{"id":2400,"date":"2022-01-12T09:00:00","date_gmt":"2022-01-12T06:00:00","guid":{"rendered":"https:\/\/tatd.org.tr\/aciltipbulteni\/?p=2400"},"modified":"2022-01-09T20:20:17","modified_gmt":"2022-01-09T17:20:17","slug":"yurtdisinda-doktorluk-ve-yasam-isvec","status":"publish","type":"post","link":"https:\/\/tatd.org.tr\/aciltipbulteni\/2022\/01\/12\/yurtdisinda-doktorluk-ve-yasam-isvec\/","title":{"rendered":"Yurtd\u0131\u015f\u0131nda Doktorluk ve Ya\u015fam &#8211; \u0130sve\u00e7"},"content":{"rendered":"\n<p>Kuzeyin so\u011fuk ama sempatik bir o kadar da \u015fahs\u0131na m\u00fcnhas\u0131r (bknz. Corona-\u0130sve\u00e7 ekol\u00fc) \u00fclkesinden t\u00fcm acil t\u0131p\u00e7\u0131lara selamlar. Mesle\u011fini \u015fu anda \u0130skandinavya\u2019da s\u00fcrd\u00fcrmekte olan bendeniz sizlere becerebildi\u011fim \u00f6l\u00e7\u00fcde \u0130sve\u00e7\u2019ten ve burada Acil T\u0131p\u00e7\u0131 olmaktan bahsedece\u011fim. Bunu yaparken bu yola nas\u0131l ve hangi ko\u015fullarda girdi\u011fime az biraz de\u011finip akl\u0131nda yurtd\u0131\u015f\u0131 olan arkada\u015flara da bir fikir verebilmeyi ama\u00e7l\u0131yorum.<\/p>\n\n\n\n<p>\u00d6ncelikle bilmeyenler i\u00e7in k\u0131saca kendimden bahsedeyim. Cerrahpa\u015fa T\u0131p Fak\u00fcltesi mezunu olup, ger\u00e7ek anlamda mesle\u011fi ve Acil T\u0131bb\u0131, Bak\u0131rk\u00f6y Sadi Konuk EA Hastanesi\u2019ndeki asistanl\u0131\u011f\u0131m s\u0131ras\u0131nda \u00f6\u011frendim. Sonras\u0131nda mecburi hizmet, devlet, \u00f6zel sekt\u00f6r derken \u015fu an, bazen kendim de \u015fa\u015f\u0131rsam da \u0130sve\u00e7\u2019in Helsingborg ad\u0131ndaki \u015fehrinde mesle\u011fe devam ediyorum.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>\u201cNeden \u0130sve\u00e7?\u201d<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<p>Neden olmas\u0131n? A\u00e7\u0131k\u00e7as\u0131 bu soru burada da en \u00e7ok duydu\u011fum sorulardan. Asistanl\u0131\u011f\u0131m d\u00f6neminde defalarca erteledi\u011fim \u201cObservership\u201d plan\u0131m\u0131, \u201clanet olsun\u201d dedi\u011fim klasik bir mecburi hizmet gecesinde hayata ge\u00e7irmeye karar vermem ile ba\u015flad\u0131 her\u015fey. Observerl\u0131k i\u00e7in \u015fu anda da \u00e7al\u0131\u015fmakta oldu\u011fum hastaneden kabul edilip, Observer program\u0131n\u0131n son g\u00fcn\u00fcnde ise i\u015f teklifi almam nedeniyle kollar\u0131 s\u0131vay\u0131p dil \u00f6\u011frenmeye ba\u015flad\u0131m. \u201cNeden \u0130sve\u00e7&#8217;te observerl\u0131k?\u201d sorusu ise bu yaz\u0131n\u0131n s\u0131n\u0131rlar\u0131n\u0131 zorlar\u2026 Belki ba\u015fka bir yaz\u0131ya\u2026<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>\u201cDil \u00f6\u011frenmek\u201d<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<p>A\u00e7\u0131k\u00e7as\u0131 i\u015f teklifi alana kadar meselenin bu kadar ciddiye binece\u011fini \u00e7ok da zannetmiyordum. Lakin i\u015f teklifi ald\u0131\u011f\u0131m i\u00e7in kurum i\u00e7i tayin istemek ya da bavulumla kap\u0131lar\u0131na gidip \u201cBen geldim!\u201d demem de yetmezdi (bir ara bunu da yapmay\u0131 d\u00fc\u015f\u00fcnd\u00fcm ger\u00e7i). Peki nas\u0131l olacakt\u0131 bu i\u015f? Observerl\u0131k s\u00fcrecini \u0130ngilizce ile halletsem de gereken en \u00f6nemli \u015fart C1 seviyesinde (en \u00fcst seviye:C2) bir \u0130sve\u00e7\u00e7e idi. Ve bu dili hayat\u0131n\u0131z\u0131n geri kalan k\u0131sm\u0131nda mesle\u011finizi icra ederken kullanaca\u011f\u0131n\u0131z\u0131 d\u00fc\u015f\u00fcn\u00fcrseniz nas\u0131l bir dil \u00f6\u011frenme s\u00fcreci olmas\u0131 gerekti\u011fini tahmin edebilirsiniz.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>\u201cS\u0131navlar s\u0131navlar s\u0131navlar\u2026\u201d<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<p>K\u00e2\u011f\u0131t k\u00fcrek i\u015fleri tamam\u2026 Dil de \u00f6\u011frenildi\u2026 S\u0131rada ise t\u0131bbi yeterlilik k\u0131sm\u0131 var. Avrupa\u2019da bir\u00e7ok \u00fclkede \u015fart olarak genel t\u0131bbi bilginin \u00f6l\u00e7\u00fcld\u00fc\u011f\u00fc teorik ve pratik 2 a\u015famal\u0131 s\u0131navlar\u0131 da ge\u00e7meniz gerekiyor. Buraya kadar hi\u00e7bir detay\u0131 vermeden k\u0131saca bahsetti\u011fim s\u00fcre\u00e7ler \u00fclkeden \u00fclkeye ufak farkl\u0131l\u0131klar g\u00f6sterse de temel olarak ayn\u0131 mant\u0131kta ilerliyor. S\u0131ras\u0131yla: Doktor oldu\u011funu kan\u0131tla (k\u00e2\u011f\u0131t-k\u00fcrek i\u015fleri), dili \u00f6\u011fren (C1 s\u0131nav\u0131n\u0131 ge\u00e7) ve t\u0131bbi yeterlilik (yine s\u0131nav) \u2026<\/p>\n\n\n\n<p>Ve e\u011fer b\u00fct\u00fcn bu a\u015famalar\u0131 ge\u00e7tiyseniz tebrikler! Art\u0131k o \u00fclkede i\u015f aramaya ba\u015flayabilirsiniz\u2026 En az\u0131ndan \u0130sve\u00e7 i\u00e7in kabaca b\u00f6yle.<\/p>\n\n\n\n<p class=\"rounded-pill has-background\" style=\"background-color:#fff3e0\"><strong><em>Yola \u00c7\u0131kmadan \u201cEgolar\u0131n\u0131 ve \u00f6z g\u00fcvenini yava\u015f\u00e7a yere b\u0131rak\u201d<\/em><\/strong><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-large is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/df9effa88524319c31aaa4b1845153c6-768x1024.jpeg\" alt=\"\" class=\"wp-image-2402\" width=\"384\" height=\"512\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/df9effa88524319c31aaa4b1845153c6-768x1024.jpeg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/df9effa88524319c31aaa4b1845153c6-225x300.jpeg 225w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/df9effa88524319c31aaa4b1845153c6-1152x1536.jpeg 1152w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/df9effa88524319c31aaa4b1845153c6-473x630.jpeg 473w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/df9effa88524319c31aaa4b1845153c6.jpeg 1536w\" sizes=\"(max-width: 384px) 100vw, 384px\" \/><\/figure><\/div>\n\n\n\n<p>D\u00fcnyan\u0131n hastas\u0131n\u0131 bakan, defalarca kritik giri\u015fimler yapm\u0131\u015f, say\u0131s\u0131z CPR\u2019a imzas\u0131n\u0131 atm\u0131\u015f olan sen, bu \u015fa\u015fal\u0131 ge\u00e7mi\u015finin herhangi bir \u00f6neminin olmad\u0131\u011f\u0131 bu \u00fclkeye ya da Avrupa\u2019ya ho\u015f gelmi\u015f oldun. Buraya kadarki bu uzun girizgah\u0131n amac\u0131 az da olsa bu s\u00fcrecin maddi, manevi ve psikolojik arka plan\u0131na dair bir fikri uyand\u0131rabilmek. \u00c7\u00fcnk\u00fc bundan sonras\u0131 egolar\u0131n\u0131n ve \u00f6z g\u00fcveninin bir miktar daha zedelendi\u011fi bamba\u015fka bir s\u00fcre\u00e7\u2026 Ama i\u015f ortam\u0131mdan konu\u015fmadan \u00f6nce \u201cTuristik\u201d Avrupa ile \u201cnormal\u201d Avrupa aras\u0131ndaki fark\u0131 vurgulamakta fayda var. Keza Avrupa\u2019da \u00e7al\u0131\u015fmak denince \u201cba\u015fkalar\u0131n\u0131n d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fc\u201d ile \u201cger\u00e7ekte olan\u201d aras\u0131ndaki fark anlaml\u0131. Her g\u00fcn bir m\u00fczesini gezdi\u011fin, me\u015fhur bir heykelin \u00f6n\u00fcnde selfie \u00e7ekti\u011fin, kahvesini i\u00e7ip, g\u00fczel bir caddesinde y\u00fcr\u00fcy\u00fc\u015f yapt\u0131\u011f\u0131n, an\u0131lar\u0131ndaki Avrupa\u2019dan ziyade art\u0131k oras\u0131 senin ya\u015famak i\u00e7in \u00e7al\u0131\u015ft\u0131\u011f\u0131n bir yer. Yakla\u015f\u0131k 50-70 m2 b\u00fcy\u00fckl\u00fc\u011f\u00fcndeki bir evde, temizlik\u00e7i\/bak\u0131c\u0131 \u201cl\u00fcks\u00fc\u201d olmayan, \u00e7ama\u015f\u0131r g\u00fcn\u00fc i\u00e7in \u00e7ama\u015f\u0131rhaneden s\u0131ra alan s\u0131radan bir Avrupal\u0131s\u0131n. S\u0131radan bir Avrupal\u0131s\u0131n \u00e7\u00fcnk\u00fc bu bahsetti\u011fim \u015feyler burada orta-\u00fcst gelir s\u0131n\u0131f\u0131 i\u00e7in gayet normal ko\u015fullar. Asgari \u00fccret ile ortalama bir doktor maa\u015f\u0131 aras\u0131nda yakla\u015f\u0131k 1000-2000 Euro fark oldu\u011funu ve ortalama bir ev kiras\u0131n\u0131n da 1000 Euro oldu\u011funu g\u00f6z \u00f6n\u00fcne al\u0131rsak \u00e7ok da garipsemeye gerek yok. Lakin T\u00fcrkiye\u2019deki mevcut ko\u015fullar\u0131n\u0131 b\u0131rak\u0131p yeni \u201cmaceralara\u201d at\u0131lmak isteyenlerin bu konular\u0131 ara\u015ft\u0131rmadan veya hesap kitap yapmadan bu yola girmemesi \u00f6nerilir. (Kan\u0131t D\u00fczeyi A-\u00d6neri d\u00fczeyi S\u0131n\u0131f 1)<\/p>\n\n\n\n<p>Art\u0131k yaz\u0131n\u0131n as\u0131l kaleme al\u0131nma konusuna girmeliyim. Ama bir \u015fekilde t\u00fcm bu s\u00fcre\u00e7lerin birbiri ile alakal\u0131 oldu\u011fu ger\u00e7e\u011fi de g\u00f6z ard\u0131 edilemeyece\u011fi i\u00e7in baz\u0131 \u00f6n bilgilendirmeleri yaparak ba\u015flamak istedim. Bundan sonraki k\u0131s\u0131mda ise biraz daha spesifik olmaya \u00e7al\u0131\u015faca\u011f\u0131m. Lakin yazacaklar\u0131m \u0130sve\u00e7 \u00f6zelinde olup, di\u011fer Avrupa \u00fclkeleri ile farkl\u0131l\u0131klar bar\u0131nd\u0131raca\u011f\u0131n\u0131 belirterek devam ediyorum.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>Uzmanl\u0131\u011f\u0131m\u0131z Kabul Oluyor mu?<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<p>Evet kabul oluyor. Fakat hemen de\u011fil! Uzmanl\u0131\u011f\u0131n\u0131n kabul olabilmesi i\u00e7in toplamda M\u0130N\u0130MUM 1,5 seneyi bulan ve bir nevi asistanl\u0131k benzeri bir s\u00fcre\u00e7ten ge\u00e7mek gerekiyor. Bu s\u00fcrenin ilk 6 ay\u0131 t\u0131bbi lisans\u0131n\u0131n onaylanmas\u0131 i\u00e7in bir s\u00fcperviz\u00f6r e\u015fli\u011finde \u00e7al\u0131\u015ft\u0131\u011f\u0131n kalan k\u0131sm\u0131 ise t\u0131bbi uzmanl\u0131k lisans\u0131n\u0131n onaylanmas\u0131 i\u00e7in o klinikte asistan olarak ge\u00e7irmen gereken s\u00fcreden olu\u015fuyor.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"980\" height=\"588\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/7e89b2be30e634cf8f9e86cb636841b1.jpg\" alt=\"\" class=\"wp-image-2403\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/7e89b2be30e634cf8f9e86cb636841b1.jpg 980w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/7e89b2be30e634cf8f9e86cb636841b1-300x180.jpg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/7e89b2be30e634cf8f9e86cb636841b1-768x461.jpg 768w\" sizes=\"(max-width: 980px) 100vw, 980px\" \/><\/figure>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>\u0130sve\u00e7\u2019te Acil T\u0131p Var m\u0131?<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<p>Var. Ba\u011f\u0131ms\u0131z bir uzmanl\u0131k dal\u0131 olarak 2015 y\u0131l\u0131nda kabul edildi. Bu y\u00fczden halen di\u011fer bran\u015flar\u0131n etkisi h\u00e2kim. (Bknz. Hava yolu i\u00e7in yo\u011fun bak\u0131m\u0131n aranmas\u0131\u2026) Fakat di\u011fer bir a\u00e7\u0131dan Acil T\u0131p uzman\u0131 say\u0131s\u0131n\u0131n hen\u00fcz yeterli d\u00fczeyde olmamas\u0131ndan \u00f6t\u00fcr\u00fc \u201cAcil T\u0131p\u201d i\u015f olanaklar\u0131 a\u00e7\u0131s\u0131ndan di\u011fer bran\u015flara oranla daha avantajl\u0131.&nbsp; Yani tabi ki garantisi yok ama acilci isen i\u015f bulursun.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>\u00c7al\u0131\u015fma Saatleri ve vardiyalar<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<p>Haftal\u0131k \u00e7al\u0131\u015fma saatleri 40-45 saat aras\u0131nda de\u011fi\u015fiyor. 24 saat n\u00f6bet ya da g\u00fcn a\u015f\u0131r\u0131 n\u00f6bet YOK. \u0130stesen de tutamazs\u0131n. 3 tarz \u015fift mevcut. Kabaca g\u00fcnd\u00fcz (08:00-16:30), ak\u015fam (14:00-22:00) ve de gece (20:00-08:00). G\u00fcnd\u00fcz ve ak\u015fam vardiyalar\u0131n\u0131n 30 dakikas\u0131 devir i\u00e7in, 45 dakika-1 saatlik b\u00f6l\u00fcm\u00fc ise okuma\/\u00e7al\u0131\u015fma veya ara\u015ft\u0131rma i\u00e7in ayr\u0131l\u0131yor. Gece n\u00f6betleri, haftasonlar\u0131 veya tatil g\u00fcnleri daha fazla katsay\u0131 ile \u00e7arp\u0131ld\u0131\u011f\u0131 i\u00e7in olu\u015fan fazla mesainin bir b\u00f6l\u00fcm\u00fc tatil g\u00fcn\u00fc olarak, bir b\u00f6l\u00fcm\u00fc de para olarak sana iade ediliyor.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>Hasta Bak\u0131m\u0131 ve Temel \u0130\u015fleyi\u015f<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/6d0ed662edd150db8ba77ebb3ed7b257.jpeg\" alt=\"\" class=\"wp-image-2405\" width=\"372\" height=\"279\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/6d0ed662edd150db8ba77ebb3ed7b257.jpeg 743w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/6d0ed662edd150db8ba77ebb3ed7b257-300x225.jpeg 300w\" sizes=\"(max-width: 372px) 100vw, 372px\" \/><\/figure><\/div>\n\n\n\n<p>Her ne kadar Acil T\u0131p E\u011fitimimizi uluslararas\u0131 \u00f6neriler ekseninde alsak da bunun pratikteki yans\u0131mas\u0131 o \u00fclkenin ko\u015fullar\u0131na g\u00f6re farkl\u0131l\u0131klar i\u00e7erebiliyor. Lakin asistanl\u0131\u011f\u0131n\u0131n veya uzmanl\u0131\u011f\u0131n\u0131n \u00e7o\u011fu g\u00fcn\u00fc kriz ko\u015fullar\u0131nda ge\u00e7mi\u015f benim gibi bir acil t\u0131p\u00e7\u0131 i\u00e7in ger\u00e7ek anlamda krizin hemen hemen hi\u00e7 ya\u015fanmad\u0131\u011f\u0131 yeni bir \u00fclkede mesle\u011fini icra etmeye \u00e7al\u0131\u015fmak kula\u011fa ho\u015f gelse de zorlay\u0131c\u0131 idi. S\u00f6z gelimi BT\/MR okuyabilmemden ziyade vertigo ile gelen bir hastada g\u00f6r\u00fcnt\u00fcleme yapmadan santral nedeni d\u0131\u015flayabilme becerim daha kritik bir \u00f6neme sahip.&nbsp; \u00c7ok iyi santral kateter takmak yerine artrosentez yap\u0131p septik artrit tan\u0131s\u0131 koyabilmek daha elzem\u2026 Kons\u00fcltanlarla yap\u0131lan tart\u0131\u015fmalarda edindi\u011fim ikna becerilerimi veya cevvalli\u011fimin art\u0131k bir \u00f6nemi yok. Tam tersine hastan\u0131n yat\u0131\u015f endikasyonu var ise ba\u015fka kimseye sormadan yat\u0131rabilirim. Fakat hastan\u0131n acilde ve veya serviste almas\u0131 gereken tedaviyi, kontrol tetkiklerini, kronik hastal\u0131klar\u0131 nedeniyle almas\u0131 gereken ila\u00e7lar\u0131 d\u00fczenleyebilmek gerekiyor.&nbsp; U\u00e7ana ka\u00e7ana antibiyotik yazmamdansa, DVT tan\u0131s\u0131 koydu\u011fum hastan\u0131n 3-6 ayl\u0131k antikoag\u00fclan tedavisini Kalp damar cerrahisine ya da Kardiyolojiye dan\u0131\u015fmadan planlayabilmeliyim. Bu \u00f6rnekler \u00e7o\u011falt\u0131labilir. Asistanl\u0131\u011f\u0131m\u0131z s\u00fcresinde zaten alm\u0131\u015f oldu\u011fumuz t\u00fcm bu bilgi\/becerilerinden baz\u0131lar\u0131 mevcut ko\u015fullar, imkanlar veya gerekliliklerden \u00f6t\u00fcr\u00fc geri planda kalabiliyor, baz\u0131lar\u0131 ise daha \u00f6ne ge\u00e7ebiliyor. Ama \u00fclke d\u0131\u015f\u0131na \u00e7\u0131k\u0131ld\u0131\u011f\u0131nda senden beklenen \u015fey, g\u00fcn\u00fc kurtarman veya kahraman olman de\u011fil tam tersine kitab\u0131na uygun davranman.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>Ka\u00e7 Hasta Geliyor?<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<p>Yeterince\u2026 Burada nitelik nicelik tart\u0131\u015fmas\u0131 s\u00f6z konusu asl\u0131nda biraz da. Ortalama bir say\u0131 vermek \u0130sve\u00e7\u2019in di\u011fer b\u00f6lgelerini bilmedi\u011fim i\u00e7in m\u00fcmk\u00fcn de\u011fil. Ama bir acil t\u0131p doktoru saat ba\u015f\u0131na 1-2 hasta bak\u0131yor dersem abartm\u0131\u015f olmam diye d\u00fc\u015f\u00fcn\u00fcyorum. Ger\u00e7ekten de T\u00fcrkiye\u2019deki meslekta\u015flar\u0131m i\u00e7in \u00e7ok komik bir rakam olsa da bu say\u0131n\u0131n arkas\u0131nda yatan baz\u0131 niteliksel \u00f6zelliklerden bahsetmeliyim. \u00d6ncelikle T\u00fcrkiye\u2019de \u201cye\u015fil\u201d dedi\u011fimiz hasta toplam\u0131 burada acile gelmiyor. Gelse de triaj hekimi ya da \u00e7o\u011funlukla triaj hem\u015firesi taraf\u0131ndan ilgili birinci basama\u011fa ya da eve y\u00f6nlendiriliyor. \u0130\u00e7eri gelen hastalar\u0131n veya ambulans ile gelenlerin hepsi sar\u0131\/k\u0131rm\u0131z\u0131 s\u0131n\u0131f\u0131na dahil hastalar. Bu hastalar\u0131n muayenesinin yap\u0131lmadan \u00f6nce \u00e7o\u011funlukla ge\u00e7mi\u015f d\u00f6nem hasta dosyalar\u0131 doktor taraf\u0131ndan inceleniyor ve gerekli notlar al\u0131n\u0131yor. Hasta ile bu s\u0131rada bir hem\u015fire \u00e7oktan bulu\u015fmu\u015f oluyor ve vitalleri ile beraber hastay\u0131 size sunuyor. Hastay\u0131 muayene ederken sizden istenen detayl\u0131 ve eksiksiz bir muayene yapman\u0131z (ge\u00e7mi\u015f \u00f6yk\u00fc, alerjileri, mevcut ila\u00e7lar\u0131 vs. vs. ). Sonras\u0131nda tetkik ve tedaviyi planl\u0131yorsunuz.&nbsp; Nihayet hasta muayenesi bittikten sonra hastadan edindi\u011finiz t\u00fcm bilgileri dosyalaman\u0131z gerekiyor. Bunun i\u00e7in mikrofon benzeri bir aparat yard\u0131m\u0131yla hasta dosyas\u0131n\u0131 ses kayd\u0131yla bilgisayarda olu\u015fturuyorsunuz. Ve t\u00fcm bu s\u00fcre\u00e7ler hastan\u0131n durumunun ne kadar kritik oldu\u011funa ba\u011fl\u0131 olarak olmas\u0131 gerekenden daha uzun s\u00fcrebiliyor.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>\u015eiddet, \u015fik\u00e2yet?<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<p>Bu ba\u015fl\u0131kla ilgili yazacak \u00e7ok bir \u015feyim yok. \u015eu ana kadar (2 sene) ne bir \u015fiddet olay\u0131 ya\u015fad\u0131m ne de tan\u0131k oldum. Sadece doktora de\u011fil insanlar\u0131n birbirlerine kar\u015f\u0131 sayg\u0131l\u0131 olmas\u0131n\u0131n tabii ki de bunda pay\u0131 \u00e7ok b\u00fcy\u00fck. Hastaya gerekli zaman\u0131 ay\u0131r\u0131p, muayene-tetkik ve tedavi sonras\u0131 gerekli bilgilendirmenin yap\u0131labildi\u011fi ko\u015fullarda hasta memnuniyeti artt\u0131\u011f\u0131 gibi t\u0131bbi hata oran\u0131 da d\u00fc\u015f\u00fck seyrediyor do\u011fal olarak. Buna ba\u011fl\u0131 olarak \u015fikayetler de az oluyor. Fakat \u015fik\u00e2yet konusu ise bizde alg\u0131land\u0131\u011f\u0131ndan biraz daha farkl\u0131. \u015eikayetlerin ele al\u0131nma \u015fekli daha \u00e7ok mevcut s\u0131k\u0131nt\u0131n\u0131n tekrarlanmamas\u0131 i\u00e7in neler yap\u0131labilece\u011fi \u00fczerine. \u015eayet birini kasten \u00f6ld\u00fcrmediniz veya sakat b\u0131rakmad\u0131n\u0131z ise mesleki ya\u015fant\u0131n\u0131z\u0131 derinden etkileyecek bir problem ya\u015faman\u0131z d\u00fc\u015f\u00fck bir olas\u0131l\u0131k. Dava, Malpraktis, Sigorta vs. kelimelere halen yabanc\u0131lar ve umar\u0131m uzun bir s\u00fcre daha b\u00f6yle devam eder\u2026<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/f1491809439faee7d051685b77b1cdc4-1024x1024.jpeg\" alt=\"\" class=\"wp-image-2404\" width=\"512\" height=\"512\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/f1491809439faee7d051685b77b1cdc4.jpeg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/f1491809439faee7d051685b77b1cdc4-300x300.jpeg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/f1491809439faee7d051685b77b1cdc4-150x150.jpeg 150w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/f1491809439faee7d051685b77b1cdc4-768x768.jpeg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/01\/f1491809439faee7d051685b77b1cdc4-630x630.jpeg 630w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/><\/figure><\/div>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>Peki mutlu muyum?<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<p>Daha \u00f6nceden observerl\u0131k yapm\u0131\u015f olman\u0131n verdi\u011fi tecr\u00fcbe nedeni ile neyle kar\u015f\u0131la\u015faca\u011f\u0131m\u0131 bilmek a\u00e7\u0131k\u00e7as\u0131 b\u00fcy\u00fck bir avantaj olmu\u015ftu. Bu sayede kendimi zihnen az da olsa haz\u0131rlayabilme \u015fans\u0131m oldu. Ve hi\u00e7bir ad\u0131m amiyane tabir ile \u201cPAT\u201d diye hallolmad\u0131\u011f\u0131 i\u00e7in haz\u0131rl\u0131k s\u00fcreci sindire sindire ilerledi. T\u00fcm bunlar \u00f6tesinde mutlu olup olmamak ne bekledi\u011finiz ile alakal\u0131. Kendi ad\u0131ma mesleki \u00f6nceli\u011fim g\u00fcvenlik, huzur ve sa\u011fl\u0131kl\u0131 ko\u015fullarda \u00e7al\u0131\u015fmak oldu\u011fu i\u00e7in ve mevcut ko\u015fullar bunu sa\u011flad\u0131\u011f\u0131 i\u00e7in mutluyum. Mesleki tatmin, dostlar\u0131m, ailem, \u201cRule Out\u201d, gece yar\u0131s\u0131 lahmacunlar\u0131 ve n\u00f6bet ertesi aktiviteleri ise \u00f6zledi\u011fim, yerini kolay kolay dolduramayaca\u011f\u0131m eksikler olarak s\u00f6yleyebilirim.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>Son S\u00f6z\u2026<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<p>Tavsiye vermeyi seven biri olmad\u0131\u011f\u0131m gibi haddime de d\u00fc\u015fmez lakin bu ve benzeri kararlar\u0131n \u00fczerine iyice d\u00fc\u015f\u00fcn\u00fclmesi gerekiyor. Belli bir ya\u015ftan sonra ya\u015fad\u0131\u011f\u0131n \u015fehri de\u011fi\u015ftirmek bile yeterince kritik bir karar olabiliyorken, bunu \u00fclke baz\u0131nda yapmak ciddi cesaret isteyen bir i\u015f. Yine de insano\u011flu do\u011fas\u0131 gere\u011fi maceray\u0131 seviyor, yeni aray\u0131\u015flara yelken a\u00e7\u0131yor.&nbsp; Buna de\u011fip de\u011fmeyece\u011fi ise son kertede size ba\u011fl\u0131.<\/p>\n\n\n\n<p>Umar\u0131m akl\u0131nda yurtd\u0131\u015f\u0131nda \u00e7al\u0131\u015fma plan\u0131 olan meslekta\u015flar\u0131ma en az\u0131ndan \u0130sve\u00e7\u2019e dair fikir verebilmi\u015fimdir. \u015eimdilik ho\u015f\u00e7akal\u0131n. Daha g\u00fcvenli, sa\u011fl\u0131kl\u0131 ve huzurlu g\u00fcnlerde tekrardan kar\u015f\u0131la\u015fmak \u00fcmidiyle\u2026<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kuzeyin so\u011fuk ama sempatik bir o kadar da \u015fahs\u0131na m\u00fcnhas\u0131r (bknz. Corona-\u0130sve\u00e7 ekol\u00fc) \u00fclkesinden t\u00fcm acil t\u0131p\u00e7\u0131lara selamlar. Mesle\u011fini \u015fu anda \u0130skandinavya\u2019da&hellip;<\/p>\n","protected":false},"author":917,"featured_media":2405,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[20,10,14,10015],"tags":[79,10220,182,10219],"class_list":["post-2400","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-acil-tip","category-mercek","category-sizden-gelenler","category-sosyal-blog-yazisi","tag-doktorluk","tag-isvec","tag-yasam","tag-yurtdisi"],"acf":[],"_links":{"self":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/2400","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/users\/917"}],"replies":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/comments?post=2400"}],"version-history":[{"count":0,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/2400\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media\/2405"}],"wp:attachment":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media?parent=2400"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/categories?post=2400"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/tags?post=2400"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}