MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION
On the procedure for obtaining qualification categories by medical and pharmaceutical workers
Lost force on August 4, 2013 on the basis
Order of the Ministry of Health of Russia dated April 23, 2013 N 240n
____________________________________________________________________
In accordance with Article 63 of the Fundamentals of Legislation Russian Federation on the protection of the health of citizens dated July 22, 1993 N 5487-1 (Gazette of the Congress of People's Deputies of the Russian Federation and the Supreme Council of the Russian Federation, 1993, N 33, Art. 1318; Collection of Legislation of the Russian Federation, 2004, N 35, Art. 3607) and in in order to improve the procedure for obtaining qualification categories for medical and pharmaceutical workers,
1. Approve the Regulations on the procedure for obtaining qualification categories for medical and pharmaceutical workers, in accordance with the appendix*.
________________
* The appendix to the order is published on the official website of the Ministry of Health and Social Development of Russia at: www.minzdravsoc.ru/docs/mzsr/spa/101
2. To recognize as invalid:
4. Entrust control over the implementation of this order to Deputy Minister V.I. Skvortsova.
Registered
at the Ministry of Justice
Russian Federation
September 23, 2011
registration N 21875
Application. Regulations on the procedure for obtaining qualification categories by medical and pharmaceutical workers
Application
to the order of the Ministry
health and social
development of the Russian Federation
dated July 25, 2011 N 808n
I. General provisions
1.1. The Regulations on the procedure for obtaining qualification categories by medical and pharmaceutical workers (hereinafter referred to as the Regulations) determines the procedure for obtaining qualification categories by medical and pharmaceutical workers (hereinafter referred to as specialists).
1.2. Obtaining qualification categories by specialists is carried out on the basis of checking the conformity of professional knowledge and their professional skills (hereinafter referred to as the qualification exam).
1.3. The qualification exam aims to stimulate the growth of specialist qualifications, improve the selection, placement and use of personnel in the healthcare system of the Russian Federation, increase personal responsibility for the performance of professional and job responsibilities.
1.4. The process of obtaining qualification categories is ensured by certification commissions and includes procedures for obtaining qualification categories - stages of assessing the conformity of professional knowledge and skills of specialists (hereinafter referred to as qualification procedures).
1.5. Certification commissions in their activities are guided by the Constitution of the Russian Federation, federal constitutional laws, federal laws, decrees and orders of the President of the Russian Federation, decrees and orders of the Government of the Russian Federation, these Regulations, departmental regulations legal acts, regulatory legal acts of state authorities of the constituent entities of the Russian Federation.
1.6. Principles of the qualifying examination:
independence and objectivity of expert assessments;
openness of qualification procedures;
sequential assignment of qualification categories;
compliance with professional ethics;
compliance with the strict sequence of qualification procedures provided for by these Regulations;
high qualifications and competence of persons carrying out qualification procedures.
1.7. The system of certification commissions includes:
The Central Attestation Commission, created by the Ministry of Health and social development 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, scientific and educational institutions medical institutions created by federal authorities executive power and other departments as appropriate. *1.7.2.3)
1.8. Certification commissions consist of expert groups corresponding to the specialties (areas) for which the certification commissions carry out established qualification procedures, and the Coordination Committee certification commission(hereinafter referred to as the Committee), which coordinates the work of expert groups.
1.9. The expert groups include employees of health authorities, members of the Russian Academy of Medical Sciences, managers and specialists of medical, scientific and educational organizations having knowledge sufficient to conduct a qualifying examination in the declared specialties.
1.10. The Committee includes a chairman - chairman of the certification commission, deputy chairman - deputy chairman of the certification commission, executive secretary - executive secretary of the certification commission, deputy executive secretary - deputy executive secretary of the certification commission, members of the Committee.
The expert groups include a chairman, deputy chairman, secretary, and members of expert groups.
In the absence of the Chairman of the Committee (expert group), his powers are exercised by his deputy.
1.11. The personal composition of certification commissions and the regulations on their work are approved by order of the body under which they are created. The personnel of certification commissions is updated as necessary.
Changes in personnel are approved by order of the body under which they are created.
1.12. Certification commissions carry out their activities in accordance with the sequence of qualification procedures established by these Regulations. Qualification procedures are aimed at assessing the professional qualifications and competence of specialists.
1.13. A specialist can receive a qualification category both in the main and in a combined specialty.
1.14. Qualification categories are assigned in accordance with the current nomenclature of specialties.
II. The procedure for obtaining qualification categories
2.1. Qualification categories are assigned to specialists who have a level of theoretical training and practical skills corresponding to qualification characteristics specialists, and work experience in the specialty:
the second - at least 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;
Higher - at least ten years for specialists with higher professional education and at least seven years for specialists with secondary vocational education.
2.2. When assigning qualification categories, the following sequence is used: second, first, highest.
2.3. 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 one qualification category, the date of its assignment, the specialist’s personal signature and date (the recommended sample is given in Appendix No. 1 to these Regulations);
filled in printed form qualification sheet certified by the HR department (the recommended sample is given in Appendix No. 2 to these Regulations);
Report on professional activity specialist, agreed with the head of the organization and certified by its seal, and including an analysis of professional activities for the last three years of work - for specialists with higher professional education and for the last year of work - for workers with secondary vocational education with their personal signature (the recommended sample is given in the appendix No. 3 to this Regulation). The report must contain the specialist’s conclusions about his work, proposals for improving the organization of delivery and quality 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. In case of refusal of the manager medical organization when approving a report on a specialist’s professional activities, the supervisor 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 book, certified in accordance with the established procedure;
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.
2.4. The head of the organization in which the specialist carries out professional activities creates conditions for:
submission by the specialist of qualification documentation drawn up in accordance with the requirements of completeness and correctness;
interaction between the organization and the certification commission regarding the procedure for obtaining a qualification category by a specialist;
submission to the certification commission of information on the number of specialists carrying out professional activities in a medical organization and who have undergone the procedure for obtaining a qualification category (indicating the certification commission and the received qualification category), as well as specialists wishing to receive (confirm) the qualification category in the next calendar year;
notification of a specialist who has expressed a desire to receive a qualification category.
2.5. The requirements specified in paragraphs 2.3 and 2.4 of these Regulations regarding the need to certify documents submitted by a specialist and ensure interaction between the organization and the certification commission do not apply to specialists carrying out professional activities in private system healthcare.
2.6. The documents that make up the qualification documentation must be neatly executed and bound.
2.7. Qualification documentation is sent to the certification commissions by post, as well as directly by the specialist, an official of the organization authorized to interact with the organization in which the specialist carries out professional activities with the certification commission.
2.8. In order to maintain a previously assigned qualification category, the specialist sends qualification documentation to the certification commission no later than four months before the expiration of the qualification category. If the examination documentation is sent later than the specified period, the date of the qualification exam may be set after the expiration of the qualification category.
III. Procedure for meeting of certification commissions
3.1. A meeting of the certification commission is scheduled within a period not exceeding three months from the date of registration of the examination documentation.
3.2. Federal specialists government agencies, under the jurisdiction of the Ministry of Health and Social Development of the Russian Federation, submit qualification documentation to the Central Attestation Commission.
Specialists of state institutions under the jurisdiction of other federal executive authorities, executive authorities of constituent entities of the Russian Federation submit qualification documentation to the relevant departmental certification commissions.
Specialists carrying out medical and pharmaceutical activities in organizations state system healthcare of a constituent entity of the Russian Federation, municipal system healthcare, as well as specialists carrying out professional activities in the private healthcare system, submit qualification documentation to the certification commissions of the constituent entities of the Russian Federation on the territory of which they carry out their activities.
3.3. Qualification documentation received by the certification commission is registered in the document registration log (the recommended sample is given in Appendix No. 4 to these Regulations) after checking its compliance with the requirements of completeness and correctness of execution within 7 calendar days. If the qualification documentation does not meet the specified requirements, the person who submitted the qualification documentation (an official of the organization in which the specialist carries out professional activities, authorized to interact with the organization with the certification commission) is informed of the reasons for the refusal to accept the examination documentation with an explanation of the possibility of eliminating them.
A refusal to accept qualification documentation received by the certification commission must be sent to the specialist no later than 14 calendar days from the date of receipt of the examination documentation by the certification commission.
To eliminate deficiencies in the qualification documentation, the specialist is asked to eliminate the identified deficiencies within a month.
3.4. Monitoring compliance with the registration procedure, completeness requirements and correct execution of qualification documentation submitted to the certification commission is carried out by the executive secretary of the relevant certification commission.
3.5. The executive secretary of the certification commission, no later than one month from the date of registration of the qualification documentation, determines the expert group of the certification commission corresponding to the specialty (direction) declared in the qualification documentation, and agrees with its chairman on the timing of the specialist’s qualification examination.
3.6. Based on the results of reviewing the qualification documentation, the chairman of the expert group determines the members of the expert group to review the report on the specialist’s professional activities.
3.7. The chairman of the expert group determines the need to attract independent specialists (experts) to review the report on the specialist’s professional activities.
3.8. A review of a report on the professional activities of a specialist is signed by members of the expert group participating in the review or independent specialists (experts) and the chairman of the expert group.
3.9. The review should reflect:
possession of modern diagnostic and treatment methods that meet the qualification requirements for specialists of the second, first and highest categories;
participation of a specialist in the work of a scientific society or professional medical association;
availability of publications and printed works;
duration and timing of the last advanced training;
forms of self-education used by a specialist;
compliance of the volume of theoretical knowledge, actually performed diagnostic and therapeutic practical skills with the qualification requirements for specialists in the declared qualification category.
3.10. The period for examination of qualification documentation by an expert group cannot exceed 14 calendar days.
3.11. Based on the results of the review, the expert group prepares a conclusion on the evaluation of the specialist’s report and, together with the executive secretary of the certification commission, determines the date for the meeting in the specialty stated in the qualification documentation.
The secretary of the expert group notifies the specialist about the date of the meeting.
3.12. During the expert group meeting, the specialist is tested and interviewed.
Testing involves performing test tasks corresponding to the declared qualification category and specialty, and is recognized as a passed specialist subject to at least 70% correct answers to test tasks.
The interview involves a survey of a specialist by members of an expert group on theoretical and practical issues corresponding to the specialty stated in the qualification documentation.
3.13. At a meeting of the expert group, the secretary of the expert group keeps individual protocols of specialists undergoing qualification procedures (the recommended sample is given in Appendix No. 5 to these Regulations). Each individual protocol is certified by the members and the chairman of the expert group.
3.14. The decision on the compliance of a specialist with the declared category is made based on the results of testing, interviews and taking into account the assessment of the report on the professional activities of the specialist and is entered into the qualification sheet.
3.15. At the meeting, the expert group of the certification commission makes one of the following decisions:
assign a second qualification category;
improve the second qualification category by assigning the first;
upgrade the first qualification category with assignment to the highest;
confirm the previously assigned qualified category;
remove the first (highest) qualification category and assign a lower qualification category;
deprive of qualification category (second, first, highest);
reschedule certification;
refuse to assign a qualification category.
3.16. In case of deprivation, downgrading or refusal to assign a higher qualification category, the specialist’s individual protocol indicates the reasons why the expert group of the certification commission made the corresponding decision.
3.17. The assessment of a specialist’s qualifications is adopted by open voting if at least 2/3 of the members of the expert group of the certification commission are present at the meeting.
3.19. When making a decision to assign a qualification category to a specialist who is a member of the certification commission, the latter does not participate in voting.
3.20. A specialist has the right to take a re-qualification exam, but not earlier than one year after a decision is made about non-compliance with the qualification category.
3.21. Individual protocols of the specialists being examined are sent to the executive secretary of the certification commission for the preparation of minutes of the meeting of the certification commission (the recommended sample is given in Appendix No. 6 to these Regulations). The minutes of the meeting of the expert group are certified by the members of the expert group and approved by the deputy chairman of the certification commission.
3.22. Replacing a member of the expert group with another person who is not part of it is not permitted.
3.23. A draft order for the assignment of a qualification category is prepared by the executive secretary of the certification commission based on its decision. The body under which the certification commission is created issues an order to assign a qualification category within one month.
3.24. Within a week from the date of issuance of the order to assign a qualification category, the executive secretary of the certification commission draws up a document on receipt of the qualification category, which is signed by the chairman of the certification commission and certified by the seal of the body under which it was created.
3.25. A document confirming the assignment of a qualification category is issued to a specialist or a person authorized by him (based on a power of attorney) upon presentation of an identification document of the recipient, or sent via postal service(with the consent of the specialist).
3.26. The issued document on assignment of a qualification category is registered in the document registration journal.
3.27. In case of loss of a document on assignment of a qualification category, based on a written application from a specialist to the certification commission, a duplicate is issued within a month. When registering it, the word “Duplicate” is written on the upper left side.
3.28. Qualification documentation, copies of orders for the assignment of qualification categories and other organizational and administrative documents relating to the work of the certification commission are stored in the certification commission for five years, after which they are subject to destruction in accordance with the established procedure.
3.29. The specialist has the right to familiarize himself with the documents submitted to the certification commission.
3.30. Decisions of certification commissions, within thirty days from the date of their adoption, can be appealed by sending an application justifying the reasons for disagreement to the bodies under which the certification commissions were created, as well as to the Central Certification Commission.
3.31. In cases of conflict, an employee can appeal the decision of the certification commission in accordance with the legislation of the Russian Federation.
3.32. Information (certificate, extract from the protocol, etc.) about specialists who have received a qualification category can be issued upon a written request from the specialist himself or at the request of law enforcement agencies.
IV. Forms of work of the certification commission
4.1. Certifying commission:
analyzes the activities of specialists with higher and secondary vocational education who have submitted documents for obtaining qualification categories;
summarizes the experience of work and implementation of qualification procedures and provides an annual report to the body under which it was created.
considers the need to hold off-site meetings.
4.2. The need to hold an on-site meeting is determined by the certification commission based on requests from organizations and other structures representing the interests of specialists. When studying the issue of the need to hold an on-site meeting, the certification commission has the right to request data on the quantitative composition of specialists wishing to receive a qualification category, and the specialties (directions) declared for the qualification exam.
4.3. The chairman of the certification commission sends to the body under which the certification commission was created a justification for the need (or lack of need) to hold an on-site meeting of the certification commission.
4.4. When preparing a justification for the need (lack of need), the following are taken into account:
workload level of the expert groups of the certification commission and their members at the main place of implementation labor activity;
circumstances due to which specialists wishing to pass the qualification exam cannot appear at the meeting place of the certification commission;
the quantitative composition of specialists wishing to pass the qualification exam;
information about the qualifications of these specialists, provided by the organizations in which they carry out professional activities;
the ability to comply with the requirements, including the qualification procedures established by these Regulations, during the on-site meeting of the certification commission.
4.5. The body under which the certification commission is created makes a decision to hold an on-site meeting of the attestation commission and, by its order, approves the personal composition of the attestation commission and expert groups, the timing of the on-site meeting of the attestation commission and its tasks.
Appendix No. 1 to the Regulations. Statement
Appendix No. 1
to the Regulations on the procedure for obtaining
qualification categories
medical and pharmaceutical
employees approved by order
Ministry of Health and
social development
Russian Federation
dated July 25, 2011 N 808n
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ORDER of the Ministry of Health of the Russian Federation dated April 23, 2013 N 240n
MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
ORDER dated April 23, 2013 N 240n
ABOUT THE PROCEDURE AND TIMELINES FOR MEDICAL WORKERS AND PHARMACEUTICAL WORKERS TO COMPLETE CERTIFICATION TO OBTAIN A QUALIFICATION CATEGORY
In accordance with subclause 5.2.116 of the Regulations on the Ministry of Health of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 19, 2012 N 608 (Collected Legislation of the Russian Federation, 2012, N 26, Art. 3526), I order:
1. Approve the attached Procedure and deadlines for completion medical workers and certification by pharmaceutical workers to obtain a qualification category.
2. Recognize the order of the Ministry of Health and Social Development of the Russian Federation of July 25, 2011 N 808n “On the procedure for obtaining qualification categories by medical and pharmaceutical workers” (registered by the Ministry of Justice of the Russian Federation on September 23, 2011, registration N 21875) as invalid.
3. Control over the implementation of this order is entrusted to the Deputy Minister of Health of the Russian Federation I.N. Kagramanyan.
Approved
by order of the Ministry of Health of the Russian Federation dated April 23, 2013 N 240n
PROCEDURE and DATES FOR MEDICAL WORKERS AND PHARMACEUTICAL WORKERS TO COMPLETE CERTIFICATION TO OBTAIN A QUALIFICATION CATEGORY
I. General provisions
1. These Procedures and deadlines for medical workers and pharmaceutical workers to undergo certification to obtain a qualification category (hereinafter referred to as certification and the Procedure, respectively) determine the rules for medical workers and pharmaceutical workers to undergo certification and apply to specialists with secondary medical and pharmaceutical education, specialists with higher professional education carrying out medical and pharmaceutical activities (hereinafter referred to as specialists).
2. Certification of specialists with secondary and higher medical and pharmaceutical education is carried out in specialties provided for by the current nomenclature of specialties of specialists with medical and pharmaceutical education (hereinafter referred to as specialties).
3. Certification of specialists with another higher education professional education and carrying out medical and pharmaceutical activities, is carried out according to the positions provided for by the current nomenclature of medical and pharmaceutical workers(hereinafter referred to as positions).
4. Certification is voluntary and is carried out by certification commissions in three qualification categories: second, first and highest.
5. Certification is carried out once every five years. The assigned qualification category is valid throughout the Russian Federation for five years from the date of publication of the administrative act on assignment.
6. Specialists can apply for assignment of a higher qualification category no earlier than three years from the date of publication of the administrative act on the assignment of the qualification category.
7. During certification, the theoretical knowledge and practical skills necessary to perform professional responsibilities in relevant specialties and positions, based on the results of the qualification exam.
The qualification exam includes an expert assessment of a report on the professional activities of a specialist (hereinafter referred to as the report), a knowledge test and an interview.
8. A specialist applying for the second qualification category must:
9. A specialist applying for the first qualification category must:
- have theoretical training and practical skills in the field of professional activity and related disciplines;
- use modern methods diagnostics, prevention, treatment, rehabilitation and own diagnostic and treatment equipment in the field of professional activity;
- be able to competently analyze professional performance indicators and navigate modern scientific and technical information;
- participate in solving tactical issues of organizing professional activities; have at least five years of experience in the specialty (position).
- have high theoretical training and practical skills in the field of professional activity, know related disciplines;
- 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;
- have at least seven years of experience in the specialty (position).
10. A specialist applying for the highest qualification category must:
11. Qualification categories assigned to specialists before the entry into force of this Procedure are retained for the period for which they were assigned.
On April 23, 2013, Order No. 240N of the Russian Ministry of Health was signed, concerning the procedure and period for certification by medical and pharmaceutical specialists to assign them qualification categories. In this regard, the previous similar order No. 808N ceased to be in effect. What has changed and what rules apply today will be discussed in this article.
Certification is carried out to determine the professional qualifications of specialists and their competence to perform job duties. During certification, knowledge of theory and practical skills of specialists are assessed. Based on the results of the exams, they are assigned appropriate categories.
Passing the certification is relevant for specialists with secondary and higher medical and pharmaceutical education who work in their specialties.
Certification is carried out once every 5 years for positions in several categories (second, first, highest).
Moreover, each specialist can apply for an increase in his category before the expiration of the five-year period, but not earlier than 3 years after the last assignment of the qualification level.
Work experience requirements
Order No. 240N changed the requirements for the length of service required to assign one of the three listed categories. Now, when conducting an exam, work experience does not depend on the education received by the specialist.
In particular:
- To obtain category II, you must have at least three years of work experience in your specialty;
- To be assigned category I, you must have at least five years of work experience in your specialty;
- To obtain the highest category, you must have at least seven years of work experience in your specialty.
For comparison: during the period of the previous order, in order to receive the highest category, a specialist with higher education had to have at least ten years of experience in his specialty.
The self-education of a specialist is also not taken into account during certification today.
General rules for assigning categories
The rules approved in Order No. 204N define the requirements for specialists undergoing certification at each subsequent level.
Specialists applying for the second category must:
- know the theory and have practical skills in the field of their work;
- apply modern methods of diagnosis, prevention of diseases, their treatment and implementation of rehabilitation measures;
- navigate scientific and technical data, be able to analyze quantitative and qualitative performance indicators, and prepare specialized reports.
Specialists applying for the first category, in addition to performing the listed tasks, must take part in solving tactical issues related to the organization of work. Specialists of the highest category should be able to do all this. Among other things, they must be able to professionally solve not only tactical, but also strategic issues.
Features of the work of certification commissions
Certification is carried out by a special commission.
The coordination committee organizes the work of the commission and its expert groups. He also establishes methods for assessing the skills of specialists and prepares decisions on assigning certain categories to specialists.
The certification commission includes:
- specialists from medical and pharmaceutical institutions;
- representatives of employers, specialized non-profit organizations;
- representatives of authorities at various levels and other officials.
The composition of the commission by name is approved by order of the authority or institution that created it. The work of the commission is organized by the chairman, who simultaneously serves as the head of the committee. During his absence, the duties of the chairman are performed by the deputy.
Documents of specialists submitted for consideration by the commission are registered by the secretary. He also sends documents to expert groups, prepares decisions and other documentation. Expert groups also have their own chairmen, deputies and secretaries.
Group members prepare conclusions, test the knowledge of specialists, and conduct control interviews.
The procedure for certification by specialists
Specialists who apply for assignment to one of the categories submit to the commission a certain package of documents, which includes an application, an attestation sheet with a photograph, a specialist reference sheet, an annual work report, copies of a passport, work record book and educational documents.
The rules for submitting documents have remained virtually unchanged. An innovation is that documents received in foreign countries must be translated into Russian and notarized. In addition, an innovation is the ban on the submission of documents by representatives of organizations in which specialists are employed.
Each specialist must now submit a package of documents in person or send by mail. Documents must be submitted before the expiration date of the previous category, four months.
Documents are submitted to the committee for consideration within one week from the date of their receipt. If an incomplete package of documents is submitted, the secretary sends the specialist a notice of refusal to consider them. One week is also allotted for this (previously two weeks were allotted). The specialist must correct the comments and resubmit the documents.
Within a month after registration of the documentation, it is reviewed by experts who set a time for test control. It must take place no later than 70 days from the date of registration of documents. Based on the results of the control, a specialist may or may not be assigned a certain category. In any case, the decision of the commission must be justified in the appropriate protocol.
The maximum period for making a decision is four months from the date of submission of documents by the specialist. You can now appeal the decision within one year (previously only one month was allotted for this).
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