One quarter of all NCHD to be axed by the Department of "Health"!

Jane5

http://www.imn.ie/index.php/current-issue/news/3466-a-quarter-of-junior-doctor-training-posts-to-go

The morons are striking again!

Not enough junior doctors to do the work now as huge doctor shortage.

Even if there were a full complement of doctors, 4000 NCHDs (non consultant hospital doctors) is not enough to do the existing work, especially with the recent pretending that we're complying with the Working Time Directive (hardy har har).

So the measures that have been taken thus far are:

1) Making it unfeasibly difficult for non-EU doctors to work here.

2) Axing the number of hospital doctor posts.

So by the DoH's reasoning, when presented with the problem of not having enough hospital doctors to perform the work required, the best solution is to cut the number of jobs for the existing ones, and restrict entry of any extra doctors to help with the shortage.

Seriously. Whoever is coming up with this stuff is either suffering from real clinical cretinism, or is smoking the drugs bigtime. Somebody stop the stupidity!

Traumadoc

No the HSE believes we have too many beds. By making it impossible to staff smaller hospitals, these will be forced to close.
To hell with patients wellbeing they can be stuffed into already overcrowded A&Es in bigger hospitals like Galway or Limerick.

They are being clever by getting clinicians to act as leads for reconfiguration, so can escape the blame when the sh1t hits the fan.

drkpower

But surely its a good thing to get rid of a bunch of junior doctors who are too inexperienced to do any work of any particular value?

sillymoo

Traumadoc wrote: »

No the HSE believes we have too many beds. By making it impossible to staff smaller hospitals, these will be forced to close.
To hell with patients wellbeing they can be stuffed into already overcrowded A&Es in bigger hospitals like Galway or Limerick.

They are being clever by getting clinicians to act as leads for reconfiguration, so can escape the blame when the sh1t hits the fan.

And they are now going to close 52 beds in Beaumont over the next few months!!!!

http://www.irishtimes.com/newspaper/ireland/2010/0506/1224269793292.html

Echani

Fantastic. I'm planning on doing my internship here then emigrating for better training, but with every new announcement I'm reconsidering whether or not it's even worth staying the extra year.

lonestargirl

Echani wrote: »

Fantastic. I'm planning on doing my internship here then emigrating for better training, but with every new announcement I'm reconsidering whether or not it's even worth staying the extra year.

I think it's worth staying to get full reegistration, gives you the option of coming back in the future.

Traumadoc

lonestargirl wrote: »

I think it's worth staying to get full reegistration, gives you the option of coming back in the future.

+1

dissed doc

lonestargirl wrote: »

I think it's worth staying to get full reegistration, gives you the option of coming back in the future.

Full registration no longer exists. The only thing that actually matters is if you want to practice here, that you are on the specialist register. If you leave after college and complete US residency+fellowship, you will be able to go on the specialist register. Same with UK, Aus/NZ, anywhere.

There is no general full registration that will be accessible to anyone new. Once finished internship, you will either be on the Trainee Register, or will be moved abroad. The General Register, AFAIK, is only active now as a legacy to the old system.

There is absolutely no point in doing internship here, unless you want to get on the Trainee Register and complete training here.

RobFowl

I think the general register will stay. The cynic in me thinks the longer term play is to issue a sub-consultant non training hospital position (similar to staff grades in the UK).

lonestargirl

dissed doc wrote: »

There is no general full registration that will be accessible to anyone new. Once finished internship, you will either be on the Trainee Register, or will be moved abroad. The General Register, AFAIK, is only active now as a legacy to the old system.

Checked this out, Dissed doc you are correct. Once you complete training abroad you can go straight to the specialist register, my apologies.

dissed doc

lonestargirl wrote: »

Checked this out, Dissed doc you are correct. Once you complete training abroad you can go straight to the specialist register, my apologies.

No need for apologies, you did nothing wrong!

I think the main thing to remember is that no-one needs to feel that they cannot return to ireland if they do not have internship completed here. There will be misinformation around that it's necessary, but it isn't, although it will help to staff hospitals that will be under even more pressure again to stay on 24/7 call.

But, from a professional standpoint, finish the degree, then get speciality training. If it's approvable in any EU country, you will be entitled to get on the speciality register in Ireland. Staying to work 80hrs a week for low pay as an intern will get you nothing professionally and there is no "good will" to doctors in Ireland now anyway. The same thinking will be heard after internship when people say you should stick around until you get memberships, etc., etc and so on. It's all nonsense. Focus on your career and your CV, when it comes to consultant posts, the person with the best combination wins and no one gives a damn if you did your intern in Sligo or in Auckland.

tallaght01

lonestargirl wrote: »

Checked this out, Dissed doc you are correct. Once you complete training abroad you can go straight to the specialist register, my apologies.

Is that definitely true?

I'm doing advanced training in Oz, and it used to be a pain to get registered back home on the specialist register. I don't wanna work for the HSE, but might do some locums or work in the HSE while I try to get into something else.

lonestargirl

tallaght01 wrote: »

Is that definitely true?

I'm doing advanced training in Oz, and it used to be a pain to get registered back home on the specialist register. I don't wanna work for the HSE, but might do some locums or work in the HSE while I try to get into something else.

I just went through the medical council website

1) Selected 'specialist registration'
2) Selected 'graduated in Ireland'
3) Answered no to 'Are you seeking internship registration to practise in an identifiable training post?'
4) Answered yes to 'Have you completed your Specialist Training?'

The answer it gives is 'based on your answers you may be eligible for specialist registration'

It would be interesting to know if anyone has registered on this basis since the register has only been in place in this format for about a year.

lonestargirl

I will say though that we saved every penny my husband earned in his intern year and needed it all to move to the US, ECFMG fees, ERAS + NRMP fees, buying a car, deposits for utilties, shipping 50+ pairs of my shoes accross the atlantic etc. We did buy a house too, and as non-residents needed a 25% deposit.