Accreditation of otorhinolaryngologists: legal and organizational aspects

The article is devoted to the organization of primary specialized and periodic accreditation of otorhinolaryngologists in 2022. The process of accreditation of doctors of various specialties is introduced by stages, the program is scheduled for completion to 2026. The normative-legal acts regulating the accreditation procedure are considered. The changes in the Procedures for its implementation, technical and organizational features in connection with the entry into force of the Order of the Ministry of Health of the Russian Federation No. 1081n “On approval of the Regulations on the accreditation of specialists” analyzed. Master’s degree graduates and persons with non-medical education have been added to the specialists who are subject to primary specialized accreditation. At the stages of primary specialized accreditation, the number of test tasks, practical tasks and situational tasks, as well as the time to solve them, will now be determined by the Methodological Center. In periodic accreditation, the ways of submitting documents have been revised, it will be possible to do this in person, by mail, or using the federal register of medical professionals. The requirements for training and portfolio design have also changed. The 144 hours of training established by the order can be earned both by advanced training programs without mandatory confirmation on the portal of continuing medical education, and by credits received for education on the portal of continuing medical education. Accreditation process outcomes are posted on the Federal Accreditation Center portals. Information about persons who have got the accredited specialist status are entered by the Ministry of Health of the Russian Federation into the integrated national health information system for maintaining of personalized registration of persons involved in the medical activities.

1. Kagramanyan I.N., Tarasenko A.I., Kupeeva I.A., Yanushevich O.O., Pashkov K.A., Yefimova A.O. Historical aspects of the transformation of the medical education system. National Health Care(Russia). 2021;2(1):32–40. (In Russ.) https://doi.org/10.47093/2713-069X.2021.2.1.32-40.

2. Kagramanyan I.N., Kupeeva I.A., Tarasenko A.I., Efimova A.O. The main challenges of the COVID-19 pandemic from the point of view of medical education in the Russian Federation National Health Care(Russia). 2020;1(1):9–15. (In Russ.) Available at: https://www.natszdrav.ru/jour/article/view/5.

3. Li L., Xv Q., Yan J. COVID-19: the need for continuous medical education and training. Lancet Respir Med.2020;8(4):23. https://doi.org/10.1016/S2213-2600(20)30125-9.

4. Esaulenko E.V. The increasing role of infectious diseases in the modern world and the importance of continuing medical education of specialists for the successful fight against them. Vestnik NovSU. 2020;(3):4–9. (In Russ.) https://doi.org/10.34680/2076-8052.2020.3(119).4-9

5. Kuznetsova O.Yu., Plavinsky S.L., Lopatin Z.V. Factors influencing the results of primary accreditation of students in the specialty “medical business”. Medical Education and Professional Development. 2020;2(38):82–90. (In Russ.) https://doi.org/10.24411/2220-8453-2020-12006.

6. Khodus S.V., Oleksik V.S., Barabash I.V., Pustovit K.V. The influence of situational anxiety of teachers on the assessment of competencies in simulated conditions. Virtual Technologies in Medicine. 2020;3(25):36–37. (In Russ.) https://doi.org/10.46594/2687-0037_2020_3_1245.

7. Orel V.I., Lisovsky O.V., Gostimsky A.V., Lisitsa I.A. Modern training of outpatient specialists. Problems of primary accreditation and possible solutions. Medicine and Healthcare Organization. 2020;5(2):41–50. (In Russ.) Available at: https://gpmu.org/userfiles/file/journals/Medorganization/!medorganization_2_2020.pdf.

8. Kruglova L.S., Repin I.G., Esin E.V. Conducting accreditation of medical specialists in institutions of the Presidential Administration of the Russian Federation. Kremlin Мedicine Journal. 2020;(1):167–170. (In Russ.) https://doi.org/10.26269/ab34-6450.

9. Hodus S.V., Oleksik V.S., Zverev A.S. Accreditation of specialists with higher medical and pharmaceutical education. BulletinPhysiology and Pathology of Respiration. 2021;(81):144–149. (In Russ.) https://doi.org/10.36604/19985029-2021-81-144-149.

10. Ivanova L.P. Features of admission to the professional activity of an endocrinologist in 2021–2025. Endocrinology. News. Opinions. Training. 2021;1(34):93–95. (In Russ.) https://doi.org/10.33029/2304-9529-202110-1-93-95.

11. Ripp E.G. The second stage – assessment of practical skills – primary specialized accreditation in therapeutic specialties. Virtual Technologies in Medicine. 2017;(2):12–13. (In Russ.) Available at: https://www.medsim.ru/jour/article/view/639.

12. Zaripova Z.A., Vakhitov M.Sh., Avramenko E.A., Semenov S.A. Preparation, planning and conducting of primary specialized accreditation: “own” and “others”. Virtual Technologies in Medicine. 2021;(1):8–12. (In Russ.) https://doi.org/10.46594/2687-0037_2021_1_1286.

13. Repin I.G., Krylov V.V., Matyash O.V., Turbovsky A.V. Conducting multidisciplinary trainings at the Department of simulation training before conducting primary specialized accreditation. Virtual Technologies in Medicine. 2019;(2):46. (In Russ.) https://doi.org/10.46594/87-0037_2019_2_46.

14. Sizova Zh.M., Semenova T.V., Chelyshkova M.B. Estimation of professional readiness of experts of health care at accreditation. News of North Caucasus. 2017;12(4):459–462. (In Russ.) https://doi.org/10.14300/ mnnc.2017.12127.

15. Semenova T.V., Malakhova T.N., Sizova Zh.M. Evidence- based approach in creating evaluation tools for accreditation of healthcare professionals. Medical Education and Professional Development. 2021;(41):67–80. (In Russ.) https://doi.org/10.33029/2220-8453-2021-12-1-67-79.

16. Semenova T.V., Sizova Zh.M., Malakhova T.N., Malygin A.A., Chelyshkova M.B., Knyazeva S.A. Interactive multiple cases in the accreditation of healthcare professionals. Medical News of North Caucasus. 2019;1(1):118–122. (In Russ.) https://doi.org/10.14300/mnnc.2019.14066.

17. Baig L.A., Violato C. Temporal Stability of Objective Structured Clinical Exams: a longitudinal study employing Item Response Theory. BMC Medical Education. 2012;12:1. https://doi.org/10.1186/1472-6920-12-121.

18. Alekseeva A.Yu., Balkizov Z.Z., Perelman V., Semenova T.V., Sizova Zh.M. Objective structured clinical examination as a tool for accreditation of medical specialists. Medical Education and Professional Development. 2018;(1):11–53. (In Russ.) Available at: https://www.medobr.ru/ru/jarticles/468.html?SSr=530134899a17ffffffff27c__07e6030e113523-1eb8.

19. Dyachenko E.B., Sizova Zh.M. Assessment of communication skills with a patient in simulated conditions during accreditation of medical specialists: organizational and scientific and methodological support, problems, directions of solutions. Medical Education and Professional Development. 2020;11(2):66–79. (In Russ.) https://doi.org/10.24411/2220-8453-202012005.

20. Dyachenko E.V. Simulation in assessing communication skills with a patient in the accreditation of medical specialists: approaches, problems, solutions. Virtual Technologies in Medicine. 2020;3(25):49–51. (In Russ.) https://doi.org/10.46594/2687-0037_2020_3_1207.

21. Chizhkova M.B. Primary accreditation of specialists in the formation of the future doctor’s communicative competence. Modern Problems of Science and Education. 2021;(1):37. (In Russ.) https://doi.org/10.17513/spno.30536.

22. Chistyakova N.V., Korobko A.I., Orlova E.S., Kazaryan M.Yu. Information and communication technologies in competence-oriented training of medical workers. Bulletin of Pedagogical Sciences. 2022;(2):235–238. (In Russ.) Available at: https://vpn-journal.ru/archives/category/publications/2022-god.

23. Hristulenko A.L., Taradin G.G., Gnilitskaya V.B. Methodological support of practical training cycles of advanced training in the specialty “therapy” in the system of continuing medical education as a means of improving the effectiveness of training. Pacific Medical Journal. 2021;1(83):90–93. (In Russ.) https://doi.org/10.34215/1609-1175-2021-1-90-93.

24. Kolennikova O.A., Toksanbayeva M.S. Qualification assessment of medical specialists in aspect of development of continuing medical education. Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(2):1318–1323. (In Russ.)https://doi.org/10.32687/0869-866X2021-29-s2-1318-1323.

25. Babushkina E.I., Sidenkova A.P., Chernova T.V. Accreditation as a factor stimulating basic and additional medical education. Vestnik Uralskogo Gosudarst ven nogo Meditsinskogo Universiteta. 2021;(1):3–6. (In Russ.) Available at: https://usma.ru/wp-content/uploads/2021/06/Vest1_2021_print-3-6.pdf.