university

Elective Reports

Abiola Adeogun – Medical Elective – Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria


1 Comment

 

Name: Abiola Adeogun

Country of study: United Kingdom

Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria

Elective Period: 28/03/16 – 22/04/16

Duration of Elective4 weeks

Speciality: Cardiology, Diabetes and Endocrine, Neurology and Respiratory Medicine

 

 

  • What was a typical week like?

A typical week included attending ward rounds and clinics attending occasional teaching with the doctors.

 

 

  • What 3 things did you learn?

1) Making a diagnosis without relying on e.g. imaging and test results.

2) Management of tropical diseases.

3) The structure of the healthcare system in Nigeria.

 

  • What were your most enjoyable moments during your elective?

Being able to go to theatre.

 

  • What similarities and differences did you notice whilst on your elective in Nigeria, in comparison to the healthcare service you have witness whilst at medical school?

Differences in doctor patient relationship, communications skills, organisation and resources.

 

  • What were your goals? Where you able to achieve your goals, and how?

To have a better understanding of healthcare system in Nigeria and be able to compare team dynamics. To identify medical ethical challenges in the hospital and their implications. To explore the possibility of working as a Doctor in Nigeria in the future.

 

  • If you had the opportunity to reorganise or redo your elective, what would you change and why?

I’m really glad that I had the opportunity to work in a state hospital and I have no regrets. If I had to redo my electives, I think I would prefer to work in a smaller hospital or private hospital as I feel I would have been more involved and the experience would have been more hands on. I felt the environment in the state hospital that I worked at was sometimes too busy and lacked organisation.

 

 

 

  • Looking forward, how has your experience impacted your career and personal life?

A lot of communication with patents was in Yoruba. As I don’t understand the language I had trouble following some of the consultations. I realise that if I decide to work in Nigeria in the future, I may need to learn the common languages. My cousin was admitted to a private hospital whilst I was in Nigeria. Visiting her at the private hospital enabled me to see what practicing medicine is like in a private hospital, observe doctor-patient interactions and the general work ethos. I think I would prefer to work in a private hospital in Nigeria in the future.

 

Elective Reports

Wumi Oworu – Medical Elective – University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria


1 Comment

 

Name: Wumi Oworu

Country of study: United Kingdom

Elective Location: University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria

Elective Period: 04/04/16 to 27/05/16

Duration of Elective8 weeks

Speciality: Obstetrics & Gynaecology

 

My experience in Nigeria was a wonderful experience, although I have visited Nigeria several times before, this elective period was my first experience of living in Nigeria independently and working in a healthcare setting. Starting at the beginning, I arrived in Gwagwalada on Monday and met with my supervisor Professor Ekele, who briefly described what was to come while at AUTH. I was introduced to the head of the O&G department and the senior class representative from the University of Abuja Medical school, a young man called Etuk, who assisted me with settling in. Etuk showed me to my accommodation and was kind enough to take me to a few places to buy some food, utensils, etc. My accommodation, was a 2-bedroom flat in a block of flats containing only medical students, I had my own bathroom and I shared the kitchen and living room with my flatmate. The accommodation was a few minutes from the hospital, but still on the hospital grounds. The flat was clean and well kept, with good space and the basics. Later that day I met my flat mate Tolu, who was a lovely young woman in her penultimate year of medical school.

                                           

During my 8 week placement, I was allocated to one team for 4 weeks, where I joined them on their ward rounds, gynaecology clinics, antenatal and post-natal clinics, theatre sessions and on-call duties. Every week day morning began with a morning meeting, cases that were managed the day before were discussed and assessed. I spent 2 weeks in the labour ward, observing and assisting in the management of labour and Caesarean sections. I spent a total of 2 weeks in the gynaecological emergency unit and special care baby unit. During my elective I was taught how to perform vaginal examinations and perform a pelvic examination using a speculum. During antenatal clinics I had the opportunity to examine numerous women at various gestations. I attended to a few patients independently under the supervision of consultants in the gynaecology clinics. I performed investigations such as pap smears, endocervical swabs and high vaginal swabs. I observed cases that are uncommon in the UK, such as large uterine fibroids, primary presentation of metastatic endometrial cancer and the management of labour in a patient with sickle cell disease. I understand the Nigerian Healthcare system consists of both a private sector and national health service insurance scheme, both with their own advantages and disadvantages. The use of traditional medicine also had an impact on health, I often observed patients with advanced disease because they delayed their presentation to the hospital because they sought cheaper traditional alternatives. I had theopportunity to complete a cross-sectional study titled, ‘The Perception of pregnant women about Caesarean section at the University of Abuja Teaching Hospital, Gwagwalada’. It consisted of 131 pregnant women presenting to ante-natal clinic. I was granted ethics approval for this study. I used interviewer-assisted structured questionnaire to collect data. The acceptance rate was 70%, other literature quoted acceptance rates of 7-30%. The study showed a higher acceptance rate amongst pregnancy women who were older, married, multiparous, educated and have had a previous Caesarean section. This developed my research skills; it also exposed me to the difficulties of international research such as language barrier and limited resourced such as electricity, internet and time constraints.

                    

 

I enjoyed the food to the absolute maximum, I probably ate grilled catfish at least twice a week and utilised the hospital canteen and ate pounded yam with egusi (my favourite) often. I definitely ate well while in Nigeria. The heat Gwagwalada was a different experience entirely, one I have never experienced before, I learnt to avoid being outdoors between 9am-4pm, to be well stocked up on bottled water and bought a mini-fridge as soon as I arrived (to the manifold wisdom of my mother).

 

                                                 

 

When not working at the hospital, I often enjoyed myself in Abuja with my cousin and the new friends I’d made. I appreciated the order and subtleness of Abuja, in comparison to the hustle of Lagos.

I also had the opportunity to visit Kaduna, which was just a 2 hour drive away from Abuja, or an hour flight from Lagos. I also visited an orphanage a couple of times and gave some assistance.

            

I wish I had taken the opportunity to visit Jos, a popular city known for their cool climate, internationally known for their medical education at the University of Jos, as well as other things. Once my elective was complete, I travelled to Lagos to spend some time with friends and family.

                                      

 

My elective has enriched my undergraduate education, I developed basic obstetric and gynaecological skills which will be useful throughout my career. I have improved my knowledge and skills in maternal and foetal medicine. It has also given me an appreciation for the healthcare system available to patients in the UK. I have experienced another element of medicine that I will always be  grateful for.

My experience has made me more passionate about pursing a medical career in Obstetrics and Gynaecology. It has also exposed me to potential opportunities in the Nigeria, especially for someone like myself – young, ambitious and open-minded.

Medical Elective

How to Raise Money For A Medical Placement?


No Comments

As a student doctor (and potential student doctor) you have developed skills and acquired knowledge that can benefit many people around you, you do not have to travel to the other side of the globe to have a positive impact! It is amazing the opportunities you have as student doctors to support the health of our local community and other communities around the world. A medical elective placement is part of almost all medical degrees around the world, and once you have found what you would like to spend your time doing, the next step is to source some funding!

How are you going to raise the money for this!?

Here are a few suggestions:

1.       Search for grants, bursaries (and low-interest loans) offered by your medical school, college, university, local authority, charities, businesses, etc.

2.       Go Fund Me – although, to really get people (and strangers) to part with their hard earned money, you really need to:

a.       Clearly layout the purpose of your fundraising and show a breakdown of your costs

b.      Justify why you are deserving of their donation.

c.       Explain how this experience will truly benefit not just yourself but the community you are going to help.

d.      Demonstrate your own personal efforts to raising money i.e. part-time work, etc.

e.      Consider, the evidence will you be able to share with your supporters, i.e. a written report, weekly blog post, pictures and videos, etc. See this as a ‘thank you’ for their support.

3.       Part-time work for several weeks/months.

4.       Create an eBay account an sell unwanted items and new products.

5.       Auction or sell you gifts/talents/skills with in your community (i.e. family, university, church, etc); i.e. put on a small talent show; offer to baby sit, do household chores; cake sales, car boot sales, etc. for an hourly wage.

 

These are just a few of our suggestions; please help others out by commenting in the comment box below if you have any other ideas too! If you have instructions or a secret formula, even better! Lol

Photo Credit: PhotoPin

Medics’ Inn

Blog

Depression and Medical School


2 Comments

What is Depression?

Depression is a mental illness that is predominantly associated with the following symptoms: low mood, lack of energy and loss of enjoyment in our usual activities. Student doctors and practicing doctors can say these core symptoms of low mood, anergy and anhedonia quicker than saying pseudopseduohypoparathyroidism. But identifying these symptoms within oneself is a much slower process.

Depression during medical school is not a new phenomenon, and despite our understanding of mental health is improving, many student doctors are struggling daily with depression. There are various factors during medical school that can contribute to ill mental health:

  • Lack of sleep due to a busy schedule.
  • High expectations – from your yourself, medical school, parents, family friends, etc.
  • Financial strain – the accumulation of student loans, balancing paid work and studies, etc.
  • Emotional strain – wanting to provide the best care you can to patients.
  • Personal responsibilities and commitments – being a parent, friendship commitments, relationship commitments, carer duties, etc.
  • The intensity of constant assessments, persistent appraisals, exam after exam, etc.
  • Unfortunately some environments have a stench of over-competitiveness, over-compensation, intimidation, etc.
  • A new environment, new city, new country, new friends, etc. – medical school may be the first big change you have experienced in life so far.

 

So how can we lighten the load?

Discussing mental health is often thought of as taboo, both in the medical profession and public; therefore to speak of it, requires courage and encouragement (having both simultaneously is not easy).

So how can we lighten the load? How can we start healthy habits that lead to a healthy lifestyle?

At Medics’ Inn we do not claim to be psychiatrists, but we are experts in seeking help! That is what we urge you all to do.

If you are struggling with your work load…seek help.

If you are experiencing financial strain…seek help.

If you are second guessing a career in medicine…seek help.

If you are having difficulty balancing your responsibilities…seek help.

If you feel sad and lonely…seek help.

Seek help from those around you, your supervisor, your tutor, your personal GP/doctor, etc.

Sometimes, because we do not want to ‘bother’ anyone with our issues, we dig ourselves into a hole. But the earlier you seek help, the easier it will be to come out of that hole.

 

Photo Credit: PhotoPin

 

Medics’ Inn

Elective Reports

Adepero Ajayi – Medical Elective – Lagoon Hospital, Apapa, Nigeria


4 Comments

Name: Adepero Ajayi

Hospital: Lagoon Hospital, Apapa, Nigeria

Elective Period: March 2015

Specialities: General Medicine & Surgery, Emergency Medicine/Paediatrics and Obstetrics & Gynaecology

Duration: 4 weeks

We started our rotation from Medicine > Surgery > Pediatrics/Emergency medicine > Obstetrics & Gynecology.

I would like to share about the hospital environment before I talk about the practice, if I take specific interest in discussing some issues and they seem normal to you, it is because in my school things are not particularly done that way and I appreciated that it was done with such seriousness in another practice.

The hospital environment was welcoming, everyone was practically happy to see you, always greeting regardless of who you are.

For medicine posting, we joined the ward-rounds and attended clinics, took vitals and answered a million and one questions. Many Nigerians are hypertensive and diabetic, we should watch it! I didn’t like the consultant we were assigned, so my first week wasn’t pleasant and I contemplated stopping but thanks to Ba’ami who encouraged me to continue and asked me to stop if my second posting was like that.

I resumed for the second week with fingers crossed, I’m glad I didn’t stop. They carried out at least ten procedures daily and the surgeons were excited to impact knowledge. We observed right hemicolectomy, several colonoscopy, osteotomy, hernioraphy, spinal fixture, gastroscopy, hysterectomy, endoscopy, knee replacement etc.  It was sad we missed the open-heart surgeries done before we started the posting.
Everyone was very cautious of infection control, zero tolerance for any wrong act. Procedures were well explained to patients before it was done; patients were assured if they were anxious in the sweetest way ever. Everything needed for the surgery was inside the theatre, no need to run anywhere in search of what wasn’t lost in case of any emergencies.

The manner in which the patients were addressed was also something that thrilled me, such courtesy and manner of approach. At this point, anyone might want to say, “It’s because it’s a private hospital.” I beg to differ, the federal and state hospitals are meant to be better, if a private owned organization can offer that what is the excuse of the government. It is possible and that I know as two of my colleagues shared their experience in other hospitals in Africa.

The emergency room was well managed and organized, everyone alert for an emergency case. We clerked and managed patients at ER. Something that thrilled me beyond measure was the maintenance system of the hospital, which is the major reason for the dilapidating state in our hospitals. Any complaints were addressed immediately no matter how negligible it was. The cleaners were always cleaning and the toilets were always clean, ensuring toilet rolls were available.

Adepero Ajayi and colleague

The kitchen was another interesting part of our stay, there was no monopoly of food type and I must say kudos to the chef, my heart was at ease knowing whatever I was eating was well prepared and perfectly healthy for me. The quality of food was very good, Sike and Nonso can testify to that. The chef was also friendly; he made us food sometimes on demand.

Here I was commending the staff of Lagoon Hospital Apapa, then I attended the clinical seminar on Ethics and I was blown away with the fact that they were not relenting on the standard already created but striving for more. How beautiful! I’m used to grand rounds were patient cases are discussed but never one in which the vision, principles and values of the hospital are engraved in the heart of the staff. iCARE an acronym for Integrity, Compassionate, Attentiveness, Respect and Excellence represents the values of the organization which every member of staff must uphold at every point.

The use of electronic medical report (EMR) system was fantastic, absurd we still use case-notes, what happens if they got burnt, huh? The EMR has patients record from whenever they registered. Tests are done and results gotten as soon as possible, minimal stress on patients and doctors with the use of intercom. This makes patient care faster and more efficient.

Adepero Ajayi and colleages

The doctors are very friendly and they took us tutorials. Another part of the experience I enjoyed was when they ask Sike and I for our names,
“I am Ajayi.”

“What about you?”

“I am Ajayi.” Epic moment! The drama that follow is usually amusing, they give the look of ‘you guys must be joking’ we give the look of ‘we bad like that’. Lol

I was happy I met Dr Dayo, Oni, Henry, Onabanjo, Anniebuna; and Dr Bukola who saved me the day I had diarrhea, I wish you all the best.

Obstetrics and Gynecology posting was good, here we met another Ajayi. We joined during the consultations at the clinic, examined patients, observed several caesarian sections, hysterectomy etc . There is something about Ajayis and O&G.

Doctor Ajayi was so pleasant; he was my best consultant there. Dr Akinniranye was such a peace loving man, teaching with such gentleness in the intensive care unit and high dependency unit, Dr Onakoya was very interesting too, I wouldn’t forget Blount’s disease for a long time that’s if I’ll ever forget. I haven’t had my neurosurgery posting yet but Dr Ojo was willing to explain the procedure of spinal fixture to us in his usual gentle manner. Dr Jimi Coker is a man of excellence, Sike said she will rather call him Prof, so Prof Jimi Coker, this man touched my being with the way he took his job and addressed everyone under him, surgeon extraordinaire. Although we meet Dr Abudu on the last day of our rotation, explaining how he was going to do the knee replacement to us was enlightening, one of us had the opportunity to watch because of infection control, and he wanted as few people in the theatre as possible.

Two other things I noticed, the bed cover was changed for each patient in the clinic and you sanitize your hand after every contact with patients, even if all you did was give an instrument used for a patient. Hand sanitizers were all over the walkway.

I’m grateful for this opportunity as I have honed my clinical skills and have a broader view of medicine as a profession, special thanks to God for journey mercies this past few week especially when the bus we boarded collided with a trailer on the bridge. For meeting this amazing people, I’m honoured.

Adepero Ajayi

Have a look at Adepero Ajayi’s full post on: https://perryztot.wordpress.com/2015/02/21/my-electives-experience/

Blog

Medical School in Nigeria – A Small Comparison


1 Comment

The traditional format of medical school in the UK, is quite similar to medical school in Nigeria.

On average, a medical degree requires 6 years of undergraduate study of Medicine. First year is in the Faculty of Science, students study the basic sciences i.e. Biology, Physics and Chemistry. In second and third year, students go on to learn anatomy, physiology and biochemistry. The remaining 3 years are spent in the clinical environment at a Teaching Hospital for students to be taught General Surgery, Pathology, Paediatrics, Obstetrics and Gynaecology, etc…

Most often, there are 4 important written exams, these are commonly referred to as MB exams. One occurs at the end of the second year, one after the fourth year, one after the fifth year and the last exam after the sixth year.
This is a simplified overview of undergraduate medical education in Nigeria, variations are expected between medical schools.

Please comment below with your suggestions and questions, or contact us directly.

Blog

Fully Accredited Medical Schools and Approved Teaching Hospitals in Nigeria


4 Comments

It can be difficult to know which teaching hospitals and medical schools to consider for your medical elective. Always conduct a thorough search into your institution in Nigeria and confirm with your medical school your chosen location meets their requirements.

Here are some suggestions of where to start when organising you elective in Nigeria.

 

“The Medical and Dental professions in Nigeria are regulated by the Medical and Dental Practitioners Act Cap 221 (now Cap M8) Laws of Federation of Nigeria 1990 which sets up the Medical and Dental Council of Nigeria with the following mandates:

  1. Regulation of training in Medicine, Dentistry and Alternative Medicine in Nigeria
  2. Regulation of Medical, Dental and Alternative Medicine practice in Nigeria.
  3. Determination of the knowledge and skills of these professionals.
  4. Regulation and control of Laboratory Medicine in Nigeria.”

 

Cited March 2015

Sources:

https://www.mdcn.gov.ng/

http://www.mdcnigeria.org/Internship%20Training%20Centres.htm

 

Fully Accredited Nigerian Medical Schools

 

  1. College of Health Sciences, Abia State University Uturu, Abia State
  2. College of Health Sciences, University of Uyo, Akwa Ibom
  3. College of Health Sciences, Nnamdi Azikiwe University Nnewi, Anambra State
  4. College of Medical Sciences, University of Maiduguri, Borno State
  5. College of Medical Sciences, University of Calabar, Cross – Rivers State
  6. College of Health Sciences, Delta State University, Abraka, Delta State
  7. College of Health Sciences, Ebonyi State University Abakaliki, Ebonyi State
  8. College of Medical Sciences, University of Benin, Benin-City, Edo State
  9. College of Health Sciences, Igbinedion University Okada, Edo State
  10. College of Medicine, Ambrose Alli University Ekpoma, Edo State
  11. College of Medicine, University of Nigeria Enugu Campus, Enugu State
  12. College of Medicine, University of Lagos, Idi- Araba, Lagos State
  13. College of Medicine, Lagos State University Ikeja, Lagos State
  14. Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University Ago Iwoye, Ogun Sate.
  15. College of Health Sciences, Obafemi Awolowo University Ile-Ife, Osun State.
  16. College of Medicine, Enugu State University of Science & Technology, Enugu, Enugu State
  17. College of Medicine, Imo State University Owerri, Imo State
  18. Faculty of Medicine, Ahmadu Bello University Zaria, Kaduna State.
  19. Faculty of Medicine, Bayero University Kano, Kano State
  20. College of Medicine, University of Ilorin, Kwara State
  21. College of Health Sciences, Bingham University Karu, Nasarawa State
  22. College of Health Sciences, Niger Delta University, Wilberforce Island, Bayelsa State
  23. College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso, Osun State
  24. College of Health Sciences, Usmanu Danfodio University Sokoto, Sokoto State
  25. College of Health Sciences, Madonna University Elele, Rivers State
  26. College of Health Sciences, University of Port- Harcourt, Rivers State
  27. College of Health Sciences, Benue State University, Makurdi, Benue State
  28. College of Health Sciences, Anambra State University, Uli Anambra State
  29. Faculty of Medical Sciences, University of Jos, Plateau State
  30. College of Health Sciences, Bowen University, Iwo, Osun State
  31. College of Health Sciences, Babcock University, Ilisham-Remo, Ogun State
  32. College of Medicine, University of Ibadan, Oyo State

 

 

Approved Nigerian Teaching Hospitals

 

  1. Abia State University Teaching Hospital, Aba
  2. University of Uyo Teaching Hospital
  3. Nnamdi Azikiwe University Teaching Hospital Nnewi
  4. University of Maiduguri Teaching Hospital
  5. University of Calabar Teaching Hospital
  6. Ebonyi State University Teaching Hospital, Abakaliki
  7. University of Benin Teaching Hospital, Benin City
  8. University of Nigeria Teaching Hospital, Enugu
  9. Aminu Kano Teaching Hospital, Kano
  10. Ahmadu Bello University Teaching Hospital, Zaria
  11. University of Ilorin Teaching Hospital, Ilorin
  12. Lagos University Teaching Hospital, Idi-Araba
  13. Lagos State University Teaching Hospital, Ikeja
  14. Olabisi Onabanjo (Ogun State) University Teaching Hospital, Sagamu
  15. LAUTECH teaching Hospital, Osogbo
  16. OAU Teaching Hospital Complex, Ile-Ife
  17. University College Hospital, Ibadan
  18. Jos University Teaching Hospital
  19. University of Port Harcourt Teaching Hospital
  20. Usmanu Danfodio University Teaching Hospital, Sokoto
  21. Delta State University Teaching Hospital, Oghara
  22. University of Abuja Teaching Hospital Gwagwalada
  23. Niger Delta University Teaching Hospital, Okolobiri
  24. Benue State University Teaching Hospital Makurdi