Nation e-Edition

Doctors at odds

Mon, August 16, 2010 - 12:00 AM

DESPITE TAKING STRIKE ACTION over the termination of Dr Cecil Rambarat’s contract with the Queen Elizabeth Hospital (QEH), members of the Barbados Association of Medical Practitioners (BAMP) have associated the consultant with problems affecting patient care at the hospital.

DAILY NATION investigations have revealed that during recent medical staff committee meetings, senior BAMP officials identified a lack of timeliness in the Department of Radiology headed by Rambarat as one of the factors that could lead to medico-legal difficulties.

At a meeting on May 20, the minutes of which the DAILY NATION was able to obtain, Dr Haresh Thani revealed that the Accident & Emergency (A&E) Department was unable to get CT scans at night when Rambarat was on call as “he continues to refuse to come out”.

According to the minutes, BAMP president Dr Carlos Chase queried how Rambarat could “refuse to come out when each consultant receives an on-call allowance”.

Dr Chaynie Williams, head of the A&E Department, complained that there had been no CT reports issued to her department since March.

“She also indicated that there is no timely response to having things like urgent CT chest scans done and that this was compromising patient care,” the minutes stated.

Dr Randy Carrington, head of the Department of Orthopaedics, revealed that his patients had difficulty in getting X-rays, which resulted in some patients “missing their follow-up appointments as these X-rays were necessary for their continued care”.

Carrington said that when he called the radiologist he was referred to the chief radiographer “but the X-rays were still not being done”.

BAMP members are currently on strike over the QEH board’s decision to part company with Rambarat and consultant urologist Dr Jerry Emtage.

Board chairman Guy Hewitt said last week that management was trying to make the QEH a patient-centred institution rather than doctor-centred.

When reached, BAMP president Chase said he had no comment to make. Efforts to reach public relations officer Dr Ermine Belle were unsuccessful up to press time.

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Posted by Tanya 4 years, 2 months ago
I am at a loss here!!! If Dr. R is not operating as he should why is there strike action on his behalf? I did not know it was professional policy for doctors to go on strike!? All I will say to that is:

Ha Ha Ha Ha Ha Ha Ha

That has got to be a joke question. One for Barbados Comedy Fest!

Dr. Jerry Emtage is very good at what he does. I cannot comment on what his relationship with the QEH Board is....

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Posted by observer 4 years, 2 months ago
Bajans have to support the QEH board.

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Posted by matti 4 years, 2 months ago
Gov't should be advertising for doctors all like now

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Posted by ricky 4 years, 2 months ago
minister inniss. chairman hewitt, mis sandiford-garner cannot back off now. you have the people on your side. the qeh has been in a mess for years

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Posted by observer 4 years, 2 months ago
kudos to the ghost. Kudos to the board. keep the doctors on their toes. Only bout here

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Posted by Percy 4 years, 2 months ago
I see the spin doctors (no pun intended) are at it again.

No one will defend a poor employee, but we live in Barbados where there is due process. Was due process followed in the matter of the QEH and the Consultants?

Just remember that next time it could be you. Support what is right no matter how difficult it might be.

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Posted by observer 4 years, 2 months ago
The biggest spin doctor here is Percy. Ram is not a "poor" employee. Ram is an employee who is "not functioning". when a sales clerk does not function, a business might only lose sales. when a plumber does bad work he might only cause an inconvenience. when a doctor fails to do his work as BAMP is saying categorically that Ram is not doing, it could cause lives to be lost. while u r talking a lotta bull about due process, lives could be lost. if doctors are working to the detriment of patients, they need to be gotten rid of, simple as that, and no bleeding heart spin doctor like Percy will change that.

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Posted by Bemused 4 years, 2 months ago
Doctors need to give their patients due process.
If they did that, they wouldn't get fired.
Percy sounds like a doctor who faced with an unemployed gunshot victim with a gaping hole in his side, observes that the gunshot victim has a scratch on his nose and attends to the scratch just because in the normal standing position the nose comes before the chest.
Sometimes I wonder if our literacy rate is really in the 90s.

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Posted by Jim 4 years, 2 months ago
I think that if you read the statement by BAMP their stance has nothing to do with the performance of the doctors it has everything to do with the question of due process - and Dr. Rambarat was not the only consultant so affected - if you have a contract then the contract should be terminated according to the rules of the contract - equally does the QEH have a performance appraisal system?- if it did then getting rid of bad apples would be a lot easier - since appraisal reports and not anecdotal accounts would provide the basis on which terminations/promotions should be conducted

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Posted by Byron 4 years, 2 months ago
The doc will be a winner if this goes to court. The patients will be winners if he leaves the QEH. That is Due Process.

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Posted by Eileen 4 years, 2 months ago
Oh-I see, it is all about due process. On reflection, had due process been followed, in March the Doctor should have been issued with a written warning, highlighting his shortcomings and stating that, if he did not improve by a given date ,he would be relieved of his duties. Even if the Doctors have a grievance surely there must be other ways of resolving them. Going on strike and putting peoples' lives in danger in not on. Your duty is to save lives not to put them in danger. Anyway it is all a HR mess someone out of contract for a year and still working.

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Posted by Tanya 4 years, 2 months ago
To The Nation: If you are not going to use my remark exactly as stated (for good reason or not) Please do not change what I have typed! The blog now is insinuating something else and its confusing..


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Posted by Tanya 4 years, 2 months ago
I am at a loss here!!! If Dr. R is not operating as he should why is there strike action on his behalf? I did not know it was professional policy for doctors to go on strike!?

""According to the minutes, BAMP president Dr Carlos Chase queried how Rambarat could “refuse to come out when each consultant receives an on-call allowance”. ""

The above statement was copied from directly from the article and that was what I was referring to. If for reasons of legality that it was removed, so be it. Then dont post it at all. But dont cut up my blog. Please. Thanks

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Posted by Double U 4 years, 2 months ago
@Jim, you have said it correctly-performance appraisal. Whether they are contracts of service or contracts for service, performance matter. How could you have a dept like A&E not receiving reports since March suggest what we've been admonishing all along about patient care. Yet the holder of the post is still employed. I knew one day the chicks would come home too roost. Was Hr reporting this to the Board all along? QEH has a serious problem with delayed contracts and MANY other breaches of employment regulatory practices. All this will do is cost govt in the long run. QEH must not be run like a rumshop, and HR needs a serious overhaul. There of couvoisier mentality must not social lise there during the day. It is a workplace. When that is improved, Doctors and everybody else will understand the need to be humane, and to fall in line and perform.

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Posted by cardene mason 4 years, 2 months ago
Mr Inniss please stick to your words. Its about time someone clean up the mess at the hospital.

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Posted by Fort. Lauderdale 4 years, 2 months ago
In the middle of the night, & the Charge Nurse/Dr. in the ER. calls for a stat CT of the brain or chest for a patient that has a new onset Stroke or gunshot wound. You mean to tell me that nobody is around to do it or read it. That is a disadvantage to the patient and their families. This is serious. Dr. Rambarat, there are always 2 sides of a story but this is not good & since March, there are no reports? What about that Stroke pt. or a bleed in the brain? If you are overwork or the enviroment in which you work is not safe, then by all mean, move on.The patients been suffering far to long,then when something happens you all sweep it under the rug.

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