Archive for the ‘About and for everybody!’ Category

INTERVIEW: Dr C.M., Anesthetist – France

Thursday, August 10th, 2017

Dr C.M., Anesthetist – France

I have been practicing for more than 6 months in a Public Hospital in Lorraine, in France and I’m very satisfied with my situation.

I have been well-received from the very first moment by the Management, by the Head of Anesthesiology Department and by the whole team, so my integration went well. The Hospital offered me a flat during 6 months with a very low rent, which also helped me a lot at the beginning.

After my first visit at the Hospital everything went quickly and smoothly: 2 months after that the College of Doctors in France registered me and I started to practice with a Contractual Practitioner status.

I really love my new professional environment and I would like to thank You hereby that You’ve allowed me to join such a great team.

Dr C.M., Anesthetist

INTERVIEW: Dr. Laurentiu Iosif

Friday, March 3rd, 2017


INTERVIEW

Dr. Laurentiu Iosif is a young doctor with whom we collaborated to find a job in Germany.
After he worked 5 years as Resident Doctor in a hospital from NRW which we proposed to him, the time has come for him to pass the specialist exam in Internal Medicine.
Because we believe that his story is of interest for the medical community, we decided to publish the interview with Mr. Iosif.

VLAD SARCA (EGV): How did you find out about the structure of the specialist exam?
LAURENŢIU IOSIF : On the following page- http://medi-learn.de/pruefungsprotokolle/facharztpruefung/ – I read about other colleague’s experiences. This page contains a lot of resources, it helped me so much. Beside this I looked for advice from acquainted doctors.
VLAD SARCA (EGV): How often does the exam takes place?
LAURENŢIU IOSIF:  In NRW it takes place frequently, at least once a month.
VLAD SARCA (EGV): How can one establish the appointment for the exam?

LAURENŢIU IOSIF:  A doctor can register up to one month prior reaching the minimum time to execute the residency, which in the case of Internal Medicine is 60 months. On the other hand, the exam file folder must be complete and procedures from Logbook (Logbuch) must be performed and this performance certified by the Heads of Department.
I want to say that people from the College of Doctors are very careful regarding submitted documents and it happened to ask for additions from me.
Also, once they get the documents and as they are certain that these are complete, they automatically plan the exam, in my case it was July 9, 2016 and I was announced a few weeks before.
What I recommend to my colleagues is to be well prepared for the exam once they submit their documents, because the exam date can be changed only if there are founded reasons.

VLAD SARCA (EGV): What about the exam?

LAURENŢIU IOSIF:  It lasted one hour and we were two candidates. Each of us had 30 minutes available and I watched the examination of my classmate who also took the exam.
It’s an oral examination and there are three people in the committee including two teachers and an exponent from The College of Doctors.

The decision is taken by the three of them and each one votes for or against obtaining the specialization.At the beginning they asked me general questions, and then the questions became more concrete focusing on the details.

VLAD SARCA (EGV): Do you believe that there are other factors influencing the specialist exam?
LAURENŢIU IOSIF:  I think that it is a plus if the commission or members of the committee know the head of department where the candidate worked during the residency or if they worked together because it is like a trust transfer which means a benefit to the candidate, but that does not mean that the candidate will take the exam without fulfilling the criteria.
VLAD SARCA (EGV): Thank you very much for your time and I wish you a lot of success further on!

STARTING OFF ON THE RIGHT FOOT…

Tuesday, October 25th, 2011

Recruiting agencies, the starting-point for any job-hunt

The key in finding a good work-place is in knowing the job market. If you would dissect the job market a bit you would realize that there are two methods for finding a job: directly and indirectly.
The direct method involves a response to a notice given by the employer, and the indirect method involves either appealing to different connections you may have in your field of work, attending various job fairs, searching on-line, or you can submit your resume to various companies, even if they do not offer a job at the time.

ALSO AN INDIRECT METHOD IS TO SEND YOUR RESUME TO A RECRUITING AGENCY.

Contrary to what you may think, recruitment agencies do not charge to register your CV in their database. Besides this advantage there is also the economy of time and energy. Basically the agency works for you, selecting from the multitude of job-offers available on the market that are better suited for your needs and profile. If you decided to start your job-hunt by cooperating with a professional agency, this is how the system of such a company works. Initially you have to submit your resume to an agency, afterwards you will be asked to participate at an interview in order to identify your points of interest. Once this stage is completed, you will be presented with a list of jobs that would fit your profile. Once you are interested in at least one of the job-offers, the consultant will submit your data to the employer in your name and make arrangements for an interview with the employer.

WHAT TO DO TO JOIN A AGENCY’S DATABASE? IT IS SIMPLE! Just look for placement agencies specialized in your areas of interest and contact them! Visit a few of them and compare services offered and the way they treat you. THIS IS IMPORTANT!

For a young person it is more advantageous to use a recruitment firm. It boosts the chances of finding a job-opportunity quickly. First, you get advice that will help you to build confidence in your own resources, you will benefit from help with your resume, and also will be couched in how to present yourself at a job interview. Also you have the chance to find a serious job, because recruitment companies reserve the right to select the companies they work with and provide any information about these to the candidates.

If you are a doctor and in search for a medical career in Germany, France, Sweden or Norway don’t hesitate to send us your resume:

www.mejobs.eu

Doctors and Society

Tuesday, October 25th, 2011

From the eyes of Doctor Dan Pahontu

“I wouldn’t have written the following text if in the last few days the media would not have published an article that calls into question the moral integrity and professionalism of the whole social body – that of doctors, occurring in a context in which the media’s central debating alleged failure on all sides of a respectable medical personality in its nineties.

You don’t have to be too keen to notice that the mass media’s frequent articles and discussions in print or audio-video format depict the “guild of doctors” as the source of the most unpleasant problems of society. Romanian doctors have become scapegoats. He either demands bribes, leaps into medical negligence or malpractice.

Far From my intention in any way is to excuse the brutality, incompetence or, God forbid, criminal acts that must be firmly charged by press and society. Maybe not accidental is the interest of young performance capable people in medicine than it was let’s say 20 years ago. WHAT KIND OF DOCTORS AND HEALTH CARE SYSTEM WILL ENSURE OUR HEALTH IS AN ISSUE THAT I THINK WE SHOULD WORRY ABOUT MORE AND MORE. IT IS AS IMPORTANT AS THE SOCIETY AT LARGE AS WELL AS OUR DECISION MAKERS.

It is hard not to think about the young doctors who, after six hard years of college, after five, six or seven years of residency, have a salary of 520 Lei per month (about 125Euro/month). They are often married!!!

There is no social support. I remember the times when doctors, after being assigned a job, they would also get a home and a pay comparable with other budgeted positions.
Seems as even the respect from peers was different, and this despite the stubbornness with which most of them remain in their country to work in conditions rightly described MISERABLE, in a HEALTH SYSTEM THAT FAILS TO BE MENDED BY JOURNALISM. But how can we speak of respect when the current pension system is an injustice that I would not hesitate to qualify as cynical towards our fellow retirees. But that is another story.

Of course, the blame for this situation belongs to a large extent to doctors and their organizations. Medical envy, as it’s easily seen in newspapers and on television, breeds monsters.

I finish this article with hope for better times in which measure and respect can govern the Romanian society as well as the Romanian health-care system.”

THE EAST-WEST MEDICAL HIGHWAY

Monday, October 24th, 2011

Where did all the Romanian doctors and French students go?

Mobility within the European Union also applies to the medical sphere, resulting in a freedom which leads to problems as well as advantages.
The effect of medical tourism was the topic discussed at the Central and Eastern Europe Medical Tourism and Healthcare Summit from Zagreb, Croatia, 17-18.05.2011. Countries such as Romania, Serbia, Bulgaria, Hungary, the Czech Republic and even Poland attract the attention of medical tourism agencies, associations, hospitals, and consultants from all over the world.

But to what extent can the EU be blamed for the failings in our medical system? Migration flows have been increasing substantially for the past ten years and have accelerated since January 1 2007, the date of Romania and Bulgaria’s accession to the European Union.

Freedom of movement, the creation of low cost airlines and the unification and the recognition of medical studies between the member states has led to a “European Medical Highway” linking western and eastern Europe. Professionals leave their countries to practice, students continue their training aboard while patients take up medical tourism.

FRANCE AND ROMANIA

The UK, Ireland, Denmark, Norway, Sweden, the Netherlands, Austria and even France and Germany recruit doctors from eastern Europe to fill the vacancies for general practitioners. These countries guarantee these adopted practitioners a high salary and the prospect of better working conditions.

While doctors go west, students go east. Western patients are following the trend. Tired of waiting for weeks for an appointment and unable to pay the high prices for medical procedures( in particular dental and optician’s fees), they turn to private practices based in Romania, Hungary, Poland and the Czech Republic, no longer hesitating at taking a plane in order to have dental implants inserted or have an eye operation.

France and Romania are a perfect case of the “medical highway” phenomenon. In France approximately 12% of foreign doctors are Romanian. Since 1 January 2007, when Romania joined the European Union, the number of Romanian doctors who are members of the French medical association has risen from 174 to almost 1000. Through fares or agencies, French municipalities have no difficulty at all recruiting specialists and general practitioners seduced by the promise of salaries ten or fifteen times higher than in Romania, not to mention advantages such as: accommodation, a place in a crèche, a consulting room, help with setting up, etc.).

The Romanian public health system is suffering from the full force of this medical exodus. Romanian hospitals have a shortage of doctors. The government invests in private clinics for foreigners, thus exacerbating an already alarming situation. Without financing, there are insufficient technical resources and drugs in state institutions. Last October the main hospital in Brasov temporarily closed its accident and emergency department because of lack of drugs and supplies. At the same time, the hospital of the Mehedinti region, in Drobeta Turnu Severin, announced total arrears of 1.35 million Lei, as well as its inability to cover hospital staff salaries.

Ironically French students are leaving France to continue their medical training in Romanian Universities. Finding themselves victims of the unrelenting demands of the selection process( 85% of the student fail at the end of the first year), they join establishments such as Cluj University, which has set up a French department. Unlike the French faculties, Cluj University charges fees( 5000 euro/year) and recruits from file. Today it has more than 260 French students. If French students decide to leave Paris for Budapest it is not because the medical programme there is more complete, but because finishing their medical studies in France involves so many hurdles.

Source of article here:
http://www.cafebabel.co.uk/article/35721/may-2011-eu-health-summit-french-romania-migration.html

MEDICAL DIPLOMA = HIGH PAYING CAREERS ABROAD!

Monday, October 24th, 2011

They want to study medicine in order to leave the country

The young graduates are virtually killing each other for the number of vacant positions in the countries Medical Universities. Why? They want to study here, in order to leave the country as licensed Physicians and practice medicine aboard for a lot of money. This is the mentality of most young candidates that have enrolled this year at the Faculty of Medicine.

The biggest competition has been registered this year at the Faculty of Medicine from the University “Carol Davila” Bucharest: 4.4 candidates per available place, double the number from last year.

The University of Medicine and Pharmacy Iasi had a record breaking competition this year: 2400 candidates on 700 available places.

“It’s the biggest competition in the last 15 years! In the last 3 years the trend has been upward since the EU needs a lot of doctors and the diploma exam is recognized without any difference. On the other hand, competition is also due to the medical status, it is a profession that attracts and attracted as before the high peaks.” – Prof. Dr. Vasile Astărăstoaie

The University of Medicine Cluj dose not have any available tuition places, making the battle between the candidates even more fierce. In dental technology, for example, there are 7 candidates per available place.

“Ovidius” University of Constanta is on the last place on the podium, for the Faculty of Medicine there are 2.9 candidates per available place. There are 127 available places and 365 candidates. Tuitions can reach about 3500 Lei per year.

“It is quite expensive to study medicine. The fee is in comparison to other expenses such as manuals and other learning material is not that big. My dream is to practice medicine in England. I have a uncle who works as a doctor in a hospital there. His pay is very generous.” – Andrei a future doctor.

Run like the wind!

Nobody wants to learn and practice medicine for the miserable pay of 750 Lei( 160euro)! The medical highway is not a new subject but it is always present. Nationally 2800 have left last year and another 4700 have applied to leave.

Countries like England, Ireland, Spain, Germany, Australia, South Africa, UAE, Switzerland, Holland, Belgium and France provide payrolls between 2000 and 12000 euro. Hospitals in Germany offer training opportunities for almost any specialty and in Britain doctors with at least two years of experience can earn wages starting from 2000 pounds. In Germany, the lowest salaries start from about 3000 euro and concern mostly young doctors.

For the source of the article click here: http://lideruldeopinie.ro/50353/vor-la-medicina-ca-sa-plece-din-tara

Germany struggles with doctor deficiency – doctors consider UNFAIR gross wages starting at 4000 euro/month

Monday, October 24th, 2011

Click here for videos from the event:

http://www.youtube.com/watch?v=FT2d87__jf8

http://www.youtube.com/watch?v=j5C2RUGJsT8

At the symposium “Demographic change and medical care in Germany”, representatives of doctors, hospitals, federal and state ministries as well as medical students, discussed about the causes of doctor shortage, the future demand for doctors, and the expectations of young doctors. Together, the participants want to address the most pressing problems and identify possible solutions.
“Once again, we need to free the path into the medical profession”. The framework for the medical profession must be redesigned in such a manner that aspiring doctor their vocation rediscover in the care and treatment of patients. It’s about the motivation of an entire generation of doctors. “A society aspirin at a long life needs doctor in clinics and practices and not in other professional fields”, warned Prof. Dr. Jörg-Dietrich Hoppe, president of the Federal Chamber of Physicians, on the symposium of the Federal Chamber of Physicians.
“More and more doctors choose to migrate to alternative occupations or go abroad. The number of those who finish their studies successfully, but then not get into the training at the hospital is frighteningly high: about 20%. Perceived as an unfair pay and the frequent incompatibility of work and family act as a deterrent for the doctors of tomorrow. We urgently need to reduce these barriers for new entrants, “demanded BÄK Vice President Dr. Frank Ulrich Montgomery. The framework should change, if one wants to accept no increase in the numbers of waiting lists, multi-tier health system as an expression of the defect and a thinning of outpatient care in the area. “If we want to inspire the young people back to our work, we need to adjust the conditions to fit their needs”, said Montgomery.

“The trend towards shorter working hours and the so-called feminization of the medical profession also requires that the already lower volume of work needs to be spread over several heads. However, at the same time as the workload increases, there is an increasing compression of work overload and lack of motivation of doctors”, said Dr. Christopher Fox, Executive Director of the Federal Chamber of Physicians. “We finally need to appreciate the medical work, more jobs in hospitals, reducing overtime and bureaucracy, better pay and finally more offers for child care in the hospitals”, said Fuchs.

Auf dem Symposium „Demografischer Wandel und ärztliche Versorgung in Deutschland“ diskutierten Vertreter von Ärzteschaft, Krankenhäusern, Bundes- und Landesministerien sowie der Medizinstudierenden über die Ursachen des Ärztemangels, den zukünftigen Bedarf an Ärzten und die Erwartungen der Nachwuchsmediziner. Gemeinsam wollen die Teilnehmer die dringlichsten Probleme ansprechen und mögliche Lösungsansätze aufzeigen.
„Wir müssen den Weg in den Arztberuf wieder frei machen. Die Rahmenbedingungen für den Arztberuf müssen endlich so gestaltet werden, dass die angehenden Ärzte in der Betreuung und Behandlung von Patienten wieder ihrer Berufung finden. Es geht um die Motivation einer ganzen Generation nachwachsender Ärztinnen und Ärzte. Eine Gesellschaft des langen Lebens braucht Ärzte in Klinik und Praxis und nicht in anderen Berufsfeldern, sonst bricht die Versorgung ein“, mahnte Prof. Dr. Jörg-Dietrich Hoppe, Präsident der Bundesärztekammer, auf dem Symposium der Bundesärztekammer
„Immer mehr ausgebildete Ärzte entscheiden sich gegen eine kurative Tätigkeit und wandern in alternative Berufsfelder oder ins Ausland ab. Die Zahl derjenigen, die ihr Studium erfolgreich beenden, dann aber nicht in die Weiterbildung am Krankenhaus einsteigen, ist erschreckend hoch: ca. 20 Prozent. Eine als ungerecht empfundene Bezahlung und die häufige Unvereinbarkeit von Beruf und Familie wirken abschreckend. Diese Hürden für Berufseinsteiger müssen wir dringend abbauen“, forderte BÄK-Vizepräsident Dr. Frank Ulrich Montgomery. Die Rahmenbedingungen müssten sich ändern, wenn man keine Zunahme von Wartelisten, Mehrklassenmedizin als Ausdruck des Mangels und eine Ausdünnung der ambulanten Versorgung in der Fläche akzeptieren will. „Wenn wir die jungen Menschen wieder für unsere Arbeit begeistern wollen, müssen wir die Bedingungen auch ihren Bedürfnissen anpassen“, so Montgomery.
„Der Trend zur Arbeitszeitverkürzung und die sogenannte Feminisierung der ärztlichen Profession bedingen zudem, dass das schon gesunkene Arbeitsvolumen auf mehrere Köpfe verteilt werden muss. Da aber zeitgleich die Arbeitslast steigt, kommt es zu einer zunehmenden Verdichtung von Arbeit, Überlastung und Demotivation von Ärzten“, sagte Prof. Dr. Christoph Fuchs, Hauptgeschäftsführer der Bundesärztekammer. Gerade aber weil sich der Versorgungs- und Finanzierungsbedarf insbesondere der älteren Patienten schon bald deutlich erhöhen wird, müsste jetzt umgesteuert werden. „Wir brauchen endlich eine Wertschätzung ärztlicher Arbeit, mehr Stellen in den Kliniken, Abbau von Überstunden und Bürokratie, eine bessere Bezahlung und endlich mehr Angebote für die Kinderbetreuung in den Krankenhäusern“, so Fuchs.