Just Who is a REGISTRAR and what do they do? By DR ERIC MUGAMBI

MY NON-MEDIC FRIEND,I AM YOUR DOCTOR FRIEND, AND I WANT TO SHED SOME LIGHT FOR YOU. I AM TIRED,TIRED!! OF THE MEDIA SAYING A REGISTRAR IS AN INTERN,AMONGST HIGHLIGHTING OTHER INACCURACIES FROM OUR POLITICIAN HEAD OF HEALTH. HERE IS THE REAL TRUTH.

I choose to offer free and fair education to you, my friend.. and clear the air..

QUESTION 1.) JUST WHO IS A REGISTRAR?

ANSWER- It starts like this...FORM FOUR LEAVER - MEDICAL STUDENT (Either in UoN, Moi teaching and Referral, Eldy,au Majuu) - GRADUATE -,and then...

MEDICAL OFFICER INTERN(this is the KYM of all Medicine cadres..the real backbone of the district and provincial hosis.. actually, all hosis.. kama housegirl..working like a donkey!!for a year,no leave,no life, no time to date,drinks to drown sorrows..Internshit, i wouldn't re-do it even if I got paid a milli a month, why lie!!) -

MEDICAL OFFICER (fully licensed after one year of completing internshit..yes, that's what we call it.. it's like torture chambers!)

SENIOR MEDICAL OFFICER(having worked two yrs for gava post internship.. but don't let the word "senior" fool you!,ni ufala tu,no promotions are going on! ) - and then...

REGISTRAR (huyu sasa ameamua ku-apply shule aingie Masters, either gava-sponsored, or has kusanyad his peanuts and scrambled them together to pay 1st year fees, au ameomba loan..this one works exclusively at KNH, or MTRH, practically on their own, coz they are QUALIFIED DOCTORS,seeking to specialize..I only have one way to describe this world of a registrar.. HELL ON EARTH.. RIDE, OR DIE. Internshit kando. Nuff said.) -

JUNIOR CONSULTANT(finally after going through hell and kissing Satan's a**,then kickin' it, by God's grace and nothing else, one attains his/her Master's degree) -

SENIOR CONSULTANT/PROFESSORS,ETC..(hawa sasa ndio ma-Roc Boys..HAWA WAMEFIKA..hawa wanaishi Runda et al..hawa wako na magari za strength.. haijalishi ati nywele zao ni za grey..)

So, based on this, enyewe kuita registrar ati Intern, the only excuse ni ati umevuta bangi kutoka Jamaica. Ile ya Bob Marley.

QUESTION 2.) DESCRIBE THE WORK THAT THESE REGISTRARS DO.

ANSWER- I'll give you one example..out of a million.. Obs/Gyn registrars do >90% of the C/S (ceserean sections) at KNH without supervision. A C/S costs say 12 gees, and the registrar is paid nothing, to do it.. In one night on call, a registrar easily does OVER 7 C/S, earning the hospital 180K or so. Is asking for half of what you bring in in one night too much??!! SERIOUSLY???!
World over, registrars are paid, and DO NOT pay school fees. Look for examples from Africa. A good example is Aga Khan closer home(yet Aga Khan is a private institution)

QUESTION 3.) WHY DO SOME REGISTRARS OPT TO "PRIVATELY SPONSOR" THEMSELVES?

ANSWER- Due to the frustration in waiting for the rare Government scholarships. I think if one privately sponsored registrar gave their own story on this, that would help.
Note that even though these private sponsors may pay your tuition fee, they do not provide a monthly stipend. Registrars are often in their late twenties and thirties, with families to feed, school fees and rent to pay.WITH NO MONEY.
The 80 hours/week, needless to say leave no room for extra work for one to support themselves. These hours are ridiculous in the first place. In Belgium for example, registrars are not allowed to work for more than 48 hours/week, because beyond this, you cease being effective, your patients get a raw deal.
SO,IN A NUTSHELL.....
If indeed the registrars are not that important, why is KNH and MTRH empty? This is because registrars RUN these hospitals, they run the clinics, the wards, the theatres.

EWE,MWENYEZI MUNGU,UTUSAIDIE TUEPUKE UKOLONI MAMBOLEO!!!



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