Vol. 16 No. 1 (2024): Arch Pub Health
Public Health

Legal regulation of health specializations and subspecializations in the field of dentistry in the Republic of North Macedonia

Vlatko Kokolanski
Faculty of Dentistry, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
Kjiro Ivanovski
Faculty of Dentistry, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
Julijana Nikolovska
Faculty of Dentistry, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
Mira Jankulovska
Faculty of Dentistry, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia

Published 2024-07-01

Keywords

  • specializations,
  • subspecializations,
  • dentistry,
  • legal regulation

How to Cite

1.
Kokolanski V, Ivanovski K, Nikolovska J, Jankulovska M. Legal regulation of health specializations and subspecializations in the field of dentistry in the Republic of North Macedonia. Arch Pub Health [Internet]. 2024 Jul. 1 [cited 2024 Jul. 20];16(1). Available from: https://id-press.eu/aph/article/view/6111

Abstract

Recognizing the dynamic nature of changes in legal regulations governing health specializations and subspecializations in dentistry, the purpose of this paper was to present the current legal framework governing health specializations and subspecializations in dentistry in the Republic of North Macedonia. Materials and Methods: We conducted a comprehensive search of legal regulations accessible at the database of regulations and publications on the website of the Official Gazette of the Republic of North Macedonia, utilizing specific keywords, including "specializations," "subspecializations," and "dentistry." Additionally, we analyzed regulations available on the websites of higher education institutions offering specializations and subspecializations in dentistry. From the pool of regulations scrutinized, we selected those marked as valid or partially valid and relevant. Our study employed the legal-dogmatic method, content analysis, and the descriptive method. Results: The legal framework includes laws, regulations, decisions of the Government of the Republic of North Macedonia, decisions of higher education institutions, and government programs. Health workers in dentistry, regardless of their employment status, have the right to engage in specialization or subspecialization. The Ministry of Health can approve specialization or subspecialization for foreign citizens with completed dental faculty education. However, approval procedures vary depending on the employment status. Health workers with higher education in dentistry can specialize in 8 branches of specialization and 2 branches of subspecialization, conducted in accredited institutions. During the specialization and subspecialization, health workers are guided by a mentor and educators. In conclusion, frequent revisions in the legal framework governing health specializations and subspecializations in dentistry in the Republic of North Macedonia imply a recurrent re-norming process, potentially affecting healthcare workers' understanding of the legal framework surrounding specializations and subspecializations. Given the rapid scientific evolution, we advocate for reduced norming and alignment of higher education programs with emerging scientific insights.

Downloads

Download data is not yet available.

References

  1. McCallum CA. Specialization in dentistry. Int Dent J 1978;28(4):398-405. PMID:282261
  2. FDI World Dental Federation. Specialization in Dentistry. Policy statement of the Dental Practice Committee adopted by the FDI General Assembly. Vienna (Austria). October 2012. Available online: https://www.fdiworlddental.org/resources/policy-statements-and-resolutions/specialization-in-dentistry (accessed on 20.12.2023).
  3. Lapter, V. and Njemirovskij, Z. Specijalizacija u stomatologiji. Acta stomatologica Croatica 1966; 1 (1), 15-28.
  4. Rulebook on specialization branches and the duration of specialist experience for health officials ("Official Gazette of the FNRJ", no. 24/59).
  5. Rulebook on specialization for health officials of the first group the subsequent year ("Official Gazette of FNRJ", no. 2/60).
  6. Regulation on the specialization of doctors, dentists, and graduated pharmacists ("Official Gazette of the SRM" no. 19/72 and 20/76).
  7. Law on Health ("Official Gazette of the SRM", No. 20/70).
  8. Law on Health Care ("Official Gazette of SRM" No. 10/83).
  9. Rulebook on Specialization and Subspecialization of Health Workers and Health Associates with Higher Education ("Official Gazette of SRM", No. 36/84).
  10. Law on Health Care ("Official Gazette of the Republic of Macedonia" number 38/91, 46/93, 55/95, 10/2004, 84/2005, 111/2005, 65/2006, 5/2007, 77/2008, 67/2009, 88/10, 44/11 and 53/11).
  11. Regulation on the specialization and subspecialization of health workers and health associates with higher education, initially adopted in 1992 and subsequently amended and supplemented several times ("Official Gazette of the Republic of Macedonia" No. 1/92, 18/93, 53/95, 61/95, 59/96, 20/00, 20/02, and 2/04).
  12. Rulebook on the specializations and sub-specializations of health workers and healthcare workers with higher education, enacted in 2006 ("Official Gazette of the Republic of Macedonia" no. 89/06).
  13. Rulebook on the specializations and subspecializations of healthcare workers and healthcare workers with higher education, established in 2011 ("Official Gazette of the Republic of Macedonia" No. 61/11).
  14. Law on Health Care ("Official Gazette of the Republic of Macedonia" number 43/12, 145/12, 87/13, 164/13, 39/14, 43/14, 132/14, 188/14, 10/15, 61/15, 154/15, 192/15, 17/16, 37/16 and 20/19 and "Official Gazette of the Republic of North Macedonia" number 101/19, 153/19, 180/19, 275/19, 77 /21, 122/21, 178/21, 150/22, 236/22, 199/23 and 263/23).
  15. Rulebook on the specializations and subspecializations of healthcare workers and healthcare associates with higher education in the field of dentistry and pharmacy ("Official Gazette of the Republic of North Macedonia" number 275/21, 231/23).
  16. Rulebook on the method of recognition and the necessary documentation for the recognition of specializations and subspecializations completed abroad, as well as the method of keeping records of recognized specializations and subspecializations completed abroad ("Official Gazette of the Republic of Macedonia" number 92/12).
  17. Decision on the compensation for conducting theoretical teaching and practical training and for taking an exam for specializations, i.e. subspecializations in the field of medicine, dentistry, and pharmacy ("Official Gazette of the Republic of Macedonia" no. 123/12 and 124/15 and "Official Gazette of Republic of North Macedonia" nо. 155/22).
  18. Decision on determining criteria for selection of candidates, procedure for registration of specialization, procedure and conditions for changing the branch of specialization, adopted by the Ss. Cyril and Methodius University in Skopje Faculty of Dentistry - Skopje, registered under arch. no. 02-2446/3 from 03.10.2022. (Available at: https://stomfak.ukim.edu.mk Accessed on 25.12.2023).
  19. Decision on determining criteria for candidate selection, procedure for registration of subspecialization, procedure for approval of subspecialization, and conditions for changing the branch of subspecialization, adopted by the Ss. Cyril and Methodius University in Skopje Faculty of Dentistry - Skopje, registered under arch. no. 02-1908/1 of 7/7/2023, (Available at: https://stomfak.ukim.edu.mk Accessed on 25.12.2023).
  20. The program for the needs of specialist and subspecialist personnel in accordance with the network of health institutions (2023 - 2026) ("Official Gazette of the Republic of North Macedonia" no. 163/23 and 254/23).
  21. Rulebook on the specializations and subspecializations of health workers and health associates with higher education ("Official Gazette of the Republic of Macedonia" no. 137/12 and 121/13)
  22. Rulebook on the specializations and subspecializations of healthcare workers and healthcare associates with higher education in the field of dentistry and pharmacy ("Official Gazette of the Republic of Macedonia" number 28/19 and 206/19).
  23. Rulebook on the specializations and subspecializations of health workers with higher education in the field of medicine, "Official Gazette of the Republic of Macedonia" no. 85/15).
  24. Constitution of the Republic of Macedonia ("Official Gazette of the Republic of Macedonia" no. 52/91).
  25. Law on the publication of laws and other regulations and acts in the "Official Gazette of the Republic of North Macedonia" (Official Gazette of the Republic of Macedonia" no. 56/99, 43/2002 and "Official Gazette of the Republic of North Macedonia" no. 21/21).
  26. Widstrom E. Socio-economic factors guiding the number of dental specialists in Europe. European Journal of Dental Education 2006 ;10(2): 106–106. https://doi.org/10.1111/j.1396-5883.2006.00407_5.x
  27. García-Espona I, García-Espona E, Alarcón JA et al. European inequalities and similarities in officially recognized dental specialties. BMC Oral Health 2023; 23: 280. https://doi.org/10.1186/s12903-023-02987-z