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Medical students complain of brain drain

Medical students yesterday voiced their concern at the number of doctors leaving the island, saying that up to 20 of the 55 final-year medical students plan to leave after their graduation, exacerbating the medical brain drain.

The Malta Medical Students' Association said working conditions were causing more doctors to leave the island, which, in turn, increased the workload on the remaining staff. Some doctors were working 30 hours straight and going back to work the next day for another 30 hours.

It said the authorities did not seem to recognise the urgency of addressing the brain drain or were reluctant to take any constructive measures.

"It is a shame for our country to have a top-notch medical school and a modern general hospital only to lose brilliant young Maltese doctors to foreign healthcare systems," the association said.

It called on the Medical Association of Malta and the government to intervene to provide better working conditions for doctors and introduce the promised specialisation training.

In Parliament last night, Parliamentary Secretary for Health Joe Cassar referred to this sticky point saying that for the first time ever, Maltese graduate doctors would specialise in Malta.

Continuing, the students' association said that despite an agreement between the government and the MAM, promising accredited training from last January, many specialities were still without a stable training infrastructure.

"Such a delay begs the question of whether the training will be implemented at all in the near future and is one of the main, justifiable reasons why people are leaving the NHS for greener pastures. This means that even doctors who have completed their first two years in Malta are choosing to go to the UK and start from scratch in order to be able to start their specialised training."

It also accused MAM of covering up the government's shortcomings, urging it to work together with the authorities on concrete and sustainable solutions to keep doctors from continuing to leave the island.

When contacted, MAM president Martin Balzan would not comment on the accusation but said the government had set up the specialisation training and issued calls for new posts.

The students complained that the pay rise promised to junior doctors was miserly, with the basic salary quoted at about €15,000 (Lm6,500), less than a third of the €44,000 (Lm19,000) paid out by the NHS in the UK.

"Working on a basic UK NHS salary, together with guaranteed, black on white, yearly increments, means that in your second year as a doctor you will be earning more than the most senior doctors in the Maltese NHS."

Despite the attraction of British hospitals, data from the UK's NHS shows that young doctors have some four per cent chance of getting into further specialised training because there are 900 posts and some 23,000 people apply for these posts.

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Comments

Corinne Wood (on 16/5/08)
Two points to make about your contribution,Mr Borg

Firstly ,as you read , although the INTENT of the new graduate may be to leave the island, it is not so simple to actually get into the specialised training abroad .Even starting ''from scratch'' as new graduates following a housemanship abroad is not at all easy, given the worldwide competition.These latter group of new graduates are leaving because financially it is worth it!


Secondly, encourage the new graduates if you will, for sure ,everyone has the right to this !However please understand replacements for these are unlikely to be made i.e..the demand then created will certainly NOT be supplied as easily as you think!
Hence the workload back home(prolonged hours included )becomes a serious issue.
The start of specialisation training here in Malta is indeed a fantastic big step forward; obviously hoping it gets on its feet as soon as possible!
However, unfortunately ,it is not the only answer.

I do believe the Malta Medical Students Association is resorting to ''haggling in front of the camera'' as just one OTHER, and by no means the ONLY way to announce and push their cause.Good luck to them!
Graham Crocker (on 15/5/08)
The Barriers are set too high for Demand to equal supply.
I mean B's in Chem and Bio, No resits , ect ect..

Which means only the best get to be doctors, which also means a Minority.
So here they are complaining about Minorities being small, when a minority is meant to be small. (hint) majority are C class students.

Then they complain about the best going abroad, when it is only natural for the best to indeed seek the best no?

Then Somebodies Daughter comes along, and they drop the barrier ( i will not go into further detail) for a certain degree.

When somebodies daughter/son comes along for Medicine, we may have enough doctors on this island.
Until then, we have to try make do with 0.01% of the population's Best.

Until then, potential doctors who don't get high enough grades must make do with B.pharmacy.

Our system is wrong.
Antoine Borg (on 15/5/08)
This is simply a matter of supply and demand - everyone has the right to leave Malta should they want to and people with skills that are marketable abroad have further incentive to do so. Rather than stamp their feet and approach the government, cap in hand, the Students' Association could achieve far greater results by encouraging more students to leave. This will force the authorities' hand in a far more persuasive manner than haggling in front of a camera ever will.

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