The role of trade union representation for the interns interviewed is very important, considered necessary by 82% of the sample. On the Calabria Decree, which led to the contractualization of doctors still undergoing specialist training in the hospital network, 54% of participants believe their training path is adequate to allow this early transition. Over 50% consider themselves satisfied with the path undertaken.
13 JUN –
The role of trade union representation for Doctors in Training, the effects of the Calabria Decree and its amendments and additions, the expectations regarding the path undertaken and the concrete aspects of the training path. These are the four areas of investigation of the Aaroi-Emac Survey among doctors in training enrolled in the Artid (Anaesthesia, Resuscitation, Intensive and Pain Therapy) and Meu (Emergency Medicine) specialization schools, presented at Saqure 2024, the Meeting Aaroi-Emac, underway in Rome.
The survey involved 565 postgraduates, of which 494 enrolled in the ARTID specialization school and 71 enrolled in the MEU one. 58% of the responses came from students enrolled in schools in northern Italy, 25% from central Italy, 17% from southern Italy. Almost 50% of the responses came from students enrolled in the last two years of school (IV and V years).
The role of trade union representation for the interns interviewed is very important, considered necessary by 82% of the sample. The organization of training sessions on the most salient aspects of the contract is judged useful by almost all of the sample (97%). Although critical issues are reported in terms of respecting the times required by law (40% of participants), over 40% declare that they exceed the scheduled time due to personal choice, just as 90% say that requests for scheduled absences are respected.
“The period of specialization school is of fundamental importance for the professional preparation of each doctor – he states Emanuele Iacobone, Scientific Manager Saqure –. Entering the world of work does not only require clinical skills, but also concrete knowledge of the regulations that regulate work activity. It was precisely from this belief that the idea of the survey was born. Knowledge, for example, of the employment contract and work organization plays a key role in ensuring the protection of the rights and safety of healthcare professionals. Being constantly updated on the latest regulatory news and being able to apply them in daily practice is important from the moment you enter the specialization training course. The implications of measures such as the “Calabria Decree” and its subsequent regulatory amendments and additions are just an example of how specialist training must always be aligned with the dynamics of the healthcare system”.
And regarding the Calabria Decree, which led to the contractualization in the hospital network of doctors still undergoing specialist training, 54% of the participants consider their training path adequate to allow this early transition, 28% of the sample is carrying out or has carried out work with this type of contract. Among the specialists who fall into the latter group, critical issues are reported in terms of difficulty in receiving adequate tutoring (30%) and in fulfilling both care and teaching commitments (51%). 40% of the sample reports critical issues in the application of contractual rules and institutions, such as tutoring, respect for working hours, continuity of teaching and training activities.
“The progressive autonomy that the Doctor in Training must acquire must include collaboration between the Hospital and Specialization Schools in terms of training programs and tutoring, so that an equally progressive achievement of skills is adequately certified up to the completion of the specialization – underlines Alessandro Vergallo, National President of Aaroi-Emac –. Progressive autonomy and adequate and complete training are therefore not in antithesis to each other, but together they constitute the path of specialization itself as it unfolds, and not an instantaneous transition from the condition of student doctor to specialist doctor certified by a simple piece of paper. Precisely for this reason, the courage to reform it cannot be postponed, starting from the single competition for all disciplines, whose disastrous effects are undeniable”.
The survey also covered other aspects. With respect to the path undertaken, over 50% declare themselves to be quite satisfied with almost 8% deeming themselves to be very satisfied, compared to 22% who state that they are overall quite dissatisfied or very dissatisfied with the specialist path undertaken. For 13% of the sample, the Artid or Meu specialization school was not the first choice but 69% would recommend the same path to a new graduate.
On the concrete aspects of the training path, in terms of teaching structures, simulation centers, work environments, over 56% believe that the classrooms intended for training activities are adequate or very adequate with almost 4% believing them to be excellent, while the simulation systems made available are judged little or not at all adequate by 63% of the survey participants, as are the work spaces (for example changing rooms, guard room) which are judged little or not at all adequate by 72% of the participants.
“Although in a lower percentage than those who consider themselves satisfied, it is still necessary to reflect and analyze in depth the percentage of those who expressed disappointment in expectations with respect to their specialist path, also present among those who had the Critical Area disciplines as their first choice for your professional future – he says Claudio Spena of the Saqure Scientific Committee and among the promoters of the Survey -. As regards the structures, the answers reflect the needs of recovering the hospital building heritage which can no longer be avoided. This need appears even more evident in those hospital areas which, not being directly used for clinical activity, can be considered non-priority when allocating resources”.
June 13, 2024
© All rights reserved
Other articles in Work and Professions
