Life After Housemanship: The Reality Nobody Prepares You For

Added: 2026-05-17

[00:00:00]No one prepares you for the life outside of housemanship. No freaking person prepares you for the life outside of housemanship. And this is what we're going to be unpacking in this video today. So, welcome back to the channel.

[00:00:13]Honestly, I'm very far away from home.

[00:00:16]I'm very very far away from home currently. Yeah. And I'm not with my microphone. I'm literally Yeah, I'm I'm not settled in literally. But yeah, we just have to make do with what we have currently. I just needed to get this out as soon as possible. Yeah. Before any other chaos comes in. Yeah. But I've been thinking about something for like the longest time. And that is the fact that nobody prepares you for the life outside of housemanship. So I made a video earlier about if you're not planning, you're literally failing and how it's how it is important to start planning your next step. Whether you want to drop out after house job, whether you want to do a little private practice, whether you want to immediately start um residency, whatever it is that you want to do outside of house job. And for me, I feel like to the best of my ability, I was able to plan adequately for the life outside of housemanship here. But you can't be you can never be fully or 100% prepared for the life outside of housemanship. And that is for a fact honestly. Yeah.

[00:01:24]Except maybe maybe your writing examination. If you want to go the route of writing examination or if you want to go the route of doing residency, fine. I feel like that's a more fixed plan here for you. So either you lock yourself indoors and study for the examinations or yeah, you just literally begin your residency. But for those that want to do work a little, do a little private practice before maybe doing their um NYSC or or whatn not here. Yeah, that's that's a different ball game entirely.

[00:01:56]But any kind of preparation is better than no preparation at all if you get what I mean. If there's a particular place you want to go work before NYC or if there's a particular place you want to work before you start or while you're preparing for your examination if you have it fixed and all is better than having no place at all in mind. It's better than just waiting to see what is going to happen outside of housemanship.

[00:02:23]And no pressure, no pressure. It's not a competition. It's not nothing. So just do it at your own time. Do it literally at your own time. But there's something I've got to figure out working as a medical officer outside of um training literally here working as an MMO literally working in private practice.

[00:02:43]I've come to understand that there is a big hole that the public um health care system literally has not been able to cover and the hole is usually very large. Yeah, they are trying to cover cover for it. the government is literally trying but I know that there's also a huge role being played by the private practitioners like people that own private facilities the NOS's and all whatnot there's a large hole that they are also filling and I feel like they are doing a very commendable job honestly a lot of private practitioners they are literally going way and above for their um patients and for patients and for they're trying to give them the best possible care that is available to them and I commend com commend them for that English language.

[00:03:35]Do you get? But then I want to understand how those private facilities that are being run by people that are not medical officers or people that are not in the medical field literally. How does it work g? Like how does it freaking work? I'm saying this after working for only 3 months literally outside of house job and I have been so literally flabbergasted. I don't even know the word to even use. How does it freaking work? I know some some um organizations or some facilities will have like a medical director just for the name and then have somebody else that calls the shots for whatever reason. Maybe to maxim maxim maximize profit. what's happening today to maximize profit or whatn not and I remember working as a house officer back then in um FMCA and I got to start thinking well I got to like some kind of cases you would have yeah you start asking yourself what kind of private hospital did you take this patient to like the damage a lot of private facilities have done that the federal hospitals are try or the turary facilities are trying to cover up for or are trying to make up for is really really alarming.

[00:04:58]I don't know how it is in where you are working. If you're a house officer and you've seen a lot of cases like sometimes you just see a patient come to the hospital and they will tell you um I was referred by a particular center blah blah blah this is what they did for me this is what they did for me and to you and that patient stayed for the longest time in those facilities before coming to the turary hospital. Sometimes they come literally very late to very late in the course of their management. Like they just I feel like it was like a second thought literally. So we've done everything we could possibly do for you.

[00:05:31]Let's throw you into a into a tertiary hospital to see what else they can do.

[00:05:38]And that is to me really terrible. If you have a private facility and you know that you're not equipped to handle a particular situation, instead of putting the patient in a very dear situation, why not just literally refer this patient or better still make your facility the top of the top like make your facility highly equipped to manage those cases.

[00:06:04]And then when you've done whatever it is you can be able to do and the patient is still in good condition fine you can now refer for maybe a second opinion or what whatever not to not to see a particular case that you know your facility is not built to manage and it's an emergency situation and you just try to stitch up to patch up to patch up just to maybe see how much you can be able to collect from the patient and then later later still end up sending the patient out for in quotes sparks management. It is like we are literally joking with the life of patients in a lot of centers and it's crazy. It's honestly crazy to even think about. Honestly, I remember working in working in um working during house job and I would see some casing and I would be so bitter. I'll be so upset even like an accident patient comes to your facility and then you don't have the cases or or a patient with um gynecological emergency comes to your facility and you don't have the facilities to manage the patient and you're just um giving food give this do this just to collect money from the patient and after the patient has finished spending lots of money in your facility you now finally send the patient to a tertiary facility to now do What now?

[00:07:27]Oh god. So those those facilities or those people that I used to get upset about when I was working in a tertiary facility are now probably the people that I'm going to go and work for.

[00:07:46]Don't get me wrong, I know I've said this in the beginning of this video.

[00:07:50]There are a lot of private private facilities that doing excellently well like they are taking care of patients even better than a lot of tertiary facilities would I know but then there are some other facilities that guy if you know you cannot be able to manage a patient why not send the patient to a better facility for better management instead of trying to milk the patient dry take money pay for this pay for this and at the end of the day you're not able to do nothing for the patient and then you send the patient away and if the patient gets to this federal facility and the patient is breaking I went here and they took all of my money finished and then at the end of the day they were not able to do nothing why not just send the patient away let the patient go and take care of them if you see the one you can manage you manage and talking about the hospitals why not oh god I know it's not a lot of private facilities that can be able to do this but if you Why not try to make the basic necessities, basic things you use to manage an emergency or to stabilize an emergency before sending out. Why not have those things available in your so-called hospital? And mind you, hospital is not about aesthetic. It's not about because I I go on social media now and I especially on Instagram, I think it's like a competition or something. I see a lot of facilities that are doing content trying to show how beautiful their facility is and all what not and when you enter the facility they don't even have [ __ ] to use and manage emergencies like what so what are we coming to your facility to do exactly like what exactly are we coming to your facility to do you get me honestly I've been meaning to say this and like the whole exper the whole thing just hits me like so this People carry you into their hospitals, give you the assurance of assurance, order for tests that are not even necessary and then at the end of the day collect huge amount of money from you and then ship you off to a tertiary facility. Maybe start doing something and then at the end of the day they're not able to and then ship you off to a tertiary facility for whatever it is that they can do. Let it let it be done to you. Honestly, that is a very terrible practice if you ask me. I don't know, maybe I may be wrong. Tell me what you think. Tell me what you freaking think in the comment section. Like, how do how are you I know some people may say, "How are you expected to now build a hospital? If if if you don't have patience, how are you expected to go?"

[00:10:29]Well, I feel like the first things you should do is make those basic things.

[00:10:34]I'm not talking about having this high rated X machine and all of that in your hospital to manage patient. I'm talking about the basic of the basics. Have those things first. Then you cannot think of how to get patients. I don't know. Some other people start their hospitals in like two bedroom, one bedroom. I'm not I'm not going to say anything about that though. So far as you're giving excellent care to your patients, you have literally everything you have to give excellent care to your patients. Fine, feel free. But patient care should not be compromised at the expense of the patient or at the at the detriment of the patient. Patient care should not be compromised.

[00:11:17]Should not freaking be compromised just because you want to enrich your pocket.

[00:11:21]Like there is nothing that should come first other than your care for your patient. Honestly, is it that money? You will get that money. you get it even way more you get all that money but once it comes to patient care I don't know how doctors that do it how you guys cope I don't know but to treat the patient carelessly for something you know you cannot be able to handle and then later on shipping the patient at the dying minute to a tertiary place just so the patient whatever oh god just so whatever that you whatever they can do let them do oh god that's is something that is really crazy. That's really terrible. So, nobody freaking prepares you for all of this coming out of house management. And then you come out of house job and you see a very beautiful facility and they are ready to offer you so much money to just be in the hospital and be seeing patients literally. And then we run off to those facilities and we now end up seeing these things and we now end up becoming what we were criticizing during our housemanship. Nobody freaking prepares you for that. And I know working without supervision can be something else. Immediately after house job, you were a house officer. There are cases you able to manage and prescribe solutions for and all of that. But then after house job, you're literally on your own. I feel like it's at this point you get to tell yourself the kind of medical doctor you want to be. It is not during your house job. Fine, you can envision the kind of person you want to be during house job. Yes, but it's after house job that you get to decipher which kind of doctor you want to be. I know that in this age of legal whatever whatever it might not get to you but still yeah you never can tell and it's it's better to have principles than to literally fall for everything that is going around you. You want to get money quick. You want to work in several hospitals at the same time. you want to like you want to do whatever it takes to get money. I know that some some other doctors are doing this just to raise funds and to Japa literally but honestly come on at the detriment of patients.

[00:13:42]No now I wonder how you're able to sleep at night though but please please we are freaking doctors let us let us not compromise patient care for whatever for anything.

[00:13:56]So, if you're still in house job, if you're still doing house housemanship, if you're still trying to or if you're about to finish house job, yeah, and you're still trying to figure out what you're going to do after house job.

[00:14:08]Yeah. I wouldn't say it's better to sit idle than begin. It's good to find a place that you feel like you want to work in and then begin. Honestly, some people don't do so well being idle and just preparing for examination. Some people prefer to do stuff while preparing for their examinations here.

[00:14:26]So if that is you, find a decent enough place, maybe a place that have a couple seniors that you could go with literally and yeah, try to see try to test the waters literally. So yeah, I feel like these are things nobody really prepares your mind for. But let me say it now to help you to prepare your mind because you see a lot of things when you come out of housemanship. you see quite a number of things. I want I don't know about those people that have been emos for like the longest time but honestly this short time I've seen quite a couple of things honestly and I pray that you don't fall victim of whatever it is that is going on around. So prepare your mind before house job. This is not about planning.

[00:15:12]Now, we've talked about planning in our other video, planning where what you want to do and all of that and where you want to do it here. But this one is about having a mindset that if you don't have that mindset or principles that you want to stand for, you might literally just fall for everything as a medical doctor post househ. So, yeah, I think that start for this video. Honestly, I'm hopeful before before next week, we're going to literally um be back home and yeah, get back to the groove of things, literally. So, thank you guys for watching. If you're yet to subscribe to this channel, do what to subscribe.

[00:15:47]Subscribe.

[00:15:49]Yeah. And I'm going to catch you guys in the next video. Peace.