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 Post subject: Re: protected professions
PostPosted: Sat Jun 25, 2011 4:59 pm 
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Real Estate Developer

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Finally, is it reasonable for every doctor to expect that the opportunity to become a consultant will be afforded to them. Surely, it should only be the best and most competent who are selected for progression and elevation. If others who want to follow the consultancy route, then seeking training opportunities elsewhere is appropriate.

My experience has been those foreign trained consultants who return to Ireland have acted as agitants for change and facilitate the dissemination of new methods of practice.


It is reasonable to expect such an opportunity if we think of consultants as part of the health care team rather than a feudal priesthood and adjust their compensation accordingly. In Canada, nearly all doctors make it through specialty training. I would like to see ample opportunities to change specialty given that some residents find they are unsuited to the one they chose - it's harder to switch over here. BTW, in North America, family practice is a specialty too.

Experience abroad is of value in any line of work but I think too much emphasis is put on the Been To America factor for doctors e.g. when Tom Keane got the cancer job and an oncologist over there was reported (admittedly in the Indo) as wondering whether Vancouver stacked up with the top US centres.

I would also like to see separation of public and private care. The private side should have its own doctors and should be entirely self-financing.


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 Post subject: Re: protected professions
PostPosted: Sat Jun 25, 2011 5:26 pm 
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IMF'd

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Ardillaun wrote:
It is reasonable to expect such an opportunity if we think of consultants as part of the health care team rather than a feudal priesthood and adjust their compensation accordingly. In Canada, nearly all doctors make it through specialty training. I would like to see ample opportunities to change specialty given that some residents find they are unsuited to the one they chose - it's harder to switch over here. BTW, in North America, family practice is a specialty too.

Absolutely.

Quote:
Experience abroad is of value in any line of work but I think too much emphasis is put on the Been To America factor for doctors e.g. when Tom Keane got the cancer job and an oncologist over there was reported (admittedly in the Indo) as wondering whether Vancouver stacked up with the top US centres.

Absolutely on that too. I think the UK would be a more appropriate training ground, given some of the reforms that have taken place and perhaps the Netherlands too?

Quote:
I would also like to see separation of public and private care. The private side should have its own doctors and should be entirely self-financing.

+1 again. Not only should it be self-financing, but it should have its own consultants that it trains. I'd add an income levy to doctor graduates, exempted if they are working in the public service. Mind you, I'd add an income levy, as opposed to fees, to almost all university courses, postgrad, etc.

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 Post subject: Re: protected professions
PostPosted: Mon Jun 27, 2011 8:43 pm 
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johnnyskeleton wrote:
the edge wrote:
Why do we still have this abritrary distinction between the two branches of the legal trade?


Who says its arbitrary? Surely it is no more arbitrary than the distinction between GP and consultant?

In any event, why don't lawyers understand economics?


The distinction between GPs and consultants is arbitrary. GPs are specialists as well.


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 Post subject: Re: protected professions
PostPosted: Mon Jun 27, 2011 9:08 pm 
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One way to start addressing the junior doctor shortage. There will have to be some way of enforcing this, though, maybe through the Medical Council?

Quote:

Doctors may face two years' work in public hospitals

DOCTORS WHO train in Ireland may be required to work for at least two years in the public health system as part of a fresh attempt to keep junior doctors in the country.
Hospitals in all parts of the State face a shortage of junior doctors from the middle of next month when posts are rotated as part of doctors’ training programme.
Health authorities have been seeking to recruit doctors from India and Pakistan to help alleviate staff shortages.
However, Minister for Health James Reilly is considering a requirement that graduates from Irish medical colleges undertake a longer period of internship in the public hospital system....


http://www.irishtimes.com/newspaper/ire ... l?digest=1




Getting tough with future employees is safe enough. I'd like to see more stick used on the
upper end of the food chain and more carrot down below e.g. real career prospects.


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 Post subject: Re: protected professions
PostPosted: Sun Dec 30, 2012 9:05 pm 
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Under CAB Investigation

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Location: Ireland
Just read in the SBP about a barrister for the HSE earning 968k in 2010. I mean WTF - surely some other legal person would do this for half the price? I won't even begin to calculate the hourly rate...


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 Post subject: Re: protected professions
PostPosted: Fri Jan 18, 2013 12:15 am 
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Well with 8760 hours in the year that would be 110 euro per hour, every hour of the year.


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 Post subject: Re: protected professions
PostPosted: Fri Jan 18, 2013 12:40 am 
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Of Systemic Importance

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Location: BubbleBurst Ireland
finnie wrote:
Well with 8760 hours in the year that would be 110 euro per hour, every hour of the year.


He must have been on call then. :x

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 Post subject: Re: protected professions
PostPosted: Fri Jan 18, 2013 4:14 am 
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Of Systemic Importance

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spqr64 wrote:
finnie wrote:
Well with 8760 hours in the year that would be 110 euro per hour, every hour of the year.


He must have been on call then. :x



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A lawyer dies and goes to heaven. “This must be a mistake,” he says to St. Peter. “I’m too young to die. I’m only 50.”

St. Peter say raising and eyebrow, “Fifty? According to our calculations, you’re 82.”

“How’d you get that?” The Lawyer asked.

“We added up your billable hours.”

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"Mr Kelly said Ireland’s “reputational capital” had been damaged by “chancers” such as ex-Anglo Irish Bank chairman Seán FitzPatrick, who had been abetted by “buffoons” such as former financial regulator Patrick Neary, Minister for Finance Brian Lenihan and the Taoiseach." - Irish Times 13th Jan 2009

"If you can't be a good example, then you'll just have to be a horrible warning." (Catherine Aird)


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 Post subject: Re: protected professions
PostPosted: Fri Jan 18, 2013 3:14 pm 
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Under CAB Investigation

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Location: The Lawn
To the tune of Amadeus:
Over pay us, over pay us...


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 Post subject: Re: protected professions
PostPosted: Sun Jan 20, 2013 11:52 pm 
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Private Tenant

Joined: Aug 30, 2009
Posts: 32
Back in the real world...

If anybody wants an insight into the morale and conditions of Irish hospital doctors have a read through this and the comments that follow. As someone who has been through the system it makes for very sad reading.

http://www.medicalindependent.ie/blog-p ... k#comments

I predict an exodus over the coming years. Chatting with a few consultants they will not be far behind their juniors.


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