\u00dclkemizde \u201cSivil U\u00e7u\u015f Tabipli\u011fi ve Fizyolojik E\u011fitim Kurslar\u0131\u201d 2016 y\u0131l\u0131na kadar Sivil Havac\u0131l\u0131k Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc (SHGM), Eski GATA Komutanl\u0131\u011f\u0131 Hava-Uzay Hekimli\u011fi Anabilim Dal\u0131 Ba\u015fkanl\u0131\u011f\u0131 ve Hava K. K. E\u011fitim Daire Ba\u015fkanl\u0131\u011f\u0131 i\u015fbirli\u011fi i\u00e7inde 6 d\u00f6nem halinde d\u00fczenlenmi\u015f ve 102 sivil u\u00e7u\u015f tabibi yeti\u015ftirilmi\u015ftir.<\/p>\n
U\u00e7u\u015f tabibinin g\u00fcncel tan\u0131m\u0131 \u201cHavac\u0131l\u0131k t\u0131bb\u0131 alan\u0131nda ge\u00e7erli e\u011fitimi alm\u0131\u015f, u\u00e7u\u015f ve di\u011fer havac\u0131l\u0131k personeli sa\u011fl\u0131k muayenelerinin ve de\u011ferlendirmelerinin yap\u0131lmas\u0131ndan ve sa\u011fl\u0131k sertifikalar\u0131n\u0131n d\u00fczenlenmesinden sorumlu t\u0131p doktoru\u201d \u015feklindedir. SHGM taraf\u0131ndan yetkilendirilmi\u015f bir Havac\u0131l\u0131k T\u0131p Merkezinde g\u00f6rev yapmak \u00fczere ayn\u0131 genel m\u00fcd\u00fcrl\u00fck\u00e7e yetkilendirilmi\u015f t\u0131p doktorlar\u0131na ise yetkili u\u00e7u\u015f tabibi (AME) denilmektedir.<\/p>\n
2920 say\u0131l\u0131 T\u00fcrk Sivil Havac\u0131l\u0131k Kanunu ve bu kanuna ba\u011fl\u0131 olarak \u00e7\u0131kar\u0131lan ilgili y\u00f6netmelik ve talimatlar gere\u011fince lisans ve sertifika alm\u0131\u015f u\u00e7ucu personelin sa\u011fl\u0131k muayene kurallar\u0131n\u0131 ve bunlar\u0131n uygulama usullerini d\u00fczenlemek; uygulay\u0131c\u0131 kamu, \u00f6zel kurum ve kurulu\u015flar ile ger\u00e7ek ve t\u00fczel ki\u015filerin \u00f6zellikleri ile g\u00f6rev, yetki ve sorumluluklar\u0131n\u0131 belirlemek, bu konudaki faaliyetleri d\u00fczenlemek amac\u0131yla ilk olarak 04.03.2003 tarihinde Havac\u0131l\u0131k Sa\u011fl\u0131k Talimat\u0131 (SHT-3) yay\u0131mlanm\u0131\u015ft\u0131r. Bu talimat 14 y\u0131l boyunca y\u00fcr\u00fcrl\u00fckte kalm\u0131\u015f ve sadece 06.02.2017 tarihinde 8. maddesinin birinci f\u0131kras\u0131n\u0131n (d) bendinde bir de\u011fi\u015fiklik yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n
Her ne kadar bu talimatta \u201cAME\u2019ler otoritece kendilerine yetki verilen s\u0131n\u0131fa ait u\u00e7u\u015f muayenesi yaparlar\u201d \u015feklinde bir ibare bulunsa da, y\u00fcr\u00fcrl\u00fckte kald\u0131\u011f\u0131 s\u00fcre boyunca yetki talep eden t\u00fcm u\u00e7u\u015f tabiplerine t\u00fcm s\u0131n\u0131flar i\u00e7in yetki verilmi\u015ftir. Zaten U\u00e7u\u015f Tabipli\u011fi Kursu Sertifikas\u0131\u2019nda \u201c T\u00fcrk Sivil Havac\u0131l\u0131k Mevzuat\u0131 ve Uluslararas\u0131 Sivil Havac\u0131l\u0131k (ICAO Ek-1, JAR-FCL3, EASA) Mevzuatlar\u0131na uygun olarak S\u0131n\u0131f 1, S\u0131n\u0131f 2 ve S\u0131n\u0131f 3 sa\u011fl\u0131k sertifikalar\u0131n\u0131 ve raporlar\u0131n\u0131 verecek u\u00e7u\u015f tabipleri i\u00e7in\u201d ibaresi yer almakta olup yeterlili\u011fin t\u00fcm s\u0131n\u0131flar\u0131 kapsad\u0131\u011f\u0131 belirtilmektedir.<\/p>\n
Sivil U\u00e7u\u015f Tabipli\u011fi Sertifikas\u0131\u2019n\u0131n sa\u011flad\u0131\u011f\u0131 bu yeterlilik nedeniyle kurslar 14 y\u0131l boyunca hekimler taraf\u0131ndan b\u00fcy\u00fck ilgi g\u00f6rm\u00fc\u015f ve SHGM 2 kez \u201ckursiyer belirleme kriterleri\u201d olu\u015fturmak zorunda kalm\u0131\u015ft\u0131r. Bu kriterleri a\u015f\u0131p kursa kabul edilen hekimler, e\u011fer bir kurum ad\u0131na de\u011fil de ki\u015fisel olarak kat\u0131l\u0131yorlarsa y\u00fcksek bir masraf\u0131n da alt\u0131na girmektedirler. 2016 y\u0131l\u0131nda yap\u0131lan kursa Eski\u015fehir d\u0131\u015f\u0131ndaki bir ilden ki\u015fisel olarak kat\u0131lan bir kursiyerin masraflar\u0131 (noter, kurs, muayene \u00fccretleri, bar\u0131nma, yemek ve Eski\u015fehir\u2019e gidi\u015f-d\u00f6n\u00fc\u015f harcamalar\u0131, THY \u0130stanbul ziyareti i\u00e7in gidi\u015f-d\u00f6n\u00fc\u015f, u\u00e7u\u015f ve g\u00f6rev ba\u015f\u0131 e\u011fitimi i\u00e7in \u0130stanbul veya Ankara\u2019ya gidi\u015f-d\u00f6n\u00fc\u015f, u\u00e7ak gezisi \u00fccreti, \u00fccretsiz izin kulland\u0131ysa maa\u015ftan kay\u0131p, vs.) yakla\u015f\u0131k 20.000 TL\u2019dir. Bu y\u00fcksek maliyete katlanma duygusu sadece havac\u0131l\u0131k sevgisi ile ifade edilemez. Sertifikan\u0131n sa\u011flad\u0131\u011f\u0131 yeterlili\u011fin kazanca d\u00f6n\u00fc\u015ft\u00fcr\u00fclmesi de hesaba kat\u0131lmal\u0131d\u0131r.<\/p>\n
Ancak, 31.07.2017 tarihinde y\u00fcr\u00fcrl\u00fc\u011fe giren SHT-MED ile i\u015fler de\u011fi\u015fmi\u015ftir. SHT-3\u2019te yer alan havac\u0131l\u0131k t\u0131p merkezlerinin yeniden yetkilendirilmesi (2 y\u0131lda bir) uygulamas\u0131 SHT-MED ile kald\u0131r\u0131lm\u0131\u015f ve yetkiler s\u00fcresiz olarak uzat\u0131lm\u0131\u015ft\u0131r. Havac\u0131l\u0131k T\u0131p Merkezlerinin kazan\u0131lm\u0131\u015f haklar\u0131n\u0131n korunmas\u0131 uygulamas\u0131ndan, 31.07.2017 tarihinden \u00f6nce u\u00e7u\u015f tabipli\u011fi sertifikas\u0131 alm\u0131\u015f, ancak hen\u00fcz u\u00e7u\u015f tabipli\u011fi yetkisi almam\u0131\u015f hekimler maalesef hari\u00e7 tutulmu\u015ftur. 31.07.2017 tarihinden sonra yetki ba\u015fvurusunda bulunan u\u00e7u\u015f tabiplerine, sertifikada yaz\u0131l\u0131 yeterliliklerinin aksine, \u201c sadece 2. s\u0131n\u0131f sa\u011fl\u0131k sertifikalar\u0131n\u0131 ve LAPL sa\u011fl\u0131k sertifikalar\u0131n\u0131 tanzim etme, temdit etme ve gerekli sa\u011fl\u0131k muayenelerini ve de\u011ferlendirmelerini icra etme yetkisi\u201d verilmektedir. 1. S\u0131n\u0131f sertifika d\u00fczenleme yetkisi i\u00e7in ise ancak 5 y\u0131l sonra ba\u015fvuruda bulunulabilmektedir. Bu durum ayn\u0131 sertifikaya sahip hekimler aras\u0131nda Anayasal e\u015fitsizlik yaratmakta olup dava konusu edilebilecektir. \u00d6zellikle 2016\u2019daki kursa kat\u0131lan hekimler kendilerine kurs s\u0131ras\u0131nda a\u00e7\u0131klanan SHT-MED tasla\u011f\u0131na b\u00fcy\u00fck tepki g\u00f6stermi\u015fler ve \u201chaberleri olsa kursa kat\u0131lmayacaklar\u0131n\u0131\u201d beyan etmi\u015flerdir. Yap\u0131lan t\u00fcm itirazlara ve resmi g\u00f6r\u00fc\u015f bildirimlerine ra\u011fmen taslak ayn\u0131 haliyle yay\u0131nlanm\u0131\u015f ve y\u00fcr\u00fcrl\u00fc\u011fe girmi\u015ftir. Bu durum \u00f6n\u00fcm\u00fczdeki y\u0131llara y\u00f6nelik olumsuzluklar da getirmektedir. 1. S\u0131n\u0131f sa\u011fl\u0131k sertifikas\u0131 d\u00fczenleme yetkisi sa\u011flamayan bir sertifikan\u0131n verildi\u011fi bu kadar masrafl\u0131 bir kursa hekimlerin ra\u011fbet etmeyece\u011fi a\u00e7\u0131kt\u0131r. Belki de T\u00fcrkiye\u2019deki u\u00e7u\u015f tabibi say\u0131s\u0131n\u0131n artmas\u0131n\u0131 istemeyen \u201cg\u00fc\u00e7ler\u201d vard\u0131r. Kim bilir?<\/p>\n
SHT-MED ile u\u00e7u\u015f tabipli\u011fine ili\u015fkin olarak, AME d\u0131\u015f\u0131nda 3 yeni tan\u0131mlama daha getirilmi\u015ftir:
\n\u00b7 GMP: Ula\u015ft\u0131rma Denizcilik ve Haberle\u015fme Bakanl\u0131\u011f\u0131 ile Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 aras\u0131nda protokol yap\u0131lmas\u0131na ba\u011fl\u0131 olarak genel havac\u0131l\u0131k t\u0131bb\u0131 alan\u0131nda ge\u00e7erli e\u011fitimi alm\u0131\u015f SHGM taraf\u0131ndan AeMC bulunmayan il s\u0131n\u0131rlar\u0131 i\u00e7erisinde ihtiya\u00e7 duyulmas\u0131 halinde yetkilendirilebilecek aile hekimi.<\/p>\n
\u00b7 OHMP: Ula\u015ft\u0131rma Denizcilik ve Haberle\u015fme Bakanl\u0131\u011f\u0131 ile \u00c7al\u0131\u015fma ve Sosyal G\u00fcvenlik Bakanl\u0131\u011f\u0131 aras\u0131nda protokol yap\u0131lmas\u0131na ba\u011fl\u0131 olarak genel havac\u0131l\u0131k t\u0131bb\u0131 alan\u0131nda ge\u00e7erli e\u011fitimi alm\u0131\u015f SHGM taraf\u0131ndan AeMC bulunmayan il s\u0131n\u0131rlar\u0131 i\u00e7erisinde ihtiya\u00e7 duyulmas\u0131 halinde yetkilendirilebilecek i\u015fyeri hekimi.<\/p>\n
\u00b7 Yetkili tabip: SHGM taraf\u0131ndan gerek g\u00f6r\u00fclmesi halinde OHMP, GMP yetkilerini icra edebilen, 22.02.2016 tarihli \u0130nsans\u0131z Hava Arac\u0131 Sistemleri Talimat\u0131 (SHT-\u0130HA) kapsam\u0131nda havac\u0131l\u0131k faaliyetlerinde ve SHY-6C kapsam\u0131nda amat\u00f6r havac\u0131l\u0131k faaliyetlerinde bulunmak isteyen pilot adaylar\u0131n\u0131n veya lisans sahiplerinin sa\u011fl\u0131k muayenelerini yapmak ve sa\u011fl\u0131k sertifikalar\u0131n\u0131 d\u00fczenlemek amac\u0131yla SHGM taraf\u0131ndan yetkilendirilmi\u015f, havac\u0131l\u0131k t\u0131bb\u0131 alan\u0131nda ge\u00e7erli e\u011fitimi alm\u0131\u015f t\u0131p doktorlar\u0131.<\/p>\n
Ula\u015ft\u0131rma Denizcilik ve Haberle\u015fme Bakanl\u0131\u011f\u0131 ile Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ve \u00c7al\u0131\u015fma ve Sosyal G\u00fcvenlik Bakanl\u0131\u011f\u0131 aras\u0131nda hen\u00fcz protokol yap\u0131lmad\u0131\u011f\u0131ndan protokol\u00fcn i\u00e7eri\u011fi hakk\u0131nda bilgi bulunmamaktad\u0131r.<\/p>\n
MED.D.035\u2019e g\u00f6re GMP\u2019ler sadece LAPL (Hafif hava arac\u0131 pilot lisans\u0131) sa\u011fl\u0131k sertifikas\u0131 tanzim edebilecekler, MED.D.040\u2019a g\u00f6re OHMP\u2019ler sadece kabin ekibi sa\u011fl\u0131k muayenelerini icra edebileceklerdir. Tabii ki her ikisi de SHGM taraf\u0131ndan gerek g\u00f6r\u00fclmesi halinde ve AeMC bulunmayan il s\u0131n\u0131rlar\u0131 i\u00e7inde bu yetkilerini kullanabileceklerdir. Burada bir ba\u015fka e\u015fitsizlik daha ortaya \u00e7\u0131kmaktad\u0131r. Ayn\u0131 havac\u0131l\u0131k t\u0131bb\u0131 e\u011fitimini alm\u0131\u015f hekimlerden AeMC bulunmayan illerde olanlar GMP veya OHMP olarak yetki alabilecekken, AeMC bulunan illerde olanlar bu yetkiden mahrum b\u0131rak\u0131lmaktad\u0131r. \u00d6rne\u011fin her ikisi de DHM\u0130\u2019nde g\u00f6revli i\u015fyeri hekimlerinden Trabzon\u2019daki OHMP olabilirken, \u0130zmir\u2019deki olamamaktad\u0131r.<\/p>\n
\u201cYetkili tabip\u201d tan\u0131mlamas\u0131nda ise il s\u0131n\u0131r\u0131 i\u00e7inde AeMC bulunup bulunmamas\u0131 konusunda bir ko\u015ful yer almad\u0131\u011f\u0131 halde \u201cSHGM taraf\u0131ndan gerek g\u00f6r\u00fclmesi zorunlulu\u011fu\u201d anla\u015f\u0131lamamaktad\u0131r. \u00d6rne\u011fin havac\u0131l\u0131k t\u0131bb\u0131 e\u011fitimi alm\u0131\u015f, aile hekimli\u011fi ya da i\u015fyeri hekimli\u011fi yapma yetkileri bulunan, \u00f6zel ya da resmi bir sa\u011fl\u0131k kurulu\u015funda veya muayenehanesinde \u00e7al\u0131\u015fan bir hekim SHT-\u0130HA ve SHY-6C kapsam\u0131nda yetki alabilir mi?<\/p>\n
SHT-MED\u2019in bir de \u201c\u0130stisnai ve \u00f6zel durumlar\u201c ba\u015fl\u0131kl\u0131 13. maddesinin 1. f\u0131kras\u0131 bulunmakta olup, \u015fu \u015fekildedir: SHGM, havac\u0131l\u0131k muayenesi yap\u0131lmakta olan iller ve bunlar\u0131n kom\u015fu illeri hari\u00e7 olmak \u00fczere havac\u0131l\u0131k muayenesine ihtiya\u00e7 duyulan illerde ilk ba\u015fvuran AeMC, AME, GMP, OHMP ve Yetkili Tabipleri, detayl\u0131 gerek\u00e7eleri ile m\u00fcracaat\u0131 \u00fczerine bu talimatla zorunlu k\u0131l\u0131nan muayene say\u0131lar\u0131, tecr\u00fcbe gereksinimleri ve Genel M\u00fcd\u00fcrl\u00fck hizmet tarifesinde belirtilen \u00fccretlendirmeler ile ilgili hususlarda belirtilen \u015fartlar\u0131 aramaks\u0131z\u0131n en fazla 2 y\u0131l s\u00fcreyle yetkilendirir. \u00dclkemizde halen 6 ilde havac\u0131l\u0131k muayenesi yap\u0131lmakta olup, kom\u015fu 25 il ile birlikte say\u0131 31\u2019e \u00e7\u0131kmaktad\u0131r. Geriye kalan 50 ilde herhangi bir \u015fart aranmaks\u0131z\u0131n yetki verilebilecektir. Bu ne kadar do\u011frudur?<\/p>\n
Talimatlar\u0131n haz\u0131rlanmas\u0131 s\u0131ras\u0131nda sadece terc\u00fcme metinlerden yararlan\u0131lmas\u0131 yerine \u00fclkemiz ko\u015fullar\u0131na uygun, hakkaniyetli, e\u011fitime ve eme\u011fe sayg\u0131 duyan d\u00fczenlemelerin yap\u0131lmas\u0131 do\u011fru olacakt\u0131r.<\/p>\n
Uzm. Dr. Tevfik \u00c7AKMAK\u00c7I, U\u00e7u\u015f Tabibi (AME)<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00dclkemizde \u201cSivil U\u00e7u\u015f Tabipli\u011fi ve Fizyolojik E\u011fitim Kurslar\u0131\u201d 2016 y\u0131l\u0131na kadar Sivil Havac\u0131l\u0131k Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc (SHGM), Eski GATA Komutanl\u0131\u011f\u0131 Hava-Uzay Hekimli\u011fi Anabilim Dal\u0131 Ba\u015fkanl\u0131\u011f\u0131 ve Hava K. K. E\u011fitim Daire Ba\u015fkanl\u0131\u011f\u0131 i\u015fbirli\u011fi i\u00e7inde 6 d\u00f6nem halinde d\u00fczenlenmi\u015f ve 102 sivil u\u00e7u\u015f tabibi yeti\u015ftirilmi\u015ftir. U\u00e7u\u015f tabibinin g\u00fcncel tan\u0131m\u0131 \u201cHavac\u0131l\u0131k t\u0131bb\u0131 alan\u0131nda ge\u00e7erli e\u011fitimi alm\u0131\u015f, u\u00e7u\u015f ve di\u011fer havac\u0131l\u0131k personeli sa\u011fl\u0131k muayenelerinin […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[19],"tags":[],"class_list":["post-2619","post","type-post","status-publish","format-standard","hentry","category-forum"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/2619","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2619"}],"version-history":[{"count":1,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/2619\/revisions"}],"predecessor-version":[{"id":2620,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/2619\/revisions\/2620"}],"wp:attachment":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}