Junior Doctors Network Newsletter Issue 18 April 2020
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VOTING with THEIR FEET Migrant Zimbabwean Nurses and Doctors In
Research Report No. 111 Rudo Gaidzanwa VOTING WITH THEIR FEET Migrant Zimbabwean Nurses and Doctors in the Era of Structural Adjustment Nordiska Afrikainstitutet Uppsala 1999 This report was commissioned and produced under the auspices of the Nordic Africa Institute´s programme on The Political and Social Context of Structural Adjustment in Sub-Saharan Africa. It is one of a series of reports published on the theme of structural adjustment and socio-economic change in contemporary Africa. Programme Co-ordinator and Series Editor: Adebayo O. Olukoshi Indexing terms Medical personnel Labour migration Structural adjustment Zimbabwe Language checking: Elaine Almén ISSN 1104-8425 ISBN 91-7106-445-1 © the author and Nordiska Afrikainstitutet 1999 Printed in Sweden by Motala Grafiska 1999 Contents Introduction...............................................................................................................................5 Aim and Objectives................................................................................................................9 Literature Review ..................................................................................................................10 The History of the Modern Medical Profession in Zimbabwe...........................15 Methodology ...........................................................................................................................26 Preliminary Observations from the Data Collection Process..............................29 Analysis of Research Findings.........................................................................................33 -
MEDICAL PRACTITIONERS 2 Hospital Staff the People Who Work
MEDICAL PRACTITIONERS 2 Hospital Staff The people who work in any type of workplace, including hospitals, are called the staff. The medical staff in a British hospital belong to one of four main groups: • A pre-registration house officer (PRHO), or house officer, is a newly graduated doctor in the first year of postgraduate training. After a year, he or she becomes a registered medical practitioner. In the current system of training, the Foundation Programme, the name for these junior doctors is Foundation Year 1 doctor (FYI). • A senior house officer (SHO) is in the second year of postgraduate training. The title is now Foundation Year 2 doctor (FY2), but the old terms senior house officer and SHO are still used. • A specialist registrar (SpR) is a doctor who has completed the Foundation Programme, and is training in one of the medical specialties. There are also some non-training registrars -- doctors who have completed their training but do not wish to specialize yet. • A consultant is a fully qualified specialist. There may also be some associate specialists – senior doctors who do not wish to become consultants. In addition, there is at least one medical (or clinical) director, who is responsible for all of the medical staff. Medical Teams Consultant physicians and surgeons are responsible for a specific number of patients in the hospital. Each consultant has a team of junior doctors to help care for those patients. In many hospitals, there are multidisciplinary teams which consist not only of doctors but also of physiotherapists and other allied health professionals. When patients enter- or are admitted to –hospital, they are usually seen first by one of the junior doctors on the ward where they will receive treatment and care. -
Junior Doctors' Handbook on the 2016 Contract
Junior doctors’ handbook on the 2016 contract A guide to the new 2016 terms and conditions of service for doctors and dentists in training in England April 2021 Version 2.0 British Medical Association bma.org.uk British Medical Association Junior doctors’ handbook on the 2016 contract Contents 1. Introduction ...........................................................................................................................................................2 2. Training appointments and educational approval .................................................................................3 3. Learning and development .............................................................................................................................5 4. Recruitment to specialty training – advice for applicants ..................................................................7 5. Contracts of employment ................................................................................................................................9 6. Pay ........................................................................................................................................................................... 13 7. Work Scheduling ............................................................................................................................................... 24 8. Hours of work and WTR ................................................................................................................................... 31 9. Exception -
Prince Mahidol Award Conference 2019 Title: Urban Planning As a Means to Create Low Risk Environments for Non-Communicable Disease (Abstract ID 192)
Prince Mahidol Award Conference 2019 Title: Urban planning as a means to create low risk environments for non-communicable disease (Abstract ID 192) Presentation 2nd February 12.45-13.45 Sub-theme 2: System Approaches to Address the Political Economy of NCDs Authors: Fran Baum1, Toni Delany-Crowe1, Michael McGreevy1, Patrick Harris2, Peter Sainsbury2, Matt Fisher1 1. Southgate Institute for Health, Society and Equity, Flinders University, Adelaide, South Australia 2. School of Public Health, University of Sydney, NSW, Australia Background The environments in which we live are strongly influenced by economic, social and political forces. These forces manifest in the built environment and influence the ability of people and communities to access the resources and systems that they need to live healthy and equitable lives and to participate in decisions about the nature of cities. As such, urban planning has considerable potential as a tool to lower non-communicable disease (NCD) risk within populations through use of urban design strategies and practices that are conducive to wellbeing and empowerment. This paper reports findings from research that assessed the extent to which Australian urban planning policies support the creation of healthy, low NCD risk environments through action on the social determinants of health and equity (SDH/E). The paper commences with a brief overview of the links between the features of urban environments and NCD risk, before a description of the research methods and analysis of the policies are presented. Drawing on the existing evidence and the research findings, the discussion then provides an inventory of key considerations that may facilitate urban design and planning in Low and Middle Income Countries (LMIC) to lower NCD risk. -
The Millennial Doctor – a Blue Collar Worker?
Future Hospital Journal 2017 Vol 4, No 1: 45–8 COMMENT T h e m i l l e n n i a l d o c t o r – A b l u e c o l l a r w o r k e r ? A B Authors: O r o d O s a n l o u a n d R i c h a r d H u l l The face of medical training has transformed over the last highest quality of care as part of an experienced consultant-led two decades. This has impacted education and training, firm. The loss of this ‘firm’ structure is significant because, work ethic and pride within the profession. There are serious within teams, doctors were nurtured and a work ethic concerns that rigid working hours, shift systems, erosion of developed that created professionals with integrity, compassion, team-working (with all of the implications this carries for the altruism and commitment to professional development. We risk ABSTRACT essential ‘apprenticeship’ of postgraduate medical training) accepting competence rather than excellence; a generation of and repeated political interference will transform the millennial doctors stifled by protocols, unable to innovate and discouraged doctor into a ‘blue collar’ worker. Morale is at an all-time from asking ‘why’ in the effort to change practice for the better. low and more needs to be done to support and value junior To quote Sir John Tooke in his 2008 Modernising Medical doctors, raise awareness of work-life balance issues and improve Careers (MMC) enquiry report, ‘put simply “good enough” working lives. -
Are Junior Doctors Competent in Providing Effective Feedback to Medical Students?
Advances in Medical Education and Practice Dovepress open access to scientific and medical research Open Access Full Text Article LETTER Are junior doctors competent in providing effective feedback to medical students? Elliott Yann Ah-kee1 Dear editor Aamir Asif Khan2 Effective feedback is widely recognized as one of the main catalysts for learners to 1Monklands Hospital, Airdrie, North achieve their educational goals and fulfill their potential. Its crucial role in medical Lanarkshire, UK; 2Glasgow Royal education has been well established over many years.1 However, previous studies of Infirmary, Glasgow, Scotland, UK medical student perceptions show that they are dissatisfied with the feedback received from tutors. The key findings were the lack of feedback on medical students’ perfor- mances or inadequate feedback when provided.2,3 In the UK, provisionally registered doctors (foundation doctors in their first year of training following graduation) are expected by the General Medical Council to teach medical students. In addition, they should also “contribute to the appraisal, assessment or review of students and colleagues”.4 One of the main issues expressed by medi- cal students is the lack of feedback as mentioned. Foundation doctors often ask for formal feedback from the medical students they teach in order to collect evidence to fulfill teaching requirements of the training program. However, in many cases, feedback to medical students is not always forthcoming and this can potentially hinder their educational development. In addition, literature on the quality of feedback provided by junior doctors is scarce. This raises an important question: are junior doctors competent in giving effective feedback? As junior doctors with an interest in medical education, we believe that there is a lack of formal training on how to provide effective feedback, within the UK undergraduate curriculum. -
PMAC 2015 Proceeding
True Success is not in the learning but in its application to the benefit of mankind His Royal Highness Prince Mahidol of Songkla 2 3 REPORT ON THE 2015 CONFERENCE ON TABLE OF CONTENTS 8 BACKGROUND OF THE PRINCE MAHIDOL AWARD 18 MESSAGE FROM CHAIRS OF THE INTERNATIONAL ORGANIZING COMMITTEE 24 SUMMARY IN BRIEF 28 CONFERENCE PROGRAM IN BRIEF 102 ANNEX I International Organizing Committee Members 35 SUB-THEMES AND ISSUES 108 ANNEX II List of Scientific Committee Members 55 KEYNOTE SESSIONS: SUMMARY OF THE OPENING SESSION & KEYNOTE ADDRESSES 110 ANNEX III Conference Speakers/Panelists, Chairs/Moderators and Rapporteurs 81 CONFERENCE SESSIONS 116 ANNEX IV 87 • Diverse Country Experiences : Platforms for Learning and Sharing List of Side Meetings and Workshops 88 • Transition from Donor Dependence 120 ANNEX V 89 Governance and Accountability • List of Posters 90 • Changing Power Relations : Between Elites and Local Health Workers 128 ANNEX VI PMAC 2015 World Art and Photo Contest 91 • Political Origins of Health Inequity 92 • A Call for Action by PMAC 2015 132 ANNEX VII Field Trip Program 98 • Closing Ceremony There were a total of 59 nominations from 25 countries. The Scientific BACKGROUND OF Advisory Committee carefully screened all candidates from the year 2014, 2013, and 2012 and then submitted a short list of the candidates to the THE PRINCE MAHIDOL AWARD International Award Committee who scrutinized and made a recommendation to the Board of Trustees. H.R.H. Princess Maha Chakri Sirindhorn presided over the meeting of the Board of Trustees on 17th October 2014 in which the final decision on the Prince Mahidol Award 2014 was made. -
Enhancing Beneficial Competition in the Health Professions 2004
Enhancing Beneficial Competition in the Health Professions 2004 The OECD Competition Committee debated Enhancing Beneficial Competition in the Health Professions in October 2004. This document includes an executive summary and the documents from the meeting: an analytical note by Mr. Sean Ennis of the OECD, written submissions from Denmark, the European Commission, Germany, Hungary, Ireland, Italy, Japan, Korea, Mexico, the Netherlands, Norway, Switzerland, Turkey, and the United States, as well as an aide-memoire of the discussion. Restrictions on entry into the health professions serve the important purpose of protecting consumers from unqualified health care practitioners. However, sometimes the restrictions go too far. The limits on entry to a profession govern the qualifications and skills of practitioners as well as, occasionally, the quantity and geographic locations of practices. These limits may be excessive, overly restricting competition and raising healthcare costs. Para-professionals and alternative professionals are often unduly restricted in both the types of work that they can perform and in their freedom to operate in an autonomous or semi-autonomous environment. Sometimes these restrictions are created by the professionals with whom the paraprofessionals would partially compete. Health related products, such as eyeglasses, contact lenses, hearing aids, non-prescription drugs and dentures, are sometimes made unavailable unless consumers have first undergone tests that are not directly related to the provision of the product or unless they purchase products from specific suppliers. Professional associations often introduce rules that govern the commercial behaviour of members but do not protect consumers. Rather, such restrictions raise prices to consumers and increase profits for providers. -
Impact of Changes on Junior Doctor Rotas and Training
Impact of changes on junior doctor rotas and training South West Senate: Question-12: Q: Describe the model of the potential impact of changes at CGH on junior doctor supervision, training and rotas and the accreditation of these posts. Engagement with Deanery regarding the full scope of the proposed changes would be helpful to demonstrate given the reference to concerns with surgical trainees Engagement with the Deanery The overarching concerns from trainees are that historically there was a significant imbalance between CGH and GRH in surgical workload and opportunity. This meant less than ideal training experience for surgeons on either side – too much emergency work in GRH to get to theatre and too little surgical experience in CGH for the number of trainees placed there. Part of the aim of the EGS reconfiguration is to better manage the emergency workload and even out the opportunities for specialist surgical experience. The surgical clinical tutor and deanery representative have been in contact with the training programme director for surgery to discuss how we are responding to the concerns raised. Further work is ongoing with the Director of Medical Education, Training programme directors and Clinical Tutors to review the training opportunities that the future configuration of services and will provide. This will then be shared and discussed with the Programme Directors and Heads of School for Medicine and Surgery. General advice from the Deanery: It is important to maintain foundation trainee post numbers across the trust and all the work schedules for posts affected will be reviewed to ensure suitable learning opportunities are still open to them. -
Junior Doctors Network Newsletter Issue 22 June 2021
Junior Doctors Network Newsletter Issue 22 June 2021 JUNIOR DOCTORS NETWORK empowering young physicians to work together towards a healthier world through advocacy, education, and international collaboration Published by the Junior Doctors Network of the World Medical Association The information, perspectives, and opinions expressed in this publication do not necessarily reflect those of the World Medical Association or the Junior Doctors Network. WMA and WMA-JDN do not assume any legal liability or responsibility for the accuracy, completeness or usefulness of any information presented. ISSN (print) 2415-1122 ISSN (online) 2312-220X Junior Doctors Network Newsletter Issue 22 June 2021 Junior Doctors Leadership 2020-2021 SOCIO-MEDICAL CHAIR DEPUTY CHAIR SECRETARY AFFAIRS OFFICER Dr Yassen Tcholakov Dr Julie Bacqué Dr Wunna Tun Dr Manon Pigeolet Canada France Myanmar Belgium EDUCATION MEDICAL ETHICS MEMBERSHIP PUBLICATIONS DIRECTOR OFFICER DIRECTOR DIRECTOR Dr Uchechukwu Arum Dr Lwando Maki Dr Lyndah Kemunto Dr Helena Chapman Nigeria/United Kingdom South Africa Kenya Dominican Republic COMMUNICATIONS IMMEDIATE PAST DIRECTOR CHAIR Dr Chukwuma Dr Maki Okamoto Oraegbunam Japan Nigeria Page 2 Junior Doctors Network Newsletter Issue 22 June 2021 Editorial Team 2020−2021 Dr Victor Animasahun Dr Nishwa Azeem Dr Sejin Choi Dr Ricardo Correa Nigeria Pakistan Republic of Korea Panama/United States Dr Giacomo Crotti Dr Suleiman A. Idris Dr Mashkur Isa Dr Jooyoung Moon Italy Nigeria Nigeria/United Kingdom Republic of Korea Dr Vandrome Nakundi Dr Mellany -
The Prince Mahidol Award Laureates 2017
ฉบับที่ 19 : มกราคม - มีนาคม 2561 Nineteenth Issue : January - March 2018 MOU Siriraj International Visitors @ Siriraj Siriraj Faculty Abroad Collaboration between Conference International delegates Siriraj personnel in the Siriraj and many International Academic around the world at Siriraj International Level prestigious institutes Conferences, Symposiums, Workshops at Siriraj The Prince Mahidol Award Laureates 2017 https://www.facebook.com/SirirajInternationalRelations VOL19.indd 1 6/20/18 9:39 PM PMA Event @ Siriraj The Prince Mahidol Award Laureates 2017 Delivered Special Lectures at Faculty of Medicine Siriraj Hospital on Their Contributions to the Benefits of Mankind On January 30th, 2018, Professor Dr. Prasit Watanapa, Dean of Faculty of Medicine Siriraj Hospital and Vice President of the Prince Mahidol Award Foundation, welcomed Dr. Eric D. Green, Director of the National Human Genome Research Institute as a representative of the “Human Genome Project” (PMA in the field of Medicine) and Professor Porter W. Anderson, Jr., Dr. John B. Robbins, Dr. Rachel Schneerson, Professor Mathuram Santosham (PMA in the field of Public Health), the Prince Mahidol Award Laureates 2017, to visit Faculty of Medicine Siriraj Hospital, the host and founder of Prince Mahidol Award (PMA), and to deliver the special lectures demonstrating their rewarded contributions at the Rachapanaddasirindhorn Auditorium, Srisavarindhira Building. On this occasion, the Laureates joined the Faculty Luncheon hosted by Faculty of Medicine Siriraj Hospital along with Siriraj Faculty members and Prince Mahidol Award’s Committees at the Faculty Conference room, Administration Building. 2 VOL19.indd 2 6/20/18 9:39 PM SIMPIC 2018 The 7th Siriraj International Medical Microbiology, Parasitology and Immunology Competition (SIMPIC 2018) On March 16th, 2018, Professor Dr. -
Assisting International Medical Graduates Applying for Their First Post in the UK: What Should Be Done?
I PROFESSIONAL ISSUES Assisting international medical graduates applying for their first post in the UK: what should be done? Peter N Trewby Peter N Trewby ABSTRACT – The number of international medical The problem started around five years ago.1 MD FRCP, graduates (IMGs) passing the Professional and Remarkably, until then the supply of non-EU inter- Consultant Linguistic Assessment Board (PLAB) examination national medical graduates (IMGs) in the UK Physician, was six times greater in 2004 than in 2000.This approximately matched the number of available Darlington has resulted in unprecedented numbers of appli- junior posts. But no more. Since then there has been Memorial Hospital; cants for junior posts, with some attracting over Chair, RCP working a six-fold increase in the numbers of IMGs passing 1,000 overseas graduates. The Royal College of group on the Professional and Linguistic Assessment Board International Physicians working group on IMGs was estab- examination (PLAB), with 6,392 passing in 2004, Medical Graduates lished in 2004 to address the problems that face compared to 1,120 in 2000 (Fig 1). The reasons are newly qualified IMGs. The group has ascertained not entirely clear. The Department of Health’s (DH) Clin Med and now publishes current levels of competition overseas recruitment campaign for senior doctors, 2005;5:126–32 for junior posts in order to inform overseas grad- the opening of the General Medical Council’s (GMC) uates of the levels of competition they are likely PLAB examination centre examining up to 10,000 to encounter. The group is seeking ways of candidates per year, and the favourable pay and con- selecting applicants when such large numbers ditions of UK junior doctors compared to those over- apply for posts and is looking at ways of seas may all have played a part.