Portugal

PART ONE Professional recognition in your country

1.1. Which organisation recognises doctors eligible to practice in your country?
In case your country has more then one organisation which can provide professional recognition, please attach to this survey a simple list of names and websites where we can acquire more information.

Name: Ordem dos Médicos - Portuguese Medical Association     
Type of organisation (professional, government, etc.) Trade union and professional organisation 
Professional Organization / Medical Chamber

Address:      
AV. ALMIRANTE GAGO COUTINHO, 151
1794-084 LISBOA     
   
Phone number:  +351 21 842 71 00     
 
Fax:  -------     

Contact person:  --------     

E-mail: ordemdosmedicos@ordemdosmedicos.pt       
 
Website (s): https://ordemdosmedicos.pt/

1.2. What requirements/documents are necessary for a foreign doctor to practice medicine?
i.e. language skills, medical degree, insurance, immigration status.

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- I.D. or Residence Permit or Passport
- Professional degree in accordance with the EU legislation
- Criminal record (issued no-later than three months before registration)
- Portuguese Tax identification number
- Certificate of good standing by the medical authority of the origin country
- To pay the Registration fee
- Language skills exam, held by the Portuguese Medical Association, except if the doctor had his/her pre-graduate education in Portuguese

For Non-EU Citizenship or medical degree obtained in a Non-EU University, it is also required:
- Certificate of graduation
- Certificate of equivalence by a Portuguese University
- Curriculum Vitae as proof of professional activity
- Proof of practicing medicine for at least three out of the last 5 years if you want autonomy for practice                   
Where else can we find more information?  https://ordemdosmedicos.pt/estatutos-e-regulamentos/regulamento-de-inscr...

1.3. Are there any application deadlines (if so, when)?
Furthermore, how long does the professional recognition procedure usually take?

Process duration: 5 months + 1 month for Non-EU Citizens.
There are no application deadlines for the registry.
For the Language Skills exam you have to check when the next one is taking place.
Re-certification required:
No.

1.4. Are there any sort of examinations/interviews to apply for Medical Professional Recognition?

Only the language skills exam, if it is required.

1.5.1. What kind of professional medical degrees are there in your country?

Medical Doctor (Médico), Specialist (Especialista), Consultant (Consultor).                                                                                                                                                                           

1.5.2. How do you access each degree?

You need to be a Medical Doctor you need a “licenciatura” in Medicine before the Bologna process or a Integrated Master Degree in Medicine after the implementation of the Bologna process. Specialist is when you finish you residency and Consultant is an higher professional level as a specialist.

PART TWO Training in your country

2.1. Which organisation is responsible for medical training in your country?
In case your country has more than one organisation with this function, please attach to this survey a simple list of names and websites where we can acquire more information.

Ordem dos Médicos - Portuguese Medical Association – Contacts previously mentioned
Administração Central dos Serviços de Saúde (ACSS) – Health Services' Central Administration
Website: http://www.acss.min-saude.pt/

E-mail: geral@acss.min-saude.pt

Phone number: +351 21 792 55 00

Fax: +351 21 792 58 48

Address:
Parque de Saúde de Lisboa
Edifício 16
Avenida do Brasil, 53
1700-063 LISBOA
Portugal

2.2. Besides professional recognition, is there any other requirement for a doctor to start his training/begin to work (i.e. examination, clerkship, internship)? Namely, which documents/examinations are necessary when applying for training/job?

In order to enter in the residency track, you need to do a national exam. To register to that exam, you need to submit the following documentation:
- copy of your Portuguese Tax identification card- copy of your I.D. card (for EU members) or, if you are not from the EU: copy of a working visa
- certificate of graduation (with final grade, in a scale from 0 to 20).
- certificate of registration in the Portuguese Medical Association (issued in less than 3 months)
- a document proving the military or civic situation when appropriate, which may be substituted by a declaration under oath, that the person has fulfilled the obligations of the Military Service Act (when it is mandatory)
- criminal record
- a certificate of achievement on the Language Skills exam
The exam takes place in the last trimester of each year (usually in the middle of November).

2.2.1. Where are training positions advertised?

In the ACSS website: http://www.acss.min-saude.pt

2.3. Are there any application deadlines (if so, which)?

This opening takes place, usually, in August, and the deadline for the application is by the end of September. The application can be made online or in one of the ACSS delegations (Lisboa, Porto, Coimbra, Évora, Faro, Angra do Heroísmo or Funchal).
During the year 2019, there will be a major transition on the deadline schedule, so the best to way to keep updated is to visit the ACSS website regularly.

2.4. How do applicants choose what and where they would like to train?

To enter a specialty you need to take the competitive National Examination for application for postgraduate training posts.
At the time, this National Examination is based on the content from the latest edition of the book "Harrison's Principles of Internal Medicine" - however, it will be changed by 2019.
The Examination will rank you at national level according to your mark, and thus your position in the competition for training posts. Each year the number of training positions is announced.
Since 2016, the number of available training positions is not enough for all the candidates.

2.5. Is there a fee/tuition for attending a training programme?

No

2.6. Do trainees receive a salary during training?

Yes

2.6.1. Moreover, what is the current salary and is overtime paid?

The salary depends in the year of postgraduate trainings. As you progress in the training you will receive more. It goes from 1566.42 euros to 1937.39 euros per month. It is important to know that you receive 12 months of salary + 2 months (holiday bonus + Christmas bonus). These values are without taxes. You must consider at least a deduction of 30% in taxes. In addition, you can receive overtime paid, mainly if you are on call.
             
Reference: https://www.simedicos.pt/fotos/editor2/ficheiros/tabela_salarial_2014.pdf

2.6.2. What type of contracts are there? How long are the working and on-calls times?

Unfixed-term contract. 40 hours a week. On-call times usually last for 12 hours.

2.6.3. Are sick leave, vacation days, maternity leave, voluntary work allowed and do they entail a reduction of salary?

All of them are allowed. Sick leave leads to a salary reduction.

2.7. In general terms, how is the training assessment done?
i.e. exams, evaluations, interviews, appraisal

There is assessment after each module that can be joint in a yearly assessment.

There is a final oral exam with a jury that involves curriculum evaluation, theoretical evaluation and practice evaluation. Some of these parts on some specialties can be written.

PART THREE Other details about training/working in your country

3.1. Is mobility possible inside and outside the country during your training?

Yes

3.2. How many trainees are there in your country?
Divided, if possible, by in each speciality.
3.3. What are the success, training drop-out and post-training employment rates?

We don’t have centralized data on this aspect. However, the success rate is usually high in most of specialties. Usually, the residents find employment after finishing the residency, but the working conditions may not be the best. This is one of the reasons on why some of the young specialists emigrate.

3.4. Is there an accreditation procedure for training centres (and do they include visitations)?

Yes, and it is being performed by the Portuguese Medical Association. It includes visitations and re-certification every 3 years.

3.5. Is there any national recertification/revalidation scheme to practice?

No.

3.6. Are there any differences in the application procedure according to the country of origin of a trainee?

No.

3.7.1. Are there any restrictions for a foreign doctor who is undergoing training in your country to work there afterwards?

No.

3.7.2. Moreover, is it possible for a trainee undergoing training in another EU/EEA country to do part of his training in your country? If so, what are the necessary requirements/documents?

Yes. He/she needs to register in the Portuguese Medical Association in order to practice. The internship in a specific area of training depends on the specialty and on the institution where the doctor wants to do the practice.

3.8. Please summarise the general timeline between the time where a doctor has just graduated until he has attained a final senior post as an independent medical doctor.
In other words, please describe, in general terms, the training of a junior doctor in your country.

Where else can we find more information?      
Guide of the Workshop on Access to Medical Training in Europe, 2012

3.9. Is it compulsory to have malpractice (or any other) insurance?

Yes.

3.10. What is the general perspective/position on immigration of medical trainees to your country?

Portuguese health care professionals and patients are used to foreign doctors and accept them well.
This happens, because in the past there was a deficit of doctors in Portugal, so many foreign doctors immigrated to Portugal. So, nowadays, there is a large community of doctors coming from Spain, Brazil, African countries (mostly, Angola, Cape Verde, Mozambique) and, in more recent years, from Eastern European countries (mostly, Ukraine and Moldavia).
Most of these doctors work in smaller cities, as these are the ones that need doctors the most.
However, because of the financial crisis, many of these doctors returned to their home countries or going to other european countries.
Regarding training doctors: they are welcomed, but, as we have said, the number of available training positions is inferior to the number of candidates to medical training. So, these medical doctors usually get a lower score in the national exam and don’t get a training position in Portugal. In the end, they may work as a “GP” (not the same as Family Medicine) in the emergency ward where the need for doctors is higher.

3.11. What is the general perspective/position on emigration of medical trainees to foreign countries?

Unfortunately, emigration of medical trainees is increasing due to the degradation of the Portuguese National Health Service, the ongoing privatisation of our healthcare system and the continuous delays in opening job positions right after the end of the residency training. These values are increasing year after year.

3.12. Are there any restrictions in your country to comply with the consolidated version of EU 2005/36?

No.

3.13. Which organisation(s) specialise in assisting doctors in legal and work matters?
i.e. trade unions, medical chambers, other organizations.

There are two medical unions, that can provide legal help on work matters:
- Sindicato Independente dos Médicos - http://www.sim.pt
- Federação Nacional dos Médicos – http://www.fnam.pt

Ordem dos Médicos (Medical Chamber) also provides assistance with specific legal matters.

3.14. Is there any other information you consider relevant with regard to this subject?

No.