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Health professional requisites refer to the regulations used by countries to control the quality of health workers practicing in their jurisdictions and to control the size of the health
labour market Labour or labor may refer to: * Childbirth, the delivery of a baby * Labour (human activity), or work ** Manual labour, physical work ** Wage labour, a socioeconomic relationship between a worker and an employer ** Organized labour and the labou ...
. They include
licensure Occupational licensing, also called licensure, is a form of government regulation requiring a license to pursue a particular profession or vocation for compensation. It is related to occupational closure. Some claim higher public support for ...
,
certification Certification is part of testing, inspection and certification and the provision by an independent body of written assurance (a certificate) that the product, service or system in question meets specific requirements. It is the formal attestatio ...
and proof of minimum
training Training is teaching, or developing in oneself or others, any skills and knowledge or fitness that relate to specific useful competencies. Training has specific goals of improving one's capability, capacity, productivity and performance. I ...
for regulated health professions. In the
health care system A health system, health care system or healthcare system is an organization of people, institutions, and resources that delivers health care services to meet the health needs of target populations. There is a wide variety of health systems aroun ...
, a
health professional A health professional, healthcare professional (HCP), or healthcare worker (sometimes abbreviated as HCW) is a provider of health care treatment and advice based on formal training and experience. The field includes those who work as a Nursing, nur ...
who offers medical, nursing or other types of health care services is required to meet specific requisites put into effect by laws governing health care practices. The number of professions subject to regulation, the requisites for an individual to receive professional licensure or certification, the
scope of practice Scope of practice describes the activities and duties that a healthcare professional is permitted to undertake. The limits on the actions of these practitioners are set by the terms of their professional license and what the law allows. Each juris ...
that is permitted for the individual to perform, and the nature of sanctions that can be imposed for failure to comply vary across jurisdictions. Most countries have credentialing staff in regulatory boards or
health department A health department or health ministry is a part of government which focuses on issues related to the general health of the citizenry. Subnational entity, Subnational entities, such as State (administrative division), states, county, counties an ...
s who document the certification or licensing of health workers and their work history. The processes for professional certification and licensure vary across professions and countries. Certification to practise a profession usually does not need to be renewed, while a licence usually needs to be periodically renewed based on certain criteria such as passing a renewal exam, demonstrating continuing learning, being employed in the field or simply paying a fee. Most health care industry employers publish the specific requisites for persons seeking employment by means of job boards, ads and solicitations for employment. Practicing health care without the appropriate license is generally a crime.


Medical practice requisites

Most countries require individuals to demonstrate proof of graduation from a recognized
medical school A medical school is a tertiary educational institution, professional school, or forms a part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, ...
, such as one meeting the quality assurance standards of the World Federation of Medical Education, as requisite to obtain professional certification for practice as a
physician A physician, medical practitioner (British English), medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the Medical education, study, Med ...
or physician assistant. In the United States, once obtaining the appropriate medical degree, physicians can apply to attain licensure via
Board certification Board certification is the process by which a physician, veterinarian, or other professional demonstrates a mastery of advanced knowledge and skills through written, oral, practical, or simulator-based testing. Certification bodies There are mor ...
. In India, practitioners of both modern medicine and
traditional medicine Traditional medicine (also known as indigenous medicine or folk medicine) refers to the knowledge, skills, and practices rooted in the cultural beliefs of various societies, especially Indigenous groups, used for maintaining health and treatin ...
are subject to professional regulation. Doctors are regulated by the
Medical Council of India The Medical Council of India (MCI) was a statutory body for establishing uniform and high standards of medical education in India until its dissolution on 25 September 2020 when it was replaced by National Medical Commission. The Council grante ...
, while practitioners of Ayurved, Siddha and Unani medicine are regulated by the Central Council of Indian Medicine.


Nursing requisites

Registered nurse A registered nurse (RN) is a healthcare professional who has graduated or successfully passed a nursing program from a recognized nursing school and met the requirements outlined by a country, state, province or similar government-authorized ...
s and
licensed practical nurse A licensed practical nurse (LPN), in much of the United States and Canada, is a nurse who provides direct nursing care for people who are sick, injured, convalescent, or disabled. In the United States, LPNs work under the direction of physicia ...
s (or the equivalent national titles, e.g. enrolled nurses) must typically complete
nursing school Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alle ...
and pass a national examination in order to obtain their license. For example, in the United States, nurses must pass the National Council Licensure EXamination (NCLEX). They must then obtain a nursing license by applying to appropriate board of nursing. In Uganda, nurses must complete a
Bachelor of Science A Bachelor of Science (BS, BSc, B.S., B.Sc., SB, or ScB; from the Latin ') is a bachelor's degree that is awarded for programs that generally last three to five years. The first university to admit a student to the degree of Bachelor of Scienc ...
or other diploma in nursing recognized by the Nurses and Midwives Council and pass national qualifying examinations; several years of work experience in a
hospital A hospital is a healthcare institution providing patient treatment with specialized Medical Science, health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically ...
or other health unit is further required in order to be eligible for a licence to engage in private practice.Uganda Legal Information Institute
''Nurses and Midwives Act 1996 (Ch 274)''
, accessed 18 April 2011.
The legal requisites as well as
scope of practice Scope of practice describes the activities and duties that a healthcare professional is permitted to undertake. The limits on the actions of these practitioners are set by the terms of their professional license and what the law allows. Each juris ...
for nurses (and also midwives and nurse midwives) vary across countries. For instance, in some countries nurses are trained and authorized to provide emergency
childbirth Childbirth, also known as labour, parturition and delivery, is the completion of pregnancy, where one or more Fetus, fetuses exits the Womb, internal environment of the mother via vaginal delivery or caesarean section and becomes a newborn to ...
care, including administration of
oxytocin Oxytocin is a peptide hormone and neuropeptide normally produced in the hypothalamus and released by the posterior pituitary. Present in animals since early stages of evolution, in humans it plays roles in behavior that include Human bonding, ...
s and newborn resuscitation, whereas in other countries these clinical functions are only authorized for physicians.


Respiratory Therapy requisites

Respiratory Therapist A respiratory therapist is a specialized healthcare professional, healthcare practitioner trained in Intensive care medicine, critical care and cardio-pulmonary medicine in order to work therapeutically with people who have acute critical condit ...
s or Respiratory Care Practitioners in many countries are required to have graduated from an accredited and recognized college or university and additionally pass a registry exam prior to being eligible for licensure. In the United States, Respiratory Therapists are granted either Registry or Certificate credentials by the National Board for Respiratory Care (NBRC). The credential granted by the NBRC must be maintained to continue to hold a state licence to practice, and a fee must be paid every two years to the NBRC to maintain that credential.


Other professional requisites

Dentists and many other categories of
allied health professions Allied health professions (AHPs) are a category of health professionals that provide a range of diagnostic, preventive, therapeutic, and rehabilitative services in connection with health care. While there is no international standard for defining ...
typically also require professional certification or licensure for legal practice. Training and knowledge in
basic life support Basic life support (BLS) is a level of medical care which is used for patients with life-threatening condition of cardiac arrest until they can be given full medical care by advanced life support providers (paramedics, nurses, physicians or any ...
is required by regulation for certification for many practicing individuals, including
emergency medical technician An emergency medical technician (often, more simply, EMT) is a medical professional that provides emergency medical services. EMTs are most commonly found serving on ambulances and in fire departments in the US and Canada, as full-time and som ...
s. Requisites and regulations for other professions, such as
paramedic A paramedic is a healthcare professional trained in the medical model, whose main role has historically been to respond to emergency calls for medical help outside of a hospital. Paramedics work as part of the emergency medical services (EMS), ...
s,
clinical officer A clinical officer (CO) is a gazetted officer who is qualified and licensed to practice medicine. In Kenya the basic training for clinical officers starts after high school and takes four or five years ending on successful completion of a one- ...
s,
dietitian A dietitian, medical dietitian, or dietician is an expert in identifying and treating disease-related malnutrition and in conducting medical nutrition therapy, for example designing an enteral tube feeding regimen or mitigating the effects of ...
s, and homeopaths, vary across countries. They may also vary over time within countries. For example, previously no academic qualifications were needed to work as a Dental nurse in the United Kingdom; however now, hospitals, community dental services and other employers require all Dental nurses to have obtained recognized qualifications and be registered with the General Dental Council.


Practicing without a license

Practicing without a license is typically illegal. In most jurisdictions, individuals found to be providing medical, nursing or other professional services without the appropriate certification or licence may face sanctions including even criminal charges leading to prison. The number of professions subject to regulation and nature of sanctions that can be imposed for failure to comply vary across jurisdictions. For instance, in the United States, under
Michigan Michigan ( ) is a peninsular U.S. state, state in the Great Lakes region, Great Lakes region of the Upper Midwest, Upper Midwestern United States. It shares water and land boundaries with Minnesota to the northwest, Wisconsin to the west, ...
state laws, an individual is guilty of a felony if he practices or holds himself out as practicing a health profession subject to regulation without a license or registration or under a suspended, revoked, lapsed, void, or fraudulently obtained license or registration, or exceeding what a limited license or registration allows, or who uses the license or registration of another person as his own. The "practice of medicine" may be defined as any diagnosis, treatment, prevention, cure, or relieving of a human disease, ailment, defect, complaint, or other physical or mental condition, by attendance, advice, device, diagnostic test, or other means, or offering, undertaking, attempting to do, or holding oneself out as able to do, any of these acts. According to the MDCH the following professions must be licensed for practice in Michigan: *Acupuncture *Athletic Trainer *Audiologist *Body Art *Chiropractic *Counseling *Dentistry *Dietetics and Nutrition *Marriage & Family Therapy *Massage Therapy *Medicine *Nurse Aide *Nursing *Nursing Home Administrator *Occupational Therapy *Optometry *Osteopathic Medicine & Surgery *Pharmacy *Physical Therapy *Physician Assistant *Podiatric Medicine & Surgery *Psychology *Respiratory Care *Sanitarian *Social Worker *Speech-Language Pathology *Veterinary Medicine In Florida, such crime is classified as a third degree felony,CHAPTER 2004-256 Committee Substitute for Senate Bill No. 1118
State of Florida, Department of State.
which may give imprisonment up to five years.
{{Webarchive, url=https://web.archive.org/web/20110612030616/http://www.sodomy.org/laws/florida/penalties.html , date=2011-06-12 United States Sodomy Laws. compilation v1.0 (January 28, 1998)
Practicing a health care profession without a license which results in serious bodily injury classifies as a second degree felony, providing up to 15 years' imprisonment. In the United Kingdom, healthcare professionals are regulated by the state; the
Council for Healthcare Regulatory Excellence The Professional Standards Authority for Health and Social Care (PSA), formerly the Council for Healthcare Regulatory Excellence (CHRE) and the Council for the Regulation of Health Care Professionals, oversees the ten statutory bodies that regula ...
oversees the work of various regulatory bodies including the
Nursing and Midwifery Council The Nursing and Midwifery Council (NMC) is the regulator for nursing and midwifery professions in the UK. The NMC maintains a register of all nurses, midwives and specialist community public health nurses and nursing associates eligible to pra ...
, the General Dental Council, and the Health Professions Council (HPC). Each Council protects the 'title' of each profession it regulates. For example, it is illegal for someone to call themself an Occupational Therapist or Radiographer if they are not on the register held by the HPC. Similarly, in South Africa, at least 12 professional titles are protected by law, subject to regulation by the Health Profession Council of South Africa.Health Professions Council of South Africa
/ref> In Uganda, a person who calls themself a "nurse" or "midwife" without having the appropriate licence from the Nurses and Midwives Council can be subject to a fine and/or up to three years of imprisonment.


See also

*
Health professional A health professional, healthcare professional (HCP), or healthcare worker (sometimes abbreviated as HCW) is a provider of health care treatment and advice based on formal training and experience. The field includes those who work as a Nursing, nur ...
s *
Health workforce Health human resources (HHR) – also known as human resources for health (HRH) or health workforce – is defined as "all people engaged in actions whose primary intent is to enhance positive health outcomes", according to World Health Organizati ...
*
Allied health professions Allied health professions (AHPs) are a category of health professionals that provide a range of diagnostic, preventive, therapeutic, and rehabilitative services in connection with health care. While there is no international standard for defining ...
*
Unlicensed assistive personnel Unlicensed assistive personnel (UAP) are paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs). UAPs also provide bedside care—inclu ...


References

Health care occupations