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ZEVA 24th SYMPOSIUM OF THE CENTRAL AND EASTERN EUROPEAN CHAMBERS/ASSOCIATIONS OF PHYSICIANS
15 - 16 SEPTEMBER 2017
LJUBLJANA, SLOVENIA
Dr Grażyna Sławeta
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Problem of violence against doctors - the situation in Poland
Legal grounds/Law for protection of physicians against violence
Initiatives of the Polish Supreme Chamber of Physicians and Dentists aiming at protection of doctors against violence
Polish Chamber of Physicians and Dentists
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Number of participants– 350 physicians Form – survey 51% respondents confirmed that they had been
victims of violence or aggression 10% - stated that they had been victims of physical
aggression 18% of cases were reported to police
Polish Chamber of Physicians and Dentists
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Trainings for healthcare employees: development of skills aiming at preventing or reducing aggressive and violent behaviour, raising national awareness about violence against physicians, proper work organization, which contributes to limitation of aggressive and abusive behaviour;
legal protection for doctors while performing emergency medical procedures – in Poland a doctor performing emergency activities is legally protected in the same way as public officials
The Polish Supreme Chamber of Physicians and Dentists together with
the Polish Chamber of Nurses and Midwives established an on-line monitoring system for tracking aggression and other problem behaviours against healthcare employees www.agresja.hipokrates.org) - „Monitorowanie agresji w ochronie zdrowia" (MAWOZ)”
Polish Chamber of Physicians and Dentists 4
In 2010 the Polish Supreme Chamber of Physicians and Dentists established the Bureau of Doctors’ Rights – the role of the Bureau is to undertake actions to protect the profession of doctors and dentists. The activities of the BDR consist in helping doctors in matters regarding the exercise of the medical profession eg. by providing legal aid, especially when a doctor’s good name or reputation is violated (libel, slander) or violation of bodily integrity
The Doctor’ Rights Ombudsman defends the dignity of the medical profession as well as the collective interests of all doctors
Both the Bureau of Doctors’ Rights and the Doctor’ Rights Ombudsman have their counterparts on the level of Regional Medical Chambers.
Polish Chamber of Physicians and Dentists
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Is a medical doctor in Poland entitled to provide medical
treatments other than within the scope of his medical specialty under the Polish national regulations?
Is it possible and how for a medical doctor to get a license for providing some medical treatments which are not covered by any specialty program, but could belong, due to their scope – to several different specialties?
Polish Chamber of Physicians and Dentists
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In Poland, in theory, a physician holding the right to practice the
profession can in principle provide all medical treatments, except a few specifically indicated by the law (eg. administration of anestaetics)
The Polish Act on professions of doctor and dentist does not include any regulations prohibiting the exercise of any medical procedures by any medical doctor
A medical doctor is not obliged to get a medical specialty, although the majority do
According to the principles of the Polish Medical Code of Ethics a doctor should not perform medical procedures, which are beyond his actual knowledge and skills
Polish Chamber of Physicians and Dentists
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In Poland the draft of the law on the so called professional skills in few narrower fields of medicine is under way
Unfortunately the regulations are still in the course of preparation and the project itself was already postponed several times
Polish Chamber of Physicians and Dentists
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The regulations on CME in Poland
Who is responsible for the control of CME events?
Do you know if there is any EU project for recognition of doctors’ licenses from the Balkan countries?
Polish Chamber of Physicians and Dentists
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Physicians in Poland are required (by state law and medical ethics) to take active part in Continuing Medical Education/ Continuing Professional Development
The CME is supervised by the self-government of physicians and dentists
A credit points system is applied - 200 points have to be collected in a period of every 4 years.
The fulfillment of the CME obligation is registered in the document „The right to exercise the profession”
Polish Chamber of Physicians and Dentists
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Polish Chamber of Physicians and Dentists
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1 2
3 4
2 Fulfillment of the specialty and skills
curriculum
50 points /year Certificate of completion
issued by the head of the
specialty and skills curriculum
3 Participation in a medical training which
a) does not belong to specialty and
skills curriculum
or
a) is accessible via internet or other
telecommunication media ( with
limited access)
and was approved by the Supreme
Medical Council / Polish Chamber of
Physicians and Dentists
1 point /hour Certificate or diploma issued
by the entity which organizes
the training;
4
Participation in a national or
international scientific conference,
congress or symposium
1 point /hour Certificate or diploma issued
by the entity which organizes
the training
5 Completion of clinical practice course at
a national or international medical
specialist center
5 points /day Certificate of completion
issued by the head of medical
specialist center
Medical diplomas obtained outside the European Union are not covered by the system of automatic recognition. In Poland they are subject to recognition procedure called nostrification.
Polish Chamber of Physicians and Dentists
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Are there any treatment guidelines in Poland?
Who defines the treatment procedures/guidelines? What rules apply when writing a guideline (based on which documents)? Are they mandatory?
Are the standards and norms of medical treatment defined in Poland and based on any guidelines ( eg. the consumption of supplies)?
Are there any terms (of validity) and conditions of applying treatment guidelines?
When lack of guidelines, on what basis do you provide high-quality health care? Who/what entity is responsible for establishing standards for treatment?
Polish Chamber of Physicians and Dentists
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There are no general and legally binding standard operating procedures for clinical practice in particular diseases in Poland
Some Polish medical societies develop clinical guidelines and adjust them from time to time, however those guidelines only indicate how a physician should treat a disease. The guidelines are not binding and thus can be not used as a clear reference in case of court proceedings and medical errors.
Polish Chamber of Physicians and Dentists
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