DRAFT RESOLUTION NO. 88 /XI/1ª

The placement of the general and family medicine specialists

The current reality marked by the scarcity of resources and the

competitiveness requires greater flexibility and response preparedness by

part of policy-makers, and it does emerge the management of human resources

as a key issue of the health system.

In Portugal, in 2007, they retired 321 doctors, in 2008

have retired 380, in 2009, 401, and, according to the information that

have been going public, since the beginning of the year, and only in two months, almost

Three hundreds of doctors delivered early retirement applications. Or

be, in a little more than three years, the National Health Service has lost

more than 1300 doctors.

In this panorama, the specialty that presents a more critical situation

is, without a shadow of doubt, that of General and Family Medicine, precisely the

professionals who are at the "gateway" of the health system.

According to the data released by the Association of Clinical Physicians

Overall, up to 2016 we have formative capacity for about 2400 Doctors

of General and Family Medicine.

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But by 2016, they will retire about 4000 of current experts

of General and Family Medicine.

Once the currently and estimated caries for a

near future are not passable in the near term, this

matter assumes special relevance in the scope of the management of the sector and shall

be viewed as strategic concern of the Ministry of Health.

It is therefore important to equate the introduction of mechanisms that allow

pick up, develop and retain health professionals, in the sense of avoiding

that labour, national or international migration presents itself as

only alternative to achieving professional achievement and satisfaction

personnel.

It has been recognized over the years that the National Health Service

records at the level of some medical specialties, and in particular of the

general and family medicine, severe caries that are determined by

various factors, particularly by the insufficient coverage of the

primary health care and the increase in demographic pressure in

outlying areas of major cities.

This situation has been the target of various legislative measures with the aim of

of bridging the needs of family medicine specialists in the

services and carer establishments of these same professionals.

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Thus, in 1996 it was adopted, by the Decree-Law No. 83/96 of June 22,

an exceptional measure of extension of administrative contracts of

pavement of the interns of the general practitioners of general practitioners and

of public health initiated on January 1, 1993. And, subsequently, it was

the Decree-law No. 112/98 of April 24, which came to establish the conditions

where they could be extended the administrative contracts of

provement of medical personnel after completion of the boarding school

supplementary, mandating that the identification of the

health establishments and specialties deprived by dispatching of the

Minister of Health, on a proposal from regional health administrations.

Finally, the Decree-Law No. 45/2009 of February 13, which amended the

Decree-Law No. 203/2004, of August 18, came to establish,

transiently, the implementation of the arrangements provided for vacancies

preferred to doctors covered by Article 2 (1) of the Decree-

Law No. 112/98 of April 24.

Downstream of the legal framing of the binding of the interns that

complete their specialty, there is the concursal process of allotment

of these professionals who, in our view, in the most deprived areas

of medicine, as is the case with general and family medicine, is necessary

agilize.

It is critical to give doctors to users without a family doctor, and users

to doctors who have already completed their specialty and who often times

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despair for months to see fruition to be put to fruition

definitive.

In this sense, the PSD, giving echo to the pretensions that have come to our

knowledge, through the newly specialists in general medicine and

family, presents the present Draft Resolution where it is aimed, so

only, recommend to the Government to proceed to the streamlining in the process

of placement of these professionals.

By the exposed, the Assembly of the Republic, pursuant to (b) of the article

156º of the Constitution of the Portuguese Republic, deliberating to the

Government that, after proving the need for recruitment of the

health professionals, specialists in general and family medicine, through

of competent ministerial dispatch:

1. Realize the placement contests of the newly experts in

General and Family Medicine in medical career, allowing for your

integration into the National Health Service in a timely manner, or

be, soon after verification of the need for the filling of the

needy vacancies and in the shortest possible time regarding the

evaluation season of the Medical Internate;

2. Uniformize at national level the necessary rules and procedures

concursal, with a view to ensuring the principles of equality of

opportunities in access;

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3. That the contests are of national scope, and may be admitted

all interested parties who meet the requirements, but

regardless of the Region where they completed the Internato

Doctor.

4. Eliminate the valorisation criteria for the purpose of tender which

have on the basis of integration, or not, in a Health Unit

Familiar (USF)

5. Publish regularly, annually or every two years, the

map of needs of General and Family Medicine physicians in

national and regional terms, allowing for a schedule

suitable from the opening of vacancies to tender in particular, in

needy areas, and so as to guide individual options and

professionals from each graduate in Medicine.

Palace of Saint Benedict, March 18, 2010

The Deputies of the PSD,