{"id":943,"date":"2014-01-23T11:33:38","date_gmt":"2014-01-23T09:33:38","guid":{"rendered":"http:\/\/www.es-ses.org\/?p=943"},"modified":"2014-01-23T11:33:38","modified_gmt":"2014-01-23T09:33:38","slug":"tip-egitimi-komalik","status":"publish","type":"post","link":"http:\/\/www.es-ses.org\/?p=943","title":{"rendered":"T\u0131p e\u011fitimi komal\u0131k!"},"content":{"rendered":"

\"tip-egitimi-komalik3b478838706b7e9eb8b7\"<\/a><\/p>\n

H\u00fck\u00fcmetin, \u201c2020\u2019de 200 bin hekim\u201d hedefi do\u011frultusunda t\u0131p fak\u00fcltelerini ve kontenjan say\u0131lar\u0131n\u0131 art\u0131rmas\u0131 t\u0131p e\u011fitiminde adeta kriz yaratt\u0131. \u00d6\u011frenciler amfilere s\u0131\u011fm\u0131yor. Altyap\u0131s\u0131 eksik olan t\u0131p fak\u00fcltelerinde pratik e\u011fitim verilemiyor. K\u0131s\u0131tl\u0131 da olsa pratik yap\u0131labilen t\u0131p fak\u00fcltelerindeki dersler ise \u00f6\u011frenci i\u00e7in de hoca i\u00e7in de hasta i\u00e7in de eziyete d\u00f6n\u00fc\u015f\u00fcyor. Sorunun acilen d\u00fczeltilmesini isteyen \u00f6\u011fretim g\u00f6revlileri ve \u00f6\u011frenciler, \u201c\u00c7\u00f6z\u00fclmedi\u011fi takdirde ileride g\u00fcvenip de gidecek doktor bulamayaca\u011f\u0131z\u201d diyor.<\/p>\n

MERD\u0130VENDE DERS
\n<\/strong><\/p>\n

T\u0131p e\u011fitiminin durumunu \u00f6\u011frenmek i\u00e7in ilk adresimiz \u0130stanbul \u00dcniversitesine ba\u011fl\u0131 \u00c7apa T\u0131p Fak\u00fcltesi. \u00d6nce bir t\u0131p \u00f6\u011frencisiyle, Duygu Bilge\u2019yle konu\u015fuyoruz. Duygu ayn\u0131 zamanda T\u00fcrk Tabipleri Birli\u011fine (TTB) ba\u011fl\u0131 T\u0131p \u00d6\u011frenci Kolu \u00fcyesi. \u00d6\u011frenci say\u0131s\u0131n\u0131n fazlal\u0131\u011f\u0131ndan dert yan\u0131yor Duygu.\u00a0 D\u00f6rt y\u0131l \u00f6nce, kendisinin de t\u0131p fak\u00fcltesine kay\u0131t yapt\u0131rd\u0131\u011f\u0131 d\u00f6nemde, \u00c7apa T\u0131p Fak\u00fcltesinin 450 \u00f6\u011frenci ald\u0131\u011f\u0131n\u0131, bu say\u0131n\u0131n her y\u0131l artt\u0131\u011f\u0131n\u0131, \u015fimdi \u00c7apa T\u0131p Fak\u00fcltesinin 600\u2019e yak\u0131n \u00f6\u011frenci ald\u0131\u011f\u0131n\u0131 s\u00f6yl\u00fcyor.<\/p>\n

\u00d6\u011frenci say\u0131s\u0131n\u0131n ald\u0131klar\u0131 e\u011fitimi nas\u0131l etkiledi\u011fini \u015f\u00f6yle anlat\u0131yor Duygu; \u201c600 t\u0131p \u00f6\u011frencisi 400 ki\u015filik amfiye s\u0131\u011fmaya \u00e7al\u0131\u015f\u0131yor. Merdivende oturan \u00f6\u011frenciler art\u0131k normal kar\u015f\u0131lan\u0131yor. Say\u0131n\u0131n \u00e7oklu\u011fundan \u00f6t\u00fcr\u00fc derse giremeyen \u00f6\u011frenciler bile oluyor\u2026\u201d<\/p>\n

1 HASTANIN BA\u015eINDA 30 \u00d6\u011eRENC\u0130
\n<\/strong><\/p>\n

Pratik derslerde ya\u015fananlar ise adeta skandal! Duygu anlat\u0131yor; \u201cT\u0131p \u00f6\u011frencileri olarak hastayla y\u00fcz y\u00fcze gelmemiz, hastaya dokunmam\u0131z gerekiyor. Bunun i\u00e7in \u00fc\u00e7 d\u00f6rt \u00f6\u011frencinin hocam\u0131zla hasta kontrol\u00fc yapmas\u0131 gerekiyor. Ancak biz bir hastan\u0131n \u00e7evresini 30 ki\u015fi sar\u0131yoruz. Dolay\u0131s\u0131yla hasta korkuyor. Hastadan kendisine bakan 30 \u00e7ift g\u00f6z\u00fcn \u00f6n\u00fcnde soyunmas\u0131n\u0131 istiyorsunuz. Ben kendimi hastan\u0131n yerine koydu\u011fumda \u2018Ka\u00e7ar\u0131m herhalde\u2019 diyorum.\u201d<\/p>\n

3 HOCA, 9 KADAVRA, 450 \u00d6\u011eRENC\u0130
\n<\/strong><\/p>\n

T\u0131p \u00f6\u011frencilerinin anatomi dersinde kadavra incelemesi gerekiyor. Duygu, bu derste olu\u015fan manzaray\u0131 \u015f\u00f6yle \u00f6zetliyor: \u201cMesela 450 \u00f6\u011frenci varsa \u00fc\u00e7 b\u00f6l\u00fcme ayr\u0131l\u0131yoruz. Her b\u00f6l\u00fcme 1 hoca d\u00fc\u015f\u00fcyor; 3 hoca, toplam 9 kadavra ve 450 \u00f6\u011frenci. Kimi kadavraya dokunuyor, kimi ders dinliyor, kimi dinlemiyor… Adeta bir trib\u00fcn olu\u015fuyor.\u201d<\/p>\n

EN \u00c7OK HASTALAR ZARAR G\u00d6RECEK
\n<\/strong><\/p>\n

Peki, bu \u015fartlar alt\u0131nda e\u011fitilen \u00f6\u011frenciler mezun olduklar\u0131nda ne olacak? Bunun iki sonucu var. Birincisini Duygu \u015f\u00f6yle anlat\u0131yor: \u201cVerilen sa\u011fl\u0131k hizmetinin kalitesi kesinlikle zay\u0131f olacak. \u015eu anki sistem zaten ortada; performans sistemiyle \u00e7al\u0131\u015fan bir doktor g\u00fcnde 150-200 hasta bakmaya \u00e7al\u0131\u015f\u0131yor. Ama bu ko\u015fullarda mezun olan hekimlerin durumu daha da k\u00f6t\u00fc olacak. Bu durumdan en \u00e7ok hastalar zarar g\u00f6recek. \u0130nsanlar\u0131n sa\u011fl\u0131\u011f\u0131yla oynan\u0131yor. \u015eiddet vakalar\u0131 daha artacak. Durum korkutucu\u2026 Ben bile kendimi hastalar\u0131n yerine koydu\u011fum zaman bu ko\u015fullarda yeti\u015fmi\u015f bir hekim arkada\u015f\u0131ma kendimi rahat\u00e7a emanet edebilir miyim, bilmiyorum.\u201d
\n\u0130kincisi ise \u201cBu kadar \u00e7ok hekim nas\u0131l istihdam edilecek?\u201d sorusu. TTB Merkez Dan\u0131\u015fma Kurulu \u00dcyesi H\u00fcseyin Demirdizen, \u201c\u0130\u015fsiz say\u0131s\u0131 artacak. \u00c7ok say\u0131da kay\u0131t d\u0131\u015f\u0131 \u00e7al\u0131\u015fan olacak. G\u00fcvencesiz \u00e7al\u0131\u015fanlar da olacak\u201d diyor.<\/p>\n

\n

KO\u00c7 \u00dcN\u0130VERS\u0130TES\u0130NDE HASTAYA DOKUNAMAYINCA\u2026
\n<\/strong><\/p>\n

\n

Hasta kontrol\u00fcnde ya\u015fanan sorunlar, alt yap\u0131s\u0131 olmayan t\u0131p fak\u00fcltelerine paralel olarak art\u0131yor. Nas\u0131l m\u0131? Yine \u00c7apa T\u0131p Fak\u00fcltesi \u00d6\u011frencisi Duygu Bilge\u2019den \u00f6\u011freniyoruz: \u201cKo\u00e7 \u00dcniversitesi, \u00fc\u00e7 d\u00f6rt y\u0131l \u00f6nce t\u0131p fak\u00fcltesi a\u00e7t\u0131. Ama orada \u00f6\u011frencileri hastaya dokundurtmuyorlar. Hasta para \u00f6d\u00fcyor \u00e7\u00fcnk\u00fc. E\u011fer \u00f6\u011frenci bir hata yaparsa burunlar\u0131ndan getireceklerini biliyorlar. Onun i\u00e7in Ko\u00e7 \u00dcniversitesi bizim genel cerrahi ana bilim dal\u0131yla g\u00f6r\u00fc\u015fm\u00fc\u015f. \u00d6\u011frencileri getirip bizim okulumuzdaki hastalar\u0131n \u00fczerinde pratik yapt\u0131rd\u0131lar. Tabii bizim hastalar gariban oldu\u011fundan dokundurtuyorlar mecburen. Hatta daha sonra getirdikleri \u00f6\u011frenci ba\u015f\u0131na para vermeyi de teklif etmi\u015fler. Ancak dekanl\u0131k bunu engelledi.\u201d
\nDuygu ayr\u0131ca, yine alt yap\u0131 yetersizli\u011fi nedeniyle Rize\u2019de t\u0131p okuyanlar\u0131n e\u011fitim i\u00e7in Giresun\u2019a, Ankara\u2019n\u0131n \u00e7evre illerinde bulunan \u00f6\u011frencilerin de Hacettepe\u2019ye gitti\u011fini s\u00f6yl\u00fcyor.<\/p>\n

\n

HASTALANIRSAK K\u0130ME G\u0130DECE\u011e\u0130Z?
\n<\/strong><\/p>\n

\u0130kinci adresimiz ise bu \u015fartlar alt\u0131nda e\u011fitim vermek zorunda kalan hocalardan Prof. Dr. Tun\u00e7alp Demir. Fak\u00fclte baz\u0131nda de\u011fi\u015fse de ciddi s\u0131k\u0131nt\u0131lar ya\u015fand\u0131\u011f\u0131n\u0131 s\u00f6yleyen Tun\u00e7alp Demir\u2019in dikkat \u00e7ekti\u011fi sorunlardan biri \u00f6zellikle cerrahi bran\u015flarda \u00f6\u011fretim \u00fcyesi say\u0131s\u0131n\u0131n azalmas\u0131. \u201cBir \u00f6\u011fretim \u00fcyesiyle, bir do\u00e7entle y\u00fcr\u00fcyen bir\u00e7ok b\u00f6l\u00fcm var. Hastalar\u0131 olmayan b\u00f6l\u00fcmler var\u201d diyor.
\nDemir\u2019in dikkat \u00e7ekti\u011fi di\u011fer nokta \u00f6\u011frenci say\u0131s\u0131n\u0131n artmas\u0131: \u201cElbette \u00f6\u011frencilerde su\u00e7 bulmuyoruz, onlar hekim olmak i\u00e7in tercih ediyorlar. Ama her sene \u00fcniversitelere ne kadar \u00f6\u011frenci alabileceklerini sorarlar. Cerrahpa\u015fa ve \u00c7apa\u2019da emirle, s\u00f6ylenen say\u0131n\u0131n s\u00fcrekli fazlas\u0131 dayat\u0131l\u0131yor.\u201d
\nDemir, ya\u015fanan s\u0131k\u0131nt\u0131lar\u0131n \u00e7\u00f6z\u00fcm\u00fcne ili\u015fkin ise \u015funlar\u0131 s\u00f6yl\u00fcyor: \u201cSa\u011fl\u0131k politikalar\u0131na ticari a\u00e7\u0131dan bak\u0131yorlar. Nitelik de\u011fil nicelik \u00f6n plana \u00e7\u0131k\u0131yor. Mesela tam g\u00fcnle \u00f6\u011fretim \u00fcyeleri ayr\u0131laca\u011f\u0131 zaman \u2018Bunlar\u0131n yerine uzman yollayaca\u011f\u0131z\u2019 demi\u015flerdi. Ya da kontenjanlar\u0131n art\u0131r\u0131lmas\u0131, ne kadar \u00e7ok \u00f6\u011frenci o kadar \u00e7ok ucuz i\u015f g\u00fcc\u00fc demek. \u00d6ncelikle bu bak\u0131\u015f a\u00e7\u0131s\u0131ndan kurtulmalar\u0131 laz\u0131m. T\u0131p fak\u00fclteleri, \u00f6\u011frenci yeti\u015ftirme ko\u015fullar\u0131na g\u00f6re \u00f6\u011frenci almal\u0131. Kapasitesi olmayan fak\u00fcltelerin kapat\u0131lmas\u0131 gerekiyor. Ba\u015fka t\u00fcrl\u00fc bir \u015fans\u0131 yok\u2026\u201d
\nTun\u00e7alp Hoca, s\u00f6zlerini Duygu\u2019nun da dile getirdi\u011fi kayg\u0131yla tamaml\u0131yor: \u201c\u0130\u015fin i\u00e7inde oldu\u011fumuz i\u00e7in g\u00f6r\u00fcyoruz, biliyoruz. Mesela hekim arkada\u015flar\u0131m\u0131zla konu\u015ftu\u011fumuzda \u2018\u0130leride biz hastalan\u0131rsak kime gidece\u011fiz bilmiyoruz\u2019 diyoruz.\u201d<\/p>\n

\n

ANA B\u0130L\u0130M DALLARINDA HOCA YOK
\n<\/strong><\/p>\n

Prof. Dr. Tun\u00e7alp Demir\u2019in \u201cBir \u00f6\u011fretim \u00fcyesiyle, bir do\u00e7entle y\u00fcr\u00fcyen bir\u00e7ok b\u00f6l\u00fcm var\u201d s\u00f6zleri laf\u0131n geli\u015fi de\u011fil. Bal\u0131kesir \u00dcniversitesi T\u0131p Fak\u00fcltesindeki tablo durumun vahametini g\u00f6zler \u00f6n\u00fcne seriyor. Bal\u0131kesir Tabip Odas\u0131n\u0131n 2013\u2019\u00fcn ekim ay\u0131nda payla\u015ft\u0131\u011f\u0131 rapora g\u00f6re baz\u0131 ana bilim dallar\u0131nda \u00f6\u011fretim \u00fcyesi yok. Raporda ya\u015fanan s\u0131k\u0131nt\u0131lar \u015fu \u015fekilde s\u0131ralan\u0131yor: \u201c\u00d6\u011frencilerin, teorik ders, laboratuvar, k\u00fct\u00fcphane ihtiyac\u0131 \u00e7ok acil durumdad\u0131r. 70 ki\u015filik s\u0131n\u0131fta 76 tane 2. s\u0131n\u0131f \u00f6\u011frencisi ders g\u00f6r\u00fcyor. 5. s\u0131n\u0131f \u00f6\u011frencilerinin pediatri (\u00e7ocuk) staj\u0131n\u0131 alaca\u011f\u0131 yer bulunmuyor. 2009 y\u0131l\u0131nda e\u011fitime ba\u015flayan t\u0131p fak\u00fcltesinde, pediatriye h\u00e2l\u00e2 \u00f6\u011fretim \u00fcyesi al\u0131nmad\u0131. 5. s\u0131n\u0131fta ba\u015flayan dermatolojisi, \u00e7ocuk cerrahisi, g\u00f6\u011f\u00fcs cerrahisi stajlar\u0131n\u0131n \u00f6\u011fretim \u00fcyesi olmadan nas\u0131l yap\u0131laca\u011f\u0131 bilinmiyor.\u201d<\/p>\n

\n

TIP OKUMAYAN \u00d6\u011eRET\u0130M G\u00d6REVL\u0130LER\u0130!
\n<\/strong><\/p>\n

Raporu yay\u0131nlad\u0131klar\u0131 ekim ay\u0131ndan bu yana herhangi bir geli\u015fme ya\u015fan\u0131p ya\u015fanmad\u0131\u011f\u0131n\u0131 sordu\u011fumuz Bal\u0131kesir Tabip Odas\u0131 Genel Sekreteri Yrd. Do\u00e7. Dr. Muhammet Can, bir iki ana bilim dal\u0131na \u00f6\u011fretim g\u00f6revlisi al\u0131nmas\u0131 d\u0131\u015f\u0131nda, raporun g\u00fcncelli\u011fini korudu\u011fu bilgisini veriyor.<\/p>\n

Ancak bu arada Bal\u0131kesir \u00dcniversitesi T\u0131p Fak\u00fcltesinde t\u0131p fak\u00fcltesi mezunu olmayan, uzmanl\u0131k ya da do\u00e7entlik yapmayan ki\u015filerin \u00f6\u011fretim \u00fcyesi olarak al\u0131nd\u0131\u011f\u0131n\u0131 s\u00f6yl\u00fcyor. Can, \u201cT\u0131p fak\u00fcltesiyle hi\u00e7 ilgisi yok ama y\u00f6netimler de dahil her yerde bunlar g\u00f6rev al\u0131yor. Hukuka uygun bir atama de\u011fil. Bununla ilgili a\u00e7\u0131lm\u0131\u015f davalar var\u201d diyor. Muhammet Can da \u00f6\u011frencilerin b\u00f6yle bir e\u011fitimle mezun olmas\u0131n\u0131 \u201ckayg\u0131 verici\u201d buluyor.<\/p>\n

<\/div>\n","protected":false},"excerpt":{"rendered":"

H\u00fck\u00fcmetin, \u201c2020\u2019de 200 bin hekim\u201d hedefi do\u011frultusunda t\u0131p fak\u00fcltelerini ve kontenjan say\u0131lar\u0131n\u0131 art\u0131rmas\u0131 t\u0131p e\u011fitiminde adeta kriz yaratt\u0131. \u00d6\u011frenciler amfilere s\u0131\u011fm\u0131yor. Altyap\u0131s\u0131 eksik olan t\u0131p fak\u00fcltelerinde pratik e\u011fitim verilemiyor. K\u0131s\u0131tl\u0131 da olsa pratik yap\u0131labilen t\u0131p fak\u00fcltelerindeki dersler ise \u00f6\u011frenci i\u00e7in de hoca i\u00e7in de hasta i\u00e7in de eziyete d\u00f6n\u00fc\u015f\u00fcyor. Sorunun acilen d\u00fczeltilmesini isteyen \u00f6\u011fretim g\u00f6revlileri […]<\/p>\n","protected":false},"author":3,"featured_media":944,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-943","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/943","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=943"}],"version-history":[{"count":0,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/posts\/943\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=\/wp\/v2\/media\/944"}],"wp:attachment":[{"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=943"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=943"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.es-ses.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=943"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}