Certification for a dentist therapist of the highest category. Categories of dentists: requirements and assignment procedure

Dentists receive qualification categories in the same way as doctors of other specialties.

Allocate the second, first and highest categories. In this article, you will learn about the new procedure for obtaining qualification categories, in accordance with Order No. 274 “On the procedure for obtaining qualification categories for employees with higher medical education, with higher and secondary pharmaceutical education of state healthcare institutions.”

1. Federal Law No. 323-FZ dated November 21, 2011 “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation,
2. Orders of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n “On Approval of the Unified Qualification Directory for the Positions of Managers, Specialists and Employees,
3. section "Qualification characteristics of positions of workers in the field of healthcare", dated 07.07.2009 No. 415n "On approval of qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare"
4. and dated July 25, 2011 No. 808n "On the procedure for obtaining qualification categories by medical and pharmaceutical workers."
5. Order No. 274

Requirements for dentists when awarding a category:

Second category	at least 3 years of work experience in a certified specialty	Good practical and theoretical training	Work skills: modern methods of prevention, diagnosis and treatment of patients
First category	at least seven years	Required practical experience and good theoretical and practical training in the field of their specialty, well-versed in related disciplines	modern methods of prevention, diagnosis and treatment of patients, active participation in the scientific and practical activities of the medical institution
Top category	at least ten years of professional experience	high theoretical and practical professional training	fluency in modern methods of prevention, diagnosis and treatment of patients in the field of their specialty, who are well acquainted with related disciplines, have good indicators of professional activity, take an active part in the scientific and practical activities of a medical institution and improve the skills of specialists with higher medical education.

What documents must a dentist provide to receive a category?

1. application of a specialist addressed to the chairman of the attestation commission, which indicates the qualification category for which he is applying, the presence or absence of a previously assigned qualification category, the date of its assignment, the personal signature of the specialist and the date (Appendix No. 2);
2. a printed qualification sheet, certified by the personnel department (Appendix No. 3);
3. a report on the professional activities of a specialist, agreed with the head of the organization and certified by its seal, and including an analysis of professional activities over the past three years with a personal signature (Appendix No. 4).

Requirements for the report of a specialist (work for the category of a doctor):

You can find more detailed documentation by downloading the documentation for .

What should be contained in the work for the category of dentist (in the certification report)

1. The first chapter contains information about the healthcare institution in which the dentist works, the dental department, the equipment of the office and workplace of the dentist,
2. The second chapter is a report on the work over the past three years. It analyzes the dynamics of the quality of medical work. Implementation modern technologies mastering new methods of treatment by a doctor. Also here are the main indicators of the work of a specialist in the form of tables and graphs, namely, qualitative and quantitative indicators (percentage and absolute number of sanitized, the number of seals, UET in direct connection with the number of working days of the year). Do not forget to indicate the number of sanitations per bet, the number of sanitations, the number of fillings per day and the ratio of uncomplicated to complicated caries, % of one-session treatment of complicated caries. Each table and graph should end with a brief summary (1-2 sentences). Write down what treatment methods you use in your work. Indicators of preventive work and clinical examination.
3. The third section includes an analysis of new methods of treatment and prevention.

On the Internet, there are reports of dentists for a category in free access, you can read them on our website. I made a selection of reports, did the initial editing in formatting in Microsoft Office Word. However, all of them leave much to be desired and do not fully meet the requirements. They can only be used as a basis, an example.

Certification of doctors for the category

But, in fact, the assignment of a particular category does not always directly correspond to the real level of a doctor's qualifications. Often a higher category reflects the indulgence of the commission to your "long" medical experience or the presence of "necessary acquaintances". A lower category may indicate a conflict situation with the head physician or doubts about one's competence and fear of the exam.

Ranking doctors by category, in my opinion (from the author), is typical only for free medicine. Where medical personnel are paid according to the complexity and volume of the work performed, where clear prices for examination and treatment are set, the doctor should only have a license confirming his admission and ability to provide the services offered.

However, modern culture, even in a society of "free medicine", is based on the principle of individual competition. Therefore, there have always been, are and will be doctors with ambitions and striving for success (including the defense of a higher qualification category). A higher qualification category evokes a sense of legitimate pride, promotes self-assertion, growth of respect/envy among colleagues, and a small material incentive.

What do you need to qualify for a category?

1. Have an idea about the procedure for obtaining qualification categories.

For lovers of bureaucratic documents posted:

· Letter of the Ministry of Health No. 2510 / 11568-01-32 "On the application of the regulation on the procedure for obtaining qualification categories" dated November 13, 2001.

· Order of the Ministry of Health of the Russian Federation No. 82 "On the Central Attestation Commission" of January 11, 2005 (as amended by Order No. 835 of September 28, 2010).

Be sure to look through the polemical article by Professor N. Melyanchenko "Doctor's qualification - an economic category." From the article you will learn why there are no qualification categories in foreign countries and what the system of tolerances is.

It is possible that the licensing of doctors (the introduction of which is not far off) in our country will also lead to the abolition of categories. Another article by Professor N. Melyanchenko will give you the opportunity to prepare for competition in the world of permits and licenses.

2. Meet the qualification requirements for your specialty.

Qualification requirements for doctors are described in detail, up to the indication of special literature, in

The qualification characteristics of specialists with secondary medical education are disclosed in Appendix 4 to the order of the Ministry of Health No. 249 of August 19, 1997.

It is extremely important that the education received and the specialty (basic, basic and additional) do not contradict the nomenclature of specialties, and the specialty for which you are going to defend the category corresponds to the position of the specialist. Otherwise, there will be problems both with protection and with payment for the qualification category.

You can get acquainted with the nomenclature of specialties in the subsection "Admission to activity".

3. Complete training at the faculty of advanced training for doctors.

This is a mandatory requirement. Doctors who have not undergone advanced training in the certified specialty in state educational institutions over the past five years. I advise you to immediately choose the certification cycle, so that after completing the training and successfully passing the exam, you will also receive a certificate.

According to the order of the Ministry of Health and Medical Industry of the Russian Federation of August 16, 1994 No. 170, when certification for the highest, first and second certification categories, doctors and nurses of all specialties are required to be tested for HIV infection (see paragraph 1.8 in the order). The order is posted on the website and contains information (classification, diagnosis and treatment of HIV, dispensary registration) sufficient to prepare for certification for the category.

The list of institutions where you can undergo improvement is contained on the page of Russian Medical Universities. Please note that some information cards include the current curriculum schedule. There is also a list of the necessary minimum of things and documents that will be required for training.

4. View examples of completed certification papers for doctors and nurses.

Ready attestation works of doctors and nurses are posted on the website as an example and are not intended for copying or replication. The inability to independently comprehend the results of their activities is a reflection of intellectual and professional wretchedness.

5. Write an attestation paper.

It should be said that the vast majority of certification works of doctors are uninteresting. Because usually colleagues are limited to a simple enumeration of statistical facts. Sometimes, to add volume, statistics are diluted with textbook inserts. Other doctors are generally engaged in outright plagiarism: they go to the archive, take the reports of other doctors for the past years and only change the numbers. I even saw attempts to hand over the sheets copied on the Xerox. It is clear that such a "creative approach" causes only contempt. Well, completely stupid and lazy medical workers simply buy (for example, via the Internet) ready-made certification papers.

Ministry of Health of the Chelyabinsk Region LLC MEDICAL PREVENTIVE CENTER I approve: the chief doctor OOO "Mpc" A.D. Ivanov Certification work for confirmation of higher categories Tatyana Dmitrievna Petrova, Chebarkul, 2009 Contents Occupational route _______________________________ p. 3 Scope of work for 2006 - 2008 _________ p. 4 - 25

5044 Words | 21 Page

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

MUZ dental clinic №2

REPORT ON THE WORK OF A DENTIST

FOR 2008 - 2010

MATVEEVA VALENTINA IOSIFOVNA

Kaliningrad - 2011

Report plan

1. General information ………………………………………………. 3

2. Office equipment and organization of work in

dental office…………………………….. 4

3. The work of a dentist at a therapeutic

reception. ………………………………………………………………5-19

4. Sanitary and educational work … ………………… 19-20

5. Sanitary and epidemiological regime of work

Cabinet……………………………………………………….. 21-22

6. Conclusions ……………………………………………………… 23-28

1. General information

I have been working in the dental clinic No. 2 since August 1991. Polyclinic No. 2 provides therapeutic and preventive dental care to the adult population.

The clinic is located in a two-story adapted building at the address: st. Proletarskaya d.114. The polyclinic has a compressor room for supplying compressed air to dental units, a centralized washing and sterilizing room, a physiotherapy and X-ray room, and a reception desk. The polyclinic works in two shifts from 7.45 to 20.15 Saturday from 9.00 to 15.00. There are 2 medical departments and one denture department. In the medical departments there are 6 therapeutic rooms, 1 surgical room, 1 periodontal room, and an acute pain room. Treatment rooms are equipped with modern dental drills. Compressed air is centrally supplied to all turbine units.

2. Cabinet equipment and organization of work in the dental office

The office in which I receive dental patients meets sanitary and hygienic standards. Equipped with a dental unit "Marus". There is cold and hot water, the necessary tools, a set of modern domestic and imported anesthetics and filling materials.

The load at the reception consists of primary coupons and repeated patients.

I work on the principle of the maximum number of sanitation at the first visit.

The main tasks at the reception are:

1. Provision of qualified assistance to the population.

2. Carrying out sanitary and educational work, teaching oral hygiene.

3. Prevention of dental diseases.

3. The work of a dentist at a therapeutic appointment.

In recent years, the work of a dentist has undergone significant changes due to the use of:

Turbine installations, which makes it possible to use modern filling materials and makes the preparation of hard tooth tissues painless and fast.

More effective pain relief (alfacain, ultracain, orthocoin, ubestezin).

3. Modern filling materials (composites of light and chemical rejection).

4. Endodontic filling material: pastes for filling tooth canals with antiseptic, anti-inflammatory, restorative properties, gutta-percha pins and endodontic instruments.

I see patients with the following conditions:

1. Carious damage to the tissues of the tooth.

2. Complicated forms of caries.

3. Traumatic damage to the teeth.

4. Non-carious lesions of dental tissues.

5. Combined destruction of tooth tissues.

The office has a set of domestic and imported filling materials. Of the domestic ones, I most often use the following materials: unifas, phosphate cement, silidont, silicin, stomafil for fillings.

In case of deep caries, for medical pads I use drugs that have an anti-inflammatory effect and promote the formation of replacement dentin: calmecin, calradent, life, dykal.

In my work I prefer composite filling materials. Glass ionomer cements stabilize the process due to the fact that fluorine ions are released from them for a long time. I use cements such as stomafil, ketak molar, wind meter. These cements are used as cushioning, medical and restorative. Their advantages: ease of use, increased adhesion, biocompatibility with tooth tissues, high fluoride release, low solubility, strength.

Composite materials apply chemical and light curing.

From chemical available: alphadent, unifil, kompokur, charisma, etc.

From light-cured: herculite, filtek, valux, filtek-suprem, point, admira.

They have the following positive properties: color stability, good marginal fit, strength, good polishability.

Requirements for composite materials:

1. Good adaptation.

2. Water resistance.

3. Color stability.

4. Simple application technique.

5. Satisfactory mechanical strength.

6. Sufficiency of working time.

7. Required depth of cure.

8. R-contrast.

9. Good polishability.

biological tolerance.

Standard scheme for the use of composite materials:

1. Preparation of a carious cavity.

2. Color choice.

3. Applying a gasket.

4. Pickling.

5. Neutralization of acid.

6. Drying.

7. Adhesive application.

8. Restoration of the anatomical shape of the tooth.

9. Toning of the filling.

10. Strict adherence to instructions.

Composites classification

FROM curing method Purpose

X Chemical Light Class A

• Powder + curable for cavities I and II class.

  Liquid one paste Class B

  Paste-paste for cavities III and

The most common disease in dental practice is dental caries.

The most common classification is clinical and anatomical, which takes into account the depth of the spread of the carious process:

dental caries in the stain stage;

fissure caries;

superficial caries;

medium caries;

deep caries.

Anatomical classification of cavities according to Black, taking into account the surface of localizations of the lesion:

1 Class- localization of carious cavities in the area of ​​natural fissures of molars and premolars, in blind pits of incisors and molars.

2 Class- on the lateral surfaces of molars and premolars.

3 Class- on the lateral surfaces of incisors and canines without violating the integrity of the cutting edge.

4 Class- on the lateral surfaces of incisors and canines with violation of the integrity of the angle and cutting edge of the crown.

5 Class- in the cervical region.

Basic principles and sequence of local treatment of caries:

Anesthesia. The choice of anesthesia method is determined by the clinical and individual characteristics of the patient. The workplace has both domestic and imported anesthetics.

At present, we can firmly say that the problem of painless dental treatment has been solved. Used painkillers based on articaine relieve pain both in the treatment of caries of any localization and depth of the cavity, and all forms of pulpitis. Efficiency approaches 100%. On the upper jaw mainly infiltration anesthesia is used in the region of the root apex. On the lower jaw, the greatest effect is achieved by anesthesia near the condylar process of the lower jaw. Method: with the mouth as open as possible, the needle was injected 2 cm above the masticatory surface of the lower molars - up medially in the direction of the auditory canal. The duration of anesthesia is 2-4 hours.

2. Opening of the carious cavity: removal of the overhanging edges of the enamel, which allows you to expand the inlet into the carious cavity.

3. Expansion of the carious cavity . The enamel edges are aligned, the affected fissures are excised.

4. Necroectomy . Removal of all affected tissues from the cavity and the use of a caries detector to identify the affected dentin and leaving no traces in healthy areas.

5. Formation of a carious cavity. Creation of conditions for reliable fixation of the seal.

The task of operational technology- formation of a cavity, the bottom of which is perpendicular to the long axis of the tooth (it is necessary to determine the direction of inclination), and the walls are parallel to this axis and perpendicular to the bottom. If the inclination to the vestibular side - for the upper chewing teeth and to the oral - for the lower ones is more than 10-15 °, and the wall thickness is insignificant, then the rule for the formation of the bottom changes: it should have an inclination in the opposite direction. This requirement is due to the fact that occlusal forces directed to the filling at an angle and even vertically have a displacing effect and can contribute to the spallation of the tooth wall. This requires the creation of an additional cavity in the direction of the bottom to distribute the forces of masticatory pressure on thicker and, consequently, more mechanically strong tissue areas. In these situations, an additional cavity can be created on the opposite (vestibular, oral) wall along the transverse intertubercular groove with the transition to the side of the main cavity. It is necessary to determine the optimal shape of the additional cavity, in which it is possible to achieve the greatest effect of redistribution of all components of masticatory pressure with minimal surgical removal of enamel and dentin and the least pronounced reaction of the pulp.

But in fact, the assignment of one category or another does not always directly correspond to the real level of a doctor's qualifications. Often a higher category reflects the indulgence of the commission to your "long" medical experience or the presence of "necessary acquaintances". A lower category may indicate a conflict situation with the head physician or doubts about one's competence and fear of the exam.

The ranking of doctors by category, in my opinion, is typical only for free medicine. Where medical personnel are paid according to the complexity and volume of the work performed, where clear prices for examination and treatment are set, the doctor should only have a license confirming his admission and ability to provide the services offered.

However, modern culture, even in a society of "free medicine", is based on the principle of individual competition. Therefore, there have always been, are and will be doctors with ambitions and striving for success (including the defense of a higher qualification category). A higher qualification category evokes a sense of legitimate pride, promotes self-assertion, growth of respect/envy among colleagues, and a small material incentive.

What do you need to qualify for a category?

1. Have an idea.

For lovers of bureaucratic documents posted:

• Order of the Ministry of Health of the Russian Federation No. 808n "On the procedure for obtaining qualification categories" dated July 25, 2011.
• Letter of the Ministry of Health No. 2510 / 11568-01-32 "On the application of the regulation on the procedure for obtaining qualification categories" dated November 13, 2001.
• Order of the Ministry of Health of the Russian Federation No. 810n "On the Central Attestation Commission" dated July 25, 2011.

Be sure to look through the polemical article by Professor N. Melyanchenko “Doctor's Qualification - an Economic Category”. From the article you will learn why there are no qualification categories in foreign countries and what the system of tolerances is.

From January 1, 2016, certification is canceled and accreditation of doctors is introduced. Another article by Professor N. Melyanchenko will give you the opportunity to prepare for competition in the world of permits and licenses.

2. Meet the qualification requirements for your specialty.

Qualification requirements for doctors in detail, up to the indication of special literature, are described in the order of the Ministry of Health of the USSR No. 579 “On approval of the qualification characteristics of specialist doctors” dated July 21, 1988 - read.

The qualification characteristics of specialists with secondary medical education are disclosed in Appendix 4 to the order of the Ministry of Health No. 249 of August 19, 1997 - read.

It is extremely important that the education received and the specialty (basic, basic and additional) do not contradict the nomenclature of specialties, and the specialty for which you are going to defend the category corresponds to the position of the specialist. Otherwise, there will be problems both with protection and with payment for the qualification category. You can get acquainted with the nomenclature of specialties in the subsection "Admission to activities".

3. Complete training at the faculty of advanced training for doctors.

This is a mandatory requirement. Doctors who have not undergone advanced training in the specialty being certified in state educational institutions over the past five years are not allowed to be certified. I advise you to immediately choose the certification cycle, so that after completing the training and successfully passing the exam, you will also receive a certificate.

The list of institutions where you can undergo improvement is contained on the page of Russian Medical Universities. Please note that some information cards include the current curriculum schedule. There is also a list of the necessary minimum of things and documents that will be required for training.
4. View examples of completed certification papers for doctors and nurses.

Ready attestation works of doctors and nurses are posted on the website as an example and are not intended for copying or replication. The inability to independently comprehend the results of their activities is a reflection of intellectual and professional wretchedness.

• Examples of attestation reports of doctors
• Examples of Nursing Attestation Reports

5. Write an attestation paper.

It should be said that the vast majority of certification works of doctors are uninteresting. Because usually colleagues are limited to a simple enumeration of statistical facts. Sometimes, to add volume, statistics are diluted with textbook inserts. Other doctors are generally engaged in outright plagiarism: they go to the archive, take the reports of other doctors for the past years and only change the numbers. I even saw attempts to hand over the sheets copied on the Xerox. It is clear that such a "creative approach" causes only contempt. Well, completely stupid and lazy medical workers simply buy (for example, via the Internet) ready-made certification papers.

• What to write in your certification report is described in the document “Exemplary scheme and content of the certification work”
• How the certification work should look can be found in the file "Standards and requirements for the design of the certification report"

6. Submit the necessary documents to the attestation commission.

The papers that must be submitted to the certification commission are contained in the List of documents for medical certification.

Good luck!

List of orders for certification

The very first order that I know of is dated January 11, 1978. It was the order of the Ministry of Health of the USSR No. 40 "On the certification of medical specialists."

After 4 years, the order of the Ministry of Health of the USSR No. 1280 "On measures to further improve the certification of doctors" was issued. The order provided for 2 types of certification: mandatory and voluntary ().

At the beginning of 1995, the Ministry of Health and Medical Industry of the Russian Federation issues Order No. 33 “On Approval of the Regulations on the Certification of Doctors, Pharmacists and Other Specialists with Higher Education in the Healthcare System of the Russian Federation”. This order left only one certification - voluntary.

In 2001, order No. 314 “On the procedure for obtaining qualification categories” was issued.

After 10 years, the old order was replaced by a new one - Order of the Ministry of Health of the Russian Federation No. 808n “On the procedure for obtaining qualification categories”, which is still in effect.