Proposal

STATUTE of the Doctor's Chamber of Macedonia, adopted by the Assembly of the Doctor's Chamber of Macedonia (REVISED TEXT)

I. GENERAL PROVISIONS

Article 1 The Doctor's Chamber of Macedonia (hereinafter: the Chamber) is an independent and professional organization of all doctors of medicine who perform medical profession as a profession on the territory of the Republic of Macedonia. The Chamber is established with the aim of protecting and promoting the expertise and ethical duties and rights of doctors in medicine, improving the quality of health care, monitoring the attitude of health workers towards society and citizens, protecting the rights and professional interests of doctors of medicine that are its members and take care of the dignity, reputation, integrity and promotion of the overall Medical profession and its proper and honest performance.

Article 1- a This Statute regulates: 1. the name and the seat of the Chamber; 2. goals and tasks of the Chamber; 3. the bodies of the Chamber, the procedure for their election, namely, the appointing and reasons and the manner of their dismissal, i.e. revocation, their composition, their competences and the manner of their decision-making; 4. persons representing the Chamber in legal transactions; 5. the rights, obligations and responsibilities of the members of the Chamber and their representatives in the bodies of the Chamber; 6. the manner of providing the funds necessary for the performance of the tasks of the Chamber; 7. the manner and procedure for determining the membership fee and the criteria for its determination; 8. the tasks of the Chamber financed by the membership fee; 9. the procedure for adopting and amending the Statute of the Chamber; 10. other general acts and the procedure for their adoption; 11. manner and obligations of the member in accessing and leaving the Chamber; and 12. other things important for the medical activity and profession.

Article 1-b The Chamber is registered in the Central Register of the Republic of Macedonia, in accordance with the provisions of the Law on Health Care. The Chamber is a legal entity with rights, obligations and responsibilities in accordance with the Law on Health Care, other laws and this Statute. The Chamber carries out public authorizations in accordance with the Law on Health Care. The Chamber operates throughout the Republic of Macedonia and represents the interests of all doctors of medicine who are members of the Doctor's Chamber of Macedonia. The work of the Chamber and its organs is public.”

1) Name and seat

Article 2 The name of the Chamber is: DOCTOR'S CHAMBER OF MACEDONIA. The abbreviated name of the Chamber is: LKM. The name of the Chamber in English is: Doctor's Chamber of Macedonia The seat of the Chamber is in Skopje, at st. Partizanski odredi number 3, Centar, Skopje. On the object where the Chamber is located there is an inscription with the name and the sign of the Chamber.

Article 2-a The Chamber is a legal entity with rights, obligations and responsibilities determined by law and this Statute. In the legal transactions with third parties, the Chamber shall act independently on its own behalf and on its own account with its own funds. The Chamber has the right to acquire and dispose of its property and property rights independently. The Chamber obtains the means of work in a manner determined by the Law on Health Care and this Statute.

Article 2-b The President of the Chamber represents the Chamber in legal transactions. In addition to the President of the Chamber, within the scope of his / her powers, the Chamber is represented by the Vice-President of the Chamber in legal transactions.

Article 3 The chamber has a stamp and a seal. The Chamber stamp has a round shape, 4 cm in diameter, with a semicircular inside inscription: "DOCTOR'S CHAMBER OF MACEDONIA Skopje ". In the middle of the stamp is the sign of the Chamber The seal of the Chamber has a rectangular shape in which the name and the seat of the Chamber are written horizontally, then there is a line with an empty space for entering the number and date of the business protocol. The boards of the Chamber also have stamps. The board stamp has a round shape, 4 cm in diameter, with a semicircular inside inscription: “DOCTOR'S CHAMBER MACEDONIA - Skopje" and name of the board. In the middle of the stamp is the sign of the Chamber.

Article 3-a The Chamber has a sign (emblem), the form, appearance and design of which is determined by the Assembly by special decision.

Article 4 Membership in the Chamber is an obligation and honor for all doctors in the Republic of Macedonia.

Article 5 Article 5 shall be deleted.

Article 6 Article 6 shall be deleted.

11. GOALS AND TASKS OF THE CHAMBER

Article 7 The goals of the Chamber are: 1. protection and promotion of professionalism and ethical duties and rights, 2. improving the quality of health care, 3. protection of the interests of the medical profession, 4. monitoring the relationship of doctors of medicine to society and citizens, 5. protection of the rights and professional interests of doctors of medicine, 6. care and promotion of the dignity, reputation, integrity of doctors of medicine, 7. ensuring organized appearance of doctors of medicine in front of state authorities and, the Health Insurance Fund of the Republic of Macedonia, health care institutions, manufacturers and suppliers of medical equipment, 8. promotion of the overall medical profession for its proper and honest performance; 9. provides proposals and suggestions for organizing health care at all levels and before the institutions of the system, which are in the interest of the citizens and the doctors of medicine on the territory of the Republic of Macedonia."

Article 7-a The Chamber performs the following tasks: 1. Ensures compliance with ethical and legal norms in the practice of Medical Practice and to this end monitors and supervises the implementation of the rules of medical ethics and deontology and takes measures in case of their breach; 2. takes care of adherence to moral principles, honesty and the necessary dedication to the Medical profession, to respecting the discipline in the performance of the Medical profession and to keeping a medical secret, 3. Maintains and promotes reputation, dignity and the social status of doctors of medicine, 4. takes care to defend the honor and independence of the Medical profession, 5. issues, extends, revokes and renews licenses to doctors of medicine, 6. keep a register of issued, prolonged, extended and renewed license to works; 7. determines the manner of issuance, extension, renewal and revocation of the license to work and the form and content of the form of the license to work of health professionals with higher education - doctors of medicine, 8. determine the amount of the costs for issuing, extending and renewing the license to work; 9. Supervises the professional work of the health care institutions and other health care providers and health care workers and associates; 10. keep electronic and written records and special files of all members of the doctors of medicine and enable electronic inspection and electronic data updating; 11. cooperates with the Institute of Public Health regarding the entry of data in the Register of Health Professionals; 12. Gives an opinion to the Ministry of Health on the plan and program of probationary work of highly educated health professionals - doctors of medicine, on the form and manner of keeping the trial booklet, 13. Adopts a Code of Medical Ethics and Deontology, 14. Adopts general acts for which it is authorized by the Law on Health Care and other laws, 15. Specifies the probationary educators with appropriate higher education and work experience in the relevant area of specialization under whose supervision the probationary work of the health care providers - doctors of medicine, is conducted; 16. establishes the eligibility criteria to be met by educators and health care providers for the implementation of probationary education and work experience for healthcare professionals with higher education - doctors of medicine, 17. establish Committees for taking the professional exam, 18. determine the composition of the exam Committee, the manner of taking the exam, the manner of checking the acquired knowledge and skills and the forms of the certificate of passed professional examination of health professionals with higher education - doctors of medicine; 19. decides on the recognition of probation and professional examination of doctors of medicine, conducted and passed abroad, 20. Determines the program for further training and verification of the professional knowledge and skills of health professionals with higher education - doctors of medicine, the composition of the Committee of inquiry and the manner of conducting the examination of expert knowledge 21. Selects and accredits health institutions for implementation of additional training of health professionals with higher education - doctors of medicine; 22. conducts the examination of the expert knowledge and abilities of higher education health professionals - doctors of medicine after additional training; 23. issues a license and membership card to the Chamber for its members, with unique individual registration number of doctor of medicine, 24. Take measures to coordinate continuing professional development and take care of the continuous professional development and enhancement of the expertise of its members for the purpose of their continuous professional development and the improvement of the quality of the health services they offer; 25. establishes the conditions and criteria for the accreditation of the organizers of continued professional development, the conditions for accreditation of the plans and programs and the distribution of the forms of KSU, as well as the deadlines for submitting the accreditation requirements of the KSU organizers and the requirements for accrediting the plans and programs for the KSU, 26. Proposes a strategy for the development of medicine in the Republic of Macedonia, develops a nomenclature, diagnostic and therapeutic protocols for diseases, participates in the preparation of planning documents, laws, acts and regulations in the field of health in the Republic of Macedonia as well as in setting and adopting health service standards and norms and cooperating with competent authorities and institutions in determining expert attitudes in the conduct of the Doctoral activity, 27. launches and gives initiatives for the adoption and construction of opinions and makes proposals regarding laws, regulations and other measures in the field of health care; 28. participate in the preparation of the general acts of the Ministry of Health of the Republic of Macedonia and the Health Insurance Fund of the Republic of Macedonia concerning health care, in accordance with the Law; 29. participate in determining the value of the work of doctors of medicine in the process of negotiating with the Health Insurance Fund and participate in determining the prices of health services from compulsory health insurance and give their opinion; 30. Adopts a Referent protection (minimum) price lists of services and diagnostic procedures in health institutions in the Republic of Macedonia for services not covered by compulsory health insurance; 31. cooperates with the competent authorities and institutions in determining the professional attitudes in the performance of the doctoral activity. 32. Encourages co-operation between members and reviews and reconciles any possible disputes between them, 33. Initiates and undertakes actions in the event of unauthorized and unlawful conduct of a Doctoral activity, 34. cooperates with other chambers, institutions, relevant medical societies and associations and other associations for matters of common interest, on and within the territory of the Republic of Macedonia; 35. take measures to protect its members from monopoly prices on the market for medical equipment, instruments and medical supplies, 36. Provides and organizes legal assistance and protection for its members in connection with the performance of the Medical profession, 37. Provides opinion and proposal to the Ministry of Education and medical faculties on the number of enrolled medical students and for the enrolment policy, 38. Proposes and gives opinions on the number and types of specializations of doctors of medicine, 39. Provides proposals and opinions to the Ministry of Health on the network of health institutions where a doctoral activity is carried out, 40. Publishes a periodical information-professional journal in the field of medicine, 41. cooperates with the state authorities in achieving the objectives and tasks of the Chamber, 42. performs other duties in accordance with the laws, regulations, the Code of Medical Ethics and Deontology and this Statute.

III. CHAMBER MEMBERS' RIGHTS, OBLIGATIONS AND RESPONSIBILITIES

Article 8 In accomplishing the goals and tasks of the Chamber, the members of the Chamber shall exercise their rights, obligations and responsibilities in a manner determined by law and this Statute. All members of the Chamber are equal in the exercise of their rights and obligations.

Article 8-a Membership in the Chamber is a right and obligatory obligation of all doctors of medicine who perform doctoral activity or perform educational or scientific work in the field of medicine in the territory of the Republic of Macedonia, in accordance with the applicable laws and bylaws in the field of health care and this Statute.

Article 8-b Membership in the Chamber can be both voluntary and honorable. A voluntary member of the Chamber can be a doctor of medicine who performed a doctoral activity in the territory of the Republic of Macedonia, an unemployed doctor of medicine registered with the Employment Agency, a doctor of medicine who is employed outside the health system and a doctor of medicine - a foreign national who resides and temporarily holds a doctorate in the Republic of Macedonia and holds a license issued by the Chamber. In the Chamber honorably can be members a scientist, professor or other citizen including foreign nationals who have made a significant contribution to the development of an educational, applied or scientific activity in the field of medicine, or who is particularly distinguished in his or her professional experience or, on the other hand, they have given their contribution to the work of the Chamber. Honorary members of the Chamber shall be elected by the Assembly of the Chamber on the proposal of the Executive Board."

1) The rights and duties of the members of the Chamber

Article 9 The members of the Chamber have the following rights and duties: 1. to participate in all activities to achieve the objectives and tasks of the Chamber, 2. to elect and be elected in the organs and bodies of the Chamber, 3. to pursue a doctoral activity as a profession under a license issued by the Chamber, 4. to provide initiatives, suggestions and opinions on all matters within the competence of the Chamber, 5. To bring each other's disputes and cases of violation of ethical norms before the committees of doctors of the Chamber, 6. to be informed of the work of the Chamber and its organs and of all matters relating to the performance of its doctoral activity, 7. obtain a membership card with a unique individual registration number, 8. to use material assistance from the Mutual Assistance Fund, to take advantage of all the benefits that the Chamber has contracted with other legal entities and individuals, 9. attend and actively participate in all forms of professional development organized by the relevant medical societies and associations and medical faculties; 10. to respect the Statute and acts of the Chamber and the decisions of the bodies of the Chamber, 11. to participate in the work of all bodies and working groups in the Chamber where they have been elected, 12. to safeguard the reputation of the Medical profession and to abide by the laws, this Statute, the Code of Medical Ethics and Deontology and the relevant codes of ethics and international conventions, 13. to perform the medical activity and profession conscientiously and professionally, 14. to report regularly and truthfully to the Chamber on all data and changes concerning and arising from the acts adopted by the Chamber, 15. to pay regular dues as well as other fees that will be charged by the Chamber, 16. to be continuously educated and qualified; 17. renew their license on a regular and timely basis, 18. each calendar year to verify the points earned by the previous year, necessary for relicensing, 19. Regularly, in writing or electronically, notify the Chamber of all data, on their modifications prescribed by the act of keeping the Register of Doctors of Medicine, 20. respect the principle of professional secrecy if they perform any duties as a member of the organs of the Chamber, on matters of vital importance to the functioning of the Chamber, which may prejudice the members of the Chamber or the Chamber itself; 21. other rights and duties set forth in this Statute and other acts of the Chamber."

Article 10 Article 10 shall be deleted.

IV. TERMINATION OF MEMBERSHIP IN THE CHAMBER

Article 11 Membership in the Chamber shall terminate in the event of: 1) Permanent revocation of the license; 2) temporary revocation of the license for the duration of this measure; 3) request of the honorary or temporary member of the Chamber; 4) death of the member of the Chamber. Upon termination of membership, the member shall also cease all rights, duties and activities in the Chamber. The termination of membership is determined by a decision of the Assembly of the Chamber and is published in the Chamber's newsletter. After determining the termination of membership in the Chamber, the Chamber is obliged within three days to inform the employer where the member and the Ministry of Health are employed.

V. BODIES OF THE CHAMBER

Article 12 Bodies of the Chamber are: Assembly, Executive Board, Supervisory Board, President of the Chamber, Court of Honor and Prosecutor of the Chamber. Within its scope of work, the bodies of the Chamber adopt rulebooks, decisions, солутионс, conclusions, declarations, recommendations, proposals, take positions and opinions in accordance with the laws, the Statute and other acts of the Chamber.

Article 12-a The procedure for election, i.e., the manner of dismissal, i.e. revocation of the members of the bodies of the Chamber, as well as the termination of their mandate are regulated by Law, this Statute and the acts of the Chamber. When selecting members of the Chamber, it must be taken into account the personal qualities of the individual, the appropriate representation of all professional profiles, the regional, gender and ethnic representation of the members of the Chamber, while applying the principle of adequate and equitable representation of all communities in the Republic of Macedonia. During the election of the members of the organs of the Chamber, a member of the Chamber cannot be elected who at the same time is the President of an organized form of association in the field of health, due to a possible conflict of interests, except for specialist associations in the field of health.

Article 12-b The mandate of the Delegates of the Assembly and the bodies of the Chamber lasts 4 (four) years and begins to run from the constitutive session of the Assembly. Until the election of new organs, and for a maximum of six months from the expiry of the mandate, the members of the organs of the Chamber shall continue to perform their duties.

1. Assembly of the Chamber

Article 13 The Assembly of the Chamber (hereinafter: the Assembly) is the highest governing and decision-making body of the Chamber. The Assembly is elected by the members of the Chamber in direct, free and secret elections. The President of the Chamber, the Deputy-President of the Chamber and the three Vice-Presidents, if no delegates are elected to the Assembly, become delegates to the Assembly with the right to vote. The Assembly is composed of (representatives) delegates of the members of the Chamber, in principle each Board is elected by one member of the Assembly who is the President of the Municipal Board, and in the Boards with more than 100 doctors, one member is elected in the Assembly. The Assembly is composed of a maximum of 69 delegates, not including the President of the Chamber, his deputy and the three Vice-Presidents who are delegates by function. Each candidate should submit a written document explaining the current status of the board, activities and measures to be taken and implemented, advantages, improvements or benefits achieved by the implementation of the measures and activities, the way in which the Chamber operates and the way it intends to do so. The delegates of the Assembly are elected from among the members of the Chamber organized in medical boards from the single electoral lost, by secret voting. The doctor of medicine whose license has been revoked or the term of validity of the license has expired at the time of the election shall have no right to elect or be elected as a delegate to the Assembly or to a member of another Chamber body. Elections for delegates to the Assembly shall be announced by the President of the Chamber at the latest sixty days prior to the expiration of the mandate of the Assembly. The elections are prepared and conducted by the Central Election Committee of the Doctor's Chamber of Macedonia, which is elected by the Assembly of the Chamber.

Article 14 The Assembly does the following: 1. Adopts the Statute of the Chamber and makes amendments thereto, 2. Adopts the annual work program of the Chamber and the financial plan of the Chamber, 3. elects and dismisses the President of the Chamber, 4. elects and dismisses the Deputy-President of the Chamber, three Vice-Presidents of the Chamber, 5. elects and dismisses the President of the Assembly and the Vice-Presidents of the Assembly; 6. elects and dismisses members of the Executive Board, 7. proposes, elects and dismisses members of the Supervisory Board; 8. establishes permanent committees and elects and dismisses their chairmen; 9. Adopts the Rules of Procedure of the Assembly, 10. Adopts a Code of Medical Ethics and Deontology, 11. Adopts a Rulebook on Elections and Dismissal of Members of the Bodies of the Chamber, 12. votes for confidence of the President and the Deputy-President of the Chamber at the end of each calendar year following the submission of the annual report, 13. elects and dismisses the President and judges of the Court of Honor of the Chamber, 14. elects and dismisses the Prosecutor and two deputies of the Prosecutor, 15. elects and dismisses ten defenders, 16. Adopts the balance sheet with a financial report, audited by an independent and authorized audit firm, 17. Adopts reports on the Chamber's annual program and financial plan, 18. reviews the reports of all the organs of the Chamber and evaluates their work, 19. Determines the amount of the membership fee and determines the part of the membership fee required for the work of the boards of the Chamber, 20. Reviews and makes decisions, conclusions, declarations, recommendations, sets out views and gives opinions on issues relevant to the work of the Chamber, the work of doctors of medicine and health care, 21. Adopts acts deriving from the Law on Health Care 22. When adopting the act relating to the issuance, renewal, extension and revocation of a license to work for doctors of medicine, the principle shall be applied by which at the personal request of the doctor of medicine speaking a language other than the official language, the details in the form of the license for work is also recorded in the language and alphabet used by the doctor of medicine. 23. Decides on the association and cooperation of the Chamber with other related associations in the country and abroad; 24. undertakes activities for prevention of illegal work in the Doctoral activity on the proposal of the organs of the Chamber and the way of advertising of the services of the health institutions, 25. Approves the legal acts and legal documents of the President of the Chamber and the legal acts of the Executive Board, the value of which exceeds 10,001,00 Euros (ten thousand and one Euros) in denar counter-value; 26. Decides on early dissolution of the Assembly, 27. and performs other duties determined by laws or other acts of the Chamber.

Article 15 Article 15 shall be deleted.

Article 16 The mandate of a member of the Assembly may also expire before he / she is elected if: 1) be revoked under the conditions laid down in Article 15?(11) of this Statute; 2) resigns; 3) be convicted by a final court decision of imprisonment for a term exceeding 6 months; 4) if convicted by the Court of Honor for a more serious violation of the Code of Medical Deontology, upon termination of membership in the Chamber.

Article 17 Article 17 shall be deleted.

Article 18 The Assembly of the Chamber works in sessions. The Assembly may work if more than half of the total number of delegates is present at the meeting. The Assembly decides validly by a majority vote of the number of delegates present, with one-third of the total number of delegates voting. For the adoption of the Statute, its amendment, the dissolution of the Assembly before the time for which it is elected and the announcement of new elections, the adoption of the financial plan, the adoption of the financial report and the final balance of the Chamber, the determination of the membership fee, the Assembly decides by a majority vote of the total number of delegates, and by at least one third of the total number delegates of the Assembly. Decision-making in the Assembly shall be by public vote unless the Assembly decides to hold it secret.

Article 18-a The sessions of the Assembly are convened and chaired by the President of the Assembly. The President of the Assembly is elected at the constituent session of the Assembly from among the elected delegates of the Assembly, on the proposal of at least ten members of the Assembly and by a majority vote of the total number of delegates in the Assembly, by public vote. The President of the Assembly may be dismissed at the request of the President of the Chamber or at the request of at least twenty delegates of the Assembly and by a majority vote of the total number of delegates to the Assembly by public vote. If the President is prevented from convening and chairing a session of the Assembly for a specific reason, one of the Vice-Presidents of the Assembly shall do so. At its first constituent session, the Assembly elects two Vice-Presidents of the Assembly from among the elected delegates to the Assembly, on the proposal of the President of the Assembly and by a majority vote of the total number of delegates in the Assembly, by public vote. The Vice President of the Assembly may be dismissed at the request of the President of the Assembly or at the request of at least twenty delegates to the Assembly and by a majority vote of the total number of delegates to the Assembly by public vote. The President of the Assembly shall determine which of the two Vice-Presidents shall replace him / her in the event of his / her inability to convene and chair the session of the Assembly. The sessions of the Assembly are elective-constitutive, regular and extraordinary. The manner of convening the sessions and the manner of their work shall be closely regulated by the Rules of Procedure of the Assembly.

Article 18-b The President of the Assembly: 1. convenes and manages the sessions of the Assembly; 2. Signs all decisions and other acts adopted by the Assembly; 3. in agreement with the President of the Chamber and the Executive Board proposes the agenda for the session it convenes; 4. cooperates with the President of the Chamber and participates in the work of the Executive Board; 5. takes care of the implementation of the decisions taken by the Assembly; 6. Regularly informs the boards of doctors and the Supervisory Board on all decisions made and other acts; 7. cooperates with the presidents of parliamentary committees and bodies; 8. presents a draft program of work of the Assembly in agreement with the President of the Chamber.

Article 19 In the work of the Assembly of the Chamber may participate the President of the Chamber's Supervisory Board, the President of the Court of Honor and the Prosecutor of the Chamber and invited representatives from the medical faculties, relevant medical societies and associations, Ministry of Health, Health Insurance Fund, Syndicate and other institutions and organizations in the field of health, as well as other invited guests, but without the right to make decisions and without the right to be elected to the bodies of the Chamber.

Article 20 Article 20 shall be deleted.

Article 21 The Assembly of the Chamber has a Rules of Procedure. The Rules of Procedure of the Assembly regulate the manner of convening the sessions, the manner of sending the materials for the session, the time of sending the materials, the manner of conducting the session, the manner of making decisions, the order of receiving the word of the delegates in the Assembly, keeping the dignity of the Assembly and the delegates in the Assembly, respecting the time allotted for discussion, keeping a working and constructive atmosphere in the work, respect for the powers of individual bodies in proposing and adopting decisions and the way in providing cooperation of the Parliament with the President of the Chamber, the Executive Board and the implementation of decisions of the Assembly and other issues related to the Assembly

2. Executive Board

Article 22 The Executive Board is responsible for its work to the Assembly and does the following: 1. Proposes to the Assembly to adopt the Chamber's work program and the Chamber's financial plan; 2. considers and adopts proposals for materials for the sessions of the Assembly of the Chamber, 3. Implements the work program and financial plan and other decisions of the Assembly and informs the Assembly thereof; 4. considers proposals by the members of the Chamber to act, 5. monitors the implementation of the acts of the Assembly of the Chamber, 6. Determines draft acts adopted by the Assembly and prepares materials, information, analyzes and proposals for the sessions of the Assembly; 7. Discusses the submitted quarterly draft plan of activities and reports on the work of the standing committees,

9. establishes temporary working bodies (committees, boards, working groups, etc.) and elects and dismisses their presidents and members; 10. Adopts an annual plan for expert supervision of the work of the health institutions and health care workers, 11. discusses the reports of the temporary working bodies and their draft action plan, 12. submits to the Assembly a report on its work, 13. makes a decision to use the funds in accordance with the Chamber's financing plan, 14. Approves the legal acts and legal documents of the President of the Chamber, the value of which exceeds 3.001,00 Euros (three thousand and one Euros) but does not exceed 10.000,00 Euros (ten thousand Euros) in denar counter-value; 15. submits financial report and final statement to the Assembly, 16. decides on the amount of fees for services rendered by the Chamber, 17. Decides on the level of remuneration for services rendered by non-employed persons in the Chamber and on the level of salaries of employees upon a previous proposal by the President of the Chamber; 18. reviews and adopts views and provides directions for the development of the Chamber's activity that affect the promotion of the Chamber's operations, 19. upon proposal of the President of the Chamber elects the editor-in-chief and the editorial board of the Chamber informant, 20. Adopts Rules of Procedure, 21. determines the health facilities in which an expert examination from the list of accredited health care institutions may be held, 22. establishes a list of members of the committees for expert supervision 23. makes decisions as a second instance body, except for matters falling within the jurisdiction of the Assembly of the Chamber and the Court of Honor; 24. Supervises the work of the professional service and decides on the establishment and termination of the employment of the employees in the professional service and decides upon complaints and decisions of the employment relationship adopted in the first instance 25. performs other activities within its scope determined by the Statute or other acts of the Chamber.

Article 23 The Executive Board is the executive body of the Chamber and works in accordance with the laws, the Statute and other acts of the Chamber. The Executive Board has 11 members. Nine members are elected by the Assembly from among the delegates of the Assembly, on the proposal of the President of the Chamber, by a majority vote of the total number of delegates of the Assembly. The President of the Chamber and the Deputy President of the Chamber are members of the Executive Board of the Chamber with the right to vote. The members of the Executive Board are elected for a period of four years with the possibility of being re-elected one more time after another. The President of the Assembly and the three Vice-Presidents of the Chamber by function are delegates to the Executive Board and are obliged to participate in the work of the Executive Board without the right to vote. A member of the Executive Board may be dismissed at the request of the President of the Chamber by a two-thirds majority vote of the total number of delegates to the Assembly by public vote.

Article 23-a The Executive Board works in sessions. The sessions of the Executive Board are convened and chaired by the President of the Chamber. The President of the Chamber is obliged to convene a session upon request of one half of the total number of members of the Executive Board. The Executive Board has a quorum for work if a majority of its members are present at the meeting. The Executive Board makes decisions by a majority vote of the total number of members. Decisions made by the Executive Board relevant to the obligations and rights of medical practitioners are published on the Chamber's website. The Presidents of other bodies, committees and bodies of the Chamber, without the right to decide, participate in the work of the Executive Board, if necessary and by invitation. The manner of operation of the Executive Board is regulated by the Rules of Procedure. The Rules of Procedure of the Executive Board regulate the manner of convening the sessions, the manner of sending materials for the sessions, the time of sending the materials, the manner of conducting the sessions, the manner of making decisions, the order of receiving word of the members of the Executive Board, keeping the dignity of the Executive Board and the members of the Executive Board, respecting the time allotted for discussion, keeping the working and constructive atmosphere in the work, respecting the powers of individual bodies in the proposal and decision-making, the way of providing cooperation of the Executive Board of the Assembly and the President of the Chamber and the manner of execution of decisions of the Executive Board as well as other issues related to the Executive Board. Members of the Executive Board shall participate in the work of committees and boards as coordinators, without the right to vote."

Article 23-b The decisions and conclusions of the sessions of the Executive Board, no later than 8 days from the day of their adoption, shall be submitted to the President of the Assembly, the Boards and the Supervisory Board."

3. President and Deputy President of the Chamber

Article 24 The President of the Chamber does the following: 1. Represents the Chamber and manages its work in accordance with this Statute and the laws; 2. Signs all decisions and acts of the Chamber; 3. Signs all documents of material and financial operation of the Chamber together with the Deputy President of the Chamber 4. takes care of the implementation and enforcement of the decisions made at a session of the Assembly and requests regular information from the Executive Board, 5. Ensures that decisions and other acts adopted by the Assembly are based on law, this Statute and other Chamber acts, 6. Coordinates the work of the Chamber by coordinating the work of the Executive Board with other authorities and bodies, committees and boards of physicians of the Chamber; 7. submits written reports to the Assembly on its work and the work of the bodies of the Chamber at the end of the year; 8. takes care of the cooperation with other chambers, associations, institutions, bodies and organizations in the field of health, 9. Signs the memorandums, agreements and contracts concluded by the Chamber, 10. Adopts legal acts and concludes legal documents, the value of which does not exceed 3,000.00 (three thousand) euro in denar equivalent and other legal acts and legal documents exceeding 3,000.00 (three thousand) euro in denar equivalent in accordance with the provisions of Article 14 paragraph 1 line 25 and Article 22 paragraph 1 line 14, 11. submits a written report to the Ministry of Health on the exercise of public authority, 12. Maintains regular contacts with the state authorities and institutions in order to achieve the goals and tasks of the Chamber, 13. proposes to the Assembly the election and dismissal of members of the Executive Board, 14. Proposes to the Assembly the election and dismissal of the chairmen of the standing committees; 15. appoints and dismisses the Secretary of the Chamber, who may also be a physician, 16. proposes three Deputy-Presidents of the Chamber, 17. in consultation with the Executive Board, makes decisions on the material and financial operation of the Chamber. 18. proposes to the Executive Board candidates for the election and dismissal of the editor-in- chief and editorial board of the Chamber's newsletter, 19. establishes temporary working bodies (committees, boards, etc.) 20. Organizes and manages the work of the Chamber's expert service, and 21. performs other duties determined by this Statute or other acts of the Chamber. In the relation with the Assembly, the President has the right to prevent a specific act which he considers to be contrary to the Constitution of the Republic of Macedonia, to a certain law or this Statute, from coming into force, no matter the majority that has enacted it. When deciding on an act that has the content or force as the act referred to in paragraph 2 of this Article, the President of the Chamber, as a delegate to the Assembly, has the right not to comment on the act and to submit his separate written opinion on the reasons for not voting on the act. If the Assembly again adopts the act referred to in paragraph 2 of this Article, the President shall have the right to take all legal measures for further review of the act before the competent state administration bodies. In relation to the Executive Board, the President has the right to a specific act that he considers that the Executive Board adopts it contrary to the Constitution of R. Macedonia, a specific law or this Statute, to prevent it from coming into force, no matter what majority it has enacted. When deciding on an act that has the content or force as the act referred to in paragraph 5 of this Article, the President of the Chamber as a member of the Executive Board has the right not to comment on the act and to submit its separate written opinion on the reasons for not voting on the act. If the Executive Board again adopts the act referred to in paragraph 5 of this Article, the President has the right to request that the Assembly of the Chamber be heard, and if the Assembly approves the act, he or she shall be entitled to take all legal measures for further review of the act before the competent authorities of the state administration. If the Assembly does not approve the act referred to in paragraph 5 of this Article, it shall be considered as if the act was not adopted. The provisions of paragraphs 2, 3, 4, 5, 6 and 7 of this Article shall not apply to the Statute of the Chamber and its amendments. The procedure provided for in paragraphs 2, 3, 4, 5, 6 and 7 of this Article shall be governed by the Rules of Procedure of the Assembly of the Chamber and the Rules of Procedure of the Executive Board of the Chamber.

Article 24-a The President of the Chamber is elected by the Assembly of the Chamber from among the members of the Chamber. Only a person who is a healthcare worker employed in an institution can be elected as president of the chamber. The mandate of the President of the Chamber is maximum four years. Authorized nominees of a candidate for President of the Chamber may be: - at least three boards - at least 20 (twenty) delegates to the new assembly after verification of their mandates. The proposed candidate for President proposes the Deputy President of the Chamber. The mandate of the Deputy President of the Chamber shall be no more than four years. The proposal for a candidate for president together with the Deputy president when an authorized nominee is on the boards, together with the minutes of the board meetings, must contain an explanation of the quality of the candidate they are proposing. The candidate for president and the candidate for Deputy president of the Chamber should be a well-known medical expert, enjoy reputation in the membership of the Chamber, and be able to establish collaborations with the institutions of the state that has competences in the work of medicine, other professional associations and chambers, and the ability to establish international cooperation with the Chamber. When proposing a Deputy President, account shall be taken of the equitable representation of members of communities in the Republic of Macedonia which comprise 20% of the population of the Republic of Macedonia, unless the President is a member of communities comprising 20% of the population of the Republic of Macedonia. The authorized nominators referred to in paragraph 3 of this Article shall submit their proposals for the President of the Chamber and the Deputy-President no later than 10 (ten) days after the constitutive-elective session and the verification of the mandates of the Delegates of the Assembly, in the archive of the Chamber's Professional Service, and addressed to the Central Election Committee. The Central Election Committee, in its act, determines which candidates are nominated in accordance with the prescribed statutory procedures and which candidates are accepted as proposals for president and Deputy-president of the Chamber. The acts referred to in paragraph 10 of this Article, as well as all other acts of the Central Election Committee, shall be final and the persons concerned shall have no right to a legal remedy against them. Candidates for President and Deputy-President are required to submit a written program setting out their views and activity to resolve the Chamber's competence, as well as a statement accepting the candidacy for President and Deputy-President, together with the proposal and within the period referred to in paragraph 8 of this Article. Candidates can present their program at the Assembly election session in ten minutes. The President and the Deputy-President of the Chamber shall be put to the vote together and shall be elected if they receive a majority of the votes of the total number of delegates to the Assembly by secret voting, unless the Assembly decides otherwise. The procedure for the election of the President and the Deputy-President is elaborated in a special act and with the Rules of Procedure of the Assembly.

Article 24-b The Deputy-President of the Chamber may be recalled on the proposal of at least 20 delegates to the Assembly or on the proposal of the President of the Chamber, by a two-thirds majority vote of the total number of delegates in the Assembly, by public vote. The Deputy President replaces the President of the Chamber during his absence. The President, delegates certain rights, responsibilities and obligations to the Deputy President and demands responsibility for the exercise of his rights and responsibilities. The Deputy President signs all decisions and acts of material and financial operation of the Chamber together with the President of the Chamber. Should the President terminates his or her mandate for any reason, then the Assembly, on a proposal from 20 delegates to the Assembly, shall decide which member of the Executive Board will hold office together with the Deputy-President of the Chamber until the election of the President of the Chamber, and who within 90 days will propose to the Assembly to call them.

In case of impediment or absence of the President and the Deputy-President, the President shall be replaced by one of the Vice-Presidents authorized by the President of the Chamber.

Article 24-c Proposals for dismissal of the President of the Chamber may be submitted to the Assembly by at least 20 delegates to the Assembly or at least three medical boards. The President of the Chamber may be recalled by a two-thirds majority vote of the total number of delegates to the Assembly by secret voting.

Article 24-d The Vice-Presidents of the Chamber are elected by the Assembly of the Chamber from among the members of the Chamber on the proposal of the President of the Chamber by public vote. The current Executive Committee of the Chamber also proposes candidates for the election of Vice-Presidents of the Chamber. The first three candidates who received the majority of votes from the present number of delegates of the Assembly, observing the principle of the presence of the three segments at primary, secondary and tertiary level are elected as Vice-Presidents of the Chamber.

4. Court of Honor of the Chamber

Article 25 The Court of Honor is a body of the Chamber that upon the request of the Prosecutor of the Chamber, in accordance with this Statute and the acts of the Chamber, discusses and decides on the responsibility of doctors of medicine for violations of ethical and deontological and professional views, for violations of the Statute and the Code of the medical ethics and deontology and disrespect of the decisions and acts of the Chamber. In respect of the violations referred to in paragraph 1 of this Article, the Court of Honor shall pronounce the following measures recorded in the file of the perpetrator of the violation: • warning; • public warning; • Prohibition of participation in the work of the bodies of the Chamber • temporary revocation of license; • Permanent revocation of license.

Article 26 The Court of Honor is independent in the exercise of its functions and is judged by law, the Statute, the Code of Medical Deontology and the relevant codes of ethics and international conventions, and the Rules of Procedure of the Court of Honor. The rules of procedure of paragraph 1 hereof a member is brought by the Assembly of the Chamber.

Article 27 The Court of Honor shall consist of a President and at least fifteen members, who shall be elected by the Assembly on the proposal of the President of the Chamber. The members of the Court of Honor are elected from among the members of the Chamber who have working experience of at least five (5) years and who have a reputation in the environment in which they work and live. The work of the Court of Honor can also be attended by prominent lawyers with extensive case law, without the right to decide. The Court of Honor may not elect: the President of the Chamber, the members of the Executive and Supervisory Board, the members of other bodies and committees, as well as the staff of the Chamber's Professional Service. A judge of the Court of Honor may not perform the judicial duty: 1) if he / she is a party, legal representative or proxy of a party, if he / she is in relation to a party as authorizing officer, co-defendant or registrant or if he / she is heard as a witness or expert in the same case; 2) if he / she works permanently or temporarily with an employer who is a party to the procedure; 3) if the party, the legal representative or the proxy of the party is a blood relative in any straight line to any degree, and in the lateral line to a fourth degree, or a spouse, extramarital partner or relative in second degree, whether or not the marriage was terminated; 4) if he / she is a guardian, adoptive parent, adoptive child, supporter or foster child of the party, its legal representative or proxy; 5) if in the same case participated in the decision of the lower court or other body; 6) if there are other circumstances that call into question his impartiality. Other provisions relating to the exemption of judges of the Court of Honor shall be governed by the act referred to in Article 28, paragraph 1, of this Statute.

Article 28 The Court of Honor adjudicates in court chambers. The Court of Honor is organized into a three-member First Instance Judicial Council and a five-member Second Instance Judicial Council. The President of the Court of Honor presides over the Second Instance Judicial Council and may not appear as a member of the First Instance Judicial Council. The Court of Honor of the Second Instance Judicial Council decides on the appeal of the Court of First Instance's decision. The Court of Honor's decisions in the Second Instance Judicial Council are final. The President of the Court of Honor shall determine at the beginning of the year the composition of the Judicial Chambers referred to in paragraph 2 of this Article, to which the Assembly of the Chamber shall give its consent. The Court of Honor is responsible for its work before the Assembly and submits an annual report on its work to it.

Article 29 Article 29 shall be deleted

Article 30 The Prosecutor of the Chamber has the right and duty to initiate proceedings against a member of the Chamber for which there is a final verdict for violation of the Law, ie there is a reasonable suspicion that he has violated the Law, the Statute or the Code of Medical Deontology. The prosecutor files and submits the indictment and is independent in his work.

Article 30-a In the event of a violation of the Code of Medical Ethics and Deontology, the prosecutor has the right and duty to bring proceedings before the Court of Honor against a member of the Chamber.

Article 31 An application for initiation of a procedure before the Court of Honor by the Chamber Prosecutor may be filed by: Chamber bodies, Chamber boards, Ministry of Health, relevant medical societies and associations, Director of a public health institution upon prior opinion by the Expert Collegiate, an employer in private health institution, the Health Insurance Fund, the injured party and the prosecutor.

Article 32 The Assembly of the Chamber elects a Prosecutor of the Chamber from among the members of the Chamber, for a maximum of two consecutive terms with the possibility of re- election after a break of one mandate term. The Prosecutor shall have two alternates elected by the Assembly on the proposal of the Prosecutor, at most two consecutive terms with the possibility of re-election after a break of one mandate term. The prosecutor or his deputy cannot perform the prosecutorial duty: 1. if he is a party, legal representative or proxy of a party, if he is with a party in relation to an authorizing officer, co-defendant or registrant or if he is heard as a witness or expert in the same case; 2. if he works permanently or temporarily with an employer who is a party to the proceeding 3. if the party or the legal representative or proxy of the party is a blood relative in a straight line of any degree and in a lateral line up to a fourth degree, or is a spouse, extramarital partner or relative in the second degree, whether or not the marriage ended. 4. if he is the guardian, adoptive parent, adoptive child, supporter or foster child of the party, its legal representative or proxy 5. if he has participated in the decision of the lower court or other authority in the same case and 6. if there are other circumstances that call into question his impartiality. Other provisions concerning the exclusion of the prosecutor or his deputy shall be governed by the act referred to in Art. 49 of the Statute.

Article 33 The Assembly elects 10 (ten) defenders of the Chamber from among the members of the Chamber. Defendants of the Chamber defend the interests of the respondent Chamber member in proceedings before the Court of Honor. The defendant's interests before the Court of Honor may, at any rate, be defended by the defendant himself, by one or more of the Chamber's defenders or by a lawyer engaged by the defendant.

Article 34 The Court of Honor keeps records of the measures imposed for violations of the Law, the Statute and the Code of Medical Deontology.

Article 35 The organization and other issues related to the work of the Chamber Prosecutor, his deputies and defenders shall be regulated by an act adopted by the Assembly.

5. Supervisory Board

Article 36 The Supervisory Board supervises: • use of the funds of the Chamber, the material and financial operations of the Chamber and the Solidarity Fund; • the exercise of the rights and performance of the duties of the members of the Chamber; • Treasury operations of the Chamber; • books and acts relating to material gain on the property of the Chamber; • Use of funds for the work of the Chamber's expert service. The Supervisory Board also performs other duties specified by this Statute or entrusted to it by the Assembly or the Executive Board of the Chamber. • Oversees the work of the Chamber's bodies and the financial affairs of the boards.

Article 37 The Supervisory Board has five members elected by the members of the Chamber, with a majority vote of the total number of delegates in the Assembly of the Chamber. The members of the Supervisory Board are elected for a term of four years and may be re-elected at most once in succession. A member of the Supervisory Board may be dismissed at the request of at least 20 delegates to the Assembly or at the request of the President of the Chamber, by a majority vote of the total number of delegates to the Assembly, by public vote. The President of the Supervisory Board shall be elected from among the members of the Supervisory Board at the first constitutive meeting of the Supervisory Board, by a majority vote of the total number of members of the Supervisory Board, by public vote. A member of the Supervisory Board may not at the same time be a member of the Executive Board, the Court of Honor or other standing bodies and bodies of the Chamber. The Supervisory Board is responsible for its work before the Assembly and reports to it at least once a year. The manner of operation of the Supervisory Board shall be determined by the Rules of Procedure.

VI. CHAMBER BOARDS

Article 38 Chambers boards are the boards of the Chamber that represent and organize the entire membership of doctors in the area of a municipality or part of a municipality. The Board of the Chamber is formed in: Berovo, Bitola1, Bitola 2, Makedonski Brod, Valandovo, Vinica, Gevgelija, Gostivar, Debar, Delchevo, Demir Hisar, Kavadarci, Kichevo, Kochani, Kratovo, Kriva Palanka, Krushevo, Kumanovo, Negotino, Ohrid, Prilep, Probishtip, Radovish, Resen, Sv. Nikole, Struga, Strumica, Tetovo 1, Tetovo 2, Veles and Shtip. In municipalities with more than 400 doctors, two municipal boards can be formed.

Article 39 The following Boards of Physicians of the Chamber are established in Skopje: Center 1 (for physicians employed in Surgery Clinics), Center 2 (for physicians employed in Internal Medicine Clinics), Center 3 (for Physicians employed in Institutes of the Faculty of Medicine, Institute of Public Health, Institute of Transfusiology, Ministry of Health, Food and Veterinary Agency, Ministry of Health - Project Coordination Unit, Agency for Exercising Rights of Ethnic Communities, Expert Service of WHO, DSZI Faculty of Medicine, Government of RM and MANU), Center 4 (for physicians employed in the Health Center - Skopje) Center 5 (for physicians employed in GOB St. Naum Ohridski and Institute for Lung Diseases in Children), Center 6 (physicians employed in Health Insitute Zheleznichar, Student Polyclinic, Republic Institute for Medical Rehabilitation, Center for Public Health - Skopje, Institute for Hearing, Speech and Voice, Red Cross of the city of Skopje, DSMU Panche Karagjozov, DSU Maria Sklodovska Kiri, DSU Dimitar Vlahov, Civil Aviation Agency, Ministry of Interior, Faculty of Physical Education, JPAU TAV Airport, AD Alkaloid, Health Fund Insurance, all Pharmaceutical Wholesalers and kindergartens, doctors retired and unemployed from Skopje) Karposh 1 (for doctors employed in GOB 8 Septemvri, Military Medical Center, PET Center, ARM GS and all VP). Karposh 2 (for Physicians employed in Health Center - Polyclinics Bukuresht and Gjorce Petrov, outpatient clinics Karposh, IMP and home visit, medical committees within FZOM, medical committees for ORS within PIOM and Mental Health Institute of children and youth - Mladost,). Karposh 3 (for physicians employed at the Hospital for Nerve Mental Illness Bardovci and Geriatrics Institute 13 Noemvri) Chair 1 (Institute of Occupational Medicine and Health Station "Zhelezara", Special Hospital for Gynecology and Obstetrics, Institute for Rehabilitation of Children, Medical High School Zefljus Marku and KP Idrizovo); Private Hospital Board of Private Hospitals (physicians employed in Acibaden Sistina, Filip Vtori, Re Medica, Sante Plus, SB Katlanovska Banja, SB Dejamed, Dijamed Macedonia, Newborn Clinic) Board of Private Doctors of Centar (Municipality of Centar), Board of Private Doctors of Karposh (Municipality of Karposh, Municipality of Saraj and Municipality of Gjorche Petrov), Board of Private Doctors of Kisela Voda (Municipality of Aerodrom, Municipality of Kisela Voda, Municipality of Sopishte, Sopishte, Municipality of Zelenikovo) Board of Private Doctors of Chair (Municipality of Chair, Municipality of Butel, Municipality of Shuto Orizari, Municipality of Chucher Sandevo), Board of Private Doctors from Gazi Baba (Municipality of Gazi Baba, Municipality of Ilinden, Municipality of Petrovec and Municipality of Arachinovo).

Article 40 The Boards of the Chamber are responsible for the implementation of the acts, decisions, attitudes and conclusions of the Chamber bodies in their area and have the following tasks: • participate in shaping the health policy of their area within the framework of the Chamber's policy; • foster good relations between the members of the Chamber, and resolve disputes between them; • Apply to the Ethics Committee of the Chamber for mediation in resolving disputes between physicians who could not be resolved in the board; • institute proceedings before the Court of Honor; • participate in the organization of expert consultations; • receive and consider initiatives, proposals and requests of physicians from their area and submit them to the bodies of the Chamber; • keep records of the members of the Chamber from their area; • Keep records of free working places and unemployed doctors in their area and mediate in employment; • regularly inform their members about the activities of the Chamber; • submit applications for Solidarity Fund funding to members of the Chamber from their area to the Committee on Economic and Social Affairs and give their opinion on the requests; • dispose of the funds of the Board within the framework of the Law and the acts of the Chamber; • conduct election activities and elections for members of the Chamber bodies in accordance with the Chamber acts; • Perform other activities determined by the Statute and other acts of the Chamber. The boards convene a Gathering of Doctors in their area of at least three times annually informing them about all the activities of the Chamber. The Boards submit an annual report on their work in the presence of representatives from the Doctor's Chamber of Macedonia.

Article 41 The boards consist of: • President; • two Vice Presidents and • two members. When electing members of the Board, it is mandatory to observe the principle of physicians being present in all segments of the Board. In the committees where there are over 100 doctors of medicine, a delegate is elected, taking into account the adequate and equitable representation of the members of the communities that make up 20% of the total population of the Republic of Macedonia. Board members are elected by the doctors by direct and secret voting. Candidates for members of the Board of Physicians are nominated by physicians in the area of the Board of Physicians. Candidate for a member of the Board of the Chamber can be any member of the Chamber whose candidacy will support the majority of the members present at the Doctors' Assembly. Any member of the Board from the Board Area, who has provided support to 10 members of the Board from the same area, may also run for a member of the Municipal Board himself. Following the voting, the candidate for the Board of Directors is the candidate who receives the most votes out of the five candidates elected to the Board, and at the same time becomes a delegate to the Assembly of the Doctor's Chamber of Macedonia. The candidates who receive the most votes among the proposed candidates shall be elected as Vice-President and Board Members.

Article 42 The boards are financed with part of the membership fee of the Chamber, determined by the decision of the Assembly. Boards may also provide funds from other sources for their own needs.

VII. CHAMBER COMMITTEES

Article 43 The Chamber shall have standing committees, such as auxiliary working bodies of the Chamber established in accordance with this Statute or by decision of the Assembly. The Chamber has occasional committees, such as auxiliary working bodies of the Chamber, which are established by decision of the Executive Board or the President of the Chamber. The committees on issues of their work take positions and opinions, make suggestions and recommendations and make decisions and conclusions.

Article 43-a The President of the Standing Committees is proposed from among the members of the Chamber. The members of the standing committees are nominated by the membership of the Chamber, and are elected by the Executive Board of the Chamber, upon the proposal of the President of the Chamber, with a four-year term. The president or member of a standing committee may not be the president or member of another standing committee. The interim committees are established by the Executive Board for the performance of certain tasks of the Chamber and the decision on the establishment determines the composition, tasks and authorization of the Chamber. With the completion of the tasks, the existence of the interim Committee ceases. The committees referred to in paragraph 1 of this Article may form their own working bodies groups. On certain issues the committees cooperate with each other and work under the coordination of the Executive Board. The composition, responsibilities and the manner of operation of the standing committees shall be governed by separate rules of procedure for each committee. The Rules of Procedure referred to in paragraph 6 of this Article shall be adopted by the Assembly of the Chamber separately for each committee. The work of the interim committees and working bodies shall be governed by the rules of procedure adopted by the Executive Board of the Chamber. The acts related to the elections of the bodies of the Chamber and the Boards of Physicians as well as the Rules of Procedure of the Chamber Election Committee shall be adopted by the Assembly of the Chamber and the provisions of paragraphs 7 and 8 of this Article shall not apply to them. The committees are responsible for their work to the President of the Chamber, the Deputy President of the Chamber, the Executive Board and the Assembly.

Article 43-b The presidents of the standing committees submit a draft plan of activities for each quarter to the Executive Board and to the President of the Chamber. The presidents of the standing committees submit reports on the work of the committee to the Executive Board and the President of the Chamber for each past three-month period, while at the end of each year, they report to the Chamber Assembly. The Executive Board, i.e., the President of the Chamber, reviews and submits draft action plans, as well as reports on the work of the committees. The presidents of the interim committees submit report to the work of the Committee to the body that formed them, at the latest 8 (eight) days after the deadline for completing the task for which they were formed. The body that has formed the interim committees shall review and submit the reports on the work of the committees.

Article 43-c Information on the adopted positions, opinions, proposals, recommendations, decisions and conclusions of the meetings of the committees shall be submitted to the Executive Board and the President of the Chamber, within 8 (eight) days of their adoption at the latest. The provision of paragraph 1 shall not apply to the work of the Central Election Committee.

Article 44 The Chamber has the following Standing Committees: 1. Committee on Medical and Professional Affairs composed of five (5) members; 2. Committee on Ethical and Legal Affairs, composed of seven (7) members; 3. Committee on Economic and Social Affairs, composed of five (5) members 4. Committee on Private Health composed of five (5) members; 5. Central Election Committee of the Doctor's Chamber of Macedonia composed of five (5) members; 6. Committee for awarding achievements in the field of health "St. Naum Ohridski" composed of five (5) members. 7. Committee for monitoring the changes in the health system consisting of five (5) members, 8. Committee for Information-propaganda and publishing activity, consisting of five (5) members 9. Rural Development Committee composed of five (5) members, 10. Expert Supervision Committee composed of five (5) members 11. Committee for sport activities consisting of five (5) members 12. Committee on Specialist and Young Doctor's Issues composed of five (5) members 13. Mutual Assistance Fund Management Committee, composed of three (3) members The scope of work of the committees is regulated by the Rules of Procedure of the Committees

Article 45 Article 45 shall be deleted.

Article 46 Article 46 shall be deleted.

Article 47 Article 47 shall be deleted.

Article 47-a Article 47-a is deleted.

Article 47-b The Central Election Committee takes care of the preparation of the election and the revocation of the members of the boards, the Assembly and the President of the Chamber, gives instructions to the municipal committees on issues regarding the conduct of the election and the revocation, prescribes the election and revocation forms, gives explanations for the application of the provisions of the Election Rulebook, determine the handling and storage of election material, summarize election results based on reports of the Municipal Election Committees and the results of the voting for the election of the members of the Boards and the Assembly of the Doctor's Chamber of Macedonia. The Central Election Committee is composed of a president, a secretary, and three members.

Article 47-c Article 47-c is deleted.

Article 47-e Article 47-e is deleted.

Article 48 Article 48 shall be deleted.

VIII. CHAMBER ACTS

Article 49 The acts of the Chamber are: 1. Statute of the Chamber; 2. Code of Medical Ethics and Deontology; 3. Rulebook on Elections and Dismissal of members of the boards of doctor, Delegates of the Assembly, President of the Chamber and other bodies of the Chamber; 4. Rules of Procedure of the Assembly; 5. Rules of Procedure of the Executive Board; 6. Rules of Procedure of the Supervisory Board; 7. Rules of Procedure of the Court of Honor; 8. Rules of Procedure of the Prosecutor of the Chamber; 9. Rules of Procedure of the Chamber's Defenders; 10. Rulebook on form, content, and the way of keeping Register of Doctors of Medicine; 11. Rulebook on the closer criteria to be met by health care institutions and doctors under whose supervision the trial is being conducted; 12. Rulebook on the composition of the Examination Committee, the manner of passing the professional examination, the manner of checking the acquired knowledge and skills and the form of the certificate for passed professional examination of health professionals with higher education in the field of medicine; 13. Rulebook on the Manner of Issuing, Extending, Renewing and Revoking a Work License and the Form and Content of the Work License Form for Higher Education Medical Professionals; 14. Rulebook on the Cost of Issuance, Extension and Renewal of Licenses; 15. Rulebook on Forms and Criteria for Form Distribution, Criteria for Selection of KSU Enforcement Agents and Points Obtained by the KSU during the License Period; 16. Rulebook on Professional Supervision of the Professional Work of Health Care Institutions and Health Care Workers; 17. Rulebook on the Financial Operations, Organization and Manner of Managing the Accounting and other Material and Financial Matters of the Chamber; 18. Rulebook on the Organization and Operation of the Chamber's Professional Service; 19. Rulebook on Systematization of Jobs and Job Descriptions of the Staff of the Chamber's Professional Service; 20. Rulebook on Salary, Salary comensations, Remuneration and Sanctioning of the Chamber's Professional Service; 21. Rulebook on Referent Protective (Minimum) Prices for Health Care Services in the Republic of Macedonia; 22. Rulebook on giving awards; 23. Rules of Procedure of the Committee on Ethical and Legal Affairs; 24. Rules of Procedure of the Committee on Medical Ethics and Deontology; 25. Rules of Procedure of the Committee on Economic Affairs; 26. Rules of Procedure of the Committee for Monitoring Changes in the Health System; 27. Rules of Procedure of the Central Election Committee of the Doctor's Chamber of Macedonia; 28. Rules of Procedure of the Committee on Private Health; 29. Rules of Procedure of the Committee on Information, Propaganda and Publishing; 30. Rules of Procedure of the Committee on Rural Development; 31. Rules of Procedure of the Committee for the Management of the Mutual Assistance Fund; and 32. Rules of Procedure of the Committee for Sport Activities 33. Rules of Procedure of the Committee on Issues of Specialists and Young Doctors 34. other acts adopted by the Assembly and the bodies of the Chamber; The acts of the Chamber are published on the Chamber's website.

Article 50 The Statute and general acts are prepared by the Committee on Statutory and Legal Affairs. The statute's working text is posted on the Chamber's website for consideration and suggestions, ideas and remarks by the members of the Chamber. The period for reviewing and submitting proposals, ideas and remarks by the members of the Chamber is 30 (thirty) days. As soon as the working text of the Statute is published on the website of the Chamber, the members of the Chamber shall submit their proposals and remarks to the email address of the Presidents of their Boards, within the time limit set in paragraph 2 of this Article, which shall thereafter within 8 (eight) days after the expiration of the period referred to in paragraph 2 of this Article, they shall be submitted to the Committee on Statutory and Legal Affairs. After determining the draft text, the Committee on Statutory and Legal Affairs submits it to the Executive Board of the Chamber for consideration. The Executive Board proposes the Statute and general acts for adoption of the Assembly.

Article 50-a The Ministry of Health gives consent to the general acts that regulate the exercise of the public authorizations of the Chamber based on which the Law on Health Care is adopted and published in the Official Gazette of the Republic of Macedonia.

Article 50-b Amendments to the Statute and other general acts shall be carried out in a procedure as prescribed by this Statute.

Article 50-c The President of the Chamber, at least 15 delegates to the Assembly of the Chamber or at least three Boards of Physicians of the Chamber may give the initiative to amend the Statute. The amendments are prepared by the Committee on Statutory and Legal Affairs and forwarded to the Executive Board. The proposal to amend the Statute to the Chamber Assembly is submitted by the Executive Board.

IX. PROFESSIONAL SERVICE OF THE CHAMBER

Article 51 The professional service of the Chamber performs activities related to: 1. Implementation of the Statute, decisions, conclusions and other acts adopted by the Assembly and the bodies of the Chamber. 2. Implementation of laws and bylaws pertaining to the operation of the Chamber and the achievement of its goals and objectives. 3. Implementation of procedures for issuance, renewal, extension, revocation of license to works. 4. Maintains and Updates the Register of Issued, Renewed, Extended and Revoked Work Licenses. 5. Keeps written and electronic records of all doctors of medicine, members of the Doctor's Chamber of Macedonia. 6. Prepares expertly all proposals for acts, information and other materials that should be discussed with the Chamber bodies. 7. Performs other activities related to the work of the Chamber

Article 52 The number of staff in the Administrative Office and their tasks shall be determined by the Executive Board with a special act on the organization and systematization of jobs and a description of the tasks of the Administrative Office of the Chamber, taking into account the adequate and equitable representation of the members of the communities. The salaries and other rights of the staff of the Chamber's Professional Service shall be determined in accordance with the laws and regulations of the Chamber. The Executive Board shall adopt a Rulebook on salary, salary compensations, remuneration and sanctioning of the Chamber's Professional Service.

Article 53 Article 53 shall be deleted.

X. ASSETS FOR THE WORK OF THE CHAMBER

Article 54 The Chamber generates revenues from: 1. membership fees paid by its members, 2. funds under a plan / program for supervising professional work from the budget of the Ministry of Health, 3. fee for services rendered by the Chamber, 4. Revenues from accredited and organized congresses, seminars, symposia, courses, lectures, counseling, etc. 5. revenues from publishing, 6. from donations and gifts, 7. donations, 8. from other sources. The amount of the membership fee annually is determined by the Assembly of the Chamber. The prices of the services provided by the Chamber are determined by a special act of the Assembly of the Chamber, with the consent of the Minister of Health.

Article 54-a The financial and material operation of the Chamber is carried out on the basis of the financial plan adopted by the Assembly of the Chamber. The financial and material operations are performed through Denar and foreign exchange giro account of the Chamber.

Article 54-b The chamber has its own property and income and can acquire them in accordance with the law. The property belongs to all members of the Chamber who have continuously paid membership during the license period. The property consists of: 1. Real estate, 2. inventory and other movable property, 3. property rights, 4. securities, 5. cash, 6. other. The Chamber disposes with its assets and property independently, in accordance with the laws, other regulations, the Statute and other acts of the Chamber.

Article 54-c Funds received from membership fees are used for: 1. Exercise of the right of ownership of the Chamber over immovable and movable property. 2. Current maintenance of the property owned by the Chamber. 3. Payment of taxes, contributions and other public charges. 4. Payment of salaries and allowances to employees and temporary engaged persons for the work of the Chamber. 5. Reimbursement of expenses incurred by employed or engaged persons, i.e., by members of the Chamber who acted in its interest justified. 6. Fees for current expenses for organizing sessions, gatherings, meetings of the bodies of the Chamber."

Article 55 Article 55 shall be deleted.

Article 56 Article 56 shall be deleted.

X1. PERFORMANCE OF PUBLIC AUTHORITIES

Article 56-a Public authorizations that are entrusted to the Chamber by the Ministry of Health in accordance with the Law on Health Care are: - issuance, renewal, extension and revocation of work licenses; - keeping a register of issued, renewed, extended and revoked work licenses; - Performing professional supervision over the work of the health institutions and health care workers; - designation of educators, mentors and health institutions under the supervision of the probationary work of doctors of medicine; and - Adoption of general acts in accordance with the law and with the consent of the Minister of Health.

Article 56-b The Chamber issues, renews and renews a work license on the basis of a written request submitted by a medical doctor who fulfils the conditions set forth in the Health Care Law. The Chamber maintains a Register of issued, renewed, extended and revoked license to works for medical practitioners. The Chamber may, if necessary, introduce other records in accordance with the Law and this Statute. The security and confidentiality of data is guaranteed in accordance with personal data protection regulations. The conditions, manner of entry, form, content and keeping of the Registers are prescribed by an act of the Chamber, to which the Minister of Health gives his consent.

Article 56-c The Chamber supervises the professional work of the health institutions and other institutions that perform health activity and of the health workers and associates in accordance with the Law on Health Care, because of the control over the professional work of the health workers and health institutions, the implementation of the professional guidelines, the evaluation of the professional work, as well as an assessment of the conditions and the manner of indicating health care. Upon completion of the supervision of the expert work, a report on the supervision shall be prepared and submitted to the Minister of Health and to the institution where the supervision is performed.

Article 56-d The chamber appoints educators and mentors and health facilities under whose supervision the probationary work of doctors of medicine is conducted. Upon completion of the probationary work, the medical doctor shall take an expert examination before an examination Committee established by the Chamber.

Article 56-e The Chamber, within the scope of its work, with the purpose of exercising the public authorizations entrusted with the Law on Health Care, shall adopt general acts in accordance with the law and with the consent of the Minister of Health. The general acts referred to in paragraph 1 of this Article shall be adopted in accordance with the provisions of Chapter VIII of this Statute.

XII. COOPERATION OF THE CHAMBER WITH OTHER CHAMBERS, BODIES AND ORGANIZATIONS

Article 57 The Chamber cooperates with state bodies, institutions, other chambers and relevant professional associations and other organizations and associations for matters of common interest.

Article 58 The Chamber cooperates with Doctor's Chambers of other countries and with other interstate organizations and associations in the field of health. The chamber may be a member of international medical associations. The cooperation referred to in the preceding paragraph shall be effected by direct contacts, by the exchange of information, publications and other sources, by the organization of counseling, public debates, business association and other forms.

XIII. PUBLICITY IN THE OPERATION OF THE CHAMBER

Article 59 The Chamber provides publicity in its work through: 1. Publicity of the sessions of the bodies of the Chamber, unless otherwise determined by the Statute and other acts of the Chamber. 2. Informing the members of the Chamber of Meetings. 3. Informing the public about its work through the mass media, through press releases, the newsletter and the Chamber's website. Collaboration with the media and holding press conferences, through other means and ways.

Article 60 The President of the Chamber and the persons authorized by him may provide data and information regarding the work of the Chamber and its organs and are responsible for their truthfulness and accuracy. The persons referred to in the preceding paragraph may not provide data and information which, under the Chamber's acts, constitute a business secret or which would prejudice the interests or reputation of the members of the Chamber.

Article 61 A special act of the Chamber determines the documents and data which constitute a secret and which disclosure to an unauthorized person would be contrary to the interests of the members of the Chamber. All members of the Chamber elected in the bodies of the Chamber are obliged to fill in a form and submit it to the Committee for Verification of Facts which would eliminate the doubt about the influence of certain services and structures in the system, ie those members would remain as experts only in the bodies of the Chamber for which they would sign a separate statement.

Newsletter of the Chamber

Article 61-a The Chamber shall publish its own information journal, which shall be published as necessary and at least periodically every four months, providing timely information to its members and the general public on the decisions, conclusions, views, proposals and opinions adopted at the sessions of the bodies, reports adopted by the Assembly, on accredited and other specialized lectures as well as on other topics of interest to doctors of medicine. The journal also has a specialized section where doctors of medicine can publish their professional experiences. The newsletter is free of charge for all members of the Chamber, and they are published on the Chamber's website. The newsletter has an editor-in-chief and an editorial board. The editorial board is composed of eminent experts from the Republic of Macedonia (70%) and other countries (30%). The Editor-in-Chief and the Editorial Board are accountable to the Executive Board, the President of the Chamber and the Assembly of the Chamber for their work.

Article 61-b The Chamber has its own website for presentation on the Internet through which the members of the Chamber and the public can be informed about its activities, work, structure and organization, authorities, bodies, accredited and other specialized lectures and so on. The Chamber in cooperation with the Ministry of Health of the Republic of Macedonia, the Health Insurance Fund of the Republic of Macedonia, other institutions or independently publishes materials for promotional campaigns, promotion and prevention of the health of the population.

XIV. TRANSITIONAL AND FINAL PROVISIONS

Article 62 The acts of the Chamber shall be adopted within 6 months from the date of entry into force of this Statute.

Article 63 Article 63 shall be deleted.

Article 64 Article 64 shall be deleted.

Transitional Provisions of the Statutory Decision Amending the Statute of the Doctor's Chamber of Macedonia

Article 70 Proceedings initiated prior to the date of entry into force of this Statute shall continue to be conducted in accordance with the provisions of the Statute which was in force until the date of adoption of this Statute.

Article 71 The President of the Chamber, the members of the authorities, bodies, committees of the Chamber shall continue to serve until the expiry of their mandate.

Article 72 This Statute shall enter into force on the day of its adoption and shall apply after registration in the Central Registry of the Republic of Macedonia and shall be published in the "Official Gazette of the Republic of Macedonia".

No. 02-3969/8 For Chairman of the 01.03.2017 Assembly of the DCM Skopje Dr. Slobodan Donchevski

Дека документот е правилно и точно преведен I hereby confirm with my signature and stamp that од македонски на англиски јазик потврдувам the translation from Macedonian into English со мојот потпис и печат. language is in accordance with the original document.

Адреса: Ул. Рилски Конгрес бр. 61 Address: 61 Rilski Kongres St. Тел. 02/520-88-56 Tel. 02/520-88-56 e-mail: [email protected] e-mail: [email protected] Овластен судски преведувач Authorized court translator Никола Геровски Nikola Gerovski Скопје, 17.09.2019 Skopje, 17.09.2019