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500 inhabitants
Residents of the Santara Clinics of Vilnius University Hospital (VULSK) claim that they have submitted a request to the hospital administration more than once, the dialogue between the two parties is ongoing, but they want decisions to be made faster.
Currently, around 500 resident doctors work and study at the main residence base of the Vilnius University Medical Faculty.
“Resident physicians contribute to the provision of quality health care services on a daily basis, actively participate in the scientific activities of the institution and share the latest medical knowledge with their colleagues.
During the pandemic, resident doctors took responsibility and assisted the institution in a particularly difficult situation: Most of the resident doctors who worked for VULSK worked in specialized COVID-19 units last year, helping to maintain the provision. as fluid as possible of specialized services in the hospital.
However, the situation of the resident doctors in the institution is worrying. Although resident physicians enter into fixed-term employment contracts with VULSK, there is no question in the resident community as to whether the residents are equivalent employees of the institution and whether the institution provides adequate conditions for residency, ”said the Council of Residents. .
Most of the resident physicians who worked for VULSK worked in specialized COVID-19 departments last year.
There are changes, but very little.
How 15 minutes Kamilė Marcinkevičiūtė, President of the Resident Council of Vilnius University Medical Faculty, said Kamilė Marcinkevičiūtė, the dialogue with the Santara Clinic Administration is continuous and positive changes can be noted.
“We also have good examples in some departments, but the institution is very large and diverse. We want similar conditions in all departments ”, said the president of the Council of Neighbors.
The letter to the Administration of Clinicas Santara says:
“Residents receive notifications of benefits provided to all employees (eg, increased wages, paid vacation bonuses, parking allowances awarded), but these institution decisions do not affect residents;
The requirements and responsibilities imposed on residents during guard time exceed their actual knowledge and skills (…);
Residents are under pressure to work longer than officially scheduled, and overtime is not set or paid;
A resident’s workplace on hours often does not correspond to their actual workplace on the premises (especially during on-call time), so residents often do not receive bonuses for hazardous working conditions. “
Residents are under pressure to work longer than scheduled and overtime hours are not recorded or paid.
The hospital says it encourages dialogue
A comment from the Communication Service of Clínicas Santara states that residents are an important part of the medical community:
“They are doing enormous and significant work in treating the Santara clinics, especially their contribution has become significant in the wake of the pandemic, which initially saw severe labor shortages in the newly established COVID-19 units.
One of the priorities of Clínicas Santara is to promote dialogue between the administration and the community of resident doctors and constantly seek solutions to improve work organization processes, to encourage resident doctors to get involved not only in the clinical treatment of the clinics. but also in research. By fostering dialogue, we also seek solutions. “
The hospital claims to be seeking more effective communication with resident physicians, so in August it was decided to hire K. Marcinkevičiūtė in the Human Resources Management Department.
Residents are doing tremendous and significant work treating the Santara clinics, especially their contribution has become significant since the start of the pandemic.
“She is the coordinator of this dialogue, helping residents to respond to their concerns and initiate the necessary changes. Even this letter, in which residents raise problematic and debatable issues, is a working reflection of this dialogue, initiated by the Administration of Clinicas Santara ”, said the comment.
There are many residents and they do not fit
K. Marcinkevičiūtė admits that not all the problems they cause can be solved solely by managing the Santara clinics.
One of them is the large number of neighbors, sometimes they don’t even fit into the apartments.
“There are conversations with both the ministry and the Seimas Health Affairs Committee, these issues are moving, an attempt is being made to expand that network of residence bases.”
But, of course, residents are interested in working in the best institutions. We study in Vilnius, so our goal is to stay in Vilnius, although we understand that it is in the public interest to have us in other institutions, but there are resident units that go to Klaipeda, Siauliai. Most of us work in the major hospitals.
Photo by Julius Kalinskas / 15min / Resident doctors gave a press conference on the plane
And when there are 840 such residents in Vilnius University alone, we divided into Santara clinics, Vilnius Republic University Hospital, psychiatric hospitals, but the numbers are still very large. We are trying to talk about more institutions, but it is related to the transformation of the entire health system, in which departments they study, etc. ”Said K. Marcinkevičiūtė.
When asked for the name of what has already been resolved, K. Marcinkevičiūtė said that before residents were not vaccinated like other doctors, now everyone is vaccinated.
The VULSK administration has yet to respond to the latest letter, the president of the Residents Council said.
We study in Vilnius, so our goal is to stay in Vilnius, although we understand that it is in the public interest to have us in other institutions as well.
Solutions are offered
Residents suggested solutions to their problems.
They want specific information for them, permanent staff to advise residents on the modalities of work of the latter in the institution, and to deal with current issues related to residency.
For example, the equitable annual distribution of residents in the departments, vacation planning, on-call time scheduling, regulation of workloads and on-call time in the institution, access to benefits for employees employees (for example, discounts on taxed parking, access to bicycle storage, etc.), etc.
“Guarantee equal working conditions for the rest of the institution’s employees: installation of rest areas that meet the minimum ergonomic criteria for residents on duty in the departments. It is necessary to update the inventory, separate the work spaces, rest and storage of belongings (most of the residents where the residents stay, the inventory is outdated, broken, there is a special lack of space for the residents clothes, no there is a shortage of 20-30 residents sharing 5-6 square meters);
Adequate pay for night and weekend work: currently the price of night work for resident doctors is at least 2 times lower than that of a doctor, and stressful work on weekends is not paid extra, ”said the residents.
For example, residents say that most of them take care of all their work clothes and home care, buy and repair blood pressure monitors, pulse oximeters, etc. themselves and often lack electronic access cards.
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