The Nigerian Association of Resident Doctors (NARD) has criticized the National Universities Commission (NUC) over its recent decision to upgrade Pharmacy, Physiotherapy, and Optometry from bachelor’s degrees to doctor’s status.
In a press release shared on their X page recently, NARD explained that the decision to change the degree status across Nigerian universities may have unintended consequences, despite seeking improved welfare and a stronger health system.
NARD, through the executive council, revealed that for the past two decades, the majority of health worker groups, instead of focusing on driving systemic improvements, have aimed to compete with medical doctors.
“Between 2005 and 2025, most strikes by these groups have centered on demands to adjust the Consolidated Health Salary Structure (CONHESS) to match the Consolidated Medical Salary Structure (CONMESS),” the executive stated.
According to the executive council, they highlighted that globally, the medical doctor earns more when compared to pharmacists, physiotherapists, or optometrists in public institutions.
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“Patients typically seek doctors for diagnosis and treatment decisions—a fact reflected in salary structures and clinical governance worldwide.”
“Conferring the title “Doctor” on multiple professional groups without public education or structural clarity may confuse patients, worsen interprofessional tensions, and enable quackery in an already fragile health system. Teamwork in care delivery depends on clear roles and trust,” the health union added.
NUC said in “global best practices,” countries like the UK and Germany do not permit the “Doctor” title to pharmacists or physiotherapists after undergraduate training, except through a PhD.
“These systems emphasize clear clinical boundaries and robust governance.
“We believe all healthcare professionals should take pride in their unique roles. If one wishes to become a medical doctor, there is a rigorous, defined pathway for that.
“We respectfully urge the NUC to reconsider this change and instead pursue policies that strengthen collaboration, clarity, and excellence in healthcare.”
