{"id":150786,"date":"2024-03-27T00:08:12","date_gmt":"2024-03-26T21:08:12","guid":{"rendered":"https:\/\/epochtimestr.com\/?p=150786"},"modified":"2024-03-27T00:08:13","modified_gmt":"2024-03-26T21:08:13","slug":"istanbul-tabip-odasi-tikanan-saglik-hizmetine-acilan-yan-yol-yan-dal-uzmanligi","status":"publish","type":"post","link":"https:\/\/epochtimestr.com\/index.php\/istanbul-tabip-odasi-tikanan-saglik-hizmetine-acilan-yan-yol-yan-dal-uzmanligi","title":{"rendered":"\u0130stanbul Tabip Odas\u0131, T\u0131kanan Sa\u011fl\u0131k Hizmetine A\u00e7\u0131lan Yan Yol; Yan Dal Uzmanl\u0131\u011f\u0131"},"content":{"rendered":"
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\u0130stanbul Tabip Odas\u0131, yan dal uzman\u0131 hekimlerin \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda ana bran\u015flar\u0131nda \u00e7al\u0131\u015famad\u0131\u011f\u0131na dikkat \u00e7ekerek yan dal uzman\u0131 hekimlerin ma\u011fduriyetlerinin giderilmesi \u00e7a\u011fr\u0131s\u0131 yapt\u0131.<\/h2>\n\n\n\n

\u0130stanbul Tabip Odas\u0131, yan dal uzman\u0131 hekimlerin \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda ana bran\u015flar\u0131nda \u00e7al\u0131\u015famad\u0131\u011f\u0131na dikkat \u00e7ekerek Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131na \u201cYan dal uzman\u0131 hekimlerin ma\u011fduriyetini giderin\u201d \u00e7a\u011fr\u0131s\u0131n\u0131 yapt\u0131.\u0130stanbul Tabip Odas\u0131 (\u0130TO) olarak 26 Mart Sal\u0131 g\u00fcn\u00fc, \u0130TO Ca\u011falo\u011flu binas\u0131nda d\u00fczenledikleri bas\u0131n toplant\u0131s\u0131yla yan dal uzman\u0131 hekimlerin \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda ana bran\u015flar\u0131nda \u00e7al\u0131\u015famamas\u0131 sorununa dikkat \u00e7ekti.
Toplant\u0131n\u0131n a\u00e7\u0131l\u0131\u015f konu\u015fmas\u0131n\u0131 yapan \u0130TO Ba\u015fkan\u0131 Dr. Nergis Erdo\u011fan, T\u00fcrkiye\u2019de ge\u00e7ti\u011fimiz 20 y\u0131lda ya\u015fananlar\u0131n hekimlerin \u00f6zl\u00fck haklar\u0131nda, \u00e7al\u0131\u015fma ko\u015fullar\u0131nda oldu\u011fu kadar t\u0131p e\u011fitiminin niteli\u011finde de \u00f6nemli bozulmalara yol a\u00e7t\u0131\u011f\u0131n\u0131 s\u00f6yledi. Dr. Erdo\u011fan, \u201cT\u0131p e\u011fitiminden ba\u015flayarak uzmanl\u0131k e\u011fitimine, yan dallara kadar \u00e7ok fazla sorunla kar\u015f\u0131 kar\u015f\u0131yay\u0131z. Liyakatsizlikle, planlamadaki eksikliklerle \u00e7ok ciddi sorunlar ya\u015f\u0131yoruz\u201d diyerek s\u00f6z\u00fc \u0130TO Y\u00f6netim Kurulu \u00dcyesi Dr. Ceger\u011fun Polat\u2019a b\u0131rakt\u0131.<\/p>\n\n\n\n

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Dr. Ceger\u011fun Polat, yan dal uzmanlar\u0131n\u0131n \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda ana dalda \u00e7al\u0131\u015fma haklar\u0131 ile ilgili \u0130TO\u2019nun 1712 hekimle yapt\u0131\u011f\u0131 anketin sonu\u00e7lar\u0131n\u0131 kamuoyu ile payla\u015ft\u0131. Dr. Polat, yan dal uzmanlar\u0131n\u0131n ankete kat\u0131l\u0131m oran\u0131n\u0131n y\u00fczde 70 oldu\u011fu bilgisini verdi. Ankete kat\u0131lanlar\u0131n ayr\u0131ca y\u00fczde 67 ile a\u011f\u0131rl\u0131kl\u0131 kamu sa\u011fl\u0131k kurum ve kurulu\u015flar\u0131nda g\u00f6rev yapan hekimler oldu\u011funu belirtti.
Toplant\u0131da konu\u015fan T\u00fcrk Pediatri Kurumu- \u00c7ocuk Romatoloji Derne\u011fi\u2019nden Prof. Dr. \u00d6zg\u00fcr Kasap\u00e7opur, bir\u00e7ok bilimsel ara\u015ft\u0131rman\u0131n yan dal uzmanl\u0131klar\u0131yla birlikte m\u00fcmk\u00fcn oldu\u011funu ifade ederek \u201cbilime katk\u0131y\u0131 art\u0131racak bilimsel veriler yan dallarda yap\u0131lan bilimsel \u00e7al\u0131\u015fmalarla m\u00fcmk\u00fcn oluyor. Yan dallara girmenin \u00f6zendirilmesi gerekiyor\u201d dedi. \u00d6zellikle i\u00e7 hastal\u0131klar\u0131, \u00e7ocuk sa\u011fl\u0131\u011f\u0131 hastal\u0131klar\u0131, genel cerrahi ve kad\u0131n do\u011fumda yan dal kadrosunun bo\u015f kald\u0131\u011f\u0131n\u0131 s\u00f6yleyen Prof. Dr. \u00d6zg\u00fcr Kasap\u00e7opur, yan dallar\u0131n \u00f6zendirilerek art\u0131r\u0131lmas\u0131 gerekti\u011finin alt\u0131n\u0131 \u00e7izdi.<\/p>\n\n\n

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Bas\u0131n a\u00e7\u0131klamas\u0131n\u0131 \u0130TO Y\u00f6netim Kurulu \u00dcyesi Dr. Esin Tuncay okudu. A\u00e7\u0131klama \u015f\u00f6yle:
\u00dclkemizde 128 t\u0131p fak\u00fcltesine 21.950 kontenjanla al\u0131nan T\u0131p \u00f6\u011frencileri i\u00e7in e\u011fitim olanaklar\u0131 tart\u0131\u015fmas\u0131 s\u00fcrerken tedavi edici hizmetlerin \u00f6ncelendi\u011fi Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131 (SDP) ile \u201cmikro uzmanla\u015fma\u201d denilebilecek ad\u0131mlar kontrols\u00fczce at\u0131lmaya devam ediliyor. Mesleki yeterlilik tart\u0131\u015fmalar\u0131 alt\u0131nda hekimlik mesle\u011finin \u00f6ncelikleri toplumun sa\u011fl\u0131k ihtiya\u00e7lar\u0131 olmaktan \u00e7\u0131kar\u0131l\u0131yor. K\u0131\u015fk\u0131rt\u0131lm\u0131\u015f sa\u011fl\u0131k talepleri ve olu\u015fturulan \u201csa\u011fl\u0131k piyasas\u0131\u201d ile kamu-\u00f6zel ortakl\u0131\u011f\u0131 olan \u015fehir hastaneleri ve b\u00fcy\u00fck \u00f6zel sa\u011fl\u0131k sermayesinin dan\u0131\u015f\u0131kl\u0131 d\u00f6v\u00fc\u015f\u00fcnde hekimler yok say\u0131l\u0131yor. Mesleki ideallerini ger\u00e7ekle\u015ftirmeye ve nitelikli \u00e7al\u0131\u015fma ko\u015fullar\u0131 sa\u011flamaya \u00e7al\u0131\u015fan hekimlerin tercihleri SDP\u2019n\u0131n di\u015flileri aras\u0131nda eziliyor. Serbest \u00e7al\u0131\u015fma hakk\u0131 bir kez daha gasp ediliyor.<\/p>\n\n\n\n

\u00d6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda yan dal uzmanlar\u0131 ile ana dal uzmanlar\u0131 aras\u0131nda \u00e7al\u0131\u015fma \u015fartlar\u0131\/izinleri konusunda Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ilk kez 11.02.2012 tarihinde \u00d6zel Hastaneler Y\u00f6netmeli\u011fi\u2019nin 19. maddesinde de\u011fi\u015fiklik yaparak, \u201cYan dal uzmanl\u0131\u011f\u0131 bulunanlar ise, ancak kurulu\u015fun o yan dal uzmanl\u0131\u011f\u0131nda kadrosu bulunmas\u0131 halinde ba\u015flat\u0131labilir\u201d c\u00fcmlesini ekledi. Benzer de\u011fi\u015fiklik Ayakta Te\u015fhis ve Tedavi Yap\u0131lan \u00d6zel Sa\u011fl\u0131k Kurulu\u015flar\u0131 Hakk\u0131nda Y\u00f6netmelik\u2019te de yap\u0131ld\u0131. B\u00f6ylece yan dal uzmanlar\u0131n\u0131n kendi ana dallar\u0131nda \u00e7al\u0131\u015fma haklar\u0131 yok say\u0131lm\u0131\u015f oldu. Yan dal uzmanlar\u0131 \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda sadece yan dal kadrosu varsa \u00e7al\u0131\u015fabilecek duruma getirildi; ana dallar\u0131nda \u00e7al\u0131\u015fma haklar\u0131 ortadan kald\u0131r\u0131ld\u0131.<\/p>\n\n\n\n

T\u00fcrk Tabipleri Birli\u011fi taraf\u0131ndan yarg\u0131ya ta\u015f\u0131nan konu i\u00e7in Dan\u0131\u015ftay 10. Dairesi, 13.12.2012 ve 21.12.2012 tarihinde verdi\u011fi kararlarla ilgili maddelerin \u00f6nce y\u00fcr\u00fctmesini durdurdu ve sonras\u0131nda iptal edildi. Gerek\u00e7e olarak; \u201c\u2026uzmanl\u0131k e\u011fitimini tamamlayarak uzmanl\u0131k belgesi alm\u0131\u015f bir tabibi, o uzmanl\u0131k dal\u0131 i\u00e7erisinde ayr\u0131ca yan dal\u0131n\u0131n da bulunmas\u0131 nedeniyle, sahip oldu\u011fu uzmanl\u0131k dal\u0131nda \u00e7al\u0131\u015fma hakk\u0131n\u0131 ortadan kald\u0131ran dava konusu d\u00fczenleme, yasayla tan\u0131nm\u0131\u015f olan uzmanl\u0131k dal\u0131nda \u00e7al\u0131\u015fma \u00f6zg\u00fcrl\u00fc\u011f\u00fcn\u00fc ortadan kald\u0131rmas\u0131 nedeniyle hukuka ayk\u0131r\u0131 bulunmaktad\u0131r\u201d denildi.<\/p>\n\n\n

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Ne var ki Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, yarg\u0131 kararlar\u0131na ra\u011fmen her iki Y\u00f6netmelik\u2019te yeniden de\u011fi\u015fiklikler yapm\u0131\u015ft\u0131r. Bu kez \u00e7al\u0131\u015fma hakk\u0131n\u0131 t\u00fcm\u00fcyle yasaklam\u0131\u015f g\u00f6r\u00fcnmeyen, bunun yerine \u00e7al\u0131\u015fma hakk\u0131n\u0131 \u00f6zel \u201cizin\u201d ko\u015fuluna ba\u011flayan ve k\u0131s\u0131tlayan ifadeler kullan\u0131lm\u0131\u015ft\u0131r. Bu de\u011fi\u015fikliklere kar\u015f\u0131 yine a\u00e7\u0131lan davalarda Dan\u0131\u015ftay taraf\u0131ndan iptal kararlar\u0131 verilmemi\u015ftir. Bu k\u0131s\u0131tlamalar halen y\u00fcr\u00fcrl\u00fckteler ve g\u00fcncel halleri ise \u015f\u00f6yledir:<\/p>\n\n\n\n

\u0130\u015ften ayr\u0131lan uzman hekim yerine ayn\u0131 uzmanl\u0131k dal\u0131nda hekim ba\u015flat\u0131labilir, ancak yan dal uzmanl\u0131\u011f\u0131 bulunanlar Bakanl\u0131k\u00e7a planlama amac\u0131yla olu\u015fturulan komisyonlardan g\u00f6r\u00fc\u015f al\u0131narak ana dalda ba\u015flat\u0131labilir.
Ya\u015f haddinden emekli olan hekimler ile bu f\u0131kran\u0131n y\u00fcr\u00fcrl\u00fc\u011fe girdi\u011fi tarihten \u00f6nce emekli olanlardan yan dal uzmanl\u0131\u011f\u0131 bulunan uzman hekimlerin \u00e7al\u0131\u015fmak istedikleri \u00f6zel hastanenin yan dal kadrosu bulunmamas\u0131 veya mevcut yan dal kadrolar\u0131n\u0131n dolu olmas\u0131 halinde ana dalda \u00e7al\u0131\u015fmalar\u0131na izin verilir.
G\u00f6r\u00fcld\u00fc\u011f\u00fc gibi yan dal uzmanl\u0131\u011f\u0131 bulunan hekimlerin \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda ana dallar\u0131nda \u00e7al\u0131\u015fabilmeleri i\u00e7in Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n \u00f6zel olarak izin vermesi gerekmektedir. Bunun istisnas\u0131n\u0131 ise 31.05.2019 tarihinden \u00f6nce emekli olmu\u015f hekimler ile ya\u015f haddinden (65 ya\u015f) emekli olan hekimler olu\u015fturmaktad\u0131r.<\/p>\n\n\n\n

Her ne kadar Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 kimi durumlarda \u201cizin\u201d verebilirmi\u015f gibi bir d\u00fczenleme yapm\u0131\u015f olsa da \u201cKomisyon\u2019un 2016 y\u0131l\u0131nda ald\u0131\u011f\u0131 ilke karar\u0131 gere\u011fi\u201d diyerek yan dal uzmanlar\u0131n\u0131n kendi ana dallar\u0131nda \u00e7al\u0131\u015fma taleplerini t\u00fcm\u00fcyle reddetmektedir. \u00d6zel sa\u011fl\u0131k kurulu\u015flar\u0131n\u0131n ruhsatlar\u0131nda yan dal kadrolar\u0131 s\u0131n\u0131rl\u0131 say\u0131da bulundu\u011fundan, yeni kadro da verilmedi\u011finden pek \u00e7ok yan dal uzman\u0131 \u00e7al\u0131\u015fabilecekleri kadro bulamamakta, ana dalda \u00e7al\u0131\u015fma ba\u015fvurular\u0131 da reddedildi\u011fi i\u00e7in \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda \u00e7al\u0131\u015famamaktad\u0131r. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 bu k\u0131s\u0131tlaman\u0131n amac\u0131n\u0131, \u2018kamu sa\u011fl\u0131k kurulu\u015flar\u0131nda \u00e7al\u0131\u015fan yan dal uzmanlar\u0131n\u0131n \u00f6zel sekt\u00f6re ge\u00e7i\u015flerinin engellenmesi\u2019 olarak ifade etse de getirilen k\u0131s\u0131tlamalar hekimler a\u00e7\u0131s\u0131nda \u00f6l\u00e7\u00fcs\u00fcz ve e\u015fitsiz sonu\u00e7lar yaratmaktad\u0131r.
Ana dal uzmanlar\u0131 gerek kamu kurumlar\u0131nda gerek \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda gerekse serbest meslek icra ederken b\u00f6yle bir k\u0131s\u0131tlama ile kar\u015f\u0131la\u015fmazken sadece yan dal uzman\u0131 hekimlerin \u00e7al\u0131\u015fmalar\u0131 k\u0131s\u0131tlanmaktad\u0131r. Ana dal uzmanl\u0131k belgesinin verdi\u011fi ve kazan\u0131lm\u0131\u015f hak olan meslek icra etme yetkisi kullan\u0131lamaz hale getirilmektedir.
Oysa 1219 Say\u0131l\u0131 Kanun\u2019da tan\u0131mlanan \u00e7al\u0131\u015fma hakk\u0131n\u0131n, y\u00f6netmeliklerle ortadan kald\u0131r\u0131lmas\u0131 m\u00fcmk\u00fcn olmamas\u0131na ra\u011fmen s\u00f6z konusu y\u00f6netmelik maddeleri ile \u00e7al\u0131\u015fma hakk\u0131 i\u015flevsiz k\u0131l\u0131nmaktad\u0131r.
\u00dcstelik \u201ckadro d\u0131\u015f\u0131\u201d \u00e7al\u0131\u015fma s\u0131n\u0131r\u0131\/muafiyeti di\u011fer hekimler y\u00f6n\u00fcnden 60 ya\u015f olarak belirlenmi\u015fken, sadece yan dal uzmanlar\u0131 i\u00e7in 65 ya\u015f olarak uygulanmaktad\u0131r.
\u00d6zet olarak yan dal uzman\u0131 hekimler i\u00e7in \u00f6l\u00e7\u00fcs\u00fcz ve e\u015fitsiz bir hak k\u0131s\u0131tlamas\u0131 s\u00f6z konusudur. Bu konudaki hi\u00e7bir d\u00fczenleme bu alan\u0131n bile\u015fenleri (TTB; uzmanl\u0131k dernekleri) ile ele al\u0131nmad\u0131\u011f\u0131 i\u00e7in sorun kal\u0131c\u0131 bir \u00e7\u00f6z\u00fcme kavu\u015fmamakta, yan dal uzman\u0131 hekimlerin ma\u011fduriyeti gideril(e)memektedir.<\/p>\n\n\n\n

Tuncay, hekimlerin taleplerini s\u0131ralad\u0131:
T\u0131p fak\u00fcltesi e\u011fitimi gibi Yan dal uzmanl\u0131k e\u011fitimi de pop\u00fclist politikalar\u0131n ku\u015fatmas\u0131 alt\u0131ndan \u00e7\u0131kar\u0131lmal\u0131d\u0131r.
Yan dal uzmanlar\u0131n\u0131n \u00e7al\u0131\u015fma ko\u015fullar\u0131 i\u00e7in yarat\u0131lan \u201ckeyfiyet\u201d, \u201cserbest \u00e7al\u0131\u015fma hakk\u0131 k\u0131s\u0131tlamas\u0131\u201d kald\u0131r\u0131lmal\u0131d\u0131r.
Yan dal uzmanlar\u0131n\u0131 mesleki y\u0131lg\u0131nl\u0131\u011fa s\u00fcr\u00fckleyen \u201czorunlu hizmetin zorunlu hizmeti\u201d bir an \u00f6nce kald\u0131r\u0131lmal\u0131, hekimler ya\u015fam ko\u015fullar\u0131n\u0131 g\u00f6rmezden gelen zorunluluklara maruz b\u0131rak\u0131lmamal\u0131d\u0131r.<\/p>\n\n\n\n

https:\/\/x.com\/istabip\/status\/1772600726478323799?s=20<\/a><\/p>\n\n\n\n

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

\u0130stanbul Tabip Odas\u0131, yan dal uzman\u0131 hekimlerin \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda ana bran\u015flar\u0131nda \u00e7al\u0131\u015famad\u0131\u011f\u0131na dikkat \u00e7ekerek yan dal uzman\u0131 hekimlerin ma\u011fduriyetlerinin giderilmesi \u00e7a\u011fr\u0131s\u0131 yapt\u0131. \u0130stanbul Tabip Odas\u0131, yan dal uzman\u0131 hekimlerin \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131nda ana bran\u015flar\u0131nda \u00e7al\u0131\u015famad\u0131\u011f\u0131na dikkat \u00e7ekerek Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131na \u201cYan dal uzman\u0131 hekimlerin ma\u011fduriyetini giderin\u201d \u00e7a\u011fr\u0131s\u0131n\u0131 yapt\u0131.\u0130stanbul Tabip Odas\u0131 (\u0130TO) olarak 26 Mart Sal\u0131 […]<\/p>\n","protected":false},"author":12791,"featured_media":150787,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_focuskw":"\u0130TB Yan yol uzmanl\u0131\u011f\u0131","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":"","_yoast_wpseo_focuskw_text_input":""},"categories":[1,8226,37],"tags":[],"yoast_head":"\n\u0130stanbul Tabip Odas\u0131, T\u0131kanan Sa\u011fl\u0131k Hizmetine A\u00e7\u0131lan Yan Yol; 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