Abstract
Establishing a functional orthopaedic department in a Nigerian teaching hospital faces challenges like staff attitude, equipment shortages, and regulatory hurdles. Solutions include infrastructure development, equipment procurement, and staff recruitment. Strategies for equipment shortages include capital investment and improved inventory management. Cultural competence training and community involvement address cultural factors impacting patient care. Quality control and innovation are crucial, necessitating audits and research collaborations. Ethical considerations, like patient consent, are paramount. Intramural Private Practice (IPP) integrates private and institutional healthcare, enhancing service delivery. Structured guidelines ensure operational integrity. Overall, a holistic approach focusing on staff management, quality, and patient-centred care is essential for a successful establishment. Keywords: orthopaedic department, challenges, solutions, cultural factors, quality control.
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