WMJ 05 2011 - World Medical Association

ICELAND
National and Regional news
With this, the AMM is trying to put into
practice the continuous medical education in
the local working place, allowing the practitioners
that are far from the main Health Unit
in his/her province but with internet access
to review and be aware of the new practices.
As, on the one hand, the Mozambican
Medical Association was created to defend
the interests of their associates and, on the
other hand, is directed at defending the
population’s health and care, it chose the
theme “Medical Ethics and Deontology” as
slogan for the year 2011, to create an open
debate where it is expected that the Medical
Ethics and Deontology Code approved
this year, is known by all physicians and the
civil society.
References
1. Escritura Pública da Associação Médica de
Moçambique.
2. Instituto Nacional de Estatística, www.ine.gov.
mz/populacao/indicadores
3. INSIDA (Inquérito Nacional de Prevalência,
Riscos Comportamentais e
4. Informação sobre o HIV e SIDA em Moçambique),
INS, MISAU, 2009.
5. Registos da Associação Médica de Moçambique.
Dr. Rosel Salomão,
President,
Mozambican Medical Association
Icelandic Medical Association
Jonsdottir Birna
The population of Iceland is a little above
300,000 and the total number of physicians
is around 1000. The vast majority of them
work directly for the national health care
system receiving salary by collective bargaining
agreement between the Icelandic Medical
Association (IcMA) and the Icelandic
Ministry of Finance. The global recession hit
Iceland very badly in 2008 and the government
had to put up a huge amount of money
to guarantee personal individual bank credits
in the Icelandic bank system that mostly collapsed
and would otherwise have gone bankrupt.
This has profoundly affected the health
care system in Iceland because the government
had to borrow the money abroad and
the Icelandic currency krona became worth
½ of its former value. Doctors’ salaries have
been cut, for very many of them their personal
debt, i.e. house mortgage loans, etc., has
grossly risen. This situation has led to worse
recruitment of young doctors from specialist
training that they traditionally do abroad.
We used to have 30% of Icelandic doctors
working and doing training abroad, but now
the percentage has risen to almost 40%. The
IcMA has great concerns about this serious
situation, and regardless of how we try to
wake up the responsible politicians no plans
are made and the current round of negotiations
is moving very slowly.
The IcMA is both a trade union and a professional
society of all doctors in Iceland.
We have, as subgroups of different regional
societies, different age groups, and especially
a very active society of elderly doctors, who
regularly meet in our local in Hlidasmari
over the winter and organize several travels
both in Iceland and overseas every year. Being
only a little over 1000, we all more or
less know or know of each other.
Iceland has for long been known as the land
of ice and fire. Being a not so small volcanic
island in the North Atlantic Ocean, it rose to
previously unknown infamous fame when the
volcano Eyjafjallajökull burst out last year and
created an enormous ash cloud that interfered
with flight traffic for many weeks in a large
part of Europe. This volcanic outburst has as
a spin-off given us more tourists than we have
ever had and currently is helping the economy.
Economic recovery is the most important factor
we have to rely on, or our health care system
will be seriously damaged. The IcMA has
monitored the medical work force since 2008
and doctors are now almost 15% fewer than
were estimated by a long term statistic prognosis
worked out in collaboration with our
Nordic sister organizations. Icelandic medical
doctors have good compliance and most of
them who move out of the country get jobs as
doctors. Those staying at home load on more
work, long hours and postpone retirement.
That decision came easily for many since the
pension funds greatly suffered in the recession.
How this will affect the long term health of
Icelanders is yet to be seen – hopefully the recovery
will be fast, but the IcMA has taken the
standpoint that it is still a wonderful profession
we have and one of the major advantages
is you can have a choice of many countries to
work in when properly trained as a doctor.
The volcano in southern Ilacier sends ash
into the air just prior to sunset ON Friday,
April 16, 2010. Thick drifts of volcanic ash
blanketed parts of rural Iceland on Friday
as a vast, invisible plume of grit drifted over
Europe, emptying the skies of planes and
sending hundreds of thousands in search of
hotel rooms, train tickets or rental cars.
Dr. Jonsdottir Birna,
President, Icelandic Medical Association
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