The male resident doctors were more concerned with passing their professional examinations, and that was their main reason for searching medical information. The other groups searched information mostly to update their knowledge. Better medical practice was not an important reason to any of the groups. This attitude should be changed through continuing medical education (CME), which refers to a specific form of continuing education that helps those in the medical field maintain competence and learn about new and developing areas of their field.

Plant-based products, believed to be less toxic have been employed as hepatoprotective agents in recent times. Polyherbal therapy is reported to have therapeutic benefits over single herb therapy. Allium sativum and Carica papaya are two known plants used traditionally for the treatment of liver related diseases. Thus, in this study, the hepatoprotective and antioxidant potential of hydroethanol extracts of Allium sativum cloves (Garlic) and Carica papaya (Pawpaw) leafs (singly and combined) against CCl4-induced toxicity in rats was evaluated. Thirty male albino rats used were classed into six (groups A- F) groups of five rats each and treated (orally) for 14 days. Group A- rats + distilled water (negative control); Group B- rats + CCl4 in olive oil (positive control); Group C- rats + 200 mg/ kg-day combined extract of A. sativum and C. papaya (1: 1 ratio); Group D- rats + 200 mg/ kg-day extract of A. sativum; Group E- rats + 200 mg/ kg-day extract of C. papaya; Group F- rats + 100 mg/kg bw of silymarin. CCl4 induce hepatotoxicity was characterized by an upsurge (P<0.05) in serum Alkaline Phosphatase (ALP), Aspartate Aminotransferase (AST) and Alanine Transaminase (ALT) activities, and total bilirubin. Also, CCl4 administration led to a substantial reduction (P<0.05) of reduced glutathione (GSH), Glutathione peroxidase (GPx), superoxide dismutase (SOD) and catalase (CAT) activities and an increase (P<0.05) in lipid peroxidation (MDA) in the liver tissue. However, treatment with hydroethanol extract of A. sativum and C. papaya prevented the CCl4 induced lipid peroxidation and returned the altered marker enzymes of serum and antioxidant enzymes level to near normal. The extracts of both plants demonstrated significant antioxidant and hepatoprotective activity as reflected by the results. Comparatively, the combined extract gave the most promising antioxidant and hepatoprotective potential, which may be due to positive synergistic effects of both plants over either plant used singly, thereby vindicating the use of polyherbal remedy over a single herb.

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