Medical Manpower & Specialty Training Otolaryngology Head & Neck Surgery Greece Budapest, Hungary 5th - 7th October 2018 DELEGATES TO UEMS CHRALAMPOS SKOULAKIS, MD KONSTANTINOS VLACHTSIS, MD Dear colleagues,   I would like to present you the situation about the manpower and training in the ENT in Greece

* PSO-HNS was founded in 1947 PANHELLENIC SOCIETY OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY (PSO-HNS) * PSO-HNS was founded in 1947 * PSO-HNS has an Executive Council of 9 members (President: Prof. J. Bizakis) * Holds its Annual Meeting in mid-October * Counts 1450 active members * Residents are not members of the Association The PSO-HNS was founded in 1979 ……. except of the resident

Panhellenic Otorhninolaryngologic Society * PSO-HNS has about 8 individual sections

GREECE Size:. 132. 000 Sq. Kms Population: 11 GREECE Size: 132.000 Sq. Kms Population: 11.3 Millions Capital: Athens (4.5 Millions) Currency: Euro since 2001 Greece has a population about 11 and a half million, the 4.5 million live in Athens the capital of Greece

Greece is divided in 13 geographical Peripheries and in 11 Health Authority Districts The largest is Attica and the second one is Central Macedonia Greece divided in 13 geographical Peripheries and in 11 Health Authority Districts The largest is Attica and the second one is Central Macedonia

(There are 9 University ENT Dpts.) There are 80 Public Hospitals 63 of which have ENT Dpts. (There are 9 University ENT Dpts.) there are 80 hospitals in Greece, 63 of which have otorhinolaryngology departments. 9 of them are university departments

There are also Private Hospitals but they do not have the right to train Residents There are also Private Hospitals but they do not have the right to train Residents

ENT Doctors in Greece today: Approx. 1450 specialists (Women 308 21,25%) Approx. 217 trainees ENTs/inhabitants ratio: 1/7.793 There are approximately 1450 specialist. 20% of which are women And 220 trainees The ratio ENT doctor per inhabitants is about one per 7 thousands eight hundreds people

Doctors in ENT in Greece today: 988(68%): ENT are doing private practice 433(30%): Are in Public Sector 29(2%): Are in University Dpts.

Doctors in ENT in Greece today: Attica (Athens): 565 (40%) Central Macedonia: 166 (11,5%) (40%) working in Athens

UNDERGRADUATE MEDICAL EDUCATION Greece has 7 Medical Schools: 1. Athens (Attica), 2. Thessaloniki (Central Macedonia), 3. Ioannina (Epirus), 4. Larissa (Thessaly), 5. Patras (Peloponnisos), 6. Alexandroupolis (Thrace), 7. Heraklion (Crete). Now about the undergraduate medical education

Every year about 900 Medical Students admitted to the Schools UNDERGRADUATE MEDICAL EDUCATION Every year about 900 Medical Students admitted to the Schools UNDERGRADUATE MEDICAL EDUCATION PROGRAM: 6 YEARS the undergraduate program lasts 6 years The duration of UMP is 6 years

1 semester Ped. Otorhinolaryngology ENT Residency Program in Greece 5 yrs Training Program 1 yr General Surgery 3 yrs ENT 1 semester Plastic Surgery and 1 semester Ped. Otorhinolaryngology the program lasts 5 years and includes 1 year

ENT Residency Program in Greece 32 out of 63 hospitals provide full training, 31 provide training from 6 months – 2 yrs. 32 out of 63 hospitals provide full training, while 31 provide training from 6 months – 2 yrs.

ENT Residency Program in Greece · There are not exams to start the program. · There are not obligatory exams during the program. · There are final exams to get the specialty ''The EBE-ORL -HNS exam is  recognized as an additional qualification but specialists are not certified with the "Diploma of the European Board of Otorhinolaryngology” I would like to note that the dimploma of European Board is  recognized as an additional qualification but the doctor who has obtained this diploma can not be certified as ENT specialists

In Greece the Educational and Training system, and the Post Graduate Medical Training Program are managed by the Ministry of Health. In Greece, the Post Graduated Medical Training Program, is managed by the Ministry of Health.

Recently the Health Authorities started thinking that the Residency Program has to be organized by the National Scientific Societies

Upcoming changes ( 2019) New Educational Centers Each center can provide full time training Two committees (North and South Greece) to evaluate the educational centers Entry of trainees twice a year (list) Exit exam twice a year, written and oral (2 exam committees) Log book 5 years of training (minimum) Upcoming changes will include New Educational Centers Each centers is divided into educational units Each center can provide full time training Two committees (North and South Greece) to evaluate the educational centers and units Entry of trainees twice a year (list) Exit exam twice a year, written and oral (2 exam committees) Log book 5 years of training (minimum)

MIGRATION DOCTORS FROM GREECE (ATHENS) TO OTHER COUNTRIES DURING 2014-2017 2015 2016 2017 TOTAL Residens 374 356 306 370 1406 Physician 1006 1165 862 923 3956 1380 1521 1168 1293 5363 doctors who have migrated 5,500 doctors only from Athens have migrated for the past 4 years 20 % of these are resident DATA: FROM MEDICAL SOCIETY OF ATHENS

MIGRATION RECEPTION COUNTRIES FROM 2014 UNTIL 2017 RESIDENS SPECIALIZED DOCTORS TOTAL U.K 691 1951 2642 GERMANY 268 198 466 CYPRUS 58 346 404 FRANCE 18 285 303 SWITZERLAND 109 166 275 United Arab Emirates 8 171 179 SWEDEN 82 213 295 BELGIUM 29 111 140 USA 64 73 137 ITALY 16 103 119 Saudi Arabia 86 OTHERS COUNTRIES 63 253 316 1406 3956 5363 the receiving countries of the migrants the countries of reception of migrants doctors from Greece are mainly the United Kingdom, Germany, etc. DATA: FROM MEDICAL SOCIETY OF ATHENS

MIGRATION RECEPTION COUNTRIES SPECIALIZED ENT DOCTORS FROM 2014 UNTIL 2017 SPECIALIZED ENT DOCTORS U.K 70 GERMANY 7 CYPRUS 4 FRANCE 9 SWITZERLAND 8 United Arab Emirates 11 SWEDEN BELGIUM 1 USA ITALY 5 Saudi Arabia OTHERS COUNTRIES TOTAL 131 Respectively the countries of reception of immigrants ENT doctors from Greece are similar. , DATA: FROM MEDICAL SOCIETY OF ATHENS

Medical Migration it is estimated that: 18,000 doctors have migrated from Greece, during the crisis Lack of residents in many specialties Causes of migration: unemployment after residency, overpopulation of doctors in Greece, better salaries in other countries…. a total of 18,000 doctors have migrated from Greece during the crisis we have Lack of residents in many specialties

We hope in the next years to stop the ''brain drain''