The medical temporary business

Doctors and nurses can double or even triple their income by choosing this type of contract. Another symptom of illness in hospitals.

“If I say yes, in three shifts, I earn … my salary for the month,” sadly said a doctor anesthetist, holder of the Assistance Publique-Hôpitaux de Paris (AP-HP). Like his colleagues, several times a day, via e-mail or SMS, he receives temporary offers: 1,800 euros net for twenty-four hours of work in Épinal or 1,500 euros for a day of maternity in Valence. But the prize goes to this amazing announcement from Bourges hospital: “negotiable rates” for this summer! Same thing for an Ille-et-Vilaine center. At AP-HP, anesthesia care is paid between 320 and 470 euros gross depending on the grade.

The public hospital is suffering, and the severe staff shortage is just a symptom of the current crisis. On an issue with the Coué procedure, last Thursday at the Emergency 2022 congress, the Minister of Health, Brigitte Bourguignon, however considered that carrots are not cooked: “I will not accept political instrumentalization or that we are leading the the French believe that the system has collapsed everywhere.Talking about the harsh reality equals discouragement to future recruits!
Temporary employment is on the rise, even as the situation, especially for incumbent nurses, began to seriously worsen in 2016.

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On this date, AP-HP’s general management initiated a reorganization of working hours, which marked the start of a wave of departures. “Before, we worked day, afternoon or night, explained a nurse. From this reform, along with nursing auxiliaries, we have to change every two weeks and people leave. How to organize with children? Find a nanny who will take your kids every two weeks at 5 am or 10 pm! So, when Martin Hirsch, the boss of AP-HP, described as “mercenaries” the followers of “this temporary soft medicine”, the holders, like temporary workers, saw red, which regrets its “spitting on the figure. ”.

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A rookie temp earns more, otherwise, than me at the end of my career

One nurse said: “Many of my friends who are permanent anesthetists work part -time during their breaks, which is forbidden. And some are in their own hospital! There is a secret agreement to tolerate these situations because we lack weapons. “A 26-year-old temporary worker receives 26 euros gross per hour to work in hospitals in the Paris region, or, within a month, 3,600 euros gross … 1,400 euros more than his friend of the same age, holding. The latter was not offended: “She wins what we all should win! “A nurse with thirty years of seniority assured:“ A temporary novice pockets more, if not more, than me at the end of a career. If, for the minister, the system does not collapse, how to qualify these situations?

One anesthetist recounted the story of a colleague, a practitioner at the hospital: “Instead of meeting strangers, we preferred to ask someone from the service to go in addition, being paid as a temporary worker. This is common with AP-HP. The colleague in question receives 15,000 euros gross per month (instead of 9,000) thanks to this “internal interim”.

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Anaïs is a nurse, she is 30 years old and started her career in public hospital, with a stint at Necker: “They welcome us as soon as we leave school, telling us we don’t deserve to take a vacation. for two years, and no one was shocked.To justify an RTT, the manager asked me the reason for my absence and I had to say that I had an appointment with the gynecologist.I resigned to work as a temporary worker.Previously, earning I earn 1,800 euros net for 150 hours, now, in interim for 140 hours, I earn 2,970 euros net. »

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Even though the salary is higher, it is not the main attraction of temporary workers. The real plus? Flexibility. “We made this choice so as not to be harassed by executives who kept asking us to help by playing the sensitive chord. If we were five instead of ten in our service, was it my fault? Carrying a nurse Another concludes: “In order to reduce the use of temporary workers, it will be necessary to keep the incumbents instead of harassing them.”

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