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But the process, which normally takes four to six weeks, stretched to five months.
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There, he applied for the Cuban Medical Professional Parole Program at the United States Embassy. In April, 18 months into his two-year medical posting in Venezuela, Dr. Sánchez stranded in Colombia for months this year. The Department of Homeland Security fast-tracks residency for Cuban medical professionals who defect, but it has been slowed by the swell of applications, accusations of fraud and delays that left hundreds of people like Dr. The number of Cuban medical professionals who defected for residency in the United States reached a record this year, putting a crimp in the newly restored relations between the two countries and forcing Cuba to scramble to stop the exodus. One year after Cuba and the United States announced their thaw, policies like this, which hail from a more hostile era, show that diplomacy after five decades of tensions will not be as easy as the raising of embassy flags. It is a door through which thousands of Cuban health workers have emigrated - and one that President Raúl Castro is determined to close. Sánchez’s escape route was set up by the United States government, under a 2006 program that offers American residency to Cuban medical workers posted overseas. Sánchez, 29, who moved to the United States in September, four years after he graduated as a general practitioner.ĭr. “It was also a way out of Cuba,” said Dr. "I think it will ultimately enrich the Czech health care system when these well-trained medics return home.As he came of age in Cuba, José Angel Sánchez enrolled in medical school for the usual reasons: to help the sick and to make a better living than most in his destitute eastern town.
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"The young doctors who are coming to us at the moment will return to the Czech Republic full of experience," she said. Wiedemann said concerns over a mass exodus of doctors should not be over exaggerated, and that there is a positive side. But the Czech Health Ministry has said it does not expect all the doctors to make good on their pledge to leave, and that the health care sector won't suffer if they do. Patient representatives in the Czech Republic say even if 500 leave it will put pressure on an already strained system. If they do emigrate to Germany, there are concerns the Czech health care system may struggle without them. "We really like it, so we're going to send off our applications and see what happens." "My husband and I have spoken to a senior doctor who presented his hospital to us," she said. Lucie Gorbunov has already found a hospital in Germany that she likes the look of. We expect that at least one or two of them will start with us very soon."
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"We've already had some good conversations our senior doctors are very pleased. "We're pleasantly surprised the interest is so high," Wiedemann said at the jobs fair in Prague. She's hoping the Czech Republic can provide back-up. Her hospital currently has seven vacancies for junior doctors. Roswitha Wiedemann from the East Allgaeu-Kaufbeuren Clinic in southern Germany is looking for people like the Gorbunovs. In general I liked the more relaxed atmosphere among doctors and the financial rewards." "Especially the opportunity for further training. "I did an internship in Germany as a student and I enjoyed it," Lucie Gorbunov said. In countries like Germany new graduates can earn up to five times the equivalent Czech salaries, with shorter working hours. In the meantime, many, like the Gorbunovs, are determined to try their luck abroad. That's why thousands of Czech doctors have launched an initiative called "Thanks, we're leaving." They're demanding monthly wages be increased to between 1,500 and 3,000 euros. Young surgeons are only allowed to observe operations and pass instruments to the head surgeon in the first few years." In the first year we're often kept busy with bureaucracy, forms and calculations, and we have little contact with patients. "As a young doctor I'm in a difficult position," he said. According to Evzen Gorbunov, low wages are only part of the problem: Most young Czech doctors have to do extra shifts or take a second job just to keep their heads above water. If I work an extra six to seven nights in a month I get around 25,000 crowns net, which works out at roughly 1,000 euros a month." "The working conditions are really bad: lots of night shifts, not enough pay. "I finished my medical degree two years ago," Lucie Gorbunov said. They've had enough of the conditions in Czech health care. Lucie is a 28-year-old anesthetist her husband Evzen is a surgeon.
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Lucie and Evzen Gorbunov were among those at the German jobs fair in Prague.