ENHANCING PATIENT’S CARE IN
NIGERIA: THE CENTRAL ROLE OF
THE LABORATORY PHYSICIAN
ANATOMICAL PATHOLOGY SERVICES
IN NIGERIA...
144 million population
35,000 medical doctors
<500 pathologists
Per capita (p.c.) income $300
Health budget $50 p.c.
2
*How many
of these are
Nigerians?

307 million population
814,000 medical doctors*
20,000 pathologists*
Per capita (p.c.) ...
WHO ranking- health systems

4
Central role of pathologists
• Pathology is the clinical diagnostic science
that underpins patient care (Royal College
of ...
Anatomical pathologist
A medically qualified physician who has
received specialised training in the
handling, processing, ...
Methods in anatomic pathology
1. Gross morphology
2.Light microscopy

a.Histochemistry
b.Immunohistochemistry
c.In situ hy...
Misconceptions about pathologists
• Pathologists are inquisitors
• Purely laboratory based and not a clinical
discipline
•...
Roles of the pathologist
The pathologist interprets laboratory
data, manages capital and people and is
a quality and inves...
Pathology training in Nigeria
Two sister Colleges (NPMCN and WACP)
Same basic philosophies, but slightly different
trainin...
NIGERIAN PATHOLOGISTSContributions

 Practising pathologists at every level in the country
and in the Diaspora
 A former...
CONCLUSIONS
• There are several challenges- attrition of
pathologist population; inadequate funding of
service, training a...
Thanks for listening!

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Anatomic Pathology in Nigeria

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Anatomic Pathology in Nigeria

  1. 1. ENHANCING PATIENT’S CARE IN NIGERIA: THE CENTRAL ROLE OF THE LABORATORY PHYSICIAN ANATOMICAL PATHOLOGY SERVICES IN NIGERIA 1
  2. 2. 144 million population 35,000 medical doctors <500 pathologists Per capita (p.c.) income $300 Health budget $50 p.c. 2
  3. 3. *How many of these are Nigerians? 307 million population 814,000 medical doctors* 20,000 pathologists* Per capita (p.c.) income $39,000 Health budget $2,250 p.c. 3
  4. 4. WHO ranking- health systems 4
  5. 5. Central role of pathologists • Pathology is the clinical diagnostic science that underpins patient care (Royal College of Pathologists, 2006) • Pathologists apply laboratory methods, and their interpretation to tissues and fluidsobtained from the human body for the purposes of patient diagnosis and management (Bryant, 1993) 5
  6. 6. Anatomical pathologist A medically qualified physician who has received specialised training in the handling, processing, interpretation and diagnosis of surgical pathology, cytology and autopsy cases 6
  7. 7. Methods in anatomic pathology 1. Gross morphology 2.Light microscopy a.Histochemistry b.Immunohistochemistry c.In situ hybridisation, PCR, etc. 3. Electron microscopy 4.Ancillary techniques a.Flow cytometry b.Microarray technology 7
  8. 8. Misconceptions about pathologists • Pathologists are inquisitors • Purely laboratory based and not a clinical discipline • Laboratory based data may be incomprehensible to other clinicians • A physician in the laboratory is not relevant other clinicians (Anim, 2007) • Human butchers (“laóku-laóku”) 8
  9. 9. Roles of the pathologist The pathologist interprets laboratory data, manages capital and people and is a quality and investigational resource person serving in the roles of 1. Physician 2. Scientist 3. Educator 4. Leader 9
  10. 10. Pathology training in Nigeria Two sister Colleges (NPMCN and WACP) Same basic philosophies, but slightly different training rotations and examination formats Junior rotation- entry with Primary qualification- 2-3 years, both colleges Senior rotation- specialist training in Anatomic Pathology for 2-3 years; dissertation 10
  11. 11. NIGERIAN PATHOLOGISTSContributions  Practising pathologists at every level in the country and in the Diaspora  A former State governor  Chief Medical Directors  Acting Vice Chancellors  Provosts  Deans  Vice Deans  Professors of Pathology, both at home and abroad  ?Members of senate 11
  12. 12. CONCLUSIONS • There are several challenges- attrition of pathologist population; inadequate funding of service, training and research; misconceptions from colleagues, public, administrators and patients • These challenges must be met head on by ensuring maintenance of professional standards, quality control, advocacy, serving as role models to potential pathology trainees • Pathologists should take up their role as leaders in the medical profession and in society 12
  13. 13. Thanks for listening! 13

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