Tuesday 8 July 2014
THE JOHESU BROUHAHA .......MY PERSONAL OPINION
Commenting on a topic, "most preferred course of choice in Nigerian Universities". According to the write up, medicine came first as the most preferred choice even though it is only offered by about 34 of the about 124 universities in Nigeria. Most contributors gave different reasons why it is most preferred, ranging from renumeration and prestige to excellence.
My own contribution viz; "From the comments made by contributors, it seems most people appreciate the fact that medicine is one of the most sensitive (I am trying to avoid the word "most difficult") course of study in our tertiary institution largely because it deals with human life and the uncertainties (one is not sure if he will eventually become a doctor or not), even the best students in first year could be withdrawn the following year. When I was in school, over 400 of us gained admission to study medicine but less than 120 of us who gained admission together graduated. It is also a known fact that after several attempts at entering medical school, most students eventually settle for related courses like Medical Laboratory Sciences, Nursing, Physiotherapy, pharmacy (Note that a good number of students also choose these courses as their first choice course ab initio).
Having stated the above, it is crass injustice for someone who knew from the beginning that he could not study medicine (for reasons best known to him, be it academic challenges, time spent in the training amongst others) to now realize that the name "doctor" is dignifying, and hence, desires to be called doctor(and or consultant) because he works in a tertiary institution and has garnered some years of experience. This is comparable to technologists who refer to themselves as engineers simply because they know how to assemble machines. What matters most is the qualification and not the number of years spent assisting a medical doctor.
I support that health care workers can and should aspire to whatever they want and to whatever extent. They can still be called doctors. All they need do is complete a masters degree program and a PhD. I know some Nurses who are professors, same with pharmacists. In the USA states of Arizona, and some other states, it is an offense to address yourself as "doctor" if you are not a medical doctor without stating your profession immediately( there should be no room for patients to assume you are a medical doctor when you are not). Let me emphasize that a doctor will never fight to head a pharmaceutical company. We all knew what we wanted before we wrote UME(JAMB) .... This short cut approach must be rejected. I was in Microbiology 300L when I got admission into 100L medicine, I knew what I wanted. I had classmates who were nurses, medical lab scientist, who wanted to become doctors; they took UME again.
Renumeration of doctors should not be compared to any other allied health profession. Google is our friend and we can always ask. Is there anywhere in the world where pharmacists, medical lab scientists, nurses and others earn the same renumeration? If there is any, please let me know.
It is quite unfortunate to see the pharmacists I once respected stoop so low, finding themselves in the nexus of abhorrent disgruntled elements of disappointed and frustrated persons fighting against not only medical doctors but themselves (because they are reducing the practice of pharmacy to drug dispensing). What happened to industrial pharmacy, what happened to drug formulation and research? I was once envious of a classmate who later became a pharmacist. While I was still doing my internship, she was done with hers(no thanks to our extended academic calendar of 6+X years as against hers of fixed 5 years), she was working in a pharmaceutical company, earning a fat salary, had an official car and a driver. Her renumeration and job description was very good and juicy, but that is her calling not for a medical doctor.
In every strata of life, in every team, there is always a leader, one leader, that's why we have only one pope, only one Nigerian president, only one state governor, only one captain and indeed only one chief medical director (who must be a doctor) which must be earned and not gotten through the back door.
Note that only doctors have been appointed Director General of WHO since inception, yet we have other health workers who work for WHO. The present Director General, Margaret Chan should be an inspiration to JOHESU members because she was a home economics teacher before going back to school to study medicine.
My sincere advise to JOHESU is to lead by example, they should propose an arrangement that gives health workers(apart from medical doctors) equal rights viz; the pharmacy technicians should be allowed to head the pharmacy department, auxiliary nurses and B.Sc. nurses should be paid exactly the same salary and have the same type of promotions(since they can all administer injections and dress wounds), laboratory technicians should be allowed to be the assistant head of a laboratory departments assisting a consultant pathologist. If they can successfully implement the above for 5 to 10 years, and the model works perfectly well, then maybe the federal government can look into their request.
Indeed the patient care should be a team work involving the pharmacist, laboratory scientist, nurses with medical doctors at the centre. Any attempt to take the sole responsibility way from the medical doctor will lead to chaos and serious disaster.
I must confess, the turn of events in recent years is not encouraging, it has a most negative effect on the already brain drain that has plagued the Nigerian health sector, what they should be fighting for(collectively, doctors inclusive) should be how to increase the slots for residency training, better renumeration and welfare package across board,how to promote research and get scholarships to further enhance skills and build career, cooperate with doctors to ease the admission of their children into medical school so that their desire can come into fruition. I believed in our generation, we must fight together, my friends who are pharmacist, physiotherapist and nurses know we are not the same, their "ogas" should stop the Tom and Jerry display of ignorance and comic. Yes, I respect them, I respect every other health worker, they have their role which must be respected and indeed the best patient outcome is in team work.
The reason that doctors go on strike in order to increase private patronage is not only myopic but a serious neurological deficit on the part of those who have such reasoning. What will you say when pharmacist and lab scientists go on strike, where do patients buy drugs from( they don't only go on strike, but they frustrate the effort of anyone who choose to deliver care by switching of power generators, hiding surgical instruments, locking up stores amongst others). Yes, most doctors have private hospitals in order to meet the increasing demands in the health sector but pharmacist and others also own pharmacy shops and laboratories, committing the most heinous crimes of consulting, examining and treating patients in their shops which is not designated for such, oh what a lawless nation. Most patients have worsened their clinical condition and indeed died from such crimes. Permit me to call their act genocide of the highest order towards Nigerians.
On this note, I appeal to the federal government to call a spade a spade, to consider the sufferings of the poor patients and do the needful. Medical doctors and indeed the patients deserve more than this ill treatment.
Long live NARD
Long live NMA.
Long live the Federal republic of Nigeria.
Dr Eilojie Omobude
MBChB.
Immediate Past ASG ARD, UBTH.
Former NiMSA president
References:
1.http://www.nytimes.com/2011/10/02/health/policy/02docs.html?pagewanted=all&_r=0
2.http://en.m.wikipedia.org/wiki/World_Health_Organization#Governance_and_support
3. http://en.m.wikipedia.org/wiki/Brock_Chisholm
4.http://en.m.wikipedia.org/wiki/Hiroshi_Nakajima
5.http://en.m.wikipedia.org/wiki/Gro_Harlem_Brundtland Former prime minister of Norway
6. http://en.m.wikipedia.org/wiki/Lee_Jong-wook
7.http://en.m.wikipedia.org/wiki/Anders_Nordström
8. http://en.m.wikipedia.org/wiki/Margaret_Chan
9.http://www.forbes.com/pictures/efkk45hlhe/no-1-best-paying-job-anesthesiologists/
10.http://www.telegraph.co.uk/finance/personalfinance/9834351/Best-paid-jobs-in-the-UK.html?frame=2465310
11.http://en.m.wikipedia.org/wiki/Johns_Hopkins_Hospital#Dean.2F_CEO_of_Johns_Hopkins_Medicine
12.http://en.m.wikipedia.org/wiki/Harsh_Vardhan_(Delhi_politician)
13. http://www.nairaland.com/1800627/most-preferred-courses-nigerian-universities
http://en.m.wikipedia.org/wiki/Margaret_Chan
Margaret Chan - Wikipedia, the free encyclopedia
Margaret Chan Fung Fu-chun, OBEMDJP (born 1947 in Hong Kong) is the...
EN.M.WIKIPEDIA.ORG
JOHESU nearly killed him if not.....When/where there is no Doctor #NMA Strike
My friend just called me now that He went to the hospital with his father who was complaining of Headache and Epigastric pain of 5 days duration. On getting to the GOPD, they found a Lab Technologist? Scientist on duty and his father presented his complains and his BP was 130/70mmHg.
My friend then asked...What is diagnosis of Baba, The Consultant lab scientist told him that Baba has HYPERTENSION plus FEVER and the following drugs was prescribed to them:
1- Tab Nifedipine 20mg tds
2- Tab Amlodipine 10mg tds
3- Tab Aldomet 500mg bd
4- Tab Moduretic 100mg tds
5- Tab Dilclofenac 75mg bd
6- Tab Vitamin C 100mg daily
And they were told to come back next week when Doctors call off their strike....
..I was a little bit asleep but this terrible blunders Woke me Up....#oh my patients#
If not my timely intervention, my guys dad will first delve into Hypotensive crisis den start discussing with his ancestors via profuse GI bleeding
JOHESU JOHESU chai chai..dis blood u re shearing ooooooo..oh
24 Demands of NMA / NARD..FG please grant this for the sake of our patients
OPEN LETTER TO THE SECRETARY TO THE GOVERNMENT OF THE FEDERATION
Senator Anyim Pius Anyim
Secretary to the Government of the Federation
Shehu Shagari Complex
Three Arms Zone
Abuja.
Your Excellency,
FACING THE CHALLENGES IN THE HEALTH SECTOR.
RESOLUTIONS OF THE NIGERIAN MEDICAL ASSOCIATION (NMA) NATIONAL OFFICERS’ COMMITTEE (NOC) MEETING HELD ON THE 10TH OF JUNE, 2014 AT THE NATIONAL SECRETARIAT AND SUBMITTED TO THE OFFICE OF THE SECRETARY OF THE GOVERNMENT OF THE FEDERATION WEDNESDAY 11TH JUNE 2014.
1. The post of Deputy Chairman Medical Advisory Committee (DCMAC) has been circularized and operational. Rather than abolish it, the NMA hereby demands that four (4) DCMACs for teaching hospitals and three (3) for the Federal Medical Centres be appointed forthwith to assist the CMACs whose statutory responsibilities are too heavy for any single individual to handle. Directors in other government agencies are supported by several Deputy Directors, why not the CMAC who is also a Director? Such a DCMAC must have same qualifications as the CMAC. www.medicalworldnigeria.com
2. The NMA is opposed to the appointment of Directors in the Hospitals. This Position distorts the chain of command in the hospital, induces anarchy and exposes the patient to conflicting treatment and management directives with attendant negative consequences.
3. The NMA demands that grade level 12 (CONMESS 2) in the health sector MUST be SKIPPED for medical doctors. Consequently no medical/dental practitioners should be on that grade level anymore.
4. The title “CONSULTANT†in a hospital setting describes the relationship between the Specialist Medical Doctor and his patient. It will be a source of confusion if the title is applied to any other health worker who statutorily does not own patient. NMA therefore declares with unmitigated emphasis that if “non-doctor consultants†are appointed, it will lead to chaos and anarchy in the health sector. This should not happen.
5. Relativity in health sector is sacrosanct. The NMA hereby demands for immediate implementation of the January 3rd, 2014 circular. The NMA also demands the immediate payment of the arrears of the corrected relativity for 22 years during which her members were short changed.
Much as we are not against salary increase for any category of workers, either in health or elsewhere, the NMA demands for immediate adjustment of the doctors’ salary to maintain the relativity as agreed and documented once CONHESS is adjusted.
6. That Government should expedite the passage of the National Health Bill (NHB), and extend Universal Health Coverage to cover 100% of Nigerians and not 30% as currently prescribed by National Health Insurance Scheme (NHIS).
7. Surgeon General of the Federation MUST be appointed with immediate effect.
8. The entry point of the House Officer should be corrected to CONMESS 1 step 4 as originally contained in MSS/MSSS while the Registrar/Medical Officer is moved to CONMESS 3 step 3.
9. Clinical duty allowance for Honorary Consultants should be increased by 90% of CONMESS
10. Adjust the specialist allowance as contained in the 2009 collective bargaining agreement. Additionally, ALL doctors on CONMESS 3 and above MUST be paid specialist allowance or its equivalent that is not less than 50% higher than what is paid to other health workers.
11. Hazard allowance MUST be at least N100, 000 per month for Medical Doctors.
12. Immediate release of the circular on rural posting, teaching and other allowances which MUST include house officers.
13. Immediate withdrawal of the CBN circular authorizing the Medical Laboratory Science Council of Nigeria (MLSCN) to approve licenses for the importation of In-Vitro Diagnostics (IVDs). www.medicalworldnigeria.com
14. Immediate Release of Circular on retirement age for Medical Doctors as agreed with the Federal Government (FG)
15. The Federal Government through the Federal Ministry of Health should formalise and implement the report of the interagency committee on residency training as well as release the uniform template on appointment of Resident Doctors in line with earlier agreements. Moreover, a concrete Funding framework for residency training must be established. The Overseas clinical attachment must be fully restored and properly funded in the interest of the nation.
16. That in the interest of harmony in Federal Medical Centre, Owerri the government should pay the salaries of our members in the centre as agreed on 21st October, 2013.
17. Immediate concrete steps must be put in place for the reintegration of our members back into the IPPIS platform.
18. All attempts to coerce house officers not to join NARD must stop.
19. The orchestrated intimidation, harassment and physical assault of our members in departments of Pathology (Laboratory Medicine) by Laboratory Scientists which is being tolerated by the Federal Ministry of Health (FMOH) must stop.
20. The Endless circle of incomplete salary payment to our members in many hospitals in the name of shortfalls in personnel cost must stop.
21. Universal applicability of all establishment circulars on the remuneration and conditions of service for doctors at all levels of Government must be guaranteed.
22. Government should as a matter of urgency set up a health trust fund that will enhance the upgrading of all hospitals in Nigeria.
23. The position of Chief Medical Director/Medical Director must continue to be occupied by a Medical Doctor as contained in the Act establishing the tertiary Hospitals. This position remains sacrosanct and untouchable.
WHY DID THEY NOT ASK THAT THE POST OF VICE CHANCELLOR BE OPEN TO EVERYONE IN THE UNIVERSITY SINCE ASUU AND SANU ARE MADE UP OF GRADUATES
CAN YOU BE A JUDGE OF THE HIGH COURT OR COURT OF APPEAL IF YOU ARE NOT A LAWYER?
WHY DO THEY THINK THE HOSPITALS WHERE LIVES ARE SAVED EVERYDAY SHOULD SACRIFICE THE ESTABLISHED LEADERSHIP I.E. CHIEF MEDICAL DIRECTOR?
24. The NMA henceforth shall not accept the continued violation of any of the terms of the 2009 Collective Bargaining Agreement. This is exemplified by the payment of Medical Physicists and Optometrists with OD (who are on CONHESS) call duty allowance using the CONMESS Circular. Similarly, the phrase “Ministries, Departments and Agencies†(MDA) in the said agreement should replace “Federal Ministry of Health and other Federal Health Institutions†as contained in the 2009 CONMESS Circular. www.medicalworldnigeria.com
In the light of the fore-going therefore, the NMA hereby gives government 14 days to meet all her demands as stated above or have her members called out for a resumption of the TOTAL and INDEFINITE withdrawal of service suspended on 5th January 2014.
The NMA is taking this painful route because our silence and gentle approach to these contending issues have been taken for granted.
We have to take this action in order to save the health care delivery system from anarchy that is palpably imminent.
We hereby appeal to all Nigerians for their understanding and to press on Government to meet with our demands to avoid the STRIKE which is scheduled to start on the 1st of July 2014 from 00.10 hours GMT.
…………………………….. ..…………………………………..
DR. Kayode OBEMBE DR. Adewunmi ALAYAKI
President Secretary General
Cc:
President of the Senate, FRN
Speaker, House of Representatives, FRN
Hon. Minister of Health
Hon. Minister of State for Health
Hon. Minister of Labour and Productivity
Hon. Minister of Finance
The Head of Service of the Federation
Chairman, Senate Committee on Health
Chairman, House Committee on Health
DG Budgets
Chairman National Salaries, Wages and Income Commission
Inspector General of Police
Chairman, MDCN
Director of State Security Service
Chairman, Committee of CMDs
All CMDs/MDs
All Heads of NMA Affiliate bodies
Media
Senator Anyim Pius Anyim
Secretary to the Government of the Federation
Shehu Shagari Complex
Three Arms Zone
Abuja.
Your Excellency,
FACING THE CHALLENGES IN THE HEALTH SECTOR.
RESOLUTIONS OF THE NIGERIAN MEDICAL ASSOCIATION (NMA) NATIONAL OFFICERS’ COMMITTEE (NOC) MEETING HELD ON THE 10TH OF JUNE, 2014 AT THE NATIONAL SECRETARIAT AND SUBMITTED TO THE OFFICE OF THE SECRETARY OF THE GOVERNMENT OF THE FEDERATION WEDNESDAY 11TH JUNE 2014.
1. The post of Deputy Chairman Medical Advisory Committee (DCMAC) has been circularized and operational. Rather than abolish it, the NMA hereby demands that four (4) DCMACs for teaching hospitals and three (3) for the Federal Medical Centres be appointed forthwith to assist the CMACs whose statutory responsibilities are too heavy for any single individual to handle. Directors in other government agencies are supported by several Deputy Directors, why not the CMAC who is also a Director? Such a DCMAC must have same qualifications as the CMAC. www.medicalworldnigeria.com
2. The NMA is opposed to the appointment of Directors in the Hospitals. This Position distorts the chain of command in the hospital, induces anarchy and exposes the patient to conflicting treatment and management directives with attendant negative consequences.
3. The NMA demands that grade level 12 (CONMESS 2) in the health sector MUST be SKIPPED for medical doctors. Consequently no medical/dental practitioners should be on that grade level anymore.
4. The title “CONSULTANT†in a hospital setting describes the relationship between the Specialist Medical Doctor and his patient. It will be a source of confusion if the title is applied to any other health worker who statutorily does not own patient. NMA therefore declares with unmitigated emphasis that if “non-doctor consultants†are appointed, it will lead to chaos and anarchy in the health sector. This should not happen.
5. Relativity in health sector is sacrosanct. The NMA hereby demands for immediate implementation of the January 3rd, 2014 circular. The NMA also demands the immediate payment of the arrears of the corrected relativity for 22 years during which her members were short changed.
Much as we are not against salary increase for any category of workers, either in health or elsewhere, the NMA demands for immediate adjustment of the doctors’ salary to maintain the relativity as agreed and documented once CONHESS is adjusted.
6. That Government should expedite the passage of the National Health Bill (NHB), and extend Universal Health Coverage to cover 100% of Nigerians and not 30% as currently prescribed by National Health Insurance Scheme (NHIS).
7. Surgeon General of the Federation MUST be appointed with immediate effect.
8. The entry point of the House Officer should be corrected to CONMESS 1 step 4 as originally contained in MSS/MSSS while the Registrar/Medical Officer is moved to CONMESS 3 step 3.
9. Clinical duty allowance for Honorary Consultants should be increased by 90% of CONMESS
10. Adjust the specialist allowance as contained in the 2009 collective bargaining agreement. Additionally, ALL doctors on CONMESS 3 and above MUST be paid specialist allowance or its equivalent that is not less than 50% higher than what is paid to other health workers.
11. Hazard allowance MUST be at least N100, 000 per month for Medical Doctors.
12. Immediate release of the circular on rural posting, teaching and other allowances which MUST include house officers.
13. Immediate withdrawal of the CBN circular authorizing the Medical Laboratory Science Council of Nigeria (MLSCN) to approve licenses for the importation of In-Vitro Diagnostics (IVDs). www.medicalworldnigeria.com
14. Immediate Release of Circular on retirement age for Medical Doctors as agreed with the Federal Government (FG)
15. The Federal Government through the Federal Ministry of Health should formalise and implement the report of the interagency committee on residency training as well as release the uniform template on appointment of Resident Doctors in line with earlier agreements. Moreover, a concrete Funding framework for residency training must be established. The Overseas clinical attachment must be fully restored and properly funded in the interest of the nation.
16. That in the interest of harmony in Federal Medical Centre, Owerri the government should pay the salaries of our members in the centre as agreed on 21st October, 2013.
17. Immediate concrete steps must be put in place for the reintegration of our members back into the IPPIS platform.
18. All attempts to coerce house officers not to join NARD must stop.
19. The orchestrated intimidation, harassment and physical assault of our members in departments of Pathology (Laboratory Medicine) by Laboratory Scientists which is being tolerated by the Federal Ministry of Health (FMOH) must stop.
20. The Endless circle of incomplete salary payment to our members in many hospitals in the name of shortfalls in personnel cost must stop.
21. Universal applicability of all establishment circulars on the remuneration and conditions of service for doctors at all levels of Government must be guaranteed.
22. Government should as a matter of urgency set up a health trust fund that will enhance the upgrading of all hospitals in Nigeria.
23. The position of Chief Medical Director/Medical Director must continue to be occupied by a Medical Doctor as contained in the Act establishing the tertiary Hospitals. This position remains sacrosanct and untouchable.
WHY DID THEY NOT ASK THAT THE POST OF VICE CHANCELLOR BE OPEN TO EVERYONE IN THE UNIVERSITY SINCE ASUU AND SANU ARE MADE UP OF GRADUATES
CAN YOU BE A JUDGE OF THE HIGH COURT OR COURT OF APPEAL IF YOU ARE NOT A LAWYER?
WHY DO THEY THINK THE HOSPITALS WHERE LIVES ARE SAVED EVERYDAY SHOULD SACRIFICE THE ESTABLISHED LEADERSHIP I.E. CHIEF MEDICAL DIRECTOR?
24. The NMA henceforth shall not accept the continued violation of any of the terms of the 2009 Collective Bargaining Agreement. This is exemplified by the payment of Medical Physicists and Optometrists with OD (who are on CONHESS) call duty allowance using the CONMESS Circular. Similarly, the phrase “Ministries, Departments and Agencies†(MDA) in the said agreement should replace “Federal Ministry of Health and other Federal Health Institutions†as contained in the 2009 CONMESS Circular. www.medicalworldnigeria.com
In the light of the fore-going therefore, the NMA hereby gives government 14 days to meet all her demands as stated above or have her members called out for a resumption of the TOTAL and INDEFINITE withdrawal of service suspended on 5th January 2014.
The NMA is taking this painful route because our silence and gentle approach to these contending issues have been taken for granted.
We have to take this action in order to save the health care delivery system from anarchy that is palpably imminent.
We hereby appeal to all Nigerians for their understanding and to press on Government to meet with our demands to avoid the STRIKE which is scheduled to start on the 1st of July 2014 from 00.10 hours GMT.
…………………………….. ..…………………………………..
DR. Kayode OBEMBE DR. Adewunmi ALAYAKI
President Secretary General
Cc:
President of the Senate, FRN
Speaker, House of Representatives, FRN
Hon. Minister of Health
Hon. Minister of State for Health
Hon. Minister of Labour and Productivity
Hon. Minister of Finance
The Head of Service of the Federation
Chairman, Senate Committee on Health
Chairman, House Committee on Health
DG Budgets
Chairman National Salaries, Wages and Income Commission
Inspector General of Police
Chairman, MDCN
Director of State Security Service
Chairman, Committee of CMDs
All CMDs/MDs
All Heads of NMA Affiliate bodies
Media
Facts about hospital management by Felix Archibong
Consultants and Chief Medical Officers in other Government
Hospitals in the Developed World (International best
practices/standards). We do not need to travel far and wide to know what
is happening in other parts of the world because the world has become a
global village, all thanks to information technology. The conflict in
Nigeria health sector has tugged me to search for what is obtainable on
the key warring issues in other developed countries. Ideally the Nigeria
Health system format is supposed to be compared with that of the
Britain(not the Americans) since Nigeria adopted and is using the
British educational/health systems; however reference has been made on
American health system in this write up, for obvious reason.
I deliberately sourced for all information from current and popular
international encyclopedia and/or professional websites not hosted by
medical doctors.
. Medical/hospital Consultant:
The term or title "consultant" is coined from consultation. It is wise
to see the standard definitions of medical consultation; which are:
Medical consultation is a formal meeting with a medical doctor for
discussion or the seeking of advice
{www.en.m.wikipedia.org/consultation(medical)}. It is also defined as a
procedure whereby, on request by one Physician, another Physician
reviews a patients medical history, examines the patient and makes
recommendation as to care and treatment( www.medical
dictionary.freedictionary.com/medical consultation). In the UK, Republic
of Ireland and parts of the commonwealth countries Medical
Consultant is the title of a senior hospital-based physician or surgeon
who has completed all of his/her specialist
training{www.en.m.wikipedia.org/consultant(medicine) ,
www.medicaldictionary.thefreedictionary.com/consultant(medicine),
www.gapmedics.co.uk/difference between consultant and a doctor in a
hospital }
. Consultant Pharmacist:
In America Pharmacists are broadly grouped into two:
1. Health system pharmacist
2. Consultant pharmacist
The health system pharmacist is hospital-based pharmacist that
provides care to patient on healthcare team. They undergo residency
training but are not awarded the title of consultant.(www.asph.org).
Consultant Pharmacists are pharmacist that work as private pharmacist
for individual elderly persons or is employed to work in old people
homes(institute) to enhance quality of care for all old persons. They
are non-hospital staff and do not undergo residency training but write preparation/recertification examinations. They are also called senior care pharmacists (www.ascp.com).
. Consultant Nurse:
In USA Consultant Nurse
is a registered nurse who uses expertise as a healthcare provider and
specialized training to consult on medical related legal case. They
assist attorneys in reading medical records and understanding medical
terminology and healthcare issues to achieve the best results for their
client. They are non-hospital staff.( www.en.m.wikipedia.org/nurse
consultant)
. Chief Medical Director (Office):
This title is used in many countries for the senior government
official designated as head of medical services, usually at the national
level. He advices and leads a team of medical experts on matters of
importance. { www.en.m.wikipedia.org/chief medical officer,
medicaldictionary.thefreedictionary.com/chief medical officer,
www.ehow.com/chief medicalofficer, www.
gov.uk/government/people/sally-davies}
. Surgeon General In the United States and many areas of the British Commonwealth:
This title refers to a physician commissioned by government and
entrusted with the public health responsibilities. In Uk Surgeon General
is the senior medical officer of the British Armed Forces
(www.en.m.wikipedia/surgeon general UK/USA).
. Hospital Chief Executive Officer:
This is the highest management position within a hospital in the
capitalist countries. He or she is expected to have masters in business
Administration, masters in healthcare Administration etc( in Nigeria
such a position is designated as Director of Administration in Teaching
Hospitals)www.degreetree.com/how to become a
hospital ceo.
. Health Care Professionals
They are divided into two broad groups:
1. Core Healthcare Professionals
2. Support (Allied) Healthcare Professionals
The core professionals are doctors, nurses and pharmacists. Others,
except these three, are allied professionals (www.wikipedia.org/allied
health professions)
By Archibong F.
archlix@yahoo.com
THE STRIKE CONTINUES..Long live NARD and NMA
Colleagues and comrades,
It is worth to let you guys know that our medical profession, welfare and indeed patient health and care and hospitals in Nigeria is being threatened by JOHESU and the FG is playing politics with us and not taking us seriously. JOHESU and FG should be held responsible.
THE NARD E-NEC and NMA EDM just ended and we voted to continue the strike till our demands are met. THIS IS THE LAST FIGHT and we must be ready for it and put all we have till our needs are met.
We should not allow the public, Govt or JOHESU to use the hippocratic oath to harrass us or that patients are dying to force us to work. We love our work, the patient and indeed this country but we not sacrifice our lives and families and our profession or be cajoled or pressured to return to work till Govt learns that he should learn to reward those who are at the forefront of patient care even at the expense of our own lives and family comfort.
NMA
The meeting held with the full representation from NARD till the wee hours of this morning. The Minister of Health, Gov Uduagan, Senator Ifeanyi, Tony Elumelu attended; and the game plan was to coax and cajole us and pressure NMA NOC to accept the MOU , which did not address our demands nor solved the problem in the health sector created by JOHESU.
The minister and Gov also made matters worst by preempting our calling off the strike or resuming emergency services with the information giving to the press.
1) We agreed that Govt should issue circulars addressing DCMAC, CMD, CONSULTANT and DIRECTORSHIP now. The so called MOU was evasive and still referred us to Ya ya Le Ahmed committee.
2) We asked that FG should pay us Relativity CONMESS and Skipping from January now and not to attempt to destroy it by granting JOHESU another distortion: The MOU stipulated we should wait till September to get paid. But NARD does not trust GOVT and rejected it and fought on the NMA floor to be steadfast.
Many other issues was addressed and the atmosphere was very tensed and members were close to throwing blows at betrayers or NOC members who tried to play usual politics with the welfare of Nigerian doctors and the future of our profession. The minister left angrily.
Colleagues, the fight has just begun. Let's be ready for a long and tough fight that will bring hope to us and our patients. We must all be ready for media war and propaganda and JOHESU lies and Govt's wrath. But we must be United and put our mouth and money to fight this course till we see justice done to us and our patient's lives not jeopardised by the useless, covetous and grandiose delusional demands of JOHESU.
Let's go about our lives and trust that God would see us through and strengthen our NARD and NMA leaders as well as our ARD leaders. Let's pray for victory and restoration of sanity to our hospitals and God to help Govt to repair what JOHESU is about to or has destroyed in various hospitals across the federation.
NARD
Abiout 5 demands before this time at our various negotiations before the 3rd as warning strike .
1) FMC Owerri colleagues: This is only fully met demand of NARD.
2) RESIDENCY EMPLOYMENT LETTER TEMPLATE: The circular and template were released but yet to be implemented. We can not celebrate yet because as typical of most CMD implementing will take sometime or some pressure by local ARD. So until all our members who need it and especially those who have been given letter to leave residency are reversed, our battle has just begun locally for implementation.
3) CONMESS and skipping: It was not satisfactorily addressed.
4) Teaching allowance and Rural allowance not met.
5) IPPIS: GOVT has not solved the problem for us to go back.
So added to NMA peculiar demands which were mostly not met but referred to YAYALE Ahmed Committee and SO CALLED MOU, we decided to continue the strike.
Let's be steadfast and focused.
LONG LIVE NARD
LONG LIVE NMA
LONG LIVE THE NIGERIA PATIENTS
Ben Oranye
ARD UCH
GENERAL SECRETARY
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