A bus-class society in the hospital/university: professors, directors, students and patients under crisis.
Subject: Decision-making
Universities and colleges
Author: Christodoulou, Irene
Pub Date: 10/01/2009
Publication: Name: International Journal of Health Science Publisher: Renaissance Medical Publishing Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2009 Renaissance Medical Publishing ISSN: 1791-4299
Issue: Date: Oct-Dec, 2009 Source Volume: 2 Source Issue: 4
Product: Product Code: 8220000 Colleges & Universities NAICS Code: 61131 Colleges, Universities, and Professional Schools SIC Code: 8221 Colleges and universities
Accession Number: 221654546
Full Text: The social factors that determine the behavior, the way of thinking and the decision making of various people are known and have also been imprinted in historical data. Social re-combinations have rapidly led to a social mess in educational fields like Hospitals and Universities. This social mismatch is a huge problem for Hospitals and Universities nowadays.

What kinds of people have been combined to create the current opinion mapping in Universities and Hospitals? We will see them one by one.

1. The Successors/ Scientists without motivation and personalities with a huge Ego

In many countries, nepotistic criteria are very important for the medical careers in Universities and public Hospitals. Sons and daughters of powerful and influential people are the successors of the best positions!

These persons may be qualified or maybe not. They usually are under-qualified because they never needed to study hard. They do not have the motivation to fight for a position at a University or a Hospital, because in very young age they met the success in everything. The success was ready before they even think about fighting. Their creativity is hypotonic and their curriculum vitae is full of studies they never participated in; they received the co-authorship as a routine procedure. They don't usually like to help others: not if they don't receive something beforehand. Their ego is hyperthrophic because they believe that good career belongs to them a priori, either we like it or not. They are not willing to help anyone if he does not behave to them like kings.

2. The Successors' husbands and wives

They are what we call "smart guys". They may be qualified or not. They know well how the system works and they sell everything in order to get a good career. They fall in love with everyone who can get them a good position. Before getting married, they usually have been frustrated by the system.

These people may have a good career after they get into the system. They may help young scientists because they feel that they might have a better personal life if they didn't' have to give in to nepotistic elites.

Successors very often get married with successors in order to combine their "supernatural strength". So, people who just get married to successors of professors and directors are usually good looking, with high income (if not very beautiful), polite and know to hide their deep feelings and thoughts. Many of them get a divorce when their career is out of danger.

3. The "Mafia workers"

They are never qualified. They are good in killing people (scientifically). They work for the successors and their kin as workers who collect information, distribute lies and propagate slander for their enemies.

These persons get a position in a relatively advanced age. Their IQ is not so high, but their real suffering is the extremely low emotional IQ. You are very unlucky if you are scientist and you have to work close to them. They can destroy you in 2-3 months.

They are recurrent liars and they will not help anybody during their career. Their extreme lack of qualifications is balanced with their servile behavior towards their supervisors. They behave like dogs.

They don't really offer anything to science, as they act like mafia workers during their whole "career". They keep positions in Universities and Hospitals that are absolutely empty in reality, because they cannot offer anything of educational value.

4. The good scientists who were conformed with the "government of Nepotism" in their country

These are good scientists who want desperately to get a position in a University or a Hospital and offer free services to Professors for succeeding in life. For example, they may accept to offer a whole book they wrote to their Professor and I just do not need to refer to their studies that are in practice shared to co-authors of the categories 1 to 3--in order to satisfy the Professor's wish!

They are not good looking enough to succeed a marriage with a professor's successor. They are coming from families of middle social class but with an income that is relatively high and can support them for the years they are running after the professors and their families.

They don't harm other scientists as category 3 does, but they are willing to give a large part of their scientific work to their professor, in order to get the job. They might help some new scientists while being in the University, but don't wait much. These persons may be fat, may smoke a lot, or/and may have a compulsive or hysterical behavior. They are single as a rule before their appointment to the University/Hospital, and they may get married after they get the good job. They don't have friends out of the University; in fact they have only associates, because they devote all of their time to their career.

5. The unscrupulous scammers

They are not qualified (in order to go to category 4).They are not good looking (in order to go to category 2). However, they wish to get a good position in the University or a Hospital.

They come from rich families, and if their country does not have well-known Universities they go to study abroad. They come back to their countries with very good papers in their hands. They use the power of their families as well as their money to get a position in the Universities or Hospitals of their countries.

They may get married with a person of category 4. They do this after their appointment because they do need the support of a qualified person. They may manage to have a good career if they are close to persons of category 4. They don't help anybody because they don't have either the qualifications or the interest to do it.

What do Students face in Universities/ Hospitals

The social combination of people belonging to categories 1-5 create many problems in the Universities or Hospitals. This is because the purpose of most of those persons is not the promotion of knowledge in their University or educational Hospital but it is the pursuing of their personal goals. Students who don't belong in categories 1-5 are in the most difficult position because they cannot have the experience and knowledge to recognize and choose the scientist who will help them.

Many professors and Directors use medical doctors and students as if they were servants. They ask them to pay their bills, to buy them things and deliver them to their houses. Their requests may be whatever the human mind might think. Of course, it is a general rule you--as a student- should accept to share your scientific work with their daughters and sons, otherwise you will not be allowed to submit your manuscript for publication. This is the most common problem in Hospitals and Universities in Greece. Your name may not be the first in your own study many times. Whoever says no, will never be able to do anything in the University/Hospital.

In Hospitals (what is happening in Greece)

If you are a student of Medicine or a doctor who specializes in a Hospital, don't wait much if you don't belong in one of the categories 1-5. Real education is given only to persons who offer something to their instructors. The concept of free education for all might have been a good paradigm for many countries but it is only a myth in practice.

What do Patients face in Hospitals

Many patients believe that they will have to pay for high quality health services, in public Hospitals. Others prefer to accept their fate and not even think to pay a well known doctor for their problem. It has become apparent that many health professionals pursue their personal interests during their working hours and don't really feel interested in the problems of patients. This makes many patients feel insecure and have a bad opinion for the majority of doctors and health professionals.

The truth is that the strategic planning of free health services in public Hospitals is not always sufficient. (1)


(1.) Christodoulou Ir. Truth and Myth for free health services in Greece. Inter J Health Science 2009; 1(1):2-4.

Irene Christodoulou

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