Are Polish doctors ready to start working right after graduation? The 2023 modification to physicians’ postgraduate internship and possible paths forward

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Policy Pub Date : 2024-05-18 DOI:10.1016/j.healthpol.2024.105083

Robert Kupis , Alicja Domagała

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Abstract

The Polish healthcare system faces many problems, among which the shortage of healthcare professionals is one of the most urgent. In less than ten years, more than twenty Higher Education Institutions (HEIs) have been allowed to add medical programmes to their offer, aiming to increase the number of doctors in Poland. Recently, the healthcare system was faced with a proposal to abolish the mandatory postgraduate internship which has been a mandatory component of medical training for years.

Two main reforms were considered. The first one focused on the programme of the internship and aimed to update it. The second one recommended an abolition of the internship. The authors of this article analysed the opinions and positions of key players within the system regarding the postgraduate internship.

Opinions in this regard are diverse, leading to the conclusion that additional actions would be required prior to the internship abolition. Undergraduate training has changed and currently students are taught in modern facilities, using new teaching methods. On the other hand, internship allows trainees to improve or even acquire skills they may not have obtained during their studies. The postgraduate internship is an essential part of doctors’ training. However, in Poland, there is still a lack of a well-thought, long-term policy or strategy for physicians' workforce development. Our study presents a Polish perspective on common challenges in medical training and workforce policy, highlighting the clash over the growing demand for physicians and the limitations of the existing system.

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波兰医生准备好在毕业后立即开始工作了吗？2023 年对医生研究生实习的修改和可能的未来之路

波兰的医疗保健系统面临着许多问题，其中最紧迫的问题之一就是医疗保健专业人员的短缺。在不到十年的时间里，已有二十多所高等教育机构获准增设医学课程，旨在增加波兰的医生数量。最近，医疗保健系统面临着一项废除强制性研究生实习的建议，多年来，研究生实习一直是医学培训的必修课程。第一项改革侧重于实习计划，旨在对其进行更新。第二项改革建议取消实习。本文作者分析了系统内主要参与者对研究生实习的意见和立场。这方面的意见不一，得出的结论是在取消实习之前还需要采取更多行动。本科生的培养已经发生了变化，目前学生在现代化的设施中接受教育，并使用新的教学方法。另一方面，实习可以让受训者提高甚至掌握他们在学习期间可能没有掌握的技能。研究生实习是医生培训的重要组成部分。然而，波兰在医生队伍发展方面仍然缺乏深思熟虑的长期政策或战略。我们的研究从波兰的视角出发，探讨了医学培训和医生队伍政策所面临的共同挑战，强调了对医生日益增长的需求与现有制度局限性之间的冲突。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.