In Georgia, achieving an independent medical practice license is a two-stage process that requires passing the National Post-Diploma Qualification Exam (NPDQE) and completing a residency program. Below is an in-depth explanation of each step and their significance in obtaining full licensing rights.
The NPDQE is a critical milestone for medical graduates who aim to specialize and gain eligibility for further training or practice in Georgia.
The NPDQE is a standardized examination administered by the Georgian Ministry of Health in collaboration with the Ministry of Education and Science. It is designed to assess:
To appear for the NPDQE, candidates must:
After passing the NPDQE, graduates proceed to a residency program.
Residency is a mandatory post-graduate training program that provides hands-on experience in a specialized medical field. It is supervised by licensed medical professionals and focuses on:
The residency program focuses on building expertise in a chosen medical specialty through supervised clinical practice.
After completing both the NPDQE and residency program, graduates can apply for a license to practice independently.
Once residency is completed, graduates must apply for an independent practice license through the Ministry of Internally Displaced Persons from the Occupied Territories, Labour, Health, and Social Affairs of Georgia (commonly referred to as the Ministry of Health of Georgia).
Independent Practice Rights
Graduates can now
- Open private clinics.
- Work as general practitioners or specialists without supervision.
- Participate in decision-making roles in hospitals or medical institutions.
Aspect |
Junior Doctor |
Independent Medical Practitioner (Doctor) |
1. Open Private Clinics |
Not allowed to open or manage private clinics. |
Allowed to open and manage private clinics independently. |
2. Work as General Practitioner or Specialist Without Supervision |
Must work under the supervision of an Independent Medical Practitioner. |
Can work independently as a general practitioner or specialist without supervision. |
3. Participate in Decision-Making Roles in Hospitals or Institutions |
Not eligible to participate in independent decision-making processes. |
Fully eligible to participate in decision-making and advisory roles in hospitals or institutions. |
Category |
MBBS Graduate (India) |
Junior Doctor (Georgia) |
Independent Medical Practitioner (Georgia) |
Education Level |
Completed MBBS and licensed to practice independently. |
Completed MBBS/MD but is eligible for supervised practice and not licensed for independent practice. |
Completed MBBS/MD, NPDQE, residency and licensed to practice independently. |
Supervision |
Does not require supervision; can work independently. |
Must work under the supervision of an Independent Practitioner. |
Does not require supervision; works independently. |
Clinical Decision-Making |
Fully authorized to make independent decisions. |
Limited to tasks assigned by the supervisor. |
Fully responsible for clinical decisions and patient care. |
Private Clinic Ownership |
Allowed to own and run private clinics. |
Not allowed to open a private clinic. |
Allowed to own and run private clinics. |
Prescription Rights |
Fully authorized to prescribe medications independently. |
Requires approval or co-signature from a supervising doctor. |
Fully authorized to prescribe medications independently. |
Participation in Committees |
Can participate in decision-making roles. |
Cannot take independent decision-making roles. |
Can participate in decision-making and advisory roles. |
Legal Responsibility |
Fully liable for medical decisions and actions. |
Supervisor assumes responsibility for their actions. |
Fully liable for medical decisions and actions. |
The National Medical Commission (NMC) mandates:
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