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The Hungarian Medical Chamber (MOK) has prepared a proposal for the secondment of doctors and linking second medical jobs to a permit.
In early October, parliament passed a bill to increase doctors’ salaries, but subjected it to conditions that sparked outrage in the medical community. One of them was that doctors who wanted a pay increase could only accept a second job with leave. The other is that the law establishes that doctors who perform health services must agree to be assigned for 1 + 1 years They will be in another health center maintained by the state or municipality, even far from their place of residence.
The MOK now rejects the possibility of secondment in a proposal addressed to the Interior Minister, Sándor Pintér, in the event that it is located in a settlement far from the doctor’s place of residence, where there is no health emergency. According to the chamber, the bill in its current form “generates an imperfect and extreme fear, so it is necessary to clarify it.”
They write:
- The Chamber recommends that the rules for peacetime and emergency secondments be chosen separately.
- If there is no health emergency, the Labor Code requires that a doctor be assigned to another job only for 44 working days or a maximum of 352 hours per year.
- There must be protected groups when publishing. Physicians belonging to the following groups should not be relocated: children between the time of conception and the age of 3 years, single parents up to 16 years of age, physicians providing long-term care to a relative, physicians with at least one 50% of health problems.
- The Chamber recommends that awards be recognized with an additional award fee.
- In the event of a health emergency or epidemic, physicians must be on duty for a maximum of 100 working days per calendar year.
And the chamber says the second jobs bill is “unrealistic in healthcare and, in some ways, counterproductive. The new status quo should not lead to massive abandonment of healthcare out of fear.
Therefore, it is proposed that:
- The House’s proposal that the law should specifically describe in which cases an employer can accept or reject a doctor’s application for a second job. An important principle here is that the employer must not harm the interests of the employee, that is, the doctors.
- Do not refuse to issue a permit from a government designated body if the doctor wants to do other business or other activities (like growing cucumbers) in his spare time.
- Authorization may not be denied if the doctor wishes to carry out a secondary activity that is not carried out by that institution.
- The license should only be denied in extremely justified cases, the chamber recommends if the doctor, in addition to his full-time job, requests a license for an activity that differs from the specialty that the doctor performs at the health care institution in question. (via telex)
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