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AMS warns of disruption to healthcare sector due to new retirement rules – The Island

The Association of Medical Professionals (AMS) has confirmed that nearly 300 members will have to retire from government services by December 31, 2022, and their retirement will have a negative impact on the health sector. In a letter to Health Minister Keheriya Rambukwela, National Hospital Sri Lanka lost her 43 consultants, National Hospital Kandy lost 30, Teaching Hospital Karapitiya lost her 17 and Lady Ridgeway Hospital lost her 15. People, Apeksha Hospital said she lost 09 people.

“Specialists working at universities and Sri Jayawardenepura Hospital are exempt from this new rule on retirement age for some unknown reasons,” he said, adding that many doctors are preparing for foreign licensing exams. (PLAB for Australia and UK) instead of taking the local postgraduate entrance exam. This means that a significant number of these young doctors are very likely to leave Sri Lanka.

“Due to the current situation in Sri Lanka, it is unlikely that a significant number of Sri Lankan postgraduate medical trainees undergoing overseas training will return home. A significant number of young consultants in state health departments are applying for jobs abroad Some state hospitals have left/about to leave the country, for example anesthesiology more than 15 consultants will retire in August or September 2022,” he said.

Under these circumstances, it would be devastating for a large number of consultants to retire en masse. Below you will find an excerpt of a letter from Dr. Fernando to the Minister.

“1. Fluid and Diverse Circumstances Concerning Retirement Ages for Consultants

“Ministry of Health consultants play an important leadership role in hospital clinical settings and community health departments. Recognizing their importance and scarcity, the retirement age was extended to 63 by the government under Prime Minister Ranil Wickremesinghe in 2018 (Official Gazette of 27 August 2018). Temporary 2086/1).University-affiliated specialists providing the same care in the same public hospital retiring at age 65 were also considered when this decision was made.

“The 2022 budget (submitted in 2021) extended the retirement age for all civil servants to 65 years. Long-serving employees must retire by December 31, 2022.

“The Secretary of State then issued a press release (PUB.ADM/SEC/07 on 1 September 2022) stating that the retirement age of 60 years and above for certain special categories of state employees would remain as defined. In previous circulars, this meant that the retirement age for consultants would be 63, in line with the 2018 circular (above).

“However, on September 14, 2022, the Chief Executive issued another circular stating that the retirement age for all civil servants (except judicial officers) will be 60, regardless of the specifications defined in the previous circular. (Public Administration Circular: 19/2022 of September 14, 2022) This is contrary to what was stated in the above press release (September 1, 2022). Retirement date is 60 years.

2. What happens when I apply this rule?

“In the current situation, about 300 health professionals will have to retire on December 31, 2022 if the 60-year-old rule is imposed. This is the first time I am retiring from the State Health Service.

“This will undoubtedly pose a significant crisis to the state health department. (a) To fill these vacancies, the remaining consultants will need to be moved/transferred from state/base hospitals. Without them, they cannot be transferred to vacant posts.Replacement consultants are generally new consultants who have been trained in a foreign country.In the current situation in the country, a significant number have not returned.

“(b) This could lead to the collapse of the entire health service, especially in surrounding hospitals.

“To give some examples of the dire situation, there used to be only 33 transfusion specialists in the country, but with the new regulations, 8 are about to retire, 2 have already retired, and 5 have retired. have emigrated and four are in the process of leaving the country.Before that, the waiting list for bone marrow transplants at Maharagama Cancer Hospital had been extended to 2025, and it is not hard to imagine the impact of further waiting times. Many patients die during this period.

“A histopathologist should report on the biopsy. The country needs at least 80, but we only had 60. Five are already on vacation abroad, but 10 Five are in the process of emigrating for jobs abroad and five will retire under the new rules. influence patient outcomes.

“There are many other similar examples, but the impact is arguably terrifying and will undoubtedly affect the poor more than the rich. It is appropriate to mention the following data on the number of NHSL – 43 consultants, NH Kandy – 30, TH Karapitiya – 17, LRH – 15, Apeksha Hospital – 09.

“It is interesting to note that medical professionals working at universities and Sri Jayawardenepura Hospital are exempt from this new rule on retirement age for some unknown reasons.

3. Departure of Doctors

“(a) Many newly admitted doctors are preparing for foreign licensure exams (AMC for Australia, PLAB for the UK) instead of taking the local postgraduate entrance exam. These young doctors It is very likely that a significant number of them will leave Sri Lanka.

“(b) Due to the current situation in Sri Lanka, it is unlikely that a significant number of Sri Lankan postgraduate medical trainees undergoing overseas training will return. decrease.

“(c) A significant number of young consultants in state health departments have applied for jobs abroad. I will be retiring in August or September 2022.

“The retirement of a large number of consultants at the age of 60 in a day only compounds the crisis with the spill detailed above. State health departments are already short of consultants.

4. Lack of consultants and spread of transfers

“(a) There are few claims of a surplus of consultants, only a shortage. The annual transfer list of specialists attests to this fact.

“(b) Since the annual transfer list runs on a four-year cycle before implementation, these vacancies cannot be filled immediately and will spread over time.

“5. Adverse Obstacles to Postgraduate Training

“The training of future consultants graduate students is mainly done by experienced consultants in teaching hospitals. The sudden departure of senior consultants leaves a shortage of people with the knowledge and experience to administer graduate programs and exams. Major hospitals are staffed with new consultants who may not be eligible to train trainees due to PGIM requirements, which negatively impacts the quality of training programs and exams.

“Following are the current criteria for becoming a PGIM Trainer and Examiner: A) Trainer – must have completed a three-year certification/trainer training program after joining B) Examiner – Selection Exam – 5 years after Board Accreditation C) MD Final Exam – 7 years after Board Accreditation They must have undergone a trainer and examiner training program.

“Considering all the above facts, it is clear that EN BLOC’s retirement of about 300 health professionals in one day will have a significant impact on the maintenance of our country’s health services. parallel category, as the extension of retirement age to 63 years was present for more than 4 years for health professionals only.

“As medical professionals, we want to highlight this to the relevant authorities at this critical time, because our country and our people have made enough bad decisions in the past. At a time when many technocrats are considering moving abroad, no right-minded government will allow so many medical professionals to leave the state health service in one day.

Loss of life, health crisis endanger people’s lives. The cost of harm prevention measures far exceeds the savings from saving retirement paychecks. As a responsible group of professionals, AMS has always been at the forefront, presenting the correct facts to authorities whenever events adversely affecting the country are predicted. Again, we believe it is our moral duty and social responsibility to remain silent and present the actual facts not only to the authorities but also to the public. ”

http://island.lk/ams-warns-of-chaos-in-health-sector-due-to-new-retirement-rule/ AMS warns of disruption to healthcare sector due to new retirement rules – The Island

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