Dear Brave Doctors,

The time for waiting is over. The time for pleading is gone.
We have written, we have shouted, we have marched — and we will not be ignored.

We are not asking for a solution — we are the solution.
We are not creating a crisis — we are confronting one.
We are not patching up a dying system — we are tearing it down and building something new.
We are not harming our people — we are fighting at least for our basic needs.
We are not requesting change — we are demanding it, commanding it, and leading it.

The old ways have failed.
We will not let our patients suffer.
We will not let our profession be dishonored.
We will reclaim what is just, what is fair, what is ours to create.

Please understand: this is not a political issue.
This is not a protest.
This is not about ego or pride.
This is about survival.
This is about the future of our country.

This is a societal question. One we all must answer.

Doctors, stand tall. Stand united. Stand unbreakable.
The future is ours to shape — and we begin now.


@core_note

#FactCheck ይህ ምስል “በአክሱም ሆስፒታል ሀኪሞች ስራ በማቆማቸው ህይወታቸው ያለፈን አዛውንት” አያሳይም!

ኢትዮጵያ ቼክ--- በርካታ የፌስቡክ ገጾችና አካውንቶች ምስላቸው የሚታየው አዛውንት በትላንትናው እለት በአክሱም ሆስፒታል ህይወታቸው እንዳለፈ መረጃ እያጋሩ ይገኛሉ።

ይህ መረጃ “የህልፈታቸው ምክንያት ደግሞ ሀኪሞች የስራ ማቆም ሰልፍ በግቢ ውስጥ እያካሄዱ ስለነበር ነው” ይላል።

በተጨማሪም “በመጨረሻም የድንገተኛ ክፍል ተረኛ የነበረው ሀኪም ጋወኑን አውልቆ ጠቅልሎ በላያቸው ላይ ጥሎ ዳግም ወደ ህክምና ላይመለስ እያለቀሰ ግቢውን ለቆ ወጣ” የሚል መረጃም ተካቷል።

ይህን መረጃ ካጋሩ የፌስቡክ ገጾች መካከል ‘Kalkidan Dawit’ የሚል ስም እና 45 ሺህ ተከታዮች ያሉት ገጽ ይገኝበታል።

በዚህ ገጽ የተጋራውን መረጃ ከ100 በላይ የፌስቡክ ተጠቃሚዎች መልሰው ያጋሩት ሲሆን ከ340 በላይ አስተያየቶች ተሰጥተውበታል፣ ከ1,500 በላይ ሰዎች ደግሞ ሪአክሽን ሰጥተዋል።

ይሁን እንጂ ኢትዮጵያ ቼክ በምስሉ ላይ ባደረገው ማጣራት ይህ ምስል በትላንትናው እለት በአክሱም ሆስፒታል ህይወታቸው ያለፈን አዛውንትን እንደማያሳይ አረጋግጧል።

ምስልን በምልሰት መፈለጊያ መገልገያዎችን በመጠቀም ባደረግነው ማጣራት ምስሉ ከ6 ቀናት በፊት ፌስቡክ እና ኤክስ (X) ላይ ተጋርቶ እንደነበር ተመልክተናል።

ምስሉን ያጋሩ አካውንቶች በትግራይ ክልል ሕፃፅ ከተማ የሚገኙ ተፈናቃይን እንደሚያሳይ በመግለጽ በከተማው የሚገኙ ተፈናቃዮች አስቸጋሪ ሁኔታ ውስጥ እንደሚገኙና ትኩረት እንዲሰጣቸው ጥሪ አቅርበዋል።

ይህን ከቀናት በፊት የተጋራ ምስልና መረጃም ቀጥሎ ያሉትን ማስፈንጠሪያዎች በመጫን መመልከት ይቻላል፡ https://www.facebook.com/share/p/1AafEVYpJC/ እና https://x.com/tigrwayti/status/1919738488661881344?s=46&t=dmcdufxK8i9nmLEWi2-yGQ

በሌላ በኩል በተለያዩ የኢትዮጵያ ክልሎች እና ከተሞች የሚገኙ የህክምና ባለሙያዎች ላለፈው አንድ ወር ከደሞዝና ሌሎች ጥቅማ ጥቅሞች ጋር በተገናኘ በማህበራዊ ትስስር ገጾች ዘመቻ ሲያደርጉ የቆዩ ሲሆን ከዛሬ ግንቦት 5፣ 2017 ጀምሮ ደግሞ ስራ የማቆም አድማ እንደሚያደርጉ ሲገልጹ ሰንብተዋል።

በዚህ ጊዜያት በርካታ መረጃዎች ከተለያዩ አቅጣጫዎች እየተጋሩ ሲሆን ለሀሰተኛ እና አሳሳች መረጃዎች እንዳንጋለጥ ተገቢውን ጥንቃቄ እናድርግ።

ኢትዮጵያ ቼክ
@core_note

Why should doctors and nurses take examinations and additional trainings when they migrate to another country?

Doctors and nurses are often required to take examinations and undergo additional training when they migrate to another country to practice. This requirement is a global standard, applied regardless of the quality of training in their country of origin, including Ethiopia. The requirement is not necessarily a judgment on the quality of training in their home country, nor is it simply about mistrust. Rather, it is rooted in a complex mix of patient safety, differences in health systems, regulatory harmonization, language and communication, and legal accountability.

Here are some of the rationales behind these requirements, supported by scientific literature, global guidelines, and regulatory frameworks.

1️⃣Ensuring patient safety and quality of care
Ensuring that foreign-trained doctors and nurses are competent in local healthcare practices is crucial for patient safety. A review by Maben and Griffiths (2008) found that differences in education and clinical experience may lead to variable competencies, which could impact care quality, particularly in high-risk settings like ICUs. In the UK, the General Medical Council (GMC) and Nursing and Midwifery Council (NMC) require exams like PLAB (Professional and Linguistic Assessments Board) or OSCEs (Objective Structured Clinical Examinations) to test minimum standards for safe practice.

2️⃣Differences in health systems and clinical guidelines
Health systems, disease profiles, and clinical guidelines vary widely across countries. For instance, a doctor trained in Ethiopia may have strong clinical acumen in infectious diseases like HIV, TB, and malaria but may lack familiarity with protocols for managing diseases like cystic fibrosis or advanced geriatric care common in the UK or US. Besides, countries often have specific local policies. For instance, The European Commission’s Directive 2005/36/EC on the recognition of professional qualifications permits EU countries to test applicants on their knowledge of national health laws and practices. Furthermore, there are obvious practice variations between countries. The use of electronic health records, multidisciplinary team-based care, or end-of-life protocols may be drastically different between countries.

3️⃣Language proficiency and communication standards
Effective communication is essential to avoid errors, obtain informed consent, and ensure good patient outcomes. The Joint Commission in the U.S. identifies communication failure as the root cause in over 70% of sentinel events (serious adverse events). Hence, countries often require proof of language proficiency (e.g., IELTS or OET for English-speaking countries).

4️⃣Legal and ethical frameworks vary
Every country has unique legal and ethical obligations that healthcare providers must understand and follow. For example, consent laws, scope of practice, mandatory reporting requirements, and malpractice regulations differ significantly. The American Medical Association and the UK’s GMC both include country-specific ethical codes. Understanding local medical-legal contexts is essential to practicing safely and lawfully.

5️⃣Standardization and benchmarking
Regulatory bodies need a standardized, objective benchmark to compare the competence of healthcare workers from diverse training backgrounds. The Educational Commission for Foreign Medical Graduates (ECFMG) in the US assesses whether IMGs (International Medical Graduates) are “ready to enter residency or fellowship programs” using USMLE Step exams, which are based on standardized core competencies. This doesn’t imply that IMGs are less competent, but rather that training standards vary, and national boards cannot assess every global curriculum individually.

6️⃣Public trust and professional accountability
Health professionals are among the most trusted professions, and regulatory processes aim to preserve that trust.

For example, The UK's Health and Care Professions Council (HCPC) and NMC emphasize that registration exams help assure the public that health workers meet national expectations for knowledge, professionalism, and patient care. Transparency and accountability are easier to maintain when there’s a clear, replicable pathway for verifying and benchmarking competence.

7️⃣Cultural competence and professional integration
Health professionals must integrate into new cultural contexts and institutional norms. In its Global Code of Practice on the International Recruitment of Health Personnel, the WHO notes the need for orientation programs to aid adaptation to local customs and patient expectations. A study by Alexis et al. (2007) on internationally educated nurses in the UK revealed that lack of cultural training contributed to misunderstandings and barriers in patient care and inter-professional collaboration.

8️⃣Compensating for variability in accreditation and quality assurance
Global accreditation systems are not uniform, and quality assurance mechanisms differ between countries. A medical school accredited in one country may not meet the standards required by regulatory bodies elsewhere. The World Federation for Medical Education (WFME) has established global standards, and by 2024, the ECFMG requires that all applicants graduate from a WFME-accredited medical school to take the USMLE – this is part of global efforts to harmonize training standards.

In conclusion, requiring additional examinations or training for internationally educated doctors and nurses is not an act of mistrust, nor does it necessarily reflect negatively on the education in their home country. Instead, it is a multifactorial, evidence-based approach designed to:
✅Safeguard patient safety
✅Address differences in healthcare systems and disease profiles
✅Ensure communication and legal competence
✅Build public trust in the health system
✅Maintain consistent professional standards across borders

[I used multiple sources (WHO, GMC, NMC, ECFMG, EU Directive, US Joint Commission) and generative AI to prepare this article.]

Prof. Dr. Esayas Gudina

Congratulations Pediatrics and Child Health graduates of Jimma University Medical Center 🏥,2025

@core_note

Congratulations, my beloved JU🎓

Graduation is not just a ceremony — it is a beautiful reminder that with faith, effort, and patience, great things are possible. Tomorrow, you will celebrate your success, your sacrifice, and the grace that carried you through.

The road to becoming a physician is not an easy one. Medicine tests the mind, stretches the soul, and often drains the heart. But through it all, you held on — to your purpose, to your dreams, and above all, to your faith.

Remember, it was not only your intelligence or your long nights of study that brought you here — it was also God’s strength in your weakness, His light in your darkest hours.

I am truly proud of you. Congratulations once again!

May your future be filled with wisdom, compassion, and unwavering purpose. Keep trusting God, keep working hard, and never stop dreaming.

“With God, dreams are not just possible — they are promised.”

You know everyone one of you have a special place on my heart 💙

እንኳን ደስ አላችሁ። እኔ ወንድማችሁ እኮራባችኃለሁ 💪🏽

ህመም ያልበገራት የጽናት ምሳሌዋ ተመራቂ
**********

ዶ/ር ሰላም አላዩ የጅማ ዩኒቨርስቲ የህክምና ትምህርት ተመራቂ ስትሆን፤ እስከ 5ኛ አመት የትምህርት ቆይታዋ የጤና እክል አልገጠማትም ነበር፡፡

ነገር ግን የትምህርት ክፍላቸው ወሳኝ ፈተና ሊቃረብ ሰሞን ህመም አጋጠማት፡፡

ህመሙ መንቀሳቀስ የሚያስችላት ባለመሆኑ በዊልቸር በመገፋት ፈተናው ልትጨርስ ቻለች፡፡

ሌላኛው ፈታኝ የሆነባት ነገር የተግባር ልምምድ በምታደርግበት ወቅት በእንቅስቃሴ የሚከናወኑ ብዙ ስራዎች በመኖራቸው ፈታኝ ጊዜያትን እንዳሳለፈች ታነሳለች፡፡

ከፈጣሪ ጋር እሱን ጊዜ አልፌዋለው የምትለው ዶ/ር ሰላም፤ የጅማ ዩኒቨርስቲ ሆስፒታል እገዛ እንዳደረገላትም ገልጻለች፡፡

ለዛሬ ቀን መድረሴ “ለካ ይቻላል“ የሚለውን ነው ያየሁበት ብላለች፡፡

ለምረቃ በመብቃቷ ልዩ ስሜት እንደተሰማት የገለጸችው ተመራቂዋ፤ “ለዚህ እደርሳለው ብዬ አላሰብኩም ነበር እግዚአብሄር ይመስገን“ ስትል ተናግራለች፡፡

በሜሮን ንብረት

#ebc #ebcdotstream #JimmaUniversity #graduation
@core_note

የጤና አገልግሎት አስተዳደር እና ቁጥጥር አዋጅ | አዋጅ ቁጥር 1362/2017

Health Service Administration and Regulation Proclamation | Proclamation No. 1362/2024

@core_note

WHO Mpox clinical management guidelines 2025


@core_note