“The Regional Health Department definitely took a misstep when it decided to preclude the attendance of the Specific Training Course in General Medicine for doctors who hold fixed-term replacement positions for General Practitioners and on the medical guard. which is not only wrong, but also harmful, for the whole community “.
Thus in a note Mondino Ibba, president of the Medical Association of the Province of Cagliari, who strongly criticizes the choices of the Region. “The system of ‘replacements’ provides a partial remedy for the chronic shortage of doctors in the field of general basic medicine and allows for continuity and a widespread coverage of assistance, from which we all benefit, thanks to the availability of doctors who otherwise do not This shortage, with the epidemiological emergency underway, appears more serious than ever and requires that further efforts be made to introduce new doctors into the health system, to guarantee assistance coverage, even temporary, to citizens. Instead, the councilorship inexplicably rows against, declaring these substitutions incompatible with the attendance of the course and thus placing an either or or “, he continues.
Too bad that the legislator – on the subject – has provided otherwise. “A quick glance at the current legislation is enough to realize that not only does this incompatibility between the attendance of the course and the possibility of temporary substitution exist (art. 19, paragraph 11, l. December 28, 2001, n. 448), but rather it is appropriate to favor and encourage these activities, given the emergency period. And in fact, until 31 December 2021 (Legislative Decree 14 December 2018, n. 135), those enrolled in the specific training course in general medicine can even participate in the assignment of conventions for general medicine. Not only that: as long as the COVID-19 emergency persists, the replacement activities of general practitioners or on-call doctors are to be considered an integral part of specific training in the field of General medicine”.
Logical choices – according to the Order of Doctors – to quickly and effectively cover, as the moment requires, “the holes left open in assistance by the combination of training funnel and generational turnover”.
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