Lagos State University Teaching Hospital (LASUTH)

LASUTH FAMILY MEDICINE DEPARTMENT MAKING INNOVATIVE STRIDES

Monday 27th Nov, 2023

In 2004, The Department Of Family Medicine At The Lagos State University Teaching Hospital (LASUTH) Evolved From A General Out-Patient Clinic To A Multi-Disciplinary Department Which Innovatively And Creatively Administers Healthcare In Four Sub-units.

Strategically Situated At The New SDG Building Of The Hospital, The First Point Of Call For Any Patient In LASUTH Is The General Out-patient Clinic. There, Patients Who Come Into The Hospital For The First Time Are Assessed, Preliminary Diagnosis Are Made And Those Who Need Further Assessment Are Referred To Other Departments And Units, Accordingly. The Family Medicine Department Has A Chronic Medical Disorder Clinic Where, (in Collaboration With Other Specialists) Patients With Medical Ailments Such As Diabetes, Hypertension, Metabolic Syndromes, Chronic Medical And Non-communicable Diseases Are Attended To; This Clinic Holds On Tuesdays.

According To Research, The Life Expectancy In Nigeria Which As At 1960 Was Forty Years, Has Steadily Increased To A Little Above Sixty Years Hence The Increase In The Number Of The Dependent Population In The Country. It Is Therefore A Pertinent Move By The Management Of LASUTH To Take The Care For The Elderly A Notch Higher By Creating A Geriatrics Clinic. The Geriatric Unit Which Is Part Of Family Medicine Department, Provides Quality, Immediate And Continuous Care For Older Persons And It Holds On Wednesdays.

Thursdays At The Family Medicine Department Is Anchored By The Lifestyle Medicine Unit Where Specialists Inspire Patients On How To Achieve Preventive And Curative Modalities, Such As Lifestyle Changes For Chronic Medical Issues Which Includes Obesity, Alcoholism, Sleep Disorders And So On; While On Fridays The Family Medicine Department Works In Collaboration With The Haematology Department To Run Retroviral Clinic Targeted At Adolescents And Patients With Comorbidities.

At This Juncture, It Is Worthy To Note That The Work Carried Out In This Department Does Not End With The Clinics Aforementioned. All Through The Week, Doctors And Personnel Who Have Been Trained To Effectively Manage Sexually Assaulted Individuals Are On Standby, Hence The Presence Of The Mirabel Centre In LASUTH. The Centre Is The First Sexual Assault Facility In Nigeria And West Africa, A Lot Of Novel Work Have Been Done There. These Efforts Have Certainly Not Gone Unnoticed As The Center, In July 2023, Was Recognized In The UK By The Duchess Of Cornwall Because Of The Excellent Work That Has Been Done To Revolutionize The Care Of Survivors.

The Family Medicine Department Also Coordinates Clinical Care For Patients On Health Insurance Scheme Which Is Unarguably One Of The Best Way To Access Affordable Healthcare Service In State.

Same Day Care Services Is Gradually Becoming Crystalized In The Hospital Services. This Is Now A Global Best Practice And LASUTH Is Not Lagging Behind. A Lot Of Patients Need Primary Care Surgery And The Department Collaborates With The Surgery Department To Carry Out Day Care Surgeries. There Is Essentially A Burden Of Shortage Of Healthcare Workers And Bed Space Especially In Lagos, This Will Ease The Pressure As People Or Emergency Cases Can Get The Care They Need Immediately And Continue Their Care As Out-patients.

With A Workforce Of Forty (40), Resident And Consultant Doctors, Medical Officers And Ten (10) Nurses, Eight (8) Record Officers, Scientific Officers, Administration Officers And Other Support Staff, The Department Of Family Medicine Is Not Resting On Its Oars At Delivering Quality Healthcare To All And Sundry.

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https://www.lasuth.org.ng

MEET THE CHIEF MEDICAL DIRECTOR

Prof. Adetokunbo O. Fabamwo

Chief Medical Director

I became DCST/CMAC in 2001, that is, 19 years ago when Dr. Olugbile was the Chief Medical Director. We were saddled with the responsibility of moving the hospital from being just a general hospital to a tertiary institution which LASUTH has become. I visited the DCST of LUTH at that time, Prof. Arigbabu and Prof. Malomo at the University of Ibadan to compare notes and seek advice on how to effectively deliver on the job I had been assigned.

We forged relationships with the Members of the Lagos State College of Medicine and absolved some of them into LASUTH as honorary consultants, though the Lagos State Government (LASG) wasn't very confident of that arrangement because they thought the frequent ASUU strikes that prevailed at that time would affect the activities at the hospital, but we overcame the challenges and the attendant issues that came with it.

We had to put in place systems and structures that would help the hospital move away from a general hospital status to a tertiary institution. We had Ayinke house already which was a standard in its own right. We also had the old ICU, BT Wards, then came the Pediatric wards. As we progressed, and developed, situation started changing and now we have the new Ayinke house, the new BT wards and BT lab.

More Speech
Experience So Far
Aspiration

We moved on to getting accreditation for our clinical programmes; while at it, the Ministry of Health gave LASUTH some funds to upgrade our services. We invited the different accrediting Colleges; for some we got partial accreditation while for some others we got full accreditation one of which was for Obstetrics & Gynaecology where we did not only have full accreditation, but also had a fellow in person of Dr. Oyedele.

We also had to deal with some attitudinal lapses in the staff. We had to start some series of trainings, symposia and teachings to re-orientate staff on how they relate with the different publics of the hospital. A lot of work has gone into that and I believe we are making progress, gradually.

Fortunately for me, LASUTH has always been a part of me so, I'm not in a strange territory. For many years I have been a Prof. of Obstetrics & Gynaecology at the College of Medicine and Consultant for Obstetrics & Gynaecology at the Ifako Ijaiye General Hospital.

My predecessor has done a good job to take LASUTH to where it is today, but we still have a lot of work to do. First of all, the issues at the Operating Suites in the Theatres had to be hurriedly addressed. As we speak, a lot has been done and will still be done because it's an on-going project.

We have a good relationship with the State Government and with the help of the current Head of Service, Mr. Akeem Muri Okunola who tabled the issue of getting more staff in the hospital before the Executive Governor and approval was given for the recruitment of 120 Resident Doctors who have started work.

We noticed that many academic staff of the College have qualified to be appointed as honorary consultants, now that our subvention has been increased, we can now put that into consideration.

Generally, the position of the Chief Medical Director of LASUTH is really hands-on and I have been encouraged by the staff from various Departments. They have been cooperative and that has made the job easier

I believe that LASUTH has the capacity to be a quaternary institution which means moving beyond being a tertiary institution and how do we get there? We have earmarked avenues through which we can do more. Some of which include; Gradually developing the emergency unit to become a training institute or school where we train Doctors to become Emergency Doctors and nurses.

We will institutionalize our Renal Transplant Services by having more foreign missions and also have our doctors visit hospitals abroad to learn and bring back what they have learnt to train others here in LASUTH.

Developing more Doctors to becoming embryologists and IVF doctors through the Institute of Fertility Medicine here in LASUTH. We plan to develop schools in Occupational Therapy, such that our Psychiatry Department can use the skills acquired in the rehabilitation of patients.

The Lagos State University Teaching Hosp...

‎The Lagos State University Teaching H...

‎The Lagos State University Teaching H...

PROF. ADETOKUNBO O. FABAMWO
CHIEF MEDICAL DIRECTOR

PROF. ADEBOWALE ADEKOYA
DIRECTOR, CLINICAL SERVICES & TRAINING

MRS OLAYINKA M. OYE-BAMGBOSE
DIRECTOR, HOSPITAL ADMINISTRATION & HUMAN RESOURCE

MRS RALIAT HASSAN
DIRECTOR, FINANCE AND ACCOUNT

DR. TEMITOPE SIKIAYE
DIRECTOR OF NURSING SERVICES

Prof. Adetokunbo O. Fabamwo

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