CLINICAL DEPARTMENTS

Anaesthesia Department

http://uchnew.uch-ibadan.org.ng/profile/dr-babatunde-b-osinaike

Dr. Babatunde B. Osinaike Head of Department


BACKGROUND

The Department of Anaesthesia has been an integral part of the Hospital since inception in 1958. The Department has been responsible for the provision of Anaesthesia to patients. Anaesthetists also work as intensive care physicians who provide care to patients that are admitted in the Intensive Care Unit. At the onset, the Department was called the Anaesthetics Department. At the time, there was a shortage of Consultant Anaesthetists within the Hospital to which end a number of British Anaesthetists were offered contract appointments. These individuals included Dr. V. Fowler, and Dr. D.J. Walters, both of whom were on contract appointments between 1960 and 1964. In addition, Dr. Ronald S. Lambie was seconded to Nigeria in 1965 under the auspices of External Aids, Canada.

In 1966, a separate academic Department of Anaesthesia was created under the Headship of Prof. L.M. Beckham (M.D.). During his tenure as Head of Department, Dr. Beckham initiated many laudable programmes including the overseas recruitment of Anaesthetists and the training of local (Nigerian) doctors in the specialty of Anaesthesia before the commencement of the fellowship training. On the 30th of June, 1971, Prof. S.A. Oduntan succeeded Prof. L.M. Beckham as the substantive Head of Department.

The first head of the Anaesthesia Department was Dr. Phyllis M. Edwards who became the Head of Department on the 1st of April, 1959. Below is a comprehensive list of the Heads of the Anaesthesia Departments from inception till date.

Heads of the Anaesthesia Department (Inception till date)

S/N Name of Departmental Head Period of Headship
1. Dr. Phyllis Mary Edwards 1948-1959
2. Dr. D.R. Rigg Graham 1960-1961
3. Dr. D.J. Walters 1961-1963
4. Dr. P.O. Nwachukwu/Dr. R.Y. Gool 1963-1964
5. Dr. R.S. Lambie 1965
6. Dr. P.O. Nwachukwu 1965-1966
7. Dr. Rustum Y. Gool 1966-1967
8. Prof. L.M. Beckham 1965-1968
9. Prof. S.A. Oduntan 1968-1977
10. Prof. J.A.O. Magbagbeola 1977-1980
11. Prof. O.O. Akinyemi 1983-1986
12. Prof. C.E. Famewo 1991-1993
13. Dr. (Mrs.) Eniola O. Elegbe 1986-1988
14. Prof. Olaitan A. Soyannwo 1990-1991;1994-1996;1998-2002
15. Dr. (Mrs.) Patience T. Sotunmbi 1989-1990;1993-1994;1996-1998

2004-2008

16. Prof. Simbo D. Amanor-Boadu 1990;2002-2004;2008-2012
17. Dr. Arinola A. Sanusi 2004-2006
18. Dr. Olayinka R. Eyelade 2012-2014
19. Dr. B.B. Osinaike 2016-till date

 

ACHIEVEMENTS

Innovative Research has been the bedrock of anaesthetic practice in the Department since inception. Lung function studies were pioneered by Professor S.A. Oduntan in the Departmental Laboratory on the second floor in the central area of the Hospital building. Also, Prof. J.A.O. Magbagbeola pioneered research projects in the areas of ‘Determination of Tube Size for Endotracheal Intubation in an African Population’ and ‘Metabolic Response of Nigerian Patients to Anaesthesia and Surgery’. Other landmark achievements of the previous Heads of Departments of Anaesthesia include:

Dr. D.J. Walters (HOD-1962-1963)

Dr. Walters introduced many innovations into the practice of Anaesthesia including the “Waters to & fro breathing circuit” (Br. J. Anaesth 1961; 33: 417). The first Postgraduate course was held under his headship in February, 1961.

Prof. LM Beckham (HOD: 1965 – July, 1968)

The Department became a fully-fledged academic Department under the headship of Professor L.M. Beckham sequel to which the first set of students for the Diploma in Anaethesia certification, University of Ibadan, were admitted in 1968. He also started the first Intensive Care Unit which co-existed with the Recovery room adjacent to the main operating theatre complex on the first floor, central area, UCH, Ibadan (now being used as Reception area for surgical patients).

Prof. SA Oduntan (HOD: 1969 – 1971; 1971-80)

He is the first indigenous Head of Department. The first Diplomates in Anaesthesia anywhere in Nigeria were produced under his Headship. He pioneered many research activities including Lung Function Studies, Blood loss estimation studies and Blood gas studies during anaesthesia and in the postoperative period. (Afr J Med med Sci 1970; 1: 79-84). He is the past Chairman, Faculty of Anaesthesia of both the West African College of Surgeons and the National Postgraduate Medical College of Nigeria.

Prof. J.A.O. Magbagbeola (HOD: 1980-1983)

He promoted the use of Regional Anaesthesia such as intercostal blocks for Cardio-thoracic surgeries and Epidural Anaesthesia for Obstetric patients.

Prof. O.O. Akinyemi (HOD: 1983- 1986)

The exact place for Acupuncture analgesia for surgery in Nigeria was not known until Professor O.O. Akinyemi’s study in this area was  published in 1981 (Acupunct Electrother Res. 1981; 6:159-168). It was also during the period of his headship that the first open heart surgery in UCH, Ibadan was performed. Additionally, he formally introduced the Consultant Anaesthetist round in the ICU in September, 1983. This is now routinely carried out by Consultant Anaesthetists in the Hospital.

Dr. (Mrs.) Eniola O. Elegbe (HOD: 1986-1988)

The first success at the Part II FNMC examination was recorded under her tenure as Head of Department. She has also occupied the Office of the Chairman, Faculty of Anaesthesia, West African College of Surgeons.

Prof. C.E. Famewo (HOD: 1991-1993)

He collaborated with Prof. O.O. Akiyemi to establish the first pain clinic for the treatment of patients with chronic pain. He also held the offices of the Chairman, Faculty of Anaesthesia, Nigerian Postgraduate Medical College and President, Nigerian Society of Anaesthetists, respectively.

Prof. Olaitan A. Soyannwo (HOD: 1990- Aug., 1991; 1994-Aug., 1996; 1998-Aug., 2002)

Professor O.A. Soyannwo is the first and foremost Nigerian in the field of Pain and Palliative Care and through her initiative and fore-sightedness, Palliative Care was introduced to the University College Hospital, Ibadan. She is a former Dean, Faculty of Clinical Sciences, College of Medicine, UI, the foundation President, Society for the Study of Pain in Nigeria and member of many International organizations including IASP.

Dr. (Mrs.) Patience T. Sotunmbi (HOD: 1989-June, 1990; 1993-Aug., 1994; 1996-Aug. 1998; 2004-July, 2008)

She was the first Fellow (UCH, Ibadan) by examination of the Faculty of Anaesthesia, National Postgraduate Medical College, Nigeria.

Prof. Simbo D. Amanor-Boadu (HOD: July, 1990- Oct., 1990; 2002- July 2004; Aug. 2008- July, 2012)

She is the immediate past Chairman, Faculty of Anaesthesia, West African College of Surgeon and a past President of the Society for the Study of Pain, Nigeria.

Dr. Arinola A. Sanusi (HOD: Aug. 2004- July, 2006)

She is the immediate past Chairman of the Faculty of Anaesthesia, National Postgraduate Medical College.

Clinical Pharmacology Department


BACKGROUND

The Department of Clinical Pharmacology commenced operations in the late 1970s as a semi-autonomous unit of the University of Ibadan, Department of Pharmacology & Therapeutics and Specialty of Internal Medicine under the leadership of Emeritus Professor L. A. Salako.  The then ‘amorphous’ unit was a hob of research activities, initially focused on cardio-renal pharmacology until emphasis shifted to malaria chemotherapy in the 1980s.   In the 1970s and 1980s, training partly involved the use of facilities at a few well-resourced institutions in Europe moderately due to the lack of a clinical pharmacology laboratory in the Hospital.  Indeed, Professor O. Walker and Professor A. Sowunmi, both former Heads of the Department, had the benefit of some training at the Karolinska Institute, Sweden and the University of Oxford, UK respectively.

The department continues to maintain a symbiotic relationship with the department of Pharmacology and Therapeutics of the College of Medicine, University of Ibadan.

So far, the Department has trained several individuals some of whom have become Consultants and are currently members of staff of the department.  The Consultants in the department as at October, 2017 are Prof. A. Sowunmi, Prof. Catherine O. Falade, Prof. F. A. Fehintola, Dr. Aduragbenro Deborah A. Adedapo and Dr. Michael.  Also, six resident doctors at various stages (are as at this time November, 2016) are undergoing their residency programme in the Clinical Pharmacology subspecialty.

The Heads of the Department since inception are

Headship of the Clinical Pharmacology Department from inception

S/N Head Period of Headship
1. Prof.  L. A. Salako 1982-1991
2. Prof O. Walker 1991-1994
3. Prof.  A. Sowunmi 1994 -1998; 1998-2001; 2006-2010
4. Dr.  Catherine. O. Falade 2004-2006; 2010-2016
5. Prof. F. A. Fehintola Feb, 2016 till date

 

ACTIVITIES

The department holds general and specialty clinics such as the hypertension clinic, adverse drug reaction clinic, the general medical out-patient clinic and the malaria clinic.

With respect to training, the Department is accredited for residency training in Clinical Pharmacology by the National Postgraduate Medical College of Nigeria and the West African College of Physicians. The department also organizes Drug review/Case Presentations whereby in-depth discussions are held on selected drug and/or drug management of an identified patient. These discussions usually include: pharmacokinetics, pharmacodynamics, drug toxicity, adverse drug reactions, clinically important drug interactions relating to the selected drug(s) etc.  Invitations are usually extended to Pharmacists within the Hospital with a view to generating robust discussion and improving patient care and residents’ training.

The department also holds Clinical Pharmacology Seminars. These Seminars were initiated to serve as a platform to discuss topical issues relating to emergency medicine, toxicology, clinical drug trials, and journal reviews etc. It also offers an opportunity for manuscript drafting/writing/critiquing and other sundry research-related activities.

The Department equally collaborates with local and international bodies such as the State Ministry of Health, the Southwest branch of NAFDAC, the World Health Organization, the State University of New York at Bufallo (SUNY – B)USA, among others.

 

ACHIEVEMENTS

The department has recorded numerous achievements, a few of which are listed below.

  • Chloroquine pruritus was a common adverse drug effect in the days of extensive use of the drug in the treatment of malaria. The first insight into the pathogenesis of chloroquine pruritus was worked out at the department by Prof Olatunde in the late 70’s. This seminal work led to a rise in research into this once mysterious drug effect nationally and internationally. The publication remains a landmark in the annals of the World Health Organization (WHO). This in fact contributed largely to the recognition and collaborations by the WHO which eventually resulted in funded studies on malaria which is the most prevalent disease in Nigeria.

 

  • At the onset of decline in the efficacy of chloroquine in the late 80’s and 90’s, there was an international effort to search for agents that could reverse resistance to the drug in humans. A similar feat had been achieved in-vitro for the first time in 1994 at the laboratories of the malaria research group in Ibadan. In a paper published in 1997, Sowunmi reported the reversal of chloroquine resistance in humans by chlorpheniramine. This work gained international recognition as the first and led to similar successes in other parts of the world. It was as a result of other studies by Sowunmi et al on reversal of CQ resistance by chlorpheniramine that chlorpheniramine was listed in the Word drug reference, Martindale, as an agent that could be used to reverse malaria parasite resistance to chloroquine in vivo.

 

  • Between 2001 and 2002, Dr. Falade led a rural antimalarial research that showed for the first time in the world that Chlorpheniramine could reverse falciparum resistance to amodiaquine.

 

  • Dr F.A. Fehintola in 2001 showed that antibacterial agent like Cotrimoxazole, has antimalarial and might have constituted a form combination therapy for malaria in the management of children with malaria on a background of prevalent upper respiratory tract infections. In conjunction with local and International Scholars, he is providing direction in area of artemisinin-based combination therapy (ACT) and anti-retro viral (ART) drug interaction.

Clinical Nursing Department


HISTORICAL BACKGROUND OF THE DEPARTMENT

The University College Hospital Clinical Nursing Department started from Adeoyo State Hospital, Yemetu, Ibadan in 1948 when the hospital was an appendage of the University of London. The physical development of the hospital commenced in 1953 in its present site and was formally commissioned after completion in November 20th, 1957. The Hospital admitted its first set of patients in April 1957.

Clinical Nursing is a term which describes the functions and responsibilities of a nurse engaged in providing direct services to people as opposed to the nurse whose functions and responsibilities relate to administration, education or research.

The origin of the word “Clinical” derived from a word called “clinicus”, (meaning, bedridden person) has become more broadly defined as having to do with observation and treatment of disease(s) in patient. The designation of patients also originates from a latin term meaning “to suffer”.

The nurse clinician therefore provides services designed to prevent or alleviate suffering in person(s) having potential or actual disease(s); whether or not the disease is the cause of suffering. Clinical Nursing is about the nursing of persons whose problems are associated with pathophysiology.

MISSION OF THE DEPARTMENT:

The Mission of the Clinical Nursing Department is to provide quality, prompt, effective, efficient and acceptable care for all the clients coming into UCH – a therapeutic environment that promotes healing, hope and dignity, unconditionally, irrespective of their creed, status or religion. The Department also reaches out to clients, students and carries out researches relevant to nursing care.

OBJECTIVES OF THE DEPARTMENT

  • To provide the highest possible quality Nursing Care which is professionally planned and directed, individualized and given without discrimination
  • To appraise all factors contributing to the nursing care of patients.
  • To be actively involved in making appropriate application of ideals in practice of nursing relative to new and changing concepts in patient care.
  • To promote satisfactory communication and productive working relationship with other health workers both within the hospital and in the community
  • To uphold and promote all hospital policies and practices as much as possible
  • To support and contribute to teaching programmes for students of Nursing, Medicine, allied profession and others
  • To participate in and support activities of education and investigation conducted in the hospital which involve nursing service activities
  • To promote studies and research in nursing practices, reporting and utilizing findings as appropriate and to effect maximum utilization of personnel
  • To promote the welfare of nursing staff through provision of reasonable institutional policies so that each employee may reach his potential to give high quality patient care
  • To provide atmosphere conducive to participation in activities of professional association

QUALITY IMPROVEMENT UNITS: This includes:

(A) Continuing/In-service Education and Training Unit:

This unit is an extension of the office of the Clinical Nursing Department of the University College Hospital, Ibadan. The Unit is headed by an Assistant Director of Nursing and a dynamic and articulate team of Chief Nursing Officers and Principal Nursing Officers. The Services rendered by the Unit is directed towards improving standardization of Nursing Practice and effective patient care through a number of activities aimed at keeping the professional practicing nurse abreast of ethical and related issues involved in the nursing profession. The Unit ensures progression in educational excellence of nursing by her involvement in training and retraining of staff.

Activities:
  • Promotes continuing for professional learning in practicing nurses CE programs
  • Organizes Workshop/Seminars on contemporary Nursing.
  • Organizes training to build skills in the utilization of Nursing Process – a framework for practice.
  • Organizes quarterly Scientific Sessions for Senior Cadres of Nurses
  • Promotes Research –Participation in interdisciplinary researches to promote practice.
  • Facilitates orientation programmes for newly employed nurses to enable them carry out their duties efficiently on the ward
  • Facilitates training of nursing students (BNSC, State School of Nursing) and other learners of allied professions
  • Facilitates clinical posting/placement of nursing students from the Colleges of Nursing and the Universities at local and international levels.
  • Organizes practical sessions for newly employed nurses
  • Reviews and updates job descriptions and nursing procedures
  • Participation in nursing staff assessments
  • Participation in nursing students practical assessments
  • Promotes discipline, comportment and Nursing Image
  • Advocates for attitudinal change through education to promote a positive work culture.

(B) ACTIVITIES OF THE NURSING AUDIT UNIT:

  • Monitoring patient care and patient satisfaction
  • Checking documentation/records of care for patients
  • Interpreting and promoting all hospital policies
  • Monitoring the wards to promote therapeutic environment in the Clinical Nursing Division
  • Guidance and Counseling of Nursing and domestic staff to maintain discipline and excellent performance
  • Ensures handing/taking over of patients, using prescribed nursing language and standard.
  • Increasing nursing awareness on the medico-legal implications of nursing practice
  • Maintaining good interpersonal relationship within all health workers, clients and their relations
  • Collates statistical data concerning human resources and material utilization
  • Receiving and auditing requests from other health workers, patients and relations for improved corrective measures.
  • Close monitoring of nursing and domestic staff on weekends to maintain discipline, carriage/comportment of practicing nurses in the hospital.

(C) ACTIVITIES OF THE PROCEDURE UNIT:

Daily monitoring of nursing staff at ward level to ensure that some of the basic nursing procedures are effectively carried out during each shift. Where there are deficits, the unit organizes demonstration sessions for the ward nurses to promote proficiency in basic nursing procedures. Their activities include the following:

  • Bed bathing procedure (i.e total or assisted) is properly carried out.
  • Patients are duly turned.
  • Ensure that oral care is carried out for ill and unconscious patients.
  • Ensure procedures are followed when making beds, giving injections and administration of controlled drugs of addiction (DDA)
  • Teaching nursing procedures to maintain standard and effective patients care
  • Setting of observation and/or vene puncture trays, basic dressing trolley and wound care.
  • Ensuring proper wound dressing techniques.
  • Monitoring of patients on blood transfusion.
  • Proper administration of oxygen, adequate care of gauge and humidifier.
  • Demonstration of body mechanics, movement and lifting techniques.
  • Explain the implications of various therapeutic positions.
  • Proper sequence of vulva toileting.
  • Note areas of deficiency and correct omissions as necessary.

INFECTION CONTROL UNIT

Infection Control unit has been involved daily activities; ensuring that good standard of patient care practices are carried out to minimize infections in hospitalized patients. This will reduce long hospital stay that may be due to infections and subsequently reduce the cost to the patients and the hospital.

Activities include:

  • Daily visit to the wards and high risks areas to ensure ward hygiene and aseptic procedures are carried out in accordance with the hospital policy.
  • Identifying and compiling records of infected patients, arranging prompt isolation of infected patients.
  • Analyzing of nosocomial infections and dissemination of information on infection rate to the hospital authority and health care professionals.
  • Participation in orientation of newly employed nursing staff on infection control and involved in the training of Ward Assistants and Porters in various departments. The unit delivered the first scientific session lecture on Infection Control and Hospital Acquired Infections organized by In-service Education Unit this year.
  • Overseeing the environmental personnel to ensure hospital wastes are promptly collected from the clinical areas for incineration.
  • Participation in research within the department and seminars if co-opted by any department.
  • Annual training on Infection Control between for health workers from different health institutions in the Country.

Outstanding Achievement Recorded in 2011

  • Production of duty roster electronically as opposed to the manual format used since inception of the department.
  • Interactive sessions with various units and department in UCH to promote team spirit and positive work environment.
  • Special In-service Education programme where all cadre of Nurses had the same lectures to promote attitudinal, quality improvement in Nursing Practice and patient’s bill of rights in relation to nursing practice.
  • First-ever Guest Lecture organized since the inception of the department titled “The Role of Nursing in Qualitative Health Care”; presented by the Number I nurse at the federal level – the Director of Nursing Services, Federal Ministry of Health, Abuja.

THE PAST AND PRESENT NURSE LEADERS IN CLINICAL NURSING DEPARTMENT

The Foundational Head of the Nursing Services (then called Matron) was Miss Irene Morrison (1951 – 1960). She was followed by Miss L.E.R. Richmond (1960 – 1964). Miss Kofoworola Pratt (1964 – 1965) was the first Nigerian Matron of the Hospital.

The Leaders are listed as follows:

  • Miss Irene Morrison 1951 – 1960 Chief Matron (Nursing Services) – Substantive HOD
  • Miss L.E.R. Richmond 1960 – 1964 Chief Matron (Nursing Services) – Substantive HOD
  • Mrs. K.A. Pratt 1964 – 1965 Chief Matron (Nursing Services) – Substantive HOD(Deceased)
  • Miss Noel Smith 1965 – 1967 Chief Matron (Nursing Services) – Substantive HOD
  • Mrs. A.O. Ogunlana 1967 – 1977 Chief Matron (Nursing Services) – Substantive HOD
  • Mrs. R.O. Sofenwa 1977 – 1982 Chief Matron (Nursing Services) – Substantive HOD
  • Mrs. E.O. Sofekun 1982 – 1990 Asst. Director (Clinical Nursing) – Substantive HOD
  • Mrs. C.O. Sanu 1990 – 1992 Ag. Asst. Director (Clinical Nursing) – Acting HOD
  • Mrs. C.A. Ejumotan 1993 – 1999 Asst. Director (Clinical Nursing) – Substantive HOD
  • Mrs. T.C. Ibeziako 1999 – 2000 Ag. Asst. Director (Clinical Nursing) – Acting HOD
  • Mrs. T.O. Oyekan 2000 – 2001 Asst. Director (Clinical Nursing) – Substantive HOD(Deceased)
  • Mrs. B.M. Akinrelere 2001 – 2002 Ag. Asst. Director (Clinical Nursing) – Acting HOD
  • Mrs. C.S. Williams 4/4/2002 – 13/8/2002 Asst. Director (Clinical Nursing) – Substantive HOD
  • Mrs. E.A. Awoseyi 2002 – 2007 Deputy Director (Clinical Nursing) – Substantive HOD
  • Mrs. M.O. Green 2007 – 2009 Ag. Deputy Director (Clinical Nursing) – Acting HOD
  • Mrs. E.O. Adeitan 2009 – 2010 Ag. Deputy Director (Clinical Nursing) – Acting HOD
  • Mrs. O.B. Ogunnubi 20/1/2010 – 15/6/2010 Ag. Deputy Director (Clinical Nursing) – Acting HOD
  • Mrs. C.A. Oluwole 16/6/2010 – to Date Ag. Deputy Director (Clinical Nursing) – Acting HOD
  • Mrs. E.B. Oke 2010- 2011 Ag. Deputy Director (Clinical Nursing) – Acting HOD
  • Dr.Patricia O Onianwa 2011-to Date Deputy Director – Substantive HOD

Community Medicine Department


 BACKGROUND

The department of Preventive Medicine and Primary Care dates back to 1948 when the department of Preventive and Social Medicine (PSM) was created as one of the four foundation departments of the Faculty of Medicine, University College Ibadan in 1948.  The old department of PSM was divided into 3 sub departments in 1996.  One of these sub departments evolved to become the department of Community Medicine in 2000.  In 2002, the three departments which evolved from the old department of PSM and the Department of Human Nutrition along with the Institute of Child Health were brought together to form the Faculty of Public Health. In August 2011, with the creation of the new department of Health Policy and Management from the department of Community Medicine, the department was renamed Preventive Medicine & Primary Care. The department of Preventive Medicine & Primary Care is located in both Faculties of Clinical Sciences and Public Health and serves as the link between Public Health and Clinical Medicine.

In line with the mission and vision of the Hospital, the department is committed to improving the health status of the community. The Department equally seeks to be the cutting edge of research, training and service in Community Medicine for the attainment of a more cost effective and equitable healthcare system by:

  • Developing manpower in Public Health and Community Medicine especially among physicians and other community based health workers in Africa and other developing countries.

 

  • Providing Continuing Education on current issues in Public Health and Community Medicine

 

  • Conducting collaborative and multi-disciplinary research which has practical applications in solving the health problems of the African population.

 

  • Providing community based healthcare services and specialist care for communities and special groups.

 

  • Offering clinical services at the University College Hospital – Endemic Disease Clinic; Well Persons’ Clinic; Occupational Health Clinic and Special Treatment Clinic.

 

ACTIVITIES

The Units within the Department as well as their areas of specialty are as follows:

Academic Units

  • Clinical Epidemiology
  • Occupational Health
  • Rehabilitative and Social Medicine
  • Reproductive and Family Health
  • Community Health Officers Programme

Support Units

  • Community Health Nursing
  • Public Health Laboratory
  • Computer Laboratory
  • Library

Field Training Unit

  • Ibarapa Community & Primary Health Care Programme

The activities performed by these Units, as well as the specialists and their areas of interest are revealed below:

Clinical Epidemiology

This unit focuses on the epidemiology of communicable and non-communicable diseases and it runs the Endemic disease and STC clinics.  Research activities include issues in endemic diseases such as onchocerciasis and schistosomiasis.

M.C. Asuzu – Head, Clinical Epidemiology Unit

Professor and Consultant Community/Occupational Physician

 

Research Interests:- Epidemiology and Control of STDs; Tropical disease; Value-based family life education and services; Medical Education; Occupational Health and safety practices.

 

Dr. A. O. Adebiyi

Lecturer I and Consultant Community Physician

 

Communicable disease epidemiology, evidence based medicine, and injury epidemiology.

 

Dr. O. A. Popoola

Lecturer I and Consultant Community Physician

 

Communicable disease epidemiology, evidence based medicine, and injury epidemiology.

 

 

Occupational Health

This Unit focuses on training in Occupational health.  The unit organizes the MPH (OH) course for physicians and also runs the Occupational Health clinic at the Medical Outpatients Department of the University College Hospital. It has links with medium and small scale industries which are used as field sites.

 

M.C. Asuzu – Head, Occupational Health Unit

Professor and Consultant Community/ Occupational Physician

 

Research Interest: Occupational health and safety practice, Inter professional conflicts in health sectors.

 

F.O. Omokhodion

Professor and Consultant Occupational / Community Physician

 

Research Interests: Toxicology: Heavy metals in man and the environment. Health problems of workers in small scale industries, child labour, women in the workplace, low back pain in working and general populations. HIV in the workplace, Students’ health, Smoking habits and Tobacco control, Non Communicable disease epidemiology.

 

Dr. M. O. Balogun

Lecturer 1 and Consultant Occupational/Community Physician

 

Research Interest: Women’s health, domestic violence, women and work, health and work, conditions of workers especially those in the informal sector and small scale industries, occupational health, epidemiology and rural health.

 

Reproductive and Family Health

This unit teaches Reproductive and Family Health and organizers MPH (RFH) course.  It has links with the Family Planning clinic, the Institute of Child Health and governmental and non-governmental organizations involved with Reproductive health.  The unit also runs the Special Treatment Clinic.

 

Dr. O.O. Sekoni

Lecturer I and Consultant Community Physician

 

Research interests: HIV related stigma and discrimination, Voluntary counselling and testing for HIV, Prevention of mother to child transmission of HIV, Adolescent sexuality, Family Planning and its role in optimizing Reproductive and  Family health

 

Dr. M. Ola Olorun

Lecturer I and Consultant Community Physician

 

Research Interests: Menopause and women’s health at midlife; professional support for breastfeeding; adolescent health; intimate partner violence.

 

Dr. A. M. Adebayo

Research interest: HIV related stigma and discrimination, Voluntary counseling and testing for HIV, Prevention of mother to child transmission of HIV, Adolescent sexuality, Family Planning and its role in optimizing Reproductive and  Family health

 

Rehabilitative and Social Medicine

This unit focuses on social aspects of public health problems.  It has links with institutions for underprivileged persons such as Motherless babies’ homes and homes for handicapped. The University College Hospital ARV treatment clinics are used as field sites.

 

E.T. Owoaje – Head, Rehabilitative and Social Medicine Unit

Professor and Consultant Community Physician

 

Research interests: Domestic violence, social problems of people living with HIV/AIDS, chronic disease epidemiology, injury epidemiology, Women’s health, vulnerable children and adolescents.

 

Dr. O. C. Uchendu

Lecturer 1 and Consultant Community Physician

Research Interests: Injury Epidemiology, environmental epidemiology, tobacco cessation research (policy), reproductive health of vulnerable persons (evaluation and policy review), and management of rehabilitative services.

 

Dr. Eniola Cadmus

Lecturer 1 and Consultant Community Physician

Research Interests: Injury Epidemiology, environmental epidemiology, tobacco cessation research (policy), reproductive health of vulnerable persons (evaluation and policy review), and management of rehabilitative services.

 

Clinical Services

The Clinical services provided by the Department, can be categorized into two. The first being services rendered at the University College Hospital, Ibadan while the second set of services are the services rendered in the rural and urban communities. These are revealed below:

Services rendered at the University College Hospital:

  • Endemic Disease Clinic – Mondays
  • Well Person Clinic – Wednesdays
  • Occupational Health Clinic – Wednesdays
  • Special Treatment Clinic- Tuesdays (Male clinic) and Thursdays (Female clinic)

 

Services rendered in rural and urban communities

  • Outpatient Clinics
  • Idikan – Daily
  • Lagun, Jago, Elesu-Weekly
  • Ilora – Monthly
  • Sepeteri – Monthly

Dietetic Department


BACKGROUND

The Dietetics Department was established in 1975 during the administration of Mr. S.O. Ladeinde who was the House Governor of the Hospital at the time. The pioneer head of the Department was Mrs. E.O. Palmer.

At inception, the department had two dieticians namely Mrs. S.O. Ariyo and Miss Zeze Mkopmwan. Later in 1979, these members of staff were joined by Mrs. O.N. Sule and Mrs. Oduola. Presently, the staff strength of the department comprises of ten (10) dieticians, 10 interns and thirty one (31) dietetics aides, a Secretary and a clerical officer.

Mrs. Palmer was a forthright and dynamic head of department who fought for the department to be properly and professionally placed. At the completion of her tenure as head in 1986, Mrs. O. N. Sule became the acting head of department. She (Mrs. O.N. Sule) later became the substantive head of department in July 1991.  During her tenure, the department hosted the 21st Annual National Scientific Conference of Nigeria Dietetics Association (NDA) in August 1991. She later retired on the 5th of March, 2003 at the age of sixty (60). Subsequently, Mrs. A. O. Oduola became the head of department. During her tenure, the department hosted the 31st Annual National Scientific Conference of Nigeria Dietetics Association (NDA) in August 2005.  She retired in 2006 and was replaced by Mrs. Iyabo Adenrele Alabi. At this time, the Department had seven (7) dieticians and twelve (12) diet aides who assisted in the preparation of therapeutic diet. Following the retirement of Mrs. Alabi in 2010, Mrs. Racheal Ramotu A. Fakunle became the head of department. At some point in August 2013, Mr. Ajobo T.M. was appointed as the acting head of department, but was later replaced by Mrs. Fakunle in August 2014. Details of the headship of the Department are presented below:

Heads of the Dietetics Department since inception

S/N Name Period of Headship
1. Mrs. E.O. Palmer 1975-1986
2. Mrs. O.N. Sule 1986-2003
3. Mrs. A.O. Oduola 2003-2006
4. Mrs. I.A. Alabi 2006-2010
5. Mrs. R.A. Fakunle 2010-2013; 2014-till date
6. Mr. T.M. Ajobo 2013-2014
The current head of department is Mrs. R.A. Fakunle 2014-till date

 

ACHIEVEMENTS

The Department has achieved some feats in the area of staff training over the years. These include the introduction of weekly departmental Seminars and sustained Quarterly Seminars whereby topics such as “Nutrition and Crazy Job Schedules; Meal times at Work” and “Social Protection and Agriculture; Breaking the Cycle of Rural Poverty” have been presented. The Department has also trained well over one hundred (100) Interns.

Emergency Department


BACKGROUND

The Emergency Department (ED) of the University College Hospital, Ibadan (UCH) is the acute critical care section of the Institution.  Emergency care began from the period of establishment of the University College Hospital, Ibadan. At inception, the Department was situated in the South East ground of the Hospital, and was called Casualty, Accident and Emergency.  (This name was later changed to Emergency Department to follow the modern medical trend in nomenclature). The Emergency Department was subsequently moved to the present complex which was officially commissioned by the then Military Head of State, General Mohammadu Buhari who is now the serving civilian President of Federal Republic of Nigeria.

The Emergency Department complex is strategically located towards the East of the Hospital.  The complex houses, a sorting area for patients, a reception, some consulting rooms, a general resuscitation room and the modern resuscitation room where further procedures could be carried out under anaesthesia if need be. The Emergency Department complex also houses the Burns Unit, a plaster of paris room, a mini laboratory, operating theatres and staff offices.

Members of staff of the Emergency Department, include Clinical Consultants, Medical Officers, Nurses, Laboratory Scientists, Domestic Nursing staff, Cleaners, Administrative Staff, Statisticians, Pharmacists, Health Information Officers (Records Officers), Radiographers, Radiologists, Social Workers, Plaster Technicians, Fee Collectors, Service Officers, SERVICOM Officers and Security Officers.

Evolution

The Emergency Department of the University College Hospital, Ibadan, started as a Unit from the South East ground of the Hospital which is the present Otunba Tunwase Children Emergency Ward (OTCHEW).  The wing housed both the Adult and the Paediatric Emergency Units of the Hospital before the Adult Emergency Unit was separated and relocated to its present site.

The Emergency Unit was originally under the Surgery Department and was being managed by the Surgical Resident Doctors. Resident Doctors from the Obstetrics and Gynaecology and Medicine Department were also involved in the management of the Emergency Unit.

Some challenges attended the then arrangement of which co-ordination, accountability and continuity were big issues. This brought about the need to re-structure the Emergency Unit leading to the initiation of a new structure in 1999. Subsequently, the Hospital Management employed four Medical Officers between 2002 and 2003. These doctors were Dr. Adetona; Dr. Ogunnorin; Dr. Bamidele Alegbeleye and Dr. Ogbodeminu.

The Department of Orthopaedics and Trauma later took charge of the Emergency Unit in order to further ensure its smooth running. Consequently, these Medical Officers reported to the Head of the Department of Orthopaedics and Trauma. The first Orthopaedics Consultant to take charge of the Unit was Prof. Temitope Alonge. Subsequently, the Unit was coordinated by other Orthopaedics Consultants namely Prof. Omololu, and Prof. S.O. Ogunlade.

These consultants contributed immensely to the development of the Unit. However due to the work load in the Emergency Unit which continued to increase in significant geometric proportions, and the need for the Orthopaedics Consultants to attend to other core Orthopaedics related responsibilities, and research activities, a suggestion was raised for the employment of a substantive surgeon who would oversee the Unit. This later necessitated the employment of Dr. Dolapo Afuwape. Subsequently, the Unit became more structured and evolved into a Department. Dr. Dolapo Afuwape then became the first substantive Head of the Emergency Department in December, 2003. As the work load increased, Mr. Oyetunde, FRCS, worked in the Emergency Department as a Sessional Consultant in 2004. He later joined the Hospital to become the second Head of the Emergency Department in June 2006. To complement these two Surgeons, there was the need for an Anaesthesiologist in the Department.  This need brought about the deployment of Dr. Amby Rukewe to the Department in 2007. He later became the third Head of Department and held the office between 2010 and 2013.

In view of the need to attend to patients requiring care from specialists in different fields, the Hospital in 2007, employed two physicians namely Dr. (Mrs) Aje and Dr. A. Aje. Dr. (Mrs) Aje later took over the Headship of the Department from Dr. Amby Rukewe in June, 2013.To further improve the outcome of the acute critically ill patients in the Emergency Department, the Management employed the services of two Anaesthesiologists in 2016. They are Drs. A.I. Badru and D.A. Aderinto. Dr. Aje later handed over the headship of the Department to Dr. Adewale Badru in September, 2016.

The table below shows the Headship of the Department from inception till date

Headship of the Emergency Department from inception

S/N Name Period of Headship
1. Dr. O.O. Afuwape 2003-2006
2. Mr. O. Oyetunde(FRCS) 2006-2010
3. Dr. Ambrose Rukewe 2010-2013
4. Dr (Mrs) A. O. Aje 2013-2016
5. Dr. Adewale I. Badru 2016-till date

 

 

 

ACTIVITIES

Services

The Emergency Department renders services to patients requiring acute critical care form specialists in different fields of Medicine. About 10,000 patients are seen annually. The Department was the first to establish a disaster management initiative in Nigeria, a feat that other Institutions have come to understudy for further replication in other Hospitals.

The department renders services in electrocardiography and ultrasound scan. There are also radiological equipment in the department. These include a single slide CT Scan Machine, Digital X-ray and Mini-Laboratory to enhance prompt patients’ management.

At some point, there was an Endoscopic Suite in the Emergency Department. This was later relocated to the third floor to ensure closeness to the medical patients that readily require the service. This has also enabled the management to create more operating suites within the Emergency Department. Patients that are stabilized are subsequently moved to the Treatment Cubicles. There are eight of such Cubicles with several overflows across the Cubicles. The eighth cubicle is designated to care for infective diseases that are potentially of public health interest.

Minor procedures and dressings are undertaken in the Emergency Complex, Follow-up patients that require dressing are attended to in the Central Dressing Unit of the Emergency Department complex.

The Emergency Department has participated in various clinical trials one of which is the popular global CRASH trial.

Training

The Department is also a training complex for Resident Doctors, Medical Students, Nursing Students, Community Health Extension workers, Students of the School of Health Information Management, Students training in plaster of Paris application, Anaesthetic Technician Students among others.

The Management of UCH under the leadership of Prof. Temitope Alonge, envisioned the Emergency Department to be the first of its kind in Nigeria and beyond. One of the steps taken in this regard was the sponsorship of two medical officers in the Emergency Department to South Africa to get trained in Emergency Medicine. These are Dr. Kehinde A. Ojinfinni and Dr. Olurotimi O. Akinola.

 

ACHIEVEMENTS

The Emergency Department in collaboration with the Department of Surgery started the Basic Trauma Course which has evolved over time. The Emergency Department had at different times saved the lives of many patients right from inception. These are too many to mention however, some readily come to mind. They include the management of the disaster involving 23 medical students that were involved in accidents with 100% survivors. Others include:

  • Management of the disaster involving many school children whose school bus was gutted with fire

 

  • Management of the 2012 cholera outbreak in Oyo State

 

  • Management of the hemorrhagic fever victims such as Lassa fever, Dengue etc.

 

  • Management of mass casualties of robbery attacks in 2008.

 

  • Management of the disaster of trailer passengers that somersaulted on Lagos-Ibadan Express Road involving close to fifty victims.

 

  • Rescuing the stampede and sudden collapse of footballers and Fans from Ibadan Stadia

The Fire Incidence that occurred in the Emergency Complex

On the 26th of July, 2016, a fire outbreak gutted the Emergency Department. This was a gloomy day for all and a sad day in the history of the department. Patients were however safely evacuated to various wards within the Hospital including the first floor Modular Theatre reception and the Recovery Room. The gallant role exhibited by the CMD, Prof. Temitope Alonge to put the situation under control is noteworthy. Also remarkable was the role of several members of staff of the department and the Hospital at conducting and assisting with the necessary and urgent evacuation of the department, and in containing the spread of the fire even before the arrival of the fire services.

Sequel to the devastation caused by the fire outbreak, the Honourable Minister of Health, Prof Isaac Adewole visited the Institution and inspected the damages. He thereafter reiterated the support of the Federal Government to the Hospital, as well as the commitment of the Federal Government to build an extension of the Emergency Department extension.

After the fire outbreak, the Emergency Department was shifted to the sorting floor of the Family Medicine Department. The Emergency Department has since been renovated and restructured to conform with the current global concepts.

The New Emergency Complex Extension

The commencement of the new Emergency Department Complex is in progress. The project is to solve the present problem of inadequate space.

Additionally, the commencement of the Emergency Medicine training is imminent in Nigeria, and UCH, Ibadan being the Centre of Excellence and the first among the Teaching Hospitals is set to lead the pace again.

Family Medicine Department


BACKGROUND

Family Medicine is the medical specialty that provides continuing and comprehensive health care for the individual in a holistic manner within the context of his family and the environment.  It encompasses all ages, both sexes, and every disease entity, integrating biological, clinical and behavioral sciences.  It provides primary care and in Nigeria, the term “Frontline Doctor” has been adopted.

The department of Family Medicine has been in existence since the establishment of the hospital in 1957.  It was then known as the General Practice Clinic and was manned by Hospital Medical Officers.  This at the time was the major service area of the hospital which served two key functions i.e:

  • To regulate admission and attendance at any of the specialty clinics within the hospital.

 

  • To provide conditions upon which the patients may be so admitted or attended to.

The clinic thus gave medical care to a large number of people and afforded the medical officers the opportunity to gain experience in the diagnosis and treatment of many conditions that neither required specialist nor in-patient care.  They also learnt to manage seriously ill patients at an early stage.

In the course of this arrangement, it was observed that the teaching potential in the department was excellent thus leading to the subsequent replacement of the medical officers with registrars from the Department of Medicine.  In addition, a teaching unit with a side laboratory was added in 1968 to cater for the training of medical students.  The clinic also attended to non-traumatic emergency cases and was open twenty-four hours.  During the years of civil unrest in the country and the attendant disruption in health services, there was a large influx of patients and the after-hours emergency services had to be discontinued due to work overload on the staff.  The after 4.00pm service was subsequently transferred to the Casualty Department. The name of the clinic was thereafter changed to the General Outpatients Department.  It catered for all members of the public with or without referral letters and members of staff and their families. The services that were being rendered to the general public and the staff/staff families were eventually separated into two departments with their own staff complement as a result of improved structural organization.  The General Out-patients Department (GOPD) apart from providing quality care to the general public, commenced the post graduate training in Family Medicine, following the accreditation of the Hospital to train Postgraduate Resident Doctors in General Medical Practice/Family Medicine in 1980.

The Staff Medical Services on the other hand, provided occupational health services and care for members of staff and their families.

The name of the department was later changed from General Out-patients Department to the Department of Family Medicine in 2013. A more patient-centered type of care has been instituted to further improve patient satisfaction. At present, the Department of Family Medicine still attends to about 60,000 patients annually.

The first Head of the Department was Dr. K.M. Cobban who led the Department from 1957 through 1965. However Dr. Alaba Kalejaiye was the first indigenous Head of the Department. Her period of headship, spanned from 1983 through 1996. Below is the list of the heads of the Department from inception till date.

 

Heads of the Family Medicine Department (Inception till date)

 

S/N Name Period of Headship
1. Dr. K.M. Cobban 1957-1965
2. Dr. S. Reddy 1965-1971
3. Dr. Angela Cooke 1973-1983
4. Dr. Alaba Kalejaiye 1983-1996
5. Dr. M.M.A. Ladipo 1996-2011
6. Dr. A.E. Irabor 2011-2014
7. Dr. A.M. Ogunbode 2014-2017
8. Dr. O. Mosuro 2017-till date

 

ACTIVITIES

The vision of the department is to provide standard quality family medical care to all patients and increase the critical mass of Family Physicians by attracting doctors into the specialty of Family Medicine to improve the health care system in the nation. The Department also ensures that doctors and nurses work as a team to provide comprehensive health care services, arrive at a working diagnosis, refer appropriately and give longitudinal care if necessary. It also trains postgraduate residents in the principles of Family Medicine and coordinates their clinical skills training. The department continues to build a library of research in Family Medicine through the senior residency program with Consultant Family Physicians in the department to support the specialty.

Clinical Services

 

The GOP clinic is the entry port for most patients presenting to UCH. It provides care for an estimated average of 300 patients daily between the hours of 8am to 8pm on Weekdays and 8am to 4pm on Saturdays and public holidays. Family physicians and postgraduate resident doctors provide care, and refer to other specialties as required. New comers or patients with non-emergency problems are attended to in the triaging (sorting) hall, where they are treated, transferred and registered in the GOP clinic, or referred to other specialities as the need may be. They are grouped into male, female and children categories. The services offered by the department, are presented thus:

  • Patients with acute emergencies are triaged, treated and transferred to the ward under the various hospital sub-specialties. The registered patients, as well as follow-ups are given comprehensive and continuous care at the GOP clinic.

 

  • The GOP clinic provides “managed care” for the health insured patients under the National Health Insurance Scheme (NHIS) in designated consulting rooms called the NHIS Clinic.

 

  • The Family Medicine Residents also attend to trauma and emergency matters during the out of hours’ duty from 4pm through to 8am on rotational basis in the Emergency department.

 

  • The Public Health Nursing Division provides clinical nursing duties and work closely with the department on Public health issues which include Immunization, Health Education, Nutritional Advice and monitoring, Oral Re-hydration and notification for home-based care of HIV/AIDS patients.

 

  • HIV Counselling and Testing (HCT) is offered in GOP clinic, in conjunction with a Public Health Nurse (Mrs. S. O. Mosobalaje-CNO).

 

  • Family Physicians from the department are involved in the President Emergency Plan for AIDS Relief (PEPFAR) project in UCH in the management of People Living with HIV/AIDS (PLWHA). Now called APIN Clinic.

 

  • Healthy Women’s Clinic (LIFE Clinic) offering cervical cancer screening (Visual Inspection with Acetic Acid) and Pap smear test are also done for sexually active women in the Department of Family Medicine, Breast Self-Examination and Lifestyle modification to prevent non-communicable diseases.

 

  • Coordination of Family Nutrition clinics managed by Consultant Family Physicians twice a week

 

  • Once every week, the department runs a Comprehensive Healthy Men’s Clinic (LIFE Clinic) offering life style modification, preventive health checkups and management of Erectile Dysfunction.

 

  • The department runs a Couples Clinic which offers Psychological and medical management to couples with sexual dysfunction.

 

  • It also runs the Cope Clinic – which adopts an integrated approach to the clinical management of family–related crises by using biopsychosocial models of care.

 

  • Adolescent Health Comprehensive Services are offered on demand and specifically once a week for coordinated preventive adolescent health.

 

  • The department offers comprehensive, Pre-employment and pre-admission medical examination for adults, youths and children on request and by arrangement with institutions, as well as Travel Clinics.

 

  • Clinical Psychologists Service: Clinical Psychologists and their trainees from the University of Ibadan work in close collaboration with Family Physicians in the Department of Family Medicine in Psychological evaluation and short psychotherapy sessions.

 

  • Regular Consultant Teaching for medical students rotating through Paediatrics, Medicine, Surgery and during their Primary Care Posting covering all the clinical sets of students i.e I, II, and III.

 

  • The GOP-Ophthalmology Outreach Program: Family Physicians in GOPD, in association with Ophthalmologists in UCH run a community outreach program for patients with cataracts and a walk in clinic for patients with other eye complaints.
  • Clinical Services at the Igbo-Ora out-station: Junior and Senior Family Medicine residents go on posting at the General Hospital, Igbo-Ora where an average of 1,000 patients are seen per month on out-patient basis. There are 8 beds each on the male and pediatrics ward, 12 beds on the female ward and 6 beds on the maternity ward with a total of 34 beds. The Center records an average of 65 admissions and 37 deliveries per month.  Also, the training is in conjunction with Dr. A. C. Sagua, Consultant Rural Surgeon. Late Dr. A.O. Awojobi, Consultant rural surgeon was also involved in the training.

 

  • Agbeke Mercy Medical Center– AMMC (Urban posting): AMMC is a 6-bed clinic situated at the Oluyole Chesire Home (OCH) for the handicapped along polytechnic road, Ijokodo, Ibadan. The department posts senior resident doctors to provide outpatient care and primary surgical services for the community, as well as the residents at the Chesire home for a 3 month period. The resident doctor is exposed to a variety of common acute and chronic illnesses, as well as the functional limitation/challenges of OCH residents.

 

  • Private Suites: The Private Suites provide a fast track specialized in-patient and out-patient services for the higher socio-economic class who want to avoid the delay in hospital care at UCH, Ibadan. The senior resident spends 2 months under the supervision of 2 consultant family Physicians, and several other specialists. The resident doctor acquires interpersonal skills with different social class and coordination of care in a highly specialized unit.

 

  • Geriatric Center: The senior residents spend 3 months (optional posting) at the foremost geriatric center in Nigeria – Chief Tony Anenih Geriatric Care Center (CTAGC). The resident doctor is exposed to a one stop-shop that provides comprehensive care to the growing geriatric population in Nigeria. It is a 9-bed center with two operating theatres, a laboratory, a physiotherapy unit, a pharmacy, kitchen, and recreational day unit. The senior resident doctors train under 3 consultant Family Physicians and other visiting specialists running general, Ophthalmology, Dental, Neuropsychiatry, Surgical and Gynaecology services.

 

 

  • Tutelage – Molly Specialist Hospital (MSH), Idi-Ape Ibadan: Senior residents serve 3 months tutelage at MSH, a 54-bed private hospital at Idi-ape, Ibadan. MSH is a multispecialty hospital that provides most of the specialty care available in Ibadan. It has a resident Consultant Family Physician who coordinates care with several visiting consultants from all specialties. It provides laboratory and renal dialysis services amongst other services. The senior resident doctor acquires hospital management skills, and the skill/experience of providing comprehensive clinical care in a private setting. Other Tutelage centers where senior residents in the department have rotated through include:
    • Ace Medicare Clinics, Idiroko Road, Sango-Ota Ogun State
    • Shalom Medical center, Ogbomoso

 

  • The NHIS Annex of the Department, at Ikolaba Federal Secretariat: The NHIS annex is located at the Ikolaba Federal Secretariat, where an average of 650 patients are seen on a quarterly basis. Some of the other services rendered at the annex, include health talks, immunization, HIV counselling & testing as well as pharmaceutical services.

 

  • The large and varied patient load at the G.O.P. clinic affords Corps doctors a unique exposure to a variety of patient presentations during their mandatory one-year National Youth Service Posting.

 

  • Clinical Services at the UCH Rural Comprehensive Health Centre, Sepeteri. The department coordinates the clinical services aspect at the Center.

Modifications in the delivery of care within the department have been instituted resulting in improved patient satisfaction.

These include:-

  • Increase in health education programs by the Public Health nurses
  • More comprehensive medical reviews and longitudinal care
  • Better coordination of hospital health services in respect to the patients
  • Screening for cervical Dysplasia and associated risk factors among women seen at GOPD
  • Better seating arrangement for consultations
  • Improved ventilation with provision of fans
  • Improved records services, fee collection and toilet facilities
  • Phlebotomy and laboratory services within the clinic
  • Fee collection point within the clinic

Regular academic activities in the department include:

  • Daily morning reviews of patients
  • Consultation skills review on Mondays
  • Dermatology sessions on Tuesdays
  • Residents clinical presentations alternating with morbidity/mortality and Journal review sessions on Wednesdays
  • Radiology/Evidence Based Medicine session on Thursday
  • Consultation skills review on Fridays

Consultants are regularly invited from other departments to deliver lecturers on recent advances in their disciplines.

  • Research Activities

These include:

  • Intra departmental research
  • Interdepartmental research
  • Postgraduate medical research & social sciences research
  • Medical records research

 

  • Training Activities

These include:

  • Postgraduate Medical Training in Family Medicine: A 6-year program leading to the award of Fellowship.

 

  • BSc Nursing Clinical Attachment from the University of Ibadan.

 

  • Undergraduate Medical Students Posting in Primary Care/Family Medicine/elective posting

 

  • Regular Consultant teaching for medical students’ rotating through Paediatrics, Medicine, Surgery, and during their Primary Care Posting, covering all the clinical sets of students i.e I, II and III.

 

  • Clinical attachment training for Clinical Psychologists from the University of Ibadan

 

  • Integration of Family Medicine into undergraduate evaluation medical curriculum at the University of Ibadan.

Learning Objectives of the Postgraduate training program of the Hospital

Every resident doctor must have a broad based training and must be able to fulfil the objectives of the training at the end of the program which are:

  • The ability to provide continuous and comprehensive care in the context of the home, workplace and the community.

 

  • The ability to build up a trusting doctor-patient relationship by using a patient-centered approach.

 

  • A broad-based knowledge in various disciplines of medicine in addition to Sports medicine, Public health, Health policy, Medical Ethics, Spirituality, Reproductive and Adolescent Health, and Geriatrics.

 

  • A consistent focus on participatory care, prevention and health promotion at personal, family and community levels.

 

  • Ability to carry out quality research.

 

  • Ability to provide cost effective and efficient health care in a community and arrange referrals whenever needed.

Structure of the Residency Training

Resident doctors are admitted into the training program after an interview conducted by the Hospital Board of Management and the Head of the Department. Candidates must have passed their primary examination in Family Medicine prior to the interview.

There is a compulsory Family Medicine posting in the department for registrars.  Thereafter, the resident doctor proceeds on a 231/2 months rotation through outer departments within and outside the hospital to acquire the broad knowledge and skills required and to prepare for the part I examination.  In this centre, Part I training covers 271/2months.

A sample rotation is as follows:

Table showing a sample of the rotation of Registrars within the Family Medicine Department

POSTING DURATION
Family Medicine I 4 Months
Internal Medicine 3 Months
Surgery/Anaesthesia 6 Months
Obstetrics/Gynaecology 3 Months
Paediatrics 2 Months
Community Medicine 6 Weeks
Psychiatry 1 Month
Ophthalmology 1 Month
ENT 1 Month
Radiology 1 Month
Family Medicine 4 Months

 

The resident doctor is only eligible to sit for the part I examination after duly completing these postings, and having attended the required number of workshops/seminars and revision courses organized by the Postgraduate Colleges.  Log books must be duly signed during each posting. On the successful completion of the Part I examination conducted by the Colleges, there is a compulsory 24 months senior residency period within the department of Family Medicine.  Two senior postings in Family Medicine are carried out at the Igbo-Ora outstation, and any accredited Family Medicine hospital for tutelage.

The commencement of rotations is staggered so that there is always adequate coverage of the GOP clinic.  Presently, there are 40 resident doctors at different stages of their training in the clinic and on the rotational postings to various departments. In addition to this, there are 11 consultant Family physicians in the department.

 

ACHIEVEMENTS

 

In addition to the achievements derived from treating patients, saving and improving lives, the Department of Family Medicine and its versatile/brilliant staff have been recognized and awarded on a couple of occasions. The Department has also participated in various programmes of significant capacities. Some of these achievements are indicated below:

 

Awards

  • Two doctors have been recognized by the National Postgraduate Medical College for outstanding performance and have obtained scholarship awards for a year abroad. These are Dr. I.O. Ajayi and Dr. A.E. Irabor. Ajayi spent her time in Canada obtaining a Masters in Clinical Sciences, while Dr. Irabor went to France and was attached to an HIV/AIDS Centre.

 

  • A.A. Adetunji was recognized by the West Africa College of Physicians (Family Medicine) for an outstanding Part II dissertation in the year 2005.

 

  • A. M. Obimakinde was recognized by the West Africa College of Physicians (Family Medicine) for Best Part II dissertation in the year 2010.

 

  • A. A. Silva and Dr. T. Ilori were recognized by the West African College of Physicians (Family Medicine) for Best Graduating Fellow in 2011 and 2012 respectively.

 

Training Achievements:

 

  • The department hosted the 25th anniversary of Family Medicine in 2005

 

  • The department held a Joint Training conference in 2007 between National Postgraduate Medical College Faculty of Family Medicine and the department.

 

  • The department is a Host to West African College of Physicians examinations biannually.
  • The department organized a Seminar on retraining of GOP Clinic nurses on general care of patients with diabetes mellitus in 2016

 

  • The department provided high level personnel for the development of Clinical services in:
    • APIN supported HIV clinic, UCH since 2004
    • Chief Tony Anenih Geriatric Centre since 2013

 

  • HCT Unit – G.O.P Clinic
    • GOP Research & Training Laboratory
    • Initiated the Viral Haemorrhargic Fever triage protocol

 

The Department has been involved in the publication of several research papers covering vast areas within the discipline. Members of staff of the department have also collaborated with members of other departments on various occasions to carry out fruitful research activities towards the progression of quality health care delivery.

Health Information Management


THE HEALTH RECORDS DEPARTMENT

The Health Records Department has been in existence since the time the Hospital was established in 1957. At inception, Mr. R.P. Waye was appointed as the first Head of Department in 1957. He occupied this office for a period of three years after which Mr. P.I. Lehan took over from him as Head of Department in 1960. Below is a list of the Heads of Departments from inception till date.

Heads of the Health Records Department (inception till date)

S/N Name Period of Headship
1. Mr. R.P. Waye 1957-1960
2. Mr. P.L. Lehan 1960-1961
3. Mr. S.I. Ogbu 1961-1966
4. Mr. F.O. Shoge 1966-1989
5. Mr. P.A. Adio 1989-2000
6. Mr. E.K.T. Atinsola 2000-2010
7. Mrs. A.F. Tubi February 2010-October 2010
8. Mrs. O.A. Fadeyibi 2010-2015
9. Mr. A.O. Oluwatoki 2015-till date

 

The Department has a Unit in each of the Outpatient Clinics in the Hospital and these units are adequately manned by competent and well trained Health Records Personnel.  The responsibilities performed by the Health Records Officers in this regard include:

  • The maintenance of a manual of approved health policies procedures, abbreviations and forms that govern the content, documentation and formats for the health records of the active and discharged clients of the Hospital.

 

  • The dissemination of information and the provision of education to hospital staff about the hospital’s policies and procedures on health records.

 

  • Coding of clients’ diagnosis and medical procedures for billing and for client information system.

 

  • Collection, storage and retention of patients’ information

 

  • Management of necessary data to assist in protecting the legal interest of the hospital, patients and medical staff.

 

  • Provision of clinical data for research, study and education

 

  • Contribution to the analysis, interpretation and presentation of hospital statistics

 

  • Ensuring that the health records of discharged clients are properly stored and safely kept in accordance with applicable laws, rules, policies procedure and standards.

The School of Health Information Management

The School of Health Information Management, University College Hospital, Ibadan, was established in 1976 to provide adequate training to students in the field and practice of Health Information Management. Since inception, thousands of students have been trained in the School most of who hold key positions in the various fields of Health Information Management all over the world. The School has however registered and trained over twelve thousand (12,000) students for industrial practice and SIWES experience.

 

Hospice and Palliative Care Unit

BACKGROUND

Palliative care is a philosophy of care that aims to relieve pain and suffering and as well provide support for patients and their families throughout the course of chronic and ultimately fatal illness (such as cancer, HIV/AIDS, stroke, serious diseases of the heart, kidneys, liver) and old age. Palliative care uses a team of experts and volunteers to provide physical, emotional, social and spiritual care for patients until death. It offers a support system to help patients live as actively as possible until the time of death while providing bereavement support for families. Such care was popularized by Dame Cecily Saunders in 1967 through the Hospice movement which emphasizes relief of pain and suffering in the terminally ill.  Palliative care is just being recognized as an important aspect of health care in Nigeria.

The “Ibadan group” has been in the forefront of pain and palliative care development since 1996 when a group of health professionals vigorously pursued advocacy and government support for opioid availability in Nigeria for pain management and palliative care service and education through the Society for the Study of Pain Nigeria (SSPN).

On the availability of oral morphine in 2005, some members of the group registered the Centre for Palliative Care, Nigeria [CPCN] CAC IT/NO. 19744, a multidisciplinary, non-governmental and not-for-profit organization whose Mission Statement is to provide comprehensive Hospice and Palliative Care services to patients suffering from life-limiting illnesses in Nigeria.  Formal Palliative care services thus commenced in UCH, Ibadan under the leadership of Prof. Olaitan Soyannwo, who at the time was a Consultant in the Department of Anaesthesia, UCH/UI. The model of care contained in Palliative Care was presented at several fora at the University College Hospital, Ibadan during which other care givers were encouraged to refer patients. With increasing referral of patients for Palliative Care, CPCN members visited the Chief Medical Director of the Hospital (at the time), Prof. A. Ilesanmi on the 27th of October, 2004 to discuss possible areas of collaboration.  The outcome of this visit, led to the construction of a Hospice and Palliative Care Center within the Hospital which was commissioned on the 19th of July, 2007. In his address at the commissioning, the then Chairman of the Board of Management, Prof. E.A. Elebute enjoined CPCN to continue the good work as a public-private partnership rather than leave it entirely to the Hospital.  UCH, Ibadan provided staff and resources for the take-off of the unit and appointed Prof. Soyannwo as the Head of Unit.

The Hospice and Palliative Care Department is situated in a serene environment on ample grounds at the Circular Road in the Hospital. The building houses several offices such as Consulting Rooms, Family Conference Room, Administrative Section, Play Room, Seminar room, rest rooms etc.

Headship of the Department (inception till date)

S/N Name Period of Headship
1. Prof.  Olaitan A Soyannwo 2007-2016
2. Prof.  Simbo D. Amanor-Boadu 2016-till date

 

ACTIVITIES

From February 2008 to date, the department has provided comprehensive and Holistic Palliative care.  As at 2016, 2536 registered adult patients, 993 children facing the challenges of life-limiting illness [especially Cancer and HIV/AIDS] have been enrolled and attended to.  The Day care forum has catered for over 3000 patients and family members while 229 patients who were too ill to attend hospital clinics have been cared for in their respective homes in the Home-Based Care Program. This program is the first of its kind in Nigeria.

 

The start-up for the home-based care was made possible by a grant from Hospice Africa, UK which provided an 8-seater-bus for the service. This bus has been replaced by a brand new Hyundai 12-seater bus donated by the MBBS Class of ’95 for the service. Follow up advice are also provided for patients through mobile telephone.  The Unit has cared for patients from Oyo State as well as other surrounding states. There have also been patients from other parts of the country that have been attended to by the Department.

 

Paediatrics Palliative Care

The Centre pioneered a special palliative care programme for children [day care forum] in April 2010 with the help of a “Start off grant” from “True Colors Trust” sourced by CPCN through African Palliative Care Association [APCA]. Dr. Biobele Brown Paediatric Oncologist was one of the coordinators. This enabled the Department to extend palliative care services to children with life-limiting illnesses such as Cancer, HIV/AIDS, Sickle Cell Disease and end stage renal disease. Over 900 children of different ages [both male and female] have been enrolled on the programme. The department also organizes day-care forum for the children every fortnight [Thursday] and during school holiday periods.  It provides recreational facilities, and educational toys. Two qualified teachers employed by the hospital take the children in the academic works using the textbooks provided.  Food items are also provided, while disease symptoms are being managed. The children and their parents are also appropriately counseled. The Hill Top Lions Club financially and morally supports the Paediatric Palliative Care. They host the Children’s Christmas Party and present gifts periodically to the children.

 

Training and Capacity Building for Nigeria.

The training of UCH staff has been an on-going process as seven consultants; four Medical Officers, seven nursing staff, two pharmacists and a social worker have been trained in places outside Nigeria such as in Uganda and MD Anderson Cancer Centre, USA.

 

With the support received from the UCH management, individual efforts and support from CPCN, Medical and nursing staff in the Department have been able to acquire postgraduate qualifications [e.g. Certificate, Diploma and Masters] in Palliative Medicine from Institutions outside the country. These include Makerere University, Uganda, Oxford Brookes University, UK and Capetown University, South Africa.  One of the medical officers who has an M.Sc. degree in Palliative Care has commenced residency training in Family Medicine.  These core members of staff are the future trainers for palliative medicine at both the undergraduate and postgraduate levels in Nigeria.

 

The Department [UCH Palliative Care Department] has also assisted other institutions in Nigeria to build capacity for palliative care through training, technical assistance and mentoring programs. Such institutions include University of Nigeria Teaching Hospital [UNTH], Enugu, University of Ilorin Teaching Hospital, National Hospital, Abuja, University of Port Harcourt Teaching Hospital and LAUTECH University teaching Hospital, Oshogbo.

 

In September 2010, CPCN in collaboration with the Federal Ministry of Health – National Cancer Control Programme and the UCH Palliative Care Department organized a two-week training for health professionals from seventeen [17] health institutions in 13 states and the 6 geopolitical zones of the country. The special 5-weeks ‘Palliative care initiators course’ developed in Uganda was first hosted outside Uganda in Ibadan by CPCN and UCH Hospice Department in 2013 to further increase capacity for the establishment of more Palliative Care Departments in Nigeria.  Through the program in Ibadan, the Unit also offers placement for clinical attachment for palliative care training for both undergraduate and postgraduate students.  Many have attended from UCH, University of Ibadan [MSc Psychology, Nurse Tutors], Sierra-Leone [nurses], Gambia [doctors and nurses] and Canada [resident doctors].

 

The UCH Hospice and Palliative Care Department in collaboration with CPCN has made immense contributions to palliative care education, services and research in Nigeria. The Ibadan Palliative Care programme is acknowledged as a leading programme internationally by the African Palliative Care Association, the ‘Treat the Pain’ Initiative of the American Cancer Society and the Federal Ministry of Health of Nigeria.

 

ACHIEVEMENTS

In addition to the care that has been provided by the Department through the years, several other achievements have been recorded by the Department. These include;

  • Capacity Building for Palliative Care in Nigeria.

 

  • The first preparation of oral morphine in Nigeria by the Pharmacy Department UCH after training in Palliative care in Uganda.

 

  • Establishment of Paediatric Palliative Care services

 

  • Provision of Home Based Care

 

  • Family counselling

 

  • Extensive Communication with patients

 

  • Development of patient information leaflets

 

  • Continuous advocacy for the propagation of Palliative Care in Nigeria

 

  • Initiation of community Palliative Care Service

 

Publications

In line with the Hospital’s status as a frontrunner in the field of research, the Department has embarked on several research activities. The publications presented below, represent some of the publications that have resulted from the research activities.

 

Olaitan A. Soyannwo Palliative Care and Public Health, A Perspective from Nigeria Journal of Public Health Policy 2007; 28, 56-58.

 

Olaitan Soyannwo, Pioneering Palliative Care in Ibadan, Nigeria, Hospice Information     Bulletin March, 2007, 10 – 11.

 

Soyannwo O A.  Cancer pain management in developing countries. IASP Pain Clinical Update. Vol. XVII. Issue l; 2009.

 

Jesse Abiodun Otegbayo, Adenike Onibokun, Virginia Ngozi Aikpopo, Olaitan A Soyannwo. Palliative care needs evaluation in untreated patients with hepatocellular carcinoma in Ibadan, Nigeria. Afr J. Haematol. Oncol. 2010: 1(2): 48- 53

 

NE Omoyeni, OA Soyannwo, O.O. Aikomo and OF Iken. Home based palliative care for adult cancer patients in Ibadan – a three year review. Ecancer Special Issue 2014; 8; 490

T.N. Elumelu, A.A. Abdus‑Salam, A.A. Adenipekun, O.A. Soyanwo.  Pattern of morphine prescription by doctors in a Nigeria tertiary hospital. Nig J ClinPract 2012:  15 (1) 27-29

Olayinka A. Eyelade, Ikeoluwa O. Ajayi, Theresa N. Elumelu, Olaitan A. Soyannwo and Oluranti A. Akinyemi. Oral morphine effectiveness in Nigerian patients with advanced cancer. J. Pain and Palliative Care Pharmacotherapy. 2012:26; 24 – 29

Megan O’Brien, Faith Mwangi-Powell, Isaac F. Adewole, Olaitan Soyannwo, Jacinto Amandua, Elizabeth Ogaja, Mary Okpeseyi, Zipporah Ali, Rose Kiwanuka, Anne Merriman. Improving access to analgesic drugs for patients with cancer in sub – Saharan Africa. Cancer control in Africa Series 5, Lancet Oncol 2013; 14: e176–82

T.N. Elumelu, A. Adenipekun, O. Soyannwo, O. Aikomo, S.D. Amanor-Boadu, O.  Ogundalu. Palliative experience in Breast and uterine cervical cancer patients in Ibadan, Nigeria. The Internet J of Pain, Symptom Control and Palliative Care 2013: Vol 10: 1

Ike Oluwa Ajayi, Oluwatomi Iken, Richard A Powell, Olaitan Soyannwo, Eve Namisango and faith Nwangi- Powell. Palliative care research in Western Africa. European J of Palliative care 2014: 21 (1) 45 – 47

Soyannwo O, Aikomo O, Maboreje O. Palliative care: Supporting adult cancer patients in Ibadan, Nigeria 2.  Journal of Palliative Care and Medicine 2016.

Awards

  • HOSPICE AND PALLIATIVE CARE SERVICES IN UCH (International Palliative care Network conference 2012 – BEST POSTER FROM AFRICA.

 

  • PAEDIATRIC PALLIATIVE CARE IN UNIVERSITY COLLEGE HOSPITAL: The Journey so far (International palliative care network conference 2012) – Honourable Mention.

Medicine Department


BACKGROUND

The Department of Medicine was one of the ten foundation departments of the Faculty of Medicine of the University of Ibadan which was established in 1948 and was formerly known as the University College, Ibadan. The other foundation departments were Surgery, Obstetrics and Gynaecology, Preventive and Social Medicine, Pathology, Bacteriology, Anaesthesia, Physiology, Anatomy, and Clinical Biochemistry (now Chemical Pathology). In 1955, Radiology was established as a sub-department within the Department of Medicine with the creation of 2 academic posts (at the Lecturer’s level) specifically for Radiology, which increased to 4 posts in 1956, although the first appointment to a post in Radiology was not made until 1957. Later in 1963, Radiology became a full Department. The Department has grown over time in terms of personnel, number of students trained, international outlook, and research activities.

 

Professor Alexander Brown M.B.B.S., F.R.C.P. (Edinburg) was appointed the first Professor of Medicine and Head of Department in 1948. At this time, the faculty had a total number of 17 staff some of which included Professor A.O. Ajose who was a Professor of Preventive Medicine, Dr. H.O. Thomas, M.B.B.S., F.R.C.S., who was a Lecturer in Surgery, and Dr. F.O. Dosekun, B.A., B.Sc., Lecturer in Physiology. Over the years, the department has produced renowned Scholars and Physicians, some of whom include 4 Emeritus Professors namely: Emeritus Prof. T.O. Ogunlesi, Emeritus Prof. O.O. Akinkugbe, Emeritus Prof. A.O. Falase and Emeritus Prof. B.O. Onadeko. Below is the list of the Heads of the Department from inception till date.

 

Headship of the Medicine Department from Inception

S/N  NAME  DATE
1 Professor A. Brown 1948 – 1969
2 Professor T.O. Ogunlesi 1969 – 1972
3 Professor O.O. Akinkugbe March 1972 – May 1972
4 Professor B.O. Osuntokun June 1972 – Sept. 1974
5 Professor E.O. Sofowora Oct. 1977 – Sept. 1980
6 Professor A. Adetuyibi Oct. 1980 – July 1983
7 Professor B.O. Onadeko Aug. 1983 – July 1987
8 Professor T.O. Cole Aug. 1987 – Sept. 1989
9 Dr. Awotedu     (Ag.) Oct. 1989 – Nov. 1990
10 Dr. A.F. Bella     (Ag.) Dec. 1991 – Nov. 1992
11 Dr. A.O.G. Adeuja    (Ag.) Dec. 1992 – Jan. 1995
12 Professor A.O. Falase Jan. 1995 – Jan. 1998
13 Dr. I.O. Olubuyide    (Ag.) Jan. 1998 – May 1998
14 Dr. A.O.  George  (Ag.) 1998 – May 2000
15 Prof. A.O. Ogunniyi 2000- 2003
16 Prof. S. Kadiri 2003 – 2006
17 Professor A.O. Ogunniyi July 2006 – March 2009
18 Dr. A. Arije (Ag.) March 2009 – 22nd May, 2011
19 Professor B.L. Salako 23rd May, 2011 – 2014
20 Professor A. O. Goerge 2014 – 2018
21 Professor J. A. Otegbayo 2018 – till date


ACTIVITIES

 

Today, the Department of Medicine has well-established units of Cardiology, Nephrology, Neurology, Hepatogastroenterology, Dermatology, Chest, Endocrinology and General Practice.  The department works in close collaboration with other departments in teaching and research programmes. It has a three-year clinical programme for the MBBS degree and four two-month courses of instruction and training in the Department of Medicine.  Similarly, the dental students undergo clinical rotation in medicine for the BDS degree. There is also the postgraduate teaching programmes which include M.Med and MD of the University of Ibadan.

 

The Department of Medicine consists of the Medical Out-Patient pavilion on the South West wing and 158 beds for admission of patients.  These beds are shared between the seven units of the department and new patients are admitted daily by the unit in charge of each week day.

 

The Department also offers special tests such as echocardiography, electrocardiography, electroencephalography, electromyography, gastrointestinal endoscopy, skin, liver, intestinal and renal biopsies, bronchoscopy, vitalography, skin sensitivity testing and clinical bio-chemistry. Additionally, it has an electronic workshop as a back-up for its equipment. Services are also offered in haemodialysis and kidney transplantation.

 

ENDOCRINOLOGY – OUTSTANDING ACHIEVEMENT:

1. Outstanding achievements of the Endocrinology unit till date:

i.            Accredited training centre in Endocrinology for residents in Internal Medicine, Ophthalmology and Anaesthesia for the West African Postgraduate Medical College

ii.            Training of more than 14 residents in Endocrinology till date

2. Local and International Collaborators of the Endocrinology Unit:

i.            Strategies for Improving Diabetes Care in Nigeria (SIDCAIN), …

ii.            Center for Research on Genomics and Global Health (CRGGH) – the African American Diabetes Study, …

3. Services offered by the Endocrinology Unit:

i.            Management of patients with Endocrine disorders

ii.            Provides referral-based consultative clinical services across all areas of endocrinology, both within the hospital (inpatient) setting and in the outpatient clinics

iii.           Dynamic testing of Endocrine function

iv.            Training of residents and medical students in the specialty

 

4. A brief history of the Endocrinology Unit:

The Endocrinology unit started off in with the Department in 1957. The pioneer Nigerian Endocrinologist at the Department was Prof A. Adetuyibi. The other Consultants in the unit (past and present) include: Dr A.F. Bella, Prof O.O Famuyiwa, Dr T.A Akintewe, Dr A.O Akanji, Dr K.S Akinlade, Dr A.A. Fasanmade, Dr Jokotade Adeleye, Dr W.O Balogun, Dr Arinola Ipadeola and Dr Temilola Akande.

 

The Unit has carried researches on ……..with numerous publications in peer-reviewed journals resulting

 

The desired objective of the Endocrinology unit is to rise above our challenges and achieve a tradition of excellence in clinical services, training and research.

Neuro-Surgery Department

BACKGROUND

Neurosurgery in Ibadan began as a unit in the Department of Surgery following the arrival of the first Nigerian Neurosurgeon, Prof. E. Latunde Odeku from the United States of America in 1962. This was also the year that the University of Ibadan became a fully-fledged independent University, having been a college of the University of London.

The Department of Neurological Surgery UCH, Ibadan was carved out of the Department of Surgery in the University College Hospital in 2006 and was one of the foundational departments of the Institute of Neuroscience in the same year. Professor Shokunbi was the pioneer head of the Department and Director of the Institute. The recruitment of Drs. A. A. Adeolu and A. O. Adeleye into the department in 2008, allowed for subspecialty practice, and the enrichment of student and resident’s training. Dr. Oluwakemi Badejo and Dr James Balogun were appointed into the Faculty as Neurosurgeons in December 2015 and March 2016, respectively and have brought additional expertise into the Department in the areas of Vascular Neurosurgery and Neuro-Oncology.

Headship of the Neurosurgery Department from Inception

S/N Name Period of Headship
1. Prof. M.T. Shokunbi 2006-2010; 2013-2016
2. Prof. A.O. Malomo 2010-2013
3. Prof. A.A. Adeolu 2016-till date

 

ACHIEVEMENTS

  • The department has been at the forefront in the utilization of intraventricular neuro-endoscopy as a treatment option for the care of hydrocephalus in Nigeria.

 

  • Ibadan Neurosurgery continues to lead the frontiers in skull base neurosurgery with the utilization of available resources to produce effective results. The department also leads the frontiers in vascular neurosurgery with the clipping of a variety of intracranial aneurysms, spine neurosurgery involving anterior and posterior approaches along the spine, pediatric neurosurgery and neurotrauma.

 

  • The consultant staff of the department have continued to provide leadership in neurosurgery and neuroscience, as well as in medical education with Prof. A. O. Malomo currently serving as Dean of the Faculty of Clinical Science at the College of Medicine, University of Ibadan. He (Prof. A.O. Malomo) is also the current president of the Nigerian Academy of Neurological Surgeons, a position that had been held by another neurosurgeon, Prof. M. T. Shokunbi. Professor M.T. Shokunbi was also the Provost of the College of Medicine from 1996 to 2002.
  • The Department, despite the limitations within the system, has continued to operate between 250-300 cases a year and also run three (3) specialty clinics: general neurosurgery, pediatrics and spine.

 

The list of consultant staff within the Department as well as their areas of subspecialties are indicated below:

Professor M. T. Shokunbi:  Vascular/pediatric/Epilepsy/General neurosurgery

Professor A. O. Malomo: Neurotrauma/Spine/General neurosurgery

Prof. A. A. Adeolu: Spine/Neurotrauma/Skull base/General neurosurgery

Dr. O. A. Adeleye: Skull base/Paediatrics/General neurosurgery

Dr. Oluwakemi Badejo

Dr. James Balogun

Nuclear Medicine Department

Obstetrics & Gynaecology Department

BACKGROUND

The Department of Obstetrics and Gynaecology was one of the foundation departments of the University of Ibadan Medical School in 1948. The department was later moved to the University College Hospital, Ibadan after the Hospital was commissioned in 1957. Since then, the Department has been actively involved in carrying out the tripartite functions of the Hospital namely training, research and services.

 

The Department has been fortunate to have had dedicated and energetic professionals steer its affairs since inception. Many of them have gone on to assume positions of greater responsibilities in health and education administration. A list of all the Heads of Department since its inception includes:

 

Headship of the Obstetrics & Gynaecology Department from Inception

 

S/N Name Period of Headship
1. Professor J.B. Lawson 1952-1969
2. Prof. J.P. De V. Hendrickse 1969-1972
3. Prof. O.A. Ojo 1972-1975
4. Prof. P.P.S. Nylander 1975-1978
5. Prof Vincent E. Aimakhu 1978-1981
6. Prof. Babatunde Adelusi 1981-1985
7. Prof. O.A. Ladipo 1985-1988
8. Prof. Adetunji Adeleye 1988-1990
9. Prof. Bamidele O. Osinusi 1991
10. Prof. Oladosu A. Ojengbede 1991-1993; 2003-2006
11. Prof. Kolawole A. Obisesan 1993-1995
12. Prof. Adeyemi O. Adekunle 1995-1997; 2006-2009
13. Prof. Akinyinka O. Omigbodun 1997-1999
14. Prof. I.F. Adewole 1999-2001; 2009-2011
15. Prof. Abiodun O. Ilesanmi 2001-2003
16. Prof. A.O. Arowojolu 2011-2015
17. Prof. O.O. Olayemi 2015-till date

 

ACTIVITIES & ACHIEVEMENTS

 

The Department has been a central participant in the training of medical undergraduates in Ibadan for the past fifty years. In the first 25 years of its existence, it served as a preparatory centre for trainee Obstetricians & Gynaecologists who were working towards certification by the Royal College of Obstetricians and Gynaecologist. In the last 3 decades however, the department has prepared trainees for certification by the National Postgraduate Medical College of Nigeria and the West African College of Surgeons. In 2003, the Department in collaboration with the Johns Hopkins University, Baltimore, U.S.A., commenced Masters Degree programmes in Reproduction Biology & Population and Reproductive Health. In all, more than 300 certified Obstetrics & Gynaecology specialists have had part/their entire specialist training in the department. The department also runs periodic update courses for Obstetricians and Gynaecologists. In addition, the department collaborates with the School of Midwifery to train midwives. The department was the first centre for the formal training of health personnel to provide family planning services in Nigeria. In the last 45 years, about 15,000 trainees (doctors, nurses, community health workers, etc) have been trained to provide modern contraceptive services.

 

For the purpose of clinical services, the Department is presently divided into 5 units. These are:

  • Unit I (Infertility and Assisted Conception Unit)
  • Unit II (Fertility Research and Endocrinology Unit)
  • Unit III (Gynaecologic Oncology Unit)
  • Unit IV (FetoMaternal Medicine Unit)
  • Unit V (Genitourinary/Urogynaecology Unit).

 

There are presently 22 consultants in the Department.

 

The Department is the pioneer site for reproductive health research in Nigeria as evidenced by the fact that more than 2000 peer-reviewed articles have been published in reputable scientific journals from research activities undertaken in the department. In recognition of its excellence, the department was designated a collaboration centre for Research on Human Reproduction (CCR) by the World Health Organization (WHO).  It is also a research site for the “South-to-South cooperation in Reproductive Health”, an international organization for research into reproductive health problems in developing countries and the AIDS Prevention Initiative in Nigeria (APIN).

 

While engaged in these training and research activities, more than 250,500 women have had babies delivered in the labour ward of the Hospital, most of whom were referred for life-threatening complications in pregnancy and labour. Many others have received specialist attention for various gynaecological disorders.

CLINIC INFORMATION

S/NO
CLINIC NAME
CLINIC LOCATION
DAY
TIME
AVERAGE  CLINIC-DAY PATIENT LOAD
1. BOOKING CLINIC OBS AND GYNAE OUTPATIENT CLINIC WEDNESDAYS 8.00 A.M 100 – 150
2. ANTENATAL CLINIC OBS AND GYNAE OUTPATIENT CLINIC MONDAYS, TUESDAYS AND THURSDAYS 8.00 A.M 50 – 80 PER DAY
3. GYNAECOLOGICAL CLINIC OBS AND GYNAE OUTPATIENT CLINIC MONDAYS, TUESDAYS AND THURSDAYS 12.00 PM 30 – 50 PER DAY
4. POSTNATAL CLINIC OBS AND GYNAE OUTPATIENT CLINIC FRIDAYS 8.00 A.M 50
5. FAMILY PLANNING CLINIC OBS AND GYNAE OUTPATIENT CLINIC EVERYDAY 8.00 A.M 30 per day

Occupational Therapy Department

Opthamology Department

BACKGROUND

The Department of Ophthalmology started as a Unit under the Department of Surgery in 1962. It later became established as a full-fledged department under the headship of Professor Kodilinye. At inception, the department had only 2 Consultants. Today, 13 Consultants and more than 20 resident doctors work in the department.

The department has in the past years produced reputable, respected and well recognized individuals. These include the first fellow of the National Postgraduate College of Ophthalmology, in the person of Dr, B.G.K. Ajayi, the first Professor of Ophthalmology, Prof. (Mrs) Oyin Olurin, Eminent Professor (Mrs.) Olapopo Osuntokun among others. Summarily, over 75% of the Ophthalmologists in Nigeria have had their training or part training in the department. Below is a list of the Heads of the Ophthalmology Department from inception.

 

Heads of the Ophthalmology Department from Inception

S/N Name Date of Headship
1. Professor Kodilinye 1962-1976
2. Professor Oyin Olurin 1976-1982
3. Professor O. Osuntokun 1980-1987; 1986-1988; 1988-1990; 1992-1995
4. Professor Aderonke M. Baiyeroju 1995-1997; 1999-2001;2001-2003
5. Professor A.I. Ajaiyeoba 1987-1988; 1997-1999; 2005-2007
6. Professor Adeyinka O. Ashaye 1991-1992; 2003-2005; 2008-2010; 2014-till Date
7. Dr. C.O. Bekibele 2007-2008; 2010-2012
8. Dr. T.S. Oluleye, Ag. HOD 2012-2014
The present head of the department is Prof. Adeyinka O. Ashaye 2014-till date

 

ACTIVITIES

One of the primary functions of the department is the provision of adequate training in Ophthalmology at the undergraduate and post-graduate levels. All medical students (MBBS) undergo rotation through the department of Ophthalmology to study basic eye disease processes and patterns. Nursing students of the Department of Nursing of the University of Ibadan are taught ophthalmic diseases and eye care. Postgraduate programs in the department include training for resident doctors (Registrars).

The postgraduate fellowship program is a six-year course through which medical doctors can be certified by the National Postgraduate Medical College and/or the West African Postgraduate Medical College. Other training courses organized by the department include the basic science module of the West African College of Surgeons, Diploma in Ophthalmology course which trains doctors with basic medical qualifications to provide secondary level eye-care to Nigerians yearly, Intra ocular lens courses, and occasional courses to train trainers of primary eye care workers. Academic postgraduate MSc, MPh, Ph.D. and M.D. programmes in Ophthalmology have commenced and are currently undergoing review. In is equally worthy of note that the department pioneered residency training in Ophthalmology in Nigeria.

In research, the department has been in the frontline of the determination of essential national health priorities for eye-care planning in Nigeria. Field surveys and clinical research are consistently planned and executed by individuals and groups in the department. Publications, memoranda and data emanating from research in the department have been invaluable to the development of Ophthalmology in Africa. Notable researches in the department include the Glaucoma Genetic Research sponsored by the NIH, Paediatric Ophthalmology, Anterior Segment and Retina detachment activities.

With respect to services, the Department provides specialist eye-care clinical services to the South Western Nigerian population and beyond through recently introduced daily general eye clinics as well as subspecialties of anterior segment, retina, orbit and oculoplasty, paediatric ophthalmology and low vision care. There is also a pre-existing glaucoma subspecialty clinic. With assistance from the University College Hospital, Ibadan and the International Council of Ophthalmology (ICO) the department is upgrading skills of its academic staff through subspecialty training to improve services. The department has a 28-bedded ward and three (3) dedicated eye theatres. Surgeries are carried out daily by the various subspecialties. The Department of Ophthalmology is a referral center for cornea transplant, retinal detachment surgery, glaucoma, implant surgeries, orbital diseases and paediatric ophthalmology.

Outreach Services

The outreach services of the department are second to none. Eye outreach services cover most rural and urban areas of Oyo State. A dedicated Eye outreach clinic is run every day and outreach surgical operations are planned daily to help the less privileged in the society.

Orthopaedics and Trauma Department

BACKGROUND

The Orthopaedics Unit and the General Surgery Unit were the two foundational Units in the Department of Surgery of the University College, Ibadan in 1948, which was active at the old Adeoyo Hospital before the present site of the University College Hospital, Ibadan was commissioned in 1957.

The pioneer Orthopaedic surgeons of the Unit at this time were Mr. Richards, a British surgeon and Mr. M.A.O. Jaja, a Nigerian surgeon. These two were joined by Mr. E,A, Lawson, Mr. G.A. Oyemade, Mr., W.W. Ebong and Mr. O.A. Olusanya between 1960 and 1980.  These eminent surgeons were astute specialists and prolific writers who contributed to several reputable local and international journals which helped to put UCH, Ibadan as one of the top hospitals in the commonwealth at the time.

The difficult years of military dictatorship in Nigeria in the 80s and 90s, led to an exodus of Nigerian health professionals including the entire consultant staff of the Unit. This brought about a challenging and tough period for the Unit, though succour was provided by the some alumni of the Hospital by the names of Dr. Obileye and Dr. Adetunji, both of whom created time from their respective private practice to provide orthopaedic cover for the University College Hospital, Ibadan.

The rebirth of the Unit however, began with the arrival of Mr. Temitope Alonge FRCS (Now Professor of Orthopaedics and Chief Medical Director of the Hospital) in 1995 following his attainment of the Fellowship of both the Royal College of Surgeons, Edinburg in 1991 and the West African College of Surgeons in 1994 respectively. He was later joined by Mr. Segun Ogunlade FRCS (now Professor of Orthopaedic Surgery) in 1996 and Mr. Bade Omololu FRCS (now Professor of Orthopaedic Surgery) in 1997. These ‘three revolutionaries’, championed the reawakening of the then sleeping orthopaedic giant in Ibadan and through their doggedness, dedication, hardwork and foresight, they were able to initiate a sustainable and reputable orthopaedic services and training in Ibadan. The first product of the training of the Unit is Professor Babatunde Solagberu, who is among the other seventeen orthopaedic surgeons that underwent their full training in Ibadan. Some other individuals (besides the aforementioned 17), from various centers in the country and abroad also passed through the training at different times.

The Unit was formally transformed into a department of the University College Hospital, Ibadan by the Board of Management in 2002. At inception, it had three (3) consultant staff and two (2) senior registrars. There was also a Plastering Unit in the Department. The pioneer head of the department was Professor Temitope Alonge. The addition of Dr. Tayo Ayorinde, Dr. Leke Ifesanya and Dr. Imoniche Adeoye-Sunday and later, Dr. Olurunisola to the Department, made it possible for the Department to be divided into three Units for subspecialization. It also galvanized the now reputable UCH, Ibadan training plaster technician training course. Since then, the recruitment of Dr. Joshua Ogundele, Dr. Yinka Okunola, Dr. Abraham Anejukwo Dr. Bayo Obamuyide and Dr. Ajibola Oladiran, has further facilitated sub-specialization in keeping with best global practices. The Department also has an Alumni of the University of Ibadan as well as a Senior Consultant Arthroplasty and Arthroscopy surgeon in the United Kingdom – Mr. Charles Ayekoloye FRCS, serving as a visiting consultant to the Department. At present, the department has nine (9) consultants, ten (10) senior registrars, ten (10) registrars and twenty-seven (27) plaster technicians. The headship of the Department through the years is shown in the table below:

Headship of the Orthopaedics & Trauma Department from Inception

S/N Name Period of Headship
1. Professor Temitope Alonge 2002-2006
2. Professor Ajibade Omololu 2006-2010
3. Professor Olusegun Ogunlade 2010-2013
4. Dr. Adeleke Ifesanya 2013-2014
5. Dr. Imoniche Adeoye-Sunday 2014-2017
6. Dr. Yinka Okunola 2018 till date

 

ACHIEVEMENTS

  • Orthopaedics in Ibadan is at the forefront in limb reconstruction surgeries in Nigeria, using the conventional llizarov and linear rail devices as well as the computer assisted Taylor Spatial Frames for both congenital and post traumatic limb deformity correction.

 

  • The performance of the Department and the successes recorded in the total knee and hip arthroplasty program with over 70 cases in 18 months including revision surgeries for failed primary surgeries in India, has gained the Department a reputation as a Center with a high rate of successful outcome, thus increasing the referral of patients to the department from within and outside the country.

 

  • The Plaster Technician Training School of the department with basic and advanced course modules has become a center whereby other schools send their students to for supernumerary attachments.

 

  • The department has consistently retained the accreditation of its training program by the West African College of Surgeons and the National Postgraduate Medical College, leading to the production of high quality Orthopaedic specialists.

 

  • The firm footing of the sub-specialization drive of the department has given support for an orthopaedic spine surgeon of the Department to undergo further fellowship training. This (i.e. the sub-specialization drive) has also enabled the exposure of more recently qualified Orthopaedic surgeons to advanced arthoscopic training as well as the pursuit of the procurement of equipment to support the delivery of these services.

 

  • The proficiencies of the consultant staff of the department have been recognized some of which have been manifested via the provision of leadership by these consultants in various capacities in training and administration in the University College Hospital, Ibadan. It is noteworthy that the current Chief Medical Director i.e. Prof. Temitope Alonge who was formerly a Deputy Chairman, MAC is a Professor of Orthopaedic Surgery. Prof. Omololu is also the Coordinator of the Ibadan Basic Trauma Course while Prof. S.O. Ogunlade has in the past served as the Hospital Theatre Manager, and as a Deputy Chairman, MAC. Dr. I.I. Adeoye-Sunday who is the current head of the Department, is the Chairman of the Hospital Mentorship Program.

 

  • The Department is involved in the care of over 60% of the patients that present in the Emergency Department and is equally involved in the care of about 20% of the remaining patients that are attended to in other Units. The department runs two (2) specialized clinics weekly and as well runs an operative session every day of the week performing between 450-550 major surgeries annually.

 

  • The department through the efforts of the ‘three revolutionaries’, popularized the AO concept of fracture fixation and it is worthy of note that Prof. Temitope Alonge became an alumnus of the AO in 1992 following his advance AO course in Davos, Switzerland.

 

  • Temitope Alonge also popularised the Belfast technique in the treatment of chronic osteomyelitis and he formulated the ceftriaxone-polymethyl methacrylate beads as an integral part of the Belfast operation.

Otorhinolaryngology Department


The Department of Otorhinolaryngology (ORL) started as an Ear, Nose and Throat (E.N.T.) unit under the Department of Surgery in Feb. 1957 with Professor F. D. Martinson as the first Consultant and Head of the Unit. It was initially sited at the Adeoyo Hospital, Ibadan and later became the first clinical unit to start working in the present University College Hospital while the Hospital was under construction. The Unit attained the status of a sub-department in 1963/64 session with the creation of a permanent post for a second lecturer. A temporary Lecturer, Dr. R Werner, was appointed on a year’s contract from 1963-1964. A year after this Mr. S.P. Singh, FRCS, was appointed and he stayed until November 1972. Mr. M. A. Awe, an Audiometrician was also appointed in 1968.

From about 1963, the Department of Surgery started appointment Senior House Officers and Pre- registration House Officers to the Unit. As a result, doctors began to the interest in the subject and express a desire to do further work in the specialty.

The Unit became a full independent Department in the 1969/70 session and soon changed its official academic name from “E.N.T. Department’’ to the “Department of Otorhinolaryngology’’, in conformity with the general international practice. This, in fact, made it to be the only such Department on the West Africa coast.

The various Heads of the Department since its inception are as follows:-

 

Professor F. D. Martinson                                          1957 – 1986

Mr. O. Ogan (FRCS) (Acting Head)                          1986 – 1989

Professor G.T.A. Ijaduola                                           Aug 1989 – 1996

Aug. 2004 – July 2007

Dr. O.G.B. Nwaorgu  (Co-ordinator)                         Aug. 1996 – July 1999

(Acting Head)                         2000 – 2002

(Acting Head)                         Aug. 2007 – July 2009

(Head of Department)             Aug. 2011 – July 2015

(Acting Head)                         Oct. – Dec 2015

Dr. A.O.A. Ogunleye  (Acting Head)                                     Aug. 2002 – July 2004

Dr. A.A. Adeosun       (Acting Head)                                     Aug. 2009 – July 2011

Prof. A.O. Lasisi         (Head of Department)             Aug. / Sep. 2015

Dr. P.A. Onakoya       (Acting Head)                         Jan. 2016 till date

 

The Department has enjoyed the services of some Consultant Staff during the course of its development.

These include:-

Prof F. D. Martinson                                                   1975 – 1986

Dr. R. Werner                                                             1963 – 1964

Dr. S.P. Singh                                                             1965 – 1972

Dr. A.A. Fajemisin                                                     1974

Professor O. Ogan                                                      1975 – 1989

Dr. A. A. Ladapo                                                        1976

Dr. N.M.A. Oyetunji                                                   1987

Dr. A. I. Osiname                                                       1987

Prof. G.T.A. Ijaduola                                                  1989 to 2010

Dr. M. I. Akenroye                                                     1989- 1990

Dr. P. N. Gana                                                            1994- 1996

Prof. O.G.B. Nwaorgu                                                1995 till date

Dr. A.A. Adeosun                                                       1997 till date

Dr. A.O.A. Ogunleye (Late)                                       1997 to 2006

Prof.. O.A. Lasisi                                                        2000 till date

Dr. P.A. Onakoya                                                       2001 till date

Dr. A.J. Fasunla                                                          2010 till date

Dr. A Daniel                                                                2014 till date

Dr. S.A Ogunkeyede                                                  2017 till date

SESSIONAL CONSULTANT

Dr. A. Adeyemo

 

OUTSTANDING ACHIEVEMENTS

  • OGB Nwaorgu was elected as a council member of the West African College of Surgeon
  • Prof A.O. Lasisi was appointed as the Chief Medical Officer of Ladoke Akintola University of Technology Teaching Hospital
  • Dr A. J. Fasunla received an award from the Postgraduate Academic Mobility for African Physician-Scientist (PAMAPS) for a staff mobility programme as a Clinical Observer in the Division of Otolaryngology, Groote Schuur Hospital, University of Cape Town (UCT) from 01 March to 31 May, 2016
  • OGB Nwaorgu was elected President of the Pan-African Federation of Otorhinolaryngological Society (PAFOS) in November 2017
  • A Adeagbo got the Philip Okeowo Award for the Best candidate in May 2017 Part I Fellowship examination of the National Postgraduate Medical College of Nigeria
  • Z. E. Jatto got the Olu Ibekwe Award for the best candidate in the October Part 2 Fellowship examination of the West African College of Surgeons

 

CORE RESPONSIBILITY / ACTIVITIES

These include the Out-patient Clinic, a 32 – bedded in-patient ward (Frank D. Martinson ward), ENT Doctors` and Nurses` Library, Temporal bone dissection room, Accident and Emergency Department of the Hospital, mini-operations theatre in the A & E Department and the O.R.L. theatre for major operations as well as modestly equipped Audiology unit in the E.N.T. out-patient clinic.

 

Out-patient Clinic:

The E.N.T. Clinic is run four times a week namely-Tuesdays, Wednesdays, Thursdays and Fridays. During the clinic days, general otorhinolaryngological patients are seen on Tuesdays and Thursdays while Special clinics for Paediatric otorhinolaryngological, Otology are on Wednesdays while Fridays are for Rhinology, Laryngology, Head and Neck. Tuesdays to Fridays are for the Audiology and Speech Therapy.

 

In-Patient Ward: (Frank D. Martinson’s Ward or West-West 1)

The O.R.L in-patients ward has 32 bed named after Professor F.D. Martinson who was the founding Head of Department. There are eight beds for females, four cots for pediatric patients, sixteen beds for males and four side rooms. The ward has a treatment room and also, facilities for performing minor surgical procedures are available.

 

Operating Theatre:

The operating days for O.R.L. are Wednesdays and Fridays. However, theatres are available on a 24- hour basis for emergencies.

 

Accident and Emergency Department:

The Accident and Emergency Department is open 24/7 for attendance of emergency cases.

 

Weekly Activities in Otorhinolaryngology

Monday

7.45 am to 9.00am      –          Otorhinolaryngological research meeting

9.00 am to 10.00 am   –           Grand Round/ Clinico-pathological meeting

10.00 am to 1.00 pm   –          Consultant Ward Round/ Teaching round

2.00 pm to 3.00pm      –           Radiology / Journal Club Meeting

4.00pm – 8.00am         –          Emergency Coverage

Tuesday

8.00am – 8.30am        –           Resident ward round

8.30am – 2.00pm        –           Consultant Outpatient Clinic Consultations

–           Audiology / Speech Pathology Clinic

2.00pm – 4.00pm        –           Pre- operative Reviews.

4.00pm – 8.00am        –          Emergency Coverage

Wednesday

 8.30am- 2.00pm         –           Consultant Outpatient Clinic

                                    –           Otology / Paediatric ORL

–           Audiology / Speech Pathology Clinic

7.30am – 4.00pm        –           Elective Operation Session in O.R.L. Theatre

4.00pm –5. 00pm        –           Post- operative Ward Rounds

5.00pm – 8.00am        –           Emergency coverage

Thursday

8.00am – 8.30am        –           Resident’s Ward Round

8.00am – 2.00pm        –           Consultant Out- patient Clinic

–           Audiology/ Speech pathology Clinic

3.00pm – 4.00pm        –           Pre-operation Reviews

4.00pm – 8.00am        –           Emergency Coverage

Friday

8.00am – 2.00pm        –           Consultant Out- patient Clinic

–           Head and Neck Surgery / Paediatric Otolaryngology Clinic

–           Audiology/ Speech pathology Clinic

7.30 am – 4.00pm       –           Elective Operative Session in O.R.L. Theatre

4.00pm ­–5.00pm         –           Post Operative Ward Round

5.00pm – 8.00am        –           Emergency coverage

Saturday

8.00am –12.00pm       –           Resident’s Ward Round / Consultant teaching

–           24 hours Emergency Coverage

Sunday

8.00 am – 8.00 am      –           24 hours Emergency Coverage

 

Paediatrics Department


BACKGROUND

Although the Department of Paediatrics was formally created in 1962, Paediatrics as a specialty had always existed in the University College Hospital, Ibadan. This was as a unit within the Department of Medicine. With the appointment of the first professor of Paediatrics in 1962, teaching and examination in Paediatrics for medical students was carried out independently, and not as a part of Internal Medicine.

The Department of Paediatrics (UCH, Ibadan), was the first academic Department of Paediatrics in Nigeria (and West Africa). In view of this, the teaching of facts, skills and attitudes essential for the effective care of children has always been done at all levels, (postgraduate as well as undergraduate). However, there was more emphasis on the undergraduate training at the initial stage. This was with Social Paediatrics as the hub around which the wheel of all these activities turned. Students were encouraged to see every patient not merely as a clinical case, but as a child within a family, home and a neighbourhood. This led them to organize home visits thrice weekly sequel to which the outcome and findings of such visits were discussed at weekly Social Paediatrics Seminars during which the students were the principal presenters. Until recently, student nurses took part in these activities.

Visitors frequently express surprise at the high level of staffing in the Paediatrics Department despite the massive brain drain caused by the economic hardships of the last 10-15 years.  Below is a list of the Heads of the Paediatrics Department from inception:

Headship of the Paediatrics Department from Inception

S/N Name Period of Headship
1. Dr. W.R.F. Collins 1960-1963
2. Prof. R.G. Hendrickse 1962-1969
3. Prof. A. U. Antia 1969-1977
4. Dr. O. Seriki 1975-1976
5. Prof. J.B. Familusi 1977-1980
6. Prof. A.O.K. Johnson 1980-1984
7. Prof. F. Jaiyesimi 1984-1986
8. Prof. W.I. Aderele 1986-1987
9. Dr. A.O. Folami 1987-1988
10. Prof. V.A. Nottidge 1988-1989
11. Dr. O. Sodeinde 1989-1990, 1993-1995, 2002-2006
12. Dr. Kikelomo Osinusi 1990-1993, 2009-2011
13. Dr. J.A. Olowu 1995-1997
14. Dr. O.O. Akinyinka 1997-1998
15. Dr. S.I. Omokhodion {now Professor} 1998-2000, 2011-2015
16. Dr. O.O. Ogunkunle 2000-2002
17. Prof. A.G. Falade 2006-2009
18. Prof. Ike Oluwa A. Lagunju 2015-till date

 

ACTIVITIES

Emergency Paediatrics:

This began as a Children’s Emergency Room in the Medical Outpatients Department (MOP) which closed at 6.00pm at which time children who were too ill to go home were transferred to the Casualty Department together with the adults.  Later, a part of the Casualty Department was set aside for children. In 1988, after the Casualty Department moved to the new Accident and Emergency Department, the Department of Paediatrics took over the old Casualty Department with the support and generous donation from a Nigerian philanthropist, Otunba Subomi Balogun. In view of this, the Unit was re-designated the Otunba Tunwase Children’s Emergency Ward (OTCHEW) in his honour.

Postgraduate Training:

Initially, postgraduate training was inclusive of a one/two year training experience within UCH while preparing for foreign professional Membership/Fellowship postgraduate examinations for which such trainees went abroad. In 1975, a Master in Medicine (M.Med) Postgraduate training started in Nigeria, but the Department of Paediatrics did not enrol any student on this Programme before it was overtaken by the National Postgraduate Medical College of Nigeria in 1976.  Currently, the Department presents candidates for the National Postgraduate Medical College Examinations in Paediatrics as well as the West African College of Physician Examination of which Ibadan is the regional headquarters.  The Doctor of Medicine (MD) programme in Paediatrics was inaugurated in 1973 and till date has been awarded to eight deserving teachers/clinicians/researchers.

The UCH Department of Paediatrics retains the leading position among similar departments in Nigeria. It has trained a number of specialists since the inception of the Postgraduate programme in Nigeria and has 17 consultants in charge of the various units in the department.

Research:

The department was a pioneer in most areas of paediatric research in Nigeria. A Paediatrics Research laboratory was established where bilirubin estimation on samples obtained within and outside the hospital was carried out.  This laboratory set the pace in research into neonatal jaundice, malaria and sickle cell disease in children. The department’s cytogenetic facility was for many years, the only one of its kind in Nigeria. The prevailing economic situation in the hospital and Nigeria, forced a discontinuation of this facility several years ago. The department has also established a modification for the qualitative estimation of peroxidase haemolysis as an indirect measure of vitamin E which impacts on several research areas. The research laboratory maintains its leadership position in research on G6PD and neonatal jaundice.

Research funds have come from the World Health Organization (WHO), the United Nations International Children Emergency Fund (UNICEF), while some have come from local sources such as the Senate of the University of Ibadan.  However, much of the work done within the Department, are performed through the sheer ingenuity of the staff often supplemented by money from their own pockets. Senior Registrars working for the Postgraduate professional part II (Final) examination sometimes receive small grants from the UCH, in addition to some funds from their own pockets, particularly in undertaking studies which are not completely covered by the research facilities of their supervising consultants.

 

 

ACHIEVEMENTS

 

The Paediatrics Department pioneered the work on primary stroke prevention in children with sickle cell disease (SCD) in Nigerian through routine Trans Cranial Doppler (TCD) screening.  The Department established the first routine TCD clinic at the CHOP arena in July 2009. More than 750 children with SCD have been enrolled in the programme with the achievement of a drastic and remarkable decline in childhood stroke burden in South West Nigeria.

 

The Neonatology Unit of the University College Hospital, Ibadan is part of the African-Asia site that took part in the research into the possible serious bacterial infection management using simplified antibiotics. This has led to the development of a new WHO algorithm on the management of newborn infections when referral is not possible. The unit has also successfully developed newborn kidney, Liver and Spleen monograms.

 

The Paediatric Nephrology division has contributed to pioneering work on the description of Quartian Malaria Nephropathy, a form of nephrotic syndrome in children that is usually steroid resistant, and tends to progress to end stage kidney disease. The earliest reports of paediatric penitoneal dialysis in Nigeria are also from this Unit. The unit was one of the pioneers of peritoneal dialysis in Nigeria using adaptations.  This adaptation has saved the lives of children with acute kidney injury and has also inspired other centres to use adaptations for peritoneal dialysis when the recommended gadgets are not available. Additionally, the Unit has provided intensive care for the most vulnerable babies from 25 weeks gestation upwards. The Paediatrics Department, UCH, Ibadan is also one of the first centres in the country to embrace Kangaroo mother care for small babies.

 

Furthermore, the department has trained many resident doctors some of whom have become foremost neonatologists within and outside the country. Doctors and nurses of the department are part of the national trainers in neonatal resuscitation and essential newborn care. The department is also involved in collaborative research within and outside the Country.

CLINIC INFORMATION

DAY/TIME Morning Afternoon
Monday General Clinic Chest and Infectious Disease Clinic
Tuesday Cardiac and Neonatology Clinic Anemia and Oncology Clinic
Wednesday General Clinic Neurology Clinic
Thursday Gastroenterology/Nutrition/Endocrine and High Risk Infants  Clinic Nephrology and Asthma Clinic
Friday General Clinic

Pharmacy Department


BACKGROUND

The cradles of the present University College Hospital, Ibadan were the old site at Eleyele, Adeoyo Hospital and the Jericho General Hospital (both owned by the Ibadan City Council). The Pharmacy Department evolved from one Dispensary and 7 small stores scattered within the Adeoyo Hospital, Yemetu. The department moved from Adeoyo to its present location in 1956 before the formal commissioning of the Hospital on the 20th of November, 1957. After moving to the Hospital, the department occupied a ground floor (which sheltered the dispensary, the Chief Pharmacist’s office, the sterile products laboratory and the quality control laboratory) and a lower ground floor which sheltered the compounding and galenicals room as well as the Pharmaceutical manufacturing and tableting laboratory. The Pharmacy Department as it is today however came to being sequel to the hospital expansion programme which started in 1976 and the restructuring exercise that took place between 1985 and 1990. The Medical Outpatient satellite pharmacy, commenced operations in 1988 while the ward satellite pharmacies were commissioned in 2003. Additionally, the Oncology Pharmacy, commenced operations in 2010.

Following the promotion of the first head of Department, Mr. Michael Ritchie to the post of Federal Chief Pharmacist, he (Mr. Michael Ritchie) handed over the Department to Mr. F.A. Callisto in May, 1953. Mr. Callisto who was employed from the United Kingdom, was the first indigenous Chief Pharmacist of a Nigerian Teaching Hospital and the only Nigerian Head of Department in the Hospital at the time. Other pharmacists at the time were Messrs O. Davies, I. Igwe, S.B. Akande, S. Adesina and J. Shoyoye.  As the out-patients attendance and admissions increased, so did the work load in the Pharmacy Department. This, coupled with the acute shortage of Pharmacists in the country, led to the recruitment of Miss Jackson, Miss J. Stephenson, Miss J. Patterson and Mr. I. Codeiro as Deputy Pharmacist, Principal Pharmacist, Senior Pharmacist and Superintendent Pharmacist respectively. Over the years, several national and local developments have affected the staff strength of the Department. This include the commissioning of the Lagos University Teaching Hospital which witnessed the exodus of Pharmacists to the new Hospital, and the Nigerian Civil war which witnessed another mass exodus of Pharmacists that were sympathetic to the Biafran cause.

Since the time of establishment, the Department has had eight (8) Heads of Department. These include:

Headship of the Pharmacy Department from Inception

S/N Name Period of Headship
1 Mr. F.A. Callisto 1953-1982
2 Mr. E.K. Osuzoka 1982-1984
3 Mr. N.O. Olubi 1984-1986
4 Mrs. M.A. Jaiyesimi 1986-2003
5 Mrs. M.A. Akinkoye 2003-2008
6 Mrs. M. Oderinde 2008-2010
7 Mr. M.I. Irabor 2010-2014
8 Mrs. H.A. Oduntan 2014-till date

ACTIVITIES

The Department of Pharmacy is the Department within the Hospital responsible for the dispensing of prescriptions which may include medications and/or dressings. The department aims to be the gold standard in Nigeria for Hospital based drug manufacturing and control to which end, she ensures patients’ satisfaction by providing total pharmaceutical care as well as up to date education and information on drug related matters. She also provides first rate education, information and assistance on drug related matters to patients, pharmacists, students, researchers and other health care providers.

Some of the specific activities of the Pharmacy Department within the Hospital include:

  • Drug Production
  • Pharmaceutical Supply and Storage
  • Training and Research
  • Other general Pharmacy operations

 

Drug Production

In the early days, the practice of Pharmacy was very arduous and locally manufactured intravenous fluids and injections were not available in Nigeria. This prompted Mr. M. Ritchie to set up a viable unit for the production of sterile intravenous fluids and injectables within the Hospital. This scheme was so successful that a new laboratory for the production of I.V. fluids and injections was built and the department pioneered the production of sterile preparations for use of her patients in 1957. Creams, lotions and ointments were also prepared in the dispensary for topical application.

Despite challenges brought about by equipment becoming obsolete and irreplaceable due to high cost, amongst other factors, the department has been able to maximize Management support to improvise with locally available equipment to maintain production of mixtures, lotions, syrups, ointments and extemporaneous preparations. It is worthy of note that the department produced alcohol rub and gel for use by the Ibadan community during the Ebola epidemic of 2014.  Production of liquid soap for entire hospital use has also commenced in the department.

Pharmaceutical Supply and Storage

At inception, the Pharmacy supplied drugs, surgical dressings, surgical instruments, anaesthetic gases and oxygen to the clinics and theatres. The main constraint was lack of storage space which meant that drugs and appliances stores were dotted in various places at the Adeoyo Hospital.

Drug procurement at the time was mainly from the Medical Stores in Lagos. Some drugs were obtained from May & Baker and Kingsway Chemists. Drugs which were not available in these places were obtained from Glaxo, Allen and Hansburys, Ward Blekinsop all of whom had depots in Lagos. Several medications were also ordered from the United Kingdom through Crown Agents.

In the 90s, procurement of drugs was mainly from the Central Medical Stores, Oshodi through the Essential Drugs Programme (EDP) of the Federal Government, while augmentation of stock was through some local wholesale pharmacies. The hospital was also supplied with drugs from the Petroleum Trust Fund (PTF) and the Federal Manufacturing Laboratory in Yaba, Lagos.

Self-catering Pharmacy (also known as Pharmacy Revolving Fund) commenced in 1987. Drugs procured were limited to those on the Essential Drugs List (EDL) based on mortality and morbidity. The EDL was first published in 1996 with revisions in 1998, 2003 and 2011.

Training and Research

Over 500 pupil pharmacists from various schools of pharmacy in Nigeria and abroad have had their mandatory one-year internship training at the Pharmacy department, UCH. The department has also been in collaboration with the department of Pharmacy of the University of Ibadan on the clinical training of pharmacy students since the establishment of the School in 1980. Additionally, UCH Pharmacists have served as Resource Persons at programmes in the School of Nursing, School of Medical Records, School of Occupational Health Nursing, West African College of Physicians, and the National Postgraduate Medical College of Nigeria.

The Pharmacy Department has always provided quality pharmaceutical services within the hospital. The department is also involved in various clinical trials of drugs by many consultant staff of the hospital.

General Pharmacy Operations

In line with the tripartite functions of the Hospital (i.e. Training, Research and Services), the underlisted duties are performed by the Hospital Pharmacists:

  • They promote safe and accurate use of medicines by the patients.

 

  • They counsel patients on proper use of medications.

 

  • They provide pharmaceutical care by checking on patients and encouraging compliance with given prescription.

 

  • They manufacture and compound medications to meet specific needs of patient

 

  • They manufacture extemporaneous and Pharmaceutical preparations like syrups, mixtures, ointments, creams, lotions etc. They also manufacture sterile pharmaceuticals like injections, ear and eye preparations and nasal drops.

 

  • As a member of the health care team, the pharmacist gives professional advice with regards to the choice of medications.

 

  • They see to the procurement and proper storage of medication to the point of dispensation and use.

 

  • They train students and pupil pharmacists on clerkship, externship, industrial attachment and internship.

 

  • They are engaged in the presentation of seminars and clinical discussions on patient drug therapy, management and other drug related issues.

 

  • They are involved in the monitoring of Adverse Drug Reactions alongside other members of the Pharmacovigilance team.

Pharmacy Units in U.C.H

Over the years the Pharmacy profession has become more patient-centered, thus requiring pharmaceutical services to be more accessible to the patient at the point of care. This has led to the establishment of pharmacies in virtually all the clinics within the hospital as well as on every floor.

The various Pharmacy units within the Hospital are:

  • General Out-patient (G.O.P.) Pharmacy
  • Surgical Out-patient (S.O.P.) Pharmacy
  • Ear, Nose and Throat (E.N.T.) Pharmacy
  • Children Out-patient Pharmacy
  • Medical Out-patient (M.O.P.) Pharmacy
  • OtunbaTunwase Children Emergency Ward (OTCHEW) Pharmacy
  • Ante-Natal Clinic Pharmacy
  • Emergency Department Pharmacy
  • Drug Information/Pharmacovigilance Unit
  • Manufacturing Unit
  • Sterile Preparation Unit
  • First Floor Pharmacy
  • Second Floor Pharmacy
  • Third Floor Pharmacy
  • Fourth Floor Pharmacy
  • Oncology Pharmacy
  • Nuclear Medicine Pharmacy
  • Private Suites Pharmacy
  • Geriatric Centre Pharmacy
  • Dental Pharmacy
  • Federal Secretariat Pharmacy
  • Kola Daisi Foundation Centre Pharmacy
  • Remi Babalola Red Cross Centre Pharmacy (currently not operational)
  • Sepeteri Pharmacy

The department offers uninterrupted 24 hours-service in four of its units, namely Emergency unit, OTCHEW, First Floor Pharmacy as well as Third Floor Pharmacy. In addition, registered Pharmacists are always on call to attend to emergencies 24 hours a day every day of the week including public holidays.

 

ACHIEVEMENTS

While pursuing the goal of delivering excellent services to the clients of the Hospital, the Department has over the years scored a lot of achievements via the outcome of her actions in certain respects. Some of these include:

  • Decentralization of the Pharmacy within the hospital.
  • Establishment of Quality Control Laboratory in 1994.
  • Increased number of satellite Pharmacies outside the hospital.
  • Abolishment of window dispensing of medication.
  • Improvement in quality of care through appropriate pharmaceutical care.
  • Introduction of Unit Dose Dispensing System in 2010.
  • Production of liquid soap and hand sanitizers for hospital use.
  • Early morning health talk focused on proper drug use in various clinics.
  • International training for Pharmacists in various fields of specialization.
  • Clinical exposure of final year Pharmacy students through Pharmacy-based ward rounds
  • Establishment of the Drug Information Centre in collaboration with Ranbaxy Ltd.
  • Assessment of prescription is being carried out electronically.

PHARMACY OPENING HOURS

Main Pharmacy (Offices)
8:00   am  –  4.00pm weekdays

GOP Pharmacy
8:00   am  –  6.00pm weekdays

Weekends and Public Holidays
9.00 am – 3.00pm

Ward Satellite Pharmacies
24- hours every day including Public Holidays

 Emergency
24- hours every day including Public Holidays

Dental Clinic
9.00 am  – 3.00 pm weekdays only

Federal Secretariat clinic
9.00 am  – 4.00 pm weekdays only

In addition, Registered Pharmacists are always on call to attend to emergencies 24 hours a day every day of the week including Public Holidays
Department’s Contact Numbers:  02 8708347, 02-7518538, 02-7518534

Plastic and Reconstructive Surgery Department


BACKGROUND

The department of Plastic, Reconstructive and Aesthetic Surgery has since the commencement of the Department of Surgery of the University College Hospital, Ibadan, passed through peak and plateau periods. This has been largely due to the small number of plastic surgeons available to service the department. Thankfully, the department has not experienced any significant setback because of the concerted efforts of the founding fathers of the department of Surgery and the past heads of the department.

As was the case with other clinical departments, the department of surgery was housed at the Adeoyo hospital during the construction of the University College Hospital at its present permanent site. The late Prof. Oritsejolomi Thomas, along with Prof. B.M. Jolly (who was the first head of the Surgery Department) and Prof. W.W. Davey were among the staff of the department in the 1950s. Prof. Oritsejolomi Thomas later moved to Lagos where he was appointed Vice Chancellor. When Michael N. Tempest arrived to become the first plastic surgeon to practice as a member of staff in Nigeria in 1962, hopes arose for the thousands of Nigerians born with congenital anomalies and those that had sustained burn injuries and were awaiting reconstruction. Although he did not stay for many years in Ibadan, he commenced the organization of the Unit and wrote a book used by medical students in the Hospital in the sixties. Part of his thesis on cancrum oris was published in the British Journal of Plastic Surgery in 1969. His contributions to Plastic surgery was recognized by the presidency of the British Association of Plastic Surgery in 1984.

The response of Mr. Tempest to a referral sent to him shortly before he returned to the United Kingdom was one of the things that prompted Joseph Olatunde Oluwasanmi to travel abroad to specialize in plastic surgery. Dr. J.O. Oluwasanmi who obtained his FRCS in 1964, was appointed Senior Registrar in the department of surgery. In the same year, Dr. Oluwasanmi applied for a Smith and Nephews Fellowship which if granted would enable him to train in some plastic surgery units in the United Kingdom in 1965. In his recommendation letter, the then head of surgery, Prof. V. Anoma Ngu wrote that the adjudicators of the Fellowship would be doing Nigeria an honour if Dr. Oluwasanmi could be given the chance to study abroad. The reply came within a few weeks and Dr. Oluwasanmi shared the following year between the plastic surgery unit at Broxburn, West Lothian, Glasgow Scotland (under Mr. Wallace), at Newcastle upon Tyne in North East England at the Hammersmith Hospital under Professor Calnan and at East Grinstead. The experience of Dr. Oluwasanmi, enabled him to return as the first indigenous consultant of Plastic and Maxillofacial surgery and he was jointly appointed by the Medical School as a Lecturer and the University College Hospital in January, 1967 as a surgeon. He was also appointed as a Lieutenant Colonel in1968 to help in the management of war casualties at the Midwestern front during the Nigerian Civil war. He became a senior lecturer in 1970. Dr. Oluwasanmi later became a Professor in October, 1973. By the time Prof. Oluwasanmi retired (voluntarily) as head of the Surgery department in 1979, a plastic surgery unit had been established. This Unit was furnished with 3 adult beds in South East One Ward, 3 female adult beds in South West One Ward, 2 beds (for children) on the South East Two Ward as well as a Dental Laboratory.

Dr. Ferdinand Ofodile who obtained a Diplomate of the American Board of Plastic Surgery in 1976, joined the Consultant staff in 1977. He received his residency training at the Harlem Hospital Center and at the Columbia Presbyterian Hospital, New York, USA. He became a Senior Lecturer in 1979 when he took over as head of the Unit and maintained the peak of the division until his departure for the USA in 1982. Before he left, Dr. Chika Ogbonna who received specialist training in Italy in plastic surgery, had joined as a Senior Registrar. The exit of Dr. Ferdinand Ofodile from the Unit left a vacuum brought about by the unavailability of any Consultant plastic surgeon in the Hospital between 1983 and 1992. During this interval, Dr. Oluwatosin joined Dr. Ogbonna as Senior Registrar in 1985. At this time, the Unit was supervised by Prof. Olurin until the period of his retirement in 1986, followed by Prof. Ope Adekunle who was temporarily transferred to the Lagos University Teaching Hospital as Chief Medical Director.

Apart from undertaking tutelage under the consultants at Ibadan, Dr. Oluwatosin’s training was supervised by Consultants in Lagos namely Prof. Sowemimo, Dr. Ademiluyi and Mr. Oyeneyin FRCS, before he transferred to the United Kingdom in 1987 for further training at the Shotley Bridge General Hospital, Manor Hospital, now George Elliot Hospital, Nuneaton at West Midland Nuneaton Merseyside and at the Merseyside Regional Burns and Plastic Surgery Center. Dr. Oluwatosin’s (now Prof) interest in reconstructive surgery was aroused while at the last regional center. His dissertation for the certificate of the Royal College of Surgeons was on the use of arterialised venous flap in resurfacing and revascularisation of the finger.

After the exit of the two senior registrars, Prof. Oluwasanmi was approached by the Chief Medical Director, Prof. B.O. Osuntokun in 1989 to offer his service as a visiting consultant to which he consented (to enable him to continue the training of medical students, resident doctors and as well manage patients). This continued till 1991. Afterwards, Dr. L.I. Okeke Consultant Urologist under the then head of surgery, Prof. O.G. Ajao, supervised the Unit. Following the arrival of a consultant plastic surgeon in 1992, there were three additional beds in the South East One Ward for adult males and three in the South West One Ward for adult females. The movement of neurosurgical and cardiothoracic cases to the neurosciences buildings brought about the availability of these beds.

The last decade of the 20th century, witnessed major changes particularly in the area of specialist training within the Unit. The first free tissue transfer in the Unit, was performed in 1993 on a lady in her 20s who had a modified radical mastectomy for a breast sarcoma and had immediate transverse rectus abdominis musculocutaneous free flap for breast reconstruction. The first locally trained plastic surgeon was Squadron Leader, Bayo Bolajoko. His success encouraged more resident doctors to take on plastic surgery as their specialty of choice and in the following years, Drs. Olabanji, Ademola Abikoye (Mrs.) Tahir and Adigun, followed suit. Thus, the Unit has through the completion of the training of these resident doctors, assisted in the establishment of new plastic surgery units in other teaching hospitals especially in Ilorin, Ile-Ife and Maiduguri. Resident doctors from other areas of specialty such as Ophthalmology, as well as Otorhinolaryngology from the UCH and other teaching hospitals also rotate through the Unit.

The first flap and microvascular surgery course in the West African sub-region, was hosted by the Unit in conjunction with the Department of Anatomy of the University of Ibadan in April, 1995. It was attended by Resident doctors and Consultants in Orthopaedics & Trauma, ENT, Maxillofacial Surgery, and General Surgery. The course which holds biennially, includes intensive lecture content and extensive practical sessions on cadavers, simulating vessel kits, small animal microvascular practice and large animal perforator flap practice. The course facilitators are often from within and outside the West African sub-region and they include Plastic surgeons, and Consultants from the fields of Dentistry, ENT, Neurosurgery, Orthopaedics, Ophthalmology and Anaesthesia.

In January, 2011, the Burns Unit commenced the admission of cases. The Burns Unit is a 12-bedded ward, which consists (at present) only of minimal facilities including a hoist, and a custom fabricated bath with heater. The Unit has a dedicated nursing staff three of which have the certificate of training in burns and plastic nursing from the National Orthopaedic Hospital, Enugu in conjunction with the Nigeria Association of Plastic & Reconstructive Surgeons.

The Board of Management of the University College Hospital, Ibadan, approved at its September, 2011 meeting for the division of Plastic Surgery to become the Department of Plastic, Reconstructive and Aesthetic Surgery.

In addition to treating patients, the department trains resident doctors from within and outside the country. Below are the details of the headship of the department from its establishment as a Unit till its evolution into a department.

Headship of the Plastic, Reconstructive and Aesthetic Surgery from Inception

S/N Name Period of Headship
1. Michael N. Tempest 1962-1964
2. Joseph Olatunde Oluwasanmi 1967-1980
3. Ferdinand Ofodile 1980-1983
4. Chika Ogbonna 1983-1985
5. Odunayo M. Oluwatosin 1992-till present

 

ACHIEVEMENTS

Some of the recorded achievements of the Department over the years include:

  • Instituting DERMAJET, an intrascar gun injection method combining the use of xylocaine, triamcinolone, and hyaluronidase for treatment of keloids in the seventies.

 

  • Organization of biennial micro-vascular and free tissue transfer course for surgical specialties
  • The Department has the topmost Burns Unit in the country with facilities for intensive management of burns including inhalation injury.

 

  • The department has collaborated with the University of Connecticut, and LAUTECH, Ogbomosho in the genetic study of keloids.

 

  • Translational research collaboration with the Faculty of Technology in the University of Ibadan and the Northwestern University, Chicago on different tools particularly in the management of burns

Clinical activities of the Department

General Plastic Surgery Clinic General ward rounds
Cleft care Clinic Trauma theatres
Dermato-Plastic clinic Out Patient theatres
Burn Unit rounds General Plastic Surgery and collaborative theatre sessions

 

Administrative Staff

Mrs. O. M. Ogundare , Mr. T. Ayinde , Mr. B. O. Alao

Sub specialization group personnel

BURN UNIT

Dr. Ayodele O. Iyun , Dr. Samuel A. Ademola ,Dr. Olayinka A. Olawoye

WOUND MANAGEMENT UNIT

Dr. Samuel A. Ademola,  Dr. Ayodele O. Iyun

BREAST AND COSMETIC SURGERY UNIT

Dr. Olayinka A. Olawoye , Dr. Samuel A. Ademola,  Dr. Afieharo I. Michael,  Dr. Adeyinka Ademola,  Mr. Temidayo Ogundiran

HAND AND MICROSURGERY UNIT

Prof. Odunayo M. Oluwatosin , Dr. Afieharo I. Michael  , Dr. Olayinka A. Olawoye

CRANIOFACIAL, HEAD AND NECK SURGERY UNIT

Dr. Afieharo I. Michael , Dr. Adeola A. Olusanya

Physiotherapy Department

BACKGROUND

The Department of Physiotherapy is one of the foundation departments of the University College Hospital, Ibadan. It started in a small building in Adeoyo in 1953. The Adeoyo hospital facility was not adequate by the standard of the University of London to be accredited as a teaching hospital and as a result, the department moved from Adeoyo to the present site of the University College Hospital, Ibadan. After the department moved to UCH, Ibadan, it had less than 10 members of staff which were inclusive of three expatriates, one Chartered Nigerian Physiotherapist, one assistant Physiotherapist and one porter. Over the years however, the department has grown in relevance, performance and size. As at 1977 and 1997, the department had 29 and 24 members of staff respectively. At present, the department has 57 Physiotherapists of different cadres in addition to her support staff. In addition, Dr. T.A. Oshin was appointed as the first Consultant Physiotherapist in 1973. At the moment, the department has 12 Specialist Advisers from all the specialty areas of Physiotherapy available within the Hospital. Details of the headship of the department from inception, is shown below:

Headship of the Physiotherapy Department from Inception

S/N Name Period of Headship
1. Dr. T. Abayomi Oshin 1966-1973; 1973-1990
2. Mrs. S.A. Ajao 1974-1988
3. Mrs. S.A. Kehinde 1988-1993
4. Mrs. A.I.O. Aboderin 1993-1996
5. Mr. E.F. Alade 1996-2001
6. Mr. R.K. Olanrewaju 2001-2009
7. Dr. (Mrs.) O.O. Taiwo 2009-2013
8. Mrs. M.A. Akintayo (First Director of Physiotherapy) 2014-till date

 

ACTIVITIES

At inception, patients were treated in the out-patient and ward units which formed an integral part of the department. The increase in the number of ward beds in the hospital however led to a greater demand for the services of Physiotherapists within the hospital. To this end, the Management of the Hospital allocated a space on the first floor of the central block to serve the ward patients. This was later withdrawn by the Management of the Hospital in 2010. The current out-patient facility of the Physiotherapy department was commissioned in 1985 with a view to being one of the largest and modern Physiotherapy facilities in Africa.

Currently, the areas of specialty within the department include: Orthopaedics, Neuromedicine, Neurosurgery, Cardiopulmonary, Burns/Hand Rehabilitation, Women’s Health and Community Physiotherapy. Recently, Geriatric Physiotherapy was introduced at the Chief Tony Anenih Geriatric Center to cater for the elderly in our society.

ACHIEVEMENTS

Besides the care that the department provides, the department has recorded some achievements as indicated below:

Physically challenged people’s party: The department organizes annual end of the year party for disabled children that have received/are receiving treatment. This was the initiative of Mrs. Baker, an expatriate Physiotherapist in 1961 during the Christmas period for children with polio myelitus. After the eradication of polio myelitus, the party evolved to an annual party for the physically challenged. It takes place every 2nd Wednesday in December.

Monthly Hospital Walk for fitness: This was introduced by the Hospital Management in April, 2015 as a means to encourage members of staff to keep fit and to raise awareness of the role of physical fitness in the society. The turnout of the Walk has continued to increase over the years with an average of 200 participants monthly.

 

MRS MUIBAT ADETUTU AKINTAYO

Head of Department (Physiotherapy)

Public Health Nursing Department


HISTORY OF PUBLIC HEALTH NURSING DEPARTMENT 

One of the decided cardinal programmes of the Board of management of the University College Hospital, Ibadan was the promotion of Public Health Nursing as a co-ordinate department and as one arm of Nursing together with Clinical Nursing Services and Nursing Education.

In line with this decision, the Nursing Advisory Committee of the University College Hospital, Ibadan in November 1993, received proposals from the Assistant Director (Nursing) and coordinator of Nursing Affairs, in person of Mrs. C.A Ejumotan, which articulated the current status with regard to the provision of Public Health Nursing Services in the hospital.  After detailed discussion, the committee agreed to recommend to the Board of management the creation of Public Health Nursing as a Department in the hospital.

The Committee believed that this unit will provide a more effective linkage with the Primary Health Care Development Agency and other International Agencies.  The Nursing Advisory Committee further recommended that Management be empowered to work-out the modus operandi for the take off of the Department, all the Practising Health Nurses (Public Health Nurses and Health Educators) attached to Clinical areas in the  hospital and the U.C.H. satellite stations at Okuku and Sepeteri were pooled together to form the nucleus/foundation staff of the department bearing in mind that the pooling together of the various components of this unit will provide efficiency and ultimate effectiveness.

The department eventually took-off in January 1995 with Mrs. Patience E. Onalaja as the first departmental head and has since been waxing stronger and stronger, recording successes and rendering preventive, promotive, protective, rehabilitative and comprehensive health care to clients and their families in the University College Hospital, Community, rural and urban areas, thereby realizing the vision and mission of the University College Hospital, Ibadan.

Departmental Vision

To deliver optimal care through Health-Promotion, disease Prevention and Rehabilitation while ensuring full participation by community members through effective education, counseling and communication as well as treatment of clients.


Departmental Mission

To extend health promotion activities to all nooks and crannies of the community within and outside Oyo State and undertake necessary actions that will strengthen the National Health system.


Departmental Goals

  • To support the University College Hospital Ibadan in the training of personnel for national health industry.
  • To conduct research in order to find solutions to identified health problems
  • To render qualitative health care services to our immediate and extended communities through the philosophy of National Primary Health Care approach.
  • To implement all federal government policies on preventive health.

Activities

The Department is engaged in both hospital and community based practices. There are 26 units in the Hospital Based Segment and 29 units in the Community Based segment and the community segment (Primary Health Care Centres ) forms the link between the University College Hospital and the Community.


Activities of the Public Health Nursing Department

  • Identifies health needs of the community within UCH and Outreach stations.
  • Health Education./Health information using appropriate language and visual aids.
  • Individual and group counseling – to encourage health behavioral and positive attitudinal change.
  • Routing and Nor-Routine Immunization Programmes for Children and Adults
  • Organizes and executes nutritional education sessions.
  • Prevention and Control of Communicable and Non Communicable Diseases.
  • Contact Tracing of clients/Relatives
  • Referral Services
  • Routine ward visits/follow up visits
  • Home visiting/Home based care.
  • Collects data from clinics & outreach centres for health planning and research projects
  • Record Keeping
  • School Health Programmes
  • Training Students on Community Health Programmes
  • Identifie common health problems of adolescents and human sexuality and offers counseling services.
  • Identifies & counsels on problems associated with ageing and how to prevent and control them among others.
  • Quality Reports Writing in compliance with Total Quality Management Department standard. 

NAMES OF PAST HEADS OF DEPARTMENT TILL DATE.

  • P.E. Onalaja – January 1995 – April 1999
  • C.A.U Ofodile – May 1999 – June, 2004
  • F.A. Olusanya – June, 2004 – February, 2006
  • L.E. Olatoye – March, 2006 – May , 2007
  • T.B. Babalola – May, 2007 – January 2010
  • V.O.A. Taiwo – January, 2010 – 30thJuly, 2013
  • Modupe A. AINA – till date.

OUTSTANDING ACHIEVEMENTS OF THE DEPARTMENT

  • Community sensitization leading to community participation in Primary Health Care services in all UCH Community Based Primary Health Care Centres that ensure acceptance and sustainability of Primary Health Care services.
  • Used of bulk SMS to remind the mothers about their babies immunization appointment days helped a lot to track babies for immunization especially in immunization clinics like UCH Centralized Immunization Clinic, Kola Daisi Foundation Primary Health Care Centre (under UCH), Idikan Primary Health Care Centre etc to the extent that most of the immunization clinics need another bigger immunization building to accommodate the numbers of mothers and babies for immunization and infant welfare clinics e.g UCH Centralized Immunization Clinic.
  • Successful joint development of Public Health Nursing Department Strategic Plan for the period of year 2016-2020 by the Public Health Nurses.
  • Promotion of Community ownership of Primary Health Care activities with Advocacy visits and sensitization of Traditional leaders, opinion leaders and use of Community Health Committees with technical support from Public Health Nurses in UCH Primary Health Care Centres and outreach clinics e.g. Eye outreach and Psychiatric Outreach Clinics among others.
  • Adequate training of Public Health Nurses through Public Health Nursing Departmental Monthly Scientific Presentations to train and to give update on Public Health issues/diseases i.e both communicable and non communicable. Also members of staff are being released / sponsored by UCH management for various courses within and outside the country to enhance their professional competence.
  • Procurement of Solar freezer, solar fridge and solar energy power by the Management of University College Hospital at Centralized Immunization Clinic has ensure constant power supply to maintain cold chain system which has greatly enhanced good vaccine (both Routine and Non-Routine) storage system for the use of UCH Centralized Immunization Clinic and all UCH Primary Health Care Centres to attain regular immunization of both children and adults especially the children to promote child survival strategies.
  • Formation and regular supervision of Health Associations such as Diabetes Association, Asthma Association, Glaucoma Association by Public Health Nurses to assist patients to attain optimal Health.
  • Active involvement and participation of Public Health Nurses in sensitization/awareness programme during World Health Notable Days/Week e.g World Asthma Day, World Breast Feeding Week etc.
  • Continue collaboration of media houses with Public Health Nursing Department especially NTA, BCOS, Mitv, Radio Nigeria, Splash F.M. and Diamond F.M. stations in Oyo State on Educative Health talks or discussions.

GOOD PRACTICES AND INNOVATIVE EXAMPLES

  • Airing of jingle on EBOLA composed in English and Yoruba by one of the Public Health Nurses from the department is on-going in UCH Community Primary Health Care Centres to remind the public about preventive measures on Ebola Virus Disease and Viral Heamorrhagic Fever.
  • Accurate monthly report with the use of standard reporting forms jointly designed by Public Health Nursing Department in collaboration with Total Quality Management Department and which was produced by UCH Management to ensure good representation of activities in all UCH Primary Health Care Centres and Hospital Based Units of Public Health Nursing Department to include data analysis, interpretation and graphs of the monthly reports.

PROJECTION FOR THE FUTURE

The department has successfully developed a Strategic Plan for the period of year 2016 – 2020.

 

Psychiatry Department

BRIEF HISTORY

The Department of Psychiatry, University of Ibadan started in the mid 50’s when an associate lecturer was appointed within the Department of Medicine to provide outpatient services. By 1963, the 1st chair of Psychiatry was created and in patient services was included with 9 beds in the South West block of the University College Hospital.

At present, the in-patient facilities are in the Neurosciences block where a total of 64 beds in two wards are operated as a male and female ward, there are also outpatient clinics run in the Medical outpatient department and a 24-hour emergency service.

TRAINING ACTIVITIES

The Department of Psychiatry provides Psychiatric training to undergraduate medical student as well as allied medical professions. The training programme is geared towards the acquisition of theoretical and clinical knowledge for practice, teaching and research in Psychiatry.

UNITS

  1. General Adult Psychiatry
  2. Old Age Psychiatry
  3. Child and adolescent Psychiatry
  4. Neuropsychiatry
  5. Drug and Alcohol abuse.
  6. Forensic Psychiatry
  7. Rehabilitation psychiatry
  8. Community Psychiatry
  9. Consultation-Liaison Psychiatry

CLINICAL SERVICES         

Clinical services are available in the following sub-specialties in the department:

  1. General Adult Psychiatry  –  Prof. Gureje & Dr. Oladeji

Ward round Tuesday 10:00am

Clinic Friday 1:00pm at MOP

  1. Old Age Psychiatry   – Prof. Baiyewu.  & Dr Ojagbemi

Ward round Thursday 10am

Clinic Thursday 10am

  1. Child and Adolescent Psychiatry – Professor . Omigbodun/Dr. Bella-Awusah

Ward roundMonday 10 am

Clinic Thursday 9 am

  1. Alcohol and Substance Abuse – Dr. Makanjuola.

Ward roundFriday 10.00am

Clinic Monday 2pm

  1. Neuropsychiatry  –   Dr. Esan

Ward roundWednesday 10 am

  1. Forensic Psychiatry services – Dr. Abdulmalik

Clinic at Agodi prisonTuesday 9am

  1. Rehabilitation services  –  Dr. Oladeji
  2. Community Psychiatry   services –  Dr. Makanjuola

Clinic atfour primary health centres in Ibadan North LGTuesday 9.00am

  1. Consultation Liaison services –  Dr. Lasebikan

Ward Rounds: Fridays

Clinic: Mondays

10 Emergency Psychiatry services-All Consultants

11  Other services by allied professionals

  1. Social welfare services
  2. Occupational therapy services
  3. Clinical psychology

Radiation Oncology Department

BRIEF HISTORY

The Radiotherapy department was formerly a unit under the department of Radiology University College Hospital, Ibadan. The department was commissioned in May 1987 by the then President and Commander in Chief of the Federal Republic of Nigeria, General Ibrahim Babangida, GCFR.  At the inception, the Radiotherapy unit had Dr. O. O. Agboola (FMCR, FWACS) as the pioneer Consultant and Senior Lecturer in Radiation Oncology; Mrs Alao and Mrs Odunlami as the Chief Radiotherapy Technologists; Mr S. A. M. Adeniran as the Medical Physicist; Mrs O. Ojo as the Nursing Officer; and Mr J. Adewole as the Chief Technical Officer.  In 1988 (August 7th) Professor O.B. Campbell (then Dr. O.B. Campbell) joined the unit as Lecturer/Consultant in Radiation Oncology.

The therapy facilities for cancer management at its inception included the following: 1.25 MeV Theratronics Tele-Cobalt machine; Theratron Simulator Unit, 300 kVp Ortho-voltage machine and a manual after-loading low dose rate (LDR) brachytherapy unit housing Caesium-137 radioactive source. Between 1988 and 1995, the Radiotherapy unit, UCH Ibadan was the only regular functioning Radiotherapy centre in Anglophone West Africa to which thousands of cancer patients were referred for treatment. In 1992, the UCH management under Professor O.O. Ajayi, C.O.N. , the then Chief Medical Director, upgraded the Radiotherapy unit to a full fledged autonomous clinical department and appointed Professor O. B. Campbell (then Dr. O. B. Campbell) as the pioneer clinical head of the new department. Following the upgrading of the unit to a clinical department, the department started gaining recognitions within and outside Nigeria.

LIST OF HEADS OF DEPARTMENT TILL DATE

  1. Prof O. O. Agboola – 1985-1992
  2. Prof O. B. Campbell – 1992 – 2008
  3. T.N. Elumelu-Kupoluyi – 2008 – 2010
  4. Dr A. A. Adenipekun – 2010 – 2013
  5. Dr T. N. Elumelu-Kupoluyi – 2013 – 2016
  6. Prof A. A. Adenipekun – 2016 – till date

 

OUTSTANDING ACHIEVEMENTS OVER THE YEARS

  1. The clinical department of radiotherapy was accredited as the centre for Radiation Oncology by the West African College of Surgeons
  2. The department was permitted to present its resident doctors for Fellowship examinations by the West African College of Surgeons and the National Postgraduate Medical College. By 1995, the first set of Resident doctors (Dr. R. Oyesegun and Dr. A. A. Adenipekun) who sat for both (Fellowship and National postgraduate) examinations passed. Among the first eight Fellows that the department produced in Radiation Oncology for the two postgraduate colleges (National and West Africa) is the first female Fellow of Radiotherapy in Nigeria, Dr T. N. Elumelu, who qualified in the year 1999.
  3. For several years, the Radiotherapy department was the only regular functioning Radiotherapy centre in Anglophone West Africa countries to which thousands of cancer patients were referred for treatment.
  4. Through the linkage of the department with the International Atomic Energy Agency (IAEA), the Physics Laboratory in the department was equipped with dosimetry equipment for radiation quality control measurement of all the treatment machines in the department. This took place between 1995 and 2006
  5. Through the technical assisted project, the IAEA donated the first High Dose Rate (HDR) remote afterloader Brachytherapy unit in West Africa to the department in the year 2007. This was commissioned into clinical services in August, 2008.
  6. The collaborations of the department with international bodies and especially IAEA, afforded members of staff namely Radiation Oncologists, Medical Physicists, Therapy Radiographers, Technical Officers and Oncology Nurses the opportunity to obtain fellowship to travel abroad for training courses, conferences and workshops in Radiation Oncology.
  7. In 2000, the Department produced its pioneer Professor of Radiation Oncology in person of Professor Oladapo Babatunde Campbell. This boosted the academic strength of the department.
  8. In recognition of the academic, research and teaching efforts of the department, the University of Ibadan upgraded the department of Radiotherapy to a full autonomous academic department in the year 2005 and appointed Professor O. B. Campbell as the pioneer head of department.
  9. The department also accepts and trains undergraduate and postgraduate students from Nigerian University for industrial training.
  10. The first Psycho-Oncology unit in the history of the University of Ibadan was created in the year 2010 in the department of Radiotherapy UCH, Ibadan.
  11. In 2017, the department commenced a Master degree programme in Psycho-Oncology
  12. In 2017, the Department produced a second Professor of Radiation Oncology in person of Professor Adeniyi A. Adenipekun
  13. The department has since witnessed tremendous growth in the area of intensive training of the following personnel:
  • Resident doctors from all over Nigeria.
  • Radiotherapy Technologist; the Postgraduate Diploma in Radiotherapy Technology in collaboration with the University of Ibadan, Ibadan is about to commence in the department. Presently, the department is collaborating with the Radiographers Board of Nigeria in organizing a conversion programme from diagnostic Radiography to Therapy Radiography.
  • Oncology Nurses through yearly oncology training workshop for Nurses all over Nigeria
  • Medical Physicists (on-the-job- training) from other radiotherapy centres in Nigeria
  1. The current staff strength in the Department are Radiation Oncologist (10); Resident Doctors (8); Medical Physicist (4); Therapy Radiographer (6); Engineer (4); Oncology/Clinic Nurse (6); Ward Nurse (6); Health Attendant (14); Record officer (6); Secretariat (4).

 

CORE RESPONSIBILITIES OF THE DEPARTMENT

  1. Holistic Management of patients living with cancer
  2. Clinical assessment and medical management of cancer patients
  3. Planning of cancer patients for radiation therapy (Simulation)
  4. Administration of ionizing radiation (Teletherapy and High Dose Rate Brachytherapy).
  5. Clinical follow-up of cancer patients to assess response to cancer management, side effects to treatment and survival
  6. Cancer research and training

LOCAL OR INTERNATIONAL COLLABORATIONS

The department has established linkages with the following bodies:

  1. International Atomic Energy Agency, IAEA, Vienna Austria
  2. National Cancer Institute, Bethesda, USA
  3. International Agency for Research in Cancer Lyon, France.
  4. International Union for Campaign Against Cancer, UICC

CORE ACTIVITIES OF RADIATION ONCOLOGY DEPARTMENT

The Department offered the following services (Clinical, training and Research studies) towards cancer management:

  1. External beam radiotherapy with Cobalt-60 machine
  2. High dose rate (HDR) Brachytherapy
  3. Chemotherapy
  4. Psycho-oncology
  5. Counselling
  6. Cancer health education
  7. Clinical oncology services
  8. Postgraduate Residency training
  9. Research studies in Radiation Oncology
  10. Short Training Courses in Therapy radiography, nursing oncology workshop; psycho-oncology, radiation protection and industrial training attachment for both under-graduate and post-graduate students.

FUTURE EXPANSION

To become a full fledge Radiation Oncology Centre in Nigeria, the following items are required:

  • Treatment Machine: Linear Accelerator (with Photon and Electron beam Energies, MLC, Portal Imager), 3D Treatment Planning System, Multiple channel Remote After-loader High Dose Rate Brachytherapy machine using Cobalt-60 Source, C-arm imaging unit, Ultrasound machine, Mould Room Facilities and Gamma Knife unit.
  • Training Programme: Postgraduate training programme (M.Sc.) in Radiation Oncology, Medical Physics, Therapy Radiography and Nursing Oncology.

 

VISION STATEMENT: To become a world class Radiation Oncology Centre

 

MISSION STATEMENT: Provide a timely, effective and holistic management of cancer.

Staff Medical Services Department


BRIEF HISTORY OF STAFF MEDICAL SERVICES

Staff Medical services have been in existence since 1982 with full fledged comprehensive medical program under the pioneer headship of Dr. G.I. Adeleye. The department is a medical department; essentially an out-patient outfit with complementary services for follow-up of members of staff seen in specialist Clinics and those on admission, under an efficient and result-oriented team led by Dr. Adekemi A. Fadipe, a Consultant Family Physician and administrator.
There is 24 hour consultation program for UCH staff, dependants, College of Medicine (UCH based) staff, dependants in the Staff Clinic outpatient facility and after hours in casualty.
The department has 4 consultants, 3 of whom are Consultant Family Physicians, a Senior Medical Officer, who is a Specialist   Pediatricians and  9 medical doctors complemented by devoted paramedical team.
CORE RESPONSIBILITIES
The Staff Medical Services Department is responsible for looking after over 7 thousand people made up of UCH/College of Medicine staff and their dependants and additional NHIS registered spouses (husbands)
The department carries out daily medical consultation for these groups of people and also after hour consultation.
The consultant staff coordinates and supervises the medical officers to achieve a standard medical health delivery for the well being of the staff and their dependants.
Routine immunization clinics are run for staff and dependants on Tuesdays and Thursdays.
It caters for a significant number of NHIS registered persons in the teaching hospital complex.
It routinely does screening exercises for occupational groups in the hospital and also specific screening from time to time and plans interventional programs as needed.
CORE ACTIVITIES

  • 24 hour coverage of Health care delivery for members of staff of the UCH/College of Medicine (UCH based) and their dependants.
  • Occupational Health clinics on Tuesday and Thursday for Pre-employment/ pre-school entry/Overseas job/Overseas courses medical examination.
  • Follow up of cases attending specialist clinics and patients on admission. Attendance at Continuous Medical Education Programs is mandatory for all members of staff in the department.

DESCRIPTION OF SERVICE

  1. Daily consultation; Daily Comprehensive medical consultation with side room laboratory investigations. Health education & counseling inclusive
  2. Occupational Health Clinic; Comprehensive medical examination/screening and well clinics 9am – 2pm on Tuesday & Thursdays
  3. NHIS patients; Daily Comprehensive medical consultation NHIS counter-signature

CLINIC DAYS FOR THE CONSULTANTS

PROSTHETICS CLINIC

Monday – Dr. T.J. Ogunrinde
Tuesday – Dr. O.O. Dosumu
Wednesday – Dr. T.J. Ogunrinde
Thursday – Dr. T.J. Ogunrinde
Friday – Dr. O.O. Dosumu

CONSERVATION CLINIC
Monday – Dr. D.M. Ajayi
Tuesday – Dr. I.M.F. Abiodun-Solanke
Wednesday – Dr. D.M. Ajayi / Dr. A.O. Sulaiman
Thursday – Dr.I.M.F. Abiodun-Solanke
Friday – Dr. A.O. Sulaiman

Sugery

The Chief Tony Anenih Geriatric Center


BACKGROUND

In line with the vision of the Hospital, the Chief Tony Anenih Geriatric Center (CTAGC) seeks to be the flagship Center for the care of older patients in West Africa contributing to the realisation of the vision of a world where older persons live a long and enjoyable life as well as contribute their quota to the society through active partnerships with community and government services. The Center aims at accomplishing and maintaining an enviable standard of excellence through the advancement of research and education in Geriatrics and by providing a patient and family centred care in a culturally sensitive environment.

The Chief Tony Anenih Geriatric Centre (CTAGC) which is the pioneer geriatric centre in Africa, was the initiative of the Chief Medical Director of the University College Hospital, Ibadan Professor Temitope Alonge. The Center which was endowed by Chief Tony Anenih, CFR, was official commissioned on the 17th of November, 2012 by the then Honourable Minister of Health, Professor Onyebuchi Chukwu. The management of patients (senior citizens aged 60 years and above) commenced in the Center on the 13th of December, 2012.

At inception, Dr. Lawrence Adebusoye was appointed Ag. Director from the 10th of December, till the 5th of November, 2015. However on the 6th of November, 2015, the position of Dr. Adebusoye was substantiated and he was appointed Director of the Center, a position he holds till date.

The Physical Structure

The CTAGC is made up of four buildings purposely designed to give holistic care to the elderly patients. These buildings are; (1) The Outpatient building:- This houses the pay points, a large reception/waiting area, a nurses’ station, a health records station, a pharmacy, a laboratory and four consulting rooms. (2) Theatre building:- This has 2 ultra-modern theatre suites for general and speciality surgeries. (3) The In-patient Building:- This has six rooms with a total of nine beds to admit elderly patients needing acute medical care. (4) The Administrative and Rehabilitation building:- This houses the physiotherapy unit, dietetics unit, a kitchen, seminar room, laundry and offices.

 

ACTIVITIES/ACHIEVEMENTS

 

Service Delivery

There are nine service areas at the CTAGC, tailored to the needs of elderly patients. These are; the outpatient service, in-patient service (ward), physiotherapy, dietetics, surgical (theatre), dental, specialities (ophthalmology, gynaecology, rheumatology, memory and old age psychiatry), medical social work unit (recreational day unit) and health and safety unit.

Outpatient Services:

  1. The all-inclusive (“one-stop shop”) approach has facilitated easy access to health care service through a smooth flow of activities within the same hall. Within five years of existence, the centre has witnessed an exponential growth to 12,075 newly-registered elderly patients. The daily turn-out is between 80 and 110 elderly patients. Health education is given daily to the patients and their carers on personal hygiene, nutrition, health maintenance, exercises and appropriate medication use.

 

  1. The fees for services at the centre are at 50% of what obtains elsewhere in the hospital.

 

  • The centre pioneered the electronic health records system in the hospital.

 

  1. To ensure the affordability of health care, the centre introduced two innovative schemes. (1) The Geriatric healthcare insurance scheme at an annual premium of eighteen thousand naira (N18,000) per beneficiary and (2) “Adopt an elderly” program for the indigent elderly patients whose healthcare insurance is paid for by a benefactor.

 

  1. Outreaches: The centre conducts annual medical outreaches to areas within Ibadan to sensitize and bring affordable healthcare to the door-steps of vulnerable elderly people. Outreaches were conducted at the Nigerian Union of Pensioners (NUP) office in 2013, the Ibadan Civic Centre in 2014 and Fun-Factory in conjunction with the Federal Radio Corporation of Nigeria (FRCN) in 2016 and 2017.

 

  1. Financial assistance was provided to Sixty (60) elderly patients in the form of drug subsidy, as well as transportation supports for indigent patients after thorough socioeconomic evaluation.

 

  • Family Therapy: Counselling sessions have been provided for 35 families suffering from instability with the aim of mobilizing and coordinating family support for the elderly.

 

  • Home Visits/Tracing: A total of 32 home visits have been carried out on 8 elderly patients needing family support and socioeconomic assessment.

 

  1. E-Contacts: Clients are contacted through the telephone and counselling given to their caregivers including those outside the country.

 

  1. Establishment of the “Elders’ Forum” which serves as the avenue for recreation and social interaction for the elderly.

Training

  1. Two consultant Geriatricians were sponsored by the centre to train at the University of Cape Town, South Africa.

 

  1. The Centre organizes the annual ‘Basic Certificate Course in Geriatric Medicine’ for doctors with interest in geriatric medicine.

 

  • An annual geriatric training program is organized for Nurses by the centre.

 

  1. Postgraduate Interns (Masters and PhD) are trained at the Center.
  2. Resident Doctors from the departments of Family Medicine and Community Medicine also receive training at the Center.

 

  1. The Center trains medical students of the College of Medicine, University of Ibadan.

 

  • The Center trains undergraduate students in dietetics, social work and physiotherapy from various tertiary institutions.

 

  • The Center also trains home carers of older persons from different Non-Governmental Organizations (NGOs).

Research

Some of the Multidisciplinary studies that have been carried out at the Centre include:

  1. The magnitude, risk factors and treatment outcomes of Osteoporosis among elderly patients presenting at the Chief Tony Anenih Geriatric Centre, University College Hospital, Ibadan, Nigeria.

 

  1. Chronic sleep problems among elderly patients presenting at the University College Hospital, Ibadan, Nigeria.

 

  • Magnitude and associated risk factors of Sarcopenia among elderly patients presenting at the University College Hospital, Ibadan, Nigeria.

 

  1. Body composition of elderly patients attending the Chief Tony Anenih Geriatric Centre, University College Hospital, Ibadan, Nigeria.

 

  1. Prevalence of sarcopenia among elderly patients presenting at the Chief Tony Anenih Geriatric Centre, UCH, Ibadan.

 

  1. Dissertations for the fellowship examinations were carried out by resident doctors from the departments of Family Medicine, Community Medicine and Internal Medicine.

 

  • A final-year thesis by a student of the Physiotherapy Department, University of Ibadan.

Total Quality Management


BACKGROUND

On the basis that the University College Hospital performs a tripartite function of Training, Research and Services, the Board of Management on the 3rd of July, 2009 approved the creation of 10 Service Managers’ posts which were affiliated to the SERVICOM Unit in the Hospital Services Department.  Their functions were to assess and improve services to impact quality of service delivery. During the Board meeting held on the 4th of September 2009, the Service Managers and SERVICOM Units were merged to form the Service & Quality Control Department which was headed by Mr. S. O. Oladejo who reported directly to the Chairman, Medical Advisory Committee. The Service and Quality Control Department was then saddled with the responsibility of ensuring safety and quality health care delivery in a patient friendly manner.

 

The department was later renamed in consonance with international practice as the Department of Total Quality Management. This was approved during the UCH Board of Management meeting held on the 18th of March, 2011. This directive was enacted by Professor Temitope Alonge, the Chief Medical Director, UCH, on the 4thof April, 2011. The department at this time comprised of three (3) Units namely:

 

  • Quality Assurance Unit
  • Quality Control Unit
  • Quality Assessment Unit

 

The SERVICOM Unit which was initially under the purview of the department of Hospital Services was subsequently moved to the department of Total Quality Management on the 7th of April, 2011.  The Chief Medical Director also saw the need to have Statisticians to manage data and these staff were incorporated into the department in March 2014. The Statisticians collect data from the various departments for analysis. The outcomes of such analysis are later used to facilitate evidence based decisions by the Hospital Management.

 

Headship of the Total Quality Management from Inception

 

S/N Name Period of Headship
1 Mr. Stephen Olubusayo Oladejo 2011-2012

 

2 Dr. Modupe Akerele Oluwabusola Kuti 2012-2015
3 Dr. Emmanuelle Achiaka Irabor 2015- Till date

 

ACHIEVEMENTS

The achievements of the Department can be phased into three different time periods, i.e. April 2011-January 2012; February 2012-February 2015 and August 2015-till date, each representing the period of headship of the 3 respective heads of the TQM department.

 

April 2011-January 2012

 

  • Execution of the Management’s mandate in introducing Total Quality Management to all Departments in the Hospital with an overwhelmingly positive feedback.

 

  • Institution of ‘feedback’ to improve service in the Hospital by ensuring that when complaints are addressed, patients are updated about the outcomes.

 

  • Selection of Mrs. O. A. Olusegun as the Quality Improvement Focal Officer following the Chairman Medical Advisory Committee’s approval (and the nomination of the Head of Department). She co-ordinates the quality groups for quality control assessment in the various departments of the Hospital

 

  • Re-deployment of SERVICOM officers, Service Development Officers and one Legal Officer to the Department of Total Quality Management.

 

  • Submission of the 2012 strategic Plan for the Department of Total Quality Management Department.

 

  • Presentation of a comprehensive report of all reactions, comments and suggestions for further improvement on service delivery to the management for the year 2012.

 

  • Involvement with the orientation programme for the newly engaged companies (outsourced services), newly converted Ward Assistants, Porters, House officers/interns and newly employed members of staff of the hospital for 2012.

 

  • Establishing an interaction process with an expert in Total Quality who was appointed as a visiting Consultant to the Department, in the person of Professor. Ope. O. Adekunle of the Department of Surgery, University College Hospital to best address quality issues within UCH.

 

  • Collaboration with the VESTA Healthcare Partners, United Kingdom, and presentation of a paper titled ‘Improving quality and efficiency through better clinical Governance’ by the Managing Partner in the maiden interaction.

 

February 2012-February 2015

  • Coordination of the setting of Performance Standard Reviews for 16 Departments in the Hospital.

 

  • Inauguration of the Quality Management Committee to function in an advisory capacity to the Department of Total Quality management with regards to policy formulation and providing technical resource for policy implementation.

 

  • Organized Quality Assurance Workshop Module I&II for Hospital Departments.

 

  • Creation of the Death Report Format in conjunction with the Morbidity and Mortality Committee, UCH.

 

  • Development of the Employee Handbook.

 

  • Review of some Hospital Panel Reports as a statutory function of the Department.

 

  • Conduct of survey of the patients’ waiting time in the MOP & SOP clinics.

 

  • Handling School of Nursing Certificates by Mrs. F. A. Ogunde.

 

August 2015-till date

  • Creation of SERVICOM Working Tools:
  • Complaint capture forms: Management/Logistics/Complaints

Relationship complaints

Clinical complaints

  • SERVICOM Help Desks.
  • SERVICOM Officers’ Uniforms.
  • SERVICOM CUG phones and lines – to aid communication and report across service areas.

 

  • Re-organization of Units in Total Quality Management Department:
  • SERVICOM Unit
  • Statistics Unit
  • Quality Management Unit – Comprising of the Quality Assurance, Control and Assessment sections.

 

  • Training the SERVICOM officers on:
  • How to capture complaints using the patients’ complaints capture forms and awarding of certificates of training.

 

  • Standard greeting protocol.

 

  • Institution of Departmental feedback to deal with complaints highlighted in the month.

 

  • Creation of Monitoring officers in-charge of the Ward Clerks

 

  • Creation of Monitoring officers in-charge of SERVICOM Officers manning Help Desks in the Clinics, Service Areas and on the Wards.

 

  • Collaboration with Epidemiology Statistics Department to engage clinical heads of the department on forming quality indicators to impact quality of care.

 

  • Monthly Departmental Statistical Presentations.
  • Monthly Departmental Administrators meeting.

 

  • ‘One Stop-Shop’ where patients could purchase drugs, dressing packs, and store appliances in the Pharmacy outlets.

 

  • Survey on patients’ waiting time at EYE Clinic.

 

  • Printing of Standard Operating Procedure for safe blood transfusion in the University College Hospital, Ibadan.