumstances. That is what "owning a patient" means. It refers to taking responsibility, it's not a show of pride 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Gliding(m): 6:21pm On May 23, 2018 |
careerwoman: When people decide to implement a rare first world occurrence in a third world country, disaster is always the result. One advanced country appoints consultant technician, and Nigerian technicians demand same. When did one country become international best practice? Why haven't they imported things like locum lab scientist, automated laboratories (that don't require much personnel) , compulsory vetting of lab results by pathologists etc. We are really interesting 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by careerwoman(f): 6:23pm On May 23, 2018 |
The only way beyond this rift between doctors, nurses, pharmacists and allied health professionals is for we all to look beyond our bad human behaviours - greed, selfishness, ego, pride, and inferiority complex and do our duties with love and passion for patient care.. It's all about the patient at the end of the day. A pharmacist, nurse and an allied health professional cannot do the work of a doctor. A doctor however would not be effective if he decides to do the work of others. There's a reason why these sub sectors in clincal medicine were created. 'Non-physicians' are employed to make the physician efficient in the delivery of his/her services- it's the simple truth (but I know the truth is bitter). Make no mistake, you're the backbone of the doctor and he needs his backbone to care for his patients so he MUST value his backbone. The medical training encompasses all the health professions and that's why when it comes to the head of a clinical team, a doctor is the head anywhere in the world. (N.B administrative services are entirely different from clincal services) In historical medicine, the physicians were working alone. Producing drugs, learning about the human body through trial and error and dissection of mammals and dead humans. They did virtually everything on their own with the help of an apprentice and maids. This subsequently became ineffective overtime especially due to increased patient load during the WW leading to the birth of nursing services(ask Mama Florence, the founder of modern nursing). With massive breakthroughs in medical science and technology, other areas in medicine were founded and created for one single reason - better patient care. Now with regards to the administrative part of health services, in my humble opinion I would suggest that administrators are appointed based on their demonstration of verifiable knowledge about hospital administration and management. It's not just about climbing to the peak of your professional career and then becoming automatically fit to become an MD or Director. He/She should have remarkable leadership skills and interpersonal skills that can be verified too. The poor management of the health system is not because a medical doctor is always appointed the head of admin services. We need to stop being sentimental and look at things critically. It's a constitutional law in Nigeria for a doctor to head the Min of Health so if you want to debate the law then debate it but not at the expense of patients. Unfortunately, Nigeria is an indisciplined country, a lot of people are sitting on jobs that they're less qualified for- from Presidency to lawmakers to civil servants. In the hospital, I totally support having a hospital board of directors where the head will be purely a hospital administrator (there are master courses on this abroad) with other members from the different departments in the hospital. The CMAC and Head of clinical services will then be qualified medical doctors. Concerning salaries/monies which is actually the main problem, I personally think our health system is underfunded. All professionals do not get paid based on the amount of work they put in. There's no dignity of labour in Nigeria. The government spends so much on itself than on her citizens. Concerning pay parity, there's no where in the world where pay parity is practiced. It's simple - our training and job description is different with medical/dental training being the most rigorous in terms of course unit load not just duration. In many parts of the world, a B.physiotherapy or BMLS is 4 years not 5.. it's not by duration please. If you need a salary raise, debate for that not pay parity- it's unreasonable..I dislike the fact that other health professionals have to fight for themselves. The doctor being the head of the clinical team should also care for other members of the team and this includes fighting for their selfless interests. Finally... The major problem in the health sector today is because some health professionals (doctors, nurses, pharmacists and allied alike) have failed to have mutual respect for each other. For example, the normal practice is for a nurse to set the materials a doctor would need for a procedure. What we see now is that we have to fight for the right thing to be done. Sometimes, I enter a ward and greet the nurse on duty and she would hiss or ignore me (not entirely problem to me). You ask for something and you're ignored or told to get it yourself because you're a young doctor (now, this is a problem). In some centers, they also teach their students to dislike doctors and always be on the defensive side. This is not to say that there aren't doctors who are badly behaved too as well. The key thing here is mutual respect Let's respect each other deviod of any obstacles such as age, gender, long years at work, or ethnicity and work for the good of our patients..A matron taught me a few tricks I needed to be efficient on the ward based on her experience. This doesn't disqualify me from being a doctor or automatically make her the head of a clinical team. I also taught her how to interpret bradycardia or tachycardia on an ECG strip (because she showed interest). A healthy relationship should exist amongst us. Two wrongs do not make a right.. Love your job. 3 Likes |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by careerwoman(f): 6:45pm On May 23, 2018 |
larrrymore:Federal hospitals..This is based on what I saw on my friend's appointment letter, the gross salary is within that range. However, by the time dues and taxes are deducted from the salary, the net salary drops to 130+ thereabouts.. so I don't know where the person got 110+ figure as the gross/net salary of a post-intern pharmacist or lab scientist on CONHESS scale. I hope JOHESU doesn't deduct from your salaries too.. |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by sogodihno: 6:46pm On May 23, 2018 |
Gliding: you are spewing nonsense, for example if a pharmacist make mistake in dispensing in hospital and it affect the patient, let's say the patient die as a result. it's the doctor in charge that will be charge too? Baba, everyone will bear the consequence of their action, stop making it seem like it's only doctor that can be litigated. 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Gliding(m): 7:00pm On May 23, 2018 |
sogodihno: "Spewing nonsense"" I knew you would show your true colors. Most people that don't have facts tend to become abusive. To reiterate, decisions on patient are taken by the doctor (who is the head of the medical team) and he is responsible for the success or failure recorded. Someone has to be the head and be held responsible. That's why football coaches are sacked for the team's poor performance. If the head feels someone is misbehaving, he deals with it. 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by sogodihno: 7:35pm On May 23, 2018 |
Gliding: why don't u answer the question and stop beating around the Bush. will a doctor be litigated for a pharmacist mistake? it's yes or no bro. And sorry for bn abusive 1 Like 1 Share |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Thanks18(m): 7:42pm On May 23, 2018 |
Nigeria Society of Physiotherapy # Fowardedasrecieved . Revisiting The NMA Strike -* The Candid Opinion Of A UK-Based Doctor By *Dr. Ijabla Raymond* Although I practise abroad, I should point out that this strike affects me too. My family and friends all live in Nigeria. I feel compelled to write on this subject because of its seriousness and the dearth of objective analyses on our social media. It is an emotive subject for both *NMA* and *JOHESU* members, and I can understand why punches fly around, but both parties must rise above petty and emotional considerations if we are to find a way forward. For clarification purposes, the *NMA* represents medical doctors whilst *JOHESU* is a union of all health workers who are not doctors. The NMA has a list of *24 demands* but I will limit myself to the most contentious ones. At this stage, it is probably best that I introduce myself. _*I am medical doctor of Nigerian heritage practising in the UK.*_ *WHO SHOULD HEAD THE HOSPITAL* There is no contention – the medical doctor is the head of the *clinical team.* He/she leads the ward rounds, clinics, surgical operations, multidisciplinary meetings and so on because the ultimate and final responsibility for patient care rests in his/her hands. The headship of the hospital is a different matter. This is an *administrative* office, which needs not be occupied by a medical doctor. This job is better in the hands of people who have administrative or business management skills. _This is the case in countries like the UK, Canada and the US,_ which heavily influence our health system. Therefore, it is difficult to reason with the NMA why this job should be the exclusive right of medical doctors. *NON-MEDICAL CONSULTANTS* The doctor-patient ratio in Nigeria is _dangerously low._ In my view, the roles of non-medical professionals such as nurses, physiotherapists, pharmacists etc need to expand to cope with the demands on doctors. It is important that this is done in a _safe way_ by providing the appropriate level of training for these individuals. *This is the case in countries such as the UK, Canada and the US where consultant nurses, pharmacists etc have existed for a few decades now.* I do not see any problem with non-medical consultants as long as these individuals are appropriately trained and can practise both competently and safely within an *agreed framework* . These professionals have separate (but complimentary) job descriptions and their roles are not designed to replace or dispense with the services of the doctor. If this arrangement enhances patient care, then where is the problem with it? The NMA needs to demonstrate to the public and to the government how the creation of these non- medical consultant positions will adversely affect patient care, otherwise, its demands will be perceived as obstructing the professional development of JOHESU members, and I don’t think this is helpful to anybody. *HAZARD ALLOWANCE* The types of hazard and the level to which healthcare workers are exposed vary considerably and depend on the type of job they do. For instance, psychiatrists are hardly exposed to body fluids and their risks for contracting diseases like HIV and hepatitis are much less than for a theatre scrub nurse. The risk of physical assault by a patient is higher for a psychiatrist than for a surgeon. And because psychiatric nurses spend more time with patients, their risks of assault are arguably higher than those of consultant psychiatrists. The people who work in radiology departments such as radiologists, radiographers, nurses, porters and so on have greater exposure to radioactive materials than everyone else in the hospital. The current health hazard allowance of N5,000 is unconscionable – it needs to increase. However, I think it is imperative to get an independent risk assessor for impartial advice. *MISCELLANEOUS* I have read far too many emotional arguments on these issues and very little of an objective discourse. It is important that I draw your attention to a few of these. What has become obvious is the lack of understanding of the *concept of teamwork* . There is a pervasive notion among doctors that the other healthcare workers are there to serve them. JOHESU members think that doctors have become too conceited for their own good and are determined to put them in their “places”. *The most important person in the hospital is the patient* – it is *not* the _doctor_ , _nurse_ , _pharmacist_ or _laboratory scientist_ or anyone else. Every team member is important and must be respected, including the people who do the least clinical jobs like cleaning. I don’t imagine that any hospital will remain open for longer than a week if its cleaners went on strike and dirt was allowed to accumulate to the point where it constitutes a health risk. I have heard so many anecdotal accounts of nurses not joining doctors on ward rounds or pharmacists altering prescriptions without first discussing these with the prescribing doctors or laboratory scientist slapping doctors; and these accounts are being given as reasons why doctors must continue to head hospitals. These are *disciplinary matters,* which should be managed according to existing procedures. These excuses are emotional and should not be used to block the professional development of others. The other reason I have heard doctors give for not wanting our non-medical colleagues to bear the "consultant" title is the fear that patients will confuse them or anybody else in a white-coat for a doctor and give such people an excuse for autonomous practice. This reason is *not good enough* because this problem can be solved by wearing names badges and/or colour coded uniforms. Also health professionals should introduce themselves to patients at the start of consultations. But more significantly, this can be an issue of regulation - any one found to be (criminally) practising over and beyond their job description, competence level or professional registration becomes liable to disciplinary procedures. Our health system suffers from poor regulation. This is why anyone can open a chemist and dole out antibiotics indiscriminately. It is the reason doctors are scared that consultant pharmacists, nurses and physiotherapists will steal their patients. But it is also the reason why doctors may recommend an operation to a patient where none is necessary just so they can charge more. This is a problem that is in urgent need of attention. I hope that this something both NMA & JOHESU will flag up in the near future. Another recurrent theme in these debates is the abuse of junior doctors by both medical and non-medical staff, which appears to be endemic. There is a consistent narrative of junior doctors being asked to do other people’s jobs such as collecting blood from blood banks, taking samples to laboratories etc. In extreme cases, these doctors are asked to undertake non-clinical tasks by more senior doctors. This is simply unacceptable! I think it is fair to place the blame for this at the hands of consultants who are supposed to be responsible for junior doctors. But this in itself is not a good argument for blocking JOHESU members from becoming consultants in their specialties or for stopping them from heading hospitals if they have the right qualifications. I am concerned that the NMA is losing public sympathy. Increasingly, I hear people describe doctors as selfish and heartless. This is very sad and rather unfortunate. They say doctors do not have any motivation to end the strike because patients are forced to pay exorbitant fees to them in their private hospitals. Those patients who cannot afford these fees are left to suffer or die. If the NMA has made any efforts to change this public perception, then these do not appear to have been effective. *CONCLUSION* The current strategy (i.e., recurrent strikes) is not working. Over the last decade or two, the NMA and non-medical health workers (more recently represented by JOHESU) have taken turns to go on strikes. Perhaps, it is time for both parties to sit together, talk to each other and resolve these contentious issues once and for all. _It’s pointless for the government to enter into agreements with one party knowing fully well that the other party will ask for a reversal of those agreements._ I think the time has come to incorporate Ethics, Teamwork and Communications into undergraduate curricula. The various online comments I have read from medical and non- medical colleagues show that whilst many easily mouth off "team work", a practical understanding of what this means is lacking. Disciplinary procedures are there for a reason. They must be followed when necessary. Although I practise abroad, I should point out that this strike affects me too. My family and friends all live in Nigeria. And who says I am not planning to come home to practise? Lastly, we must all be mindful of our own mortality. Most of us will be ill someday. And when this happens, the only thing that will matter to us is to be looked after by caring and competent health-workers regardless of their individual specialisation. We can create that environment if we forget our individual egos and work as a team. *Ijabla Raymond,* a medical doctor of Nigerian heritage writes from the UK. Contact: _ijabla.raymond@facebook.com._ 2 Likes |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Gliding(m): 7:55pm On May 23, 2018 |
sogodihno: The answer is staring you in the face bro. It's in my last post. Unless you are contesting the headship of the medical team. 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Nobody: 8:26pm On May 23, 2018 |
Deltayankeeboi:so hilarious, as if you have anything to contribute to make the world a better place, coming from someone who doesn't know the difference between a radiologist and a radiographer. it is a sad thing when people choose to continue to be ignorant, thereby disgracing the cyberspace. 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by sogodihno: 9:31pm On May 23, 2018 |
Gliding: seriously? So a doctor will be held responsible for the mistake of a pharmacist? it's not worth arguing with you, after all, it's a pity. Take care. 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Nobody: 11:01pm On May 23, 2018 |
omatynx:Sorry about that but why mention only the doctors? Are they the ones on strike?? I think u should rather call on JOHESU to be reasonable in her pursuits. Don't put the responsibility of lives lost on Doctors alone, they are not the only health professionals. And one thing I am pretty sure about is that if the population of doctors were adequate, hospitals would run almost as smoothly as ever. The major things that would be needed would be services of private pharmacies, labs and other diagnostic centres. But then, patients will have to pay dearly for those services. I've witnessed a period during which there was JOHESU strike and patients relatives created a roaster for cleaning the wards although there were not as much as they would have been if there had been no strike. The truth is that an understanding needs to be arrived at soon by all parties involved in order to prevent the loss of more lives. |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Nobody: 11:15pm On May 23, 2018 |
Thanks18:Great words from a great mind. 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by ShldnCooper(m): 11:22pm On May 23, 2018 |
At the end of the whole show the national universities commission will be the one to blame for the chaos in the health sector in Nigeria. The commission seems to be in an unholy alliance and covenant to destroy the health sector in Nigeria. Their modus operandi is two fold 1. License non value added degrees and programs in the health sector. First they accredited the upgrading of optometry from B.Sc. to Doctor of Optometry. These are doctors whose job is only to prescribe you glasses but have been elevated to a status beyond their service. Next they accredited the upgrading of Medical Laboratories Science to Bachelor degree. The consequences of the upgrading is still ripping the health sector apart till date. Now these same people are proceeding to Doctor if Medical Laboratories Science and nobody can stop then but NUC itself. The Bachelor of Pharmacy degree is now upgraded to Doctor of Pharmacy. So far no value has been added to service delivery in the health sector but rather more rivalry, bickering and poor patient care. Sure we will soon have doctor if nursing, doctor if dental therapy, doctor if Physiotherapy, doctor of radiography. The NUC chaos doesn't stop there. They are busy approving and accrediting Bachelor of Environmental Health Sciences( which later will become doctor if environmental health sciences), Bachelor of Public Health(with no professional training in any health care delivery. These degrees build something on nothing). While the veterinarian graduates with the doctor of veterinary medicine, the real doctor of medical sciences graduates with a bachelor if Medicine and Surgery. The NUC concerns itself with approving degree programs that have no relevance to our peculiar health sector needs or precedence in saner climes. The real number one enemy of the health of the people is the national universities commission. 2.The agency second strategy is to battle to whittle down the status of the Bachelor if Medicine and Surgery degree and by extension the professional fellowship We seems to be winning in the fellowship war front, but u bet you the foe doesn't give up like that. Our number two enemies are the court of law. Don't be surprised if more court judgements are awarded against the doctors status. Finally we have the West African health organisation. Pray what is the need for a professional fellowship in nursing? And in Pharmacy? Soon we shall have professional fellowship in medical laboratory sciences. My question is what value will these fellowship add to patient care? Does a hospital need a laboratory scientist or a laboratory technologist! Are scientists health practitioners or researchers? Does a hospital need a researcher or a practitioner? What value does consultant nurse or consultant scientist add to patient care? Great strides are made in clinical care in EKO hospital, Reddington, First consultants, St Nicholas and Zankli in Abuja. Do these hospitals use or need these consultants to perform? My take is that all these professional upgrading are unnecessary and a waste if national resources. My suggestions 1. There should be laws specifying what NUC can license. I believe NUC is becoming a danger to the nations health sector and needs to be put in line. 2. There us a need for a health summit to discuss what level of skills are needed in our health sector and what length of training are required. It us evident we can't leave this decision to professional associations as they all have demonstrated irresponsibility and are driven by personal interests. The civil society should be called upon to take decision and chart the way forward. Enough of these shenanigans. #copied 2 Likes |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Solababa91(m): 9:41am On May 24, 2018 |
Revisiting The NMA Strike -*
The Candid Opinion Of A UK-Based Doctor
By *Dr. Ijabla Raymond*
Although I practise abroad, I should point out
that this strike affects me too. My family and
friends all live in Nigeria.
I feel compelled to write on this subject
because of its seriousness and the dearth of
objective analyses on our social media. It is
an emotive subject for both *NMA* and
*JOHESU* members, and I can understand
why punches fly around, but both parties must
rise above petty and emotional considerations
if we are to find a way forward.
For clarification purposes, the *NMA*
represents medical doctors whilst *JOHESU*
is a union of all health workers who are not
doctors.
The NMA has a list of *24 demands* but I will
limit myself to the most contentious ones. At
this stage, it is probably best that I introduce
myself. _*I am medical doctor of Nigerian
heritage practising in the UK.*_
*WHO SHOULD HEAD THE HOSPITAL*
There is no contention – the medical doctor is
the head of the *clinical team.* He/she leads
the ward rounds, clinics, surgical operations,
multidisciplinary meetings and so on because
the ultimate and final responsibility for patient
care rests in his/her hands.
The headship of the hospital is a different
matter. This is an *administrative* office,
which needs not be occupied by a medical
doctor. This job is better in the hands of
people who have administrative or business
management skills. _This is the case in
countries like the UK, Canada and the US,_
which heavily influence our health system.
Therefore, it is difficult to reason with the
NMA why this job should be the exclusive
right of medical doctors.
*NON-MEDICAL CONSULTANTS*
The doctor-patient ratio in Nigeria is
_dangerously low._ In my view, the roles of
non-medical professionals such as nurses,
physiotherapists, pharmacists etc need to
expand to cope with the demands on doctors.
It is important that this is done in a _safe
way_ by providing the appropriate level of
training for these individuals. *This is the case
in countries such as the UK, Canada and the
US where consultant nurses, pharmacists etc
have existed for a few decades now.* I do not
see any problem with non-medical consultants
as long as these individuals are appropriately
trained and can practise both competently and
safely within an *agreed framework* . These
professionals have separate (but
complimentary) job descriptions and their
roles are not designed to replace or dispense
with the services of the doctor. If this
arrangement enhances patient care, then
where is the problem with it? The NMA needs
to demonstrate to the public and to the
government how the creation of these non-
medical consultant positions will adversely
affect patient care, otherwise, its demands will
be perceived as obstructing the professional
development of JOHESU members, and I don’t
think this is helpful to anybody.
*HAZARD ALLOWANCE*
The types of hazard and the level to which
healthcare workers are exposed vary
considerably and depend on the type of job
they do. For instance, psychiatrists are hardly
exposed to body fluids and their risks for
contracting diseases like HIV and hepatitis are
much less than for a theatre scrub nurse. The
risk of physical assault by a patient is higher
for a psychiatrist than for a surgeon. And
because psychiatric nurses spend more time
with patients, their risks of assault are
arguably higher than those of consultant
psychiatrists.
The people who work in radiology
departments such as radiologists,
radiographers, nurses, porters and so on have
greater exposure to radioactive materials than
everyone else in the hospital.
The current health hazard allowance of
N5,000 is unconscionable – it needs to
increase. However, I think it is imperative to
get an independent risk assessor for impartial
advice.
*MISCELLANEOUS*
I have read far too many emotional arguments
on these issues and very little of an objective
discourse. It is important that I draw your
attention to a few of these.
What has become obvious is the lack of
understanding of the *concept of teamwork* .
There is a pervasive notion among doctors
that the other healthcare workers are there to
serve them. JOHESU members think that
doctors have become too conceited for their
own good and are determined to put them in
their “places”. *The most important person in
the hospital is the patient* – it is *not* the
_doctor_ , _nurse_ , _pharmacist_ or
_laboratory scientist_ or anyone else. Every
team member is important and must be
respected, including the people who do the
least clinical jobs like cleaning. I don’t
imagine that any hospital will remain open for
longer than a week if its cleaners went on
strike and dirt was allowed to accumulate to
the point where it constitutes a health risk.
I have heard so many anecdotal accounts of
nurses not joining doctors on ward rounds or
pharmacists altering prescriptions without first
discussing these with the prescribing doctors
or laboratory scientist slapping doctors; and
these accounts are being given as reasons
why doctors must continue to head hospitals.
These are *disciplinary matters,* which should
be managed according to existing procedures.
These excuses are emotional and should not
be used to block the professional development
of others.
The other reason I have heard doctors give for
not wanting our non-medical colleagues to
bear the "consultant" title is the fear that
patients will confuse them or anybody else in
a white-coat for a doctor and give such people
an excuse for autonomous practice.
This reason is *not good enough* because
this problem can be solved by wearing names
badges and/or colour coded uniforms. Also
health professionals should introduce
themselves to patients at the start of
consultations. But more significantly, this can
be an issue of regulation - any one found to
be (criminally) practising over and beyond
their job description, competence level or
professional registration becomes liable to
disciplinary procedures.
Our health system suffers from poor
regulation. This is why anyone can open a
chemist and dole out antibiotics
indiscriminately. It is the reason doctors are
scared that consultant pharmacists, nurses
and physiotherapists will steal their patients.
But it is also the reason why doctors may
recommend an operation to a patient where
none is necessary just so they can charge
more. This is a problem that is in urgent need
of attention.
I hope that this something both NMA &
JOHESU will flag up in the near future.
Another recurrent theme in these debates is
the abuse of junior doctors by both medical
and non-medical staff, which appears to be
endemic. There is a consistent narrative of
junior doctors being asked to do other
people’s jobs such as collecting blood from
blood banks, taking samples to laboratories
etc. In extreme cases, these doctors are asked
to undertake non-clinical tasks by more senior
doctors. This is simply unacceptable! I think it
is fair to place the blame for this at the hands
of consultants who are supposed to be
responsible for junior doctors. But this in
itself is not a good argument for blocking
JOHESU members from becoming consultants
in their specialties or for stopping them from
heading hospitals if they have the right
qualifications.
I am concerned that the NMA is losing public
sympathy. Increasingly, I hear people describe
doctors as selfish and heartless. This is very
sad and rather unfortunate. They say doctors
do not have any motivation to end the strike
because patients are forced to pay exorbitant
fees to them in their private hospitals. Those
patients who cannot afford these fees are left
to suffer or die. If the NMA has made any
efforts to change this public perception, then
these do not appear to have been effective.
*CONCLUSION*
The current strategy (i.e., recurrent strikes) is
not working. Over the last decade or two, the
NMA and non-medical health workers (more
recently represented by JOHESU) have taken
turns to go on strikes. Perhaps, it is time for
both parties to sit together, talk to each other
and resolve these contentious issues once
and for all. _It’s pointless for the government
to enter into agreements with one party
knowing fully well that the other party will ask
for a reversal of those agreements._
I think the time has come to incorporate
Ethics, Teamwork and Communications into
undergraduate curricula. The various online
comments I have read from medical and non-
medical colleagues show that whilst many
easily mouth off "team work", a practical
understanding of what this means is lacking.
Disciplinary procedures are there for a reason.
They must be followed when necessary.
Although I practise abroad, I should point out
that this strike affects me too. My family and
friends all live in Nigeria. And who says I am
not planning to come home to practise?
Lastly, we must all be mindful of our own
mortality. Most of us will be ill someday.
And when this happens, the only thing that
will matter to us is to be looked after by
caring and competent health-workers
regardless of their individual specialisation.
We can create that environment if we forget
our individual egos and work as a team.
*Ijabla Raymond,* a medical doctor of
Nigerian heritage writes from the UK. Contact:
_ijabla.raymond@facebook.com._ |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Solababa91(m): 10:47am On May 24, 2018 |
drI: The reason any patient will go to whatever hospital without seeing any other health PROFESSIONAL aside the Doctor is condition specific which you know quite well. Take for instance a patients with musculoskeletal deformities or abnormalities needs to see a Physiotherapists, but because most of Nigeria patients/clients are ignorant, they feel/think you have to see a Medical Doctor for everything, in developed climes, the populace would have made a research about their symptoms, presentation and management before visiting any health professional and that is why in those countries, any instance of mismanagement is known by the patients and can sue or be reported to appropriate authorities because he/she is aware of the management beforehand. So your assertion that all patients or supposed patients comes to the Doctor at first contact basis is due to ignorance and so does not hold water. 2 Likes |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Solababa91(m): 11:19am On May 24, 2018 |
Hairyrapunzel: What you don't understand is there are conditions amenable to Pure Medicine as well as other professionals too, also when you talk about prescription, prescription is not only the tablet, or ample or what have you, prescription includes ointments, gels and so on. I give you a case scenario this time In Physiotherapy, A HIV patient may develop meningoencephalitis and may worsen over time and come down with Stroke, what you guys do is administer drugs so as to rescue him/her from condition, the Physiotherapist is concerned with rehabilitation to bring the patient to his nearest or same self before the ailment. He clerks the patient (history, assessment, diagnoses, plan of treatment and means of management makes prescription (not necessarily tablet or ample or what have you). So that it is only Doctors that make prescription, diagnosis or plan of management is an understatement. 2 Likes |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Thanks18(m): 11:23am On May 24, 2018 |
Solababa91: Your intelligent response is sufficient enough to quench the sheer ignorance. Physiotherapist is part of UK GP practice team for MSK related complaints. |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Solababa91(m): 11:27am On May 24, 2018 |
Hairyrapunzel: The supposed or the best practice that you painted up there cannot or do not happen here in Nigeria the Doctor feels he is the boss and therefore his prescription should not be altered, even when sometimes the drug-drug combination might not be right, one of the reasons why a lot of patients die or leave hospitals with conditions they don't come with initially. |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Solababa91(m): 11:45am On May 24, 2018 |
Deniceone: Don't mind them, on ward basis, the case note is always there to make clarification(s) as to where the mistake emanates. Same Doctors that claim they take responsibility for any mistake done will be quick to point to other Professionals as the origin of the mistake/death (in any case it is) as the case may be but be mute if it emanates from their treatment. Yet they run or tell the public they take responsibilities of any mistake solely. |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by phase1: 11:46am On May 24, 2018 |
docadams: You sound a like bumbling buffoon. You are just an empty 'malaria doctor' that's why you couldn't decipher that the N697,02442 is the 'Proposed' CONHESS 15 salary that your minister of physicians have refused to sign even after agreement. Finally, Johesu professionals don't earn what they earn because they are 'attached' to you Dr malaria, they earn their keep because it is health sector (their sector) and you are clearly useless without them as they have shown. 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by phase1: 11:55am On May 24, 2018 |
NickyT039: You dey mind the numbskulls? The most important thing is that is JOHESU won't end this strike without anything tangible. Things cannot be worse than it already is and there is no where to go but up for JOHESU. Till that 'minister of physicians' comes to his senses hospitals will remain closed. 2 Likes |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by phase1: 12:03pm On May 24, 2018 |
Hairyrapunzel: There is no single group of people who have promoted quackery in the health sector than the physicians. These guys turn their failing hospitals and clinics to fake 'training centres', collecting fees and training fake auxillary nurses, quack lab assistants etc. and even giving them certificates. These quacks then invade the health sector with their quackery, unleashing mayhem on the health of hapless, unsuspecting Nigerians. We will continue to expose you. You are not talking to mor0ns like yourself. 3 Likes |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by docadams: 12:18pm On May 24, 2018 |
phase1: Two characteristics of a JEHUSITES 1. Inferiority complex making them to throw insult,tantrums upandan. Only means of debate is to Insult doctors whom they want parity with. 2. Always wandering in thoughts. They can't put their points across without showing signs of mental fatigue. 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Thanks18(m): 12:30pm On May 24, 2018 |
docadams: Your height of stupidity and impunity is clearly defined and rated in stammering such blunder that other medical professions in health sector aside physician "earn their wages because they are attached to Dr". The health sector belongs to all citizens, patients group, all health professions and not as arrogantly stated by you. Let the sector be privatize let me know who will pay your big belles consultants nearing a million for doing nothing. |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Thanks18(m): 12:37pm On May 24, 2018 |
docadams: Three characteristics of NMA 1. Arrogance and egotism as if they are the master and owners of the entire health sector 2. Sheer ignorance, daft and reactive to positive dawn coming to health sector which has been ravaged by their decades of misrule and retrograde steps to oblivion. 3. Poor human relationship skills when dealing with patients, colleagues and other professions in the team 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by docadams: 1:00pm On May 24, 2018 |
Thanks18: Let me save both of us the stress of this banter. Contrary to what you ignorant lot think, we are for the government giving you a salary raise. Any doctor that says otherwise must be a fake - a JEHUSITES. But of course such approval will automatically trigger another process to our benefit. That is the agreed terms cast in diamond. Happy strike. 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by boldest: 3:14pm On May 24, 2018 |
[quote author=Solababa91 post=67834730] What you don't understand is there are conditions amenable to Pure Medicine as well as other professionals too, also when you talk about prescription, prescription is not only the tablet, or ample or what have you, prescription includes ointments, gels and so on. I give you a case scenario this time In Physiotherapy, A HIV patient may develop meningoencephalitis and may worsen over time and come down with Stroke, what you guys do is administer drugs so as to rescue him/her from condition, the Physiotherapist is concerned with rehabilitation to bring the patient to his nearest or same self before the ailment. He clerks the patient (history, assessment, diagnoses, plan of treatment and means of management makes prescription (not necessarily tablet or ample or what have you). So that it is only Doctors that make prescription, diagnosis or plan of management is an understatement. Hmm 2 Likes |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by danilmo: 3:26pm On May 24, 2018 |
boldest: that nigga is a consultant o check google and see what johesu consultant mean walk out of thread biko.. lot of jobless johesu consultant here, oh I forgot they are on strike 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Thanks18(m): 4:05pm On May 24, 2018 |
boldest: You just displayed your ignorance here while trying to argue fact. And you ended up saying nothing. For your sake, argue with your keyboard by asking google. Ignorance coupled with arrogance and closed mind is worse than death. I am really tired responding to eNMA charlatan like you. 1 Like |
Re: Drop A Suggestion On How To Solve The NMA Vs Johesu Issue? by Nobody: 5:03pm On May 24, 2018 |
Chartey:I never equated them, I only pointed out that they are are independent heads in their professions. |
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