In a circular dated and signed by the permanent secretary, Ministry
of Health, the federal government announced the abrupt indefinite
suspension of residency training in its various tertiary hospitals and
subsequent sack of the over 16,000 doctors that make up the bulk of the
medical work force in government hospitals across the country .
The reasons stated for such a thoughtless and irresponsible move is a
comprehensive appraisal of the national residency training programme, –
the première training institution and postgraduate scholarship for
future specialists in all fields of medicine- one of the contentious
issues highlighted in the Nigerian Medical Association’s 24-point demand
to the federal government prior to commencement of its now 49 day old
strike.
The NMA had asked for a total upheaval of the residency training
programme which has become a shadow of its former self, made all the
more ineffective by the actions of corrupt government officials who have
hijacked the programme for their own selfish gains. Under this system,
there have been more applicants than there have been available
placements for doctors who are qualified to commence postgraduate
training. The NMA is also asking that government resumes the overseas
postings that used to be a pivotal part of the programme in which
doctors on the verge of earning their specialization qualifications were
sponsored overseas to gain some exposure to the latest cutting edge
advances in their various fields of study.
But make no mistake, this move by the government has not been
orchestrated with the intentions of saving the health sector from
collapse, neither is it being carried out with the best interests of the
populace or the doctors at heart. This is a power move, pure and
simple; one that is as unnecessary as it is illogical considering the
consequences inherent for the defenceless citizens. It may very well
turn out to be the final nail in the coffin that will send our already
battered health care system into the grave.
Perhaps the most vibrant subgroup of the NMA, the national
association of resident doctors driven by raw hunger and perhaps naked
ambition, have been at the forefront of the struggle for the demands of
the doctors and some overenthusiastic persons who do not even access
healthcare in the country, after watching government fail spectacularly
at engaging the national body of doctors at all levels, recommended the
piecemeal conquest of the errant doctors, starting with the most
volatile, yet vulnerable group.
It is even more baffling that a responsible government, one that is
alive to its duties would resort to such desperate and indiscriminate
tendencies. Most worrisome is that a minister of health who is a doctor
himself and a product of the same system would supervise such a tragedy.
One that would immediately turn our hospitals and teaching centres to
mere consulting centres and our sharp young minds into rusty second
class material, denied the chance to pursue the highest levels of
professional excellence. The net result of course will be a reactionary
haemorrhage of man power as freshly qualified doctors will immediately
seek such opportunities in countries that appreciate their skill and
services.
Also
affected will be the quality of doctors churned out by this ignoble
system. Medical students will be at the mercy of the few overworked
consultants who must impart clinical skills to the students as well as
take on extra duties and procedures which they would previously have
trusted their resident doctors to handle. This kind of cumbersome
arrangement will eventually trickle down and affect the quality of care
given to the patient.
Presently on life support system, the national health care system is a
sham of bad policies, decaying infrastructure, ineffectual funding,
professional distrust and burdensome mortality rates but even at its
most worrisome states, it is a system that is bent yet unbroken, but the
spine holding everything together was the collection of sleep-deprived,
overworked and underpaid resident doctors.
This legality or otherwise of this action may yet be determined by
the law courts but on any practical, humane or sensibility scale, it
ranks at rock bottom.
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