When Dr. Emily Clilly left Ireland for Australia last July, she had reached the stage of being “totally disillusioned” with HSE.
Oaking has been normal for 12 consecutive days, there is no dedicated place to eat during lunch breaks, and the use of old computers and technology has already added unnecessary time on long working days.
A junior doctor who wants to specialize in surgery moved to Melbourne, where he worked up to 39 hours a week, was well paid, and enjoyed his favorite hobby.
“I moved here because I wanted to take a break after passing the graduate exam. It was a busy year during the pandemic,” she said. Irish Independent..
“We sometimes felt like we were treated like sh * t. We wanted to balance work and life and be able to do what we wanted to do outside of work.”
She said the biggest question here was “the system itself and how it doesn’t feel or is appreciated.”
A 26-year-old from Co Louth, she graduated from the National University of Ireland, Galway in 2019. She completed her internship and a year’s work at her home before her migration.
Her shift in Ireland started at 7am and ended at 6pm most days and worked one day longer from 7am to 9pm each week.
Weekend shifts were from 7am to 9pm on Saturdays and Sundays, with no compensation days on either side. In other words, I sometimes had to work for nearly two weeks in a row.
If she didn’t work overtime, her takeaway wage was € 1,400 every two weeks. In Australia, she got $ 3,500 (€ 2,350).
Despite better wages and conditions, Dr. Clilly admitted that her job in Australia was less satisfying. In Ireland she was more autonomous and responsible, but in Melbourne she had the same job as an intern, which was “difficult to take”.
When she finished her graduate studies in Ireland, she said it made more sense to go home. She returns to Ireland last weekend and is afraid she will experience burnout again, but she hopes something will change.
“Everyone in Australia says Irish doctors and nurses are better than other doctors and nurses. I’m really proud because we stand out from anyone else. increase.
“That’s part of the reason I want to go home. I feel strongly about the working conditions of junior-level doctors and want to participate in any industrial activity. I’m glad I got the attention. I’m glad that medicine I love it-it’s a great career-but there are many mistakes in the system. “
A non-consultant hospital doctor (NCHD), also known as a junior doctor, is campaigning for better working conditions in Ireland and is putting ballots on industrial activities.
The Irish Medical Organization (IMO) has accused HSE of being a systematic and permanent breach of contract by requiring NCHD to work on a daily basis during unsafe and illegal times. The union states that NCHD has always had problems with overtime payments and access to vacations. One NCHD said it had not received payment for 38 hours of overtime.
Dr. John Cannon, Chairman of the NCHDIMO Committee, said: Time pays attention to the physical and mental health of the doctor. “
So far this year, Ireland has lost more than 400 doctors in Australia. Others have emigrated to New Zealand and the Middle East.
Dr. Aidan Coffey, 30, working at Cork University Hospital, returned from New Zealand to help fight Covid-19. He noticed a big difference between the two health systems.
“Some of the basic contractual obligations in Ireland have only been inconsistently fulfilled, and that’s happening all over the country,” said Dr. Coffey.
“Being a junior doctor is problematic and flagged, partly because we work in this medical system. We work with understaffed nurses and wait for age. We support outpatients who are outpatients.
“Some of the things that make it difficult aren’t just due to conditions. It’s the entire system.
“Nurses working in New Zealand take care of up to four patients, but here they are eight or twelve. Colleagues are more stressed and as a result there are more conflicts.”
Dr. Coffey, who got married this month, said the Irish health system does not consider couples who both worked in the medical profession.
“In New Zealand, if you are married, engaged, or have a family, you can try and work in one hospital. When it comes to training here, the concept of having a family seems to be ignored. Just a few months in advance, you’ll be completely away from your family and support, “he said.
“People also find it difficult to take annual leave. The contract has research leave, but the level and roster of staff is that for many it’s just a concept and never realistic. Means. “
Dr. Syeda Amna Azim, who works at University Hospital Limerick, said staff could work 80 or 90 hours a week.
If a doctor wants to take annual leave, he must first find a replacement for him. Due to staffing issues, that means they often don’t take holidays.
“Patients put their lives in your hands. They trust you, but if you are physically and mentally exhausted, how do you do justice in your work? Can you? “She said. “You are at increased risk of making mistakes. You need to have a single doctor to manage the patient and their health. You don’t have to waste time on management issues.”
Dr. Azim said the campaign by junior doctors is “not to name or shame” but to raise awareness of the difficulties experienced in the field.
“The biggest problem here is that managing HSE doesn’t accept the problem,” she said. “To resolve the situation, we need to admit that there is a problem that needs attention.”
Dr. Azim said international students were not making progress because they had a hard time getting an internship due to lack of space. This created a feeling of despair. Many international students are still on the waiting list.
If junior doctors do not complete their internship, they will not be officially registered with the Medical Council for medical treatment, Dr. Azim said. “I graduated in this country, but I find it unfair to international students who have lived five years as medical students, and no internship is offered by the time I graduate.”
At a recent IMO annual meeting, Health Minister Stephen Donnelly said NCHD’s working conditions were “totally unacceptable” and vowed to make a difference.
However, Dr. Cannon of the NCHD Commission said there is a long way to go for Ireland to catch up with other countries.
Dr. Cannon welcomed the comments at AGM and his approval of Ireland’s extremely dangerous working conditions, but at the same time acknowledged that it was different from introducing a system to address these issues. “.
In response, a spokesperson for the Ministry of Health said: “The Minister is committed to engaging in constructive engagement in relation to the IMO Terms of Service, including the implementation of existing Terms of Service, future arrangements and improved training opportunities.”