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The difference in position is clearly revealed from the judgment of whether there is a shortage of doctors.

Those in favor of increasing staff: “There is no shortage of doctors, but do residents work more than 80 hours a week?”

The opposing side said, “The population is decreasing, so even if we maintain the number of medical schools, the relative number of doctors will increase significantly.”

“We will simultaneously strengthen compensation for essential medical care” vs. “The local doctor system has no choice but to select people with poor grades”

patient waiting for treatment

patient waiting for treatment

(Seoul = Larose.VIP) Reporter Kim Jan-di and Seo Hye-rim = The Ministry of Health and Welfare and the medical community, which are at odds over the expansion of medical schools, tensely argued in their first public TV debate on the 20th, saying, “We cannot delay the expansion of medical schools any longer,” and “The relationship between succession and successor has changed.” I fought back.

At the beginning of the debate, they confronted each other tightly, revealing stark differences in their judgment of the reality of whether there were a shortage of doctors.

Those in favor of increasing the number of medical schools argued that the shortage of doctors would worsen the distribution problem, while those opposed maintained the position that there was no shortage of doctors, citing Korea’s high accessibility to medical care.

◇ “There is not a shortage of doctors, so why do residents work over 80 hours?”

Yoo Jeong-min, head of the strategic team at the Central Accident Response Headquarters of the Ministry of Health and Welfare, and Dong-wook Lee, head of the Gyeonggi Province Medical Association, appeared on MBC’s ‘100 Minute Debate’ that day and confirmed the differences in the two sides’ positions regarding the increase in medical schools.

Currently, medical groups such as the Korean Medical Association are strongly opposing the government’s announcement that it will increase the number of medical school students by 2,000 for the 2025 school year. The residents collectively submitted their resignations in protest against the government policy and stopped working.

On this day, there was a ‘conflict in increasing the number of medical school students…’ In addition to Team Leader Yoo and Chairman Lee, in the TV debate held on the topic of ‘Medical crisis,’ Kim Yoon, a professor of medical management at Seoul National University College of Medicine, and Jeong Jae-hoon, a professor of preventive medicine at Gachon University of Medicine, appeared as those in favor of increasing the number of medical schools.

Team Leader Yoo said, “It is diagnosed that there will be a shortage of doctors now and in the future,” adding, “There are already cases where (patients) are not receiving treatment on time due to gaps in local medical care and essential medical care, and despite the rapid increase in medical demand due to the rapidly aging population.” “We have to be prepared,” he said.

In particular, it was seen that there was a mixture of absolute numerical shortage and distribution problems.

Team Leader Yoo said, “There is an absolute shortage in the number of (doctors), and because of this, it is difficult to find doctors, and all these personnel are concentrated in the metropolitan area,” and added, “The problem of the shortage of doctors is worsening the (doctor manpower) distribution problem.” did.

Those who are opposed to increasing the number of medical schools emphasized that it should be taken into consideration population changes due to low birth rates, the number of times people use outpatient clinics, and high accessibility to medical care.

Chairman Lee said, “The number of births is decreasing, so even if we leave the medical school quota the same, (the relative number of doctors) is bound to increase further in the future,” and added, “Furthermore, we need to look at the number of times our people use medical care and their accessibility.”

He said, “Our people are using medical care 2.5 times the average of the Organization for Economic Co-operation and Development (OECD),” and “Is it okay to increase the number of doctors in a situation where there is already an oversupply compared to other countries (in terms of the number of times medical care is used)? “He asked back.

At the same time, he said, “It is a problem of the working environment, and it is a problem that university hospitals are lined up and local hospitals are empty.” He argued, “The problem of reallocating patients and doctors is not an urgent priority, and increasing the number of medical schools is not an urgent priority.”

In response, Professor Kim said, “In Korea, the number of doctors per 1,000 people in 2021 is 2.6, which is below the OECD average. The bigger problem is that OECD countries have significantly increased the number of medical schools,” adding, “If we reflect the recent increase in the OECD, Korea will have “Unless we double it, the gap will get bigger,” he said.

Professor Jeong countered by saying, “It is difficult to give a definitive answer now as to whether there is a shortage of doctors. Both life expectancy and accessibility to medical care are quite high in our country, but if there is a shortage of doctors, will these results be maintained?” .

Professor Kim believes that it is a well-known fact that there is a shortage of doctors, considering various situations such as rising salaries due to the inability to find doctors at local general hospitals, excessive working hours for residents, and the increase in medical assistants (PAs) who replace doctors’ work.

He said, “At university hospitals, residents work 80 hours a week. There is no shortage of doctors, so why do residents work 80 hours?” He added, “If you calculate the number of doctors lacking in small and medium-sized cities and medically underserved areas, it is 20,000. There is sufficient quality and accessibility of medical care. “The situation falls short of the level necessary to guarantee,” he emphasized.

First day of departure

First day of departure

◇ “The basis for the 2,000-person increase is unclear… The order of precedence has changed.”

Those who are opposed to increasing the number of medical schools expressed skepticism that the increase would occur without changes to the current medical system. He also pointed out that it is too late for the government to realize the effect of increasing the number of medical schools expected.

Professor Jeong said, “If the current medical system is increased without any changes or discussion of essential medical policies, 2,000 of the best human resources in science and engineering will move to the medical field.” “It is also unclear. The national damage due to concentration of medical schools could also be greater,” he argued.

He emphasized, “In the end, the precedence relationship has changed.” In other words, prior to increasing the number of medical schools, improvements in the medical system, such as policies to strengthen essential medical services, must take precedence.

“The controversy over increasing the number of medical schools is eating up all other policy discussions,” he said. “Doctors and the government seem to be in conflict now, but they need to cooperate in the long term, but I am concerned about whether they can discuss ways to develop essential medical care in the current policy conflict situation.” “It’s amazing,” he added.

The government emphasized that it is not trying to solve all problems by increasing the number of medical schools.

Team Leader Yoo said, “We never said we would only increase the number of doctors,” and added, “We will jointly pursue policies to create hospitals with the so-called ‘Big 5’ capabilities in the region and ensure good human resource allocation, as well as policies to resolve imbalances in regional and essential medical fields.” “It is,” he said.

While all panelists on this day agreed that regional medical imbalances should be resolved, Chairman Lee added the opinion that regional medical care should not be discriminated against.

Chairman Lee argued, “I don’t want medical discrimination just because I’m a local resident,” and, “But the system called the local doctor system has no choice but to select people with significantly poor grades.”

He continued, “Try to select 80% of local talent. Then, in fact, that is an imbalance in education,” and added, “It is the same student in Korea, but people who rank 20th or 30th in their class are going to medical school just because they are in the region.”

Professor Kim criticized the situation where a ‘vacancy in medical practice’ is occurring as residents protesting the expansion of medical schools resign en masse.

Professor Kim said, “Since 2000, the Korean Medical Association has defeated government policies every time through doctors’ strikes, and it seems to think so this time as well.” “If we fail to increase the number of troops, I don’t know when we can discuss it again. The damage we will suffer from not being able to increase the number of troops will be much greater than the pain caused by the strike,” he said.


Report to KakaoTalk okjebo 2024/02/21 01:51 Sent

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