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See the tallest building in Anambra state and the wealthy owner. 

The tallest building in Anambra state is owned by Doctor Godwin Maduka AKA the lion of Africa. He is from Umuchukwu in Orumba south local government area of Anambra state and was born in the year 1959. He has five children with his wife, Stella Maduka.

He is a doctor and owner of Las Vegas Pain Institute and Medical Centre which is located in the United states of America. The tallest building is located in his home town in Anambra state, it is a 15 story building which has modern day facilities. It is considered to be one of the biggest medical research facilities in the whole of Africa. His building helps in providing materials for researchers and helps students in their clinical training. The building is indeed marvelous and is inspiring many indigenous people.

One would ask or any Nabco Trainee would ask about his fate upon completing the three years Contract training. It is for this reason that Nabco Trainees officially petitioned the office of the president through their associations.

Even though Nabco Trainees never heard what they wanted in the NPP manifesto but many personalities have assured Nabco Trainees to be rest assured that after their three years contract, they would be transitioned to permanency in their respective organisation.

The communication Team lead of Nabtag has assured Nabco trainees of permanency in a statement released on the gram. Read the statement below;

"Following the inauguration of the NPP manifesto (dubbed: Leadership of Service) for the next term in office, held on the 22nd day of August 2020, in the Central Region, the executives of NABTAG have come across several reactions from section of NABCO beneficiaries expressing their disappointment for not hearing H.E the president, Nana Addo Dankwa, and his able Vice, Dr. Mahamudu Bawumia, address the prospect of the soon-to-end three-year NABCO contract in their introductory speech.

NABTAG wishes to urge NABCO beneficiaries not to be discouraged, because the actual policies and programs spelt out in the manifesto document were not holistically touched on. The speech delivered by the president and his vice featured few excerpts from the detailed projects outlined in the manifesto. 

NABCO is one of the special initiatives established by the Akufo Addo-led NPP administration under job creation of direct supervision by the office of the president. The absence of NABCO in the their introductory address does not automatically map out to non-existent considerations for permanent employment after the expiration of the current three-year work and learn scheme. 

The NABCO initiative was not envisaged in the 2016 manifesto document of the NPP, but, today, we have 100,000 graduate youth securing their future through the scheme. The manifesto specifies, in general, broader policy objectives to direct the administration of government, out of which the actual implementation plan emerges along the way. 

The prospect of NABCO beneficiaries regarding permanent employment may have not been "facially" mentioned, but that does not abrogate the immediate direct connection to the bigger policy for job creation which was stated in the manifesto. For emphasis, page 180 of the manifesto, details the reinforcements of all government programs to create Jobs for the youth. 

Note: ".......we believe we need to accelerate the participation of young Ghanaians in the economy through entrepreneurship and industry. We intend to do this by reinforcing all the existing programmes we have implemented to create jobs and support young entrepreneurs, while mainstreaming their participation in new initiatives."

In addition, NABTAG'S letter of petition on behalf of trainees has also been recieved by the presidency through the Ashanti Regional Minister. This will enforce, amongst other avenues, the leadership consideration for permanent employment. 

Furthermore, the engagement term of NABCO has not yet elapsed, thus, let us focus on executing our respective duties in our places of work as Nation Builders in anticipation of a favorable prospect from the leadership of the NPP government. 

Do not be discouraged; the Akufo Addo-led NPP administration will not let its guard down on securing the future of the youth through job creation.

Caution: 1. Desist from taking clues on permanent employment from bloggers. The main source of authentic information must be the National Secretariat of NABCO, not blogging websites

2. Since we are at the climax period of campaign for all political parties ahead of the general elections in December, delusions are all over, especially, from the opposition. We have a lot of people parading themselves as NABCO trainees on the various platforms engaging the genuine ones in belittling the NABCO scheme. Let us be mindful of such individuals blinded by partisan politics to face issues with genuine conscience. Guess what, it wouldn't be ideal to pay attention to such persons whose presidential candidate finds OKADA business better than NABCO.

4More4Nana2DoMore

Signed:

Akwasi Botchway, 

National Communication Team Lead (NABTAG)

Cc: Dennis Katakyie, 

National President (NABTAG)".

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Surgery rotations at the EFTSH, Banjul, The Gambia was really interesting and impactful. Everyone was friendly and patient, a prerequisite for a successful rotation.

A Brief Opinion based on my experience.

The rotations were standard when you want to compare to similar rotations in countries like Nigeria, The Caribbean’s, etcetera (I was able to do some comparison with some friends in these countries).

The Consultants are really kind and understanding, they would try to teach you as much as you need to know.

It is very important that you study before you start your surgery rotations because your superiors (Consultants, Registrars, Medical officers and House officers) would expect that you already know a lot from Basic sciences and previous rotations.

They are going to ask you a lot of questions, don’t run away. Be bold, give answers to questions you know, attempt the ones who have an idea of and politely excuse yourself for those you have no knowledge.

Some of the consultants took note of their students, they noticed how much questions you answer during the rounds, they also notice your punctuality and probably many other salient characters I can’t point at now. That way they have a mental picture before the examination. The point is, you may earn your marks even before the examination day, so study before your rounds at least.

Clerking of patients, cannot be over emphasized. Practice clerking as often as possible, say at least one patient per day. You can clerk/follow up your patients for better understanding of the cases, this would boost your confidence for the long case examination.

Time management is really important in clerking, if you know the local languages (Wollof, Mandika, Fula etcetera) you are in luck.

Surgery rotation's most common/High yield topics.

I have compiled a list of the most popular/high yield topics that was encountered during our rotations, most would be tested during ward rounds, out patients and surgical procedures and others would be tested during the examination.

The list below may not be complete, but if you are able to cover most, I will bet on you for the student surgery examination whether it be in The Gambia, West Africa or The Caribbean’s (These I have knowledge of).

I will prepare notes on most of these topics and place the links here. Guide yourself with these topics and always check back to see if I have updated the links to my notes here. These notes would be of great help to you, especially in forming the base for your studies.

This list is in no particular order. You may read/order according to most common cases during your rotations (Ward rounds, surgeries and outpatients) as most questions asked during ward rounds are based on the cases on ground.

1.  Pre-operative (Before surgery/operation) and Post-operative (after surgery/operation) management

2.   General Physical Exam

3.    Factors affecting wound healing

4.    Wound classification

5.    Process of wound healing

6.    Factors affecting wound healing

7.    Appendicitis

8.    Diabetic Foot Examination

9.    Classification of Diabetic foot

10. Ulcers

11. Description of Ulcers

12. Types of Amputations

13.   Indications for Amputation

14.  Complications of Amputation

15.  Jaundice

16.  Anatomy of the foot

17.  Deep Venous Thrombosis (DVT)

18. Pulmonary Embolism and Virchows triad

19.   Intestinal Obstruction

20.  Complications of Intestinal Obstruction and their Treatment

21.  Pneumothorax

22.  Classification of pneumothorax

23.  Curvesoirs sign

24.  Peritonitis

25.  GI bleeding

26.  Hernia (Really high yield)

27.   Urine output

28.   Hirschprung disease

29. Peptic Ulcer Disease – types and complications

30.   Cholecystitis

31.   Pancreatitis

32. Gastric Outlet Obstruction (Inability of Gastric content to go beyond proximal duodenum)

33. Upper Motor Neurons  and Lower Motor Neuron lesions (for the neurosurgeon)

34. Factors that impair/prevents Wound healing

35.    Surgical site infection

36.    Charcot Triad and Reynolds Pentad

37. Necrotizing fasciitis (Deep Spreading infection affecting the fascia planes)

38.    Acute Abdomen

39.  Gangrene (A type of Necrosis of body tissue. Types: Dry, Wet, Gas, Founier)

40.    Septic foot

41. Spinal Injury (Motor deficits, Abnormal/Decreased sensations)

42.   Cellulitis

43.   Colon cancer

44.  Transfusions (Whole blood, PRBCs, FFP, Cryoprecipitate, Platenlets)

45.   Diabetes

46. The Diaphragm (Supply and anatomic relations)

Viva Examination focus

1.  Resuscitation equipment

2.   X-Ray (Chest, Head)

3.    CT scan

4.    Cannula

5.    Catheter

6. Fluids & Crystalloids (Composition & Uses)

7.     NG tube

8.     Endotracheal tube

9.      Surgical Instruments

Short case Examination focus

1.     Neck swelling

2.     Hernia/Groin mass

3.     Breast mass

4.     Hirschsprung disease

Neurology focus

I will suggest you pay attention to these topics for neurology.

I remember the neurosurgeon liked these topics. He even openly said he would not forgive anyone who fails to answer questions on the Glasgow Coma Scale.

1. American Spinal Injury Association (ASIA) classification of spinal injury

2.   Dermatomes

3.     Types of spinal cord injury

4.  History and Physical Examination of the Neurologic system

5.                  Glasgow Coma Scale (GCS)

6.                  Hydrocephalus

7.                  Spina bifida and anencephaly

Please note:

This list covers only Surgery 1 rotations.