1. 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

2. * 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

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

4. GREECE Size:. 132. 000 Sq. Kms Population: 11
GREECE Size: 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

5. 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

7. (There are 9 University ENT Dpts.)
There are 80 Public Hospitals 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

8. 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

9. ENT Doctors in Greece today:
Approx specialists (Women ,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

10. 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.

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

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

13. 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

14. 1 semester Ped. Otorhinolaryngology
ENT Residency Program in Greece yrs Training Program 1 yr General Surgery 3 yrs ENT semester Plastic Surgery and
1 semester Ped. Otorhinolaryngology
the program lasts 5 years
and includes 1 year

15. 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.

16. 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

17. 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.

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

19. 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)

20. 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

21. 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

22. 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

23. 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

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