splasher: It is a group project work and not an individual thesis work. A project is different from a theisis. In a thesis there must be a thesis and an Antithesis (What is now called a null and an alternate hypothesis). There must be something you are trying to contribute to the body of knowledge. It must be on an individual platform and not a group work. Why only community health? What of other areas of medicine)

A thesis is a statement which is a key element to a good research paper. Research is a kind of project 'cos every research has its scope of work, time-line and resources. That is why research work is interrelate with a project. In fact every research work works on basis of a well devise project plan. Many medical researches are group research with each person contributing base on area of specialty and experience. An undergraduate medical research is done by 3 or 4 students at 500l or 600l and this is diff from a rural posting/community base experience and services write up done @200l and 300l (by about 15 students in my sch) The principle of team work and interdependence in health care is inculcated hence the reason for the group write up and the final research work @500 or 600l(by 3 students in my school). The undergraduate medical research work is usually done in community health 'cos the specialty covers majority of the specialties in medicine and offers a wide area for research for an undergraduate who has not decided on an area of specialization

I suggest sick people should stop going to the proud and incompetent drs in their private hospitals and show them that the consultant nurses ,pharmacists nd other can take care of them.afterall teaching hospitals nd FMC are not clossed.

anergy: I did not even mention MBBS or MD in my post. I only corrected a misconception that medical student don't write research work b/4 graduation.

. Sorry that wasn't for you. It was for @splasher

lomaxx:

Last year, I was mobilizing my colleagues to donate blood for one of my friends who was diagnosed of acute lymphoblastic leukemia(L2). We had to keep her alive till she gets to India for her bone marrow transplant.

I was in company of 4 willing donors en route the blood bank. On getting there, I met a situation. The mother of a pediatric patient was frantically pacing around. She needed blood for her child. No family member was fit to donate . She had already donated but it wasn't enough. I came with 4 donors for my friend, but I had to ask 2 donors to go donate for the child.

While I was saying this, a pediatric resident walked out of the bleeding room where he just donated for the same child. So I understand very well what you mean.

These are things doctors do everyday for patients. I know how hard it is for Nigerians to donate their blood to save your life. Sounds easy, but it's very hard. Even some of your pastors would refuse to donate.

I'm not going to talk about the countless times where patients are not able to afford the cheapest treatment options available. And the doctor has to pay out of compassion.

So when Nigerians call doctors selfish and all those stuff, I'm amazed. Really amazed.

Nairaland has opened my eyes to a lot of hard truth. Hard truth, I must say.

I'm a Senior Scientist in the blood transfusion unit. I can tell you authoritatively, Doctors hardly donate. Many Scientists and technicians see some of these patients relatives throwing themselves on the ground in the lab and willingly donate or even mobilize to get pints of blood available on Compassionate ground.

Every Scientist who has worked in a blood bank before must have donated at least once in certain periods. In my lab people don't pay for blood, they pay for the pre-transfusion analysis of that pint of blood.

Personally, i hardly see doctors donate blood around here. At least in 3 yrs now, i've not seen any.

atrix4g: Common guy we all understand dis, even a common cab man will demand for his money b4 gettin to d Bus stop not because he is greedy but because Pple can b dubious. Dat na #50 talk less of a doctor. Patients too can b dubious, we've heard of cases where patients were admitted nd dat dey will pay on discharge nd midway in d middle of one cold nd black nite day dissappear into thin air even wit dier just beggining to get well condition. So I don't think d xcuse is tenable.

so you now Compare "Life" with getting on a bus . I've seen situations b4 where the bus driver allow persons without enough cash in. I wonder how u would feel if doctors refuse to treat a relative on a Saturday' with your card stuck in the ATM n you couldn't provide the required amount asked for.

As usual so many comments without any knowledge of the issue on ground.

Smartsyn: true, then. maybe am cursed with meeting only the greedy ones

OK how many of these greedy doctors have u met.

warrior01: Hate doctors? The fact is those people in Nigeria that parade themselves as Doctors, don't know what it really means to be a mreal doctor. No ethics, no compassion and no proffessionalism. All we have is a bunch of greedy people that is full of unnecessary pride. If you doubt me, why do our people rush to India for proper treatment?

they go there because we are not equipped..not necessarily because they are better...afterall some doctors there are still Nigerians....

APContherun:
You have indirectly alluded to the fact that the title "Dr" isn't exclusive to practitioners of medicine so I rest my case.

Of course, it is not!
However, who does the average person regard as a doctor?
Will all these other professionals identity as doctors in accidents or emergencies?
What do they tell people when they come to them as 'doctors' ?
Veterinarians identity themselves properly as as vet. doctors. Others that bear the appellation use it in formal settings

biafransoul:

Yes! most Nigerian doctors are highly irresponsible. Is it not the same medical doctors that ran down the government hospitals so that their private ones would flourish? Even at that, see the decay and non-expertise that is going on in the Nigerian health sector both private and otherwise. What have the doctors really contributed to the development of the health sector in Nigeria; infant mortality is still very high, no professionalism, corruption and greed pervades the profession etc and they still want the people to have a high opinion of them. If you doubt me, visit a teaching hospital and see how the so called doctors deal and treat their patients; simply pathetic. The way they are going, illiterate agbo sellers will soon be note useful to the ordinary Nigerians at least they treat people with respect.

How did Medical doctors run down the hospitals? If you visit a government hospital, you'll see how patients struggle to get seats(usually wooden benches), how nurses shout at sick people over cards, how a very sick patient who can barely walk is forced to walk down a long aisle because there is no wheel chair!

Tell me,is it the responsibility of a doctor to provide: chairs, a decent waiting room, clean environment, good and functional equipments as well as well cultured nurses? There are several instances of Doctors helping patients out with money to run tests to save their lives!

You need to know what doctors are putting up with just to be able to discharge their duties in Nigerian hospitals. May God help us all!

splasher: The question again if you did not get it. MBBS holders do not individually undergo separate research work. What they do is, they go in groups to villages and write observational reports of whatever. You must individually through separate work prove your prowess in research which the MBBS holders do not. The queation is, do the MBBS holders do "group project work in Com. Health. Yes or No.

Yes. Must a research be done by one person? No, it depends on the type of research, scope of research, resources require, knowledge base etc. Many medical research cut across my specialties and hence each individual or specialist contribute accurately to the research. Lastly, a rural posting report may not be the same as the final research work depending on the institution.

tuoyoojo:

Mr man, in respond to ur post. Lemmi give u this real life story that happened in minna general hosp. A man was rushed in who had a bike accident, shouting that he was in pains,I was working there and I felt sorry for him since he didn't have anytin o him. Doe I diddnt hav much one me then, I got the nurses to admit him , paid for his drugs and investigation after he promised he wud pay back. He became ok after some days.

While I was off duty, I saw him sneaking out of the hospital cuz I knew he had not settled his bills. I confronted him and asked "mr man, where u dey go"." U don pay the money when u dey own".u needed to see guilt written all over his face. He turned back and went to his bed. D next day, I came and was told by d nurse he absounded

This the happened to me about 3 times while I worked there for abt 4 months.

So mr man, do u still encourage the hosp to give free drugs. If they shud, who shud pay for it. wud u not be the 1st to shout to high heavens that u cudnt get. "Common" medicine in d hosp cuz patients refuse to pay for replenish the drug revolving funds

God bless you for having a good heart BUT there's more to being a doctor than salaries and allowances.. There are some situations you shouldn't ignore because of upfront
payment


They are people who gives about 10% of what they make every month to '"Homes" without getting any returns. Isnt this why most people decided to become Drs ?? To save life first. Mother Theresa wasn't even a DR yet we know all about her.

What I'm just trying to say is simply this: Things will be much easier if people go into the medical field because they genuinely care about human lives. things will never get out of hand this much... DR is just a title which means absolutely nothing , its about how you act and things you (can) do that matters.

This is a response to someone who said doctors stroll in at 10am without any apology to see patients in the clinic. There is such a lack of understanding about how a government hospital runs and the frustrating bureaucracy that the doctor doesn't want.
I am a doctor and proud to be one.
In any hospital that admits patients, there are two general classes of patients: in - patients and outpatients. The same set of doctors attend to both. They will do a ward round ( for inpatients between 7.30am and 10am). The interns (or house officers start earlier). The medical officers or registrar's round starts after say 7.30am. When they leave depends on the number of patients, other activities such as senior registrars round, consultant round, specialist clinics or a clinical meeting. They will send some people to the clinic if they r running late and sometimes the round is finished after you close the clinic.
There is a call period that starts usually at 4pm but u have to finish your unit activity before leaving and u hand over difficult patients to the people on call.
I have worked in teaching hospitals and general hospitals in different regions on Nigeria.
The most junior officers and the delegated supervisor(s) stay behind until things r sorted out.
Call time is arranged and decision making is rigid. U know the limit of ur authority and u defer to ur superiors.
A doctor leaves as soon as he is free because u r under obligation to attend to patients even if u r off duty.
Doctors make mistakes but there us an audit process in known to most outsiders (public praise, private criticism). I work in a teaching hospital now and I know all doctors want to see patients promptly but we r hampered by the system.
We will soon ship wreck if we apply stupid changes without wholesome analysis of our health system and having an idea of our policy direction that's why the Primary Health Care is moribund like other areas.
The commonwealth or UK system that we base our health care system on has its challenges and the British make changes regularly. They have National Health Fund which caters for funding, social infrastructure is available.
The USA has a different system based on health insurance which has its challenges.(ObamaCare)
We cannot take selected portions of different systems (consultant status) and graft it into ours and not expect problems.
Please Google medical consultant with respect to the commonwealth, consultant nurse, consultant pharmacist. Wikipedia is helpful.

PerfectFortune:
.
I am not saying there are no competent health care providers in the country, it won't be fear on them but the majority of them are incompetent.

I can safely say 70 percent of the so called Drs are incompetent but they want to be treated as gods.

Are u really serious? If you know what it wud take to graduate as a doctor in Nigeria, then you will not make such ill-informed statement. Do you know the doctor to patient ratio in Nigeria compared to other developed country? Do you have an idea of what we have to do with little or no facilities that the government have failed to provide? I am sure an American doctor cant even try it cos they have facilities that make their work much easier. We read the same text books and are tested on the same information. They are only better cos their government provides better facilities.
Instead of you to direct your anger at the government and put pressure on them to provide better facilities, you are saying Nigerian doctors are incompetent. This same doctors that travel and work successfully abroad are incompetent in Nigeria. I am sure you dont know the number of doctors that leave the shores of this country every year for better opportunities that are only a dream here.

PerfectFortune: Majority of the Drs working at various govt owned hospitals also work elsewhere either at their own private hospitals or get a job with a private hospital all to the deteriment of the poor masses who frequent the govt owned hospitals.

If using my spare time after work to seek for other opportunities is a crime then you must think again. Do you know that many doctors, including consultants in Lagos State teaching hospital for instance are paid as contract staff. Lagos state govt has refused to make them permanents staffs and pays them on hourly basis and u tell them not to seek for other opportunities elsewhere to make ends meet?

PerfectFortune: In most govt owned hospitals, you hardly find a Dr that practise the true essence of the profession but those that are arrogant, selfish and complete cheats.

Take the FMC ebute metta for instance, patients rush to the hospital as early as 5.30/6am to pick nos so they can attended to and return home early enf as it is not like anybody likes going to the hospital anyway but the Drs stroll in around 9.30/10am with no apology the long waiting anxious patients (since they beliv they shld be worshipd) and by 1pm they stop consultation till the next day leaving for their various private hospitals.

What you dont understand is that before the doctor comes to the clinic to attend to patients, he most times has to go to the wards to do a ward round and see the patients on admission or who do you think attends to the patients on the wards? but you make a costly assumption of thinking it is that same time he comes to attend to patients in the clinic that he is resuming to work. You dont even consider that there are doctors on call that have to stay in the hospital over the night and yet resume to work the next morning without any break cos from your write up, its like you are making an assumption that after 1pm, no doctor can be found in the hospital.

PerfectFortune: If I should start talking about their level of incompetence, the whole page will not contain it as there are even on several occassions where they are corrected by Nurses (on medication prescriptns).

It is interesting if you can say that on SEVERAL OCCASIONS you have seen a nurse correcting a doctor's prescription. As much as I will like to say that the nurses and doctors work together, you saying you have seen a nurses correcting doctors' prescriptions on SEVERAL OCCASIONS only gives credence to the fact that you are only trying to pursue a personal vendetta against doctors.

PerfectFortune: In simple terms, ppl don't hate Drs but the attitude of the holder of the title. They are arrogant, selfish, incompetent, cheats and the big bang, "Killers" going on strike to divert patients to their private hospitals.

I will keep saying it, herbalists are better than most Nigerian Drs..

I can not imagine that you will say so much hurting words about doctors. Remember that tomorrow, you may be at the mercy of this same 'arrogant', 'selfish', 'incompetent'. 'cheats and killers' according to you or maybe you may just choose to go to the herbalist since in your own opinion, herbalists are better.

rotadeco27: I suggest sick people should stop going to the proud and incompetent drs in their private hospitals and show them that the consultant nurses ,pharmacists nd other can take care of them.afterall teaching hospitals nd FMC are not clossed.

You don talk your own!

l dont av much to say on this issue
1. Wat i just want us to know is that in OAU wen u drop out of medical sch u cant b admitted into any other health science course unless u write another job.
2. All health science course in OAU is sectional not only medicine. only pharmacy is not because dey A not part of college of health sciences in OAU.
3. Dey do withdraw people from all health science course not only medicine, i av even heard dt; dey do withdraw pharmacy students even in part 5.
4. 60% of OAU students consider pharmacy tougher than medicine.
so stop saying u go thru rigorous and demanding training, u A not d only one. All health sciences student do, even if not as d same as u guys, but am very sure pharmacy students go thru d same as u guys even if not more

Career paths differ for professionals in public service.
For doctors, there are 3 general paths.
1. A doctor can decide to join the ministry as a health officer and rise to the post of a director. He will have to attend courses and have postgraduate qualifications such as masters degrees for promotion.
2. A doctor can have a bias for non - clinical work such as basic medical sciences like human anatomy, physiology, biochemistry and go for PhD. He will end up on the preclinical arm of the medical school as a lecturer and will teach there.
Most doctors prefer seeing patients so there were salary incentives for doctors to have a career there. He can rise to be a professor, provost of the college of medicine, vice chancellor but cmd of a hospital is out. He has no official business there.
3. A doctor can go to the clinical side and specialise. He undergoes postgraduate training called residency which lasts between 6 and 8 years ( some finish early) ecome fellows of their postgraduate college.

@ OP could u plz come back here and list ur requests(doctors' request) and see if ppl will nt condemn ʸ̲Ou. ʸ̲Ou are too greedy and ʸ̲Ou want odas †̥O̅ feel inferior,haba! please swallow ur pride and see if ʸ̲Ou won't earn the desired respect.# Beconsiderate!

saganuwa: as a doctor especially in pediatrics, your patients problems becomes yours. when they need blood, doctors donate, pay for drugs for families who are too poor and u call them selfish! wow.

How are we suppose to believe all these things you said about doctors if out of almost 30Comments ive read No1 have experience this happen b4People don't hate doctors contrary to what the OP wants us to believe, People just see them as Money-Controlled Frea*ks ... Ask the same people above me about Mother Theresa n watch they say nice things about her.. Action speaks louder than words! Don't tell us show us!..

sogodihno:
4. 60% of OAU students consider pharmacy tougher than medicine.

How did you conduct this research and what sampling technique did you use to select your participants?
What % of OAU students combined Pharmacy and Medicine for them to judge the tougher of both courses?
Are those 60% a true representation of OAU students who have at one time or the other studied Medicine and Pharmacy? How can you be a judge over something you have little or no knowledge of?

What was your own thesis statement in your community health project? What was your own contribution to the body of knowledge? Since the title "doctor" is individualized I expected MBBS doctors to do his or her own write up individually as its done in other disciplines. It therefore follows thar the basic qualification of MBBS in Nigeria is not designed to train its graduate to do independent research work.

anergy: A thesis is a statement which is a key element to a good research paper. Research is a kind of project 'cos every research has its scope of work, time-line and resources. That is why research work is interrelate with a project. In fact every research work works on basis of a well devise project plan. Many medical researches are group research with each person contributing base on area of specialty and experience. An undergraduate medical research is done by 3 or 4 students at 500l or 600l and this is diff from a rural posting/community base experience and services write up done @200l and 300l (by about 15 students in my sch) The principle of team work and interdependence in health care is inculcated hence the reason for the group write up and the final research work @500 or 600l(by 3 students in my school). The undergraduate medical research work is usually done in community health 'cos the specialty covers majority of the specialties in medicine and offers a wide area for research for an undergraduate who has not decided on an area of specialization

But each should present his or her write up reflecting his thinking on a subject area

anergy: Yes. Must a research be done by one person? No, it depends on the type of research, scope of research, resources require, knowledge base etc. Many medical research cut across my specialties and hence each individual or specialist contribute accurately to the research. Lastly, a rural posting report may not be the same as the final research work depending on the institution.

Governor Oshiomhole should ASAP organize a competency test for medical doctors. The misdiagnosis in our health sector is becoming alarming. Comrade Governor please come to our aid.

Career paths differ for professionals in public service.
For doctors, there are 3 general paths.
1. A doctor can decide to join the ministry as a health officer and rise to the post of a director. He will have to attend courses and have postgraduate qualifications such as masters degrees for promotion.
2. A doctor can have a bias for non - clinical work such as basic medical sciences like human anatomy, physiology, biochemistry and go for PhD. He will end up on the preclinical arm of the medical school as a lecturer and will teach there.
Most doctors prefer seeing patients so there were salary incentives for doctors to have a career there. He can rise to be a professor, provost of the college of medicine, vice chancellor but cmd of a hospital is out. He has no official business there.
3. A doctor can go to the clinical side and specialise. He undergoes postgraduate training called residency which lasts between 6 and 8 years ( some finish early) and he becomes a fellow of a postgraduate college. He exits the program. He might be appointed as a consultant in a hospital which is a progression. A consultant is a legal position which means the patient is admitted under his care and he takes responsibility for the actions of his team. Major decisions are not taken without his permission. He gets his full pay from the hospital. But he cannot be a professor because he is not in academics. CMD is also doubtful in a teaching hospital.
3b. The consultant might want to be a lecturer. He cannot function as a clinician without seeing patients so hence the confusion. He applies to the university affiliated with the hospital he was appointed through his department for an appointment. If he is employed as a lecturer, he gets his salary as a lecturer from the university for teaching medical students, postgraduate doctors and coducting exams but he gets his clinical allowance which a normal lecturer does not have for patient care. He can rise to be a professor by virtue of research. All academic and professional appointments are open to him, including the cmd as he is in the clinical wing.
This is just an explanation
For everybody, your progress depends on whether you are in the academic field - professor, head of department or vice chancellor is open to you.
If you are providing a service that has no training or research associated with it career path is same with hospital consultants even though they r specialists.
There are a lot of phd holders in the administration of the university. They can't be vice chancellor's. I am not going to name disciplines but we have to have some perspective.

sogodihno: l dont av much to say on this issue
1. Wat i just want us to know is that in OAU wen u drop out of medical sch u cant b admitted into any other health science course unless u write another job.
2. All health science course in OAU is sectional not only medicine. only pharmacy is not because dey A not part of college of health sciences in OAU.
3. Dey do withdraw people from all health science course not only medicine, i av even heard dt; dey do withdraw pharmacy students even in part 5.
4. 60% of OAU students consider pharmacy tougher than medicine.
so stop saying u go thru rigorous and demanding training, u A not d only one. All health sciences student do, even if not as d same as u guys, but am very sure pharmacy students go thru d same as u guys even if not more

. On so many occassions we have had 500l pharmacy students withrew from the dept so I dnt understand d stress and rigorous training they are talking about. In OAU ,GEOLOGY and PHARMACY na die.this ppl shld jus be considerate for God sake.we love doctors bt we hate their greediness

ArabianPrince: I don't even understand why doctors go on strike. Is it part of the oath?. It baffles me when doctors strike over salary and hospital infrastructures. If you are not ok with salary or state of hospital infrastructure....why don't you just leave the country..take foreign exams, take your practice to where you can have better salary, infrastructure and also be appreciated. It is not by force to practice in Nigeria. And those who decide to remain should have no reason to grumble and allow patients to die for no reason.
In summary, if you are not ok with practice in Nigeria, why don't you find somewhere else to go. And if you decide to stay and work in Nigeria...don't go on strike while innocent people die.

U obviously don't know wat ur talkin about. Doctors go on strike worldwide.

My first response is this Wikipedia link. I sincerely hope people will be diligent enough to read the article.
http://en.m.wikipedia.org/wiki/Doctor_of_Pharmacy

AyodejiGB: Career paths differ for professionals in public service.
For doctors, there are 3 general paths.
1. A doctor can decide to join the ministry as a health officer and rise to the post of a director. He will have to attend courses and have postgraduate qualifications such as masters degrees for promotion.
2. A doctor can have a bias for non - clinical work such as basic medical sciences like human anatomy, physiology, biochemistry and go for PhD. He will end up on the preclinical arm of the medical school as a lecturer and will teach there.
Most doctors prefer seeing patients so there were salary incentives for doctors to have a career there. He can rise to be a professor, provost of the college of medicine, vice chancellor but cmd of a hospital is out. He has no official business there.
3. A doctor can go to the clinical side and specialise. He undergoes postgraduate training called residency which lasts between 6 and 8 years ( some finish early) and he becomes a fellow of a postgraduate college. He exits the program. He might be appointed as a consultant in a hospital which is a progression. A consultant is a legal position which means the patient is admitted under his care and he takes responsibility for the actions of his team. Major decisions are not taken without his permission. He gets his full pay from the hospital. But he cannot be a professor because he is not in academics. CMD is also doubtful in a teaching hospital.
3b. The consultant might want to be a lecturer. He cannot function as a clinician without seeing patients so hence the confusion. He applies to the university affiliated with the hospital he was appointed through his department for an appointment. If he is employed as a lecturer, he gets his salary as a lecturer from the university for teaching medical students, postgraduate doctors and coducting exams but he gets his clinical allowance which a normal lecturer does not have for patient care. He can rise to be a professor by virtue of research. All academic and professional appointments are open to him, including the cmd as he is in the clinical wing.
This is just an explanation
For everybody, your progress depends on whether you are in the academic field - professor, head of department or vice chancellor is open to you.
If you are providing a service that has no training or research associated with it career path is same with hospital consultants even though they r specialists.
There are a lot of phd holders in the administration of the university. They can't be vice chancellor's. I am not going to name disciplines but we have to have some perspective.

. I' ♍ not in support of no3, the doctor that performed operation on my sis is now α professor and at d same time α consultant cld ʸ̲Ou please explain how dis happened.NB he is α family friend I know him very well.

adusco: . I' ♍ not in support of no3, the doctor that performed operation on my sis is now α professor and at d same time α consultant cld ʸ̲Ou please explain how dis happened.NB he is α family friend I know him very well.

You're never in support of anything good. You are pathologically bitter towards every meaningful thing that has been typed on this thread. Your contributions reek of poor self image and desire for irrelevant relevance.

What AyodejiGB typed up there is self-explanatory. You cannot understand. It's clearly beyond you.

/

Since the so-called Nigeria doctors like to smell their a_sses, let's work on facts:


Technically, MD is Doctor in Medicine,
DDS: Doctor of Dental Surgery,
Ph.D: Doctor of Philosophy,
D.O: Doctor of Osteopathic medicine

MD = 4/5yrs B.Sc + 4 Med School + 3 yrs Residency = 12 years programme

MBBS = 6 years programme

Since Nigeria offers MBBS (Medical Bachelor and Bachelor of Surgery), being called doctors is the same as referring to
a herbalist as a traditional doctor. In an educationally sane society, MBBS holder takes another 8 years minimum to
finally qualify as a medical doctor. USMLE I, USMLE II will take atleast 3 or 4 years to get through, then residency will take
another 4 years depending on the speciality. If you want to do fellowship (not for General practitioners), add another
2 years.

My point is: They are not qualified to be called doctors yet. They are healthcare technicians.

Come to think of it...

The same way they are massaging their egos ignorantly, do you think after going through 12 years of medical school that
I will like those that went through 6 years of mediocre training to be referred to as doctors as well when it is
clearly stated in their certificates that they hold MBBS? Quiet a number of Nigerian doctors (especially the older ones) that came to USA
end up being physician assistants, Nurses or other allied healthcare practitioners.

They may be lying to their colleagues or family members back home that they are doctors in USA but the we know them.

I am not the least surprised because Nigerians like titles. Every professional wants an appendage to his/her name to clearly elevate his
status. If Obama, Hillary and Bill Clinton are Nigerians, they will be Dr.Obama, Dr.Hillary Clinton and Dr. Bill Clinton because they have J.D (doctorate degree in Law). Who is the Vice-President of Nigeria? Arch. Sambo (Arch for Architect). A pharmacist is Pharm.X. You hear crazy
things like Chief.Dr.Arch. Mrs Y (JP)...etc only in Nigeria.

SMH

Moving on...only doctors are and should be consultants/Attending physicians. A doctor is like the captain of the ship. Are the other personnel
important? Yes. They all have some job to do as a team. But someone has to be the team leader. And that team leader is the doctor. Other healthcare workers provide ancillary services.


\

There is a lot of hatred for doctors. I want to give a simple scenario that applies to a center that has specialist clinics.
Mr A walks into the hospital but since he doesn't have a case note in the hospital, he goes to the general outpatients department where he is seen by a doctor who most llikely is a specialist or not the specialist he needs to see. He will see the health records, pay for consultation and have his BP, weight and other things taken. He then sees the doctor who then sends him with a consultation request on behalf of a consultant to the appropriate specialist clinic if he doesn't have an emergency condition. He then goes to the clinic where he will get an appointment. ( specialists are few in number mind you)
On the day of his appointment, he sees the health record staff, the nurse at the clinic and finally he sees the consultant. After clinical clerkship (history, physical examination and or basic tests ), the consultant has a working or firm diagnosis. The options generally open to the specialist are:
1. Counselling - won't go into details. U have to advice all patients and this depends on situation.
2. Admission for care and everything else will be done in the ward
3. Investigations: scope determined by the patient and doctor
4. Referral/ collaboration with another unit
5. Prescriptions /investigations and a follow up appointment.
The consultant has thus formulated the management plan as he is at the center of the care of Mr A.
When he now have different categories of health workers having leadership status there can be serious chaos. It is challenging enough when multiple consultant units are involved in a patients management. We just don't want to create more problems for patients

lomaxx:

You're never in support of anything good. You are pathologically bitter towards every meaningful thing that has been typed on this thread. Your contributions reek of poor self image and desire for irrelevant relevance.

What AyodejiGB typed up there is self-explanatory. You cannot understand. It's clearly beyond you.

. Hmmmmn, and ʸ̲Ou think I will trade words with ʸ̲Ou.smh 4 u