Accrual of NMO points. Accrual of CME points CME radiologists how to collect points online

Points (hours, credits) accumulated by medical workers when participating in educational events and studying electronic educational materials can ONLY be used within the framework of the Model for developing the basic principles of CME.

Why participate in the implementation of the model

Currently, medical workers are required to improve their qualifications at least once every five years - undergo training in the amount of 144 hours (4 weeks) to extend the right to carry out professional activities.

In the implementation model for developing the basic principles of CME, doctors are invited to undergo training under a new program, in which 108 academic hours are implemented by an educational organization (at least 50% using distance technologies), and 36 hours - through educational activities provided by medical professional non-profit organizations in their specialties . Of the indicated 36 hours, 16 hours are gained by participating in classroom (conferences, seminars, master classes, etc.) or online (webinars, online lectures) training events, and 20 hours by independently studying electronic training modules.

Doctors participate in the Model on a voluntary basis.

Upon completion of training, the doctor submits a report on educational activities within the framework of CME to the educational organization.

How to take part in the implementation of the model

The doctor needs:

select a further education program in an educational organization (the list of organizations is available in the Organizations section)
conclude an agreement with an educational organization for training according to the chosen program
Register on the website www.site in the “Training Plan” section (this is your “personal account” on the site) and start planning educational activities
select the events and electronic modules of interest published on the website in the “Events” and “Modules” sections, respectively

How to keep records of educational activity

Based on the results of training events secured by loans, all students are issued a CME Certificate of the established form indicating an individual confirmation code. When you enter (activate) this code in a special field in the “Training Plan” section (your “personal account” on the website), a record of the completion of the training event appears.

Information about the successful study of electronic educational modules posted on the website is added to the “Learning Plan” section automatically.

CME Certificate

CME certificates are issued by organizers (providers) of training events. Information electronic messages about the accrual of credits are sent to registered users at the email address specified during registration, after activating individual codes or upon completion of the electronic training module. Users must ensure the safety of the specified documents and information to confirm, if necessary, the accumulated credits.

Individual confirmation code (IKP)

The individual confirmation code is an alphanumeric combination consisting of 13 characters and looks like XXXX-XXXXXXXX. The code uses Latin letters (except "O") and numbers. To activate the code, you must enter the code without taking into account the input case, additional spaces and symbols. ATTENTION: The letter "O" is not used in the code, you must enter "zero"!

Cannot activate ICP

If you are unable to activate the ICP specified in the CME Certificate or when activating the ICP the message “The code has not been activated. The code may not be valid or has already been activated previously” appears, you must send a letter to help@site with the following information:

event title
the date of the
Location
ICP that needs to be activated.

When will training events and/or electronic training modules in the specialty appear?

Information about new training activities and e-learning modules secured by loans is posted on the Commission's website as applications for assessment for CME are received from providers of activities and e-learning modules. That is, the availability of training events and electronic modules depends only on the activity of providers. Please note that the Commission itself does NOT create electronic training modules or conduct training events.

After participating in the training event, I did not receive a CME Certificate

For questions regarding the issuance of a CME Certificate, you must contact the Provider (organizer) of the training event. The Commission does NOT issue CME Certificates.

Can points (credits) obtained at foreign educational and scientific events be taken into account?

Points received for educational activities in the system of continuing medical education (continuing professional development) of the EU, USA and other countries cannot be taken into account in the CME system in the Russian Federation. Points will be taken into account in the future, subject to the implementation of the agreement reached on the intention to harmonize the CME system of the Russian Federation and the European Union (taking into account all activities carried out in countries that are accepted for credit in the EU).

Portal of continuing medical and pharmaceutical education of the Russian Ministry of Health http://edu.rosminzdrav.ru

A portal for healthcare professionals that ensures the organization and recording of educational activities within the framework of continuing medical and pharmaceutical education. On the portal you can:

Receive general information about the system of continuing medical and pharmaceutical education;
Enter into a five-year cycle of training in your specialty, plan and take into account your educational activity;
Select training programs within the framework of the model of developing the basic principles of continuing medical education and/or using an educational certificate outside the five-year training cycles in the specialty.

Why do you need to synchronize accounts on the portals http://edu.rosminzdrav.ru and www.site

Synchronization of accounts is necessary to ensure that educational activity through various educational events (conferences, seminars, master classes, etc., including those conducted using distance learning technologies (webinars), distance interactive educational modules), which the specialist keeps records of on the website www..rosminzdrav.ru

How to synchronize accounts on the portal http://edu.rosminzdrav.ru and www.site

The procedure for synchronizing accounts is described in your Personal Account on the portal http://edu.rosminzdrav.ru, in the Personal Information section. Synchronization is carried out once and takes a certain time.

I have a Personal Account at http://edu.rosminzdrav.ru and www.site. Where should I activate the ICP received as a result of educational events?

ICPs received as a result of participation in educational events and for studying educational modules must be activated in your Personal Account on the website www.site.

ATTENTION!! Training activities and electronic training modules that are not posted on the website www.site are not provided with educational credits within the framework of the Model for practicing the basic principles of CME. The presence of information about educational credits in course materials or electronic modules does not guarantee that credits will be awarded. Check this information on our website.

On June 6, the article “From certification to accreditation: what was, what will be” was published on our portal. The publication caused a flurry of discussions in the Russian Doctors community, and we decided to publish the most interesting reviews (names and nicknames of users have been changed).

Ahead of time

There are few health workers who definitely welcome the new accreditation system. Basically, doctors are just getting used to the new conditions and hoping that everything will work out somehow.

Victor Ch. writes: “Once again we are running ahead of the horse - there are no orders.”

Stepan M.: “All that has been said are just projections for CME. If there is a document, there will be something to think about. In the meantime, don’t burden yourself with unrealistic projects.”

Some people are confident that the new rules and procedures will be revised many times. “By 2021, everything will change many times. There’s no need to worry too much right now,” says user L.

Someone, on the contrary, convinces that the system is already working and there is no turning back. “I listened to the report of the director of the Kazan State Medical Academy 5 days ago,” writes doctor N. “They asked him whether it is necessary to register in the CME system and earn points for those who passed the certification cycle in 2015. He replied that everyone is required to participate in “ collecting points” and he doesn’t know anything else.”

It's not clear why

Discussion in the medical community showed that not all medical workers understood the goals of the reforms being carried out. Many people ask why reforms in the CME system are needed at all?

Alexander N.: “It’s not clear why this is? Improve the quality of care? This is not how it should be done...”

Many doctors believe that the previous training system was better.

“All these reforms destroyed the entire Soviet healthcare system. I am personally against all reforms. Universities need to train doctors who know their specialty. I observed new doctors and became convinced that their knowledge was still insufficient. The Soviet security system was at a high level, but now everything has been turned upside down, but has not been brought to fruition. And all this affects the health of our Russians,” Vasily Z. is convinced.

What will it be like in practice?

Representatives of the medical community have a lot of questions regarding how the new rules will be implemented. Denis G.: “There are still no regulatory documents at the federal level. And the question immediately arises: those who do not have time to score their 50 points for 2016 while this confusion is going on, or in any other year of the five-year plan, what will they do in 2021? Will they be suspended from work?

“The article states that the previously existing certification system will remain in place until January 1, 2021. It is planned to completely switch to the accreditation procedure in 2026. And from 2021 to 2026. What will happen?"

There are many comments from those who have already encountered the new rules.

Elena Z.: “A very inconvenient type of training. I can’t even attend webinars - there’s a problem with my computer. It doesn’t work either from a tablet or from a desktop computer. Fuck them, these bells and whistles. I hope to take the certification courses the same way in 2020.”

“We are not directed at all, the courses are 36 hours without interruption from production. A lecturer will come for 2 days and give lectures (and I have a reception at this time). And then you can do it yourself, whenever you want, on the Internet...”, complains Alina I.

However, those who have already had the opportunity to try out the new CME system appreciated its advantages.

“I registered and entered into this system, which really scared and stressed me. And you know, it turned out that this site is not so scary. At first, of course, I had to dig around, since I have gynecology, there were plenty of modules. I calmly scored 14 zetas, I have no idea what will happen with 36 zetas, but so far everything is fine,” notes Olga.

Not good with IT

Some doctors complain about the imperfections of distance learning programs. For others, the use of modern means of communication poses a real problem.

Daniil L. is perplexed: “I wonder what to do for people who are not computer friendly or simply do not have the Internet? This is quite a large contingent..."

But there are also those who emphasize that you can learn to work on a computer at any age, if you have the desire.

“The issue is periodically discussed that a doctor without knowledge of English is almost not a doctor,” notes Nina R. “But without the ability to work on a computer in the modern world it is definitely impossible. When we installed computers at the reception, two pensioners categorically refused to work on them and had to quit. The other two, also pensioners, have mastered the programs and continue to work safely. So, whoever wants to, works.”

She is supported by a doctor under the nickname Z: “Our current retirees have been working on computers for more than 15 years, and even some recent non-retirees wrote programs, but the fact that many doctors at medical institutions know computers better than our IT staff is not even discussed here, it’s obvious! There is a doctor over 80 who works very well in the program.”

Paid education

Many are especially outraged by the need to pay for CME. Thus, doctor Anna writes: “I saw the minimum cost of 5 thousand. Does your employer pay you? I don’t, but pay every year out of my own pocket and take vacations at my own expense - sorry, but then it’s cheaper not to work in budget organizations.”

Olga K. answers: “That’s why I finally moved to the medical center. My 36 hour courses cost about 4-5 thousand. I think I can handle it even if my employer doesn’t pay me and they let me go for a week, but what should I do?”

Thinking about leaving

Innovations in the CME system sometimes cause such stress that some fear mass departure from the profession.

Nadezhda K, argues: “What will happen is this: doctors who are now receiving certificates will work for the last 5 years and that’s it! As many people say at our work: enough, we’ll leave! So, in 5 years, most retirees will leave.”

Maria shares these concerns. “We work without raising our heads. We recycle. There is definitely no desire to create personal accounts and poke around in them. I don’t have the strength to even read light reading. So it’s warming to think that due to age it will be possible to turn around and leave…” she writes.

What to do?

Among the participants in the discussion there are many who not only criticize, but also make suggestions.

Victor R. Suggests not to rush: “The transition to CME should be gradual and voluntary. This will be a fair vote. And now only points sellers are in favor.”

“Every institution needs to create a computer class and allocate time for doctors to work in CME programs,” says a doctor under the nickname Svetlana.

“The very inconvenient thing about CME is that you have to study something at home on your computer and then take an exam. There are no conditions and no time. The best option would be to stop studying once every five years, as it is now, and hold conferences in specialties with the issuance of certificates. And make the Internet resource more convenient, with the placement of basic and latest educational materials. It is better not to introduce a point system for now, because... all doctors are in very different conditions - time, finances, availability of technical capabilities, distance from event venues,” writes Natalya.

“In any case, a doctor should not be a “point hunter”! Because this is a humiliating procedure. Ideally, you should leave cycles of 144 hours every 5 years, but devote these classes only to new methods and treatment regimens + analysis of the “jambs” encountered in medical practice,” user AG is sure.

“A very convenient option for continuous learning are lectures and conferences conducted by professors and other leading figures in medicine. This is convenient for all doctors, very effective in gaining knowledge... There is no need to complicate, twist, or torment doctors...” writes a doctor under the nickname GS.

***

As we can see, the upcoming accreditation is causing not only misunderstanding and wariness. But it is obvious that without a clear organization of the entire procedure, it is difficult to expect understanding from the medical community and active involvement in the learning process.

The confusion surrounding certification and accreditation raises many questions about who and when can obtain a certificate without going through the accreditation process. We will also answer the question of what responsibility the specialist and the employer bear if the certificate has already expired.

Whose responsibility is it to improve skills?

Federal Law of November 21, 2011 N 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation obliges not only employees, but also employers.

According to Art. 100 According to this law, medical activities can be carried out by persons who have completed training in higher or secondary medical education programs, as well as those who have a specialist certificate.

Worker: In the same law ( pp. 3 p. 2 art. 73) the obligation of a medical (pharmaceutical) worker is prescribed to improve his professional knowledge and skills through training in additional professional programs in educational and scientific organizations.

Employer: The employer is obliged to send its employees to advanced training courses (clause 8, clause 1, article 79).

What responsibility do the parties bear for the lack of a specialist certificate (certificate)?

Over the past period, Roszdravnadzor has identified cases of non-compliance with deadlines for advanced training of specialists (at least once every 5 years) - 151 cases. Fines were imposed.

As for doctors. If the doctor’s guilt is established, namely, the specialist ignored the management’s instructions about the need to take advanced training courses, then the employer can apply the following measures.

Changes in the system for improving the knowledge and skills of medical workers

The procedure and timing for improving knowledge and skills is determined by Order of the Ministry of Health of Russia dated August 3, 2012 N 66n. This regulation is still in force at the time of publication. But in November 2017, the medical community was warned that in connection with the introduction of an accreditation system and the Institute of CME, Order No. 66n would be changed.

At the moment, the Order clearly separates 3 types of improving knowledge and skills through the development of programs of additional professional education:

1st type: Advanced training

Type 2: Professional retraining

3rd type: Internship

In addition to additional professional education, there is also the Institute of Basic Medical Education (obtaining higher or secondary medical education) and the Institute of Residency (narrow specialization).

Thus, the entire system can be represented as follows:

A. Basic vocational education:

A1. Higher or secondary education (Diploma + certificate)

A2. Residency (Diploma + Certificate)

B. Additional professional education

B1. Advanced training or, as is usually called, the “certification cycle” (Certificate + Certificate)

B2. Professional retraining (Diploma + certificate)

B3. Internship

After completing any of these educational programs, specialists received, in addition to the main document on additional education, specialist certificates. Now, instead of certificates in connection with entry into the accreditation system, an accreditation certificate will be issued.

Article 100 of Federal Law No. 323-FZ determined the timing of the launch of the accreditation system. It also states that the transition to the new system is carried out in stages: from January 1, 2016 to January 1, 2021

On December 22, 2017, Order No. 1043 was issued, which determined the deadlines for healthcare workers to enter the accreditation system. It is clear from the Order that everyone will receive certificates after January 1, 2021. Until this date, according to a phased transition, only certain categories of specialists will undergo accreditation. Who are these specialists?

Scheduled certification or unscheduled?

Some specialists are confused about whether they can get a certificate again without going through accreditation. It all depends on what certification they need to get.

There is a planned certification - every 5 years (according to Federal Law-323) to improve your qualifications.

There is unplanned certification. This includes those who complete residency or retraining courses.

Accreditation deadlines have already been determined for planned certification. If a specialist received a specialist certificate before January 1, 2016, then he can undergo certification again. If the last time the certificate was received after the specified date, then this specialist will have to undergo accreditation next time.

Planned certification: to join CME or not?

What should those who can no longer obtain a certificate (within the 5-year cycle) do? Some of them have not yet registered on the NMO website. Do you doubt whether you should join CME at all?

The reason for doubts was discussions about the need for amendments to Order 66N. As already stated, the Ministry of Health intends to amend this regulation. It is expected that medical and pharmaceutical workers will be able to choose: to take annual advanced training courses and gain points (ZETs) or take a one-time course of at least 150 ac. hours.

There is no exact answer to this question yet. The rules and the need for training in the continuing education system contradict Order 66n, which must be changed.

In any case, a specialist will not lose anything if he registers on the CME website and attends a 36-hour or two 18-hour courses + 14 hours of face-to-face events. Over the course of a year, a specialist must earn 50 credit units (ZET): of which, face-to-face activities should be no more than 14 credits. hours (or 14 ZET).

In any case, one of the important stages of accreditation is portfolio assessment. The presence in the portfolio of not only certificates, acknowledgments, publications in scientific journals, but certificates, certificates, certificates will allow you to successfully pass accreditation.

When will certification be canceled for those who want to take retraining courses?

Order No. 1043 of December 22, 2017 determined that certificates can be received until December 31, 2018. That is, this category of specialists has extended the opportunity to obtain a certificate for another 1 year. Anyone who completes professional retraining courses after January 1, 2019 will already take a multi-stage exam. It is not yet known what this exam will consist of.

Today the accreditation procedure consists of 4 stages:

● Stage 1: Knowledge testing

● Stage 2: Assessment of practical skills

● Stage 3: Solving situational problems

The fourth stage is portfolio assessment. This stage applies to those who undergo routine accreditation (certification).

As for those who are mastering residency programs, their certificates will also be canceled starting January 1, 2019.

Scheduled certification is no longer possible, but unscheduled certification is still possible

However, a certificate can be issued even to those who can no longer obtain it within the five-year cycle (after refresher courses). To do this, it is enough to undergo retraining and receive a certificate.

At the Modern Scientific and Technological Academy (SNTA), medical specialists: doctors and nursing staff can undergo certification cycles and professional retraining courses.

Part-time and distance learning using distance technologies. According to Order No. 66n, training is carried out according to individual curricula. Training is available for residents of remote regions of Russia. After passing the test, a retraining diploma + a state-issued specialist certificate is sent to the students’ address, and in case of completion of an advanced training course (certification course), a certificate of advanced training + a state-issued specialist certificate is sent.

For doctors, paramedical personnel, and pharmaceutical workers.

What is a CME system?

CME, - continuous medical education, is a new form of advanced training for medical workers. CME is distinguished by continuity, the use of innovative technologies (distance, electronic, simulation technologies), as well as the ability to build a personal learning path, which ensures the acquisition of knowledge, skills, abilities and competencies that meet the needs of specialists. As part of the development of the CME system, the Russian Ministry of Health, together with professional NGOs, launched a model for developing the basic principles of CME (see orders 837,).

How to apply accumulated points (credits)

Why participate in the implementation of the model

Doctors participate in the Model on a voluntary basis.

Upon completion of training, the doctor submits a report on educational activities within the framework of CME to the educational organization.

How to take part in the implementation of the model

The doctor needs:

select a further education program in an educational organization (the list of organizations is available in the Organizations section)
conclude an agreement with an educational organization for training according to the chosen program
Register on the website www.sovetnmo.ru in the “Training Plan” section (this is your “personal account” on the website) and start planning educational activities
select the events and electronic modules of interest published on the website sovetnmo.ru in the “Events” and “Modules” sections, respectively

How to keep records of educational activity

Information about the successful study of electronic educational modules posted on the website is added to the “Learning Plan” section automatically.

CME Certificate

Individual confirmation code (IKP)

Cannot activate ICP

If you are unable to activate the IKP specified in the CME Certificate or when activating the IKP the message “The code has not been activated. The code may be incorrect or has already been activated” appears, you must send a letter to [email protected] with the following information:

event title
the date of the
Location
ICP that needs to be activated.

When will training events and/or electronic training modules in the specialty appear?

After participating in the training event, I did not receive a CME Certificate

For questions regarding the issuance of a CME Certificate, you must contact the Provider (organizer) of the training event. The Commission does NOT issue CME Certificates.

Can points (credits) obtained at foreign educational and scientific events be taken into account?

Portal of continuing medical and pharmaceutical education of the Russian Ministry of Health http://edu.rosminzdrav.ru

Receive general information about the system of continuing medical and pharmaceutical education;
Enter into a five-year cycle of training in your specialty, plan and take into account your educational activity;
Select training programs within the framework of the model of developing the basic principles of continuing medical education and/or using an educational certificate outside the five-year training cycles in the specialty.

Why do you need to synchronize accounts on the portals http://edu.rosminzdrav.ru and www.sovetnmo.ru

How to synchronize accounts on the portal http://edu.rosminzdrav.ru and www.sovetnmo.ru

I have a Personal Account at http://edu.rosminzdrav.ru and www.sovetnmo.ru. Where should I activate the ICP received as a result of educational events?

ICPs received as a result of participation in educational events and for studying educational modules must be activated in your Personal Account on the website www.sovetnmo.ru.

ATTENTION!! Training events and electronic training modules that are not posted on the website www.sovetnmo.ru are not provided with educational credits within the framework of the Model for developing the basic principles of CME. The presence of information about educational credits in course materials or electronic modules does not guarantee that credits will be awarded. Check this information on our website.

I currently work as a senior lecturer at a university, and very often I have to answer students’ questions related to their future profession, including those related to accreditation. So that my knowledge was not purely theoretical, I decided to conduct an experiment and test from my own experience how the process of crediting points in the system of continuing pharmaceutical education goes. That's what came out of it.

The implementation of a system of continuous medical and pharmaceutical education is in full swing. Pharmacists who already have a valid specialist certificate can undergo the recertification procedure at any time before 2021. And for now, for them, the issue of gaining points, or credits, or credit units (ZET) is not relevant. Another thing is for pharmacists who received a university diploma in 2016 or later. They should start gaining points in the CME system this year.

The first step, without which there can be no talk of any points, is registration on the portal for healthcare professionals Portal www. edu.rosminzdrav.ru provides organization and recording of educational activities within the framework of continuing medical and pharmaceutical education.

The second step is registration on another portal www.sovetnmo.ru. This is the website of the coordinating council for the development of continuing medical and pharmaceutical education. Through a simple procedure, both sites are synchronized in your personal account.

An important point is that only events accredited on the second site provide credits to specialists who have mastered them. A list of planned events can be found there.

I found out about a suitable event that earned me as many as six credits by chance, from colleagues, literally a day before it started. It was an in-person scientific and practical conference “Organization of good pharmacy practice by subjects of retail trade in pharmaceutical products.” It was probably possible to plan participation in advance, but for this it was necessary, as I now understand, to regularly monitor the information on the site yourself.

The training conference held in Moscow attracted the interest of pharmacy managers, and the hall was full. Among the advantages, I would like to note the relevant material and good presentation (thanks to speaker Elena Nevolina, executive director of the Pharmacy Guild NP). Also, pharmacy managers had the opportunity to ask questions that interested them and get answers to them. The slides contained a lot of information related to regulatory documentation, which was not possible to write down entirely by hand without turning the conference into a dictation. Therefore, the organizers’ promise to provide materials received approval from their colleagues. A few days later I received the presentations to my email address.

It was necessary to check whether the audience had assimilated the conference information. Listeners were offered test tasks on the topic under discussion. In my subjective opinion, the questions were not difficult. A personalized participant certificate with a code for credits was issued in paper form at the end of the event. The organizers have attached instructions on how to complete the process of crediting points. Judging by the fact that the points are visible in my personal account, I, following the recommendations, successfully added this event to my portfolio and received six points.

Was there anything I didn’t like or raised questions about? Based on the results of the first event, I can only note one significant drawback - the mechanism for informing about them. I found out by chance about the upcoming conference in my specialty, for participation in which you can get as many as six points (there are events that give only 1-3 points). It would be nice to receive a newsletter about an upcoming educational seminar if you have already registered on the CME website and indicated the specialty for which you have a certificate. Perhaps there is such a function, but so far I have not learned about any accredited event from the mailing list.

My experience of getting points didn’t end there. As a teacher, I need new, up-to-date information, so I also participate in distance learning events - online seminars. I did not find information about them either on the website of the National Chamber of Pharmacy, or on the resource of the Coordination Council for the Development of Continuing Medical and Pharmaceutical Education. I receive information about online seminars from regular mailings, choose a topic that interests me and a time convenient for me, and then listen to video lectures broadcast via the Internet for an hour.

Moreover, a day before the start of the event, I receive an SMS notification plus an e-mail stating that I have registered for it. The same thing happens just before the start of the seminar. Of the three online seminars, I did not miss a single one only thanks to reminders. At the end of the seminar, a control test is offered, the successful completion of which plus presence at the seminar for at least 45 minutes guarantees receipt of a link to a participant certificate, which contains a code for awarding points. Online seminars are worth 1 to 3 credits. The lecturer's presentation is also available on your personal page.

Not without problems. Listened presentations do not always open correctly. But the main thing is that I was not able to accrue points on the CME website, despite compliance with the specialty, the presence of instructions, a unique code on the certificate and registration on all possible resources related to continuing medical and pharmaceutical education. It is quite possible that I did something wrong... In my opinion, if a confident PC user cannot add information to a portfolio within an hour, this is a signal for software developers. Or perhaps the event is not accredited on the website listed above...

In any case, technical details are still being worked out at the moment, and I would like to believe that by the time all medical and pharmacy specialists without exception completely transition to accreditation, these problems will remain a thing of the past.

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