Posts Tagged ‘medical’

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?

What does it mean to be a doctor in the field of Psychosomatic Medicine?

Wednesday, April 16th, 2014

 

 

Being a healthcare recruiting agency with a lot of vacant positions in the field of Psychosomatic medicine and Psychotherapy in Germany we are often asked by our candidates:

  • “Is this specialty similar to other specialties in other countries?”
  • “What does a doctor do if he chooses to start his residency program in the field of Psychosomatic?”
  •  “Why should I be interested in following this specialty?”

The field of psychosomatic medicine and Psychotherapy is a relative new specialization that was established in Germany in 1992 after realising the need for such medical specialists. Currently the field is only present in Germany and Austria.

The residency program covers:

  • 3 years of psychosomatic and psychotherapy
  • 1 year of psychiatry
  • 1 year of internal medicine

Psychosomatic medicine includes:

  • Diagnosis of psychosomatic illnesses
  • Psychotherapeutic treatment
  • Prevention and rehabilitation

In order to become a specialist doctor in the field of Psychosomatic Medicine, one must complete the 5 years of residency. At least 1500 hours of psychotherapeutic treatment must be provided by the physician in training with respective minimum numbers for individual psychotherapies of different lengths (short-term therapy, shoulder length therapies, long-term therapy), group therapy, couple and family therapy.

Specialist training for Psychosomatic Medicine and Psychotherapy includes:

  • ethical, scientific and legal foundations of medical practice
  • the medical evaluation
  • the measures of quality assurance and quality management, including the error and risk management
  • medical interviewing, including family counselling
  • psychosomatic Basics
  • interdisciplinary collaboration
  • the etiology, pathophysiology and pathogenesis of diseases
  • the Enlightenment and the documentation of findings
  • the laboratory-based detection methods
  • medical emergency situations
  • the principles of pharmacotherapy, including the interactions of drugs and drug abuse
  • the general pain management
  • the care of seriously ill and dying
  • interdisciplinary indications for further diagnostic tests-including the differential indication and interpretation of radiological findings related to territorial issues
  • psychosocial, environmental and cross-cultural influences on health
  • the prevention, detection, treatment and rehabilitation psychotherapeutic psychosomatic diseases and disorders including family counseling, addiction and suicide prevention
  • the practical application of scientifically recognized psychotherapy procedures and methods, especially cognitive behavioral therapy or psychodynamic psychotherapy
  • the indication for socio-therapeutic measures
  • Detection and treatment of behavioral problems in childhood and adolescence
  • Basics of detection and treatment of internal diseases that require a psychosomatic treatment
  • Detection and treatment of mental-physical interactions in chronic diseases, such as cancer, neurological, cardiac, orthopedic and rheumatic diseases as well as metabolic and autoimmune diseases
  • psychiatric history and diagnostic assessment
  • the area-based drug therapy, with particular reference to the risks of drug abuse
  • the detection and psychotherapeutic treatment of psychogenic pain syndromes
  • autogenic training or progressive muscle relaxation or hypnosis
  • the implementation of supportive and psycho-educational therapies for somatic health
  • Foundations in behavioral therapy and psychodynamic psychotherapy
  • Crisis interventions under supervision
  • 35 double hours Balint group or interaction-related casework
  • psychosomatic-psychotherapeutic consulting and liaison service

 

Why should you consider becoming a specialist doctor in the field of Psychosomatic medicine and Psychotherapy?

Psychosomatic medicine and Psychotherapy is an exciting and new growing medical speciality with a fast and constant evolution. It offers a new point of view regarding the correlation between physical and (somatic) illness and psychiatric factors that create somatic illnesses without physical substance.

An interesting aspect is the fact that a Psychosomatic medicine and Psychotherapy practitioner has the opportunity to conduct psychiatric evaluations and treatments for mentally healthy individuals without having to interact with common psychiatric patients.

One can be certain that Psychosomatic medicine and Psychotherapy practitioners will be more and more sought after in the near future!

Interested in working in the field of Psychosomatic medicine and Psychotherapy?

Check out this job description!

 

 

 

 

Denmark’s idyllic countryside

Friday, March 7th, 2014

Well-known for its cosmopolitan capital, cutting edge contemporary design and the timeless fairytales of Hans Christian Andersen, Denmark’s stunning coastlines and rolling countryside must be equally revered.

With mile upon mile of pristine coastline complemented by an unspoiled interior of forests, heaths and rolling farmland, the Danes love nothing more than getting out into the heart of their beautiful countryside. Visitors can also easily follow suit by making a leisurely exploration along one of the many designated, long-distance touring trails – ideal for exploring on foot, by bike or on an unhurried drive along picturesque country lanes.

Spoiled for choice when it comes to touring itineraries, visitors looking to travel under their own steam, for example, can walk or cycle sections of the Hærvej, or ‘Army Way’, which traces what was for centuries the main transportation route through the Jutland peninsular. Linking a whole network of paths, it forms a 250km trail along the backbone of the country, from the town of Viborg in north-central Jutland all the way south to the German border and beyond. With well-maintained walking and cycling trails established along this historic route, it follows a ridge that affords some of the most spectacular views in Denmark.

Dotted with interesting sights – including breathtaking natural scenery, historic fortifications, ancient burial mounds and plenty of Viking history – visitors can put their best foot forward discovering these at their own pace. Marking a start to the Hærvej, the imposing Viborg Cathedral, one of the largest granite churches in northern Europe whose two towers dominate the skyline, is a definite highlight. From here, the path continues south across the wild, open heaths of Kongenshus Hede and on through the outstanding natural beauty of Egtved, known for its windmills, watermills and Bronze Age relics from the grave of the Egtved Girl – which include some incredibly well-preserved burial objects dating from around 1370BC. Another unmissable historic attraction is Jelling, a UNESCO World Heritage Site that’s home to a huge, ship-shaped stone circle that was created in the 10th Century by the Viking Kings Gorm the Old and Harold Bluetooth. More recent history can be found at the Frøslev Camp Museum, a well-preserved World War II prison camp that once interred political prisoners and members of the Danish Resistance. There are also a good number of interesting detours to be made from the Hærvej, such as a visit to the sources of Denmark’s longest (the GudenÃ¥) and its largest (SkjernÃ¥) rivers, which rise just a few hundred metres apart but then flow in opposite directions towards the east and west coasts respectively, creating their own attractions.

Runic stones in Jelling Denmark

Visitors preferring a less energetic means of travel can instead opt for one of the driving tours such as the Margueritruten, a scenic route that passes through spectacular countryside on its way past more than 200 of Denmark’s most popular attractions. Marked by characteristic marguerite (daisy) road-signs, this winding 3,600km route takes in the cities of Copenhagen, Odense and Aalborg as it wends its way through Zealand, Funen and on through central and northern Jutland, exploring some of the country’s most remote corners. Cleverly following an extremely well-planned network of roads, the trail ensures drivers never see the same view twice. Although designated as a driving route, following such quiet roads makes it equally well suited to touring by bike.

The Marguerite Route also takes full advantage of Denmark’s stunning coastline passing along the west coast and providing visitors with an opportunity to discover the Wadden Sea, one of Denmark’s most ecologically important areas. Depending on the time of year, visitors to this vast intertidal area can encounter some incredible wildlife spectacles. In the spring and autumn, the mudflats provide an important stopover site over ten million migrating shorebirds, which pause on the food-rich alluvium to refuel before continuing their epic journeys. The transitional months are also the time to witness the phenomenon of the Black Sun, when huge flocks of starlings swirl across the dusk sky with their amazing aerobatic displays presenting a truly mesmerising sight. In summer, seal safaris operate from Esbjerg Harbour, with sightings of spotted seals being virtually guaranteed. Then from October to April, guided walks across the tidal flats give visitors the chance to forage for fresh oysters, which can be harvested in large numbers all across the area.

Another interesting spot along the West Jutland coast is Ringkøbing Fjord, an area of outstanding natural beauty that’s known in particular for its watersports. Windsurfers are especially well catered for here, but there are also plenty of opportunities for other activities like canoeing, angling or simply taking a refreshing dip. Nearby Nymindegab Kro offers an interesting place to stay; this traditional Danish inn is perched high on the dunes overlooking the North Sea and is the perfect place for exploring the surrounds or tucking into delicious local dishes. Further north, the route passes through Thy National Park, allowing visitors a chance to discover nature in the raw in this extensive area of dunes, forests and heaths including the wetland reserve of Vejlerne – the largest bird sanctuary in northern Europe and home to all kinds of rare and unusual flora and fauna.

Away from the coast, other highlights along the Marguerite Route include the fairytale forest of Rold Skov. At 80 km², this is Denmark’s largest forest and home to ancient trees, crystal-clear lakes and rare wild orchids. More natural beauty can be found at Rebild Bakker, a famously picturesque area of woods, gorges and valleys,  and Mols Bjerge National Park, which occupies an area of rolling hills and wildflower-rich meadows on the Djursland peninsula. Closer to Aalborg, Denmark’s third largest city, lies Lindholm Høje, home to Scandinavia’s largest Viking burial ground with more than 700 well-preserved graves. Also of historical interest is Koldinghus Castle, Jutland’s oldest royal castle and home to an extensive art collection. Another interesting place to visit is the pretty town of Vejle, which is so well-loved by the Danes that it’s been labelled ‘Denmark’s cosiest town’. Just outside Vejle lies the recently-created Kongens Kær wetland park, complete with nature trails and picnic areas – another perfect place for visitors to pause on their journey and reflect on the pleasures of day touring, Danish-style.

Whether walking, riding or driving, Denmark’s numerous touring routes and trails offer the perfect path to a relaxing holiday.

We at EGV Recruiting currently have positions available for doctors willing to work in Denmark! Check out our offer here:

http://www.mejobs.eu/en/ofertedk.html

 

 

Source of the article here: http://www.visitdenmark.co.uk/

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

 

Romanians want access to the latest in medication

Wednesday, November 14th, 2012

88.5% of the Romanian population believes that serious illnesses should be treated with state of the art medication, according to the study conducted by the IMAS institute. More so, over half of the questioned stated that they would rather pay the full price for the generic medicines covered by the state and in exchange for the compensation of newer and more expensive medicine.

Concerning the preferences for the medication selected for treatment, over 46% of Romanian citizens prefer to buy innovative medicine, and 16% chooses generic medicine.

Also, 82% of the respondents admit the importance of new medication for the overall health of the population.

When it comes to access to the latest generation in medication, 34% believe that the actualization of the list of compensated medicine should be updated every year. 23% of the Romanian population thinks that this should be done every 6 months.

 

What do you think?

 

Source of the article here

Why Hungarian doctors choose to migrate abroad

Friday, September 14th, 2012

Only 2% of the ones that work abroad, plan to return to Hungary in the next 2 years.

“Since I started working here, during one year, I managed to get rid of my diabetes medication. I no longer have to hold diets, all the lab works are great, I’m well rested and balanced”- wrote a specialist doctor working in Germany in the query realized by the Resident Doctor Society, addressing the topic Hungarian doctors working abroad. Based on the answers given by the 150 questioned medics, the working abroad doctors’ general impression about the current situation in Hungary comes to the surface.

The query was realized online in October-December 2011. 85% of the responding doctors went abroad between 2008-2011. 71% of the participants worked in the Hungarian health care system before leaving abroad. From the answers given, 15% of abroad working Hungarian doctors, were considering even as students the possibility of leaving abroad.

When asked if they would ever plan on moving back to Hungary in the next 2 years, only 2% gave a positive answer. 58% said a definite no, and 25% would come back only if the system would change for the better. 15% were not sure or couldn’t give a precise answer. Even more so, the majority that gave a negative answer (28%) stated that they wouldn’t come back in the next 20 years.

7% of the respondents think about coming back in the next 5 years. 58% are still not sure about staying 5 years abroad. From the query one can draw the conclusion that there are 3 factors that prevent the doctors to come back:
1. The wages back home
2. The workload of over 60 hours/day
3. The impossibility of starting a family
4. Bribes

Based on the answers given, one can conclude that 2 out of 3 medics working abroad would come back if they would receive a decent salary starting from 300 000 Ft and normal amount of working hours.

For now it’s not hard to make a decision regarding staying abroad or coming home, because abroad, the colleagues’ patients and locals are very friendly, according to 90% of query respondents. Even more, residencies abroad are considered more efficient.

“Young doctors are ambitious and are integrated in the teams relatively quickly. Besides being under constant supervision, young doctors also get responsibilities from the start. Quality is assured via feedback. Proposals and ideas are also widely accepted. Most of these are promptly implemented.” –stated a resident doctor from Germany.

Another resident doctor working in Germany stated that despite his young age, he is allowed to perform operations. This is one of the rarest and most important things, besides this all positive and negative things are irrelevant. He also states that besides work, shifts and studying there is time for living.

The survey also addressed the issue of practices from abroad that could be easily implemented back home. The following answers were provided:

“Doctors are not caught up in administrative duties”.

“Regardless of someone’s profession or work, people respect each other”.

“After passing the specialist exam you actually can work by yourself”.

“Respecting the legislation regarding the work time and attributes”.

“What strikes me as an incredible difference is the fact that people listen to me despite being just a resident. Doctors and nurses work together in order to solve cases. On the other side there is a strong bond between doctors.”

Social studies were interested in learning about how Hungarians from across the border integrated themselves and live the day to day life:

“In order to avoid confusions I would like to add the fact that abroad you have to work a lot! Anyway in this particular field, it’s not about closing the shop door every day at 4 o’clock. But it feels different going to work and earning a decent living. Even abroad, medics don’t have the highest salaries but still they can create decent living conditions for their families” – resident doctor in Germany.

“When I started considering leaving the country, I was influenced by the over solicitation that I was exposed to in the hospital back home. This manifested itself as physical illness (diabetes and lack of sleep). Complaining to my employer brought no results. Considering my own health and the future of my family, I started to apply for positions abroad.”

“For 6 years I have been working and living abroad. Most of the doctors working abroad would gladly come back home, if they would feel themselves welcomed back.” – Specialist doctor UK.

“If the year of my graduation (2008) had presented a better home situation, I wouldn’t have started applying for jobs abroad. It is sad that I had to leave my home country but here I don’t have to worry about bills, rent costs, my car, cloths, vacations and even saving up some money. “– resident UK

“My worse memory from back home is tightly correlated to the constant bribes. I was allergic to them and was quite terrified when people kept insisting to take the money.” – specialist USA.

“During my years as a student, I was against migration. (My girlfriend is also a doctor and we graduated together). After graduation we worked together in Hungary. We lived together with her mom in order to be able to pay utilities. We had no time and no money for fun. Working overtime didn’t pay off either, and there was no chance to start a family. Once, a patient tried to beat me up. The last drop filled my cup of disappointments. Even though I loved my colleagues I decided to go abroad. Having an independent life, my own car, future perspectives, and a life outside the hospital improved our life.” –resident Germany.

“If we continue to postpone the resolving remuneration issues in Hungary, we will have to lose an entire generation, and then young doctors will not have any other motivation to stay home because they won’t have any mentors back here to teach them the art of medicine”- specialist UK.

 

Source of the article

Romania: European Funds for Rural Medical Practices

Tuesday, September 4th, 2012

The representatives of the Romanian Ministry of Health announce the medical professionals that intend to establish medical practices in the rural districts that they can obtain non reimbursable financing for the work they perform.

The funds are being allocated via the National Rural Development Program, conducted by the European Agriculture Fund for Rural Development (FEADR/ Fondul European Agricol pentru Dezvoltarea Rurala).

Enrollment for funding started this week, and the sum of money available for this program is 134.668.992 Euros as stated in the announcement of the call for projects financed by the FEDR.

 

According to the program, medics, and also businesses in the rural region can obtain funding in order to realize investments in human health services, ambulatory medical assistance, dentistry, general medical assistance, specialized medical assistance and also in other fields.

In order to obtain the grant, one has to write a project following the precise specifications in the Company Guide in question. These info’s and guides are handed out in printed format at any official APDRP regional or county centers.

 

The projects can be submitted between the 3rd -28th September at the county headquarters of APDRP, from Monday to Friday between 09:00 – 14:00. In the last day of the program session the projects can be submitted only till 12:00 o’clock.

 

Source of the article here

Why co-payment won’t be an issue this year!

Monday, August 13th, 2012

The introduction of co-payment in the Romanian health system was postponed by the Government till further notice. The co-payment was one of the agreements struck by the Romanian government with the IMF, the European Committee and the World Bank.

The postponement was adopted in consensus with the IMF. “The co-payment will be negotiated with the patients association and the professional associations. The law decrees that the co-payment will be set after negotiations. A majority of the patients association resist such a measure. The implementation of co-payment will probably take a long time.

Negotiations will begin next week. In earlier discussions, the co-payment measure was to be implemented in the fall, but now we can’t set a date until negotiations are made,” stated Health Minister Vasile Cepoi.

 

How much will the patients have to pay:

In the beginning of August, the Health Officials left open to public discussions a project stating that the ensured population will have to accept a co-payment for medical services provided in hospitals. So, for medical services provided in a hospital category I the co-payment would be 60Ron per day, 50Ron for a II category hospital, 40 Ron for a III category hospital, 30 for the IV category hospital and 20 for a V category hospital and for unclassifiable hospitals.
 

The minimum co-payment per consultation performed by a medic without a professional rank and with specialist professional rank is 4 Ron and the highest per consultation for a consultant is 5 Ron.

 
In the case of ambulatory medical assistance, co-payment taxes for medical consultations range between 5-7 Ron. For high investigations such as the co-payment prices are as follow: MRI – 150Ron, MRI with contrast substances 250Ron, CT’s 100 Ron, CT’s with contrast substances 150 Ron.

 

Social Categories exempt from co-payment:

Exempt from co-payment are children under 18, children between 18-26 if they are students, the sick people included in the national health programs established by the Health Ministry, the unemployed, the retired with pensions under 740 Ron/Month, pregnant women.

 

Source of the article

European doctors ask for the hospital doctors to be rewarded with a salary at least as big as two-three national average salaries

Thursday, May 24th, 2012

European doctors call on governments of the European Union member countries to guarantee the minimum wage for hospital doctors, starting from no less than two to three national average salaries, and to ensure uninterrupted financing of health systems at a level comparable with the EU average.

The European Association of Hospital Physicians and Medical Employees adopted at the General Assembly held in May 17 to 19 in Varna, a statement urging the governments of the European Union member countries to ensure uninterrupted funding schemes for the health system at a level comparable with the average of the EU countries in order to meet the first factor for economic recovery in the EU, states a press release sent by the College of Physicians in Romania to Mediafax.

The two professional organizations require, an improvement of technical facilities in hospitals, so as to meet international scientific standards, guaranteeing a minimum wage for hospital doctors, according to their qualifications, but at least as high as two or three average salaries per economy, full and rapid implementation of national legislation on working time directives, achieving a balance between the working time and personal time and family life, thus guaranteeing a professional autonomy and self-government of hospital doctors.

“The right to health is a fundamental right recognized by all European treaties. The delegations of EMSA and FEMS meeting in Varna believe that maintaining the quality of the health systems in all member countries of the European Union requires suitable working conditions for doctors in hospitals,” said the representatives of the Medical College of Romania (CMR).

Romania was represented at this meeting by the Medical College of Romania, the Democratic Federation of Physicians “Dr. Ioan Cantacuzino” and the Federal Chamber of Physicians.

“I felt embarrassed when I compared the situation in Romania to that of doctors in other countries. In the debate, representatives of other countries were shocked by some aspects regarding the Romanian medical system, especially regarding the income they get, working time and independence. Delegations of the two organizations have expressed support for the position of the College of Physicians in Romania. Some delegates have considered shameful the revenues that doctors form Romania and Bulgaria receive. Therefore the mention of salaries two or three times as big as the national average salaries, and on a later stage the establishment of a European line of income for doctors from different systems in Europe”, said Professor Vasile Astarastoae, president of CMR.

At the meeting, the representative of the Medical College of Romania, Vlad Tica Ph.D., was elected Vice President of the European Association of Hospital Doctors.

AEHM is a professional association that aims primarily to improve all aspects of the conditions in hospitals in Europe. The association defends hospital doctors, engages in debates about the European directives and national legislation regarding working conditions, European Working time Directives, Directives on services in Health and free movement of health professionals.

 

Source of the article