Barbados Association of Medical Practitioners (BAMP) Is In The News, AGAIN!

Dr. Carlos Chase, President of BAMP

Dr. Carlos Chase, President of BAMP

The question which Barbadians can legitimately asked is whether the Barbados Association of Medical Practitioners (BAMP) has a Public Relations Officer, and if that officer is trained in the discipline of public relations. The other question which can be posed, is BAMP a trade union and does it believe – by its decisions – in maintaining a good industrial climate? Why is it relations between BAMP and the government always go down the acrimonious route more often than not? Why is there a perennial stridency in the dialogue between BAMP and all and sundry or so it seems to John Public.  When Doctor Jerome Walcott was Minister of Health it did not seem to make a difference.

From the public’s perspective the current behaviour on display is not good enough and parties on both sides of the argument need to act more responsibly. Frankly we do not care who feels they have a legitimate grouse.

BAMP is within its right to call a meeting to discuss whatever it believes is of concern to its membership. The Minister of Health is within his right to question why BAMP would schedule a meeting at a time to ensure disruption to Barbadians seeking medical attention. Where both are guilty is dragging the matter in the public domain. It seems highly unprofessional and insensitive to the public both parties should be committed to serving.

The other issue of Cuban trained doctors raised by President of BAMP last week needs be better explained to the public. It is not good enough to plant the view in the public domain that Barbadian doctors trained in Cuba are not good enough to practice in Barbados. It is not good enough to say their failing rate of the local proficiency exam is high. Where is the comparative? Why is the matter not being discussed behind closed doors with the government? Barbadian trained doctors would have taken up scholarships under the aegis of government. What is the compelling reason to go public Doctor Carlos Chase? Your pronouncement has placed a smear on sons and daughters of the soil who have done nothing wrong except to study medicine in Cuba. Last time we checked Cuba is regarded as having one of the best healthcare systems this part of the world.

Barbadians are becoming unsympathetic by the day to the medical profession and in particular BAMP. All and sundry know you are the only game in town but where is the integrity?

A little advice from the BU household to Minister Donville Inniss and BAMP, take it offline and fix it for chrissakes.

0 thoughts on “Barbados Association of Medical Practitioners (BAMP) Is In The News, AGAIN!


  1. Intelligent agent inform that Comrade Porgie on prowl after prolong absence … To borrow Barbados citizen term … Oh Shite …no?


  2. Aren’t Cuban doctors some uh the best in the world. Yuh mean nothing ain’t rub off on the bajans that going there.

    These UWI doctors ain’t easy. These bad boys and girls do whatever they please.

    We pay duh fees, at UWEE, and duh turn round and rob we.


  3. Maybe if we can train more doctors in Cuba, the price of health care in Barbados would fall. A doctor at the end of his/her studies in less debt can charge clients less.


  4. The President of BAMP has an axe to grind, but who does wants to grind it with. It is unfortunate that he has made so mny blunders to cause the medical profession so much embarrassment. He is as pathetic leader and believes that he is a law unto himself. Try calling BAMP to obtain infromation about doctors and tell me what response you ge

    He needs to explain why the Junior Doctors joined the NUPW. He needs to explain why AMP cant get a quoron for its AGM the first time it is called. He need to explain why no one wants to take up the mantle of the organisation.

    Dr. Chase has even discriminated against the professional qualification gained in England. I wonder if he is a competent doctor. We spent so much money to give people like him the basic qualifaction, and in some instances the professional qualifiaction and all they do is rip off the barbadian public and treat them with disrepect.


  5. Often times this is the response you get to doctors trained in ‘non traditional’ jurisdictions, Mexico and Venezuela are good examples.re good examples.


  6. Many Bajan doctors ,in the USA especially, who are specialist in their fields and well respected over there often get the cold treatment from the Dr Chases back here . But wasn’t Dr Sparman given a rough time? So too Dr Schlossberg, the young English doc whose AIDS/HIV predictions cause a stir .


  7. In Canada, it is close to impossible for an immigrant doctor to attain permission to practice. The medical lobby is almost impervious, inspite of the fact that 30% of DRs are going to retire within 5yrs. Canadian trained DRs are so convinced of their superiority that they dont even permit DRs trained in the UK,Australia,Sth Africa, Malaysia, US etc even though the US does accept from many countries.

    The question here is whether Dr Chase is being intellectually honest and basing his conclusion on hard info or like the Canadians just keen to protect turf at all cost? He maybe right that the Cuban medical education is below acceptable but where is his proof?


  8. As reported in the Nation newspaper, Dr Chase has alleged that Cuban trained doctors have a “basic lack of medical knowledge, practical skills and confidence examining patients”.

    Not so responds Prime Ministers King and Spencer of St. Lucia and Antigua respectively. These PM’s assert that Cuban trained doctors return home “fully competent” ….. (now this is the part that confuses me) “even though they would still undergo more years of practical training and internship before they were certified by their medical councils”.

    I don’t think that Dr Chase (or his opinion) really is the problem here!


  9. If Cuban medical training, and Cuban doctors are so bad, can somebody explain to me (in real simple language) how come Cuba’s life expectancy is better than Barbados’

    Cuba: 78.3 All; 76.2 Men; 80.4 women
    Barbados: 77.3 All; 74.4 men; 79.8 women


  10. And of course I’ve know a UWI trained doctor who could not cut it (pass the required exams) in the great white north and spent the rest of his life counting pills in the back room of a drug store.


  11. And I’ve know a friend who had completed 40% of the course work at the University of Toronto and applied for admission to UWI and UWI said “we don’t recognize course work from any other university, you have to start from the beginning again”

    Meanwhile U of T graduates were teaching at all 3 UWI campuses.

    Sometimes we Bajans too full o’ we self.

    We pretend that we can afford to throw away perfectly good foreign educations.

    But really we are a buncha poor great poppets.


  12. I am trying to think when is the last decade a doctor did anything of value for me.

    Oh yes in 1989 my UWI trained doctor took from May to September to NOT diagnose a fairly common condition which was bothering me.

    Eventually I diagnosed myself.

    If he had known how to take a medical history he could have diagnosed my immediately by taking my symptoms into account and in addition by asking me “are any of your parents/siblings/children on medication, and if so for what?”

    Turns out I have the exact same condition as my sister and 6 of my first cousins.

    Do UWI graduates know how to take medical histories?

    Are they taught that genetics matter?

    Are they taught any genetics at all?

    And hee!!, hee!! hee!! how many of them pass the genetics exam, and with what grades?

    Stupes!!!!!!!!!!!!!!!!!!!!!!!!!!!!!


  13. Oh and my 1989 doctor is still practising, still providing medical training for UWI’s medical students.


  14. Does this issue have the potential to become a diplomatic matter? Certainly there is room for the Cuban Ambassador to get involved. The integrity of its vaunted health delivery system is under threat. Did Dr. Chase understand the ramification of his opinion once publicized?


  15. The question is why would students opt to go to Cuba for medical training if they meet the requirements for UWI? For sure the time is shorter because the courses are conducted in English and they do not have to spend the first two years studying Spanish. Before we kill the messenger should we not look at the message?
    We are dealing with persons’ lives and their health here; I say err on the side of caution.
    One young lady in the paper today did admit that some of the procedures covered at UWI are not covered in Cuba because the Cuban system is different.
    Didn’t Dr Chase say that they were deficient in some procedures?
    Prof Waldron on “Down to Brass Tacks” stated that when these Cuban trained doctors take the qualifying exams that a larger than expected amount fail are we going to unleash them on the public just because they are poor black persons trained in Cuba.


  16. The problem is. there are two different systems and cultures and therefore, the remedial examination is to fill that bridge. Docors from the non-tradittinal universities are required to write and pass the CAMC examination.

    The problem is, the arrogance dispalyed by some of the doctors in the system who discriminated against the cuban trained doctors, from the outset they believe that they will fail the examiniantion because of the treatement they receive.

    In some instances, the entrance requirement to enter the cuban systems is lower than uwi,you can enter the system with o levles or cxc and not the A level like at uwi, but does it mean that those entereing the system in cuba has less ability? point to ponder. The first batch of cubans trained doctors were not treated properly and they jet off to other caribbean countries where they have been accepted. Perhpas, UWI needs to re-visit its approach to dealing with the said doctors or the Clement Payne Foundation needs to stop accepting the scholarships if on return, they cannnot parastice in Barbados.

    Anybody knowing and having to deal will Dr. Chase would recogniize that he is short on tact and intellect. One wonders how he got to become a consultant. His intellectual shortage was glaring when he had the interview with the journalist about two or three weeks ago. When he compared the pay of conultants in barbados, with those in england and not the caribbean. He failed to cost the priveleges that the consultants have as well as the gratuity payment they receive at the end of their contract. Another point where he stated that insurance for consultants was as high as 65 000 a year. What he did not say is that the insurance in this category is for surgeoans and O&G and that it was on a sliding scale based on the the number of patients you would see during the period. Again, his non tact was evident when he said that persons can complain to the Minister. What does he expect, if patients are not being treated fairly, shouldnt they complain. Perhaps if the consultants use to do their job fairly, there would not be need for such complaints. When people are sick they want empathy and want the Alma Ata principles to be adhered to ;access and equal treatment to health care.

    I am told that doctors are embarrased about how he has handles their issues taking a confrontational appoach and always speking out of term. I am sure that when he emailed his thoughts to his collaegues that he thought that it would have been just swept under the table. Please note that i am in favour of ensuring that we maitaned a standard to prstice in barbados, but it must not be selective.


  17. david, i observe some nasty allegations circulating on barbados press and presumably all over thw world about mr inniss’ involvement in a pornographic website; shouldn’t the minister of health be called upon to refute these unfounded rumors? can you fill me in on what ever happened of the much publicisec issue involving the minister, dr ishmael and dr sparman? were the matters settled out of court or is this another case of conviction on the underground on the basis of misinformation?


    • @balance

      Was it not reported in the press that there was likely to be an out of court settlement likely between Ishmael and the QEH?

      On the other matter linking Inniss to a porn website BU cannot shed any light on it at this stage. Will continue to work our sources on it.


  18. Intelligent agent inform that Naked News not porn website, but bona fide news channel for nude specialist … Earn much USA for Barbados …


  19. How amusing as usual to see the BU crew of medical illiterates shooting off about issues about which they know nothing.
    What doth these morons know about medical training?
    However, interesting contribution from Random Thoughts


  20. @David

    you got it wrong, he does not operate in a professional manner, his decsions are not objective and he does notr listen to reason, it is his way and by the way, i can tell you that he is supposed to be a distant relative. You know how the ladies in the family do, they always search out the family.

    Until he operates from a braoder perpsective, he will not gain the respect of barbadians. Can you contradict anything that i have said. I can say a lot more, but i wont.

    I want to see BAMP recognize that it members have a socail responsibility to deliver quality health care to all strata of this society. Not selective health care to certain people. Why did BAMP oppose operecion milago when they know full well that there was a back log of eye operations to be done. A lady who sells paper in Haggat Hall told me she waited for years for an opeartion here and went to cuba and she is happy with the results.


  21. Is there not a difference between the delivery of health care in a country and the medical training supplied? In fact, I do not understand BAMP to be saying that the teaching is poor, merely that the students or most of them are not up to scratch.


  22. @jack spratt I am on the same page as you. Those students who can not get into UWI medical schools because they do not meet the requirements opt to go to Cuba.
    I say that we have standards to maintain. If those students are not up to scratch do we allow persons outside of the medical fraternity say that they should be practicing because they studied in Cuba.


  23. We should also be wary of those students who spend several years at Cave Hill trying to pass a chemistry degree and then their parents pay for them to get into St Augustine to do medicine because on the qualifications alone they would not be allowed in. Medicine is not like other disciplines because persons’ lives are at stake. When mistakes are made families are disrupted children loses their parents, parents lose their children and the hospital/government i.e. all of us are sued .


  24. Students probably elect to study in Cuba because of access to scholarships, there are limited spaces at UWI after all.d spaces at UWI after all.


  25. Quoting watching “If those students are not up to scratch do we allow persons outside of the medical fraternity say that they should be practicing”

    If they are not up to scratch, then we should bring them up to scratch.

    People do not stop learning when they exit medical school (or any school)


  26. We know very well that UWI does not have the capacity to train all those people who would like to be doctors, and who are capable of becoming good doctors.

    We here acting as though all UWI trained doctors are great doctors, when we know very well that some of them “graduated” at the bottom of the class, and haven’t learned a damn thing since them.

    And we know very well that some of them can’t write a proper sentence; and some of them have biss poor communication skills.

    And if you can’t communicate with your patient how can you treat him/her effectively.

    Medicine is not all about chemistry/math/physics.

    A lot of medicine is about talking to and LISTENING to your patients.

    Stupsee!!!!!!!!!!!!!!!


  27. Quoting Georgie Porgie “However, interesting contribution from Random Thoughts”

    Georgie Porgie you know that it should not take multiple visits over many months to diagnose Graves disease especially if the pateint presents with weight loss and extreme tiredness, and a sibling and 6 cousins have already been diagnosed.

    But the doctor never asked anything about family history.

    Then again a doctor in the great white north took 9 weeks and multiple visits to diagnose mononucleosis, and had to depend on a state/provincial lab to make the diagnosis for him, even though the patient had already lost 27 pounds in those 9 weeks and was extremely tired.

    There are excellent doctors, good doctors, those who are barely making it, and biss poor doctors and as a patient I haven’t seen the research to help me determine which is which.

    Too many doctors seem afraid to ask their patients questions, and too many don’t seem to feel that they MUST LISTEN to the patient.


  28. what i can’t understand is how come students all over the world are fighting to be trained in Cuba and yet BAMP has the audacity to insult our bajan trained doctors who studied there?
    1. how come, big shots would go there for medical attention and not barbados?
    2. does colin chase and mickey walrond feel threaten or does he feel that the only ones who should be doctors in barbados would be those who went to older secondary school?
    3. is the criterion used for those trained in Cuba, the same used for those trained at UWI? if not tell us?

    there would always be problems with BAMP and the minister of health because, they do not respect him. they respected the pig jerome walcott because he was a doctor but donville inniss is not. they are jackasses


  29. I do not think it is the calibre of training that is the problem, it is the calibre of student that is the problem. NOT EVERYONE WHO DESIRES TO BE A DOCTOR OR WHOSE PARENTS FEEL THAT THEY DO MEDICINE should be in medicine. Some are just not cut out to be doctors and we all can site several examples. Some just do not have the wherewithall to be a doctor ,some donot like to touch patients, some are not people-oriented and some just cannot apply what they learn in the class room.


  30. 32. @ Random Thoughts | July 12, 2011 at 12:57 PM |
    Quoting Georgie Porgie “However, interesting contribution from Random Thoughts”
    RE Georgie Porgie you know that it should not take multiple visits over many months to diagnose Graves disease especially if the pateint presents with weight loss and extreme tiredness, and a sibling and 6 cousins have already been diagnosed. I AGREE WITH YOU SIR
    But the doctor never asked anything about family history. BUT HE OUGHT TO HAVE DIAGNOSED YOU WITHOUT THE GENETICS AND THE FAMILY HISTORY IN THIS CASE. [NOT SAAAYING THAT THESE ARE NOT IMPORTANT]
    Then again a doctor in the great white north took 9 weeks and multiple visits to diagnose mononucleosis, and had to depend on a state/provincial lab to make the diagnosis for him, even though the patient had already lost 27 pounds in those 9 weeks and was extremely tired. DOCTORS IN THE GREAT NORTH TEND TO TREAT BLOOD TESTS NOT PATIENTS YOU SEE.
    There are excellent doctors, good doctors, those who are barely making it, and biss poor doctors and as a patient I haven’t seen the research to help me determine which is which. DON’T THINK THERE IS ANY SUCH RESEARCH
    Too many doctors seem afraid to ask their patients questions, and too many don’t seem to feel that they MUST LISTEN to the patient. THAT’S PROBABLY A RESULT OF MANY FOLK IN BIM THINKING THAT THE EXAMINATION IS THE MOST IMPORTANT THING
    THEY DON’T REALIZE THAT THE DIAGNOSIS IS MADE IN 98 % OF THE CASES ON THE HISTORY ALONE
    DOCTORS DON’T UNDERSTAND THAT THEY ARE DOCTORS IE THEY ARE TEACHERS! [ doceo, docere etc latin to teach]
    33. me | July 12, 2011 at 2:09 PM |
    RE what i can’t understand is how come students all over the world are fighting to be trained in Cuba PERHAPS YOU SHOULD ASK YOURSELF WHY IF THIS IS SO?
    this and yet BAMP has the audacity to insult our bajan trained doctors who studied there?
    BAMP AND THE MEDICAL BOARD HAS THE ABSOLUTE RIGHTTO QUESTION THE TRAINING OF ANY DOCTOR WHO WOULD JOIN THEIR RANKS
    1. how come, big shots would go there for medical attention and not barbados?
    WHICH BIG SHOTS? AND WHY?
    2. does colin chase and mickey walrond feel threaten or does he feel that the only ones who should be doctors in barbados would be those who went to older secondary school?
    I DO NOT KNOW DR CHASE. BUT I HAD THE PRIVILEGE TO BE TAUGHT BY PRPF E R WALROND, AND WHEN I PRACTICED IN BARBADOS, I SENT ALL OF MY SURGICAL REFERRALS TO HIM. PROF WALROND HAS RETIRED A WHILE NOW. WHY SHOULD HE FEEL THREATENED? HE IS HIGHLY RESPECTED THROUGHOUT THE CARIBBEAN.

    3. is the criterion used for those trained in Cuba, the same used for those trained at UWI? if not tell us?
    CLEARLY YOU DO NOT UNDERSTAND THAT MEDICAL TRAINING VARIES fROM COUNTRY TO COUNTRY
    ALSO YOU CLEARLY DO NOT KNOW THAT BOTH THE UK AND US EXTERNAL EXAMINERS WHO EXAMINE UWI TRAINED doctors annually think very highly of the training


  31. One cannot reasonably question the intellect of anyone who negotiates the path to and through medical school. One cannot have too many doubts about the healthcare indices of the Cuban people. They are superior to Barbados and the rest of the English speaking Caribbean. Barbados has an unacceptably high incidence of obesity and all the conditions associated with it. Doctors, educated at the expense of the voters, have a meeting at the time when patients may have taken time off for a visit. There is something awfully wrong with this scenario. Barbados spends a significant per capita sum on the health of its people. Is it correct to spend the bulk of this in tertiary and end of life care? Should more be spent on primary and preventive care? Is the Cuban model totally wrong or do we have something to learn from them? Can they learn from the UWI model or is the fact that some of the Cuban physicians happen to be Barbadian, helpful. The prevailing winds in Barbados (and the Caribbean) seem to be carrying the healthcare ship in the wrong direction. It is time to tack with ears open to advice from the passengers. There is sense on all the sides that I’ve read. There is also some outdated, selfish and destructive greed.


    • @Francis

      There is something awfully wrong with this scenario. Barbados spends a significant per capita sum on the health of its people. Is it correct to spend the bulk of this in tertiary and end of life care? Should more be spent on primary and preventive care?

      A salient point.


  32. Can we not trust the Cuba doctors who have given these bajans degrees?

    Surely these bajans having reached the end of the course are capable.


  33. Are we insulting Cuba doctors when we say to them what you have produced “is not up to scratch”

    This is the same scenario with REDjet. We in Barbados are saying Trinidadian and Tobagonian authorities are “seconding guessing” us. Are we not guilty of the same?

    Dentistry is also guilty of the same. How difficulty is it to numb a tooth and extract it after studying for so many years? Yet Bajan dentist have to stay in Trinidad. This is pure protectionism pure and simple.

    Jamaica and Trinidad protecting their turf (regional travel), and doctors/bad-boys in Barbados doing the same with health care.

    The real bad boys don’t carry gun.


  34. One more point.

    Medicine is so vast that if anyone wants you to fail, they can make that possible.

    Let’s be careful how we insult Cuban doctors.


  35. students from all over thw world fight to train in cuba because it is freeand a tool used bt the regime to enhance its image as a benefactor of the third world notwithstanding that this largesse is given at the expense of the deprived and overworked for little pay cuban brethren.


  36. perhaps,joa, bamp might have opposed operation milagro because of a desire to manipulate the opthamological market but i am reliably informed that cubans wait excessively long for certain aspects of health care too particularly surgical because a majority of the doctors are despatched abroad to promote cuba as a caring countrytherby boosting the image of fidel and the regime as well.


  37. Tremendous value can be added to the medical profession by establishing an independent body of Pathologists to perform autopsies all patients that die in the care of a doctors, such as at the Queen Elizabeth Hospital.


  38. @Georgie Porgie | July 12, 2011 at 3:01 PM |

    “CLEARLY YOU DO NOT UNDERSTAND THAT MEDICAL TRAINING VARIES fROM COUNTRY TO COUNTRY’

    what utter crap… that has no bearance on if they choose to practice in Barbados…don’t they have to do a test here then in order to practice here?… i would know… i have a relative who was a trained medical practitioner elsewhere…highly respected in his country…he did his test..(of which u would be aware, so don’t even pretend) now he’s working in one of the polyclinics.. why don’t they criticize the UWI trained doctors that act like pure fools at QEH.. why don’t u tell them to take a look at the way the doctors from Nigeria and India who work there treat their patients? members of BAMP have a lot to learn. i for one am glad that donville inniss is not a doctor to show them, he does not give a damn about their infantile beliefs. I could not believe that colin chase could say to the print media that donville inniss cannot dictate to them when to hold a meeting. Why would BAMP hold a meeting at the high time patients would be seeking attention? why don’t they take a leaf out of the books of Dr. Olu..who works at the Black Rock polyclinic? or Dr Abucoa who works at either randal phillips or edgar cochrane (not sure which)?

    u GP seem to think that u have to be a doctor to speak on certain issues. u could only be an ingrunt poppit. don’t bother returning here to practice please…stay where u are. i too heard mickey walrond tell UWI freshers and would be’s… not to go Cuba to train, that even tho Cuba has a highly respected medical faculty, that where the barbadians would be doing their training was not up to par. he suggested that parents pay to do it at UWI-cave hill even tho the cost was expensive. i could only assumed that he was looking after his own interest.

    Another thing too, i do not understand why those students trained in Cuba are even wasting their time here begging for acceptance when they can and will get jobs in any other country. America and England wants them.. i know what i am talking about. along with that, the pay and benefits much better than here.


  39. @balance | July 12, 2011 at 7:55 PM |
    “…therby boosting the image of fidel and the regime as well.”

    are u an american trained-to-repeat-american-beliefs mock stick? what is fidel’s image? isn’t he the one that dared to tell and show america, he did not give a rat’s bottom about them and because of that, cuba is suffering?
    but in spite of detractors Cuba is doing what barbados cannot do and american with no shame are using the same product produced in cuba:
    http://www.scidev.net/en/news/effective-meningitis-vaccine-produced-in-cuba.html
    In what is being hailed as a major breakthrough in biotechnology, Cuban researchers report that their synthetic vaccine against the ‘Hib’ bacterium is ready for clinical testing. The Hib — or Haemophilus influenzae type B — bacterium causes meningitis and kills some 600,000 children a year in developing countries. The vaccine is based on synthetic chains of simple sugars, which mimic those found on the surface of the bacteria. The Cuban-Canadian team pushed ahead for more than a decade to produce it, despite US embargoes and daunting technical difficulties. Cuba researchers are also making progress with synthetic vaccines for pneumonia, among other diseases, while three Cuban cancer vaccines were licensed for use in the United States last week.

    that is only one small item. go on the net and read, go to the library and read, u will see all that Cuba is doing without the help and assistance of anyone…u people should be ashamed. what has america done for u, child of an african slave must u continue to make the world believe u cannot think for ur self?


  40. .smooth chocolate let usput aside the snide remarks, you have your views and i have mine.for your information, in july 1960, in response to cuba’s revolutionary govt’s seizure of U.S properties; the U.S.A. REDUCED THE CUBAN import quota of brown sugar to 700.000 tons under the SUGAR ACT of 1948.theSOVIET UNION agreed to purchase the sugar instead as CUBA’S new govt continued to nationalize american businesses and privately owned companies.. in response to cuba’s alignment with the soviet union during the COLD WAR PRES KENNEDY widened the scope of the trade restrictions in 1962.following the cuban missile crisis, kennedy improved travel restrictions in 1963 and in response to cuba hosting nuclear weapons, cuban assets in the U.S.A were frozen under the TRADING WITH THE ENEMY ACT in JULY 1963. AND MR SMOOTH CHOCOLATE, what is wrong with the usa govt implementing policies to protect the rights of its citizens interests? are we not imploring our own govt to explore avenues to punish trinidad for not allowing red jet to fly into trinidad; are we not seeking to protect our borders from the influx of guyanese? you may wish to know that despite the existence of the embargo , the U.S.A is the fifth largest exporter to cuba(6.6 of CUBA’S imports are from the U.S.A. by the way, cuba was doing great things in medicine long before mr castro came to power.


    • @balance

      Do you hold a similar view towards China for example bearing in mind Caricom’s One chine policy?


  41. i am suspicious of the motives of china. they are trying to establish dominance in the world and are prepared to offer handouts to mendicant countries and spend appropriately note appropriately to obtain prominence; but that is world politics. the U.S.A in their heyday supported many corrupt regimes as long their policies were in american interests.my beef is the proliferation of chinese and chinese businesses in barbados overnight seemingly without the hassle guyanese and jamaica brethren have to endure.how do they get their goods which they sell in the stores? do they travers the walls of customs/ i am curious.


  42. @ Georgie Porgie

    Intelligent agent, acting on best information available, inform that Smooth Chocolate be from female demograph … Maybe Comrade Porgie tender word with care … no?


  43. It is always easier to deal with “views” and “feelings” while avoiding the facts or perhaps even seeking them out. Barbados has one of the highest rates of obesity in the Caribbean. It also has a very high incidence of amputations. The former (obesity) has association with the prevalence of Diabetes and other morbidities. If one is to believe current information, the major associate of obesity is overeating. Recent publications in the local press have paid a passing acknowledgement to Diabetes and Obesity as one well known Barbadian physician has pledged to exercise more and the other spoke glowingly as he referenced the receipt of articles which allowed the staging of peripheral neuropathy…a complication of already established Diabetes Mellitus.
    I am not suggesting that there is unimportance to the recognition and treatment of diseases and their complications. I am sayiing that the prevention and postponement of health morbidities is not only better for the individual but is far less expensive and leads to benefits not proximally related to the absence of disease. The concept of Social and Preventive Medicine is not new and has progressed far beyond the quest for mosquito larvae and worms. The late Professor Kenneth Standard, a Barbadian, was instrumental in helping to adjust this view of Public Health. There were and continue to be many others. Resistance to some change is most malignant among those who profit immensely…the so called food industry and their shills and those whose business includes the delivery of sickness care. Consumers must recognize and act on this
    The recent issue that has put the leadership of the BAMP, Cuban doctors and the Public into a bit of conflict has brought a Caribbean abscess to a head in a different location. CARICOM groups and those with other synonyms including the WICB (of control) come to mind. It is a wonderful moment for a needed discussion with emotion being a small component. The Cuban reference may be compared to a skull threatening bouncer delivered with some extra wrist action. It’s not the end of the match but an opportunity for discussion beyond that between the batsman and bowler.
    There was a time when the Surgeon either came from or did his training in England. She may now be from a few other places. Latin and Greek were once more of a requisite in many schools. Is it not time that we conduct a review of our Sicknesscare system with attention to our population’s needs? Cuba may have something to offer by example. Mr Clarke, Mr Commissiong and the late Ichael Tafari have been reliable sources on socio-political issues in the past. The spectrum of discussion should not be blinkered.


  44. I REITERATE THAT CLEARLY PERSONS HERE YOU DO NOT UNDERSTAND THAT MEDICAL TRAINING VARIES FROM COUNTRY TO COUNTRY’
    THIS IS A FACT THAT CAN NOT BE DENIED FOR EXAMPLE US TRAINING IS GEARED TO PRODUCE A DOCTOR FOR THEIR MEDICAL SLAVE MARKET—–CALLED RESEDENCIES. AT THE END OF WHICH THEY PRODUCE A SPECIALIST WHO IS NOT WELL ROUNDED. HE KNOWS A LOT ABOUT ONE THING ONLY. WHY IS HE NO WELL ROUNDED ? HIS CLINICAL ROTATIONS ARE SHORT. IF HE DOES THEM AT SMALL HOSPITALS HE WILL NOT SEE THE RANGE OF CLINICAL MATERIAL OR HE MIGHT NOT BE EXPOSED TO CERTAIN PROCEEDURES.
    HOW DO I KNOW THIS? I HAVE BEEN TRAINING SUCH DOCTORS AND FOLLOWING VARIOUS VARIATIONS OF THEIR CURRICULUM
    THE TAKING OF A TEST BY A DR TRAINED IN INDIA OR NIGERIA MEANS NOTHING. IT DOES NOT MEAN THAT TRAINING IS STANDARDIZED EVEN THOUGH THEY ARE MOST LIKELY BOTH BRITISH TRAINED JUST AS UWI DOCTORS ARE
    TODAY SOME SCHOOLS DON’T HAVE SUBJECT X IN THEIR PROGRAMS OR SUBJECT
    WHY IS THIS? THE COURSE MATERIAL HAS EXPANDED BUT THE COURSE TIME HAS NOT
    RANDOM THOUGHTS, WHO UNLIKE MOST MORONS WHO HAVE POSTED HERE, , HAS A BRAIN
    HE POINTED OUT THAT UWI STUDENTS OF A CERTAIN VINTAGE DIDN’T HAVE A GENETICS COURSE.
    GENETICS COURSES HAVE BECOME MORE IMPORTANT SINCE BIOCHEM TECHNIQUES HAVE IMPROVED TO BETTER EVALUATE THE ENZYME DEFICIENCIES CAUSED BY MOST GENETIC ILLNESSES.
    GENETICS COURSES TEND TO BE LINKED WITH EMBRYOLOGY AND PATHOLOGY IN SOME SCHOOLS. AND MOST GENETIC ILLNESSES THAT HAVE CREPT INTO THE CURRICULUM DON’T AFFACT US BLACKS——THEY ARE OF IMPORTANCE NOW IN SCHOOL BECAUSE OF THE ETHNIC GROUP WHOM THEY MAINLY AFFECT AND BECAUSE OF THE FINANCIAL AND POLITICAL CLOUT OF THIS GROUP
    HAS ANY OF YOU MORONS WHO ARE KEEPING NOISE BECAUSE THEIR RELATIVE WHO WAS TRAINED IN CUBA HAS BEEN DENIED RIGHT TO PRACTICE IN BIM TAKEN THE TIME TO THINK THAT CUBA DOES NOT HAVE THE UP TO DATE EQUIPMENT TO EXPOSE STUDENTS TO MANY THINGS
    NOT ONLY HAVE I BEEN TO MEDICAL SCHOOL AND PRACTICED MEDICINE
    NOT ONLY HAVE I READ ABOUT THE TRAINING OF DOCTORS IN DIFFERENT COUNTRIES
    BUT I HAVE FOR AT LEAST TEN YEARS BEEN INVOLVED IN TRAINING DOCTORS
    SO PERHAPS………JUST PERHAPS I HAVE A VERY LITTLE IDEA ABOUT WHICH I SPEAK.

    BAFBFP

    SMOOTH CHOLATE I AM SURE DONT LOOK AS GOOD AS THE SEXY FEMALES I AM TEACHING . SHE CERTAINLY DOES NOT HAVE A BRAIN LIKE THEM. THIS MORON IS CLEARLY BETZPAENIC WITH CEREBELLAR ATROPHY.

    THATS WHY I DONT WASTE TIME ON BU THESE DAYS. YES IM BUSY BUT WHY WASTE YOUR TIME TRYING TO TEACH THE UNEDUCABLE?


  45. 1. @Random Thoughts | July 11, 2011 at 11:46 PM |
    RE If Cuban medical training, and Cuban doctors are so bad, can somebody explain to me (in real simple language) how come Cuba’s life expectancy is better than Barbados’
    COME ON RT ……..YOU CAN DO BETTER THAT!
    BRING THE RESEARCH TO SHO W THAT MEDICAL TRAING IS GENERALLY RELATED TO LIFE EXPECTANCY.LOL
    ALL YOU NEED IS PROPER PREVENTATIVE INTERVENTION IN PUBLIC HEALTH TO IMPROVE LIFE EXPECTANCY. AND YOU DON’T NEED A LOT OF DOCTORS FOR THAT.
    JUST READ THE EXCELLENT BOOK “WHERE THERE ARE NO DOCTORS”


  46. Caps are considered shouting in internet jargon GP. Looks like you are spitting and frothing like Zoe….lmao!!
    For someone who dont waste time on BU teaching the *ineducable*, you sure seem to be letting them piss you off easily.


  47. I HAVE ALREADY HAD MY SAY ON CAPS AND WONT REITERATE
    AND NO I AM NOT SPITTING AND FROTHING OR BEING PISSED OFF
    JUST HAVING SOME TROUBLE WITH THIS KEY BOARD AND OTHER TOOLS GIVEN ME TO WORK WITH
    ALSO I AM HAVING MY SAY IN MY STYLE

    NOW CAN YOU ADD ANYTHING TO THE DEBATE OR DISCUSSION?
    I HOPE YOU HAVE LEARNED SOMETHING AT LEAST
    BACK TO LANGMANS


  48. RE i do not understand why those students trained in Cuba are even wasting their time here begging for acceptance when they can and will get jobs in any other country. America and England wants them..

    WONDER HOW THEY WILL PAST THE USMLE STEP EXAMS TO GET TO DO A RESIDENCY IN THE US……………..FAR LESS TO PRACTICE THERE. WE WONT EVEN DISCUSS CANADA.SOME POSTER HAS ADEQUATELY POINTED OUT THE DIFFICULTY IN GETTING INTO CANADA TO WORK. EVEN SPECIALISTS CANT EASILY GET INTO CANADA


    • @GP

      What is your perspective on these Cuban trained Bajan Doctors?

      How can the situation be retrieved i.e. win win?


  49. Change often involves the merging of points of view; sometimes once sacred ideas need to be dismissed. The idea of belonging to certain clubs in this country (Barbados) was once akin to sacrilege as were the ideas of going to particular beaches and schools. Changes were made and this was not an easy process. Some folks died clinging to archaic points of view but their irrelevence was obvious to even them long before their demise.
    It is a challenge for anyone to have grown up in any of the Caribbean countries without coming into contact with a Barbadian teacher and police officer. Magistrates, judges and other trained personnel are but some of the educated ranks for which this country is recognized. A recent report of a recognized international body has referenced Barbados’ stability, financial and otherwise. All of us may not agree but just as many may not be in a position to make comparison. We are, after all, from an “in my experience” culture where objectivity runs a poor second to the other easily adopted approach. The practice of medicine and sickness care falls easy prey to this because of the unquestioned reverence in which we held this profession. This is justifiable if only because there is no one like an good urologist when one’s urine flow is challenged. No one! An urologist of another type may not lead to much rejoicing. All doctors think that they are competent at what they do even in spite of accumulated evidence demonstrating otherwise. The BAMP is not the final word on how they are doing. Neither is the Teachers’ Association nor any other group purporting to be a member representing body.
    Many recent advances in Sickness Care have been very beneficial to individual patients and the people who sell the products and services that provide help. There is no glory in the non occurence of an illness. No TV or interviews extolling the benefits of no smallpox, yellow fever or trypanosomiasis. The same cannot be said for the relatively frequent discoveries of putatively new magic medicines and other potions and the rolling out of procedures that convert cells into new organs and perform previously impossible surgery into endoscopic on the run ho-hum undertakings. That is all good but there is a point at which every populationn has to make a choice. Resources are not endless and the old-time “bang-for-the-buck is more important now than it was back in the day. One group in a society may be designated to make that selection but the designees may occasionally need to have that authority removed. Sometimes a group may assume that privilege. At times they need to be told and shown that theirs was either an inaccurate assumption or one that has outlived its usefulness.


  50. Please note that the american students who studied in Cuba have to pass USMLe 1-3 and they have no problem passing them.

    BY the way, America was using Cuba vaccines for years, buying them through a third country; Canada.


  51. David I am sure GP will give you a knowledgeable answer but here is my layman’s opinion.

    The BAMP should ask UWI medical professors to talk to their counterparts in Cuba and compare their degree programs.

    Then a way can be found, if necessary, to provide additional training and testing for the Cuban graduates.

    I believe it takes a lot of discipline to study medicine and the young people who study in Cuba should be helped to become good doctors.


  52. Quoting GP “ALL YOU NEED IS PROPER PREVENTATIVE INTERVENTION IN PUBLIC HEALTH TO IMPROVE LIFE EXPECTANCY. AND YOU DON’T NEED A LOT OF DOCTORS FOR THAT.”

    I know that life expectancy is related to adequate food, rest and exercise, clean and universal vaccination and that most of these things can be done very well by families and nurses. NO DOCTORS REQUIRED.

    I was just making a little sport, and being the devil’s advocate.


  53. Interesting article in the New York Times of July 12, 2011

    New for Aspiring Doctors, the People Skills Test
    http://www.nytimes.com/2011/07/11/health/policy/11docs.html?pagewanted=1

    Doctors save lives, but they can sometimes be insufferable know-it-alls who bully nurses and do not listen to patients. Medical schools have traditionally done little to screen out such flawed applicants or to train them to behave better, but that is changing.
    At Virginia Tech Carilion, the nation’s newest medical school, administrators decided against relying solely on grades, test scores and hourlong interviews to determine who got in. Instead, the school invited candidates to the admissions equivalent of speed-dating: nine brief interviews that forced candidates to show they had the social skills to navigate a health care system in which good communication has become critical.
    The new process has enormous consequences not only for the lives of the applicants but, its backers hope, also for the entire health care system. It is called the multiple mini interview, or M.M.I., and its use is spreading. At least eight medical schools in the United States — including those at Stanford, the University of California, Los Angeles, and the University of Cincinnati — and 13 in Canada are using it…The system grew out of research that found that interviewers rarely change their scores after the first five minutes, that using multiple interviewers removes random bias and that situational interviews rather than personal ones are more likely to reveal character flaws, said Dr. Harold Reiter, a professor at McMaster University in Hamilton, Ontario, who developed the system.

    In fact, candidate scores on multiple mini interviews have proved highly predictive of scores on medical licensing exams three to five years later that test doctors’ decision-making, patient interactions and cultural competency, Dr. Reiter said.


  54. @ RT
    RE I was just making a little sport, and being the devil’s advocate.
    NO MAN YOU HAVE TO MAINTAIN THE HIGH LEVEL/STANDARD OF CONTRIBUTION THAT YOU HAVE BEEN MAKING ON SUCH MATTERS
    CANT LET YOU BACKSLIDE, MAN AND JOIN THE RANKS OF THE BASER SORT AND THE BETZPAENIC MORONS


    • @GP

      Could we be also seeing a power play in Barbados given the high number of doctors being generated by the UWI’s?


  55. @GP
    HAS ANY OF YOU MORONS …TAKEN THE TIME TO THINK THAT CUBA DOES NOT HAVE THE UP TO DATE EQUIPMENT TO EXPOSE STUDENTS TO MANY THINGS

    U MORON…show me evidence that cuba DOES NOT have up to date technology to teach student. ya ole fool, evidence shows that Cuba is highly advance in spite of america. why don’t u take YOUR head out of the toilet and read. do u not claim to be a doctor? your statement shows the level of your stupidity…that just because cuba is america’s enemy that her technology must be backward. if that is so, how come, they have made vast advances in the medical field, in eye care in the development of pharmaceuticals that the same US buys and u used? stupppppppppppppppppppppssssssssssssssss jackass


  56. David | July 13, 2011 at 7:11 PM |
    @GP
    What is your perspective on these Cuban trained Bajan Doctors?
    How can the situation be retrieved i.e. win win?
    Sir David BU
    I have not met or interviewed or seen the Cuban trained Bajan Doctors in action; but I have
    a very high regard for Prof Walrond, and am sure there is much merit in his opinion and decision. I have always found
    Prof Walrond to be fair, hard working, compassionate and kind. Behind the veneer of his apparent strictness and seriousness, is a soft hearted behind elderly man.
    As one of the posters has correctly opined, the issue might not just be one of training, but may
    also be one of the medical students themselves. Whereas there is much merit in the article
    posted by RT, medical students must be of a certain standard academically and intellectually to start.

    I have met or seen three CUBAN medical teachers of the BASIC SCIENCES in action and have in
    my position some of thir work. And I am impressed. However, I can not report on the standard
    of their clinical exposure or training. As I said in an earlier post, doctors are trained
    differently from place to place; often with an emphasis on the countries needs.
    The Dutch students train for 7 years to be released on the public. In British type schools the training takes 5 years. Whereas Dutch medical students have no responsibility at all for patients, in British
    type training, the students have great responsibility. The Americans again generally only
    get the required level of competence equivalent to the Brits, AFTER they do their resedencies
    This is probably because their clinical rotations are usually shorter than in our training.

    THERE IS A NEED FOR MEN LIKE COMMISSIONG [HOWEVER WELL MEEANING THEY MIGHT BE] TO STAY OUT OF MATTERS THAT ARE OUTSIDE OF THIER DOMAIN AND COMPETENCE/EXPERTISE.
    DUMMY MED STUDENTS THAT CANT REACH THE ADMISSION STANDARDS WILL BECOME DUMMY DOCTORS AND WILL FAIL QUALIFYING EXAMS.
    TRUST ME. IN SUB STANDARD SCHOOLS WHERE FOLK ARE ADMITTED WITHOUT
    THE RECQUIRED ABILITY……..THE STUDENTS STRUGGLE REAL BADLY.
    I HAVE NO COMPETENCE IN ELECTRONICS ETC………SO I DABBLETH NOT
    ACADEMIC DUNCES WILL NOT PASS MEDICAL LICENSING EXAMS IN THIS WORLD OR THE NEXT!


  57. Not necessarily DAVID.
    All over the world Medical Councils or State Medical Boards determine who should practice in their areas. We are no different

    You will notice I have said little about the current BAMP president. But
    I believe that after 50 or so years in medicine, that if
    Prof Walrond says the Cuban doctors are poorly trained–that they are poorly trained.

    THEY MAY BE TRAINED TO WORK IN CUBA ACCORDING TO HOW THEIR SYSTEM WORKS. [ AND I AM NOT HERE KNOCKING THEIR SYSTEM]

    PERHAPS THE TRAINING OF THESE DRS IS A PRELIMNARY CUBAN TRAINING AND THE CUBAN SYSTEM HAS OTHER TIERS OF TRAINING -AS THEY OBVIOUSLY MUST HAVE IN THE SPECIALTIES
    IF THE DRS ARE TRAINED TO FIT INTO THE CUBAN SYSTEM THEY MIGHT NOT NECESSARILY FIT IN TO OURS.

    As i said before Dutch, British ,US , Mexican systems all differ.
    Clearly folk like Prof Walrond should know better than the medical iliterates who shout their emotional diarrhoea on BU.

    I DONT THINK THAT A MAN LIKE WALROND WHO IS LONG RETIRED AND WHO IS HIGHLY RESPECTED NEAR AND FAR NEEDS TO BE IN A POWER STRUGGLE FOR ANYTHING

    SO WILL THE EGOTISTIC MINISTER DECIDE THAT HIS MINISTRY SHOULD NOW CONTROL THE MEDICAL COUNCIL?


  58. the cuban life expectancy rate at birth is 77.23 years old and barbados 76.26 years.health care in cuba did not begin with the castro regime. modern western medicine has been practised in cuba by formally trained doctors since at least the beginning of the 19th century and the first surgical clinic was established in 1823. cuba had many world class doctors, including carlos finlay, whose mosquito based teory of yellow fever transmission was given its final proof under the direction of walter reed, james carroll and arstides agramonte.during the period of u.s presence (1898-1902)yellow fever was essentially eliminated due to the efforts of clara maas and surgeon jesse w.lazaear. by the 1950’s, the island had some of the most positive health indices in the americas, not far behind the united states and canada. cuba was one of the leaders in terms of life expectancy, and the number of doctors per thousand of the population ranked above britain, france and holland.


  59. THANKS FOR THE HISTORY LESSON SIR
    BUT WE ALSO HAVE OUR GREAT PUBLIC HEALTH STORY TOO.
    GO READ ABOUT THE WORK OF MAURICE BYER AND HIS NURSES AND PUBLIC HEALTH INSPECTORS FOR A START

    AND THIS WAS DONE WITH VERY FEW DRS PER THOUSAND
    NOW TELL US HOW YOUR HISTORY LESSON EXPLAINS WHY MICKEY IS TAKING THE MICKEY OUT OF THE TRAINING OF THE BAJANS WHO WENT THERE TO TRAIN.


    • @ Doc GP

      To play devil’s advocate with you, your premise resigns on the fact that Mickey is retired but of course this does not mean he does not feel some loyalty to a profession which has served him well.


  60. DAVID
    Even if there is any merit in your supposition, that should not affect his objectivity as to whether the students had cracks in their training or not.

    Remember, I am not defending any party here. I am trying to give an objective view from my experience as first a student, then a practicing doctor and then a teacher of medical students and participating in exams therefor.

    And my argument is that since the dear Prof was engaged in such for a longer span of time than the even the lifespan of either the students and those making the emotional rants here and otherwise, that he probably has a better idea than they of whether they are adequately trained or not.
    I suspect that the BAMP president may just be repeating the gist of the reports of the examiners for CAM-C


  61. This is interesting! People like Dr. Maurice Byer who may more recognized now than when they were alive, would tell you that they never got as far by themselves as when they worked with others. I can well imagine that our systems of care throughout the Caribbean had many similar people who worked tirelessly to improve things for those to whom they pledged responsibility. They created teams and opportunities for the education of their successors. Let us not forget that Mr. Bell (Hinkitch) and Nurse Gay among hundreds of others were instrumental in the work with Dr. Byer in Barbados. This Dr. was Grenada born and is remembered in other islands, including Jamaica. There were many detractors at that time too.
    Experiences within and outside of Healthcare have shown us that “experts” are neither always correct nor without vested interests. Hence, in their production of reports, the value of thick skins and abilities that include those of understandable verbal defence and factual reference.
    It is my opinion that the BAMP President, whatever his motives, must be complimented for the forthright way in which he expressed his opinions. He knew that there would be a response and is obviously up to the challenge. I do hope that the leadership that professes to oversee and direct Healthcare (inclusive of the members of BAMP) is up to grasping the time as we find our way in this environment.


  62. Francis
    Great post!
    It was a joy to hear Dr Byer tell stories of the early days of our
    Public Health System. He never spoke of him self; but always of his nurses and te innovation of the public health inspectors, whom he respected very highly.


  63. i am glad you appreciate the history lesson georgie georgir pudding and pie, one is never too old to learn. i see nothing in mr waldron’s pronouncements on the issue to suggest he is anti-cuban trained doctors. people trained in one jurisdiction and having to satisfy the requirements by way of an examination to practice in another is nothing new. i am sure that even in the mighty us of a this is a common practice by persons engaged in health care between the individual states.don’t persons trained in law overseas have to pass an examination at the hugh wooding law school to practice in the caribbean. why all the fuss and vituperation?


  64. The Cuban and Bajan health systems are two fundamentally and philosophically different systems. The major reason for Cuba’s good health statistics is not related to medical intervention at all, but to other factors;
    For example it is known that there is a clear correlation between per capita income and a number of lifestyle diseases. The long term embargo has denied Cubans access to many of the poisons that we use our foreign exchange to buy and use as foods.
    Also Cuba has used Community based Sports and culture to create one of the most effective preventative healthy lifestyles anywhere.

    A doctor that is trained to operate successfully in such a system is not immediately suited to operate in our system where the widespread, so-called affluent lifestyle diseases are treated with an array of drugs and other expensive interventions – rather than by taking serious steps at prevention.

    …so Dr Chase is right.


  65. bALANCE

    I LEARNED THE HISTORY OF OUR PUBLIC HEALTH FROM DR BYER FIRST HAND….LOL WAS JUST THANKING YOU FOR POSTING SIR

    You are again correct about”people trained in one jurisdiction and having to satisfy the requirements by way of an examination to practice in another is nothing new.” Hence the USMLE EXAM IN THE US. IT WAS ONCE CALLED THE ECFMG EXAM THEN THE VISA QUALIFYING EXAM AND NOW THE USMLE. YOU HAVE TO PASS THIS EXAM TO DO A RESIDENCY. AND AFTER THE RESIDENCY YOU HAVE TO RETURN TO YOUR HOME FOR A FEW YEARS BEFORE YOU CAN GO BACK

    COMPLETING A RESIDENCY DOES NOT GUARANTEE YOU A JOB

    MAN IF YOU WANT TO TEACH HIGH SCHOOL CHEMISTRY IN THE US [-STUFF THAT YOU TAUGHT YOUR CLASSMATES WHILE YOU WERE DOING A LEVELS] YOU MUST HAVE A PhD FROM “A REGIONALLY ACCREDITED INSTITUTION”.

    YOU HAVE TO PAY MONEY TO HAVE YOUR UWI QUALIFICATIONS RATIFIED EVEN TO TEACH BASIC STUFF ONLINE.

    BUT WE NOW HAVE MORONS IN BIM WHO WANT THE MEDICAL COUNCIL TO ALLOW JOKERS WHO COULD NOT EVEN MATRICULATE AND GAIN ENTRY INTO THE REGIONAL MEDICAL SCHOOL BECAUSE THEY LACKED THE ACCEPTED QUALIFICATION TO PRACTICE MEDICINE IN BARBADOS EVEN AFTER FAILING THE REGIONAL LICENSING EXAMS.
    SIMPLY HILARIOUS! MOST HILARIOUS!
    AND THESE SAME MORONS CUSSING E R WALROND – A MAN WHO HAS BEEN IN MEDICAL EDUCATION FOR DECADES

    WE LOVE TO WATER DOWN EVERYTHING IN BIM


    • @GP and Bush Tea

      Sometimes the message gets lost in the communication.

      What you guys are saying make sense and should resonate with anybody who has some commonsense.

      The arrogance with which Chase put it over will not cut it.


  66. RE A doctor that is trained to operate successfully in such a system is not immediately suited to operate in our system where the widespread, so-called affluent lifestyle diseases are treated with an array of drugs and other expensive interventions – rather than by taking serious steps at prevention.

    By your argument the CUBAN TRAINED BAJAN DICTORS ARE INADEQUATELY TRAINED………AS HAS BEEN POSTULATED BY CHASE AND PROF WALROND

    By your argument DOCTORS THUS TRAINED OUGHT TO GO BACK AND WORK WHERE THEY WERE TRAINED AND NOT TO DEMAND THAT THEY BE ACCEPTED ELSWEHERE WHERE THEY CANT PASS BASIC MEDICAL EXAMS.

    The issue here is not about culture and philosophy OR LIFESTYLE —it is about training in basic skills! E.G HISTORY TAKING SKILLS, THE ABILITY TO ELLICIT CERTAIN SIGNS , THE CORELATION OF THE ABOVE.
    IF YOU HAVE BEEN PROPERLY TRAINED TO DO THE ABOVE YOU CAN OPERATE ANYWHERE…..BECAUSE THE DIAGNOSIS IS MADE BY TAKING A GOOD HISTORY IN 99% OF THE TIME. FAILURE IN THE OTHER 1% IN WELL TRAINED DOCTORS IS NOT KNOWING THAT THE DIAGNOSIS EXISTS.!

    In some areas of the world emphasis in knowledge is based on the common diseases in that area. Thus such a person with limited knowledge will be lacking elsewhere. If Cuban doctors do not know the basis epidemiology and features of the chronic diseases caused by lifestyle, then they ought not to be allowed to practice in areas where those illnesses abound.

    One wonders then what texts are they reading. Are they only reading locally published texts, or are the reading the standard texts that are used universally for the basic sciences and for acquiring clinical skills.

    It is noteworthy that whereas there might be a prevalence of chronic diseases associated with lifestyle , that by far the cause of much disease still continues more frequently to involve genetics, trauma, neoplasia, infections, collagen vascular, immune causes, autoimmune, metabolic, degenerative to name a few. So doctors must be trained to recognize the above also.


  67. @ David
    Sometimes professionals who are experts in their fields do not recognize the extent to which others are ignorant of the basics. They tend to assume that we all should be aware of the facts and may quickly become frustrated with our limitations…. some of them do not hide their impatience well.

    Surely you know that often the worst teachers are the most highly learned and qualified…(A Big problem with our education system…)

    LOL case in point …. The Bush Man AGREES with GP (after years of disagreement), and the man pelt some lashes in Bushie behind…..


  68. BT
    I AINT PELT NO LICKS IN YOUR BEHIND………YET. LOL
    AND I WAS NOT AWARE THAT WE HAVE DISAGREED FOR YEARS EITHER…….. ALTHOUGH IT IS TRUE THAT YOU MIGHT SOMETIMES TEND TO BE ERRATIC AND ERRANT THOUGH ERUDITE!

    I WAS TRYING TO INFORM AND ENLIGHTEN THE BU READERSHIP, MAN–AS USUAL AS YOU WELL KNOW. LOL SO BEHAVE YOURSELF THIS EARLY SATURDAY MORNING

    Again we agree that that often the worst teachers are the most highly learned and qualified…………because of their impatience

    You must appreciate though that some BU bloggers try your patience because not only are they unaware of the facts, but when you seek to edify them about the same, they continue to pontificate with purulent postulates.

    Anyway, though your earlier post contained facts, your thesis did not take into account what is the real problem here.

    e.g when you are taught to examine the heart you are asked to listen to as many normal hearts as possible in a systematic way………..that will ensure /facilitate one’s likely hood of recognizing an abnormal heart when one is heard.

    e.g one learns to look at Xrays using a system that helps you not to miss lesions
    We could go on.

    Such clinical examination techniques are basically the same in US and UK [ BRITISH OR COMMONWEALTH TEXTS]

    I SUSPECT THIS IS AN IDEA OF WHAT THE MEN SAY IS LACKING ………maybe only at this level

    Surely their specialists are better trained
    Another thing about their system which I learned when I was a student in JAMAICA [when Manley had lots of them here] is that they tend to work in teams [with several different specialists], in which patients are not held on to, but readily transferred from doctor to doctor as needed. in such a case the junior doctors might not be expected to function as a GP like GP was trained. They are probably at a lower level of basic training for their system. AFter this they probably improve their skills.

    There may be much merit in this way…….as it worked in JAMAICA in the early 70’s it seems.

    Horses for courses it seems


  69. WHEN I SAID ….Surely their specialists are better trained I MEANT THAT THEIR SPECIALISTS ARE MORE EXPERIENCED AND PROFICIENT THAN THE JUNIORS. I WAS NOT COMPARING THEIR SPECIALISTS WITH THOSE FROM ELSEWHERE


  70. “…but when you seek to edify them about the same, they continue to pontificate with purulent postulates.”
    ****************************
    @ GP
    What doctor what??!! you were clearly intended to be in the Arts…. LOL..pontificate with purulent postulates indeed!!

    Have you ever considered that by virtue of your being daddy’s (David of BU’s) favorite son you will attract the same kind of attention that landed Joseph (with his fancy coat of many colors) in a well -and bound for Egypt….?
    It may be less ‘pontification with purulent postulates’ and more ‘jerking your strings’…. and you well know that there is a certain technician in particular -who is an expert in that art….. LOL haha

    Have a great day GP..


  71. Bushie
    You may be right…….again!
    Thanks for elaborating on the modus operandi of the technician who likes to F[ART] on me and Zoe while behaving like the lowest member of the equinoids. lol lol


  72. BT
    IN MY RESPONSE TO YOU YESTERDAY MORNING I WAS TRYING TO REMEMBER TIN CAN BED MIDI – AN AID TO REMEMBERING CAUSES OF DISEASES ………HERE IT IS. FOUND WHILE LOOKING THROUGH BY DATA BASE FOR SOMETHING FOR A STUDENT

    TIN CAN BED MIDI
    Traumatic diseases, such as fractures, sprains, and wounds, are due to direct physical injury. Closely allied are diseases due to physical agents, such as heat, cold, electricity, and irradiation.

    Inherited or familial diseases, such as hemophilia, are due to faults, which are inherent in the chromosomes of one or both parents and are transmitted to the offspring.

    Neoplastic diseases (cancers of various organs, as breast or bone) are those in which certain cells become “outlaw” cells, multiplying rapidly and invading and destroying surrounding tissues and cells, and often spreading to distant organs.

    Congenital diseases are those present at birth. Some are inherited; some are developmental defects of unknown cause; others, like congenital syphilis, are infections acquired in utero.

    Allergic diseases result from unusual sensitivity to some exciting agent (antigen) such as drugs (penicillin reaction) or pollens (hay fever). People who are allergic or hypersensitive react in a violent or unusual manner to substances, which produce little or no reaction in others,

    Nutritional diseases usually result from a dietary intake deficient in total amount (starvation) or in some essential ingredient (vitamin C deficiency is scurvy), or from an excessive food intake (obesity). Occasionally a nutritional disease may be a result of an abnormality of the digestive tract, leading to malabsorption.

    B
    E
    D Degenerative diseases, while undoubtedly having more specific chemical causes than we realize, are generally considered to be the result of aging or wear and tear. Included are some of the most common diseases of the elderly, such as stroke, arteriosclerosis, and osteoarthritis.

    M Metabolic diseases are those in which certain physiologic processes become deranged. Included are most of the dysfunctions of the endocrine system (diabetes mellitus, hyperthyroidism).

    Molecular diseases are metabolic diseases in which the molecular products, of cellular activity are abnormal in composition. Included are certain hereditary diseases such as phenylketonuria and sickle cell anemia.

    I
    Infectious diseases are due to invasion of the body by living pathogenic agents, usually bacteria (tuberculosis, diphtheria) or viruses (poliomyelitis), but sometimes fungi (thrush), protozoa (amebiasis), or helminths (ascariasis). Many infectious diseases are also contagious, i.e., capable of being Spread from one person to another.
    D
    I iatrogenic disease is one arising from the actions or words of the doctor. Drugs used in the treatment of disease may themselves produce disease. Bad effects of surgery, skin cancer following x ray therapy, or “cardiac neurosis” following careless or misunderstood statements by the physician, are examples.

    In the unicellular organism, disease usually results from such easily understood disturbances as starvation, poisoning, physical injury, or freezing. In a multicellular organism such as man, these same harmful influences cause disease, but the process is much more complex because of the dependence of one cell upon another, and because of the role of the intercellular fluids and supporting tissues.

    Toxic diseases are due to various poisons, such as snake venom or methanol, which cause cell degeneration or cell death. The outcome depends upon the reversibility of the process, and the importance of the injured cells to the body as a whole.


  73. @ GP
    Thanks.
    Now I know what my doctor was mumbling during my last visit.

    Presumably the final charge per visit depends on the number of verses he has to recite to identify the problem..????
    LOL rotflol


  74. BT
    I never really ever thought of it that way, but NOW…..YOU HAVE SET ME THINKING! LOL

    But for others, you might be correct….AGAIN!

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