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JDN-NEWSLETTER-ISSUE06-2014<\/a><\/p>\n

1
\nJDN
\nThe World Medical Association, Inc.
\nL’association Medicale Mondiale, Inc.
\nAssociaci\u00f3n M\u00e9dica Mundial, Inc.
\nr
\nJUNIOR DOCTORS NETWOR
\nYoung Doctors Fighting against Ebola
\nDiscovering the missing pieces \u2013
\nWorldwide Survey on Transition
\nfrom Secondary to Medical
\nEducation – Page 5
\nNews from Korea –
\nPage 11
\nNewsletter<\/p>\n

Issue-6
\nOctober 2014
\nISSN-2312-220X
\nJunior Doctors Network Hellas
\nOnline Campaign –
\nPage 7
\n2 3JDN
\nEditorial
\nThe last few months have been intense activity in the JDN. We ex-
\npanded our communications to include the participation of the Af-
\nrican countries in the developed projects, as we seek to partici-
\npate in various medical meetings around the world. The increased
\nglobal participation is the main objective to strengthen the JDN.
\nAmong the other activities developed have been working in the JDN Well-
\nBeing Working Group, with extensive work to discuss the various situa-
\ntions involving medical education during residency and medical activities.
\nThe performance of JDN members, guided by the board, ex-
\npands the relationship between WMA and young doctors. New pro-
\njects are emerging and improving medical training around the
\nworld. Be part too. Enjoy the newsletter and send your articles.
\nWritten by Dr.
\nNivio Moreira
\nChair , WMA
\nJDN
\nDr. Wunna Tun
\nCommunication
\nDirector
\nJDN, WMA
\nEditor in Chief,
\nJDN Newsletter,
\nWMA
\nStarting from last issue, colleagues wirh smart phone can decode the
\nnewsletter QR code and redirect the phone\u2019s browser to all WMA JDN
\nnewsletter links. After scanning QR code in this newsletter, readers
\nmay receive text, add link to their devices, open a Web
\nhyperlink, and share it to other colleagues via smartphones.
\nThis 3rd Year Anniversary of WMAJDN issue includes:
\n–
\nNivio make chair address
\n–\t Ahmet Murt, MD highlights our commentary for international col-
\nlaboration among junior doctors.
\n–
\nSam Wing Li shares WMAJDN, WHO, IFMSA joint survey on
\nmedical education
\n–\t Mustapha Thaim MBChB reports on Young Doctors fighting
\nagainst Ebola in Sierra Leone
\n–\t Fehim Esen, MD discuss about Turkish Young Doctors Annual
\nmeeting.
\n–\t Roy Shen, MD recounts Holistic approach in community health
\nin Malawi.
\n–\t Joanna Xanthaki, MD share about Online campaign regarding
\nworking hours in Greece.
\n–\t Deborah Shin, MD presents Recent update from Korea.
\nI am sure you will enjoy the stories in this issue.
\nThe JDN is an initiative of individual Associate Members of the WMA. The information and opinions expressed in this
\nnewsletter represent the opinions of the authors and do not necessarily reflect those of the WMA. WMA and WMA, JDN
\nassumes no legal liability or responsibility for the accuracy, completeness, or usefulness of any information presented
\nAcknowledgements
\nDr. Lawrence Loh
\n(Founding Member,JDN)
\nEditors:
\nDr. Wunna Tun
\n(Communication Director)
\nDr. Hyunyoung Deborah Shin
\n(Publication Director)
\nSave the date! Upcoming meetings in 2014-2015
\n\u2022\t October 6 – 7 , 2014 :WMA Junior Doctors Network Meeting Durban, Africa
\n\u2022\t November 2014: EMR JDN Meeting, Lebanon
\n\u2022\t April 15 , 2015 (tentative): WMA Junior Doctors Network Meeting Oslo, Norway
\n\u2022\t May 16- 17, 2015 (tentative): JDN Working Meeting in WMA, France
\n\u2022\t September 23-25, 2015 (tentative): CMAAO meeting, Yangon, Myanmar
\nWMA JDN OFFICERS 2013\/2014
\nNOW Accepting
\nSubmissions for our
\nnext Issue!
\nSend to: \t onlinwunna@gmail.com
\nshy801117@gmail.com
\nWhite Paper
\nSocial media and medical profession-
\nalism
\nRelevant Junior Doctor Policy
\nEthical Implications of Collective Ac-
\ntion by Physicians
\nCurrent projects
\nDoctors’ health and wellbeing
\nGlobal health training and its ethical
\nimplications
\nQuality in postgraduate medical edu-
\ncation and training
\nJoin the group of
\nJunior Doctor Network of
\nWorld Medial Association
\nContact: jdn@wma.net
\n4 5JDN
\nThe globalization of today\u2019s world makes
\nthe lifes of people living in miles of dis-
\ntance alike and the needs of societies start
\nto show big similarities. The consequence
\nof such trend is application of identical
\njob sat- isfaction or educational outcome
\nindicators worldwide. However, suggest-
\ning one type of solution does not gener-
\nally fit into different national or regional
\ncontexts. The most probable explanation
\nof this discrepancy is the failure of peo-
\nple to share their vision although their
\nreal-life experiences are almost similar.
\nI believe that we can find ways to share vi-
\nsion among healthcare providers worldwide
\nwhich will help our attitudes to develop
\nhand in hand. When our ideas have the op-
\nportunity to evolve in an interactive envi-
\nronment with our colleagues worldwide, we
\nwill most probably come up with policies
\nand systems that will serve the global com-
\nmunity. This kind of an approach is much
\nbetter than implementing a policy which
\nwas composed far away from home. We all
\nshould work for taking a step towards stand-
\nA Commentary for International Collab-
\noration among Junior Doctors
\nardization instead of borrowing from each other.
\nIf we are eager to be successful to work in a global
\nharmony, we should implement the concept of mem-
\nbership to a multinational mechanism which will set
\nthe agenda, define the rules and build the conscious-
\nness among its members. A second sub-mechanism
\nwe need is instituting regional operating units which
\nwill provide signals to the multinational mechanism.
\nAnd the third, we all need an explicit process in or-
\nder to make all the steps understood by involving
\nparties. JDN is aware of the importance of these
\n3 requirements and tries to accomplish them all.
\nTherearethetraditionandexperiencesofWMAwhich
\nenlighten our challenging road to form shared vision
\namong junior doctors. We are also putting big efforts
\nto be successful according to our defined framework.
\nEarly experience of junior doctors in this area will
\nbe serving for tomorrow\u2019s healthier global commu-
\nnity and we will be working to offer opportunities
\nfor junior doctors to improve themselves in the field.
\nDr. Erica Wheeler, technical officer in WHO responsible for
\nEducation and Training for Health Professionals,
\nis leading an online survey to explore the unanswered questions.
\nWith the able suppofrom WMA JDN (World Medical Association Junior
\nDoctors Network) and
\nIFMSA (International Federation Medical Stu- dents\u2019 Association),
\nyoung doctors and medical students around the world are invited
\nto participate in this survey.
\nThe results will contribute to the development of a
\nglobal health workforce assessment tool.
\nDiscovering the missing pieces \u2013
\nWHO Worldwide Survey on Transition
\nfrom Secondary to Medical Education
\nWorld Health Organization needs to hear from you:
\nHow were you selected to medical school?
\nHow would YOU select people? Do non-academic attributes matter?
\nWere you satisfied with the career advice given?
\nGet to know more about this project. Spend 10 minutes to fill out the survey:
\nhttps:\/\/extranet.who.int\/dataform\/index.php\/331487\/lang-en
\nThe survey generates evidence to inform policy makers and improve future
\nmedical education around the world. Every opinion counts. This is why we
\nneed to hear from everyone of you and your colleagues.
\nWritten by
\nDr. Ahmet Murt (Secre-
\ntary of WMAJDN)
\nPresident, Turkish Young
\nDoctors Platform
\nWritten by
\nSam, Wing Sum Li
\n6 7JDN
\nJunior doctors have to learn how to deal
\nwith long shifts, lack of sleep, study hours,
\nincreased responsibilities, and unrelent-
\ning competition in addition to a personal
\nand social life. The amount of pressure on
\njunior doctors can affect their physical and
\nmental wellbeing. In Greece, residency is
\nconsidered to be a full-time and exclusive
\noccupation, but it is not yet determined how
\nresidents view their working envionments.
\nJDN-Hellas organized a week-long online
\nawareness campaign raising the issue of
\nphysician wellbeing on its official page on
\nFacebook, as well as on its official twitter
\naccount from June 17 till June 24, 2014.
\nDuring the campaign, interesting facts
\noriginating from the results of a survey per-
\nformed by JDN-Hellas among Greek resi-
\ndents entitled \u201cHow satisfied do you feel
\nin our working environment?\u201d were shared
\nwith junior doctors all over the country,
\nas well as junior doctors of Greek origin
\nworking abroad. These were organized in
\nslides, two for each day of the campaign.
\nThe campaign was very well received by
\nFacebook as well as Twitter users, reaching
\nmore than 500 daily views on Facebook for
\neach slide, while on Twitter JDN-Hellas\u2019 fol-
\nlowers increased by 200% during the week
\nof the campaign and the campaign\u2019s posts
\nwere retweeted by local news agencies.
\nCampaign slides were also translated in
\nEnglish and reached fellow young doctors
\nabroad through the IFMSA and EMSA channels.
\nLastly, the initiative was concluded with the com-
\npilation of a scientific paper entitled \u201c\u201dHow satis-
\nfied do you feel in our working environment? A
\nsurvey to assess job satisfaction among Greek
\njunior doctors,\u201d which will be presented by JDN-
\nHellas representatives as a poster at the up-
\ncoming \u201cZagreb International Medical Summit
\n– ZIMS 2014\u201d taking place in November 2014
\nin the city of Zagreb, Croatia. The abstract will
\nbe published in \u201cLijecnicki vjesnik\u201d, the official
\njournal of the Croatian Medical Association.
\nThis is the second online awareness rais-
\ning campaign organized by JDN-Hellas
\nsince its establishment in February 2014,
\nwhich followed the previous one organized
\non the occasion of World Health Day 2014.
\nYoung doctors in Greece face lots of difficul-
\nties while training in their specialty with bu-
\nreaucracy being one of the major problems,
\nleading to diminished work efficiency and
\nteaching by senior faculties. JDN-Hellas will
\ncontinue advocating for more healthcare in-
\nvestments and a better working environment
\nwith competitive salaries, as we believe good
\nhealth is the foundation for a stable society
\nand Greek public health is in part the result of
\nthe work of hardworking Greek junior doctors.
\nWMA congratulates junior doctor on top
\ninternational resident award
\nPress Release
\n(10.09.2014)
\nDr. Xaviour Walker,
\nformer chair and
\nfounder of the World
\nMedical Association\u2019s
\nJunior Doctors Network,
\nhas been awarded the
\nRoyal College of
\nPhysicians and
\nSurgeons of Canada
\nInternational Resident
\nLeadership Award.
\nThe Royal College
\ncitation states that the
\naward was given annually
\nto an international
\nresident who has
\ndemonstrated leadership
\nin specialty education and
\nencourages the
\ndevelopment of future
\nleaders of medicine. Dr.
\nWalker will collect his
\naward at an international
\nresident leadership
\nsummit in Toronto
\nCanada next month.
\nWritten by
\nSam, Wing Sum Li
\nJunior Doctors\u2019 Network Hellas
\nOnline Campaign
\n\u201cWorking Conditions of Young Doctors\u201d
\nWMA Chair of Council
\nDr. Mukesh Haikerwal
\nacknowledged the
\nsignificant role of Dr.
\nWalker in setting up
\nthe Junior Doctors
\nNetwork within the
\nWMA and his work in
\nprogressing important
\nhealth issues to all
\ndoctors across the
\nworld in particular the
\njunior doctors group.
\nHe said that the award
\nwas richly deserved
\nand Dr. Walker was a
\nvery worthy recipient.
\nDr. Walker, a former
\nPresident of the New
\nZealand Medical
\nStudents Association,
\nand now an internist
\nresident in Cambridge,
\nMassachusetts, was
\ninstrumental in setting
\nup the JDN in 2010,
\nsince when it has
\ngrown to represent
\njuniors doctors from all
\nparts of the world.
\nAs Junior Doctors
\nNetwork (JDN)
\ncelebrates the 3rd
\nyear anniversary
\nby this month, we
\nhave proudly heard
\nthat Dr. Xaviour
\nWalker, the founder
\nand former chair of
\nJDN, has been
\nawarded the Royal
\nCollege of
\nPhysicians and
\nSurgeons of Canada
\nInternational
\nResident Leadership
\nAward. The JDN
\nmanagement team
\nwants to
\ncongratulate Dr.
\nWalker for
\nreceiving this well-
\ndeserved award.
\nWritten by
\nDr Joanna Xanthaki, MD
\n8 9JDN
\nNewly qualified doctors in Si-
\nerra Leone spend their first two
\nyears of practice in Freetown as
\n\u2018housemen\u2019, where they undergo
\nhands-on intensive training in
\nSurgery, Medicine, Obstetrics\/
\nGynecology and Pediatrics on a
\nsix months rotation. After this pe-
\nriod, most of them are posted to
\nthe provinces as medical officers.
\nLike in many other countries,
\njunior doctors are the first line
\nof contacts for patients coming
\nto the health facilities for medi-
\ncal care. However, there is a gap
\nin training of doctors in Sierra
\nLeone because almost obso-
\nlete postgraduate medical pro-
\ngram. As a result, the teaching
\nhospitals lack residents, leaving
\n\u2018housemen\u2019 to do most of the
\nwork, with the more specialized
\nroles left for the more experi-
\nenced physicians. Although this
\nmay foster confidence and ex-
\nperience in a very short period,
\nthe workload is very unforgiving
\nand the mistakes may be many,
\nultimately hurting patient care.
\nAfter months of rumors of Ebola
\nin Sierra Leone, the Ministry of
\nHealth and Sanitation reported
\nthe first confirmed case of Ebo-
\nla on May 25th, 2014. As of Au-
\ngust 7th, the number of deaths
\ndue to this fatal disease is 223.
\nDrastic measures have been
\nput in place by the authorities
\nto counter the spread of the
\ndisease, declaring a state of
\n\u2018public health\u2019 emergency and
\nquarantining epicenters, and
\ngrounding of all government
\nofficials. At present, the num-
\nber of laboratory confirmed
\ncases is 613. The epicenters of
\nthe disease are in the eastern
\nprovince, namely Kailahun and
\nKenemadistricts.However,few
\ncases have been confirmed in
\nthe capital city, Freetown, and
\nother provinces in the North
\n(Kambia, Bombali, Tonkolili,
\nand Port Loko districts) and
\nSouth (Pujehun, Bo, Moyamba
\nand Bonthe districts). Koinadu-
\ngu district is the only district in
\nthe northern province that has
\nnot registered confirmed cas-
\nes of Ebola in Sierra Leone.
\nIn the midst of this epidemic,
\njunior doctors have stayed
\non the ground in their normal
\nroutines that include morning
\nrounds, inpatient and outpatient
\nduties. Doctors have expressed
\nhow cautious they have to be in
\ntheir roles as health providers
\nthese days. For example, one of
\nthe junior doctors at the military
\nhospital in Freetown mentioned
\nthat he had treated a patient
\nweeks back with signs and symp-
\ntoms of Ebola, but the patient ful-
\nly recovered and returned home.
\nHe, however, emphasized that
\nhe uses full protective gear only
\nwhen there is a strong suspicion
\nof an ebola case presenting, while
\nattending to the rest with non-
\nsterile gloves. In Connaught, the
\nmain teaching hospital in Sierra
\nLeone, another house officer that
\nis working in the surgery depart-
\nment mentioned that there have
\nbeen a drastic reduction of cases
\ncoming into the surgical depart-
\nment. Attention is given only to
\nemergency cases of pure surgi-
\ncal nature. This, he says, is a re-
\nlief for him, as it makes his post-
\ning somewhat safer. However, he
\nmentioned that outpatient clinics
\nWritten by: Mustapha
\nThaim Buya Kamara, MB, ChB
\n\u201cAt present, the number
\nof laboratory confirmed
\n[Ebola] cases [in Sierra
\nLeone] is 613.\u201d
\nYoung Doctors Fighting against Ebola
\nin Sierra Leone
\nand on-call duties are still going
\non, and as these are run mainly
\nby \u2018housemen\u2019, one have to be
\ncareful in differentiating a surgical
\ncase from a medical one, espe-
\ncially those of haemorrhagic ori-
\ngin in their earliest clinical pres-
\nentation, with minimum contact.
\nHowever, not all of us are as
\nfortunate, the death of Dr Sheik
\nUmar Khan, the doctor that was
\nleading\tthe\tfight\tagainst\tthe\tepi-
\ndemic, has spurred some inter-
\nest among young doctors to
\nform an organisation that will
\nrepresent their interest. De-
\ntails of this organisation have
\nnot\t been\t been\t finalized\t yet,
\nbut a Facebook group called
\nJUDASIL, an acronym for Jun-
\nior Doctors Association of Si-
\nerra Leone, has been formed.
\nNonetheless, we continue to
\nfight\t this\t epidemic\t with\t ob-
\nstacles that may seem im-
\npossible to overcome.
\n10 11JDN
\nNews from Korea
\nWritten by
\nDr Hyunyoung Deborah Shin
\nPublication Director, WMAJDN
\nDirector of Public Relations and Spokesperson,
\nI In October 2013, the Korean government dis-
\nregarded the concerns and opposition voiced
\nby the medical community and went forward to
\nannounce its plans of introducing tele-medicine
\nbetween physicians and patients, expanding
\nnon-medical services allowed for medical corpo-
\nrations and permitting non-profit medical corpo-
\nrations to establish for-profit subsidiaries. Even
\nthough the medical community emphasized that
\ntele-medicine be adopted prudently only after
\nverifying its effectiveness, safety and appropri-
\nate medical fees through a pilot project, and that
\nvarious government policies intended promote
\nthe medical service industry be decided through
\nconsultation with medical organizations such as
\nKMA in order to not harm the nature of medicine
\nas a public service, the government refused to
\naccept any changes to its original policy plan.
\nAccordingly, as the very last resort, KMA decid-
\ned to take collective action on March 10, 2014
\nand suspended medical care for one day in or-
\nder to fight for proper public health poli-
\ncies and medical systems in Korea.
\nEssential services in emergency
\nrooms and ICU were excluded
\nfrom the collective action, but
\nabout 60% of all clinics and
\nabout 7,000 intern and resi-
\ndent doctors participated in
\nthe collective action. Even af-
\nter the one-day suspension,
\nphysicians continued to dem-
\nonstrate their position by main-
\ntaining 40-hour work weeks, and
\nthe number of interns and residents
\njoining the collective action actually
\nincreased over time. Under such pressure,
\nthe government finally agreed to talk with the
\nmedical community in search of a solution. Jun-
\nior doctors played a pivotal role in the collec-
\ntive action not just because of problems in the
\ntele-medicine policy but also because they were
\ndriven by a strong aspiration to re-vitalize pri-
\nmary care institutions, to improve the national
\nhealth insurance system, to reform the medi-
\ncal system and to change medical regulations
\nthat infringe upon the autonomy of physicians.
\nMeaningful progress was achieved in im-
\nproving the training environment of interns
\nand residents. Thanks to continued efforts
\nby the Korea Intern Resident Association
\nand KMA, the govern announced a presi-
\ndential decree requiring training hospitals
\nand institutions to establish written rules on
\nkey factors that influence the training envi-
\nronment such as training time, number of
\ndays on duty and break times and to keep
\nsuch rules available for the access by med-
\nical trainees. Training hospitals that vio-
\nlate such training rules may be sanctioned
\nby having their designation as a training
\nhospital cancelled or having the number
\nof interns and residents decreased. The
\npresidential decree also provides interns
\nand resident with ways of seeking relief if
\ntheir training hospital or institution under-
\ngoes change during their training period.
\nThe amended bill is a positive develop-
\nment in that it is the first legal device that
\naddresses the training environment of in-
\nterns and residents.While the controversial
\ngovernment proposal to require interns or
\nresidents to repeat training years if they fail
\nto meet certain training standards was
\nwithdrawn, penalties against hospi-
\ntals that do not comply with training
\nguidelines were strengthened and
\nthe Korea Intern and Resident
\nAssociation will participate in
\nthe assessment and disciplinary
\ndecisions of such violating hos-
\npitals. The Korean Intern Resi-
\ndent Association welcomed such
\nprogress, but expressed that it will
\ncontinued to focus its energy on
\nthe enactment of a Special Law on
\nInterns and Residents that would pro-
\nvide a legal basis for a humane and profes-
\nsional environment for work and training.
\nLastly, KMA announced the list of its new
\nleadership last June, and Dr. HyunYoung
\nDeborah Shin has been appointed as the
\nPublic Relations and Spokesperson for
\nKMA. KMA\u2019s bold choice of inviting Dr.
\nShin to join its top leadership shows that
\nKMA places greater weight on the capa-
\nbilities and potential of Korea\u2019s young doc-
\ntors, especially with their voices and roles
\nincreasing in Korea\u2019s medical community.
\nHolistic Health in Community Approach
\n\u2013 Our experience in Malawi
\nIn our previous article, Stepping
\ninto the Warm Heart of Africa \u2013
\nMalawi, we introduced our on-
\ngoing work. In briefing, we are 2
\nyoung doctors trained in Malawi,
\nunder program ofTaiwanese Min-
\nistry of Health and Luke-Interna-
\ntional-Norway (LIN). About 80%
\nof the staff are local Malawians.
\nAs medical doctors, there are
\nmany things we can do in our
\nlocal community to strengthen
\nholistic care. We would like to
\nshare two of our experiences.
\nTitemwanenge
\nThis word mean \u201clet\u2019s love each
\nother\u201d in Tumbuka. The main
\nsource of income for people liv-
\ning with AIDS in certain areas
\nis through soy. They make soy
\nmilk, soy muffin and many other
\nsoy products. Soy product is a
\ngood nutrition supplement since
\nmaize\/sima is the main food here.
\nTherefore, Lin guided them to
\ninitiate and coach their business.
\nBesides medical attention, hav-
\ning jobs and regular income are
\nalso crucial for this population.
\nThese sup- ports could hardly be
\nprovided by hospital, but can be
\nprovided in community projects.
\nKanyika
\nKanyika is a support group of
\npeople with disabilities. Accord-
\ning to their coordinator, they
\nwere sometimes called beg-
\ngars, and viewed inferiorly in
\nthe past. They gathered to show
\nthat they can work as \u2018normal\u2019
\npeople, and hope to end the
\ndiscriminations they face daily.
\nThey have their farm, paper-
\ncoal production, weaving de-
\npartment, and library to keep
\nlearning. LIN helped the start-
\nup,andkeepscollectinginterna-
\ntionally donated books to them.
\nWe know some governments
\nare still developing their poli-
\ncies in helping the citizens with
\ndisabilities. As young doctors,
\nwe can encourage our patients
\nand their families to learn about
\nand join support groups. Also,
\nwe can support these groups
\nby personal strength, or link
\nresources for them. Good
\nsupport plays no second role
\nthan the medical attentions.
\nWritten by: Dr. Jen-Hsiang Roy Shen
\nThinking back to the JDN
\nconcepts, we know medical
\ntreatments are not the whole
\nof medicine. Our patients
\nneed holistic care and sup-
\nport. Community, medical
\nfacilities, medical staff, gov-
\nernment and society are all
\npillars for the welfare of our
\ncitizens. Starting from our
\ndoctor career, we can pay at-
\ntention to all the pillars. In this
\nglobalized era, we could use
\nthis JDN platform to strength-
\nen our capability, and connect
\nour view and power together.
\nson, the moment we look into
\nthe direction of making peo-
\nple pay for their placement
\nof internship training instead
\nof being paid allowances.
\nsome of these short comings
\nhave to be ironed out. For
\nthat matter therefore, dis-
\ncussing internship matters
\nand posting interns in meet-
\nings where they have no
\nrepresentation will continue
\nto harvest hassles like what
\nwe have all experienced in
\nJuly 23rd \u2013 August 2014 and
\nconsequences that ensued.
\n12 13JDN
\nMore than 200 residents represent-
\ning 55 medical schools and teaching
\nhospitals came together in Konya (an
\nancient Anatolian city) to attend An-
\nnual General Meeting [AGM] of Turk-
\nish Young Doctors Platform (TYDP) on
\n12th-13th April 2014. AGM was pre-
\nceded by a workshop organized con-
\njointly by TYDP and Konya Necmettin
\nErbakan University for the residents to
\ndiscuss their problems with colleagues
\nfrom different regions of the country
\nand to be able to compare their con-
\nditions and unite their voices to be
\nstronger. Many of the addressed na-
\ntional problems also remain as global
\nproblems affecting many countries.
\nWe believe that formal addressing of
\nthese issues and seeking for the best
\nsolution together in a global effort is
\nimportant. Here are some highlights
\nfrom the Turkish national workshop:
\nThere is no regulation that directly de-
\nfines the upper limit of resident work-
\ning hours in Turkey. An upper limit of
\n70 hours per week was suggested at
\nthe previous TYDP work-
\nshop in Istanbul in Feb-
\nruary 2014. This limit is a
\nreachable target for the
\ncountry to begin with.
\nThere is no regulation
\nthat directly defines how
\nlong a resident can work
\nwithout a break. The sug-
\ngestion of the previously
\nmentioned national TYDP
\nworkshop was implement-
\ned. An upper limit of 30
\nhour of continuous working
\nis suggested and minimum
\n5 hours of uninterrupted
\nsleep should be ensured
\nduring overtime work.
\nDuties not directly related
\nwith postgraduate medi-
\ncal education (PME) take
\nan important proportion of
\nthe residents\u2019 time in the
\nhospital, causing unneces-
\nsary exhaustion and loss
\nof educational time. Other
\nhealthcare profession-
\nals (nurses, secretaries
\netc.) should be employed
\nto reduce the amount of
\nsuch work. This would
\nalso make the suggested
\nupper limit of the work-
\ning time more reachable.
\nAt some institutions, resi-
\ndents are not allowed to
\ntake their legal holiday
\ntime fully and may not be
\nallowed attend scientific
\nmeetings because they
\nare expected to contribute
\nworkforce more. These
\nbreeches of law should
\nbe followed closely and
\nproper action is need-
\ned to prevent this issue.
\nResidents may not be en-
\ncouraged to contribute
\nmedical research and may
\nnot have proper support,
\ntime and equipment. Resi-
\ndents are commonly ex-
\npected to do research at
\ntheir \u201cfree time\u201d after work
\nin order to keep the amount
\nof service delivered at the
\nsame level. Every resident
\nshould be encouraged to
\ndo research, should get
\nproper research training,
\nsupervision and have some
\ndedicated time during work
\nhours if the resident de-
\nsires to engage in research.
\nResidents are seen as
\nworkforce before their po-
\nsition as trainees. Educa-
\ntion should prevail in the
\nentire residency process to
\nensure the quality of PME.
\nTrans and interdisciplinary
\nclinical rotations, which are
\nan important part of the core
\ncurriculum, are neglected in
\nsome institutions to threaten
\nthequalityofresidenttraining.
\nProper inspection of teach-
\ning hospitals is emphasized
\nto ensure quality of PME.
\nResident admissions at
\nteaching intuitions are not
\nstable across semesters and
\nthis imbalance ad- versely
\naffects the distribution of
\nwork among residents while
\nimpairing standardization
\nof clinical educa- tion at the
\nsame time. Proper planning
\nis needed by relevant author-
\nities to overcome this chaos.
\nIn this meeting junior doctors
\nrepresenting different regions of
\nthe country had the opportunity
\nto formally describe their prob-
\nlems in a detailed report acces-
\nsible at http:\/\/www.genchekim-
\nplatformu.org\/tr-tr\/in- dir_event.
\nasp?Loc=e&sID=9&dID=b (in
\nTurkish). The official report was
\nalso shared at the same day
\nwith the university rectors, medi-
\ncal school deans, and executive
\nrepresentatives from ministry of
\nhealth, higher education coun-
\ncil and local medical chamber
\nat the end of the conference.
\nThis union of the all stakehold-
\ners about residency at the end
\nof the same room was impor-
\ntant for the delivery of the mes-
\nsage to the ones who have the
\nauthority to solve the problems.
\nThe annual general meeting also
\nserved to improve the structure of
\nTYDP with some minor improve-
\nments with national consensus.
\nTYDP continues with national and
\ninternational partner organiza-
\ntions to serve junior doctors better.
\nWritten by Fehim Esen, MD, Resident in
\nophthalmology,
\nSecretary General, Young Doctors Plat-
\nform, Istanbul, Turkey
\nResidents across Turkey came together to discuss
\ntheir problems and suggest solutions at Turkish
\nYoung Doctors Platform Annual General Meeting<\/p>\n"},"caption":{"rendered":"

JDN-NEWSLETTER-ISSUE06-2014 1 JDN The World Medical Association, Inc. L’association Medicale Mondiale, Inc. Associaci\u00f3n M\u00e9dica Mundial, Inc. r JUNIOR DOCTORS NETWOR Young Doctors Fighting against Ebola Discovering the missing pieces \u2013 Worldwide Survey on Transition from Secondary to Medical Education – Page 5 News from Korea – Page 11 Newsletter Issue-6 October 2014 ISSN-2312-220X Junior Doctors […]<\/p>\n"},"alt_text":"","media_type":"file","mime_type":"application\/pdf","media_details":{},"post":null,"source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2017\/02\/JDN-NEWSLETTER-ISSUE06-2014.pdf","_links":{"self":[{"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/media\/6139"}],"collection":[{"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/media"}],"about":[{"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/types\/attachment"}],"author":[{"embeddable":true,"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/comments?post=6139"}]}}