Physician training is expensive: According to estimates, the public is paid between several hundred thousand and half a million francs per state exam per place of study. At the same time, many worry about the increasing number of doctors coming to Switzerland. In Zurich, according to the Tages-Anzeiger newspaper, the proportion of foreign experts has tripled to 23 percent in eight years. For new admissions, foreign diplomas have been around most of the time.
Accordingly, a recently published study in the journal Swiss Medical Weekly is catching attention. Accordingly, every seventh doctor and one seventh doctor in Switzerland will sooner or later leave the profession. That’s almost 14 percent of those who trained Doctor. who stop treating patients. Researchers led by Sven Street from the Bern Institute of Family Medicine (Biham) at the University of Bern came to this conclusion after analyzing 23,000 professional registrations in the federal government for 1980-2009. With a sample of 500 people, they explored additional information about their occupation.
"Especially in the absence of certain medical professionals – family doctors, pediatricians, psychiatrists and others – is every one leaving the profession one too many," says Streit. Perhaps the most prominent finding of the study is that women do not date more often than men. This refutes the prevailing view that women doctors often fail to reconcile work and family and therefore quit. Stock exchangers also do not find differences between language regions. On the other hand, the increase in dropouts over the years is incredible. Doctors who graduated in 1980 stopped four times less frequently than graduates in 2005.
Reasons for withdrawal were not provided in the study. According to other studies, quarrels are the most common causes: family and personal problems, long hours, changing requirements – for example, moving to more administrative tasks rather than clinical activity. This is a result of a survey by the Swiss Medical Association (FMH) and the Association of Swiss Assistants and Senior Physicians (VSAO) in 2016. At about 10 percent, there was a slightly lower exit rate. However, the response to the survey was only about 35 percent, which needed to skew the results compared to the current study.
"It only becomes problematic when people stop, even though they would like to stay in business."Laila Burla, Obsan Swiss Health Observatory
Laila Burla, head of the science project at the Obsan Health Observatory in Switzerland, thinks the Bern study is well done and compelling. An interesting finding is that women do not date more often than men. "Women probably already know very well what to expect when they decide to work in the medical profession," Burla suspects. The expert was included in the 2016 obsidian analysis, according to which every third doctor completely gave up, changed his profession or industry. How true reality really is is questionable. "Unfortunately, there are no nice numbers about leaving a career in healthcare," Burla says.
No matter how many doctors get off the hook, they are a thorn in the side of critics. The money was invested incorrectly and the rejectors would take away others, wishing to be interested in one of the desired study sites, which was limited by the number of clauses. Burla's obsessive expert, however, stresses that society is not losing society: "Doctors who go to research or the pharmaceutical industry need it, too." It is usually not the case that you will become an artist from a doctor. In addition, there are fluctuations in all professions, much larger than the medical profession. "I don't think it will be a problem," Burla says, "when people stop working because of working conditions, even though they would like to stay at work."
The author of the Streit study also regrets that health care exits cannot be better monitored. "If we had this capability, interventions to reduce exit rates could be tested," says the professor of family medicine. Possible measures are: mentoring, career coaching, combustion prevention, improving work-life balance.
"From a practical perspective, we have to see that there is no escape," says Streit, who also works as a family doctor. "Returnees and returnees are also having a hard time coming back to the clinic," he says. This is why it primarily appeals to the promotion of family models of work.
Created: 05.11.2019, 19:45 Clock