Frequently Asked Questions
The Medical Assistant is a regulated medical profession, successor to the profession of ‘Feldscher’ in Bulgaria, which plays a key role in the healthcare system, mainly in pre-hospital and emergency care.
A doctor's assistant is a medical professional who provides basic medical care by diagnosing, treating, and prescribing medications. Often it is the unity of a medical person in remote areas.
What is a ‘regulated profession’?
A ‘regulated profession’ is an activity that is of public importance or affects the health and life of people, and its exercise is defined by law, regulation or other administrative act. To work in such a profession, you must have a specific professional qualification, aptitude and/or membership of a state-recognised professional organisation. These professions are included in the official list of regulated professions in Bulgaria.
According to the List of Regulated Professions in the Republic of Bulgaria, the regulated medical professions in the Republic of Bulgaria are: doctor, dental practitioner, pharmacist, medical assistant, paramedic, nurse, midwife, medical technician, X-ray technician, rehabilitator, public health inspector, dental technician, assistant pharmacist, masseur (for visually impaired), orthopaedic technician, lecturer in practice in the specialties of the professional field of Health Care and Kinesitherapist.
A doctor's assistant is a medical professional who provides basic medical care by diagnosing, treating, and prescribing medications. Often it is the unity of a medical person in remote areas.
What is a ‘regulated profession’?
A ‘regulated profession’ is an activity that is of public importance or affects the health and life of people, and its exercise is defined by law, regulation or other administrative act. To work in such a profession, you must have a specific professional qualification, aptitude and/or membership of a state-recognised professional organisation. These professions are included in the official list of regulated professions in Bulgaria.
According to the List of Regulated Professions in the Republic of Bulgaria, the regulated medical professions in the Republic of Bulgaria are: doctor, dental practitioner, pharmacist, medical assistant, paramedic, nurse, midwife, medical technician, X-ray technician, rehabilitator, public health inspector, dental technician, assistant pharmacist, masseur (for visually impaired), orthopaedic technician, lecturer in practice in the specialties of the professional field of Health Care and Kinesitherapist.
The profession of medical assistant shall be exercised by persons who hold a university degree at the bachelor’s degree referred to in Article 42(1)(1)(b) of the Higher Education Act and are entered in the register of the professional organisation.
The profession of ‘medical assistant’ shall also be exercised by paramedics who have obtained the educational qualification of ‘specialist in ...’ and who enjoy the rights of medical assistants with the educational qualification of ‘bachelor’ under Article 42(1)(1)(b) of the Higher Education Act for practising the profession, and by paramedics who have obtained a qualification for practising the profession attested by a diploma of secondary or higher education or other valid documents for the relevant acquired qualification, who enjoy the rights of medical assistants with the educational qualification of ‘bachelor’ under Article 42(1)(1)(b) of the Higher Education Act for practising the profession, and are entered in the register of the professional organisation referred to in Article 2(1)(1a).
Medical assistants shall exercise their profession in accordance with their professional competences as defined by Ordinance No 1 of 8 February 2011 on the professional activities that nurses, midwives, associated medical specialists, dental technicians and health assistants may carry out on their own or on assignment.
The profession of ‘medical assistant’ shall also be exercised by paramedics who have obtained the educational qualification of ‘specialist in ...’ and who enjoy the rights of medical assistants with the educational qualification of ‘bachelor’ under Article 42(1)(1)(b) of the Higher Education Act for practising the profession, and by paramedics who have obtained a qualification for practising the profession attested by a diploma of secondary or higher education or other valid documents for the relevant acquired qualification, who enjoy the rights of medical assistants with the educational qualification of ‘bachelor’ under Article 42(1)(1)(b) of the Higher Education Act for practising the profession, and are entered in the register of the professional organisation referred to in Article 2(1)(1a).
Medical assistants shall exercise their profession in accordance with their professional competences as defined by Ordinance No 1 of 8 February 2011 on the professional activities that nurses, midwives, associated medical specialists, dental technicians and health assistants may carry out on their own or on assignment.
1. medical activities and health care:
a) preparation and performance of pre-medical examination in emergency and primary care in cases where the patient cannot be examined by a doctor - taking a medical history, status (by physical methods of examination - inspection, palpation, percussion and auscultation), making a preliminary (working) diagnosis based on the symptomatology, objective condition and laboratory tests of the patient; self-examination and appointment of treatment of children up to 3 years of age is not allowed, except for conditions directly threatening the life of the child;
prescribing medicinal products authorised for use in the country and issuing prescriptions in accordance with the procedure laid down in the ordinance referred to in Article 221(1) of the Medicinal Products in Human Medicine Act;
monitoring and recording the dynamics of the disease process;
d) measurement and recording of pulse, blood pressure, breathing, temperature, diuresis, electrocardiography;
participation in the organisation of infection prevention, control and epidemiological surveillance;
interpretation of routine medical diagnostic tests - examination of urine (pH, protein, glucose, ketone bodies, urobilinogen, bilirubin, blood and indicative examination of "sediment"); blood count (haemoglobin, haematocrit, erythrocytes, leukocytes and platelets, SWE); clinical-chemical studies (glucose, creatinine, urea, total bilirubin, glucuronidated (direct) bilirubin, asAT, ALT, uric acid, cholesterol, triglycerides); faeces: occult haemorrhages;
g) recognition of changes in basic vital functions (breathing, cardiac activity, etc.) and instrumental tests (electrocardiogram, etc.) requiring emergency medical care;
2. manipulations involving:
a) performing injections - subcutaneous, muscular and venous;
(b)providing long-term venous access;
c) performing a venous puncture and taking blood;
d) Installation of medicinal products through a catheter (probe), drainage;
e) carrying out a venous infusion;
carrying out a cleansing and healing enema;
g) introduction and maintenance of patency of a urethral catheter in a man and a woman;
h) treatment of a wound;
parenteral administration of medicinal products and solutions for infusion;
removal of sutures and drains and dressings of wounds;
k) removal of a splint;
carrying out lavage of a conjunctival sac;
carrying out gastric lavage;
Installation of a nasogastric probe;
o) performing aseptic and septic dressings;
performing anterior nasal tamponade;
performing electrocardiography;
c) local analgesia and surgical suture of soft tissues;
incision of furuncle and carbuncle;
3. providing emergency, humanitarian and other activities, including:
a) carrying out activities for the management of hypo- and hyperthermia;
b) providing urgent medical assistance to the victim in the absence of the doctor;
c) performing temporary immobilization of limbs and spine, insertion of a cervical collar;
carrying out mechanical haemostasis and/or topical administration of haemostatic medicinal products;
(e)providing and maintaining patency of the upper respiratory tract;
f) performing primary resuscitation - indirect cardiac massage, defibrillation and artificial ventilation;
g) maintaining the vital functions of the patient in conditions threatening life during transportation;
assisting in childbirth until the arrival of a doctor or midwife;
administration of infusion therapy, antiarrhythmic, cardio-inotropic medicinal products and corticosteroids in conditions requiring urgent medical attention;
4. conducting trainings and researches.
5. provision and collection of health information, as well as health promotion, prevention and prevention of diseases.
a) preparation and performance of pre-medical examination in emergency and primary care in cases where the patient cannot be examined by a doctor - taking a medical history, status (by physical methods of examination - inspection, palpation, percussion and auscultation), making a preliminary (working) diagnosis based on the symptomatology, objective condition and laboratory tests of the patient; self-examination and appointment of treatment of children up to 3 years of age is not allowed, except for conditions directly threatening the life of the child;
prescribing medicinal products authorised for use in the country and issuing prescriptions in accordance with the procedure laid down in the ordinance referred to in Article 221(1) of the Medicinal Products in Human Medicine Act;
monitoring and recording the dynamics of the disease process;
d) measurement and recording of pulse, blood pressure, breathing, temperature, diuresis, electrocardiography;
participation in the organisation of infection prevention, control and epidemiological surveillance;
interpretation of routine medical diagnostic tests - examination of urine (pH, protein, glucose, ketone bodies, urobilinogen, bilirubin, blood and indicative examination of "sediment"); blood count (haemoglobin, haematocrit, erythrocytes, leukocytes and platelets, SWE); clinical-chemical studies (glucose, creatinine, urea, total bilirubin, glucuronidated (direct) bilirubin, asAT, ALT, uric acid, cholesterol, triglycerides); faeces: occult haemorrhages;
g) recognition of changes in basic vital functions (breathing, cardiac activity, etc.) and instrumental tests (electrocardiogram, etc.) requiring emergency medical care;
2. manipulations involving:
a) performing injections - subcutaneous, muscular and venous;
(b)providing long-term venous access;
c) performing a venous puncture and taking blood;
d) Installation of medicinal products through a catheter (probe), drainage;
e) carrying out a venous infusion;
carrying out a cleansing and healing enema;
g) introduction and maintenance of patency of a urethral catheter in a man and a woman;
h) treatment of a wound;
parenteral administration of medicinal products and solutions for infusion;
removal of sutures and drains and dressings of wounds;
k) removal of a splint;
carrying out lavage of a conjunctival sac;
carrying out gastric lavage;
Installation of a nasogastric probe;
o) performing aseptic and septic dressings;
performing anterior nasal tamponade;
performing electrocardiography;
c) local analgesia and surgical suture of soft tissues;
incision of furuncle and carbuncle;
3. providing emergency, humanitarian and other activities, including:
a) carrying out activities for the management of hypo- and hyperthermia;
b) providing urgent medical assistance to the victim in the absence of the doctor;
c) performing temporary immobilization of limbs and spine, insertion of a cervical collar;
carrying out mechanical haemostasis and/or topical administration of haemostatic medicinal products;
(e)providing and maintaining patency of the upper respiratory tract;
f) performing primary resuscitation - indirect cardiac massage, defibrillation and artificial ventilation;
g) maintaining the vital functions of the patient in conditions threatening life during transportation;
assisting in childbirth until the arrival of a doctor or midwife;
administration of infusion therapy, antiarrhythmic, cardio-inotropic medicinal products and corticosteroids in conditions requiring urgent medical attention;
4. conducting trainings and researches.
5. provision and collection of health information, as well as health promotion, prevention and prevention of diseases.
1. carrying out a doctor-appointed treatment;
2. preparing and, if necessary, assisting the patient in performing medical-diagnostic manipulations;
3. performing, monitoring and reporting sensitivity samples;
4. insertion and removal of a catheter or perfusion needle into a superficial vein;
5. monitoring the diet of an infant;
6. implementation and monitoring of specific bandages;
7. preparation and removal of threads, drains and probes;
8. insertion of a catheter for the collection of sterile urine, lavage, injection of medicinal products into the bladder;
9. treatment and monitoring of wounds, fistulas and stomas;
Carrying out care and monitoring of an intubated or tracheostomy patient, the first change of the tracheostomy cannula being performed by a doctor.
11. provision and collection of health information, as well as health promotion, prevention and prevention of diseases.
2. preparing and, if necessary, assisting the patient in performing medical-diagnostic manipulations;
3. performing, monitoring and reporting sensitivity samples;
4. insertion and removal of a catheter or perfusion needle into a superficial vein;
5. monitoring the diet of an infant;
6. implementation and monitoring of specific bandages;
7. preparation and removal of threads, drains and probes;
8. insertion of a catheter for the collection of sterile urine, lavage, injection of medicinal products into the bladder;
9. treatment and monitoring of wounds, fistulas and stomas;
Carrying out care and monitoring of an intubated or tracheostomy patient, the first change of the tracheostomy cannula being performed by a doctor.
11. provision and collection of health information, as well as health promotion, prevention and prevention of diseases.
The Medical Assistant plays a key role in providing primary care and easing the workload of doctors, especially in areas with limited access to health services.
Yes, the medical assistant has the right to prescribe medications, including antibiotics and other medications.
Специалността „Лекарски асистент“ е с образователно-квалификационна степен „бакалавър“, и е нова, уникална медицинска професия, наследник на професията „Фелдшер“, която е с над 145-годишна история в България.
Обучението се провежда по направление „Здравни грижи“, редовна форма на обучение с продължителност 4 години. Лекарски асистенти се обучават в изброените по-долу български университети.
- Тракийски университет – Стара Загора – Медицински факултет
- Медицински университет София - Факултет по обществено здраве (ФОЗ) „Проф. д-р Цекомир Воденичаров, дмн“
- Филиал - Враца на Медицински университет - София
- Русенски университет „Ангел Кънчев“ - Факултет „Обществено здраве и здравни грижи“
- Медицински университет – Пловдив
- Филиал – Пазарджик на Медицински университет – Пловдив
- Бургаски държавен университет “Проф. д-р Асен Златаров” – „Факултет по обществено здраве и здравни грижи“
От академичната 2026/2027 година започва обучение в Югозападен университет „Неофит Рилски“ – Благоевград
- Тракийски университет – Стара Загора – Медицински факултет
- Медицински университет София - Факултет по обществено здраве (ФОЗ) „Проф. д-р Цекомир Воденичаров, дмн“
- Филиал - Враца на Медицински университет - София
- Русенски университет „Ангел Кънчев“ - Факултет „Обществено здраве и здравни грижи“
- Медицински университет – Пловдив
- Филиал – Пазарджик на Медицински университет – Пловдив
- Бургаски държавен университет “Проф. д-р Асен Златаров” – „Факултет по обществено здраве и здравни грижи“
От академичната 2026/2027 година започва обучение в Югозападен университет „Неофит Рилски“ – Благоевград
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