Anesthesiologist in the USA. "Italy is no longer attractive to doctors. Here it is unthinkable that politics interferes with health"

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"THE'Italy it is not attractive to doctors. It is a country that thinks of hiring to make up for their lack graduates without specialization and to keep healthcare staff up to the age of 70 ”. The talking is Luca La Colla, Italian anesthesiologist who now works in the USA, and that denounced with an open letter in the scientific journal The Lancet the inadequacy of the strategies discussed so far in Italy to return the doctors to the ward. "While in the rest of the world conditions are improved and training programs such as the fellowship, we Italians propose to lower the quality of the Sanitary system to increase the number of staff. Hiring unskilled doctors means looking for work disqualified and at low cost ".

La Colla is 35, a degree in Medicine to the San Raffaele of Milan and a specialization in Anesthesia at the University of Parma. He could have been one of the many anesthesiologists in our public hospitals, but the white coat decided to wear it in North Carolina, where is resident in Anesthesiology a Duke University of Durham. "I don't consider myself a" brain on the run "and I do not feel resentment towards Italy. On the contrary, I appreciate our national health system and its principles, but today it has become anachronistic. It needs reforming and updating ". A rejuvenation that from his point of view starts with the wrong assumptions if you look at the proposals of the Regions. "We do not produce doctors specialists enough and thousands leave fromItaly every year? It is comprensible. Here in the United States, for example, doctors are more valued. And they don't just have a good salary, but awards is bargaining power, can devote time to Research as well as to the clinic, and almost always they are in the forefront of the administrative decisions. Here then it is unthinkable that politics interfere with health ”. The hypothesis of bringing the threshold of retirement of doctors at age 70, to hire not specialized or even of recruit from countries where working conditions are more backward than ours, according to Luca it also risks aggravating things. "My key to understanding the problem is that our country export more doctors of those who can import it from abroad. This is what we need to do ". Indeed, according to the report's estimates Fair 2018, only 75% of trained medical specialists choose to work for the National health system.

The rest ends, like Luca, in hospitals abroad, where career opportunities and working conditions are more interesting. "There are thousands of professionals who would like to work in USA, Canada, France. How come nobody wants to come and work in Italy, a country rich in history, culture and wonderful places? ". To begin with, we should ask them conditions so that young people still want to be doctors in Italy. "We need to improve work organization," he says Luca -, increase i funding state (we allocate about 10% less than other EU countries), focus on meritocracy for career advancement, avoiding "life" tasks. And then increase the salaries, on average equal to 17 euros per hour ". So that our professionals do not run away, the system should become more transparent. "We need to get politics out of health, to end public competitions, often rigged, and introduce direct recruitment for interview".

Hoping that is enough. According to union projections Anaoo Assomed, in 2025 they will miss in Italy about 17 thousand medical specialists: are we really doing something to stop the bleeding? Probably not enough. Luca, for example, decided to pack his bags just during the specialization, when he left for a semester of research in the US and saw a chance clinics, professional and scientific that in Italy would have been a mirage. "To my return I thought of doing the qualifying exams in the USA, followed by a fellowship in America. Since the Italian specialization is not recognized, I am now about to finish the training in Anesthesia a Duke to be able to work in USA without restrictions". Return? "I'd like to bring it back in Italy my experience. But first, I hope that some far-sighted reformer will be able to change our health system and make it attractive. "


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