João Grenho, general secretary of the UEMS.
The European Union of Medical Specialists (UEMS) is already working on the formula to prevent countries like Spain either Portugal suffer a strong impact on their public health staff as a result of the generational change that is expected in the coming years. Among his proposals is raise the voluntary retirement age for physicians in those areas that do not require as many technical skills, as well as increasing the number of places available for the entry of young people with the aim of curbing the deficit of professionals.
“If we are not talking about highly technical, highly surgical specialties, why not raise the retirement age on a voluntary basis. If the professional wants to keep himself, why not leave him? the general secretary of the organization has asked, Joao Grenhoin a conversation with Medical Writing.
The specialist who practices in the Hospital da Luz de Oreiras (Lisbon) has emphasized that making it easier for doctors to retire later would also improve the process of training of new doctors since they could also take advantage of their day to “transmit their knowledge” to the new generations during their residency stage.
At the same time, this strategy would have to be accompanied by a economic package to increase the number of specialists working in the health systems of countries such as Spain, as well as improve their working conditions to alleviate the brain drain to other European countries. With a few exceptions, most professionals they will want to stay in the country. It is human nature”, she added.
The Portuguese way for the family deficit
The deficit of professionals in the National Health System (SNS) has increased especially in the area of Family and Community Medicine, a symptom shared with other neighboring Mediterranean countries. One of the bets to try to nip this situation in the bud is the one that has been put on the table by the Government of Portugal, which has opted to bring health centers to doctors who have not done the residency, but that they must pass consultation under the tutoring of the specialists.
However, this formula does not fit the UEMS, which he fears could lead to problems for the “patient safety” and not act on the merits of the matter. “Move the competencies of doctors to other professionals it will not solve the problem”Grenho has added.
“First you have to have enough vacancies for your needs. And then you have to have conditions that make it desirable for health professionals that they stay in their services instead of going to the private one”, added the general secretary of the UEMS.
One of the keys to understanding this context is that the specialty of Family is not recognized in all member countries of the European Union, which conditions the brain drain. Although in Spain and Portugal it is part of the Specialized Health Training (FSE), other territories such as Switzerland or UK They are not in the business of taking this step forward. Only if it is approved in at least 11 states can it be recognized at the community level. “It is a unique competence of the state”, lamented the general secretary of the UEMS.
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