The article provides information about lifelong education of doctors working in Medical Assessment Service of social security system, as well as forecasts possible future development in this field. The authors highlight that the Medical Assessment Service will need paramedics as assistants of the assessing doctors at the District Social Security Administration Offices.
Authors consider a paradigm shift in organisation and work of the departmental assessment service necessary to preserve and improve the medical assessment service field. In this regard authors consider to removal of medical assessment service from the structures of Czech Social Security Administration as essential.