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Good reading. E 'has been sent to some newspapers, guess what: it was published?
"Ladies and gentlemen, are
an Italian doctor, and I live several years abroad, first in London, now in New Zealand. I feel the need to express my point of view on one of the darkest moments in the history of our country. This is for me at the moment, the only way to support your friends and colleagues estimated that for years has been the soul and body, in the midst of a thousand obstacles, to make of 'Italy a nation respected and credible internationally. To them I extend my encouragement and applause, at a time so that leaves little room for gray glow of recovery.
Several times I was asked why I did not want to return to Italy, after several years abroad. The answer is in itself very painful and tint da un sottile velo di rabbia: gli italiani emigrati all’estero non credono, al momento, che L’Italia possa offrire loro le stesse prospettive professionali e culturali che altri paesi sono in grado di dare. È una pura questione meritocratica, che prescinde da ogni possibile motivazione finanziaria o contrattuale, visto e considerato che, nel mio caso specifico, non c'è un lavoro a tempo indeterminato alle mie spalle che mi aspetta.
Vivere e lavorare in UK ha non solo consolidato la mie idee sul concetto di democrazia, uguaglianza e progresso di una cultura moderna, ma mi ha anche aperto a un nuovo modo di approcciare la mia professione, in modo sensibilmente diverso da come ero abituata nel passato. Ed il passaggio in Nuova Zelanda ha simply confirmed the deeply meritocratic nature of these countries and the sad Italian anomaly. Every time I return to Italy this contrast becomes stark and intolerable.
It seems systematically to attend an eternal struggle between two opposing predicaments. On the one hand, a large group of lax and shallow, which made internationally popular Italian style "carelessly", alongside those considered pure personification of the motto "your death vita mea" (typically characterized by a "vague" attitude mafia that encourages the relevant entities to research and spasmodic achieve their private interests through pathways very little crystalline). The other those that the modern times are the heroes of this country, a large, but unfortunately not the only group of professionals with energy, optimism, passion, zeal and courage seeking to take forward projects and ideas, to give this country metastases in full hope of a future. Me give you one practical example illustrating some aspect of Anglo-Saxon education system, in the medical field, compared to Italian and how this is intrinsically tied to a different concept of the culture of vocational training.
The reasons for this contrast is structural: leaving out the enormous flaws in the structure of the state exam, I believe that the Italian specialty schools (postgraduate medical training in English) are clearly lagging behind the foreign standard. In Italy the path is in hand, more or less, one or two specialist teachers who preside over the path and decide for yourself your clinical pathway, (eg. The so-called revolutions in various surgical specialties in which the anesthesiologist must demonstrate skills), and have more authority to assess your own level of theoretical preparation. In short, the usual management pseudofamiliare where you do what you can ... and "if you can not" ... Peace and good, so then you specialize the same!
In Anglo-Saxon countries and the specialized training 'very different and will be evaluated and supervised by national academic bodies, non-partisan, the College (Royal College of Anaesthetists is the academic institution of Anaesthetists of Great Britain, just as an example). The College is responsible for specialist training, organizes the rotations and therefore requires' that each trainee to complete the course, should have done all the rotations in various areas: those who did not cover all the forms for surgery, including nine months in intensive care, is called "courtesy" to resubmit his resume only after they fill those gaps. Quite different from the Italian landscape where, if you see and do, well ... and if you are just okay, and the way you take it anyway! Not only
. Forse qualcuno dei miei colleghi avrà sentito parlare dell’F.R.C.A.(Fellowship of the Royal College of Anaesthetists of England). Questo non è altro che l’obbligatorio esame nazionale di teoria, estremamente impegnativo, strutturato in due parti, e presieduto da un un gruppo di esperti in materia, professori e non, e che generalmente vede una percentuale di successo al primo tentativo non piu’ alta del 55% (in Nuova Zelanda la % e’ ancora piu’ bassa). Ben lontano dal panorama delle “Italian expectations”, richiesta alle nostre sessioni di esame: i racconti, da parte di colleghi connazionali trasferiti a Londra , confermano lo stesso trend in tutta Italia, dove da 30 anni a questa parte nessuno has never failed the first time: we are all geniuses!
In Italy you can become an anesthetist, surgeon, radiologist, even infectious disease on the sole basis of personal relationships: a recommendation and go! Six, five, even four years and you're done. Then, with some telefonatina strategically thought out, well you can achieve a nice job. No one who ensures quality and reliability of your preparation and that you independently evaluate your theoretical knowledge and real skills ...
Then what happens? That cancer of the Mafia mentality, what Roger Abravanel, in his book, "Meritocracy" calls "amoral familism" (a trend by which individuals belonging to una comunità tentano di massimizzare solamente i vantaggi materiali e immediati del proprio nucleo familiare, supponendo che tutti gli altri si comportino alla stessa maniera) e del menefreghismo imperante, si insinua in modo subdolo avvelenando le nostre corsie, si scontra con le frustrazioni di quei colleghi appassionati, zelanti e studiosi che tutti giorni lottano nella speranza di un Paese ed una sanità migliore.
Vorrei che l’Italia capisse, una volta per tutte, di essere da tempo diventata un paese con enorme spreco di risorse umane. Dove, nel caso della medicina, dovrebbero essere invece imposti, da organi nazionali super partes che si fanno garanti di qualita’, standard clinici e accademici (traning obbligatori ed esami clinici conditions) from which it could not be disregarded.
I would like the confidence in the concept of merit, and institutions that are guaranteed, return to vibrate in the minds of millions of Italians who they call, in these hours, indignant at a country adrift.
I want a strong state, able to regulate itself and reinvigorate the credibility and authority of the institutions needed to generate confidence in the possibility of alternative development to that of "family" understood in the Mafia.
long will all this, Italy will be at the mercy of a political class berlusconianeggiante, or dazed and impersonal like pseudosinistrorsa.
I'm sure that these lines caused outrage among right-thinking local academics. Little interest to me. They are reflections of those who, working out and meeting with others actually feel discomfort with the relentless decline of a once proud nation of the world.
Sincerely
FM "
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