The Polish government, due to the lack of its specialists, intends to simplify the employment of doctors from outside the European Union and has prepared for this change in the legislation.
How Ukrainian doctors will be able to find employment in Poland and what conditions they should expect, "Country" was sorted out.
A third of foreign doctors in Poland are Ukrainians
According to Dziennik Gazeta Prawna, the project of the Ministry of Health of Poland assumes that foreign doctors will only need to pass the exam, without long bureaucratic delays in the form of nostrification of the diploma (procedures for recognition of foreign documents on education).
"Such a doctor would have the right to perform certain work in a certain hospital. For example, if there is a need for surgeons in Ryashev, the hospital could employ a worker from Ukraine even without the need to reconcile differences in education. Already while working in Poland, the doctor would apply for a full professional activity," explains Gazeta prawna.
For now, the Ukrainian doctor must first of all buttritrinate his diploma, supplement the differences in education and pass an exam in Polish (medical terminology) to start working in the specialty.
"Because of the complexity of this procedure, doctors are reluctant to do so," says Professor Lech Chichewski of the Belarusian Medical University.
According to the latest data of the Higher Chamber of Medicine, 1,137 foreigners work in the state clinics of Poland, a third of them – from Ukraine (314 doctors). But the real figures are even more significant, because many are arranged in private hospitals for more favorable conditions, on which there are no statistics.
Meanwhile, more than 8,000 doctors left Poland after joining the EU – on even higher salaries in Western Europe.
That is why there are so many doctors in Poland. In the European Union, there are on average four doctors per thousand inhabitants, while in Poland the figure is only 2.3. In total, there are about 90,000 doctors working in Poland. Thus, to bring the figure to the Average European, Poland needs to increase the number of doctors by more than 64,000 people – to 154,000.
"The government expects that simplifying working conditions for foreigners will correct the personnel hole in the medical industry. For Ukraine, this can lead to an outflow of doctors," Gazeta writes.
"With the reform of Suprun, all intelligent doctors will escape"
However, the outflow is already in full swing.
According to the Ukrainian Ministry of Health, over the past few years 50,000 doctors have left Ukraine.
"Soon in Ukraine will remain just people in white coats in the literal sense of the word – doctors without knowledge and with bought diplomas, and the best will go abroad – says "Country" doctor from Lviv Irina. – With such a reform Suprun, which has ruined all medicine, and poor salaries all intelligent doctors will escape, there will be no one to treat Ukrainians. My colleague-therapist with 15 years of experience learned Polish, five years ago, just after Maidan, went to Warsaw, confirmed the diploma and receives about 8,000 zlotys (about 50,000 hryvnia), which is 3 times more than she earned in Ukraine. The hospital is clean, modern, not ours. She says he's sorry she hasn't left before. Her daughter is studying to be a doctor in Lviv, so she too will take her to her after graduation. All she is good, but not without nuances when hiring she was advised not to engage with patients in discussions about politics (and some at the reception love to talk for life), just in case asked not to talk about Bandera."
Vitaly Ivasenko, a therapist from Kiev who went to work in Warsaw, says that in Poland Ukrainian doctors are paid more than, for example, in the Czech Republic, which is also popular for medical emigration.
According to him, the novice young specialist without experience receives about 3.5-5 thousand zlotys (22-32 thousand hryvnias), and the specialist doctor – about 20,000 zlotys (130,000 hryvnia). Family doctors with experience earn more than 10,000 zlotys per month (about 70,000 hryvnias). Some of the biggest salaries – surgeons and anesthesiologists, they receive 23-35 thousand zlotys (150-225 thousand hryvnia).
"With experience and professional development, income only grows. The former vice-minister of health of Poland admitted that he received 7,000 zlotys and went from false, because with his experience he, as a therapist, will earn at least three times more," Iwasenko said.
Most of all, he says, are paid for by specialist doctors.
"1 thousand zlotys (6.5 thousand. "For a shift – not the limit," – writes in his blog Ukrainian.
For night duty – a bonus of 22 thousand hryvnia
According to Ivasenko, the work is easier to find in the province than in major cities.
"In the summer of 2015 I went to Warsaw and then "fired up". There was a desire to move here to live. He began to learn the language, entered a medical school in Warsaw (type of our PTU) to have a specialty and adapt in the environment – he shares his history. – It soon allowed me to overcome the language barrier and start confirming my diploma, which I did successfully. I personally communicated with potential employers, traveled around the country. Right outside the major cities, there is clearly not enough personnel, so it is not difficult to agree on an interview. I have a good specialty: therapists are needed everywhere. But not only that. A narrow specialist does not need to look for a job, clinics for them "fight." Many may be deterred by the complexity of all the steps in the process of obtaining the right to practice medicine in Poland. Indeed, there is something to break your head over. But the result is worth it. Doctors are the elite of Polish society. Along with lawyers, judges, system analysts."
By the way, nurses, according to him, need even more doctors in Poland than doctors. In Warsaw, there is a job for a nurse without experience. They receive about 3-3,500 zlotys (20-23 thousand hryvnias), it is three or four times more than in the regions of Ukraine (about 5-7 thousand hryvnias). Paramedics – 4-5 thousand zlotys (25-30 thousand hryvnias).
In general, the salary is affected by the number of night shifts, seniority and the category of doctor, place of work (public or private clinic), the region of work.
Local doctors do not like to work at night, so night duty is paid separately, as a bonus to the rate of 500 to 3,000-plus zlotys (3-22 thousand hryvnia) for one duty.
The salary allowance also goes for seniority: 10% – with 10 years of work experience, 20% – for 20 years.
At the same time, the costs in Poland – much less than, for example, in Germany, where doctors seek to go, because the salaries of doctors there are among the highest in Europe.
"To remove the "single, communal and Internet – it takes about 2.5 thousand zlotys (16 thousand hryvnia). For food, if you cook yourself, will go 700 zlotys (5 thousand hryvnia), many products in Poland are cheaper than in Ukraine. With a salary of at least 8,000 zlotys (50,000 hryvnias) there are about 20,000 hryvnias," another doctor, Igor Nakonnykh, who left for Poland, tells us.
For employment in Poland – 3 years and 10,000 euros
However, there are pitfalls.
"To work as a doctor in Poland, you need not only to learn The Polish language (to pass the exam), to nostrify the documents, but also to pass an internship and pass the State Medical Examination. It all takes 2-3 years and spending more than 10 thousand. euro," says Vladimir Leus, a doctor from Ivano-Frankowska.
To simplify employment, Polish officials propose to amend the regulation on nostrification of diplomas. However, experts have doubts that it will be possible to do so.
"Mutual recognition of medical qualifications in Ukraine cannot be accepted by the European Union, as it will mean recognition of it in all EU member states. The medical board is also in favour of preserving nostrification, believing that its abolition could have a negative impact on patients. There is a risk that foreign doctors without qualifications will be recruited to hospitals," Marek Jarsenbowski, a health official from Gliwice, an hour's drive from Krakow, tells us.
At the same time, the official believes that simplification of the confirmation of qualifications could help Poland, as local doctors are increasingly traveling to Germany and the United States.