Physician regularly evaluates the implementation plan
Part 1: Physician's regular assessment implementation plan
In order to conscientiously implement the archives spirit of the Ministry of Health's "Regulations on the Periodic Assessment of Physicians" and the "Implementation Rules for the Physician's Regular Assessment Management Measures" of the Ministry of Health, do a good job in the regular assessment of physicians, strengthen the practice of physicians, regulate the practice of physicians, and improve Physician quality, quality assurance and medical safety, combined with the actual situation of our hospital, the implementation of this implementation.
I. Organizational leadership and responsibilities
Establish a regular assessment committee for hospital physicians and set up a regular assessment management office for physicians.
The composition of the physician assessment committee:
director:
deputy director:
Committee member:
The Physician Appraisal Committee is responsible for formulating the physician assessment work system, checking and guiding the regular assessment work of the physicians, and ensuring that the assessment work is carried out.
The assessment committee has an office under the medical department.
The appraisal office is responsible for the organization, coordination and guidance of the regular appraisal work of the practicing doctors in the hospital, the results of the appraisal and the registration data of the doctors are reported to the health administrative department for the record.
Second, the assessment object and time limit
The object of assessment is the licensed physician and practicing assistant physician who have obtained the qualification of the doctor according to law and have been registered in the hospital. The physician categories are clinical, Chinese medicine, oral and public health.
Physicians regularly assess each cycle for two years. During the assessment period, the physician who intends to change the place of practice or who has one of the conditions listed in Article 37 of the Practitioners Law but has not revoked the practice certificate shall conduct the assessment in advance. The doctor's assessment that he did not participate in the assessment without proper reasons during the assessment period was unqualified.
Each year, the doctors who have registered for two years of examination will be assessed. Generally, they will start in December of this year and complete by the end of February of the following year. Before the end of March, the “Registration Form for Regular Assessment of Physicians” will be submitted to the registration authority. The assessment results are notified in writing to the person. In the assessment cycle, if the assessment fails, it needs to be re-evaluated. The doctor who intends to change the practice location or has one of the conditions listed in Article 37 of the Practitioners Law but has not revoked the practice certificate shall notify the assessment committee by the hospital medical department. The office will conduct an assessment in advance.
Third, the assessment content and standards
Examination content
The regular assessment of physicians is divided into three parts: job performance assessment, professional ethics assessment and business level assessment. The assessment of doctors engaged in maternal and child health care should also include the assessment content specified in the Maternal and Infant Health Care Act and its implementation measures.
The performance appraisal content includes: in the process of practicing the doctor, complying with relevant regulations and requirements, and completing the work quantity, quality and government's mandatory work during the appraisal period.
The content of professional ethics includes: the persistence of life-saving and ambulance in the practice of doctors, the "patient-centered" service concept, medical ethics, doctor-patient relationship, solidarity and cooperation, legal practice, and the Ministry of Health's guidance on establishing medical ethics assessment system for medical staff The provisions of the Opinions, etc.
The business level assessment includes: the business level assessment is based on the level, category and professional treatment of the licensed doctors, focusing on the evaluation of laws and regulations and the “three basics”, as well as the ability to learn and master new knowledge, new theories, new technologies and new methods. The business level measurement score is divided into two parts: clinical basic skill operation assessment and health regulations and professional knowledge comprehensive written examination.
Assessment criteria:
1. Work performance and professional ethics
It is combined with the appraisal doctor's assessment of the previous year and the usual assessment and evaluation results.
Establish a sound work performance and professional ethics evaluation system as a basis for professional ethics assessment of physicians.
The work performance and professional ethics assessment shall be submitted by the department where the appraisal physician is located to submit assessment opinions and reported to the Personnel Section for review.
2. Business level assessment
Business level assessment can take the following forms:
Personal debriefing;
Relevant laws, regulations or examinations;
Relevant professional knowledge assessment;
Related professional skills operation test;
Examine the medical documents written by him;
Patient evaluation and peer review;
Other forms prescribed by the health administration.
The specific requirements are based on the regular assessment criteria of the provincial health department physicians.
Fourth, the assessment program and method
Before the implementation of the assessment
1. The appraisal office will notify the doctors who need to be regularly assessed on the assessment date 60 days before the assessment date, and report to the physician registration authority.
2. Within 10 days of receiving the above report, the physician registration authority will provide the examination office with the administrative punishment within the examination period of the doctor within the list.
Assessment implementation
The assessment program includes simple programs and general programs.
1, simple program
Has more than 5 years of practice experience, and has a good track record during the assessment period;
Has more than 12 years of experience in practice, no record of bad behavior during the assessment period;
Those who have deputy chief physicians and above technical positions have no bad behavior records during the assessment period;
After the doctor retires, he is rehired by the unit and there is no record of bad behavior during the assessment period.
For physicians who meet the simple program assessment, I will write a report on the work in terms of work performance, professional ethics and business level. The department will sign the assessment opinion on the "Physician's Periodic Assessment Form", which will be reviewed by the Personnel Section. The assessment office approves and approves.
2. For physicians who adopt general program assessment, they first write a report on their work in terms of work performance, professional ethics and business level. The department conducts work performance and professional ethics assessment, and signs it on the Physician Periodic Assessment Form. The opinions shall be assessed and reported to the Personnel Section for review on the 30th day before the business level assessment; after the review is completed, the assessment committee office shall organize the evaluation of the business level.
After the implementation of the assessment
1. Within 30 days after the assessment of the appraisal office, the “Registration Form for Regular Assessment of Physicians” and the “Registration Form for Physicians” will be sent to the evaluation committee and the physician will be notified. At the same time, the “Registration Form for Regular Assessment of Physicians” will be reported to the health supervisor as required. The department has filed the record.
2. If the assessed physician has any objection to the assessment result, he/she may submit a review application to the assessment office within 30 days of receiving the assessment result. The appraisal office shall organize a review of the doctor's assessment results within 30 days from the date of receiving the application for review, and notify the physician in writing of the assessment opinions.
V. Practice behavior and record of assessment results
The appraisal office shall establish a regular appraisal file for the appraisal physician, fill in the form and file description according to the “Physician's regular appraisal file” to establish a physician file, and deposit the physician practice record and the “Physician Periodic Appraisal Form” into its file in time. The establishment of the file and the daily management are the responsibility of the hospital medical department.
Good behavior records include doctors receiving awards and recognitions at the county level or above in the course of practicing, completing government-designated tasks and technical achievements, etc.; bad behavior records include administrative penalties for violations of medical and health management laws and regulations, and medical treatment norms and routines. , disciplinary action, and medical incidents that occur.
The results of regular assessments of physicians are classified as qualified and unqualified. Any one of the work performance, professional ethics and business level that cannot be assessed or evaluated, or one of the situations listed in Article 27 of the Physician's Periodic Assessment Management Measures shall be unqualified.
Within 30 days after the end of each assessment, the hospital assessment office will promptly submit the “Physician's Practice Certificate” of the assessed physician to the registration authority. If the assessment is unqualified, the assessment will be carried out again after 3-6 months of training. If the assessment is still unqualified, the health administrative department will cancel its practice registration and withdraw its "Physician Practice Certificate".
7. Supervision and management
The regular assessment committee of the hospital physician is responsible for supervising the assessment work of the assessment office. During the one-week examination of the assessment office, the materials regularly reviewed by the physician are randomly selected. Violation of the "Administrative Measures for Regular Assessment of Physicians" by the appraisal office will be submitted to the public in accordance with the relevant provisions of Articles 28 to 31 of the Practitioners Law, the Regulations on the Administration of Medical Institutions and the Measures for the Periodic Assessment of Physicians. The administrative department gives serious treatment.
Part 2: Physician's regular assessment implementation plan
In order to strengthen the practice of physicians, standardize the practice of physicians, improve the technical level and professional ethics of medical practitioners in our hospital, and ensure the quality of medical care and medical safety, according to the Law of the People's Republic of China on Practicing Physicians and the Ministry of Health, the Measures for the Periodic Assessment of Physicians and The implementation rules and related regulations of the "Regulations on the Regular Assessment of Physicians" in Shandong Province, combined with the actual situation of our hospital, study and formulate this program.
I. Organizational leadership
In order to strengthen organizational leadership, the hospital established a physician assessment committee with the following personnel:
Chairman: Li Liangzeng
Deputy Director: Liu Xintao Sun Buce
Committee members: Song Huijun, Zhang Chuanyou, Wang Weihong, Shi Chunqing, Zhang Xin, Song Hongkuan, et al.
The physician assessment committee has an office in the medical department, and Li Qiang is also the director of the office, responsible for the organization and implementation of the regular assessment of physicians.
Second, the physician's regular assessment system
The doctor's assessment work shall be carried out under the guidance, inspection and supervision of the hospital assessment committee.
The assessment work adheres to the principles of objectivity, science, fairness, justice and openness. Where the appraisers have a stake in the appraisal object, they can apply to the appraisal department for withdrawal.
The hospital appraisal committee shall perform its duties and perform the routine assessment of the professional ethics, work performance, business level and practice behavior of each on-the-job physician in a step-by-step manner, and report the assessment results to the medical bureau of the Health Bureau.
It is strictly forbidden to falsify, abuse power and engage in malpractices during the assessment;
It is strictly forbidden for those who participate in the assessment to ask for or receive property; it is strictly forbidden to use bribery or deception to obtain the assessment results, otherwise the assessment period will be unqualified.
Anyone who fails to participate in the assessment within the stipulated time must submit a justifiable reason to the appraisal committee. The appraisal committee will arrange the time assessment separately. If there is no justifiable reason not to participate in the appraisal, or the order of the appraisal is disturbed, the appraisal cycle is unqualified.
Third, the assessment object
All practicing physicians and practicing assistant physicians who have obtained the qualifications for practicing and registered according to law are the subject of assessment.
According to the assessment categories, it is divided into clinical, Chinese medicine, oral and public health.
New entrants began their assessment after entering the hospital for two years.
Fourth, the assessment content
The basic contents of the doctor's work performance assessment include: whether it can fulfill its job responsibilities; whether to complete the hospital and the higher-level department's command work; the completion of the work quantity, quality, individual paper publication, research project, new technology and new project development, etc. Can comply with the dispatch of the health administrative department and the organization's arrangements, and complete related tasks in a timely manner.
The basic content of the doctor's professional ethics assessment should include: the doctor's observance of professional ethics, compliance with medical ethics, work style, doctor-patient relationship, solidarity and cooperation.
The basic content of the doctor's business level assessment should include: the doctors master the relevant laws, regulations, departmental rules and regulations of the medical and health management, and apply the basic theories, basic knowledge, basic skills of the major to solve practical problems, and learn and master new theories and new knowledge. The ability of new technologies and new methods. Practitioners should be able to independently deal with common diseases, frequently-occurring diseases, general emergencies and common professional and technical problems in this profession; practicing assistant doctors can handle the above problems under the guidance of practicing doctors. The assessment can take one or more of the following forms:
1. Personal debriefing;
2. Assessment or examination of laws, regulations, and professional knowledge, and assessment or examination of technical operations;
3. Examination of the medical documents written by him;
4. Patient evaluation and peer review;
V. Assessment implementation and management
Centralized assessment
The doctors regularly evaluate each period for two years. The evaluation of the business level is concentrated in the evaluation from October to November of the second year. The assessment committee should notify the doctors who need to receive regular assessment 60 days before the regular assessment date.
Implementation time
Before September 10, the medical department should summarize and document the basic information forms of the appraisers.
Before October 10, complete the doctor's work performance, professional ethics assessment, and sign the assessment opinions on the "Physician's Periodic Assessment Form".
Before November 10, complete the business level assessment.
Before November 20th, the doctors will make an assessment conclusion, and sign the opinions on the "Physician Periodic Assessment Form", enter the doctor's assessment results into the assessment management system, and submit the "Physician's Periodic Assessment Summary Form" to the Health Bureau of the Health Bureau. . Relevant materials shall be provided for the circumstances listed in Article 33 of the “Administrative Measures for Regular Assessment of Physicians”.
Before December 5, the “Physician's Practice Certificate” of the appraisal physician will be submitted to the Medical Affairs Section of the Health Bureau.
Before December 20, the Health Department of the Health Bureau shall record the assessment results of the assessment institution in the “Practicing Record” column of the “Physician's Practice Certificate” and enter the doctor's practice registration information database to complete the doctor's assessment results on the “Physician's Practice Certificate”. Record the work.
During the assessment period, if it is proposed to change the practice location or violate the provisions of the Law of the People's Republic of China on Practicing Physicians, one of the following circumstances shall be imposed by the health administrative department of the people's government at or above the county level, but the physician who has not revoked the practice certificate, The assessment should be conducted in advance. If the examination is qualified, you can go through the procedures for changing the practice location.
1. Violation of health administrative rules and regulations or technical operation norms, causing serious consequences;
2, due to irresponsible delays in the rescue and treatment of critically ill patients, causing serious consequences;
3. Have full or primary responsibility for the occurrence of a medical incident;
4. Have not personally diagnosed or investigated, signed a certificate of diagnosis, treatment, epidemiology, or other documents related to birth, death, etc.;
5. Concealing, forging or arbitrarily destroying medical documents and related materials;
6. Use unapproved drugs, disinfectants and medical devices;
7. Failure to use narcotic drugs, medical toxic drugs, psychotropic drugs and radioactive drugs in accordance with regulations;
8. Experimental clinical treatment of patients without the consent of the patient or their family members;
9. Leaking the privacy of patients and causing serious consequences;
10. Use the position of the position to obtain or illegally accept the patient's property or to obtain other improper benefits;
11. In the event of natural disasters, epidemics of infectious diseases, sudden deaths and serious accidents, and other emergencies that seriously threaten people's lives and health, they are not subject to the dispatch of the health administrative department;
12. In the event of a medical accident or the discovery of an infectious disease epidemic, the patient is suspected of an injury or an abnormal death and is not reported as required.
6. Practice record and assessment program
Implement a system of physician behavior records. Physician behavior records are classified into good behavioral records and bad behavioral records.
1. The record of good behavior shall include the rewards, commendations, and completion of the mandatory tasks and technical achievements of the hospital and the higher authorities in the course of practicing;
2. The record of bad behavior includes administrative penalties, disciplinary actions, and medical accidents that have occurred due to violations of medical and health management laws and regulations, medical treatment norms, routines.
The physician's behavior record is one of the basis for the regular assessment of the doctor. The hospital establishes the doctor's regular assessment file, and deposits the doctor's practice record and the “Physician's regular assessment form” into its file in time.
The assessment program is divided into general programs and simple programs.
1. The general procedure is: the physician writes a report on the work according to his work performance, professional ethics and business level. The hospital appraisal committee evaluates the work performance and professional ethics, and signs the assessment on the Physician Periodic Assessment Form. Comments and conduct business level assessments. Finally, the comprehensive assessment opinions and the results of the business level assessment are used to make a qualified or unqualified assessment conclusion for the physician. The business level assessment can take the following form:
Personal debriefing;
Relevant laws, regulations or examinations;
Relevant professional knowledge assessment;
Related professional skills operation test;
Examine the medical documents written by him;
Patient evaluation and peer review.
2. The simple program is: the doctor writes a report on the work according to his work performance, professional ethics and business level. The hospital appraisal committee signs the opinion on the “Physician Periodic Assessment Form” and makes a qualified or unqualified doctor. Assessment conclusions. No business level assessment.
3. A physician who meets one of the following conditions will periodically perform a simple program:
Has more than 5 years of practice experience, and has a good track record during the assessment period;
Has more than 12 years of experience in practice, no record of bad behavior during the assessment period;
Have deputy chief physician and above technical positions, no record of bad behavior during the assessment period;
After the doctor retires, he is rehired by the unit and there is no record of bad behavior during the assessment period.
Regular assessments by other physicians are performed in accordance with the general procedures.
Seven, assessment results
The assessment results are divided into qualified and unqualified. Any one of the work performance, professional ethics and business level that cannot be assessed or evaluated is unqualified.
Physicians in the assessment cycle through the resident standardization training in accordance with the regulations or through the promotion of the upper level of professional and technical job examinations, can be regarded as qualified for business level assessment, only assessment of work performance and professional ethics.
For those who fail to pass the examination, the practice will be suspended for 3 months to 6 months, and training and continuing medical education will be accepted. After the suspension of the practice activities expires, the assessment committee will conduct another assessment. For those who pass the examination, they are allowed to continue practicing, but the doctor shall not be evaluated and promoted during the assessment period; if the assessment fails again, the health administrative department shall cancel the registration and withdraw the doctor's practice certificate.
The assessment committee comprehensively evaluates the opinions and the results of the business level assessment, makes the assessment conclusions for the doctors, signs the opinions on the “Physician Periodic Assessment Form”, and summarizes the doctor assessment results according to the unit, and fills in the summary form, after the end of the regular assessment work 30 The daily newspaper reported to the health administrative department for the record.
If the assessed physician disagrees with the assessment results, he may submit a review application to the assessment committee within 30 days from the date of receipt of the assessment results. The appraisal committee shall review the results of the doctor's assessment within 30 days from the date of receiving the application for review, and notify the physician in writing of the review comments.
If the physician has one of the following circumstances during the assessment period, the assessment committee shall determine that the assessment is unqualified:
1. Have full or primary responsibility for the occurrence of a medical incident;
2. Without the approval of the hospital or the health administrative department, conduct medical activities without authorization from medical, preventive or health care institutions outside the registered place;
3. Conducting practice activities across the practice category;
4. Participate in the physician qualification examination on behalf of others;
5. Asking patients, their relatives and friends for property or other improper benefits in medical and health service activities;
6. Ask for or accept the rebates, commissions or other improper benefits granted by the production or sales enterprises, medical products, reagents, etc., or their staff;
7. Receive rebates or commissions by introducing patients to other units for examination, treatment or purchase of drugs, medical devices, etc.;
8. Produce false medical certificate files and participate in false medical advertising and drug medical device promotion;
9. The hospital infection control task was not carried out in accordance with the regulations, and disinfection or harmless disposal was not effectively implemented, resulting in disease transmission and epidemic;
10. Deliberately leaking information and materials concerning the privacy of infected patients, pathogen carriers, suspected infectious diseases, and close contacts;
11. Failure to perform the duties of monitoring, reporting, investigating and handling infectious diseases in accordance with the law, causing serious consequences;
12. During the assessment period, more than one medical ethics evaluation result is poor medical ethics;
13. Do not participate in the assessment without proper reasons, or disturb the order of assessment;
14. Violation of the relevant provisions of the Practitioners Law, and being punished by the administration.
Eight, relevant requirements
All departments should attach great importance to the examination of physicians, and take this as an opportunity to further strengthen the management of physicians' practice, standardize the practice of physicians, improve the quality of physicians, and ensure the quality of medical care and medical safety.
Part 3: Physician regular assessment implementation plan
According to the "Regulations on the Regular Assessment of Physicians" issued by the Ministry of Health of the People's Republic of China and the "Regulations on the Management of Physicians' Regular Assessments in Shandong Province" by the Provincial Health Department, the following implementation plans are prepared for the regular assessment of the 20XX physicians in the city.
First, the assessment object
The regular assessment of physicians in the 20XX year was launched on March 1. The assessment targets are practicing doctors and practicing assistant physicians who have obtained the qualifications of doctors according to law and are registered in medical, prevention and health care institutions. The categories of physicians are clinical, traditional Chinese medicine, oral and public health. The examination contents are the practice status of the registered doctors 20XX and 20XX in the Municipal Health Bureau before December 31, 20XX. Among them, the doctor who intends to change the place of practice or has one of the conditions listed in Article 37 of the Practitioners Law but has not revoked the practice certificate shall submit an application to the appraisal institution for the early assessment by the medical, preventive and health care institutions where he is located. . The doctor's assessment that he did not participate in the assessment without proper reasons during the assessment period was unqualified.
Second, the assessment content
The assessment includes three items: work performance, professional ethics assessment and business level assessment. The performance and professional ethics are assessed by the medical, prevention, and health care institutions where the physician is located; the assessment of the business level is the responsibility of the assessment agency. The assessment of doctors engaged in maternal and child health care should also include the assessment content specified in the Maternal and Infant Health Care Act and its implementation measures. The assessment of the level of business should be treated differently according to the level, category and profession of the practitioners, focusing on the evaluation of laws and regulations and the “three basics”, as well as the ability to learn and master new knowledge, new theories, new technologies and new methods.
Third, the assessment program
The assessment program includes simple programs and general programs. The assessment institution shall notify the examinee physician 30 days before the assessment.
For physicians who have more than 5 years of experience and have a good track record during the assessment period, or a physician with more than 12 years of practice experience and no record of bad behavior during the assessment period, take a simple program assessment. The record of good behavior includes the awards and recognitions of the doctors in the course of practicing, the completion of the government's mandated tasks and the technical achievements obtained; the records of bad behaviors include administrative penalties for violations of medical and health management laws and regulations, medical treatment norms and routines. , disciplinary action, and medical incidents that occur. For doctors who meet the appraisal of Jane's appraisal, the author shall first write a report on his duties from three aspects: work performance, professional ethics and business level. The institution that is registered by the practice registration agency will sign the opinion on the “Physician Periodic Assessment Form” and report it to the appraisal agency. Review, no longer a written test.
Take a general program assessment for other physicians. For doctors who adopt general program assessment, they first write a report on their work in terms of work performance, professional ethics and business level. The institution where the registration is registered conducts work performance and professional ethics assessment on the Physician's Periodic Assessment Form. Sign the assessment opinions and report to the assessment body for review on the 30th day before the business level assessment. The assessment organization shall organize the evaluation of the business level according to the provisions of Article 14 of the “Administrative Measures for Regular Assessment of Physicians”. Among them, the written test time is scheduled to be held on the morning of April 10th, and each appraisal organization arranges the test site by itself; the other levels of business level assessment are arranged by the appraisal agencies themselves, from April 10th to April 11th.
Fourth, the assessment results
The results of regular assessments of physicians are classified as qualified and unqualified. Any one of the work performance, professional ethics and business level that cannot be assessed or evaluated, or one of the situations listed in Article 27 of the Physician's Periodic Assessment Management Measures shall be unqualified. Before April 20th, each appraisal institution will send the "Registration Form for Regular Appraisal of Physicians" to the institution where the doctors are practising, and notify the appraisers in writing of the results of the appraisal. From April 26th to April 30th, the appraisal institutions will report the "Physician's Periodic Assessment Results Registration Form", the 20XX Annual Physician's Periodic Assessment Report, and the Physician's Periodic Assessment Form to the Health Supervision Office of the Municipal Health Bureau. The urban and development zone health bureaus should also report at the same time.
Within 30 days after the end of the assessment, the institution where the doctor is registered shall promptly submit the “Physician's Practice Certificate” of the assessed physician to the registration authority, and the registration authority shall affix “××年××月至×× in its “Practice Record” column. The year × × month assessment qualified "word seal, and the results of the examination into the physician practice registration information database. If the assessment is unqualified, those who have passed the examination after 3-6 months of training will be stamped with the words “Y×年××月考试考试” in the “Practitioner Records” column of their “Physician Practice Certificate”. If the assessment is still unqualified, the registration of the practice will be cancelled and the "Physician's Practice Certificate" will be withdrawn.
V. Assessment agencies and division of labor
According to the research, 31 medical, preventive and health care institutions, including Weifang People's Hospital, will undertake the regular assessment tasks of the doctors of the Municipal Health Bureau. The specific division of labor is as follows:
Weifang City People's Hospital. Responsible for Weifang Eye Hospital, Weifang Tongxin Hospital, Shandong Weifang Gamma Knife Treatment Research Center, Weifang Stomatological Hospital Xinhua Branch, Weifang Rongfu Military Hospital, Weifang Kuiwen District Maternal and Child Health Hospital, Weifang City Institute of Chronic Noncommunicable Diseases, Weifang City Dermatological Disease Prevention and Treatment Institute, Kuiwen Xuguangqin Gynecology Clinic, Weifang City Municipal Government Hospital, Weifang Medical College Plastic Surgery Hospital, Beijing Yijiyuan Surface Neurology Research Institute Weifang Facial Neurological Hospital, Weifang Oriental Orthopaedic Hospital, Weifang Anorectal Surgery Hospital, Kuiwen Li Chuzhong Medical Beauty Clinic, Health Department of Weifang Health School of Shandong Province, Weifang Health School Stomatological Hospital of Shandong Province, Kuiwen Haida Medical Beauty Clinic, Weifang Medical College Hospital, Kuiwen Zhengzhonghua Dental Clinic, Kuiwen Sunlei Dental Clinic, Kuiwen Li Yuejun Dental Clinic, Kuiwen Wei Zhanrong Dental Clinic, Kuiwen Weizhanshan Dental Clinic, Weifang City Fourth People's Hospital Daliushu Branch, Yucheng Liu Chengli Dental Clinic, Kui Article and Peace Oral Clinic, Gaoxin Han Xiaowen Dental Clinic, Yucheng Liu Yongsheng Dental Clinic, Yucheng Zhou Haixiang Medical Aesthetic Clinic .
Affiliated Hospital of Weifang Medical College. Responsible for Weifang Stomatological Hospital, Weifang Asthma Hospital, Weifang Entry-Exit Inspection and Quarantine Bureau International Travel Health Care Center, Kuiwen Changhe Dental Clinic, Weifang Sixth People's Hospital, Weifang Brain Hospital, Weifang City Dermatology Prevention and Treatment Center Heping Road Clinic Department, Weifang City Maternal and Child Health Station, Weifang City Center Blood Station Blood Disease Treatment Center, Weifang Dental Hospital Fushou Street Clinic, Kuiwen Chen Guiyu Dental Clinic, Kuiwen Dental Clinic, Weifang Dental Hospital Fushou Street Clinic, Weifang Mental Health Center City Division, Yucheng Zhou Qingshun Dental Clinic, Economic Zone Zheng Fuguang Dental Clinic, Kuiwen Zhao Suxia Medical Beauty Clinic, Yucheng Zhu Yunxiang Dental Clinic, Yucheng Zhou Xiaopeng Dental Clinic, Gaoxin Wangye Chang Dental Clinic, Gaoxin Fan Xinfang Dental Clinic Gaoxin Wang Shoumei Dental Clinic, Weifang Stomatological Hospital Beigong Street Dental Clinic.
Fangzi District People's Hospital. Responsible for the unit and Weifang Heart Hospital, Fangzi District Renkang Hospital, Fangzi Wang Suju Dental Clinic, Fangzi District Dermatology Prevention Station, Fangzi District Maternal and Child Health Station.
Hanting District People's Hospital. Responsible for the unit and Hanting District Dermatological Disease Prevention and Treatment Institute, Hanting District Maternal and Child Health Hospital, Hanting Wang Weilin Dental Clinic, Hanting Li Yongzheng Dental Clinic, Hanting Guolan Dental Clinic, Hanting Zhou Jianhua Dental Clinic, Hantingying Chunping Dental Clinic .
Qingzhou People's Hospital. Responsible for the unit and Qingzhou Tuberculosis Control Center, Qingzhou City Dermatology Prevention and Treatment Station, Shandong Yidu Health School Affiliated Hospital, Weifang Dental Hospital, Qingzhou Eye Hospital, Qingzhou Shazuo Military Dental Clinic, Qingzhou Wu Junxing Dental Clinic.
Zhucheng People's Hospital. Responsible for the unit and Zhucheng dermatology prevention and treatment station, Zhucheng Stomatological Hospital, Zhucheng Cao Peisen Dental Clinic, Zhucheng Gejiqing Dental Clinic, Zhucheng Zhang Yongkui Dental Clinic, Zhucheng Zhao Rongming Dental Clinic, Zhucheng Zhu Shiwei Dental Clinic, Zhucheng Mental Health Center, Zhucheng Huangqingde Oral Clinic, Zhucheng Zhang Hongqi Dental Clinic.
Shouguang People's Hospital. Responsible for the unit and Shouguang City Dermatology Prevention and Treatment Station, Shouguang Guangming Eye Hospital, Shouguang Wang Zenggang Dental Clinic, Shouguang City Institute of Chronic Diseases, Shouguang City Tuberculosis Control Center, Shouguang Guangming Eye Hospital, Shengcheng Street Clinic, Shouguang City Stomatological Hospital, Shouguang Guangming Ophthalmology Department Hospital Luhai Road Clinic, Shouguang People's Hospital Huancui Garden Clinic, Shouguang Zheng Zhongqing Dental Clinic, Shouguang Weiguangyong Dental Clinic, Shouguang Wei Yongming Dental Clinic, Shouguang Liu Peichun Dental Clinic.
Anqiu City People's Hospital. Responsible for the unit and Anqiu City Dermatology Prevention and Treatment Station, Anqiu Eye Hospital, Anqiu Yuepingping Dental Clinic, Anqiu Zhang Yuwu Dental Clinic, Anqiu Chen Haixing Dental Clinic.
Gaomi City People's Hospital. Responsible for the unit and the high-density dermatology prevention and treatment station, Gaomi City Tuberculosis Control Center.
Changyi City People's Hospital. Responsible for the unit and Changyi City Skin Disease Prevention and Control Station, Changyi City People's Hospital Chengdong Branch.
Linyi County People's Hospital. Responsible for the unit and Linyi County Maternal and Child Health Station, Linyi County Lushan Hospital, Linyi County Dermatology Prevention and Treatment Station, Linyi County Haifushan Hospital, Linyi Wang Shaosheng Dental Clinic, Linyi Chen Fangming Dental Clinic.
Changle County People's Hospital. Responsible for the unit and Changle County Maternal and Child Health Hospital, Changle County Dermatological Disease Prevention and Control Station, Changle Gaoxinming Dental Clinic, Changle Yiyongqiang Dental Clinic, Changle Tianxiuzhen Dental Clinic.
People's Hospital of Weifang Binhai Economic Development Zone. Responsible for the unit and Haihua Haimeng Dental Clinic, Weifang Marine Chemical High-tech Industrial Development Zone Maternal and Child Health Station.
Linyi County Chinese Medicine Hospital. Responsible for the unit and Linyi County Maternal and Child Health Hospital, Linyi Diabetes Hospital.
Weifang City Center for Disease Control and Prevention, Weifang City Second People's Hospital, Weifang City Hospital, Weifang City Cancer Hospital, Qingzhou Maternal and Child Health Hospital, Zhucheng Maternal and Child Health Hospital, Shouguang Maternal and Child Health Hospital, Gaomi City Maternal and Child Health Hospital, Changyi City Maternal and Child Health Hospital, Anqiu Maternal and Child Health Hospital, Qingzhou Chinese Medicine Hospital, Shouguang City Hospital, Anqiu Chinese Medicine Hospital, Gaomi City Hospital, Changyi City Hospital, Changle County Hospital of Traditional Chinese Medicine.
Six, organizational leadership
The Municipal Health Bureau set up a regular assessment team for physicians to be responsible for organizing, coordinating, supervising and guiding the regular assessment of physicians in the city, conducting spot checks on the assessment of assessment institutions and reviewing the assessment results.
Team leader: Meng Qingyang Deputy Secretary of the Party Committee, Deputy Director
Deputy Team Leader: Zhao Jinshun Director of Health Supervision Office
Member: Su Xilong Deputy Director of Health Supervision Department
Zhang Jianke Deputy Director of Health Supervision Department
Liu Fengdong, Deputy Secretary of the Health Supervision Branch
Liu Hongting, Deputy Director, Health Supervision Office
Zhang Xiaojing, Deputy Chief, Department of Traditional Chinese Medicine
Wang Yong, Director of Supervision, Supervision Department, Four Sections
The office of the leading group is located in the Health Supervision Department of the Municipal Health Bureau, and Comrade Su Xilong is also the director of the office.
Part 4: Physician's regular assessment implementation plan
I. Examination committee, assessment team and their job responsibilities
1. Appraisal Committee
Responsibilities: Responsible for formulating the physician assessment work system, responsible for the organization, implementation, inspection, and guidance of the physician's regular assessment, determining the assessment results, and ensuring the assessment work.
2. Performance appraisal group:
Responsibilities: Responsible for the assessment of the doctor's work performance and good records.
3. Professional ethics assessment team:
Responsibilities: Responsible for the bad records and professional ethics assessment of our staff.
4. Business level assessment team:
Responsibilities: Responsible for the “three basics” and “four new” business knowledge written examinations and operational skills assessments of physicians in the hospital and other medical and health units prescribed by the Municipal Health Bureau. Medical education.
The performance appraisal team and the professional ethics assessment team must evaluate the work performance and professional ethics of the physicians who are registered in the institution according to the requirements, and sign the assessment opinions on the Physician Periodic Assessment Form, and 30 before the business level assessment date. The day will assess the opinion level business level assessment team. The performance of work and professional ethics should be linked to the annual assessment of the doctor. The business level assessment team shall first review the submitted assessment opinions, then conduct a business level assessment on the physicians participating in the periodic assessment, and sign the opinions on the “Physician Periodic Assessment Form”.
Second, the assessment rules
Physicians regularly assess each cycle for two years.
Appraisal object: Physician and practicing assistant physician who have obtained the qualification of a doctor according to law and have been registered in the hospital. Responsible for the Municipal CDC, Bohai Hospital, Junction, Penetration, Linglong Hospital, Zhang Liqun Hospital, town health centers, social medical institutions, factory medical clinics, individual Western medicine clinics, health clinics and oral dentists Regular assessment of class physicians.
The assessment adheres to the principles of objectivity, science, fairness, justice and openness.
The assessment work is entrusted and supervised by the Municipal Health Bureau, and reports to the Kaiping Municipal Health Bureau on the assessment work and the results of the physician assessment.
Third, the assessment method and management
Regular assessments by physicians include assessment of business level, performance and ethics.
Work performance and professional ethics:
1. Combined with the appraisal physician's assessment of the previous year and the usual assessment and evaluation results.
2. Establish a sound work performance and professional ethics evaluation system as a basis for professional ethics assessment of physicians.
3. The work performance and professional ethics assessment shall be submitted by the department where the appraisal physician is located, and the assessment opinions shall be submitted to the personnel department and the hospital office for review. Other medical units designated by the city to appoint practitioners and practicing assistant physicians to be evaluated in our hospital, and their units will complete the work performance and professional ethics assessment, sign the assessment opinions on the “Physician Periodic Assessment Form”, and measure the business level 30 The Japanese will report the opinions to the assessment agency of our hospital.
4. Examination time: June-September of the second year of the assessment cycle is the assessment time. Among them, June-August is the time for assessing work performance and professional ethics, and September is the time for assessing business level. The appraisal agency shall notify the physician who needs to undergo regular assessment 60 days before the regular assessment date.
Business level assessment: According to the level, category and professional treatment of practitioners, focus on the evaluation of laws and regulations and the "three basics", as well as the ability to learn and master new knowledge, new theories, new technologies and new methods.
1. The business level assessment is carried out by one or several of the following forms:
Personal debriefing; medical and academic education network collection
有關法律、法規、專業知識的考核或考試以及技術操作的考核或考試；
對其本人書寫的醫療文書的檢查；
患者評價和同行評議；
省級衛生行政部門規定的其他形式。
2、業務水平測評的管理
每年9月份進行業務水平測評。
由醫務科負責組織。
以上第1條第、款為考核重點，每年有側重地安排考核或考試。
考核結論：
1、考核委員會綜合評定意見和業務水平測評結果，對醫師做出考核結論。
2、考核醫師名單於每年6月1日前公布。考核結果於每年10月30日前報市衛生局備案，並張榜公布考核結果。
3、對因變更執業地點的或者有執業醫師法第三十七條所列情形之一但未被吊銷執業證書的醫師，提前進行考核。
四、執業記錄與考核程式
醫院實行醫師行為記錄製度。醫師行為記錄分為良好行為記錄和不良行為記錄。
1、良好行為記錄：醫師在執業過程中受到的醫院及各級政府和衛生主管部門獎勵、表彰、完成政府指令性任務的個人，取得市廳級技術成果的第1－3名作者及省部級技術成果的作者等；
2、不良行為記錄：因違反醫療衛生管理法規和診療規範常規受到的行政處罰、處分，以及發生的醫療事故等。
醫師行為記錄作為醫師考核的依據之一。
醫師定期考核程式：
1、一般程式：按第三條規定進行的考核。
2、簡易程式：本人書寫述職報告，所在科室簽署意見，報人事科審核。
符合下列條件的醫師定期考核執行簡易程式：
1、具有5年以上執業經歷，考核周期內有良好行為記錄的；
2、具有12年以上執業經歷，在考核周期內無不良行為記錄的；
3、省級以上衛生行政部門規定的其他情形。
其他醫師定期考核按照一般程式進行。
V. Assessment results
考核結果分為合格和不合格。工作成績、職業道德和業務水平中有一項不能通過評定或測評的，即為不合格。 醫學.教育網收集整理
醫師在考核周期內按規定通過國家組織的住院醫師規範化培訓或通過晉升上一級專業技術職務考試的，視為業務水平測評合格。
考核醫師對考核結果有異議的，可以在收到考核結果之日起30日內，向人事科提出覆核申請。醫院在接到覆核申請之日起30日內對醫師考核結果進行覆核，並將覆核意見書面通知醫師本人。
對考核不合格的醫師，醫院將參照市衛生局的處理意見執行。 .
根據《醫師定期考核管理辦法》規定，醫師在考核周期內有下列情形之一的，認定為考核不合格：
In order to conscientiously implement the archives spirit of the Ministry of Health's "Regulations on the Periodic Assessment of Physicians" and the "Implementation Rules for the Physician's Regular Assessment Management Measures" of the Ministry of Health, do a good job in the regular assessment of physicians, strengthen the practice of physicians, regulate the practice of physicians, and improve Physician quality, quality assurance and medical safety, combined with the actual situation of our hospital, the implementation of this implementation.
I. Organizational leadership and responsibilities
Establish a regular assessment committee for hospital physicians and set up a regular assessment management office for physicians.
The composition of the physician assessment committee:
director:
deputy director:
Committee member:
The Physician Appraisal Committee is responsible for formulating the physician assessment work system, checking and guiding the regular assessment work of the physicians, and ensuring that the assessment work is carried out.
The assessment committee has an office under the medical department.
The appraisal office is responsible for the organization, coordination and guidance of the regular appraisal work of the practicing doctors in the hospital, the results of the appraisal and the registration data of the doctors are reported to the health administrative department for the record.
Second, the assessment object and time limit
The object of assessment is the licensed physician and practicing assistant physician who have obtained the qualification of the doctor according to law and have been registered in the hospital. The physician categories are clinical, Chinese medicine, oral and public health.
Physicians regularly assess each cycle for two years. During the assessment period, the physician who intends to change the place of practice or who has one of the conditions listed in Article 37 of the Practitioners Law but has not revoked the practice certificate shall conduct the assessment in advance. The doctor's assessment that he did not participate in the assessment without proper reasons during the assessment period was unqualified.
Each year, the doctors who have registered for two years of examination will be assessed. Generally, they will start in December of this year and complete by the end of February of the following year. Before the end of March, the “Registration Form for Regular Assessment of Physicians” will be submitted to the registration authority. The assessment results are notified in writing to the person. In the assessment cycle, if the assessment fails, it needs to be re-evaluated. The doctor who intends to change the practice location or has one of the conditions listed in Article 37 of the Practitioners Law but has not revoked the practice certificate shall notify the assessment committee by the hospital medical department. The office will conduct an assessment in advance.
Third, the assessment content and standards
Examination content
The regular assessment of physicians is divided into three parts: job performance assessment, professional ethics assessment and business level assessment. The assessment of doctors engaged in maternal and child health care should also include the assessment content specified in the Maternal and Infant Health Care Act and its implementation measures.
The performance appraisal content includes: in the process of practicing the doctor, complying with relevant regulations and requirements, and completing the work quantity, quality and government's mandatory work during the appraisal period.
The content of professional ethics includes: the persistence of life-saving and ambulance in the practice of doctors, the "patient-centered" service concept, medical ethics, doctor-patient relationship, solidarity and cooperation, legal practice, and the Ministry of Health's guidance on establishing medical ethics assessment system for medical staff The provisions of the Opinions, etc.
The business level assessment includes: the business level assessment is based on the level, category and professional treatment of the licensed doctors, focusing on the evaluation of laws and regulations and the “three basics”, as well as the ability to learn and master new knowledge, new theories, new technologies and new methods. The business level measurement score is divided into two parts: clinical basic skill operation assessment and health regulations and professional knowledge comprehensive written examination.
Assessment criteria:
1. Work performance and professional ethics
It is combined with the appraisal doctor's assessment of the previous year and the usual assessment and evaluation results.
Establish a sound work performance and professional ethics evaluation system as a basis for professional ethics assessment of physicians.
The work performance and professional ethics assessment shall be submitted by the department where the appraisal physician is located to submit assessment opinions and reported to the Personnel Section for review.
2. Business level assessment
Business level assessment can take the following forms:
Personal debriefing;
Relevant laws, regulations or examinations;
Relevant professional knowledge assessment;
Related professional skills operation test;
Examine the medical documents written by him;
Patient evaluation and peer review;
Other forms prescribed by the health administration.
The specific requirements are based on the regular assessment criteria of the provincial health department physicians.
Fourth, the assessment program and method
Before the implementation of the assessment
1. The appraisal office will notify the doctors who need to be regularly assessed on the assessment date 60 days before the assessment date, and report to the physician registration authority.
2. Within 10 days of receiving the above report, the physician registration authority will provide the examination office with the administrative punishment within the examination period of the doctor within the list.
Assessment implementation
The assessment program includes simple programs and general programs.
1, simple program
Has more than 5 years of practice experience, and has a good track record during the assessment period;
Has more than 12 years of experience in practice, no record of bad behavior during the assessment period;
Those who have deputy chief physicians and above technical positions have no bad behavior records during the assessment period;
After the doctor retires, he is rehired by the unit and there is no record of bad behavior during the assessment period.
For physicians who meet the simple program assessment, I will write a report on the work in terms of work performance, professional ethics and business level. The department will sign the assessment opinion on the "Physician's Periodic Assessment Form", which will be reviewed by the Personnel Section. The assessment office approves and approves.
2. For physicians who adopt general program assessment, they first write a report on their work in terms of work performance, professional ethics and business level. The department conducts work performance and professional ethics assessment, and signs it on the Physician Periodic Assessment Form. The opinions shall be assessed and reported to the Personnel Section for review on the 30th day before the business level assessment; after the review is completed, the assessment committee office shall organize the evaluation of the business level.
After the implementation of the assessment
1. Within 30 days after the assessment of the appraisal office, the “Registration Form for Regular Assessment of Physicians” and the “Registration Form for Physicians” will be sent to the evaluation committee and the physician will be notified. At the same time, the “Registration Form for Regular Assessment of Physicians” will be reported to the health supervisor as required. The department has filed the record.
2. If the assessed physician has any objection to the assessment result, he/she may submit a review application to the assessment office within 30 days of receiving the assessment result. The appraisal office shall organize a review of the doctor's assessment results within 30 days from the date of receiving the application for review, and notify the physician in writing of the assessment opinions.
V. Practice behavior and record of assessment results
The appraisal office shall establish a regular appraisal file for the appraisal physician, fill in the form and file description according to the “Physician's regular appraisal file” to establish a physician file, and deposit the physician practice record and the “Physician Periodic Appraisal Form” into its file in time. The establishment of the file and the daily management are the responsibility of the hospital medical department.
Good behavior records include doctors receiving awards and recognitions at the county level or above in the course of practicing, completing government-designated tasks and technical achievements, etc.; bad behavior records include administrative penalties for violations of medical and health management laws and regulations, and medical treatment norms and routines. , disciplinary action, and medical incidents that occur.
The results of regular assessments of physicians are classified as qualified and unqualified. Any one of the work performance, professional ethics and business level that cannot be assessed or evaluated, or one of the situations listed in Article 27 of the Physician's Periodic Assessment Management Measures shall be unqualified.
Within 30 days after the end of each assessment, the hospital assessment office will promptly submit the “Physician's Practice Certificate” of the assessed physician to the registration authority. If the assessment is unqualified, the assessment will be carried out again after 3-6 months of training. If the assessment is still unqualified, the health administrative department will cancel its practice registration and withdraw its "Physician Practice Certificate".
7. Supervision and management
The regular assessment committee of the hospital physician is responsible for supervising the assessment work of the assessment office. During the one-week examination of the assessment office, the materials regularly reviewed by the physician are randomly selected. Violation of the "Administrative Measures for Regular Assessment of Physicians" by the appraisal office will be submitted to the public in accordance with the relevant provisions of Articles 28 to 31 of the Practitioners Law, the Regulations on the Administration of Medical Institutions and the Measures for the Periodic Assessment of Physicians. The administrative department gives serious treatment.
Part 2: Physician's regular assessment implementation plan
In order to strengthen the practice of physicians, standardize the practice of physicians, improve the technical level and professional ethics of medical practitioners in our hospital, and ensure the quality of medical care and medical safety, according to the Law of the People's Republic of China on Practicing Physicians and the Ministry of Health, the Measures for the Periodic Assessment of Physicians and The implementation rules and related regulations of the "Regulations on the Regular Assessment of Physicians" in Shandong Province, combined with the actual situation of our hospital, study and formulate this program.
I. Organizational leadership
In order to strengthen organizational leadership, the hospital established a physician assessment committee with the following personnel:
Chairman: Li Liangzeng
Deputy Director: Liu Xintao Sun Buce
Committee members: Song Huijun, Zhang Chuanyou, Wang Weihong, Shi Chunqing, Zhang Xin, Song Hongkuan, et al.
The physician assessment committee has an office in the medical department, and Li Qiang is also the director of the office, responsible for the organization and implementation of the regular assessment of physicians.
Second, the physician's regular assessment system
The doctor's assessment work shall be carried out under the guidance, inspection and supervision of the hospital assessment committee.
The assessment work adheres to the principles of objectivity, science, fairness, justice and openness. Where the appraisers have a stake in the appraisal object, they can apply to the appraisal department for withdrawal.
The hospital appraisal committee shall perform its duties and perform the routine assessment of the professional ethics, work performance, business level and practice behavior of each on-the-job physician in a step-by-step manner, and report the assessment results to the medical bureau of the Health Bureau.
It is strictly forbidden to falsify, abuse power and engage in malpractices during the assessment;
It is strictly forbidden for those who participate in the assessment to ask for or receive property; it is strictly forbidden to use bribery or deception to obtain the assessment results, otherwise the assessment period will be unqualified.
Anyone who fails to participate in the assessment within the stipulated time must submit a justifiable reason to the appraisal committee. The appraisal committee will arrange the time assessment separately. If there is no justifiable reason not to participate in the appraisal, or the order of the appraisal is disturbed, the appraisal cycle is unqualified.
Third, the assessment object
All practicing physicians and practicing assistant physicians who have obtained the qualifications for practicing and registered according to law are the subject of assessment.
According to the assessment categories, it is divided into clinical, Chinese medicine, oral and public health.
New entrants began their assessment after entering the hospital for two years.
Fourth, the assessment content
The basic contents of the doctor's work performance assessment include: whether it can fulfill its job responsibilities; whether to complete the hospital and the higher-level department's command work; the completion of the work quantity, quality, individual paper publication, research project, new technology and new project development, etc. Can comply with the dispatch of the health administrative department and the organization's arrangements, and complete related tasks in a timely manner.
The basic content of the doctor's professional ethics assessment should include: the doctor's observance of professional ethics, compliance with medical ethics, work style, doctor-patient relationship, solidarity and cooperation.
The basic content of the doctor's business level assessment should include: the doctors master the relevant laws, regulations, departmental rules and regulations of the medical and health management, and apply the basic theories, basic knowledge, basic skills of the major to solve practical problems, and learn and master new theories and new knowledge. The ability of new technologies and new methods. Practitioners should be able to independently deal with common diseases, frequently-occurring diseases, general emergencies and common professional and technical problems in this profession; practicing assistant doctors can handle the above problems under the guidance of practicing doctors. The assessment can take one or more of the following forms:
1. Personal debriefing;
2. Assessment or examination of laws, regulations, and professional knowledge, and assessment or examination of technical operations;
3. Examination of the medical documents written by him;
4. Patient evaluation and peer review;
V. Assessment implementation and management
Centralized assessment
The doctors regularly evaluate each period for two years. The evaluation of the business level is concentrated in the evaluation from October to November of the second year. The assessment committee should notify the doctors who need to receive regular assessment 60 days before the regular assessment date.
Implementation time
Before September 10, the medical department should summarize and document the basic information forms of the appraisers.
Before October 10, complete the doctor's work performance, professional ethics assessment, and sign the assessment opinions on the "Physician's Periodic Assessment Form".
Before November 10, complete the business level assessment.
Before November 20th, the doctors will make an assessment conclusion, and sign the opinions on the "Physician Periodic Assessment Form", enter the doctor's assessment results into the assessment management system, and submit the "Physician's Periodic Assessment Summary Form" to the Health Bureau of the Health Bureau. . Relevant materials shall be provided for the circumstances listed in Article 33 of the “Administrative Measures for Regular Assessment of Physicians”.
Before December 5, the “Physician's Practice Certificate” of the appraisal physician will be submitted to the Medical Affairs Section of the Health Bureau.
Before December 20, the Health Department of the Health Bureau shall record the assessment results of the assessment institution in the “Practicing Record” column of the “Physician's Practice Certificate” and enter the doctor's practice registration information database to complete the doctor's assessment results on the “Physician's Practice Certificate”. Record the work.
During the assessment period, if it is proposed to change the practice location or violate the provisions of the Law of the People's Republic of China on Practicing Physicians, one of the following circumstances shall be imposed by the health administrative department of the people's government at or above the county level, but the physician who has not revoked the practice certificate, The assessment should be conducted in advance. If the examination is qualified, you can go through the procedures for changing the practice location.
1. Violation of health administrative rules and regulations or technical operation norms, causing serious consequences;
2, due to irresponsible delays in the rescue and treatment of critically ill patients, causing serious consequences;
3. Have full or primary responsibility for the occurrence of a medical incident;
4. Have not personally diagnosed or investigated, signed a certificate of diagnosis, treatment, epidemiology, or other documents related to birth, death, etc.;
5. Concealing, forging or arbitrarily destroying medical documents and related materials;
6. Use unapproved drugs, disinfectants and medical devices;
7. Failure to use narcotic drugs, medical toxic drugs, psychotropic drugs and radioactive drugs in accordance with regulations;
8. Experimental clinical treatment of patients without the consent of the patient or their family members;
9. Leaking the privacy of patients and causing serious consequences;
10. Use the position of the position to obtain or illegally accept the patient's property or to obtain other improper benefits;
11. In the event of natural disasters, epidemics of infectious diseases, sudden deaths and serious accidents, and other emergencies that seriously threaten people's lives and health, they are not subject to the dispatch of the health administrative department;
12. In the event of a medical accident or the discovery of an infectious disease epidemic, the patient is suspected of an injury or an abnormal death and is not reported as required.
6. Practice record and assessment program
Implement a system of physician behavior records. Physician behavior records are classified into good behavioral records and bad behavioral records.
1. The record of good behavior shall include the rewards, commendations, and completion of the mandatory tasks and technical achievements of the hospital and the higher authorities in the course of practicing;
2. The record of bad behavior includes administrative penalties, disciplinary actions, and medical accidents that have occurred due to violations of medical and health management laws and regulations, medical treatment norms, routines.
The physician's behavior record is one of the basis for the regular assessment of the doctor. The hospital establishes the doctor's regular assessment file, and deposits the doctor's practice record and the “Physician's regular assessment form” into its file in time.
The assessment program is divided into general programs and simple programs.
1. The general procedure is: the physician writes a report on the work according to his work performance, professional ethics and business level. The hospital appraisal committee evaluates the work performance and professional ethics, and signs the assessment on the Physician Periodic Assessment Form. Comments and conduct business level assessments. Finally, the comprehensive assessment opinions and the results of the business level assessment are used to make a qualified or unqualified assessment conclusion for the physician. The business level assessment can take the following form:
Personal debriefing;
Relevant laws, regulations or examinations;
Relevant professional knowledge assessment;
Related professional skills operation test;
Examine the medical documents written by him;
Patient evaluation and peer review.
2. The simple program is: the doctor writes a report on the work according to his work performance, professional ethics and business level. The hospital appraisal committee signs the opinion on the “Physician Periodic Assessment Form” and makes a qualified or unqualified doctor. Assessment conclusions. No business level assessment.
3. A physician who meets one of the following conditions will periodically perform a simple program:
Has more than 5 years of practice experience, and has a good track record during the assessment period;
Has more than 12 years of experience in practice, no record of bad behavior during the assessment period;
Have deputy chief physician and above technical positions, no record of bad behavior during the assessment period;
After the doctor retires, he is rehired by the unit and there is no record of bad behavior during the assessment period.
Regular assessments by other physicians are performed in accordance with the general procedures.
Seven, assessment results
The assessment results are divided into qualified and unqualified. Any one of the work performance, professional ethics and business level that cannot be assessed or evaluated is unqualified.
Physicians in the assessment cycle through the resident standardization training in accordance with the regulations or through the promotion of the upper level of professional and technical job examinations, can be regarded as qualified for business level assessment, only assessment of work performance and professional ethics.
For those who fail to pass the examination, the practice will be suspended for 3 months to 6 months, and training and continuing medical education will be accepted. After the suspension of the practice activities expires, the assessment committee will conduct another assessment. For those who pass the examination, they are allowed to continue practicing, but the doctor shall not be evaluated and promoted during the assessment period; if the assessment fails again, the health administrative department shall cancel the registration and withdraw the doctor's practice certificate.
The assessment committee comprehensively evaluates the opinions and the results of the business level assessment, makes the assessment conclusions for the doctors, signs the opinions on the “Physician Periodic Assessment Form”, and summarizes the doctor assessment results according to the unit, and fills in the summary form, after the end of the regular assessment work 30 The daily newspaper reported to the health administrative department for the record.
If the assessed physician disagrees with the assessment results, he may submit a review application to the assessment committee within 30 days from the date of receipt of the assessment results. The appraisal committee shall review the results of the doctor's assessment within 30 days from the date of receiving the application for review, and notify the physician in writing of the review comments.
If the physician has one of the following circumstances during the assessment period, the assessment committee shall determine that the assessment is unqualified:
1. Have full or primary responsibility for the occurrence of a medical incident;
2. Without the approval of the hospital or the health administrative department, conduct medical activities without authorization from medical, preventive or health care institutions outside the registered place;
3. Conducting practice activities across the practice category;
4. Participate in the physician qualification examination on behalf of others;
5. Asking patients, their relatives and friends for property or other improper benefits in medical and health service activities;
6. Ask for or accept the rebates, commissions or other improper benefits granted by the production or sales enterprises, medical products, reagents, etc., or their staff;
7. Receive rebates or commissions by introducing patients to other units for examination, treatment or purchase of drugs, medical devices, etc.;
8. Produce false medical certificate files and participate in false medical advertising and drug medical device promotion;
9. The hospital infection control task was not carried out in accordance with the regulations, and disinfection or harmless disposal was not effectively implemented, resulting in disease transmission and epidemic;
10. Deliberately leaking information and materials concerning the privacy of infected patients, pathogen carriers, suspected infectious diseases, and close contacts;
11. Failure to perform the duties of monitoring, reporting, investigating and handling infectious diseases in accordance with the law, causing serious consequences;
12. During the assessment period, more than one medical ethics evaluation result is poor medical ethics;
13. Do not participate in the assessment without proper reasons, or disturb the order of assessment;
14. Violation of the relevant provisions of the Practitioners Law, and being punished by the administration.
Eight, relevant requirements
All departments should attach great importance to the examination of physicians, and take this as an opportunity to further strengthen the management of physicians' practice, standardize the practice of physicians, improve the quality of physicians, and ensure the quality of medical care and medical safety.
Part 3: Physician regular assessment implementation plan
According to the "Regulations on the Regular Assessment of Physicians" issued by the Ministry of Health of the People's Republic of China and the "Regulations on the Management of Physicians' Regular Assessments in Shandong Province" by the Provincial Health Department, the following implementation plans are prepared for the regular assessment of the 20XX physicians in the city.
First, the assessment object
The regular assessment of physicians in the 20XX year was launched on March 1. The assessment targets are practicing doctors and practicing assistant physicians who have obtained the qualifications of doctors according to law and are registered in medical, prevention and health care institutions. The categories of physicians are clinical, traditional Chinese medicine, oral and public health. The examination contents are the practice status of the registered doctors 20XX and 20XX in the Municipal Health Bureau before December 31, 20XX. Among them, the doctor who intends to change the place of practice or has one of the conditions listed in Article 37 of the Practitioners Law but has not revoked the practice certificate shall submit an application to the appraisal institution for the early assessment by the medical, preventive and health care institutions where he is located. . The doctor's assessment that he did not participate in the assessment without proper reasons during the assessment period was unqualified.
Second, the assessment content
The assessment includes three items: work performance, professional ethics assessment and business level assessment. The performance and professional ethics are assessed by the medical, prevention, and health care institutions where the physician is located; the assessment of the business level is the responsibility of the assessment agency. The assessment of doctors engaged in maternal and child health care should also include the assessment content specified in the Maternal and Infant Health Care Act and its implementation measures. The assessment of the level of business should be treated differently according to the level, category and profession of the practitioners, focusing on the evaluation of laws and regulations and the “three basics”, as well as the ability to learn and master new knowledge, new theories, new technologies and new methods.
Third, the assessment program
The assessment program includes simple programs and general programs. The assessment institution shall notify the examinee physician 30 days before the assessment.
For physicians who have more than 5 years of experience and have a good track record during the assessment period, or a physician with more than 12 years of practice experience and no record of bad behavior during the assessment period, take a simple program assessment. The record of good behavior includes the awards and recognitions of the doctors in the course of practicing, the completion of the government's mandated tasks and the technical achievements obtained; the records of bad behaviors include administrative penalties for violations of medical and health management laws and regulations, medical treatment norms and routines. , disciplinary action, and medical incidents that occur. For doctors who meet the appraisal of Jane's appraisal, the author shall first write a report on his duties from three aspects: work performance, professional ethics and business level. The institution that is registered by the practice registration agency will sign the opinion on the “Physician Periodic Assessment Form” and report it to the appraisal agency. Review, no longer a written test.
Take a general program assessment for other physicians. For doctors who adopt general program assessment, they first write a report on their work in terms of work performance, professional ethics and business level. The institution where the registration is registered conducts work performance and professional ethics assessment on the Physician's Periodic Assessment Form. Sign the assessment opinions and report to the assessment body for review on the 30th day before the business level assessment. The assessment organization shall organize the evaluation of the business level according to the provisions of Article 14 of the “Administrative Measures for Regular Assessment of Physicians”. Among them, the written test time is scheduled to be held on the morning of April 10th, and each appraisal organization arranges the test site by itself; the other levels of business level assessment are arranged by the appraisal agencies themselves, from April 10th to April 11th.
Fourth, the assessment results
The results of regular assessments of physicians are classified as qualified and unqualified. Any one of the work performance, professional ethics and business level that cannot be assessed or evaluated, or one of the situations listed in Article 27 of the Physician's Periodic Assessment Management Measures shall be unqualified. Before April 20th, each appraisal institution will send the "Registration Form for Regular Appraisal of Physicians" to the institution where the doctors are practising, and notify the appraisers in writing of the results of the appraisal. From April 26th to April 30th, the appraisal institutions will report the "Physician's Periodic Assessment Results Registration Form", the 20XX Annual Physician's Periodic Assessment Report, and the Physician's Periodic Assessment Form to the Health Supervision Office of the Municipal Health Bureau. The urban and development zone health bureaus should also report at the same time.
Within 30 days after the end of the assessment, the institution where the doctor is registered shall promptly submit the “Physician's Practice Certificate” of the assessed physician to the registration authority, and the registration authority shall affix “××年××月至×× in its “Practice Record” column. The year × × month assessment qualified "word seal, and the results of the examination into the physician practice registration information database. If the assessment is unqualified, those who have passed the examination after 3-6 months of training will be stamped with the words “Y×年××月考试考试” in the “Practitioner Records” column of their “Physician Practice Certificate”. If the assessment is still unqualified, the registration of the practice will be cancelled and the "Physician's Practice Certificate" will be withdrawn.
V. Assessment agencies and division of labor
According to the research, 31 medical, preventive and health care institutions, including Weifang People's Hospital, will undertake the regular assessment tasks of the doctors of the Municipal Health Bureau. The specific division of labor is as follows:
Weifang City People's Hospital. Responsible for Weifang Eye Hospital, Weifang Tongxin Hospital, Shandong Weifang Gamma Knife Treatment Research Center, Weifang Stomatological Hospital Xinhua Branch, Weifang Rongfu Military Hospital, Weifang Kuiwen District Maternal and Child Health Hospital, Weifang City Institute of Chronic Noncommunicable Diseases, Weifang City Dermatological Disease Prevention and Treatment Institute, Kuiwen Xuguangqin Gynecology Clinic, Weifang City Municipal Government Hospital, Weifang Medical College Plastic Surgery Hospital, Beijing Yijiyuan Surface Neurology Research Institute Weifang Facial Neurological Hospital, Weifang Oriental Orthopaedic Hospital, Weifang Anorectal Surgery Hospital, Kuiwen Li Chuzhong Medical Beauty Clinic, Health Department of Weifang Health School of Shandong Province, Weifang Health School Stomatological Hospital of Shandong Province, Kuiwen Haida Medical Beauty Clinic, Weifang Medical College Hospital, Kuiwen Zhengzhonghua Dental Clinic, Kuiwen Sunlei Dental Clinic, Kuiwen Li Yuejun Dental Clinic, Kuiwen Wei Zhanrong Dental Clinic, Kuiwen Weizhanshan Dental Clinic, Weifang City Fourth People's Hospital Daliushu Branch, Yucheng Liu Chengli Dental Clinic, Kui Article and Peace Oral Clinic, Gaoxin Han Xiaowen Dental Clinic, Yucheng Liu Yongsheng Dental Clinic, Yucheng Zhou Haixiang Medical Aesthetic Clinic .
Affiliated Hospital of Weifang Medical College. Responsible for Weifang Stomatological Hospital, Weifang Asthma Hospital, Weifang Entry-Exit Inspection and Quarantine Bureau International Travel Health Care Center, Kuiwen Changhe Dental Clinic, Weifang Sixth People's Hospital, Weifang Brain Hospital, Weifang City Dermatology Prevention and Treatment Center Heping Road Clinic Department, Weifang City Maternal and Child Health Station, Weifang City Center Blood Station Blood Disease Treatment Center, Weifang Dental Hospital Fushou Street Clinic, Kuiwen Chen Guiyu Dental Clinic, Kuiwen Dental Clinic, Weifang Dental Hospital Fushou Street Clinic, Weifang Mental Health Center City Division, Yucheng Zhou Qingshun Dental Clinic, Economic Zone Zheng Fuguang Dental Clinic, Kuiwen Zhao Suxia Medical Beauty Clinic, Yucheng Zhu Yunxiang Dental Clinic, Yucheng Zhou Xiaopeng Dental Clinic, Gaoxin Wangye Chang Dental Clinic, Gaoxin Fan Xinfang Dental Clinic Gaoxin Wang Shoumei Dental Clinic, Weifang Stomatological Hospital Beigong Street Dental Clinic.
Fangzi District People's Hospital. Responsible for the unit and Weifang Heart Hospital, Fangzi District Renkang Hospital, Fangzi Wang Suju Dental Clinic, Fangzi District Dermatology Prevention Station, Fangzi District Maternal and Child Health Station.
Hanting District People's Hospital. Responsible for the unit and Hanting District Dermatological Disease Prevention and Treatment Institute, Hanting District Maternal and Child Health Hospital, Hanting Wang Weilin Dental Clinic, Hanting Li Yongzheng Dental Clinic, Hanting Guolan Dental Clinic, Hanting Zhou Jianhua Dental Clinic, Hantingying Chunping Dental Clinic .
Qingzhou People's Hospital. Responsible for the unit and Qingzhou Tuberculosis Control Center, Qingzhou City Dermatology Prevention and Treatment Station, Shandong Yidu Health School Affiliated Hospital, Weifang Dental Hospital, Qingzhou Eye Hospital, Qingzhou Shazuo Military Dental Clinic, Qingzhou Wu Junxing Dental Clinic.
Zhucheng People's Hospital. Responsible for the unit and Zhucheng dermatology prevention and treatment station, Zhucheng Stomatological Hospital, Zhucheng Cao Peisen Dental Clinic, Zhucheng Gejiqing Dental Clinic, Zhucheng Zhang Yongkui Dental Clinic, Zhucheng Zhao Rongming Dental Clinic, Zhucheng Zhu Shiwei Dental Clinic, Zhucheng Mental Health Center, Zhucheng Huangqingde Oral Clinic, Zhucheng Zhang Hongqi Dental Clinic.
Shouguang People's Hospital. Responsible for the unit and Shouguang City Dermatology Prevention and Treatment Station, Shouguang Guangming Eye Hospital, Shouguang Wang Zenggang Dental Clinic, Shouguang City Institute of Chronic Diseases, Shouguang City Tuberculosis Control Center, Shouguang Guangming Eye Hospital, Shengcheng Street Clinic, Shouguang City Stomatological Hospital, Shouguang Guangming Ophthalmology Department Hospital Luhai Road Clinic, Shouguang People's Hospital Huancui Garden Clinic, Shouguang Zheng Zhongqing Dental Clinic, Shouguang Weiguangyong Dental Clinic, Shouguang Wei Yongming Dental Clinic, Shouguang Liu Peichun Dental Clinic.
Anqiu City People's Hospital. Responsible for the unit and Anqiu City Dermatology Prevention and Treatment Station, Anqiu Eye Hospital, Anqiu Yuepingping Dental Clinic, Anqiu Zhang Yuwu Dental Clinic, Anqiu Chen Haixing Dental Clinic.
Gaomi City People's Hospital. Responsible for the unit and the high-density dermatology prevention and treatment station, Gaomi City Tuberculosis Control Center.
Changyi City People's Hospital. Responsible for the unit and Changyi City Skin Disease Prevention and Control Station, Changyi City People's Hospital Chengdong Branch.
Linyi County People's Hospital. Responsible for the unit and Linyi County Maternal and Child Health Station, Linyi County Lushan Hospital, Linyi County Dermatology Prevention and Treatment Station, Linyi County Haifushan Hospital, Linyi Wang Shaosheng Dental Clinic, Linyi Chen Fangming Dental Clinic.
Changle County People's Hospital. Responsible for the unit and Changle County Maternal and Child Health Hospital, Changle County Dermatological Disease Prevention and Control Station, Changle Gaoxinming Dental Clinic, Changle Yiyongqiang Dental Clinic, Changle Tianxiuzhen Dental Clinic.
People's Hospital of Weifang Binhai Economic Development Zone. Responsible for the unit and Haihua Haimeng Dental Clinic, Weifang Marine Chemical High-tech Industrial Development Zone Maternal and Child Health Station.
Linyi County Chinese Medicine Hospital. Responsible for the unit and Linyi County Maternal and Child Health Hospital, Linyi Diabetes Hospital.
Weifang City Center for Disease Control and Prevention, Weifang City Second People's Hospital, Weifang City Hospital, Weifang City Cancer Hospital, Qingzhou Maternal and Child Health Hospital, Zhucheng Maternal and Child Health Hospital, Shouguang Maternal and Child Health Hospital, Gaomi City Maternal and Child Health Hospital, Changyi City Maternal and Child Health Hospital, Anqiu Maternal and Child Health Hospital, Qingzhou Chinese Medicine Hospital, Shouguang City Hospital, Anqiu Chinese Medicine Hospital, Gaomi City Hospital, Changyi City Hospital, Changle County Hospital of Traditional Chinese Medicine.
Six, organizational leadership
The Municipal Health Bureau set up a regular assessment team for physicians to be responsible for organizing, coordinating, supervising and guiding the regular assessment of physicians in the city, conducting spot checks on the assessment of assessment institutions and reviewing the assessment results.
Team leader: Meng Qingyang Deputy Secretary of the Party Committee, Deputy Director
Deputy Team Leader: Zhao Jinshun Director of Health Supervision Office
Member: Su Xilong Deputy Director of Health Supervision Department
Zhang Jianke Deputy Director of Health Supervision Department
Liu Fengdong, Deputy Secretary of the Health Supervision Branch
Liu Hongting, Deputy Director, Health Supervision Office
Zhang Xiaojing, Deputy Chief, Department of Traditional Chinese Medicine
Wang Yong, Director of Supervision, Supervision Department, Four Sections
The office of the leading group is located in the Health Supervision Department of the Municipal Health Bureau, and Comrade Su Xilong is also the director of the office.
Part 4: Physician's regular assessment implementation plan
I. Examination committee, assessment team and their job responsibilities
1. Appraisal Committee
Responsibilities: Responsible for formulating the physician assessment work system, responsible for the organization, implementation, inspection, and guidance of the physician's regular assessment, determining the assessment results, and ensuring the assessment work.
2. Performance appraisal group:
Responsibilities: Responsible for the assessment of the doctor's work performance and good records.
3. Professional ethics assessment team:
Responsibilities: Responsible for the bad records and professional ethics assessment of our staff.
4. Business level assessment team:
Responsibilities: Responsible for the “three basics” and “four new” business knowledge written examinations and operational skills assessments of physicians in the hospital and other medical and health units prescribed by the Municipal Health Bureau. Medical education.
The performance appraisal team and the professional ethics assessment team must evaluate the work performance and professional ethics of the physicians who are registered in the institution according to the requirements, and sign the assessment opinions on the Physician Periodic Assessment Form, and 30 before the business level assessment date. The day will assess the opinion level business level assessment team. The performance of work and professional ethics should be linked to the annual assessment of the doctor. The business level assessment team shall first review the submitted assessment opinions, then conduct a business level assessment on the physicians participating in the periodic assessment, and sign the opinions on the “Physician Periodic Assessment Form”.
Second, the assessment rules
Physicians regularly assess each cycle for two years.
Appraisal object: Physician and practicing assistant physician who have obtained the qualification of a doctor according to law and have been registered in the hospital. Responsible for the Municipal CDC, Bohai Hospital, Junction, Penetration, Linglong Hospital, Zhang Liqun Hospital, town health centers, social medical institutions, factory medical clinics, individual Western medicine clinics, health clinics and oral dentists Regular assessment of class physicians.
The assessment adheres to the principles of objectivity, science, fairness, justice and openness.
The assessment work is entrusted and supervised by the Municipal Health Bureau, and reports to the Kaiping Municipal Health Bureau on the assessment work and the results of the physician assessment.
Third, the assessment method and management
Regular assessments by physicians include assessment of business level, performance and ethics.
Work performance and professional ethics:
1. Combined with the appraisal physician's assessment of the previous year and the usual assessment and evaluation results.
2. Establish a sound work performance and professional ethics evaluation system as a basis for professional ethics assessment of physicians.
3. The work performance and professional ethics assessment shall be submitted by the department where the appraisal physician is located, and the assessment opinions shall be submitted to the personnel department and the hospital office for review. Other medical units designated by the city to appoint practitioners and practicing assistant physicians to be evaluated in our hospital, and their units will complete the work performance and professional ethics assessment, sign the assessment opinions on the “Physician Periodic Assessment Form”, and measure the business level 30 The Japanese will report the opinions to the assessment agency of our hospital.
4. Examination time: June-September of the second year of the assessment cycle is the assessment time. Among them, June-August is the time for assessing work performance and professional ethics, and September is the time for assessing business level. The appraisal agency shall notify the physician who needs to undergo regular assessment 60 days before the regular assessment date.
Business level assessment: According to the level, category and professional treatment of practitioners, focus on the evaluation of laws and regulations and the "three basics", as well as the ability to learn and master new knowledge, new theories, new technologies and new methods.
1. The business level assessment is carried out by one or several of the following forms:
Personal debriefing; medical and academic education network collection
有關法律、法規、專業知識的考核或考試以及技術操作的考核或考試；
對其本人書寫的醫療文書的檢查；
患者評價和同行評議；
省級衛生行政部門規定的其他形式。
2、業務水平測評的管理
每年9月份進行業務水平測評。
由醫務科負責組織。
以上第1條第、款為考核重點，每年有側重地安排考核或考試。
考核結論：
1、考核委員會綜合評定意見和業務水平測評結果，對醫師做出考核結論。
2、考核醫師名單於每年6月1日前公布。考核結果於每年10月30日前報市衛生局備案，並張榜公布考核結果。
3、對因變更執業地點的或者有執業醫師法第三十七條所列情形之一但未被吊銷執業證書的醫師，提前進行考核。
四、執業記錄與考核程式
醫院實行醫師行為記錄製度。醫師行為記錄分為良好行為記錄和不良行為記錄。
1、良好行為記錄：醫師在執業過程中受到的醫院及各級政府和衛生主管部門獎勵、表彰、完成政府指令性任務的個人，取得市廳級技術成果的第1－3名作者及省部級技術成果的作者等；
2、不良行為記錄：因違反醫療衛生管理法規和診療規範常規受到的行政處罰、處分，以及發生的醫療事故等。
醫師行為記錄作為醫師考核的依據之一。
醫師定期考核程式：
1、一般程式：按第三條規定進行的考核。
2、簡易程式：本人書寫述職報告，所在科室簽署意見，報人事科審核。
符合下列條件的醫師定期考核執行簡易程式：
1、具有5年以上執業經歷，考核周期內有良好行為記錄的；
2、具有12年以上執業經歷，在考核周期內無不良行為記錄的；
3、省級以上衛生行政部門規定的其他情形。
其他醫師定期考核按照一般程式進行。
V. Assessment results
考核結果分為合格和不合格。工作成績、職業道德和業務水平中有一項不能通過評定或測評的，即為不合格。 醫學.教育網收集整理
醫師在考核周期內按規定通過國家組織的住院醫師規範化培訓或通過晉升上一級專業技術職務考試的，視為業務水平測評合格。
考核醫師對考核結果有異議的，可以在收到考核結果之日起30日內，向人事科提出覆核申請。醫院在接到覆核申請之日起30日內對醫師考核結果進行覆核，並將覆核意見書面通知醫師本人。
對考核不合格的醫師，醫院將參照市衛生局的處理意見執行。 .
根據《醫師定期考核管理辦法》規定，醫師在考核周期內有下列情形之一的，認定為考核不合格：
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