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_imgWASHINGTON – No longer will people have to wonder whether those old stamps in the bottom of the drawer are still good for postage. Nor will they have to cobble together a collection of small stamps to add up to a new price. The Postal Regulatory Commission is recommending a new type of stamp – it’s been dubbed “forever” – that sells for the first-class rate and remains valid to mail a letter no matter how much rates go up in the future. On Monday, the commission also recommended a 2-cent increase in first-class rates, to 41 cents, a penny less than the post office had sought. The panel also would sharply scale back the price of heavier letters. “Adoption of this proposal is good for the Postal Service, postal customers and our postal system,” commission chairman Dan G. Blair said at a briefing. That means the price of sending a two-ounce letter would actually decrease from 63 cents to 58 cents. The proposal also recommended a 2-cent boost, to 26 cents, in the cost of mailing a post card, also a penny less than the Postal Service had sought. Blair said the proposals were scaled back because the higher rates the Postal Service proposed would have raised more income than necessary for the service to break even in 2008. The proposal also suggested changes in a variety of other rates including a 17-cent surcharge on “odd-shaped” mail that cannot be processed using letter-sorting machines. William Burrus, president of the American Postal Workers Union, called the overall decision “a major victory for the American people.” He said the union had argued for the smaller rate increase. The matter now goes back to the board of governors of the Postal Service, which can accept the recommendations or ask for reconsideration. If accepted, the new rates could take effect as soon as May. 160Want local news?Sign up for the Localist and stay informed Something went wrong. Please try again.subscribeCongratulations! You’re all set! A forever stamp would not carry a denomination, but would sell for whatever the first-class rate was at the time. For example, if the 41-cent rate takes effect, forever stamps would sell for 41 cents. If rates later climbed to 45 cents or more, the price of the forever stamp would also go up at the counter or machine, but those purchased before the change would still be valid to mail a letter. So there would be no need to buy small-denomination stamps to add to envelopes. Currently, first-class mail costs 39 cents for the first ounce and 24 cents for each additional ounce. While the first ounce would rise to 41 cents under the proposal, it would cost just 17 cents for each additional ounce. last_img read more


first_imgEXCLUSIVE: GARDAI and the Central Bank are investigating ANOTHER dodgy pyramid scheme run by a Donegal man who is alleged to have lost hundreds of thousands of euro for investors – as well as himself.Sources say dozens of investors are thought to have lost their cash in the scheme.And it’s not as if they weren’t warned. It follows the case of French crook Francois de Dietrich, the Ballybofey-based fraudster who took millions of euro from investors in a similar con-trick.However the latest scheme, say our sources, was said to be “much more believable” and came from what was believed to be a frontman with a good reputation.Source say he too was duped by another investor – and his investors are believed to have made formal complaints after realising they had been sucked into a pyramid scheme.The schemes offered investors returns of more than 20% – but were actually funded by other investors. Eventually the money in the ‘business’ ran out.“This is another big case of people thinking they could get huge returns on their money but it turns out to have been yet another scam,” said one source.“I think a lot of people will be surprised at those involved.”Another source – whose help led donegaldaily.com to expose French conman de Dietrich a year ago – told us: “There’s no such thing as a 20% return on anything these days so people who got caught were just greedy. It doesn’t mean they deserved to be cleaned out of their money –  but they were greedy.”De Dietrich (left) is still on the run. A case against him in Belfast for conning 200 Donegal people out of €20M is to be heard in the New Year. Another source told us: “The man behind this scheme is totally innocent. He didn’t know the scheme was dodgy and has vowed to help investors get their money back.”* Were you caught out in the latest scam? We might be able to help. Contact us in complete confidentiality on info@donegaldaily.com.© 2011 donegaldaily.com, all Rights ReservedThe copying, republication or redistribution of donegaldaily.com Content, including by framing or similar means, is expressly prohibited by law. Follow us on www.twitter.com/donegaldailyFollow us on www.facebook.com/donegaldailySell anything on www.donegaldailyclassifieds.comFRAUD PROBE LAUNCHED IN DODGY DONEGAL PYRAMID SCHEME was last modified: December 12th, 2011 by BrendaShare 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:crookdonegalFrancois de Dietrichfraud inquirylast_img read more