Medicine at UKSW - studies with PiS blessing

A university with a religious profile, managed by clergy, wants to open medical studies, and the Polish Sejm agrees to it.This is not only the success of the UKSW authorities, but above all evidence of the fictitiousness of the chapter of the Polish state and the Catholic Church - writes Łukasz Andrzejewski.

Medical studies are popular among candidates and unchanging social prestige.This is influenced by several factors.Some of them are objective because they relate to the elementary need to educate people who can professionally take care of the lives and health of others.These people will always be a minority, and their education is, or at least should be, one of the key goals of the development of each country.Other, no less important factors are related to traditional, and today only imagined - because certainly not current - an economically privileged position of medics compared to other professional groups.For these reasons, medical universities enjoy (and always enjoyed, even in the previous system) relatively large autonomy and the "respect" "respect" from subsequent authorities - because in the face of the threat caused by the disease, only real access to the best doctors counts..And that's why so far no one has been eagerly, strength or radically tried to reform the doctors' education system.

Such an argument was a few years ago the basis for opposition to the idea of launching medical faculties at non -medical and private universities, whose authorities tried to break the strongest regional monoples of Warsaw, Kraków, Poznań, Gdańsk and Toruń.It was said then that to prepare students well for the doctor's profession, you need a proven, preferably your own clinical base, which will ensure the right quality of education.Even if she did not love great academic centers, which mainly care about the interests of her own structures, it is difficult to deny it.The establishment and conduct of medical studies is a really large undertaking that cannot be implemented, based solely on declarations of innovation, demonstration presentations of extensive international contacts, organizational tricks or even the most efficient promotions in social media.

The autonomy of medical universities in the higher education system also has its source in the fact that their opening and running requires huge financial, technological, organizational and finally - staff.This situation is well described by an anecdote that only entertains those who have not studied medicine.During exams in the field of medical.When a disappointed student wants to find out why he returns with two in the index, even though he knew the answers to ninety -nine percent of questions, the professor answers: "You can't be a doctor only in ninety -nine percent".It is similar with conducting medical studies - this cannot be done in makeshift conditions or in a partial formula, waiting for better times or, as is the case with many private universities, counting on a new recruitment, which will enable further investments.

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Supporters of breaking the dominance of the largest academic centers in the education of doctors do not argue with all this - they provide one argument that is difficult to ignore.There are definitely not enough doctors in Poland.According to the latest OECD report monitoring the quality and organization of healthcare systems, Health at A Glance 2017, in Poland there are statistically 2.3 doctor.The average for OECD is 3.4.In this competition, virtually all countries of the region associated in this organization are ahead of us.Konstanty Radziwiłł, when he was still a minister, tried to save the situation, indicating the estimates of the health department, according to which in Poland this factor is greater and is 3.5.Regardless of the sources of these calculations, which is a separate problem in assessing the effectiveness of our healthcare system, lack of doctors, especially specialists, all patients feel painfully.

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Too few medics, as well as humiliacily low salaries of resident, deficit specializations and the growing percentage of retirement doctors are not only abstract numbers in the reports of international organization, but above all - the obstacles of restrictions in access to health care services.The fact that, for example, for the surgery of the hip of the hip joint, you have to wait a few years, it is not only the result of insufficient financing, but also the lack of specialists who could carry out such procedures on a regular basis and without many years of queues.

The availability of medical care is a indicator of civilization development with which Poland has a big problem all the time.Lack of doctors is the first step on the way to deepen health unevenness.When there is a lack of medical staff, access to benefits guaranteed in the constitution becomes an empty record.In addition to queues, it also means spontaneous formation of a parallel system of private services that only a few can afford.Consequently, as the US example shows, this means a decrease in health safety of the entire population.

The rectors of non -medical and private universities used this argument very efficiently, which somewhere in the background was accompanied by a growing social fear of migrants and reluctance to them.As a result, a forced alternative was created: either it will be easier to open medical faculties, or we are waiting for the transfer of doctors-coccisers who will look for better earnings in Poland, and their competences, mysterious and difficult to verify, will pose a potential threat to patients.This combination of objective arguments related to the number of doctors insufficient in relation to health needs, and the fear of strangers turned out to be quite effective.The monopoly of traditional centers educating doctors has been broken - medicine can also be studied recently in Zielona Góra, Kielce, Rzeszów, Radom and private universities of Krakow and Warsaw.

It seemed that hegemonic academic centers, although with disgust and often justified fears about the quality of medical education, but still reconciled with the existence of public competition and, although the resistance here was definitely greater, private.Quite imperceptibly, at least for the most interested, i.e. patients, there was a doctrinal change in the medical education model, incomparable to the change of academy into medical universities from a few years ago.

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In the meantime, there was a preview of the revolution, i.e. the Jarosław Gowin Act, which in the intentions of its creators, changing the word "perfection" through all cases, is to radically improve the situation in Polish science, bringing it closer to scientific, didactic and organizational standards of the best academic centers in the world.Act 2.0, in many issues, rightly criticized by the scientific community, focuses on very precise criteria, which depends on the possibility of conducting specific fields of study.Meanwhile, on June 14, MPs voted for a change in the act, thanks to which medical studies will be opened ... at the University of IM.Cardinal Stefan Wyszyński.

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This Catholic university has so far educated at a good level of students primarily in theology, canonical and humanities and social teachings.The closest to the medical sciences to the Faculty of Biology and Environmental Sciences, but even the latest laboratories, which the university authorities boast, will not replace the base necessary to build a stable organizational structure, especially since the first students are to start studying in the next academic year.

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The surprise, however, is not only the fact that a university with a religious profile, managed by clergy, wants to open medical studies.Ultimately, the Faculty of Medicine successfully develops Duke University, an excellent private university founded by methodists in North Carolina.It is also puzzling - because surprisingly consistent (excluding the club of Nowoczesna) - the position of the Sejm in this matter.Despite the evidently special legislative path, despite the very specific doubts about the organization and the unambiguous worldview of the university profile, even on a daily basis, the opposition deputies critical of the privileges of the Church agreed to change the act on UKSW expressly, and for the moment before the planned vote on the bill of the Gowina act.

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"It is worth noting [...] that the desire of the Cardinal Stefan Wyszyński University is that education at the newly created Medical Department takes place based on high ethical standards.To this end, the university undertook close cooperation with the Gemelli Clinic in Rome, which is part of the Catholic University of Sacred Heart in Milan, "said Lidia Burzyńska from PiS.

"[...] Initially, we had doubts about this project, because it looked like a special treatment of one Catholic university.[...] We were convinced not only of the assurance of the university rector, but above all talking about the desire to develop and education in the field of medicine in the capital and signing many contracts with the institutions that the MP spoke about " - said Kinga Gajewska from PO.

Władysław Kosiniak-Kamysz focused on traditional political realism in the PSL edition: "Not all parents and themselves [students] can afford to pay, which are one of the most expensive in Poland, so if there is space, so that young people can not only realize their ambitionsAnd plans, but in fact to expand a group of people prepared to help, this project you just have to support ".

Platforma Obywatelska, as soon as her comfortably, demonstratively opposes the subsidy of Tadeusz Rydzyk's public money, but does not pass the exam with the consequence.The load -bearing slogans repeated in front of the cameras have nothing to do with the parliamentary work of PO MPs, whose effects, in the form of subsequent privileges, collects the Church.The amendment to the Act on UKSW is not only the success of the authorities of this university, but above all another evidence of the fictitiousness of the chapter of the Polish state and the Catholic Church.No other secular institution obtained - and at such a dizzying pace - so many privileges from the legislator.

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The debate of June 14 is also a clear signal about the parliament's relationship to the announced changes in higher education.Of course, there is a foggy consent to "improve quality", "reform science" and "take care of development", but at the level of specifics, first and foremost, particular interests and ad hoc fears about the election result count.Although the case concerns science and health safety, he won the parliamentary forces unifying for the loss of the Church's support in the next election.

When leaving a rather traditional political hypocrisy on the side, it is worth paying attention to one more element that worries a lot.MPs participating in the parliamentary debate impressed their faith in the announcements, declarations and promises of the UKSW authorities.I do not know if there is an institution in Poland that has obtained such a loan of trust from various political forces.The decision of the Sejm is also a blow to other universities, which, unlike the UKSW.

Consent to launch a medical direction in UKSW has once again proved the scale of misunderstanding in our country of the realities and goals of health policy.When a MP.Just like directly related to the medical ethics of the law of patients, which regulates, by the way, very imperfect, the Act of 2008.Today, when these rights are threatened as a result of the regulation motivated by the will of the Church, even the so -called.conscience clause, instead of enthusiastic about new medical departments, it is worth considering how to protect and develop them.The question is whether there is still a force in parliament to take care of them, I leave unanswered.

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