{"id":4397,"date":"2023-04-11T13:12:00","date_gmt":"2023-04-11T11:12:00","guid":{"rendered":"https:\/\/www.pediatrics.cz\/?p=4397"},"modified":"2023-09-07T12:04:50","modified_gmt":"2023-09-07T10:04:50","slug":"tiskove-prohlaseni-odborne-spolecnosti-cls-jep-znepokojeni","status":"publish","type":"post","link":"https:\/\/www.pediatrics.cz\/tiskove-prohlaseni-odborne-spolecnosti-cls-jep-znepokojeni\/","title":{"rendered":"Tiskov\u00e9 prohl\u00e1\u0161en\u00ed odborn\u00e9 spole\u010dnosti \u010cLS JEP – Znepokojen\u00ed\u00a0\ufffc"},"content":{"rendered":"\n

V\u00fdbor \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti \u010cLS JEP (\u010cPS) vyjad\u0159uje znepokojen\u00ed a siln\u00e9 obavy nad n\u011bkter\u00fdmi \u00favahami a n\u00e1vrhy v oblasti zm\u011bn ve vzd\u011bl\u00e1v\u00e1n\u00ed pediatr\u016f. V \u010cesk\u00e9 republice je dlouhodob\u011b nedostate\u010dn\u00fd po\u010det l\u00e9ka\u0159\u016f pe\u010duj\u00edc\u00edch o d\u011bti, a to nejen v ambulanc\u00edch, ale i v oblasti l\u016f\u017ekov\u00e9 p\u00e9\u010de. Syst\u00e9m pediatrick\u00e9 p\u00e9\u010de je nezbytn\u00e9 pos\u00edlit nav\u00fd\u0161en\u00edm po\u010dtu nov\u00fdch l\u00e9ka\u0159\u016f, ale nesm\u00ed k tomu doch\u00e1zet na z\u00e1klad\u011b nesyst\u00e9mov\u00fdch nebo \u010dast\u00fdch zm\u011bn a rozhodnut\u00ed na z\u00e1klad\u011b po\u017eadavk\u016f n\u011bkter\u00fdch z\u00e1jmov\u00fdch skupin. \u010cPS proto apeluje na zachov\u00e1n\u00ed sou\u010dasn\u00e9ho stavu vzd\u011bl\u00e1v\u00e1n\u00ed v pediatrii, kter\u00fd je jedin\u00fdm mo\u017en\u00fdm zp\u016fsobem, jak zajistit do budoucna dostatek praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a dorost (PLDD).<\/strong><\/p>\n\n\n\n

K sou\u010dasn\u00e9 person\u00e1ln\u00ed krizi v oboru PLDD a zv\u00fd\u0161en\u00ed pr\u016fm\u011brn\u00e9ho v\u011bku PLDD do\u0161lo p\u0159edev\u0161\u00edm v d\u016fsledku zm\u011bny, kdy mezi lety 2004-2017 existovaly dv\u011b odd\u011blen\u00e9 atestace. Konkr\u00e9tn\u011b existovala samostatn\u00e1 atestace pro PLDD a pro d\u011btsk\u00e9 l\u00e9ka\u0159stv\u00ed. Tato situace v praxi znamenala, \u017ee nemocni\u010dn\u00ed pediat\u0159i si nesm\u011bli otev\u0159\u00edt svoj\u00ed ambulanci, pokud  nesplnili dal\u0161\u00ed podm\u00ednky pro vykon\u00e1v\u00e1n\u00ed praxe
v oboru PLDD. V pr\u016fb\u011bhu let 2008-2019 atestovalo v oboru PLDD pouze necel\u00fdch 30 l\u00e9ka\u0159\u016f ro\u010dn\u011b, p\u0159i\u010dem\u017e tehdej\u0161\u00ed pot\u0159eba byla 50 a sou\u010dasn\u00e1 pot\u0159eba je a\u017e 80 l\u00e9ka\u0159\u016f za rok. Od roku 2017 se jedn\u00e1 op\u011bt o jeden spole\u010dn\u00fd obor \u2013 pediatrie, ve specializa\u010dn\u00edm vzd\u011bl\u00e1v\u00e1n\u00ed trvaj\u00edc\u00edm 4,5 roku a prvn\u00ed atestanti v tomto oboru slo\u017eili zkou\u0161ku a\u017e v ned\u00e1vn\u00e9 dob\u011b. Nyn\u00ed atestuje poprv\u00e9 od devades\u00e1t\u00fdch let p\u0159es 100 pediatr\u016f ro\u010dn\u011b, z nich\u017e minim\u00e1ln\u011b 2\/3 by m\u011bly j\u00edt do prim\u00e1rn\u00ed p\u00e9\u010de. Aktu\u00e1ln\u011b v\u0161ak zazn\u00edvaj\u00ed n\u00e1zory n\u011bkter\u00fdch zainteresovan\u00fdch stran, \u017ee by m\u011blo op\u011bt doj\u00edt k rozd\u011blen\u00ed atestac\u00ed. To by ov\u0161em vedlo nejen k dal\u0161\u00edmu \u00fabytku PLDD, ale z\u00e1rove\u0148 ke zhor\u0161en\u00ed jejich vzd\u011blanosti, p\u0159ed \u010d\u00edm\u017e jako \u010cPS, kter\u00e1 h\u00e1j\u00ed z\u00e1jmy jak nemocni\u010dn\u00edch pediatr\u016f, tak PLDD, d\u016frazn\u011b varujeme.<\/strong><\/p>\n\n\n\n

D\u00e9lka vzd\u011bl\u00e1v\u00e1n\u00ed v rozsahu 4,5 let je z pohledu \u010cPS zcela optim\u00e1ln\u00ed a jej\u00ed zkr\u00e1cen\u00ed na 4 nebo dokonce 3 roky by situaci v \u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b nevy\u0159e\u0161ilo. Pediat\u0159i maj\u00ed v r\u00e1mci t\u011bchto 4,5 let mo\u017enost str\u00e1vit celkem 17 m\u011bs\u00edc\u016f u PLDD, co\u017e je oproti p\u0159ede\u0161l\u00e9mu stavu del\u0161\u00ed doba. S nav\u00fd\u0161en\u00edm t\u00e9to doby \u010cPS na \u017e\u00e1dost p\u0159edstavitel\u016f PLDD souhlasila, a i proto byl v kv\u011btnu 2022 vzd\u011bl\u00e1vac\u00ed program aktualizov\u00e1n. Dal\u0161\u00ed zm\u011bna, jej\u00ed\u017e zah\u00e1jen\u00ed by p\u0159i\u0161lo t\u00e9m\u011b\u0159 p\u0159esn\u011b po jednom roce, se tak nejev\u00ed jako syst\u00e9mov\u00e1, ale jako destabiliza\u010dn\u00ed. Neust\u00e1l\u00e9 zm\u011bny vzd\u011bl\u00e1v\u00e1n\u00ed vyvol\u00e1vaj\u00ed v syst\u00e9mu zmatek a v\u0161ichni zainteresovan\u00ed se v n\u011bm n\u00e1sledn\u011b \u0161patn\u011b orientuj\u00ed. Tento stav nejistoty a nestability vzd\u011bl\u00e1vac\u00edho syst\u00e9mu je jedn\u00edm z d\u016fvod\u016f, kter\u00e9 odrazuj\u00ed mnoh\u00e9 mlad\u00e9 l\u00e9ka\u0159e, aby se rozhodli pro vzd\u011bl\u00e1v\u00e1n\u00ed v pediatrii. Zmate\u010dn\u00e9 postgradu\u00e1ln\u00ed vzd\u011bl\u00e1v\u00e1n\u00ed je tak\u00e9 jedn\u00edm z d\u016fvod\u016f pro odchod \u010desk\u00fdch l\u00e9ka\u0159\u016f do zahrani\u010d\u00ed. Nav\u00edc doch\u00e1z\u00ed i ke komplikac\u00edm a \u010dasov\u00fdm pr\u016ftah\u016fm v oblasti akreditov\u00e1n\u00ed a reakreditov\u00e1n\u00ed jednotliv\u00fdch pracovi\u0161\u0165 ze strany Ministerstva zdravotnictv\u00ed.<\/p>\n\n\n\n

Osamostatn\u011bn\u00ed oboru PLDD by tak\u00e9 znamenalo, \u017ee budouc\u00ed praktick\u00fd l\u00e9ka\u0159 pro d\u011bti a dorost nebude m\u00edt prakticky \u017e\u00e1dn\u00e9 zku\u0161enosti z l\u016f\u017ekov\u00e9 pediatrie, kde se v\u0161ak m\u00e1 mo\u017enost setkat i s t\u011bmi nejt\u011b\u017e\u0161\u00edmi p\u0159\u00edpady. Takov\u00e1 zku\u0161enost a nabyt\u00e9 znalosti jsou pro n\u00e1slednou praxi nedoceniteln\u00e9 a naprosto kl\u00ed\u010dov\u00e9. Z\u00e1rove\u0148 plat\u00ed, \u017ee v\u011bt\u0161ina \u0161kolitelsk\u00fdch kapacit v pediatrii je pr\u00e1v\u011b na l\u016f\u017ekov\u00fdch odd\u011blen\u00edch.<\/strong><\/p>\n\n\n\n

V \u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b nechceme, aby se z pediatrie stalo pouze politick\u00e9 t\u00e9ma. D\u016fle\u017eit\u00e9 je udr\u017eet stabiln\u00ed vzd\u011bl\u00e1vac\u00ed program, bez z\u00e1sadn\u00edch zm\u011bn vn\u00e1\u0161ej\u00edc\u00edch do \u0161kolic\u00edho procesu nejistotu a zam\u011b\u0159it se na syst\u00e9mov\u00e9 zm\u011bny a zlep\u0161en\u00ed v souvisej\u00edc\u00edch oblastech mimo samotn\u00e9 vzd\u011bl\u00e1v\u00e1n\u00ed. V neposledn\u00ed \u0159ad\u011b je tak\u00e9 t\u0159eba zeptat se na n\u00e1zor mlad\u00e9 generace pediatr\u016f, kter\u00fdch se zm\u011bny nejv\u00edce t\u00fdkaj\u00ed.<\/strong><\/p>\n\n\n\n

\n
Tiskov\u00e9 prohl\u00e1\u0161en\u00ed<\/span><\/a><\/div>\n<\/div>\n\n\n\n

V\u00fdbor \u010cPS \u010cLS JEP<\/strong><\/p>\n\n\n\n

P\u0159edseda v\u00fdboru:<\/strong><\/p>\n\n\n\n

prof. MUDr. Ji\u0159\u00ed Bronsk\u00fd, Ph.D.<\/strong>www.pediatrics.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

V\u00fdbor \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti \u010cLS JEP (\u010cPS) vyjad\u0159uje znepokojen\u00ed a siln\u00e9 obavy nad n\u011bkter\u00fdmi \u00favahami a n\u00e1vrhy v oblasti […]<\/p>\n","protected":false},"author":4,"featured_media":4398,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"kia_subtitle":""},"categories":[1],"tags":[],"class_list":["post-4397","post","type-post","status-publish","has-post-thumbnail","hentry","category-nezarazene"],"acf":[],"lang":"cs","translations":{"cs":4397},"pll_sync_post":[],"_links":{"self":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/posts\/4397","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/comments?post=4397"}],"version-history":[{"count":0,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/posts\/4397\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/media\/4398"}],"wp:attachment":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/media?parent=4397"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/categories?post=4397"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/tags?post=4397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}