Doctor Who Short Trips Epub
Doctor Who Short Trips Epub >> https://bltlly.com/2t7Fym
In response to high rates of doctor emigration, Ireland initiated a strategy for doctor retention in 2014 [26]. Unfortunately, this strategy has failed to resolve underlying issues in the health system [10] and has not reduced the rate of doctor emigration. A 2018 survey of junior hospital doctors found that 52% planned to emigrate [10], either on a short or long term basis, and 2019 research indicated large-scale doctor emigration from Ireland to Australia [8].
At the time of writing (November 2020), the pandemic has ushered in an era of travel restrictions. Although doctors, as essential workers, can obtain exemptions, 2020 has made trips home to visit extended family and friends in Ireland more difficult than it has been for a generation. For some COVID Returners, this is forcing a rethink of pre-pandemic emigration intentions.
When the pandemic triggered the return home of hundreds of Irish-trained doctors (the COVID Returners), there was a hope that it might encourage further retention and return, thereby reversing a decade of large-scale doctor emigration [7, 8, 10, 15, 21]. However, it is clear from our findings that many COVID Returners had pre-pandemic plans to return to Ireland in 2020, and that those who returned without pre-existing plans will not remain without access to secure jobs and training (i.e. beyond the locum posts and short-term COVID contracts which were used to rapidly scale up medical workforce capacity in early 2020). In returning to work in the Irish health system during a pandemic, the COVID Returners demonstrated a level of dedication and determination. To encourage their retention (and to encourage further return migration) will require an equivalent level of commitment from the Irish health system. Pre-pandemic, the authors noted that doctor retention would require providing hospital doctors with improved working conditions [9] and a better work life balance [22], correcting the disparity in consultant pay, ensuring the availability of posts [15] and challenging the culture of medical migration [15]. Although the pandemic has altered much, it has not changed the fact that doctor retention will not be achieved without resolving these underlying drivers of doctor emigration. The pandemic has drawn attention to the dilemma for many emigrant doctors (and those considering emigration) forced to choose between a personal desire for proximity to family and friends in Ireland and a professional desire for better working conditions and career progression [7, 44].
Growing concerns about the value and effectiveness of short-term volunteer trips intending to improve health in underserved Global South communities has driven the development of guidelines by multiple organizations and individuals. These are intended to mitigate potential harms and maximize benefits associated with such efforts.
Study selection. Our initial search cast a wide net and identified 144 articles or websites that either proposed standards for international short-term volunteer trips or critiqued volunteer practices and suggested improvements. We applied several inclusion and exclusion criteria to this list. We determined that for the purposes of answering the research questions, the guidelines had to 1) focus on trips that provide some type of health program rather than educational or other types of development programs; 2) be publicly available in a published journal article or website; and 3) include a specific set of principles to follow, beyond a mere critique of current practices in short term health trips. We excluded guidelines that were 1) limited to one specific aspect of a mission such as preparation or safety [17, 18]; 2) focused on specific medical practice guidelines, clinical techniques or supplies needed for specialty missions, such as pediatric plastic surgery projects or dermatology clinics [5]; 3) based on one experience [19]; 4) proposed and not yet published, or 5) that were summarized in a letter to the editor [20]. Applying these inclusion and exclusion criteria resulted in a list of 27 published guidelines (see Table 1).
3. How do they relate to the preferences of host communities? The inherent risk in identifying core principles lies in the finding that almost all guidelines have been published by individuals and organizations from the Global North, either as sponsors or as analysts of short-term health trips. Their audience is also primarily to be found among those who organize or volunteer for such trips. 2b1af7f3a8