The draft professional standard ʽspecialist in physical rehabilitationʼ: the problematic issues

Authors:

Ponomarenko Gennadiy Nikolaevich, Honored worker of science of the Russian Federation, doctor of medical Sciences (Dr. Med. Sci), professor, General director of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, Bestuzhevskaya street 50, Saint-Petersburg, 195067, Russian Federation.

Sokurov Andrei Vladimirovich, doctor of medical Sciences (Dr. Med. Sci), head of the Department of normative and legal regulation and organization of rehabilitation and habilitation of Institute of Rehabilitation and Abilitation of Disabled of Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, Bestuzhevskaya street 50, Saint- Petersburg, 195067, Russian Federation; e-mail: ansokurov@yandex.ru.

Ermolenko Tatiana Valerievna, candidate of medical Sciences (PhD Med. Sci), Leading Researcher of the Department of normative and legal regulation and organization of rehabilitation and habilitation of Institute of Rehabilitation and Abilitation of Disabled of Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, Bestuzhevskaya street 50, Saint-Petersburg, 195067, Russian Federation.

In the heading: Original researches

Year: 2019 Volume: 1 Journal number: 3 

Pages: 49-61

Article type: scientific and practical

UDC: 616-036.86+ 342.72/.73

DOI: 10.26211/2658-4522-2019-1-3-49-61

Annotation:

Introduction. Control is a component of the management cycle and an integral part of the quality and safety management system of medical care, the creation of which is provided by the Concept of long-term socio-economic development of the Russian Federation for the period up to 2020, approved by the order of the Government of the Russian Federation of November 17, 2008. The state quality control and safety of medical activity includes implementation of licensing of medical activity. One of the licensing requirements for the license applicant to carry out medical activities is the presence of employees of the medical organization of higher professional education, postgraduate (for specialists with medical education) and (or) additional professional education, provided by the qualification requirements for specialists with higher and postgraduate medical education in the field of health, and the certificate of specialist. One of the mechanisms for the implementation of this direction is the development of professional standards of medical and non-medical specialists. Currently, a professional standard ʽSpecialist in physical rehabilitationʼ is being developed. However, the draft of this document contains violations of federal legislation and existing regulations, which the legislator considers to be corrupt. The identification and elimination of corruption factors can be attributed to the most important tasks in the development of professional standards.
These measures will allow reform the system of professional education at all levels, to develop a system of continuous professional education, professional training and retraining of personnel, taking into account the definition of state priorities for the development of the economy.

Aim. To analyze the draft professional standard ʽSpecialist in physical rehabilitationʼ for compliance with the current legislation and the presence of corruption factors.

Materials and methods. The existing normative legal acts of the federal level, as well as the draft professional standard ʻSpecialist in medical rehabilitationʼ are studied and analyzed.
The methodological basis of the work was a number of approaches and methods of studying various types of social relations: organizational-legal, organizational-methodical, complex, systemic. The complex of general scientific methods (analytical, comparative); special methods (formal-legal, comparative-legal, historical-legal); methods of interpretation of law (logical, systemic, historical, functional).

Results. The draft professional standard contains violations of federal legislation and current regulations. It establishes unreasonably broad limits of discretion or the possibility of unjustified application of exceptions to the general rules, as well as provisions containing uncertain, difficult and (or) burdensome requirements to citizens and organizations and thus creating conditions for corruption.

Conclusion. A significant revision of the draft professional standard is required, which will contribute to the formation of the national qualification structure, taking into account the prospective requirements of the advanced development of the innovative economy and professional mobility of citizens, the updating of state educational standards and modernization of training programs at all levels bas+ed on the qualification requirements of the national qualification structure. Ultimately, this will lead to an increase in the quality of training for medical organizations and medical care, including medical rehabilitation.

Keywords: , , , ,

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36. Prikaz Mintruda Rossii ot 13.06.2017 № 486n (red. ot 04.04.2019) «Ob utverzhdenii Poryadka razrabotki i realizacii individual’noj programmy reabilitacii ili abilitacii invalida, individual’noj programmy reabilitacii ili abilitacii rebenka-invalida, vydavaemyh federal’nymi gosudarstvennymi uchrezhdeniyami mediko-social’noj ekspertizy, i ih form» (Zaregistrirovano v Minyuste Rossii 31.07.2017 № 47579) [The order of Ministry of Labour and Social Protection of the Russian Federation of 13.06.2017 No. 486n (an edition of 04.04.2019) «About the statement of the Order of development and implementation of the individual program of rehabilitation or an abilitation of the disabled person, the individual program of rehabilitation or an abilitation of the disabled child given by federal state institutions of medico-social examination, and their forms» (It is registered in the Ministry of Justice of the Russian Federation 31.07.2017 No. 47579)]. Available at: http:// www.consultant.ru/document/cons_doc_LAW_221759/ (accessed: 22.05.2019). (In Russian).

37. Prikaz Mintruda Rossii ot 05.12.2013 № 715n «Ob utverzhdenii professional’nogo standarta «Specialist po mediko-social’noj ekspertize» (Zaregistrirovano v Minyuste Rossii 31.12.2013 № 30942) [The order of Ministry of Labour and Social Protection of the Russian Federation of 05.12.2013 No. 715n «About the approval of the professional standard «Specialist in Medico-social Examination» (It is registered in the Ministry of Justice of the Russian Federation 31.12.2013 No. 30942)]. Available at: http://www.consultant.ru/document/ cons_doc_LAW_158619/ (accessed: 22.05.2019). (In Russian).

38. Prikaz Mintruda Rossii ot 18.11.2013 № 681n «Ob utverzhdenii professional’nogo standarta \»Specialist po reabilitacionnoj rabote v social’noj sfere» (Zaregistrirovano v Minyuste Rossii 19.12.2013 № 30658) [The order of Ministry of Labour and Social Protection of the Russian Federation of 18.11.2013 No. 681n «About the approval of the professional standard «The specialist in rehabilitation work in the social sphere» (It is registered in the Ministry of Justice of the Russian Federation 19.12.2013 No. 30658)]. Available at: http:// www.consultant.ru/document/cons_doc_LAW_156951/ (accessed: 22.05.2019). (In Russian).

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