{"id":3251,"date":"2022-12-08T09:00:00","date_gmt":"2022-12-08T06:00:00","guid":{"rendered":"https:\/\/tatd.org.tr\/aciltipbulteni\/?p=3251"},"modified":"2022-12-07T13:23:34","modified_gmt":"2022-12-07T10:23:34","slug":"bir-cruise-gemisinde-hekimlik-deneyimi","status":"publish","type":"post","link":"https:\/\/tatd.org.tr\/aciltipbulteni\/2022\/12\/08\/bir-cruise-gemisinde-hekimlik-deneyimi\/","title":{"rendered":"Bir Cruise Gemisinde Hekimlik Deneyimi"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/cdda2be985c0894c158abe3350687d3b-1024x768.jpg\" alt=\"\" class=\"wp-image-3252\" width=\"312\" height=\"234\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/cdda2be985c0894c158abe3350687d3b-1024x768.jpg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/cdda2be985c0894c158abe3350687d3b-300x225.jpg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/cdda2be985c0894c158abe3350687d3b-768x576.jpg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/cdda2be985c0894c158abe3350687d3b-1536x1152.jpg 1536w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/cdda2be985c0894c158abe3350687d3b-2048x1536.jpg 2048w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/cdda2be985c0894c158abe3350687d3b-840x630.jpg 840w\" sizes=\"(max-width: 312px) 100vw, 312px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-color\" style=\"color:#1565c0\">Merhabalar,<\/p>\n\n\n\n<p class=\"has-text-color\" style=\"color:#1565c0\">\u0130tiraf etmeliyim ki ba\u015flarda bu platformlarda ad\u0131m\u0131n, acil t\u0131p bilimine katk\u0131 sunmak \u00fczere kaleme ald\u0131\u011f\u0131m \u00e7al\u0131\u015fmalar\u0131n alt\u0131nda olaca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcrd\u00fcm ama hayat i\u015fte\u2026<\/p>\n\n\n\n<p>Velhas\u0131l e\u011fer bu sat\u0131rlar\u0131 okumak i\u00e7in zaman harc\u0131yorsan\u0131z, muhtemelen siz de i\u00e7inden ge\u00e7mekte oldu\u011fumuz d\u00f6neme dair benimle ortak kayg\u0131lar hissediyor ve bu s\u0131k\u0131\u015fm\u0131\u015fl\u0131k hissinden kurtulup biraz nefes almak i\u00e7in pencereler ar\u0131yorsunuz ki, bu nedenle beni bu aray\u0131\u015fa iten temel motivasyonu a\u00e7\u0131klamaya gerek g\u00f6rmeden h\u0131zl\u0131ca as\u0131l \u00f6nemli b\u00f6l\u00fcme ge\u00e7iyorum. Bu s\u00fcre\u00e7te pek \u00e7ok acil t\u0131p uzman\u0131 ve asistan\u0131 meslekta\u015f\u0131mla tan\u0131\u015fma f\u0131rsat\u0131 buldum. Onlar\u0131n da bana y\u00f6nelttikleri ortak soru ve konular\u0131n \u00fczerinden giderek konuyu ele alman\u0131n daha keyifli bir yaz\u0131 ortaya \u00e7\u0131karabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcm. Bir de belirtmekte fayda var ki, burada yaz\u0131lanlar s\u0131n\u0131rl\u0131 da olsa, yaln\u0131zca benim kat\u0131ld\u0131\u011f\u0131m m\u00fclakatlar ve k\u0131sa s\u00fcreli i\u015f deneyimimle ilgili ki\u015fisel g\u00f6r\u00fc\u015flerimi i\u00e7ermektedir. Bu g\u00f6r\u00fc\u015f ve de\u011ferlendirmeler di\u011fer \u015firketler i\u00e7in farkl\u0131l\u0131klar arz edebilece\u011fi gibi yeni g\u00fcnlerin getirdikleriyle de de\u011fi\u015fkenlik g\u00f6sterebilir!&nbsp; Ba\u015flayal\u0131m;<\/p>\n\n\n\n<p class=\"has-text-color\" style=\"color:#1565c0\"><strong>Pek \u00e7ok farkl\u0131 se\u00e7enek varken neden \u2018Cruise\u2019 gemisi doktorlu\u011fu?<\/strong><\/p>\n\n\n\n<p>Kendi ad\u0131ma, m\u00fcmk\u00fcn oldu\u011funca h\u0131zl\u0131 bir yolla uluslararas\u0131 camiada bir i\u015f f\u0131rsat\u0131 bulmak \u00f6nemliydi. Yurtd\u0131\u015f\u0131nda hekimlik yapabilmek i\u00e7in hemen hemen her yerde denklik ve\/veya dil s\u0131navlar\u0131 \u00f6n\u00fcm\u00fcze \u00e7\u0131kmaktayken bu alanda herhangi bir denklik veya formal bir dil yeterlili\u011fi belgesi istenmiyor olmas\u0131 \u015fans\u0131m\u0131 denemek i\u00e7in uygun g\u00f6r\u00fcnd\u00fc. Linkedin arac\u0131l\u0131\u011f\u0131yla bir insan kaynaklar\u0131 firmas\u0131na \u00f6zge\u00e7mi\u015fimi g\u00f6ndererek s\u00fcrece ba\u015flad\u0131m.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/c94f8a7ec63213b529550759f27c6fd0-1024x768.jpg\" alt=\"\" class=\"wp-image-3253\" width=\"480\" height=\"360\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/c94f8a7ec63213b529550759f27c6fd0-1024x768.jpg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/c94f8a7ec63213b529550759f27c6fd0-300x225.jpg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/c94f8a7ec63213b529550759f27c6fd0-768x576.jpg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/c94f8a7ec63213b529550759f27c6fd0-1536x1152.jpg 1536w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/c94f8a7ec63213b529550759f27c6fd0-2048x1536.jpg 2048w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/c94f8a7ec63213b529550759f27c6fd0-840x630.jpg 840w\" sizes=\"(max-width: 480px) 100vw, 480px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-color\" style=\"color:#1565c0\"><strong>\u0130ngilizce d\u00fczeyini ve mesleki yeterlili\u011fi nas\u0131l \u00f6l\u00e7\u00fcyorlar?<\/strong><\/p>\n\n\n\n<p>\u00d6ncelikle belirtmeliyim ki bu sekt\u00f6rdeki gerekli yabanc\u0131 dil \u0130ngilizce. Gerekli ki\u015fisel\u00a0 belgeleri ve sertifikalar\u0131 (BLS, ACLS, PALS) eposta yoluyla g\u00f6nderdikten sonra \u015firketin merkez ofisi insan kaynaklar\u0131 taraf\u0131ndan video m\u00fclakata davet edildim. Web tabanl\u0131 bir m\u00fclakat sitesi \u00fczerinden yap\u0131lan bu ilk g\u00f6r\u00fc\u015fmede hem \u0130ngilizce seviyenizi hem de standart sorularla ki\u015fili\u011finizi ve -muhtemelen- d\u0131\u015f g\u00f6r\u00fcn\u00fcm\u00fcn\u00fcz\u00fc de\u011ferlendiriyorlar. Bu b\u00f6l\u00fcmde ger\u00e7ek bir ki\u015fiyle g\u00f6r\u00fc\u015fm\u00fcyorsunuz ve ekrana gelen sorular \u00fczerinden performans\u0131n\u0131z\u0131 \u00f6l\u00e7\u00fcyorlar. Sorular\u0131n baz\u0131lar\u0131 video kayd\u0131, baz\u0131lar\u0131 yaz\u0131l\u0131 cevaplar i\u00e7eriyor ve her bir soru i\u00e7in 30 saniye haz\u0131rl\u0131k s\u00fcresi ve 2-3 dakika da cevaplama s\u00fcresi veriliyor. Toplamda 14 soru soruldu\u011funu hat\u0131rl\u0131yorum.\u00a0<\/p>\n\n\n\n<p>\u0130nsan kaynaklar\u0131 m\u00fclakat\u0131n\u0131n sonu\u00e7lar\u0131 bir-iki g\u00fcn i\u00e7inde yine eposta yoluyla size iletiliyor ve ba\u015far\u0131l\u0131 bulunduysan\u0131z mesleki yeterlilik m\u00fclakat\u0131 i\u00e7in de\u011ferlendirici ki\u015fi\/\u015firket taraf\u0131n\u0131za bir ba\u015fka eposta g\u00f6nderiyor. Bu yolla kar\u015f\u0131 tarafla yaz\u0131\u015farak sonraki birka\u00e7 g\u00fcn i\u00e7in bir m\u00fclakat tarihi ve saati belirlemeniz gerekiyor. Bu m\u00fclakatlar da Zoom, MS Teams, Skype uygulamalar\u0131 ile ger\u00e7ekle\u015ftiriliyor. M\u00fclakat\u0131n toplam s\u00fcresi ve i\u00e7eri\u011fine dair de genel bilgiler size eposta ile iletiliyor.<\/p>\n\n\n\n<p>Mesleki de\u011ferlendirme m\u00fclakat\u0131nda ben, G\u00fcney Afrika\u2019dan bir acil t\u0131p uzman\u0131 taraf\u0131ndan de\u011ferlendirilmi\u015ftim. Ayn\u0131 zamanda on \u00fc\u00e7 senelik de cruise hekimli\u011fi tecr\u00fcbesi oldu\u011funu \u00f6\u011frendim. M\u00fclakat, temel olarak bizlerin \u00e7ok\u00e7a a\u015fina oldu\u011fu konular\u0131 kaps\u0131yor, g\u00fcncel k\u0131lavuzlar\u0131 ve \u00f6zellikle de UptoDate sitesini dayanak ald\u0131klar\u0131n\u0131 belirtiyorlar. \u00c7al\u0131\u015ft\u0131\u011f\u0131m \u015firket i\u00e7in girdi\u011fim bu m\u00fclakat iki bu\u00e7uk saat birebir soru-cevap \u015feklinde ge\u00e7ti ve a\u00e7\u0131k\u00e7as\u0131 \u00e7ok da keyifliydi. Asistanl\u0131k d\u00f6nemlerindeki vizit ve s\u00f6zl\u00fc tad\u0131n\u0131 an\u0131msamak isteyenler i\u00e7in birebir! Resusitasyon, giri\u015fimsel sedoanaljezi, akut bat\u0131n, KOAH atak, trombolitik tedavi ilkeleri ve EKG \u00f6rnekleri \u00fczerinden ilerliyor ve pediyatrik olgular da soruluyor. Ben iki ayr\u0131 \u015firketin m\u00fclakat\u0131na kat\u0131ld\u0131m ve her ikisinin de benzer tarzda oldu\u011funu s\u00f6yleyebilirim. Bu m\u00fclakat da kar\u015f\u0131l\u0131kl\u0131 iyi dileklerle sonlan\u0131yor ve bu de\u011ferlendirme sonucu size \u015firketin merkez ofisi taraf\u0131ndan birka\u00e7 g\u00fcn sonra bildiriliyor.&nbsp;<\/p>\n\n\n\n<p>Bu a\u015famalar\u0131 ba\u015far\u0131yla tamamlad\u0131ktan sonra yaz\u0131\u015fmalar, referans mektuplar\u0131, i\u015f mektubu, garanti belgesi ve vize i\u015flemleri ile ge\u00e7irece\u011finiz yakla\u015f\u0131k bir ay\u0131n\u0131z var.\u00a0<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/de2dfdd4298e613b736df7ae0360c5b7-1024x768.jpeg\" alt=\"\" class=\"wp-image-3254\" width=\"480\" height=\"360\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/de2dfdd4298e613b736df7ae0360c5b7-1024x768.jpeg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/de2dfdd4298e613b736df7ae0360c5b7-300x225.jpeg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/de2dfdd4298e613b736df7ae0360c5b7-768x576.jpeg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/de2dfdd4298e613b736df7ae0360c5b7-1536x1152.jpeg 1536w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/de2dfdd4298e613b736df7ae0360c5b7-2048x1536.jpeg 2048w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/de2dfdd4298e613b736df7ae0360c5b7-840x630.jpeg 840w\" sizes=\"(max-width: 480px) 100vw, 480px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-color\" style=\"color:#1565c0\"><strong>Geminin medikal imkanlar\u0131 neler?<\/strong><\/p>\n\n\n\n<p>\u00c7al\u0131\u015ft\u0131\u011f\u0131n\u0131z \u015firkete ve \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131z geminin boyutlar\u0131na g\u00f6re farkl\u0131l\u0131klar g\u00f6stermekle birlikte \u015fartlar, standartlar gere\u011fi olduk\u00e7a benzer. En az d\u00f6rt-be\u015f yatakl\u0131 bir revir ve en az bir adet yo\u011fun bak\u0131m yata\u011f\u0131, mekanik ventilat\u00f6r, video laringoskop, acil giri\u015fim i\u00e7in setler, bolca sarf malzeme, mobil X-ray cihaz\u0131 ile resusitasyon ila\u00e7lar\u0131 ve ba\u015fl\u0131ca antibiyotikler, OTC ila\u00e7lar, anti hipertansif ve anti-diyabetik ila\u00e7lar stoklarda her zaman bulunuyor. \u00c7o\u011fu gemide portatif\/cep ultrason cihazlar\u0131 da mevcut. CBC, temel elektrolitler, b\u00f6brek ve karaci\u011fer fonksiyon testleri, troponin, D-dimer, PCR, lipid paneli gibi testleri yapabilme imkan\u0131n\u0131z var. \u0130\u015fleri kolayla\u015ft\u0131rmak i\u00e7in bu cihazlar\u0131 kullanmay\u0131 h\u0131zl\u0131ca \u00f6\u011frenmek yerinde olur.<\/p>\n\n\n\n<p>\u00c7al\u0131\u015ft\u0131\u011f\u0131m \u015firketin en k\u00fc\u00e7\u00fck gemisi bin kadar personel ve \u00fc\u00e7 bin kadar misafir ta\u015f\u0131yorken, baz\u0131lar\u0131nda iki binin \u00fczerinde personel ve sekiz binden fazla misafir bulunmaktayd\u0131.&nbsp;<\/p>\n\n\n\n<p>Bununla birlikte yine geminin boyutlar\u0131na ba\u011fl\u0131 olmak \u00fczere genellikle iki hekim (bir k\u0131demli, bir \u2018junior\u2019), d\u00f6rt hem\u015fire sa\u011fl\u0131k ekibini olu\u015fturuyor. Bunun yan\u0131nda t\u0131bbi sekreterler, hem\u015fire yard\u0131mc\u0131lar\u0131 ve b\u00fcy\u00fck gemilerde daha fazla say\u0131da doktor, hem\u015fireye ilaveten paramedikler de yer alabiliyor.\u00a0<\/p>\n\n\n\n<p class=\"has-text-color\" style=\"color:#1565c0\"><strong>\u00c7al\u0131\u015fma d\u00fczeni nas\u0131l?<\/strong><\/p>\n\n\n\n<p>Temelde kontrat\u0131n\u0131z boyunca 7\/24 g\u00f6revlisiniz diyebiliriz. \u0130caplar\u0131 (poliklinik d\u0131\u015f\u0131 saatler ve geceler) payla\u015fma \u015fans\u0131n\u0131z olsa da acil durum anonslar\u0131n\u0131 (genel duyuru sisteminden ve telsizinizden) takip etmeli ve t\u00fcm ekiple birlikte olay yerinde olmal\u0131s\u0131n\u0131z. G\u00fcn i\u00e7inde de geminin pogram\u0131na g\u00f6re belirlenen saatler i\u00e7erisinde poliklinik hizmetleri vermelisiniz. Poliklinik saatlerinde genellikle personele y\u00f6nelik aile hekimli\u011fi, i\u015f yeri hekimli\u011fi ve a\u015f\u0131lamalar\u0131 da i\u00e7eren koruyucu hekimlik uygulamalar\u0131n\u0131 s\u00fcrd\u00fcrmeniz ve tabi ki gelen misafirlerin de yak\u0131nmalar\u0131na \u00e7\u00f6z\u00fcm bulman\u0131z bekleniyor.\u00a0<\/p>\n\n\n\n<p>Bunlar\u0131n d\u0131\u015f\u0131nda \u2018junior\u2019 doktor olarak ilk iki ay k\u0131rktan fazla online ve y\u00fczy\u00fcze e\u011fitimi tamamlaman\u0131z, her hafta farkl\u0131 senaryolarla ger\u00e7ekle\u015ftirilen genel ve \u00f6zel tatbikatlara kat\u0131lman\u0131z, her ay klinik i\u00e7i e\u011fitimlere devaml\u0131l\u0131k sa\u011flaman\u0131z, ki\u015fisel olarak da ayl\u0131k CME kredilerinizi tamamlaman\u0131z gerekiyor.\u00a0<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/2073931a238fb2dae95ba5178bdd34bd-1024x768.jpeg\" alt=\"\" class=\"wp-image-3255\" width=\"480\" height=\"359\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/2073931a238fb2dae95ba5178bdd34bd-1024x768.jpeg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/2073931a238fb2dae95ba5178bdd34bd-300x225.jpeg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/2073931a238fb2dae95ba5178bdd34bd-768x576.jpeg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/2073931a238fb2dae95ba5178bdd34bd-1536x1152.jpeg 1536w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/2073931a238fb2dae95ba5178bdd34bd-2048x1536.jpeg 2048w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/2073931a238fb2dae95ba5178bdd34bd-840x630.jpeg 840w\" sizes=\"(max-width: 480px) 100vw, 480px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-color\" style=\"color:#1565c0\"><strong>Gemide ne t\u00fcr vakalarla kar\u015f\u0131la\u015fabilirsiniz?<\/strong><\/p>\n\n\n\n<p>Asl\u0131nda en ba\u015fta, a\u00e7k\u00e7a \u015funu s\u00f6ylemek yerinde olur: \u201cBekledi\u011fimden \u00e7ok daha zor vakalar oldu.\u201d Acil serviste kar\u015f\u0131la\u015fabilece\u011finiz her t\u00fcrl\u00fc olguyla kar\u015f\u0131la\u015fma ihtimaliniz var; miyokard enfarkt\u00fcs\u00fc, inme, suicid, opioid \u00e7ekilmesi, min\u00f6r ve major travmalar, akut abdomen, krup, KOAH atak, akut b\u00f6brek yetmezli\u011fi vs. Tabi ki buradaki as\u0131l zorluk k\u0131s\u0131tl\u0131 imkanlarla tan\u0131 koyup, hastay\u0131 stabilize etmek, tedavi etmek, takip etmek veya uygun transfer y\u00f6ntemine karar vermek. Her an bir limana yana\u015f\u0131p k\u0131y\u0131daki hastaneye sevk yapamayabiliyorsunuz. Se\u00e7ilmi\u015f hastalar i\u00e7in denizden veya havadan hasta transferi protokolleri mevcut ancak hem hasta i\u00e7in riskli hem de hava \u015fartlar\u0131, g\u00fcnd\u00fcz veya gece olmas\u0131, k\u0131y\u0131ya mesafeniz, geminin gecikmesi nedeniyle \u015firketin ya\u015fad\u0131\u011f\u0131 kay\u0131p gibi farkl\u0131 de\u011fi\u015fkenleri g\u00f6z \u00f6n\u00fcnde bulundurman\u0131z gerekiyor. Elbette e\u011fer siz hastan\u0131n h\u0131zl\u0131ca sevkine karar verirseniz kaptan\u0131n bu karar\u0131n\u0131za uymad\u0131\u011f\u0131n\u0131 g\u00f6rmedim.\u00a0<\/p>\n\n\n\n<p>Hasta transferi i\u00e7in ayarlamalar\u0131 yapmak; merkez ofisle, sahil g\u00fcvenlikle, liman temsilcileri ve k\u0131y\u0131 hastane hekimleriyle yaz\u0131\u015fmak, konsultasyon i\u00e7in belirlenen hekimleri aramak da sizin sorumlulu\u011funuz.<\/p>\n\n\n\n<p class=\"has-text-color\" style=\"color:#1565c0\"><strong>\u00dccreti tatmin edici mi?<\/strong><\/p>\n\n\n\n<p>Evet \ud83d\ude42<\/p>\n\n\n\n<p>Ancak \u00f6nemli bir konu; \u00e7o\u011fu \u015firket yaln\u0131zca \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131z aylarda \u00f6deme yap\u0131yor. Yani tatil i\u00e7in d\u00f6nd\u00fc\u011f\u00fcn\u00fczde maa\u015f alamayabilirsiniz. Kontratlar hemen hemen benzer \u015fartlar\u0131 i\u00e7eriyor ve d\u00f6rt ay gemide, iki ay da dinlenme \u015feklinde planlan\u0131yor. Elbette bu s\u00fcre\u00e7te \u015firket sizden kontrat\u0131n\u0131z\u0131 uzatman\u0131z\u0131 ya da daha k\u0131sa tatil yapman\u0131z\u0131 isteyebilir. Bu durumda da kabul edip etmemek tamamen size ba\u011fl\u0131.\u00a0<\/p>\n\n\n\n<p class=\"has-text-color\" style=\"color:#1565c0\"><strong>Ya\u015fam alanlar\u0131 nas\u0131l?<\/strong><\/p>\n\n\n\n<p>Gemilerde tamamen farkl\u0131 iki ayr\u0131 d\u00fcnya var diyebilirim. Biri misafirler i\u00e7in d\u00fczenlenmi\u015f, g\u00f6steri\u015fli misafir alanlar\u0131 ve di\u011feri de daha i\u015flevsel ve sade tasarlanm\u0131\u015f olan personel alanlar\u0131. \u0130yi haber \u015fu ki, gemi hekimleri de \u2018officer\u2019 stat\u00fcs\u00fcnde ve asl\u0131nda hayli de k\u0131demli say\u0131ld\u0131klar\u0131 i\u00e7in hem misafir alanlar\u0131n\u0131 kullanma haklar\u0131 var hem de her \u2018officer, \u0131n da kullanamad\u0131\u011f\u0131 ayr\u0131cal\u0131kl\u0131 b\u00f6l\u00fcmlerde bulunma haklar\u0131 var. Odalar tek ki\u015filik ve d\u00fczenli \u015fekilde temizleniyor. \u015eirketler aras\u0131nda farkl\u0131l\u0131klar oldu\u011funa eminim ama benim \u2018junior\u2019 doktor olarak kald\u0131\u011f\u0131m odamda bir pencerenin olmamas\u0131 ilk ba\u015fta garip gelmi\u015fti, d\u00f6rt ay\u0131n sonunda al\u0131\u015ft\u0131m san\u0131r\u0131m. Yemekleri t\u00fcm personelle birlikte yiyebilir veya zaman\u0131n\u0131z varsa misafir alanlar\u0131n\u0131 da tercih edebilirsiniz. Bunun d\u0131\u015f\u0131nda size \u00f6zel personel indirimleriyle gemi i\u00e7indeki farkl\u0131 restoranlar\u0131 da denemek isteyebilirsiniz. Personele \u00f6zel sosyal alanlar da mevcut. Tabi \u015firketlerin \u00e7al\u0131\u015fanlar\u0131 i\u00e7in s\u0131k\u0131 alkol politikalar\u0131 oldu\u011funu s\u00f6ylemeye gerek yok, e\u011fer rastgele yap\u0131lan testlerde belirlenen limitin \u00fczerinde alkol oran\u0131 saptan\u0131rsa ki\u015finin i\u015f akdi feshedilebiliyor.\u00a0\u00a0<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/9536542e3f24f0aa3f6e4d4e5b6b3e6a-1024x768.jpeg\" alt=\"\" class=\"wp-image-3256\" width=\"480\" height=\"360\" srcset=\"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/9536542e3f24f0aa3f6e4d4e5b6b3e6a-1024x768.jpeg 1024w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/9536542e3f24f0aa3f6e4d4e5b6b3e6a-300x225.jpeg 300w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/9536542e3f24f0aa3f6e4d4e5b6b3e6a-768x576.jpeg 768w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/9536542e3f24f0aa3f6e4d4e5b6b3e6a-1536x1152.jpeg 1536w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/9536542e3f24f0aa3f6e4d4e5b6b3e6a-2048x1536.jpeg 2048w, https:\/\/tatd.org.tr\/aciltipbulteni\/wp-content\/uploads\/sites\/3\/2022\/12\/9536542e3f24f0aa3f6e4d4e5b6b3e6a-840x630.jpeg 840w\" sizes=\"(max-width: 480px) 100vw, 480px\" \/><\/figure>\n<\/div>\n\n\n<p>Elbette d\u00fcnyan\u0131n her yerinden insanlarla tan\u0131\u015fabilmek i\u00e7in m\u00fcthi\u015f bir f\u0131rsat! Yine de uzun soluklu dostluklar zor, zira kontratlar ortalama alt\u0131 ay uzunlukta ve tan\u0131\u015ft\u0131klar\u0131n\u0131zla tekrar ayn\u0131 gemiye, ayn\u0131 d\u00f6nemlerde d\u00fc\u015fme ihtimaliniz b\u00fcy\u00fck \u015firketlerde az.\u00a0<\/p>\n\n\n\n<p>Her personelin -elbette hekimlerin de- e\u011fer gemide kalmalar\u0131n\u0131 gerektirecek bir g\u00f6revleri yoksa bulunduklar\u0131 limanlarda karaya \u00e7\u0131kmalar\u0131 ve turlara kat\u0131lmalar\u0131 m\u00fcmk\u00fcn. Burada da e\u011fer \u015fansl\u0131ysan\u0131z ve iyi bir gezi g\u00fczergah\u0131nda \u00e7al\u0131\u015f\u0131yorsan\u0131z kontrat\u0131n\u0131z\u0131 daha keyifli ge\u00e7irebilirsiniz. Daha k\u00fc\u00e7\u00fck gemiler daha k\u0131sa geziler anlam\u0131na geliyor ve bir s\u00fcre sonra \u2018dolmu\u015f\u00e7uluk\u2019 tad\u0131 vermeye ba\u015fl\u0131yor. Kendi ad\u0131ma \u015fansl\u0131 say\u0131labilirim; Bahamalar, Meksika k\u0131y\u0131lar\u0131, Jamaika, Dominik Cumhuriyeti, Hollanda Antilleri, Cayman Adalar\u0131 ve tabi ki Miami k\u0131smen de olsa g\u00f6rebildi\u011fim yerler oldu. Ama \u2018geze geze para kazanmak\u2019 s\u00f6yleminin epey \u00f6tesinde bir i\u015f oldu\u011funu da san\u0131r\u0131m ifade edebildim.\u00a0<\/p>\n\n\n\n<p>\u015eimdi ilk kontrat\u0131m sonras\u0131 d\u00f6n\u00fcp bak\u0131nca, bu sayede s\u0131n\u0131rlar\u0131m\u0131 ve eksiklerimi g\u00f6rebildi\u011fimi, acil t\u0131p prati\u011finde kullanmak zorunda kalmad\u0131\u011f\u0131m\u0131z paslanm\u0131\u015f pek \u00e7ok farkl\u0131 becerimi tazeleme f\u0131rsat\u0131 bulabildi\u011fimi d\u00fc\u015f\u00fcn\u00fcyorum. Farkl\u0131 \u00fclkelerden hekim ve hem\u015firelerle \u00e7al\u0131\u015f\u0131rken, ald\u0131\u011f\u0131m\u0131z e\u011fitimle bu i\u015fi d\u00fcnya standartlar\u0131nda yap\u0131yor oldu\u011fumuzu g\u00f6rmekten gurur duydum, onlar taraf\u0131ndan da takdir edilmekten mutlu oldum. Herkes i\u00e7in uygun olmayan bir ya\u015fam tarz\u0131 oldu\u011funu, ger\u00e7ekten hem fiziksel hem de mental olarak bir dayan\u0131kl\u0131l\u0131k hali gerektirdi\u011fini s\u00f6ylemeliyim. Hem de sadece giden i\u00e7in de\u011fil, kalan ve bunu birlikte s\u0131rtlayan t\u00fcm aile bireyleri i\u00e7in\u2026 \u00d6zellikle ilk iki ay\u0131mda benim de \u00e7ok zorland\u0131\u011f\u0131m\u0131 itiraf etmeliyim. \u00d6te yandan da ne yaz\u0131k ki hen\u00fcz hak ettikleri k\u0131ymeti bulamayan \u00fclkemizdeki birbirinden de\u011ferli acil t\u0131p hekimlerinin \u00f6n\u00fcm\u00fczdeki y\u0131llarda bu sekt\u00f6rde adlar\u0131ndan \u00e7ok\u00e7a bahsettirece\u011finden de eminim. Baz\u0131lar\u0131m\u0131z i\u00e7in ger\u00e7ek bir kariyer f\u0131rsat\u0131, baz\u0131lar\u0131m\u0131z i\u00e7in farkl\u0131 bir deneyim ve potansiyellerimizi g\u00f6rme \u015fans\u0131, baz\u0131lar\u0131m\u0131z i\u00e7inse k\u0131sa da olsa ba\u015f\u0131m\u0131z\u0131 kald\u0131r\u0131p suyun \u00fcst\u00fcnde bir anl\u0131k hava alma s\u00fcresi olacak. Ben, \u201c\u0130yi ki yapt\u0131m!\u201d diyorum.<\/p>\n\n\n\n<p>Umar\u0131m ilgililer a\u00e7\u0131s\u0131ndan \u00e7o\u011fu soruya cevap verebilecek bir yaz\u0131 olmu\u015ftur. Pek \u00e7ok \u015feyi de yaz\u0131y\u0131 uzatmamaya \u00e7al\u0131\u015f\u0131rken unuttu\u011fuma eminim ancak e\u011fer sorular\u0131n\u0131z olursa elimden geldi\u011fince yard\u0131mc\u0131 olmaya \u00e7al\u0131\u015f\u0131r\u0131m ve bundan mutluluk duyar\u0131m.<\/p>\n\n\n\n<p>Son olarak da, bu s\u00fcre\u00e7teki ilgileri dolay\u0131s\u0131yla Ebru \u00dcnal Ako\u011flu ve Haldun Ako\u011flu Hoca\u2019lar\u0131ma te\u015fekk\u00fcr ediyor, \u015fu an art\u0131k ismen var olmasa da, acil t\u0131p\u0131 \u00f6\u011frendi\u011fim Ankara Atat\u00fcrk E\u011fitim ve Ara\u015ft\u0131rma Hastanesi\u2019ndeki hocalar\u0131ma ve y\u0131llarca birlikte \u00e7al\u0131\u015ft\u0131\u011f\u0131m arkada\u015flar\u0131ma \u015f\u00fckranlar\u0131m\u0131 sunuyorum.\u00a0<\/p>\n\n\n\n<p>Umar\u0131m yak\u0131n gelecekte her birimiz keyif ald\u0131\u011f\u0131m\u0131z i\u015fleri yaparken mutlu oluruz.<\/p>\n\n\n\n<p class=\"rounded-3 px-2 py-1 has-text-color has-background has-small-font-size\" style=\"background-color:#f5f5f5;color:#666666\"><em>Bu yaz\u0131 Acil T\u0131p B\u00fclteni&#8217;nin Ekim 2022 tarihli<\/em> <em><a href=\"https:\/\/tatd.org.tr\/aciltipbulteni\/2022\/10\/14\/2022-ekim-sayimiz-cikti-keyifli-okumalar\/\" data-type=\"post\" data-id=\"3087\">12. say\u0131s\u0131nda<\/a><\/em> <em>yay\u0131mlanm\u0131\u015ft\u0131r.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Merhabalar, \u0130tiraf etmeliyim ki ba\u015flarda bu platformlarda ad\u0131m\u0131n, acil t\u0131p bilimine katk\u0131 sunmak \u00fczere kaleme ald\u0131\u011f\u0131m \u00e7al\u0131\u015fmalar\u0131n alt\u0131nda olaca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcrd\u00fcm ama hayat&hellip;<\/p>\n","protected":false},"author":917,"featured_media":3258,"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":[10,12,14,10015],"tags":[10328,10346],"class_list":["post-3251","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mercek","category-roportaj","category-sizden-gelenler","category-sosyal-blog-yazisi","tag-cruise","tag-hekimlik"],"acf":[],"_links":{"self":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/3251","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=3251"}],"version-history":[{"count":0,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/posts\/3251\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media\/3258"}],"wp:attachment":[{"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/media?parent=3251"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/categories?post=3251"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tatd.org.tr\/aciltipbulteni\/wp-json\/wp\/v2\/tags?post=3251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}