Previously, being a doctor was considered simply prestigious regarding education itself. The profession of a physician caused a kind of reverent respect among the population. Later, not many wanted to work as doctors - hospitals and polyclinics were completely without money, like other municipal areas. Now the nursing staff is much better taken care of, and private clinics and individual practice are gaining more relevance. Only in order to become a doctor you need to study and train for a long time. Moreover, to complete the entire training course is not so simple, sometimes it is difficult to find a suitable place on a commercial basis. Residency in 2019-2020 will not be an exception - not everyone will go to this stage of study, although there will be many who want to.
The need for reform
It is unlikely that any of the ordinary citizens will argue that in the vast majority of cases, the level of medical care leaves much to be desired. In fact, only this fact alone should be sufficient for medical reform, because doctors must be able to properly treat. Veronika Skvortsova, who is the Minister of Health of the Russian Federation, has said this more than once.
Amendments to existing laws are needed to change such problems:
- Reduce the shortage of medical personnel in villages and towns.
- Improve the general qualification of doctors working on the profile.
- Partially distribute future doctors to medical sectors experiencing a shortage of volunteers.
- To enable gifted people who are now forced to concentrate on earning a living, to preserve the possibility of specialization in the future.
Admission to residency is especially important for the latter - sometimes people cannot go on to study further, because they have nothing to live on. They do not have support from relatives, they do not have savings, and previous part-time jobs made it difficult to make ends meet for the period of basic education.
In fact, a new approach to entering residency provides a chance for people who sincerely want to treat people, but who are not able to continue their studies at the moment for financial reasons. This also applies to the need to work, and the complexity of preparing for admission, which takes time, and the lack of funds to pay for commercial training.
Now residency training is the only way to acquire a narrow specialization, although it is not yet clear whether this will eventually be a plus for people. Moreover, enrolling in further education is not so easy, although the points system gives a chance even to those who could not continue their education immediately after high school.
Benefits of having extra points
Now many people already know that for admission to the residency you need a certain level of points received for various achievements. In particular, labor activity in towns and villages became the most striking way. The point system, which facilitates admission to residency, conditionally implies the forced work of medical personnel in rural areas. Those. those who did not succeed in entering the next level of study the first time will be able to continue to receive additional points.
Moreover, points can be obtained for other merits, sometimes not entirely related to professional activities. The rules of admission allow you to get points not only for work as a physician, although for this they are put to future residents. However, the list of additional points is not so wide, while most of the options for obtaining them involve the time spent or personal effort.
|Applicants for points||The number of points awarded|
|Persons with a secondary medical education who have worked from 1 year to 3 years as a paramedic or pharmacist||10 b|
Each subsequent 3 years give 5 more b.
|Health workers with experience in the countryside of 9 months. up to 2 years||10 b not including basic points for experience|
|Persons with higher medical education who have worked from 9 months to 2 years as a health professional or pharmacist||12 b|
Each subsequent 2 years give 5 more b.
|Holders of diplomas with honors (red) from any medical universities of the Russian Federation||15 b|
|Participants of volunteer movements, applicants for scientific scholarships, participants in methodological associations, publishers of medical publications, etc.||In total no more than 15 bp.|
|Presidential Medical Scholarship Recipients||20 b|
It is obvious from the table that, in addition to specific scores, there are also variable ones, which are accrued depending on the length of service. The category of points with the conditional name “other” is also separately highlighted. This includes volunteering, scientific achievements, etc. At the same time, there is a clear border, a certain bonus limit. Those. even if you constantly write articles in magazines and help people for free, then you can’t get more than 15 points.
Nuances of admission to residency
Official news about the specialization of physicians is expressed only in orders and legislative documents that reflect little reality. There is nothing incredible in the papers about what queues await applicants, because there are very few free places for residency training in every educational institution.
Moreover, for those entering the residency, the terms and specific tests are determined. Dates are set by universities, usually until the second decade of August, and tests and admission procedures are the same:
- The test is a test.
- Counting extra points.
- Summation of auxiliary and examination points.
Those for whom admission to residency on a common basis did not fit for some reason, or if you just could not pass the competition, you can get training at the expense of a medical institution.
Pros and Cons of Target Residency Agreements
Some newly-minted physicians who want to receive a full-fledged specialization, but who have not passed the competition and do not have the funds for commercial training, sometimes instead of rural work giving points, choose a different path to residency. After the reform is introduced, the medical institution has the right to send a future specialist to further training at its own expense. In such situations, in fact, the hospital acts as a payer for its employee, but the latter, in turn, is obliged to work out the "debt", moreover in the natural sense of the word.
The period of compulsory completion is reflected in the target agreement, which implies payment for training in residency. In this case, the contract is a tripartite agreement concluded between the resident, an educational institution and a specific clinic / hospital.
Worth to know! A shortage of qualified medical personnel will soon be observed even in commercial clinics. Therefore, such institutions will be able to pay for the training of their future employees.
In fact, a person who has entered into a residency agreement with the employer and place of study is on the plus side on all sides. Along with the continuation of education, for which he himself does not pay, such a person also receives a finished job. However, only at first glance the available workplace is a plus - the human factor intervenes in this excellent idea, which can turn an ideal chance into a kind of hard labor.
Future employees of a particular medical institution that paid for residency training sometimes illegally tries to keep the cost of education from the employee. It looks veiled - such an employee is charged with more hours for 1 pay rate. In fact, a person really fulfills the money spent on him. At the same time, there is also a moment of simple "tyranny" of the leadership, who considers such an employee almost the property of a medical institution. In such situations, you can’t just quit, because you need to fulfill the terms of the target contract or pay the corresponding penalty, which gives the authorities a sense of impunity. The subordinate must remember that even when signing the target training agreement, his labor contract is based on the Labor Code of the Russian Federation, so the employee can apply for the protection of his own rights.
In general, the residency in 2019-2020 is not much different from previous years - additional points were entered not now, and the competition in good universities was a long time ago. Targeted contracts are a suitable alternative, but there is a risk of collision with overly arrogant management. Although it is thanks to such agreements that residency training can be provided to those who were previously not able to do this for material reasons.