Hundreds of mental health patients are treated at Maale Carmel Hospital, some in complex condition • Nevertheless - dozens of doctors carry out internships without external supervision • Ministry of Health: "We will try to find a solution"

• Maale Carmel Hospital // Photo: Michelle Dot Com

Most of the day care and day care are received by Israeli hospitalized doctors specializing in all hospital departments in Israel, so regular supervision and supervision of the level of specialization is required by law, and is critical to maintaining patients' lives and the safety and quality of medical care. They are also very important for maintaining the level of expertise of the specialized doctors, who are the next generation of senior doctors in Israel.

According to the law, the Ministry of Health and the Scientific Council of the Medical Federation, which incorporates most of the doctors in Israel, are responsible for supervising and supervising the specialization in the hospital departments. However, "Israel Today" has learned that in seven psychiatric wards at Maale Carmel Government Psychiatric Hospital in Tirat Carmel, recognition has not been renewed for several years, as required by law, and in some wards for four years, and the last check in some wards was done 10 years ago. .

Dangerous Medical Practice | Interpretation

It also appears that for many years, the 22 specialty physicians do the specialization and treat hundreds of mentally ill patients, some of whom are very complex, with no external supervision or supervision by the Scientific Council and the Ministry of Health.

All this in contravention of the law and the instructions of the Ministry of Health. According to senior doctors, this also results in the constant endangerment of hundreds of severely mentally ill patients, some of whom have been hospitalized for life-threatening mental and medical conditions.

The "Israel Today" test also reveals that the Ministry of Health did not even know of these serious findings at the hospital, even though it was wholly owned and directly responsible, and that it itself was to carry out regular hospital supervision and supervision.

"Important Exposure"

Following the request of "Israel Today", the Ministry of Health management said "the matter is proper and appropriate for examination and treatment, and the Ministry intends to discuss the issue with all relevant parties, including the Scientific Council, in order to find a solution."

A senior Health Ministry official told "Israel Today" that "this is a very important exposure of very serious failures unknown to the Ministry of Health, which require urgent investigation and repair, and that this should be checked now in all other hospitals in Israel."

Prof. Crainin. Interns are in the hospital in violation of the law // Photo: Michelle Dot Com

Israel Today also learned that both because of the complete lack of external control over hospital specialization for many years and due to a continuing and acute shortage in most departments of senior specialist physicians, recent complaints have been raised about how many specialty physicians were left at the beginning of the internship alone to treat a psychiatric ward , Without any backup doctor and help from a specialist on duty.

There was even a case where a specialist physician was sent by himself to perform electrical power therapy in the patient. In this case, the nursing staff warned that this was prohibited and dangerous, and a senior doctor from another department was called.

It was also learned that on December 19, 2019, he was alerted to a very unusual step in the health system Prof. Anatoly Cranein, director of closed ward 5A in the hospital to the hospital's director, Dr. Jacob Polakevitz, wrote that in the closed ward 6b, he was an intern for the first months to specialize , Who has been dealing with the department for two days without any cover (from a specialist physician, MD), the hospital management knows about the situation and does not move a finger !!! I require the patients to intervene in what is going on in the department, this situation is unbearable and dangerous !!! "

In addition to the difficult questions about the quality of medical care received by hundreds of patients, there are also serious questions about the validity of the doctors' specialization.

By law, doctors' specialization is considered only if done in a department that has the Scientific Council's recognition. In light of this, questions arise as to whether the internships that have actually done 22 interns in the hospital for several years will be considered an internship.

"Unregulated"

Advocate Shay Foyer, a specialist in representing medical malpractice victims and a physician in his training, said: "This case raises serious concerns that the Ministry of Health and the Scientific Council are sinning and betraying their essential duty to monitor and monitor the medical and academic quality of the internship. This can have very serious consequences for patients in the field of psychiatry, who are the most disadvantaged in the health care system, as well as for the specialized doctors themselves. The internship they've done for years may be unfamiliar. "

"Israel Today" was informed that a month ago, Prof. Crainin alerted the heads of the Medical Council of the Medical Association, Prof. Gideon Perth and Prof. Hanoch Keshetan, for the serious failure of doctors' specialization at the hospital.

Cranein warned that for several years, the hospital has been in violation of the law and all procedures and requirements. It has also recently been 3 years after the end of the recognition of the department he runs, and that has been about 9 years since the last control of the internship in his department.

To "Israel Today", Crainin said: "The specialization here has been without control and supervision for many, many years and it is very, very severe."

He added that "the various departments do not have enough senior specialist doctors and some of the specialization departments become 'IsraLuff', and the doctors do not learn most of what they must know when they complete an internship."

"Worthy of review"

According to him, "This means that patients get very seriously injured medical treatment. There are wards in the hospital that are really dangerous and endanger the patients when there is no control over the specialized doctors. We do not even give reasonable medicine, and the specialization is conducted here in total lawlessness and contrary to law and even God forbid. For years I have been alerted to the department heads, the hospital administration and the Scientific Council. "

The Ministry of Health spokesman was asked a number of questions in this case, and the response of Maale Carmel Director and the Ministry of Health was requested. But he commented only that "the issue you are raising is proper and worthy of examination and treatment. The Ministry intends to discuss the issue with all relevant parties, including the Scientific Council, in order to find a solution."

The Medical Histadrut responded: "The measurement protocol, which allows for the extension of recognition in a medical department, can only be carried out after a year of the appointment of a department manager. However, due to the frequent turnover of department managers at the mental health center Maale Carmel, measurement could not be performed to extend the recognition.

"Following the findings and in coordination with hospital management, dates will be set for recognition committees over the next few months. The Scientific Council will ensure the quality of the internship and professional training, in accordance with the required standards."