Will physicians stay in EMD brigades without legal justification?

from an interview to an internet publication "etcetera"

OPINION OF EXPERT

Sergey Barannik, doctor of the visiting brigade EMD of the municipal institution "Zaporizhia Emergency Station.

Fears of "fast" doctors are primarily due to the fact that from July 1, 2024, drug brigades with a variety of specializations may cease to exist (now parallel medical and paramedical brigades work).

And they are not unfounded if you read the Draft Resolution "On Amendments to the Resolution of the Cabinet of Ministers of Ukraine dated November 21, 2012 No. 1114". From its text "disappeared" all the items that regulate the availability of drug brigades. Yes, now the project is at the stage of public discussion, but he has all the chances to become a new decree.

I know that at the moment the Ministry of Health assures that doctors will continue to have the right to work in emergency teams, but, firstly, there are clarifications (they can remain employed as part of the medical teams in the position of a doctor and go on to the challenges , where exactly their help is needed), which is still unknown how to interpret; and secondly, this assurance has not yet been legally supported. As the head of the Emergency and Emergency Medicine Center, will the salary be paid to a specialist whose introduction has not been supported by any document? So you can enter into the brigade of anyone, such as a sanitary technician, a machine gunner - this is not forbidden. "The main thing is to have common sense" - say in the Ministry of Health.

A doctor emergency care in the absence of a place for employment by the doctor of the Ministry of Emergencies will be forced to retrain to other specialties. In Ukraine there are currently approximately 2945 brigades of EMD, general medical profiles - 997, specialized ones - 136, and paramedics - 1812. With the provision of one brigade, four physicians will receive a figure of 4,532 doctors. Even if half of them are retired, employing almost 3,000 doctors?

Only re-training is left. Of course, not free and not public money. This is at least 3 thousand hryvnias a month. And to get a new specialty, you need to devote lessons to training for six months.

There are concerns that in this way the MOH wants to force most doctors to go to family medicine, because there is a scarce deficit.

Personally, I advocate for reasonable steps: doctors should be in both the emergency department and in the emergency room. At a rapid pace, it should be staffed with 150% of the intensive care and resuscitation brigade, which should include one doctor, two paramedics and an EMT driver, because the standards for cardiopulmonary resuscitation at the highly skilled level should be exactly three specialists. These brigades should be used in case of need for reinforcement for paramedic teams. If the MOH leaves the doctors at a rapid pace, at least let it make a decision that the medical brigades should be formed from the paramedic brigades, and what should be their composition. This is what worries not only doctors, but also the entire Ukrainian fast team.

The doctor © Sergiy Barannik

The interview was published by the Internet edition "etcetera" on 08/08/2018.

Liked material - do not forget to share with your friends and put "LIKE" -