Jman06:
You must be a kid with very little knowledge of industrial relations.

It is time you amorphous idiots see the true power of medical doctors.

Amorphpus idiots get ready to be sacked!

Amorphous idiots get ready to be sacked!

oyatz:
You don't even know what you are saying.
A radiologist is a medical doctor with postgraduate specialization in radiology.

This shows you are an imposter. A radiologist is a medical doctor. A radiographer(not radiologist) is a johesuite.

No need to argue nonsense.
The best way to demonstrate whose input is superior regarding patient health and general wellbeing is to present a medical doctor and a representative from each professional cadre of JOHESU and ask the patient to chose who to treat him/her. Only then will you appreciate why johesu members feel proud and happy when a patient ignorantly calls them 'doctor'. Only then will you know that a medical doctor is versatile and 'all knowing'(workforce is the only limitation) except area of drug production which is not business of the hospital environment. Only then will you appreciate why headship of hospital management(CMD) is perculiar to only doctors.
Already there is provision of CMD in conmess but none in conhess. The only solution tothis issue is for government to seperate headship of core clinical duties(CMD; perculiar to doctors) from administrative duties(CEO; perculiar to only professions in public/buisness administration not johesu).
JOHESU is jus afraid of the power and verstility of a medical doctor.

emekatheo:


1. Why wouldn't you give hematinics to a child with acute febrile illness that is placed on artemisua anua derivative?

2. Why wouldn't you like to start a patient with previous thrombotic event on low dose acetylsalycilic acid or clopidogrel alone?

3. Why wouldn't you like to give antibiotics to a child with flu.

Good luck.

You haven't answered my questions. I think you are afraid to expose your incompetence.

Were u ever taught that in the first 3 days of administration that warfarin has thrombotic tendency and should be given along with another anticoagulant like I.v heparin for the first 3 days? No ...u just cram nonsense.

Look at you ...what a show of complete nonentity.

In the first place r all acute febrile illness malaria? Stupidity! That is how a pharmacist tx a 12yr old girl with menigitis as resistant malaria untill the girl came down with cranial nerve 8 palsy(sensorineural deafness).





You think I framed up those questions? Those are typically what a doctor is faced with. Not just drug-drug interactions. How many px have died by combining ciprofloxacin with paracetamol? But dare give digoxin to a px with heart failure secondary ishemic hrt dx the patient is as good as dead.
I don't expect a good clinical acumen from a pharamacist afterall you guys know nothing about pathology. You think microbiology is pathology?
Have you ever been to a morbid pathology, chemical pathology or hematology class?
Only a doc with good knowledge of hematology can answer my first question.
only a doc with good knowledge of morbid pathology can answer my third ?
Unlike a pharmacist, a medical doc's knowledge pf pharmacology doesn't end with just drug use,moakinetics n dynamics n indications/c-indications n sideeffects.....a doc studies step by step how a drug can modify, alleviate or even worsen a pathology.
A pharmacist can't make a diagnosis...ofcourse a pharmacist knows nothing abt pathology.



I have just teach you the answer to my no.2 question now answer no1 and 3 and prove to me you are not a total duns.

emekatheo:


Wailer!
I pity you and also pity those that come to see you. Let God save them from your hands. Shame on you. You are hiding under thn't even aswer simple question. That's why you keep doing copy and paste in the clinic and keep killin innocent patients with your illiteracy. You wouldn't want pharmacist to take up ward round because you are scared. We will keep exposing you quacks till you humble youself and learn. Pharmacists will keep exposing you. Simple paracetamol question you cannot answer and you call youself a doctor. Which school did you graduate from?

mr.paracetamol. why wouldn't u like to give paracetamol to a febrile child untill you rule out viral infection?

I don't ask cram work or googleable nonsense but real life issues....

emekatheo:


Olodo answer my question and tell us how the hepatotoxicity occurs and stop peeing on your pant when a pharmacist is talkin. I already mentioned some of the answers to your fellow quack. It took you up to 24hours with the help of Google and your dumb colleagues to respond to a simple question on a simple and so common drug as paracetamol. Doctor! Doctor!! Relax and learn from a pharmacist, you errand boy and apprentice. Keep doing copy and paste of you consultant work from page to page and from folder to folder.

If you are not a pharmacist, hide your face.

So with all this knowledge You guys couldn't attend to your fellow johesu members that had accident but leave them to the mercy of quacks?
I know many pharmacists that prosper only by selling codeine and tramadol.
If you guys are that knowledgeable why do pharmacists go back to study mbbs?
Your knowledge can not match that of a medical doctor. You just know drugs but u have very shallow knowledge on its clinical applications.
You will be surprised how shallow ur knowledge is in the presence of a medical doctor.
You think a doctor's knowledge of pharmacology only ends with p/kinetic,p/dynamic,moa n sideeffects?
let me give u 3 take home clinical problem to ponder on

1) why wouldn't you like to give hematinics to a child with mild to moderate anemia with an acute febrile illness?

2) why wouldn't you like to start a px with previous thrombotic event on warfarin alone?

3)why wouldn't you like to give paracetamol to a child with fever untill u rule out a viral infection?

Let's see how you can use ur knowledge in real clinical setting.....

aribisala0:


Nobody percusses anyone any more. That is so 1960s

Nigeria refuses to move with the times

You lack exposure . That is your problem.

What proportion of doctors in Nigeria have more than MBBS. How many doctos in Nigeria take part in any kind of CPD

How many doctors in Nigeria graduate without cheating in exams or forging signatures for procedures not done/observed

Power of a doctor? What power? to turn water into wine?


The typical doctor in Nigeria is a textbook doctor livingin the stoneage.

Spare us the hubris and keep it real

How many doctors in the whole of Nigeria have ever as in EVER used a defibrillator?

You guys still use Pinhard stethoscopes for fuckksssakes

I used a defribillator even as an undergraduate in my M3/M4 postings under supervision of Prof.Anisuba..a prof of cardiology in UNTH as at 2008. So you talk nonsense!

UBTH Johesu memebers have involve in a fatal accident.
Why don't the pharmacists and other members of Johesu that know more than medical doctors treat their own? The same hospital they put under lock and key is where they are being treated.
The power of a 'doctor' doesn't lie on the name but what we are made of.
Even the Society has raise medical doctors above every other health profession.
Sure way to know this, present representatives each arm of Johesu and present a medical doctor and see who the px will chose to tx him/her.
You think medicine ends with obtaining mbbs?
Even a prof of medicine will tell u he/she hasn't seen(± know) it all.
Have u guys been to a ward round and see how a consultant percusses his senior reg? After exhausting all your knowledge on an issue a consultant will hold his/her little finger and stare directly into your sweaty forehead and humbled eyes saying... ehn ehn that is 1 point(5/100)...u see you know nothing in front of pxs n johesu members that claim they know more than docs. I wish Johesu members go on ward rounds with docs let's see the depth of their knowledge.
You want to be doctors on a platter of gold.
HYPOCRYTES!

Power of a Doctor doesn't lie only on the Title.

bizme:


You're such a kid. Coming out here asking dumb questions that any jack can readily google. It's such pettiness in Nigerian medical doctors that's the root of our problem.

One day you might finally grow up and then maybe you'd qualify to come into the league of those that get to discuss drug matters with the like of me. Getting a fellowship in clinical pharmacology might stand you a chance. But for now, go back to your books and read.

PS: If you want real debate on drugs, it's got to be offline where you've got no google to run to. And without any lenghty notice. And we are going to run through the entire breath of pharmacology, basic and clinical and experimental and historical development and all. I wish you were close to OAU, Ile-Ife, then we might just meet tomorrow 8:00 am.

googles won't answer those question. I asked only what a doctor can answer. You won't even see in a texbook of pharmacology. Only a physician that knows in toto how a drug can affect modify the course of a pathology. Boy I'm not here to exchange words.
google out the answers let me plain out your deficiency. I studied pharmacology as a course and again studied its clinical applications in "medicine" as a course too. And a pharmacists thinks he/she would be better.
You won't survive if I take u deeper. First of all bring out your google answers let me put you in place.
Oh you are still a student and want to argue with me? Kid you have a long way to go.
I took oath 9yrs ago and proudly a pathologist.
My 2 kid bros r in UNN medsurg 400L and pharm 500L. I know the limitations in pharmacy.
I want to show you how deficient you are even with google and textbook at your disposal.
If you don't have a solid knowledge of morbid pathology your knowledge of pharmacology is just as shaky as a chemist. Even chemists know the use of drugs.
What differentiate a med doc is how the drug can modify, alleviate or even worsen the pathology.
Just go and pass your exams. Kid!

bizme:


Please correct that, it is not the same pharmacology. Pharmacology is not a field that anyone can study in one year. Medical students are made to take a small bite of different fields, and that small bite doesn't qualify them as authority in such fields. You were able to complete medical pharmacology in one year because you were taught a highly abbreviated pharmacology. Pharmacy students take each aspect of pharmacology one by one in infinitely greater detail, a detail that would make a medical student give up any day. This detail can only be understood by pharmacy students specifically because their training comprehensively equips them with all foundational subjects from which pharmacology derives; in particular medicinal chemistry, mathematics, biochemistry, pharmacognosy and even pharmaceutics. This is the same way that medical students are as it were brushed through biochemistry courses... They (medical students) take small bites, which don't qualify you or them to start parading themselves as experts in this and other fields. The phrase Jack of all trades readily comes to mind... And this is the very reason that pharmacists are placed in hospitals, to serve as the final check for doctors' prescriptions: because both your superiors and those that design the medical curricula know that you have sufficient knowledge of pharmacology and that the real experts on drugs and pharmacology (pharmacists) must vet and correct prescriptions before handing them to patients.
In other words, cramming to pass negative-marking questions says nothing about intelligence. Let's not exult a defective educational system. Any secondary school drop-out with decent reading skills could be taught to cram the same pharmacology that you crammed and pour it down without necessarily understanding the foundational concepts. But approach any pharmacist, he/she would take you through a journey in pharmacology that you're not going to come across in medical pharmacology.

That is what differentiate a doc from others. What you see as impossible is possible to a med doc. A medical doc is superior in knowledge of pharmacology to a pharmacist. I Understood my pharmacology to the core . You can't cram and pass true/false with negative marking. When last did u write a true/false exam with minus 1 negative marking applied?
Which means you need to score 75 to get 50 on the dot. If you tick 75 correct and fail 25. 25 will cancel out 25 and u have 50. You see why distinction is harder in medicine than in pharmacy?
Go and sleep if I take you deep into pharmacology you won't survive.
Take home an assignment why you shouldn't give hematinics to a child with mild to moderate anemia with an acute febrile illness?
Why you shouldn't administer digoxin in heart failure secondary to ischemic heart disease?
Why you shouldn't start a px with previous thrombotic event on warfarin alone.
why you shouldn't give paracetamol to a child with fever untill you are sure it is not a viral infection?
You think my knowledge of pharmacology ends with knowing only drug use,moa n sideeffects?
you will be surprised how deficient you are in presence of a medical doctor.

Boy!

optm:
i see no wrng if a med doc wrks in a pharmaceutical firm and aspires to get to the highest level in d firm if he/she is capable of carrying out d responsibilities demanded of such positions. a pharmacist doesnt aspire to head d med docs as a unit bt can aspire to head health institutions which he/she is part of and besides, dis position requires managerial skill rather dan clinical skill (dis d medical docs in naija has held unto so long as a right) . bro give me logical reasons why u feel a med doc is more suited to head d hospital dan a pharmacist or other health wrkers .

I am sure you don't understand why a medical doctor has no license to start a pharmaceutical company and why a pharmacist can't start a hospital.
Your question of why a medical doctor is in better position to head others will only be answered if u do an indept study of course contents of each field. Only then would you know a medical doctor has superior knowledge in all allied-fields as regard patient management. The hospital setting is not concerned about drug production but its use of which doctors have superior knowledge.
The same pharmacology a pharmacist studies for 3yrs(3l to 5l) is what a med doc studied in a year.
In UNN I studied pharmacology for 6months indepth no topic left out with true/false and negative marking and close marking applied with tendency to repeat or fail out if you fail. I exhuasted Tripathi text of pharmacology. Some times Lecturers finished by 9pm and you come back so exhuasted and tired and still have to read against the next day or accumulate work to your detriment.
Medical doctors are trained to carry knowledge in bulk. The same course others spread out and write semester by semester for 3 years is what a med doc exhausts under stress within a year or less and write exams across(not in parts). Those in medlab,medrehab,medradio, nursing will attest to the fact that their semester exams were used as continous assessment for medsurg students. They never wrote Mb. Last time I went to UNTH as visiting pathologist, the above academic regulations still holds true. Go and confirm and check the pass rate of their last 2nd mb and proof me wrong. Last year I heard only 12 out of 60 passed in dentistry others either failed out or repeated. currently they are 150(against 15 qouta) dentistry students and 325 (against 150 quota)medsurg students in YR1 my 2 kid bros are in pharmacy 500L and medsurg 400L UNN. I have first hand info from my colleagues over there too.
I remember in 2nd mb only 141(+resits) out of 335(including dentistry) passed . Abt 102 repeated 3rd yr and 98 failed out. I remember what happened that night the result was pasted around 9pm after 11hr long meeting by faculty boards. Many cried that day. A colleague that failed out even wanted to commit suicide.Tell which other health fields are subject to such truama. Yet you want to be doctors through the backyard without being test/baptized by the fire and ego of MBBS
Idiots!

Thanks18:


pls get your fact straight JOHESU national body in the press briefing yesterday has relaxed the strike in Lagos and Yobe states as appreciation to the state governments for meeting their demands. Your type was the reason while 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". So disobeying court injunctions is now a heroic act abi. This questions that you are absolutely arrogant and uncivilized with your sense of judgement doctored, beclouded with petty sentiments and illiteracy. If the great POTUS will obey a high court injunction to drop his famous travel ban, it is a great lesson to be learnt that the hallmark of civilization is law and order and civility. Mr, your comments in this thread shows you are either deaf, daft or purely an illiterate.

Yes I'm deaf, daft and illiterate but I will be the one to conduct your autopsy after you might have died from hunger.
Cause of death will be: Hunger secondary to Johesu strike and insurbodination.

optm:
other health professionals wld survive too. how do u relate with other health care professionals in the health institution u wrk? I sense much hate in ur write-ups

The hate began when a pharmacist leaves his/her billion naira worth pharmaceutical firm and tryna head the hospital, when a nurse wants to head doctors, when a medlab scientist wants to head a pathologist, when a radiographer wants to head a radiologist , when a physiotherapist wants to be the CMD. Who started the hate? Idiots!
I am very sure a pharmacist wouldn't like to be paid same as nurses yet they want to be doctors. Hippocrytes!

Doctors will survive in Nigeria no matter the recalcitrance of idiots.

steric58:
another fo ol spotted, Nurses are ordinary Abi, who deliver you from your papa no be midwife/Nurse fu. cking ingrate oh I forgot your papa no fit afford hospital.

An obstetrician not a nurse.

Davido remix: Johesu think say them bad us but nobody badder ku.

Johesu if u no get money hide ur face....fire burn them.


5 idiots vs 1 authority.

Medical doctors don't makes noise. Just one warning to the FG they address the insurbodination of Johesu, frontally.


Empty vessels make loudest noise.

Thanks18:
# fowardedasrecieved .
Breaking news.... ABUJA – THE Joint Health Sector Union,
JOHESU, Thursday night relaxed its four weeks
old strike in Lagos, Kano and Yobe states to
accommodate emergency services.
JOHESU
The union said that the decision to relax the
strike in the three states as a show of
appreciation to the state governments for
meeting the clamour and terms of settlement
demanded by the unions.
Speaking to journalists at a press briefing, the
National President of JOHESU, Biobelemoye
Josiah, also called for the immediate sack of
the Minister of Health, Isaac Adewole;
accusing him of posing as a major barrier to
the resolution of the on-going nationwide
strike of health workers.
His words: “It is paramount we seize this
discourse to specially convey deep
appreciation to State Governments which have
gone ahead to meet the various clamours and
terms of settlement in agreements with
government. This include Yobe and Lagos
State which have now adjusted the CONHESS
Scale as demanded.
“We specially commend the Lagos State
Government for approving the consultancy
cadre for pharmacists in its employment. Just
like the Niger State Government did with
pharmacists since 2012.
“The JOHESU also expresses gratitude to the
Kano State government for ensuring good
welfare package for its healthcare work force
in addition to the intervention of His
Excellency Governor Ganduje to ameliorate the
on-going strike action.
“We urge our members in Lagos, Yobe and
Kano to tactically relax the strike to
accommodate emergency services in those
states as a measure of goodwill.
“President Buhari should immediately remove
Professor Isaac Adewole from office, as his
continued stay remains a major barrier to the
resolution of the on-going nationwide strike of
health workers. This is a major threat to Public
Health especially at a time that the dreaded
Ebola disease is currently rampaging in some
African Countries.
“The Federal Government must energise the
deadlocked negotiations between the JOHESU
and Federal Ministry of Labour and
Employment with genuine conciliators who
have national interest.
“Specifically, a befitting budget to offset the
already compromised three options presented
by JOHESU to the Federal Government on May
16, 2018 must be made available through
interventions facilitated by the Office of the
Secretary to the Government of the
Federation.
“We demand an immediate implementation of
the terms of settlement of the September 30,
2017 agreement.”
We’ll boycott further negotiations, if….
On the order by the National Industrial Court
directing members of the union to suspend
their on-going strike, and resume duties across
the nation within 24 hours, Comrade Josiah
said: “We have not been served any court
notice. But if it happens that the Ministries of
Health and Labour in any way sponsored the
ex-parte motion that brought about the court
order, we will boycott further negotiations.
“The two ministries lack the moral right to
take JOHESU to court for any reason, having
disobeyed no less than eight court orders in
favour of the union.”

Wait and see what will happen.
Workers in other states will return out of frustration.
Govt ain't paying a damn so far no bill to that effect has pased through senate.
I stated earlier I bet my testes for a bilateral orchidectomy Johesu can't achieve more than docs allow.
These are words of frustration. If at all d health minister will be reaplaced it will be by another medical doctor.

arinzos:

And what did you say you are again?
Consultant?
Rubbish! so with everything that is been said,this is what you can comeup with.
I don't like insulting people if not i would have decend on you verbally.

Davido remix: Johesu think say dem bad pass us but nobody badder ku

Joshesu if no get money hide ur face...fire burn them.

Johesu strike has already failed in Lagos....
Some workers have start returning
NMA is boss
pathologists are bosses
Radiologists are bosses.
Johesu bhad but doctors bhaddest.....

The same court that passed Judgement in favour of Johesu has now order suspension of strike.
Johesu wake up to the reality of Nigeria!
Population is nonsense.
A single authority speaks louder than noises made by population of recalcitrants.
Doctor is senate president, minister of labour and will always be minister of health. Johesu what is your stronghold? Strike and noise?
It is a pity that the noble pharmacists had to join the mediocres.
Doctors have never interefered with the activities of the pharmaceutical firms afterall we are not licensed and to be frank a doctor , myself included by training is a total novice in drug production(pharmacognosy) so it wouldn't be proper thinking of heading a pharmaceutical firm....But in the Hospital environment doctors are even superior in knowledge of drug use(pharmacology/therapeutics)pathology, radiology, and overalll patient care. Doctor automatically owns the hospital and lab therein by virtue of training.
I know pharmacists in the house will want to argue. A pharmacist will know drugs used for empirical tx but a doctor by his deep knowledge of pathology knows u shouldn't start a px on a drug yet untill u get samples for investigations as it can influence d results.
A doctor with deep knowledge of pathology(morbid,chemical n hematology) not just microbiology knows better use of drugs. A pharmacist/ other health professions may never understand why a doctor refuses to give hematinics or transfuse a child with acute febrile illness that is pale with even s/s of anemia n mild to moderate low Hb conc.
Others may never understand why a doc refuses to give paracetamol to a child with fever due to a viral infection.
Only radiographers think that once there is fluid in the rectouterine pouch of douglas it signifies PID. Ofcourse it is a total fallacy. Someone with PID with no s/s no pain? Ofcourse it can be a normal ultrasound finding. Radiologists know that.
Doctors can't be replaced by any other profession.
The earlier each profession recognizes its limitations the better for us all.

Johesu is a failure! 95%(5 idiots) against 5%(1 authority). The govt knows Johesu is dispensable but the health care system can't do without doctors.
They wouldn't accede to stupid demands. skipping of level 10 and adjustment of retirement age to 65yrs is farthest the govt can go. Johesu will die of hunger at home. Doctors in public sector are still paid monthly. Those in private sector are booming this period.
NMA is a boss. They address the insurbodination of johesu, frontally! Govt can't risk provoking the ultimate detrimental action of NMA.:
If you like die... Nigerians are striving in the private sector and emergency units in d public sector. I just pity the poor ones. well chemists will boom. You will be surprise that a first degree holder in microbiology or SLT will be running lab tests for d chemists to treat the very poor ones. Traditional practitioners are replacing physiotherapists. Only those in community pharmacy will survive the hunger.
The same thing that happened to non-lecturing staffs is what will happen to johesu. The nurses will first start returning then others will join then johesu will die a painful death.
You guys only see minister of health and labour? You forgotten that Saraki, the senate president is a medical doctor?
Doctors own the Government.

JOHESU is a failure. 95%(5 idiots) against 5%(1 authority)

JOHESU is a failure. 95%(5 idiots) gainst 5%(1 authority)

Exactly...

aribisala0:

You are indeed totally unintelligent.

You have no idea of the background and you think you can just go on the internet and fish out stuff you do not underrstand

First I educated you that the CEO is the boss despiite you foolish claim that he is an accountant and only performs "administration" functions

Next I informed you that NHS England is not a hospital as you foolishly assumed.

NHS England is a Board responsible for over £100 billion pounds in spending across England . As such it is a public body similar to a Health Management Board in some states in Nigeria

The Board has people from diverse backgrounds MOSTLY business and consulting in fact MOST are not from the health industry.

There is a doctor, a nurse and a molecular geneticist on the board

Foolishly you claimed that the Medical Director is similar to a CMD ,

No he is not he is similar to a Director in our Ministry of Health. NHS England performs functions that our own Ministry of Health performs
His Boss is the CEO who is not a clinician

The Secretary for Health (health Minister) has not been a doctor or clinician in more than 20 years. So stop this self deception

No one in the UK subscribes to this idea that doctors should be boss

JOHESU is a failure. I stated earlier that I bet my testes for a bilateral orchidectomy. You guys can't achieve more than medical doctors allow. The chairman of JOHESU proudly stated he wants to show the govt that they make up 95% of health sector. Doctors on the other will show you guys that 1 intectual head are better than 9 numbskulls.


Doctors will continue to be CMDs and medical directors in all nook and cranny of the hospital.

At this moment I consider this thread. dead. The next time I will comment is when the strike resolves. Let's see what you guys will achieve.

fitzfrankses7:


For the purpose of us having a well meaning conversation without petty name callings, I'll respect the esteemed Medical profession we both belong to and the oath we swore, to set the ground rules for our intellectual discourse-without which I'll totally ignore your rants
So then, an introduction will be in order...I expect you to do the same.
This is me in brief
-I took the oath some 13 years ago(I'll love to know yours)
-Already a FWACS(Are you?)
-Serial entrepreneur
-Sucker for factual and intellectual reasoning(You'll have to prove otherwise that you are)
-Uneconomical with the truth regardless whose Ox is gored
-No, I don't do petty name callings and expletives(can't say the same about you though)
That said, kindly introduce yourself (seeing you recently registered on Nairaland a few days ago) we can share knowledge and compare notes. Regards

I took oath 9rs ago
already FMCpath
Boy I know you are no where near FWACS.
You are too dumb to be there. You don't even know M.D is equivalent to ph.D.
If you are a Johesu member claiming an M.D you haven't seen anything yet. Especially if you are a medlab scientist I will still be your head as it is obtainable in Britain where we got our medicine from
Boy! The CEO is an accountant. Go and browse the functions of a CEO probably English Language was not part of your training. Also check the meaning of medical director boy!

aribisala0:


"dump"


Accountant?


I see where you come from

Grandstanding on emptiness

No it is NOT equivalent to CMD

NHS England is not a hospital but a strategic organization similar to our Health Management Board but at a national level with a spend of oer £100 billion
The Chief Executive is the Boss. The Medical Director is one of the Board Members, another Board member is a nurse who is also a professor

hahahaha. Talks like a real novice. Then a doc has been in that position for 12 years? Go and check the meaning of National Medical Director. I think English Language is the issue

fitzfrankses7:

Kindly get your facts right. MD is never the equivalent to PhD... Educate the public correctly

I don't expect someone who knows nothing aboit medical field to hold objective arguement. Ignoramus! You never knew residency towards being sn M.D is a post-graduate program.
Go and sleep you have no arguement to tender.

aribisala0:
You are an idiot .

The Medical Director works under the Chief Executive he is not caalled chief director

This is the board

https://www.england.nhs.uk/about/board/members/#exec

You are a big fool and so dump! The CEO is an accountant who serve administrative purposes. The National medical director is a medical doctor.
I wonder if English language is your problem.
National medical director is equivalent to what we call chief medical director over here. I wonder where you got that gene pf stupidity from...

Even Britain we got our medicine from respect that heirachy yet some idiots calling themselves Johesu that team up to fight medical doctors go around decieving the.public.

professor of renal medicine = a doctor who is a nephrologist and also an academic professor in that field.