Chương III Thông tư 32/2023/TT-BYT: Phạm vi hành nghề của người hành nghề và mẫu giấy phép hành nghề

Chapter III

SCOPE OF PRACTICE OF PRACTITIONERS AND FORM OF PRACTICING LICENSES

Article 10. Principles for determining scope of practice of practitioners

1. A practitioner's scope of practice should align with the medical qualifications (diplomas and certificates) they are granted or recognized in Vietnam and be commensurate with their demonstrated abilities in medical examination and treatment. This includes professional methods and techniques specific to their registered specialty.

2. The practitioner's scope of practice includes medical examination and treatment, prescribing subclinical methods, applying medical examination and treatment methods, providing healthcare expertise, prescribing medications, setting care and nutritional regimes, evaluating examination and treatment outcomes, offering consultations and health education to patients according to professional titles and regulations of the Minister of Health specified in Article 11 This Circular corresponding to each professional title or rank.

3. Ensuring the quality of medical examination and treatment services and patient safety.

4. Suitable for practical conditions, especially in units with specific characteristics and diverse levels of healthcare expertise, in disadvantaged and severely disadvantaged socio-economic areas.

5. There is no distinction between practitioners of different levels of healthcare expertise or their practice duration in medical examination and treatment.

Article 11. Scope of practice of practitioners

1. Medical doctors: Their scope of practice is specified in Appendix V of this Circular.

2. Traditional medicine doctors: Their scope of practice is specified in Appendix VI of this Circular.

3. Preventive medicine doctors: Their scope of practice is specified in Appendix VII of this Circular.

4. Odonto-Stomatology doctors: Their scope of practice is specified in Appendix VIII of this Circular.

5. Specialists:

a) Intensive care specialists: Their scope of practice is specified in Appendix V and Appendix IX of the Internal Medicine and Intensive Care sections of this Circular;

b) Nutrition specialists: Their scope of practice is specified in Appendix V and Appendix XV of this Circular;

c) Other specialists: Their scope of practice is specified in Appendix V and Appendix IX of this Circular.

6. Scope of practice of practitioners with the professional title of physical assistant:

a) General physician assistants: Their scope of practice is specified in Appendix No. stipulated in Joint Circular No. 10/2015/TTLT-BYT-BNV dated May 27, 2015 of the Ministry of Health and the Ministry of Home Affairs on codes and standards for professional titles of doctors, preventive medicine doctors, physician assistants);

b) Traditional medicine physician assistants: Their scope of practice is specified in Appendix No. XI of this Circular.

7. The scope of practice of practitioners with the professional title of nurse is specified in Appendix XII of this Circular.

8. The scope of practice of practitioners with the professional title of midwife is specified in Appendix XIII of this Circular.

9. The scope of practice of practitioners with the professional title of medical technician is specified in Appendix XIV of this Circular.

10. The scope of practice of practitioners with the professional title of clinical nutritionist is specified in Appendix No. XV of this Circular.

11. The scope of practice of practitioners with the professional title of clinical psychologist is specified in Appendix XVI of this Circular and provision of continuous and comprehensive care services on cognition, behavior, emotions, and psychosocial aspects for individuals, groups, and families, including assessment of mental disorders, prescribing, developing and implementing psychological interventions at healthcare facilities.

12. The scope of practice of practitioners with the professional title of (out-of-hospital) paramedic is specified in Appendix No. XVII of this Circular.

13. The scope of practice of practitioners with the professional title of herbalist who is allowed to examine and treat diseases using specialized methods and techniques of traditional medicine and the list of techniques specified in Appendix No. XVIII of this Circular.

14. The scope of practice of holder of a folk remedy:

a) Holder of a folk remedy is allowed to examine and use the folk remedy certified by a competent authority to treat a disease or illness;

b) A folk remedy used for treatment must have the proper ingredients, dosage form, uses (indications), dosage, and method of administration;

c) The holder may use many folk remedies certified by competent authorities to treat different diseases or illnesses on the same patient;

d) Holder of a folk remedy and therapy may use them at the same time for the patient;

dd) The holder may not prescribe and use chemical drugs, herbal drugs, and use professional methods and techniques of modern medicine for their medical examination and treatment.

15. The scope of practice of holder of a folk therapy :

a) Holder of a folk therapy is allowed to examine and use the folk therapy certified by a competent authority to treat a disease or illness;

b) A folk therapy used to treat diseases must comply with the proper process, diseases or illnesses approved by the competent authority;

c) The holder may use many folk therapies, combined with folk remedies to treat different diseases and conditions on the same patient;

d) The holder may not use professional methods and techniques of modern medicine to examine or treat diseases outside their scope of practicing folk therapy.

Article 12. Form of medical license

The Ministry of Health, the Department of Health of provinces and cities, the Ministry of National Defense, and the Ministry of Public Security issue medical licenses using Form specified in Appendix No. XIX of this Circular.