Saturday, October 29, 2005

California Mobile Bartender Licence

It was once

.. a country - long before our time - in which there were real doctors. They wore white coats

had a stethoscope hanging around his neck and were able to examine patients with their own senses. These doctors were like going to university professors had to "heard" and "clinical teachers" learned. If their coats were stained with blood and then other body fluids. If these doctors went to training, they learned about MS, HWI and BSP. It says in the announcement that these doctors sometimes voluntarily spent a night in hospital because they are their few, but seriously wanted to take care of sick patients. They should also not for everyone, "Pipifax" have been ringing off the bed. It has even paid well, and their reputation among the people was considerable. People tell the past.

But then, times changed. The doctors who wanted to be wearing what, now suits, kept time sheets in his hand and the manual could recite by heart of process management. The Flekken on their clothes - if there were any - were now of ballpoint ink or copier toner. In their training they learned about DRG, QM and KTQ. These doctors were sometimes voluntarily at night in their offices, to extensively analyze where and how to save even more places in the hospital. They were very well paid and enjoyed a high reputation - in the hospital management. People tell the present.

But one day, dared one of the few remaining white-coat to rebel against the conditions in the hospitals. This courageous physician from the north of the Republic fought for the other white coat that on-time had to be working. Tra, what a shout of joy among the rank and file. Finally, it should not be exploited.

But unfortunately played the superiors will not: instead of ducats for additional posts easily go on, was - of course personal-and therefore cost neutral - introduced for all shifts. As a result, physicians without a suit now had more leisure time, but this only rarely share with their families or friends because they usually slept during the day (they had worked for weeks only at night). For them, even that was certainly not as bad as they anyway did not have enough money to pursue their usual leisure activities. Due to the shift they still had only their basic salary (plus a few meager allowances). And they were not allowed to work part time. Rest period was now once rested.

But now learned the white coat while working in many languages kennen. Denn ihre Kollegen kamen nur noch selten aus dem eigenen Land – dort wollte niemand mehr Arzt werden –, sondern aus Polen, der Tschechischen Republik, Russland, Indien und Pakistan. Multikulti am Krankenbett.

Blöd war das nur für die Patienten, die wie Oma Müller nun rein gar nicht mehr verstanden, was Herr oder Frau Doktor – die nun auch noch jeden Tag andere waren – auf der viel zu kurzen Visite nun eigentlich von und mit ihnen wollten.

Allerdings fiel das gar nicht so sehr ins Gewicht, weil Oma Müller nach den neun Monaten Wartezeit so unendlich froh war, endlich einen Termin für den Einbau ihrer neuen Hüfte bekommen zu haben (den sie jedoch selbst bezahlen musste).

The many controllers, DRG officer and full-time medical director just cost more than could be saved with domestic working hours and foreign workers. People tell the future.

Dr. Michael Field

Wednesday, October 26, 2005

Techdecklive Skatepark Skate

of: www.uni-without-aerzte.de

The medical work in hospitals, especially in university hospitals is through excessive bureaucratization (DRG / OPS), dramatic condensation of work by staff shortages, significant increase in performance numbers, and unrealistic legal framework (Working Hours Act) and, not least through a miserable decades financial reward curative medical activities (-7.5% compared to 3% of other academics in the public service), has degenerated into such an unattractive job that fewer doctors are choosing this path.

returns more than 20% of a cohort of exam-curative medical activities permanently back. Among physicians in practice there is full employment, without foreign immigration counterparts obtained today a decreasing number of staff physicians with serious consequences for the qualitative and quantitative health care and research in Germany.

particular, the academic medicine is in danger and can not continue to internationally competitive levels be! As a result of the force from 01.01.2006 Working Time Act, it will again be dramatic loss of income of salaried physicians, bringing the total to speak of a manifest disregard medical activity by the employer.

The current working conditions endanger patient safety, academic medicine and research in Germany and are contrary to a performance-payment of medical activity. Given its unparalleled commitment to individual patients and society as a whole, doctors are not willing to accept this any longer!

source: http://www.uni-ohne-aerzte.de

Monday, October 24, 2005

Can You Take Nyquil After Taking Mucinex-d

"Marburger Bund" threatens unprecedented doctors strike

press release

Berlin, 24 October 2005 - No. 49/05

Marburger Bund threatens community hospitals with strike wave

few days after the massive medical demonstrations for a separate wage contract, the doctors' union Marburger Bund (MB) decided to strengthen the protest activities clearly. "The arrogant behavior of the local hospital employers to our request for collective bargaining is not acceptable," the first Chairman of the Marburger Bund, Frank Ulrich Montgomery. To move the local employers' association (MCA) to yield, habe die Tarifkommission des mb beschlossen, Maßnahmen einzuleiten, um in kommunalen Krankenhäusern Ärztestreiks durchzuführen.

Hintergrund der Streikvorbereitung sei eine Empfehlung der VKA an die kommunalen Krankenhäuser, ausnahmslos alle Ärzte – auch Marburger Bund-Mitglieder – in den neuen Tarifvertrag öffentlicher Dienst (TVöD) überzuleiten, der am 1. Oktober 2005 den Bundes-Angestelltentarifvertrag (BAT) ablöst hat.
Da der mb jedoch den neuen Tarifvertrag nicht unterzeichnet hat, gelte für seine 90.000 Mitglieder weiterhin der BAT. Die Ärztegewerkschaft bezeichnet den TVöD als „ärztefeindlich“, da er zu will result in dramatic loss of income.
Montgomery. "Force with the decision to all doctors in the TVöD to do our obligatory peace has gone out to employers," If the MCA immediately show willingness to talk to local hospitals would be covered by an unprecedented wave of strikes.
for the 22,000 doctors in university hospitals of the Marburger Bund already negotiated with the employers association of German states (TdL) over a collective contract doctors.
"I warn the MCA against the militancy and determination of the doctors be underestimated in municipal hospitals. Hospital doctors do not want to be exploited and under paid more, "said Montgomery. The Marburger Bund offer the MCA to fair collective bargaining for a doctor just collective agreement. Target had better working conditions and higher salaries.

Runing Shoes Narrrow High Arch

Keywords: shortage of doctors (from wikipedia.de)

As was said in the 80's and 90's constantly threatened by a glut of doctors makes nowadays widely in many European countries, wide-scale disillusionment and is replaced by the fear of an impending shortage of physicians.

Those forecasts that horror scenarios of armies seeking work Doctors predicted at the time, and thus knowingly destabilized an entire generation of young, have proved how the numbers, not true. It was predicted an army of up to 60,000 unemployed white coats.
It is therefore to suspect in retrospect that this ultimately flawed predictions were guided by interest in a significant extent.

labor market: full employment for physicians
The medical labor market is currently at full employment. The unemployment rate is about 2%. Currently there are approximately 6140 registered job seeker doctors. Compared to the current social conditions one must know that it is this number at about 80% (ie 4,800 persons) for pure short-term unemployment of up to a maximum of 3 months. So the time period that one must take into account for a change. There remain about 1,200 doctors, which are most likely to act Fachärzt which, for various reasons (eg children's education) do not have a job.

  • The current demand for hospital places alone is differently 3000-6000. He is so far not to fill the existing national medical supply.

    indicators the shortage of doctors
    Der Ärztemangel in Deutschland deutet sich aktuell durch folgende Indikatoren an:
    stetig zunehmende Überalterung der Vertragsärzteschaft
    stetige Abnahme der absoluten Zahl der Ärztinnen und Ärzte unter 35 Lebensjahren (Nachwuchsindikator!)
    stetig sinkende Zahl praktizierender Hausärzte in überwiegend ländlichen Regionen
    geringerer Zugang junger Ärzte bei den Ärztekammern nach Abschluss des Studiums
    steigende Zahl von Ärzten, die nicht mehr in der Patientenversorgung tätig sein wollen
    zunehmende Niederlassungsscheu junger Ärztinnen und Ärzte
    steigende Zahl an Studienabbrechern und Studienfachwechslern
    steigende Zahl ärztlicher Emigranten in das europäische und aussereuropäische Ausland
  • Ursachen des Ärztemangels
    All diesen Indizien liegt nicht nur die stetig sich verschlechternde wirtschaftliche Perspektive des Arztberufes zu Grunde. Die seit Jahren andauernde, bewusst herbeigeführte und ständig wiederholte mediale Hetze gegen "die Ärzte" als Inbegriff der Korruption und Ausbeutung von Patienten trägt nun fürchterliche Früchte.
    Mit der Zielvorgabe der Erhaltung sozialstaatlicher Prinzipien werden Gelder, mit denen medizinische Leistungserbringer ( Ärzte , Krankenhäuser , Apotheker , Pharma Industry and others) have been paid, more budgeted, patronized regulated and bureaucratic.

  • There is criticism that in turn funds into a bloated and increasingly-expanding health insurance and administrative machinery be directed and an honorary doctor's activities, as well as for patient care is no longer available.

  • Expert also suspect for some time, is that the reduction in the number of doctors politically desirable and the consequences are quite calculated as "unacceptable". With the end of the East-West-conflict social benefit systems are not in mutual competition system. The ideology question seems decided for some time, a system question is not current.
    For this reason, the social, state-oriented welfare schemes for the private sector be reduced to market conditions-based, profit-maximizing health-care providers. Thus, a possible calculus. The boundaries seem to date from this yet explored. At least audible protests are rarely available. At most, the Catholic Church has already expressed your position on this clear.
  • forecasts of physician development
    number
    In February 2004 said the German Federal Medical Council this situation, which affects mainly the eastern provinces . As a household word, the term "Uckermark syndrome is traded. It will also increasingly gaps in the outpatient sector in western Germany expected. Thus, lack of medical in northern Bavaria also been reported as such in South Württemberg or in North Baden. Also in Lower Saxony, the Eifel and the extreme northwest of the Republic of reaching out to reports of shortages of doctors. Particularly striking example of the deficiency appears currently in Torgau (Saxony) on.
    The National Association of Ambulatory Health (KBV) apparently followed the action. About their motivations may be speculated. Currently it has already, with much anxious undertone, published its third study on the number of medical development in D, because your a political securing task is given and you apparently fears you meet your obligations imposed by law can not. In this case threatens state substitute performance possibly even termination of the corporation by federal decision.
    took last year the number of doctors across Germany Although erenut by 1% to 304 000 to, but growth was slightly lower than in previous years. In East Germany
    the number of doctors fell in toto to 1,3 Prozent.
    Da 17% der niedergelassenen Ärzte über 60 Jahre alt sind, kommt es in Zukunft, so die Befürchtungen, möglicherweise zu Engpässen bei der fach- und hausärztlichen Versorgung. Die sinkende Zahl neu im Inland tätiger Ärztinnen und Ärzte ist u.a. auch dadurch bedingt, dass etwa ein Viertel der Absolventen eine Tätigkeit außerhalb der Patientenversorgung sucht und auch findet.
    Die Bundesärztekammer (BAEK) sieht den wichtigsten Grund, verfolgt man Ihre Veröffentlichungen, für sinkende Attraktivität des Arztberufes in den Arbeitsbedingungen, welche offenbar zunehmend inakzeptabel geworden sind. Die Überreglementierung der Gesundheitssysteme führe zu vielen unbezahlten Überstunden und damit verbundener Demotivierung.
    Vor dem Hintergrund des zunehmenden Morbiditätsrisikos einer alternden Gesellschaft ist die Entwicklung durchaus problematisch. Oft besteht, offenbar als Folge dieser Entwicklung in vielen Landkreisen de facto bereits keine Möglichkeit zur freien Arztwahl mehr. Dies könnte zu einem Gewöhnungseffekt in der Bevölkerung führen, um die Versorgung künftig in Medizinischen Versorgungszentren ( MVZ ) zu konzentrieren, eine Entwicklung welche die Niederlassung in freier Praxis ersticken müsste.
  • Ärztemangel im Ausland
    Zahlreiche europäische Neighboring countries have in recent years, possibly on purpose, too few doctors trained and advertise now for quite some time German junior doctors to significantly better economic conditions in their countries from.
    Of particular importance here, the European neighbors of the United Kingdom, Norway, Sweden and Finland. Shortage of physicians is also reported from Belgium, even Australia, if we may believe the current media reports.
  • Foreign doctors in Germany
    The gaping holes in Germany are currently conducting a number of foreign doctors from Poland, Czech Republic, Russland, Moldavien, der Ukraine und beispielsweise aus Usbekistan befüllt. Diese ärztlichen Wanderarbeiter beginnen Ihre Karriere oft in den fünf neuen Ländern um dann, bereits nach kürzester Zeit Ihre berufliche Wanderung, der besseren Karrierechancen und des damit verbundenen besseren Verdienstes wegen, gen Westen fortzusetzen.
    Man spricht bereits von einer OST-WEST Ärztewanderung, was nicht Ziel einer verantwortungsbewussten Sozialpolitik sein kann.
  • Folgen des Ärztemangels
    Die augenscheinlichsten Folgen des aktuellen Nachfragemarktes ist seitens der Ärztinnen und Ärzte die wöchentlich lauter vernehmbaren Forderungen nach Stärkung Their economic position. It is legitimate, here the laws of the market in a free society to have to get used. These requirements are, therefore, a long run, result in the intended success.
    Regarding the willingness to medical school is currently made mostly the same reasons again an influx of applicants seen what the numerus clausus rates again intensified.
    The number of the available places, however, it appears the attentive look at the ZVS Homepage, some citizens to a single but important set screw, not changed. It is currently unchanged for 6-7 years, every year approximately 8440 new registrations study. Thank
    is apparently also missed the fact that each year the number of new registrations for years before that date was at 11,000. The shortage of physicians is thus entirely induced state to the major parts and thus wanted.

  • previous actions against doctors lack
    The recent actions of those responsible are exhausted in fact poor and mainly in rhetorical action. A real approach to problem solving, the rising crisis is for the knowledgeable observer is not yet apparent.

    Links
    http://www.arbeitsagentur.de
    http://www.aerzteblatt.de
    http://www.kbv.de
    http://www.zvs.de
    http://aerztemangel.blogspot.com/

Sunday, October 23, 2005

Baby Shower Flower Arragements

Doctors - Buhmännder the nation?

interesting collection of material

http://www.wernerschell.de/cgi-bin/forum/YaBB.cgi?board=patientenrecht; action = display; num = 1114495295

Saturday, October 22, 2005

Savage2000 (410) Driver

NIGERIA: Doctors strike

doctors' strike in NigeriaABUJA. Thousands of patients for several days you can not receive medical care in Nigeria, because doctors and nurses and male nurses on strike. So far, the work stoppages at the larger hospitals in the capital Abuja are limited. It threatens to expand Streiks.Betroffen of the strikes are primarily hospitals, in which were all non-essential part of operations canceled. The reason for the strikes: the Nigerian Health Ministry refuses to halten.Es was on a negotiated fee with the medical professional organizations increase agreed to pay doctors and nurses retrospectively about 22 percent higher fees and salaries. After completion of the negotiations, the Health Ministry, however, made a surprise U-turn and refused to recognize the new collective bargaining agreement. Already in August, Nigerian doctors had refused their work. This had led to chaotic conditions in the hospitals and clinics in the country out. Health Political observers expect that will collapse sooner or later the whole health sector in Africa's most populous country, it should not quickly come to an agreement with the Health Ministry.