In Turkey, the medical degree/diploma of the physician candidate, when approved by the Ministry of Health, also acts as a licence to practice medicine. There is no separate licensing process for physicians (and for other healthcare professionals). The approval process of the degree does not rely on any well-established criteria (it is simply and seal and sign process) and there is no real system that evaluates the competency of healthcare professionals. Needless to say that, there is no such thing as re-licencing...
I find this situation to be very problematic for a number of reasons that I will not go into detail here, but I would be thankful if you could offer some insight regarding the way licencing procedures are handled in your country. You do not need to offer detailed information; you can simply recommend relevant publications and other sources (such as websites) to point me in the right direction.
In Denmar: After graduating as a medical doctor, you get an authorisation to prescribe and work in a hospital under surveillance of consultants and senior doctors. After 2 years of rotation as a subordinate in emergency medicine and surgery and perhaps general practice, you specialise for 5 years. Family medicine is a speciality as well as different surgery specialities, cardiology, internal medicine, pediatrics etc. During the vocational training (specialist training) half of the time will be in General Practice. View www.dsam.dk
Thank you for the information and the link. Specialization in Turkey is based on a centralized (and multiple choice) exam process. The candidates are allocated to programs in accordance with their scores. Yet, at the end of their training (another process that lacks standardization) they receive their specialist degree, which becomes valid when approved by the Ministry of Health. There is no separate licencing process for specialists either and once they receive their specialist degree, their competency is not evaluated at any other point.
In the UK: medical school (entry can be as an undergraduate) typically 5 years of study, upon qualification you enter a foundation programme. During the first year of which you are provisionally licensed to practice medicine with the General Medical Council, after completing that year you gain full registration. You cannot practice independently (outside of an Approved Practice Setting) until you have completed and exited the foundation programme. The following document may be helpful to you:
RAND. (2009) ‘International comparison of ten medical regulatory systems: Egypt, Germany, Greece, India, Italy, Nigeria, Pakistan, Poland, South Africa and Spain.’ RAND Europe. Accessed on 21/07/2012 via: http://www.gmc-uk.org/about/research/research_commissioned_2.asp
Thank you very much; this indeed seems to be the kind of document I am looking for.
There's a nice summary of the US system of medical education, licensure, certification, and continuing medical education, which can be accessed through this link: www.nhpf.org/library/...papers/BP73_MedicalEducation_02-17-10.pdf
Thank you very much. Unfortunately the link appears to have a problem; it leads to a "page not found" error.
My apologies. Here's another link: http://www.nhpf.org/library/details.cfm/2772
Link to PDF is on the right of the page.
Yes, this worked. Many thanks again for this an excellent document; it addresses pretty much every detail I would like to know.
In Chile, MD studies have a 7 year duration. In the last two (what we call internship), students rotate in different hospital and ambulatory care facilities, in 4-6 specialities (internal medicine, surgery, OBGYN, Pediatrics and either Psychiatry and/or family medicine). Each rotation has its own exam (oral/written and practical). After completion of this 7 year process, each student that has approved his/her exams receives the certifying diploma from the university; this allows him to work as a general practitioner. Recently, each graduate needs to approve a multiple choice exam in order to be able to work in the public system; the qualification of this national medical exam is also considered by the universities in their selection process for postgraduate studies (residency).
Hei,
UEMS.net provides information ion this adn also in EU pages you will find EU-directive on physician training. Re-lisenscing directive is in parliament and we do not know what is the content as a full.
Kristiina Patja
Finlans
http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&ved=0CC4QFjAB&url=http%3A%2F%2Fwww.uems.net%2Ffileadmin%2Fuser_upload%2Fuems_documents%2Fold_website_documents_admin%2F117.pdf&ei=Kmv_UYKcOuqG4ATCwIHwDw&usg=AFQjCNHbjoGp5c7Jpg_G1zaBxSQn3pOcig&bvm=bv.50165853,d.bGE&cad=rja
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