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Governors Discontent with the New Regulation on Specialist Training for Medical Doctors

At yesterday’s meeting of the Executive Board of the Croatian Association of Counties, the new Regulation on Specialist Training for Medical Doctors was discussed, which significantly changes the obligations of specialist doctors and specialists towards the institution that sends them for specialization, to the detriment of the institution.

According to the amendments to the Regulation that came into effect on July 16, the gross salary of the medical doctor is not included in the costs of specialization. Until the adoption of these amendments, if a doctor decided to terminate the contract before the end of the specialization, they had to cover the following costs of specialization: costs of the main mentor, mentor, and commentator, costs of the healthcare institution where the specialist training is conducted, costs of postgraduate specialist studies, costs of the final and specialist exam, costs of the booklet on the specialist training of medical doctors, costs of the work diary of the medical doctor in specialist training, and the cost of the doctor’s gross salary. Considering that the salary represents the largest item in the costs of specialization, it will now be much easier for doctors to leave the institution as they will not have to pay large penalties for early contract termination.

“According to some associations and professional organizations, the Regulation on Amendments and Supplements to the Regulation on Specialist Training for Medical Doctors is legally questionable and unconstitutional. The retroactive application is also being questioned, which is unusual for this type of act. In addition, there is a serious threat that such amended regulations will harm county hospitals of which we are founders. For example, the projected costs that would arise related to Karlovac, Brod-Posavina, or Vukovar-Srijem County amount to 80 to 100 million kuna individually per county,” emphasized the president of the Croatian Association of Counties and Šibenik-Knin County Governor Goran Pauk.

Although these amendments and supplements favor doctors, hospitals and health centers will find it much more difficult to organize healthcare and will suffer significant losses, both due to the costs incurred by the institution invested in the specialist/specialist trainee and due to patients. The governors expressed concern at today’s meeting regarding the adoption of this decision, as they believe that patients will be the most harmed by this decision.

In order to approach this issue more qualitatively and effectively, the governors concluded at the meeting that they would propose to the Minister of Health to repeal the Regulation and to include all relevant stakeholders and interested parties in every subsequent process of drafting proposals on how to regulate the implementation and financing of specialist training for medical doctors.

“It is particularly necessary to include those who are legally responsible for ensuring conditions for the protection, preservation, and improvement of the health of the population, organizing and ensuring the realization of healthcare, i.e., ensuring the availability, continuity, and quality of healthcare, and these are all counties in the Republic of Croatia,” states the conclusion.