{"id":9492,"date":"2019-10-30T12:28:49","date_gmt":"2019-10-30T12:28:49","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=9492"},"modified":"2019-10-30T12:28:49","modified_gmt":"2019-10-30T12:28:49","slug":"interviu-conf-univ-dr-florin-birsasteanu-presedintele-societatii-de-radiologie-si-imagistica-medicala-din-romania","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/interviu-conf-univ-dr-florin-birsasteanu-presedintele-societatii-de-radiologie-si-imagistica-medicala-din-romania\/","title":{"rendered":"Interviu: Conf. univ. dr. Florin B\u00eers\u0103\u0219teanu – Pre\u015fedintele Societ\u0103\u0163ii de Radiologie \u015fi Imagistic\u0103 Medical\u0103 din Rom\u00e2nia"},"content":{"rendered":"

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\u201eRadiologia este o ramur\u0103 f\u0103r\u0103 de care medicina nu mai poate supravie\u0163ui\u201d<\/strong><\/p>\n

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\u00cen luna octombrie va avea loc Congresul Na<\/u><\/strong>\u0163<\/u><\/strong>ional de Radiologie <\/u><\/strong>\u0219<\/u><\/strong>i Imagistic<\/u><\/strong>\u0103<\/u><\/strong> Medical<\/u><\/strong>\u0103<\/u><\/strong>, eveniment <\/u><\/strong>\u0219<\/u><\/strong>tiin<\/u><\/strong>\u0163<\/u><\/strong>ific cu o structur<\/u><\/strong>\u0103<\/u><\/strong> de desf<\/u><\/strong>\u0103\u0219<\/u><\/strong>urare complex<\/u><\/strong>\u0103<\/u><\/strong>, cu sesiuni de comunicare simultane, cursuri practice, simpozioane <\/u><\/strong>\u0219<\/u><\/strong>i expozi<\/u><\/strong>\u0163<\/u><\/strong>ie medical<\/u><\/strong>\u0103<\/u><\/strong>. Ce ne pute<\/u><\/strong>\u0163<\/u><\/strong>i spune despre tematica aleasa <\/u><\/strong>\u0219<\/u><\/strong>i despre subiectele ce vor fi dezb<\/u><\/strong>\u0103<\/u><\/strong>tute \u00een cadrul acestui congres?<\/u><\/strong><\/p>\n

\u00cen 3-5 octombrie anul acesta va avea loc la Sovata evenimentul nostru na\u0163ional, al Societ\u0103\u0163ii mam\u0103 de Radiologie \u2013 Societatea Rom\u00e2n\u0103 de Imagistic\u0103 Medical\u0103. Este cel mai mare eveniment al societ\u0103\u0163ii de profil, eveniment ce reune\u0219te practic toate for\u0163ele \u0219tiin\u0163ifice din specialitatea noastr\u0103 cu o tematic\u0103 variat\u0103 de la radiologia interven\u0163ional\u0103 sau imagistic\u0103 hibrid\u0103 p\u00e2n\u0103 la aspecte ce \u0163in de func\u0163ionalitatea acestei meserii, inclusiv de coparticiparea societ\u0103\u0163ilor pentru asisten\u0163i \u0219i tehnicieni. Avem un portofoliu de lectori din str\u0103in\u0103tate foarte bogat, semn al bunei cooper\u0103ri pe care o avem cu societ\u0103\u0163ile de profil din Europa \u0219i nu numai. Avem peste 32 de lectori din str\u0103in\u0103tate din partea Societ\u0103\u0163ii de Radiologie din Fran\u0163a, Germania, Grecia, Turcia, Italia, Republica Moldova. La aceast\u0103 manifestare particip\u0103 foarte mul\u0163i colegi de alte specialit\u0103\u0163i medicale conexe care au nevoie de diagnosticul imagistic, cum ar fi colegi din ortopedie, chirurgie, pediatrie, ORL, neurologie \u0219i neurochirurgie.<\/p>\n

V<\/u><\/strong>\u0103<\/u><\/strong> rug<\/u><\/strong>\u0103<\/u><\/strong>m s<\/u><\/strong>\u0103<\/u><\/strong> ne spune<\/u><\/strong>\u0163<\/u><\/strong>i care sunt nout<\/u><\/strong>\u0103\u0163<\/u><\/strong>ile <\/u><\/strong>\u0219<\/u><\/strong>tiin<\/u><\/strong>\u0163<\/u><\/strong>ifice din domeniul radiologiei <\/u><\/strong>\u0219<\/u><\/strong>i imagisticii medicale ce vor fi prezentate \u00een cadrul acestui congres?<\/u><\/strong><\/p>\n

\u00cen sine aceste manifest\u0103ri \u0219tiin\u0163ifice au ca rol s\u0103 aduc\u0103 \u00een fa\u0163a colegilor ceea ce este mai nou \u00een specialitate. Fiecare din domeniul \u00een care lucreaz\u0103 vine cu ceea ce este nou, ceea ce este progresiv \u00een acest domeniu. Eu a\u0219 puncta aici un aspect care este la mod\u0103, \u00een mare trend, un aspect ce \u0163ine de inteligen\u0163a artificial\u0103. Inteligen\u0163a artificial\u0103 este un concept ce a ap\u0103rut \u00een urm\u0103 cu 7- 8 ani de zile mai concret \u00een specialitatea noastr\u0103 \u0219i se rezuma la o coparticipare a calculatorului ce este \u00eenv\u0103\u0163at s\u0103 citeasc\u0103 inteligent imagini de radiologie ce pot constitui suportul unor investiga\u0163ii \u0219i care are ca menire s\u0103 ajute radiologul pentru a vizualiza o multitudine de imagini care se achizi\u0163ioneaz\u0103 at\u00e2t pe pacient c\u00e2t \u0219i de-a lungul unei zile. Inteligen\u0163a artificial\u0103, practic este un instrument care ajut\u0103 munca radiologului, cu siguran\u0163\u0103 nu \u00eel va \u00eenlocui niciodat\u0103, dar are o aplicabilitate larg\u0103 \u00een medicin\u0103, iar \u00een radiologie cred c\u0103 este mult mai aproape de a se concretiza aceast\u0103 aplicabilitate. \u00cemi aduc aminte, \u00een urm\u0103 cu 7 \u2013 8 ani de zile, un maistru al nostru, profesorul Mateescu, un rom\u00e2n plecat de foarte mult timp \u00een Statele Unite, care a fost promotorul \u0219colilor de var\u0103 ale societ\u0103\u0163ii de radiologie, un om deosebit care ne atr\u0103gea aten\u0163ia asupra acestei evolu\u0163ii. \u0162in minte dorin\u0163a d\u00e2nsului de a ne face p\u0103rta\u0219i la aceast\u0103 evolu\u0163ie, de a prinde ritmul acestei dezvolt\u0103ri fantastice ce o va lua inteligen\u0163a artificial\u0103 \u0219i care va ajuta enorm de mult diagnosticul rapid \u00een imagistica medical\u0103. V-a\u0219 da o singur\u0103 dat\u0103 care mi se pare extrem de relevant\u0103 \u2013 din punct de vedere tehnic at\u00e2t instala\u0163iile sunt din ce \u00een ce mai multe de imagistic\u0103 c\u00e2t \u0219i producerea de imagini per pacient este din ce \u00een ce mai mare. Dac\u0103 acum 20 de ani pentru exploatarea toracelui sau a capului pentru o tomografie se creau 10-15 imagini, ast\u0103zi pentru acela\u0219i segment se fac uneori \u0219i 6000 de imagini. Este un efort fantastic pe care trebuie s\u0103-l acoperi cu vizualizarea acestor imagini, efort pe care datele statistice \u00eel plaseaz\u0103 undeva \u00eentre 10 – 12%, rat\u0103 de cre\u0219tere anual\u0103 a investiga\u0163iilor \u0219i imaginilor care se creeaza \u00een scop diagnostic. \u00cen schimb, doctorii \u00een radiologie cresc \u00eentr-un procent mult mai mic, formarea medicilor este \u00eentr-o cre\u0219tere subtil\u0103 de aproximativ 2-3% la nivel mondial. Decalajul acesta nu va putea fi atins niciodat\u0103, ma\u0219inile vor putea s\u0103 fac\u0103 munca bruta \u00een a selecta imaginile patologice. Ma\u0219inile sunt \u00eenv\u0103\u0163ate s\u0103 recunoasc\u0103 imaginile normale \u0219i cele patologice, ele ar putea deveni un instrument care s\u0103 ne ajute la cernerea imaginilor \u00een timpul activit\u0103\u0163ilor noastre.<\/p>\n

\u00cen 2018 Rom\u00e2nia a participat la Zilele Francofoniei \u00een Radiologie, o manifestare organizat<\/u><\/strong>\u0103<\/u><\/strong> de Societatea Francez<\/u><\/strong>\u0103<\/u><\/strong> de Radiologie. Cum au fost primi<\/u><\/strong>\u0163<\/u><\/strong>i medicii rom\u00e2ni la aceast<\/u><\/strong>\u0103<\/u><\/strong> manifestare?<\/u><\/strong><\/p>\n

Societatea Francez\u0103 de Radiologie este una dintre cele mai mari societ\u0103\u0163i din lume. Manifest\u0103rile pe care aceast\u0103 societate le face atrag ca un magnet s\u0103 spunem a\u0219a. Uzual societatea francez\u0103 nominalizeaz\u0103 anual dou\u0103 \u0163\u0103ri care vin ca oaspe\u0163i de onoare, nu neap\u0103rat francofone dar anul trecut am fost dou\u0103 \u0163\u0103ri francofone. Societatea rom\u00e2n\u0103 a fost desemnat\u0103 \u00een urm\u0103 cu c\u00e2\u0163iva ani, \u0163ar\u0103 de onoare la aceast\u0103 manifestare ce a avut loc anul trecut la Paris, la Palatul Congresului, \u00een luna octombrie \u0219i spre satisfac\u0163ia mea, prin mandatul de pre\u0219edinte, am avut o onoare deosebit\u0103 de a fi participant la aceast\u0103 manifestare deosebit de important\u0103 din punct de vedere \u0219tiin\u0163ific. Am avut un stand foarte bine echipat cu materiale de promovare a manifest\u0103rilor noastre, cu materiale de promovare a Rom\u00e2niei turistice, am avut pl\u0103cerea de a-l avea oaspete o zi \u00eentreag\u0103, pe ambasadorul Rom\u00e2niei la Paris, dl Luca Nicolau, la stand l-am adus pe campionul mondial al caricaturii \u0218tefan Popa Popas care a atras ca un magnet asisten\u0163a la standul Rom\u00e2nie \u0219i care a realizat peste 180 de caricaturi ale doritorilor la standul nostru, a fost chiar o emula\u0163ie deosebit\u0103. Mai presus de toate acestea a fost un prilej deosebit de a ne \u00eent\u00e2lni cu colegii no\u0219tri pleca\u0163i la studii sau stabili\u0163i \u00een Fran\u0163a. Eu personal \u00eempreun\u0103 cu colegii de la stand am str\u00e2ns peste 238 de participan\u0163i rom\u00e2ni a c\u0103ror date de contact le-am luat \u0219i c\u0103rora le facem un mail periodic de informare vis-a-vis de ceea ce se \u00eent\u00e2mpl\u0103 \u00een societatea rom\u00e2n\u0103 de imagistic\u0103, de calendarul manifest\u0103rilor noastre \u00een a\u0219a fel \u00eenc\u00e2t s\u0103 se simt\u0103 aproape \u0219i s\u0103 \u00eei sim\u0163im doritori s\u0103 vin\u0103 cu abilit\u0103\u0163ile pe care le-au c\u00e2\u0219tigat \u00een loca\u0163iile \u00een care lucreaz\u0103, din \u0163\u0103ri mai bine dotate \u0219i mult mai bine organizate din acest punct de vedere. Am avut acolo \u0219i o echip\u0103 de lectori, am participat \u0219i la un concurs de rezolvat cazuri de imagistic\u0103, s-au schimbat \u00eensemne ale societ\u0103\u0163ii, plachete. A fost din punctul meu de vedere o reu\u0219it\u0103 deosebit\u0103, o modalitate prin care noi am reu\u0219it s\u0103 promov\u0103m societatea rom\u00e2n\u0103 \u0219i nu numai ci \u0219i Rom\u00e2nia.<\/p>\n

Care sunt principalele probleme cu care v<\/u><\/strong>\u0103<\/u><\/strong> confrunta<\/u><\/strong>\u0163<\/u><\/strong>i ca pre<\/u><\/strong>\u0219<\/u><\/strong>edinte al Societ<\/u><\/strong>\u0103\u0163<\/u><\/strong>ii Rom\u00e2ne de Radiologie <\/u><\/strong>\u0219<\/u><\/strong>i Imagistic<\/u><\/strong>\u0103<\/u><\/strong> Medical<\/u><\/strong>\u0103<\/u><\/strong>?<\/u><\/strong><\/p>\n

Nu sunt probleme deosebite, sunt probleme curente pe care trebuie s\u0103 le rezolve cel ce \u00ee\u0219i asum\u0103 aceast\u0103 administrare a poten\u0163ialului \u0219tiin\u0163ific \u0219i organizatoric al specialit\u0103\u0163ii noastre. \u00cen primul r\u00e2nd este necesar s\u0103 veghez asupra aranj\u0103rii calendarului manifest\u0103rilor at\u00e2t a societ\u0103\u0163ii mari c\u00e2t \u0219i a subsociet\u0103\u0163ilor de subspecialit\u0103\u0163ii. Societatea noastr\u0103 are un num\u0103r de 7 subsociet\u0103\u0163i sau subspecialit\u0103\u0163i pe domenii mult mai restr\u00e2nse. Tendin\u0163a de a ne dezvolta profesional pe subspecialit\u0103\u0163i este fireasc\u0103. Aceast\u0103 tendin\u0163\u0103 exist\u0103 la nivel european \u0219i interna\u0163ional. Cred c\u0103 suntem alinia\u0163i la nivel european \u0219i din acest punct de vedere. Majoritatea subspecialit\u0103\u0163ilor noastre ca \u0219i forme organizatorice sunt afiliate la structurile europene. \u00cen plus pre\u0219edintele trebuie s\u0103 vegheze \u0219i s\u0103 participe la toate manifest\u0103rile ce sunt organizate sub egida societ\u0103\u0163ii, trebuie s\u0103 reprezinte societatea \u00een \u00eent\u00e2lnirile interna\u0163ionale. Aici a\u0219 vrea s\u0103 spun c\u0103 mai mul\u0163i factori au concurat de-a lungul timpului, \u00een a\u0219a fel \u00eenc\u00e2t \u00een ultimii 6-8 ani de zile prin contribu\u0163ia deosebit\u0103 a fo\u0219tilor pre\u0219edin\u0163i \u00eempreun\u0103 cu continuarea acestor bune practici \u0219i de conducerile mai recente \u0219i actuale am reu\u0219it s\u0103 avem o imagine foarte bun\u0103 \u00een rela\u0163iile cu Europa. Am reu\u0219it s\u0103 cre\u0219tem participarea noastr\u0103 ca \u0219i num\u0103r la manifest\u0103rile de profil europene, am reu\u0219it s\u0103 cre\u0219tem num\u0103rul lectorilor \u0219i a abstractelor sau lucr\u0103rilor ce particip\u0103 la manifest\u0103rile europene. A\u0219 vrea s\u0103 v\u0103 dau ni\u0219te date reale \u0219i anume c\u0103 societatea noastr\u0103 are un num\u0103r de peste 850.000 de membri pl\u0103titori activi an de an, un num\u0103r impresionant. Tot ace\u0219tia sunt automat, prin facilit\u0103\u0163ile pe care le-am ob\u0163inut de-a lungul timpului, pentru o tax\u0103 simbolic\u0103 de 10 euro, \u0219i membri ai Societ\u0103\u0163ii Europene. O facilitate pe care societatea european\u0103 ne-a f\u0103cut-o \u0219i astfel a crescut accesibilitatea la aceste manifest\u0103ri care reunesc uneori 20.000-25.000 de participan\u0163i la o manifestare de acest gen. Am primit o informare \u00een luna mai a acestui an, c\u0103 Rom\u00e2nia a fost a 8-a \u0163ar\u0103 din 68 de \u0163\u0103ri ca num\u0103r de participan\u0163i. Am fost deosebit de m\u0103gulit de aceast\u0103 plasare, semn c\u0103 colegii no\u0219tri au realizat c\u00e2t de important\u0103 este educa\u0163ia medical\u0103 continu\u0103 \u0219i practic au transformat aceast\u0103 manifestare ce are loc \u00een luna martie la Viena de 25 de ani, au transformat-o \u00eentrun obiectiv clar \u00een calendarul nostru de manifest\u0103ri \u0219tiin\u0163ifice. Alte sarcini pe care le are pre\u0219edintele societ\u0103\u0163ii sunt: s\u0103 mobilizeze colegii la participarea activ\u0103 la aceste manifest\u0103ri, s\u0103 \u0163in\u0103 o leg\u0103tur\u0103 str\u00e2ns\u0103 cu industria de profil care sunt sponsorii acestor manifest\u0103ri \u00een general, o bun\u0103 rela\u0163ie cu tehnologi\u0219tii, cu firmele de aparatur\u0103, am creat \u00eempreun\u0103 cu colectivul de conducere \u0219i comisia de specialitate a ministerului s\u0103n\u0103t\u0103\u0163ii curicula \u0219i am adaptat-o la curicula european\u0103 pentru preg\u0103tirea reziden\u0163ilor, avem o rela\u0163ie foarte bun\u0103 cu Ministerul S\u0103n\u0103t\u0103\u0163ii, am reu\u0219it s\u0103 concretiz\u0103m competen\u0163a de radiologie interven\u0163ional\u0103. Anul acesta s-au acreditat primii formatori de formatori \u00een radiologia interven\u0163ional\u0103 \u0219i astfel am \u00eenchis \u0219i din punct de vedere birocratic \u0219i al resursei umane un cerc al legalit\u0103\u0163ii \u00een aceast\u0103 specialitate extrem de dinamic\u0103 \u0219i profitabil\u0103 pentru sistemul de s\u0103n\u0103tate.<\/p>\n

A<\/u><\/strong>\u0163<\/u><\/strong>i ales s<\/u><\/strong>\u0103<\/u><\/strong> practica<\/u><\/strong>\u0163<\/u><\/strong>i meseria \u00een clinici private, renun<\/u><\/strong>\u0163<\/u><\/strong>\u00e2nd a mai practica <\/u><\/strong>\u0219<\/u><\/strong>i \u00een spitalele de stat. Care erau problemele cu care v<\/u><\/strong>\u0103<\/u><\/strong> confrunta<\/u><\/strong>\u0163<\/u><\/strong>i \u00een spitalele din Rom\u00e2nia?<\/u><\/strong><\/p>\n

Toate lucrurile sunt \u00eentr-o dinamic\u0103 \u0219i trebuie s\u0103 ne adaptam la ele. A fost o vreme c\u00e2nd condi\u0163iile de la stat nu erau chiar cele mai bune, accesul la aparatur\u0103 era foarte greoi \u0219i pe acest vid de dotare clinicile de imagistic\u0103 au crescut cum se spune ca ciupercile. Un lucru foarte bun dealtfel pentru c\u0103 plecam de la un nivel de dotare \u0219i de distribu\u0163ie a acestei aparaturi dezechilibrat, majoritatea centrelor mari beneficiau de aceste instala\u0163ii. Cu timpul lucrurile s-au mai schimbat, a\u0219 putea aminti aici de dou\u0103 spikuri s\u0103 zic, dou\u0103 picuri de v\u00e2rfuri de dot\u0103ri care au fost \u00een anul 2000 c\u00e2nd s-au achizi\u0163ionat primele RMN-uri la nivel de stat \u00een mod centralizat 12 instala\u0163ii. \u00cen 2017 am f\u0103cut parte dintr-un colectiv tehnic de lucru al ministerului, am fost pre\u0219edintele acestui colectiv unde am reu\u0219it s\u0103 achizi\u0163ion\u0103m printr-un credit finan\u0163at de banca mondial\u0103, garantat \u0219i pl\u0103tit de guvernul nostru, 34 de RMN-uri \u0219i 27 de CT-uri astfel \u00eenc\u00e2t to\u0163i pre\u0219edin\u0163ii de jude\u0163 au cel pu\u0163in c\u00e2te un RMN \u0219i un CT func\u0163ional \u00een unit\u0103\u0163ile de stat. La nivelul ministerului am dedus, c\u0103 actualmente, sunt foarte pu\u0163ine zone \u00een care privatul pe l\u00e2ng\u0103 ceea ce statul a acoperit \u00een mod unitar, s\u0103 nu aib\u0103 unit\u0103\u0163i la fel de bine dotate. Pe l\u00e2ng\u0103 acestea, de 7-8 ani de zile de c\u00e2nd spitalele au ajuns \u00een curtea autorit\u0103\u0163ilor locale, majoritatea prim\u0103riilor au depus un efort mare de dotare \u0219i au cump\u0103rat tehnic\u0103 imagistic\u0103 necesar\u0103 func\u0163ion\u0103rii spitalelor mai ales a unit\u0103\u0163ilor de primiri urgen\u0163e. \u00cen acest sens, cred c\u0103 la nivelul sistemului de stat este o situa\u0163ie \u00eembucur\u0103toare, care trebuie controlat\u0103 \u0219i \u00eentre\u0163inut\u0103 mai ales \u0219i datorit\u0103 faptului c\u0103 de un an \u0219i c\u00e2teva luni salariile au devenit foarte motivante \u00een sistemul de s\u0103n\u0103tate. Exist\u0103 \u00een mod real o tendin\u0163\u0103 de a veni din sistemul privat c\u0103tre sistemul de stat. Costurile aparaturii, amortizarea acestora, accesibilitatea \u00een privat este mult mai greoaie ca s\u0103 zic a\u0219a \u00een func\u0163ie \u0219i de aloc\u0103rile f\u0103cute de casa de asigur\u0103ri de s\u0103n\u0103tate pentru imagistica de \u00eenalt\u0103 performan\u0163\u0103. \u00cen principiu nu totul este roz la stat, \u00een sistemul public sunt fiactusuri \u00een aprovizionarea cu consumabile, sunt probleme cu contractele de service care uneori sunt extrem de scumpe \u00een raport cu privatul, sunt extrem de birocratice toate aceste proceduri. \u00cen privat, lucrurile sunt mai simple.<\/p>\n

A<\/u><\/strong>\u0163<\/u><\/strong>i \u00eenfiin<\/u><\/strong>\u0163<\/u><\/strong>at primul Centru de Radiomagistic<\/u><\/strong>\u0103<\/u><\/strong> dr. B\u00eer<\/u><\/strong>\u0219\u0103\u0219<\/u><\/strong>teanu \u00een anul 2007, fiind printre primii care ofereau servicii de imagistic<\/u><\/strong>\u0103<\/u><\/strong> la acea vreme. C\u00e2t de greu a fost \u00eenceputul?<\/u><\/strong><\/p>\n

A face pasul \u0219i spre privat nu este simplu, mai ales \u00een radiologie unde instala\u0163iile sunt foarte scumpe, condi\u0163iile de instalare din punct de vedere al comisiei na\u0163ionale de activit\u0103\u0163i nucleare sunt foarte drastice \u0219i trebuie respectate. Cert este c\u0103 a fost o provocare at\u00e2t pentru mine c\u00e2t \u0219i pentru colegii mei care ulterior i-am luat p\u0103rta\u0219i la acest proiect, \u00een ac\u0163ionariat. Ne-a \u00eempins spre zona de privat pentru c\u0103 a fost o perioad\u0103 \u00een care statul nu acoperea aceste necesit\u0103\u0163i de dezvoltare \u0219i atunci aveam sentimentul c\u0103 r\u0103m\u00e2n\u00e2nd \u00een zona de practicare a meseriei la stat b\u0103team pasul pe loc. A trebuit s\u0103 facem acest efort pentru c\u0103 ulterior am dorit s\u0103 aducem tehnologie de v\u00e2rf \u00een centrele noastre ca s\u0103 putem \u0163ine pasul at\u00e2t din punt de vedere profesional c\u00e2t \u0219i \u0219tiin\u0163ific pentru c\u0103 pe aparatur\u0103 veche nu po\u0163i veni cu rezultate deosebite \u00een manifest\u0103ri. Acesta a fost motorul care ne-a \u00eendemnat s\u0103 lucr\u0103m. Nu neap\u0103rat profitul, dac\u0103 \u00ee\u0163i faci treaba a\u0219a cum trebuie profitul vine \u00eencet, \u00eencet \u0219i po\u0163i s\u0103 ai \u0219i satisfac\u0163ii financiare, po\u0163i s\u0103-\u0163i \u00eendepline\u0219ti \u0219i menirea de societate comercial\u0103. Din p\u0103cate legea cabinetelor medicale ne asimileaz\u0103 cu ni\u0219te societ\u0103\u0163i comerciale, nu avem absolut nici un fel de facilit\u0103\u0163i. Chiar m\u0103 g\u00e2ndeam ast\u0103zi, c\u00e2t de \u00eenrobitor este un TVA de 19% (pe vremea aceea era 24%) c\u00e2nd vrei s\u0103 cumperi o instala\u0163ie de un milion de euro, neav\u00e2nd nici banii ace\u0219tia, te duci la banc\u0103 te \u00eenrobe\u0219ti, pui casa \u0219i tot ce mai ai pe l\u00e2ng\u0103 ca s\u0103 po\u0163i acoperi garan\u0163ia unui leasing \u0219i dintr-o dat\u0103 vezi c\u0103 \u00ee\u0163i mai ia \u0219i statul 200.000 de euro f\u0103r\u0103 s\u0103-\u0163i creeze niciun fel de facilit\u0103\u0163i. Eu cred c\u0103 s\u0103n\u0103tatea ar avea nevoie de ni\u0219te facilit\u0103\u0163i fiscale ca s\u0103 se dezvolte bine \u00een privat pentru c\u0103 privatul a dovedit c\u0103 poate acoperi din punct de vedere calitativ necesit\u0103\u0163ile sistemului. Ca \u0219i obiectiv important a fost dorin\u0163a noastr\u0103 de a avea o calitate foarte \u00eenalt\u0103 a actului medical, un r\u0103spuns promt, un diagnostic foarte bun \u0219i practic am \u00eencercat s\u0103 avem un concept s\u0103 nu facem explor\u0103ri \u0219i s\u0103 d\u0103m rezultate ci s\u0103 punem un diagnostic \u0219i s\u0103\u00a0 facem \u00eendrumare pentru pacien\u0163ii no\u0219tri. Am fost c\u00e2t se poate de aproape de pacien\u0163i prin discu\u0163ii directe \u0219i chiar am remarcat prin vizitele pe care le-am f\u0103cut \u00een centre de specialitate de acest gen \u00een afar\u0103, exist\u0103 un atu fantastic al medicului rom\u00e2n pentru c\u0103 medicul rom\u00e2n \u0219tie s\u0103 vorbeasc\u0103 cu pacientul, asta ajut\u0103 fantastic inclusiv medicul \u00een punerea diagnosticului pentru c\u0103 nu suntem doar cititori \u00een nuan\u0163e de alb-negru \u00een filme, suntem medici care trebuie s\u0103 analiz\u0103m complet pacientul \u0219i s\u0103 uz\u0103m de aceste tehnologii s\u0103 putem pune un diagnostic c\u00e2t mai bun. Eu cred \u00een managerul mare specialist dec\u00e2t \u00een managerul om tehnic care poate s\u0103 conduc\u0103 mai mult bazat pe principii manageriale. Este un crez al meu.<\/p>\n

\u00cen perioada \u00een care a<\/u><\/strong>\u0163<\/u><\/strong>i candidat la prim<\/u><\/strong>\u0103<\/u><\/strong>ria Timi<\/u><\/strong>\u0219<\/u><\/strong>oarei a<\/u><\/strong>\u0163<\/u><\/strong>i folosit sloganul \u201cVreau Timi<\/u><\/strong>\u0219<\/u><\/strong>oara s<\/u><\/strong>\u0103<\/u><\/strong>n<\/u><\/strong>\u0103<\/u><\/strong>toas<\/u><\/strong>\u0103<\/u><\/strong>\u201d. Ce m<\/u><\/strong>\u0103<\/u><\/strong>suri trebuie luate pentru a avea o \u201c<\/u><\/strong>\u0162<\/u><\/strong>ar<\/u><\/strong>\u0103<\/u><\/strong> s<\/u><\/strong>\u0103<\/u><\/strong>n<\/u><\/strong>\u0103<\/u><\/strong>toas<\/u><\/strong>\u0103<\/u><\/strong>\u201d?<\/u><\/strong><\/p>\n

Sigur c\u0103 am spus-o dintotdeauna \u0219i vede\u0163i implicarea mea \u0219i \u00een politic\u0103 sau administra\u0163ie, rezid\u0103 din faptul c\u0103 \u00eentotdeauna am crezut c\u0103 orice intelectual de marc\u0103 trebuie s\u0103 aib\u0103 o participare activ\u0103 \u00een societate, trebuie s\u0103 fie un om al societ\u0103\u0163ii, trebuie s\u0103 fie implicat \u00een toate marile proiecte ale societ\u0103\u0163ii, nu poate s\u0103 fie dec\u00e2t un mare specialist izolat de lumea \u00een care tr\u0103ie\u0219te. \u00cen acest sens am spus atunci \u201cTimi\u0219oara s\u0103n\u0103toas\u0103\u201d. \u201c\u0162ar\u0103 s\u0103n\u0103toas\u0103\u201d \u00een domeniul s\u0103n\u0103t\u0103\u0163ii din punctul meu de vedere implic\u0103 c\u00e2teva lucruri concrete: programe de screaning extinse pe toate marile maladii, pe care din p\u0103cate le avem \u0219i decimeaz\u0103 popula\u0163ia Rom\u00e2niei cum ar fi cancerul de s\u00e2n, cancerul de col, cancerul de colon, cancerul bronho-pulmonar. Apoi o dotare din ce \u00een ce mai bun\u0103 pe care trebuie s\u0103 o asigure Ministerul S\u0103n\u0103t\u0103\u0163ii \u0219i facilit\u0103\u0163i fiscale care s\u0103 permit\u0103 \u0219i domeniului privat s\u0103 creasc\u0103 pentru c\u0103 \u00een ultim\u0103 instan\u0163\u0103 toat\u0103 lumea ar trebui s\u0103 concure la starea de s\u0103n\u0103tate a cet\u0103\u0163enilor \u0163\u0103rii. Program de vaccinare foarte bine structurat, cu lege de vaccinare care trebuie s\u0103 fie fundamentul preven\u0163iei bolilor infecto\u2013contagioase. \u00cen domeniul radiologiei dezvoltarea foarte serioas\u0103 a radiologiei interven\u0163ionale \u0219i a unit\u0103\u0163ilor de strok, care de\u0219i par scumpe la momentul \u00eenfiin\u0163\u0103rii acestora, beneficiile din punct de vedere economic pe termen lung sunt \u00eencurajatoare.<\/p>\n

De foarte mult timp am structurat ideea medicului de familie care trebuie s\u0103 fac\u0103 un fel de „inspec\u0163ie tehnic\u0103 periodic\u0103”, cum se face la ma\u0219ini (\u00eentotdeauna m-a durut c\u0103 legisla\u0163ia \u0163\u0103rii ne oblig\u0103 s\u0103 facem inspec\u0163ie tehnic\u0103 la ma\u0219ini dar nu ne oblig\u0103 s\u0103 facem o inspec\u0163ie anual\u0103 la popula\u0163ia Rom\u00e2niei) ar trebui s\u0103 aib\u0103 un rol din ce \u00een ce mai mare \u00een preven\u0163ie, ar trebui s\u0103 aib\u0103 un num\u0103r mai mic de pacien\u0163i f\u0103r\u0103 a-i scade veniturile \u0219i cu responsabilit\u0103\u0163i foarte clare \u00een supravegherea pacien\u0163ilor de pe list\u0103, mai ales \u00een direc\u0163ia preven\u0163iei \u0219i a controalelor. Cam astea sunt direc\u0163iile care eu cred c\u0103 pot conduce la o Rom\u00e2nie s\u0103n\u0103toas\u0103.<\/p>\n

Cum vede<\/u><\/strong>\u0163<\/u><\/strong>i viitorul \u00een Radiologia <\/u><\/strong>\u0219<\/u><\/strong>i Imagistica Medical<\/u><\/strong>\u0103<\/u><\/strong> practicat<\/u><\/strong>\u0103<\/u><\/strong> \u00een <\/u><\/strong>\u0163<\/u><\/strong>ara noastr<\/u><\/strong>\u0103<\/u><\/strong>?<\/u><\/strong><\/p>\n

A\u0219 vrea s\u0103 v\u0103 spun doar c\u0103, \u00een urm\u0103 cu 27 de ani, c\u00e2nd eu am ales radiologia, radiologia nu se alegea \u00een primele 10 specialit\u0103\u0163i medicale. Ast\u0103zi, cu bucurie pot s\u0103 v\u0103 spun c\u0103 la reziden\u0163iat, radiologia este una dintre specialit\u0103\u0163ile care se termin\u0103 cel mai rapid \u00een alegerile pe care le fac viitorii reziden\u0163i. Asta \u00eenseamn\u0103 c\u0103 este o specialitate c\u0103utat\u0103, o specialitate f\u0103r\u0103 de care practic nu mai poate face abstrac\u0163ie nicio alt\u0103 specialitate medical\u0103. Toate specialit\u0103\u0163ile medicale uziteaz\u0103 mijloace tehnice radio-imagistice.<\/p>\n

Trebuie s\u0103 avem grij\u0103 la dotare, la resursa uman\u0103 care trebuie s\u0103 o cre\u0219tem. Eu a\u0219 spune c\u0103 radiologia are viitor \u0219i poate c\u0103 este cea mai dinamic\u0103 specialitate din punct de vedere tehnologic, cred c\u0103 este o ramur\u0103 f\u0103r\u0103 de care medicina nu mai poate supravie\u0163ui.<\/p>\n

Pentru final, v<\/u><\/strong>\u0103<\/u><\/strong> rug<\/u><\/strong>\u0103<\/u><\/strong>m s<\/u><\/strong>\u0103<\/u><\/strong> transmite<\/u><\/strong>\u0163<\/u><\/strong>i un mesaj colegilor dumneavoastr<\/u><\/strong>\u0103<\/u><\/strong>? <\/u><\/strong><\/p>\n

S\u0103 fac\u0103 aceast\u0103 meserie cu daruire, s\u0103 o fac\u0103 cu dorin\u0163a de nou pentru c\u0103 noul vine peste ei oricum, s\u0103 accepte progresele care sunt absolut remarcabile pentru c\u0103 satisfac\u0163iile sunt enorme atunci c\u00e2nd po\u0163i pune un diagnostic de mare precizie.<\/p>\n","protected":false},"excerpt":{"rendered":"

          \u201eRadiologia este o ramur\u0103 f\u0103r\u0103 de care medicina nu mai poate supravie\u0163ui\u201d \u00a0   \u00cen luna octombrie va avea loc Congresul Na\u0163ional de Radiologie \u0219i […]<\/p>\n","protected":false},"author":9,"featured_media":9493,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[276,168],"tags":[],"class_list":["post-9492","post","type-post","status-publish","format-standard","has-post-thumbnail","category-interviu","category-oncologie"],"yoast_head":"\nInterviu: Conf. univ. dr. Florin B\u00eers\u0103\u0219teanu - Pre\u015fedintele Societ\u0103\u0163ii de Radiologie \u015fi Imagistic\u0103 Medical\u0103 din Rom\u00e2nia - Jurmed - Medici<\/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:\/\/jurmed.ro\/medici\/interviu-conf-univ-dr-florin-birsasteanu-presedintele-societatii-de-radiologie-si-imagistica-medicala-din-romania\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Interviu: Conf. univ. dr. 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