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?

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.

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?

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.

clean water.

Few doctors

VERY GOOD ARTICLE RT! THANKS! WILL SHARE IT

@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

@GP

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

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.

@ 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.

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.

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?

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

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.

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

“…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..

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.

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!