Pilot survey of physicians on the system of assigning professional grades
https://doi.org/10.47183/mes.2023.035
Abstract
Stagnation of the institution of assigning professional grades (categorization) draws increasing attention to the study of the opinions of physicians aimed at understanding and addressing the issues of this system. The study was aimed to get an estimate of the categorization system, the need for and directions of its transformation from physicians. The study involved an absentee poll of 64 physicians. Among then 48.4% had professional grades, 42.2% had scientific degrees, 51.6% were members of professional communities, 45.3% were engaged in teaching, 48.4% published scientific research results, 26.6% presented the results of their work during scientific and practical events. The average work experience as a physician was 13.8 ± 6.13 years. The questionnaire consisting of 21 statements with 5-point Likert scales was divided into four items: assessment of current categorization system; refusal of categorization; need to transform the system; directions of transformation. As a result, it was found that the respondents having professional grades, scientific degrees, who were members of professional communities engaged in teaching and scientific research, rated the existing categorization system lower (1.0 ≤ Ме ≤1.8 vs 2.6 ≤ Ме ≤ 3.0; 0.001 < р ≤ 0.034), they more often agreed that there was a need to transform the system (1.0 ≤ Ме ≤ 1.33 vs 2.7 ≤ Ме ≤ 3.0; 0.001 < р ≤ 0.013), than the respondents with no listed above traits. A total of 71.9% respondents agreed that there was a need for change, 1.6% agreed with the refusal of categorization. No correlation between work experience and the scores of items was revealed (0.144 ≤ р ≤ 0.627). Thus, despite the fact that the categorization system was rated low, the majority of physicians don’t want to abandon it seeing the need for transformation. The physicians’ beliefs are affected by the levels of their professional development.
About the Authors
V. M. MisharinRussian Federation
Moscow
A. V. Kochubey
Russian Federation
Adelina V. Kochubey
Volokolamskoye shosse, 91, Moscow, 125371
References
1. Cioffi JP, Lichtveld MY, Thielen L, Miner K. Credentialing the public health workforce: an idea whose time has come. J Public Health Manag Pract. 2003; 9 (6): 451–8. DOI: 10.1097/00124784-200311000-00004. PMID: 14606183.
2. Gershuni O, Czabanowska K, Burazeri G, Cichowska Myrup A, Von Krauss MK. Is there a golden recipe? A scoping review of public health workforce development. Eur J Public Health. 2019; 29 (3): 401–8. DOI: 10.1093/eurpub/cky247. PMID: 30508074.
3. Ayivi-Vinz G, Bakwa Kanyinga F, Bergeron L, Décary S, Adisso ÉL, Zomahoun HTV, et al. Use of the CPD-REACTION Questionnaire to Evaluate Continuing Professional Development Activities for Health Professionals: Systematic Review. JMIR Med Educ. 2022; 8 (2): e36948. DOI: 10.2196/36948. PMID: 35318188; PMCID: PMC9112082.
4. Federal'nyj zakon ot 21.11.2011 #323-FZ «Ob osnovah ohrany zdorov'ya grazhdan Rossijskoj Federacii». Russian.
5. «Trudovoj kodeks Rossijskoj Federacii» ot 30.12.2001 #197-FZ. Russian.
6. Federal'nyj zakon ot 03.07.2016 238-FZ «O nezavisimoj ocenke kvalifikacii». Russian.
7. Prikaz Ministerstva zdravoohraneniya SSSR ot 14 iyulya 1970 g. N 472 «Ob attestacii vrachej-specialistov». Russian.
8. Filippov YuN, Abaeva OP, Razgulin SA. Sovremennye problemy realizacii prava specialistov zdravoohraneniya na prohozhdenie attestacii dlya polucheniya kvalifikacionnoj kategorii. Medicinskij al'manah. 2008; 2: 14–6. Russian.
9. Abakov SI, Vagner VD, Sorokin DV, Abakova DS. O neobhodimosti reorganizacii sistemy attestacii vrachej-stomatologov. Institut stomatologii. 2012; 54 (1): 18–21. Russian.
10. Ostrovskaya IV, Han NV. K voprosu o professional'noj ocenke kvalifikacii sestrinskogo personala. Medicinskaya sestra. 2012; 1: 31–5. Russian.
11. Batyukov NM, Kasumova MK, Shpilev DI, Yanchenko VM. Upravlenie kachestvom klinicheskoj raboty vrachej-stomatologov cherez vnutrifirmennuyu attestaciyu v ramkah korporativnoj sistemy standartizacii. 2015; 1 (66): 12–5. Russian.
12. Kolennikova OA, Toksanbaeva MS. Problemy sistemnosti institutov ocenki kvalifikacii medicinskih specialistov. Problemy social'noj gigieny, zdravoohraneniya i istorii mediciny. 2022; 30 (s1): 1027–32. DOI: 10.32687/0869-866X-2022-30-s1. Russian.
13. Shishkin SV, Temnickij AL. Rol' attestacii medicinskih rabotnikov v povyshenii trudovoj motivacii. Voprosy gosudarstvennogo i municipal'nogo upravleniya. 2019; 2: 141–67. Russian.
14. Bazetova AA. Problemy attestacii medicinskih rabotnikov i puti ih resheniya. Nauchnyj al'manah. 2022; 2–2 (88): 47–50. Russian.
15. Kolennikova OA, Toksanbaeva MS. Ocenka kvalifikacii medicinskix specialistov v aspekte razvitiya nepreryvnogo medicinskogo obrazovaniya. Problemy social'noj gigieny, zdravoohraneniya i istorii mediciny. 2021; 29 (specvypusk): 1318–23. DOI: 10.32687/0869-866X-2021-29-s2-1318-1323. Russian.
16. RosStat (Federal'naya sluzhba gosudarstvennoj statistiki). Chislennost' medicinskih kadrov, imeyushhih vysshuyu i pervuyu kvalifikacionnye kategorii (data obrashheniya 07.08.2023). Dostupno po ssylke: https://rosstat.gov.ru/folder/13721. Russian.
17. Otdelnova KA. Opredelenie neobhodimogo chisla nablyudenij v social'no-gigienicheskih issledovaniyah. Sb. trudov 2-go MMI. 1980; 150 (6): 18–22. Russian.
18. Maslow AH. Motivation and Personality. N. Y.: Harpaer and Row, 1954.
19. Polushin YuS, Shapovalov KG, Zaripova ZA. Rol' professional'nyh soobshhestv v podgotovke k procedure akkreditacii: pervye shagi. Virtual'nye tehnologii v medicine. 2017; 2 (18): 7. Russian.
20. Manturova NE, Kochubey VV, Kochubey AV. The competence of plastic surgeons. Bulletin of RSMU. 2018; 2: 63–7. DOI: 10.24075/brsmu.2018.023.
21. Dunivin Z, Zadunayski L, Baskota U, Siek K, Mankoff J. Gender, Soft Skills, and Patient Experience in Online Physician Reviews: A Large-Scale Text Analysis. J Med Internet Res. 2020; 22 (7): e14455. DOI: 10.2196/14455.
Review
For citations:
Misharin V.M., Kochubey A.V. Pilot survey of physicians on the system of assigning professional grades. Extreme Medicine. 2023;25(3):146-150. https://doi.org/10.47183/mes.2023.035