{"id":479288,"date":"2025-12-01T12:00:00","date_gmt":"2025-12-01T11:00:00","guid":{"rendered":"https:\/\/slf.dgstage.se\/sylf\/moderna-lakare\/?p=479288"},"modified":"2026-03-02T15:19:18","modified_gmt":"2026-03-02T14:19:18","slug":"statlig-dimensionering-av-st-en-balansgang-mellan-behov-och-frihet","status":"publish","type":"post","link":"https:\/\/slf.se\/sylf\/moderna-lakare\/statlig-dimensionering-av-st-en-balansgang-mellan-behov-och-frihet\/","title":{"rendered":"Statlig dimensionering av ST \u2013 en balansg\u00e5ng mellan behov och frihet"},"content":{"rendered":"\n<p><strong>Att det finns<\/strong> en brist p\u00e5 utbildningstj\u00e4nster k\u00e4nner vi alla till. Efter att SYLF l\u00e4nge arbetat intensivt f\u00f6r att \u00f6ka antalet AT-tj\u00e4nster har vi de senaste \u00e5ren sett att de blivit fler. Det \u00f6kade antalet tj\u00e4nster har resulterat i att v\u00e4ntetiden till AT minskat, efter tidigare \u00f6kande trend. V\u00e4ntetiden \u00e4r dock fortsatt alldeles f\u00f6r l\u00e5ng.<\/p>\n\n\n\n<p><strong>Snart kommer de<\/strong> f\u00f6rsta som l\u00e4ser den nya l\u00e4karutbildningen att ta examen och d\u00e4rmed kommer AT att f\u00f6rsvinna och ST2021, som innefattar BT, inf\u00f6rs p\u00e5 bred front. Om det d\u00e5 inte finns tillr\u00e4ckligt med tj\u00e4nster enligt ST2021 kommer det att leda till en ny k\u00f6 med v\u00e4ntetider.<\/p>\n\n\n\n<p><strong>En f\u00f6ruts\u00e4ttning f\u00f6r<\/strong> att det inte ska bildas o\u00f6nskade v\u00e4ntetider \u00e4r att det finns utbildningstj\u00e4nster i tillr\u00e4cklig omfattning. F\u00f6r att motverka en specialistl\u00e4karbrist har antalet utbildningsplatser p\u00e5 l\u00e4karprogrammen under en l\u00e5ng tid successivt \u00f6kat, men regionerna har \u00e5r efter \u00e5r misslyckats med att \u00f6ka antalet AT- och ST-tj\u00e4nster i samma omfattning. D\u00e4rf\u00f6r har vi l\u00e4nge arbetat f\u00f6r att f\u00e5 till en \u00f6kad statlig dimensionering av utbildningstj\u00e4nster f\u00f6r l\u00e4kare.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p class=\"m-0 font-semibold text-mxl tracking-tight text-primary md:text-2xl\"><em>SYLF anser definitivt inte att man ska tvingas in i en specialitet som man inte vill ha,<br>vilket sker i en del l\u00e4nder<\/em>.<\/p><cite class=\"mt-2 text-xsm md:text-sm font-normal text-gray-600 block\"><strong>Robert Holmqvist<\/strong>, ordf\u00f6rande SYLF<\/cite><\/blockquote>\n\n\n\n<p><strong>Antalet utbildningstj\u00e4nster b\u00f6r<\/strong> baseras p\u00e5 det framtida behovet av nya specialistl\u00e4kare. Vidare b\u00f6r antalet utbildningsplatser p\u00e5 universiteten baseras p\u00e5 antalet f\u00f6rv\u00e4ntade utbildningstj\u00e4nster. Detta inneb\u00e4r att antagningen till universiteten beh\u00f6ver baseras p\u00e5 det f\u00f6rv\u00e4ntade behovet av nya specialistl\u00e4kare under minst 11,5 \u00e5r fram\u00e5t, vilket \u00e4r den tid det minst tar f\u00f6r de som p\u00e5b\u00f6rjar det nya l\u00e4karprogrammet att bli f\u00e4rdiga specialister. Det \u00e4r s\u00e5klart en stor utmaning att uppskatta det framtida behovet, men det \u00e4r n\u00f6dv\u00e4ndigt f\u00f6r att undvika en brist eller ett \u00f6verskott i framtiden. Hamnar man v\u00e4ldigt fel i dessa antaganden kan det leda till stora problem l\u00e4ngre fram.<\/p>\n\n\n\n<p><strong>En \u00f6kad statlig <\/strong>dimensionering kan \u00e4ven inneb\u00e4ra en dimensionering av hur m\u00e5nga ST-tj\u00e4nster som ska finnas i varje specialitet. Det kan leda att v\u00e5ra framtida kollegor inte kommer ha samma m\u00f6j\u00adligheter att v\u00e4lja den specialitet de helst vill ha utan antingen f\u00e5r v\u00e4lja en annan eller r\u00e4kna med l\u00e5nga v\u00e4ntetider. Fr\u00e5gan \u00e4r dock vad som \u00e4r viktigast \u2013 att man f\u00e5r den specialitet man vill ha, med risk att det utbildas f\u00f6r m\u00e5nga i de popul\u00e4ra specialiteterna och f\u00f6r f\u00e5 i de mindre popul\u00e4ra, eller att man f\u00e5r n\u00f6ja sig med en specialitet som man kan t\u00e4nka sig och att behovet av specialistl\u00e4kare t\u00e4cks inom alla specialiteter. Med detta sagt anser SYLF definitivt inte att man ska tvingas in i en specialitet som man inte vill ha, vilket sker i en del l\u00e4nder.<\/p>\n\n\n\n<p>En \u00f6kad statlig dimensionering \u00e4r som ni f\u00f6rst\u00e5r inte problemfri och det medf\u00f6r stora utmaningar. Alternativet \u00e4r dock att det forts\u00e4tter som nu, med v\u00e4ntetider och att ett framtida behov inte styr antalet utbildningsplatser och -tj\u00e4nster. Det tror jag inte n\u00e5gon av oss vill. Politikerna verkar \u00e4ntligen ha f\u00f6rst\u00e5tt behovet av en \u00f6kad statlig dimensionering. Nu g\u00e4ller det att arbeta f\u00f6r att det blir av och att utformningen blir s\u00e5 bra som m\u00f6jligt.\u2002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Att det finns en brist p\u00e5 utbildningstj\u00e4nster k\u00e4nner vi alla till. Efter att SYLF l\u00e4nge arbetat intensivt f\u00f6r att \u00f6ka antalet AT-tj\u00e4nster har vi de senaste \u00e5ren sett att de blivit fler. Det \u00f6kade antalet tj\u00e4nster har resulterat i att v\u00e4ntetiden till AT minskat, efter tidigare \u00f6kande trend. V\u00e4ntetiden \u00e4r dock fortsatt alldeles f\u00f6r l\u00e5ng. &hellip; <a href=\"https:\/\/slf.se\/sylf\/moderna-lakare\/statlig-dimensionering-av-st-en-balansgang-mellan-behov-och-frihet\/\">L\u00e4s hela<\/a><\/p>\n","protected":false},"author":5,"featured_media":479219,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"local_restriction":[],"class_list":["post-479288","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=\"Det \u00f6kade antalet AT-tj\u00e4nster har resulterat i att AT-v\u00e4ntetiden minskat, efter tidigare \u00f6kande trend. 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