Posts Tagged ‘Doctors’

Austria – and what living in Austria has to offer

Friday, February 5th, 2016

With an area of 83.858 sq. km Austria consists of 9 independent federal states (Burgenland, Carinthia, Lower Austria, Upper Austria, Salzburg, Styria, Tyrol, Vorarlberg and Vienna) with their own provincial governments. The federal legislation is exercised by the national council (Nationalrat) together with the Upper House of Parliament (Bundesrat) – the two chambers of Parliament.

Climate
 
Austria is located in a temperate climatic zone with a Central European climate influenced by the Atlantic climate. The four seasons (Spring, Summer, Fall and Winter) each have typical temperature and climatic characters.
In summer up to 35°C with an average of 29°C
In winter up to -20°C with an average of 0°C
Economy
Austria is the 11th richest country in the world in terms of GDP (Gross domestic product) per capita according to the IMF rankings of 2011, has a well-developed social market economy, and a high standard of living.
Vienna was ranked the fifth richest NUTS-2 region within Europe with GDP reaching € 38,632 per capita, just behind Inner London, Luxembourg, Brussels-Capital Region and Hamburg.
Red Bull is an energy drink sold by Austrian company Red Bull GmbH, created in 1987. In terms of market share, Red Bull is the most popular energy drink in the world, with 4.5 billion cans sold each year.
About one third of the Austria’s energy consumption is covered by the national energy industry. Up to 70% of the energy comes from renewable sources such as water. Austria’s industrial sector is, however, one of the world’s largest.
The services industry is Austria’s fastest growing industrial sector. About one sixth of Austria’s three million wage and salary workforce is employed in the trade and industry sector, which contributes some 13% to the GDP.
Tourism is the country’s biggest foreign exchange earner and the fastest growing sector: 220,000 people in 40,000 tourist establishments generate 10% of Austria’s economic output.
  
Healthcare
Austria has a high standard of compulsory state funded healthcare. Private healthcare is also available in the country. All employed citizens and their employers contribute to the system.
There are three areas of social insurance in Austria, health, accident, and pension insurance. Anyone who is covered by the state insurance system will be covered by at least one of these branches. The job you are employed in determines the amount you pay in contributions and the level of social insurance available to you.
Basic health and dental treatment, specialist consultations, stays in public hospitals and medication are covered for all employees. Family dependents are automatically covered through the insurance of the employed family member.
Culture
Coffeehouse culture in Austria
 
 Cafés are an everyday part of city living and in Vienna in particular they are at the heart of city life. Around 1900, a visit to a Viennese café was a spectacular experience, newspapers were displayed on custom-made stands, waiters wore tailcoats and ceilings were decorated with elaborate chandeliers.
Today’s coffeehouse business is booming as more and more people seek a place to rest, work, eat or socialize in busy cities.
Wiener Staatsoper
  
The Wiener Staatsoper is one of the busiest opera houses in the world producing 50 to 60 operas per year in approximately 200 performances. It is quite common to find a different opera being produced each day of a week. As such, the Staatsoper employs over 1000 people.
Art
Gustav Klimt was an Austrian Symbolist painter and one of the most prominent members of the Vienna Secession movement. Some of the most known paintings are The Kiss, Judith and the Head of Holofernes and Adele Bloch-Bauer I.
  
Friedensreich Regentag Dunkelbunt Hundertwasser was an Austrian artist. Born Friedrich Stowasser in Vienna, he became one of the best-known contemporary Austrian artists, although controversial, by the end of the 20th century. Some of his work include The Hundertwasserhaus apartment block in Vienna and Bad Blumau – a municipality and spa town in the district of Fürstenfeld in Styria, Austria.
  
Egon Schiele was an Austrian painter. A protégé of Gustav Klimt, Schiele was a major figurative painter of the early 20th century. The twisted body shapes and the expressive line that characterize Schiele’s paintings and drawings mark the artist as an early exponent of Expressionism. His work includes Zwei Kleine Mädchen, Portrait of Wally and House with Shingles.
Music
Austria has been the birthplace of many famous composers such as Joseph Haydn, Franz Liszt, Franz Schubert, Anton Bruckner, Johann Strauss, Sr. and Johann Strauss, Jr. and Wolfgang Amadeus Mozart.
 
 
Literature
Some scholars speak about Austrian literature in a strict sense from the year 1806 on when Francis II disbanded the Holy Roman Empire and established the Austrian Empire. A more liberal definition incorporates all the literary works written on the territory of todays and historical Austria, especially when it comes to authors who wrote in German. Thus, the seven volume history of Austrian literature by the editors Herbert Zeman and Fritz Peter Knapp is titled History of the Literature in Austria.
 
 
René Karl Wilhelm Johann Josef Maria Rilke better known as Rainer Maria Rilke was a Bohemian-Austrian poet. He is considered one of the most significant poets in the German language.
His two most famous prose works are the Letters to a Young Poet and the semi-autobiographical Notebooks of Malte Laurids Brigge.
Stefan Zweig was an Austrian novelist, playwright, journalist and biographer. At the height of his literary career, in the 1920s and 1930s, he was one of the most famous writers in the world.
Zweig is best known for his novellas The Royal Game, Amok, Letter from an Unknown Woman – filmed in 1948 by Max Ophuls
Franz Kafka was an influential German-language author of novels and short stories. One of his most famous novellas is The Metamorphosis.
Robert Hamerling was an Austrian poet. He was born into a poor family at Kirchberg am Walde in Lower Austria. Hamerling displayed an early genius for poetry.
His most important works are his epic poems: Ahasuerus in Rome and The King of Zion.
Cuisine
  
Vienna boasts one of the world’s most famous culinary traditions. A diverse yet delectably harmonious range of dishes reflects the city’s mix of nationalities and food cultures through the centuries, and inspires visitors from all over the world.
Sports
Due to the mountainous terrain, alpine skiing is a prominent sport in Austria. Similar sports such as snowboarding and ski jumping are also widely popular, and Austrian athletes such as Annemarie Moser-Pröll, Hermann Maier, and Toni Sailer are widely regarded as some of the greatest alpine skiers of all time.
The Austrian Football League (AFL) is the elite league of American football in Austria. The league was founded in 1984 and plays by the rules of the NCAA.
Andreas Nikolaus “Niki” Lauda is an Austrian former Formula One racing driver and three-time F1 World Champion.
Cost of living
Food:
  • A meal at an inexpensive restaurant: 8.16 €
  • A three-course meal for two at a mid-ranged restaurant: 37.18 €
  • 1 Liter of milk: 0.95 €
  • 1 kilogram of chicken breasts: 8.42 €
  • 1 kilogram of oranges: 1.77 €
  • 1 kilogram of potatoes: 1.10 €
Transport:
  • A monthly pass for the local transport system: 43.93 €
  • 1 km with a taxi with normal tariff: 1.48 €
  • 1 liter of gasoline: 1.40 €
Utilities:
  • Monthly utilities for an 85m² Apartment: 155.27 €
  • 1 minute of pre-paid mobile tariff: 0.11 €
  • Internet access (6Mbps, Flat Rate, Cable/ADSL): 18.38 €
Leisure:
  • The monthly fee for an adult at a fitness center: 48.85 €
  • 1 hour tennis court rent in the weekend: 16.30 €
  • 1 seat in the cinema for an international release: 8.40 €
Rent:
  • Rent for a 1 bedroom apartment starts from 350 €
  • Rent for a 3 bedroom apartment starts from 700 €
The rent varies from one federal state and city to another. Still, there can be more attractive offers for Doctors. 
Taxation
Austria’s individual income tax rates are progressive 0%-50% (4 tax bands).
Beside the 12 salaries there are also salaries 13 and 14 which are taxed with only 6% – this is typical in Austria. The 6% lead to a very small difference between the gross salary and the net salary.

 

Income Euro Tax (%)
1 – 11,000 0
11,001 – 25,000 36,6
25,001 – 60,000 43.21
60,001 and over 50

Young Romanian Doctors – being sued by their hospitals

Wednesday, March 18th, 2015

According to the Romanian law, once a young doctors starts a residency program inside a Romanian hospital he is required by law to practice medicine inside the hospital for at least 5 years after becoming a specialist doctor.

Of course, we know that this is not always the case. Recently, hospitals have decided to take matters in their own hand in order to keep young doctors inside the public hospitals in Romania.

Some hospitals have considered being good employers and offering young doctors extra cash besides the 1000 Ron starting salary (225 Euros) and even accomodation, and some hospitals have decided to use the law, and sue if one decides to accept a position abroad or at another hospital within Romania, thus requiring the young doctor to pay back the hospital the equivalent of all salaries earned inside the hospital during the residency program.

But is it ok to “tie doctors to the land” or in this case to the hospital?!

Do you consider this action moral and ethical?!

What’s your oppinion on this subject?!

 

On the other hand, the article also comments on the fact that patients continue to “bribe” doctors and nurses. Patients in Romania consider that if they give the doctor or the nurse some extra cash, they will recieve better care and won’t be required to wait to long for a check-up.

Of course, this segment also underlines the fact that in the majority of cases doctors and nurses don’t ask for extra money from the patients. 

Patients consider that giving the doctors and nurses a “extra attention” they reward the specialists that are underpayed and keep them practicing medicine in Romanian hospital.

What’s your oppinion on this subject?

 

 

Goodbye Headaches! Hello technology!

Friday, August 22nd, 2014

Something as simple as a common headache can ruin the daily rutine of every person no matter what.

But what would you do if you would commonly have migranes twice or three times per week? 

Think about it… How would you be able to function like a normal human being? 

For Gabriella Iaocovetti, severe headaches three or four times a week can bring her business and family life to a halt.

“No light. No noise. I try to put my head under the covers,” she says.

Like many migraine suffers, Iaocovetti also gets nauseous, which makes taking pills a problem.

“Patients will tell you, ‘Food hangs in my stomach. I’m sick to my stomach,'” says Dr. Stephen Silberstein at Jefferson University Hospital.

Even when Iaocovetti can swallow a pill, she says it takes several doses to find relief. Then, her doctor told her about an alternative now being tested. It is called the Zelrix Patch. It uses Sumatriptan, one of the most common migraine medications.

Since the drug is not normally absorbed through the skin, researchers added a tiny chip which generates a micro-current of electricity, to push it into the pores. It is about the same strength as the chips that power a musical greeting card.

Jane Hollingsworth heads up Nupath, the company that makes the chips.

“There’s a little button that you push and that starts it,” she explains. “A little red light tells you if it’s working or not, so you can see it.”

She says the patch delivers a controlled amount of medication for four hours then shuts off. She says so far, there have been no significant side effects in the clinical trials. Iaocovetti enrolled in the double blind study and while there is no way to know if she received the real patch, she believes her symptoms are already better.

The results of phase three clinical trials showed the patch was effective in treating migraines. 

 

Would you choose this alternative over a common Aspirine?

Weird stepstones into modern medicine

Thursday, February 20th, 2014

Browsing trough the internet we stubled upon an interesting blog posting interesting and disturbing pictures of early medical devices, strange medical conduct (according to today’s standards) and things that for today’s doctors would just seem weird and creepy.

Brain hemorrhage, post-mortem

Corset damage to a ribcage. 19th century London

Dr. Kilmer’s Female Remedy

 

Tanning babies at the Chicago Orphan Asylum, 1925, to offset winter rickets

Woman with an artificial leg, too embarrassed to show her face c. 1890 – 1900

Wooden prosthetic hand, c. 1800

Selection of some items used to disguise facial injuries. Early plastic surgery.

Blood transfusion bottle, England 1978

Dr. Clark’s Spinal Apparatus advertisement, 1878

Neurological exam with electrical device, c. 1884

Antique prosthetic leg

US Civil War surgeon’s kit

“Walter Reed physiotherapy store” 1920’s

Boy in rolling “invalid cart” c. 1915

Obstetric phantom, Italy 1700-1800. Tool to teach medical students and midwives about childbirth

Radioactive yummies

Lewis Sayre’s scoliosis treatment

Claude Beck’s early defibulator

Antique birthing chair used until the 1800s

Anatomical Model. Doctors were not allowed to touch the women’s bodies, so they would point to describe pain locations

Radiology nurse technician, WWI France 1918

1855 – 1860. One of first surgical procedures using ether as an anesthetic

Masks worn by doctors during the Plague. The beaks held scented substances

 

Regardless, these pictures represent evolution. Who knows, maybe in 100 years, people looking at pictures from today’s medical conduct will react the same as we do to these pictures. What do you think?

 

Source of the article here: http://imgur.com/a/QagTz 

 

Hermann Gröhe, Germany’s Minister of Health, – “No other country offers faster medical care from qualified specialist doctors than Germany.”

Tuesday, January 7th, 2014

Hermann Gröhe, the German Health minister, announces publicly his wish to enforce a larger medical coverage of Germany’s rural areas.

“Young doctors should commit themselves to take over a practice in rural areas. Of course, such actions should also be stimulated with some advantages such as better access to further and constant training or other types of incentives.”

Such advantages should also be granted to those who undertake a voluntary social year, as for example in the emergency services. “In some states and in some universities, such arrangements were already practiced successfully” stated the Minister of health.

Gröhe also stated that the waiting time for a medical appointment for any ensured patient should be shortend.

For the ministers proposal of shorter  waiting times for medical appointments with specialists, the German Medical Association has proposed the introduction of an “Urgent Transfer Measure” so that the General Practitioners can quickly convey their insured patients to a specialist doctor.

As a closing statement Gröhe says that the health system in Germany should not be criticized:

“If you are really seriously ill, you will receive professional medical care in Germany. No other country offers faster medical care from qualified specialist doctors than Germany.”

 

Source of the article here

 

Health and ageing

Friday, October 18th, 2013

Hamburg: Since the 1960s, the life expectancy in most European countries has risen with 11 years. Still, most European citizens (60%) over 65 have at least 3 chronic diseases.

Thus since 2007, the Ministry of Education and Research emphasizes on the importance of a healthy ageing process.

“The research conducted aims to educate and help with the early recognition of potential threats to the state of health of an individual. Prevention should be a priority.” Stated Johanna Wanka, the Minister of Education and Research.

This approach aims to have the individual in the center of attention and should be aiming to provide a longer disease-free life and not a longer life with disease.

What makes the UK unique?

Monday, September 9th, 2013

What do you think makes the United Kingdom special?

Over the course of the next few months we will bring to your attention several interesting things one can do in the United Kingdom.

So let’s get started:

1.       Take a royal trip to Buckingham palace:

It is safe to say that most of you know what Buckingham palace represents and where Buckingham palace is… Buckingham palace represents the British royal quarters and is as big of a tourist attraction today as it was 100 years ago, in fact maybe even bigger now.

It is the home of the royal family and will remain the home of the royal family for years to come. Although it’s not the smallest, nor is it the biggest palace in the world, it’s scale and majestic appearance inspires.

Guided tours are occasionally available and one should certainly seize the chance for such an occasion.

With no doubt, it is one of London’s most important buildings and one of the most sought after tourist attraction.

 

2.       Have a day out at Alton Towers:

 Alton Towers has been a place of attraction for many people since the 1800s when it was opened to the public as for their beautiful gardens, however since 1980 it has been the UK’s top theme park, crushing its biggest rival into administration in 2007.

Alton Towers is perhaps best known for its amazing roller-coasters such as the Nemesis, Rita and more recently Thirteen.

If you are traveling to the UK or you are already here and looking for something new and exciting to do, I would thoroughly recommend taking the time out to have a day at Alton Towers. There is something for everyone including rides, arcades, beautiful gardens and of course the manor house which is at the center of the park.

 

3.       Visit Holkham magic Beach:

Holkham Magic is a beach in England which has been named Britain’s best beach, now of course this is all a matter of opinions and each is welcome to their own but this beach really is fantastic. For those of you that are fans of motion pictures, this is the same beach which Gwyneth Paltrow walked along in the final scene of Shakespeare in love, just this fact may be intriguing enough to make you want to visit Holkham.

Holkham is also part of a major Nature Reserve, the biggest in Britain in fact, this is because of the rare flowers and animals that live in this part of the world, don’t get me wrong it certainly is not Madagascar but it is a very precious part of England. If you have not yet been here then I would suggest you make a visit.

Did these facts made you consider not only visiting the United Kingdom but also the possibility of working in the UK? 

Are you an experienced doctor?

Would you consider working as an RMO in the UK?

Than check out our job offers here and don’t forget to apply!

 

 

 

Victorian Medicine – From Fluke to Theory

Friday, April 19th, 2013

We have come across a very interesting article written by Bruce Robinson highlighting the important leap forward of modern medicine in the 19th century.

I hope you find the article as interesting as we did!

 

 

The effect of urbanisation

It may be harsh to say so, but to the modern eye medical practice in the early 1800s looks pretty medieval. Harsh, because the 17th century had seen important breakthroughs in the fields of pathology, obstetrics and vaccination that would be built upon in the next century.

The foundations were laid, but there was more to be done. Medicine in 1800 was a scary combination of chance and quackery that Blackadder would have found familiar. Macbeth-like medicines were overwhelmingly botanical, with preparations of mercury, arsenic, iron and phosphorous also popular. Doctors might recommend a ‘change of air’ along with vomiting and laxatives and those old favourites, bleeding or leeches. The power of prayer was regularly used. All in all, not ideal. Yet a century later medicine would be available in a form easily recognisable to anybody today: hospitals, stethoscopes, white coats and x-rays. What happened?

Two things. Together, cities and science forced real progress in both prevention and cure. The Industrial Revolution was in full flow, and the invention of the steam engine meant that factories could go anywhere, not just near natural power sources. They went to the towns and cities. At a time when Britain’s population was increasing rapidly (from six million in 1750 to nine million 50 years later), cities were expanding even faster as now redundant farmworkers migrated to the nearest town to find work. Preston grew sixfold between 1801 and 1851, Bradford and Glasgow eightfold. They were not alone.

This growth had enormous consequences. Death rates were high, and far worse in cities than in the countryside. Smallpox, typhus and tuberculosis were endemic, and cholera alarmingly epidemic. Overcrowding combined with poor sanitation and often grinding poverty to leave many people vulnerable to the latest outbreak of anything nasty. Luckily, the Victorians loved statistics, and these validated the emotive prose of Dickens, Gaskell and Engels. In 1832 Parliament agreed to an official inquiry into the operation of the Poor Laws. Sir Edwin Chadwick was energetic in establishing the links between poverty and disease, and the enquiry resulted in new Poor Laws in 1834. Yet these did not go far enough and continued work resulted in the Public Health Act of 1848, which set up local health boards, investigated sanitary conditions nationwide, and established a General Board of Health.

The appliance of science

Another breakthrough came with the cholera epidemic of 1854. John Snow had experienced previous outbreaks in 1832 and 1848, and was convinced that it was a water-borne disease. This time he provided conclusive proof by mapping out the cases in Soho, central London, implicating a single, contaminated well. The epidemic subsided soon after the pump’s handle was removed. Snow also analysed cholera’s incidence in water that was bought from different suppliers, demonstrating that households buying from companies drawing water from the Thames downstream – after many sewers had flowed in – suffered a deathrate 14 times greater than those buying water from companies drawing upstream. Following on from this research, he recommended boiling water before use.

John Simon, who had replaced Chadwick to become chief medical officer to the General Board of Health, turned this work into action. He successfully diverted public funds into the investigation of communicable diseases – including diphtheria, typhoid and smallpox – and in the 20 years to 1876 oversaw the transition from the state’s mere involvement in reform to a state system of medicine. Having gained some political influence, he found he was able to influence new health legislation. The 1875 Public Health Act comprehensively encompassed housing, sewage and drainage, water supply and contagious diseases and provided Britain with the most extensive public health system in the world. Prevention of disease had come a long way.

Progress in this area was being matched by scientific breakthroughs in both diagnosis and cure. The stethoscope – invented in 1817 – was being widely used in Britain by mid-century, and microscopes had improved sufficiently to allow examination of micro-organisms. The practice of surgery also modernised with the invention of anaesthesia in the late 1840s. Although ether was initially used, chloroform soon became the anaesthetic of choice.

Breakthroughs

Louis Pasteur at workLouis Pasteur’s work from the late 1850s proved that the souring of milk was caused by living organisms and, by verifying the ‘germ theory’, changed pathology and surgery forever. Pasteur’s work led ultimately to the introduction of antiseptic procedures into surgery via Joseph Lister. Infections and deaths fell sharply and, combined with anesthesia, enabled surgeons to operate more slowly, carefully and confidently on patients, in turn reaping new discoveries.

The end of the century saw yet more breakthroughs. Robert Koch built upon Pasteur’s work and in 1882 identified the organisms causing tuberculosis, prompting extensive public health campaigns. But the sexy stuff was tropical disease, increasingly important with the ever-expanding Empire thrusting young Brits into unfamiliar climates. In 1898 Robert Ross proved the mosquito’s role in transmitting malaria, and in the same year the Spanish American War prompted new research into yellow fever.

Most dramatic, however, was the X-ray, discovered in Germany in 1895. Within days, the news had crossed the world. Sales of X-ray proof underclothing for ladies followed soon afterwards. In January 1896 the first X-ray was taken for clinical purposes, and they were soon used to diagnose fractures, locate foreign bodies and treat a variety of skin conditions. Radiation followed in 1896, and with it the promise of treatment for dreaded cancer. Medicine in 1900 was truly far removed from that 100 years earlier.

Medicine institutionalised

Florence NightingaleIt wasn’t just prevention and cure that was changing, but also medical institutions. The 7th International Medical Congress in 1881 – with 3,000 delegates from 70 countries – gave medical practice a new pizzazz; a new big thing for a country that had had a crush on commerce and technology for the previous century. The death of Alfred Nobel in 1896 gave rise to the Nobel Prizes, with three of the five awarded for science: chemistry, physics and medicine. From the earliest stages Nobel prizewinners became big news.

Institutes and prizes were the most glamorous face of a medical world that was becoming increasingly adult. Regulation of medical practice had begun with the establishment of the British Medical Association in 1856 and the General Medical Council in 1858. Medical training became more formalised with the establishment of medical schools, and the number of doctors rose considerably, from 14,415 in 1861 to 35,650 in 1900.

However, women remained largely unwelcome in the medical world. The exception to this was nursing. Although nurses had been active in hospitals long before she appeared on the scene, Florence Nightingale’s exploits in the Crimean War (1854 – 6) gave the role a new respectability. Many of the nursing reforms she advocated already existed, but her training school at St Thomas’s Hospital provided a model for many. Nursing enjoyed a reflected glory and, with teaching, became one of the few occupations a middle-class girl might contemplate.

The emergence of modern nursing coincided with changes in hospitals. While initially hospitals just stuck in more beds, newer hospitals were being built. These were often more specialist in orientation, providing treatment for certain patients (eg children), body regions – like ear, nose and throat – or diseases, such as cancer. Funding became an increasing problem and hospitals began to take richer, fee-paying patients to subsidise others.

Significant changes

Meanwhile there was increasing specialisation within the medical profession. This had happened in Germany for some time, but had been resisted by many in Britain as ‘unnatural’. The growth of psychiatry in particular proved very controversial, with many labelled as ‘mad doctors’. However, over time coherent professional psychiatric groups emerged and gained a certain level of respectability, helped by the work of Sigmund Freud at the end of the century.

Marie CurieSo medicine in 1900 had seen significant changes from a century before. Scientific discoveries had given medicine new impetus, and a patient seeking care around this time would have had access to new diagnostic procedures and new technologies. Surgery had undergone massive change, with practitioners now working in gowns, masks and the other accoutrements so familiar from TV today. Doctors had started wearing white coats and stethoscopes, and were able to bask in the reflected glory of scientific pioneers such as Marie Curie.

However, it doesn’t do to exaggerate. Death rates had decreased, but only marginally, from 20.8 per thousand in 1850 to 18.2 in 1900. All else being equal, however, increasing urbanisation would have been expected to increase these. For every disease on the wane – such as smallpox and cholera – another was on the up, including alcoholism and venereal diseases. Many inner city areas still experienced appalling conditions: a high percentages of potential recruits for the Boer War, and for the Great War of 1914 – 18, had to be rejected on medical grounds. Yet advances in public health, science and institutions had taken medicine into grounds of expertise and professionalism few would have expected 50 years earlier. You’d be a lot happier going to the doctor in 1900 than in 1800.

 Source of the article here

Doctors leaving Hungary: the official reports of 2012

Wednesday, April 17th, 2013

In comparison to 2011, last year presented a total of 2061 (higher with 161 than in 2011) workers from the health care sector who applied for certificates from the Office of Health Authorization and Administrative Procedures to work abroad. It is true that according to the statistics of the Office of Health Authorization and Administrative Procedures, that in 2012 there were fewer doctors and more dentists, pharmacists and mostly health care professionals who have applied for the permits. The number of health care professionals who seek employment abroad has increased.

According to the data gathered by the Office of Health Authorization and Administrative Procedures, out of those who were seeking employment abroad, 1108 where doctors( 100 less than in 2011), in average almost as many as two years ago (1111), but compared with the data from 2006 (520) it is double.

 Compared with 2011 last year there were with three dozen more dentist who asked for certificate, a total of 255, and with 50% more pharmacists in total 65 who have applied at the authority.

The biggest increase was in the number of nurses: 518 have applied for certificates from the Office of Health Authorization and Administrative Procedures compared with the 314 of the previous year.

From the data of the Office of Health Authorization and Administrative Procedures the majority of doctors who have applied for the certificates in year 2012 had a specialist medical degree in total 738, the most doctors where: Internal medicine specialist (86), family doctors (75), anesthesiologist (74), surgeons (47), pediatricians (35), gynecologist (32), radiologists (25) and cardiologists (20). If we count the other health care professionals who handle children and the protection of the youth (+14 doctors) the number of pediatricians who have left the country has increased significantly.

The most popular country has become Germany which has taken over England which previously was without competition. From those who have applied for certificates the majority of doctors and nurses wants to work in Germany and Austria, only among the dentists and pharmacists does the UK still lead.

The division by age of the applicants shows that the majority of the applicants are young between 25-29 years. This is the same by the doctors; the majority of the applicant doctors are between this ages. An interesting fact is that doctors who are over 65 years have applied for the certificate. The majority of the dentists and pharmacists are as well between 25-29 years, only the average age of midwifes and nurses is higher 30-40.

In the year 2012 happened for the first time that the number of the woman who want to work abroad was higher than those of the men, from the total of 2061 applicants the number of woman was 1212. Only by the doctors is still higher the number of men, but the majority of applicants from dentists, pharmacists and nurses are women.

Comparatively the doctor emigration statistics from the previous years: In 2005 the number of doctors who have applied for certificates was 604, in 2006 this number was 520, in 2007 it was 590, in 2008 it was 728, in 2009 it was 887, in 2010 it was 1111 and in 2011 it was 1200.

 

Surce of the article: Orvosok Lapja 2013/3

Experience is privileged in the field of surgery

Tuesday, February 5th, 2013

 

The patients, who have suffered a surgical intervention by an experienced surgeon, have a rate of mortality on long term with 22% inferior to those who have been treated by surgeons with a lower volume of surgical interventions in their list of achievements.

According to which criteria should one chose his/her doctor or surgeon in case of a relatively severe disease? The experience is an important factor of the doctor´s quality. A new proof has been given by Swedish researchers who have substantiated that a patient suffering of oesophagus cancer benefits from a longer survival on long term if he/she has been operated on by an experienced surgeon, who has the experience of such difficult interventions, in comparison with a novice or a doctor not specialized in this pathology. As one could have suspected, they have substantiated it in a masterly manner. The researchers at the Institut Karolinska, who have published their result on the 7th of January in The Journal of Clinical Oncology , estimate that the surgery of the oesophagus cancer should be concentrated in the hands of licensed surgeons.

The surgical removal is the basic treatment of the esophagus cancer. This is a difficult intervention, but it allows to a certain number of patients to be healed and to others to have a survival of more than 5 years. The Swedish study tilted on 1335 operated patients between 1987 and 2005 in Sweden, who have benefited from a regular supervision until 2011. The authors analyzed the global surgical volume of the hospitals where each patient has been operated on, the number of this kind of interventions realized each year by the surgeon being in charge of the patient and his/her experience accumulated in the respective field since the end of the academic course. They have then analyzed the survival period of the patients according to the surgeon´s experience.

The results are quite spectacular, as the patients operated on by physicians having a high cumulated surgical volume  present a less than 22% long term mortality risk in comparison with the surgeons having a low surgical volume in their list of achievements in this kind of pathology. However, the hospital´s surgical volume has no effect on the long term survival. It is clear for the researchers having led this evaluation, that this type of surgery must be centralized to some surgeons having a great experience in these important and difficult interventions.

The question of the surgeon´s training exceeds the framework of the oesophagus cancer. A study in France has shown, for example, that concerning the removal of the prostate for cancer reason, the risk of death during the surgical intervention is multiplied by 3,5 when the surgeon makes less than 50 removals per year, in comparison with the surgeon who makes more than 100.

Source of the article here