ORDER OF SURGEONS AND DENTISTS OF PADUA

LIST " MEDICAL ART "

1. Defending the Ethics of the Medical Profession

Protecting the Profession by upholding the 2014 Code of Ethics

2. Defence of the Independence of the Medical and Dental Profession

• Defence against political, economic, lobbying and profit interference

• Becoming a point of reference for institutions on public health issues

3. Physician Autonomy

The Medical Association guarantees and protects the autonomy of the doctor's clinical choices. The doctor must be free from impositions and suggestions of any kind. The doctor, through an articulated clinical and instrumental analysis must be able to carry out, in full freedom and autonomy of judgement, according to science and conscience, a decision-making process that leads him to the diagnosis and treatment options.

Diagnosis for preventive, therapeutic and rehabilitation purposes is a direct, exclusive and non-delegable competence of the doctor (Art. 3 C.D.)

4. Adequate care time:

The doctor must devote the necessary time to the patient for a thorough interview and an adequate objective examination (Art. 20 C.D.).

5. Medicine not succumbing to protocols.

Medicine is not an exact science, but rather an art because it applies to the human person with his or her singularity and uniqueness. Guidelines, protocols, and literature constitute useful and valuable tools to support the physician, but they cannot reduce the boundaries of the physician's decision-making autonomy, leading to a standardisation of treatments, an uncritical application of directives, and defensive medicine.

6. Respecting the uniqueness of the doctor-patient relationship and the Ars Medica and reducing excessive bureaucratic tasks:

• Protection of the medical profession with regard to the tool of Telemedicine and so-called AI, to ensure that this technology serves the doctor and the patient, and not its replacement;

• Limiting and streamlining the bureaucracy of doctors that takes time and energy away from patient care.

7. Ensuring continuous, free, cross-cutting, independent medical training.

Since training is fundamental and required by law, it is our intention:

• ensure that compulsory courses are free of charge for members of the Order.

• promote, in addition to courses on traditional topics, the new topics of integrated medicine and complementary medicine, primary prevention and health education.

• implement medical training also with subjects that are not strictly medical but functional to the practice of the profession, such as psychology, taxation and communication.

8. Supporting public health, promoting primary prevention and integration between hospital and community medicine

Promoting the strengthening of the National Health Service, primary prevention through free screening, personal health education and integration between hospital medicine and local medicine, producing a virtuous circle that leads not only to a reduction in state spending on community health, but also restores dignity to the person, in illness, psycho-physical decline and death.

9. Intervening on the growing labour unrest in the medical professions

Today we are witnessing an increasing incidence of stress, anxiety and mood disorders, depression, burnout, physical, psychological and legal violence against doctors, which, in addition to the direct effects on the practitioner, reverberate on the health and care of society as a whole. It will be our commitment :

• draw attention to signs of distress in order to prevent their development.

• provide tools and means to support professionals (counters, psychology service, lawyers, etc.).

• Assessing the causes of violence against the doctor with the aim of removing them

10. Renewing the commitment to cohesion between Surgeons and Dentists

Collaboration, confrontation and sharing within and between Surgeons and Dentists are desirable, enriching and beneficial to the medical profession and Health in general. Our aim is:

• promote means, tools, technological and social platforms, meetings to share, consult and discuss medical issues.

11. Commitment and vigilance for the just economic recognition of the medical profession

An analysis conducted by the OECD (Organisation for Economic Co-operation and Development) has shown that the average salaries of a doctor in Italy are among the lowest in Europe. Fair and affordable remuneration, both for the public and the private sector, equalisation of the 'premium for industriousness' (equivalent to the severance pay) among ULSS members, are part of the dignity of the profession and limit the flight abroad of excellence, new graduates and the underpaid.

Supervise the entry into force of the new regional tariff schedule postponed to 1/1/2025.

12. Action in the legislature to introduce self-certification of illness for the first 3 days

13. Change the ORDER also to change ENPAM

To re-establish the founding purpose of ENPAM: to stop the intertwining of orders and unions and to support changes to the statute (as already proposed in 2014 by ten Order Presidents) in order to obtain a mixed and leaner National Council, diversified but prudent investments diverted to safe securities, a reduction in the number of board members and fees and expenses parameterised to those of the Fnomceo and therefore reduced to one third.

Establishment of an observatory for the new ENPAM contribution of 4% to Freelancers in contracted and accredited medicine.

14. Facilitating the young doctor's entry into the profession

15. Transparent administration

• publish the deliberations of the Council

• publish the balance sheet well in advance of the Assembly and with explanations

• Report to the members on the deliberations of the National Assembly

• Assess the appropriateness of the membership fee also in relation to the money paid for the purchase of the new seat