The stakeholder’s primary roles is to advise the Danish Health and Medicines Authority
- On the content and assumptions of the supply forecast;
- Regarding the number of needed postgraduate training posts;
- Regarding the needed student intake at schools and universities
The stakeholders take part in selecting the assumptions used in the supply forecast. For the forecast for doctors and medical specialist this is done in meetings in the planning and forecasting committees subcommittee. The subcommittee consists of members from the Danish health and Medicines Authority, the Danish medical Association, Statens Serum Institut and the three regional councils. At the meetings it’s discussed whether modifications to the current model is needed. This could for example be regarding the expected number of filled postgraduate training posts, what scenarios the forecast should include etc. If needed the subcommittee draws up a new model which is afterwards presented for the Planning and Forecasting committee. If given the green light by the committee the forecast is afterwards drafted.
The stakeholders advise the Danish Health and Medicines Authority regarding the yearly number of postgraduate training posts. This takes place in a public hearing process where the stakeholders are presented with data regarding the current supply within the specific medical specialty. Both on a national and regional level. Furthermore the stakeholders are presented with the results of the supply forecast within a given specialty. On the basis of the data presented the stakeholders are invited to answer a series of questions. For example:
- How is the current balance between supply and demand perceived?
- Are there any specific regional differences in the supply or demand the plan must take into account?
- Is the demand expected to exceed or be lower than the expected supply? If so, why?
- Which factors is expected to influence the future demand within the medical specialty?
The stakeholders normally provide the feedback in writing.
The information provided by the stakeholders is first of all considered by the Planning and Forecasting Committees subcommittee. The subcommittee examines the data and information provided by the different stakeholders and draws up a plan for the number of postgraduate training posts. In examining the information provided the subcommittee tries to take different factors into account for example:
- How many doctors can be expected to begin a postgraduate training post?
- Are there any special areas in an acute need of specialists?
- If the number of postgraduate training posts is increased in one specialty it can affect the demand for specialists in another specialty
- Increasing the number of postgraduate training posts in specialties having no problem recruiting can have a negative effect on recruitment to specialties already facing recruitment difficulties.
- The educational capacity in the different specialties
When the subcommittee has drawn up the plan it’s first of all presented in the Planning and Forecasting Committee. If the committee gives the green light the plan (if for doctors) is afterwards presented in the National Council for Postgraduate Medical Education or (if for dentists) presented in the National Council for Postgraduate Dental Education.
This can sometimes make small changes to the plan which is afterwards released by DHMA. As a general rule the plan for the number of postgraduate training posts cover a five year period and the Danish Regions and other stakeholders involved in the postgraduate education of doctors and dentists are required to follow the plan.
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