(照片是2006年在澳洲新南威爾斯大學醫學系畢業典禮拍的)
昨天看了這一段影片覺得還蠻感人的!
根據國家地理頻道:
http://www.fng.tw/ngc/news_content.php?id=206
台灣醫療技術的先進，聞名全球，在舉世前200大醫院中，台灣就佔了14家，僅次於美國及德國，排名全球第三，不但是亞洲第一，更遙遙領先其他亞洲國家。近年來，國際醫療觀光或跨國醫療在全球各地盛行，台灣許多醫療機構擁有全球最好的醫療專業人員以及尖端先進的醫療設備與醫療服務品質，已是全球知名，尤其在肝臟移植、整形外科、心血管外科、人工生殖及關節置換手術等項目，更是國際醫界翹楚，每年估計吸引超過萬名國外人士來台接受醫療服務。台灣在這快速成長中的全球國際醫療產業中，成為全球頗受關注的國家。
八年前我自己的近視雷射手術就是回台灣做的!當時澳洲才剛引進 IntraLase LASIK, 結果我問澳洲的眼科醫院術後效果如何時他們跟我說他們無法評論，因為機器是新的，還不夠案例。結果台灣都已經有好幾個案例了!
最近這幾年台大醫院那邊有一批醫生來考澳洲的醫師執照 (AMC exam)。由於語言的障礙，即便擠破頭，成功率還是非常低，只有三位通過! 有一位強到我無話可說，另外兩位則是長期住過英語系國家的! 其實，澳洲本來就給予外國醫生比較次等的待遇，用政策逼他們到偏遠地區行醫。最近澳洲還出現市區醫生過盛的情況，準備把醫生這項職業從技術移民拿掉! 過去比較冷門的家醫科近八年突然變熱門，入取率及專科考試通過率都不斷的下降! 很多很多的變數! 想考澳洲醫師執照的台灣醫生們還是請三思，除非神有特殊的呼召，因為我們能站在我們現在的崗位並不是偶然的，而且澳洲的草不一定比較綠(若動機只是為了要更「好」的生活，可能要先認真思考一下「好」對自己來說是什麼樣的一個定義... 若想探險，直接參加短期medical mission可能還比較有意思)! 每個地方都有正反面，例如:澳洲時數可能比較規律，但工作環境不一定很有人情味(除非剛好在華人診所工作，但華人也有很多種，而且偏遠地區也沒有華人診所)，等等。統計還顯現，長期居住在澳洲鄉下會比較容易憂慮症!
更多詳細新聞請看已下連結:
There is certainly an oversupply of GPs in the city region... it's becoming like the 1990s when there was an oversupply of GPs, and there was no doctors on the skilled migration occupation list when I studied medicine in the early 2000s. Plus, there are all these new medical schools now!!
So there's now a call to stop giving visas to the IMGs, and removing medical practitioners from the skilled migration occupation list!
In Feb this year, Australian Doctor already reported:
Medicare is apparently struggling to clear a backlog of 15,000 provider number applications from doctors across Australia.This has left some 250 GP registrars without Medicare provider numbers.
http://www.australiandoctor.com.au/news/latest-news/health-department-fixing-provider-number-fiasco
The number of registrars joining the Australian General Practice Training program had reached 1500 last year.... From what I've heard from others, there are >2000 people applying for 1500 places these days!
http://www.australiandoctor.com.au/news/latest-news/are-gp-registrar-numbers-too-high
The "too many GPs" trend had already been identified a few years ago.
https://www.crikey.com.au/2013/03/01/the-doctor-shortage-that-wasnt-too-many-gps/
And suddenly, there's even increased flunk rate for the GP fellowship exams: Half of fellowship candidates fail latest KFP test!
Australian Doctor has learnt the fellowship pass rates are low because of the performance of IMGs on the practice eligible pathway that sits outside the Australian General Practice Training program.
http://www.australiandoctor.com.au/news/latest-news/fellowship-fail-rates-linked-to-isolated-imgs
So I guess the grass might not be much greener in Australia for the IMGs? Many sacrifices to be made, along with many uncertainties too!
To address the rural shortage problem, Dr McPhee said universities could do a better job of accepting students more inclined to live in the regions.
"It's a real challenge, the whole issue of selection is a vexed one. Certainly where universities do interviews, they very much weight them towards rural intent and rural background and that certainly has demonstrated that if you do that you can improve the retention and resilience of people shifting back into rural communities."
http://www.abc.net.au/news/2016-08-09/calls-to-stop-giving-overseas-trained-doctors-visas/7706612
For more discussion points on my Facebook thread:
https://www.facebook.com/goodyvo/posts/10157121858685276
留言列表
