In this period marked by the pandemic, there are many scientific events online. Unfortunately, following these online lectures and conversations is difficult due to the fact that some (and often the most interesting) are paid, are at inappropriate times, and because we are not taken out of daily activity as when we actually went to conferences and congresses make it harder to adapt our daily schedule to the schedule of these events.
The internal scientific manifestations have been technically modernized over time. To a large extent, these scientific events are represented by literature reviews or reviews of international congresses conducted by the same lectures in almost all cases. I do not know if it is justified to spend money for many online medical conferences that are ultimately reduced at the presentation of drugs produced by various pharmaceutical companies. I think that the presentation of these drugs can be done differently by groups of oncologists, representatives of the Insurance House, representatives of the pharmaceutical industry, in order to inform the participants about the practical possibilities for which these drugs can be used. In addition to these information conferences, there may be 1-2 oncology congresses at which to present original papers. I have noticed that many times the program of the conferences that have taken place this year has been significantly extended because everything is presented without a prior selection. This blind selection would increase the value of the papers presented, so that if a paper was accepted for presentation at a conference, it would have value. I have not seen a scientific activity inside many hospitals where young doctors are engaged to present cases or a medical issue that they want to clarify with the seniors in those hospitals where they work. I think that the College of Physicians and the National Authority for Quality Management in Health should be involved in these activities as well.
Another issue that is not debated in Romania is that found by the survey conducted by Medscape in the USA, namely “one of the major trends that has increased in the last 10 years is the growth of individualism and autonomy in American culture”, a situation that is unfortunately starting to develop in our country as well.
Another finding of the American researchers was that “Americans feel they should be in charge of everything, which impacts medicine, because they’re more likely to regard doctors as providers of a service, with patients as «customers»”. This is not valid in Romania, at least in the state medical system, where some patients still consider the doctor as a clergyman or a person who must be close to them and who has the “gift” to heal them.
I believe that these discussions regarding the social impact of the transformations in the professional ethics should be a topic of debate and be the basis of a new concept of health policy, among many other issues that are not yet discussed. In this respect, I am still waiting for original studies to prove the truth of our opinions on new drugs, therapeutic procedures, new surgical or radiotherapy procedures, but also conceptual problems that will lead us to a better understanding of current trends.