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The experience of ‘doctor invincibility’ is the driving force… Medical gap and patient suffering increase

Surgery operation rate falls below half… “I’m upset because the surgery was canceled even though the cancer had metastasized.”

Alliance leave of absence is also spreading… 6 out of 10 medical students apply for leave of absence

Han Deok-soo “Reform the system to solve doctor burnout… earnestly requesting his return”

Second day of collective resignation of medical residents

Second day of collective resignation of medical residents

(Seoul = Larose.VIP) Reporters Kim Byeong-gyu, Seong-ho Seong-ho, and Kim Soo-hyun = Although the government is emphasizing a hard-line response every day to residents who have resigned en masse in opposition to the expansion of medical schools, the number of residents participating in collective action is increasing.

The Ministry of Health and Welfare took administrative measures, such as suspending medical licenses for those who failed to return, and the Ministry of Justice put pressure on them by asserting the principle of arresting and investigating the instigators of collective action, but the number of residents who left their patients actually increased slightly.

As residents’ work has been suspended for three days, the medical gap and the suffering of patients are growing. The number of medical students participating in the collective action of taking a leave of absence with their ‘seniors’ has also increased, exceeding 10,000.

Doctors remaining in the medical field

Doctors remaining in the medical field

◇ 9,275 residents resigned, 8,024 were absent from work… Is ‘invincible doctor’ the driving force?

According to the Ministry of Health and Welfare on the 22nd, as a result of an inspection of 100 major teaching hospitals (47 on-site inspections and 53 written reports) as of 10 p.m. the previous day, 9,275 people, or 74.4% of the residents, submitted resignation letters. There were 459 more people than the previous day’s count.

About 95% of the total 13,000 residents work in these 100 hospitals. So far, there has been no case where a resignation letter has been accepted.

The number of people leaving their workplace was 8,024, or 64.4% of the residents, an increase of 211 from the previous day.

The Ministry of Health and Welfare issued work start orders to 808 of the 6,038 residents who were confirmed to have left their workplace during an on-site inspection, excluding 5,230 who had already received work start orders.

Despite the government’s emphasis on the possibility of license suspension and judicial action, the increase in the number of residents participating in collective action is said to be driven by the experience of ‘doctors being invincible’, in which they took collective action several times in the past but were only punished in a small number of cases. see.

In 2000, during the mass closure and suspension of business due to the division of medicine, former Chairman Kim Jae-jeong of the Korean Medical Association, who led the movement, was sentenced to one year in prison and two years of probation by the court on charges of obstruction of business. However, other than this, doctors were not punished for collective action. It is quite rare to receive one.

The government filed but withdrew a complaint against 10 residents and full-time doctors (fellows) who violated the order to commence work during the collective action against the expansion of medical schools in 2020. At the time, medical students also refused to take the national exam and supported the collective action of current doctors. The government later revised the Enforcement Decree of the Medical Service Act to provide relief to medical students and gave them additional opportunities to take the national exam.

The government is emphasizing that ‘this time is different from the past’ and is persuading medical residents to return to the field.

Prime Minister Han Deok-soo attended the National Assembly’s government question on this day and said, “The current number of medical school students is lower than it was 30 years ago in 1994,” and added, “This is not an unreasonable increase, but an institutional reform to solve the exhaustion environment of doctors. I earnestly request their return.” He said.

The government and the medical community are scheduled to come together in a public TV debate on the 23rd.

Vice Minister of Health and Welfare Park Min-soo and Medical Association Emergency Committee Chairman Kim Taek-woo will appear on KBS 1TV’s live current affairs program ‘Investigation into the Nature of the Controversy over Medical School Enlargement’, a special feature.

Appeal letter for discontinuation of treatment

Appeal letter for discontinuation of treatment

◇ ‘Big 5’ hospitals cancel 30-50% of surgeries… Walk hundreds of kilometers to the emergency room

As collective action by medical residents continues, the scale of surgery and treatment reduction in medical settings is increasing.

The damage caused by the ‘medical gap’ is being passed on to patients, with operating room utilization rates falling below half and surgeries for patients whose cancer has metastasized being cancelled.

Major large hospitals in Seoul are closely monitoring the situation, reducing overall surgeries by at least 30% to 50% due to the large-scale departure of residents.

Severance Hospital and Gangnam Severance Hospital are continuing measures to reduce surgeries by half.

This hospital also announced that the emergency room cannot accommodate patients with gastrointestinal emergency endoscopy or gallbladder biliary tract disease. It has been revealed that patients with cerebral hemorrhage and myocardial infarction can only be partially accommodated.

Gangnam Severance Hospital is operating only 10 of its 22 operating rooms. This means that the operation rate is less than 50%.

Samsung Seoul Hospital predicted that more than 40% of today’s surgeries would be postponed due to the departure of residents. Seoul St. Mary’s Hospital and Seoul Asan Medical Center also reduced surgeries by about 30%.

The emergency room at Asan Medical Center in Seoul is currently unable to accommodate severe trauma patients due to a lack of intensive care units (ICU). It is advised that plastic surgery treatment is not possible for patients with simply torn or open lacerations on the face.

As residents leave the field, patients receiving chemotherapy are forced to wait for long periods of time in discomfort.

A lung cancer patient receiving chemotherapy at Severance Hospital said, “I went there on the 20th, and the wait was so huge that I stayed all day. I came from the countryside and arrived in the morning, but it only ended at 6 p.m.”

There were also cases where ambulances wandered hundreds of kilometers because they could not find an emergency room where patients could receive treatment.

According to the Gangwon Provincial Fire Department, a person in his 60s suffering from diabetes in Yangyang-gun, Gangwon-do, had severe necrosis on his right leg the morning before and called 119 for help. However, he was unable to find a hospital that could provide treatment, so he wandered around in an ambulance and finally died 3 hours and 30 minutes later. I was able to receive treatment at Wonju Severance Christian Hospital.

Each hospital is mobilizing full-time doctors and professors to fill vacancies for residents. We are placing professors on night duty, etc., but I think it will be difficult to endure if the situation prolongs.

A patient who had stage 3 rectal cancer and underwent surgery at Severance Hospital last year, but the cancer had spread to the liver and was about to undergo surgery again said, “I was hospitalized on the 20th and was scheduled to have surgery on the 21st, but it was cancelled. I’m so scared and scared that I’ll miss the timing and have to go for a liver transplant.” I felt anxious.

The previous day, a total of 57 new cases of damage were reported to the Doctors’ Collective Action Damage Reporting and Support Center. There were 44 cases of delayed surgery, 6 cases of refusal of treatment, 5 cases of cancellation of medical appointments, and 2 cases of delayed hospitalization.

Patients and guardians anxious about ‘group exodus of medical residents’

Patients and guardians anxious about ‘group exodus of medical residents’

◇ 62.7% of medical students applied for a leave of absence… ‘Alliance leave’ is also spreading

Group leave of absence by medical students protesting against the expansion of medical schools is also spreading. Six out of 10 medical students submitted a leave of absence notice.

According to the Ministry of Education, the number of medical students who applied for new leave of absence on the 21st was 3,025 as of 6 p.m.

The cumulative number of students who submitted leave of absence reports rapidly increased from 1,133 on the 19th to 7,620 on the 20th, and again increased to 11,778 on the 21st.

Considering that according to education statistics as of April 1 last year, the number of students enrolled in medical schools nationwide was 18,793, 62.7% applied for a leave of absence.

Some of these students applied for leave of absence for personal reasons such as enlistment or paid pay, rather than in opposition to the increase in medical schools, but only 44 cases were approved for leave of absence for these reasons.

According to the task force (TF) of each medical school, as of 8 p.m. the previous day, 378 (75.15%) of the 503 students at Korea University College of Medicine submitted a leave of absence notice, and at Yonsei University College of Medicine, 539 students submitted a leave of absence notice.

561 from Kyunghee University, 280 from Ewha Womans University, 213 from Sungkyunkwan University, 228 from Ajou University, 245 from Inha University, 289 from Konyang University, 231 from Kangwon National University, 247 from Chungbuk National University, 514 from Wonju University of Science and Technology, 646 from Chonbuk National University, 282 from Chonnam National University, 454 from Wonkwang University. , 510 medical students at Kyungpook National University, 582 at Pusan ​​National University, and 186 medical students at Jeju National University (as of the 20th) took a leave of absence.

There is also a movement for collective action, such as boycotting classes. The Ministry of Education announced that refusal to attend classes was confirmed at 10 schools the day before.

If group action continues for a long period of time, students may repeat a grade collectively. According to most medical school rules, a grade of F is given if a student is absent for more than one-third or one-fourth of the class days. If you receive an F grade in even one subject, you will repeat the grade.

The Ministry of Education maintains the position that “A leave of absence does not fall under the leave of absence requirements under university regulations.”

Medical student with leave of absence application form

Medical student with leave of absence application form

bkkim@yna.co.kr

Report to KakaoTalk okjebo 2024/02/22 17:50 Sent

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