Medical education in Poland: a descriptive analysis of legislative changes broadening the range of institutions eligible to conduct medical degree programmes

Abstract Background The expansion of medical schools is one of the proposed solutions to shortages in health workforces. Poland has been struggling with limited human resources in healthcare for years. The aim of the study was to provide an analysis of the current situation of medical education in P...

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Main Authors: Robert Kupis, Ian Perera, Alicja Domagała, Magdalena Szopa
Format: Article
Language:English
Published: BMC 2025-03-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-07031-y
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author Robert Kupis
Ian Perera
Alicja Domagała
Magdalena Szopa
author_facet Robert Kupis
Ian Perera
Alicja Domagała
Magdalena Szopa
author_sort Robert Kupis
collection DOAJ
description Abstract Background The expansion of medical schools is one of the proposed solutions to shortages in health workforces. Poland has been struggling with limited human resources in healthcare for years. The aim of the study was to provide an analysis of the current situation of medical education in Poland and to describe the impact of the government’s ongoing measures to provide a new influx of doctors. Methods A retrospective, cross-sectional study presents a descriptive and comparative analysis of official governmental documents, showing the latest legal amendments, changes in admission limits, and geographical distribution of Higher Educational Institutions (HEIs) for the period of 2013–2023. We referenced the current number of physicians in each voivodship and used a dynamic index to analyse the changes in quotas. We performed statistical tests where needed, considering a p-value < 0.05 to be statistically significant. Results The latest legislative changes enabled occupational HEIs to offer MD programmes. The mean distance between the two nearest HEIs decreased between 2013 and 2023. Total admission limits increased by 92.3%, reaching 10,289 available spots in 2023. The dynamic index was higher for quotas in private HEIs than in public institutions. The index was comparable, regardless of the teaching language. The number of students positively correlated with the number of physicians working in each voivodship. Conclusions This study highlights the uncontrolled expansion of medical education in Poland, driven by workforce demands but lacking a long-term strategy. Legislative inconsistencies hinder regulation, while new medical schools in rural areas may improve regional healthcare if properly planned. Recent policy changes emphasize the need for a national strategy based on demographic data and healthcare needs. Strengthening accreditation and quality control is crucial for sustainable medical education reform.
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spelling doaj-art-e6702e495bf44d7b8c8ba4deedc259f52025-08-20T03:40:50ZengBMCBMC Medical Education1472-69202025-03-0125111310.1186/s12909-025-07031-yMedical education in Poland: a descriptive analysis of legislative changes broadening the range of institutions eligible to conduct medical degree programmesRobert Kupis0Ian Perera1Alicja Domagała2Magdalena Szopa3Department of Medical Education, Centre for Innovative Medical Education, Jagiellonian University Medical CollegeDepartment of Internal Medicine and Gerontology, Faculty of Medicine, Jagiellonian University Medical CollegeInstitute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical CollegeDepartment of Metabolic Diseases, Faculty of Medicine, Jagiellonian University Medical CollegeAbstract Background The expansion of medical schools is one of the proposed solutions to shortages in health workforces. Poland has been struggling with limited human resources in healthcare for years. The aim of the study was to provide an analysis of the current situation of medical education in Poland and to describe the impact of the government’s ongoing measures to provide a new influx of doctors. Methods A retrospective, cross-sectional study presents a descriptive and comparative analysis of official governmental documents, showing the latest legal amendments, changes in admission limits, and geographical distribution of Higher Educational Institutions (HEIs) for the period of 2013–2023. We referenced the current number of physicians in each voivodship and used a dynamic index to analyse the changes in quotas. We performed statistical tests where needed, considering a p-value < 0.05 to be statistically significant. Results The latest legislative changes enabled occupational HEIs to offer MD programmes. The mean distance between the two nearest HEIs decreased between 2013 and 2023. Total admission limits increased by 92.3%, reaching 10,289 available spots in 2023. The dynamic index was higher for quotas in private HEIs than in public institutions. The index was comparable, regardless of the teaching language. The number of students positively correlated with the number of physicians working in each voivodship. Conclusions This study highlights the uncontrolled expansion of medical education in Poland, driven by workforce demands but lacking a long-term strategy. Legislative inconsistencies hinder regulation, while new medical schools in rural areas may improve regional healthcare if properly planned. Recent policy changes emphasize the need for a national strategy based on demographic data and healthcare needs. Strengthening accreditation and quality control is crucial for sustainable medical education reform.https://doi.org/10.1186/s12909-025-07031-yMedical educationDoctors trainingUndergraduate educationHuman resourcesQuality education
spellingShingle Robert Kupis
Ian Perera
Alicja Domagała
Magdalena Szopa
Medical education in Poland: a descriptive analysis of legislative changes broadening the range of institutions eligible to conduct medical degree programmes
BMC Medical Education
Medical education
Doctors training
Undergraduate education
Human resources
Quality education
title Medical education in Poland: a descriptive analysis of legislative changes broadening the range of institutions eligible to conduct medical degree programmes
title_full Medical education in Poland: a descriptive analysis of legislative changes broadening the range of institutions eligible to conduct medical degree programmes
title_fullStr Medical education in Poland: a descriptive analysis of legislative changes broadening the range of institutions eligible to conduct medical degree programmes
title_full_unstemmed Medical education in Poland: a descriptive analysis of legislative changes broadening the range of institutions eligible to conduct medical degree programmes
title_short Medical education in Poland: a descriptive analysis of legislative changes broadening the range of institutions eligible to conduct medical degree programmes
title_sort medical education in poland a descriptive analysis of legislative changes broadening the range of institutions eligible to conduct medical degree programmes
topic Medical education
Doctors training
Undergraduate education
Human resources
Quality education
url https://doi.org/10.1186/s12909-025-07031-y
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