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_imgAr an Luan seo chugainn 16 Márta, beidh dáltaí Choláiste Ailigh ag siúl ar scoil mar pháirt den phlean gníomhaíochta faoi choimirce na scoileanna glasa.Coláiste Ailigh students are taking part in a walk to school this Monday morning, 16th March, in an effort to attain their fourth Green Flag for the travel theme.This activity is planned as an encouragement to students to become more active and independent, while adopting a healthier and more environmentally friendly way of getting to school. The photo shows Coláiste Ailigh’s Head Boy, Oisín Ó Cleirigh and Head Girl, Dearbhaile Ní Chathail who will be leading the way in the morning. COLÁISTE AILIGH STUDENTS GO GREEN was last modified: March 15th, 2015 by John2Share 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:Colaiste AilighGreen Flaggreen flatlast_img read more


first_imgLoic Remy’s equaliser – his third goal since joining QPR – cancelled out Steven Fletcher’s opener at Loftus Road.Rangers, without injured keeper Julio Cesar but boosted by the return of Bobby Zamora, made a determined start and Junior Hoilett twice fired wide in the opening 10 minutes.But they were undone after Stephane Sessegnon wriggled away from Ji-sung Park on the right-hand side.Sessegnon’s ball to the far post was collected by Adam Johnson, whose driven cross was turned in by Fletcher from close range.A mixture of good fortune and Remy’s clinical finishing hauled Rangers level on the half-hour mark.Andros Townsend’s speculative shot ricocheted off Sunderland defender John O’Shea into the path of the French striker, who made no mistake.Remy then had a chance to put his side ahead but blazed over following Zamora’s knock-down.QPR (4-4-2): Green; Bosingwa, Samba, Hill, Fabio; Townsend, Mbia, Park, Hoilett; Remy, Zamora.Subs: Murphy, Wright-Phillips, Mackie, Granero, Onouha, Jenas, Bothroyd. YTo4OntzOjk6IndpZGdldF9pZCI7czoyMDoid3lzaWphLW5sLTEzNTI0NjE4NjkiO3M6NToibGlzdHMiO2E6MTp7aTowO3M6MToiMyI7fXM6MTA6Imxpc3RzX25hbWUiO2E6MTp7aTozO3M6MjI6Ildlc3QgTG9uZG9uIFNwb3J0IGxpc3QiO31zOjEyOiJhdXRvcmVnaXN0ZXIiO3M6MTc6Im5vdF9hdXRvX3JlZ2lzdGVyIjtzOjEyOiJsYWJlbHN3aXRoaW4iO3M6MTM6ImxhYmVsc193aXRoaW4iO3M6Njoic3VibWl0IjtzOjMzOiJTdWJzY3JpYmUgdG8gb3VyIGRhaWx5IG5ld3NsZXR0ZXIiO3M6Nzoic3VjY2VzcyI7czoyODM6IlRoYW5rIHlvdSEgUGxlYXNlIGNoZWNrIHlvdXIgaW5ib3ggaW4gb3JkZXIgdG8gY29uZmlybSB5b3VyIHN1YnNjcmlwdGlvbi4gSWYgeW91IGRvbid0IHNlZSBhbiBlLW1haWwgZnJvbSB1cywgY2hlY2sgeW91ciBzcGFtIGZvbGRlci4gSWYgeW91IHN0aWxsIGhhdmVuJ3QgcmVjZWl2ZWQgYSBjb25maXJtYXRpb24gbWVzc2FnZSwgcGxlYXNlIGUtbWFpbCBmZWVkYmFja0B3ZXN0bG9uZG9uc3BvcnQuY29tIGFuZCB0ZWxsIHVzIHlvdSB3aXNoIHRvIHN1YnNjcmliZSB0byBvdXIgbmV3c2xldHRlci4iO3M6MTI6ImN1c3RvbWZpZWxkcyI7YToxOntzOjU6ImVtYWlsIjthOjE6e3M6NToibGFiZWwiO3M6NToiRW1haWwiO319fQ== Follow West London Sport on TwitterFind us on Facebooklast_img read more


first_imgQPR midfielders Joey Barton and Jordon Mutch return from injury for the game against Stoke and Eduardo Vargas makes his full debut. Armand Traore starts, while Sandro is absent. Stoke are without Jon Walters, who has a calf problem. Peter Crouch plays against his former club. QPR: Green; Isla, Caulker, Ferdinand, Traore: Barton; Mutch, Fer, Kranjcar; Vargas, Austin.Subs: McCarthy, Phillips, Onuoha, Henry, Zamora, Dunne, Hoilett. Stoke: Begovic; Bardsley, Shawcross, Wilson, Pieters; Whelan, Nzonzi; Diouf, Adam, Moses; Crouch.Subs: Sorensen, Huth, Muniesa, Arnautovic, Sidwell, Assaidi, Bojan.Follow West London Sport on TwitterFind us on Facebooklast_img read more


first_imgThe Punjab Assembly on Thursday passed a resolution on speeding up the process of conducting elections to the Shiromani Gurdwara Parbandhak Committee. The House also authorised Chief Minister Amarinder Singh to raise the issue with the Central government.Capt. Amarinder said it was the democratic right of every Punjabi to vote in the SGPC elections which cannot be denied by Union government, while responding to the issue that was raised by MLA H.S. Phoolka.Akali, BJP protestAmid protests by Shiromani Akali Dal and BJP members, the House authorised the Chief Minister to raise the issue with the Central government.Capt. Amarinder said since the Gurdwara Act was a national legislation, it was the duty of the Central government to hold timely elections to the SGPC. The Chief Minister sought the permission of the Speaker, on behalf of State government, to adopt the resolution moved by the AAP MLA.The Speaker put the resolution to vote, as a result of which the House authorised the Chief Minister to raise the issue with the Union government immediately.Later, Capt. Amarinder told journalists that there was a broad consensus in the House over the issue. “Only the Akalis and the BJP were not in favour,” he said.Leader of the Opposition Harpal Cheema said that the “Badals” stood exposed on the issue as they (Akali Dal) neither supported or rejected the motion.The SAD asked Mr. Phoolka to clarify whether he had resigned from the Aam Aadmi Party or not. “Mr. Phoolka should disclose whether it was ethical and moral on his part to attend the Vidhan Sabha after resigning from AAP as well as the Assembly,” said SAD MLA Bikram Singh Majithia. While Mr. Phoolka has left AAP, his resignation as an MLA is still pending with the Speaker. Later, Speaker Rana K.P. Singh informed the House that till any decision is taken on the resignation, Mr. Phoolka will be the member of the House.last_img read more


first_imgAn 18-year-old boy was mauled to death by a leopard in Kathua district of Jammu and Kashmir, police said on Tuesday. Paroshotam Kumar was killed by the wild animal while returning to his residence in Ramkote area late on Monday, a police officer said. He said the mutilated body was recovered from the bushes and handed over to his family. The incident has caused panic among residents who took to the streets on Tuesday morning along with the victim’s body. Senior police and civil officers rushed to the area and persuaded the protesters to disperse, assuring necessary measures, the officer said.last_img read more