Changes to Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health and medical sciences”, approved by the order of the Ministry of Health of Russia dated October 8, 2015 No. 707n, undoubtedly deserve qualitative analysis, since the Faculty of Medical Law has repeatedly (for example, in a series of articles on professional standards) pointed out the need to amend the order of the Ministry of Health of Russia No. 707n.

New professions and old mistakes

So, what changes were made by the Ministry of Health to the mentioned decree? First of all, it is necessary to note the appearance in the Qualification requirements of six new specialties: “Cure business”; "Medical and preventive work"; "Medical biochemistry"; "Medical biophysics"; "Medical cybernetics"; "Nursing"; "Pharmacy". A feature of these specialties is that work in them involves obtaining higher education(specialty, except for "Nursing" for which a bachelor's degree is provided) without internship / residency. Of course, the inclusion of these specialties in Order No. 707n can be welcomed, since this achieves at least partial compliance with the medical and pharmaceutical specialties of higher education with Order No. 1061 of the Ministry of Education and Science of Russia dated 09.12. 10/07/2015 No. 700n “On the nomenclature of specialties for specialists with higher medical and pharmaceutical education”. In addition, order No. 328n eliminated a number of discrepancies between the order of the Ministry of Education and Science of Russia No. 1061 and the order of the Ministry of Health of Russia No. 707n. So, it should be noted that the changes introduced by Order No. 328n partially solved the problem of mixing two different specialties of "pediatrics" (we wrote about this in the article "Features of the professional standard of a district pediatrician").

Recall that according to the order of the Ministry of Education and Science of Russia dated September 12, 2013 No. 1061 “On approval of the lists of specialties and areas of higher education training”, there are two qualifications of the same name “pediatrician”. Thus, the qualification "pediatrician" is assigned in the case of higher education in the form of a specialist in the specialty 31.05.02 "Pediatrics". But at the same time, the qualification "pediatrician" is also awarded after the training of highly qualified personnel in residency programs in the specialty 31.08.19 "Pediatrics". Thus, an unacceptable situation has arisen when one term denotes two completely different qualifications corresponding to two different specialties and different levels preparation .

The new order No. 328n amended the qualification requirements for medical and pharmaceutical workers with higher education, adding to it specialties that do not require obtaining postgraduate education in the form of residency / internship. However, with regard to pediatricians, he did not add new specialty(which can hardly be considered correct), but added a note to the text of the order according to which “for persons who have received basic education educational program in accordance with the federal state educational standard of higher education in the specialty 31.05.02 Pediatrics (specialist level) after January 1, 2016 and accredited specialists, internship / residency training is not mandatory when filling the positions of a district pediatrician. The specified change brings the order of the Ministry of Health of Russia No. 707n into line with the order of the Ministry of Education and Science of Russia of September 12, 2013 No. 1061. However, in our opinion, the changes made are insufficient. Although they provide an opportunity for young graduates medical universities without postgraduate education to work as a district pediatrician, the very name of the position proposed in order No. 328n is unsuccessful, since it coincides with the name of the position in which pediatricians who have completed residency work. We believe that is an unfortunate job title can lead to a violation of the patient's right to receive when choosing a doctor, information about doctors, about the level of their education and qualifications. In this case, the patient will not be able to understand who the position “district pediatrician” means - a doctor without a postgraduate education or a doctor who has already completed his residency. Yes, and doctors who have received postgraduate education should be rightly offended by this state of affairs.

Figaro here, Figaro there

With regard to other newly introduced specialties, Order No. 328n, apparently, nevertheless decided to focus on the recently adopted professional standards and repeated a number of errors contained in these standards. So, repeated mistakes made in the relevant professional standards: incorrect job title of dental graduates without postgraduate education as "dentist"(in our opinion, such a position should be provided only to doctors who have completed their residency) instead of “general dentist”; the opportunity to hold the same position of “pharmacist-technologist” both for pharmacists who have just graduated from a university without postgraduate education, and for pharmacists who have completed residency / internship; the opportunity to occupy the same position of “district physician” for doctors with completely different qualifications (specialist in “general medicine”, residency in “therapy”, residency in “general medical practice (family medicine)”). You can read more about these errors in our articles “Analysis of the professional standards “Dentist” and “Pharmacist”: mistakes of the legislator" and "Professional standard" General practitioner (district general practitioner) and its features".

As for the positions that graduates of the specialty "Medical and preventive care" can occupy, then the norms of Order No. 328n contradict even the relatively recently approved relevant professional standard (Order of the Ministry of Labor of Russia dated June 25, 2015 No. 399n). So, according to the specified professional standard, a specialist in the field of medical and preventive care who has graduated from a specialist can work in 18 different positions. At the same time, according to the order of the Ministry of Health of Russia No. 328n, only 2 positions are provided - “general hygiene doctor” and “epidemiologist”. The Faculty of Medical Law supports the reduction in the number of positions provided for specialists in the field of medical and preventive care (and believes that changes aimed at reducing the number of possible positions should also be made to the professional standard), but cannot agree with the positions selected in Order No. 328n. Firstly, the federal state educational standard of higher education in the specialty 32.05.01 Medical and preventive care, approved by the Order of the Ministry of Education and Science of Russia dated 16.01.2017 No. 21 does not limit the range of professional tasks of a specialist who have undergone appropriate training, exclusively hygiene and epidemiology. Secondly, the position "general hygienist" is also provided for graduates of the internship / residency in the specialty "general hygiene", and "physician epidemiologist" - for graduates of the internship/residency in the specialty "epidemiology", which can lead to work for one and the same positions (with the same labor and/or official duties) doctors of different qualifications. Obviously, the authors of the order wanted to bring the terminology closer to the order of the Ministry of Education and Science of Russia No. 1061, but did not take into account that it establishes qualifications, and not position. It should be noted that the Faculty of Medical Law has always considered it necessary to combine reasonable criticism of certain provisions of legal acts with constructive proposals for their improvement. In this case, it seems to us the most rational to provide a single job title for graduates in the specialty "medical and preventive care" - a doctor in medical prevention. Such a position is present in the Nomenclature of positions medical workers and pharmaceutical workers, approved by order of the Ministry of Health of Russia dated December 20, 2012 No. 1183n, but so far has not been mentioned either in the original text of the order of the Ministry of Health of Russia No. 707n or in the changes made by order No. 328n

Also, the names of positions proposed in Order No. 328n for graduates of the specialty in the specialties "Medical Biochemistry" should be recognized as unsuccessful; "Medical biophysics"; "Medical cybernetics" (professional standards for these specialties have not yet been approved).

So, for example, for a graduate of medical cybernetics, the position of “doctor-statistician” is offered. However, the same position is provided for 2 (!) Specialties that provide for the completion of residency: "Organization of health care and public health", "Social hygiene and organization of the state sanitary and epidemiological service". In addition to all others, those who have completed an internship in the specialty "Management of nursing activities" can also apply for the position of a doctor-statistician. Quite controversial is the title of the position - "physician-statistician". After all, professional tasks, the solution of which is focused on training in the specialty "Medical Cybernetics" are not limited to medical statistics. According to the federal state educational standard of higher education in the specialty 30.05.03 Medical cybernetics (specialist level), approved by the Order of the Ministry of Education and Science of Russia dated September 12, 2016 No. 1168, a graduate who has mastered the program must be ready to solve such professional tasks as: diagnosis of diseases and pathological conditions of patients ; carrying out measures for hygienic education and disease prevention among the population; analysis, creation, implementation and operation of medical information systems and communication technologies; compliance with basic requirements information security to the development of new methods and technologies in the field of healthcare and much more. We note that these professional tasks are not directly related to medical statistics - and even more strange is the title of the position for such a specialist.

As for the graduates of "Medical Biochemistry" and "Medical Biophysics", the names of their positions also coincide with the names of the positions of specialists who have completed residency: accordingly, a doctor of clinical laboratory diagnostics can be either a doctor who has just graduated from a specialty in medical biochemistry or who has already completed residency according to "clinical laboratory diagnostics"; A doctor of functional diagnostics can be both a freshly graduated specialist in medical biophysics, and a doctor who has already completed a residency in “functional diagnostics”.

Given the tendency to duplicate errors in Qualification Requirements and Professional Standards, we have every reason to fear that the future professional standards of specialists in medical cybernetics, medical biochemistry and medical biophysics will inherit all the mistakes made in the preparation of Order No. 328n of the Ministry of Health of Russia.

Qualifications and… Gender Discrimination

However, in order No. 328n in relation to new specialties, there are also their own mistakes and inaccuracies that have nothing to do with professional standards. The most striking example is the title of the positions of graduates in the specialty "nursing" (provides for the completion of a bachelor's degree). According to order No. 328n, this specialty provides for work in the following positions: “general practice nurse”, “palliative care nurse”, “prevention nurse”, “rehabilitation nurse”. From the title of these positions, it becomes clear that the Ministry of Health wanted to correlate the job responsibilities of nurses and types medical care, enshrined in the Federal Law of November 21, 2011 No. 323-FZ "On the basics of protecting the health of citizens in Russian Federation". However, they have nothing to do with the terminology of the positions of nursing staff, enshrined in legislation. So, for example, the order of the Ministry of Education and Science of Russia No. 1061 provides for those who have studied in the direction of "nursing" to obtain the qualification "academic nurse". Of course, it can be argued that qualifications and positions are not the same thing (although for medical workers, their names quite often coincide). In the nomenclature of positions of medical workers and pharmaceutical workers approved by the order of the Ministry of Health of Russia dated December 20, 2012 No. 1183n, there are 22 positions of nurses. However, neither "general practice nurse" nor "palliative care nurse" nor "prevention nurse" is mentioned in it. It should be recognized that nomenclature still contains the post of "rehabilitation nurse", but classifies it as a specialist with a secondary vocational (medical) education, which is contrary to order No. 328n. Finally, the section "Qualification characteristics of positions of workers in the field of healthcare" of the Unified Qualification Handbook of the positions of managers, specialists and employees, approved by order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n, also, firstly, includes all nursing positions (with the exception of the chief nurse ) to the positions of middle and junior medical personnel, and secondly in general does not contain the positions mentioned in order No. 328n.

In addition, attention should also be paid to the fact that the authors of the order did not foresee the situation when a man receives the specialty "nursing". The order of the Ministry of Education and Science of Russia No. 1061 provided that in this case, for males, the name of the qualification sounds like “academic medical brother”. As for the recent order of the Ministry of Health of Russia No. 328n, then, given the proposed job titles, either it is supposed to refuse to hire men for such positions (which is serious gender discrimination), or it is proposed to call male health workers in these positions “nurses” (which, taking into account domestic cultural and linguistic features, can also be considered as ridicule and discrimination).

Of course, the inclusion in the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health and medical sciences" of the requirements for specialists who have completed a bachelor's degree is correct. After all, higher medical (pharmaceutical) education is not limited to specialty and residency. However, in the order of the Ministry of Health of Russia No. 328n, the magistracy was completely ignored. According to the order of the Ministry of Education and Science of Russia No. 1061, there is a master's program in the specialties 04/32/01 "Public Health", and 04/32/01 "Industrial Pharmacy". According to paragraph 5 of article 10 federal law dated December 29, 2012 No. 273-FZ "On Education in the Russian Federation", the master's program refers to higher education. Thus, the Qualification requirements for medical and pharmaceutical workers with higher education in the field of study "Health and medical sciences" should logically include the requirements for medical and pharmaceutical workers who have completed a master's degree.

Osteopathy - without the right to work

The situation is even worse with osteopathy (there is currently no professional standard for this specialty). The new order No. 328n expanded the list of higher education specialties, which provides access to work in the specialty "osteopathy". Now, in addition to the specialist in General Medicine and Pediatrics, a specialist in Dentistry has been added (although the idea of retraining a dentist as an osteopath still raises a number of doubts - if such an osteopath will deal exclusively with osteopathy of the maxillofacial apparatus, it is more reasonable to single out a separate specialization for this , if osteopathy is applied in full, it is not clear whether the amount of knowledge gained at the Faculty of Dentistry will be enough). However, the main shortcoming of order No. 328n in relation to osteopathy is that they simply forgot that from April 10, 2017, the order of the Ministry of Education and Science No. 1061 provides for a specialist in osteopathy(specialty 31.05.04). Thus, a paradoxical situation: according to the order of the Ministry of Health No. 707, taking into account the changes made by order No. 328n., A graduate who has graduated from a specialist in osteopathy does not have the right to work in his specialty(both order No. 707n and order No. 1061 require the mandatory completion of residency in osteopathy) nor the right to enroll in residency in osteopathy(According to order No. 328n, residency in osteopathy is intended for specialists in "medical business", "pediatrics" and even "dentistry", but is not intended for those with a diploma in "osteopathy").

Changes in retraining

The list of specialties for which dentists could undergo retraining has undergone significant changes. So now, according to the order of the Ministry of Health of Russia No. 328n, dentists will not be able to change their specialty to such specialties as Physiotherapy and Sports Medicine, Manual Therapy, Radiology, Physiotherapy, Functional Diagnostics. The decision to limit retraining opportunities for dentists looks, in our opinion, at least not justified. And if these steps can still be understood in relation to sports medicine (although even in this case dentists cannot be called laymen - occupational diseases (especially injuries) of athletes often concern the teeth or jaws and are within the competence of the dentist), then why was it decided to prohibit the possibility of retraining a dentist for radiologist?

The introduction of such changes, in our opinion, does not allow us to exclude adverse consequences regarding confidence in the goals of the order. After all, some representatives of the medical and near-medical community may well take such ill-conceived “innovations” as the result of lobbying activities of professional communities (in the given example, radiologists) seeking to monopolize the possibility of obtaining the specialty “radiology” (and, consequently, the market for services in the field of x-ray diagnostics) and discriminatory doctors of other specialties, depriving them of the opportunity to retrain as a radiologist. We are very afraid that assumptions about the possibility of lobbying activities in the Russian Ministry of Health may significantly affect both the authority of some professional circles that allow unscrupulous competition and violate the foundations of medical ethics, and the authority of the Russian Ministry of Health itself (which, in our opinion, must be avoided at all costs). - for example, recognition of the ill-conceivedness of the introduced bans on the retraining of dentists and their cancellation).

Firstly, it is not clear why, according to the authors of Order No. 328n, the specialty of a dentist is closer to an osteopath than to a radiologist? After all, the dentist meets daily with various types X-ray images of the dentoalveolar apparatus, on their basis he makes a diagnosis, makes calculations, develops treatment tactics. The dentist is not directly related to osteopathic procedures, osteopathic techniques and methods are not used in dentistry. Nevertheless, the authors of the order of the Ministry of Health No. 328n for some reason considered that a certified dentist would be able to master the profession of an osteopath, but would not be able to master the specialty of a radiologist.

Secondly, the order of the Ministry of Health No. 328n left the possibility of retraining in radiology for medical workers with specializations in Medical Biophysics and Medical Cybernetics. Quite ordinary is the situation when a biophysicist or a cybernetics doctor performs work that is completely unrelated to X-ray studies, but, nevertheless, the order left them the opportunity to change their specialization to a radiologist.

But the field of opportunities for obtaining the specialty "reflexology" was significantly expanded. Order of the Ministry of Health of Russia No. 328n allowed doctors with residency / internship training in such specialties as “Infectious diseases”, “Psychiatry”, “Psychiatry-narcology” to change their profession to “reflexology”. The Faculty of Medical Law supports such changes, since at present reflexology is widely used for non-severe mental illnesses (including depression), as an integral restorative treatment for infectious diseases, and is also used in the fight against nicotine addiction.

NMO not for everyone?

We should also welcome the appearance in the order of the Ministry of Health of Russia No. 328n of references to continuing medical education (CME) provided for by Part 2 of Article 82 of the Federal Law of December 29, 2012 No. 273-FZ “On Education in the Russian Federation”. Mention of continuous professional development throughout labor activity occurs in relation to 9 specialties that provide for work after graduation from the university without postgraduate education (residency): "Cure business"; "Medical and preventive work"; "Medical biochemistry"; "Medical biophysics"; "Medical cybernetics"; "Pediatrics"; "Nursing"; "Dentistry of general practice"; "Pharmacy". At the same time, for specialties that provide for residency education, the requirements for advanced training are formulated as “advanced training at least once every 5 years during the entire working life” ( the word "continuous" is no longer used). In our opinion, such a difference in wording creates the illusion that after the end of residency, the requirements for continuous medical education are softened, which is contrary to the spirit and letter of the Federal Law "On Education in the Russian Federation", which implies continuous medical education continuous improvement of professional knowledge and skills throughout life, as well as continuous improvement professional level and expanding qualifications for all medical and pharmaceutical workers.

Other changes

Of the other changes introduced by the order of the Ministry of Health of Russia No. 328n, it is necessary to note the bringing of terminology in line with the law. So, for example, the very vague phrase “main specialties or specialties requiring additional training” (which specialty can be considered the main one?) was replaced by “large groups of specialties “Clinical Medicine” or “Health Sciences and Preventive Medicine”. The mentioned groups of specialties are contained in the order of the Ministry of Education and Science of Russia No. 1061 and represent a clear closed list that excludes the possibility of ambiguous interpretations.

In addition, Order No. 328n of the Ministry of Health of Russia introduced a number of technical changes aimed at correcting inconsistencies that arose during the reform of medical education and the rejection of internships. Thus, references to the internship as one of the levels of vocational education were removed from those specialties where in practice there were no interns (Neprology), the norm was removed, suggesting residency in the specialty Cosmetology (previously, cosmetologists could receive their specialty either by completing residency in cosmetology or through residency in "Dermatovenereology" and retraining in "Cosmetology"; nevertheless, in practice, the vast majority of cosmetologists received their specialty in the second way, since those who completed the residency in cosmetology completely lacked the possibility of changing qualifications in the future; in addition, due to the lack of cosmetology hospitals and the difficulties of organizing residency, and themselves educational establishments preferred to organize advanced training courses for dermatovenereologists instead of a specialized residency in cosmetology); an opportunity was added to work in the specialty "Pediatrics" not only for those doctors who underwent retraining in the relevant specialty in residency, but also in internships (since 2016, internships do not exist in Russia, but a doctor could undergo retraining until 2016), etc. d.

Thus, the order of the Ministry of Health of Russia No. 328n is ambiguous. On the one hand, he introduces the necessary and long overdue changes into the Qualification requirements for medical and pharmaceutical workers with higher education in the field of study "Health and Medical Sciences", approved by order of the Ministry of Health of the Russian Federation of October 8, 2015 No. 707n (introduction of new specialties, involving the possibility of working immediately after graduation, streamlining the changes associated with advanced training in residency / internship, bringing the terminology in line with other legislative acts, etc.). On the other hand, the scope of the changes introduced is clearly insufficient, many significant conflicts with other legal acts (for example, with the Order of the Ministry of Education and Science No. , approved by order of the Ministry of Health of Russia No. 707, completely contradict the order of the Ministry of Education and Science of Russia No. 1061 and call into question for graduates of medical universities in the specialty "osteopathy" both the right to work after graduation and the right to continue their education and enter the residency in "osteopathy").

Moreover, a very negative trend is the consolidation in the qualification requirements of errors made in the preparation of professional standards for a number of medical specialties (“pediatrician”, “physician (physician) of the district”, “stomatologist”, “pharmacist”). Instead of a critical analysis of these professional standards, the authors of the order of the Ministry of Health of Russia No. 328n simply mechanically transferred their norms to the Qualification Requirements, which is why the same mistake (for example, the same job title for doctors with different specialties and qualifications) will now have to be corrected in two regulatory legal acts : both in the professional standard and in the Qualification requirements.

Some norms of Order No. 328n formally do not have legal shortcomings, however, they are in conflict with the practical activities of doctors, do not take into account its specifics (for example, it does not take into account the fact that dentists in their medical practice work much more often with the results of X-ray studies than statisticians (specialty "medical cybernetics"), etc.).

The shortcomings of the Qualification Requirements and their inconsistency with other acts in the field of education, healthcare and labor activity are exacerbated by the unresolved issue of mandatory compliance with the Qualification Requirements. To date, in accordance with Articles 57, 195.2 and 195.3 Labor Code RF, only qualification requirements enshrined in a professional standard or a unified qualification reference book are mandatory. Qualification requirements approved by order of the Ministry of Health of Russia No. 707n and supplemented by order No. 328n are not a professional standard or part of a unified qualification guide and, therefore, federal laws do not establish their obligation. Moreover, as we indicated above, a number of norms of the order of the Ministry of Health of Russia No. 707n (taking into account the changes introduced by order No. 328n) contradict a number of norms of the Unified Qualification Handbook for the Positions of Managers, Specialists and Employees, approved by order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n , as well as some norms of relevant professional standards. Thus, in cases of collisions with the listed regulations, the norms of the order of the Ministry of Health of Russia No. 707n cannot be guided. This factor undermines the credibility of the Qualification Requirements approved by the Order of the Ministry of Health of Russia No. 707n and provokes ignoring these requirements.

Given the above, it can be stated that despite a number of positive changes introduced by the order of the Ministry of Health of Russia No. 328n, the Qualification requirements approved by the order of the Ministry of Health of Russia dated October 8, 2015 No. 707n are still far from perfect. They can be corrected by preparing another, this time much more comprehensive, draft changes to the Qualifications. But, it is worth noting that, in our opinion, the preparation of such changes should be considered by the Ministry of Health of Russia not as the elimination of technical errors (namely, this was stated by the Ministry of Health in the Explanatory Note to the draft order No. 328n as the goal of the draft act), but as one of the key components of improving the system of training medical and pharmaceutical specialists in the Russian Federation.

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Professional standard. Specialist in research and analysis of the automotive market

I. General information

II. Description of labor functions included in the professional standard (functional map of the type of work activity)

III. Characteristics of generalized labor functions

3.1. Generalized labor function. Marketing research, interaction with the subjects of the commodity distribution network

3.2. Generalized labor function. Forecasting demand in existing and potential sales markets and implementing programs to promote the organization's product

3.3. Generalized labor function. Preparation of proposals for the development of an organization development strategy, planning of marketing and advertising activities

3.4. Generalized labor function. Ensuring process management of marketing and advertising activities of the organization

IV. Information about organizations - developers of a professional standard

4.1. Responsible developer organization

4.2. Names of developer organizations

Order of the Ministry of Health of the Russian Federation of October 8, 2015 N 707n
"On Approval of Qualification Requirements for Medical and Pharmaceutical Workers with Higher Education in the Direction of Training "Health Care and Medical Sciences"

With changes and additions from:

In accordance with paragraph 5.2.2 of the Regulations on the Ministry of Health of the Russian Federation, approved by the 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; 2013, N 16, Art. 1970 ; N 20, item 2477; N 22, item 2812; N 33, item 4386; N 45, item 5822; 2014, N 12, item 1296; N 6, item 3577; N 30, item 4307; N 37, item 4969; 2015, N 2, item 491; N 12, item 1763; N 23, item 3333), I order:

1. Approve the Qualification requirements for medical and pharmaceutical workers with higher education in the field of study "Health and medical sciences" in accordance with the Appendix.

2. Recognize as invalid:

order of the Ministry of Health and social development of the Russian Federation dated July 7, 2009 N 415n "On approval of qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare" (registered by the Ministry of Justice of the Russian Federation on July 9, 2009, registration N 14292);

order of the Ministry of Health and Social Development of the Russian Federation of December 26, 2011 N 1644n “On Amending the Qualification Requirements for Specialists with Higher and Postgraduate Medical and Pharmaceutical Education in the Field of Health, approved by order of the Ministry of Health and Social Development on July 7, 2009 N 415n" (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration N 23879).

Registration N 39438

The qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health care and medical sciences" have been updated.

They are differentiated by specialty. It is indicated what level of vocational education is required to occupy the relevant positions.

Requirements for additional vocational education have also been established. Among them - advanced training at least 1 time in 5 years during the entire working life.

Order of the Ministry of Health of the Russian Federation of October 8, 2015 N 707n "On approval of qualification requirements for medical and pharmaceutical workers with higher education in the direction of training" Health and medical sciences "

This Order shall enter into force 10 days after the date of its official publication.

This document has been modified by the following documents:

The changes come into force 10 days after the day of the official publication of the said order.

Medical lawyer - about the new requirements of the Ministry of Health for health workers

On June 15, 2017, the Ministry of Health of the Russian Federation approved Order No. 328n “On Amendments to the Qualification Requirements for Medical and Pharmaceutical Workers with Higher Education in the Health Care and Medical Sciences” direction.

Changes to the Qualification requirements for medical and pharmaceutical workers with higher education in the field of study "Health care and medical sciences", approved by order of the Ministry of Health of Russia dated October 8, 2015 No. 707n, undoubtedly deserve a qualitative analysis, since the Faculty of Medical Law has repeatedly (for example, in a series articles on professional standards) indicated the need to amend the order of the Ministry of Health of Russia No. 707n.

New professions and old mistakes

So, what changes were made by the Ministry of Health to the mentioned decree? First of all, it is necessary to note the appearance in the Qualification requirements of six new specialties: “Cure business”; "Medical and preventive work"; "Medical biochemistry"; "Medical biophysics"; "Medical cybernetics"; "Nursing"; "Pharmacy". A feature of these specialties is that work in them involves obtaining a higher education (a specialty, except for "Nursing", for which a bachelor's degree is provided) without undergoing an internship / residency. Of course, the inclusion of these specialties in Order No. 707n can be welcomed, since this achieves at least partial compliance with the medical and pharmaceutical specialties of higher education with Order No. 1061 of the Ministry of Education and Science of Russia dated 09.12. 10/07/2015 No. 700n “On the nomenclature of specialties for specialists with higher medical and pharmaceutical education”. In addition, order No. 328n eliminated a number of discrepancies between the order of the Ministry of Education and Science of Russia No. 1061 and the order of the Ministry of Health of Russia No. 707n. So, it should be noted that the changes introduced by Order No. 328n partially solved the problem of mixing two different specialties of "pediatrics" (we wrote about this in the article "Features of the professional standard of a district pediatrician").

Recall that according to the order of the Ministry of Education and Science of Russia dated September 12, 2013 No. 1061 “On approval of the lists of specialties and areas of higher education training”, there are two qualifications of the same name “pediatrician”. Thus, the qualification "pediatrician" is assigned in the case of higher education in the form of a specialist in the specialty 31.05.02 "Pediatrics". But at the same time, the qualification "pediatrician" is also awarded after the training of highly qualified personnel in residency programs in the specialty 31.08.19 "Pediatrics". Thus, an unacceptable situation has arisen when one term refers to two completely different qualifications corresponding to two different specialties and different levels of training.

The new Order No. 328n amended the qualification requirements for medical and pharmaceutical workers with higher education, adding to it specialties that do not require postgraduate education in the form of residency / internship. At the same time, with regard to pediatricians, he did not add a new specialty (which can hardly be considered correct), but added a note to the text of the order according to which “for persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 31.05.02 Pediatrics (specialist level) after January 1, 2016 and accredited specialists, internship / residency training is not mandatory when filling the positions of a district pediatrician. "The specified change brings the order of the Ministry of Health of Russia No. No. 1061. However, in our opinion, the changes made are insufficient. Although they provide an opportunity for young graduates of medical universities without postgraduate education to work as a district pediatrician, the self-name of the position proposed in Order No. 328n is unsuccessful, since it coincides with the name of the position in which pediatricians who have completed residency work. We believe that is an unfortunate job title can lead to a violation of the patient's right to receive when choosing a doctor, information about doctors, about the level of their education and qualifications. In this case, the patient will not be able to understand who the position “district pediatrician” means - a doctor without a postgraduate education or a doctor who has already completed his residency. Yes, and doctors who have received postgraduate education should be rightly offended by this state of affairs.

Figaro here, Figaro there

With regard to other newly introduced specialties, Order No. 328n, apparently, nevertheless decided to focus on the recently adopted professional standards and repeated a number of errors contained in these standards. So, repeated mistakes made in the relevant professional standards: incorrect job title of dental graduates without postgraduate education as "dentist"(in our opinion, such a position should be provided only to doctors who have completed residency) instead of “general dentist”; the opportunity to hold the same position of “pharmacist-technologist” both for pharmacists who have just graduated from a university without postgraduate education, and for pharmacists who have completed residency / internship; the opportunity to occupy the same position of “district physician” for doctors with completely different qualifications (specialist in “general medicine”, residency in “therapy”, residency in “general medical practice (family medicine)”). You can read more about these errors in our articles “Analysis of the professional standards “Dentist” and “Pharmacist”: mistakes of the legislator” and “Professional standard “General practitioner (district physician) and its features”.

As for the positions that graduates of the specialty "Medical and preventive care" can occupy, then the norms of Order No. 328n contradict even the relatively recently approved relevant professional standard (Order of the Ministry of Labor of Russia dated June 25, 2015 No. 399n). So, according to the specified professional standard, a specialist in the field of medical and preventive care who has graduated from a specialist can work in 18 different positions. At the same time, according to the order of the Ministry of Health of Russia No. 328n, only 2 positions are provided - “general hygiene doctor” and “epidemiologist”. The Faculty of Medical Law supports the reduction in the number of positions provided for specialists in the field of medical and preventive care (and believes that changes aimed at reducing the number of possible positions should also be made to the professional standard), but cannot agree with the positions selected in Order No. 328n. Firstly, the federal state educational standard of higher education in the specialty 32.05.01 Medical and preventive care, approved by the Order of the Ministry of Education and Science of Russia dated 16.01.2017 No. 21 does not limit the range of professional tasks of a specialist who have undergone appropriate training, exclusively hygiene and epidemiology. Secondly, the position "general hygienist" is also provided for graduates of the internship / residency in the specialty "general hygiene", and "physician epidemiologist" - for graduates of the internship / residency in the specialty "epidemiology", which can lead to work on the same and the same positions (with the same labor and / or service duties) of doctors of different qualifications. Obviously, the authors of the order wanted to bring the terminology closer to the order of the Ministry of Education and Science of Russia No. 1061, but did not take into account that it establishes qualifications, and not position. It should be noted that the Faculty of Medical Law has always considered it necessary to combine reasonable criticism of certain provisions of legal acts with constructive proposals for their improvement. In this case, it seems to us the most rational to provide a single job title for graduates in the specialty "medical and preventive care" - a doctor in medical prevention. Such a position is present in the Nomenclature of positions of medical workers and pharmaceutical workers, approved by order of the Ministry of Health of Russia dated December 20, 2012 No. 1183n, but so far has not been mentioned either in the original text of the order of the Ministry of Health of Russia No. 707n or in the changes made by order No. 328n

So, for example, for a graduate of medical cybernetics, the position of “doctor-statistician” is offered. However, the same position is provided for 2 (!) Specialties that require the completion of residency: "Organization of healthcare and public health", "Social hygiene and organization of the state sanitary and epidemiological service". In addition to all others, those who have completed an internship in the specialty "Management of nursing activities" can apply for the position of a doctor-statistician. Quite controversial is the title of the position - "physician-statistician". After all, professional tasks, the solution of which is focused on training in the specialty "Medical Cybernetics" are not limited to medical statistics. According to the federal state educational standard of higher education in the specialty 30.05.03 Medical cybernetics (specialist level), approved by the Order of the Ministry of Education and Science of Russia dated September 12, 2016 No. 1168, a graduate who has mastered the program must be ready to solve such professional tasks as: diagnosis of diseases and pathological conditions of patients ; carrying out measures for hygienic education and disease prevention among the population; analysis, creation, implementation and operation of medical information systems and communication technologies; compliance with the basic information security requirements for the development of new methods and technologies in the field of healthcare, and much more. We note that these professional tasks are not directly related to medical statistics - and even more strange is the title of the position for such a specialist.

As for the graduates of "Medical Biochemistry" and "Medical Biophysics", the names of their positions also coincide with the names of the positions of specialists who have completed their residency: accordingly, a doctor of clinical laboratory diagnostics can be either a doctor who has just graduated from a specialty in medical biochemistry or who has already completed residency according to "clinical laboratory diagnostics"; A doctor of functional diagnostics can be both a freshly graduated specialist in medical biophysics, and a doctor who has already completed a residency in “functional diagnostics”.

Qualifications and… Gender Discrimination

However, in order No. 328n in relation to new specialties, there are also their own mistakes and inaccuracies that have nothing to do with professional standards. The most striking example is the title of the positions of graduates in the specialty "nursing" (provides for the completion of a bachelor's degree). According to order No. 328n, this specialty provides for work in the following positions: “general practice nurse”, “palliative care nurse”, “prevention nurse”, “rehabilitation nurse”. From the titles of these positions, it becomes clear that the Ministry of Health wanted to correlate the duties of nurses and the types of medical care enshrined in the Federal Law of November 21, 2011 No. 323-FZ “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation”. However, they have nothing to do with the terminology of the positions of nursing staff, enshrined in legislation. So, for example, the order of the Ministry of Education and Science of Russia No. 1061 provides for those who have studied in the direction of "nursing" to obtain the qualification "academic nurse". Of course, it can be argued that qualifications and positions are not the same thing (although for medical workers, their names quite often coincide). In the nomenclature of positions of medical workers and pharmaceutical workers approved by the order of the Ministry of Health of Russia dated December 20, 2012 No. 1183n, there are 22 positions of nurses. However, neither "general practice nurse" nor "palliative care nurse" nor "prevention nurse" is mentioned in it. It should be recognized that nomenclature still contains the position of "rehabilitation nurse", but classifies it as a specialist with a secondary vocational (medical) education, which is contrary to order No. 328n. Finally, the section "Qualification characteristics of positions of workers in the field of healthcare" of the Unified Qualification Directory of the positions of managers, specialists and employees, approved by order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 No. 541n, also, firstly, refers to all nursing positions (with the exception of the chief nurse ) to the positions of middle and junior medical personnel, and secondly in general does not contain the positions mentioned in order No. 328n.

Of course, the inclusion in the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health and medical sciences" of the requirements for specialists who have completed a bachelor's degree is correct. After all, higher medical (pharmaceutical) education is not limited to specialty and residency. However, in the order of the Ministry of Health of Russia No. 328n, the magistracy was completely ignored. According to the order of the Ministry of Education and Science of Russia No. 1061, there is a master's program in the specialties 04/32/01 "Public Health", and 04/32/01 "Industrial Pharmacy". According to Part 5 of Article 10 of the Federal Law of December 29, 2012 No. 273-FZ "On Education in the Russian Federation", the master's program refers to higher education. Thus, the Qualification requirements for medical and pharmaceutical workers with higher education in the field of study "Health and medical sciences" should logically include the requirements for medical and pharmaceutical workers who have completed a master's degree.

Osteopathy - without the right to work

Changes in retraining

Firstly, it is not clear why, according to the authors of Order No. 328n, the specialty of a dentist is closer to an osteopath than to a radiologist? After all, the dentist daily meets with various types of X-ray images of the dentoalveolar apparatus, on their basis he makes a diagnosis, makes calculations, and develops treatment tactics. The dentist is not directly related to osteopathic procedures, osteopathic techniques and methods are not used in dentistry. Nevertheless, the authors of the order of the Ministry of Health No. 328n for some reason considered that a certified dentist would be able to master the profession of an osteopath, but would not be able to master the specialty of a radiologist.

But the field of opportunities for obtaining the specialty "reflexology" was significantly expanded. Order of the Ministry of Health of Russia No. 328 allowed doctors with residency / internship training in such specialties as “Infectious Diseases”, “Psychiatry”, “Psychiatry-Narcology” to change their profession to “reflexology”. The Faculty of Medical Law supports such changes, since at present reflexology is widely used for non-severe mental illnesses (including depression), as an integral restorative treatment for infectious diseases, and is also used in the fight against nicotine addiction.

NMO not for everyone?

We should also welcome the appearance in the order of the Ministry of Health of Russia No. 328n of references to continuing medical education (CME) provided for by Part 2 of Article 82 of the Federal Law of December 29, 2012 No. 273-FZ “On Education in the Russian Federation”. The mention of continuous professional development during the entire working life is found in relation to 9 specialties that provide for work after graduation from a university without postgraduate education (residency): “Cured business”; "Medical and preventive work"; "Medical biochemistry"; "Medical biophysics"; "Medical cybernetics"; "Pediatrics"; "Nursing"; "Dentistry of general practice"; "Pharmacy". At the same time, for specialties that provide for residency education, the requirements for advanced training are formulated as “advanced training at least once every 5 years during the entire working life” ( the word "continuous" is no longer used). In our opinion, such a difference in wording creates the illusion that after the end of residency, the requirements for continuing medical education are softened, which is contrary to the spirit and letter of the Federal Law "On Education in the Russian Federation", which implies continuous improvement of professional knowledge and skills throughout life, and continuous professional development and skills development for all medical and pharmaceutical workers.

In addition, Order No. 328n of the Ministry of Health of Russia introduced a number of technical changes aimed at correcting inconsistencies that arose during the reform of medical education and the rejection of internships. Thus, references to the internship as one of the levels of vocational education were removed from those specialties where in practice there were no interns (Neprology), the norm was removed, suggesting residency in the specialty Cosmetology (previously, cosmetologists could receive their specialty either by completing residency in cosmetology or through residency in "Dermatovenereology" and retraining in "Cosmetology"; nevertheless, in practice, the vast majority of cosmetologists received their specialty in the second way, since those who completed the residency in cosmetology completely lacked the possibility of changing qualifications in the future; in addition, due to the lack of cosmetology hospitals and the difficulties of organizing residency, educational institutions themselves preferred to organize advanced training courses for dermatovenereologists instead of specialized residency in cosmetology); an opportunity was added to work in the specialty "Pediatrics" not only for those doctors who underwent retraining in the relevant specialty in residency, but also in internships (since 2016, internships do not exist in Russia, but a doctor could undergo retraining until 2016), etc. d.

The shortcomings of the Qualification Requirements and their inconsistency with other acts in the field of education, health care and labor activity are exacerbated by the unresolved issue of mandatory compliance with the Qualification Requirements. At the moment, in accordance with Articles 57, 195.2 and 195.3 of the Labor Code of the Russian Federation, only qualification requirements fixed in a professional standard or a unified qualification reference book. Qualification requirements approved by order of the Ministry of Health of Russia No. 707n and supplemented by order No. 328n are not a professional standard or part of a unified qualification guide and, therefore, federal laws do not establish their obligation. Moreover, as we indicated above, a number of norms of the order of the Ministry of Health of Russia No. 707n (taking into account the changes introduced by order No. 328n) contradict a number of norms of the Unified Qualification Handbook for the Positions of Managers, Specialists and Employees, approved by order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n , as well as some norms of relevant professional standards. Thus, in cases of conflicts with the listed regulations, the norms of the order of the Ministry of Health of Russia No. 707n cannot be guided. This factor undermines the credibility of the Qualification Requirements approved by the Order of the Ministry of Health of Russia No. 707n and provokes ignoring these requirements.

Draft Order of the Ministry of Health of the Russian Federation "On Amendments to the Qualification Requirements for Medical and Pharmaceutical Workers with Higher Education in the Field of Study "Health Care and Medical Sciences", approved by Order of the Ministry of Health of the Russian Federation dated October 8, 2015 No. 707n" (prepared by the Ministry of Health of Russia on 27.01 .2016)

Project dossier

Amend the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health and medical sciences", approved by order of the Ministry of Health of the Russian Federation of October 8, 2015 N 707n (registered by the Ministry of Justice of the Russian Federation on October 23, 2015, registration N 39438) according to the application.

Application

Russian Federation
dated "___" _____________ 2016 N ____

Changes being made to the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health and medical sciences", approved by order of the Ministry of Health of the Russian Federation of October 8, 2015 N 707n

1. In the position "" of the section "Aviation and space medicine" the words "Professional retraining" shall be replaced by the words "Professional retraining*(1)".

2. In position "" of the section "Specialty "Obstetrics and Gynecology", the word "internship" shall be replaced by the words "internship*(2)".

3. In the position "Level of professional education" of the sections "Specialty "Pediatric urology-andrology", "Specialty" Nephrology "," Specialty "Endoscopy" the words "internship /" should be excluded.

4. In the "Additional professional education"of the sections" Specialty "Clinical Laboratory Diagnostics", "Specialty "Organization of Health Care and Public Health" the words "in one of the main specialties or specialties requiring additional training" shall be replaced by the words "in one of the specialties of the enlarged groups of specialties" Clinical Medicine "or" Science about health and preventive medicine"*(3)".

5. In the position "Level of professional education" of the section "Specialty "Cosmetology", the words "Training in residency in the specialty "Cosmetology" shall be excluded.

6. In the position "Additional professional education" of the section "Specialty "Laboratory genetics", the words "or" shall be replaced by the words ",".

7. In the position "Additional professional education" of the sections "Specialty "Nephrology", "Specialty "General medical practice (family medicine)", the words "higher education (residency)" shall be replaced by the words "training in internship / residency".

8. In the position "Level of professional education" of the sections "Specialty" Osteopathy "," Specialty "Pathological Anatomy", "Specialty" Reflexology "," Specialty "Forensic Medical Examination" after the words "Pediatrics" add the words "," "Stomatology".

*(1) Hereinafter, medical and pharmaceutical workers who have received additional professional education in the form professional retraining have equal rights with medical and pharmaceutical workers trained in an internship / residency in the relevant medical or pharmaceutical specialty, with further professional activity and/or further additional professional education.

*(2) Hereinafter, with regard to internship training, the provisions of Part 4 of Article 108 of the Federal Law of December 29, 2012 N 273-FZ "On Education in the Russian Federation" (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2012, N 53, art. 75 2013, N 19, item 2326; N 23, item 2878; N 27, item 3462; N 30, item 4036; N 48, item 6165; 2014, N 6, item 562).

*(3) The list of specialties of higher education - training of highly qualified personnel for residency programs, approved by order of the Ministry of Education and Science of the Russian Federation of September 12, 2013 N 1061 "On approval of the lists of specialties and areas of training in higher education" (registered by the Ministry of Justice of the Russian Federation November 14, 2013, registration N 30163) as amended by orders of the Ministry of Education and Science of the Russian Federation dated January 29, 2014 N 63 (registered by the Ministry of Justice of the Russian Federation on February 28, 2014, registration N 31448), dated August 20, 2014 N 1033 (registered by the Ministry of Justice of the Russian Federation on September 3, 2014, registration N 33947), dated October 13, 2014 N 1313 (registered by the Ministry of Justice of the Russian Federation on November 13, 2014, registration N 34691), dated March 25, 2015 Mr. N 270 (registered by the Ministry of Justice of the Russian Federation on April 22, 2015, registration N 36994).

It is planned to eliminate a number of technical errors in the qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health care and medical sciences".

Order of the Ministry of Health of the Russian Federation
No. 328n dated June 15, 2017

“On Amendments to the Qualification Requirements for Medical and Pharmaceutical Workers with Higher Education in the Direction of Training “Health Care and Medical Sciences”,
approved by order of the Ministry of Health of the Russian Federation
dated October 8, 2015 No. 707n"

I order:

Amend the Qualification requirements for medical and pharmaceutical workers with higher education in the field of study "Health and medical sciences", approved by order of the Ministry of Health of the Russian Federation of October 8, 2015 No. 707n (registered by the Ministry of Justice of the Russian Federation on October 23, 2015, registration No. 39438), according to the appendix.

Application
to the order of the Ministry of Health
Russian Federation
No. 328n dated June 15, 2017

changes,
which are included in the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health care and medical sciences",
approved by the order of the RA Ministry of Health
dated October 8, 2015 No. 707n

1. In the position concerning the specialty "Pediatric urology-andrology", in the section "Level of professional education", the words "internship / residency" shall be replaced by the word "residency".

2. In the position concerning the specialty “Clinical Laboratory Diagnostics”, in the section “Additional Professional Education”, the words “in one of the main specialties or a specialty requiring additional training” shall be replaced by the words “in one of the specialties of the enlarged groups of specialties “Clinical Medicine” or “ Health Sciences and Preventive Medicine".

3. In the position concerning the specialty “Cosmetology”, in the section “Level of professional education”, the words “Training in residency in the specialty “Cosmetology” shall be excluded.

4. In the position concerning the specialty "Laboratory genetics", in the section "Additional professional education", the words "Genetics" or "replace with the word "Genetics", ".

5. After the position concerning the specialty "Laboratory genetics", supplement the position with the following content:

"Specialty" Medical business "

Level of professional education

Higher education - specialist in the specialty "Medicine"

Additional professional education

6. In the position concerning the specialty "Therapeutic physical education and sports medicine", in the section "Level of professional education", the word "," Dentistry" should be excluded.

7. In the position concerning the specialty "Manual Therapy", in the section "Level of professional education", the word "," Dentistry" should be excluded.

8. After the position concerning the specialty "Manual Therapy", add the position of the following content:

"Specialty" Medical and preventive business "

Level of professional education

Higher education - specialty in the specialty "Medical and preventive business"

Additional professional education

Continuous professional development throughout the career

General hygienist, epidemiologist

9. After the position concerning the specialty "Medical and social expertise", supplement with the following positions:

"Specialty" Medical Biochemistry "

Level of professional education

Higher education - specialist in the specialty "Medical Biochemistry"

Additional professional education

Continuous professional development throughout the career

Doctor of clinical laboratory diagnostics

Specialty "Medical Biophysics"

Level of professional education

Higher education - specialist in the specialty "Medical Biophysics"

Additional professional education

Continuous professional development throughout the career

Functional diagnostics doctor

Specialty "Medical Cybernetics"

Level of professional education

Higher education - specialist in the specialty "Medical cybernetics"

Additional professional education

Continuous professional development throughout the career

10. In the position concerning the specialty "Nephrology":

in the section "Level of professional education", the words "internship/residency" shall be replaced by the word "residency";
in the section "Additional professional education", the words "higher education (residency)" shall be replaced by the words "internship/residency training".

11. In the position concerning the specialty “General Medical Practice (Family Medicine)”, in the section “Additional Professional Education”, the words “higher education (residency)” shall be replaced by the words “internship/residency training”.

12. In the position concerning the specialty "Organization of health care and public health", in the section "Additional professional education", the words "in one of the main specialties or a specialty that requires additional training" shall be replaced by the words "in one of the specialties of the enlarged groups of specialties" Clinical Medicine " or Health Sciences and Preventive Medicine.

13. In the position concerning the specialty “Osteopathy”, in the section “Level of professional education”, after the word “Pediatrics”, add the word “Dentistry””.

14. In the position concerning the specialty "Pediatrics":

in the section “Level of professional education” the word “Pediatrics” shall be replaced by the word “Pediatrics”;

15. In the position concerning the specialty "Radiology", in the section "Level of professional education", the word "," Dentistry ", should be deleted.

16. In the position regarding the specialty "Reflexology", in the section "Additional professional education":

after the word "Geriatrics", "add the words" "Infectious diseases", ";
after the word “Occupational pathology”, “add the words “Psychiatry”, “Psychiatry-narcology”,”.

17. After the position concerning the specialty "Cardiovascular Surgery", add the following position:

"Specialty" Nursing "

Level of professional education

Higher education - bachelor's degree in the direction of training "Nursing"

Additional professional education

Continuous professional development throughout the career

General practice nurse, palliative care nurse, prevention nurse, rehabilitation nurse

18. In the position concerning the specialty "Dentistry of General Practice":

in the section “Level of professional education” the words “General practice dentistry” shall be replaced by the words “General practice dentistry” [&]”;

the section "Additional professional education" after the words "during the entire labor activity" shall be supplemented with a paragraph of the following content:

"Continuous professional development throughout the working life".

19. In the position concerning the specialty "Management and economics of pharmacy", in the section "Level of professional education", the word "internship" should be noted with the words "internship / residency".

20. In the position concerning the specialty "Management of nursing activities", in the section "Level of professional education", the words "internship / residency" shall be replaced by the word "internship".

21. In the position concerning the specialty "Pharmaceutical technology", in the section "Level of professional education", the word "internship" should be noted with the words "internship / residency".

22. In the position concerning the specialty “Pharmaceutical chemistry and pharmacognosy”, in the section “Level of professional education”, the word “internship” should be noted with the words “internship / residency”.

23. After the position concerning the specialty "Pharmaceutical chemistry and pharmacognosy", add the position of the following content:

Level of professional education

Higher education - specialist in the specialty "Pharmacy"

Additional professional education

Continuous professional development throughout the career

24. In the position concerning the specialty “Physiotherapy”, in the section “Level of professional education”, the word “, “Dentistry” shall be deleted.

25. In the position concerning the specialty "Functional diagnostics", in the section "Level of professional education", the word "," Dentistry ", should be excluded.

26. In the position concerning the specialty "Endoscopy", in the section "Level of professional education", the words "internship / residency" shall be replaced by the word "residency".

27. Add a note with the following content:

For admission to medical activities in certain specialties, either internship / residency training in the relevant specialty, provided for in the “Level of professional education” section, or professional retraining in the relevant specialty, provided for in the “Additional professional education” section, is required, except for cases when the passage of professional retraining is a qualification requirement for a particular specialty not provided".

The list of specialties of higher education - training of highly qualified personnel for residency programs, approved by order of the Ministry of Education and Science of the Russian Federation dated September 12, 2013 No. 1061 "On approval of the lists of specialties and areas of higher education training" (registered by the Ministry of Justice of the Russian Federation on November 14, 2013 ., registration No. 30163) as amended by orders of the Ministry of Education and Science of the Russian Federation dated January 29, 2014 No. 63 (registered by the Ministry of Justice of the Russian Federation on February 28, 2014, registration No. 31448), dated August 20, 2014 No. 1033 (registered by the Ministry of Justice of the Russian Federation on September 3, 2014, registration No. 33947), dated October 13, 2014 No. 1313 (registered by the Ministry of Justice of the Russian Federation on November 13, 2014, registration No. 34691), dated March 25, 2015 No. 270 (registered by the Ministry of Justice of the Russian Federation on April 22, 2015, registration number 36994).

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 31:05.01 General Medicine (specialist level) after January 1, 2016 and who have passed the accreditation of a specialist.

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 060105 Medical and preventive care (specialist level) after January 1, 2016 and who have passed the accreditation of a specialist.

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 30:05.01 Medical biochemistry (specialist level) after January 1, 2016 and who have been accredited as a specialist.

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 30:05.02 Medical biophysics (specialist level) after January 1, 2016 and who have been accredited as a specialist.

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 30:05.03 Medical cybernetics (specialist level) after January 1, 2016 and who have been accredited as a specialist.

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 31:05.02 Pediatrics (specialist level) after January 1, 2016 and who have been accredited by a specialist, internship / residency training is not mandatory when filling the positions of a doctor - district pediatrician.

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 31:05.03 Dentistry (specialist level) after January 1, 2016 and who have been accredited as a specialist, internship / residency training is not mandatory when filling the positions of a doctor -dentist.

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 31:05.02 Pharmacy (specialist level) after January 1, 2016 and who have passed the accreditation of a specialist.

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Order of the Ministry of Health No. 234n dated May 19, 2017 On amendments to the Regulations on the accreditation of specialists dated June 2, 2016 No. 334n

Ministry of Health of the Russian Federation

ORDER
No. 234n dated May 19, 2017

On amendments to the Regulations on the accreditation of specialists, approved by order of the Ministry of Health of the Russian Federation of June 2, 2016 No. 334n

Registered with the Ministry of Justice of the Russian Federation. Registration number 46991 dated June 8, 2017.

Download the original document in PDF format

Amend the Regulations on the accreditation of specialists approved by order of the Ministry of Health of the Russian Federation dated June 2, 2016 No. 334n (registered by the Ministry of Justice of the Russian Federation on June 16, 2016, registration No. 42550), as amended by the order of the Ministry of Health of the Russian Federation dated 20 December 2016 No. 974n (registered by the Ministry of Justice of the Russian Federation on January 12, 2017, registration No. 45180), according to the Appendix.

Appendix to the order
Ministry of Health of the Russian Federation
dated May 19, 2017 No. 234n

changes,
which are included in the Regulations on the accreditation of specialists,
approved by order of the Ministry of Health of the Russian Federation
dated June 2, 2016 No. 334n

1. Paragraph 8 shall be stated in the following wording:

"8. Accreditation commissions are formed by the Ministry of Health of the Russian Federation with the participation of professional non-profit organizations specified in Article 76 of Federal Law No. 323-F3.

In a constituent entity of the Russian Federation, accreditation commissions are formed to accredit specialists who have:

higher medical education (specialty, residency, bachelor's, master's degree);
higher pharmaceutical education (specialist, residency) or secondary pharmaceutical education;
secondary medical education;
other higher education.

2. Paragraph 12 shall be stated as follows:

"12. The persons specified in paragraphs 10 and 10.1 of these Regulations, with the exception of the chairman of the commission, must have:

higher or secondary vocational education in the specialty specified in the nomenclature of specialties for specialists with higher medical and pharmaceutical education, or the nomenclature of specialties for specialists with secondary medical and pharmaceutical education in the healthcare sector of the Russian Federation;
a valid certificate of a specialist or a certificate of accreditation of a specialist and at least 5 years of work experience.

3. Paragraph 13 shall be stated as follows:

"13. The composition of the accreditation commissions specified in paragraph 8 of these Regulations is approved by order of the Ministry of Health of the Russian Federation annually.

a) add a new sixth paragraph with the following content: “forms accreditation subcommittees;”;

5. Paragraph 16 shall be stated as follows:

"16. Deputy Chairman of the Accreditation Commission:

performs the duties of the chairman of the accreditation commission in his absence;
ensures the interaction of the chairman of the accreditation commission with the accreditation subcommittees;
performs other functions on behalf of the chairman of the accreditation commission.».

a) the second paragraph shall be stated in the following wording:

“registers copies of minutes of meetings of accreditation subcommittees received from accreditation subcommittees;”;

b) the third paragraph is recognized as invalid.

7. Add paragraphs 18.1-18.6 with the following content:

“18.1. The chairman of the accreditation commission from the members of the accreditation commission forms accreditation subcommittees for specialties for which accreditation of specialists is carried out (hereinafter referred to as accreditation subcommittees).

18.2. The accreditation subcommittee consists of the chairman of the accreditation subcommittee, the deputy chairman of the accreditation subcommittee, members of the accreditation subcommittee and the executive secretary of the accreditation subcommittee.

The composition of the accreditation subcommittee is approved by the minutes of the meeting of the accreditation commission.

18.3. Chairman of the accreditation subcommittee:

carries out general management of the activities of the accreditation subcommittee and organizes its activities;
chairs the meetings of the accreditation subcommittee; ensures that the members of the accreditation subcommittee comply with the procedure for accreditation of a specialist established by these Regulations;
distributes duties among the members of the accreditation subcommittee;
coordinates with the chairman of the accreditation commission the rules of work of the accreditation subcommittee;
appoints the deputy chairman of the accreditation subcommittee and the executive secretary of the accreditation subcommittee.

18.4. The deputy chairman of the accreditation subcommittee acts as the chairman of the accreditation subcommittee in his absence, performs other functions on behalf of the chairman of the accreditation subcommittee.

18.5. Executive secretary of the accreditation subcommittee:

registers and considers documents submitted to the accreditation subcommittee by persons who have expressed a desire to be accredited as a specialist;
provides the secretary of the accreditation commission with copies of the minutes of the meetings of the accreditation subcommittees;
notifies persons who have expressed a desire to undergo specialist accreditation of the timing of its implementation;
prepares materials for the meetings of the accreditation subcommittee and draft decisions of the accreditation subcommittee;
keeps minutes of meetings of the accreditation subcommittee; provides interaction with the accreditation commission;
provides the secretary of the accreditation commission with the materials necessary for consideration of complaints of the accredited against the decisions of the accreditation subcommittee;
performs other functions in accordance with these Regulations and on behalf of the chairman of the accreditation subcommittee.

18.6. The procedure for the work of the accreditation subcommittee is determined by the chairman of the accreditation subcommittee and approved by the minutes of the meeting of the accreditation subcommittee.”.

8. Paragraphs 19:22 shall be stated as follows:

"19. The main form of activity of the accreditation commission and the accreditation subcommittee is a meeting.
Based on the results of the meeting of the accreditation commission or accreditation subcommittee, the minutes of the meeting of the accreditation commission or accreditation subcommittee are drawn up.

20. The minutes of the meetings of the accreditation commission and the accreditation subcommittee are signed by all participants of the meeting immediately after its completion.

In case of disagreement with the decision of the accreditation commission or the accreditation subcommittee, the meeting participant has the right to demand that a dissenting opinion be included in the minutes or to state it in writing in an application addressed to the chairman of the accreditation commission or the chairman of the accreditation subcommittee. The minutes of the meetings of the accreditation commissions are bound into books and sent to the Ministry of Health of the Russian Federation, where they are kept in the archive for 6 years. The minutes of the meetings of the accreditation subcommittees are bound into books and kept in the archives of educational and (or) scientific organizations for 6 years.

21. The meeting of the accreditation commission is held:

in order to approve the composition of accreditation subcommittees;
in order to form an appeal commission;
based on the results of the accreditation of specialists;
in other cases provided for by this Regulation.

The meeting of the accreditation commission is competent if at least half of the members of the accreditation commission took part in it.

22. The meeting of the accreditation subcommittee is held after each stage of accreditation of the specialist specified in paragraph 33 of these Regulations, with the execution of the minutes of the meeting of the accreditation subcommittee (Appendix No. 1 to this Regulation).

The meeting of the accreditation subcommittee, held after each stage of the accreditation of a specialist, is competent if all members of the accreditation subcommittee who participated in this stage took part in it.

9. In paragraphs 23:25 the words "accreditation commission" in the appropriate case shall be replaced by the words "accreditation subcommittee" in the appropriate case.

10. In paragraph five of clause 26 and paragraph eight of clause 27, the words “(if any)” shall be replaced by the words “(for foreign citizens and stateless persons - if any).

11. In paragraphs 28, 29 and 31 the words "accreditation commission" in the appropriate case shall be replaced by the words "accreditation subcommittee" in the appropriate case.

12. Paragraph 32 shall be stated as follows:

“32. Not later than 10 calendar days from the date of registration of documents, the accreditation subcommittee holds a meeting and decides on the admission of a specialist to be accredited for accreditation and on the timing of the accreditation of a specialist (hereinafter referred to as the decision of the accreditation subcommittee).

Information about the persons admitted to the accreditation of a specialist and the schedule for the accreditation of specialists is transmitted by the accreditation subcommittee to the accreditation commission no later than 2 calendar days from the date of the decision by the accreditation subcommittee.”.

13. In paragraphs 34, 37, 39, 40:43 and 45 the words "accreditation commission" in the appropriate case shall be replaced by the words "accreditation subcommittee" in the appropriate case.

14. Paragraph 46 shall be stated as follows:

46. Evaluation of the result of passing each stage of accreditation of a specialist and the decision of the accreditation subcommittee on recognizing the accredited specialist as having passed or not passed a separate stage of accreditation of a specialist are reflected in the minutes of the meeting of the accreditation subcommittee, signed on the day the stage of accreditation of a specialist is completed, and posted on the official website in the information and telecommunications network "Internet" and information stands of the organization specified in paragraph 7 of these Regulations, within 2 working days from the date of signing the protocol.”.

15. Paragraph 47 shall be stated as follows:

47. The meeting of the accreditation commission following the results of the accreditation of specialists is held within 2 working days from the date of posting on the official website in the information and telecommunication network "Internet" and information stands of the organization specified in paragraph 7 of these Regulations, the minutes of the meeting of the accreditation subcommittee following the results of the last stage of accreditation .

The accreditation commission makes a decision on recognizing the accredited specialist as accredited or not accredited specialist based on the results of consideration of the protocols of the accreditation subcommittee on the results of the specialist passing the stages of accreditation.

An accredited person, whose result of passing each stage of specialist accreditation is assessed as “passed”, is recognized by the accreditation commission as having passed accreditation of a specialist.

The decision to recognize the accredited specialist as accredited is reflected in the final minutes of the meeting of the accreditation commission, signed on the day of the meeting of the accreditation commission, but no later than 2 working days from the date of posting on the official website in the information and telecommunication network "Internet" and information stands of the organization specified in paragraph 7 of these Regulations, the minutes of the meeting of the accreditation subcommittee following the results of the last stage of accreditation.

The final protocol, within 5 calendar days from the date of signing, is sent by the executive secretary of the accreditation commission to the Ministry of Health of the Russian Federation.

16. In clauses 48, 49, 50 and paragraph two of clause 51 the words "accreditation commission" in the appropriate case shall be replaced by the words "accreditation subcommittee" in the appropriate case.

17. Paragraph 54 shall be stated as follows:

“54. The accredited person, recognized by the accreditation commission as not having passed the accreditation of a specialist or recognized by the accreditation subcommittee as having not passed the stage of accreditation of a specialist, has the right to file a complaint against the relevant decision of the accreditation commission or accreditation subcommittee to the appeal commission within 2 working days from the moment of posting, in accordance with paragraph 46 of this Regulation, the results of passing stage of accreditation.

18. In clause 56 the words "accreditation commission" shall be replaced by the words "accreditation subcommittee".

19. Paragraph 58 shall be stated as follows:

“58. Based on the results of consideration of the complaint, the Appeal Commission decides to satisfy the complaint and cancel the decision of the Accreditation Commission or Accreditation Subcommittee against which the complaint was filed, or to refuse to satisfy the complaint and leave the decision of the Accreditation Commission or Accreditation Subcommittee unchanged.

20. Paragraph 60 after the words "accreditation commission" shall be supplemented with the words "or the accreditation subcommittee".

21. In Appendix No. 1 to the Regulations on the accreditation of specialists (hereinafter - the Regulations):

a) the words “MINUTES OF THE MEETING OF THE ACCREDITATION COMMISSION” shall be replaced by the words “MINUTES OF THE MEETING OF THE ACCREDITATION SUB-COMMITTEE ON THE RESULTS OF THE STAGE OF ACCREDITATION OF SPECIALISTS”;

b) the words “following the results of the conduction” shall be replaced by the words “meeting of the accreditation subcommittee following the results of the conduction”;

c) the words "Members of the Commission" shall be replaced by the words "Members of the Subcommittee";

d) the words “The composition of the accreditation commission is approved by order” shall be replaced by the words “The composition of the accreditation subcommittee is approved by the minutes of the meeting of the accreditation commission”;

e) the words “______ people came to pass the stage, of which ______ people completed the stage with the following results:” replace with the words “_________ people were allowed to pass the stage, of which _______ people came to pass the stage, who completed the stage with the following results:”;

f) the words "accreditation commission" in the corresponding case shall be replaced by the words "accreditation subcommittee" in the corresponding case.

22. In Annex No. 2 to the Regulations, the words "accreditation commission" in the appropriate case shall be replaced by the words "accreditation subcommittee" in the appropriate case.

Part 3 of Article 69 of Federal Law No. 323-FE.

Order of the Ministry of Health of the Russian Federation of October 7, 2015 No. 700n "On the nomenclature of specialties of specialists with higher medical and pharmaceutical education" (registered by the Ministry of Justice of the Russian Federation on November 12, 2015, registration No. 39696) as amended by the order of the Ministry of Health of the Russian Federation Federation of October 11, 2016 No. 771n (registered by the Ministry of Justice of the Russian Federation on December 26, 2016, registration No. 44926).

Order of the Ministry of Health and Social Development of the Russian Federation dated April 16, 2008 No. 176n “On the Nomenclature of Specialties for Specialists with Secondary Medical and Pharmaceutical Education in the Field of Healthcare of the Russian Federation” (registered by the Ministry of Justice of the Russian Federation on May 6, 2008, registration No. 11634) as amended by Order No. 199n of March 30, 2010 of the Ministry of Health and Social Development of the Russian Federation (registered by the Ministry of Justice of the Russian Federation on May 11, 2010, registration No. 17160).

Order of the Ministry of Health of the Russian Federation dated June 15, 2017 No. 328n "On Amendments to the Qualification Requirements for Medical and Pharmaceutical Workers with Higher Education in the Field of Training "Health Care and Medical Sciences", approved by order of the Ministry of Health of the Russian Federation dated October 8, 2015 No. 707n"

Registered with the Ministry of Justice of Russia on July 3, 2017. № 47273

Order of the Ministry of Health of the Russian Federation of October 8, 2015 N 707n "On approval of the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training" Health and Medical Sciences "(as amended)

With changes and additions from:

In accordance with clause 5.2.2 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; 2013, N 16, Art. 1 No. 20, article 2477; No. 22, article 2812; No. 33, article 4386; No. 45, article 5822; 2014, No. 12, article 12 N 6, article 3577; No. 30, article 4307; N 37, item 4 2015, N 2, item 4 N 12, item 1763; N 23, item 3333), I order:

2. Recognize as invalid:

Registration N 39438

The qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health care and medical sciences" have been updated.

They are differentiated by specialty. It is indicated what level of vocational education is required to occupy the relevant positions.

Requirements for additional vocational education have also been established. Among them - advanced training at least once every 5 years during the entire working life.

Registration N 39438

This Order shall enter into force 10 days after the date of its official publication.

This document has been modified by the following documents:

The changes come into force 10 days after the day of the official publication of the said order.

Order of the Ministry of Health of the Russian Federation of October 08, 2015 N 707Н

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ORDER
dated October 8, 2015 N 707n

ON APPROVAL OF QUALIFICATION REQUIREMENTS FOR MEDICAL AND PHARMACEUTICAL WORKERS WITH HIGHER EDUCATION IN THE DIRECTION OF TRAINING "HEALTH CARE AND MEDICAL SCIENCES"

In accordance with clause 5.2.2 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 (Collection of Legislation of the Russian Federation, 2012, N 26, Art. 3526; 2013, N 16, Art. 1 No. 20, article 2477; No. 22, article 2812; No. 33, article 4386; No. 45, article 5822; 2014, No. 12, article 12 N 6, article 3577; No. 30, article 4307; N 37, item 4 2015, N 2, item 4 N 12, item 1763; N 23, item 3333), I order:

1. Approve the Qualification requirements for medical and pharmaceutical workers with higher education in the field of study "Health and medical sciences" in accordance with the Appendix.

2. Recognize as invalid:

order of the Ministry of Health and Social Development of the Russian Federation of July 7, 2009 N 415n "On approval of qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare" (registered by the Ministry of Justice of the Russian Federation on July 9, 2009, registration N 142&2 );

order of the Ministry of Health and Social Development of the Russian Federation of December 26, 2011 N 1644n "On Amendments to the Qualification Requirements for Specialists with Higher and Postgraduate Medical and Pharmaceutical Education in the Field of Health, approved by order of the Ministry of Health and Social Development of July 7, 2009 N 415n" (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration N 23879).

Application
to the order of the Ministry of Health
Russian Federation
dated October 8, 2015 N 707n

QUALIFICATION REQUIREMENTS FOR MEDICAL AND PHARMACEUTICAL WORKERS WITH HIGHER EDUCATION IN THE DIRECTION OF TRAINING "HEALTH CARE AND MEDICAL SCIENCES"

(As amended by the Order of the Ministry of Health of the Russian Federation dated June 15, 2017 N 328n)

The list of specialties of higher education - training of highly qualified personnel for residency programs, approved by order of the Ministry of Education and Science of the Russian Federation of September 12, 2013 N 1061 "On approval of the lists of specialties and areas of higher education training" (registered by the Ministry of Justice of the Russian Federation on November 14, 2013 ., registration N 30163) as amended by orders of the Ministry of Education and Science of the Russian Federation dated January 29, 2014 N 63 (registered by the Ministry of Justice of the Russian Federation on February 28, 2014, registration N 31448), dated August 20, 2014 N 1033 (registered by the Ministry of Justice of the Russian Federation on September 3, 2014, registration N 33947), dated October 13, 2014 N 1313 (registered by the Ministry of Justice of the Russian Federation on November 13, 2014, registration N 34691), dated March 25, 2015 N 270 (registered by the Ministry of Justice of the Russian Federation on April 22, 2015, registration N 36994). (As amended by the Order of the Ministry of Health of the Russian Federation dated June 15, 2017 N 328n)

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 31.05.01 General Medicine (specialist level) after January 1, 2016 and who have passed the accreditation of a specialist. (As amended by the Order of the Ministry of Health of the Russian Federation dated June 15, 2017 N 328n)

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 30.05.01 Medical biochemistry (specialist level) after January 1, 2016 and who have been accredited as a specialist. (As amended by the Order of the Ministry of Health of the Russian Federation dated June 15, 2017 N 328n)

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 30.05.02 Medical biophysics (specialist level) after January 1, 2016 and who have passed the accreditation of a specialist. (As amended by the Order of the Ministry of Health of the Russian Federation dated June 15, 2017 N 328n)

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 30.05.03 Medical cybernetics (specialist level) after January 1, 2016 and who have been accredited as a specialist. (As amended by the Order of the Ministry of Health of the Russian Federation dated June 15, 2017 N 328n)

For individuals who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 31.05.02 Pediatrics (specialist level) after January 1, 2016 and who have been accredited by a specialist, internship / residency training is not mandatory when filling the positions of a doctor - district pediatrician. (As amended by the Order of the Ministry of Health of the Russian Federation dated June 15, 2017 N 328n)

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 31.05.02 Pediatrics (specialist level) after January 1, 2016 and who have passed the accreditation of a specialist. (As amended by the Order of the Ministry of Health of the Russian Federation dated June 15, 2017 N 328n)

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 31.05.03 Dentistry (specialist level) after January 1, 2016 and who have been accredited as a specialist, internship / residency training is not mandatory when filling the positions of a doctor -dentist. (As amended by the Order of the Ministry of Health of the Russian Federation dated June 15, 2017 N 328n)

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 31.05.03 Dentistry (specialist level) after January 1, 2016 and who have passed the accreditation of a specialist. (As amended by the Order of the Ministry of Health of the Russian Federation dated June 15, 2017 N 328n)

For persons who have received education in the main educational program in accordance with the federal state educational standard of higher education in the specialty 31.05.02 Pharmacy (specialist level) after January 1, 2016 and who have passed the accreditation of a specialist. (As amended by the Order of the Ministry of Health of the Russian Federation dated June 15, 2017 N 328n)

Admission to medical practice in certain specialties requires either internship / residency training in the relevant specialty, provided for in the "Level of professional education" section, or professional retraining in the relevant specialty, provided for in the "Additional professional education" section, unless the passage of professional retraining qualification requirements for a particular specialty are not provided (as amended by the Order of the Ministry of Health of the Russian Federation of 06/15/2017 N 328n)

And objects of mining operations in underground conditions"

Delivery methods

With changes and additions from:

Medical lawyer - about the new requirements of the Ministry of Health for health workers

On June 15, 2017, the Ministry of Health of the Russian Federation approved Order No. 328n “On Amendments to the Qualification Requirements for Medical and Pharmaceutical Workers with Higher Education in the Health Care and Medical Sciences” direction.

Changes being made to the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health and medical sciences", approved by order of the Ministry of Health of the Russian Federation of October 8, 2015 N 707n

Order of the Ministry of Health of the Russian Federation
No. 328n dated June 15, 2017

“On Amendments to the Qualification Requirements for Medical and Pharmaceutical Workers with Higher Education in the Direction of Training “Health Care and Medical Sciences”,
approved by order of the Ministry of Health of the Russian Federation
dated October 8, 2015 No. 707n"

Application
to the order of the Ministry of Health
Russian Federation
No. 328n dated June 15, 2017

changes,
which are included in the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health care and medical sciences",
approved by the order of the RA Ministry of Health
dated October 8, 2015 No. 707n

Order of the Ministry of Health No. 234n dated May 19, 2017 On amendments to the Regulations on the accreditation of specialists dated June 2, 2016 No. 334n

Ministry of Health of the Russian Federation

ORDER
No. 234n dated May 19, 2017

On amendments to the Regulations on the accreditation of specialists, approved by order of the Ministry of Health of the Russian Federation of June 2, 2016 No. 334n

Appendix to the order
Ministry of Health of the Russian Federation
dated May 19, 2017 No. 234n

changes,
which are included in the Regulations on the accreditation of specialists,
approved by order of the Ministry of Health of the Russian Federation
dated June 2, 2016 No. 334n

Order of the Ministry of Health of the Russian Federation of October 8, 2015 N 707n "On approval of the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training" Health and Medical Sciences "(as amended)

With changes and additions from:

Order of the Ministry of Health of the Russian Federation of October 08, 2015 N 707Н

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ORDER
dated October 8, 2015 N 707n

ON APPROVAL OF QUALIFICATION REQUIREMENTS FOR MEDICAL AND PHARMACEUTICAL WORKERS WITH HIGHER EDUCATION IN THE DIRECTION OF TRAINING "HEALTH CARE AND MEDICAL SCIENCES"

QUALIFICATION REQUIREMENTS FOR MEDICAL AND PHARMACEUTICAL WORKERS WITH HIGHER EDUCATION IN THE DIRECTION OF TRAINING "HEALTH CARE AND MEDICAL SCIENCES"

Collection of ideal social studies essays

Anti-Soviet rebellion in Hungary (1956)

And objects of mining operations in underground conditions"

Delivery methods

With changes and additions from:

Medical lawyer - about the new requirements of the Ministry of Health for health workers

On June 15, 2017, the Ministry of Health of the Russian Federation approved Order No. 328n “On Amendments to the Qualification Requirements for Medical and Pharmaceutical Workers with Higher Education in the Health Care and Medical Sciences” direction.

Changes being made to the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health and medical sciences", approved by order of the Ministry of Health of the Russian Federation of October 8, 2015 N 707n

Order of the Ministry of Health of the Russian Federation No. 328n dated June 15, 2017

“On Amendments to the Qualification Requirements for Medical and Pharmaceutical Workers with Higher Education in the Direction of Training “Health Care and Medical Sciences”, approved by order of the Ministry of Health of the Russian Federation dated October 8, 2015 No. 707n"

Application to the order of the Ministry of Health Russian Federation No. 328n dated June 15, 2017

changes, which are included in the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health care and medical sciences", approved by the order of the RA Ministry of Health dated October 8, 2015 No. 707n

Order of the Ministry of Health No. 234n dated May 19, 2017 On amendments to the Regulations on the accreditation of specialists dated June 2, 2016 No. 334n

Ministry of Health of the Russian Federation

ORDER No. 234n dated May 19, 2017

On amendments to the Regulations on the accreditation of specialists, approved by order of the Ministry of Health of the Russian Federation of June 2, 2016 No. 334n

Appendix to the order Ministry of Health of the Russian Federation dated May 19, 2017 No. 234n

changes, which are included in the Regulations on the accreditation of specialists, approved by order of the Ministry of Health of the Russian Federation dated June 2, 2016 No. 334n

Order of the Ministry of Health of the Russian Federation of October 8, 2015 N 707n "On approval of the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training" Health and Medical Sciences "(as amended)

With changes and additions from:

Order of the Ministry of Health of the Russian Federation of October 08, 2015 N 707Н

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ORDER dated October 8, 2015 N 707n

ON APPROVAL OF QUALIFICATION REQUIREMENTS FOR MEDICAL AND PHARMACEUTICAL WORKERS WITH HIGHER EDUCATION IN THE DIRECTION OF TRAINING "HEALTH CARE AND MEDICAL SCIENCES"

QUALIFICATION REQUIREMENTS FOR MEDICAL AND PHARMACEUTICAL WORKERS WITH HIGHER EDUCATION IN THE DIRECTION OF TRAINING "HEALTH CARE AND MEDICAL SCIENCES"

Collection of ideal social studies essays

Anti-Soviet rebellion in Hungary (1956)

Order of the Ministry of Health of the Russian Federation
No. 328n dated June 15, 2017

“On Amendments to the Qualification Requirements for Medical and Pharmaceutical Workers with Higher Education in the Direction of Training “Health Care and Medical Sciences”,
approved by order of the Ministry of Health of the Russian Federation
dated October 8, 2015 No. 707n"

Application
to the order of the Ministry of Health
Russian Federation
No. 328n dated June 15, 2017

changes,
which are included in the Qualification requirements for medical and pharmaceutical workers with higher education in the direction of training "Health care and medical sciences",
approved by the order of the RA Ministry of Health
dated October 8, 2015 No. 707n

ORDER
No. 234n dated May 19, 2017

Appendix to the order
Ministry of Health of the Russian Federation
dated May 19, 2017 No. 234n

changes,
which are included in the Regulations on the accreditation of specialists,
approved by order of the Ministry of Health of the Russian Federation
dated June 2, 2016 No. 334n

ORDER
dated October 8, 2015 N 707n