Croatian Medical Association Croatian Medical Association

Croatian Orthopaedic Society Croatian Orthopaedic Society

Miroslav HašplMiroslav Hašpl

Fact about CroatiaFact about Croatia Idependent since 1991Idependent since 1991 Negotiations for EU since 2005Negotiations for EU since 2005 Location - Location - Midle ( Midle (South and EastSouth and East)) Population - 4.437.460Population - 4.437.460 Area - 56 542 kmArea - 56 542 km²² Population density - 78.5/ kmPopulation density - 78.5/ km²² Capital – Zagreb Capital – Zagreb Official language – CroatianOfficial language – Croatian Major religionsMajor religions

Catholic 77%Catholic 77% Orthodox 11%Orthodox 11%

GDH per head – GDH per head – 66 000 000 €€

Neighbors countriesNeighbors countries

I SLH

SBHMN

Capital - ZagrebCapital - Zagreb

Population – Population –

791 000791 000

Fact about CroatiaFact about Croatia

718 islands (67 colonised) 718 islands (67 colonised)

Pula Korčula

Makarska Mljet

Rab

DubrovnikHvar

Plitvica lake

Fact about CroatiaFact about Croatia

Costs of public health careCosts 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 insuranceEvery citizen is covered by the public insurance Examples of the patient feesExamples 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 startPrivate insurances just start

Jeremy Fairbank

Nuffield orthopaedic Centre

Oxford, UK

Croatian Croatian MMedical edical AAssociationssociation

111717 Societies Societies

12 000 members (MD)12 000 members (MD)

Croatian Orthopaedic SocietyCroatian Orthopaedic SocietyFounded 1930Founded 1930

Croatian Croatian OOrthopaedic rthopaedic SocietySociety

MembersMembers 199199 Orthopaedic surgeonsOrthopaedic surgeons 168168 TraineesTrainees 3131

Male 184, Female 15 (active)Male 184, Female 15 (active) 4,2 orthopaedic surgeons/100 000 inhabitants4,2 orthopaedic surgeons/100 000 inhabitants Age distributionAge distribution

< 35 y< 35 y 4242 36-55 y 36-55 y 4848 46-55 y46-55 y 6262 > 56 y> 56 y 4747

University'sUniversity's with School of with School of medicine - 4medicine - 4

Zagreb

OsijekRijeka

Split

Education centersEducation centers for orthopaedics - 15 for orthopaedics - 15

Undergraduate educationUndergraduate education

Basic schoolBasic school 8 y8 y Hi schoolHi school 4 y4 y School of medicine School of medicine 6 y6 y

Two weeks orthopaedicsTwo weeks orthopaedics

Training periodTraining period 1 y1 y

Licenced GP

MonthsMonths

IntroductionIntroduction 66 Orthopaedics surgery Orthopaedics surgery 33 General surgeryGeneral surgery 22 AnesthesiologyAnesthesiology 11

General surgeryGeneral surgery 44 Vascular surgeryVascular surgery Plastic surgeryPlastic surgery

TraumatologyTraumatology 12 12 Prosthetics and orthoticsProsthetics and orthotics 22 RadiologyRadiology 22 Rehabilitation Rehabilitation 11 Orhopaedics surgeryOrhopaedics surgery 2424 HolydaysHolydays 44 TOTALTOTAL 4,5 Y4,5 Y

Training in Orthopaedics Training in Orthopaedics PROGRAMME 4.5 YEARSPROGRAMME 4.5 YEARS

Training in Orthopaedics Training in Orthopaedics

TutorTutorTheoretical education organized 250 hoursTheoretical education organized 250 hoursPeriodical examination 10 x, obligatoryPeriodical examination 10 x, obligatory

Final eFinal examxam

Examination in one Education centre Examination in one Education centre (Zagreb)(Zagreb)

5-7 5-7 participans participans every yearevery yearExamExam

SSurgical procedureurgical procedureClinical part (Two patients)Clinical part (Two patients)Oral Oral

CME – Continuing medical CME – Continuing medical educationeducation

ObligatoryObligatory 20 points / year20 points / year 120 points / 6 years120 points / 6 years

Accreditation

Private practicePrivate practice

8 (4%)8 (4%)

One private hospital (day surgery)

What we expect soonWhat we expect soon

To be full member of UEMS-Section of To be full member of UEMS-Section of orthopaedic and traumatologyorthopaedic and traumatology

New undergraduate programNew undergraduate program New postgraduate training programNew postgraduate training program EBOT examinationEBOT examination for our trainees for our trainees Licenced training centresLicenced training centres CME harmonisationCME harmonisation

ProblemProblem

Croatian Medical AssociationCroatian Medical Association

Orthopaedic surgeryOrthopaedic surgery TraumatologyTraumatology

Croatian Orthopaedic SocietyCroatian Orthopaedic Society Croatian Traumatology Croatian Traumatology SocietySociety

DIFFERENT EDUCATION !

Training in Orthopaedics and Training in Orthopaedics and Traumatology Examination Traumatology Examination

HARMONISATIONHARMONISATION

We send to our Ministry of health new We send to our Ministry of health new Minimal Requirements for OrthopaedicMinimal Requirements for Orthopaedic and Traumatologyand Traumatology ttraining according raining according suggestions of the UEMS, Section for suggestions of the UEMS, Section for orthopaedic and traumatologyorthopaedic and traumatology