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THE ROLE OF LATVIAN MEDICAL ASSOCIATION IN SERTIFICATION AND REGULATION PHYSICIANS

THE ROLE OF LATVIAN MEDICAL ASSOCIATION IN SERTIFICATION AND REGULATION PHYSICIANS. IEVIŅA ALKA LATVIAN MEDICAL ASSOCIATION VILNIUS 26 – 27 SEPTEMBER 2005. Regulation No.431 of the Cabinet of Ministers Rules of Procedure of the Certification of Medical Practitioners.

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THE ROLE OF LATVIAN MEDICAL ASSOCIATION IN SERTIFICATION AND REGULATION PHYSICIANS

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  1. THE ROLE OF LATVIAN MEDICAL ASSOCIATION IN SERTIFICATION AND REGULATION PHYSICIANS IEVIŅA ALKALATVIAN MEDICAL ASSOCIATIONVILNIUS26 – 27 SEPTEMBER 2005

  2. Regulation No.431 of the Cabinet of MinistersRules of Procedure of the Certification of Medical Practitioners Certification – award of certificates by evaluating and certifying with a certain degree of probability theoretical knowledge and professional skills of a medical practitioner in a primary speciality, sub-specialty, additional specialty or skills of a medical practitioner within relevant speciality to employ specific treatment or diagnostic method

  3. The Cabinet of Ministers of the Republic of LatviaRiga, 23 December 1997 Regulation No.431 Rules of Procedure of the Certification of Medical Practitioners • Certification is granted in speciality according to the classification of specialities of medical practitioners listed on the Index of Professions in the Republic of Latvia and division of specialities of medical practitioners into primary specialties, sub-specialties and additional specialties by the Ministry of Health as well as within speciality in order to evaluate the skills of medical practitioner in application of specific treatment and diagnostic methods • Re-certification is granted by the certification institution after reviewing the report of a certified person on his professional career and activities undertaken for raising his qualification during the validity of his certificate according to the requirements of the rules of the respective speciality

  4. Certification of Doctors 1990 Associations Certification Commissions Rules of Specialities Rules of Certification . Lists of primary specialties, sub-specialties and additional specialties, treatment and diagnostic methods liable to certification

  5. The Ministry of Welfare of the Republic of Latvia Riga, 13 March 1998 Ordinance No.63 Rules on the Procedure for Approving the Rules of Certification of Medical Practitioners

  6. The Ministry of Welfare of the Republic of Latvia Riga, 13 March 1998 Ordinance No.63 Certification institution shall ensure the accessibility of the services connected with the certification without limitation for all medical practitioners undergoing certification or re-certification according to the principle of the neutral third party involvement that is independent of health care provider and the provider of postgraduate training services, pursuant to the standard LVS EN 45013“General Criteria of Personnel Certification Institutions”, Regulation of the Cabinet of Ministers No.431 of 23.12.1997.,and the procedures set forth in the present Rules.

  7. The Ministry of Welfare of the Republic of Latvia Riga, 13 March 1998 Ordinance No.63 Certification institution shall establish Certification Council with the term of office of 2 years. The Certification Council shall be a collegiate body that co-ordinates and adopts decisions on the issues connected with certification and re-certification in the Certification institution.

  8. The Certification Institution shall perform the following functions: • Coordinate the uniform evaluation procedure of theoretical knowledge and professional skills of medical practitioners in the Certification Institution • Supervises the conformity of the operation of certification exam commissions to the requirements of the Regulation No.431 of the Cabinet of Ministers of 23.12.97., these rules and the decisions of the Certification Council.

  9. The Ministry of Welfare of the Republic of LatviaRiga, 13 March 1998 Ordinance No.63 Certification Council has the right by a reasoned decision to suspend the operation of a certification exam commission before the expiry of its term of office should the Certification Council find that the activity of the exam commission fails to conform to the requirements of Regulation of the Cabinet of Ministers of the Republic of Latvia No.431 of 23.12.97., these rules and the decisions of the Certification Council.

  10. The Certification Exam Commission performs the following functions: • Drafts and approves the examination programme and the questions for the theoretical part of an exam for the relevant speciality in conformity to the requirements of the Rules of that speciality. • Informs the person undergoing certification about requirements of certification, examination programmes and questions as well as about evaluation system. It assesses reports on the previous professional activity and other documents submitted by the persons undergoing certification as stipulated in Articles 15-16 of the Regulation of the Cabinet of Ministers of the Republic of Latvia titled `Rules of procedure for certification of medical practitioners` of 23.12.97. • Ensures the availability of the requirements of certification, examination programmes and questions to the persons undergoing certification.

  11. Certification Council functions pursuant its rules and determines: Uniform procedure for the review of professional activities Uniform procedure for certification andrecertification Constitutes and approves commissions of specialities and certification commissions as well as carries out the supervision of their activities to ensure the compliance of their activities with certification rules

  12. Certification Commission for each speciality develops and with a special decision decides the following matters: Rules for certification and re-certification procedure Examination programme in the form of multi-choice questions, including questions on emergency medicine programme Consults the Certification Board of Latvian Medical Association as to the content of the programme The scope of questions to be included in the programme that are in the field of competence of related specialities according to their speciality rules The criteria for control of professional activities

  13. Regulation No.431 of the Cabinet of MinistersRules of Procedure of the Certification of Medical Practitioners Certification exam may be taken by doctors, nurses, midwives, doctor’s assistants, laboratory technicians, dentist technicians, hygenists, physiotherapists and ergotherapists that after obtaining of an appropriate medical education have supplemented their knowledge in specialty and acquired skills during specified time period in accordance with a rules of relevant specialty as approved by the Ministry of Welfare.

  14. Procedure for taking Certification Examination • Exam consists of filling out a multi-choice questionnaire. The physician taking an exam answers the questions, the minimum number being 100, whereas the maximum number is 250. • The physician undergoing certification is awarded certification diploma only if the proportion of correct answers reaches 75%

  15. The rights of a medical practitioner undergoing certification • Receive certification examination programme • Receive the information on the rules of procedure of the examination • Take a repeated certification exam after one year • To be informed about the composition of the examination commission and to submit an opposition against the inclusion of individual members in the examination commission

  16. FINANCIAL BASIS OF CERTIFICATION • Certification is financed on the account of a physician undergoing certification • Specialist Associations use the received money to finance: • Drafting of Certification and re-certification programme that is to be completed by 31.12.1994., and drafting multi-choice questions for exams. The number of the questions shall be no more than 3000, but not less than 2000 (in 1993-1994 temporary questions were prepared depending on the number of persons undergoing certification) • Prepares and distributes the multi-choice examination programme and eventual questions to physicians taking exam no later than 2 months before exam (since 31.06.1994.)

  17. The Certification Council have adopted specialty definitions and criteria enabling a drawing up of aclassification of specialties • Primary specialty – an area of medicine in which a medical practitioner has acquired a professional medical postgraduate training the length of which is specified in a rules of specialty and cannot be shorter than 3 years • Criteria for primary specialty – this is a wide area of medicine in which a medical practitioner acquires a professional medical (postgraduate) training pursuing the plan of education either of a type of residentship training or courses that is specified in the rules of specialty and the length of which cannot be shorter than 3 years

  18. The Certification Council have adopted specialty definitions and criteria enabling a drawing up of aclassification of specialties • Sub-specialty – narrower area of the primary specialty for mastering of which (specialization) previous primary specialty is required • Criteria for Sub-specialty – this is a narrower area of the primary specialty that can be mastered by a medical practitioner only upon the completion of the residentship training programme (or training cycle) and for which a plan of residentship education programme (or of postgraduate training) is specified as defined in the rules of the relevant subspecialty and according to which the length of educationperiod cannot be shorter than 2 years

  19. The Certification Council have adopted specialty definitions and criteria enabling a drawing up of aclassification of specialties • Supplementary specialty - narrower area of the primary specialty that is a shared competence of two or more primary specialties and for mastering of which (specialization) previous training in one of the relevant primary specialties • Criteria for supplementary specialty – this is a narrower area of several primary specialties that can be mastered by a medical practitioner only after completion of residentship training programme (or training cycle) of some primary specialty (that is connected with this supplementary specialty) and has a defined plan of residentship training (or postgraduate education plan) that is specified in a rules of relevanat supplementary specialty and whose length of training cannot be shorter than 2 years.

  20. Latvian Medical AssociationStructures and forms of co-operation involved in the process of postgraduate education Structures Professional Associations I Commissions and CouncilsII

  21. Latvian Medical AssociationStructures and forms of co-operation involved in the process of postgraduate education Structures Professional Associations I Commissions and CouncilsII

  22. Without cooperation partners With cooperation partners Latvia University Riga Stradina University, Department of Postgraduate Education Riga International School of Economics and Business Administration State Agency of Medicines Health Statistics and Medical Technologies State Agency Major Latvian Hospitals etc. Professional AssociationsI

  23. Commissions and CouncilsII • Certification Council • Commission of doctors with teaching rights Selection of doctors for award of teaching rights is done according to the criteria set by the Latvian Medical Association Selection and assessment of facilities available for training of resident doctors • Complaints Commission • Professional Court

  24. Forms of Action and Cooperation for LMA I In international context • UEMS – cooperation commenced • Organization of professional congresses, conferences and postgraduate training courses • Cooperation with international professional associations • Cooperation with the WHO • World Congress of Latvian Physicians

  25. Forms of Action and Cooperation for LMA II On a national level • Congresses of physicians, conferences and seminars for different specialties In cooperation with Pharmaceutical companies • Seminars • Conferences Residentship education

  26. Not only Residentship, but also Retraining of Doctors from Other Related Specialities • Emergency Medicine doctor • Family doctor ( GP ) The goal is the execution of state procurement for the implementation of the Master Plan and maintenance of human resources.

  27. Doctors` Specialities and Number of Sertificated Doctors (01.09.2005)

  28. Doctors` Specialities and Number of Sertificated Doctors (01.09.2005)

  29. Doctors` Specialities and Number of Sertificated Doctors (01.09.2005)

  30. Doctors` Specialities and Number of Sertificated Doctors ( 01.09.2005)

  31. Doctors` Specialities and Number of Sertificated Doctors (01.09.2005)

  32. Doctors` Specialities and Number of Sertificated Doctors (01.09.2005)

  33. Diagn. and Treat. Methods and Nr. of Sertificated Doctors

  34. Diagn. and Treat. Methods and Nr. of Sertificated Doctors

  35. Diagnostic and Treatment Methods and Number of Sertificated Doctors

  36. WE DO HOPE WE ARE NOT PUTTING TOOMUCH TROUBLE TO LATVIAN DOCTORS BECOMING MORE BELIEVE IN GOD THAN POPE

  37. Thank you for your attention!

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