{"id":479472,"date":"2026-06-01T10:00:00","date_gmt":"2026-06-01T08:00:00","guid":{"rendered":"https:\/\/slf.dgstage.se\/sylf\/moderna-lakare\/?p=479472"},"modified":"2026-08-31T15:21:37","modified_gmt":"2026-08-31T13:21:37","slug":"fran-at-katastrof-till-at-raket","status":"publish","type":"post","link":"https:\/\/slf.se\/sylf\/moderna-lakare\/fran-at-katastrof-till-at-raket\/","title":{"rendered":"Fr\u00e5n AT-katastrof till AT-raket"},"content":{"rendered":"\n<p>\u00c5ret \u00e4r&nbsp;<strong>2019<\/strong>&nbsp;och du som AT-l\u00e4kare kliver in p\u00e5 din f\u00f6rsta placering i Karlskoga \u2013 kirurgen. Det k\u00e4nns lite sp\u00e4nnande och du tycker egentligen att det borde passa dig b\u00e4ttre \u00e4n medicin, du beh\u00f6ver i alla fall inte ansvara f\u00f6r hj\u00e4rtstopp med bakjour i hemmet. Men du \u00e4r lite fundersam och undrar om det blivit n\u00e5got fel, kan det verkligen st\u00e4mma att du ska g\u00e5 p\u00e5 nattjour s\u00e5 ofta? Borde det inte finnas en \u00f6verl\u00e4kare p\u00e5 plats att fr\u00e5ga n\u00e4r du \u00e4r nattjour, eller p\u00e5 mottagningen\/avdelningen? Det k\u00e4nns ocks\u00e5 lite otryggt att den som introducerar dig p\u00e5 akutmottagningen sj\u00e4lv \u00e4r AT-l\u00e4kare och b\u00f6rjade f\u00f6r en m\u00e5nad sedan.&nbsp;<\/p>\n\n\n\n<p>Som den drivkraftiga person du \u00e4r f\u00f6rs\u00f6ker du l\u00f6sa detta, du talar med schemal\u00e4ggaren, ansvariga p\u00e5 kirurgen och med AT-chefen. Men svaret blir att schemat inte g\u00e5r ihop annars, eller att kliniken inte lyssnar och det finns inget att g\u00f6ra.&nbsp;<\/p>\n\n\n\n<p><strong>Du har nu tv\u00e5 val<\/strong>\u20021. Acceptera l\u00e4get. Det \u00e4r ju \u00e4nd\u00e5 bara sex m\u00e5nader, eller 2. V\u00e4gra acceptera l\u00e4get och p\u00e5b\u00f6rja det arbete som faktiskt kan leda till f\u00f6r\u00e4ndring \u2013 g\u00e5 med i SYLF.&nbsp;<\/p>\n\n\n\n<p><strong>2019\u20132020<\/strong>&nbsp;fick SYLF \u00d6rebro en stor instr\u00f6mning till styrelsen, m\u00e5nga fr\u00e5n just Karlskoga. I och med att styrelsen v\u00e4xte gavs det st\u00f6rre m\u00f6jlighet att bedriva p\u00e5verkansarbete och ha l\u00e5ngsiktiga m\u00e5l. F\u00f6r att f\u00e5 genomslag arbetades det p\u00e5 bred front, dels med att kultivera kontakter inom den lokala l\u00e4karf\u00f6reningen, dels med AT-chefer och studierektorer.&nbsp;<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"m-0 font-semibold text-mxl tracking-tight text-primary md:text-2xl\"><em>&#8221;\u00c4r arbetet klart nu? Nej, fackligt arbete blir nog aldrig f\u00e4rdigt!&#8221;<\/em>Emma Dahlberg, SYLF \u00d6rebro<\/p>\n<\/blockquote>\n\n\n\n<p><strong>H\u00f6sten 2023<\/strong>\u2002SYLF sitter nu med i samverkansgruppen FoU d\u00e4r AT-chefernas chef medverkar. Situationen i Karlskoga forts\u00e4tter att f\u00f6rs\u00e4mras.&nbsp;<strong>2024<\/strong>&nbsp;kommer Karlskoga sist i AT-rankingen. Kommentarer som: \u201dUtnyttjad under kirurgplacering\u201d, \u201dEnsam prim\u00e4rjour\u201d, \u201dBakjour 30\u201340 min bort\u201d n\u00e4mns i rapporten. Hj\u00e4rtsk\u00e4rande f\u00f6r oss som har jobbat med detta s\u00e5 l\u00e4nge. Men samtidigt beh\u00f6ver man ibland n\u00e5 botten f\u00f6r att kunna ta sig upp. N\u00e4r detta \u00e5ter<br>lyfts p\u00e5 samverkansniv\u00e5 tas beslut om att ompla\u00adcera AT-l\u00e4karna fr\u00e5n kirurgen i Karlskoga. Chefer, tillsammans med SYLF, uppr\u00e4ttar en plan f\u00f6r \u00e5tg\u00e4rder som kr\u00e4vs f\u00f6r att bibeh\u00e5lla AT med placering p\u00e5 kirurg\u00aden i Karlskoga. Samt en tidsplan f\u00f6r uppf\u00f6ljning.&nbsp;<\/p>\n\n\n\n<p><strong>Kraven<\/strong>\u2002att tj\u00e4nsten som klinikstudierektor f\u00f6r AT-l\u00e4kare tills\u00e4tts. Att schemal\u00e4ggningen anpassas efter tidigare \u00f6verenskommet underlag, att rutin f\u00f6r introduktion fastst\u00e4lls och anv\u00e4nds. Att personlig handledning utses och att det finns f\u00f6ruts\u00e4ttningar f\u00f6r handledning, b\u00e5de schemalagd och klinisk.&nbsp;<\/p>\n\n\n\n<p>AT-rankningen blev ytterligare ett bevis f\u00f6r att Karlskogas AT-placering p\u00e5 kirurgen inte fungerade. Cheferna \u00f6kade sitt driv och klinikerna b\u00f6rjade inse allvaret. Kravlistan uppfylldes, egna initiativ kom fr\u00e5n kliniken f\u00f6r att driva f\u00f6rb\u00e4ttring. AT-APT inf\u00f6rdes. AT-l\u00e4karna slutade bita ihop och acceptera l\u00e4get och tillsammans jobbade vi f\u00f6r att komma fram\u00e5t och f\u00f6rb\u00e4ttra situationen. &nbsp;<\/p>\n\n\n\n<p>I AT-rankningen&nbsp;<strong>2025&nbsp;<\/strong>blir Karlskoga \u00e5rets AT-raket och landar p\u00e5 plats 19 av 64. Lasarettet kl\u00e4ttrar 46 platser! Den placering som f\u00f6rb\u00e4ttrades mest \u2013 kirurgplaceringen.&nbsp;<\/p>\n\n\n\n<p id=\"h-r-arbetat-klart-nu-nej-fackligt-arbete-blir-nog-ald-rig-f-rdigt-men-f-r-oss-som-varit-med-fr-n-b-rjan-p-just-denna-resa-finns-det-inget-b-ttre-n-att-f-kvitto-p-att-det-g-r-att-g-ra-f-r-ndring-vi-g-r-skillnad-v-ga-v-gra-acceptera-l-get\"><strong>\u00c4r arbetet klart nu?&nbsp;<\/strong>Nej, fackligt arbete blir nog ald\u00adrig f\u00e4rdigt. Men f\u00f6r oss som varit med fr\u00e5n b\u00f6rjan p\u00e5 just denna resa finns det inget b\u00e4ttre \u00e4n att f\u00e5 kvitto p\u00e5 att det g\u00e5r att g\u00f6ra f\u00f6r\u00e4ndring, vi g\u00f6r skillnad. V\u00e5ga v\u00e4gra acceptera l\u00e4get! \u2002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c5ret \u00e4r&nbsp;2019&nbsp;och du som AT-l\u00e4kare kliver in p\u00e5 din f\u00f6rsta placering i Karlskoga \u2013 kirurgen. Det k\u00e4nns lite sp\u00e4nnande och du tycker egentligen att det borde passa dig b\u00e4ttre \u00e4n medicin, du beh\u00f6ver i alla fall inte ansvara f\u00f6r hj\u00e4rtstopp med bakjour i hemmet. Men du \u00e4r lite fundersam och undrar om det blivit n\u00e5got &hellip; <a href=\"https:\/\/slf.se\/sylf\/moderna-lakare\/fran-at-katastrof-till-at-raket\/\">L\u00e4s hela<\/a><\/p>\n","protected":false},"author":1,"featured_media":479474,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"local_restriction":[],"class_list":["post-479472","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=\"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\/fran-at-katastrof-till-at-raket\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fr\u00e5n AT-katastrof till AT-raket\" \/>\n<meta property=\"og:description\" content=\"\u00c5ret \u00e4r&nbsp;2019&nbsp;och du som AT-l\u00e4kare kliver in p\u00e5 din f\u00f6rsta placering i Karlskoga \u2013 kirurgen. 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