1. Croatian Medical Association Croatian Orthopaedic Society Miroslav Hašpl

2. Fact about Croatia Idependent since 1991 Idependent since 1991 Negotiations for EU since 2005 Negotiations for EU since 2005 Location - Midle (South and East) Location - Midle (South and East) Population - 4.437.460 Population - 4.437.460 Area - 56 542 km² Area - 56 542 km² Population density - 78.5/ km² Population density - 78.5/ km² Capital – Zagreb Capital – Zagreb Official language – Croatian Official language – Croatian Major religions Major religions Catholic 77% Catholic 77% Orthodox 11% Orthodox 11% GDH per head – 6 000 € GDH per head – 6 000 €

3. Neighbors countries I SL H S BH MN

4. Capital - Zagreb Population – Population – 791 000

5. Fact about Croatia 718 islands (67 colonised) 718 islands (67 colonised)

6. Pula Korčula Makarska Mljet

7. Rab Dubrovnik Hvar

8. Plitvica lake Fact about Croatia

9. Costs of public health care Croatia spends 8% of national product on healt care Croatia spends 8% of national product on healt care Every citizen is covered by the public insurance Every citizen is covered by the public insurance Examples of the patient fees Examples of the patient fees Outpatient fee 13 € Outpatient fee 13 € Hospital fee 30 € Hospital fee 30 € Meniscectomy 300 € Meniscectomy 300 € Reconstruction of the ACL 1500 € Reconstruction of the ACL 1500 € THR 3000 € THR 3000 € Private insurances just start Private insurances just start

10. Jeremy Fairbank Nuffield orthopaedic Centre Oxford, UK

11. Croatian Medical Association 117 Societies 12 000 members (MD) Croatian Orthopaedic Society Founded 1930

12. Croatian Orthopaedic Society Members199 Members199 Orthopaedic surgeons168 Orthopaedic surgeons168 Trainees 31 Trainees 31 Male 184, Female 15 (active) Male 184, Female 15 (active) 4,2 orthopaedic surgeons/100 000 inhabitants 4,2 orthopaedic surgeons/100 000 inhabitants Age distribution Age distribution < 35 y42 < 35 y42 36-55 y 48 36-55 y 48 46-55 y62 46-55 y62 > 56 y47 > 56 y47

13. University's with School of medicine - 4 Zagreb Osijek Rijeka Split Education centers for orthopaedics - 15

14. Undergraduate education Basic school8 y Basic school8 y Hi school4 y Hi school4 y School of medicine 6 y School of medicine 6 y Two weeks orthopaedics Two weeks orthopaedics Training period1 y Training period1 y Licenced GP

15. Months Introduction6 Introduction6 Orthopaedics surgery 3 Orthopaedics surgery 3 General surgery2 General surgery2 Anesthesiology1 Anesthesiology1 General surgery4 General surgery4 Vascular surgery Vascular surgery Plastic surgery Plastic surgery Traumatology12 Traumatology12 Prosthetics and orthotics2 Prosthetics and orthotics2 Radiology2 Radiology2 Rehabilitation 1 Rehabilitation 1 Orhopaedics surgery24 Orhopaedics surgery24 Holydays4 Holydays4 TOTAL4,5 Y TOTAL4,5 Y Training in Orthopaedics PROGRAMME 4.5 YEARS

16. Training in Orthopaedics Tutor Tutor Theoretical education organized 250 hours Theoretical education organized 250 hours Periodical examination 10 x, obligatory Periodical examination 10 x, obligatory

17. Final exam Examination in one Education centre (Zagreb) Examination in one Education centre (Zagreb) 5-7 participans every year 5-7 participans every year Exam Exam Surgical procedure Surgical procedure Clinical part (Two patients) Clinical part (Two patients) Oral Oral

18. CME – Continuing medical education Obligatory Obligatory 20 points / year 20 points / year 120 points / 6 years 120 points / 6 years Accreditation

19. Private practice 8 (4%) One private hospital (day surgery)

20. What we expect soon To be full member of UEMS-Section of orthopaedic and traumatology To be full member of UEMS-Section of orthopaedic and traumatology New undergraduate program New undergraduate program New postgraduate training program New postgraduate training program EBOT examination for our trainees EBOT examination for our trainees Licenced training centres Licenced training centres CME harmonisation CME harmonisation

21. Problem Croatian Medical Association Orthopaedic surgery Traumatology Croatian Orthopaedic Society Croatian Traumatology Society DIFFERENT EDUCATION !

22. Training in Orthopaedics and Traumatology Examination HARMONISATION We send to our Ministry of health new Minimal Requirements for Orthopaedic and Traumatology training according suggestions of the UEMS, Section for orthopaedic and traumatology We send to our Ministry of health new Minimal Requirements for Orthopaedic and Traumatology training according suggestions of the UEMS, Section for orthopaedic and traumatology