Representatives of 19 European Countries met on the 11th and 12th of November 2011 in Sliema, Malta, for the Autumn Meeting of the European Junior Doctors Permanent Working Group (EJD) to discuss the main issues in medical training, producing the outcomes summarised in this document.
Copyright 2011 © European Junior Doctors Permanent Working Group (EJD)
Free citation allowed
New Member from Hungary
The Hungarian Resident Doctors' Organisation (Magyar Rezidens Szövetség) joined the EJD as 19th member in the General Assembly. Since founded, they are fighting for better conditions for Junior Doctors in Hungary. Due to the economic situation Doctors in Hungary are lower paid than other international colleagues, especially Doctors in training. To prevent a mass exodus in other European countries the Magyar Rezidens Szövetség are negotiating with the government about improved training, better working conditions and pay increases. As this is the spirit of the European Junior Doctors Permanent Working Group, they have been respectfully accepted and welcomed.
Working Group on Task Shifting
Due to the shortage of doctors and on-going specialisation of other medical professions, task shifting becomes more and more important. The impact of this in postgraduate training is one of the most significant concerns of the EJD. On the one hand task shifting might be a gift, as it relieves Junior Doctors from unnecessary and time consuming tasks. On the other hand Doctors might be replaced and training might be shortened. To evaluate the actual situation and develop a strategy on task shifting, the EJD started a joint project in cooperation with Thomas Ulmer, Member of the European Parliament. This project will soon present the first results.
European Medical Mobility
In 2008 the EJD together with EMSA launched the European Medical Mobility Website (EMM). This database compiles the information necessary to all doctors that wish to train in a European Country, thus promoting mobility for Junior Doctors. To ensure that the information is available as needed the EJD will be evaluating the usage of the website. In 2012 there will be new data collected and a more detailed version of the website will be launched.
For details see: http://www.medicalmobility.eu
The implementation of the Bologna Process and its impact on Medical Education was discussed in the Plenary. An informative Presentation was given as well as an EJD survey presented. The results showed that the implementation in medical training of the 1st and 2nd cycle was rejected by the majority of countries in Europe because medical training is already sufficiently organised and therefore no new two cycle system is required. As it was implemented in some countries, e.g. Switzerland, Denmark or the Netherlands, the results there should be followed.
The major issue for the EJD is the 3rd cycle as it directly touches postgraduate training. The questions rising reqarding the impact upon the workforce in PGT if the third cycle is implemented or if there would be sufficient funding will be discussed in a Working Group. The results will be published as a policy paper of the EJD.
Emergency Medicine in Europe
As the new UEMS implemented a Section in Emergency Medicine the Chairperson presented an overview on this topic. As emergencies and on call of doctors are highly linked, the EJD started a Task Force on evaluating the impact of structures and organising in Emergency Departments on the working conditions of Junior Doctors. The results will be presented in 2012.
An update on the process of modernising of the Qualifications Directive was given. The EJD send their amendments to the European Commission. The EJD President attended a conference hosted by the EC to point out the position of the EJD. The European Commission will soon publish its legislative proposal. The EJD will follow this and further lobby for its interest at the process of legal approval now done by the European Parliament.
Projects & Working Groups
The EJD Working Groups and Projects created in the Malta Meeting will present their first conclusions in the Spring Meeting in May in Zurich. Besides the already named the following Working Groups were set up: “ePortfolio”, “Salary and Demography Survey”, “European assessment” and “Freedom of the Medical Profession”.
UEMS Sections / Boards / MJC
The EJD elected several new Representatives for the UEMS Sections / Boards / MJC to continue the successful cooperation like done for years now. The full list can be found on: http://juniordoctors.eu/boards_sections_and_mjcs.