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Implementing EU Acquis, Procedures and Challenges in Lithuania

Implementing EU Acquis, Procedures and Challenges in Lithuania. Dr. Jonas Bartlingas Head of Health Care Resources Management Division Ministry of Health, LITHUANIA. Mutual Recognition of Qualifications for Medical Professions

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Implementing EU Acquis, Procedures and Challenges in Lithuania

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  1. Implementing EU Acquis, Procedures and Challenges in Lithuania Dr. Jonas Bartlingas Head of Health Care Resources Management Division Ministry of Health, LITHUANIA Mutual Recognition of Qualifications for Medical Professions Five months of crossing Internal Market borders by health care professionals Polish-Dutch Twinning Project 22nd September 2004, WARSAW

  2. Implementation of EU Acquis into Lithuanian law • Republic of Lithuania implemented all obligations and transferred requirements of sector-based directives to Lithuania laws and legal acts: • There were added/changed acts • There were admitted acts on recognition EUdiploma

  3. Implementation of EU Acquis into Lithuanian law • Give great support: • European Commission and their experts • EU-Institution Building Twinning Programme (Project number: LT 2002.0601/Ref.Number: LT02/IB-SO-01Employment and Social Policy, Free Movement of Workers) • Health ministry of Netherlands • Health ministry of Germany • Competent authorities of North Rhine–Westphalia (Germany), Sweden, Ireland, Norway, Netherlands

  4. Implementation of EU Acquis into Lithuanian law • Improvement of programs on doctors, dentists, nurses, midwives, pharmacistsprofessions training: • Most alteration was in training of doctors specialists

  5. HARMONIZATION OF COORDINATION DIRECIVES: RESTRUCTURING OF DOCTORS’ TRAINING Will be included

  6. Surgery Abdominal surgery Vascular surgery; Neurosurgery; Thoracic surgery; Cardio-surgery; Urology; Vascular surgery; Plastic surgery Oro-maxillofacial surgery; Internal medicine Allergology and clinical immunology Occupational medicine; Dermatovenerology; Endocrinology; Gastroenterology; Geriatrics; Hematology; Infectious diseases; Cardiology; Clinical toxicology; Nephrology; Onco-radiotherapy; Pulmonology; Rheumatology HARMONIZATION OF COORDINATION DIRECIVES: RESTRUCTURING OF DOCTORS’ TRAINING

  7. Implementation of EU Acquis into Lithuanian law • Training programs of dentists, pharmacists, nurses, midwives were revised according to experts recommendations on requirements of directives: • Dentist’s professional title “stomatologas” to “odontologas” • Theoretical course in college study program of nurse is separated from practical training • Restart training of midwives after secondary education, also have 18 months training after graduated nurse

  8. Recognition of EEA qualifications • The Ministry of Health is the competent authority in the Republic of Lithuania in relation to Community directives concerning health care specialists: doctors, dentists, nurses, midwives • The Pharmacy Department under the Ministry of Health is the competent authority in the Republic of Lithuania in relation to Community directives concerning pharmacists

  9. Recognition of EEA qualifications In Lithuania the registration and licensing is one procedure which is done by one institution (under supervision of the Government): • Doctors and they specialization – the State Health Care Accreditation Agency under the Ministry of Health • Dentists and they specialization – Chamber of Odontology • Nurses, midwives – Ministry of Health • Pharmacists – Ministry of Health

  10. Recognition of EEA qualifications Applicant Documents: • An application • Proof of identity • Proof of qualification • Proof of Physical and mental health • Certificate of good standing • Proof of previous diploma or certificate, which gives the right to exercise the profession • State fee Licensing institution License Competent authority Approximately 2 weeks Maximum 3 months

  11. Recognition of EEA qualifications (including third country qualifications recognized in other EEA countries) Language requirement No specific level of language skills is required to obtain license. It is the responsibility of the employer to assess that the specialists meet the requirements of the national acts that every specialist must practice in his field carefully and conscientiously. To comply with this provision, specialists are required to be capable of responsible communication with patients, relatives, other staff, licensing institution, etc.

  12. After Accession: Certification of nationally acquired professional qualifications Dates of conformity Medicine Till 1950 study in medicine – 5 year, diploma, 1952 - 1992 – 6 year study From 1991 study program “comply” with directive 93/16/EEC, only one diploma From 1993 diploma with certificate accompanying qualification - “profesinės kvalifikacijos pažymėjimas” of “medicinos gydytojas” (1994) 1993 General practice (family medicine) Dates of conformity in specialized medicine differ according the specialization: 1994 Anesthesiology and reanimation, Ophthalmology, Otorhinolaryngology 1995 Gynecology-obstetrics 2005 Orthopaedics and traumatology, Physical medicine and rehabilitation, Clinical laboratory, Pathology 2006 Psychiatry, Radiology, Child and adolescent psychiatry

  13. After Accession: Certification of nationally acquired professional qualifications Dates of conformity Internal medicine from 2007: 2006 Allergology and clinical immunology, Occupational medicine, Dermatovenerology, Endocrinology, Gastroenterology, Geriatrics, Hematology, Infectious diseases, Cardiology, Nephrology, Neurology, Pulmonology, Onco-radiotherapy, Rheumatology Or all diplomas in above mentioned specializations after qualified in internal medicine (program 2 years) General surgery from 2005 2005 Neurosurgery, Urology, Abdominal surgery, Vascular surgery, Thoracic surgery, Children surgery,Plastic surgery from 2005 Or all diplomas in above mentioned specializations after qualified in general surgery (program 2 years)

  14. After Accession: Certification of nationally acquired professional qualifications Dates of conformity Nurses • University diploma • College diploma from 2003 Midwives • College diploma from 2007 without nurse diploma • College diploma from 2005 with college nurse diploma

  15. After Accession: Certification of nationally acquired professional qualifications Dates of conformity Dentists • University diploma, 5 year study • Comply with directive from 1991 • From 1993 diploma with certificate accompanying qualification - “profesinės kvalifikacijos pažymėjimas” of “bendrosios praktikos gydytojas stomatologas” (1994) Specialization in dentistry - from 2004 year are comply with directive

  16. After Accession: Certification of nationally acquired professional qualifications Acquired rights: the certificates issued • Certificate of good standing– about issued licence and its validity • Certificate in accordance with Community Directive: • Compliance to training standards laid down in Directive • Acquire rights if not comply with training standards • Acquire rights if study began before 1990-03-11

  17. After Accession: Certification of nationally acquired professional qualifications Upsurge in migration In period May 1st – 31st August were issued certificates for 179 doctors, dentists, nurses, pharmacists: • 123 doctors • 28 dentists • 20 nurses • 8 pharmacists • 70 of them left Lithuania before 1st May

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