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Lithuania

Hematologija (Lithuania)


  • 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?
       The requirements set up for medical professionals in the national legal system are applied both to citizens and aliens. We comply with the national legal reglamentation and with the requirements of EU Directives. Doctors are able to receive the licence regardless of their nationality. The requirements under Lithuanian national legal system we consider as appropriate and not discriminatory.

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

    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.

       Since 1992 the registration for doctors was introduced with the aim to protect, promote and maintain the health and safety of the public. The licensing requirements for doctors giving the right to practise was set in 2000. The State Health Care Accreditation Agency is the institution monitoring the licensing process and having the power to restrict or remove doctors registration and right to practise in accordance with the requirements for the doctors.

    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 licence has no expiry date. However there are the revalidation procedure and requirements.One of the licensing requirements is the compulsory continuing medical education (continuing professional development). The revalidation of the licence provides the mechanism by which doctors demonstrate on a regular basis that they are continuing to meet the standards that were set.

    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.

        Depending on the needs the review of standards on a regular basis and according to the nacional legal sistem are carried out.

    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?

       Yes.

    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.

       The Medical Practice Licence gives the right to the doctor to practice with the profession according the acquired formal qualification.

    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.

       Not. Currently the national legal framework is optimal and sufficient.

    9. Have you considered the use of alternative mechanisms to achieve your objective(s)?

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

       No. We have not considered the use of alternative mechanisms to achieve our objectives.

    10. Conclusion

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

    •    Maintain current system

       Explain where relevant:

       Currently the national legal framework is optimal and sufficient.

    11. Any other comments?
       No.
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