Part One: Disciplinary Organizations WITHIN the Medical Association or Medical Chamber1: Order of Physicians of Albania Not a trade union Registers and licenses all doctors and dentists Responsible for National Registry of doctors Monitor professional standards and the doctor's ability to practice Austrian Medical Chamber Is a trade union National authority for doctors Responsible for admission to National Registry of doctors and recognition of foreign medical diplomas Responsible for quality assurance of medical practice and CME Executes disciplinary legislation and arbitration Bulgarian Medical Association Not a trade union Maintains national registry of physicians Ethics Committee can impose fines and reprobation Croatian Medical Chamber (NOT ASSOCIATION) Trade union is an independent association Issues Code of Medical Ethics and is responsible for inspecting physicians and deciding on disciplinary measures Maintains National Registry of physicians Issues, renews and revokes medical licenses Determines physician fees for private practice Czech Medical Chamber (NOT ASSOCIATION) Not a trade union EFMA Handbook, The Norwegian Medical Association 1 1 Maintains national registry of physicians Licenses physicians Deals with cases of medical malpractice Cyprus Medical Association Is a trade union, but has mandatory membership Is responsible for disciplinary professional issues Estonian Medical Association Is a trade union Licenses physicians Deals with problems of medical ethics Councseil National de Ordre (France) (NOT ASSOCIATION) Not a trade union Maintains national registry Discipline imposed by expelling members German Medical Association Not a trade union Umbrella organization of regional medical chambers with mandatory membership Regional chambers responsible for monitoring professional conduct, investigating malpractice claims and disciplinary measures Panhellenic Medical Association (Greece) Is a trade union, membership is mandatory Responsible for maintaining ethical standards Hungarian Medical Chamber (NOT ASSOCIATION) Not a trade union, voluntary membership Maintains national registry Supervises adherence to the Ethical Code Separate College on Ethics is responsible for Ethical Code Icelandic Medical Association Is a trade union 2 Supervises and encourages adherence to Code of Ethics and deals with breaches of Code of Ethics Federazione Nazionale Degli Ordini dei Medici Chirurghi e Degli Odontoiatri (Italy) Not a trade union, obligatory membership Maintains national registry Disciplinary powers Lithuanian Medical Association Is a trade union, voluntary membership Has formal powers to impose sanctions other than expulsion from membership when problems of professional ethics Norwegian Medical Association Is a trade union, voluntary membership Committee on Ethics deals with breaches of code of conduct (Not specified which disciplinary measures are used) Polish Medical Chamber (NOT ASSOCIATION) Not a trade union (but is involved in negotiations), mandatory membership Licenses physicians Maintains national registry Disciplinary action for physicians Romanian College of Physicians (NOT ASSOCIATION) Not a trade union, mandatory membership Issues guidelines and protocols for practicing medicine Enforces medical code Judges physicians in cases of an infringement of professional ethics Slovak Medical Chamber (NOT ASSOCIATION) Not a trade union, voluntary membership but mandatory registration Umbrella organization of 8 regional branches Responsible for registering and licensing physicians Responsible for professional discipline 3 Slovenian Medical Chamber (NOT ASSOCIATION) Not a trade union, mandatory membership Maintains national registry of physicians Issues, renews and revokes medical licenses Adopted medical code: responsible for monitoring physicians and taking disciplinary measures where necessary General Council of Medical Colleges of Spain Not a trade union, obligatory membership Supervise medical practice Implements disciplinary actions Turkish Medical Association Acts only in some ways as a trade union, membership mandatory ONLY for private physicians Disciplinary Committee can impose sanctions on physicians 4 Part Two: Disciplinary Organizations External to Medical Association or Government: Ireland2: Medical Council Established by the Medical Practitioners Act of 1978 and was operational in 1979 Responsibilities include: quality of undergraduate and postgraduate education, registration of physicians, disciplinary procedures, guidance on professional standards and ethical conduct, and professional competence 25 members: 13 non-medical, 12 medical Funded by annual payments of registered doctors Malta3: General Medical Council President is appointed by the Prime Minister of Malta Members appointed by PM, University of Malta, Medical Practitioners, and Dental Surgeons Various laws enforce powers of the GMC in Malta Maintains National Registry Maintains professional and ethical standards United Kingdom: General Medical Council Registers physicians Medical Act of 1858 established the GMC Sets educational standards for medical schools Determine principles of good medical practice and take action when standards not met Legal powers Council includes 12 members: 12 doctors and 12 lay members appointed by the Appointments Commission4 2 http://www.medicalcouncil.ie/default.asp 3 http://www.sahha.gov.mt/pages.aspx?page=87 4 http://www.gmc-uk.org/index.asp 5