anatomic pathology in nigeria
TRANSCRIPT
![Page 1: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/1.jpg)
ENHANCING PATIENT’S CARE IN NIGERIA: THE CENTRAL ROLE OF
THE LABORATORY PHYSICIANANATOMICAL PATHOLOGY SERVICES
IN NIGERIA
1
![Page 2: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/2.jpg)
144 million population35,000 medical doctors<500 pathologistsPer capita (p.c.) income $300Health budget $50 p.c. 2
![Page 3: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/3.jpg)
307 million population814,000 medical doctors*20,000 pathologists*Per capita (p.c.) income $39,000Health budget $2,250 p.c. 3
*How many of these are Nigerians?
![Page 4: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/4.jpg)
WHO ranking- health systems
4
![Page 5: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/5.jpg)
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 fluids obtained from the human body for the purposes of patient diagnosis and management (Bryant, 1993)
5
![Page 6: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/6.jpg)
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
![Page 7: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/7.jpg)
Methods in anatomic pathology
1. Gross morphology2.Light microscopya.Histochemistryb.Immunohistochemistryc.In situ hybridisation, PCR, etc.3. Electron microscopy4.Ancillary techniquesa.Flow cytometryb.Microarray technology
7
![Page 8: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/8.jpg)
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
![Page 9: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/9.jpg)
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 of1. Physician2. Scientist3. Educator4. Leader
9
![Page 10: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/10.jpg)
Pathology training in NigeriaTwo sister Colleges (NPMCN and WACP)Same basic philosophies, but slightly different training rotations and examination formatsJunior rotation- entry with Primary qualification- 2-3 years, both collegesSenior rotation- specialist training in Anatomic Pathology for 2-3 years; dissertation
10
![Page 11: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/11.jpg)
NIGERIAN PATHOLOGISTS-Contributions
Practising pathologists at every level in the country and in the Diaspora
A former State governorChief Medical DirectorsActing Vice ChancellorsProvostsDeansVice Deans Professors of Pathology, both at home and abroad?Members of senate
11
![Page 12: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/12.jpg)
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
![Page 13: Anatomic Pathology in Nigeria](https://reader034.vdocuments.site/reader034/viewer/2022050723/556e2be6d8b42a6a698b4c44/html5/thumbnails/13.jpg)
Thanks for listening!
13