Here goes nothing.
After earning an undergraduate degree in human medicine, all doctors who wish to be able to practice medicine in Jordan are obliged to spend 11 months, 21 days as interns in one of Jordan’s accredited hospitals. The purpose of this year is, as would be construed, is to familiarize the newly graduating physician to the demographics of diseases in Jordan, the more common trade names of drugs and practice the ethics and skills of clinical medicine first hand under supervision.
This, on the surface of it, makes total sense. Nonetheless, what happens in the real world is a completely different story; According to where the medico ends up doing his/her internment year, different sets of problems emerge.
To explain these problems, one must be aware of the different types of hospitals where the internship year can be done. It’s either done in the Ministry of health hospitals, Private sector or in University Hospitals. Let’s see how things go in each of these 3:
– In the Ministry of health hospitals, at least 90% of them, these interns do not show up at all. They actually pop up in the hospital every 2 months, because they need to enlist themselves in the “next” rotation, and then disappear once again only to re-pop 2 months later. The only exceptions are students who do respect their training hours because they believe they are learning stuff or are just showing up for the sheer joy of it. Also, those who have managed to trigger personal grudges against them from some doctor in the hospital. It’s worth mentioning that the Ministry of Health, in addition to granting these people a certificate stating that they have underwent proper training for a whole year, pays these, without a grain of apology on my part for the shortly-to-be-used adjective, vermins 100 JDs a month. I was told by some of these people that they don’t believe 100 JDs is worth their time if they spend 6 hours a day for 20 days a month in the hospital. Apparently, they value their time at 200 JDs a visit. So, vermin-thieves is better? If we adopt their logic, a governmental employee has the right to take every Wednesday + Thursday off on account of his own belief that his 300 JD salary doesn’t cover them.. It is worth mentioning that MoH hospitals are probably the only hospitals where an intern can actually gain clinical expertise.
– Private Sector Hospitals: These can be further divided into sub-categories; The paying ones and the non-paying ones. Positions in these hospitals are very limited and usually acquired through nepotism. All non-Jordanians who wish to do internship in Jordan seek to do it in a private hospital because all other hospitals charge them for huge amounts. Each hospital has its own special case which I will be posting about in another article. The general sensation around these hospitals is that no trainees show up at all and those who show up end up being victims of others’ faults.
– University Hospitals: While these possess a huge source of knowledge and potential possibilities to hone one’s medical experience, the hierarchy of doctors, which are always seeking to vent their suppressed grudges towards their superiors through those under them, the interns end up either targeted for fun or cast aside like yesterday’s newspaper. Interns here are known as “mosquitoes” because their main assignments are to draw blood samples, deliver them to the lab, get the results back. Interns at University Hospitals are by far the most disciplined and have really hard times ditching their rounds. In compensation, they have the highest salaries (150 JDs).
One ought to ask, besides quenching sexual frustration, what do these medicos do that’s so important that’s keeping them from actually deserving the stupid license at the end of the year?
A good proportion does so to study for US exams (a really expensive, difficult exam) or foreign languages. I have finished all of the German language levels available in Jordan during my first 5 months of internship and I have only missed 2 days at the hospital (the 2 exam days) so it’s no Herculean task to do your training + study at the same time. I have a friend from Yemen who’s an intern in a private Hospital and till the very last few days before his USMLE II exam (US exam), he was still doing his shifts at the hospital.
Some people seek to work in private clinics where they are paid 10-15 JDs a shift (24 hours = 3 shifts). If you combine the money you get if you work in a paying private hospital or MoH hospital (without showing up) + 1-2 shifts a day in a private clinic you get quite a nice “pocket-money”. Did I mention that these graduates are prohibited by law to practice medicine in all of its forms? Just remember, next time you visit a general medicine clinic, there’s a 50/50 chance you’ll end up being the guinea pig of some dyslipidemic graduate. Also, many of the owners of these clinics instruct these soon-to-be-doctors to practice cheating through doing unnecessary tests/procedures and overpricing everything that was used in the management.
Oh, and there’s this part of medicos that actually spend their borrowed time smoking arjeelah, playing cards and Playstation, touring around and doing all kind of stupid nonsense.
An intern at my hospital started his internship in the 20th of July, 2010. He showed up twice in the following week and we’ve never seen him ever again. His name still shows up on the interns list in the hospital. Nepotism? Raw Retardedness? Be it whatever it may be.
Please, please, lose some of your respect for doctors.
I am speechless. I had some idea from MD students about what happens there but didn’t know that some interns don’t show up. This internship year should be a great opportunity for them to practice. How come hospitals don’t care whether they show up or not? Thanks for sharing this information.
its the most useful post i have ever read …..:-)
now i knew why that intern whose mother entered our ICU lately didn’t go to his hospital although he is a new intern at it 🙂 my colleague once asked him : u didn’t go to work or what ( because he is always beside his mother ) ?? he said : no am not never mind i will manage it ….
really its shocking 4 me !!!!
why not benefiting from this year?
at university hospital i know that all doctors withdraw samples for patients , but its not for the other hospitals !!!
as a nurse i suggest to acquire some practical skills in this year ….
i can’t imagine a doctor who can’t withdraw sample !! or talking a blood pressure !! or at least apply the skills of inserting a cannula!!! i once asked a doctor : imagine yourself at a plane and an emergency situation occured and there is no nurse around , what will you do ?!! can you insert an invasive line in order to administer a fluids ? administering a fluids yess do you even know how to administer them???
these are a very little and important skills that doctors should really know ….
alot of doctors are arrogant enough to see that these things are way beyond thier prestige !!! actually thats why i said a word once that i will never think to take a doctor becuse in all my 3,5 years experience in the medical field i didn’t find a single doctors whose not arrogant and be5af allah BUT to be honest there is about two to three doctors around me who are actually !!! but your post has emerge a new question in my mind to any doctor who may propose to me in future ( if i decide to take a doctor ) that question will be : what you have done in your emteyaz year ?? how you spend it ??
because 2eza kan be3raf el 7alal o el 7aram gawabo ra7 ykon ma3roof 🙂
tnx 4 sharing your experience and opening our eyes 😉
Wow, Thank you for such a rich post.
However, i would like to know what you think is an appropriate solution for such problems? Because every time i approach my parents to vent my anger on these problems, they just dis any thought that there is a solution. I don’t believe that! So it would be much appreciated if you have a very good solution? I was thinking about how the viral student teasing video pushed the government to do something about it (may that be out of fear of outside criticism, or because somebody loves to do his job right for a change). Do you think if a documentary is shot inside these facilities would be able to capture the plague-ridden social structure within? More importantly do you think it would be able to force change?
If there are any, i would appreciate ideas for solutions. Thank you.
I believe the main problem here is that nobody is considering it a problem. Most graduates think of this year as a one last break after 6 years of serious studying and before beginning residency programs which will consume their entire available time. But one can see how Jordanian youth can easily be tempted to exploit any loopholes that can feed their laziness. In addition, the supervisors, the senior doctors in the hospitals, are themselves not convinced that this year is really important and believe that spending it preparing for residency is better.
If we can convince hospital management that this is indeed a problem, here are some of the steps I can think of to solve the problem:
– Encourage interns engagement in the actual management of patients. Most private doctors in the private hospitals refuse to let interns participate in anything that has to do with their patients so as not to affect their reputations. At the same time, interns in private general medicine practices are taking full responsibility for medical decisions that can end up costing lives. Better have them get the experience supervised than like this. We need some sort of very very clear and specific legal cover for the interns to practice clinical skills in their allocated hospitals.
– Force MoH and Private hospitals to do what university hospitals do with their interns. Keep actual records of attendance. There’s always some trustworthy resident at each hospital that can be assigned to do this. In my hospital, the supervisor caught an intern who signed in advance for the next week and still she didn’t take any actions towards him. Interns are allowed to miss 21 days in their internship year, those who miss more should simply not be granted the license to practice medicine. It’s really like the car seatbelts problem we have in Jordan; the law indicate that those failing to use it will be fined but no one actually is being fined in the streets.
– Prohibit Interns whose parenst/close relatives work in some hospital from doing their internship there. The reasons behind this range from simple convos with the supervisor to “take it easy” on these interns, and all the way to fear of, in private hospitals, losing that doctor to a different hospital.
– It must be noted that the internship year lacks a solid and clear set of rules to organize it. This has contributed for alot of the chaos that’s going on around it. The rights and responsibilities of both the intern and the hospital should be specified.
That’s all that comes to mind at the moment. I’ll keep you posted should I think of anything new.
Thank you for the response.
Sounds like the MoH would do well to contact knowledgeable people like you in order to improve this appalling disorder, or even to set you at their lead, because if no one is handling these issues then some people are being paid for not doing their job, when that money should be spent on raising the committed intern’s income.
However, you mentioned in the post another sad side of the medical social structure, that clinics ask interns to cheat and do unnecessary tests to gain money. This sets my spine tingling, as it I see it as nothing less than cold-blooded theft. While the last problem is one that is quite popular, medicos not doing their job, playing, touring… all these problems that you can see growing since a person’s schooldays. However, if you are wondering why i jumped to the suggestion that a documentary be made, it is because these events in which clinics steal money for tests ought to be acknowledged and for severe reactions to be taken, without allowing people to forget or lose interest. What do you think are the solutions to the two other issues mentioned in your post, one of which is quite severe in its offenses to common justice?
Thank you for reacting within the jiffy.
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I need to make sure I got the picture through correctly. What happens in private clinics is the following, regardless of the medical personnel’s degree in the medical field; When a patient comes seeking medical attention due to a case of, say, Rhinitis (common cold), you are not to send him back home with a couple of Panadol tabs and recommended rest. That is considered widely to be inappropriate because the patient is thought to be disturbed by the lack of, what he believes to be, proper medical examination and management. So, what’s done is they give him a shot of antibiotics (totally unnecessary), a shot of antipyretic (a bit controversial) in addition to a shot of “dexa” (cortisone) to make sure the patient will soonishly feel very better. It’s what they call the secert mixture. Whenever the chance is looming, the patient is also given I.V fluids. All of these are then charged for in prices that are, in some cases I was told about in person, 20 times the actual cost. In some clinics they have general doctors operating ultrasounds. I don’t really want to go into technical details but the ultrasound is one of the investigational devices that are highly operator-dependant. You need extensive training for years to master it. In the hand of a general practicioner it’s like a massage stick, if there’s such a thing. However, it does give the patient that false soothing sensation that he/she has been cared for and diagnosed properly. It all adds up in the bill. By the way, failing to do so will render the doctor incompetent in the eyes of the patient in many of the cases. Unnecessary lab tests are also asked for because some of the clinics have deals with certain labs to receive a share from the profit. Some sort of kick back pacts.
I highly doubt that anyone in the medical field is oblivious to the existence of all this nonsense but it seems like denial is the general condition in Jordan.
Liked the article, and I can’t completely disagree, but I feel that your focus is too narrow on the emtiaz doctors as the source of the problem, when in my opinion, they are merely a defective part in a bigger and defective whole.
Dear Ehab,
Thank you for your comment. Can you please elaborate? While I do know that the doctors are only part of the problem, from all the possible perspectives they still seem to be the major source of it. What, in your opinion, exhibits a worse effect on this situation?
Okay, I was afraid you were going to say that…
First, let me repeat that I do not necessarily disagree with you; your points are definitely valid…
However:
1- The hospitals are not designed to integrate interns into the medical team, we are basically disposable parts that might be useful at some point of time. The mere thought is frustrating to me, and I believe to many other interns. The fact that some government employee doesn’t complain about his pointless job doesn’t make it any different. No offense, but why does our Yemeni friend go to the hospital? He has nothing to do there. (Or so I’ve been led to believe)
2- The pay is pretty ridiculous, which only helps to add to the frustration. Again, the fact that someone else can’t complain is pointless. Too bad he can’t ditch his job.
3- The possible benefit to us (emtiyaz doctors) is rather small, given the incompetence of many doctors and the fact that we are not part of the team.
Then there is the issue of the exams that many of us are studying for, which are important to most of us, at least, and that’s what you get. I can’t say that the emtiyaz are not to blame, but the whole thing is a terribly-oiled machine that feeds into itself. Bad system –> Bad doctors –> Bad System –> …
Looking at the whole thing again, I feel my tone might have a bit harsh. Sorry for that, I was just venting.
I’ll have to read the comments to catch up, but allow me to bring 3 points to your attention before I do:
Regarding the MoH:
1. Non-Jordanian graduates (like myself) and by non-Jordanian I mean nationality not place of study (I’m a JU grad) have to PAY 650 JD/ year for internship.
2. The MoH system is not geared towards integrating interns, believe me, the attitude is: “oh, you’re here, you can go if you want!”.
3. Ignorance, where Russian and other eastern-Europe languages are prominent, where doctors practice medicine in a way that is scientifically, ethically and intuitively wrong, where fresh grads are looked at with disgust because of their “superior knowledge” . . . add the fact that no one cares (or notices) if interns attended or not and this atmosphere drives the most dedicated doctor to stay home . . . good old pavlov conditioning!
Maybe some few interns look at this as a way to gain extra “pocket money” (I was offered a clinic job myself) but most look at it as a way to escape a useless year . . . wrong, but less wrong!
To sum up I guess you focused on the “trash” (mind my language) and shined a thousand spot lights on it, as a result, you made it look like every one is like that! The whole internship system in Jordan is messed up; regardless of who you are or where you are there is 1 simple fact: you are wasting a year of your life . . . you know that and I know that!
7irz!
Ehab,
1. I have indicated in one of my comments that integerating interns in the medical teams is one of the inevitable solutions., so it’s agreed. You have pointed out that it’s somehow unimportant if government employees do not complain about their jobs. Well, it is. No one forced the employee/intern to accept his/her job/internship at that specific location. Him accepting to the terms is an agreement from his side that he accepts to the conditions of the second party. i.e if you accept to do your internship at MoH hospitals, you need to respect the schedule of work set by their HR department, not the resident you see on monthly basis. You can always just stay at your home. Yes, you can. You get the internship requirement checked out once you do 2 years of residency so don’t give me that crap about having to take it but not wanting to waste time. If you chose to stay home and still get paid then you’re just abusing the system and stealing the taxpayers money.
2. The pay is, again, one of the terms you agree to when you choose the hospital. Accepting the money and staying home is again plain wrong. The right thing to do is not to do the internship year if you think the payment is too low. I do agree however that the pay should be increased.
3. This point is highly dependant on the hospital you are in and your willingness to make use of your time. Both are factors that each intern can influence on a personal level.
The studying point is important indeed. Still, Hisham could do his fair share of studying + still work. And again and again, you can take the year off or at least not accept the money you’re given to !@#$%^&$*&(@%@%@! back home.
Mhmd, thanks for finding the time to read this.
1. I’ve pointed this out in my original article. This is one other example of how the Jordanian government wants to cease every chance to rip off our Arabic brethren.
2. See my reply to Ehab, point 3.
3. A little modesty on your side can go a long distance towards easing this kind of problem. Of course, in this solution there’s an inherit prerequirement to take liking to people that some might find difficult, such as myself, but is nothing near impossible.
I did focus on the trash because I think the word trash encompasses the whole subject. We know the system and the infrastructure are rotten so one would think the relatively “good” part of the relationship is the doctors themselves. This, unfortunately, is apparently far from true. It is true that this isn’t the case with every doctor but it is with at least 95% of them.
Please, if you’re an intern then try to displace yourself a bit when discussing such topics. Try to have a 3rd person view of the whole thingy.
Hmm, I do feel that both I and 7irz were mostly venting, or like you put it, not “using a 3rd person view,” but our points are still valid.
Saying that no one forced doctors to do an internship, while technically true, is like saying tawjihi students are not forced to go to uni. We are practically forced to do an internship, and hence the frustration.
Anyway, I believe my perspective is different than yours, you focus on the wrong ways of the doctors, while I I focus on the wrong ways of the system. One of us could be more right, but it doesn’t really matter. Ultimately, I thought the downfalls of the medical system in our country had to be pointed out, at least as a counterpoint to what you had said.
Hmm, no offense to anybody, but I’m starting to think about the point of this whole discussion. I guess everybody spoke his mind and that could be it.
I have to say I see Haytham’s point, the good old question: is stealing from a thief OK? So, basically I can completely understand interns’ frustration but I can’t justify all their actions!
Dude . . . 95%??? talk about an over kill! I know people who donated their salaries because they knew they didn’t deserve it! It barely covers the transportation costs anyway!
Have you seen this, was it a trigger somehow?
http://www.facebook.com/photo.php?fbid=134696143259344&set=a.134557376606554.24876.129193820476243
(yes, I have just shamelessly used your blog to advertise my work . . . maybe one of your three viewers will take a look!)
You know that haytham can delete your post for “readership solicitation”
It’s nothing like the Tawjih/college case. You can study for your steps while staying at home then get the internship pre-requisit fulfilled after two years of your residency. In case of the college, you put a stop to your academic education if you chose not to go on with it.
And no 7irz, I stand by my own statistics, though they may seem shocking. I know people in 3 different hospitals to support them. I might have generalized them to the rest of the hospitals but in Al Shmeisani + Al Salt + Al Esra2 hospitals, I can say that 95% is a fair percent. Remember, I’m not saying these 95% are genuinly bad people. They’re just people who, in a way or the other, are abusing the internship year.
While looking out for some info, I accidently tumbled into your blog. Your blog post on medical internship in Jordan was quite interesting to me as a foreigner. I always used to think that Jordan’s healthcare system was very good and all that, but I guess every country has its own fair share of problems. I actually have a couple of questions to ask, if you or anyone could help me, I’d really be grateful.
1) What is the procedure like for non-Jordanians to do their internship in Jordan and get a practising license at the end of the 1 year internship? Do we need to sit for an entrance exam/language exam? Or can we apply to do internship and then have the exams at the end of the 1 year internship?
2) Is it a paid internship or do foreigners have to pay to do their internship? And if it’s paid internship, is it enough to cover accomodation and cost of living? (I saw some comments about pitiful salary not even enough for transportation, but I wasn’t so sure about it)
3) Does the Jordanian medical council have a list of recognised foreign medical universities? Or do they accept any medical graduate from any country?
Hope somebody could enlighten me as I’m looking for options to my medical internship.
Thanks in advance!
Dear Eanna,
Thanks for sparing the time to read the post. The post is mainly about a single year that is, although I hate to admit, somewhat insignificant. I hope it didn’t color your opinion of Jordan’s relatively good Health care system.
I’ll try to answer your questions:
1. You need to apply at the Higher Council of Medicine for starters. That’s like 260$ for application fees as I recollect. There are no language exams. However, you are expected to pass an exam in the 4 majors of medicine soon after you finish this internship year. The exam is in English and someone quite unreliable has told me that you can ask for Arabic translation of the questions.
2. If you choose to do it in a private hospital you will be paid/unpaid according to that hospital but you will be treated equally as with the Jordanian interns at that hospital. Salaries range from 100$ up to 150$. If you choose to do it at a Ministry of health or military hospital, you will have to pay hefty tuition fees. Your salary will not be enough to cover accomodation.
3. I’m not sure. In Jordan, the ministry of higher education has a list of universities worldwide that are credited and whose graduates are allowed to practise their corresponding major in Jordan. If you give me the name of the university, I might prove to be a bit more helpful.
I hope this satisfied your needs.
Dear Haytham,
Thank you very much for your reply. At least I have a clearer idea now!
I graduated from National O.O.Bogomolets Medical University, Kiev – Ukraine. I recall seeing a few good Jordanian students studying in my university also, unfortunately I lost all contact with them after graduation 🙁 I would be really grateful if you could check if my university is credited or not as I’m really looking for some avenue to do my internship as soon as possible. Thanks once again!
Will do.
Actually, I might be of more help. We have an Ukranian doctor currently doing her internship at my hospital. If I encounter her soonish, I can ask her if she can contact you. She probably knows much better about all of this, her having to go through all that bureaucracy stuff herself.
Eanna, your university is credited. But you need to be sure your arabic language skills are at least enough to understand a patient and his medical problems, as most of the doctors are too lazy to explain in English. And good luck:)
Thanks Lulu for checking out for me! Really appreciate it.
Now the good news is that my uni is credited. But bad news is I don’t know Arabic at all, except for a few words! Are foreign interns allowed to learn Arabic language along the way? Coz yes I understand that without knowing the language, it’s impossible to communicate with patients….hmmm….dilemma again.
There are Arabic programs here, but mostly they teach classic language that differs from the form we use to communicate. I doubt you could find it easily if only you’ll find a private teacher (you may do this in Ukraine as well, I think and start as early as you want)
And by the way, there are quite much russian and ukrainian doctors here (same as people who have studied in these countries). I think most of them would like to help you.
But again, you need to be sure that you really need this experience and it will worth the time you’ll spend here, because specialisation will take more time than in your country, for example (approximately 2 years more). But if you decide to come – most welcome here! 🙂
Wow…didn’t know that there were so many Ukrainian/Russian doctors in Jordan! Actually I’ve been jobless for almost half a year as my country doesn’t accept russian/ukrainian doctors unfortunately. That’s why I’m looking at other avenues. I really don’t mind any country as long as I can work and put into practise what I’ve learnt coz I’m really passionate about medicine. For me, patients are the same anywhere, it’s just the language barrier. But Jordanian healthcare system has quite a reputable name over the whole world (I c now that you guys do have some problems too, but still it’s nothing that dampens the quality of your healthcare system at large).
I’ve got like another 1000questions in my mind, sorry to bombard you and Haytham…but most of your websites are all in Arabic, and I try using Google translate to get some info out (though sometimes what is translated can be really questionable!) Is there any email/other contacts whereby I could chat and ask more questions? Or is it ok for me to continue here in this forum? Or could you’ll pls pass me some ukrainian/russian medical graduates contact emails or your emails? Mine is astana81@gmail.com.
Thanks thanks….
Haytham, the problem you’ve described really exists and everyone understands it. But as for me, the main thing is that nobody actually can determine what shall the year of imtiyaz bring to the intern himself – is it a practice skill gaining, an exam preraration, starting to prepare him psychologically for a doctor’s role or something else. And untill this will be determined, everyone will decide for himself, thus making a picture of Brownian motion.
Again, to controll interns, give them appropriate studying and practicising possibilities u need a stuff, which u also need to educate for this position, spare time for it and, for sure, pay them. It’s naive to think that doctors will spend their time with “annoying” imtiyaz students instead of caring of the patients. Besides, the doctor will have to repeat same things each time the new group of students will come – can it be held by a simple enthusiasm?
It’s impossible to make a short-term student become a part of the team (unless u’ll make a stable group of the imtiyaz students themselves) so u’ll not have a comfortable atmosphere for the student same as keeping him more responsible about visiting hospital (the more stable is group, the more responsibility each member of it gets)
But newer the less, I think this year is an important experience – it’s your challenge to start making deals with yourself, decisions of what you exactly need for your PRIVATE experience and a good checking of how u act without a deep control. You are actually free to do what ever you want and the usage of this ability will determine whether this year was successfull training or pre-working vacation. So everything is in your own hands:)
Well, that’s what’s happening. However, if it was intended to be a free-for-all year then it would’ve been omitted from the requirments to acquire a working permit in Jordan. It is intended to provide you with certain technical + knowledge experience that is specific to the Jordanian medical community and it is 100% important. If you work in the medical field you will hear 9869356201597 of underground stories about physicians screwing things up thanks to ingnorance.
Again, if you claim that a certain medico graduate is extremely oriented and knows how to go about things, then people who used to lock themselves in the libraries during our 3 years at hospital and have acquired more knowledge than the others who haven’t have been doing the right thing. I mean, haven’t they done what they think is right?
Finally, I have been confronted with this dilemma in many of my conversations. “Would you inforce a law upon all the graduates just because a few of them are abusing the lack of it?”. Well, if a certain person can tolerate the illegal concentration of alkohol in their blood and still manage to drive safely then why fine them? For that same reason we must make sure that all interns do abide by the rules and man their working stations.
Interesting example… I’m absolutely agree with you, because the main problem is that there is no guarantee, that person is objective about himself. We often overestimate or underestimate our abilities, so as for me, there always should be some one controlling. There must be rules or laws equal for every one to avoid the seduction make something easier for yourself than it should be.
Back to internship… I think that yes, people who are spending their time at home should be punished, same as those who have illegal hospital practice. Doesn’ t matter if they are genius and ready to get a DR. degree tomorrow – “Dura lex, sed lex” and it’s the only way to stop some people, who think themselves to be the most crafty.
Its also important to find a balance between practical skills and theory we need for exam (no one can deny, that it’s really important). Again as for practical skills… Private hospitals will not let you do a lot of things due to their responsibility, MH hospitals will let you do some primitive things sometimes without control. So where can u find a source of knoweldge? Especially if no one intence;) The only solution NOW – is to care about yourself, and find a possibility of doing things you think you really need for your education. And you may be extremely successful if you really want it. But most of people are too lazy to use this chance thinking they know enough, though they may not, so we definitely need a more certain program with more control. Let them make a list of manipulations we have to do ourselves through this year or make them a part of exam, so people preparing to exam only will also put their attention to the practical skills. And let there be a certain number of days one spending the hospital with a clear system of control… looks like school, but so much young doctors are still pupils in their heads that we probably need it!!
We cant condemn a human being that it’s just a human, but as a government needs good specialists, they should care about the process – plan it carefully and control it, otherwise we’ll get what we have now.
Oh that’ll be really great! Coz I’d like to know further and she being Ukrainian might be of great help. Pls let me know her email or anyway to contact her once u get in touch with her. Thanks!!!