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Human resources in Bulgarian health care

Human resources in Bulgarian health care. Prof. Petko Salchev , MD. LEONARDO DA VINCI – PARTNERSHIP EUGISMET-PREV STUDY VISIT IN BULGARIA 17 th - 19th June 2013. Medical personnel. Medica l personnel. Medical personnel - facts.

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Human resources in Bulgarian health care

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  1. Human resources in Bulgarian health care Prof. PetkoSalchev, MD LEONARDO DA VINCI – PARTNERSHIPEUGISMET-PREV STUDY VISIT IN BULGARIA17th - 19th June 2013

  2. Medical personnel

  3. Medical personnel

  4. Medical personnel - facts

  5. Training of medical professionals in Bulgaria in 2011 - undergraduate • 8 universities. • students in the academic year 2011/2012 show that the number of places in the majors is as follows: Medicine - 612 (for the 2010/2011 - 558) • Dentistry - 256 at 216 for 2010/2011g ., • Pharmacy - 210 at 214 for the 2010/2011 • Public Health - 700 at 562 for the 2010/2011 • health care (no nurse and midwife) – 333(2011) - 685 in the previous year, • nurse – 386 (2011) - 370 the previous year and • Midwifery – 123 (20011) - 155 the previous year. • The duration and content of training are synchronized with Community law.

  6. Places of specialization - postgraduate • Include: • Physicians - 1043 in 2011 - 1577 in 2010, • dentists – 56 in 2011 – 57 in 2010, • pharmacists - 62 in 2011 - 9 in 2010, • health care - 31 in 2011 - 118 in 2010, • nonmedical - 106 in 2011 - 158 in 2010, • medical and medical education - 52 (at 38 in 2010), • Military specialties - 14 with 5 for 2010 • The total number of places for graduates in 2011 was 1 364 and 2045 through 2010, of which 100 state-funded, 486 places under Art. 20 of Ordinance № 34 of 2006, 412 –paid and 351 - for foreigners.

  7. Certificates of professional qualifications • Certificates of professional qualifications and specialization in Bulgaria in order to practice a regulated health care profession in the territory of countries - the EU, the EEA and Switzerland for 2011: • total 1314, distributed as follows: • 628 certificates of doctors who have acquired qualifications in the Republic of Bulgaria, of which 524 Bulgarian citizens and 103 nationals of other countries, • nurses - 355 certificates of which 353 for Bulgarians and 2 foreigners • dentists - 163; • pharmacists - 33; • midwives - 56, • medical technicians - 12; • ray technicians - 16; • therapists - 12, • inspector of Public Health - 2; • paramedics - 15; • masseur - 1; • dental technicians - 9; • assistant pharmacists - 4 . • Most certificates of physicians with specialty issued in "Internal Medicine", "Surgery" and "Anesthesiology and Intensive Care."

  8. Nursing education • Bachelor • Ordinance on Unified State Requirements for obtaining higher education in "Health Care " for educational qualifications "Master" and "Bachelor" of professional direction "Public Health"Approved by Decree № 215 of 18.08.2006, prom., SG, iss. 70 of 29.08.2006, in force from academic year 2006 - 2007, amend. No.. 87 of 7.10.2008 • Health care – 2 semesters – 690 hours • Master – 3 semesters – 990 hours – after bachelor

  9. Public health courses • Social medicine - 60 hour • Epidemiology – 30 hours • Medical Ethics and Deontology – 60 hours • Hygiene and ecology – 60 hours • Medical statistics – 45 hours

  10. Medicine and dental medicine – master degree • ORDINANCE ON UNIFORM STATE REQUIREMENTS FOR ACQUISITION OF HIGHER EDUCATION in "Medicine" and "DENTIST" FOR DEGREE "MASTER“ • Medicine • Theoretical courses – 10 semesters – 4965 jours • Practical courses • Sixth semester – 30 days – 150 hours • Eighth semester - 30 days – 150 hours • internship before graduation after the tenth semester - 310 calendar days, or 1,320 hours.

  11. Public health courses in medicine • Social medicine with medical ethics – 120 hours – 2 and 3 semesters • 60 hours – lectures • 45 hours – practical • 15 hours – ethics • Epidemiology, Infectious Diseases, Medical Parasitology and Tropical Medicine – 150 hours • Disaster medicine – 45 hours • internship before graduation - 5 days in social medicine and 30 days in Epidemiology, Infectious Diseases, Medical Parasitology and Tropical Medicine

  12. Dental Medicne • Dental medicine • Theoretical courses – 10 semesters – 4790 hours • Practical training is carried out by practicals during the semester learning, teaching practices and Probation Practice as follows:1. educational practice (clinical experience) after the sixth semester of not less than 30 calendar days - 150 hours;2. educational practice (clinical experience) after the eighth semester of not less than 30 calendar days - 150 hours;3. internship before graduation after the tenth semester - 135 days (6 months), or 1,080 hours.

  13. Public health courses in dental medicine • Social medicine and medical ethics – 45 hours • Hygiene and epidemiology – 60 hours • Disaster medicine – 30 hours • Public dental health - professional organization, law, behavioral science, social aspects – 105 hours

  14. Postgraduate education – professional qualification • Ordinance № 34 of 29.12.2006 for professional qualification in the health care system • Places – Medical Universities and National Centers of Public health • Appendix № 1 to Art. 1, para. 1Nomenclature of specialties and terms for their acquisition in the healthcare system • Specialties for persons with degree "Master" in "Medicine“ • Social Medicine and Health Management - 4 years • Communal hygiene – 4 years • Occupational health – 4 years • Health Economics – 2 years • Disaster medicine – 3 years • General hygiene – 3 years

  15. SOCIAL MEDICINE AND HEALTHCARE MANAGEMENT - MAIN TOPICS • Methodology of social medicine. Health and illness. Socio-medical approach. • Public health – indicators and assessment. • Healthcare systems. International health cooperation and globalization. • Healthcare system in Bulgaria. Medical care quality. • Health promotion and disease prevention. • Healthcare management. Resource management. Health information. • Health policy. Strategic planning and management in healthcare. • Operational management and control in healthcare. • Medical ethics. Rights and obligations of medical staff and patients.

  16. Doctor degree • 4 years – individual plan • Special law - Law on the Development of Academic Staff of the Republic of Bulgaria

  17. Public Health Capacity in the EU – Final Report Recommendations • Focus on strengthening information and reporting systems. Public health needs to be more strongly based on scientific input and data • Strengthen intersectoral cooperation between organisations working in fields relevant to public health (e.g., social policy, environment, transportation) • Develop further undergraduate and postgraduate programmes in Public Health • Increase investments in training and professional development for public servants working in public health-related areas • Introduce more cost-benefit analyses of public health and health care expenditure

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