The interim report for the implementation of the outline for shortening shifts was submitted today (Wednesday) to Health Minister Nitzan Horowitz. , Which will begin with the outline in a gradual manner.
Highlights of the report’s recommendations:
1. The shortening of the working day in the ten hospitals in the periphery will begin gradually, starting in April 2022. In the internal medicine, emergency medicine and geriatrics departments (including shifts of internal medicine specialists in the intensive care units) – until the end of July 2022. , Nephrology, Hematology – until the end of December 2022. In the pediatric wards – until the end of March 2023.
As a rule, the daily working hours for the doctor performing shifts in the inpatient wards will be shortened to a format of 16 working hours + 2 hours for the purpose of transferring shifts. In this format, the doctor on duty will start his work at 16:00 and finish at 8:00 the next day, or at 10:00 after the shift transfer.
3. This outline will also apply to interns.
Doctors will be given the option to choose whether to shorten shifts also on Fridays and Saturdays or alternatively stay in the current work format.
5. Change in the method of work in emergency medicine departments (emergency rooms) in hospitals throughout the country, on the basis of a shift to shift work, based on specialists and specialists in emergency medicine. This move will be implemented gradually from November 2022 over 4-3 years, and will begin in five hospitals in the center of the country this year.
Establishment of a directorate to accompany and supervise the implementation of the outline of shortening the working day for physicians, who will accompany the hospital managements in the implementation of the outline, and will receive powers to make point changes and adjustments to the outline as needed.
7. Promoting and rapidly assimilating the profession of assistant physician through the completion of legislation (by August 2022) and the opening of an academic study track for a master’s degree in the profession (as of March 2023). According to the plan, from the beginning of 2026, the first graduates of this study program will be able to enter the health system.
the minister of Health Horowitz: “No employee should work 26 hours in a row. The fact that to date the issue of interns’ working hours has been completely ignored is a disgrace. It is over. We have committed to correct this injustice, and I do not intend to give up until we achieve the goal – in full. To the Ministry of Health, Dr. Sefi Mendelovich, and to all members of the implementation team who have been working in recent months on the interim report for shortening shifts. You did a thorough, responsible and professional job. ”
He added: “During the period of the Corona epidemic, in difficult conditions and with unbearable load, doctors and all health professionals hold an entire country on their shoulders. The health system saved the Israeli economy from collapse, prevented closures and shutdowns, and allowed the economy to remain open. “The economy is thriving and growing, and the country has de facto saved many billions. This is exactly the time to fulfill the government’s commitments, and embark on the historic move to shorten interns’ shifts. This is the least we can do for medical staff and the general public.”
Director General of the Ministry of Health, Prof. Nachman Ash: “This is an important outline and I thank the Deputy CEO, Dr. Sefi Mendelowitz, for leading this complex process – wisely, professionally and with great dedication. We will not spare efforts to advance the move. ”
The Deputy Director General of the Ministry of Health, Dr. Sefi Mendelovich: “The purpose of this report and its professional recommendations is to outline a roadmap for the responsible and professional implementation of this important move, without ignoring the complex challenges of the health system in Israel – present and future. The report builds the infrastructure for improving the working conditions of many doctors in Israel, and includes practical recommendations for improving the quality of the public medical system, even beyond the issue of shortening shift times. The implementation requires and will require systemic changes based on changing culture, norms and values and can be carried out properly and correctly if all the players in the system join hands for this purpose, while creating an infrastructure of trust. ”
The budget division of the Ministry of Finance attached to the report the division’s position, according to which “the budget division supports the shortening of the interns’ continuous working hours,” but according to him, the proposed outline is not feasible.
According to the budget department, there is a shortage of doctors for a variety of reasons (departure for travel, a stable reform that disqualified recognition of medical studies in the former Soviet Union, etc.). Announced that he had transferred NIS 66 million to the Ministry of Health in favor of shortening shifts.
Director General of the Ministry of Finance, Ram Blinkov” This is an important summary that will yield a significant improvement in the connection between the hospitals and the community, a connection that we have seen much importance in dealing with the corona plague. This step is a valuable solution and we will see its effects in the coming years.”