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Médidco especialista en Microbiología y parasitología (Spain)

  • Proportionality information

    1. Have you examined whether the requirements under your national legal system are
    directly or indirectly discriminatory on the basis of nationality or residence?
       There is no discrimination neither in the grounds of nationality nor residency.

    2. Which of the following overriding reasons relating to the general interest justifies the measure(s)?
    • Public health
    • Protection of consumers and recipients of services

    3. What specific risks or benefits have you identified that your measure(s) is designed to, respectively, minimise or maximise?

       Please try to be specific in describing the nature of the risks/benefits you have identified
       Where you have selected more than one overriding reason relating to the general interest in question 2 please be sure to address each of these in your response. Wherever possible please include evidence.

       There is a direct implication of their professional exercise in the diagnosis and the treatment of patients, and also in the infections prevention. They are directly responsibles for the prevention and control of the hospital and community infections. They promote and guarantee the policy related to the correct use of antimicrobial medicinal products. Also they cooperate with the public health and the epidemiological control systems. They guarantee that the analytical methods and procedures in place (PNTs) by the microbiology and parasitology laboratories and their results are correct, to provide the best diagnosis and treatments to patients. The role of the laboratories is crucial to develope, design, asses, updated and keep in place new methods for the diagnosis of infectious deseases.

    4. How specifically do your measures operate to minimise the risk(s) or maximise the benefit(s) identified in question 3?

       When addressing this question please try to explain how the measures prevent the risks or guarantee the benefits.
       Where you have selected more than one overriding reason relating to the general interest in question 2 please be sure to address each of these in your response. Wherever possible please include evidence.

       The compulsory registration of these physician experts at the professional chambers/associations is considered in line with the EU regulation and is based on the general public interest. This registration guarantees that the experts have the proper qualification and skill to exercise the profession, that the deontological code is met, the disciplinary system applies and the professional promotion also occurs. The registration minimizes the risks to the society, the public health, and also directed to the patient safety, derived from any inadequate practice related microbiological diagnosis methods, or analyticals errors.

    5. In so far as you are able, please provide information that you have gathered regarding the concrete effects of the measure(s).

       For example, through impact assessments or information gathered during implementation or review of a measure. Member States who have recently undergone reforms may in particular be able to contribute helpfully to this field. Where you are able to provide cost-benefit analyses this would be particularly valuable.
       Information on whether the measures indeed successfully prevented risks from being realised (e.g. the number of sanctions imposed, a drop in transgressions since the measure was introduced or consequences from previous modifications of the regulation) would equally be helpful.
       Where you have selected more than one overriding reason relating to the general interest in question 2 please be sure to address each of these in your response. You may also wish to include evidence on consumer satisfaction or other measurements of the impact.

        The main duties these experts are responsible for in order to guarantee the patients safety are the next: diagnosis, treatment and prevention of infectious deseases; develope new analytical methods and standard procedures at laboratory level to find new diagnosis tests; create and manage laboratories; assess the clinics with the proper information related any test and results on the patient samples analytical results, and give advice on the treatments with antimicrobial medicinal products; help in the control and the prevention of infections at hospital and community level; cooperate in the correct application of the antimicrobial medicinal products policy and also related to the epidemiologycal and public health programmes; cooperate in the continous formative actions directed to experts involved in the infection, diagnosis, treatment and prevention areas and guarantee the knowlegde of the scientific methodology and develope research plans in the microbiology and parasitology sciences.

    6. Is the general interest objective you indicated in question 2 pursued in a consistent and systematic manner?.

       In approaching your response to this question please consider examples where you have addressed similar risks for comparable professions, not necessarily within the same sector. Is the approach you have adopted in this particular profession comparable or distinct from such similar cases and why?

       The adequate qualification on the pathogeny, diagnosis, treatment, epidemiology, and prevention of the infections. Adequate knowledge on the methodology, diagnosis, developement of laboratory protocoles an procedures to deal with human samples, and asses in the design of patient treatment; help in the infections control and prevention; control and direct microbiology and parasitology clinic laboratories; cooperate in actions to improve quality, training and resources; and also participate in any design of method and analysis and the assessment of their results.

    7. Please explain in how far the degree of complexity or the nature of the activities
    which are reserved justify that these activities can be exclusively performed by professionals possessing a specific professional qualification?

       For example: when the tasks are essentially of a straightforward nature (such as preparing and printing pay slips etc.), or involve essentially the execution of instructions, specific professional aptitudes should not be required.

       Physician experts in microbiology and parasitology are in charge of the main  following responsabilities: diagnosis, prescription of antimicrobial drugs based on sensitivity analitycal tests, and prevent the infection extension; manage and direct the microbiology and parasitology laboratories; promote and apply the antimicrobial medicinal product policy; apply specific measures in case of inmmunodeficience and international infected patients;  have a deep knowledge on the methodology to work in the virology, bacteriology, mycology and parasitology scopes that requires to be familiar with the particularities different from other specialities.The training programme duration of this speciality is 4 years and the previous qualification university degrees that are recognised officially in Spain to apply for it is Medicine.

    8. Where you have indicated several measures in place in the screening tab,
    have you reviewed the cumulative effect of all these measures on professional activities?

       If not, why not?
       If yes, please outline for us how you approached assessing this issue as well as the results and conclusions or any learning you drew from this. Where possible please include evidence.

       The result of joining the requirements indicated above of the qualification degree, the compulsory registration, the control of the professional exercise, and the activity reserve guarantee the public health in Spain. The regulation of the activities an other measures related to it have developed a system that brings the society with the correct diagnosis, improvement of the quality, safety and efficacy in public health, the best use of antimicrobial medicinal products, all at hospitals and community level. This model has been recognised by different sciences institutions at national and international level (ASM, ESCMID, SEMC, SEQ).

    9. Have you considered the use of alternative mechanisms to achieve your objective(s)?
    • Other, please specify

       Please briefly explain. Where you have selected more than one option, please be sure to address each of these in your response.

       The alternative procedure would be the non compulsory registration. However this one would be less effective as not all the professionals are involved so far the guarantees to the society has not been respected in this case, if we compare this to the other, that obly to register. The exercise "reserve" that apply to physician specialist in microbiology and parasitology is based in the Law 44/2003 (Ley 44/2003, de 21 de noviembre, de ordenación de las profesiones sanitarias).

    10. Conclusion

       Following your internal examination of this regulated profession, which of the following have you concluded?

    •    Maintain current system

       Explain where relevant:

       The current system must be mantained

    11. Any other comments?
       No further comments
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