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Consultancy Not For Doctors Alone Says UCH CMD by firedup: 6:41am On Aug 22, 2014
Finally, the truth is coming out! Even the real doctors are now confessing the truth.
Read and see for your self.

…No, we own the patient –NMA
Unlike his medical colleagues, the Chief Medical Director (CMD) of University College Hospital, Ibadan, Prof. Temitope Alonge, has said that the title of ‘consultancy’ in a teaching hospital should not be reserved for doctors alone. He however, explained that the terminology which could apply to other professional bodies that have got to a certain level in their career should not be confused with that of a consultant doctor which is based on years of practice in a particular specialty.

Prof Alonge who is also an Orthopaedic surgeon, divulged this to newsmen during a media parley in Lagos recently.
In the recent times, the issue of consultancy has caused quite a controversy in the medical sector, with the dispute largely blamed for the unresolved industrial actions, the consequential death tolls and the decay in the sector.

While other health professionals such as Pharm. Olumide Akintayo, the President of Pharmaceutical Society of Nigeria (PSN), has argued that the title “consultancy” as well as the position of directors, are applicable to other health professionals, a member of Nigerian Medical Association (NMA), Dr. Olubunmi Omojowolo told National Mirror that this cannot work in a teaching hospital. “Yes there are consultant nurses and pharmacists in other countries but that is only in private hospitals, it cannot work in a teaching hospital”, he said.

Report has it that the hornets’ nest was stirred when consultant nurses and pharmacists were appointed at UCH and other teaching hospitals, a development that did not go well with the doctors.

According to the Medical and Dental Council of Nigeria (MDCAN), the situation became unbearable when, “consultant nurses prevented surgeons, who performed surgical procedures on patients from inspecting the surgical wounds of their own patients.” In a press conference at Ibadan, the President of MDCAN, Dr Olusegun Ayodeji Oluwole narrated how a Consultant Plastic Surgeon was barred from reviewing the surgical wound he created post-operatively because a “Consultant Nurse” had reviewed the wound earlier and was satisfied with her findings. Also at the Nnamdi Azikwe University Teaching Hospital Awka, a “Consultant Pharmacist” was reported to have invaded the wards with his team, canceled patients’ prescriptions and demanded that a Consultant Cardiologist remove a key drug in an in-patient prescription, on grounds that the drug has some known adverse effects.

On the heel of these developments, the NMA commenced an indefinite strike after issuing a 24-point demand to the government, one of which include the discontinuation of non-medical doctors as Directors and Consultants in a teaching hospital.

Pledging its resolve to continue the strike despite the Ebola outbreak, and the recent sack of 16,000 resident doctors, the NMA president Lagos branch, Dr. Kola Ojo, insists that the title of ‘Consultant’ in medical practice is reserved exclusively for a doctor that has gone through a minimum of six years postgraduate academic training.

According to him, the patient is traditionally registered under a consultant, who owns the patient and reserves all rights over the patient.
However, in a shift from the doctor’s sacrosanct view, Prof Alonge of UCH Ibadan explained that the premier teaching hospital does not concentrate effort to one cadre of medical profession alone. “Let me say that in UCH, we don’t discriminate and we implement government directives to the letters. The Federal Government has issued a mandate that everyone should get to the peak of their career”.

He expressed the view that other members of the health sector have the right to be made directors in teaching hospitals explaining that “very soon, we are going to have directors of pharmacy, nursing, physiotherapy at UCH. All of these people are Level-17 officers and we must give them their due rights”.
While reacting to the incident of ‘consultant nurses’ and ‘pharmacists’ which has its root from UCH, he explained this as a confusion of terminology, “It was an unfortunate scenario when the hospital introduced, without the consent of the ministry, the issue of consultancy in other areas.

I think the terminology is what is confusing the entire public because when the patients come they don’t have an idea that Consultancy, by virtue of professionalism is different from a consultant in a particular specialty based on years of practice as a doctor. But I think a particular committee is addressing the terminology”

Professor Alonge lauded the efforts of specialized pharmacy also known as “clinical pharmacy” adding that no one can question their approach to care. “If you send a prescription to the pharmacy department and the drugs are not compatible, the pharmacists will comfortable write on the prescription back to you, asking you to kindly review the prescription or ask for a discussion.

“That is called clinical pharmacy. Otherwise, a young doctor, by virtue of the limited experience in particular area may want to mix drugs not deliberately but out of the fact that he has not had deep experience enough to know the limitation. But the pharmacy will not say I don’t want to give you the drugs, rather he will write to the doctor, so we have a good working relationship with our pharmacists,” he said.

He also narrated his own experience in 1995 while practicing as an orthopedic surgeon, “having written a prescription of antibiotics, the pharmacists called me – ‘can I have few words with you?’ He explained that the prescription may need to be reviewed but I informed him that the patient has an acute infection and I needed to contain it as soon as possible and that is why I have extended the prescription beyond the routine to 10 days. And that was accepted because it was a straight logical discussion”
Prof. Alonge advised that everyone should know their limitation and other profession should also be respected

Re: Consultancy Not For Doctors Alone Says UCH CMD by sleekier(m): 7:07am On Aug 22, 2014
Source, pls.
Re: Consultancy Not For Doctors Alone Says UCH CMD by Nobody: 8:06am On Aug 22, 2014
If the para-medics will be allowed to answer consultants, then there should be a clearly spelt out rule guiding their limitations in the hospital. I wont want a pharmacist to badge into my cubicle and order me around. I will surely strangle him with the tube of my stethoscope.
Re: Consultancy Not For Doctors Alone Says UCH CMD by MrsAwesome: 11:51am On Aug 22, 2014
chimoz: If the para-medics will be allowed to answer consultants, then there should be a clearly spelt out rule guiding their limitations in the hospital. I wont want a pharmacist to badge into my cubicle and order me around. I will surely strangle him with the tube of my stethoscope.
You don't merit an office, a secluded cubicle with barbed wires will suffice for a doctor with your mentality.
Order around my foot..........

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Re: Consultancy Not For Doctors Alone Says UCH CMD by Edkay: 1:20pm On Aug 22, 2014
In principle, no one should be prevented from reaching the zenith of his career. However, to prevent confusion in the course of treating patients (too many cooks syndrome) the limits of each professional group should be in black and white:
For example:doctors do not dispense medications. Lab scientist do not make diagnosis. Pharmacist do not write prescriptions. These are built in checks in health systems for patients safety and welfare.
Secondly, while, different groups may be involved in different aspects of patient care, only one should provide leadership and accept ultimate responsibilty for the patient (like a football team manager). This explains why no one considers suing lab scientists, Nurses, Pharmacists when patients are ill managed.
Re: Consultancy Not For Doctors Alone Says UCH CMD by MrsAwesome: 2:37pm On Aug 22, 2014
Edkay: In principle, no one should be prevented from reaching the zenith of his career. However, to prevent confusion in the course of treating patients (too many cooks syndrome) the limits of each professional group should be in black and white:
For example:doctors do not dispense medications. Lab scientist do not make diagnosis. Pharmacist do not write prescriptions. These are built in checks in health systems for patients safety and welfare.
Secondly, while, different groups may be involved in different aspects of patient care, only one should provide leadership and accept ultimate responsibilty for the patient (like a football team manager). This explains why no one considers suing lab scientists, Nurses, Pharmacists when patients are ill managed.
They are never sued? Says who? Get some education dude. Are they hiding under your apron string Or are they practicing medicine that the physician will answer for their sins. Do you know the meaning of a profession at all?
Nobody answers for my shortcomings as a professional nurse, but if you engage the services of an auxiliary you should be standing on your toes and always ready for subpeona from any quarter.

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Re: Consultancy Not For Doctors Alone Says UCH CMD by Nobody: 4:43pm On Aug 22, 2014
MrsAwesome: You don't merit an office, a secluded cubicle with barbed wires will suffice for a doctor with your mentality.
Order around my foot..........
You got me wrong dear, in as much as I would want to be corrected when I make mistakes in practice, I wouldn't want it to be rude or for anybody to order me around because he is a consultant.
Re: Consultancy Not For Doctors Alone Says UCH CMD by MrsAwesome: 8:36pm On Aug 22, 2014
chimoz:
You got me wrong dear, in as much as I would want to be corrected when I make mistakes in practice, I wouldn't want it to be rude or for anybody to order me around because he is a consultant.
Nobody likes being ordered around,okay. Being a consultant won't usurp the roles of any other worker when a spelled out rules are enforced. These happens in a sane society, though but we're all getting there.

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Re: Consultancy Not For Doctors Alone Says UCH CMD by Nobody: 8:59pm On Aug 22, 2014
MrsAwesome: Nobody likes being ordered around,okay. Being a consultant won't usurp the roles of any other worker when a spelled out rules are enforced. These happens in a sane society, though but we're all getting there.
Thank God you finally understood me. Are you really Awesome?
Re: Consultancy Not For Doctors Alone Says UCH CMD by Edkay: 3:52pm On Sep 07, 2014
MrsAwesome: They are never sued? Says who? Get some education dude. Are they hiding under your apron string Or are they practicing medicine that the physician will answer for their sins. Do you know the meaning of a profession at all?
Nobody answers for my shortcomings as a professional nurse, but if you engage the services of an auxiliary you should be standing on your toes and always ready for su. bpeona from any quarter.
Hey! Don't get me wrong. Everyone gets sued and a profession is not defined by "being sued".

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