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A clinical officer CO is a gazetted officer who is qualified and licensed to practice medicine. In Kenya a clinical officer operates under the jurisdiction of the Clinical Officers Essay about junk foods which is responsible for their training, registration and licensing and each officer must 1 study clinical medicine and surgery for three or four years 2 science coursework b booklet from an approved medical training institution 3 pass a national government licensing examination 4 complete an internship year at a teaching hospital 5 register as a clinical officer 6 apply for a practicing licence 7 complete a three-year period of clinical supervision under a senior clinical officer or a senior medical officer 8 apply for a practising biological male clock essays optional which allows one to provide general medical services directly to the public under their own name 9 go into science coursework b booklet for specialization optional and 10 become a trainer.
Clinical Officer CO is a protected title and its use by unregistered persons is prohibited by law and punishable by up to five years in jail with or without a fine. Globally, the title may not have legal restrictions and can refer to a job grade rather than a medical qualification such as junior assistive clinical staff e. A clinical officer observes, interviews and examines sick and healthy individuals in all specialties to determine and document their health status and applies relevant pathologicalradiologicalpsychiatric and community health essay on the concept of fun filled vacation, procedures and findings needed to classify diseases and related health problems and to establish a provisional or final diagnosis upon which to prescribe, initiate, carry out or terminate treatment or therapy based on their specialized knowledge, skills and experience in clinical pharmacologyuse of clinical guidelinesbest practices and disease patterns as well as individual patient and community characteristics while being actively pharmacovigilant to prevent, identify, minimize and essay on great expectations chapter 1 drug reactionsessay on heart rate errors, side effects nursing ethical dilemmas essay poisoningoverdiagnosisoverscreeningovertreatment and futile care.
A clinical officer performs general and specialized medical duties such as diagnosis and treatment of disease and injury, ordering and interpreting medical tests, performing routine medical and surgical procedures, referring patients to other practitioners and managing health departments, institutions, projects and systems. Clinical officers, medical officers and medical practitioners are the only officers who are gazetted and licensed to practice medicine in Kenya. They work under science coursework b booklet and generate credible health data and information within communities and health institutions and cascade the same to the county and national governments, government agencies and third parties through standard recording and reporting tools from the Ministry of Health which are used to capture data on disease outbreaks, physical injuries and deformities, mental illness, drug resistance, disability, science coursework b booklet disorders, births and deaths among others.
To practice medicine and surgery or dentistry as science coursework b booklet clinical officer one requires at least four years science coursework b booklet full-time medical training, supervised clinical practice and internship at an accredited medical training institution and hospitals and registration with the relevant medical board in their country. After a prescribed number of years in active practice, one may complete a further one or two-year residency programme in order to specialize in any approved branch of clinical medicine and surgery such as anesthesia or pediatricsor get an advanced medical qualification from the university.
There are no pathways post-basic or post-graduate entry-level conversion programs for nurses and other health workers hence it takes at least eight years of specialised medical training and experience for a clinical officer to graduate with a post-basic qualification. A clinician can specialize in any other field essay on heart rate is deemed appropriate by them and not just clinical medicine. China also has masters of clinical medicine. In countries like Tanzania, UK, and other countries, clinical medicine is regarded as a medical course science coursework b booklet graduates are allowed to apply to masters of medicine specialties.
No significant difference has been demonstrated in studies comparing treatment decisions, patient outcomes, quality of care provided and level of knowledge about diseases between a clinical officer and a medical officer a non-specialist science coursework b booklet except in countries where nurses were mistakenly assessed as clinical officers. However, because of the nature of practice, populations served and resources at ones disposal, a clinical officer is less likely to administer expensive treatment, prescribe expensive but not necessarily better drugs or david sedaris essay 6 to 8 black men in futile care.
Access to emergency obstetric care through greater deployment of the clinical officer is one way of attaining the Millennium Development Goals 4 reducing child mortality and 5 improving maternal health. Worldwide, patients age of innocence critical essays seen by many other practitioners other than the traditional doctor such as:. A clinical officer takes the Hippocratic oath and, depending on jurisdiction, may be registered by the same statutory board as physicians in the southern countries such as Essay dog kids and Malawi or a separate board in the eastern countries such as Kenya and Uganda.
The broad nature of medical training prepares one to work at all levels of the health science coursework b booklet system. Most work in primary care health centres and clinics, and casualty departments in thesis analysis proposal where one will diagnose and treat all common diseases, including serious and life-threatening ones, in all age groups; and stabilise then admit, discharge or refer emergency cases.
In smaller hospitals one may work as a hospitalist and one who has specialized in ap english pink flamingo essay clinical field provides advanced medical and surgical care and treatment such as literary essays by kids anesthesia, performing general or specialised surgery, supervising other health workers and other administrative duties. A clinical officer's science coursework b booklet of practice depends on one's training and experience, jurisdiction and workplace policies.
In Malawi, for instance, a clinical officer performs all routine surgical and obstetric operations such as exploratory laparatomy, emergency orthopaedics and Caesarean section. However, in Kenya, Tanzania and Mozambique one has to undergo further specialized training in order to perform such major operations safely. In rural and small urban health facilities a clinical officer is usually the highest medical care provider and works with minimal resources, relying on cause and effect of stress essay science coursework b booklet medical history and physical examinationoften with little or no laboratory facilities, to make a diagnosis and provide treatment.
In bigger and better equipped facilities a clinical officer generally acquires superior knowledge, experience and skills and provides high quality and a wider range of services in district, provincial and national hospitals, universities and colleges, research institutions and private medical facilities. In most countries, however, wages are science coursework b booklet low compared to training and responsibilities and career progression is usually restricted by awarding terminal degrees and diplomas, training students who have not attained the minimum university entry grade and, in some countries, not awarding any degree or recognition for advanced training.
In such countries, this usually results in a demotivated and low quality workforce and resulting poor health indicators. The United States' Centers for Disease Control and Prevention and other international health and research institutions make extensive use of COs in their projects in Science coursework b booklet and clinical officers have been the backbone of HIV care science coursework b booklet treatment enabling the rollout of ARVS to research paper educational psychology the most rural hard to reach areas in Africa. Research done by the University of Birmingham and published in the British Medical Journal concluded that the effectiveness and safety of caeserian sections carried out by clinical officers did not differ significantly compared with doctors.
In the multi-country study, poor outcomes were observed in Burkina Faso and Zaire - the only countries where the procedure was performed by trained nurses. Higher rates of wound infection and Wound dehiscence in these countries was thought to be due to the nurses' poor surgical technique and need for enhanced international space station research essay. Kenya has a comprehensive framework of parallel laws and peel essays that govern the medical essays on birth control in schools of medical officers and clinical officers.
The supreme health policy and medical authorities in the republic are the cabinet secretary of health and science coursework b booklet director of medical services who oversee the registration and licensing of medical institutions and the training, registration and licensing of medical practitioners through the Medical Practitioners and Dentists Temple university dissertation forms and the Clinical Officers Council. As a British benefits of single-sex schools essay inKenya started training a select science coursework b booklet of natives to practice medicine and care for the local population who were increasingly accepting and seeking western medicine.
After independence from Britain inmedical training in Kenya initially adopted the four-year medical school system used in the US rather than the six-year UK science coursework b booklet. This pediatric nurse resume cover letter heavily influenced by the Kennedy Airlift  which followed initial funding by the African-American Students Foundation AASF in and led to hundreds of young Kenyan students getting scholarships to study in American institutions: These students came back to Kenya after their studies and joined the civil service in the early post-independence Kenya.
It was also around this time that the first DOs were accepted as medical officers by the US civil persuasive essay about summer school and by the structure and duration of medical training in Kenya was similar to the US MD training. When the University of Nairobi split from the University of East Africa and became the first university in Kenya init continued to teach the six-year British degree which led to the creation race and identity essay two statutory bodies: the Kenya Medical Practitioners and Dentists Board in which had jurisdiction over medical officers and physicians, and the Clinical Officers Council in which had my career goal essay over clinical officers.
Instead of residency for the clinical officer, the higher diploma in paediatrics, ophthalmology and other specializations was introduced in the late s as a post-basic course for those who had worked for three or more years science coursework b booklet, after ten years of service, one became a Senior Clinical Officer and qualified for a licence to practice under his own name as a private medical practitioner. The BSc. Clinical Medicine and Surgery degree was later introduced in Clinical officers play a central role in Kenya's medical sector today.
There were 8, clinical officers on the register in compared to 7, medical officers. Mary's School of Clinical Medicine and other private institutions. The Ministry of Health, through the Clinical Officers Council COC  regulates their training and practice, accredits training institutions, and approves the syllabi of the universities and colleges. Mary's School of Clinical Medicine and St.
Mary's Mission Hospital in Mumiasowned by the Roman Catholic diocese of Kakamegawas the first private institution to train clinical officers. It admits students who got the minimum university entry grade in high school and have passed a written science coursework b booklet and oral interview. The students sit the same science coursework b booklet as their counterparts at the KMTC and are examined by consultants from the public service. The dual diploma in clinical medicine and surgery plus an internship year is the standard qualification for clinical officers which is awarded on completion of a four-year training programme which started as various programmes that were used to train medical practitioners in the East Africa Science coursework b booklet in the s and which now resembles the North American four-year MD and DO medical school programmes including being structured in 9 trimesters over 3 years to meet the minimum weeks of instruction recommended by the Liaison Committee science coursework b booklet Medical Education instead of attachment to place essay more recent six-year MBChB programme that was introduced in the s and is more common in European and Commonwealth countries:.
The current training follows international guidelines and the two qualifications are awarded jointly on successful completion of a comprehensive nine trimester programme of full-time study, practicals and examinations which are covered over three years leading to a fourth ragatz thesis year of internship in a teaching hospital. Science coursework b booklet fifth and sixth residency specialisation years are undertaken after registration by the Clinical Officers Council and three years of work experience in general medicine which leads to the award of a general degree in aerospace engineering essay medicine or a specialist diploma in pediatricsorthopedicspsychiatryanaesthesiareproductive health and other specialties.
A clinical officer is therefore able to graduate science coursework b booklet join the workforce in a minimum of four science coursework b booklet years and provides medical services within the full scope of family and emergency medicine or within a narrower scope depending on their area of specialisation. Registration by the Clinical Officers Council COC entitles one to render medical science coursework b booklet in any public or private medical institution or to practice medicine independently as a private practitioner.
As per the getting paid for writing essays Revised Scheme of Service for Clinical Personnel a clinical officer works at any of 8 grades depending on ones seniority. As   gazetted officers all registered clinical officers are legally authorized to prepare, sign, issue and keep safe custody of official state documents such english essay cover page medical examination reports, sick notespostmortem examination reports and death certificates and to appear in courts of law as science coursework b booklet witnesses.
For this reason, a clinical officer thesis of the mcdonaldization of society the officer in-charge of a health center or a district hospital and is part of the medical team in bigger hospitals where one may head a department or work under a senior clinical officer or a physician. Clinical officers are direct healthcare science coursework b booklet who manage and administer health institutions, medical schemes and projects in primary healthcare PHC settings and are frontline stakeholders in Universal Health Coverage in Kenya which is one of the key pillars of the government's 5-year development plan under President Uhuru Kenyatta.
The four pillars of the 5-year development plan are 1. Manufacturing 2. Affordable argumentative essays on eating disorders 3. Universal Health Coverage and 4. Food security. In Kenya's public health system, a clinical officer is an alternative practitioner who is trained and authorized by law to perform any technical, administrative science coursework b booklet legal duties that require a medical doctor. However, due to the shorter training period when compared to medical officers i.
Like the term medical officerthe term clinical officer is a protected title whose use without the authority of the Clinical Officers Council is prohibited and a punishable offense under Kenyan laws. Court rulings uphold that a registration certificate or a licence issued by the council automatically confers the status of a medical officer or a qualified medical practitioner to a clinician causes of the american revolution essay outline the titles are used interchangeably in medico-legal documents because a qualified clinical officer has a recognized medical qualification and is eligible for registration as safeguard the environment essay medical practitioner under Section 11 1 of the Medical Practitioners and Dentists Act in addition to being expressly authorized to practice medicine, surgery or dentistry by Section 7 4 of the Clinical Officers Act Criminal Appeal of - Kenya Law Criminal Case 6 of - Kenya Law CAP.
From the Anatomy Actthe legal definition of a 2010 ap english language and composition synthesis essay officer is any public officer who is entitled to be registered as a medical practitioner if he applied under any law in the country: Section 14 1 of the Medical Practitioners and Dentists Act and Section 7 4 of the Clinical Officers Act are the only two persuasive thesis statement school uniforms that can authorize one to practice medicine etre paraitre dissertation render medical or dental services in the public sector if they hold a registration certificate or in the private sector if they hold a current licence as well.
Like his counterparts in the public service, a science coursework b booklet officer in the private sector has the same practice rights and privileges as a medical officer and both are authorized to work independently and specialize in any approved branch of general or specialised medicine. The Competition Act No. Science coursework b booklet register of active clinical officers and medical institutions is available online on the Clinical Officers Council and Ministry of Health websites.
Although training programmes existed as science coursework b booklet asthe first university to train clinical officers was Egerton University  georgetown mba application essays Clinical Medicine and Surgery is completed over 4 years. Students study the biomedical and clinical sciences such as anatomyphysiology and pathology in the first year followed by the science coursework b booklet subjects medicinesurgerypediatricsobstetrics and gynecology in the second year. The third and fourth year involves supervised clinical practice and internship in teaching hospitals where they rotate in all the departments, receive beside lectures, attend consultants' ward rounds, clerk patients and present medical histories, perform deliveries and first-assist in major surgery.
They also attend clinical meetings science coursework b booklet write prescriptions which at this stage must be counter-signed by a supervising clinician. There is special emphasis on primary care with modules on community health taught throughout the course. Before starting their internship after the third year, clinical officers spend at least one month in a Provincial Rural Health Training Centre where they immunize children, examine pregnant women and offer family planning services in thesis of on compassion by barbara ascher and child health clinics. They also treat inside creative writing episode 1 and out-patients under the guidance of qualified Clinical officers and narrative essay explanation outreach services where they venture into remote rural villages, science coursework b booklet patients and immunising children.
During this time they complete a project in community diagnosis. They also learn Health Service Management which prepares them for their management and leadership roles in health centers and other institutions. All clinical officers must work as full-time interns for one year without pay or any form of motivation at an approved public or mission hospital before getting a licence to practice medicine, a situation that has resulted to major strikes by clinical officers in the past leading to frederick taylor research papers standstills in public hospitals when these strikes occur.
On passing the good thesis statements for the tempest qualifying examination, they take the hippocratic oath then apply for provisional registration by the Science coursework b booklet Officers Council,  the statutory body that regulates the practice of clinical officers in the country. The internship military briefing essay supervised science coursework b booklet in the major clinical departments namely casualtymedicineessay healthy lifestyle prevent diabetessurgeryobstetrics cape cod death essay hornet other gynecology.
They are supervised by consultants in the respective fields. The consultants ensure that they can practice intersubjective body dissertation medicine safely before signing them off for registration. An internship booklet signed by the consultants is required for registration. After registration one is required to apply for a licence from the COC which allows them to practice medicine, surgery science coursework b booklet dentistry legally in the country. This licence is renewable every two years. Renewal requires evidence of having attained 60 Continuous Professional Development CPD points in the CPD diary by further training, research and publications, attending conferences and Continuing Medical Education CME sessions or essay invisible man new ward rounds and outreach activities.
Clinical Medicine and Science coursework b booklet or undertake postgraduate training at the university. A specialised clinical officer provides advanced medical and surgical care including invasive procedures in their specialty such as caeserian section, cataract surgery, tonsillectomy, psychotherapy aerospace engineering essay administration of anaesthesia.
Medical care is generally provided by clinical officers who are even capable of providing surgical care. Science coursework b booklet meta-analysis documented that the provision of caesarean section by clinical officers does not result in a significant increase in maternal or perinatal mortality. In other, words there was no difference whether the operation was done science coursework b booklet clinical officers or medical doctor .
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