{"id":8463,"date":"2015-08-02T08:02:06","date_gmt":"2015-08-02T07:02:06","guid":{"rendered":"http:\/\/kapitalis.com\/tunisie\/?p=8463"},"modified":"2015-08-02T08:05:22","modified_gmt":"2015-08-02T07:05:22","slug":"coup-de-gueule-dun-medecin-tunisien","status":"publish","type":"post","link":"https:\/\/kapitalis.com\/tunisie\/2015\/08\/02\/coup-de-gueule-dun-medecin-tunisien\/","title":{"rendered":"Coup de gueule d\u2019un m\u00e9decin tunisien"},"content":{"rendered":"

\"Medecins\"<\/p>\n

Ce coup de gueule d’un m\u00e9decin tunisien propose des \u00e9l\u00e9ments pour un d\u00e9but de r\u00e9flexion au sujet du service civil des m\u00e9decins sp\u00e9cialistes.<\/strong> <\/em><\/p>\n

Par Dr Karim Abdellatif<\/strong><\/p>\n

<\/p>\n

1. Plusieurs r\u00e9gions maquent de m\u00e9decins dans certaines sp\u00e9cialit\u00e9s, c\u2019est un fait.<\/p>\n

2. Certains h\u00f4pitaux r\u00e9gionaux comportent jusqu\u2019\u00e0 6 orthop\u00e9distes, ce qui est bien plus que n\u00e9cessaire.<\/p>\n

3. A Siliana, bien qu\u2019il y ait des orthop\u00e9distes sur place, des patients mod\u00e9r\u00e9ment \u00ablourds\u00bb ne peuvent pas \u00eatre pris en charge car l\u2019\u00e9quipe des anesth\u00e9sistes ne veut prendre aucun risque. De plus, il existe un manque de mat\u00e9riel et les mesures prises par les autorit\u00e9s responsables pour am\u00e9liorer cet \u00e9tat de fait ne portent pas leurs fruits, c\u2019est un euph\u00e9misme.<\/p>\n

4. A Tozeur, un anesth\u00e9siste-r\u00e9animateur tunisois qui y travaille depuis trois ou quatre ans a encha\u00een\u00e9 les gardes, faisant jusqu\u2019\u00e0 un mois entier de gardes ininterrompues, au point de tomber gravement malade. Il a demand\u00e9 \u00e0 \u00eatre mut\u00e9, mais le minist\u00e8re de la Sant\u00e9 fait la sourde oreille et ne veut pas le laisser d\u00e9missionner.<\/p>\n

5. A M\u00e9denine, un gyn\u00e9cologue tunisien qui avait r\u00e9ussi au concours d\u2019\u00e9quivalence fran\u00e7ais (et qui \u00e9tait donc susceptible d\u2019aller travailler en France dans de bonnes conditions et avec un salaire cons\u00e9quent) a travaill\u00e9 lui aussi \u00e0 un rythme infernal (jusqu\u2019\u00e0 20 gardes d’affil\u00e9e). Les infirmiers m\u00e9deninois lui ont dit, devant moi, que s\u2019il encha\u00eenait ainsi les gardes (alors qu\u2019ils n\u2019\u00e9taient que deux gyn\u00e9cologues dans cet h\u00f4pital durant le semestre o\u00f9 j\u2019y ai travaill\u00e9), c\u2019\u00e9tait par app\u00e2t du gain.<\/p>\n

6. Toujours \u00e0 M\u00e9denine, une ophtalmologue r\u00e9cemment dipl\u00f4m\u00e9e et qui est all\u00e9e y effectuer son service civil a demand\u00e9 \u00e0 y \u00eatre embauch\u00e9e : pas de r\u00e9ponse positive de la part du minist\u00e8re de la Sant\u00e9.<\/p>\n

7. Des m\u00e9decins \u00e9trangers travaillent dans certains h\u00f4pitaux r\u00e9gionaux manquant de m\u00e9decins tunisiens. Ils ne sont pas toujours comp\u00e9tents et ne ma\u00eetrisent bien souvent ni l\u2019arabe, ni le fran\u00e7ais. Je ne prendrais pas pour exemple ce visc\u00e9raliste russe bien sympathique qui a \u00e9t\u00e9 retrouv\u00e9 \u00e0 plusieurs reprises ivre mort au sein de l\u2019h\u00f4pital et qui \u00e9tait saoul pendant ses gardes, ni celui de cet anesth\u00e9siste-r\u00e9animateur iranien de plus de 70 ans qui finira bien par tous nous enterrer et qui travaille toujours dans le nord de la Tunisie.<\/p>\n

8. Quand la m\u00e9decine dans les r\u00e9gions d\u00e9favoris\u00e9es ne drainait pas d\u2019argent, c\u2019\u00e9taient les r\u00e9sidents en m\u00e9decine et les nouveaux m\u00e9decins sp\u00e9cialistes qui avaient la lourde t\u00e2che de sauver notre pays (qui paye les cons\u00e9quences d\u2019une politique de sant\u00e9 d\u00e9sastreuse durant depuis plus d’un demi-si\u00e8cle). Mais d\u00e8s qu\u2019il s\u2019est agi de r\u00e9mun\u00e9rer les gardes \u00e0 hauteur de 300 DT, tout le monde \u00e9tait miraculeusement sur le coup, y compris les m\u00e9decins hospitalo-universitaires et le syndicat des m\u00e9decins de libre pratique. On peut aussi imaginer dans le futur que des r\u00e9sidents pourraient subir des pressions de la part de leur hi\u00e9rarchie pour assurer ces gardes sans couverture ni r\u00e9mun\u00e9ration.<\/p>\n

9. Parmi toutes les femmes tunisiennes, seules les femmes m\u00e9decins sont concern\u00e9es par le service national. Et aux derni\u00e8res nouvelles, la grossesse n\u2019est pas consid\u00e9r\u00e9e comme un crit\u00e8re m\u00e9dical d\u2019exemption.<\/p>\n

10. Les dossiers des r\u00e9sidents en m\u00e9decine qui d\u00e9posent une demande d\u2019exemption au service national sont volontairement mis de c\u00f4t\u00e9 en raison de directives gouvernementales.<\/p>\n

11. Parce que leurs \u00e9tudes se prolongent au-del\u00e0 de 28 ans, les jeunes m\u00e9decins sp\u00e9cialistes sont p\u00e9nalis\u00e9s et perdent leur droit \u00e0 b\u00e9n\u00e9ficier (dans le cas o\u00f9 ils le m\u00e9riteraient) des crit\u00e8res d\u2019exemption et de sursis qui restent applicables \u00e0 tous les autres Tunisiens terminant leurs \u00e9tudes avant cet \u00e2ge.<\/p>\n

12. Le 10 f\u00e9vrier 2010, sous l\u2019\u00e8re Ben Ali, le Conseil Constitutionnel a \u00e9mis un avis stipulant que \u00able projet de loi [la fameuse loi 2010-17 !] modifiant et compl\u00e9tant la loi n\u00b02004-1 du 14 janvier 2004 relative au service national, ne soul\u00e8ve aucune inconstitutionnalit\u00e9.\u00bb Laissez moi rire ou pleurer…<\/p>\n

* R\u00e9sident en orthop\u00e9die.<\/em><\/p>\n

Article li\u00e9:<\/strong> <\/em><\/p>\n

Tunisie: Les dessous de la gr\u00e8ve des m\u00e9decins<\/em><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Ce coup de gueule d’un m\u00e9decin tunisien propose des \u00e9l\u00e9ments pour un d\u00e9but de r\u00e9flexion au sujet du service civil des m\u00e9decins sp\u00e9cialistes. Par Dr Karim Abdellatif<\/p>\n","protected":false},"author":5,"featured_media":8464,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[992,1000,2433],"tags":[3988,810],"class_list":["post-8463","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-a-la-une","category-tribune","category-tunisie","tag-medecins-specialistes","tag-sante"],"yoast_head":"\nCoup de gueule d\u2019un m\u00e9decin tunisien - Kapitalis<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kapitalis.com\/tunisie\/2015\/08\/02\/coup-de-gueule-dun-medecin-tunisien\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Coup de gueule d\u2019un m\u00e9decin tunisien - Kapitalis\" \/>\n<meta property=\"og:description\" content=\"Ce coup de gueule d’un m\u00e9decin tunisien propose des \u00e9l\u00e9ments pour un d\u00e9but de r\u00e9flexion au sujet du service civil des m\u00e9decins sp\u00e9cialistes. 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