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Annex 1 EURACT Council meeting ROMANIA Basic Medical Education I have no news since my last report. Postgraduate specialist training If we were in doubt that general practice is not very important for our government, we have now the proof. A new law (last November) stated that starting with 2005, any doctor that obtain a certain mark (not established yet) to the national exam for entrance into the residentship program can become resident in general practice. Even more, any resident who fails to finish his/her vocational training program will be allowed to finish general practice and to become a general practitioner. The Ministry of Health will provide the required number of places for all the residents in general practice. The internship is abolished. Continuing Medical Education One could say that the first recertification procedure was not very successful. The standard was not very clear and still needs clarifications. National College of Physicians made a small change in the procedure: a doctor needs in order to practice, 200 hours of CME in the last 5 years or 40 hours in the last year. A TOT program was finished in February. We have now 50 new trainers. They started the work with residents in general practice and also to provide CME workshops. Workshops about guidelines realized in the QualyMed project (The National Centre for Studies in General Practice) started also at a national level. General practice Like every year a new contract was signed by the general practitioners with the insurance house. There are no big changes in it. The payment would by higher at per capita and smaller at services. In general, the general practitioners incomes are bigger than in the previous year. There are some new problems concerning the prescriptions. All doctors have to respect very strict rules and prices for prescriptions. General practitioners have to face a supplementary accountability burden. This is diminishing the time spent within the consultation process and also the medical judgment of the case. National College of Physicians tried to change this decision of the Ministry of Health but there is no positive answer till now. What I have done in my country as a EURACT Council member
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