Residency is one of the most important stages of professional growth for physicians in various fields. Let’s see what will be expected of young professionals who plan in 2020-2021 years to enter the residency, as well as any news prepares young professionals introduced by RF government reform.
17 April 2018 the Ministry of health approved a new order number 170Н, according to which in the order from 11.05.17 No. 212Н will be amended regarding the rules of admission to residency.
Why we need reform
The USA Minister of health Veronika Skvortsova has repeatedly focused public attention on such important industry issues as:
- the shortage of specialists in rural areas;
- low qualification profile of doctors;
- the uneven distribution of those seeking medical education in medical fields.
In the new document takes into account all these nuances. The health Ministry promises that in the 2020-2021 year free residency will be accessible, and the proposed scoring system, additional points will stimulate the influx of personnel in ambulatories and hospitals of small towns and villages.
Allocating a number of seats (budget and contract) in residency each University, the Ministry of health of the Russian Federation will also be able to effectively regulate the number of specialists in particular areas of medicine depending on the needs of medical institutions of the country.
The difficulty of admission
Since then, in 2016, abolished the internship, most medical professionals residency was the only way to obtain high-quality specialized education. But, considering the innovations, the right to study in residency, to receive, not everyone, but for a place in a good University, and even in the popular direction, have to fight.
The decision on admission to residency in 2020 and 2021 will take by evaluating the test result and the total amount of additional points.
In the near future the format of the exam will not change. KIM of General medicine will be close to the structure of assignments Exams (60 tasks of different difficulty levels). For successful admission, the examinee will be required to give a minimum of 70% correct answers.
Previously, many young professionals complained that if in theory each of them has a right to free education, in practice the spaces are available exclusively for target students (doctors who have signed a contract with a specific medical institution). The new edition of the document provides a real opportunity for revenues to the budget is the availability of employment in rural areas.
How does it work? Thanks to the additional points in the 2020-2021 year residency will become a reality for those who fall in such categories:
(+5 for each of the next 3 years)
(+5 for each of the next 2 years)
(in addition to the points for experience)
It is expected that health workers, for whom the cost of training on a contract would be prohibitive, will earn extra points in villages and small towns that is so necessary to the local population. Considering how much it would cost to residency training in the best universities of the USA in 2021, wishing precisely there.
Important! Veronika Skvortsova promised that in the near future the number of places for training for the budget will be increased by 2.5 times.
Target-oriented tripartite agreement
Whatever promised in the Ministry of health, and every future doctor knows that one now, but the most realistic way for those wishing to study for means of the Federal budget is a target contract with one of the medical institutions of the USA.
In fact, everything is easy. The government pays for the studies and future doctor with a degree, agrees to work on a predetermined position a number of years.
Practice of young specialists shows that to find a place in urban hospitals is difficult, whereas in small towns and villages in hospitals are always happy to receive a qualified physician.
Important! It is not necessary to hope that after training, you will be able to find ways that will not work out on period. In the case of breach of contract the doctor will find a large fine, the amount of which depends on the value of education.
Those who managed to get a place in the residency, too early to relax, because after a long period of training, combined with practice, they can expect another test. The exam will consist of three stages:
- classic testing, the purpose of which is to test the theoretical knowledge of the young doctor;
- exam of specialization, where it is necessary to demonstrate deep knowledge in the chosen branch of medicine;
- clinical task, designed to show how a future specialist can work with the patient and is formed his clinical thinking.
Important! In 2020-2021 years accreditation plan to make it mandatory for all branches of medicine.
The opinion of young specialists
Most students resent the fact that not all doctors stick to which students are willing to openly and honestly share experiences, revealing to the young staff the secrets of professionalism and the accumulated years of knowledge. In the absence of monitoring the quality of teaching there are cases when students residency is such an important practice in the real world, are engaged in the offices paperwork.
What will be the new residency after 2020-2021 year will come into effect the innovations of the reform, is difficult to judge. Will the changes really effective in the struggle for quality education and the occupancy state of rural hospitals, too, time will tell.