I love how the young physiotherapist was trying not to be bias but ended up being bias.
Before we talk about systems let's go back to 2009 when the Nigeria government appointed Dr. Paul Botwev Orhii a medical doctor, biomedical researcher with a phD in Neuropsychopharmacology and lawyer/legal consultant in pharmaceutical ligation as Director general of NAFDAC.
His appointment came with a lot of backlash from the pharmaceutical society of Nigeria (PSN), they argued that a medical doctor is not qualified to head NAFDAC and having a phD in pharmacology was not in anyway an added advantage, they even threatened legal action against the late president Umaru Musa Yar'Adua.
They further argued that Dr. Orhii is not registered with the pharmacist council of Nigeria(PCN) and knowledge in pharmacology doesn't make one vast in the field of pharmacy as it is just one out of the core 7 specialty of pharmacy hence Dr. Orhii isn't qualified to head an agency that deals with Food and drugs.
Same argument resurfaced in 2017 this time more fierced when Mr Ademola Andrew a Banker/financial administrator and a long term serving staff of NAFDAC was appointed acting DG. He didn't even last up to 3months in office before a pharmacist was appointed.
Since the 33 years of NAFDAC existence, 4 pharmacists have been appointed substantive DG and the only non-pharmacist to be appointed a substantive DG was Dr. Paul Orhii and PSN fought him tooth and nail.
This is not coincidence, the same system the young physiotherapist was complaining about is still at play in NAFDAC and if we are go by the logical reasoning of PSN, then only a medical doctor with extensive knowledge in patient care should be appointed CMD of teaching hospitals, a pharmacist and other allied healthcare workers should have no business being CMD(this is the logical conclusion of PSN argument).
Lastly, the young physiotherapist should know that the AC and freezers in Doctors call room are not provided by hospital management, as an HO rep/PRO back then, I bought 3 microwaves, electric irons and lobbied my president to buy TV and Gotv in the house officers call room, I believe allied healthcare workers can do the same if mgt fails to do so.
One of the saddest thing about being a doctor in Nigeria is seeing people die because of health conditions that money can solve.
Recently saw someone with endoscopy diagnosis of hiatal hernia and the only facility he could get fundoplication wanted 2.5 million.
In one of my calls, I was asked to review a child with head injury.
The father was wanted to hit a rabbit or something on his farm but accident hit the child on the head instead.
The child has depressed skull fracture, pinpoint pupils and was in a coma.
They couldn't afford card and I referred but the child died before he could gather funds for transport.
I can't sum how much of my money I have spent on getting items and drugs for patients.
I've seen people have their ulcers get worse because they can't afford daily dressing.
I've seen pregnant moms turned away because of no funds for cesearean sections.
So many with treatable cancers develop advanced disease because they can't afford surgery and chemotherapy.
I've treated so many people who I suspect to have a brain tumor or aneurysm but I can't confirm because they cannot afford brain MRI.
I hate it here man
See how a promising life was wasted.
This is why I love myself. I will disobey you and damn the consequences.
God will judge all in accordance to there deeds
Quota is 150, but you admitted 300+ in 100L, then 8 years later, you are saying sorry we can only graduate 150. That’s not policy. That’s playing with people’s lives.
8 years of school fees, sacrifice, sleepless nights, parents aging, dreams on hold… only to be told “wait, there’s a backlog”.
The parents that have been saying “my son/daughter is almost a Doctor” for years now don’t even know what to say again. 🥲
It’s not just certificates.
Housemanship delayed, residency delayed, income delayed, marriage plans delayed and life delayed.
This kind of waiting breaks people quietly. The pressure plus the uncertainty is a lot.
I really hope there's something that can be done. This is not a situation anyone should be.
I’ve heard a lot about Fulani people and I witnessed it today.
This woman strolled in that she’s feeling stomach pain.
Apparently, she was in labor cos she was already fully dilated.
She went in, and while others were screaming, she was just smiling and grunting a bit while muttering what I think is prayers.
I wasn’t even sure she was pushing enough because of the sheer lack of effort on her face. But she pushed that baby out without a fuss..
She was even torn and had an episiorrhaphy and was making a phone call during the repair.
Nah, these people are truly strong.
A friend: Wait, why are medical professionals centered on money than saving life
Me: Money is essential for survival, we endanger our own lives every day trying to save others, the pay should at least be worth it especially in Nigeria the pay and the working conditions are so poor!!!
I compared the recent Physiology MB examination questions from both UNN and UniJos to see which one was harder.
What I found was actually surprising.
Both papers were for the same academic level and were written within the same session. They even had the same duration.
However, their philosophy of assessment was completely different.
The UNN Physiology paper had six questions, and students were required to answer five. In other words, there was one guaranteed drop built into the paper.
UniJos, on the other hand, set five questions, and all five were compulsory.
Now, looking deeper into the papers, the differences became even more obvious.
UNN examined eight different subtopics across eight different physiological systems.
There was:
- A question on insulin from Endocrine Physiology.
- A question on cardiac output from Cardiovascular Physiology.
- A question on acidification from Renal Physiology.
- A question on the reticular formation from Neurophysiology.
- A question on T-lymphocytes from Immunology.
- A question on gas diffusion from Respiratory Physiology.
- A question on secondary sexual characteristics from Reproductive Physiology.
- A question on bile duct disorders from Hepatobiliary Physiology.
It was broad.
Very broad.
The command words were things like:
- Discuss
- Describe
- Outline
- Briefly discuss
In other words, the paper mostly rewarded recall and explanation.
There was no clinical vignette.
No patient scenario.
Every question stood on its own.
Now compare that with UniJos.
UniJos wasn't nearly as broad.
Instead, it concentrated on fewer domains.
Renal Physiology appeared twice—once on tubular handling and again on the Renin-Angiotensin-Aldosterone System (RAAS).
Endocrine Physiology appeared three different times across the paper.
The paper also opened with a complete trauma case containing Hb, Hct, RBC count, ECG, blood pressure, reflexes, and vision findings, followed by multiple sub-questions that depended on interpreting that single clinical scenario correctly.
Miss the case...
...and several marks disappear together.
So, from my own analysis, this is arguable, but I think UniJos was structurally harder.
Why?
Not because the content was necessarily more difficult.
But because it gave students no escape route.
Students had to know Renal Physiology and Endocrine Physiology in much greater depth.
The questions demanded clinical correlation.
They demanded application.
They demanded analysis.
UNN, on the other hand, was broader.
Students had to touch more systems, but each question was more isolated and much more forgiving.
Overall, I would describe the difference like this:
UNN rewarded recall and explanation.
UniJos rewarded recall, comprehension, analysis, synthesis, and application.
That was the biggest difference I noticed after comparing both papers.
Now I'm curious.
Which style do you think is actually harder?
A paper that covers almost every physiological system but mostly asks you to explain...
Or a paper that covers fewer systems but forces you to think clinically and leaves you with no question to drop?
During my internship, we (interns) were mustered at 5AM by the Commandant for punishment.
We stood at attention, ran around for hours, then finally got directed to the conference room and fed snacks at 4PM.
The OIC later walks in and asks: “What are your plans after internship?”
Ladies and gentlemen… 60 out of 83 interns were relocating to Brazil, UK, USA, Canada, France, Netherlands Mexico, Dubai, Australia!
One girl (whose dad brought her in a Naval Chopper) said she won’t be practising for now, cause she had to tour 25 countries before her 25th birthday.
The rest of us just whispered “NYSC” like we were confessing sins 😂😂
As we dragged our feet back to the interns’ lodge by 6PM, it hit me:
“I have to make money in this life.”
I knew most of them were Nepo babies, but darn! I swore for two weeks straight, that I’ll never be poor.
Fast forward to three years later, na only 3400 naira dey my account.😭🤣🤣
But that hunger? It’s still burning!