Jasna Bogdanska1,*, Danica Labudovic1

1Department of Medical and Experimental Biochemistry, Ss. Cyril and Methodius University in Skopje, Schoool of Medicine, Skopje, The Former Yugoslav Republic Of Macedonia

Introduction: Clinical Chemistry (Medical Biochemistry) practice in Macedonia is regulated by the Ministry of Health according to the Law on Health and Health Protection of the Republic of Macedonia.

Objectives: The four year Specialization Syllabus was made out by the Department of Biochemistry, Medical Faculty Skopje in 2008, according to the EU4 Directive and is still in force. Eligible to enter the specialization program are medical doctors and pharmacists. Completing the specialization program and the final exam are requirements for issuing the license for independent clinical chemistry practice by the Macedonian Doctor’s Chamber.

Methods: Improving the performance of laboratories is a continuous process through a continuous program of education and training, organized by the Association of Medical Doctors, Specialists in Medical Biochemistry (which is a part of the Association of Medical Doctors of Macedonia), and the Center of Continuous Medical Education at the Medical Faculty, University Ss Cyril and Methodius, Skopje.

Results: The recent drive towards accreditation of laboratories in Macedonia will lead to the improvement of laboratory practice. Up until now, there is only one certified public (governmental) laboratory, and two certified private laboratories in Macedonia. The latest amendment to the Law (still not in force) will lead to obligatory accreditation of all the laboratories in the Republic. The external quality assessment will be organized by the Ministry of Health.

Conclusion: There are still open questions in regard to clinical chemistry practice in Macedonia, e.g. there are only 100 MDs specialists in medical biochemistry and 3 times more biologists who are working in clinical chemistry laboratories; getting the Commission for Expert Supervision of the Laboratories at the Ministry of Health in force, achieving the full membership of our Association into the International Federations, as well as harmonization of clinical chemistry practice with  the European legislation.

Keywords: Laboratory organization