A Word from the Chairman Dear Friends, Shone a Light on the Future of Medicine Budgeting for the Health System
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Israeli Medical Association No. 31 | October 2019 A word from the chairman Dear Friends, shone a light on the future of medicine budgeting for the health system. and the effects that technology will have As we celebrate Rosh Hashanah, t is time for another issue of IMA and is having on healthcare. traditionally the beginning of the Jewish Around the Globe. In June this year, the IMA World holidays that offer a time of reflection and Since our last newsletter, the IMA Fellowship awarded 17 Scholarships to renewal, the Israeli Medical Association Ihas enjoyed a busy level of international doctors travelling abroad to complete wishes you a New Year filled with health activity, with trips to attend and present fellowship. An awards ceremony was and happiness, and sweet moments for at the Confederation of Medical held and the scholarships were given you and your family. L’shanah Tovah. Associations in Asia and Oceania in Goa, in the names of physicians who have Wishing you all Shana Tova, and wishing India; the South East European Medical passed away. you well over the fast. Forum in Sofia, Bulgaria; European We are now working together with the Forum of Medical Associations in Israeli Medical Association Scientific > Professor Arnon Afek Podgorica, Montenegro; Confederación Council to plan for their upcoming Chairman, IMA World Fellowship Médica Latinoamericana y del Caribe conference on Medical Education in Associate Director General Sheba Medical Center in Acapulco; and the World Medical Residency, which will take place at the Former Director General, Israeli Ministry of Health Association H20 in Tokyo, Japan. In Dan Acadia Hotel in Herzliya on 11th May this year, the IMA hosted the November. The main theme of the World Medical Association conference: conference will focus on the process “Physician 2030: the future is around that the Council has started in recent the corner, be prepared.” The two-day years of Competency-Based Medical conference was held in Herzliya with Education – CBME. The goals of the The Israeli Medical local and world-renowned experts and conference are to promote research and Association doctors in attendance. There were many thinking on education in all its aspects, wishes you, your family riveting presentations and panels that and to promote discourse on theories and and your community practices within the medical community. An additional day’s program on the 12th a happy, healthy and November will be provided for IMA World flourishing year ahead Fellowship members and we hope that you will join us in Israel for this event. Shana Tova As you will all be aware, another election was held in Israel this month and the IMA ran a strong campaign to ensure that the issue of health would be on the election campaigns. The slogan of the campaign was don’t put a plaster on me. The IMA asked the party leaders to commit to 2 IMA AROUND THE GLOBE | OCTOBER 2019 IMA Domestic News and Activities Physicians 2030 conference summary In May 2019, The Israeli Medical He emphasized that in the 21st Association raised the issue of protecting Association and the World century the focus will be in three main medical information from the cyber Medical Association jointly held the fields: general laparoscopic surgery, era. Dr. Marian Sedlak from Slovakia conference “Physician 2030: the future oncology surgery and acute care surgery. talked about the role of the physician is around the corner, be prepared.” He indicated that the future of the in building the future of medicine and This two-day conference was held in surgical profession will be influenced the importance of technology and Herzliya, Israel and was attended by by developments in the world of robotics innovation in the health system, while Dr. local and world-renowned experts and and artificial intelligence, leading to Iskender Sayek, Chairman of the Medical doctors who enjoyed presentations and minimizing surgical intervention, Education Committee of the Turkish panels that shone a light on the future simplifying and shortening the duration Medical Association shared his thoughts of medicine and technology. of surgical procedures and reducing the on therapist-patient relationships in Dr. Ze’ev Feldman, Deputy Chairman possibility of human error. the past, present and future. Professor of the IMA and Chairman of the State Dr. Daniel Kraft, a physician and David Gordon, President of the World Physicians Association, presented scientist dealing with medical innovation Federation of Medical Education told global trends, including the aging of the and the chair of exponential medicine how medical education has passed population, the rise in chronic morbidity, at Singularity University in the US, through the generations from a broad the increase in the cost of health services introduced technological innovations education based on humanistic thinking and the burden on hospitals. that are developing at a rapid pace and to more ’scientific’ and ‘rational’ models Noting, technological developments that are likely to change the face of and Professor Lukoye Atwoli, Vice in the field, he highlighted the move medicine. The genome project, artificial President of the Kenyan Medical focused towards ‘home hospitalization’, creating intelligence, virtual reality, and other on education. a therapeutic system in the patient’s developments will continue to grow The conference ended with an expert home, instead of being hospitalized. at an exponential rate, increasing the panel titled “Managing the challenges Such a system would reduce hospital capacity for treatment, alongside the ahead of us: Perspectives and the admission rates and visits to emergency development of personalized medicine. direction we want to Go.” The panel rooms, resulting in significant economic The conference welcomed renowned discussed in depth issues related to savings. In Israel, home hospitalization international guest speakers from across the future of the health system and the is in its infancy, but is gaining both public the globe. In their talks, Dr. David medical profession. interest and political support. Barbe, past president of the American Prof. Hanoch Kashtan, Director of Medical Association and Professor Department of Surgery at the Rabin Frank Montgomery from Germany Medical Center, Bellinson focused on addressed the design of the physician’s the positive development of the surgical environment and physician/patient profession following technological relationships in 2030. Dr. Jacqueline progress. The change is reflected in pre- Kitulu, President of the Kenya Medical surgical treatment, a multi-disciplinary Association focused on how technology surgical approach, research and the will change jobs in every field, while Dr. technological tools used in surgery. Rintaro Sawa from the Japanese Medical IMA AROUND THE GLOBE | OCTOBER 2019 3 IMA Campaign -Heal the priorities and the health system # Don’t put a plaster on me! Two weeks prior to the Israeli elections, the Israeli Medical Association was campaigning to ensure that the issue of health would lead the election campaign among both of the leading parties’ campaigns. The slogan of the campaign was ‘don’t put a plaster on me’. The IMA asked the party leaders to commit to budgeting for the health system. We led campaigns in the press and social media. These pictures appeared on ynet and facebook. The IMA utilised social media and had a rolling media campaign on facebook and Instagram. We also campaigned on the radio. The campaign highlighted 5 immediate steps to prevent the collapse of the Israeli Health System. 1. Addition of 5 billion shekels in the next 5 years 2. Addition of 5% of hospital beds in a year appointment time to 15 minutes Finally, on election day we had 3. 500 specialist physician positions 5. 500 consultants + 500 family posters outside polling stations and 500 medical resident positions physicians and paediatricians in the throughout the country, and asked to 4. Increase doctor - patient community vote for health. 4 IMA AROUND THE GLOBE | OCTOBER 2019 Violence in the Health Sector Violence toward health care emergency capacities. While there has been a reduction workers has been widely In 2011 an IMA initiated bill was of the number of violent acts towards documented around the globe. adopted which stated that a person who medical staff in the health system, the According to the WHO, more than half physically or verbally attacks a health Israeli Ministry of Health reports more of all workers in the health sector may worker or damages property will be than 3,500 documented violence cases have experienced violent incidents at warned that they may not be allowed each year against medical teams, with some point1. to return to the same facility if the only 11% of the cases reported to the Acts of violence not only affect the behaviour is repeated. If the assailant police and an even lower rate that are victim, but impact the health system commits another attack, he or she may prosecuted. and society as a whole and can directly be prevented from entering the facility Following a recent incident this influence the quality and availability from 3-6 months, except for medical summer, IMA President Prof Zion Hagay of care. treatment. wrote to the Director General of the The Israeli Medical Association (IMA) In addition, a national program for Israeli Ministry of Health, Mr. Bar Siman- initiated a bill for stricter penalties for the minimization of violence against Tov, demanding action. attackers and in 2010 a bill to increase healthcare personnel was introduced the severity of the punishment for in 2013. A Ministerial Committee was attackers from 3 to 5 years was accepted set up on Violence Against Medical into law. The IMA is currently working and Administrative Teams in the Health on a revision to extend this provision System, which published the report to include health workers in non- Violence Hurts us All in December 2017.