Sabageh D, Daramola A O, Rotimi O
Niger J Med. 2016 Apr-Jun;25(2):197-200.
Contemporary histopathology practice and training in Nigeria have been plagued by the fundamental issue of inadequate exposure to surgical pathology material by both trainees and trainers. This paper critically examines the factors that affect the discipline and profers practical solutions to aid its advancement.
This review is based on the authors experience and observations of histopathology practice in Nigeria.
The Nigerian health sector is plagued by many ills including poor funding, weak policies, dilapidated structures, disgruntled and frustrated practitioners, amongst others - and pathologists are not immune to all these. In recent times, there has been a proliferation of accredited training centres as well as medical graduates interested in the specialty of histopathology. The busiest histopathology laboratories in the country ascession between 2200 and 5500 surgical samples yearly. Thus there is inadequate exposure by histopathologists and trainee pathologists to surgical materials with the attendant consequences. Many centres still rely principally on routine haematoxylineosin stains. There are no nationally agreed standard reporting formats for most diseases.
The development of a deanery or regional system of accredited histopathology laboratories may form the fulcrum for improving the overall quality of histopathological services and training in Nigeria. This will help develop local expertise and ensure adequate exposure to teaching aids and surgical materials. We hope that the proffered solutions will help encourage local pathologists to continue and increase their efforts to raise the profession up to enviable heights.
在尼日利亚，当代组织病理学实践与培训一直受到一个根本问题的困扰，即学员和培训师对外科病理材料的接触不足。本文批判性地审视了影响该学科的因素，并提出切实可行的解决方案以促进其发展。
本综述基于作者在尼日利亚组织病理学实践中的经验和观察。
尼日利亚卫生部门存在诸多问题，包括资金不足、政策薄弱、设施破旧、从业者不满和沮丧等，病理学家也未能幸免。近年来，认可的培训中心以及对组织病理学专业感兴趣的医学毕业生数量激增。该国最繁忙的组织病理学实验室每年接收2200至5500份外科样本。因此，组织病理学家和实习病理学家对外科材料的接触不足，随之产生了一系列后果。许多中心仍然主要依赖常规苏木精-伊红染色。大多数疾病没有全国统一认可的标准报告格式。
建立一个由教务长或区域认可的组织病理学实验室系统，可能成为提高尼日利亚组织病理学服务和培训整体质量的支点。这将有助于培养当地专业人才，并确保充分接触教学辅助工具和外科材料。我们希望所提出的解决方案将有助于鼓励当地病理学家继续并加大努力，将该专业提升到令人羡慕的高度。
