Medical categories: assignment procedure, allowances. Physician certification. Qualification categories of doctors: description and rules for obtaining III. Procedure for meeting of certification commissions

It is the responsibility of any medical practitioner to improve their knowledge and skills. Certification is considered one of the methods of training, which has its own requirements and characteristics, based on the results of which specialists are assigned the appropriate category. Each category of doctors occupies a certain level in the hierarchy of the medical field.

Goal and objectives

Participation in the certification process is voluntary. In the process, the specialist’s personal worth, level of knowledge, practical skills, suitability for the position held, and professionalism are assessed.

Certification of doctors for a category carries with it a certain interest:

1. It's prestigious. Allows you to occupy a higher position and allows you to draw the attention of management to yourself. Quite often, the categories of doctors are indicated on signs at the entrance to their office.
2. In some cases, the highest category allows you to reduce moral or physical responsibility to the patient’s relatives. Like, if such a person could not solve the problem, then it is difficult to think what would have happened if a less experienced doctor had been in his place.
3. Material side. Medical categories of doctors and promotion through the levels of the medical hierarchy allow for an increase in the basic salary.

Types of certifications

The legislation distinguishes several types of certification activities:

• assignment of the title “specialist” after determining theoretical and practical skills;
• qualification category of doctors (obtaining);
• category confirmation.

Determining the level of knowledge for the designation of a “specialist” is a mandatory step before appointment to the position of a doctor. Conducted by special commissions in postgraduate education institutions. The following candidates will be considered:

• after internship, master's degree, residency, postgraduate study, if there is no diploma "doctor-specialist";
• those who have not worked for more than 3 years in a narrow specialty;
• those who did not undergo certification in a timely manner to obtain qualifications;
• persons who are denied the opportunity to receive the second category for objective reasons.

Each doctor has the right to receive a category in several specialties at the same time, if they are related. The main requirement is work experience in the required specialization. The category of general practitioner is an exception.

Basic rules and requirements

There are second, first and highest categories of doctors. There is a rule of consistency in receiving, but there are exceptions. The requirements are discussed in the table.

Validity periods

According to the old orders, there were certain circumstances that were classified as social benefits and made it possible to extend the period of the current qualification. These included:

• pregnancy and child care under 3 years of age;
• a month after dismissal due to reduction;
• business trip;
• state of temporary disability.

The benefits are not valid at this time. The certification commission may decide to extend the validity period at the request of the head physician of the medical institution. If a doctor refuses to appear for the commission, his category is automatically removed after a five-year period from the date of assignment.

Documents

A report on the work done over the past few years, approved by the chief physician of the healthcare facility and the personnel department where the certified person works, is also filled out. Copies of education documents are also sent to the commission, work book and assignment of current qualifications.

Attestation report

The introduction includes information about the identity of the doctor and the medical institution where he holds a position. The characteristics of the department, its equipment and staff structure, and the performance indicators of the department in the form of statistical data are described.

The main part consists of the following points:

• characteristics of the population undergoing treatment in the department;
• possibility of carrying out diagnostic measures;
• carried out medical work with the indicated results for specialized diseases;
• deaths over the past 3 years and their analysis;
• implementation of innovations.

The conclusion of the report consists of summarizing the results, indicating possible problems and examples of their solutions, and opportunities for improvement. If published materials are available, a copy is attached. Indicated and studied over the past few years.

Points for promotion

Each specialist receives points that are used in making decisions about qualifications. They are awarded for attending conferences, including international congresses, giving lectures to colleagues or nursing staff, distance learning with a final certificate, and taking courses.

Additional points are awarded for the following achievements:

• publishing of textbooks, manuals, monographs;
• publication of an article;
• obtaining a patent for an invention;
• presentation at symposiums with a report;
• speaking in institutions and the media;
• obtaining a title;
• dissertation defense;
• awards by public authorities.

Composition of the commission

The commission consists of a committee, whose work takes place during breaks between meetings, and a narrowly focused expert group, which directly conducts certification of a specialist (exam, testing). Both the committee and the expert group consist of persons holding the following positions:

1. The chairman, who oversees the work and divides responsibilities between the members of the commission.
2. The deputy chairman performs the functions of the chairman in full in his absence.
3. The secretary is responsible for registering incoming documents, preparing materials for the work of the commission, and recording decisions.
4. The deputy secretary replaces the secretary and performs his duties during absence.

Each expert group includes specialists from related specialties. For example, the category of dentist and its receipt/confirmation requires being in the group of a periodontist, orthodontist, pediatric dentist, or therapist.

Order of the meeting

Certification is scheduled no later than three months from the date of receipt of data about the specialist by the committee. If the data does not match the requirements for the latter, the documentation will be refused (no later than 2 weeks from the date of receipt). The secretary of the committee agrees with the chairman of the expert group of the required specialization on the date of the examination.

Members of the expert group review the certification documents for the category, completing a review for each of them, displaying the following data:

• level of practical skills of a specialist;
• participation in social projects related to the medical field;
• availability of published materials;
• self-education of the certified person;
• compliance of knowledge and skills with the declared category of doctors.

The examination must take place within two weeks from the date of receipt of the report. The result of the review is an indicator of the possible outcome of the certification. The secretary informs the specialist of the date of the meeting, which includes an interview and testing. More than 70% of correct answers allow you to consider the test passed. The interview takes place by questioning the person being certified according to theory and practice, the knowledge of which must correspond to the requested qualification.

The meeting is accompanied by the preparation of a protocol, which is signed by the members of the expert group and the chairman. The final decision is noted on the qualification sheet. A specialist receives the right to retake the exam only after a year. Within 7 days, the certified person receives a document confirming the promotion, reduction or refusal to assign a category.

Extreme measures

The administration of the medical institution can send a request to the commission so that the doctor is deprived of qualifications or promoted ahead of schedule. In this case, documents are sent to justify the decision. The commission considers the issue in the presence of a specialist. Failure to appear without a valid reason allows a decision to be made in his absence.

Protest

From the date of the decision, the doctor or medical institution can appeal the result within a month. To do this, it is necessary to fill out an application specifying the reasons for disagreement and send it to the commission under the Ministry of Health.

Any doctor who plans to continue working in medicine, sooner or later is faced with the need to present documents indicating that he has been assigned a certain qualification category (also known as the category of doctor). How to make sure in advance that you have the right category of doctor at the right time and in the right place?

How to get the category of a doctor (theory of basics)

There are several levels of the medical hierarchy: specialist (assigned after completing an internship), second, first and highest category of doctor.

There is also a certain sequence in assigning the category of doctor.

Thus, in order to qualify for the second category of doctor upon completion of the internship, a specialist must have a total experience in the specialty of at least five years. To be assigned the first category, at least seven years of medical experience in the chosen specialty is required. Well, you can get the highest category of doctor no earlier than after ten years of work.

In addition, every five years, every doctor, regardless of title and regalia, is formally required to undergo certification. This is accompanied by the assignment of a category to the doctor or confirmation of his qualification category.

But this is all theory, but in practice the situation looks much more complicated... or, conversely, easier - it all depends on the angle of view.

Why is it necessary to assign a category to doctors?

First of all, being assigned a category is prestigious! Assigning a category changes the attitude of colleagues and patients towards the doctor, makes it possible to attract the attention of the administration and take a higher position on the career ladder. It’s not for nothing that receiving the highest category of doctor is almost always indicated on business cards, badges and door signs.

Secondly, there are ambiguous professional situations when assigning a category (especially the highest) allows the doctor to avoid moral (or even economic) responsibility to patients and their relatives: in case of failure, you can “hide behind” authority, saying that the situation was so difficult that even such a highly qualified specialist could not provide assistance (what if there was a less experienced doctor in this place?!). Unfortunately for patients (and fortunately for doctors), such arguments often help...

And thirdly, it is financially beneficial: each subsequent assignment of a category to a doctor adds about 50-70-100 hryvnia per month to the salary.

Deadlines for assigning a category to a doctor: select the desired starting point

The system of regular certifications “once every five years” allows for an approximate calculation of the time required to obtain the highest category of doctor.

So, after five years, the medical specialist will have his first certification, after which he will certainly be assigned a second category. Then the next certification is in another five years. During this process, you can apply for assignment to the first category (we do not even consider the possibility of simply confirming the second category of a doctor). In another five years we will receive the highest category of doctor.

Total: a year or two of internship plus fifteen years of work (three certifications). Typically, a doctor is awarded the highest category at the age of forty to forty-five. But…

But if a young doctor is not inclined to wait for “mercy from nature”, but is ready to fight for his professional ambitions and other respectable aspirations associated with the assignment of a category, then the same calculation of the time required to obtain the highest category of doctor may look different!

Since the internship is part of the work experience in the specialty, after three to four years of work a young specialist can apply for assignment to the second category.

After another two years, you can be certified to receive the first category of doctor (seven years of total work experience in your specialty allows this). Well, three years later, your experience will be ten years, which gives you the right to be awarded the highest category of doctor.

Thus, if you have the desire (and some favorable circumstances), you can achieve the highest category of doctor at thirty-three to thirty-five years old!

Assignment of the highest category in ten years - how this is done in practice

Of course, desire alone is not enough to assign the highest category. You need to work hard and constantly improve your professional level. And be sure to discuss the possibility of assigning a category with the administration of your medical institution in advance: after all, you cannot do without its participation in matters of obtaining the category of a doctor.

As a rule, there are no obstacles to obtaining the second category of doctor within a five-year period (including internship training). The management is even interested in the young doctor quickly ceasing to be a “specialist with a minimum level of responsibility.” If only because after assigning a category, he can be entrusted with a larger amount of work.

It is more difficult to assign the first category of doctor. It is advisable to inform in advance not only the administration of the clinic, but also the city (or better yet, regional) specialist in his field about the desire to obtain the first category of doctor. And not only within the framework of observing formalities, but also according to a sober calculation: since these people are part of the certification commission, they can both contribute to solving the problem of assigning a category to a specific doctor, and vice versa.

The requirements for obtaining the first category of doctor are more stringent (more self-report, printed works are encouraged, including those written in co-authorship).

We would like to draw your attention to the fact that in the reference, which is included in the self-report and signed by the head of the department (polyclinic) and the head physician, the following phrase is required: “the administration requests the assignment of... a category to the doctor and guarantees its payment.” Thus, if there is a hole in the clinic’s budget, accelerated assignment An employee's doctor category may be deferred...

One more feature. If scheduled certification courses every five years are free, then extraordinary courses (as in the case of obtaining the first category of doctor after seven years of work) will most likely be paid for yourself. Because speeding up the certification process is a personal matter for each of us and the costs associated with assigning a category are entirely borne by the initiator of the process.

The issue of extraordinary assignment of the highest category after ten years of work (including internship training) requires even more effort than obtaining the first category of doctor. Firstly, it requires mandatory coordination not only with the administration of the medical institution, but also with the regional specialist (who, in turn, notifies the head of the regional health department, who is the chairman of the certification commission). The most stringent requirements apply to both sufficient self-reporting and co-authorship in printed publications. Plus pay all costs yourself...

How to best justify expedited category assignment

Your plan to obtain the highest category of doctor in ten years will require painstaking work on this problem for ten years. After all, the reasons why they will meet you halfway in the issue of assigning the highest category must be compelling...

But let the fact that there are precedents for assigning the highest category after nine years of work (including internship studies) set you in an optimistic mood. Awarded the highest category, the doctor in question became the author and co-author of more than forty published works, prepared a Ph.D. thesis, and for several years periodically acted as head of a department at a regional hospital.

So, if you are seriously aimed at extraordinary assignment of the highest category, then:

1. The hospital management and the regional specialist should know about your desire to achieve a category assignment.
2. The chances of being assigned the category of doctor increase significantly if you are the only one in your area of ​​specialty in the clinic, especially in the central district hospital (in this case, you are automatically a district specialist, which means that the regional health department is sure to know about your professional existence).
3. It is much easier to achieve the highest category if you have an academic degree or are engaged in scientific work.
4. Working in a large city or regional hospital also simplifies the assignment of the highest category of doctor.
5. Do you agree, if assigned the first or highest category, to be involved in the air ambulance? Then your chances of receiving the desired category of doctor increase even more.
6. Do you plan to head a department or service (are you in the reserve of the hospital administration), are you ready to actively participate in the organization of new departments or divisions of the hospital?
In this case, assignment to the highest category is mandatory!

Be persistent and consistent in the matter of assigning the highest category and your plans will definitely come true. We wish you to always strive to improve your qualification level and achieve success in achieving your goals!

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 vocational 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 official, which 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 may be an initiative of the medical worker, as well as his supervisor. 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 expect to be assigned a higher category.

Allowances

Additional fees for the category are assessed after passing the doctor's certification. The commission includes an authorized representative of government bodies that regulate 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 an allowance for wages. 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 addition 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 the position held. 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

• it is necessary to have high training in terms of theory and practical work 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 medical workers 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.

When retraining, the duration of work in the newly acquired specialization begins to count from the moment the work begins in new category. Federal authorities executive branch 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. Executive authorities of the subjects 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.

No cancellation information at this time medical categories No.

Review

Thus, a doctor who has worked for 3 years in a hospital can apply to be assigned a second qualification category. The special commission makes a decision based on the results of reviewing the report on the doctor’s activities, testing and interviews. The category is valid for 5 years.

A doctor can undergo similar procedures to obtain the first qualification category - with at least 7 years of work experience, and for the highest category - with at least 10 years of experience. When passing certification, it is necessary to follow the sequence: you cannot receive the first category without first receiving the second, or the highest without assigning the first.

As a rule, doctors receive categories to receive salary bonuses in a state medical institution, to advance up the career ladder (with a doctor with highest category there is always a better chance of applying for the position of head of a department) or simply to improve your own professional status.

As practice shows, the presence of a medical category does not guarantee the high competence of a doctor, but confirms his experience and compliance with certain standards of the medical community. This means that, along with others, this factor can be used as a significant argument in favor of a particular doctor.

All site materials have been checked by doctors. However, even the most reliable article does not allow us to take into account all the features of the disease in a particular person. Therefore, the information posted on our website cannot replace a visit to the doctor, but only complements it. The articles have been prepared for informational purposes and are advisory in nature. If symptoms appear, please consult a doctor.

In 2011, the requirements for obtaining qualification categories changed. The new standards were approved by the order of the Ministry of Health and Social Development of Russia dated July 25, 2011 “On the procedure for obtaining qualification categories by medical and pharmaceutical workers.”

Obtaining qualification categories by specialists is carried out on the basis of checking the conformity of professional knowledge and their professional skills in the form of a qualification exam, which is accepted by the certification commission.

System certification commissions includes:

The Central Attestation Commission, created by the Ministry of Health and Social Development of the Russian Federation;
certification commissions of the constituent entities of the Russian Federation, created by healthcare management bodies of the constituent entities of the Russian Federation;
departmental certification commissions, departmental certification commissions in the constituent entities of the Russian Federation, in healthcare institutions,
scientific and educational medical institutions created by federal executive authorities and other departments according to their affiliation.

Qualification categories are assigned in accordance with the current nomenclature of specialties. Moreover, a specialist can receive a qualification category both in the main and in a combined specialty.

What is the procedure for obtaining qualification categories?

Qualification categories are assigned to specialists who have a level of theoretical training and practical skills corresponding to the qualification characteristics of specialists, and work experience in their specialty:

• second- no less three years for specialists with higher and secondary vocational education;
• first- at least seven years for specialists with higher professional education and at least five years for specialists with secondary vocational education;
• highest- at least ten years for specialists with higher professional education and at least seven years for specialists with secondary vocational education.

Specialists who have expressed a desire to receive (confirm) a qualification category submit to the certification commission:

• an application from 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 specialist’s personal signature and date;
• a completed printed qualification sheet certified by the HR department;
• a report on the professional activities of a specialist, agreed upon with the head of the organization and certified by its seal, and including an analysis of professional activities over the last three years of work - for specialists with higher professional education and beyond last year work - for workers with secondary vocational education with their personal signature. The report must contain the specialist’s conclusions about his work, proposals for improving the organization of the provision and quality of medical care to the population. The report must contain reliable data in the description of the work performed by the specialist, rationalization proposals, and patents. If the head of a medical organization refuses to approve a report on the specialist’s professional activities, the head issues a written explanation of the reasons for the refusal, which is attached to the rest of the examination documentation;
• copies of education documents (diploma, certificate, certificates, specialist certificates and other documents), work record books, certified in the prescribed manner;
• in case of change of surname, name, patronymic - a copy of the document confirming the fact of change of surname, name, patronymic;
• a copy of the certificate of assignment of a qualification category (if available) or a copy of the order of assignment of a qualification category.