Czech and Slovak Federative Republic
JOSEF VYŠOHLÍD VÁCLAV JANOUŠEK
The "gentle" revolution in November 1989 was a moving force for the creation of the Czech and Slovak Federative Republic (CSFR) in 19901 (previously known as Czechoslovakia). Within this general context, a gradual transformation of the former monopolistic state system of national economy toward the democratic and liberal market economy is occurring. Health care and the education of health personnel are also affected. Transformation of the existing system of medical education had already begun by 1990.
In 1991, the highest national authorities of the Czech and Slovak Federative Republic approved the basic and, thus far, general, policy documents, describing the main targets, processes, and structures of necessary changes in both the health and education systems. Transformation from a monopolized state to a democratic, pluralistic, and liberal system will not be easy. The steadily deteriorating situation in the health status of the population and existing shortcomings of the health system must be taken into account. The area once known as Czechoslovakia is in the heart of Europe, and the tendency is to be an active and recognized partner in the "European house." This is why endeavors in transforming the health system and the system of education and training of health personnel in general and medical education in particular, are oriented toward the general European trends in these fields. Both the health care system and the medical education system, which develops human resources for health, are organized with a recognition that the former Czechoslovakia contains two separate republics. Each had an____________________