Start re-accreditation can reduce the number of doctors

The Ministry of health order No. 334н “On approval of the regulations on the accreditation of experts” creates the conditions for a non-competitive methods of struggle on the educational market that can be monopolized. This was stated by the Chairman of the Board of the SRO, the national Association of healthcare organizations, managing centers cosmetology “Rednor” Dmitry Borisov at the joint meeting of expert councils at the Federal Antimonopoly service for developing competition in social sphere and health care, on competition development in the sphere of circulation of medical products and for the development of competition in the field of education.

According to him, the professional community at the time already referred to the FAS about the fact that the original version of the document was not split requirements to material-technical provision of educational institutions on the basis of which can be accredited by types – primary, secondary, re. “On the basis of procedure, it is obvious that re-accreditation, which affect the majority of the workers, contains only tested and does not require large resources, both primary and specialized. FAS agreed with us that the lack of clear distinction may lead to the presentation of excessive demands on logistical support to educational organizations applying for participation in accreditation. The Ministry of health promised to consider these comments when developing changes in order. These changes occurred in may 2017, but not quite as we expected,” he said.

In the current version of the policy is expected to create in the subject of the accreditation commissions – one for each direction: higher medical education (specialist, postgraduate, bachelor, master), higher pharmaceutical education (specialist internship) or secondary pharmaceutical education, higher medical education, other higher education. That is now issue certificates for admission to professional activities, they will be. “However, since these committees are established on the basis of educational institutions, as a rule, state universities, we believe that they will have a definite advantage. Because to carry out training of the educational organization of any form of ownership, but the priority will be for those who gives the right to work. Naturally, there can be used anti-competitive practices in the market. And it can be monopolized”, – noted Dmitry Borisov.

In addition, according to him, it is not clear how to generate such commissions in those subjects where there are medical schools. “The majority of workers near retirement age say that, if they from 1 January 2021 will have to undergo re-accreditation, they will simply leave the profession. Any change in the direction of control is certainly important, we must not lose the main point of reference. Dropout doctors according to professional criteria is relevant only in those conditions when there is a choice of specialists. When we have our regions, including in state hospitals, up to 50% shortage of staff, and in narrow specializations and more, even in Moscow it is difficult for them to get on with, such a tightening of access to work will have no result,” he said.

Dmitry Borisov reminded that 4 years was able to iron out issues. Initially, the Ministry of health order No. 982н approving the conditions and procedure for issuing certificate of training meant that they can be issued only by the state educational and scientific organizations, with the FAS this norm was able to cancel. Then a barrier was the presence of mandatory state accreditation of educational organizations, despite the fact that in connection with the change of the law on education in 2011 for DPO accreditation was not provided. “FAS has revealed that the standards of postgraduate education or Federal requirements were absent, i.e. in principle there was no base for accreditation, but nevertheless it was carried out decades. Now for another pass at the two positions in terms of accreditation. We still don’t feel in the fullness of the crisis, because it affects so far, only higher education, and we have often the rigor of the law is compensated by the inefficiency. The introduction of accreditation has not affected the quality of graduates. But when it comes to re-accreditation, this can reduce the number of doctors,” warned the expert.

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