MINISTRY OF
HEALTH OF VIETNAM
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|
SOCIALIST
REPUBLIC OF VIETNAM
Independence – Freedom – Happiness
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No. 03/2023/TT-BYT
|
Hanoi, February
17, 2023
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CIRCULAR
JOB
POSITIONS, HIRING QUOTAS, STRUCTURE OF PUBLIC EMPLOYEES BY JOB TITLES IN PUBLIC
HEALTH SERVICE PROVIDERS
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.
Article 2. Rules and basis for
determination of job positions, hiring quotas, structure of public employees by
job titles
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.
Article 3. Job positions,
hiring quotas, structure of public employees by job titles of health facilities
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
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Emergency beds
1.1
Class I health facilities and above
1,50
1.2
Class II health facilities
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1.3
Class III health facilities
1,0
2
Intensive care, post-operative, poison
control, neonatal beds
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Class I health facilities and above
2,00
2.2
Class II health facilities
1,50
2.3
Class III health facilities
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3
Other general and specialized beds
3.1.
Class I health facilities and above
0,60
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Class II health facilities
0,55
3.3
Class III health facilities
0,50
4
Anesthesia and resuscitation departments,
operating rooms
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5
Medical examination departments/Polyclinics
5.1
Medical examination departments/Polyclinics of
Class I health facilities and above
6000
visits/year/person
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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
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7
Hemodialysis machines
0,7 person/machine
8
Paraclinical departments (serving diagnosis
and treatment)
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Class I health facilities and above
0,15
8.2
Class II health facilities
0,10
8.3
Class III health facilities
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0,08
9
Pharmacy and control of bacterial
contamination, environment, nutrition (altogether)
9.1
Class I health facilities and above
0,10
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Class II health facilities
0,08
9.3
Class III health facilities
0,08
II
Common job titles
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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
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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
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III
Supporting and serving positions (including
employment contracts)
5 - 10
Article 4. Job positions,
hiring quotas, structure of public employees by job titles of CDCs of provinces
and centrally affiliated cities
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)
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> 1 to 1,5
> 1,5 to 2
> 2 to 3
> 3 to 4
> 4
Quantity of
workers
130
150
170
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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
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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
Article 5. Job positions,
hiring quotas, structure of public employees by job titles of medical centers
of districts
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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
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- 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
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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
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Other medical job positions: physicians
specialized in preventive medicine, public health, traditional medicine,
population, medical engineering, pharmacy, ophthalmology and other
specialities.
Article 6. Job positions,
hiring quotas, structure of public employees by job titles of laboratories
testing pharmaceuticals, cosmetics, food
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
Article 7. Job positions,
hiring quotas, structure of public employees by job titles of forensic centers
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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
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> 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
Article 8. Job positions,
hiring quotas, structure of public employees by job titles of medical
assessment centers
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
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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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Article 9. Job positions,
hiring quotas, structure of public employees by job titles of forensic
psychiatry centers
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
Article 10. Job positions,
hiring quotas, structure of public employees by job titles of Emergency Centers
115
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
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1
Physicians, physician assistants
25 - 30
2
Other medical job positions
30 - 38
3
Medical job positions and relevant positions
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II
Common job titles
10 - 15
III
Supporting and serving positions (including
employment contracts)
15 - 25
Article 11. Entry into force
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
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3
Chief Controller
4
Deputy Chief Controller
5
Controllers
6
Director of Hospital/Institute with hospital beds
7
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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
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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
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Chief Medical Technician
II
Professional positions and titles
A
Medical positions and titles
1
Senior physician (Class I)
2
Primary physician (Class II)
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Physician (Class III)
4
Senior pharmacist (Class I)
5
Primary pharmacist (Class II)
6
Pharmacist (Class III)
7
Class IV pharmacist
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Class II nurse
9
Class III nurse
10
Class IV nurse
11
Class II midwife
12
Class III midwife
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Class IV midwife
14
Class II medical technician
15
Class III medical technician
16
Class IV medical technician
17
Class II nutritionist
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Class III nutritionist
19
Class IV nutritionist
20
Primary public health officer (Class II)
21
Public health officer (Class III)
22
Class III ophthalmologist
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Class III medical device operator
24
Class IV medical device operator
25
Medical secretary
26
Clinical psychologist
B
Other relevant job positions and titles
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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)
APPENDIX
II
(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
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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
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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
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6
Primary pharmacist (Class II)
7
Pharmacist (Class III)
8
Class IV pharmacist
9
Class II nurse
10
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11
Class IV nurse
12
Class II midwife
13
Class III midwife
14
Class IV midwife
15
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16
Class III medical technician
17
Class IV medical technician
18
Class II nutritionist
19
Class III nutritionist
20
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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
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IV
Supporting and serving positions
(Selected and proposed for approval
according to guidance of the Ministry of Home Affairs)
APPENDIX
III
(Promulgated
together with Circular No. 03/2023/TT-BYT dated February 17th 2023)
JOB POSITIONS AT MEDICAL CENTERS OF DISTRICTS
No.
Job positions
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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
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Heads of polyclinics/specialized clinics
6
Deputy heads of polyclinics/specialized clinics
7
Chief Nursing Officer
8
Chief Midwifery Officer
9
Chief Medical Technician
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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)
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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)
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Class IV pharmacist
8
Class II nurse
9
Class III nurse
10
Class IV nurse
11
Class II midwife
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Class III midwife
13
Class IV midwife
14
Class II medical technician
15
Class III medical technician
16
Class IV medical technician
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Class II nutritionist
18
Class III nutritionist
19
Class IV nutritionist
20
Primary public health officer (Class II)
21
22
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23
Class II population officer III
24
Class II population officer IV
24
Physician assistant (Class IV)
25
Class III ophthalmologist
B
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(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)
APPENDIX
IV
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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
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6. Class IV midwife
7. Class II population officer IV
APPENDIX
V
(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
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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
...
...
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IV. Supporting and serving positions
(Selected and proposed for approval
according to guidance of the Ministry of Home Affairs)
APPENDIX
VI
(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
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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
...
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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)
APPENDIX
VII
(Promulgated
together with Circular No. 03/2023/TT-BYT dated February 17th 2023)
...
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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
...
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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)
...
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(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)
...
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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
...
...
...
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APPENDIX
IX
(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;
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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)
...
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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)