In 1935, following the spectacular crash of the much-heralded Boeing B-17 bomber, it was concluded that the ‘modern plane was too much for one man to fly’. Similarly, given the complexity of modern healthcare, medicine is rarely a solo pursuit. In 1977, following the largest commercial aviation crash to date, flight investigators concluded the crew had ‘failed to take the time to become a…
Turfing is a subversive activity based on a variety of economic and prestigious interests. It is opposed to the trend in modern medicine towards harmonisation, ordinate formation and QA processes. Usually, ‘highjacked’ services are characterised by uncontrolled training processes, the absence of an official syllabus, no board exams, a lack of formal (registered) practice supervision and…
‘The demand for radiology procedures, even on a 24/7/365 basis, seems to increase faster than the number of new radiologists. The shortage of radiologists creates a service provider gap. Further, quality, safety, education, and research become threatened,’ says Professor Jarl A Jakobsen MD PhD MHA, University of Oslo and Oslo University Hospital.
Radiologists play a main part in the majority of diagnostic and therapeutic procedures. For this reason a staff shortage in radiology departments severely compromises the quality of clinical processes. However, the shortage is not evident in absolute terms, because the number of radiologists is increasing in most European countries.
'What can we do about the lack of young radiologists in Europe?’ ECR 2010 congress president Professor Małgorzata Szczerbo-Trojanowska will discuss the background to this shortage and suggest ways to avert this occupational crisis, although pointing out that the problem does not exist in Poland.
The first question we should ask is whether we only lack radiologists or whether we lack medical doctors in general. If the answer is that we do not have enough specialists covering diagnostic imaging and image interpretation specialties then the question needs to be further analysed on why we cannot attract more people to take that exciting and rewarding route after completing their primary…
There are several reasons why turf battles for imaging occur: 1) Medical imaging has become essential for the diagnosis, treatment planning and patient follow-up. 2) Interventional radiology provides efficient procedures that are a credible alternative to surgery, challenging the surgeons who want to survive. 3) Radiologists are currently facing an explosion of the demands and, paradoxically at…
Rapid advances in medicine and technology have led to a change in the job description for radiologists. With image acquisition and evaluation increasingly carried out by machines, there is a need to find new fields of activity. However, the required rethink is happening far slower than the pace of development in science and technology, believes radiologist and healthcare management expert…
Students and teaching staff expressed difficulty in defining professionalism in pharmacy clearly and succintly. For most it seems to more an implicit than explicit concept, ie "you know it when you see it" according to a study undertaken in UK schools of pharmacy.
At first glance everything looks real, from the equipment and fittings to gleaming white bed sheets and the pallor of the patient. But something is incongruous: a large mirror opposite the bed is reminiscent of a police interview room. It is the sole suggestion that this hospital room may be unusual. It is. Behind the mirrored glass, medical students indiand a tutor are observing a ‘doctor’…
Facing the risk of an invasion by big international operations, French medical laboratories drew inspiration for their defence from a national hero - Asterix. While the newly launched reform of the French laboratory system will bring the traditionally independent medical labs into conformance with international quality standards, the law builds an elaborate defence against foreign operators to…
Today, healthcare professions make up ten percent Europe’s workforce. The EU Commission calculates dramatic shortages in healthcare provision in the next decade unless countermeasures are taken now. Thus, at this year’s European Health Forum Gastein (EHFG), held in October in Bad Hofgastein, Austria, international experts discussed ways to make health employment more attractive.
Health as a job creator: Health professions make up one of the largest segments in the overall European labor market, accounting for ten percent of the total workforce. The EU Commission calculates dramatic shortages in health care provision in the next decade unless countermeasures are taken now. Experts at the European Health Forum Gastein discussed how health jobs can be made more attractive.
The accuracy and reliability of medical laboratory examination results are vital part in healthcare delivery, and these plus the effective operation of laboratories are the main goals of laboratory managers. To ensure a high quality operation, medical laboratories have quality management systems and, through laboratory accreditation, show their competence.
In intensive medicine, burnout has a major impact on the quality of care. For example, in intensive care units, where the staff suffers burnout, statistics indicate that patients remain longer in an artificial coma than in ICUs that are more or less free of burnout. ‘Obviously, that does not happen consciously,’ says Prof. Wolfgang Lalouschek, Medical Director of The Tree Health Care Centre…
The reduction in junior doctors’ hours to 48 hours a week with the introduction of the European Working Time Directive (EWTD) has increased the number of work shifts and continuity of care is suffering as patients are ‘handed over’ again and again to different doctors, according to the Royal College of Physicians (RCP).
Specialist medical training programmes should retain some flexibility to help trainee doctors make the right career choices, according to a study published on bmj.com. Some UK medical graduates choose a specialty as soon as they qualify and others after a few years of postgraduate work. But changes to postgraduate medical training mean that junior doctors will generally have to make choices…
"Digital technology has come a long way: today, it is easy to produce thousands of radiological images – but who will read them?" Good question. In her presentation, Maria Lohm, MSc, Manager of RadiologiResurs AB, Unilabs AB, Sweden, provided an answer. Her company Unilabs offers teleradiology services as an excellent alternative in times of radiologist shortage.
The introduction of digital imaging in all fields of radiology and digital workflow using RIS and PACS has led to fundamental changes in the daily work of radiologist. Professor Davide Caramella, MD, Associate Professor of Radiology, University of Pisa, Italy, described how IT supports radiologists in their daily work and why radiologists need to keep up-to-date in IT.
According to estimates up to 450 million patients will suffer from diabetes in the year 2025 (currently 250 million). In view of this, glucose monitoring is of utmost importance. Scientific studies and practical experiences with glucose monitoring at the point of care (POC) were evaluated recently during a meeting of experts in Vienna.
Clinical laboratory scientists, the medical technologists of the 21st century, are not only enjoying a rapidly expanding role in clinical work but are also increasingly undertaking non-clinical duties such as consultation, quality assurance, laboratory management, professional advocacy and education.
Long transports, ramps, slopes and heavy patients can all increase the risk of back and shoulder injuries to caregivers. The global company Stryker, among the world´s top 12 medical devices manufacturers, produces a huge range of orthopaedics products, including implants, powered surgical tools and operating theatre equipment, as well as products for other healthcare specialties, including…
The use of IT in Russian medical institutions is still low, partly due to poor funding but also to a lack of understanding among managers of its potential. Most physicians consider treatment is their duty – not IT. They prefer to use special software only for accounting and staffing policy.
Following fierce parliamentary debates last spring, the newly enacted law on Hospital reform is beginning to show concrete moves. One of these is to modify the remuneration system for doctors, in order to reinforce the attractiveness of public hospitals, which are suffering recruitment difficulties.
Der Frauenanteil im Medizinstudium hat mittlerweile die magische Grenze von 60% überschritten. Allerdings bleiben ca. ¼ aller Akademikerinnen kinderlos. Dennoch wird die Frage der Vereinbarkeit von Ärztinnenberuf und Familie zunehmend zur alltäglichen Managementherausforderung im Krankenhaus. Gleichzeitig sind so genannte Vereinbarkeitsfaktoren wichtige Attraktoren bei der…