IMPLEMENTATION OF EFFECTIVE SYSTEM FOR CONTINUOUS MEDICAL EDUCATION IN PERINATAL SERVICES: ВНЕДРЕНИЕ ЭФФЕКТИВНОЙ СИСТЕМЫ НЕПРЕРЫВНОГО МЕДИЦИНСКОГО ОБРАЗОВАНИЯ В ПЕРИНАТАЛЬНЫХ УСЛУГАХ

ВНЕДРЕНИЕ ЭФФЕКТИВНОЙ СИСТЕМЫ НЕПРЕРЫВНОГО МЕДИЦИНСКОГО ОБРАЗОВАНИЯ В ПЕРИНАТАЛЬНЫХ УСЛУГАХ

Abstract

The existence of an internal system for improving the quality of medical services is a permit requirement of inpatient institutions. However, as quality assurance mechanisms based on internal and external audit currently are not implemented across the country, accordingly management of medical institutions has no motivation for continuous improvement of medical service quality, including necessity for assessing, planning and implementation of personal Continuous Medical Education. Therefore, personal’s involvement in Continuous Medical Education system often serves only the requirements set by applicable law in perinatal services and sometimes the need may not be assessed and justified. Perpetuality of state certificates of physicians since 2008 may facilitate the fact. From 2018 1st January resumption the commitment of Continuous Medical Education in perinatal service provides (however, this is related to obtaining the right to provide the service and not recertification) has led to conclusion that in most cases the relevant structures of medical institutions do not have the knowledge and experience to effectively manage the process. In addition, specific programs are selected by the institution / doctor. It should be pointed out that currently in Georgia the methodology that will allow quality assurance units of the institutions to effectively plan doctor training, doesn’t exist, while such approaches is available in developed countries. Accordingly, it is appropriate to take measures at both national and institutional levels to ensure development of national continuous audit’s system, exceling of internal mechanisms for quality assurance of medical care, improvement of internal quality monitoring mechanisms in perinatal service providers, demonstration of good UPG and implementation of reporting (accountability) instruments for personnel.