- After the last appointment for residencies allowing young doctors to specialize, 1,987 vacancies remained. This means problems in ensuring the necessary number of physicians in many specialties in health care, including. in General Surgery, Emergency Medicine, Internal Medicine and Clinical Oncology.
- How will the Ministry of Health solve this problem? It begins with opinion surveys of residents about the directors of specialization and the path of specialized education. The first study just started, and another on Thursday.
- And soon CMKP will also publish the results of the ranking of specialty places.
- – It’s a good idea, because in the end we will have black and white knowledge of where the problems lie and what the problems are – says Mateusz Zolka, president of Resident Alliance. But he maintains that some issues can be resolved without questioning residents, because the problems have been known for years.
Head of specialization under control. The polls have started
The first study, which began on Monday, is now available on the CMKP website. It relates to the implementation of legal duties by the managers of the specialty.
Survey link: here
The questionnaire, completely anonymous, to answer a question about what specialty managers do and what they don’t. How their work is evaluated by participants in the specialty. The questionnaire contains 20 questions in line with the medical profession law. We want as many specialist training participants as possible to solve it, because it will give us a broad perspective – says the professor. Ryszard Gellert, director of the Graduate Medical Center.
– The specialty manager is a key person in the entire education process. We – CMKP – care about quality education. And for this quality of education is also responsible, or perhaps above all, the head of the specialty, which until now has been far from any assessment. Now we have the tools to take caregivers out of their anonymity. We want residents to have the knowledge of doctors during their specialty whether they are training in a good place or if they are trained by a specialist – adds the professor. Gilert.
On Thursday, a study will begin to answer the question related to the specialized needs of the population. The study will mainly cover 22 majors which are included in the priority list of majors.
Deputy Minister Peter Bromber spoke about this in an interview with Renick Zdrojá.
– We will ask in the questionnaires what determines young people to choose one specialty, what are the difficulties they face during its term, was it their dream specialty, and if not his specialty, what made it difficult to enter it – said the deputy minister.
Arrangement of places of specialization. “A stick in an anthill”
In addition to the respondents, the Ministry of Health establishes an arrangement for places of specialization. What will it consist of? Professor identifies. Gilert. – The basis for establishing the ranking will be to pass the national specialty examination at the provincial level, hospital, training unit and director of specialty. We will start by showing a third of the best training centers, where the success rate will be the highest – says the professor. Gilert.
“It will be a stick in an anthill,” the director adds. – I am convinced that the results may surprise many. We will show that there are centers that seem to be leading, and that they do not train better – he adds.
CMKP are also accredited survey centers for the specialty. – We have already done such an ophthalmological analysis, and the next one is urology. Accordingly, we will, field by field, check the preparation or continuity of preparation for specialized training by training units – he asserts.
What do residents say?
a. Gelert adds that he has worked with residents on two ministerial teams where they clearly communicated their specialization concerns, and that surveys and questions directed at them reflect these discussions.
We ask Matthews Schulk, president of the Resident Coalition, who acknowledges that residents have been involved in more work on the project related to physician surveys.
– It’s a nice idea, because in the end we will have black and white knowledge of where the problems lie and what – says the resident. But he maintains that some issues can be resolved without questioning residents, because the problems have been known for years.
False surgery. why? Because in Poland, doctors are punished for an unintended medical error. I will emphasize: unintentional. We’ve been talking about this for years. What we need is an error-free system that allows a comprehensive analysis of the causes and prevention of errors. We need specific systemic changes, and unfortunately, inserting a surgical assistant is not a response to the pathology of surgery, says Shulka.
– In addition, issues of increasing penalties for doctors were raised, which would make therapeutic specialties unattractive. When it comes to the criminal liability of doctors for unintentionally made medical errors, we are very different from the countries of the West. And this problem, unfortunately, will not be solved by any questionnaires – says the head of the resident coalition.
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