Introduction: The specialty training system in Poland is subject to constant changes on the formal and legal as well as qualitative and quantitative levels. These changes should be analysed on an ongoing basis to assess the directions of development of education for medical specialists. Objective of the paper: The study aimed to determine the quantitative changes taking place in the system of specialty training of physicians in general and in ten most numerous fields of medicine in the years 2011-2018. Material and methods: Data from the register of physicians undergoing specialty training conducted by the Centre of Postgraduate Medical Education from 2011 to 2018 constituted the material for analysis. The analysis of the material was of quantitative character. The data analysis was performed using the Statistica 12 Software (TIBCO Software Inc., Palo Alto, CA, the USA). Results: The analysis of data from the register of physicians undergoing specialty training indicates that the number of physicians who trained to be specialists and the percentage of women in the group increased in the years 2011-2018. In the period in question, the percentage of doctors in training within a residency, the number of specialty training providers the number of training places and the use of training places enabling them to pursue specialisation rose as well. The situation differed between 10 specialties analysed. Conclusions: The system of post-graduate education of physicians in Poland in the years 2011-2018 constantly developed and increasingly took advantage of most of its opportunities.
A 2016 a legislative amendment authorized nurses and midwives in Poland to independently prescribe medical drugs and issue prescriptions for the purposes of continuation of treatment previously ordered by a physician. The legislative process was far from perfect, with nurses and midwives voicing their doubts just as well as doctors. Material and methods: Content analysis of documents from the legislative process was conducted, as well as a questionnaire survey among physicians concerning the exercise of these new right in places where doctors work and doctors’ attitudes on the matter. The survey was done in 2017 and 2019, with 547 and 471 physicians participating, respectively. Statistical analysis employed Pearson’s chi-squared test with grouped variables. Results: The main stated reason behind the legalization of nurse and midwife prescribing was the desire to reduce the queues of people waiting for health-care services. Between 2017 and 2019 an insignificant increase in the exercise of these rights occurred, especially in respect of supplementary prescription, i.e. for the purposes of continuation of treatment. The percentage of physicians with a positive attitude to these rights was found to have increased in these years. No variables explicitly linked to a positive attitude were identified. Conclusions: the full, successful and safe use of this opportunity requires continued research into the subject and its conditions, both quantitative and qualitative, as well as appropriate management of the change process on the basis of such data.
The article presents an analysis of the education of doctors in the fields of public health, epidemiology and infectious diseases in 2010-2020 and concerns doctors attending the above-mentioned specializations in the Centre of Postgraduate Medical Education of Warsaw. The publication shows the growth in infectious disease and epidemiology specialists due to an increase in publicly funded training places and a decline in public health professionals. The authors emphasize how necessary it is to implement effective changes leading to an increase in the level of education of specialists. They also emphasize the need to increase the attractiveness of work in health care as a priority task of the state's public policy.
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