first_imgAs a healthcare professional, one of the biggest practice challenges I continue to face, and might be shared by my peers, is the significant shortage of medical doctors in hospitals. In addition, I have also witnessed a frustrating gap in the absence of formal management and leadership training provided to medical doctors, many of whom, immediately upon graduation from medical school, assume roles as County Health Officers (CHOs) or double as CHOs and hospital personnel. Note that the work of a CHO is highly administrative and does not generally involve clinical practice. This has a significant trickledown effect on the ordinary citizens thus further weakening the health care system. What makes the matter worse is in the Liberian context about which I write this article, the doctor to patient ratio is a staggering 1 doctor to over 76,000 patients. In 2013, there were only 51 medical doctors in the country, and some died during the Ebola outbreak. Given such a gap, does it make lots of sense to remove the scarce number of doctors from the theater, meaning the operating room and bedside of patients, so that they can serve as practicing healthcare administrators? And for those of us who have watched these doctors at work as County Health Officers, their inability to navigate the political bureaucracy or deal with personnel issues becomes natural consequences of being put in positions to do what they are not taught to do. Doctors, at least in Liberia, are trained to deliver clinical care, but when they are misplaced in administrative positions, the result can only be the kinds of mishaps we see happening in the society. Sadly, many medical doctors trained in Liberia never get to sharpen their skills in developing treatment plans and seeing patients and then transition quickly on to becoming County Health Officers. They end up not practicing the clinical art of diagnosis and treatment and over time become mere healthcare administrators.Speaking as a nurse and public health specialist, I have witnessed doctors assigned at hospitals and also as CHO/CEO continually attend meetings outside their duty stations; meaning, patients who require emergency medical attention might have to pass away or travel to other facilities long distances away. This situation is worse when considering the hours it takes to reach hospitals and even clinics/health centers, especially in rural Liberia. The question that keeps looming in my head is the following: Is this the best use of our limited healthcare human resources, particularly our doctors? Could we not utilize the skills of the many graduates of graduate programs in public health in the County Health Officer role? Could we not train college graduates to become county health officers especially those with backgrounds in Nursing and related fields? Have you ever felt overwhelmed as a nurse working with a doctor whose clinical knowledge is so sparse because he or she has spent much of their professional life in administrative positions? Could this issue be the source of the many unexplained deaths that are occurring in hospitals? Could it also be that the scarcity of practicing medical doctors is overwhelming the few who are practicing to violate medical ethics by working longer hours than they should? Or could it be the reason why some regional hospitals depend on foreign doctors (contractors) for day-to-day patient care?As a society, if these issues are not tackled in a substantive way, the investment of national resources in medical education will certainly not produce the needed dividend. We have contained the Ebola outbreak, but there could be other epidemic outbreaks on the horizon requiring more practicing/experienced healthcare professionals, including medical doctors. What public policy remedies are proactively being employed to ensure that when that time comes, the society will be prepared to fully optimize the already small number of trained doctors that we have? The key to leveraging our healthcare investments is making sure that the few doctors that have been trained at home and abroad return to the hospital and clinics full time, doing what they were prepared to do professionally. Therefore, let medical doctors be left alone to do medical work and let those with the requisite qualifications be ushered in regardless of their professions (not being restricted to medical doctors or staff). Furthermore, medical doctors who so desire to be CHOs/CEOs can be given study opportunities to enable them advance themselves. The Author: Eddie Miaway Farngalo is the Head of the Research Department at the Center for Liberia’s Future. A trained nurse who practiced at the Jackson F. Doe Memorial Regional Referral Hospital, he returned to graduate school and completed a Master of Public Health degree in Health Services Planning and Management (Ghana); served as a Health Training Specialist and Surveillance Assistant, Grand Gedeh County (IOM); triage nurse at the Sinje ETU; Community Support Officer for Ebola Community Care Center, Karnplay Nimba County (Project Concern International). He is currently leading the CFLF team conducting a national study on community perceptions about Ebola and the reintegration of Ebola survivors, orphans and caregivers. Contact: 0886484351;wonkehmie@gmail.comShare this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)last_img read more


first_imgA view up the lake from the boathouse at Glenveagh Castle.A stunning November day at GlenveaghA view from the nature cabin up the lakeRounding the bend towards the castle and thinking of hot chocolate in the tea rooms!The lake is so calm that it’s difficult to even see the water unless you look closely.Another view from the boathouse up the lakeREFLECTIONS OF GLENVEAGH – PIC SPECIAL was last modified: November 24th, 2013 by StephenShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:glenveagh national parkpic speciallast_img read more


first_imgThe ruling Congress in Mizoram said on Wednesday that the exit of two senior MLAs from the party would not affect its prospects in the November 28 Assembly election and it was confident of a third term in the State.“With 32 MLAs, I am confident that we will win with comfortable majority to form the government for a third consecutive term. People of Mizoram have not lost faith in the leadership of Chief Minister Lal Thanhawla,” AICC general secretary in charge of the Northeast Luizinho Faleiro said.‘Many joining Cong.’“Two MLAs might have left, but hundreds of others are joining the party in Mizoram, the only Congress-ruled State in the North-eastern region,” Mr. Faleiro told a press conference.Home Minister R. Lalzirliana, also vice-president of the State Congress, resigned on September 14, three days after he was served a show-cause notice by the MPCC disciplinary committee accusing him of confusing party workers. He was expelled later. Ex-Minister resigned Another MLA and former Minister Lalrinliana Sailo resigned earlier this month. Both the leaders were expected to be fielded by the Opposition, Mizo National Front.Mr. Faleiro, a former Chief Minister of Goa, said the Congress would field as many young faces as possible in the election. “At least 40% of the candidates would be below the age of 40,” he said.The Congress’ top leadership wants to axe some legislators who are too old to contest or may struggle to win, while ensuring that those left out are not many so as to form a rebel lobby, a senior State leader has said. The party is scheduled to release its candidates’ list on Thursday.The election for the 40-member Mizoram Assembly will be held on November 28 and counting of votes will be taken up on December 11.The Congress, which has been in power in the State since 2008, is squaring off against parties such as the MNF and the Mizo Peoples’ Conference.last_img read more


first_imgA 81-year-old man Narayan Sahu who is also an ex Member of the Legislative Assembly (MLA) and a former Member of Parliament (MP), is currently pursuing PhD at Utkal University in Odisha’s Bhubaneswar. Narayan Sahu is two times MLA and one time MP and he proved that age is just a number. He started leading a student’s life while staying in Utkal University hostel to get his PhD degree. As a PhD scholar he chose a room to spend with a common scholar. Despite achieving success in his political career, Sahu chose to quit as he felt that his principles are slowly fading away from politics and he decided to spend the last phase of his life as a student. Sahu had not been able to complete his higher education as he belonged to a backward region of Odisha where only a few get chance to go for higher studies. Even administrative officials of Utkal University think that Sahu is setting an example for the students of the university.last_img read more


first_imgTrending Articles PLAY LIST 00:50Trending Articles02:11Trump awards medals to Jon Voight, Alison Krauss02:11’Not just basketball’: Circumcisions, pageants at Philippine courts01:29Police teams find crossbows, bows in HK university01:35Panelo suggests discounted SEA Games tickets for students02:49Robredo: True leaders perform well despite having ‘uninspiring’ boss02:42PH underwater hockey team aims to make waves in SEA Games01:44Philippines marks anniversary of massacre with calls for justice01:19Fire erupts in Barangay Tatalon in Quezon City LATEST STORIES John Lloyd Cruz a dashing guest at Vhong Navarro’s wedding Don’t miss out on the latest news and information. Ancajas back in Manila after his stunning title defense in US Eight teams vie for the honor of being called as the best collegiate squad in the country as the Philippine Collegiate Champions League Elite Eight commences on Thursday at the Ynares Sports Arena in Pasig.ADVERTISEMENT Read Next For the complete collegiate sports coverage including scores, schedules and stories, visit Inquirer Varsity. NEXT BLOCK ASIA 2.0 introduces GURUS AWARDS to recognize and reward industry influencers Slow and steady hope for near-extinct Bangladesh tortoises 2 ‘newbie’ drug pushers fall in Lucena sting Globe Business launches leading cloud-enabled and hardware-agnostic conferencing platform in PH View comments Brace for potentially devastating typhoon approaching PH – NDRRMC Typhoon Kammuri accelerates, gains strength en route to PH San Beda, meanwhile, will take on UAAP runner-up La Salle, Mindanao champion Holy Trinity College, and NCR qualifier San Sebastian.Winners of the crossover semifinals will proceed to the one-game knockout championship duel slated on February 15 at Filoil Flying V Centre in San Juan.The retoooled La Salle and Holy Trinity open festivities at 1 p.m., followed by the tiff between NCAA rivals San Beda and San Sebastian at 3 p.m., before ending the day with the clash between Ateneo and Naga College Foundation at 5 p.m.ADVERTISEMENT Defending champion San Beda is seeking a third straight crown after winning the title in 2015, the last staging of the event where the Red Lions were hailed as co-champions together with Far Eastern University.“The objective of the PCCL is to provide incentives and recognition to school teams in the provinces and giving opportunities to local talents to be exposed on the national stage,” said PCCL chairman Rey Gamboa.FEATURED STORIESSPORTSWATCH: Drones light up sky in final leg of SEA Games torch runSPORTSLillard, Anthony lead Blazers over ThunderSPORTSMalditas save PH from shutoutThe tourney will see the participating teams divided into two groups, playing a single round robin format with the top two teams advancing in the crossover semifinals.UAAP champion Ateneo banners Group A together with NCAA bridesmaid Lyceum, Cesafi titlist University of Visayas, and Southern Luzon champion Naga College Foundation. AFP official booed out of forum MOST READlast_img read more


first_imgRoy Williams on his knee during a game.roy williams vertigo attackNorth Carolina’s Roy Williams appears to be okay, but for a moment there, we were all a little worried about the Tar Heels head coach, yet again. Williams, who suffers from vertigo, collapsed on the sideline during a game against Boston College last month. It nearly happened again tonight during the ACC Tournament title game against UVA, but Williams appeared to steady himself by taking a knee. Here’s video:Roy maybe with a vertigo attack but he waved off medical staff per ESPN pic.twitter.com/EzWnyCV5a3— Will Brinson (@WillBrinson) March 13, 2016Williams’ Tar Heels are holding onto a slim lead in the game’s final minute. A win would surely lift his spirits.last_img read more


first_imgSpike Lee holds up brass knuckles reading “hate” and “love” from his iconic film “Do The Right Thing” as he arrives at the Oscars on Sunday, Feb. 24, 2019, at the Dolby Theatre in Los Angeles. (Jordan Strauss/Invision/AP) Advertisement Film buffs rejoice, because (finally) Oscar-winning filmmaker Spike Lee is headed to Toronto.On July 19, Lee will be in the city to speak at a screening of his classic 1989 movie, Do The Right Thing.The legendary Spike Lee takes us back to Bed-Stuy with a 4K screening of DO THE RIGHT THING + an in-person conversation on the film’s legacy in celebration of its 30th anniversary.July 19, ?s: https://t.co/f3URTHU8GP pic.twitter.com/wrZtXDnV0z— TIFF (@TIFF_NET) July 10, 2019 LEAVE A REPLY Cancel replyLog in to leave a comment Login/Register With: Facebookcenter_img Advertisement Advertisement Twitter The film has themes of hatred, bigotry, police brutality and violence; all of which are sadly still relevant today.It was nominated for two Oscars in its day and has been labelled “culturally, historically, and aesthetically significant” by the Library of Congress…last_img read more


first_imgNew Delhi: The HRD ministry has sought the Election Commission’s nod to start recruitment process in central universities while the model code of conduct is in effect.However, the Delhi government has objected to the ministry’s request, saying the EC should not grant permission. In a letter to the poll panel, the ministry said, “In view of the UGC mandate to provide teaching and non-teaching faculty before start of new academic year in June, 2019, the Election Commission of India is requested to give its clearance/permission from Model Code of Conduct for starting/continuing the recruitment process for regular teaching and non-teaching vacant posts in central universities”. Also Read – Uddhav bats for ‘Sena CM’The appointments for teaching posts in central universities were put on hold in July last year in view of a judgement of the Allahabad High Court in April 2017. The court quashed the provisions of UGC guidelines which prescribed that the cadre or unit for determining reservation roster points should be ‘university/college’ and not ‘department’, a letter by ministry to the EC said. The letter was sent to the EC on April 1 and a reply is awaited. Also Read – Farooq demands unconditional release of all detainees in J&KMinistry officials said the EC has already given clearance to Indian Institutes of Science Education and Research (IISERs) and National Institutes of Technology to start recruitment process. The HC order was later upheld by the Supreme Court in July and a review petition filed by the government was rejected. The government promulgated the Central Educational Institutions (Reservation in Teachers’ Cadre) Ordinance, 2019, to restore the earlier 200-point roster-based reservation system in Higher Educational Institutions (HEIs). The new system will consider the university or college as one unit instead of treating department or subject as one unit.Due to the matter being sub-judice, many teaching positions have been lying vacant for a long time. “Out of total number of 17,425 sanctioned teaching posts in 40 central universities, 6,141 posts are lying vacant as on November 1, 2018. “In order to improve the teaching standards of higher educational institutions and to ensure that studies of students are not affected, it is necessary to start the recruitment process immediately so that these vacant teaching positions are ?lled before start of the new academic session,” the ministry said. In a letter to Chief Election Commissioner Sunil Arora, Delhi Deputy Chief Minister Manish Sisodia said that the AAP government does not agree to the proposal of MHRD for seeking permission to complete the recruitment process in the colleges of Delhi University in the midst of elections and when the poll code is in force.last_img read more


first_imgTehran: Iran’s President Hassan Rouhani called on Middle East states on Thursday to “drive back Zionism”, in an Army Day tirade against the Islamic republic’s archfoe Israel. Speaking flanked by top generals before troops began their annual march-past, Rouhani also sought to reassure the region that the weaponry on display was for defensive purposes and not a threat. “The region’s nations have lived alongside each other for centuries and never had a problem… If there is a problem, it is caused by others,” he said in the speech broadcast live on state television. Also Read – Saudi Crown Prince ‘snubbed’ Pak PM, recalled jet from US “Let us stand together, be together and rid the region of the aggressor’s presence.” Rouhani assured neighbouring countries that Iran’s armed forces are “never against you or your national interests” but are “standing against the aggressors.” “The power of our armed forces is the power of the region’s countries, the Islamic world.” he said. “If we have a problem in the region today, its roots are either with Zionism or America’s arrogance.” Rouhani called on Muslim nations to band together and “restore the historical right of the nation of Palestine,” saying that “Zionism … has been committing crimes in the region for the past 70 years”, “The final victory will surely be with the righteous,” he said. Also Read – Record number of 35 candidates in fray for SL Presidential polls The military parade was held next to the south Tehran mausoleum of the Islamic Republic’s founder Ayatollah Ruhollah Khomeini. It showcased some of Iran’s latest weaponry, including the domestically designed and manufactured Kowsar fighter jet, which was first unveiled last year. Iran also displayed its short-range Zelzal missile and an upgraded model of the Russian S-200 air defence system. US-manufactured Bell, Cobra and Chinook helicopters bought before the Islamic revolution of 1979 also took part in the air display. Diatribes against Israel are standard fare of official speeches in Iran, although some, such as a call by Rouhani’s firebrand predecessor Mahmoud Ahmadinejad for Israel to be “wiped off the map”, have triggered international condemnation. Iran does not recognise Israel and opposition to the Jewish state has been a central tenet of official policy since the revolution. Iran has supported Palestinian radical groups and has vociferously opposed the now moribund Middle East peace process under which the Palestinians were offered limited autonomy in the territories captured in the Six-Day War of 1967. Rouhani has previously called Israel a “cancerous tumour”, and called on Muslim governments to unite against it and its US ally. Iranian officials have warned repeatedly that Israel will soon cease to exist, but have usually been careful to underline that that will come about not through a direct attack by Iran. “In 25 years’ time, with the grace of God, no such thing as the Zionist regime will exist in the region,” supreme leader Ayatollah Ali Khamenei said in 2015. The presence of Iran’s Revolutionary Guards in Syria supporting President Bashar al-Assad’s forces in the eight-year civil war has sharply increased tensions between the regional foes. Israel has said publicly that it has carried out hundreds of air and missile strikes targeting the forces of Iran and its Lebanese ally Hezbollah in Syria. Prime Minister Benjamin Netanyahu has vowed that he will never allow Iran to establish a long-term military presence in Israel’s northeastern neighbour. Netanyahu has been an outspoken opponent of a landmark nuclear deal Iran signed with major powers in 2015 and was the leading supporter of US President Donald Trump’s decision to withdraw from it and reimpose crippling economic sanctions last year. Washington’s European allies have refused to follow suit and they, along with China and Russia, continue to support the deal. But the Trump administration has sought to forge an anti-Iran axis within the Middle East bringing together Israel and the Gulf Arab states to make common cause against what they see as Iranian “meddling” in the region. Last week, Washington placed Iran’s Revolutionary Guards on its blacklist of “foreign terrorist organisations,” the first time it had imposed the sanction on a military arm of a foreign government. Rouhani warned Washington on Thursday that “an insult to the Guards… is an insult to the great nation of Iran.” “America’s leaders are lost in their delusions,” he said, adding that Washington was the real source of “terrorism” in the region.last_img read more


first_imgNew Delhi: A 25-year-old biker died Thursday midnight after a metal wire broke off from the Signature Bridge and pierced through his chest in north Delhi, police said on Friday. A passerby informed the police at 12.15 a.m. on Thursday night when he found Pranav Mishra lying near the divider. Mishra was returning to his home in Wazirabad. “We have registered a case of death due to negligence,” Deputy Commissioner of Police A.K. Thakur said. The wire could have become loose due to the ongoing construction work on one of the pillars of the bridge, he added.last_img read more