1. European Junior Doctors
Carsten Mohrhardt
EJD President & Representative to EBOT

2. Who we are

3. Facts & Changes Founded 1976
Represents JDs from all over Europe
19 national members / 5 observers
New Name
Fully Registered under Belgium law
Brussels Office

4. General Assembly elects Executive Board Medical Workforce
Task Shifting
Medical Workforce
eHealth
Political Advisor
Salary & Demography
Brussels Office
PGT
Social Media
Staff
Economy
Emergency Medicine
Education
UEMO
AMEE
ePortfolio
EU / EEA
Representatives to UEMS Boards
Management & Leadership
elects
Liaisons
Committees
Working Groups
General Assembly

5. EJD & UEMS Cooperation agreement EJD liaison to UEMS Council & CESMA
Indre Butiene (Lithuania)
EJD Representatives in Sections / Boards / MJC
Long Tradition (´97 Report)
Control of Training Centers
Manpower investigation
Examination

6. Hot Spots European Politics PQD & EWTD Cross Boarder Health Care
EU Joint Action on Health Workforce Planning
Projects & Working Groups
ePortfolio & CME / CPD
eHealth
Task Shifting
Emergency Medicine
Salary & Demography
Management & Leadership
Social Media
Statements
Funding of Medical Training
Statement on Curricula & Assessments
Bologna Process

7. Statements
Norwegian ballot system / denmark!

8. Funding of Medical Training
Universities that provide Basic Medical Education must be sufficiently financed. As a functioning Health Care System will need physicians with broad knowledge and well developed clinical skills these Universities must be well equipped and provide a reasonable teacher to student ratio.
There should not be any financial obligations that inhibit the pursuit of Basic Medical Education.
Medical Students that run through full-time clinical clerkships or research projects must have a labour contract under the same conditions as other employees within the organisation and be paid adequately to their position and appropriate in their efforts
Obligations to stay in the country, region or place after finishing Basic Medical Education or specialisation are opposed strongly, as they interfere with the principles of a free Market and free Mobility of professionals in Europe. Furthermore the threats of punishment or fines in this context are strongly rejected.
In the interest of the quality of Health Care appropriately resources must be provided for specialisation and research in medicine. This process is considered as work within the health care system and therefore must be remunerated adequately.
The standards and quality must be guaranteed and supervised by the national responsible authorities.

9. Curricula & Assesments
no mandatory further exams or assessments for specialisation than the national ones are supported
the continuous progress-control in the process of medical training must be in higher priority than single final exams, therefore in-training evaluation and assessment are primarily supported
in-training progress must be continuously recorded and comparable regarding the free mobility of physicians in Europe, therefore an ePortfolio could be used
curricula and assessments must be approved and quality guaranteed by national authorities
exams and assessments should be free of charge for the participants
exams and assessments must be available in the national language of the training country
the venue of exams and assessment must be easy accessible and at short travel time distance
Final exams or assessments must be available to be taken more than once a year
DRAFT

10. Projects
Norwegian ballot system / denmark!

11. Workshops
EJD Workshop on E-portfolios and Medical Mobility … follow-up January 2013 on CME / CPD!

12. EuroMedMobility

13. Working Condition issues
Norwegian ballot system / denmark!

14. Hungary average salary of JD was ~ 350€ Government initiatives
2007: tuition fee for JD´s (3 x salary) – BLOCKED!
2008: repay of med school fees if not serving 4 years as JD – BLOCKED!
2011 a grant of 500€ per month by signing to stay 10 years in Hungary
Mass exodus movement like in Czech Republic
Threatened with the “State of Emergency”
Last minute agreement
JD´s postponed resignation on 29th December
50% salary increase by the 1st of July 2012

15. Hungary

16. Even 40h is possible!
The social dimension e.g. quality of life, is considered most important. They regard the EWTD as a useful tool that provides support for individuals and families to achieve a good balance between opportunities for training, patient safety and doctors‟ quality of life, which includes a reasonable length of training prior to specialization and the social dimension e.g. the balance between career, quality of life and family life.
Great emphasis on CPD after being included on the Specialist Register, on the part of both the Heads and the trainees themselves, to make up for the shortfall in pre-specialisation exposure.
A more favorable doctor-patient ratio in hospitals imposing a 40 hour week by law.
More disciplined attitude resulting in increased efficiency in compliance and work output of doctors.
Cultural differences leading to more efficient organisation.
Their hierarchical structure avoids a rigid pyramidal model, since the latter is considered to breed “a junior doctors‟ proletariat”.

18. Improve Junior Doctors work & life!
Basic principles
Exchange knowledge
Join power
Find solutions
Share ideas
Act with one voice
Improve Junior Doctors work & life!

19. juniordoctors.eu
Norwegian ballot system / denmark!

20. Thank you!