Kolennikova O.A., Toksanbaeva M.S. Factors of dysfunction of institutes for assessing the qualifications of medical specialists. Healthe Care of Russian Federation. 2021. Vol. 65. No. 5. P. 467-476.

Abstract

The aim of the study is to develop tools for analyzing the dysfunctions of institutes for assessing the qualifications of medical specialists on the example of the institute for accreditation of specialists and their certification for a qualification category. Material and methods. The concepts of continuing education and continuing professional development, formulated under the auspices of the United Nations, served as the theoretical basis of the study. The information of two sociological surveys of medical specialists employed in the system of the Moscow Department of Health was used, namely, a sample questionnaire survey and a survey by the method of expert interviews. Results. The dysfunctions of the Institute of accreditation of physicians were identified on the basis of an analysis of the practice of continuing medical education (CME), introduced as an integral element of the transition from the institute of certification to the institute of accreditation. The main attention is paid to the shortcomings of the NMO as prerequisites for the dysfunctions of this institution. It is revealed that they are caused by an insufficiently debugged organization of the NMO. The study of the work of the institute of certification for the qualification category showed that its main function, namely, ensuring permanent professional development above the accreditation level, has significantly weakened. This is confirmed by the statistics of a decrease in the number of specialists undergoing both primary and secondary certification. One of the main reasons is a violation of the incentives for professional growth. Discussion. The problems of dysfunctions of qualification assessment institutions are largely due to the fact that the coordination of their elements is not sufficiently observed in the work of these institutions. Within the framework of the accreditation institute, this is reflected in the fact that the distribution of responsibilities between all the subjects of the NMO is poorly coordinated. And in the work of the institute of certification, its fundamental differences from the institute of accreditation are erased, in particular due to symbolic surcharges for the category and attempts to replace them with incentive payments common to both institutions. Conclusion. The necessity of balanced and joint responsibility of the subjects of the NMO for its organization and quality is substantiate. The strengthening of material and position incentives for professional growth in the structure of the certification institute is argued.