Circular No. 03/2023/TT-BYT dated February 17, 2023 on job positions, hiring quotas, structure of public employees by job titles in public health service providers
Circular No. 03/2023/TT-BYT dated February 17, 2023 on job positions, hiring quotas, structure of public employees by job titles in public health service providers
| Sign: | 03/2023/TT-BYT | Document type: | Circular |
| Promulgation place: | The Ministry of Health | Signer: | Dao Hong Lan |
| Promulgation day: | 17/02/2023 | Effect day: | Known |
| Announcement day: | Updating | Announcement number: | Updating |
| Status: | Known |
| Sign: | 03/2023/TT-BYT |
| Document type: | Circular |
| Promulgation place: | The Ministry of Health |
| Signer: | Dao Hong Lan |
| Promulgation day: | 17/02/2023 |
| Effect day: | Known |
| Announcement day: | Updating |
| Announcement number: | Updating |
| Status: | Known |
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|
MINISTRY OF
HEALTH OF VIETNAM |
SOCIALIST
REPUBLIC OF VIETNAM |
|
No. 03/2023/TT-BYT |
Hanoi, February 17, 2023 |
Pursuant to the Government’s Decree No. 95/2022/ND-CP dated November 15th 2022 on functions, tasks, powers and organizational structure of the Ministry of Health;
Pursuant to the Government’s Decree No. 106/2020/ND-CP dated September 10th 2020 on job positions and quantities of workers in public service providers;
At request of the Director of Organization and Personnel Department, the Ministry of Health;
The Minister of Health promulgates a Circular on job positions, hiring quotas, structure of public employees by job titles in public health service providers.
Article 1. Scope and regulated entities
1. Scope
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2. Regulated entities
a) Medical examination and treatment facilities (hereinafter referred to as "health facilities")
b) Centers for Disease Control (CDC) of provinces and centrally affiliated cities;
c) Medical centers of districts, districts, district-level towns, district-level cities (hereinafter referred to as "districts");
d) Emergency Centers 115;
dd) Laboratories testing pharmaceuticals, cosmetics, food;
e) Forensics centers, forensic psychiatry centers, medical assessment centers;
g) Relevant organizations and individuals.
3. This Circular does not apply to:
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b) Assessment and payment of medical examination and treatment costs covered by health insurance.
4. Health facilities affiliated to other Ministries and central authorities, and non-public health facilities may also apply the instructions in this Circular according to their realities.
1. Job positions, hiring quotas, structure of public employees by job titles shall be determined according to the rules specified in Article 3 and Article 4 of the Government’s Decree No. 106/2020/ND-CP dated September 10th 2020 on job positions and quantities of workers in public service providers.
2. The minimum quantity of workers in a health facility shall be determined according to the quantity of hospital beds, which is approved and adjusted according to the average hospital bed occupancy of the last 03 years; The minimum quantity of workers of a preventive healthcare facility or medical assessment center shall be determined according to population and adjusted according to the characteristics, professional requirements and workload of each facility, and geographical, economic and social characteristics of each area; The minimum quantity of workers of a testing laboratory shall be determined and adjusted according to the average number of specimens tested in the year; The minimum quantity of workers of an Emergency Centers 115 shall be determined according to its ambulance norm.
3. The hiring quotas prescribed in this Circular are the minimum quantity of workers each public health service provider needs to ensure medical service quality and interests of their public employers and workers in terms of working hours and rest periods as prescribed by law. Depending on their workload and financial capacity, public health service providers may hire more workers to improve their service quality and ensure efficiency.
4. The hiring quotas prescribed by this Circular are the basis for health facilities to develop their annual personnel plans.
1. Job positions in health facilities are specified in Appendix I hereof.
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Table 1: Hiring quotas of health facilities by group of job titles and type of hospital beds
No.
Category
Ratio of workers to hospital beds of each ward
Ratio of workers to hospital beds of the entire hospital
I
Medical job positions and relevant positions
...
...
...
Emergency beds
1.1
Class I health facilities and above
1,50
1.2
Class II health facilities
...
...
...
1.3
Class III health facilities
1,0
2
Intensive care, post-operative, poison control, neonatal beds
...
...
...
Class I health facilities and above
2,00
2.2
Class II health facilities
1,50
2.3
Class III health facilities
...
...
...
3
Other general and specialized beds
3.1.
Class I health facilities and above
0,60
...
...
...
Class II health facilities
0,55
3.3
Class III health facilities
0,50
4
Anesthesia and resuscitation departments, operating rooms
...
...
...
5
Medical examination departments/Polyclinics
5.1
Medical examination departments/Polyclinics of Class I health facilities and above
6000 visits/year/person
...
...
...
Medical examination departments/Polyclinics of Class II health facilities
5000 visits/year/ person
5.3
Medical examination departments/Polyclinics of Class III health facilities and below, and polyclinics of other health facilities.
4000 visits/year/person
6
Dental chairs
...
...
...
7
Hemodialysis machines
0,7 person/machine
8
Paraclinical departments (serving diagnosis and treatment)
...
...
...
Class I health facilities and above
0,15
8.2
Class II health facilities
0,10
8.3
Class III health facilities
...
...
...
0,08
9
Pharmacy and control of bacterial contamination, environment, nutrition (altogether)
9.1
Class I health facilities and above
0,10
...
...
...
Class II health facilities
0,08
9.3
Class III health facilities
0,08
II
Common job titles
...
...
...
0,15
III
Supporting and serving positions (including employment contracts)
0,10
* Coefficient
Quantity of workers (increased or decreased) = Hiring quota x Average hospital bed occupancy (%) of the last 03 years (increased or decreased) compared to the allocated beds;
3. Structure of public employees by job titles in health facilities
Table 2. Structure of public employees by job titles in health facilities
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Group of job positions
Percentage (%)
I
Medical job positions and relevant positions
1
Physicians
20 - 22
2
...
...
...
50 - 52
3
Pharmacists, medical device managers
5 - 7
4
Relevant professional positions (social work, engineering, psychology and other professions)
1 - 3
II
Common job titles
...
...
...
III
Supporting and serving positions (including employment contracts)
5 - 10
1. Job positions, hiring quotas, structure of public employees by job titles of CDCs of provinces and centrally affiliated cities (hereinafter referred to as "provincial CDCs") shall comply with Appendix II hereof.
2. Hiring quotas of provincial CDCs
Table 3. Hiring quotas of provincial CDCs
Indicator
Population (million people)
...
...
...
> 1 to 1,5
> 1,5 to 2
> 2 to 3
> 3 to 4
> 4
Quantity of workers
130
150
170
...
...
...
260
400
* Coefficient:
- Provincial CDCs having international quarantine operation: 15 more workers than hiring quota or each provincial CDC. If the province has 02 or more border checkpoints, each border checkpoint shall have 05 more workers, each opening shall have 03 more workers.
- If the province has industrial zones, economic zones: the provincial CDC shall have at least 06 more workers.
- For mountainous provinces: The hiring quotas of the provincial workplace union shall be multiplied by (x) 1,3.
3. Structure of public employees by job titles of provincial CDCs
No.
Group of job positions
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...
...
I
Medical job positions and relevant positions
1
Physicians, preventive medicine physicians
20 - 25
2
Other medical job positions
35 - 40
...
...
...
Other relevant professional positions (engineers, publicists, reporters, social workers, environmental monitoring and other professions)
5 - 15
II
Common job titles
5 - 15
III
Supporting and serving positions (including employment contracts)
5 - 10
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...
a) Job positions in medical centers of districts are specified in Appendix III hereof.
b) Hiring quotas of medical centers of districts
- If the medical center has inpatient beds, the quantity of workers shall include:
+ Quantity of workers in departments specialized in medical examination and treatment, paraclinical department, pharmacy, nutrition department, bacterial contamination control department, to which Table 1 shall apply.
+ Quantity of workers in departments specialized in preventive medicine, food safety and population, to which Table 5 below shall apply:
Table 5. Quantity of workers in departments specialized in preventive medicine, food safety and population of a medical center of a district:
Indicator
Population (million people)
Population
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...
>100.000 -150.000
>150.000 - 250.000
>250.000 - 350.000
>350.000
Quantity of workers
21
25
30
35
...
...
...
- If the medical center does not have inpatient beds, the quantity of workers shall include:
+ Quantity of workers in departments specialized in preventive medicine, food safety and population, to which Table 5 shall apply;
+ Quantity of workers of the polyclinic (at the Center or in the district) by visits: 01 worker for 4.000 - 6.000 visits/year.
+ Quantity of workers of functional departments and supporting departments, which is 50% of the total number of workers of specialized departments.
c) Structure of public employees by job titles of medical centers of districts
Table 6. Structure of public employees by job titles of medical centers of districts
No.
Group of job positions
Percentage (%)
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...
Medical job positions and relevant positions
1
Physicians, preventive medicine physicians
20 - 30
2
Other medical job positions
40 - 42
3
...
...
...
3 - 5
II
Common job titles
10 - 15
III
Supporting and serving positions (including employment contracts)
5 - 10
* Coefficient:
- For medical centers in mountainous districts: The hiring quota shall be multiplied by (x) 1,3.
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2. Job positions, hiring quotas, structure of public employees by job titles of medical stations of communes, wards and commune-level towns (hereinafter referred to as "communes")
a) Job positions in medical stations of communes are specified in Appendix IV hereof.
b) Hiring quota of the medical station of a commune is 05 workers/station
* Coefficient:
- By population
+ For medical stations in Region I and Region II with over 6.000 people, if the population increases by 2.000 – 3.000 people, 01 more worker shall be added;
+ For medical stations in Region II with over 5.000 people, if the population increases by 1.000, 01 more worker shall be added.
- By geographical area:
+ Hiring quotas of medical stations in Region II shall be multiplied by (x) 1,2.
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c) Structure of public employees by job titles of medical stations of communes
No.
Group of job positions
1
Physicians/Physician assistants
2
Midwives
3
Nurses
...
...
...
Other medical job positions: physicians specialized in preventive medicine, public health, traditional medicine, population, medical engineering, pharmacy, ophthalmology and other specialities.
1. Job positions in laboratories testing pharmaceuticals, cosmetics, food shall comply with Appendix V hereof.
2. Hiring quotas of laboratories testing pharmaceuticals, cosmetics, food: Each laboratory shall have at least 25 workers for every 750 specimens tested per year.
* Coefficient: If the number of specimens tested per year increases/decreases by 30, the hiring quota shall increase/decrease by 01.
3. Structure of public employees by job titles at laboratories testing pharmaceuticals, cosmetics, food
Table 8. Structure of public employees by job titles at laboratories testing pharmaceuticals, cosmetics, food
No.
Group of job positions
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I
Medical job positions and relevant positions
1
Pharmacists
40 - 60
2
Other medical job positions
5 - 10
...
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...
Relevant professional positions (engineers, researchers, testers and other professions)
15 - 25
III
Common job titles
15 - 25
IV
Supporting and serving positions (including employment contracts)
5 - 10
...
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...
2. Hiring quotas of forensic centers
Table 9. Hiring quotas of forensic centers
Indicator
Population (million people)
≤ 1
> 1 to 1,5
> 1,5 to 2
> 2 to 3
> 3 to 4
...
...
...
> 5 to 6
Quantity of workers
15
18
22
28
32
36
40
...
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...
3. Structure of public employees by job titles at forensic centers
Table 10. Structure of public employees by job titles at forensic centers
No.
Group of job positions
Percentage (%)
I
Medical job positions and relevant positions
1
...
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30 - 35
2
Pharmacists
5 - 10
3
Medical technicians, nurses
20 - 30
4
Medical job positions and relevant positions
...
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...
II
Common job titles
20 - 25
III
Supporting and serving positions (including employment contracts)
5 - 10
1. Job positions in medical assessment centers are specified in Appendix VII hereof.
2. Hiring quotas of medical assessment centers
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Indicator
Population (million people)
< 1
> 1 to 1,5
> 1,5 to 2
> 2 to 3
> 3 to 4
> 4 to 5
> 5 to 6
...
...
...
12
15
18
24
30
36
42
3. Structure of public employees by job titles of medical assessment centers
Table 12. Structure of public employees by job titles at medical assessment centers
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Group of job positions
Percentage (%)
I
Medical job positions and relevant positions
1
Physicians
30 - 35
3
...
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...
25 - 30
4
Medical job positions and relevant positions
10 - 15
II
Common job titles
20 - 25
III
Supporting and serving positions (including employment contracts)
...
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...
1. Job positions in forensic psychiatry centers are specified in Appendix VIII hereof.
a) Each forensic psychiatry center shall have at least 35 workers;
b) For facilities with hospital beds, Table 1 shall apply to quantity of workers in departments specialized in medical examination and treatment, paraclinical department, pharmacy, nutrition department, bacterial contamination control department
3. Structure of public employees by job titles
Table 13. Structure of public employees by job titles at forensic psychiatry centers
No.
Group of job positions
Percentage (%)
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...
Medical job positions and relevant positions
1
Physicians
15 - 20
2
Other medical job positions
40 - 45
3
...
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...
5 - 10
II
Common job titles
15 - 20
III
Supporting and serving positions (including employment contracts)
15 - 20
1. Job positions at Emergency Centers 115 are specified in Appendix IX hereof.
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a) At least 15 people/Emergency Center;
b) If the Emergency Center has 2 or more ambulances: 6 more people per ambulance;
c) If the Emergency Center has an external emergency station, each emergency station may have 03 more people in addition to the ambulance personnel.
3. Structure of public employees by job titles at Emergency Centers 115
Table 14. Structure of public employees by job titles at Emergency Centers 115
No.
Group of job positions
Percentage (%)
I
...
...
...
1
Physicians, physician assistants
25 - 30
2
Other medical job positions
30 - 38
3
Medical job positions and relevant positions
...
...
...
II
Common job titles
10 - 15
III
Supporting and serving positions (including employment contracts)
15 - 25
1. This Circular comes into force from April 5th 2023.
2. Transition clauses
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b) Public health service providers that do not have enough workers shall have plans for recruitment and arrangement of public employees to reach the hiring quotas prescribed by this Circular before December 31st 2025.
Article 12. Implementation responsibilities
1. Organization and Personnel Department – the Ministry of Health shall take charge of shall supervise and inspect the implementation of this Circular.
2. Agencies and organizations affiliated to the Ministry of Health and assigned to carry out state management of healthcare, specialized agencies affiliated to the People’s Committees of provinces and assigned to carry out state management of healthcare, public health service provider, relevant organizations and individuals are responsible for the implementation of this Circular.
3. Difficulties that arise during the implementation of this Circular should be reported to the Ministry of Health for consideration and guidance./.
MINISTER
Dao Hong Lan
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(Promulgated together with Circular No. 03/2023/TT-BYT dated February 17th 2023)
JOB POSITIONS
AT MEDICAL EXAMINATION AND TREATMENT FACILITIES
No.
Job positions
I
Managerial positions
1
Chairperson of the Management Board
2
...
...
...
3
Chief Controller
4
Deputy Chief Controller
5
Controllers
6
Director of Hospital/Institute with hospital beds
7
...
...
...
8
Director of Center affiliated to Hospital/Institute with hospital beds
9
Deputy Director of Center affiliated to Hospital/Institute with hospital beds
10
Heads of departments of hospital/institute with hospital beds
11
Deputy heads of departments of hospital/institute with hospital beds
12
...
...
...
13
Deputy managers and similar positions of hospital/institute with hospital beds
14
Heads of departments and similar positions of Institutes, Centers affiliated to hospital
15
16
Chief Midwifery Officer
17
Chief Nursing Officer
...
...
...
Chief Medical Technician
II
Professional positions and titles
A
Medical positions and titles
1
Senior physician (Class I)
2
Primary physician (Class II)
...
...
...
Physician (Class III)
4
Senior pharmacist (Class I)
5
Primary pharmacist (Class II)
6
Pharmacist (Class III)
7
Class IV pharmacist
...
...
...
Class II nurse
9
Class III nurse
10
Class IV nurse
11
Class II midwife
12
Class III midwife
...
...
...
Class IV midwife
14
Class II medical technician
15
Class III medical technician
16
Class IV medical technician
17
Class II nutritionist
...
...
...
Class III nutritionist
19
Class IV nutritionist
20
Primary public health officer (Class II)
21
Public health officer (Class III)
22
Class III ophthalmologist
...
...
...
Class III medical device operator
24
Class IV medical device operator
25
Medical secretary
26
Clinical psychologist
B
Other relevant job positions and titles
...
...
...
III
Common job positions and titles
(Following guidance of promulgating authorities)
IV
Supporting and serving positions
(Selected and proposed for approval according to guidance of the Ministry of Home Affairs)
(Promulgated together with Circular No. 03/2023/TT-BYT dated February 17th 2023)
...
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No.
Job positions
I
Managerial positions
1
Director of the CDC
2
Deputy Director of the CDC
3
...
...
...
4
Deputy heads of departments of the CDC
5
Heads of polyclinics/specialized clinics
6
Deputy heads of polyclinics/specialized clinics
II
Professional positions and titles
A
...
...
...
1
Senior preventive medicine physician (Class I)
2
Primary preventive medicine physician (Class II)
3
Preventive medicine physician (Class III)
4
Primary physician (Class II)
5
...
...
...
6
Primary pharmacist (Class II)
7
Pharmacist (Class III)
8
Class IV pharmacist
9
Class II nurse
10
...
...
...
11
Class IV nurse
12
Class II midwife
13
Class III midwife
14
Class IV midwife
15
...
...
...
16
Class III medical technician
17
Class IV medical technician
18
Class II nutritionist
19
Class III nutritionist
20
...
...
...
21
Primary public health officer (Class II)
22
Public health officer (Class III)
B
Other relevant job positions and titles
(Selected and proposed for approval according to guidance of supervisory Ministries and authorities)
III
Common job positions and titles
...
...
...
IV
Supporting and serving positions
(Selected and proposed for approval according to guidance of the Ministry of Home Affairs)
(Promulgated together with Circular No. 03/2023/TT-BYT dated February 17th 2023)
JOB POSITIONS AT MEDICAL CENTERS OF DISTRICTS
No.
Job positions
...
...
...
Managerial positions
1
Director of the Medical Center
2
Deputy Director of the Medical Center
3
Heads of departments of the Medical Center
4
Deputy heads of departments of the Medical Center
...
...
...
Heads of polyclinics/specialized clinics
6
Deputy heads of polyclinics/specialized clinics
7
Chief Nursing Officer
8
Chief Midwifery Officer
9
Chief Medical Technician
...
...
...
Heads of local polyclinics (if any)
11
Deputy heads of local polyclinics (if any)
II
Professional positions and titles
A
Medical positions and titles
1
Primary physician (Class II)
...
...
...
Physician (Class III)
3
Primary preventive medicine physician (Class II)
4
Preventive medicine physician (Class III)
5
Primary pharmacist (Class II)
6
Pharmacist (Class III)
...
...
...
Class IV pharmacist
8
Class II nurse
9
Class III nurse
10
Class IV nurse
11
Class II midwife
...
...
...
Class III midwife
13
Class IV midwife
14
Class II medical technician
15
Class III medical technician
16
Class IV medical technician
...
...
...
Class II nutritionist
18
Class III nutritionist
19
Class IV nutritionist
20
Primary public health officer (Class II)
21
22
...
...
...
23
Class II population officer III
24
Class II population officer IV
24
Physician assistant (Class IV)
25
Class III ophthalmologist
B
...
...
...
(Selected and proposed for approval according to guidance of supervisory Ministries and authorities)
III
Common job positions and titles
(Following guidance of promulgating authorities)
IV
Supporting and serving positions
(Selected and proposed for approval according to guidance of the Ministry of Home Affairs)
...
...
...
JOB POSITIONS AT MEDICAL STATIONS OF COMMUNES
I. Managerial positions
1. Head of the medical station
2. Deputy head of the medical station
II. Medical positions and titles
1. Physician/Preventive medicine physician (Class III)
2. Public health officer (Class III)
3. Physician assistant (Class IV)
4. Class IV pharmacist
...
...
...
6. Class IV midwife
7. Class II population officer IV
(Promulgated together with Circular No. 03/2023/TT-BYT dated February 17th 2023)
JOB POSITIONS AT LABORATORIES TESTING PHARMACEUTICALS, COSMETICS, FOOD
I. Managerial positions
1. Director of the Laboratory
2. Deputy Director of the Laboratory
...
...
...
4. Deputy heads of departments of the Laboratory;
II. Professional positions and titles
A. Medical positions and titles
1. Primary pharmacist (Class II)
2. Pharmacist (Class III)
3. Class IV pharmacist
B. Other relevant job positions and titles
(Selected and proposed for approval according to guidance of supervisory Ministries and authorities)
III. Common job positions and titles
...
...
...
IV. Supporting and serving positions
(Selected and proposed for approval according to guidance of the Ministry of Home Affairs)
(Promulgated together with Circular No. 03/2023/TT-BYT dated February 17th 2023)
JOB POSITIONS AT FORENSIC CENTERS
I. Managerial positions
1. Director of the Center
2. Deputy Director of the Center
...
...
...
4. Deputy heads of departments of the Institute/Center;
II. Medical positions and relevant job titles
1. Primary physician (Class II)
2. Physician (Class III)
3. Primary pharmacist (Class II)
4. Pharmacist (Class III)
5. Class IV pharmacist
6. Class III medical technician
7. Class IV medical technician
...
...
...
9. Engineer (Class III)
10. Class IV nurse
III. Common job positions and titles
(Selected and proposed for approval according to guidance of supervisory Ministries and authorities)
IV. Supporting and serving positions
(Selected and proposed for approval according to guidance of the Ministry of Home Affairs)
(Promulgated together with Circular No. 03/2023/TT-BYT dated February 17th 2023)
...
...
...
I. Managerial positions
1. Director of the Center
2. Deputy Director of the Center
3. Heads of departments of the Institute/Center;
4. Deputy heads of departments of the Institute/Center;
II. Medical positions and relevant job titles
1. Primary physician (Class II)
2. Physician (Class III)
3. Class III medical technician
...
...
...
5. Primary engineer (Class II)
6. Engineer (Class III)
7. Nurse (Class III)
8. Nurse (Class IV)
III. Common job positions and titles
(Selected and proposed for approval according to guidance of supervisory Ministries and authorities)
IV. Supporting and serving positions
(Selected and proposed for approval according to guidance of the Ministry of Home Affairs)
...
...
...
(Promulgated together with Circular No. 03/2023/TT-BYT dated February 17th 2023)
JOB POSITIONS AT FORENSIC PSYCHIATRY CENTERS
I. Managerial positions
1. Director of the Center
3. Heads of departments of the Institute/Center;
4. Deputy heads of departments of the Institute/Center
II. Medical positions and titles
1. Primary physician (Class II)
2. Physician (Class III)
...
...
...
4. Pharmacist (Class III)
5. Class IV pharmacist
6. Nurse (Class III)
7. Nurse (Class IV)
8. Medical technician (Class III)
9. Medical technician (Class IV)
III. Common job positions and titles
(Selected and proposed for approval according to guidance of supervisory Ministries and authorities)
IV. Supporting and serving positions
...
...
...
(Promulgated together with Circular No. 03/2023/TT-BYT dated February 17th 2023)
JOB POSITIONS AT EMERGENCY CENTER 115
I. Managerial positions
1 - Director of the Emergency Center
2 – Deputy Director of the Emergency Center;
3 - Heads of departments and similar positions of the Emergency Center;
4 – Deputy heads of departments and similar positions of the Emergency Center;
...
...
...
II. Professional positions and titles
A. Medical positions and titles
1. Primary physician (Class II)
2. Physician (Class III)
3. Pharmacist (Class III)
4. Class IV pharmacist
5. Nurse (Class III)
6. Nurse (Class IV)
7. Midwife (Class III/IV)
...
...
...
9. Physician assistant (Class IV)
B. Other relevant job positions and titles
(Selected and proposed for approval according to guidance of supervisory Ministries and authorities)
III. Common job positions and titles
(Selected and proposed for approval according to guidance of supervisory Ministries and authorities)
IV. Supporting and serving positions
(Selected and proposed for approval according to guidance of the Ministry of Home Affairs)
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