UEMS ORTHOPAEDICS MEETING BRUSSELS BELGIUM, April 8-9, 2011 ORTHOPAEDIC SURGERY IN GREECE HAOST DELEGATES TO UEMS VASSILIOS C. BITOUNIS, MD ARISTIDES B. ZOUBOS, MD

HELLENIC ASSOCIATION OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY Athens Academy Award 2004  HAOST was founded in 1947  HAOST has an Executive Council of 9 members  Holds its Annual Meeting at mid-October  Counts 910 active members and 830 associate members, mainly residents, not all in good standing  Not all the orthopaedic surgeons and residents are obliged to be members of the Association

HELLENIC ASSOCIATION OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY Athens Academy Award 2004  HAOST has 10 individual sections:  Hellenic College of Orthopaedic Surgeons  Adult Reconstruction ( Hip and Knee )  Paediatric Orthopaedics  Musculoskeletal Infections  Musculoskeletal Oncology

HELLENIC ASSOCIATION OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY Athens Academy Award 2004  HAOST sections (continue):  Spine  Shoulder and Elbow  Foot and Ankle  Research  IM Nailing In Greece there are also independent Hand Surgery and Sports Medicine Societies

GREECE Size : Sq. Kms Population : 11.3 Millions Capital : Athens (4.5 Millions) Currency : Euro since 2001

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

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)

Every year about 900 Medical Students admitted to the Schools

There are 80 Public Hospitals There are 11 University Orthopaedic Dpts. and 104 Public Orthopaedic Dpts.

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

Orthopaedic Surgeons Demographics HAOST latest Manpower (Feb. 2011) 2007: 1519 Orthopaedic Surgeons with 1:7330 ratio 2011: 2108 Orthopaedic Surgeons with 1:5240 ratio 2011: 598 Orthopaedic Residents

HAOST Manpower 1505: Orthopaedics doing private practice 603: Are in Public or University Dpts.

HAOST Manpower Attica: 1015 OrthopaedicSurgeons 810 In Private Practice 295 Residents Central Macedonia: 325 Orthopaedic Surgeons 235 In Private Practice 92 Residents

HAOST Manpower 35 out of 80 hospitals provide full training 45 hospitals provide training from 6 months – 3,5 yrs.

Orthopaedic Residency Program in Greece 6 yrs Training Program 1 yr General Surgery 5 yrs Orthopaedics 1 yr Paediatric Orhtopaedic, 3 yrs Reconstructive and Trauma and 2 semesters either of Plastic,Thoracic, Vascular or Neurosurgery

 There are not exams to start the program.  There are not obligatory exams during the program.  There are final exams to get the specialty

In Greece the Educational and Training system, as far as is concerned, the Post Graduated Medical Training Program, is controlled by the Ministry of Health

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

HAOST is a pioneer Society, as far as is concerned, Continues Medical Education Orthopaedic Program since 1984 There is a permanent Committee and now it serves as an advisor to the Health Authorities

The last two years HAOST published 1. “Guidelines for the Prevention of Deep Venus Thrombosis in Orthopaedic Surgery” 2009 and 2. it is under press “Guidelines for the Use of Bone Grafts in Orthopaedic Surgery” These two publications distributed to the Greek Orthopaedic Community and Greek Physicians