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8,816 residents at 100 hospitals resign… 7,813 people left medical sites

The government brought up ‘license cancellation’ and ordered business to begin, but was unable to stop collective action.

Even medical students take a leave of absence… ‘Class refusal’ also spread among 8,753 students applying for leave of absence

Adding to the confusion in the medical field due to the absence of medical residents… If prolonged, it will be a fatal blow to national health care.

‘Hospitals without medical residents’ become a reality

‘Hospitals without medical residents’ become a reality

(Seoul = Larose.VIP) Reporters Kim Byeong-gyu, Kim Jandi, and Kim Soo-hyun = Approximately two-thirds of residents opposed the increase in medical schools and left the medical field. Even though the Ministry of Health and Welfare took hard-line measures, saying they would even go as far as revoking licenses, they were unable to stop the collective action.

As medical students’ group leave of absence has become more widespread, nearly 9,000 students have applied for leave of absence, and class refusal is also spreading.

As the medical community turns its back on patients, their suffering is increasing. Some large hospitals are also postponing treatment for patients scheduled for early March.

The government took an ultra-hard stance, saying that it would, in principle, arrest and investigate the instigators and those behind the collective action.

Chairman of the medical association emergency committee shaking hands with representatives of majors

Chairman of the medical association emergency committee shaking hands with representatives of majors

◇ ‘Work start order’ for half of majors… “Negotiating with life is ridiculous.”

The Ministry of Health and Welfare announced on the 21st that, as a result of an inspection of 100 major teaching hospitals as of 10 p.m. on the 20th, 8,816, or 71.2% of residents, submitted resignation letters. About 95% of the total 13,000 residents work in these 100 hospitals.

The number of people who left their workplace was 7,813, or 63.1% of the residents. Two-thirds of all medical residents have left the medical field.

The number of residents for whom the Ministry of Health and Welfare confirmed their departure during on-site inspection and issued an order to return to work is 6,112, or about half of the total. Orders have already been issued to 715 people, and in addition, orders have been issued to an additional 5,397 people.

Although the government has been putting pressure on doctors, saying that their licenses could be suspended or revoked, it has not been able to stop residents from running out of hospitals. The government has so far issued orders to the medical community to accept and issue collective resignations, ban collective action and teachers of collective action, disallow use of group annual leave, and maintain essential medical care.

In a statement released the night before, residents demanded that the plan to increase the number of medical schools be canceled. Park Dan, emergency committee chairman of the Korean Association of Medical Residents (Daejeon Association), expressed a strong stance to the media the day before, saying, “This issue could last for more than a year.”

The Ministry of Health and Welfare said on this day, “We express deep concern and regret at the perception of medical groups that place their rights above the lives of patients,” and added, “The basic calling of medical professionals is to protect the health and lives of the people, and any group action that threatens this is “It cannot be justified,” he criticized.

Vice Minister of Health and Welfare Park Min-soo said about the possibility of negotiations with the medical community at a briefing held by the Central Accident Response Headquarters (replicated version) on this day, “There will be room for communication about what are the facts,” but added, “The government has judged that even 2,000 people (for increased atomic bombing of medical schools) is not enough. “It makes no sense to go on strike with patients hostage, and to negotiate to reduce the atomic force increase,” he said firmly.

The government announced that it would take strict action against those leading collective action in the medical field, including arrest and investigation in principle.

The Ministry of Justice, the Ministry of Public Administration and Security, the Supreme Prosecutor’s Office, and the National Police Agency said in a briefing on this day that the instigators and those behind the collective action who do not return to the medical field despite the order to start work will be detained and investigated in principle, and acts that interfere with normal treatment or return to treatment will also be prohibited. He said he would be punished severely.

If a person continues to fail to comply with the investigative agency’s request to appear without justifiable grounds, the policy is to initiate a prompt investigation using compulsory investigation methods in accordance with the law, such as issuing an arrest warrant.

The Korean Medical Association (KMA) said in a briefing that day, “No matter how much the government illegally suppresses actions based on free will (resignation of medical residents), nothing will change,” adding, “If one doctor is suppressed, 1,000 doctors will (practice medicine).” “I will give up, and if the number increases, all doctors in Korea will give up becoming doctors,” he said, without giving up his will to fight.

As the standoff between the government and the medical community continues, there are concerns that the situation may be prolonged.

An executive of the Korean Medical Residents Association (Daejeon Association) reportedly told the media at an extraordinary general meeting of delegates the day before, “This issue could last for more than a year.”

Kim Yoon, a professor of medical management at Seoul National University, said on MBC’s ‘100 Minutes Debate’ the previous day, “I think this strike could last for more than half a year if it lasts for 2 to 3 months at the shortest.”

Medical doctor without specialty

Medical doctor without specialty

◇ Delay in transport to hospital for over 2 hours… “You’ll be discharged as soon as the surgery is over.”

As residents have been leaving their workplaces for two days, the confusion in the medical field and the sighs of patients are growing.

In the case of Seoul National University Hospital, some departments are postponing treatments scheduled not only for this month but also for early next month. This hospital is sending out text messages to each department stating, ‘Due to the resident strike, treatment is unavailable and schedule changes are necessary.’

One patient received information from the hospital, saying, “We are canceling (medical treatment) reservations until early next month. We are not accepting new hospitalizations.” The hospital said, “It is difficult to officially confirm (surgery and treatment schedule scale) as we are responding by department,” and added, “We are making multifaceted efforts to minimize the gap.”

In addition to Seoul National University Hospital, major large hospitals in Seoul have reduced surgeries by at least 30% to 50% and assigned professors to emergency and night duty.

Shortly after a group of residents submitted their resignation letters, specialists and full-time doctors (fellows) replaced the residents, and although they are holding on ‘for now’, there are concerns that if this continues for a long time, it will be a fatal blow to the medical field.

Hospitals are mainly performing surgery on emergency and critically ill patients as announced, and are postponing non-urgent treatment and surgery as much as possible.

Samsung Seoul Hospital reduced the total number of surgeries by 10% on the 19th, when residents submitted their resignations, and by 30% on the day before they began leaving work. More than 30% of surgeries are expected to be postponed on this day.

Severance Hospital and Gangnam Severance reduced the number of surgeries by half. This is due to the judgment that normal operation of the operating room is impossible as the majority of residents have left the site.

Gangnam Severance Hospital is preparing for emergency and critical surgeries while operating only about 50% of its existing operating rooms. However, surgeries that do not require medical support, such as from an anesthesiologist, are performed without restrictions.

Seoul St. Mary’s Hospital and Seoul Asan Medical Center also reduced surgeries by about 30%.

Patients’ dissatisfaction is growing.

A man in his 70s whom I met in front of Chosun University Hospital in Gwangju was transporting his younger brother, who had undergone surgery for gastric perforation and peritonitis two days ago, to another hospital, and expressed his anger by asking, “Does this make sense to be discharged as soon as the surgery is over?”

Although he underwent emergency surgery in a life-threatening condition, he was moved from the intensive care unit to a general ward a day after the surgery, and was told to move to a nursing hospital the next day.

A netizen who posted on an internet community said, “My mother-in-law was diagnosed with stage 1 breast cancer at Pusan ​​National University Hospital and was scheduled for surgery in March, but due to the medical situation, it has been postponed indefinitely. I am wondering whether I should move to a general hospital that can perform the surgery and have the surgery as soon as possible. “he said.

It was discovered that a hospital in Wonju recently received a pledge from hospitalized patients and their guardians saying, “Due to a medical strike, access to higher-level hospitals may not be possible in the event of an emergency, so we will not be held responsible for changes in the patient’s condition, such as death or worsening health.” .

In order to prevent patients from going in vain, a community has been created to share a list of hospitals in each region where residents have submitted resignation letters.

As the number of hospitals refusing to transport patients increases, there are also disruptions in transporting emergency patients. In the Daejeon area, a patient in his 20s was transferred to Chungnam National University Hospital after 2 hours and 6 minutes while searching for an available hospital.

Subscriber groups of the Health Insurance Policy Deliberation Committee (Geonjeongsim), including labor and management, said in a statement that day, “We express deep regret over the collective action in the medical community opposing the government’s policy to expand the number of medical school students.”

Doctors' collective action Central Accident Control Headquarters briefing

Doctors’ collective action Central Accident Control Headquarters briefing

◇ 8,753 medical students applied for leave of absence… Group actions such as ‘refusal of classes’ at three medical schools also spread

Collective action by medical students and graduate school students, who are the ‘juniors’ of residents, is also gaining momentum.

According to the Ministry of Education, it was announced on the 21st that as of 6 p.m. on the 20th, 7,620 students from 27 medical schools had applied for leave of absence.

As of the 19th, the day before, 1,133 people applied for leave of absence, which is a significant increase in the number of applicants.

On the 19th and 20th, a total of 8,753 medical students applied for leave of absence.

Of the 18,793 medical students nationwide (as of April 1 last year), 46.6% submitted a leave of absence form. It is reported that 27 out of 40 medical schools nationwide have taken a mass leave of absence.

Although the Ministry of Education did not disclose the specific names of universities and the number of students on leave of absence, it is known that medical students at Ewha Womans University, Dongguk University, Gyeongsang National University, Pusan ​​National University, Chonnam National University, and Chosun University submitted a collective leave of absence report.

Medical schools where students have submitted a collective leave of absence request are postponing the academic schedule and persuading students and parents to withdraw the leave of absence notice.

Even among medical students who have not submitted a leave of absence form, collective action, such as boycotting classes, is emerging.

The Ministry of Education’s position is, “A leave of absence does not fall under the leave of absence requirements according to university regulations.”

Since most medical schools require consent from parents and department chairs to approve leave of absence, they emphasize that these procedures must be followed.

The Ministry of Education’s position is that it can take administrative measures, such as corrective orders, in accordance with the Higher Education Act against universities that do not properly manage academic affairs.

What is the size of the medical school alliance leave of absence?

What is the size of the medical school alliance leave of absence?

bkkim@yna.co.kr

Report to KakaoTalk okjebo 2024/02/21 18:30 Sent

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