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_img0Shares0000France midfielder Morgan Schneiderlin credits his wife Camille in helping him revive his flagging career and popularity with the fans at Everton © AFP / Lindsey PARNABYLONDON, United Kingdom, Sep 10 – France midfielder Morgan Schneiderlin says his wife Camille helped him revive his career at Premier League side Everton after his popularity with the fans plumbed the depths last season.The 28-year-old — who joined Everton from Manchester United in 2017 for a reported £20 million ($25.8 million) — became a focal point for fans’ anger as despite millions being spent under manager Ronald Koeman they failed to spark. However, Schneiderlin — who had flourished under Koeman at his first English club, Southampton — told The Times on Monday that Camille gave him some sound advice after he was roundly booed by the Everton fans when he was sent on as a substitute against Crystal Palace in February this year.His image with them had been tarnished by a nightmare few days in November.He was sent off in a Europa League match with Lyon and then dropped for the following game against Watford by interim manager David Unsworth, who had filled the breach when Koeman was sacked, with rumours that he had walked off the training ground in a huff when he was omitted from the matchday squad.“My wife is very supportive of me,” Schneiderlin said.“She said: ‘You have to show them who you are.’“Maybe it was a time to look at myself in the mirror and say, ‘Why? Why did this happen?’.”Schneiderlin, capped 15 times, said it helped him also talking to his inner circle as they pulled no punches either.“As well as my wife, I had a long chat with my best friends, my parents, my agent,” he said.“They are not the type of guys who say, ‘Oh Morgan, you are the most beautiful. Oh Morgan, you are the best.’“They say (honest) things to me. I agreed with them. I didn’t have the best season.”Schneiderlin, who has one assist to his name this season in three league appearances after having none to his credit last term in 30 matches, says the fans wrongly gained the impression that he was not dedicated to the club.“It eats me like crazy because the most frustrating thing is that image is not myself,” he said.“I am an honest guy who works very, very hard.“I can have a bad game, or a bad performance, but putting that on me that I don’t give a shit, I don’t care — that is not who I am.”Schneiderlin, who began his professional career at French outfit Strasbourg before then second-tier side Southampton purchased him in 2008, says he feels comfortable with current Everton manager Marco Silva.“I knew I had to work twice, maybe three times as hard as anyone else because I knew some people and some fans would see me in a different way,” he said.“That is what I said to the manager. I said I was prepared to do that and that was what I have done.”0Shares0000(Visited 2 times, 1 visits today)last_img read more


first_imgHOUSTON Jurors on Wednesday rendered a split verdict in the retrial of two former executives from Enron Corp.’s defunct broadband unit, convicting one while acquitting the other of all charges. Former broadband unit finance chief Kevin Howard was convicted of five counts of fraud, conspiracy and falsifying records. Former in-house accountant Michael Krautz was acquitted of the same charges, concluding a monthlong retrial after their original case ended with a hung jury last year. The verdict came six days after another local jury convicted Enron founder Kenneth Lay and former Enron CEO Jeffrey Skilling of fraud, conspiracy and other charges in one of the biggest corporate scandals in U.S. history. Lay and Skilling were convicted of conspiring to run a massive fraud through repeated lies to investors and employees about Enron’s financial strength. The company careened into bankruptcy in December 2001. Howard and Krautz were accused of participating in a small piece of that fraud in a scheme to manufacture earnings for Enron’s flailing broadband unit in late 2000. Dubbed “Project Braveheart,” the deal involved selling an interest in future revenue of a video-on-demand venture that disintegrated a few months later. Howard, 43, closed his eyes and appeared stoic as U.S. District Judge Vanessa Gilmore announced the eight-woman, four-man panel’s decision. Several people in his family wept. Krautz, 37, wept after learning he had been acquitted. “I feel very sorry for Kevin and his family. I do not feel like they got the justice they deserved,” Krautz said. “That said, me and my family are thrilled.” “I just can’t believe it’s over. No more,” said his sobbing mother, Diane Krautz, who sat through both trials with Krautz’s wife, Marta, and other family members. Howard declined to comment. Jim Lavine, one of Howard’s attorneys, said he would appeal. “We are surprised, we’re disappointed, we don’t think the evidence supported a guilty verdict,” he said. Lead prosecutor Van Vincent declined to say whether he was disappointed at the split verdict. “The jury did a very good job, I thought, of deliberating,” he said. “Justice is always done when a jury reaches a unanimous verdict.” Gilmore scheduled Howard’s sentencing for Sept. 11, the same date Lay and Skilling are to be sentenced. Howard and Krautz were the first of five broadband executives to be retried in separate cases after the original trial of the entire group ended in a hung jury. Although Enron was primarily an energy trader, the broadband unit was created in 1998 as another growth engine during the dot-com boom. The government alleged Braveheart was a loan disguised as a sale Enron promised to buy out investors at a premium. Both men testified, as they did in their first trial, that the deal was legitimate. Investors were not bought out and lost their money along with other creditors when Enron collapsed. Jurors left the courthouse Wednesday without comment. The first broadband trial began in April 2005 and focused mostly on three other executives accused of overhyping capabilities of Enron’s broadband network and operating software. After that case ended with a hung jury, the five defendants were split into three separate cases and re-indicted on fewer counts. Howard and Krautz were charged with one count each of conspiracy, another of falsifying records and three counts of wire fraud. Howard faces a maximum of 25 years in prison; five years for each count. Unlike most of their former Enron colleagues, Howard and Krautz remained on the energy company’s payroll after it crashed. They were fired in March 2003, the day their indictment became public. Of the other three defendants, former vice president Scott Yeager’s May 30 retrial on charges of insider trading and money laundering has been postponed indefinitely pending an appeal. Joseph Hirko, former broadband unit CEO, and Rex Shelby, former senior vice president, face retrial Sept. 5 for conspiracy, fraud and insider trading. AD Quality Auto 360p 720p 1080p Top articles1/5READ MORE11 theater productions to see in Southern California this week, Dec. 27-Jan. 2160Want local news?Sign up for the Localist and stay informed Something went wrong. Please try again.subscribeCongratulations! You’re all set!last_img read more


first_imgI’ve said it before and I’ll say it again, Hudson-Odoi is absolutely wasted at Chelsea, same with Ampadu, they’re better off leaving. I support the academy, but it really is a massive waste of time.— Joe (@Joe_blues25) October 4, 2018 BEST OF REVEALED Chelsea have the best youth in Europe and Sarri hasn’t used either Ampadu or Hudson Odoi yet again. This is unnecessary and unacceptable from Maurizio Sarri.— Pys (@CFCPys) October 4, 2018 Ok, Chelsea fans want me to be negative so that’s what I’ll do…Emile Smith-Rowe (18) just scored for Arsenal…but Hudson-Odoi can’t even make Chelsea’s bench vs Vidi FC.#Ballack4DoF— Alex Goldberg (@AlexGoldberg_) October 4, 2018 REVEALED Which teams do the best on Boxing Day in the Premier League era? Where Ancelotti ranks with every Premier League boss for trophies won No Hudson-Odoi again? Really really disappointed in that.— Uber Chelsea FC 🏆 (@UberCheIseaFC) October 4, 2018 It is a move that has baffled many fans on social media. Hudson-Odoi was electric in pre-season and Maurizio Sarri decided not to loan him out because he was seen as a valuable squad member.Vidi currently sit third in the Hungarian League and you’d think this would be the perfect chance to give the winger some game time.Ruben Loftus-Cheek DOES start for the Blues at Stamford Bridge and Ethan Ampadu makes the bench, but many were still less than pleased.Here are the best tweets: Emery uses the Europa League to give Emile Smith-Rowe (18) game time & he scores his first professional goal for Arsenal.Callum Hudson-Odoi is at a more advanced stage of his development & was one of Chelsea’s best players in pre-season, yet he’s not even picked as a sub. Poor.— Premier League Panel (@PremLeaguePanel) October 4, 2018 Hudson Odoi won’t sign a contract at this rate, you can’t excuse playing pedro and Willian against a team 3rd in the Hungarian league. Another Salah, KDB, Lukaku situation is brewing.— Pys (@CFCPys) October 4, 2018 Hudson-Odoi doesn’t even make the squad tonight Hudson-Odoi not even on the bench, pathetic that. No excuses for Sarri on this decision— Dumi Drexel (@dumidrexel) October 4, 2018 LATEST FOOTBALL NEWS England’s most successful clubs of the past decade, according to trophies won Why the hell do we need Hazard on the bench at home v Videoton! So so annoyed that Callum Hudson-Odoi isn’t atleast on the bench. Pathetic— CarefreeYouth (@CarefreeYouth) October 4, 2018 huge blow Ronaldo warned Lukaku how hard scoring goals in Serie A would be before Inter move RANKED Top nine Premier League free transfers of the decade Chelsea boast some of the finest young talent in Europe – it’s just a shame they won’t use it.Callum Hudson-Odoi, 17, has been left out of the Blues sqaud to face Vidi FC in the Europa League on Thursday night. MONEY Forbes list reveals how much Mayweather, Ronaldo and Messi earned this decade 1 Callum Hudson Odoi again not included in Chelsea’s Europa League squad. Shocking!! pic.twitter.com/SyCeusQFZZ— Nouman (@nomifooty) October 4, 2018 ADVICE silverware Utterly ridiculous. Hudson-Odoi not even in the squad for a home Europa League match against a team I’ve never heard of. Wouldn’t even blame him if he wanted a move away. Starting Kovacic, Willian and Pedro. Why? Hazard and Kante on the bench. Why? Absolutely baffling. #CFC https://t.co/LNFVhfVwTM— Jake Heasman (@jakeheasman) October 4, 2018 Every time Ally McCoist lost it on air in 2019, including funny XI reactions Oxlade-Chamberlain suffers another setback as Klopp confirms serious injurylast_img read more