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Indeed, for the hospital it's probably part of the story: directors are now not required to have been doctors before. Maybe having pairs (one doctor, one non d
by BiteCode_dev 4y ago
Indeed, for the hospital it's probably part of the story: directors are now not required to have been doctors before.
Maybe having pairs (one doctor, one non doctor) for those jobs would be a solution.
But it's probably not the only problem.
France has a budget problem, it's been borrowing more and more, and producing less and less. We can't maintain our way of life without cutting some spending, and you do it where people complain less, or where consequences will be seen way down the road.
- WastingMyTime89 4y agoSorry my answer was strictly about the issue with labour in the USA. The French hospital issues are entirely different. I could a write an entire essay about it - I’m French myself. Most of it is due to brain dead management by the Health Ministry in the 90s. It was thought that by training less doctors, there would be less acts done and it would cost less to the sécurité sociale. The order agreed because it protected their revenue. Add to that that far too many acts which could be done by support staff have to be done by a doctor to be reimbursed and widely underpaid nurses and you get the current shit show.
- nradov 4y agoThe US has done much the same thing. Almost all graduate medical education (residencies) is funded by the federal government through the Medicare program. But despite increasing demand, Congress has held that funding roughly flat in order to keep Medicare costs under control. So we have a ridiculous situation where students are graduating from medical school but can't actually practice because they can't get matched to a residency slot. This is leading to delays in care and overwork for existing physicians.
- sgent 4y agoSomeone has given you a bill of goods. Any US MD/DO graduate will get a residency position, but there are a few every year that only apply for Orthopedics or Ophthalmology and don't select a backup IM/FM program and thus wind up unmatched. There are IM/FM/PEDS/Internship positions open, but they choose to pass and reapply next year. The only reason they couldn't get any residency is bad advising or an issue which is expected to prevent them from getting a medical license.
- bbatha 4y agoThe medical schools carefully coordinate admissions with residency counts so that everyone is guaranteed a spot.