Excellence is an art won by training and habituation. We do not act rightly because we have virtue or excellence, but we rather have those because we have acted rightly. We are what we repeatedly do. Excellence, then, is not an act but a habit. – Aristotle
Every young Nigerian doctor’s dream is to get well trained. This Training is carried out by two nationally recognized postgraduate medical colleges namely: National Postgraduate Medical College of Nigeria (NPMCN) and West African College of Physicians/Surgeons (WACP/WACS). Their operations for many decades have produced seasoned medical specialists in different specialties and sub-specialties who have driven medical practice and training from rudimentary stages to where it is today. Albeit, the whole process has not been without certain burgeoning factors.
Three major factors among others have been identified to be militating against the central rationale of Residency Training in Nigeria. These factors include
It is now very glaring that impartation of knowledge and skills to the younger generation of doctors has become impaired. If left unabated it will negatively impact on the utter future of medical practice.
2. Trainee’s factor
Many of them approach the specialist training with so much impropriety. The trainees’ impropriety hinges on baseless pride and an inordinate quest for money.
3. Training Institutions’ Management
Poor leadership or total lack of it bedevils Residency Training in Nigeria.
- Using poor equipment or running residency training institutions improvising virtually every equipment due to stack lack,
- Running Accident/emergencies unit at day/night without power/water supply,
- Operating in theater during surgical emergencies with mobile phone light
- Running emergency pediatric and neonatal units without assistive instruments
- Poor remuneration of resident doctors and times none at all for several months
- Handling of agreed stances in labor matters with poor integrity (always reneging on agreements with resident doctors) leading to incessant strike actions and shut down of hospitals with an attendant collateral loss of innocent lives.
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