April 14, 2010
July 27, 2009
Ciomu, varianta UK
Surgeon was 'surprised' after accidentally cutting off man's testicle
Sulieman Al Hourani is now working in Jordan and is being tried for misconduct in his absence
A surgeon appeared "quite surprised" after accidentally cutting off a man's testicle, the GMC was told today.
A month later, it is alleged that the doctor, who qualified after studying at Jordan University of Science and Technology, stole two boxes of dihydrocodeine from the same hospital.
He was supposed to inject a patient with 10 milligrams of the powerful sedative midazolam. Instead, Dr Al Hourani gave the patient 8mg and injected himself with the other 2mg.
An internal inquiry at the hospital was launched and he was given a final written warning. But a year later, while still at the hospital, he removed patient A's testicle by mistake.
Vorba unui cantec: "...And she sweared god damn if I find that man I'm cuttin' off his balls"
September 6, 2009
A DENTIST in north Hampshire left patients in agony when he pulled teeth and gave treatment without anaesthetic.
Alexandru Varga’s victims included a six-year-old child and a woman he ignored when she begged for painkillers.
The dentist, who was practising at the ADP Dental Practice, in Franklin Avenue, Tadley, also botched his records and failed to explain treatment to four patients or provide one of them with protective clothing or glasses.
At a disciplinary hearing in London, David Bradly, representing the dentists’ professional body, the General Dental Council, said Varga’s misconduct involved mistreating six patients over a two-month period.
Varga saw the first patient days after joining the practice, the tribunal heard.
The woman, known as Patient One, saw him on May 22, 2008, to have one of her teeth out. Before starting the treatment he did not explain the treatment nor provide proper pain relief.
Less than a month later Varga treated Patient Two - but again forgot to mention the use of anaesthetic as well as failing to take a radiograph or provide protective gear. Mr Bradly said: "'During the course of the treatment he did not pay any regard to Patient Two when she informed him she was in pain.
"He didn't pay any regard to her request for pain relief." Parents of a six-year-old, known as Patient Three, complained when Varga failed to give a treatment plan or tell them that no local aesthetic would be used on the child.
Mr Bradly said this led to an argument between Varga and his dental nurse.It emerged that practice bosses only began checking Varga's records weeks into his contract. They found Patient One was given treatment without her consent while Patients Two and Three were given no treatment plans. Two other patients' records were also found to be substandard. Tribunal chairman Martyn Green said breaches of standards were "numerous, repeated and wide-ranging" and Varga should be suspended from practising as a dentist for a year. He said: "Mr Varga displayed fundamental deficiencies in his ability to communicate effectively and deal appropriately with his patients. "His failure to keep proper records and his general standard of treatment indicate issues which need attention and improvement." The GDC committee suspended Mr Varga from the dentists' register for 12 months. Varga, a Romanian, who qualified in 1999 from the university of Cluj Napoca, in north-west Romania, did not attend the three-day hearing and neither admitted nor denied the charges.The dentist is believed to have returned to Romania after leaving the Tadley practice in July 2008.
Associated Dental Practices, who own the practice, declined comment on the case.
La ei nu e ca la noi...
July 27, 2009
Ca sa-ti raspund la intrebare, da, exista medici din afara care se intorc in tara.
In primul rand depinde ce doresti tu sa realizezi pe plan profesional (cat de supraspecializat sa fii, cat de sus in ierarhie vrei sa fii, cat de independent/mana libera sa ai, si, nu in ultimul rand, pe ce specialitate) si in al doilea rand, ce e are intaietate pt tine: sa pleci (no matter what) sau sa faci ceea ce doresti ca (supra)specialitate. Si, daca te intorci, pe ce pozitie.
Spun asta pentru ca, specialitatile “de finete” sunt scumpe la vedere ca posturi disponibile inclusiv pentru ai lor (de ex chir CV, cardio, ORL nu-s posturi decat pt consultanti si acelea cateva. In germania sau austria pt chir plastica sau ORL nu au loc nici pt nemti, sau astepti 3-6 ani dupa rezi).
Intr-un spital de copii din bucuresti s-au construit in ultimii 2 ani o sectie de chir cv si de neurochir in care activeaza medici romani pregatiti in strainatate. De ce? Echipament de ultima ora conform cerintelor lor si posibilitatea de a fi propriul tau sef (cu suport de la cei care i-au pregatit) pe o spec deficitara in tara, in capitala, in conditiile in care in tarile unde au fost pregatiti nu erau mai mult de mana a doua intr-un oras mic, patologie mai putin complexa, intr-un sistem din care puteau oricand zbura. Pentru ca, drept imigrant, nu poti accede pe o spec de top sa fii cap de serie. Sper sa ma insel, dar pana acum sunt rare exemplele contra.
La polul opus cunosc o familie de medici care s-a mutat in america, el era chirurg pediatric, supraspecializat pe buze si palat. Foarte bun. Dar acolo, pt ca nu era american, mai mult de medicina interna nu a prins. Pt ca asta e, intaietate au ai lor, iar chirurgia e rasista din pct asta de vedere. Da, o duc mai bine, dar nu face meseria din pasiune ci de nevoie.
Asa ca asta-ti zic, depinde ce conteaza pt tine, cat de profund vrei sa patrunzi in specialitate +/-ierarhie, ce pretentii ai de la viata pe viitor, si daca avantajele mai rapide primeaza in fata pasiunii si accepti compromisuri. Vad ca esti pe chir generala. Daca vrei sa ramai pe chir generala e ok, se cauta peste tot. Ca medicina interna, pedi generala, hemato generala, gineco, urologie, neurochirurgie generala, psihiatrie deci specialitati globale (si grele!). Daca vei dori sa patrunzi pe partea de chir robotica, transplant hepatic etc, s-ar putea sa fie mai greu daca vrei sa si ramai pe acolo.
Tendinta generala (si probabil si din orgoliul de a forma o scoala) este ca mai marii straini sa investeasca in tarile sarace cu pregatiri, echipamente, echipe care sa scoleasca pe specialitati deficitare.
P.s. e doar o opinie, inca nu stiu personal daca sa raman sau sa plec. Dar pun in balanta avantaje si dezavantaje.
August 20, 2009
Asta imi doresc si eu , sa pot merge la spital si daca am nevoie la un pacient sa ii pot cere examen CT sau RMN sau PET sau orice altceva si sa nu imi vina un raspuns sec " nu se poate" din varii motive...
Din punctul asta de vedere suntem departe de Anglia , Germania sau orice alta tara vest - europeana ... La noi , si vorbesc strict in Bv, trebuie sa te lupti pentru fiecare investigatie ... nu avem un protocol pe care sa il cunoasca toata lumea si mai ales sa il respecte ... si din cate am inteles nici nu se vrea introducerea vreunuia ...
Suntem tare departe si este frustrant pentru ca putem si noi sa facem aceleasi lucruri ca englezii , germanii , americanii doar ca exista o mica diferenta ... ei dispun de fonduri pe care stiu sa si le administreze ...
Imi pare rau daca am ocupat mai mult decat trebuia din spatiul pentru acest subiect , dar as avea niste exemple traite de mine in scurta mea viata de rezident de care s-ar mira multa lume medicala ...
Imi cer scuze inca o data ... si sper ca peste 3 ani cand voi termina sa am puterea si vointa sa vin si eu in UK oricate examene ar fi necesare ... Chiar mi-ar place sa pot asigura niste servicii medicale de calitate ... Suna prea idealist ... Gata ....
Da, exista doctori englezi care pleaca in Australia sau USA. Eu cunosc si doctori romani care au lucrat in UK si vor sa se reintoarca in Romania. Fiecare are motivele lui/ei...
Nu te astepta ca aici totul este perfect. Si aici te rogi de unul sau de altul sa iti interneze un pacient sau sa-ti faca un CT scan la alt pacient. Totusi, aici motivele sunt din cauza ca se incearca eficientizarea medicinii, reducerea cheltuielilor care nu sunt absolut necesare. Aici se lucreaza mult pe baza de guidelines si protocoale. Din pacate (sau din fericire!) fiintele umane nu sunt masini si deci nu se potrivesc in sabloane. Si in UK este destul de greu sa depasesti anumite obstacole in situatii speciale ale unor pacienti.
Totusi, aici un doctor este platit bine, nu trebuie sa astepte ciubuc de la pacienti si lucreaza intr-un mediu bine dotat cu aparatura si medicatie. De asemenea, imediat ce ai o slujba relativ stabila iti poti permite sa faci un imprumut la banca sa iti cumperi o casa. Nu cumperi un palat cu 10 camere cum isi viseaza multi doctori din Romania, dar poti avea un trai foarte decent unde iti poti creste copiii in liniste, le poti oferi doua concedii pe an...Nu este usor, dar se poate realiza daca asta este ceea ce iti doresti.
Idealul insa ar fi ca Romania sa asigure asta pentru tot personalul medical din tara. In felul acesta nu va mai fi nevoie ca tineretul capabil de genul tau si al altora pe care i-am cunoscut pana acum sa isi paraseasca tara. Ar fi mai frumos ca medicii romani sa vina pentru specializari de un an sau doi, iar apoi sa plece inapoi acasa si sa ajute la imbunatatirea sistemului medical romanesc.
Eu cred ca guvernul Romaniei ar trebui sa ia situatia emigrarii personalului sanitar in considerare cu cea mai mare seriozitate. Daca nu stiu cum sa o faca, sa intrebe. Sunt convinsa ca exista solutii chiar si pentru o problema atat de serioasa ca asta.
August 20, 2009
Cu riscul de a parea stupid , vreau sa intreb ceva : este cineva in UK , medic , care ar vrea sa renunte si sa se intoarca in Romania? sau sa mearga in orice alta tara ?
Sper ca nu sunt off-topic ... sunt doar curios ... pentru ca din punctul meu de vedere un medic de aici , din Romania cred ca ar face aproape orice sacrificiu sa aiba un loc de munca unde sa conteze pacientul . Adica sa nu trebuiasca sa te rogi de colegul de la radiologie sa ii faca CT , sa te rogi de colega de la ATI sa il reechilibreze hidroelectrolitic preoperator (binenteles ca vei fi refuzat in 90% din cazuri ) ...
Eu asta imi doresc : sa ma duc la servici si sa pot face ceva ptr pacientul ala fara sa ma rog de nimeni (stiu suna idealist) si cum la noi inca nu se poate , sper sa pot beneficia de un loc in UK ... chiar daca trebuiesc date-luate niste examene ...
Poate ca au dreptate ...
Ai dreptate Mihaela...in 2008, 94% din candidatii la MRCPsych exam erau non-UK graduates...iar la mine in Trust majoritatea zdrobitoare a colegilor psihiatri nu sunt englezi...englezii sunt prea isteti sa se bage in psihiatrie, cand faci mai multi bani in alte domenii, cu mai putin stress...
"Mercenarii" din alte tari mai putin bogate vor fi din ce in ce mai bineveniti aici ca doctori...dar nu vor avea an easy ride...
September 6, 2009
Nu stiu ce sa zic... Tinerii lor ( si aici ma refer la intreaga Europa Vestica + Insula ) nu se mai orienteaza catre cariere medicale - care implica un efort sustinut si responsabilitate foarte mare - ci catre zone la fel de / mai bine platite ale pietei de munca, dar cu un grad de responsabilitate mai mic. Sa vedem ...
August 20, 2009
September 6, 2009
Foarte interesant !
Britanicii sunt ingrijorati de actul medical efectuat de medici proventi din tari europene, mai ales din tari care au aderat recent la Uniunea Europeana “I am particularly worried about some of the more recent entrants to the EU – there is huge variation in the quality of training in Europe,” insa exemplele de malpraxis din articol sunt legate de un medic german si unul francez.
July 14, 2009
By Laura Donnelly, Health Correspondent Published: 9:00PM BST 05 Sep 2009
Of more than 20,000 EU doctors registered to practice in this country, 4,061 have arrived since safety checks were removed five years ago.
The figure comes amid increasing concerns about the lack of scrutiny of medics who migrate to this country.
Figures from the General Medical Register show that among the foreign doctors registered to work in the UK, more than 5,000 are from former Eastern bloc countries.
Of those, the greatest exporter was Poland, which trained 1,800 medics now on the British register, followed by Hungary, which sent more than 1,000. More than 700 came from the Czech Republic and almost 800 from Romania.
Under an EU directive passed in 2004, doctors who qualify in any EU state can move to work in any other member state without tests of their language skills or clinical competence – even though experts last night warned that there is little consistency in the medical training, treatments and medications used across Europe.
This newspaper's investigation reveals that since then, the number of EU doctors registered to work in Britain has risen by 4,000 – an increase of 25 per cent – at a time when the number of UK-trained doctors on the register has fallen.
Meanwhile, there has been a doubling in cases of serious disciplinary action taken against doctors from other EU states.
Regulators warned that British lives were being put at "unacceptable risk" by the lack of safety checks covering doctors who come here for permanent work, as well as those flying in to work lucrative shifts at evenings and weekends.
Senior doctors expressed particular fears about the quality of training in some parts of Eastern Europe.
They warned that other countries exporting high numbers of medics to this country were not familiar with the same medications, and had different education systems.
More than 3,500 doctors came from Germany, the figures disclose. Last year, Dr Daniel Ubani killed a pensioner during his first shift working in Britain after flying from Germany to work as an out of hours doctor.
David Gray, 70, died as a result of a massive overdose of the drug diamorphine which is rarely used by family doctors in Germany.
Under the Brussels rules on freedom of labour the General Medical Council, which regulates doctors, cannot force its counterparts abroad to reveal whether a doctor has been previously struck off, or had restrictions placed on their practice.
Instead it relies on voluntary sharing of information, which its officials warn is unreliable.
The GMC has pleaded with the Government and European Union to re-examine the rules, which it believes put patients at risk.
Paul Philip, the deputy chief executive of the GMC, said: "If a doctor applies to go on the register here and they have previously been struck off in France, Germany or Poland we would not necessarily be able to find that out.
"We can try to get as much information as we can – and we do – but there is no legal obligation for regulators to pass on information to us. We think that creates an unacceptable level of risk."
Professor Sir Donald Irvine, former president of the GMC, criticised the Government for failing to block the original EU laws which had created dangers to the public, or to adapt British regulation systems to assess every doctor more rigorously.
While he was GMC president he argued that any medic who wanted to work in this country should undergo a national examination first, using a system which has been used for more than 60,000 doctors who have come to the UK from foreign countries beyond EU borders.
Sir Donald said he feared the risks to patients were being increased by an influx of doctors trained in Eastern Europe.
"I am particularly worried about some of the more recent entrants to the EU – there is huge variation in the quality of training in Europe," he said.
The latest figures from the GMC show that one in 10 doctors registered to work in Britain was trained elsewhere in Europe.
Last year, 30 EU doctors were struck off in the UK, suspended, given a warning or had conditions imposed on their practice, compared with 15 in 2005.
Ray Montague, from the NHS Alliance, which represents GPs, said the current system assumed that medical training in every country was similar, when it is not.
He gave the example of medical training in Italy, which involves little practical experience until after a doctor qualifies, and highlighted the case of Ubani.
Dr Montague said: "Medical education takes years, and it is not something that any employer can assess in an interview. In the Ubani case there was a fundamental hole in the doctor's knowledge, which had fatal consequences.
"But if a doctor is on the medical register, turns up for an interview, sounds charming and talks convincingly about a few medical subjects, specific gaps like this would be unlikely to be picked up".
One in three primary care trusts is flying in foreign GPs because of a shortage of doctors in Britain willing to work in the evenings and weekends.
As "temps" they earn up to £100 an hour, with one Merseyside trust spending £267,000 on nine Polish doctors and two Germans last year.
Since the Ubani case became public, GP leaders have called for a radical overhaul of the system of out-of-hours care.
Dr Steve Field, head of the Royal College of GPs, said doctors should not be allowed to "waltz in and out of this country" without any safeguards for the public.
Other cases to cause concern include a French surgeon who was suspended for 18 months after botching nine of 15 orthopaedic operations he performed.
Roland Istria returned to Paris after the cases at the Nuffield Private Hospital in Cambridge in 2005.
Dozens of elderly patients were left requiring operations to correct botched surgery carried out by Scandinavian doctors flown in to work as locums in Somerset, as part of an NHS initiative which promised to cut waiting times between 2004 and 2006.
A spokesman for the Department of Health said the UK was required to recognise professional qualifications of European Economic Area nationals.
He said NHS organisations had a responsibility to ensure any individual recruited was fit for their role.
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