Representatives of 31 European Countries and Medical Organisations met on the 08th and 09th of November 2013 in Heidelberg, Germany, for the Autumn Meeting 2013 of the European Junior Doctors Permanent Working Group (EJD) to discuss the main issues in medical education, producing the outcomes summarised in this document.
Copyright 2013 © European Junior Doctors Permanent Working Group (EJD)
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Elections for the term 2014-2015
As the first full term of EJD´s Executive Board as registered organisation under the Belgium law will end with the year 2013, the delegates had to elect the Board for the term 2014-2015. The elections were held after a review on the activities of the EJD done in the term ending and the development of the organisation towards a stronger representation for Junior Doctors in Europe. Those members who re-run for their positions were re-elected in recognition of their efforts. Two persons were not available for a further term in their positions. The now elected Board will consist of seven Members out of seven nations all over Europe.
The following persons were elected:
President: Carsten Mohrhardt (Germany)
Vice-President: Hrvoje Vrazic (Croatia)
Treasurer: Noora Ritamääki (Finland)
EU / EEA Committee Chair: Tilde Ostborg (Norway)
Economy Committee Chair: Noora Ritamääki (Finland)
Postgraduate Training Committee Chair: Indre Butiene (Lithuania)
Medical Workforce Committee Chair: Diana Fernandes (Portugal)
Communications Officer: Marco Capizzi (Italy)
Further the Plenary appointed the following persons:
Medical Education Officer & AMEE liaison: Rille Pihlak (Estonia)
UEMEO Representative: Monica Teran Diez (Spain)
EJD Statements & Policies
As part of the continuous work done by the EJD statements and policies for the further development of the framework of medical education are released. In the Heidelberg meeting the EJD finalized the following documents, which are now available online:
- Statement on Curricula & Assessments
- EJD Policy on Bologna Process
- Motion on informal payments in healthcare
- Update on “Position Paper on patients’ rights in cross-border healthcare”
More EJD policies, statements and published documents are available on the EJD website on http://juniordoctors.eu/news/statement-curricula-assessments .
European Politics / Brussels Office
The Brussels Office proved to be a valuable part of EJD´s lobbying strategy. It successfully connected to Members of the European Parliament and the Commission. Also the information delivered keeps the EJD members up to date on ongoing topics in Europe. It further strengthened the position of the EJD as the voice of the Junior Doctors in Europe.
Joint statement on “Patient Safety and Quality of Care”
Patient safety and quality of care must not be compromised even in times of economic crisis. The European Medical Organisations emphasise the importance of quality healthcare and declare the preparedness of the medical profession to support the European Commission in advocating adequate staffing ratios and sustainable requirements for structures and processes that are needed to assure the delivery of such care in the Member States. To ensure this the European Medical organisation prepared a statement which was approved by the EJD and will be signed and released by the EMO´s soon.
Two new Working Groups were set up, "Family and work" and "Violence against doctors". The Working Groups already in place presented the reports to the General Assembly. The WG on "Salary & demography" is about to finish the collection of their data and combine it with the EuroMed Mobility Project. The WH on "Management & Leadership" presented an interim report. It started collaboration with the University of Helsinki to gather information on the implementation special training on this sector in the medical field. Results are expected until mid-2014. The WG on "Social Media" presented the first eFlyer as information for Junior Doctors, which will be provide online. The WG on "eHealth" reported on the sessions at Med-eTel held in 2013 and planned in 2014.
The EJD started an evaluation on the structure of Emergency Medicine in Europe. The focus will be the impact on working conditions of Junior Doctors, especially related to on-calls and the impact in postgraduate training. The first round of collection data was started and will be completed in cooperation with the UEMS Section. The second phase will start afterwards. Results are expected in the Spring Meeting 2014.
EJD survey results were presented and analysed. It can be stated that task shifting is widely implemented in Europe. Problems are arising due to different legal implementations. It differentiates weather just a delegation or even a full substitution including legal responsibility is implemented in the countries. Survey results also showed that even though task shifting takes place, a lot of unnecessary work still remains to the Junior Doctors, mostly bureaucratic and non-basic physicians´ tasks.
In a highly interesting presentation the model of the "Duale Hochschule Baden-Württemberg" on training physician assistants was presented. As they are legally recognized in the region of Baden-Württemberg they are now able to work independently and fully responsible upon order of the physician. This was seen as future model of the implementation of task shifting.
As follow up of the last year’s successful workshop & forums the EJD set up further ones for 2014.
The first will be held in Frankfurt (Germany) on the 11th of January 2014 and will deal with the "Challenges of the continuum of medical education". International speakers will highlight several aspects on the topic followed by a round table discussion. The workshop will be held in cooperation with the UEMS Section of Cardiology, which was already a valuable partner last year.
The second one will be in Ljubljana (Slovenia) on the 15th of March 2014 and be related to up to date issues regarding the financial crisis and its impact on health care and postgraduate training. It will be followed by a forum with regional Junior Doctors organisations, as done by the EJD in Riga this September.