Representation for the category of doctor. Assigning a category to a doctor - is it possible to speed up this process

If every soldier wants to become a general, then for every wearer of a white coat, the highest degree of recognition is the status of a doctor of the highest category. What does it mean? - this question is asked by many patients who would like to receive more qualified medical care.

How to get the highest category of a doctor?

• Availability of higher professional education;
• Ten years of experience in the specialty profile;
• Leading position;
• High level of theoretical knowledge and practical skills;
• Availability of scientific publications in reputable industry publications;
• Timely and successful professional development;
• Active participation in the life of the domestic (world) scientific community or professional medical association;
• Possession of methods of treatment and diagnosis of patients not only in their own, but also in related specialties;
• Compliance of existing qualifications with the requirements for employees of the highest category.

The highest category can be awarded after seven years of experience for the following categories of medical workers:

Commission meeting procedure

The decision to assign or deprive the medical category is made by certifying commission:

1. Its meeting is appointed within 90 days from the moment the documents for the qualification exam were registered;
2. The expert group is formed at least one month before the day of the meeting based on the decision of the executive secretary;
3. Invited experts review the report on the work of a particular specialist;
4. Then the date of the meeting is set with the notification of the specialist claiming a higher professional status (or a refusal is sent with reference to the relevant provisions of the review);
5. Checking a medical worker is carried out in written (testing) and oral (interview) forms;
6. Testing is considered successfully passed if the subject answered 70% of all questions correctly;
7. The interview is conducted with the participation of specialized specialists and affects theoretical and practical knowledge;
8. The decision on the assignment (refusal, deprivation) of qualifications is made in the course of open voting by a simple majority of votes (with the participation of at least 2/3 of the members of the commission in voting);
9. If the test fails, the applicant is entitled to a second chance, but not less than 12 months later.

What gives the highest category to doctors?

There are several reasons why healthcare professionals may be interested in higher qualifications:

1. Increasing prestige and respect from colleagues and patients. An indication of a high position is always reflected on the badges and plates on the office;
2. High voice weight in controversial or conflict situations. Even in the case of harm to the patient in the event of an unsuccessful operation, you can hide behind your qualifications: the case was so severe that even such a professional could not cope;
3. Direct material interest. The increase in salary turns out to be very significant and, depending on the region, can range from several thousand to several tens of thousands. Sometimes so-called "presidential allowances" (5-10 thousand rubles) are provided.

In addition to the privileges of the lucky one, pitfalls await:

• Increasing the level of responsibility;
• Additional draft work: the need to fill out stacks of papers;
• The need to make a report on one's activities every five years (a work comparable in volume to a university diploma).

Deprivation of medical status

The decision to deprive the status is made in the same manner as its receipt - within the framework of the meeting of the qualification commission. The grounds for such a deplorable verdict can be:

• medical error- negligence in diagnosis or treatment. In most cases, the offender is sent to advanced training courses. In especially severe cases, criminal liability is possible;
• Systematic violation of medical ethics(Provisions of the Hippocratic Oath). Complaints of colleagues or patients are considered as evidence;
• Corrupt practices. It was this basis that the head of the Ministry of Health named as one of the main ones;
• Incompetence. Loss of professional qualifications and lack of work experience for a long time.

In case of deprivation of the highest category, two options are possible:

1. With the provision of another category, lower (first or second);
2. Without granting another status.

There are known cases of arbitrariness on the part of the head physicians who threaten to deprive the categories without convening a commission. Such behavior is subject to prosecution by the labor commission or the courts.

What categories of doctors are higher?

The medical career ladder is not limited to the concepts of categories that are assigned for their experience. A doctor can be not only a practitioner, but also a scientist who contributes to theoretical medicine.

After a year in an internship and a couple of years in a clinical residency, an intern can earn one of the following degrees:

• Candidate of Medical Sciences. To obtain this title, a certified physician after graduating from a university and postgraduate education must complete three more years of postgraduate study. The result of the training will be a dissertation on a topical topic in the field of medicine;
• Doctor of Medical Sciences. After receiving a PhD, a doctor can go further and try his hand at doctoral studies. A doctoral dissertation is a fundamental scientific work, which few can write. That is why there are so few doctors of medicine - a little over a hundred thousand in the whole country. It is almost impossible to get this title at a young age: in isolated cases it is possible at the age of 32-33, but most often these are later years.

High salary, respect from colleagues and career growth. Approximately such a picture arises in the head of the interns with the cherished words "doctor of the highest category." What this means in reality, more senior colleagues are convinced by their own example: rough paperwork, constant stress and increased responsibility. Yes, and material benefits are very doubtful, in the conditions of the pursuit of the modern Ministry of Health for the notorious "efficiency".

Video about a doctor of the highest category

In this video, Dr. Vladislav Rogachev will tell you what to do to stop getting sick:

Dentists receive qualification categories in the same way as doctors of other specialties.

Allocate the second, first and highest categories. In this article, you will learn about the new procedure for obtaining qualification categories, in accordance with Order No. 274 “On the procedure for obtaining qualification categories for employees with higher medical education, with higher and secondary pharmaceutical education of state healthcare institutions.”

1. Federal Law No. 323-FZ dated November 21, 2011 “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation,
2. Orders of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n “On Approval of the Unified Qualification Directory for the Positions of Managers, Specialists and Employees,
3. section "Qualification characteristics of positions of workers in the field of healthcare", dated 07.07.2009 No. 415n "On approval of qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare"
4. and dated July 25, 2011 No. 808n "On the procedure for obtaining qualification categories by medical and pharmaceutical workers."
5. Order No. 274

Requirements for dentists when awarding a category:

Second category	at least 3 years of work experience in a certified specialty	Good practical and theoretical training	Work skills: modern methods of prevention, diagnosis and treatment of patients
First category	at least seven years	Required practical experience and good theoretical and practical training in the field of their specialty, well-versed in related disciplines	modern methods of prevention, diagnosis and treatment of patients, active participation in the scientific and practical activities of the medical institution
Top category	at least ten years of professional experience	high theoretical and practical professional training	fluency in modern methods of prevention, diagnosis and treatment of patients in the field of their specialty, who are well acquainted with related disciplines, have good indicators of professional activity, take an active part in the scientific and practical activities of a medical institution and improve the skills of specialists with higher medical education.

What documents must a dentist provide to receive a category?

1. application of a specialist addressed to the chairman of the certification commission, which indicates the qualification category for which he is applying, the presence or absence of a previously assigned qualification category, the date of its assignment, the personal signature of the specialist and the date (Appendix No. 2);
2. a printed qualification sheet, certified by the personnel department (Appendix No. 3);
3. a report on the professional activities of a specialist, agreed with the head of the organization and certified by its seal, and including an analysis of professional activities over the past three years with a personal signature (Appendix No. 4).

Requirements for the report of a specialist (work for the category of a doctor):

You can find more detailed documentation by downloading the documentation for .

What should be contained in the work for the category of dentist (in the certification report)

1. The first chapter contains information about the healthcare institution in which the dentist works, the dental department, the equipment of the office and workplace of the dentist,
2. The second chapter is a report on the work over the past three years. It analyzes the dynamics of the quality of medical work. The introduction of modern technologies, the development of new methods of treatment by the doctor. Also here are the main indicators of the work of a specialist in the form of tables and graphs, namely, qualitative and quantitative indicators (percentage and absolute number of sanitized, the number of seals, UET in direct connection with the number of working days of the year). Do not forget to indicate the number of sanitations per bet, the number of sanitations, the number of fillings per day and the ratio of uncomplicated to complicated caries, % of one-session treatment of complicated caries. Each table and graph should end with a brief summary (1-2 sentences). Write down what treatment methods you use in your work. Indicators of preventive work and clinical examination.
3. The third section includes an analysis of new methods of treatment and prevention.

On the Internet, there are reports of dentists for a category in free access, you can read them on our website. I made a selection of reports, did the initial editing in formatting in Microsoft Office Word. However, all of them leave much to be desired and do not fully meet the requirements. They can only be used as a basis, an example.

On August 4, 2013, the Order of the Ministry of Health of the Russian Federation dated April 23, 2013 No. 240n “On the procedure and terms for medical workers and pharmaceutical workers to pass certification to obtain a qualification category” (hereinafter referred to as the Procedure) began to operate. In this regard, the Order of the Ministry of Health and Social Development of the Russian Federation dated July 25, 2011 No. 808n “On the Procedure for Obtaining Qualification Categories by Medical and Pharmaceutical Workers” has become invalid. Today we will tell you what has changed in the certification procedure for medical and pharmaceutical workers, and compare the previous and current procedures. .

General provisions

The procedure establishes the rules for passing certification by medical and pharmaceutical workers. This procedure applies to specialists with secondary medical and pharmaceutical education, specialists with higher professional education engaged in medical and pharmaceutical activities.

As before, certification of specialists is carried out for the positions provided for by the current nomenclature of positions of medical and pharmaceutical workers, in three qualification categories (second, first and highest) once every five years. At the same time, the qualification category assigned to the employee is also valid for five years from the date of issuance of the relevant administrative act. Specialists may apply for the assignment of a higher qualification category even before the expiration of the said period, but not earlier than three years from the date of assignment of the qualification category.

The requirements for work experience for obtaining qualification categories have been adjusted in order. The length of service in the specialty now does not depend on the education received by the employee. So, to obtain the second qualification category, at least three years of work experience in the specialty (in position) is required, to obtain the first category - at least five years of experience, the highest category - at least seven years of experience.

For comparison, let's say: earlier, in order to obtain the highest qualification category, it was necessary to have at least 10 years of experience for specialists with higher professional education and at least seven years of experience for specialists with secondary vocational education.

In addition to the length of service, the Procedure establishes requirements for the theoretical knowledge and practical skills of specialists. In particular, based on P. 8 of the Procedure, a specialist applying for a second qualification category must:

• have theoretical training and practical skills in the field of their professional activities;
• navigate in modern scientific and technical information, possess the skills of analyzing quantitative and qualitative performance indicators, compiling a report on the work.

To obtain the first qualification category, a specialist must:

• have theoretical training and practical skills in the field of their professional activities and related disciplines;
• use modern methods of diagnostics, prevention, treatment, rehabilitation and own medical and diagnostic equipment in the field of their professional activities;
• be able to competently analyze the indicators of professional activity and navigate in modern scientific and technical information;
• participate in solving tactical issues of organizing professional activities.

note

To obtain the highest qualification category, on the basis of clause 10 of the Procedure, a specialist must:

• have high theoretical training and practical skills in the field of their professional activities, know related disciplines;
• use modern methods of diagnostics, prevention, treatment, rehabilitation and own medical and diagnostic equipment in the field of their professional activities;
• be able to evaluate the data of special research methods in order to establish a diagnosis;
• navigate in modern scientific and technical information and use it to solve tactical and strategic issues of professional activity.

Formation of attestation commissions

To conduct certification, as before, commissions are created, which, depending on the bodies that form them, can be central, departmental and territorial. The rules for the formation of commissions and their composition are regulated in detail by the Procedure.

The attestation commission consists of a coordinating committee (hereinafter referred to as the committee), which performs the functions of organizing the activities of the attestation commission and expert groups in specialties (hereinafter referred to as expert groups), which review documents and conduct a qualification exam.

The composition of the certification committee includes:

• leading specialists of organizations engaged in medical and pharmaceutical activities;
• representatives of medical professional non-profit organizations, employers;
• representatives of a public authority or an organization forming an attestation commission, and other persons.

The personal composition of the attestation commission is approved by the administrative act of the state authority or organization that created the attestation commission.

The general management of the activities of the attestation commission is carried out by the chairman of the commission, who is also the chairman of the committee. The deputy chairman of the attestation commission is recognized as the deputy chairman of the committee and acts as the chairman of the attestation commission in his absence.

The position of the executive secretary of the commission remains, which registers and reviews the documents of specialists arriving at the certification commission who have expressed a desire to undergo certification for obtaining a qualification category, for compliance with their requirements for the list and execution of documents, forms materials for sending to expert groups, prepares materials for meetings and draft decisions of the committee.

The expert group also has a chairman, a vice-chairman and an executive secretary.

It should be noted that the Procedure defines in sufficient detail the functions of both the committee and the expert groups. For example, the committee coordinates the work of expert groups, determines the methods, methods and technologies for assessing the qualifications of specialists, prepares and submits for approval to the body that created the certification commission, a draft administrative act on the assignment of qualification categories to specialists. The expert groups, in turn, review the documents submitted by specialists, prepare conclusions on reports, conduct test control of knowledge and interviews, and make decisions on assigning qualification categories to specialists.

Based on clause 18 of the Procedure, committee meetings are held, if necessary, by decision of its chairman, and meetings of expert groups - at least once a month. A meeting of a committee or an expert group is considered competent if more than half of the members of the committee or expert group, respectively, are present at it.

Decisions of the committee and the expert group are taken by open voting by a simple majority of votes of the members present at the meeting. In case of equality of votes, the vote of the chairman of the meeting of the committee or expert group is decisive ( Clause 19 of the Order). It should be noted that in the previous attestation procedure, the presence of at least 2/3 of the members of the commission was required to make a decision, and in the event of an equality of votes, the decision was considered adopted in favor of the specialist.

The decisions of the committee and the expert group are documented in minutes, which are signed by all members of the committee and the expert group who were present at the meeting of the committee and the expert group, respectively.

The procedure for certification

Specialists who have expressed a desire to undergo certification to obtain a qualification category, submit a set of documents to the certification commission. The list of documents included in the qualification documentation has not changed, but there is one exception: now, instead of a qualification sheet, a specialist must submit an attestation sheet.

note

In the previous procedure for obtaining qualification categories, it was established that the head of a medical or pharmaceutical organization must create conditions for specialists to obtain qualification categories when interacting with the commission, submitting documentation and notifying the specialist. Now there are no such obligations to assist.

An innovation in terms of submitting documents is the need to submit a duly certified translation into Russian of documents issued on the territory of a foreign state and executed in a foreign language.

Also, an innovation is a ban on participation in sending documents by an official of an organization authorized to interact with an organization in which a specialist carries out professional activities with an attestation commission. The procedure established that only the specialist himself can send documents by mail or present personally. In addition, the requirement to bind documents is excluded.

Documents must be sent to the address of the state authority or organization that created the certification commission, by mail or presented personally by a specialist no later than four months before the expiration of the existing qualification category. If this deadline is violated, the qualification exam may be held later than the expiration date of the existing qualification category.

For your information

Clause 16 of the Procedure establishes that attestation can be carried out using telecommunication technologies (remote attestation) and in the form of an offsite meeting.

The rules and terms of certification have been adjusted in order. In particular, on the basis of clause 22 of the Procedure, documents received by the certification commission are registered by the executive secretary of the committee on the day they are received by the certification commission. Within seven calendar days from the date of registration of documents, they are submitted for consideration to the chairman of the committee (previously, documentation was registered after a seven-day check of its compliance with the completeness requirements).

If there are no documents provided for by the Procedure or they are incorrectly executed, the executive secretary of the committee must send a letter to the specialist refusing to accept documents explaining the reason for the refusal also within seven days (previously this period was 14 calendar days). In this case, the specialist can send the documents again. At the same time, he was previously given a month to correct the shortcomings, but now such a period has not been set at all.

The chairman of the committee, no later than 14 calendar days from the date of registration of documents, determines the composition of the expert group for certification and sends the specialist's documents to its chairman (clause 23 of the Procedure). At the same time, the expert group must consider them no later than 30 calendar days from the date of registration of documents, approve the conclusion on the report and set the date and place for the test control of knowledge and interview (previously, the period for reviewing documents was 14 calendar days).

Note that the requirements for the content of the conclusion to the report have changed. In particular, on the basis of clause 24 of the Procedure, it is no longer necessary to take into account:

• the duration and timing of the last advanced training;
• forms of self-education used by a specialist;
• compliance of the volume of theoretical knowledge, actual diagnostic and therapeutic practical skills with qualification requirements.

The decision of the expert group on the appointment of the date and place of the test control of knowledge and interview is communicated to the specialist no later than 30 calendar days before the date of the test control of knowledge and interview, including by posting relevant information on the official website on the Internet or information stands of the state authority. authorities or organizations that created the attestation commission.

Test control of knowledge and interview are held no later than 70 calendar days from the date of registration of documents.

Based on clause 27 of the Procedure, based on the results of the qualification exam, the expert group can take one of two decisions: assign or refuse to assign a qualification category to a specialist. Recall that earlier there were several types of decisions taken by the expert group. For example, it was possible to increase the second qualification category with the assignment of the first one, confirm the previously assigned qualification category, remove the first (highest) qualification category with the assignment of a lower category, or deprive a specialist of the qualification category.

The decision to assign or refuse to assign a qualification category to a specialist is made by the expert group no later than 70 calendar days from the date of registration of documents, drawn up in the minutes of the meeting of the expert group and entered in the certification sheet of the specialist by the executive secretary of the expert group. If a specialist is denied the assignment of a qualification category to a specialist, the minutes shall indicate the grounds on which the expert group made the appropriate decision. A decision to refuse to assign a qualification category to a specialist can be made on the following grounds:

• the presence in the conclusion on the report of a negative assessment of the theoretical knowledge or practical skills of a specialist necessary to obtain the qualification category declared by him;
• the presence of an unsatisfactory assessment on the basis of the test control of knowledge;
• non-appearance of a specialist to pass a test control of knowledge or an interview.

The completed protocol containing the decision to assign or refuse to assign a qualification category to a specialist is sent by the chairman of the expert group to the committee within five calendar days from the date of its signing. The latter, no later than 90 calendar days from the date of registration of documents, prepares and submits for approval an administrative act on assigning a qualification category to a specialist (clause 31 of the Procedure).

note

The administrative act on the assignment of a qualification category to a specialist must be issued by the state authority or organization that created the certification commission no later than 110 calendar days from the date of registration of documents. Previously, an order to assign a qualification category to a specialist was issued within a month from the moment the decision was made by the commission.

The specialist must receive, by mail or by hand, an extract from the administrative act on the assignment of a qualification category to him no later than 120 calendar days from the date of registration of documents.

Note that the Procedure has extended the period for appealing the decision of the attestation commission from 30 days to a year. The term for appeal is counted from the date of adoption of the decision by the attestation commission.

As you can see, the procedure for certification of medical and pharmaceutical workers has undergone significant changes in terms of the timing of certification, the procedure for processing documents and the results of certification. Moreover, there are still unexplained points. In particular, it was previously envisaged that within a week from the date of issuance of an order on conferring qualifications, a specialist was issued and issued an appropriate document. Now, the specialist is issued only an extract from the order on assigning him a qualification category, and not a word is said about the document. We believe that these points will be clarified by the competent authorities in the course of the procedure.

The nomenclature of specialties of specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare of the Russian Federation, approved. Order of the Ministry of Health and Social Development of the Russian Federation dated April 23, 2009 No. 210n.

Modernization of healthcare in the Russian Federation. Purpose and objectives of the program.

Modernization of healthcare in the Russian Federation. Implementation of modern information systems and standards of medical care.

Sanitary statistics: definition, sections, role in assessing the health of the population and the activities of health care institutions. Organization of statistical research and its stages.

Comparative characteristics of methods for collecting statistical material.

15. General and sample population. Formation methods. The concept of representativeness.

16. Main elements of the first, second and third stages of the study. The concept of a unit of observation.

17. Features of clinical - statistical research. Errors of statistical research.

18. Relative indicators in sanitary statistics: types, calculation methods. Practical use.

19. Graphic images in health statistics.

20. The average level of the sign. Average values: types, properties, practical application. Mean square deviation. Evaluation of the reliability of the results of the study.

21. Diversity of a trait in a statistical population: criteria characterizing the boundaries and internal structure of a variation series, their practical application.

22. Methods for studying the relationship between phenomena and signs, practical application. Evaluation of the strength and nature of the correlation. Pair and multiple correlation.

23. Standardized indicators. Stages of the direct method of standardization. Practical use.

24. Health of the population. Definition. Modern ideas about health as the most important characteristic of the standard of living.

25. Public health. Development of the concepts of health and disease. Factors affecting the health of the population, health functions.

27. Lifestyle - a concept, the main elements that affect the health of the population.

28. Lifestyle and living conditions of the population of the Russian Federation.

29. Epidemiology as a section of public health and health care that studies the ways of occurrence, spread and measures of public prevention of diseases.

30. Risk factors, their signs, classification. Risk groups for the development of diseases. Key indicators of disease risk assessment.

31. Health care is a concept. Social functions: management of living labor, reproduction, personal development.

32. Prevention: concept, types, use of the preventive method in the work of medical organizations. Issues of prevention in legislative documents.

33. Rehabilitation: concept, types, modern features of the organization of rehabilitation assistance to the population.

34. Lifestyle and living conditions of the population of the Russian Federation. Categories of lifestyle. The impact of lifestyle on the health of various groups. Centers for the formation of a healthy lifestyle of citizens, their functions.

35. Demography: concept, main sections. The use of demographic data to characterize the health of the population.

36. Medical demographics. Socio-hygienic problems of demography.

37. Patterns and trends of demographic processes in the world.

38. Population census and methodology. Basic demographic data for Russia and the Krasnodar Territory.

39. Indicators characterizing the reproduction of the population: methods of calculation and evaluation. Levels by countries of the world.

40. Current trends in mortality in economically developed countries and developing ones.

42. General and age-specific mortality of the population: methods of calculation, causes of death in different age groups.

43. Infant mortality: methods of study, causes. Characteristics of infant mortality in Russia and the Krasnodar Territory.

44. Perinatal mortality: methods of study, causes. Modern approaches to registration and assessment of perinatal mortality in Russia.

45. Fertility: methods of study, assessment of the indicator, level by country of the world.

46. ​​Average life expectancy: concept, level by country, data for the Russian Federation and kk.

47. Indicators characterizing the health of the population.

48. Types of age structure of the population. Medico-social aspects of the "aging" of the population.

49. Morbidity, pain, pathological affection: concept, calculation method. Methods for studying morbidity, their comparative characteristics.

50. Morbidity by negotiability: methods of study, types, registration forms, structure.

51. Morbidity according to medical examinations: methods of study, registration forms, structure.

52. Morbidity according to causes of death: study methodology, registration forms, structure.

53. "International Statistical Classification of Diseases and Related Health Problems": history of creation, principles of construction, significance in the work of a doctor.

54. Tuberculosis as a socially significant disease, forms of tuberculosis, place in the ICD system - 10. Dynamics of the incidence of tuberculosis, factors contributing to the increase in incidence.

55. Planning and organization of care for patients with tuberculosis. The most important methods of diagnosis and prevention of tuberculosis. Dispensary groups.

57. Risk factors contributing to the growth of diseases of the circulatory system. The most important measures for the prevention of diseases of the circulatory system.

58. Organization of medical care for patients with pathology of the circulatory system. An integrated approach to the fight against circulatory diseases.

60. Epidemiology of malignant neoplasms, forms most common in men and women. Dynamics of morbidity, structure of morbidity, and mortality from cancer in the Russian Federation and KK.

The main measures for the prevention of carcinogenic hazard

62. Planning and organization of medical care for cancer patients. Oncology dispensaries

63. Groups of dispensary registration of cancer patients. Dispensary observation of oncological patients, goal. Plus see question 63

65. Alcoholism, drug addiction, substance abuse, smoking and their impact on health. Problems, ways of overcoming, prevention.

66. Health authorities, structure and functions.

67. Unified nomenclature of health care institutions.

"On approval of a unified nomenclature of state and municipal health care institutions"

2. Health facilities of a special type

3. Health care institutions for supervision in the field of consumer protection and human well-being

4. Pharmacies

68. The main types of outpatient - polyclinic organizations.

69. The main types of hospital organizations.

70. Main types and principles of work of dispensaries.

71. Institutions of emergency medical care, blood transfusion and sanatorium-resort institutions according to a single nomenclature.

72. Structure and organization of the polyclinic. Performance evaluation indicators. Modern trends and problems in the organization of outpatient care for the population.

73. The main tasks of the polyclinic, functioning independently or as part of an integrated hospital. Functions of the accounting office and medical statistics of the polyclinic.

74. District physician - therapist: the size of the site, load standards, sections of work. Passport of the therapeutic area. Criteria for evaluating the effectiveness of the activities of the district physician - therapist.

75. General practitioner: the size of the area, load norms, sections of work. Passport of the therapeutic area. Criteria for evaluating the effectiveness of the activity of a general practitioner (family doctor).

I. Characteristics of the medical therapeutic area

II. Characteristics of the population attached to the medical (therapeutic) area

76. Stationary assistance to the population: principles of organization, current trends and problems.

77. Structure and organization of the hospital. Procedure for referral and discharge of patients. Performance evaluation indicators. The concept of "optimal" bed capacity.

78. The work of a doctor in a hospital: the main sections, performance evaluation indicators. The main functions of a medical document in a hospital are medical records.

79. Functions of the medical commission (subcommittee) of a medical organization.

80. Clinical examination: concept, groups of dispensary registration, use in the work of medical institutions.

81. Dispensaries: types, forms, methods of work. Groups of dispensary registration in oncological and anti-tuberculosis dispensaries.

82. Therapeutic and preventive care for the rural population: principles of organization, features, current trends and problems.

83. Stages of providing medical care to the rural population, the volume of medical care at different stages. The work of a general practitioner.

84. The role of regional (regional) medical institutions in the medical care of the rural population.

85. Regional (regional), republican hospitals: categories, structure, organization of work.

86. The main tasks of the obstetric - gynecological service. Medical institutions providing medical care to women.

87. The structure and organization of the work of the residential complex, performance evaluation indicators, evaluation levels of indicators.

88. The work of an obstetrician - gynecologist in the residential complex: the size of the site, the load norms, the main sections of the work, performance evaluation indicators.

89. Hospital maternity hospital: structure, main tasks, performance evaluation indicators, evaluation levels of indicators.

90. Continuity in the activities of residential complex, maternity hospital, children's clinic.

91. Types and forms of medical activity. Conditions for the provision of medical care in the Russian Federation.

92. Primary health care for the population - the concept, principles of organization.

93. The procedure for providing medical care - the concept, the main elements.

94. Standards for the provision of medical care in the Russian Federation - the concept, the role of standards in the provision of medical care.

95. Palliative care.

96. Examination of temporary and permanent disability. The procedure for filling out and issuing a certificate of incapacity for work.

I. General provisions

97Question. - 100questions

101. Social insurance: concept, basic principles, types of benefits.

102. Types and forms of social insurance and security.

103. Object and subject of medical insurance. Rights and obligations of subjects.

104. Relationships between subjects of health insurance.

105. Insurance risk: concept, types. Conditions for payment of compensation to the insured.

106. Medical personnel, training system, specialization and improvement, attestation and certification of doctors.

What do you need to qualify for a category?

1. Have an idea about the procedure for obtaining qualification categories.

2. Meet the qualification requirements for your specialty.

3. Undergo training to update existing theoretical and practical knowledge.

5. Write an attestation paper.

6. Submit the necessary documents to the attestation commission.

109. The program of state guarantees for the provision of free medical care to citizens of the Russian Federation.

110. Types and conditions for the provision of medical care under the program of state guarantees for the provision of free medical care to citizens of the Russian Federation, standards for volumes and financial costs.

111. Criteria for the quality and accessibility of medical care provided to the population under the program of state guarantees for the provision of citizens of the Russian Federation.

Health care: concept, role in society. Core core health values ​​in countries with different types of health systems.

Factors that determine the nature of the health care system. Factors that determine the medical needs of the population.

Models of healthcare systems in the world. Characteristic. Advantages and disadvantages.

1 Typ. State - budgetary.

The inability to independently comprehend the results of their activities is a reflection of intellectual and professional wretchedness.

Examples of attestation reports of doctors [jump]

Examples of Nursing Attestation Reports [jump]

5. Write an attestation paper.

It should be said that the vast majority of certification works of doctors are uninteresting. Because usually colleagues are limited to a simple enumeration of statistical facts. Sometimes, to add volume, statistics are diluted with textbook inserts. Other doctors are generally engaged in outright plagiarism: they go to the archive, take the reports of other doctors for the past years and only change the numbers. I even saw attempts to hand over the sheets copied on the Xerox. It is clear that such a "creative approach" causes only contempt. Well, completely stupid and lazy medical workers simply buy (for example, via the Internet) ready-made certification papers.

What to write in your attestation report is described in the document “Approximate scheme and content attestation work"

How certification work should look like can be found in the file “Standards and design requirements attestation report"

6. Submit the necessary documents to the attestation commission.

The papers that must be submitted to the certification commission are contained in List of documents for medical certification.

List of orders for certification

The very first order that I know of is dated January 11, 1978. It was the order of the Ministry of Health of the USSR No. 40 "On the certification of medical specialists."

After 4 years, the order of the Ministry of Health of the USSR No. 1280 “On measures to further improve the certification of doctors” is issued. The order provided for 2 types of certification: mandatory and voluntary ( more...).

At the beginning of 1995, the Ministry of Health and Medical Industry of the Russian Federation issued Order No. 33 “On Approval of the Regulations on the Certification of Doctors, Pharmacists and Other Specialists with Higher Education in the Healthcare System of the Russian Federation”. This order left only one certification - voluntary.

In 2001, order No. 314 “On the procedure for obtaining qualification categories” was issued.

After 10 years, the old order was replaced by a new one - Order of the Ministry of Health of the Russian Federation No. 808n " On the procedure for obtaining qualification categories", which is currently in effect.

107. Remuneration of medical workers. Principles of formation of the system of remuneration of employees of budgetary institutions.

Features of the formation of payment systems for employees of state and municipal health care institutions

38. State authorities of the constituent entities of the Russian Federation, local authorities, heads of state and municipal health care institutions, when forming employee remuneration systems, must take into account the following:

a) an increase in the remuneration of employees of healthcare institutions operating in the system of compulsory medical insurance is carried out at the expense of subventions of the Federal Fund for Compulsory Medical Insurance, taking into account the increase in financial support for expenses incurred under the basic program of compulsory medical insurance, as well as interbudgetary transfers from the budgets of the constituent entities of the Russian Federation Federation for additional financial support of Territorial programs of state guarantees;

b) making cash payments to district general practitioners, district pediatricians, general practitioners (family doctors), district nurses, district general practitioners, district pediatricians and nurses of general practitioners (family doctors) for the medical care provided in outpatient settings; medical workers of feldsher-midwife stations (heads of feldsher-obstetric stations, paramedics, obstetricians (midwives), nurses, including patronage nurses) for the medical care provided on an outpatient basis; doctors, paramedics and nurses of medical organizations and ambulance units for providing emergency medical care outside a medical organization; medical specialists for the provided medical care on an outpatient basis are made at the expense of compulsory medical insurance, taken into account in terms of wage costs in the tariffs for payment for medical care, formed in accordance with the methods of payment for medical care adopted in the territorial program of compulsory medical insurance;

c) the formation of the staffing of healthcare institutions is carried out taking into account the recommended staffing standards contained in the procedures for the provision of medical care and the Nomenclature of the positions of medical workers and pharmaceutical workers, approved by order of the Ministry of Health of Russia dated December 20, 2012 N 1183n;

d) when establishing incentive payments, provide for indicators and criteria for the performance of employees aimed at achieving specific results of their work, reflected in the Model Regulations on remuneration of employees of institutions, local regulations and employment contracts with employees of institutions;

e) in order to preserve human resources, increase the prestige and attractiveness of work in institutions, it is recommended to improve the procedure for setting the size of official salaries of employees by redistributing funds in the salary structure for a significant increase in official salaries.

To this end, it is recommended to revise the mechanism for setting official salaries depending on the qualifications and complexity of the work of employees, to optimize the structure and size of incentive payments, based on the need to focus them on achieving specific results of employees' activities.

Salary of healthcare workers.

When calculating the salaries of medical workers, the accountant of a budgetary institution, first of all, is guided by the Regulations on the remuneration of healthcare workers of the Russian Federation. This Regulation was approved by Order of the Ministry of Health of Russia dated October 15, 1999 No. 377, as amended by Order of the Ministry of Health of Russia dated April 26, 2003 No. 160.

Public health care institutions, within the allocated budget allocations, independently determine the types and amounts of allowances, additional payments and other incentive payments. Salary of medical workers may include:

> salary increases;

> allowances for seniority;

> allowances for special conditions;

> allowances for additional work;

> incentive bonuses;

> extra payments for night work;

> cash payments under the state program, etc.

The introduction of new salaries (rates), additional payments and allowances for the duration of continuous work is carried out in the following terms:

1) when changing the category of wages, the amount of additional payment - according to the date of the order for the institution;

2) when conferring the honorary title "People's Doctor" and "Honored Doctor" - from the date of conferring the honorary title;

3) when assigning a qualification category - from the date of the order of the body (institution) under which the certification commission was created;

4) when awarding a scientific degree - from the date of entry into force of the decision on awarding a scientific degree by the attestation commission;

5) when changing the length of service of continuous work - from the date of reaching the length of service, giving the right to increase the size.

The qualifications of employees and the complexity of the work they perform are taken into account in the amounts of salaries (rates) determined on the basis of the Unified Tariff Scale.

Starting from May 1, 2006, Decree of the Government of the Russian Federation of January 29, 2006 No. 256 established the tariff rate (salary) of the first category of the Unified Tariff Scale for remuneration of employees of federal state institutions in the amount of 1100 rubles. and approved inter-digit tariff coefficients of the Unified Tariff Schedule.

The rates and salaries of employees of healthcare institutions are determined on the basis of the Unified Tariff Scale:

Since October 1, 2006, by Decree of the Government of the Russian Federation of September 30, 2006 No. 590, the categories have been increased by a factor of 1.11.

Salaries for positions of medical and pharmaceutical workers are set according to the categories of the Unified Tariff Scale, taking into account the availability of a qualification category, academic degree and honorary title.

Specialists working in the countryside are paid 25% higher salaries (rates) compared to the salaries (rates) of specialists engaged in these types of activities in urban areas.

A doctor who treats teeth has not only a specialization (therapist, surgeon, orthodontist, etc.), but also a category. How are they different from each other categories of dentists, What category does a dentist's career start with, and how can it be improved?

Categories of dentists and requirements for obtaining them

For all doctors, including dentists, upgrading is a natural part of professional growth. However, first of all, you need to become a dentist, and getting this profession is not so easy. First, yesterday's student must enter a medical school, and then master the educational program for several years in order to successfully complete it. Medical education is rightfully considered one of the most difficult: to obtain a medical diploma, you will need to work long and hard. Meanwhile, the profession of a dentist is quite popular. This is not only a very interesting specialty, but also one of the highest paid.

So, a career as a dentist begins with an appropriate education. During their studies at the university, students choose a specialization within which they will be able to upgrade their category in the future: therapist, orthodontist, periodontist, etc.

Graduation is followed by a new stage - internship. Only after completing it, the dentist can start working. During the practice, the doctor will gain professional experience and improve his skills. And in order to determine the level of qualification of a doctor and designate it, categories of dentists are assigned.

Like other doctors, dentists can upgrade their skills. The list of requirements corresponding to each category of dentists, as well as the procedure for their assignment, is established by law.

Each profession has its own categories, the number of which can reach six. As for the profession of a dentist, there are only three categories: first, second and highest. The rules for obtaining them are enshrined in Federal laws and orders of the Ministry of Health of the Russian Federation.

To get a higher qualification category, a doctor or pharmacist must pass certification. The procedure and terms for medical workers and pharmaceutical workers to pass certification to obtain a qualification category have been approved

Clause 5 of the Procedure states that the category of doctor is valid for five years after it has been assigned. Paragraph 6 also clarifies that a doctor can try to pass certification for a higher category only three years after receiving the current category.

Clause 11 states that if a specialist received a category before 08/04/2013, it will be valid for the period for which it was assigned.

According to the first paragraph of the Procedure, the basis for obtaining a doctor of each category is the certification.

Initially, the doctor has a basic - the second category. Then, under certain conditions, he can receive the first, and after it - the highest category.

	Obsolete Requirements	Current requirements
	Five or more years of experience in their specialty	At least three years of experience in their specialty, regardless of whether the dentist has a higher or secondary vocational education
	The doctor submitted a report on professional activity, on the basis of which the category was assigned in absentia
	Work as a department head or head of a health facility at the city or district level	Seven or more years of work experience in their specialty, if the dentist has a higher education, and from five years, if the specialist has a secondary vocational education
	Work as the head of a medical institution at the level of the region, territory or republic	A dentist of the highest category must have at least ten years of work experience in his specialty, if he has a higher education, and from seven years, if he has a secondary education.
	Assignment and confirmation of the category in person	The dentist confirms his right to receive a category in front of a commission that not only evaluates the report, but also conducts an interview

So, the main factor in assigning a new category of dentists is experience. But one diploma and several years of work as a dentist will not be enough.

In order to successfully pass certification, a doctor must constantly increase the base of theoretical knowledge and practical skills, improve his qualifications in various ways.

Although even this does not give any guarantee, since the decision on the compliance of the doctor with professional requirements is taken in person by the attestation commission.

l>

Preparation for the assignment of the category of dentists

Stage 1. Creation of a commission that decides on assigning a qualification category to a doctor.

In order for a dentist to confirm his knowledge in order to obtain a new category of dentist, he must pass an attestation. The doctor is evaluated by an attestation commission, the procedure for creating which is indicated in paragraph 12 of the Procedure approved by Order of the Ministry of Health of Russia dated April 23, 2013 N 240n. Within the commission, a coordinating committee and groups of experts are distinguished.

For each specialty for which candidates will be assessed, a separate expert group is assembled.

According to clause 14 of the Procedure, the attestation commission should include:

• chief specialists of medical and pharmaceutical organizations;
• specialists from non-profit professional medical organizations;
• representatives of the state body or organization that collects the commission;
• representatives of the organization in which the candidate works;
• other persons.

Clause 14 of the Procedure also notes that a specific list of commission members must be approved by order of the state body or organization that forms this commission.

Stage 2. Transfer of a package of documents for consideration by the commission.

Documents should be submitted to the organization or state body that convenes the commission, no later than four months before the expiration of the category available to the dentist. It is possible to submit papers both in person and by mail. Clauses 20, 21 of the Procedure list the list of required documents:

1. An application addressed to the chairman of the commission signed by the doctor himself. It must contain the following data:

• Name of the applicant;
• what category he would like to receive;
• information about the existing category of dentist, including the date of its receipt;
• consent to receive and process personal data of a doctor;
• date of issue of the document.

2. Attestation sheet of a dentist, the form of which can be seen in the first appendix to the Procedure. The printed sheet must be certified by a personnel specialist.

3. Information about the work done for a certain period. For doctors with higher education, it is three years, with secondary education - one year. The report consists of two main parts:

• description of the work performed by the dentist;
• summing up the results of professional activity and developing options for its improvement.

The document must be signed by the dentist himself, as well as his employer; the seal of the organization is also required.

If for some reason the manager does not agree on the report for assigning the category of dentist, the specialist may require an explanation of the reasons in writing. He includes the received paper in his package of documents.

5. A certified copy of a work book and a diploma of higher or secondary specialized education, as well as other documents (certificates, certificates, etc.).

7. If the doctor changed his last name, first name or patronymic, a document confirming this fact is required.

Clause 21 of the Procedure clarifies that if the dentist submitted a package of documents late, an interview for assigning a new category can be held after the expiration of the current one.

Stage 3. Acceptance of documents by the commission.

The procedure for receiving documents from doctors is also regulated by the Procedure:

• when the documents are submitted by the dentist to the commission, they are entered into the registration log on the same day;
• then they check the correctness of filling out the application, compliance with the requirements for issuing an attestation sheet, as well as the availability of all necessary documents.

If any errors in the execution or incompleteness of the package of documents are found, the commission will refuse to accept the application for the doctor. A denial letter stating the reasons must be sent within a week. Having received it, the dentist will be able to correct the mistakes made and again submit his documents for consideration by the commission.

What is the procedure for certification of dentists for the category

Stage 1. Checking professional skills.

A dentist can get a higher category only if he successfully passes an exam consisting of three parts (clause 7 of the Order):

• assessment by specialists of the report on the work done, prepared by the doctor;
• passing the test;
• face-to-face interview.

The purpose of these tests is to check the level of knowledge and skills of the dentist and to make sure that they really correspond to a higher category. It is precisely those skills that are directly related to the work in the specialty of this doctor that are evaluated.

According to clause 18 of the Procedure, the commission has the right to evaluate work for the category of a dentist only if at least half of all its members are present at the meeting.

Clause 19 regulates the keeping of the minutes of the meeting. The secretary is responsible for filling in the minutes, and after the meeting, the chairman and other members of the commission must also sign it. The form of this document is given in the second Appendix to the Order.

1. Consideration by the commission of the received package of documents. According to paragraph 17 and paragraph 24 of the Procedure, 30 days are allotted for this.
2. Also, within 30 days, a report on the work of the doctor must be considered. Based on the results of its study, the commission issues an official conclusion.
3. Within thirty days after the submission of documents, the date and place of the examination of the dentist must be determined. The specialist must learn about where and when the exam will take place at least 30 days before the appointed time. This information must be reported to the doctor personally, and can also be additionally posted on the Internet on the official website of the organization and on information stands. Clause 16 of the Procedure allows the remote conduct of the exam, as well as the format of the off-site meeting of the certification commission.
4. Interview and testing. Clause 24 of the Procedure establishes that the interview and testing must be carried out no later than 70 days after the dentist has submitted documents to the commission. As for testing, clause 25 of the Procedure establishes that the result is considered successful if the doctor correctly solved 70% of the test tasks.P. 26 of the Order states that the transition to an interview is possible only when the dentist has successfully completed the test part of the exam. Experts should find out whether the level of knowledge and training of the candidate corresponds to the category of dentist for which he is applying. To do this, members of the commission will ask questions related to the theoretical and practical aspects of work in the specialty being certified.
5. The decision to assign or refuse to assign a new category to a doctor, which is made based on the results of testing his knowledge (clauses 19, 27 of the Procedure).

All present members of the attestation commission take part in the voting. A simple majority vote is required to decide whether or not to assign a new category to a dentist. If the votes are equally divided, the decision is made by the chairman of the commission.

According to paragraph 19 of the Procedure, if the candidate is a member of the commission, then he cannot participate in the vote on assigning a category to himself.

Clause 27 of the Procedure contains a list of reasons that allow members of the commission to decide to refuse to assign a category:

• negative assessment of the progress report that the dentist submitted to the commission;
• unsuccessful passing by the candidate of the test part of the exam (less than 70% of correct answers);
• non-appearance of the doctor to the organization on the day of the test or interview.

According to paragraphs 28, 29 of the Procedure, the decision of the commission (if it was decided not to assign a category, the refusal must be justified) is recorded in the minutes of the meeting and in the certification sheet of the dentist.

Clause 19 of the Procedure provides that a member of the commission has the right to disagree with the final decision. In this case, he can express his opinion in writing and attach a paper to the protocol.

Stage 2. Issuance of an order to assign new categories to dentists and transfer of relevant documents to them.

Clause 32 of the Procedure provides that, based on the results of meetings of attestation commissions, an administrative act of a state body or organization is issued on the assignment of qualification categories to doctors.

Clauses 33, 34 regulate the procedure for informing the dentist about the decision. To do this, the secretary of the attestation commission must:

• make an extract from the relevant order, which reflects the results of certification and the assignment of categories of dentists to specialists;
• transfer the extract to each dentist personally, or arrange postal delivery. The deadline for delivery of the extract is also legally established - no later than 120 days after the doctor submitted the documents for registration;
• enter information about the delivery or mailing of the extract to the document registration log.

Stage 3. Appeal by the doctor of the decision made by the commission.

If a dentist believes that his attestation work for the category of a dentist is assessed unfairly, he can file a complaint with the state body or organization under which it was formed. Clauses 16, 35 of the Procedure establish that the doctor has the right to challenge the decision within a year after the decision is made.

What should a dentist's report per category look like?

Section 1. Introduction.

Information about the reporter. The volume of this part is about a page. The dentist should briefly describe his work and major achievements. It is worth noting the passage of advanced training courses, to mention the presence of professional awards.

Information about the place of work of the dentist. Here you need to provide basic data about the medical institution, such as the number of visits, types of procedures performed, etc. Particular attention should be paid to the distinctive features of the institution.

Information about the department in which the doctor works. It is necessary to briefly, but at the same time informatively describe the activities of the department, the established principles of labor organization, performance indicators for the reporting period. Provide information about the technical equipment (availability of equipment for research, procedures, etc.), as well as about the workforce and what place the dentist occupies in it.

Section 2. The main part - information about the work of the dentist over the past three years.

All the given indicators should be compared with the annual analysis of the data of the last three years. A candidate for obtaining the category of a dentist can also provide similar indicators for comparison by place of work, city, region and country. If an infographic is used, it is mandatory to give an explanation to it, including:

Description of the contingent. Statistics relating to the age and sex characteristics of patients, the most common diseases, the characteristics of the course of the disease, etc. You can compare the characteristics of the contingent with previous years.

Diagnostic system. The doctor can identify the most common diseases and describe the system for diagnosing them using tables, algorithms, etc. It will be a plus if the dentist demonstrates awareness of modern diagnostic methods, their capabilities, indications and contraindications.

Section 3. List of laws and official documents that the dentist is guided by in his work.

1. Type of document (order, resolution, letter, guidelines).

2. State body that adopted the document (Ministry of Health, city or regional health department, government).

3.Date of acceptance.

4.Document number.

5. Full name.

Section 4. List of sources.

Author's articles, including those written with the participation of other doctors. It is necessary to provide a photocopy of the pages of the journal, if the article was published, a list of monographs, titles of reports and other materials written over the past five years.

List of specialty books read by the dentist over the past five years, as well as the literature that he used to prepare the report.

Surcharge for category dentists

Depending on the level of professionalism of the doctor and the set of skills that he owns, his salary also changes. After receiving the category of a dentist, a specialist can count on an increase.

Additional payments for the category can be received by both employees and heads of medical institutions.

The amount of the co-payment will depend on the dentist's basic salary.

Legislatively, the right to receive it is enshrined in the annex to the Decree of the Ministry of Labor of Russia No. 6.

The bonus is calculated as a percentage of salary.

The amount of the increase in the salary of a dentist depends on two factors:

• qualification category, which he possesses;
• position held by a doctor in a medical institution.

However, when determining the amount of the allowance, such a factor as the period of work of the doctor in his position is not taken into account.

Allowances are paid to the doctor on a monthly basis from the wage fund.

	% bonus in relation to salary