The professions of ‘medical paramedic’ and ‘medical assistant’ in Bulgaria – historical development, up-to-date training and realisation

The main goal of the higher medical schools in Bulgaria today is the training of highly qualified, motivated and competitive specialists with competence suggesting successful realization in the health system.
Ensuring quality human resources in the field of healthcare is a complex and responsible challenge. It is addressed by factors such as training and specialization in accordance with new standards and technologies, advances in medical science and innovation, long-term planning tailored to the needs of society and the labour market.
The World Health Organization (WHO) defines health workforce shortages and uneven distribution. It forecasts a deepening of the problem in response to migration and demographic processes.
"The most critical problem facing health systems in the world is the shortage of people working in these systems" WHO.
Bulgaria is no exception to the global trend. Democracy, the country's membership in the European Union, the opening of borders for the transfer of professionals have opened new horizons for the professional realization of health professionals. At the same time, unresolved problems over the years such as:
Insufficient investment in education;
Difficulties in the opportunities for specialization of staff;
➢inadequate responsibilities and disincentives professionals to work remuneration;
insufficient financing of healthcare facilities with consequent difficulties and problems of the working environment;
➢ Absence of targeted state policy in the field of human resource management in healthcare
have become a reason for Bulgarian medical specialists to migrate and look for other opportunities for realization and career development.

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