OVERLEGEN 2-2015 51 resultat/effektivitet. Det ble fremholdt at både medisinske studenter og leger i spesialistutdannelse bør ha obligatorisk trening i ledelse. Fra Sverige ble det vist til at man der har etablert en generell lederutdanning (UGL) med utspring fra det svenske forsvarets lederutdanning. EJD viste til at det finnes systematiske/obligatoriske elementer av lederutdanning for spesialister bare i Ungarn/Sverige/Finland/Nederland og Norge. Det ble fremholdt at alle leger trenger en slik utdannelse, da alle leger har lederansvar og tar regelmessig avgjørelser der de leder team og andre helsearbeidere. Arbeidstidsbestemmelsene ble sett i lys av European Working Time Directive (EWTD) som er et EU-direktiv som bl a setter begrensninger for ukentlig arbeidstid til 48 timer. AEMH påpeker at dette skal både sikre pasientene trygg og god behandling og beskytte legenes helse. Implementering og etterlevelse av direktivet varierer stort, spesielt for yngre leger. I enkelte land blir leger i spesialisering sett på som studenter og derved gjelder ikke direktivet for disse. En parallell til synspunktene om våre LISer som «praksisarbeidere»? Utviklingen av elektroniske datasystemer og elektronisk pasientjournal er svært forskjellig innen europeisk helsevesen. I flere land arbeides det mot felles elektroniske løsninger på linje med vår kjernejournal, men også med full utveksling av alle journalopplysninger mellom alle offentlige sykehus (Østerrike). I andre enden av skalaen finner vi Hellas der alt fortsatt er basert på papirjournal. Diskusjon om hvem som skal ha tilgang til hvilke opplysninger og pasientenes eierskap til egen journal er mye likt det vi diskuterer i Norge. Det ble også referert til en spørreundersøkelse blant europeiske leger om tidsbruk på ikke-pasientretAEMH-FEMS-EJD VIENNA STATEMENT PART 1 – ON EUROPEAN WORKING TIME DIRECTIVE The European Working Time Directive is an essential piece of health and safety legislation for employees in the European Union and, is therefore of considerable importance to doctors. Recently the European Commission launched a public consultation, and commissioned two studies, on the implementation and review of the European Working Time Directive. The results of this work have not been published, and the European Commission has not yet submitted a legislative proposal to the European Parliament and the Council. The European Junior Doctors’ Permanent Working Group (EJD), the European Federation of Salaried Doctors (FEMS) and the European Association of Senior Hospital Physicians (AEMH) call upon the European Commission not to compromise the health and safety provisions of the European Working Time Directive for financial considerations. In this context it is particularly important that the findings of the European Court of Justice (C-303/98 SIMAP of 3 October 2000 and C-151/02 Dr. Norbert Jaeger of 9 September 2003) are respected. The substantive effects of these rulings should remain unaltered in EU law, in other words: - The entire period of on-call time (at the work place) is working time. - Compensatory rest must be taken immediately after a prolonged working period. Furthermore EJD, FEMS and AEMH are against an extension of the reference period for establishing weekly working time limits. Once more EJD, FEMS and AEMH want to remind the European Commission that excessively long working hours not only carry health risks for doctors, but also represent a considerable risk for their patients. Det var tre hovedområder for kongressen; Klinisk lederskap, arbeidstidsbestemmelser og elektronisk journalsystem PART 2 – ON CLINICAL LEADERSHIP EJD, FEMS and AEMH point out that the involvement of physicians in healthcare management is vital. Evidence shows that clinical leadership improves clinical results, patients’ satisfaction and financial outcomes. Thus, clinical leadership ensures that the treatment of patients is not influenced by economic criteria since the medical needs are the primary focus of attention. PART 3 - ON WOR FORCE Reductions in employee numbers are frequently seen as a quick solution to address budgetary constraints or to alleviate financial pressures, however the negative impacts of such staff cuts can often prove costly. The heightened physician fatigue and stress arising from insufficient staffing levels can lower motivation and productivity, as well as significantly increase the risk of medical error. The costs of failing to adequately meet the needs of patients can, therefore, erode any potential savings made as a direct result of lowering headcount. EJD, FEMS, AEMH firmly strongly believe in the free mobility of the medical workforce. However, EJD, FEMS and AEMH strongly believe that each European country should be in a position to meet its internal need for physicians from its own human resources. Therefore, sufficient funding must be allocated for undergraduate and postgraduate medical training to ensure that every country may train as many physicians as they require, according to their needs. After all, availability of sufficient medical staff all over Europe will also contribute to the successful implementation of the EWTD. K
RkJQdWJsaXNoZXIy MTQ3Mzgy