Table 7 Major deficiencies in the current curriculum for medical students
From: Healthcare workers’ industrial action in Nigeria: a cross-sectional survey of Nigerian physicians
Theme | Comments on training deficiencies |
|---|---|
Faculty and lecturers | Poor quality and mindset of the teachers (a lot of the teachers were seen as being not ethical in their leadership conduct and this has had a negative effect on the students, i.e. bullying behaviour during teaching sessions from consultants and registrars.); Lack of/Poor mentorship; Negligence of meritocracy; Poor staffing; Lack of commitment of consultants to residency training; Consultants were seen as being too busy to impact sound training for residents; Poor mentorship and commitment to residency training; Poor supervision by the trainers |
Funding | There is also the challenge of poor funding, obsolete teaching methods and facilities; Inadequate funding; Poor health system funding. |
Infrastructure | Overcrowded classrooms, poor amenities, too many distractions for medical students; Lack of essential equipment for skill acquisition; Lack of/Poor medical infrastructure; Lack of adequate facilities even in accredited institutions; Lack of equipment |
Research and development | Lack of sponsorship for research in tertiary institutions; The major deficiencies are lack of investigative materials. |
Curriculum | Lack of leadership and administrative training in the medical training; Deficiencies in curriculum, deficiencies in training guidelines, deficiencies in training institutions, on-appraisal of what is existing already and creating a benchmark for operation; Lack of harmonization of training curriculum; Non-inclusion of leadership/management training, policy-making and research with hands-on experience even at the postgraduate level especially as doctors are expected to lead the health team |
Career path | Lack of job security during and after the programme; Spaces for new fellows seem to be shrinking; The exams were considered to be biased; More emphasis on passing exams than on skill acquisition |
Strikes | Frequency of strikes; Incessant interruptions during the period of residency training; Interruption/ prolongation of residency training programme |