Building a career in the medical profession

   Choosing a career is an important part of growing up, a career is an occupation or a profession one does through their lifetime, it sometimes is the person's identity, it's important one takes this decision very carefully.

In this edition, we would look into the medical profession, to do this we are meeting with a medical practionner with a clot of experience, so he can tell us what it means to be a medical practionner.

  A medical practionner is an individual accredited, licensed and registered as a health professional upon meeting specified requirements.

  So we introduce to you, Professor E.A.D. Alikor, a Professor of Paediatrics, the University of Port Harcourt Teaching Hospital.

 

 

 

            

 

Sir, kindly introduce yourself and tell us your professional achievements.
   My name is Edward Alikor. I am a medical doctor

practicing in Port Harcourt, Nigeria. I qualified as a medical doctor in June, 1980 from the University of Ibadan. Since then I have been in the practice of medicine. I do not think I have any professional achievement worthy of special mention. We are still working and hoping that we may one day achieve something.
2. What does it means to be a medical doctor?

To be a medical doctor means that people look up to you and expect you to conduct yourself as a responsible member of the society; it means that people trust you with their health, their family and their private matters, and must live up to it; it means you work, many times at odd hours to help restore the health of people and contribute in keeping some persons alive.
3. What are the job specifications of a medical doctor?

The general job specification of a medical doctor is to keep any person or persons under his professional jurisdiction at any given time alive and healthy doing everything within professional ethical limits.
4. What are the specialty areas in your profession:

There are many specialty areas and the list keeps growing larger over time. The commonly known ones are: Paediatrics (attends to the medical needs of children), Obstetrics and Gynecology (attends to women from mid-pregnancy to delivery and period just after delivery as well as general women reproductive organs and functions and early pregnancy).

5. When did you begin to plan on becoming a doctor and how did go about actualizing your plan?
It was from primary school even when I did not understand what it actually means and demands. To be a doctor was just put in one’s head somehow.

6. What are the benefits and prospects of your profession?

The major benefit of the medical profession to the practitioner is the inner joy of having the opportunity to be part of the means in health of persons is restored or maintained. There is a feeling one gets of doing something worthwhile. Although it getting tougher these days for young medical doctors to get a job after training, it is still, on the average, faster to do so than for many other disciplines. Furthermore, as with some other professions, a duly qualified and registered medical doctor can decide to be self employed after acquiring the necessary experience.

 

7. What is the average salary of a medical doctor in Nigeria?

The remuneration of a medical doctor in Nigeria would depend on such factors as: his/her employer (i.e. government, established corporate organization, smaller private hospital or self-employed), the doctor's level of experience and the specialty. All in all, weighed against the long training, the rigors of the training, the long hours of work and the value of his service to the receiver, the average remuneration of the Nigerian doctor is just modest, many would say low.

 

                           

 

8. What are the challenges of being a medical doctor?
Every profession has its challenges. I will just pick three quick ones in relation to the medical profession, not necessarily in order of importance. First, I have already stated the challenge of   long, and unusual, working hours. This appears to be universally accepted as the doctor's life and the young doctor prepares himself during training. However, over time, this "acceptance" is being questioned by the younger generation of doctors. Many now believe that the expected responsibility entrusted on the doctor should be matched by the remuneration. This may be part of the cause of restiveness in the health sector in Nigeria. That brings us to the second challenge, imbalance between the responsibility on the doctor and his earning. The other factors in this discourse are for another day and forum. Finally, the medical doctor practising in many centres in Nigeria has limited access to supportive high-tech equipment to facilitate diagnosis and treatment. He therefore mainly uses his, and must be very good in, clinical acumen (use of history, physical examination and basic bedside tests) This is a challenge.

10. What advice would you give to a young person, aspiring to come into your profession?
The first thing I would say to the young person aspiring to become a medical doctor is that there is plenty of room for him or her. You can do it if truly want it and put your mind to it. Do not be discouraged by anybody. Having said that, the child and his/her parents should be realistic with respect to the child's interest/aptitude and academic ability. Many a child have become frustrated spending many years struggling to gain admission to study medicine. Some have managed to obtain admission and unable to proceed further than the first 2 to 3 years in the course mostly because of the factors stated above.
After such realistic assessment, attention should be paid to mathematics, from the beginning. I am emphasizing mathematics because a child that does very well in mathematics will find it easier to learn other essential required science subjects of physics, chemistry and biology. With good and appropriate early instructions, many children will do well in mathematics.

9. On a lighter note, what unforgettable experience have you had in course of your practise?

With almost 38 years in practice, this is a difficult question. I will just pick one positive one. A one-day old newborn baby was rushed into the private hospital I worked by his father, uncle and a host of other relatives. He was dying. The colour was paper white, he had a swollen head and, within five minutes of arrival, was gasping. The baby needed blood immediately, in minutes. I gave the father a sample of baby's blood to go to a nearby government hospital to get blood for transfusion into the child. Within one minute of the father and some of the relatives leaving for blood, it was obvious  the baby could not wait for the time it will take to get to the government hospital, pass through the formalities, have the necessary screening done and race back to our place to transfuse the baby. The baby was dying with all of us watching.  I got the nurse on duty to put a tourniquet in my upper arm, appropriately cleaned the skin and took out 20ml of blood with syringe which I immediately pushed into the baby. We watched the baby's colour change even with just 20ml blood, then some movements and by the time we just started the second  20ml of blood, the little baby sneezed and cried.

Please note that I already knew I was a universal donor by blood group and had just recently screened my blood. After the baby was discharged, I saw him again when he was about three years old. The parents said they came because they wanted me to see " your (my) child". Experiences like this, and many other unforgettable ones, keep one going in the profession; and if it is even for them only and nothing else, the profession is a divine opportunity and worth  it.

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