The Head of the Emergency Department, Raed Arafat, declared on Saturday in Alba Iulia that future doctors must be attracted to emergency medicine while still in college, criticizing those who advise them to avoid this specialty, Agerpres reports.
He emphasized that "young staff must be encouraged to enter this specialty, to understand that if there are enough doctors, the pressure is much lower and then, indeed, you are no longer overworked" if you have enough doctors working in these units.
"We have made a reputation that was wrongly explained to the younger generations. We all went out and said, at first, 'oh, how hard it is, it kills us, it finishes us off'. Yes, if there are few of us, the work is very stressful. If there are enough of us, then the work is distributed and the effort becomes less. So the encouragement of young doctors to come to this specialty must still come from the faculty benches. Unfortunately, and I say it openly, many of my colleagues tell them at the faculty, in the different departments where they do their internships, the advice given is to avoid emergency medicine. Without generalizing. But the advice they are given is 'leave it, it's not good, you won't have a life', but you will have a life if there are enough of us. But if we keep discouraging young people from coming to this specialty, clearly, at a "At the moment there will be very few people working in it," explained Raed Arafat, present at the inauguration of the new UPU ward of the Alba Iulia hospital, where, out of the 27 approved doctor positions, only 17 are occupied, and 10 are vacant.
Raed Arafat also referred to a problem that has arisen in the last two years, namely the transfer of doctors from emergency units to ambulance services, emphasizing that movements in the system that are "not thought out correctly at this time" must be "stopped".
"You cannot take over the doctors from the UPU, who have done five years, to the ambulance services and leave the UPU uncovered. (...) This phenomenon, fortunately, is not widespread, but it has appeared in several counties and at some point it will be necessary to understand where everyone's place is in the system. The system was designed in a certain way. The place of the doctor who does five years of specialization is here, at the UPU, with pre-hospital discharge, on the intensive care unit, on the helicopter, but he practices basic medicine in the UPU," emphasized the head of the DSU.
He added that for ambulance services there is a six-month certificate that prepares the general practitioner, family doctor to deal with emergencies, after which SMURD comes in to support.
"That's why we have the SMURD mobile intensive care unit, that's why we have helicopters, but in the UPU it is very important to have an adequate number of doctors. What happens to the doctor we take to work only on the street, only in the ambulance services? After a period of time, he loses his experience and loses his training on what happens in the UPU. He no longer knows what investigations to request, he no longer knows how to work in a UPU, (...) he will only know how to do the pre-hospital part," Arafat said.
Regarding the salaries of those in the UPU, Raed Arafat specified that they receive a raise, as happens in intensive care units.
"When we encouraged people to come to this specialty, in 2008 - 2009, it was by supplementing the amount they receive between 50 and 100% and that attracted many young doctors. Now it is normal, when the performance criteria are made, when the system is thought about, in the future - I heard Minister Rogobete talking about this and I know that it is in their sights to think about performance and certain criteria, which differentiate certain aspects. It is normal to see what is happening in the UPU, to look at the doctors who have a certain pressure on them and through certain performance indicators to be paid adequately," explained Raed Arafat.
The head of the DSU highlighted the fact that doctors in the UPU normally do not have other private activities. "Very rarely are there some who have done a second specialty, who are still active and have other incomes. But emergency doctors, as a rule, who work in the UPU, are doctors who are dedicated to these units and then we must also look at this aspect, as other countries have done, Belgium, for example, which differentiated by taking this aspect into account as well", concluded Raed Arafat.
The head of the DSU participated, on Saturday, at the inauguration of the new UPU section of the Alba Iulia County Emergency Hospital, expanded and equipped with high-performance equipment, through an investment of 2.5 million euros.
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