{"id":28969,"date":"2017-08-21T12:18:50","date_gmt":"2017-08-21T10:18:50","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28969"},"modified":"2017-08-21T12:18:50","modified_gmt":"2017-08-21T10:18:50","slug":"novela-ministerstva-zdravotnictvi-komplikuje-stovce-budoucich-lekaru-nastup-do-prace","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28969","title":{"rendered":"Novela ministerstva zdravotnictv\u00ed komplikuje stovce budouc\u00edch l\u00e9ka\u0159\u016f n\u00e1stup do pr\u00e1ce"},"content":{"rendered":"<p><strong>\u010cesk\u00e9 zdravotnictv\u00ed letos p\u0159ijde asi o 100 mlad\u00fdch praktick\u00fdch l\u00e9ka\u0159\u016f. Term\u00edn, kdy se \u010derstv\u00ed absolventi mohli za\u0159adit do oboru a na z\u00e1klad\u011b toho p\u0159ihl\u00e1sit do reziden\u010dn\u00edho programu, skon\u010dil d\u0159\u00edve, ne\u017e v\u016fbec dostali diplomy. Bez reziden\u010dn\u00edho programu, kter\u00fd jim zajist\u00ed pot\u0159ebn\u00e9 vzd\u011bl\u00e1n\u00ed a atestaci, nemohou vykon\u00e1vat praxi. D\u011bje se tak kv\u016fli novele z\u00e1kona o specializa\u010dn\u00edm vzd\u011bl\u00e1v\u00e1n\u00ed Ministerstva zdravotnictv\u00ed \u010cR (MZ\u010cR).<\/strong><br \/>\n<!--more--><br \/>\nAbsolventi dost\u00e1vaj\u00ed diplomy p\u0159i promoc\u00edch v pr\u016fb\u011bhu \u010dervence. Term\u00edn pro p\u0159ihl\u00e1\u0161en\u00ed do programu ale vypr\u0161el u\u017e 30. 6. O t\u00e9to podm\u00ednce nikdo nev\u011bd\u011bl, proto\u017ee ji MZ\u010cR zve\u0159ejnilo a\u017e na konci \u010dervence.<\/p>\n<p>\u201eReziden\u010dn\u00ed m\u00edsta jsou jedinou \u0161anc\u00ed absolvent\u016f, jak se st\u00e1t praktick\u00fdmi l\u00e9ka\u0159i. Dotace na toto m\u00edsto alespo\u0148 z\u010d\u00e1sti kryje t\u0159\u00edletou povinnou specializa\u010dn\u00ed p\u0159\u00edpravu. Bez n\u00ed to zkr\u00e1tka nejde. Program reziden\u010dn\u00edch m\u00edst vyhla\u0161uje MZ\u010cR v\u017edy po\u010d\u00e1tkem roku, kde tato podm\u00ednka nebyla. Nen\u00ed tedy mo\u017en\u00e9 splnit novou podm\u00ednku MZ\u010cR, \u017ee tak mohou u\u010dinit jen ti, kte\u0159\u00ed se p\u0159ihl\u00e1s\u00ed do oboru do 30. 6.,\u201d \u0159\u00edk\u00e1 doc. MUDr. Svatopluk B\u00fdma, p\u0159edseda Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL). Nap\u0159\u00edklad absolventi l\u00e9ka\u0159sk\u00e9 fakulty v Hradci Kr\u00e1lov\u00e9 promovali 13. a 14. 7.<\/p>\n<p>\u201eJe neskute\u010dn\u00e9, \u017ee na jednu stranu MZ\u010cR tvrd\u00ed, jak n\u00e1m chyb\u00ed mlad\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i a na druhou stranu odstav\u00ed od t\u00e9to profese z\u00e1jemce z cel\u00e9ho jednoho ro\u010dn\u00edku absolvent\u016f l\u00e9ka\u0159sk\u00fdch fakult v \u010cR,\u201d dopl\u0148uje.<\/p>\n<p>Podle SVL a Mlad\u00fdch praktik\u016f nebyla je\u0161t\u011b na za\u010d\u00e1tku leto\u0161n\u00edho roku nikde zm\u00ednka, \u017ee leto\u0161n\u00ed absolventy n\u011bco takov\u00e9ho \u010dek\u00e1. Samotnou informaci zve\u0159ejnilo ministerstvo na port\u00e1le IPVZ a\u017e 21. 7., tedy zcela po term\u00ednu.<\/p>\n<p>\u201eZ\u00e1jemci o obor v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159stv\u00ed se nemohou j\u00edt specializovat v oboru jen do nemocnice, tam toti\u017e akreditovan\u00ed praktici nejsou. Nemocnice, pokud jsou za\u0159azeni do oboru jako prakti\u010dt\u00ed l\u00e9ka\u0159i, je ani nep\u0159ijmou a naopak po nich \u017e\u00e1daj\u00ed zaplatit p\u0159\u00edslu\u0161n\u00e9 st\u00e1\u017ee. Nyn\u00ed hroz\u00ed, \u017ee si budou muset zvolit \u2014 pokud nebudou cht\u00edt b\u00fdt nezam\u011bstnan\u00ed nebo odej\u00edt do zahrani\u010d\u00ed \u2014 jin\u00fd obor a my tak v dob\u011b \u0159\u00eddnouc\u00edch \u0159ad mlad\u00fdch l\u00e9ka\u0159\u016f ztr\u00e1c\u00edme dal\u0161\u00ed stovku,\u201d vysv\u011btluje doc. B\u00fdma.<\/p>\n<p>Jak \u0159\u00edk\u00e1 p\u0159edsedkyn\u011b Mlad\u00fdch praktik\u016f MUDr. Mark\u00e9ta Pfeiferov\u00e1, p\u0159\u00edprava rezident\u016f je slo\u017eit\u00e1, administrativn\u011b n\u00e1ro\u010dn\u00e1 a pro rezidenty i \u0161kolitele nedob\u0159e placen\u00e1. \u201eP\u0159esto je zde obrovsk\u00e1 snaha se mlad\u00fdm v\u011bnovat a dopl\u0148ovat tak po\u010dty praktick\u00fdch l\u00e9ka\u0159\u016f, kte\u0159\u00ed odch\u00e1zej\u00ed do d\u016fchodu,\u201c \u0159\u00edk\u00e1 MUDr. Pfeiferov\u00e1. \u201eTo, co se nyn\u00ed d\u011bje je diskriminace a je to absolutn\u011b nef\u00e9r v\u016f\u010di leto\u0161n\u00edm absolvent\u016fm. \u0158adu z nich zn\u00e1m osobn\u011b, jsou to nad\u0161en\u00ed lid\u00e9, o obor se aktivn\u011b zaj\u00edmali u\u017e b\u011bhem studi\u00ed a te\u010f to vypad\u00e1, \u017ee se nam\u00edsto praxe v ordinac\u00edch p\u016fjdou zaregistrovat na \u00fa\u0159ady pr\u00e1ce, ne\u017e ministerstvo vyd\u00e1 k cel\u00e9 v\u011bci jasn\u00e9 stanovisko.\u201c<\/p>\n<p>Kritick\u00e1 situace se dotkla i MUDr. Pavla Feilhauera, kter\u00fd absolvoval l\u00e9ka\u0159skou fakultu na 1. LF Univerzity Karlovy v Praze. \u201eRozhodnut\u00ed st\u00e1t se praktick\u00fdm l\u00e9ka\u0159em u m\u011b padlo zhruba ve 3. ro\u010dn\u00edku. Za\u010dal jsem nav\u0161t\u011bvovat odborn\u00e9 konference, kter\u00e9 se oboru t\u00fdkaj\u00ed, chodil jsme na dobrovolnou praxi do ordinace, kde bych cht\u011bl v budoucnu pracovat. Te\u010f nev\u00edm, co d\u011blat. Nechci se st\u00e1t chirurgem \u010di za\u010d\u00ednat s jin\u00fdm oborem. Nev\u00edm, jestli si m\u00e1m hledat m\u00edsto na intern\u011b,\u201d \u0159\u00edk\u00e1 Pavel Feilhauer.<\/p>\n<p>SVL se ihned po zji\u0161t\u011bn\u00ed probl\u00e9mu obr\u00e1tila na ministerstvo zdravotnictv\u00ed s \u017e\u00e1dost\u00ed o n\u00e1pravu \u2014 k t\u00e9 v\u0161ak nedo\u0161lo. \u201eOfici\u00e1ln\u00ed zd\u016fvodn\u011bn\u00ed je, \u017ee ve specializa\u010dn\u00ed p\u0159\u00edprav\u011b do\u0161lo vzhledem k novele z\u00e1kona 95\/2004 Sb. ke zm\u011bn\u00e1m. V oboru V\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159stv\u00ed se ale na rozd\u00edl od jin\u00fdch specializac\u00ed nem\u011bn\u00ed jej\u00ed n\u00e1zev, nem\u011bn\u00ed se ani v\u00fd\u0161e dotace nebo jej\u00ed struktura,\u201d dod\u00e1v\u00e1 doc. B\u00fdma.<\/p>\n<p>Kritickou situaci by podle praktik\u016f \u0159e\u0161ila v\u00fdjimka, podle n\u00ed\u017e by se do reziden\u010dn\u00edho programu mohli p\u0159ihl\u00e1sit \u010derstv\u00ed absolventi, kte\u0159\u00ed si po\u017e\u00e1dali o za\u0159azen\u00ed po 30. 6. Tedy tak jako v minul\u00fdch letech. Letos dostalo v\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159stv\u00ed celkem 100 reziden\u010dn\u00edch m\u00edst. Dotace na jedno m\u00edsto po dobu 3 let \u010din\u00ed 1 440 000 K\u010d.<\/p>\n<p>O SVL \u010cLS JEP<\/p>\n<p>Odborn\u00e1 spole\u010dnost vznikla v roce 1979. V sou\u010dasnosti se SVL pod\u00edl\u00ed na tvorb\u011b doporu\u010den\u00fdch l\u00e9\u010debn\u00fdch postup\u016f, aktualizuje koncepci oboru, je partnerem pro jedn\u00e1n\u00ed v dohodovac\u00edch \u0159\u00edzen\u00edch jak o kompetenc\u00edch praktick\u00e9ho l\u00e9ka\u0159e, tak o cen\u011b jeho pr\u00e1ce. Odborn\u00ed z\u00e1stupci spole\u010dnosti jsou zv\u00e1ni ke koncepc\u00edm \u0159ady preventivn\u00edch program\u016f. V sou\u010dasnosti nap\u0159. k programu celoplo\u0161n\u00e9ho screeningu rakoviny tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku a aktivit\u00e1m v oblasti prevence karcinomu prsu. \u0158ada praktik\u016f se pod\u00edlela na v\u00fdzkumu odhalov\u00e1n\u00ed karcinomu prostaty nebo nap\u0159. na v\u00fdznamn\u00e9 epidemiologick\u00e9 studii prevalence Helicobacter pylori a na dal\u0161\u00edch. SVL po\u0159\u00e1d\u00e1 vzd\u011bl\u00e1vac\u00ed semin\u00e1\u0159e pro praktick\u00e9 l\u00e9ka\u0159e v syst\u00e9mu celo\u017eivotn\u00edho vzd\u011bl\u00e1v\u00e1n\u00ed. Spole\u010dnost vyd\u00e1v\u00e1 \u010dasopis Practicus, kter\u00fd vych\u00e1z\u00ed 10x ro\u010dn\u011b. V\u00edce informac\u00ed: www.svl.cz<\/p>\n<p>Veronika Ostr\u00e1<br \/>\nTiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u010cesk\u00e9 zdravotnictv\u00ed letos p\u0159ijde asi o 100 mlad\u00fdch praktick\u00fdch l\u00e9ka\u0159\u016f. Term\u00edn, kdy se \u010derstv\u00ed absolventi mohli za\u0159adit do oboru a na z\u00e1klad\u011b toho p\u0159ihl\u00e1sit do <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28969\" title=\"Novela ministerstva zdravotnictv\u00ed komplikuje stovce budouc\u00edch l\u00e9ka\u0159\u016f n\u00e1stup do pr\u00e1ce\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":18804,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-28969","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28969","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=28969"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28969\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18804"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28969"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28969"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28969"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}