Categories of dentists: requirements and assignment procedure. Certification of medical workers to obtain a qualification category: studying the new procedure Validity periods of qualification categories

This job description has been automatically translated. Please note that automatic translation is not 100% accurate, so there may be minor translation errors in the text.

Instructions for the position " Surgeon, 1st qualification category", presented on the website, meets the requirements of the document - "DIRECTORY OF Qualification Characteristics of Workers' Professions. Issue 78. Healthcare. (As amended in accordance with orders of the Ministry of Health No. 131-O dated June 18, 2003, No. 277 dated May 25, 2007, No. 153 dated March 21, 2011, No. 121 dated February 14, 2012)", which was approved by order of the Ministry of Health of Ukraine of March 29, 2002 N 117. Agreed by the Ministry of Labor and Social Policy of Ukraine.
The document status is "valid".

Preface to the job description

0.1. The document comes into force from the moment of approval.

0.2. Document developer: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

0.3. The document has been approved: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

0.4. Periodic check of this document carried out at intervals not exceeding 3 years.

1. General provisions

1.1. The position "Surgeon of the 1st qualification category" belongs to the category "Professionals".

1.2. Qualification requirements - complete higher education (specialist, master's degree) in the field of training "Medicine", specialty "General Medicine". Specialization in the specialty "Surgery" (internship, specialization courses). Advanced training (advanced courses, internships, pre-certification cycles, etc.). Availability of a medical specialist certificate and a certificate of assignment (confirmation) of the 1st qualification category in this specialty. Work experience in the specialty for more than 7 years.

1.3. Knows and applies in practice:
- current legislation on health protection and regulatory documents regulating the activities of government bodies and healthcare institutions;
- organization of surgical and trauma care;
- organizing the work of trauma centers, ambulance and emergency medical care in extreme situations;
- fundamentals of law in medicine;
- rights, duties and responsibilities of a surgeon;
- performance indicators of medical institutions, emergency rooms, surgical hospitals, etc.;
- organization of dispensary observation, medical supervision;
- work of medical advisory and medical-social expert commissions;
- normal and pathological anatomy and physiology, topographic anatomy;
- constants of homeostasis, water-electrolyte metabolism, relationship functional systems in healthy and sick people;
- general functional and special research methods;
- modern classification of surgical diseases;
- clinic infectious diseases, "acute abdomen", related conditions;
- rules for processing medical documentation;
- modern literature on the specialty and methods of its generalization.

1.4. A surgeon of the first qualification category is appointed to the position and dismissed from the position by order of the organization (enterprise/institution).

1.5. A surgeon of the first qualification category reports directly to _ _ _ _ _ _ _ _ _ _ .

1.6. A surgeon of the first qualification category supervises the work of _ _ _ _ _ _ _ _ _ _ .

1.7. During his absence, a surgeon of the first qualification category is replaced by a person appointed in accordance with the established procedure, who acquires the appropriate rights and is responsible for the proper performance of the duties assigned to him.

2. Characteristics of work, tasks and job responsibilities

2.1. Guided by the current legislation of Ukraine on health care and regulations that determine the activities of governing bodies and healthcare institutions, the organization of surgical and trauma care.

2.2. Conducts a targeted clinical examination of the patient.

2.3. Determines the scope of laboratory, radiological and other special studies, evaluates their results.

2.4. Conducts differential diagnostics.

2.5. Determines the severity of the patient's condition.

2.6. Provides emergency medical care to patients with terminal conditions, group and mass lesions.

2.7. Monitors adverse reactions/effects of medications.

2.8. Determines indications for hospitalization according to the profile of the disease, tactics of drug and surgical treatment, taking into account the patient’s condition, the need for preoperative preparation.

2.9. Applies modern methods treatment and medical examination of surgical patients.

2.10. Works closely with other specialists and services.

2.11. Supervises the work of nursing staff.

2.12. Adheres to the principles of medical deontology.

2.13. Plans work and analyzes its results.

2.14. Maintains medical documentation.

2.15. Constantly improves his professional level.

2.16. Knows, understands and applies current regulations relating to his activities.

2.17. Knows and complies with the requirements of regulations on labor protection and environment, complies with the standards, methods and techniques of safe work performance.

3. Rights

3.1. A surgeon of the first qualification category has the right to take actions to prevent and eliminate cases of any violations or inconsistencies.

3.2. A surgeon of the first qualification category has the right to receive all social guarantees provided for by law.

3.3. A surgeon of the first qualification category has the right to demand assistance in the performance of his duties. job responsibilities and exercise of rights.

3.4. A surgeon of the first qualification category has the right to demand the creation of organizational and technical conditions necessary for the performance of official duties and the provision of the necessary equipment and inventory.

3.5. A surgeon of the first qualification category has the right to familiarize himself with draft documents relating to his activities.

3.6. A surgeon of the first qualification category has the right to request and receive documents, materials and information necessary to fulfill his official duties and management orders.

3.7. A surgeon of the first qualification category has the right to improve his professional qualifications.

3.8. A surgeon of the first qualification category has the right to report all violations and inconsistencies identified in the course of his activities and make proposals for their elimination.

3.9. A surgeon of the first qualification category has the right to familiarize himself with documents defining the rights and responsibilities of his position, and criteria for assessing the quality of performance of official duties.

4. Responsibility

4.1. A surgeon of the first qualification category is responsible for failure to fulfill or untimely fulfillment of the requirements of this job description obligations and (or) non-use of granted rights.

4.2. A surgeon of the first qualification category is responsible for failure to comply with internal labor regulations, labor protection, safety precautions, industrial sanitation and fire protection.

4.3. A surgeon of the first qualification category is responsible for disclosing information about an organization (enterprise/institution) that is a trade secret.

4.4. A surgeon of the 1st qualification category is responsible for failure to fulfill or improper fulfillment of internal requirements regulatory documents organization (enterprise/institution) and legal orders of management.

4.5. A surgeon of the first qualification category is responsible for offenses committed in the course of his activities, within the limits established by the current administrative, criminal and civil legislation.

4.6. A surgeon of the first qualification category is responsible for causing material damage to an organization (enterprise/institution) within the limits established by the current administrative, criminal and civil legislation.

4.7. A surgeon of the first qualification category is responsible for the unlawful use of the granted official powers, as well as their use for personal purposes.

Certification of a doctor (Latin attestatio - certificate) is a determination of the qualifications of a medical specialist in accordance with his theoretical and practical training, carried out by a special commission; Based on the certification results, the doctor is assigned the appropriate qualification category.

Goals and objectives

Certification of a doctor for assignment of a qualification category is carried out voluntarily (at the request of the doctor) and is considered as one of the mechanisms state control the quality of specialist training and the level of medical care provided to the population.

It is assumed that the certification/recertification system stimulates the growth of specialists’ qualifications and increases personal responsibility in the performance of their functional duties.

During certification, professional qualifications, competence are assessed taking into account compliance with qualification characteristics, as well as the doctor’s ability to perform official duties in accordance with the position held.

The procedure for obtaining qualification categories

The qualifications of a specialist are determined by three qualification categories: second, first and highest. Moreover, the qualification category can be obtained both for the main and for a combined position. When assigned qualification categories Consistency is required, but exceptions are made in rare cases. The requirements are as follows:

Second qualification category
First qualification category
Highest qualification category

Validity periods for qualification categories

Since 2012, a number of social benefits (maintaining the category during pregnancy/maternity leave and parental leave until the child reaches the age of 3 years; maintaining the category for 1 year in case of dismissal due to staff reduction; deferment of recertification for 3 months in case of temporary disability, business trips, etc.) were lost. Now the validity period of a qualification category (without retaking) can be extended only at the request of the chief physician to the certification commission, which either agrees or not.

If a specialist refuses the next re-certification, the previously assigned qualification category is lost from the moment the five-year period for its assignment expires.

Submitting an application

No later than 4 months before the expiration of the qualification category, the specialist must submit an application to the certification commission to confirm the existing qualification category or to obtain a higher one.

An attestation sheet and a work report for the last three years must be added to the application (for specialists with a higher education degree). vocational education) or for last year(for workers with secondary vocational education), approved by the head of the organization in which the specialist works. Plus the list of documents required according to the Regulations on obtaining qualification categories.

Certification commission and examination procedure

Since previously, according to Order of the Ministry of Health of the Russian Federation No. 314 of August 9, 2001, each certification commission itself determined the order, procedures and methods of its work, in different regions of the country this “order, procedure and methods of work” differed significantly:

  • For example, in Samara, when certifying/recertifying for the highest qualification category, it was required to provide a photocopy of an article published in a journal or collection. And in Kemerovo in the 90s, the first category was not given without a certificate.
  • In some regions, certification was organized in 2 stages. At the first stage, doctors go through testing, which included questions on special dangerous infections And HIV infection, in disaster medicine and emergency medical care, in clinical transfusiology, in the examination of temporary disability and, of course, questions in your specialty. At the second stage - through an interview at a meeting certification commission(or subcommittees according to specialty).
  • Individual commissions established their own rules and criteria for assigning one or another qualification category. For example, an interesting scale for assessing a specialist doctor during certification was used by the Association of Anesthesiologists of the North-West (St. Petersburg). For the highest category, it was necessary to score more than 5 points, as well as conduct scientific and teaching activities and participate in international conferences.

Since 2011, the “order, procedure and working methods” of certification commissions have become unified. Now certification includes testing and an interview on theoretical and practical issues corresponding to the specialty stated in the qualification documentation.

Specialists who fail the certification tests have the right to re-examine on time, but only one year after the first attempt.

Admission to certification

For certification not allowed doctors who have not undergone advanced training in the certified specialty in state educational institutions over the past five years.

Extreme measures

If the administration of a healthcare facility applies to the certification commission with a proposal for early recertification of a specialist in order to downgrade or remove the qualification category, then it is obliged to send documents to the certification commission containing the validity of this appeal. Re-certification is carried out by inviting this unfortunate person to a meeting of the certification commission. If a doctor does not appear at the commission without a good reason, then recertification can be carried out in his absence.

Protest

All decisions of the certification commission can be appealed by the doctor (or the administration of the health care facility) to 30 days from the date of their issuance. It is enough just to send an application justifying the reasons for disagreement to the Central Attestation Commission of the Ministry of Health Russian Federation or to the body under which a specific certification commission has been created.

Legends of days gone by

In the last century, there were two types of certification in our country (order of the USSR Ministry of Health No. 1280 dated December 17, 1981):

  1. Certification to determine knowledge and practical skills is mandatory.
  2. Certification for assignment of a qualification category is voluntary.

Subsequent orders of the Ministry of Health/Medical Industry of the Russian Federation left only one certification - for the assignment of qualification categories. Instead of mandatory certification to determine knowledge and practical skills, certification was introduced.

It's interesting that although " Certification to determine knowledge and practical skills“was established as mandatory for doctors who do not have a qualification category, in fact, it was not mandatory and during the course of it no one found out the level of qualifications of the person being certified.

  • Firstly, who should be sent for this certification was determined by the head physician himself. He himself imagined necessary documents to the commission. The most the main document was the characteristics, which reflected the qualitative and quantitative indicators of the doctor’s work, the level of theoretical and practical training, qualifications, compliance with production discipline, moral qualities, participation in socialist competition, the movement for a communist attitude towards work and in public life.
  • Secondly, certification was carried out only on the basis of submitted documents (without the presence of a doctor), taking into account moral qualities and participation in the public life of the team.

Based on the submitted documents, the certification commission could make three decisions:

  1. the doctor is qualified for his position
  2. corresponds to the position held, subject to mandatory implementation of the commission’s recommendations with certification after a year
  3. does not correspond to the position held

In the latter case, the doctor must be invited to a meeting of the commission, and the head physician must, within two months after the conclusion of the commission, decide to transfer the loser, with his consent, to another job. If such a transfer was impossible (lack of the doctor’s consent or a vacant position), the doctor was fired.

Thus, in principle, a good idea - mandatory control over medical knowledge for everyone - has turned into a fiction (today, only voluntary certification for the assignment of a qualification category remains).

On August 4, 2013, Order of the Ministry of Health of the Russian Federation dated April 23, 2013 No. 240n “On the procedure and timing for medical workers and pharmaceutical workers to undergo certification to obtain a qualification category” (hereinafter referred to as the Procedure). In this regard, 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 certification of 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 positions provided for by the current nomenclature of positions for 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 publication of the relevant administrative act. Specialists can apply for assignment to a higher qualification category before the expiration of the specified period, but not earlier than three years from the date of assignment of the qualification category.

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

For comparison, let’s say: previously, in order to receive 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 experience, the Procedure establishes requirements for theoretical knowledge and practical skills of specialists. In particular, based on p. 8 of the Procedure, a specialist applying for the second qualification category must:

  • have theoretical training and practical skills in the field of their professional activities;
  • navigate modern scientific and technical information, have the skills to analyze quantitative and qualitative performance indicators, and prepare 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 diagnosis, prevention, treatment, rehabilitation and own diagnostic and treatment equipment in the field of their professional activities;
  • be able to competently analyze professional performance indicators and navigate modern scientific and technical information;
  • participate in solving tactical issues of organizing professional activities.
Please note

To receive the highest qualification category, based on 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 diagnosis, prevention, treatment, rehabilitation and own diagnostic and treatment equipment in the field of their professional activities;
  • be able to competently evaluate data from special research methods in order to establish a diagnosis;
  • navigate modern scientific and technical information and use it to solve tactical and strategic issues of professional activity.

Formation of certification commissions

To carry out 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 certification commission consists of a coordinating committee (hereinafter referred to as the committee), which carries out the functions of organizing the activities of the certification commission and expert groups by specialty (hereinafter referred to as expert groups), which review documents and conduct the qualification exam.

The certification commission includes:

  • leading specialists of organizations engaged in medical and pharmaceutical activities;
  • representatives of medical professional non-profit organizations, employers;
  • representatives of the body state power or organizations forming the certification commission, and other persons.
The personal composition of the certification commission is approved by an administrative act of the government body or organization that created the certification commission.

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

There remains the position of the executive secretary of the commission, who registers and reviews documents received by the certification commission of specialists who have expressed a desire to undergo certification to obtain a qualification category, for compliance with their requirements for the list and execution of documents, generates materials for sending to expert groups, and prepares materials for meetings and draft committee decisions.

The expert group also has a chairman, deputy chairman and executive secretary.

Let us note 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 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 assigning qualification categories to specialists. Expert groups, in turn, review documents submitted by specialists, prepare conclusions on reports, conduct knowledge tests and interviews, and make decisions on assigning qualification categories to specialists.

Based on clause 18 of the Procedure, meetings of the committee 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 expert group is considered valid if more than half of the members of the committee or expert group, respectively, are present.

Decisions of the committee and expert group are made 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). Let us note that in the previously applied certification procedure, the presence of at least 2/3 of the commission members was necessary to make a decision, and in the event of a tie vote, the decision was considered made in favor of the specialist.

Decisions of the committee and expert group are documented in protocols, which are signed by all members of the committee and expert group present at the meeting of the committee and expert group, respectively.

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 remained virtually unchanged, but there is one exception: now, instead of a qualification sheet, the specialist must submit an attestation sheet.

Please note

In the previously existing 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 assistance responsibilities.

An innovation in terms of document submission is the need to submit a duly certified translation into Russian of documents issued in the territory foreign country and written in a foreign language.

Also new is the ban on participation in sending documents official organizations authorized to carry out interaction between the organization in which the specialist carries out professional activities and the certification commission. The procedure establishes that only the specialist himself can send documents by mail or submit them in person. In addition, the requirement to bind documents has been eliminated.

Documents must be sent to the government body or organization that created the certification commission by mail or presented in person by a specialist no later than four months before the expiration of the existing qualification category. In case of violation given period the qualifying examination may be held later than the expiration date of the existing qualification category.

FYI

Clause 16 of the Procedure establishes that certification can be carried out using telecommunication technologies (remote certification) and in the form of an on-site meeting.

The rules and deadlines for certification have been adjusted. 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 the documents required by the Procedure are missing or they are incorrectly executed, the executive secretary of the committee must send the specialist a letter of refusal 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 is not 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). In this case, the expert group must review 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 knowledge test and interview (previously, the period for reviewing documents was 14 calendar days).

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

  • duration and timing of the last advanced training;
  • forms of self-education used by a specialist;
  • volume compliance theoretical knowledge, actual diagnostic and therapeutic practical skills and qualification requirements.
The decision of the expert group on setting the date and place for the knowledge test and interview is communicated to the specialist no later than 30 calendar days before the date of the knowledge test and interview, including by posting the relevant information on the official website on the Internet or information stands of the government agency authorities or organizations that created the certification commission.

Test knowledge control and interviews are carried out 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 make one of two decisions: to assign or refuse to assign a qualification category to a specialist. Let us recall that previously there were several types of decisions made by the expert group. For example, it was possible to increase the second qualification category by assigning the first, confirm a previously assigned qualification category, remove the first (highest) qualification category and assign a lower category, or deprive a specialist of a 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, documented in the minutes of the meeting of the expert group and entered into the specialist’s certification sheet by the executive secretary of the expert group. If a specialist is refused to assign a qualification category to a specialist, the protocol 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 of the report of a negative assessment of the theoretical knowledge or practical skills of the specialist necessary to obtain the qualification category declared by him;
  • the presence of an unsatisfactory assessment based on the results of the knowledge control test;
  • failure of a specialist to attend a knowledge test or 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).

Please note

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

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

Please note that the Order has increased the period for appealing the decision of the certification commission from 30 days to a year. The period for appeal is counted from the date the certification commission makes the decision.

As we 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 certification results. Moreover, unclear points remain. In particular, it was previously stipulated that the specialist, within a week from the date of issuance of the order to assign him a qualification, would be drawn up and issued a corresponding document. Now the specialist is given only an extract from the order 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 during the implementation of the Procedure.

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

Various categories assign specialists who have the proper level of theoretical training and sufficient skills in practical activities and a certain length of service. Let us consider in this article how the assignment of medical categories is carried out.

Doctors are to a certain extent interested in obtaining qualifications. The higher the category of a specialist, the more prestigious his work will be. Thanks to his professional qualifications, it will be easier for him to get a position in a health care facility. The material side also plays a significant role. A good salary increase is guaranteed to a qualified specialist.

What are the categories?

Depending on the doctor’s skills, the following medical categories are distinguished:

  • second - at least 3 years of experience for specialists who have higher and secondary vocational education;
  • first - at least 7 years of experience for specialists who have higher professional education and at least 5 years of experience for specialists with secondary vocational education (secondary vocational education);
  • higher - no less than 10 years for specialists with higher professional education and no less than 7 years for specialists with secondary vocational education.

Conditions that a leader must create

The head of the organization provides conditions for the specialist, namely:


The importance of paperwork

The documents included in the package for obtaining a medical category must be properly executed and sealed.

Papers for passing the competition are sent to the commission by mail, as well as directly by an official who has undertaken to interact with the certification commission.

To maintain a previously assigned qualification category, a specialist submits papers to the certification commission no later than 4 months before the expiration of the qualification period. If a set of documents is sent later than the above period, the exam date may be set after the expiration of the qualification category.

Receiving a category and additional payment for it can be an initiative medical worker, as well as his leader. As a rule, the discharge is valid for several years. After this, a person who holds the position of a doctor in a health care institution must re-certify. When resubmitting documents, a citizen can count on being assigned a higher category.

Allowances

Additional fees for the category are assessed after passing the doctor's certification. The commission includes an authorized representative government agencies regulating the receipt of medical services by the population. Certification refers to the assessment of the employee’s skills and knowledge, which must be necessary in order to provide professional assistance to victims in different situations.

If a specialist in the field of medicine successfully passes certification, the commission makes a decision to assign the applicant the required medical category. The above information is published on the official departmental website, after which the specialist has the right to contact the employer to establish a salary increase. The head of the medical organization must set a bonus for the certified employee for the category received. This type monetary additional payment should be negotiated in advance, before concluding a labor or collective agreement. If this clause is missing from the agreement, then HR officers and lawyers must draw up an addendum to the agreement.

It must be remembered that a citizen cannot receive the highest qualification category if he has never been certified before. There are also time frames when a health worker has the right to apply for certification. A person is not deprived of his rank even if there is a break in work, that is, a failure to provide medical services to the population for a long time.

What liability is provided for the refusal of a co-payment to a doctor for a category?

Is it true that medical categories are going to be abolished? More on this below.

Each manager is required to pay category allowances to doctors. In case of obvious refusal, it is applied administrative penalties. Often these can include monetary fines and compensation for material damage to the employee. If the head of the organization flatly refuses to make the necessary changes, state inspection bodies raise the question of removing such a leader from his post.

Extra points

The specialist is awarded points for certain achievements:

  • published textbooks, manuals, monographs;
  • published articles;
  • obtaining a patent for an invention;
  • participation in the symposium;
  • speaking in the media;
  • obtaining a title;
  • successful dissertation defense.

Purpose of the commission

The main goal of the certification commission of doctors in Russia is to assess the professional skills of a specialist and his ability to perform official duties in his position. All this helps to place personnel with great efficiency, taking into account the level of complexity of the work, relying on the skill and experience of doctors. The consequence is the improvement of the activities of healthcare institutions and the provision of medical services to the population.

The composition of the committee and expert group is as follows:


Basic Requirements

Basic requirements for specialists of the second and first categories:


Highest qualification category

  • must have highly trained in terms of theory and practical skills in the field of professional activity, knowledge of interrelated disciplines;
  • use the latest methods of diagnosis, health improvement, disease prevention and rehabilitation, possess health-improving and diagnostic equipment in the field of practiced professional activity - while the requirements for the highest medical category are much more serious than in previous cases;
  • the ability to give a high-quality and qualified assessment of data from special research methods in order to correctly determine the diagnosis;
  • the ability to navigate modern scientific and technical information, apply it to resolve strategic and tactical aspects of specialized activities;
  • have a duration of work in the profession (in a position) of at least 7 years.

How often do I need to undergo certification?

Certification of medical workers is carried out once every 5 years. The category that is assigned is valid on the territory of our country from the day when the order for its receipt is issued. Specialists have the right to strive to obtain a higher category of qualification, but only 3 years after the issuance of an administrative act on assignment. Allowances for medical categories are paid throughout the validity period.

During retraining, the duration of work in the newly acquired specialization begins to count from the moment the work begins in the new category. Federal executive authorities create central commissions to certify doctors. Within departments they are created by the executive branch ( federal authorities), Russian academies of sciences and organizations that have subordinate pharmaceutical and medical organizations. The executive authorities of the constituent entities of the Russian Federation create territorial certification commissions.

Conditions for refusal to accept documents by the commission

Documents may not be accepted in the following cases:

  • if there are no necessary papers that are needed for the certification commission to analyze the issue of awarding a specialist with a qualification category;
  • the application or certification sheet of the specialist has been completed incorrectly.

The secretary of the committee, which is responsible for conducting the commission, sends the subject a refusal letter within 7 calendar days after registration of documents with a mandatory explanation of the reason for the refusal. As soon as these grounds are eliminated, the specialist has the right to send documents for certification of the medical category again.

At this time, there is no information about the cancellation of medical categories.

A doctor’s qualifications are determined during certification procedures and make it possible to identify the level of compliance of theoretical knowledge and practical skills with the qualification characteristics of the relevant specialty. Certification for assignment of a category is carried out on the initiative of the medical worker himself; it is a good incentive for his professional growth. Subsequently, the established category gives the doctor the right to provide medical services defined for this specialty, affects the size wages, increases the prestige of the doctor, contributes to his further advancement in the profession.

Qualification categories and procedure for obtaining them

The qualification of a doctor can be assigned for a main or combined position and is determined in accordance with the requirements for the second, first and highest categories.

During the certification procedures, the employee must undergo professional retraining (courses and internships in leading medical institutions), then personally attend the meeting of the certification commission, where the assessment of the certification report on the work done, testing and interview are carried out. When assigning a category, the education and experience of the doctor in the certified position are also taken into account, which must meet the requirements:

The second category is 3 years of experience, higher and secondary vocational education;
- first category – experience of 7 years if you have a higher education and 5 years if you have a secondary vocational education;
- highest category– experience of 10 years if you have a higher education and 7 years if you have a secondary vocational education.

Category validity period

The validity period of the assigned qualification category is 5 years from the date of signing the order. If it is impossible to be certified after 5 years ( maternity leave, temporary disability) its validity period can be extended only if the certification commission agrees with a petition to extend the category, signed by the chief physician of the institution where the doctor works.