{"id":230558,"date":"2021-09-06T08:00:56","date_gmt":"2021-09-06T06:00:56","guid":{"rendered":"https:\/\/slf.dgstage.se\/sylf\/moderna-lakare\/?p=230558"},"modified":"2025-08-21T16:21:30","modified_gmt":"2025-08-21T14:21:30","slug":"ledare-no3-var-at-vems-ansvar","status":"publish","type":"post","link":"https:\/\/slf.se\/sylf\/moderna-lakare\/ledare-no3-var-at-vems-ansvar\/","title":{"rendered":"Ledare no3 &#8211; V\u00e5r AT \u2013 vems ansvar?"},"content":{"rendered":"<p><strong>Ledare Moderna L\u00e4kare no3 20201.<\/strong> Det r\u00e5der stort underskott p\u00e5 specialistl\u00e4kare i Sverige. Detta trots att det finns gott om nyexaminerade l\u00e4kare, som bara v\u00e4ntar p\u00e5 att f\u00e5 b\u00f6rja sin resa mot f\u00e4rdig specialist. Ofrivilligt har de fastnat i sin progression, till f\u00f6ljd av den utbredda AT-plats\u00adbristen i landet. S\u00f6ktrycket \u00e4r h\u00f6gt p\u00e5 alla AT-orter och v\u00e4ntetiden&nbsp;\u00e4r&nbsp;of\u00f6rsvarligt l\u00e5ng.&nbsp;&nbsp;<\/p>\n<p>Som konsekvens av det stora gapet mellan behovet och antalet AT-platser, har en ny ofrivillig yrkesgrupp l\u00e4kare vuxit fram, vikarierande underl\u00e4kare. Denna grupp har en otrygg anst\u00e4llningsform, men med stort medicinskt ansvar och ofta bristande handledning.<\/p>\n<p>Sedan flera \u00e5r har staten gjort stora satsningar p\u00e5 l\u00e4karprogrammet med ut\u00f6kat antal platser. Men regionerna, som har ansvaret f\u00f6r n\u00e4sta steg,&nbsp;det vill s\u00e4ga AT, BT och ST, har inte gjort motsvarande sats\u00adning. Vi st\u00e5r med en situation d\u00e4r flera parter<br \/>\n\u00e4r involverade, men ingen har det \u00f6vergripande ansvaret. Dessutom saknas en samlad nationell inventering och samordning av det totala antalet AT-platser. Sammantaget leder det till en skev dimen\u00adsionering av kompetensf\u00f6rs\u00f6rjningens olika steg. Under v\u00e4nte\u00adtiden \u00f6verv\u00e4ger allt fler en annan karri\u00e4r \u00e4n i&nbsp;sjukv\u00e5rden.&nbsp;<\/p>\n<p>Sylf&nbsp;har bedrivit ett l\u00e5ngvarigt och entr\u00e4get arbete kring AT-platsbristen. Vi har \u00e5terkommande p\u00e5talat problemet b\u00e5de till regeringen och SKR. Sylf lyfter \u00e4ven fr\u00e5gan till Nationella V\u00e5rdkompetensr\u00e5det i deras arbete kring kompetensf\u00f6rs\u00f6rjning. Det finns ocks\u00e5 goda exempel p\u00e5 regioner som p\u00e5 olika s\u00e4tt skapat fler AT-platser, till exempel genom att st\u00e4lla om fr\u00e5n 21 till 18 m\u00e5naders AT.&nbsp;En viktig \u00e5tg\u00e4rd,&nbsp;d\u00e5 70 procent g\u00f6r en l\u00e4ngre AT \u00e4n vad som kr\u00e4vs.&nbsp;Men det r\u00e4cker tyv\u00e4rr inte. Fram till 2028 beh\u00f6vs drygt 2000 AT-platser och d\u00e4rmed beh\u00f6ver regionerna skapa n\u00e4ra 100 platser per \u00e5r. &nbsp;&nbsp;<\/p>\n<p>Sv\u00e5righeten f\u00f6r regionerna att tillhandah\u00e5lla hand\u00adledare och kliniska placeringar \u00e4r redan en stor utmaning.&nbsp;Och&nbsp;det kommer inte att bli l\u00e4ttare efter inf\u00f6randet av BT den 1 juli n\u00e4r tv\u00e5 parallella system ska konkurrera om resurserna. Oro finns att det kan leda till uppbromsning i arbetet kring AT-plats-\u00adbristen.&nbsp;&nbsp;<\/p>\n<p>D\u00e4rf\u00f6r v\u00e4lkomnar Sylf att Socialstyrelsen i h\u00f6st ska se \u00f6ver hur reglerna f\u00f6r AT kan f\u00f6rtydligas. Detta efter att L\u00e4karf\u00f6rbundet och SKR i en skriv\u00adelse till myndigheten \u00f6nskat en \u00f6versyn av regelverket, med ett f\u00f6rtydligande kring vilka verksamheter som \u00e4r l\u00e4mpliga f\u00f6r utbildning av AT-l\u00e4kare. F\u00f6rhoppningen \u00e4r, att regionerna p\u00e5 s\u00e5 s\u00e4tt kan f\u00e5 till fler AT-platser. Sylf ser ocks\u00e5 positivt p\u00e5 \u00f6verenskommelsen mellan regering och SKR, som f\u00f6r f\u00f6rsta g\u00e5ngen inneh\u00e5ller en s\u00e4rskild satsning p\u00e5 AT-tj\u00e4nster,&nbsp;och som ger regionerna i uppdrag att presentera en plan f\u00f6r hur antalet AT-platser ska dimensioneras \u00e5ren 2022\u20132024.&nbsp;&nbsp;<\/p>\n<p>AT-platsbristen \u00e4r ett hot mot kompetensf\u00f6rs\u00f6rjningen av l\u00e4kare och f\u00e5r i slut\u00e4ndan konsekvenser f\u00f6r vilken v\u00e5rd vi kan ge patienterna. L\u00e5t nu all den handlingskraft som \u00e4r satt i r\u00f6relse leda till konkreta resultat. AT ska vara den f\u00f6rsta anst\u00e4llningen som l\u00e4kare!\u2002\u2022<\/p>\n<p>Ledare signerad SYLF:s styrelse genom Camilla Ringstr\u00f6m Lindh<\/p>\n<p>L\u00e4s mer om AT-rankingen 2021<br \/>\n<a href=\"https:\/\/slf.se\/sylf\/moderna-lakare\/at-rankingen-2021-hela-listan\/\">AT-ranking 2021 &#8211; hela listan<\/a><br \/>\n<a href=\"https:\/\/slf.se\/sylf\/moderna-lakare\/om-du-blir-utsatt-for-diskriminering\/\">L\u00e4s Livija Ginters djupare analys av resultaten<\/a><br \/>\n<a href=\"https:\/\/slf.se\/sylf\/moderna-lakare\/intervju-med-at-lakare\/\">Intervju med AT-l\u00e4kare fr\u00e5n de tv\u00e5 vinnarsjukhusen<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ledare Moderna L\u00e4kare no3 20201. Det r\u00e5der stort underskott p\u00e5 specialistl\u00e4kare i Sverige. Detta trots att det finns gott om nyexaminerade l\u00e4kare, som bara v\u00e4ntar p\u00e5 att f\u00e5 b\u00f6rja sin resa mot f\u00e4rdig specialist. Ofrivilligt har de fastnat i sin progression, till f\u00f6ljd av den utbredda AT-plats\u00adbristen i landet. S\u00f6ktrycket \u00e4r h\u00f6gt p\u00e5 alla AT-orter &hellip; <a href=\"https:\/\/slf.se\/sylf\/moderna-lakare\/ledare-no3-var-at-vems-ansvar\/\">L\u00e4s hela<\/a><\/p>\n","protected":false},"author":5,"featured_media":230559,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"local_restriction":[],"class_list":["post-230558","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ledare"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Moderna L\u00e4kare<\/title>\n<meta name=\"description\" content=\"L\u00e4s ledaren fr\u00e5n nya numret av Moderna L\u00e4kare (no3 2021), om sv\u00e5righeten att f\u00e5 en AT-plats inom rimlig tid och vems ansvar det egentligen \u00e4r.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slf.se\/sylf\/moderna-lakare\/ledare-no3-var-at-vems-ansvar\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ledare no3 - V\u00e5r AT \u2013 vems ansvar?\" \/>\n<meta property=\"og:description\" content=\"L\u00e4s ledaren fr\u00e5n nya numret av Moderna L\u00e4kare (no3 2021), om sv\u00e5righeten att f\u00e5 en AT-plats inom rimlig tid och vems ansvar det egentligen \u00e4r.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/slf.se\/sylf\/moderna-lakare\/ledare-no3-var-at-vems-ansvar\/\" \/>\n<meta property=\"og:site_name\" content=\"Moderna L\u00e4kare\" \/>\n<meta property=\"article:published_time\" content=\"2021-09-06T06:00:56+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-21T14:21:30+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/slf.se\/sylf\/moderna-lakare\/app\/uploads\/2021\/08\/sylf-styrelse2021-fotograf-nadja-endler-1920px.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1280\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Christopher-Robin Maurin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Skriven av\" \/>\n\t<meta name=\"twitter:data1\" content=\"Christopher-Robin Maurin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Ber\u00e4knad l\u00e4stid\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minuter\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/slf.se\\\/sylf\\\/moderna-lakare\\\/ledare-no3-var-at-vems-ansvar\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/slf.se\\\/sylf\\\/moderna-lakare\\\/ledare-no3-var-at-vems-ansvar\\\/\"},\"author\":{\"name\":\"Christopher-Robin Maurin\",\"@id\":\"https:\\\/\\\/slf.se\\\/sylf\\\/moderna-lakare\\\/#\\\/schema\\\/person\\\/f74df1be197a9b8f02e1b245087f4346\"},\"headline\":\"Ledare no3 &#8211; V\u00e5r AT \u2013 vems ansvar?\",\"datePublished\":\"2021-09-06T06:00:56+00:00\",\"dateModified\":\"2025-08-21T14:21:30+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/slf.se\\\/sylf\\\/moderna-lakare\\\/ledare-no3-var-at-vems-ansvar\\\/\"},\"wordCount\":613,\"image\":{\"@id\":\"https:\\\/\\\/slf.se\\\/sylf\\\/moderna-lakare\\\/ledare-no3-var-at-vems-ansvar\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/slf.se\\\/sylf\\\/moderna-lakare\\\/app\\\/uploads\\\/2021\\\/08\\\/sylf-styrelse2021-fotograf-nadja-endler-1920px.jpg\",\"articleSection\":[\"Ledare\"],\"inLanguage\":\"sv-SE\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/slf.se\\\/sylf\\\/moderna-lakare\\\/ledare-no3-var-at-vems-ansvar\\\/\",\"url\":\"https:\\\/\\\/slf.se\\\/sylf\\\/moderna-lakare\\\/ledare-no3-var-at-vems-ansvar\\\/\",\"name\":\"Ledare no3 - V\u00e5r AT \u2013 vems ansvar? 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