{"id":4425,"date":"2023-04-12T17:31:28","date_gmt":"2023-04-12T15:31:28","guid":{"rendered":"https:\/\/www.pediatrics.cz\/?p=4425"},"modified":"2023-09-07T12:04:24","modified_gmt":"2023-09-07T10:04:24","slug":"tiskove-prohlaseni-ohrozeni-vzdelavaciho-systemu-mladych-pediatru","status":"publish","type":"post","link":"https:\/\/www.pediatrics.cz\/tiskove-prohlaseni-ohrozeni-vzdelavaciho-systemu-mladych-pediatru\/","title":{"rendered":"Tiskov\u00e9 prohl\u00e1\u0161en\u00ed – Ohro\u017een\u00ed vzd\u011bl\u00e1vac\u00edho syst\u00e9mu mlad\u00fdch pediatr\u016f"},"content":{"rendered":"\n

Praha, 12. dubna 2023 \u2013 Sou\u010dasn\u00e1 prim\u00e1rn\u00ed pediatrick\u00e1 p\u00e9\u010de v \u010cesk\u00e9 republice se nach\u00e1z\u00ed v hlubok\u00e9 krizi a ji\u017e nen\u00ed mo\u017en\u00e9 pouze ml\u010det a \u010dekat. Na tomto stanovisku se dlouhodob\u011b shoduje nejen V\u00fdbor \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti \u010cLS JEP (\u010cPS), ale i dal\u0161\u00ed subjekty, zejm\u00e9na pak z\u00e1stupci Sekce mlad\u00fdch pediatr\u016f \u010cPS, \u010cesk\u00e1 neonatologick\u00e1 spole\u010dnost \u010cLS JEP, spolek Mlad\u00ed l\u00e9ka\u0159i, z.s. a z\u00e1stupci Asociace nemocnic \u010cR. Kapacitn\u011b omezen je cel\u00fd syst\u00e9m pediatrick\u00e9 p\u00e9\u010de, tedy nejen prakti\u010dt\u00ed l\u00e9ka\u0159i pro d\u011bti a dorost v ambulantn\u00ed p\u00e9\u010di, ale nedostatek l\u00e9ka\u0159\u016f je velmi citeln\u00fd i na n\u011bkter\u00fdch d\u011btsk\u00fdch l\u016f\u017ekov\u00fdch odd\u011blen\u00edch a v pediatrick\u00fdch subspecializac\u00edch.<\/strong><\/p>\n\n\n\n

Pod veden\u00edm \u010cPS proto vznik\u00e1 spole\u010dn\u00e1 iniciativa, kter\u00e1 m\u00e1 otev\u0159\u00edt ve\u0159ejnou odbornou diskusi a pos\u00edlit komunikaci o mo\u017en\u00fdch funk\u010dn\u00edch \u0159e\u0161en\u00edch nedostatku pediatr\u016f p\u0159i zachov\u00e1n\u00ed sou\u010dasn\u00e9ho syst\u00e9mu.<\/strong><\/p>\n\n\n\n

Sou\u010dasn\u00e1 krize prim\u00e1rn\u00ed pediatrick\u00e9 p\u00e9\u010de je d\u00e1na kombinac\u00ed siln\u00e9 generace praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a dorost (PLDD) z 90. let, kter\u00e1 nyn\u00ed dosahuje d\u016fchodov\u00e9ho v\u011bku. Z\u00e1rove\u0148 do\u0161lo k nedostate\u010dn\u00e9 person\u00e1ln\u00ed obm\u011bn\u011b oboru v d\u016fsledku rozd\u011blen\u00ed vzd\u011bl\u00e1v\u00e1n\u00ed na dv\u011b atestace mezi lety 2004 \u2013 2017 a t\u00edm p\u00e1dem k sn\u00ed\u017een\u00ed po\u010dtu atestuj\u00edc\u00edch l\u00e9ka\u0159\u016f i omezen\u00e9 prostupnosti l\u00e9ka\u0159\u016f z l\u016f\u017ekov\u00e9 do prim\u00e1rn\u00ed p\u00e9\u010de.<\/p>\n\n\n\n

Dal\u0161\u00edm z nezanedbateln\u00fdch faktor\u016f je rovn\u011b\u017e nar\u016fstaj\u00edc\u00ed administrativn\u00ed z\u00e1t\u011b\u017e PLDD v kombinaci s nadu\u017e\u00edv\u00e1n\u00edm p\u00e9\u010de laickou ve\u0159ejnost\u00ed. Informace objevuj\u00edc\u00ed se nyn\u00ed v odborn\u00e9 ve\u0159ejnosti, a zejm\u00e9na ze strany z\u00e1stupc\u016f spole\u010dnost\u00ed PLDD o mo\u017en\u00e9 zm\u011bn\u011b ve vzd\u011bl\u00e1v\u00e1n\u00ed v pediatrii, jsou tak nejen znepokojuj\u00edc\u00ed samy o sob\u011b, proto\u017ee by takov\u00e1 zm\u011bna p\u0159inesla op\u011bt nestabilitu, ale z\u00e1rove\u0148 sou\u010dasnou person\u00e1ln\u00ed situaci takov\u00e1 zm\u011bna v\u00fdznamn\u011b zhor\u0161\u00ed.<\/p>\n\n\n\n

\u201eSou\u010dasn\u00fd syst\u00e9m vzd\u011bl\u00e1v\u00e1n\u00ed, tedy jedin\u00e1 atestace z pediatrie, v kombinaci s reziden\u010dn\u00edmi m\u00edsty a kvalifika\u010dn\u00edm kurzem generuje dostate\u010dn\u00fd po\u010det l\u00e9ka\u0159\u016f do v\u0161ech segment\u016f pediatrick\u00e9 p\u00e9\u010de. Syst\u00e9m je nav\u00edc variabiln\u00ed a zaji\u0161\u0165uje plnou prostupnost mezi v\u0161emi segmenty. Samostatn\u00e1 atestace z praktick\u00e9ho l\u00e9ka\u0159stv\u00ed pro d\u011bti a dorost nav\u00edc neexistuje nikde v Evrop\u011b a jej\u00ed zaveden\u00ed by sn\u00ed\u017eilo erudici t\u011bchto budouc\u00edch l\u00e9ka\u0159\u016f. P\u0159itom stabilita vzd\u011bl\u00e1vac\u00edho syst\u00e9mu je pro mladou generaci l\u00e9ka\u0159\u016f naprosto z\u00e1sadn\u00ed,\u201c <\/em><\/strong>uv\u00e1d\u00ed profesor Ji\u0159\u00ed Bronsk\u00fd, p\u0159edseda v\u00fdboru \u010cPS.<\/p>\n\n\n\n

Variabilita sou\u010dasn\u00e9ho syst\u00e9mu je d\u00e1na mo\u017enost\u00ed pro budouc\u00ed PLDD, kte\u0159\u00ed mohou str\u00e1vit a\u017e 17 m\u011bs\u00edc\u016f v ordinaci PLDD. Zm\u011bna vzd\u011bl\u00e1vac\u00edho syst\u00e9mu by nav\u00edc p\u0159inesla obrovskou a zbyte\u010dnou administrativn\u00ed z\u00e1t\u011b\u017e. Muselo by toti\u017e doj\u00edt nejen ke zm\u011bn\u011b z\u00e1kona a navazuj\u00edc\u00edch vyhl\u00e1\u0161ek, ale tak\u00e9 k reakreditaci vzd\u011bl\u00e1vac\u00edch pracovi\u0161\u0165.<\/p>\n\n\n\n

\u201ePediatrie je mezi studenty l\u00e9ka\u0159sk\u00fdch fakult druh\u00fd nejpreferovan\u011bj\u0161\u00ed obor a p\u0159i rozd\u011blen\u00ed na dv\u011b samostatn\u00e9 atestace by bylo mo\u017en\u00e9 v n\u00e1sleduj\u00edc\u00edch letech o\u010dek\u00e1vat v\u00fdznamn\u00fd propad po\u010dtu atestuj\u00edc\u00edch pediatr\u016f a t\u00edm p\u00e1dem by do\u0161lo k n\u00e1sledn\u00e9mu p\u0159et\u00ed\u017een\u00ed v\u0161ech segment\u016f syst\u00e9mu,\u201c <\/em><\/strong>dopl\u0148uje MUDr. Martin Ko\u010d\u00ed, p\u0159edseda spolku Mlad\u00ed l\u00e9ka\u0159i.<\/p>\n\n\n\n

Z\u00e1sadn\u00edm v\u00fdchodiskem pro budouc\u00ed komunikaci je sb\u011br a vyhodnocov\u00e1n\u00ed spolehliv\u00fdch dat a ukazatel\u016f jak prim\u00e1rn\u00ed, tak l\u016f\u017ekov\u00e9 p\u00e9\u010de v \u010cR. Z\u00edsk\u00e1n\u00ed t\u011bchto dat, jejich anal\u00fdza a n\u00e1sledn\u00e9 kontinu\u00e1ln\u00ed poskytov\u00e1n\u00ed pro tvorbu prediktivn\u00edch model\u016f je jedn\u00edm z c\u00edl\u016f v\u00fdboru \u010cPS pro tento rok. Sou\u010dasn\u011b se sb\u011brem dat apelujeme na zalo\u017een\u00ed Pracovn\u00ed skupiny pro koncepci pediatrick\u00e9 p\u00e9\u010de p\u0159i Ministerstvu zdravotnictv\u00ed se zapojen\u00edm mlad\u00fdch l\u00e9ka\u0159\u016f z n\u011bkolika r\u016fzn\u00fdch sdru\u017een\u00ed, odborn\u00fdch spole\u010dnost\u00ed a dal\u0161\u00edch subjekt\u016f v\u010detn\u011b z\u00e1stupce UZIS.<\/p>\n\n\n\n

\u201eStabilita vzd\u011bl\u00e1vac\u00edho syst\u00e9mu je pro mlad\u00e9 pediatry z\u00e1sadn\u00ed. \u010cast\u00e9 zm\u011bny byly jedn\u00edm z hlavn\u00edch faktor\u016f pro odchod \u010desk\u00fdch l\u00e9ka\u0159\u016f do zahrani\u010d\u00ed. Nav\u00edc nyn\u00ed je mlad\u00fdm pediatr\u016fm se z\u00e1jmem o prim\u00e1rn\u00ed p\u00e9\u010di d\u00e1na mo\u017enost tr\u00e1vit a\u017e 17 m\u011bs\u00edc\u016f v ambulanci PLDD<\/em><\/strong>,<\/strong>\u201c <\/strong>uv\u00e1d\u00ed MUDr. \u0160\u00e1rka Fingerhutov\u00e1 ze Sekce mlad\u00fdch pediatr\u016f \u010cPS.<\/p>\n\n\n\n

Nejlep\u0161\u00edm n\u00e1strojem syst\u00e9mov\u00e9 st\u00e1tn\u00ed podpory prim\u00e1rn\u00ed p\u00e9\u010de jsou reziden\u010dn\u00ed m\u00edsta. Sm\u011b\u0159ov\u00e1n\u00ed v\u0161ech reziden\u010dn\u00edch m\u00edst do prim\u00e1rn\u00ed p\u00e9\u010de, jejich v\u010dasn\u00e9 p\u0159id\u011blov\u00e1n\u00ed, do budoucna nav\u00fd\u0161en\u00ed jejich po\u010dtu je jednou z cest, jak syst\u00e9m i p\u0159i st\u00e1vaj\u00edc\u00edm modelu vzd\u011bl\u00e1v\u00e1n\u00ed pos\u00edlit. S nav\u00fd\u0161en\u00edm po\u010dtu reziden\u010dn\u00edch m\u00edst souvis\u00ed i nav\u00fd\u0161en\u00ed finan\u010dn\u00ed dotace a maximalizace mo\u017enost\u00ed za\u0159azen\u00ed v\u0161ech do oboru, kte\u0159\u00ed o to projev\u00ed z\u00e1jem. N\u00e1sledn\u00fdmi kroky by m\u011bla b\u00fdt ucelen\u00e1 a jednotn\u00e1 inzerce voln\u00fdch \u0161kol\u00edc\u00edch m\u00edst, zm\u00edrn\u011bn\u00ed podm\u00ednek pro akreditaci ambulanc\u00ed PLDD a zjednodu\u0161en\u00ed administrativy \u017e\u00e1dost\u00ed.<\/p>\n\n\n\n

Aktu\u00e1ln\u00ed pot\u0159eba je, aby do prim\u00e1rn\u00ed pediatrick\u00e9 p\u00e9\u010de stabiln\u011b p\u0159ich\u00e1zelo minim\u00e1ln\u011b 80 nov\u00fdch l\u00e9ka\u0159\u016f ro\u010dn\u011b. Od roku 2017, kdy se jedn\u00e1 op\u011bt o jeden spole\u010dn\u00fd obor, nyn\u00ed atestuje poprv\u00e9 od devades\u00e1t\u00fdch let p\u0159es 100 pediatr\u016f ro\u010dn\u011b, z nich\u017e v\u011bt\u0161ina by m\u011bla nastoupit do prim\u00e1rn\u00ed p\u00e9\u010de. Dal\u0161\u00ed l\u00e9ka\u0159i p\u0159ich\u00e1zej\u00ed z d\u011btsk\u00fdch l\u016f\u017eek po absolvov\u00e1n\u00ed kvalifika\u010dn\u00edho kurzu, tak\u00e9 je nutn\u00e9 motivovat l\u00e9ka\u0159ky a l\u00e9ka\u0159e vracej\u00edc\u00ed se z rodi\u010dovsk\u00e9 dovolen\u00e9, aby sm\u011b\u0159ovali p\u0159ednostn\u011b do prim\u00e1rn\u00ed p\u00e9\u010de.<\/p>\n\n\n\n

\u201eZkracov\u00e1n\u00ed vzd\u011bl\u00e1v\u00e1n\u00ed n\u011bkter\u00fdch pediatr\u016f by vedlo i k omezen\u00ed jejich pobytu v l\u016f\u017ekov\u00fdch za\u0159\u00edzen\u00edch v r\u00e1mci odborn\u00e9 p\u0159\u00edpravy, v\u010detn\u011b novorozeneck\u00fdch pracovi\u0161\u0165. Mlad\u00fd l\u00e9ka\u0159 t\u00edm nez\u00edsk\u00e1 dostate\u010dnou erudici pro pr\u00e1ci v oboru, nebude m\u00edt srovnateln\u00e9 teoretick\u00e9 ani praktick\u00e9 dovednosti s l\u00e9ka\u0159i s dostate\u010dnou prax\u00ed u l\u016f\u017eka, kde se lze setkat s t\u011bmi nejt\u011b\u017e\u0161\u00edmi pacienty,\u201c <\/em><\/strong>dod\u00e1v\u00e1 docent Jan Janota z \u010cesk\u00e9 neonatologick\u00e9 spole\u010dnosti.<\/p>\n\n\n\n

\n
Tiskov\u00e9 prohl\u00e1\u0161en\u00ed v pln\u00e9m zn\u011bn\u00ed ke sta\u017een\u00ed<\/span><\/a><\/div>\n<\/div>\n\n\n\n

<\/p>\n\n\n\n

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

Kontakt pro m\u00e9dia:<\/u><\/em><\/strong> prof. MUDr. Ji\u0159\u00ed Bronsk\u00fd, Ph.D., tel: 702 000 063,<\/em><\/strong> e-mail: Jiri.Bronsky@fnmotol.cz<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Praha, 12. dubna 2023 \u2013 Sou\u010dasn\u00e1 prim\u00e1rn\u00ed pediatrick\u00e1 p\u00e9\u010de v \u010cesk\u00e9 republice se nach\u00e1z\u00ed v hlubok\u00e9 krizi a […]<\/p>\n","protected":false},"author":4,"featured_media":4427,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"kia_subtitle":""},"categories":[1],"tags":[],"class_list":["post-4425","post","type-post","status-publish","has-post-thumbnail","hentry","category-nezarazene"],"acf":[],"lang":"cs","translations":{"cs":4425},"pll_sync_post":[],"_links":{"self":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/posts\/4425","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=4425"}],"version-history":[{"count":0,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/posts\/4425\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/media\/4427"}],"wp:attachment":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/media?parent=4425"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/categories?post=4425"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/tags?post=4425"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}