WONCA Europe

Turkey

National delegate (Europe Council member)
Berk Geroğlu (berkgeroglu@hotmail.com)
National Exchange Coordinator

Demet Merder Coşkun

hippokratesturkey@gmail.com

 

(South REC) Halil Volkan Tekayak

volkantekayak@gmail.com

Young GPs organization website  
Page last updated on February, 2018

Country

Population of Turkey: 67,803,927;a urban population: 64.9%; life expectancy: 68.8 years; infant mortality rate: 29b

 

There are 95,110 active physicians. The national average is 721 people for one doctor. Number of medical doctors ~Faculty of Medicine graduates!i the number of specialists exceeds them: ie, 51,530 vs. 43,660 ~54% vs. 46%! 

The number of doctors is higher in Central and Western Turkey. • Despite an increase in the doctor workforce at the primary health care level, only 43% of primary health care center posts are occupied by medical practitioners. 

There are several public and private health care provider organizations.

Healthcare system

Most of the primary care work has to be done by general medical officers, including administrative and forensic work. But the Turkish Ministry of Health is targeting new training policies for the general Medical officers. In 2004 transitional training will be available to general Medical officers to be awarded with the certificate as family doctor (which is in distinction to the diploma of specailist of family medicine, which needs a three year postgraduate vocational training).

Organizations of GPs

 

Medical education

Turkey had 50 Faculties of Medicine located in different areas in 2004.Newer schools are expected to be established in the near future and 46 are accepting students for undergraduate training. Most teaching positions are full-time. Full professors and associate professors for more than 5 years are allowed to work part-time. Almost three-quarters work full-time. There is a 6-year curriculum. Students enter medical school after passing a national entrance examination after finishing high school ~11 years!

Curriculum: study lasts 6 years:e 2 years of basic sciences, 3 years of clinical sciences, 1 year devoted to family practice ~internship!

Entrance is limited to the best graduates ~first 9.19%! and a tuition fee is requested. Students attending a private university might have a lower examination score ~first 27.98%! but pay higher tuition fee.

Number of students entering and attending last year of Faculty of Medicine: about 4,760 and 4,634, respectively.

Total number of registered medical students is 32,807. Students typically enter at age 17 and graduate at age 23 as medical doctors, who are allowed to work as such Graduate Medical Education, A low ratio of new graduates enter a specialty program. Almost 23% of 14,273 applicants were matched to a residency in autumn 2007.

Examination is given twice a year.

Graduate specialty training is free and residents receive a salary from the hospital. All specialty programs have a national admission test. The specialties can only be obtained as residency programs provided by universities and Ministry of Health training and research hospitalsh ~43 specialties!. MSc and PhD degrees can be earned at the Institute of Health Sciences at universities.

The specialty of family medicine was created in 1984. Specialty programs have a heavy workload and the duration of residency is 3-6 years.

Source: Güneş ED, Yaman H. Transition to Family Practice in Turkey. Journal of Continuing Education in the Health Professions 2008; 28(2): 106-112.

 

 

In the early 1980s the first department of family medicine was established. In 1984 family medicine was recognised as a medical specialty and the first curriculum was announced. In 1985 the first family medicine residents were accepted for training for family medicine specialisation at state hospitals. At the beginning of the 1990s, education for family medicine flourished again. Nine teaching hospitals in three larger cities (Istanbul, Ankara, and Izmir) were in charge of training. In 1993, the Higher Council of Education accepted family medicine as an academic discipline and it was resolved that family medicine departments would be founded in all universities and family medicine specialists would be allowed to achieve academic careers there. 
 
To gain access to a family medicine residency, the applicant must have graduated from a six-year undergraduate Medical education programme. According to the current curriculum in family medicine, the residency lasts three years. It consists of five main fields and the course schedule is shown in Table 2. On completion of the three-year course and passing the examination, the graduates are awarded a Specialist of Family Medicine title from the Ministry of Health. The current curriculum aims to produce graduates who are proficient in the management of common health problems and can provide timely emergency surgical and obstetric interventions. Graduates from these family medicine residencies are nowadays, working for the Ministry of Healths National Health System (Health Centers, Centers for Mother and Child Care, Emergency Services etc.) Some of them choose an academic career in one of the over fourty active departments of family medicine at the universities or work in private health institutions, such as health centres, hospitals, emergency centres.
 
 
Table 2. Course Schedule of my family medicine residency training in Turkey
Field Time (months)
Child Health and Disease 9
İnternal Medicine 9
Gynaecology and Obstetrics 8
General surgery (with intense emergency participation) 6
Psychiatry 4
Source: Yaman H. Training in Family Medicine: The Current State in Turkey. Education for Primary Care 2002 ;13 (3):394 - 397.
 
A newer vocational/residency training scheme has been proposed by the Turkish Board of Family Medicine (Türkiye Aile Hekimliği Yeterlilik Kurulu) (Table 3). According to a regulation, which is has been enforced in January 2010, a new Postgarduate Training Committee in Family Medicine is preparing a new training scheme, which is in concordance with the proposed three year training time, proposed by the Ministry of Health new regulation.
 
Table 3: Proposed Training Program for Family Medicine
Field Time (months)
Family Practice 12
Internal Medicine 6 (1 month in cardiology outpatient)
Pediatrics 6
Gynecology and Obstetrics 5
General Surgery 2
Psychiatry 3
Elective-1 1
Elective-2 1
 
References
1. Güneş ED, Yaman H. Transition to Family Practice in Turkey. Journal of Continuing Education in the Health Professions 2008; 28(2): 106-112
2. Yaman H. Training in Family Medicine: The Current State in Turkey. Education for Primary Care 2002 ;13 (3):394 - 397
3. Turkish Board of Family Medicine. Working report and Core Curriculum of Family Medicine Specialization Education. (in Turkish). June. 2007.
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