The chairman of the Medical Association referred to the reform to shorten shift hours

The chairman of the Histadrut, Professor Hagai Zion, referred today (Thursday) on 103FM to the Histadrut committee’s decision to change the duration of interns’ shifts. He said the change comes after a perceptual change in society: “Once, when we started, we said our goal was to cure patients. And our health, free time and our family life are less important. We live in a time when it is important for people to be involved in family life and it is important for them to have time for leisure. “

Interns’ protest in front of the Knesset (Photo: without credit)

“It should be understood that there is a process here that was unprecedented in the Medical Association, which aims first of all to improve the working conditions of doctors and shorten shifts, because today we live in a different era. We will cure doctors, the Medical Association. I announced three years ago, as soon as I took office “I am going to reform the doctors’ working hours and shorten the shifts,” added Professor Zion.

According to him, the system should first of all add about 500 doctors each year, who already exist in the various frameworks. For him, the solution can also come gradually: “Today an internship is completed every year 1500 doctors, with 900 standards. The process will not be immediate. I belong to those who say that if there is a lack of doctors, then a solution must be found. I support an internship reform solution, or To shorten medical studies. “

He explains his idea of ​​shortening the duration of medical studies by saying that the difference will be in the timing of the internship. Instead of the seventh year, as is customary today, medical students will complete the internship in the sixth year, which will also be the last. “There have been changes in the world, these guys are super talented and today you can learn a lot of things in apps, for example different models in anatomy, that you can learn in a much more beautiful way than I learned,” he adds.

In conclusion, Prof. Zion noted that not all interns have requested a shortening of shifts and that there are groups that still prefer the long shifts, for various reasons: “Not all surgeons have chosen to shorten shifts. To continue the 24-26 hours while requesting administrative help and medical assistants to assist them during the shift. “

“The ball is in the hands of the state”

Meanwhile, earlier today the High Committee convened to examine the features of the doctors’ work and the nature of the shifts in order to submit its recommendations for reform. According to the committee’s recommendations, four different models will be proposed for shortening shifts, with each medical association being able to choose its favorite according to its professional preferences. The different options are model 16/2, model 18/30, the mast model and the existing work model, which will undergo a number of changes.

In addition, it was recommended to improve the working conditions and working environment of the specialist doctor: reducing working hours according to age; Additional research and mentoring hours; Reward for active six-hour standby in accordance with Reward for full-time duty; Minimum conditions will be set for the expert’s work environment while anchoring the definitions in binding agreements; Providing more options for professional advancement in four tracks (clinical, research, managerial and teaching); Encouraging half-shifts and third-shifts for those interested, and more.

It was also recommended to Naan in the agreements that the working week will be 36 hours, a system of transportation for doctors will be established, the establishment of day care centers for doctors’ children and options for specializing in part-time work. The committee also recommended a precedent change so that standards would be assigned according to the nature and volume of activity and not just on the basis of number of beds.

In order to comply with all the recommendations, the committee recommended the establishment of an implementation committee that would be responsible for implementing the recommendations in a beneficial manner.

Prof. Hagai added during the conference: “Now the ball is in the hands of the state. We heard from day one unequivocal support from the ministers of health and finance in changing the work format, and now we have to translate things into standards and resources to make it happen. It is not in heaven and so did the committee. I need it like breathing air anyway, and I sincerely hope that together we can implement one of the most significant reforms known to the health system in Israel. “

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