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Preparing to be a Doctor while in High School

Who is a doctor?
A medical doctor is a professional who practices medicine, which is concerned with promoting, maintaining, or restoring health through the study, diagnosis, and treatment of disease, injury, and other physical and mental impairments. A medical doctor can simply be referred as a doctor or physician. This is a person who has submitted in a the requirement for the award of a Bachelor of Medicine and Bachelor of Surgery degree, in a Medical College or Medical School, accredited to a university.  According to Wikipedia, Bachelor of Medicine and Bachelor of Surgery, has a root in Latin: Medicinae Baccalaureus et Chirurgiae Baccalaureus  is abbreviated as M.B.Ch.B. in many countries.

What is Medicine?
Medicine is the science or the practice of diagnosis, treatment and prevention of disease.

What is surgery?
Surgery is the branch of medicine that treats injuries, deformities or disease by operation or manipulation.


What is medicine and surgery?
God recognizes doctors because they form an extension of His healing grace to His people. There is nothing more rewarding than seeing a person who was very sick, hardly able to walk going back home happy again because the doctor has done his job. The doctor’s life is celebrated by everybody because every one of the seven billion people on earth at one time need a doctor's hand. However the doctor's job requires a lot of sacrifice in terms of time, leisure, socials to help the sick get back to life and go about their business. This goes along with the Hippocratic Oath doctors take to take on that job.  

1.1 The ability to help hurting people and their families
Students want to be doctors because they cherish being counted for enabling hurting people afford a smile again. Some students feel they are both sympathetic and empathetic and are driven by this energy to think out a solution.

1.2.
 Ability to recognize those better than you
One unique thing about doctors is their ability to recognize people better than them and suppo
rt them. They may consult them but most importantly they refer patients to them at no commission. It is a common ‘disease’ amongst many humans, to pull down someone better than them. Such student does not fit in the medical fraternity and should not even vey for medicine.

1,3. Ability to work overtime where emergencies arise.
A student who wants to study medicine must be ready, sometimes, to work beyond the stipulated time for the good of others and at the expense of his/ her family and private time. This includes working night schedules, overtime, on public holidays and over the week ends.

1.4. Ability to perform so well in Biological sciences
The student must have the interest and ability to score so highly in all subjects. In addition the student must be willing to continue with biological sciences at advanced level which form the bedrock of medical or health sciences. The biological sciences include biology (B) and chemistry (C) as cores supported by either physics (P) or mathematics (M) as relevant subjects. The three subject combination for medicine (majors) is either PCB or BCM as major subjects. Students are also required to minor in two subjects; General studies registered as General Paper (GP) for all candidates and either subsidiary mathematics (Sub Math) for PCB candidates and candidates   taking BCM, subsidiary information Computer Technology (ICT)

1.5. Ability to remain a student after finishing studies
After graduation, the doctor is expected to continue studying in order to keep abreast with new discoveries in the medical world. This is because new diseases keep coming up and new medicines come to the market whose dosage must be understood. Keeping away from constant updates can be very detrimental to the lives of the patients and threatens the fame of the doctor. This is done through attendances of seminars, Academic research defenses, symposia, workshops, conferences and through reading medical journals, text books, visiting the internet and going back for further studies. A student, who doesn’t want to read but wants to be a doctor, may merely be an irrelevant day dreamer.

1.6. Respect in society
Because of the nature of their work, doctors and sometimes trainees are accorded a lot of respect in any society. However they are trained through their medical ethics to respect themselves because the whole society respects their views. They are the only people recognized by International law to take informed decisions on someone’s body including opening the ailing bodies with surgical blades. Another reason they are respected in society is because they persevere to study for more years (six to seven years) longer than any other course known. Students who want to earn such respect must also be ready to study for more years than others can try medicine and surgery. 

1.7. Interpersonal relationships
Many students love to be part of a successful team and just feed their passion by working with people. Disease prevention, cure and management cannot be a one man's show. Medicine requires a team work of different players on the stage including doctors, nurses, laboratory technicians, pharmacists, the patients and patient family/ caretakers, hospital administrator and support staff.

1.8. Ability to sacrifice one's feelings about people
The student should be willing to evolve a new outlook to human being and forget internal human differences which cannot tolerate other human beings. This is embedded in the Hippocratic oath which doctors swear before the assume duty upon graduation. The oath holds demands that doctors dedicate their lives to the service of humanity; the health and wellbeing of the patients being their first consideration; to maintain the utmost respect for human life regardless of age, gender, disease or disability, creed, ethnic origin, nationality, political affiliation, race, sexual orientation, social standing, or any other factors to intervene between their duty and the patient. 

1.9. Confidentiality
The student should learn the art of keeping quiet about many things about people. Some findings about a patient's medical condition remains a top secrete between the medical team and the patient, unless otherwise compelled by the Law or granted permission by the patient. Students must learn to respect other peoples' privacy and dignity.

1.1.0. Friendship formation
A student aspiring to be a doctor must slowly develop friendship formation skills. These skills are important as they slowly evolve into a healthy doctor-patient relationship which is the first part of medicine.

2.0. Preparation for long holiday (Vacation)
It can be an honor to use part of the holiday working as a volunteer at a nearby medical facility, which may be a private clinic or hospital. This can enable the medical student in the making to acquaint himself with some experience of the future job. Observation of what goes on in here may cause a demerit to the vacationist that leads to withdrawal. It is better for a person to ship out and take time to look for something else that brings joy and peace of mind. On the other hand, the patient environment may build empathy, sympathy and responsibility that motivates the vacationist to confirm reasons for aspiring for the medical program.

3.0. Job opportunities
Upon completing studies, one qualifies as a doctor and can work in a variety of places including the following:
a) Hospitals
b) Medical Research institutes
c) Public Health Care Units
d) Multinational organizations like The International Red Cross, World Health Organization (WHO)
e) Can engage in sponsored research projects on the tests of a new drug or a new disease, etc.
f)  Can lecture in medical training and Public Health Institutions
g) Can work with Private Health Insurance Companies
h) Can operate a Private Medical facility like a clinic or hospital.
i)  Can work with the Ministry or department of health
j)  Can work with a traveling team in disaster pronounced world as a doctor- without-boarder
k) Can be part of a voluntary community a medical team which travels around the communities treating people in their communities and teaching about disease prevention
l)  Can participate in the training of medical officers in medicals schools and colleges 

 3.1. Job Security
   a) In Uganda, the Medical officer to Patient ratio is not yet there. Kamwesiga J.             (2011) gives ratio of Health worker to Patient as follows: 
                                       
      • Doctor to Patient Ratio is 1:24,000 
      • Nurse to Patient Ratio is 1: 1,700
      • Dentist to Patient Ratio is 1:77,000
      • Midwife to Patient Ratio is 1: 9,000
      • Lab. Technician to Patient Ratio is 1:16,000 
      (Source:  UGANDA HEALTH CARE SYSTEM, Community and Home based                          Rehabilitation Course)    

Doctors in Africa: The NEED!
Based on a threshold of 4.45 skilled health professionals per 1000 population, it has been estimated that the needs-based shortage of health-care workers globally would be about 17.4 million of which almost 2.6 million are doctors.

- Report by World Health Organization (WHO)  
                                                                                                                              WHO recommends a minimum threshold of 23 doctors, nurses and midwives                per 10,000 patients. This shows that there are many jobs waiting for graduates              in all medical fields. 

  b)   Doctors can work in any country in the world, including in EU countries that                  have forbidden or restricted employment of foreign citizens. The  restriction                  does not apply to doctors because they specialize in divergent disease                            management.

   4.1. Universities where Bachelor of Medicine and Bachelor of Surgery                            (M.B.ChB.) is offered
    4.1.1)  In Uganda
             a) Public Universities                                                                                                      
               i)  Makerere University (Mak) - Public University
              ii)  Mbarara University of Science and Technology (MUST) -                           Public 
             iii)  Gulu University (GULU) - Public University
             iv)  Busitema University (BUS) - Public University


             b) Private University
        
             i)     Kampala International University School of Health Sciences -                                 IshakaBushenyi - Founded in 2004
             ii)    Habib Medical School - KibuliKampala - Founded in 2014
             iii)   St. Augustine International University College of Health,                              Medical  & Life Sciences - MulagoKampala - Founded in 2012
             iv)  International Health Sciences University School of Medicine -                      NamuwongoKampala - Founded In 2008
              v)   Uganda Martyrs University School of Medicine - Nsambya,                            Kampala - Founded in 2010
          
    All the above mentioned Pubic universities offer M.B.ChB. on government                   scholarship which is very competitive. A few slots are available for the                           program on private sponsorship.

          4.1.2) Outside Uganda
     Usually students in Uganda go to study Medicine and Surgery in universities                 in the following countries on scholarship, private sponsorship or Inter                             Government Student Exchange Program (IGSEP):
            i) Tanzania (IGSEP)
            ii) India
           iii) Russia
           iv) China
            v) Kenya 
           vi) South Africa
     A few students from very wealthy families go for M.B.ChB. in European and                Canadian Universities.

N.B
In many universities, Medicine and Surgery is a Masters Degree Program but not a       Bachelors program like it is in Uganda. This is true for many American universities       and the program is at a minimum of seven years. An aspiring medical student first         studies a first degree in a relevant science field, including Human Biology,                     Microbiology, Parasitology, virology, Science (Bachelor of Science), etc
         Your kind suggestions can be the only reason why one student uses this resource to build his/ her future as a professional who will bring a difference!

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