1. Human resources in Bulgarian health care
Prof. Petko Salchev, MD
LEONARDO DA VINCI – PARTNERSHIP EUGISMET-PREV STUDY VISIT IN BULGARIA 17th - 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 (for the 2010/ )
Dentistry at 216 for 2010/2011g .,
Pharmacy at 214 for the 2010/2011
Public Health at 562 for the 2010/2011
health care (no nurse and midwife) – 333(2011) in the previous year,
nurse – 386 (2011) the previous year and
Midwifery – 123 (20011) the previous year.
The duration and content of training are synchronized with Community law.

6. Places of specialization - postgraduate
Include:
Physicians in in 2010,
dentists – 56 in 2011 – 57 in 2010,
pharmacists - 62 in in 2010,
health care - 31 in in 2010,
nonmedical in 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 was and 2045 through 2010, of which 100 state-funded, 486 places under Art. 20 of Ordinance № 34 of 2006, 412 –paid and 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 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 , prom., SG, iss. 70 of , in force from academic year , amend. No.. 87 of
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 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: educational practice (clinical experience) after the sixth semester of not less than 30 calendar days hours; educational practice (clinical experience) after the eighth semester of not less than 30 calendar days hours; internship before graduation after the tenth semester 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 for professional qualification in the health care system
Places – Medical Universities and National Centers of Public health
Appendix № 1 to Art. 1, para. 1 Nomenclature 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
Strengths
Weaknesses
. Formal administrative structures for public health are established
• Country has a system designed to identify potential threats to population health in place; there is a network of laboratories capable of supporting investigations of public health problems, hazards and emergencies
• Regional Inspectorates of Public Health Protection and Inspection are relatively autonomously utilising a multisectoral and multilevel approach in their work, developing effective collaboration with other sectors’
institutions (Georgieva et al. 2007)
• National plans are in place to address public health threats and emergencies
• Capacities for public health training
and education are available
• Public health activities are often not based on research, evidence and best practices
• Public debate on health is dominated by themes such as the organisation, management and financing of hospital
care, and public health problems are often neglected
• Incomplete formulation of laws and
regulations and inconsistent implementation in practice
• Worsening demographic, social and health indicators with a significant difference between urban and rural population
• Lack of cooperation among different
institutions on health issues
• A large proportion of health sectorbased NGOs do not interact with other NGOs and thus limit their capacity for development and work on projects
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