Defects in the regulation of mechanisms of continuous medical education result in great problems for the industry, and attempts to adjust the process on the go yet raise more questions than answers. It said the participants of the conference “Possibilities and prospects of development of modern neurology” in the First St. Petersburg state medical University im. Acad. I. P. Pavlov on November 21.
Ill-conceived decisions in the organization and regulation of postgraduate education not only raise a lot of questions, but also cause significant economic damage to the industry, experts say. In particular, head of the Department of General practice PSPgo them. Acad. I. P. Pavlova Natalia shaporova notes that the discrepancy of the positions of the orders of Ministry of health on this score creates a significant gap in training.
Today, CME is actively implemented in practice in three aspects: the primary accreditation specialist, after graduating from University, admission in residency training and re-accreditation. And at each level, clumsily arranged system pulls a tangle of problems. In particular, doctors who have a specialty “General medicine” and “Stomatology”, are the primary accreditation. “And then they enter into professional life with unclear prospects for its improvement in the profession: narrow specialty, they can only get through residency, but here too many questions”, – said the expert.
The residency accepted on the basis of testing that is performed during initial accreditation. “This element of the exam for entering residency,” – said Natalia shaporova. The selection is based on competition points. And for workers with long doctors actually completely missing the opportunity for budget training in residency.
In 2017, amended, regulating the possibility of public education in residency. Moreover, not only free competition but also the target set. “And if we suppose there is a graduate internship/internship that is already being studied at the expense of budget funds, he will not have the right budget on training in this specialty,” said Natalia shaporova.
Not eligible for budget study and those who studied in residency/internship in the field, based on which you can get new skills through retraining. “It just seems logical. And in fact, not so. If, for example, for the region is required to prepare head office in trust residency, they are unable to do it on budget, because it is directly prohibited by the documents,” – said the expert.
Primary specialized accreditation, the introduction of which was waiting in 2018, is delayed for at least another year.
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